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 Clinic/Facility Level
Utica, NY
See all hospitals reporting HCPCS G0463 →Price type
MVHS, Inc.’s median price of $110 is 30% below the median hospital's median price ($157), higher than 8% of the 1,746 hospitals reporting HCPCS G0463. 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, 27 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 · bothfrom % of charges | $47.84 | $47.84 | $47.84 – $47.84 |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $72.40 | $72.40 | $72.40 – $72.40 |
| 3 | Excellus excellus bcbs medicare advantage other · outpatient | $66.48 | $83.10 | $66.48 – $166.19 |
| 4 | UnitedHealthcare uhc commercial per diem · inpatient | $86.00 | $86.00 | $86.00 – $86.00 |
| 5 | UnitedHealthcare uhc commercial per diem · outpatient | $86.00 | $86.00 | $86.00 – $86.00 |
| 6 | Medicare medicare other · outpatient | $66.48 | $86.42 | $66.48 – $166.19 |
| 7 | Humana humana medicare advantage other · outpatient | $66.48 | $91.41 | $66.48 – $166.19 |
| 8 | UnitedHealthcare uhc medicare advantage other · outpatient | $67.14 | $92.32 | $67.14 – $167.85 |
| 9 | Aetna aetna medicare advantage other · outpatient | $67.81 | $93.24 | $67.81 – $169.52 |
| 10 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $94.11 | $94.11 | $47.84 – $140.37 |
| 11 | WellCare wellcare medicare advantage other · outpatient | $68.47 | $94.15 | $68.47 – $171.18 |
| 12 | Optum vaccn optum other · outpatient | $66.48 | $99.72 | $66.48 – $166.19 |
| 13 | Aetna aetna commercial percent of total billed charges · outpatientfrom % of charges | $107.44 | $107.44 | $107.44 – $107.44 |
| 14 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $107.88 | $107.88 | $107.88 – $107.88 |
| 15 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $117.65 | $117.65 | $117.65 – $117.65 |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $120.54 | $120.54 | $120.54 – $120.54 |
| 17 | Excellus excellus bcbs indemnity percent of total billed charges · outpatientfrom % of charges | $120.54 | $120.54 | $120.54 – $120.54 |
| 18 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $123.26 | $123.26 | $123.26 – $123.26 |
| 19 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $123.26 | $123.26 | $123.26 – $123.26 |
| 20 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $123.26 | $123.26 | $123.26 – $123.26 |
| 21 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $123.26 | $123.26 | $123.26 – $123.26 |
| 22 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $123.26 | $123.26 | $123.26 – $123.26 |
| 23 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $128.15 | $128.15 | $128.15 – $128.15 |
| 24 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $135.75 | $135.75 | $135.75 – $135.75 |
| 25 | Humana humana military other · outpatient | $144.87 | $144.87 | $144.87 – $144.87 |
Last updated: Aug 7, 2026
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