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
HC Oral/Facial Photo Image Obtain Intra/Extraorlly
Utica, NY
See all hospitals reporting HCPCS D0350 →Price type
MVHS, Inc.’s median price of $109 is 15% above the median hospital's median price ($94), higher than 69% of the 739 hospitals reporting HCPCS D0350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 11 | Humana humana military other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Tricare humana military other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 13 | Excellus excellus bcbs medicare advantage other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 14 | Humana humana medicare advantage other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 15 | Medicare medicare other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Optum vaccn optum other · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 17 | UnitedHealthcare uhc medicare advantage other · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 18 | Aetna aetna medicare advantage other · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 19 | WellCare wellcare medicare advantage other · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Cigna mvp and cigna commercial other · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 21 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Aug 7, 2026
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