CPT 0065U
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
Syfls tst nontreponemal antb
Low
$15
Average
$18
Median
$18
High
$21
Filter by billing methodology
Filter by billing class
48 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ascension Providence Waco, TX other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Ascension Providence Waco, TX other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Ascension Seton Austin, TX other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Ascension Seton Austin, TX other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Ascension Seton Bastrop, TX other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Henry Ford Health Township, MI other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Henry Ford Health Township, MI other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | Henry Ford Health Detroit, MI other · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 25 | Henry Ford Health Detroit, MI other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 0065U · Snapshot 20261113T090226Z-3ce6c0b8