Utica, NY
See all hospitals reporting CPT 99396 →Price type
MVHS, Inc.’s median price of $111 is 19% below the median hospital's median price ($138), higher than 32% of the 1,297 hospitals reporting CPT 99396. 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 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 2 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $87 | $87 | — | — | 36–99 | $87 – $87 |
| 5 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 6 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Humana humana military fee schedule · outpatient | $98 | $98 | $13 | 13% | 1–10 | $85 – $111 |
| 8 | Tricare humana military fee schedule · outpatient | $98 | $98 | $13 | 13% | — | $85 – $111 |
| 9 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Humana humana military fee schedule · both | $111 | $111 | — | — | 9–90 | $111 – $111 |
| 11 | Tricare humana military fee schedule · both | $111 | $111 | — | — | 3–30 | $111 – $111 |
| 12 | Humana choicecare fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 13 | Humana humana medicare advantage fee schedule · both | $117 | $117 | — | — | 6–60 | $117 – $117 |
| 14 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $149 | $149 | — | — | 128–191 | $149 – $149 |
| 15 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 16 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 17 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 18 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 19 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 20 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 21 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 22 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
Last updated: Aug 7, 2026
See Periodic Preventive Med Est Patient 40-64yrs pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.