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
Cyto Vag/Cer W/Manu W/Phy Sup
Low
$26
Average
$130
Median
$150
High
$269
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 6.0× 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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15 hospital rates
iThe hospitals that file a Carefirst 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 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $177 | $177 | $9 | 5% | — | $168 – $187 |
| 2 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $177 | $177 | $9 | 5% | — | $168 – $187 |
| 3 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $177 | $177 | $9 | 5% | — | $168 – $187 |
| 4 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $177 | $177 | $9 | 5% | — | $168 – $187 |
| 5 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $177 | $177 | $9 | 5% | — | $168 – $187 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $108 | $108 | $17 | 16% | — | $91 – $125 |
| 10 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 13 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 14 | UPMC Hanover Hanover, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 15 | UPMC Hanover Hanover, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $269 | $269 | — | — | — | $269 – $269 |
← Payers reporting HCPCS G0145 · Snapshot 20261111T120946Z-9134e7f7