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
Intake act w/med exam
Low
$110
Average
$138
Median
$138
High
$167
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2 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 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 2 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $110 | $110 | — | — | — | $110 – $110 |
← Payers reporting HCPCS G2076 · Snapshot 20261111T120946Z-9134e7f7