Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Pe New Age 12-17
Utica, NY
See all hospitals reporting CPT 99384 →Price type
MVHS, Inc.’s median price of $119 is 18% below the median hospital's median price ($145), higher than 34% of the 1,244 hospitals reporting CPT 99384. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 5 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 6 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 7 | Humana humana military fee schedule · outpatient | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 8 | Tricare humana military fee schedule · outpatient | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 9 | Humana humana military fee schedule · both | $119 | $119 | — | — | 2–20 | $119 – $119 |
| 10 | Tricare humana military fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Humana choicecare fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Humana humana medicare advantage fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 13 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 14 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 15 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 16 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 17 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 18 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 19 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 20 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 21 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 22 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
Last updated: Aug 7, 2026
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