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
HIV 1 2 Ab Ag 4th Generation Auto w/Rfx
Wayne, IN
See all hospitals reporting HCPCS G0475 →Price type
St. Joseph Health System, LLC’s median price of $24 is 8% below the median hospital's median price ($26), higher than 6% 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: 11 payers, 39 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 | Anthem anthem in healthsync professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem anthem in hmo ppo trad professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Anthem anthem in marketplace stld professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Tricare node tricare facility · fee schedule · outpatient | $20 | $17 | $6 | 37% | — | $3 – $22 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $21 | $18 | $6 | 34% | — | $3 – $21 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 7 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 8 | Humana node humana mcr adv facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 10 | Anthem anthem in healthsync facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 11 | Anthem anthem in hip facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 12 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 13 | Optum node united optum va ccn facility · per diem · outpatient | $24 | $20 | $7 | 34% | — | $3 – $24 |
| 14 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $36 | $30 | $10 | 34% | — | $5 – $36 |
| 16 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $8 | $32 | $35 | 111% | — | $1 – $101 |
| 17 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $8 | $32 | $35 | 111% | — | $1 – $101 |
| 18 | Anthem anthem in work comp facility · other · outpatient | $39 | $32 | $11 | 34% | — | $5 – $39 |
| 19 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $9 | $36 | $39 | 111% | — | $1 – $114 |
| 20 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $9 | $36 | $39 | 111% | — | $1 – $114 |
| 21 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $9 | $36 | $39 | 111% | — | $1 – $114 |
| 22 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $12 | $45 | $50 | 111% | — | $1 – $144 |
| 23 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $12 | $45 | $50 | 111% | — | $1 – $144 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $12 | $46 | $51 | 111% | — | $2 – $147 |
| 25 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $12 | $49 | $54 | 111% | — | $2 – $156 |
Last updated: Apr 1, 2026
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