go back

Blood or Urine Collection, SNF or Home Health Agency

Pennsylvania rates for HCPCS G0471

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)

Rates data updated October 2026.

How much does Blood or Urine Collection, SNF or Home Health Agency cost?

$5.13

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $14.13 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.27$3.02 to $6.76
FacilityA hospital or hospital-owned outpatient department$14.13$10.72 to $23.44

How much rates vary

Facilitymedian $14 · 10th to 90th $5 to $34Professionalmedian $4 · 10th to 90th $3 to $11
$10$100$1K$10Kfacility $14professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$14.13
Typical High
$17.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$4.07
Typical High
$14.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.00
Median
$2.04
Typical High
$2.14
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.79
Median
$0.81
Typical High
$0.85
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$25.12
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$8.71
Typical High
$9.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$14.13
Typical High
$21.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$50.12
Typical High
$50.12
Geisinger
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Geisinger
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$11.22
Typical High
$20.42
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$67.61
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$16.22
Typical High
$17.38
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$6.76
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$2.04
Typical High
$2.14
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.81
Typical High
$0.85
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$10.47
Typical High
$27.54
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$9.33
Typical High
$10.47
United
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$11.22
Typical High
$13.49
United
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$4.27
Typical High
$10.47

Where Pennsylvania sits

The same service costs 5.2 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 31st of 51

$5.13

MT $15.85WV $3.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.