Yearly preventive checkup for patients 65 and older 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

Periodic Preventive Med Est Patient 65yrs& Older

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $120 is 18% below the median hospital's median price ($147), higher than 34% of the 1,258 hospitals reporting CPT 99397. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99397 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	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	$93	$93	—	—	—	$93 – $93
4	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$94	$94	—	—	108–198	$94 – $94
5	UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	1–10	$94 – $94
6	Humana humana military fee schedule · outpatient	$105	$105	$15	15%	—	$89 – $120
7	Tricare humana military fee schedule · outpatient	$105	$105	$15	15%	—	$89 – $120
8	UnitedHealthcare uhc empire plan fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
9	Humana humana military fee schedule · both	$120	$120	—	—	—	$120 – $120
10	Tricare humana military fee schedule · both	$120	$120	—	—	—	$120 – $120
11	Humana choicecare fee schedule · both	$126	$126	—	—	—	$126 – $126
12	Humana humana medicare advantage fee schedule · both	$126	$126	—	—	8–80	$126 – $126
13	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
14	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$160	$160	—	—	19–91	$160 – $160
15	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$210	$210	—	—	—	$210 – $210
16	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
17	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
18	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
19	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
20	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
21	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$249	$249	—	—	—	$249 – $249
22	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$264	$264	—	—	—	$264 – $264

Last updated: Aug 7, 2026

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