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 Screening Hiv Antigen/Antibody Combination Assay
Troy, NY
See all hospitals reporting HCPCS G0475 →Price type
Samaritan Hospital’s median price of $88 is 246% above the median hospital's median price ($26), higher than 93% 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: 16 payers, 72 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 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Anthem empire bcbs medicare advantage facility · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Anthem empire bcbs medicare advantage facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Excellus blue shield of ne new york medicare adv facility · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Excellus blue shield of ne new york medicare adv facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Highmark blue shield of ne new york medicare adv facility · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Highmark blue shield of ne new york medicare adv facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 9 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Aetna aetna medicare advantage facility · fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 12 | WellCare wellcare medicare advantage facility · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 13 | WellCare wellcare medicare advantage facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Anthem empire medicaid facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Excellus empire medicaid facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 16 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 17 | WellCare wellcare ep 1&2 medicaid facility · fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 18 | WellCare wellcare ep 1&2 medicaid facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Anthem empire bcbs blue access facility · fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Anthem empire bcbs blue access facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 21 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 22 | UnitedHealthcare united healthcare facility · other · both | $60 | $60 | — | — | 78 | $60 – $60 |
| 23 | UnitedHealthcare united healthcare facility · other · outpatient | $60 | $60 | — | — | 78 | $60 – $60 |
| 24 | Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 25 | Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
Last updated: Mar 31, 2026
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