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
HIV 1 2 Ab Ag 4th Generation Auto w/Rfx
Bluffton, IN
See all hospitals reporting HCPCS G0475 →Price type
Bluffton Health System LLC’s median price of $17 is 35% below the median hospital's median price ($26), higher than 1% of the 1,510 hospitals reporting HCPCS G0475. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem anthem in healthsync professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem anthem in hmo ppo trad professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Anthem anthem in marketplace stld professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $21 | $15 | $7 | 51% | — | $5 – $21 |
| 5 | Tricare node tricare facility · fee schedule · outpatient | $22 | $15 | $8 | 56% | — | $4 – $22 |
| 6 | Aetna node aetna mcr adv facility · other · outpatient | $24 | $16 | $8 | 51% | — | $5 – $24 |
| 7 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $24 | $16 | $8 | 51% | — | $5 – $24 |
| 8 | Caresource node caresource mcr adv facility · fee schedule · outpatient | $24 | $16 | $8 | 51% | — | $5 – $24 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 10 | Anthem anthem in healthsync facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 11 | Anthem anthem in hip facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 12 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 13 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 14 | Humana node humana choicecare mcr adv facility · fee schedule · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 15 | Optum node united optum va ccn facility · per diem · outpatient | $24 | $17 | $8 | 51% | — | $6 – $24 |
| 16 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $36 | $25 | $13 | 51% | — | $8 – $36 |
| 17 | Anthem anthem in work comp facility · other · outpatient | $39 | $26 | $14 | 51% | — | $9 – $39 |
| 18 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $12 | $27 | $47 | 176% | — | $2 – $139 |
| 19 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $13 | $30 | $53 | 176% | — | $2 – $155 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $13 | $31 | $54 | 176% | — | $2 – $159 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $13 | $31 | $54 | 176% | — | $2 – $159 |
| 22 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $13 | $31 | $54 | 176% | — | $2 – $159 |
| 23 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $13 | $31 | $54 | 176% | — | $2 – $159 |
| 24 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $16 | $38 | $67 | 176% | — | $2 – $195 |
| 25 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $16 | $38 | $67 | 176% | — | $2 – $195 |
Last updated: Apr 1, 2026
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