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
HC Screening Hepatitis B Non-Obstetric High Risk
Low
$1
Average
$70
Median
$36
High
$483
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 5.2× 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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46 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $30 | $42 | $21 | 49% | 13–22 | $30 – $78 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 4 | $21 | $22 | $5 | 25% | — | $17 – $30 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $26 | $26 | $6 | 23% | — | $20 – $32 |
| 5 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 8 | MVHS, Inc. Utica, NY fee schedule · outpatient | 2 | $28 | $28 | $1 | 3% | — | $27 – $28 |
| 9 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 10 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | $66 | 56% | — | $52 – $184 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | $2 | 2% | — | $80 – $84 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 16 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 17 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $483 | $483 | — | — | — | $483 – $483 |
| 18 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 3 | $22 | $24 | $5 | 19% | — | $20 – $31 |
| 19 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $26 | $26 | $6 | 23% | — | $20 – $32 |
| 20 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $28 | $27 | $5 | 17% | — | $20 – $31 |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $92 | $92 | $30 | 33% | — | $62 – $123 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 23 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
← Payers reporting HCPCS G0499 · Snapshot 20261111T120946Z-9134e7f7