Preventive checkup visit for ages 12 to 17 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 12-17

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $102 is 18% below the median hospital's median price ($124), higher than 32% of the 1,251 hospitals reporting CPT 99394. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99394 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	$79	$79	—	—	—	$79 – $79
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$81	$81	—	—	—	$81 – $81
3	UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
4	UnitedHealthcare uhc commercial per diem · inpatient	$86	$86	—	—	—	$86 – $86
5	UnitedHealthcare uhc commercial per diem · outpatient	$86	$86	—	—	—	$86 – $86
6	UnitedHealthcare uhc empire plan fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
7	Tricare humana military fee schedule · outpatient	$89	$89	$13	15%	—	$76 – $102
8	Humana humana military fee schedule · outpatient	$102	$93	$12	13%	1–10	$76 – $102
9	Humana humana military fee schedule · both	$102	$102	—	—	3–30	$102 – $102
10	Tricare humana military fee schedule · both	$102	$102	—	—	3–30	$102 – $102
11	Humana choicecare fee schedule · both	$107	$107	—	—	—	$107 – $107
12	Humana humana medicare advantage fee schedule · both	$107	$107	—	—	—	$107 – $107
13	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
14	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$136	$136	—	—	5–50	$136 – $136
15	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$177	$177	—	—	—	$177 – $177
16	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$193	$193	—	—	—	$193 – $193
17	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$202	$202	—	—	—	$202 – $202
18	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$202	$202	—	—	—	$202 – $202
19	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$202	$202	—	—	—	$202 – $202
20	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$202	$202	—	—	—	$202 – $202
21	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$210	$210	—	—	—	$210 – $210
22	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223

Last updated: Aug 7, 2026

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