HCPCS G0400-TC
Low
$255
Average
$255
Median
$255
High
$256
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4 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 | 2 | $255 | $255 | $48 | 19% | — | $207 – $303 |
| 2 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 2 | $255 | $255 | $48 | 19% | — | $207 – $303 |
| 3 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 2 | $255 | $255 | $48 | 19% | — | $207 – $303 |
| 4 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 2 | $256 | $256 | $48 | 19% | — | $208 – $303 |
← Payers reporting HCPCS G0400-TC · Snapshot 20261115T194459Z-975ba28a