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
Work/Med Disability Exam
Utica, NY
See all hospitals reporting CPT 99455 →Price type
MVHS, Inc.’s median price of $156 is 2% above the median hospital's median price ($153), higher than 52% of the 575 hospitals reporting CPT 99455. 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, 14 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 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Humana humana military percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 5 | Tricare humana military percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 6 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 7 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 8 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 9 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 10 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 11 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 12 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 13 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 14 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
Last updated: Aug 7, 2026
See Work or disability exam by treating physician pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.