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Faxton-St. Lukes Healthcare

Mohawk Valley Health System
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Hospital Overview
Facility Details

CCN

330044

NPI

1205877172

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

370

Contact Information

Address

1656 Champlin Avenue

Utica, NY 13502

Phone

(315) 798-6000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
United (incl Optum)

Ameri Health

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Magnetic Resonance Technology (MRT)

Range: 0610 - 0619

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very High

Aetna

Facility

RC

Other Diagnostic Services

Range: 0920 - 0929

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Eye

Range: 113 - 125

Negotiated

Very Low

Aetna

Facility

RC

Radiology Diagnostic

Range: 0320 - 0329

Percentage of Bill Charged

Aetna

Facility

RC

Preventive Services

Range: 0770 - 0779

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Semi-private (two beds)

Range: 0120 - 0129

Percentage of Bill Charged

Aetna

Facility

RC

Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X)

Range: 0270 - 0279

Percentage of Bill Charged

Aetna

Facility

RC

Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Percentage of Bill Charged

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Hospital Location
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