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
Troy, NY
See all hospitals reporting HCPCS G0455 →Price type
Samaritan Hospital’s median price of $1.9k is 84% above the median hospital's median price ($1.0k), higher than 83% 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: 16 payers, 37 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $610 | $610 | — | — | — | $610 – $610 |
| 2 | Anthem empire bcbs medicare advantage facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Aetna aetna medicare advantage facility · other · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | WellCare wellcare medicare advantage facility · other · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Excellus blue shield of ne new york medicare adv facility · other · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Highmark blue shield of ne new york medicare adv facility · other · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Carefirst blue shield of ne new york hmo facility · other · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Highmark blue shield of ne new york hmo facility · other · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Wellmark blue shield of ne new york hmo facility · other · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | WellCare wellcare ep 1&2 medicaid facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Carefirst blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Excellus blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Highmark blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Premera blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Regence blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Wellmark blue shield of ne new york ppo facility · other · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Anthem empire bcbs blue access facility · other · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Anthem empire bcbs hmo epo ppo indemnity facility · other · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 24 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 25 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Mar 31, 2026
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