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
Immuno Ql/Sq Multi
Low
$0
Average
$1.6k
Median
$40
High
$3335.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2178 hospitals; the 90th percentile is 13.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,649 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $135 | $133 | $19 | 15% | 488–506 | $108 – $156 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $10 | 7% | 367 | $135 – $156 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $57 | $103 | $134 | 130% | 336–3,180 | $7 – $1.2k |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $37 | $52 | $51 | 99% | 295–2,401 | $4 – $415 |
| 5 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $68 | $80 | 118% | 226 | $5 – $360 |
| 6 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $27 | $38 | $25 | 68% | 210–2,100 | $9 – $68 |
| 7 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | 175 | $81 – $81 |
| 8 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 114 | $62 – $62 |
| 9 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $43 | $29 | 67% | 113–122 | $21 – $84 |
| 10 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $43 | $29 | 67% | 113–122 | $21 – $84 |
| 11 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $44 | $56 | $66 | 118% | 106–1,060 | $4 – $539 |
| 12 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 3 | $41 | $81 | $100 | 123% | 95–950 | $6 – $1.2k |
| 13 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $103 | $121 | $81 | 67% | 90 | $29 – $309 |
| 14 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $25 | $33 | $26 | 79% | 85–283 | $11 – $139 |
| 15 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $54 | $69 | 128% | 82–820 | $9 – $356 |
| 16 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 77–86 | $184 – $184 |
| 17 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $232 | $315 | 136% | 77–770 | $24 – $1.7k |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $232 | $315 | 136% | 77–770 | $24 – $1.7k |
| 19 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $114 | $114 | — | — | 66 | $114 – $114 |
| 20 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $22 | $22 | — | — | 65 | $22 – $22 |
| 21 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · outpatientfrom % of charges | 2 | $43 | $43 | $3 | 6% | 64–73 | $41 – $46 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $114 | $121 | $65 | 54% | 63–630 | $58 – $375 |
| 23 | Scheurer Health Pigeon, MI percent of total billed charges · bothfrom % of charges | 7 | $38 | $60 | $89 | 148% | 62–620 | $11 – $575 |
| 24 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $381 | $412 | 108% | 55–550 | $21 – $2.3k |
| 25 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $36 | $10 | 27% | 53–530 | $31 – $96 |
← Payers reporting CPT 83516 · Snapshot 20261111T120946Z-9134e7f7