HCPCS G0399-TC
Low
$316
Average
$316
Median
$316
High
$317
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12 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Doctors’ Hospital of Williamsburg Williamsburg, VA other · outpatient | 2 | $288 | $288 | $82 | 28% | — | $207 – $370 |
| 3 | Doctors’ Hospital of Williamsburg Williamsburg, VA percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 4 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 5 | Riverside Hospital Inc Newport News, VA other · outpatient | 2 | $288 | $288 | $82 | 28% | — | $207 – $370 |
| 6 | Riverside Hospital Inc Newport News, VA percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 7 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA other · outpatient | 2 | $288 | $288 | $82 | 28% | — | $207 – $370 |
| 9 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 10 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 11 | SHORE HEALTH SERVICES INC. Onancock, VA other · outpatient | 2 | $289 | $289 | $81 | 28% | — | $208 – $370 |
| 12 | SHORE HEALTH SERVICES INC. Onancock, VA percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $536 | — | — | — | $536 – $536 |
← Payers reporting HCPCS G0399-TC · Snapshot 20261115T194459Z-975ba28a