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 Dsmt Class F/U 30 Min
Utica, NY
See all hospitals reporting HCPCS G0108 →Price type
MVHS, Inc.’s median price of $55 is 23% below the median hospital's median price ($71), higher than 17% of the 1,981 hospitals reporting HCPCS G0108. 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, 20 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 fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Humana humana military fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Tricare humana military fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Excellus excellus bcbs medicare advantage fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 5 | Humana humana medicare advantage fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Medicare medicare fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Optum vaccn optum fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 8 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Aetna aetna medicare advantage fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 10 | WellCare wellcare medicare advantage fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 11 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $94 | $95 | $33 | 35% | — | $55 – $135 |
| 12 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $102 | $103 | $36 | 35% | — | $60 – $148 |
| 13 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $107 | $108 | $38 | 35% | 3–30 | $63 – $155 |
| 14 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $107 | $108 | $38 | 35% | 23–50 | $63 – $155 |
| 15 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $107 | $108 | $38 | 35% | 137 | $63 – $155 |
| 16 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $107 | $108 | $38 | 35% | 30 | $63 – $155 |
| 17 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $111 | $112 | $39 | 35% | 3–30 | $65 – $161 |
| 18 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $115 | $116 | $40 | 35% | 26 | $67 – $166 |
| 19 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $115 | $116 | $40 | 35% | 20 | $67 – $166 |
| 20 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $118 | $119 | $41 | 35% | — | $69 – $170 |
Last updated: Aug 7, 2026
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