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
SARSCOV INF VIR AB AG IA
The hospitals that file a Excellus 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.
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43 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $84.41 | $68.88 – $114.05 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $93.93 | $68.88 – $142.63 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 4 | $55.22 | $42.60 – $75.21 |
| 5 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $48.64 | $18.56 – $78.16 |
| 6 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 7 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 8 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $78.16 | $78.16 – $78.16 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 3 | $84.22 | $68.88 – $113.48 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 3 | $93.93 | $68.88 – $142.63 |
| 11 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 3 | $93.93 | $68.88 – $142.63 |
| 12 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 3 | $93.93 | $68.88 – $142.63 |
| 13 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 3 | $60.36 | $44.02 – $76.62 |
| 14 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $48.64 | $18.56 – $78.16 |
| 15 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $69.35 | $63.26 – $74.51 |
| 16 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $122.30 | $81.84 – $162.75 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $114.14 | $114.14 – $114.14 |
| 18 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $123.01 | $123.01 – $123.01 |
| 19 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $55.80 | $55.80 – $55.80 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $114.14 | $114.14 – $114.14 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $67.10 | $60.73 – $71.70 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $67.10 | $60.73 – $71.70 |
| 23 | Samaritan Hospital Troy, NY facility · fee schedule · both | 4 | $113.56 | $19.67 – $322.52 |
| 24 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $113.48 | $113.48 – $113.48 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $158.00 | $158.00 – $158.00 |
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