FULL MOUTH DEBRIDEMENT 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.

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Original text from hospital filings

HC Full M Debrid Enbl Comp or Eval & Dx Subq Visit

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $112 is 90% below the median hospital's median price ($1.1k), higher than 7% of the 561 hospitals reporting HCPCS D4355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D4355 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 7 payers, 11 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 empire plan percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
2	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$92	$92	—	—	—	$92 – $92
3	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
4	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
5	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
6	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
7	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
8	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
9	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
10	Cigna mvp and cigna commercial other · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
11	UnitedHealthcare uhc commercial case rate · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Aug 7, 2026

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