Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
Medicare pricing data for 3,541 providers across 44 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) (HCPCS code G0472) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $44.86, but hospitals typically charge $113.83 — a 2.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $44.86, your out-of-pocket cost would be approximately $8.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $44.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $45 | $60 | 2 | 378 | +1.2% |
| Maine | $45 | $98 | 70 | 528 | +1.2% |
| Maryland | $45 | $149 | 5 | 1,968 | +1.2% |
| Nevada | $45 | $149 | 5 | 734 | +1.2% |
| New Hampshire | $45 | $102 | 34 | 121 | +1.2% |
| Virginia | $45 | $88 | 99 | 4,039 | +1.2% |
| Colorado | $45 | $92 | 44 | 4,832 | +1.2% |
| Kansas | $45 | $137 | 5 | 6,611 | +1.2% |
| New Jersey | $45 | $124 | 91 | 16,958 | +1.2% |
| Iowa | $45 | $62 | 110 | 1,993 | +1.2% |
| North Carolina | $45 | $113 | 54 | 20,380 | +1.2% |
| Pennsylvania | $45 | $141 | 24 | 1,937 | +1.2% |
| Michigan | $45 | $47 | 6 | 495 | +1.2% |
| Indiana | $45 | $50 | 15 | 1,657 | +1.2% |
| Oklahoma | $45 | $78 | 19 | 3,591 | +1.2% |
| Tennessee | $45 | $83 | 278 | 6,937 | +1.2% |
| Ohio | $45 | $88 | 158 | 9,319 | +1.1% |
| Georgia | $45 | $147 | 31 | 5,932 | +1.1% |
| Louisiana | $45 | $93 | 8 | 586 | +1.1% |
| Illinois | $45 | $150 | 157 | 5,000 | +1.1% |
| Wisconsin | $45 | $108 | 79 | 5,541 | +1.0% |
| Connecticut | $45 | $55 | 141 | 744 | +1.0% |
| Arkansas | $45 | $68 | 38 | 358 | +1.0% |
| Florida | $45 | $140 | 162 | 13,098 | +0.9% |
| New York | $45 | $81 | 133 | 1,356 | +0.8% |
| North Dakota | $45 | $128 | 9 | 336 | +0.8% |
| Rhode Island | $45 | $62 | 3 | 57 | +0.8% |
| Kentucky | $45 | $67 | 7 | 1,544 | +0.6% |
| California | $45 | $133 | 51 | 20,438 | +0.6% |
| Massachusetts | $45 | $138 | 314 | 5,835 | +0.3% |
| South Dakota | $45 | $118 | 13 | 308 | +0.3% |
| South Carolina | $45 | $87 | 37 | 569 | +0.2% |
| Nebraska | $45 | $56 | 24 | 210 | -0.0% |
| Oregon | $45 | $71 | 80 | 3,039 | -0.1% |
| Mississippi | $45 | $96 | 4 | 281 | -0.2% |
| Texas | $45 | $129 | 213 | 18,262 | -0.3% |
| Washington | $45 | $98 | 285 | 11,862 | -0.4% |
| Minnesota | $44 | $106 | 469 | 2,847 | -2.9% |
| Arizona | $43 | $101 | 191 | 9,258 | -4.6% |
| Montana | $42 | $64 | 4 | 151 | -6.6% |
| Alabama | $41 | $93 | 10 | 9,192 | -8.7% |
| Missouri | $39 | $75 | 33 | 295 | -12.6% |
| Utah | $37 | $41 | 3 | 22 | -18.4% |
| Idaho | $35 | $38 | 8 | 47 | -20.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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