Limited dental exam for a specific problem 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Limited Oral Evaluation - Problem Focused

Utica, NY

See all hospitals reporting HCPCS D0140 →

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $166 is 16% above the median hospital's median price ($143), higher than 68% of the 747 hospitals reporting HCPCS D0140. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D0140 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 21 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	$21	$21	—	—	—	$21 – $21
2	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$32	$32	—	—	—	$32 – $32
3	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$47	$47	—	—	—	$47 – $47
4	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
5	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
6	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
7	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
8	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
9	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
10	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
11	Humana humana military other · outpatient	$145	$145	—	—	—	$145 – $145
12	Tricare humana military other · outpatient	$145	$145	—	—	—	$145 – $145
13	Excellus excellus bcbs medicare advantage other · outpatient	$166	$166	—	—	—	$166 – $166
14	Humana humana medicare advantage other · outpatient	$166	$166	—	—	—	$166 – $166
15	Medicare medicare other · outpatient	$166	$166	—	—	—	$166 – $166
16	Optum vaccn optum other · outpatient	$166	$166	—	—	—	$166 – $166
17	UnitedHealthcare uhc medicare advantage other · outpatient	$168	$168	—	—	—	$168 – $168
18	Aetna aetna medicare advantage other · outpatient	$170	$170	—	—	—	$170 – $170
19	WellCare wellcare medicare advantage other · outpatient	$171	$171	—	—	—	$171 – $171
20	Cigna mvp and cigna commercial other · outpatient	$477	$477	—	—	—	$477 – $477
21	UnitedHealthcare uhc commercial case rate · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Aug 7, 2026

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