Routine preventive checkup visit for an established patient at MVHS, Inc.

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Pe Est Age 5-11

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $93 is 18% below the median hospital's median price ($113), higher than 32% of the 1,225 hospitals reporting CPT 99393. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99393 at MVHS, Inc.

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	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$73	$73	—	—	—	$73 – $73
3	UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	1–10	$73 – $73
4	Tricare humana military fee schedule · outpatient	$80	$80	$13	16%	—	$67 – $93
5	UnitedHealthcare uhc empire plan fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
6	Humana humana military fee schedule · outpatient	$93	$84	$12	15%	1–10	$67 – $93
7	UnitedHealthcare uhc commercial per diem · inpatient	$86	$86	—	—	—	$86 – $86
8	UnitedHealthcare uhc commercial per diem · outpatient	$86	$86	—	—	—	$86 – $86
9	Humana humana military fee schedule · both	$93	$93	—	—	1–10	$93 – $93
10	Tricare humana military fee schedule · both	$93	$93	—	—	—	$93 – $93
11	Humana choicecare fee schedule · both	$98	$98	—	—	—	$98 – $98
12	Humana humana medicare advantage fee schedule · both	$98	$98	—	—	—	$98 – $98
13	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
14	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$124	$124	—	—	3–30	$124 – $124
15	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$162	$162	—	—	—	$162 – $162
16	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$177	$177	—	—	—	$177 – $177
17	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$185	$185	—	—	—	$185 – $185
18	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$185	$185	—	—	—	$185 – $185
19	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$185	$185	—	—	—	$185 – $185
20	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$185	$185	—	—	—	$185 – $185
21	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$193	$193	—	—	—	$193 – $193
22	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204

Last updated: Aug 7, 2026

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