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 HEP B SURFACE ANTIGEN QUANT
Low
$4
Average
$32
Median
$25
High
$212
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 8.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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38 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $30 | $30 | — | — | 42 | $30 – $30 |
| 2 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Boston Medical Center Boston, MA fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Boston Medical Center Brighton Boston, MA fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Henry Ford Health Novi, MI other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Henry Ford Health Twp, MI other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Henry Ford Health Southfield, MI other · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Henry Ford Health Rochester, MI other · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 2 | $25 | $25 | $0 | 2% | — | $25 – $25 |
| 24 | NYU Langone New York, NY case rate · both | 15 | $74 | $74 | — | — | — | $74 – $74 |
| 25 | NYU Langone Mineola, NY case rate · both | 15 | $30 | $30 | — | — | — | $30 – $30 |
← Payers reporting CPT 87467 · Snapshot 20261112T181611Z-3fa9fb76