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
HC Preparation W/Instillation Fecal Microbiota Any Method Assessment Donor Specimen
Dublin, OH
See all hospitals reporting HCPCS G0455 →Price type
Mount Carmel Dublin’s median price of $754 is 25% below the median hospital's median price ($1.0k), higher than 21% of the 1,317 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: 14 payers, 26 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $725 | $725 | — | — | — | $725 – $725 |
| 2 | Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
| 3 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $754 | $754 | — | — | — | $754 – $754 |
| 4 | Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges | $778 | $778 | — | — | — | $778 – $778 |
| 5 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $817 | $817 | — | — | — | $817 – $817 |
| 6 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 7 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 8 | Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges | $840 | $840 | — | — | — | $840 – $840 |
| 9 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $851 | $851 | — | — | — | $851 – $851 |
| 10 | Aetna aetna medicare advantage facility · other · both | $879 | $879 | — | — | — | $879 – $879 |
| 11 | Anthem anthem bcbs medicare advantage facility · other · both | $879 | $879 | — | — | — | $879 – $879 |
| 12 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $893 | $893 | — | — | — | $893 – $893 |
| 13 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $896 | $896 | — | — | — | $896 – $896 |
| 14 | Medical Mutual medical mutual medicare advantage facility · other · both | $897 | $897 | — | — | — | $897 – $897 |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $906 | $906 | — | — | — | $906 – $906 |
| 16 | Aetna aetna better health medicare advantage facility · other · both | $923 | $923 | — | — | — | $923 – $923 |
| 17 | Molina molina medicare advantage facility · other · both | $923 | $923 | — | — | — | $923 – $923 |
| 18 | Caresource caresource medicare advantage facility · other · both | $924 | $924 | — | — | — | $924 – $924 |
| 19 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $969 | $969 | — | — | — | $969 – $969 |
| 20 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Aetna aetna neighborhood narrow network facility · case rate · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Mar 31, 2026
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.