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
PREPARATION W INSTILL FECAL MICROBIOTA ANY METH INC ASSESS DONOR
Hackensack, NJ
See all hospitals reporting HCPCS G0455 →Price type
Hmh Hospitals Corporation’s median price of $1.0k is 3% above the median hospital's median price ($1.0k), higher than 56% of the 1,325 hospitals reporting HCPCS G0455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | — | — | — | $207 – $207 |
| 2 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 3 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $828 | $828 | — | — | — | $828 – $828 |
| 4 | Optum managed medicaid facility · fee schedule · outpatient | $859 | $859 | — | — | — | $859 – $859 |
| 5 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 6 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $976 | $976 | — | — | — | $976 – $976 |
| 7 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Aetna medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Optum medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | WellCare managed medicaid facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | WellCare medicare advantage facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Aetna asa facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 15 | Aetna hmo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 16 | Aetna ppo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
Last updated: Dec 31, 2025
See Fecal microbiota preparation for instillation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.