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
$26
Average
$78
Median
$37
High
$483
Each hospital's average Premera rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 5.4× 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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36 hospital rates
iThe hospitals that file a Premera 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 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $28 | $30 | $3 | 10% | — | $28 – $35 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 3 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 4 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $28 | $30 | $3 | 10% | — | $28 – $35 |
| 5 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | $66 | 56% | — | $52 – $184 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | $2 | 2% | — | $80 – $84 |
| 8 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 10 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $28 | $30 | $3 | 10% | — | $28 – $35 |
| 11 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $35 | $34 | $3 | 9% | — | $28 – $35 |
| 12 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $28 | $30 | $3 | 10% | — | $28 – $35 |
| 13 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $35 | $34 | $3 | 9% | — | $28 – $35 |
| 14 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $35 | $34 | $3 | 9% | — | $28 – $35 |
| 15 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $483 | $483 | — | — | — | $483 – $483 |
| 17 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 25 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
← Payers reporting HCPCS G0499 · Snapshot 20261111T120946Z-9134e7f7