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
HB HIV 1/2 AG/AB COMBO SCREEN
Longmont, CO
See all hospitals reporting HCPCS G0475 →Price type
Longs Peak Hospital’s median price of $65 is 155% above the median hospital's median price ($26), higher than 89% 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: 10 payers, 23 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 | Aetna commercial fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Anthem medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Anthem ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Cigna medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Devoted medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Humana medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Kaiser medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | UnitedHealthcare medicare advantage fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Anthem hmo/ppo fee schedule · outpatient | $60 | $60 | $41 | 69% | — | $19 – $101 |
| 11 | UnitedHealthcare select rates fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 12 | Anthem commercial percent of total billed charges · inpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 14 | Cigna colorado rockies fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 15 | UnitedHealthcare broad networks fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 16 | Anthem commercial fee schedule · outpatient | $74 | $79 | $11 | 14% | — | $69 – $96 |
| 17 | Cigna local plus/surefit/connect fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 18 | Cigna broad networks fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 19 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 20 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 23 | Phcs commercial percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Nov 1, 2025
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