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
Ppps, initial visit
Syracuse, NY
See all hospitals reporting HCPCS G0438 →Price type
Crouse Hospital’s median price of $160 is 12% below the median hospital's median price ($182), higher than 14% of the 1,291 hospitals reporting HCPCS G0438. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 | Excellus medicare advantage fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Aetna medicare fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 3 | Humana medicare advantage fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 4 | UnitedHealthcare medicare fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | UnitedHealthcare commerical percent of total billed charges · outpatientfrom % of charges | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 7 | Excellus bcbs fee schedule · outpatient | $288 | $288 | — | — | — | $288 – $288 |
| 8 | Excellus hospital blue fee schedule · outpatient | $288 | $288 | — | — | — | $288 – $288 |
Last updated: May 19, 2026
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