HCPCS G0399-TC
Low
$166
Average
$166
Median
$166
High
$166
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8 hospital rates
iThe hospitals that file a Humana 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 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 2 | Doctors’ Hospital of Williamsburg Williamsburg, VA other · outpatient | 2 | $172 | $172 | $46 | 27% | — | $126 – $217 |
| 3 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Riverside Hospital Inc Newport News, VA other · outpatient | 2 | $172 | $172 | $46 | 27% | — | $126 – $217 |
| 5 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 6 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA other · outpatient | 2 | $172 | $172 | $46 | 27% | — | $126 – $217 |
| 7 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 8 | SHORE HEALTH SERVICES INC. Onancock, VA other · outpatient | 2 | $172 | $172 | $46 | 27% | — | $126 – $219 |
← Payers reporting HCPCS G0399-TC · Snapshot 20261115T194459Z-975ba28a