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
HEP C SCREEN HIGH RISK/OTHER
Jasper, TX
See all hospitals reporting HCPCS G0472 →Price type
Southeast Texas - Jasper Memorial’s median price of $52 is 6% above the median hospital's median price ($49), higher than 59% of the 1,495 hospitals reporting HCPCS G0472. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 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 all payer fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Humana choicecare fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Aetna mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Bcbs Tx mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Humana gold choice mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Molina medicare adv mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 8 | UnitedHealthcare mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 9 | WellCare mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Devoted mm fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 11 | Cigna new business fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 12 | Cigna ppo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 14 | Bcbs Tx heb fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 15 | Bcbs Tx hmo fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
Last updated: Jan 13, 2026
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