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
FECAL MICROBIOTA PREP INSTIL
Duluth, GA
See all hospitals reporting HCPCS G0455 →Price type
Northside Hospital, Inc.’s median price of $4.7k is 370% above the median hospital's median price ($1.0k), higher than 99% of the 1,316 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: 12 payers, 33 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 whole health case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 2 | Aetna aetna whole health-g case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 4 | Medicare medicare fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 5 | UnitedHealthcare uhc medicare fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 6 | Aetna aetna medicare fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 7 | Humana humana medicare advantage hmo fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 8 | Kaiser kaiser medicare advantage fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | WellCare wellcare medicare advantage fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 10 | Humana humana medicare advantage ppo fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | Caresource caresource medicare advantage fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 12 | Clover clover health fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 13 | Aetna aetna hmo/pos/ppo case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 14 | Aetna aetna hmo/pos/ppo-g case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 15 | Aetna aetna hmo/pos/ppo-q case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 16 | Tricare tricare fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 17 | Caresource caresource other · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 18 | Cigna cigna healthsprings medicare advantage other · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 19 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 20 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 21 | Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 22 | Blue Cross Blue Shield blue hpn other · outpatient | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 23 | Blue Cross Blue Shield blue hpn-l other · outpatient | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 24 | Blue Cross Blue Shield bcbs_hmo other · outpatient | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
| 25 | Blue Cross Blue Shield bcbs_hmo-l other · outpatient | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
Last updated: Feb 14, 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.