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
$24
Average
$124
Median
$120
High
$316
Each hospital's average First Health rate, under the methodology and billing class chosen below.
195 hospitals; the 90th percentile is 5.8× 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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276 hospital rates
iThe hospitals that file a First Health 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $211 | $75 | 35% | 96 | $134 – $285 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | $0 | 0% | 4–40 | $62 – $62 |
| 3 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 3–30 | $188 – $188 |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | $0 | 0% | 2–20 | $136 – $136 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | $0 | 0% | 2–20 | $136 – $136 |
| 6 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | $0 | 0% | 2–20 | $136 – $136 |
| 7 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | $0 | 0% | 2–20 | $136 – $136 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 9 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 10 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 11 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 12 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 15 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 16 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 17 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 23 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 24 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Payers reporting HCPCS G0145 · Snapshot 20261111T120946Z-9134e7f7