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
OLIGOCLONAL BANDS
Low
$3
Average
$78
Median
$37
High
$25.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2024 hospitals; the 90th percentile is 6.1× 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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3,360 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $30 | $30 | $2 | 8% | 60–69 | $28 – $33 |
| 2 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $68 | $69 | $2 | 3% | 18–180 | $67 – $72 |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $218 | $190 | $63 | 33% | 11 | $50 – $218 |
| 4 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · outpatient | 10 | $1.2k | $1.0k | $513 | 50% | 4–40 | $15 – $1.5k |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $167 | $151 | $95 | 63% | 4–40 | $19 – $250 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 4–40 | $22 – $22 |
| 7 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $188 | $192 | $6 | 3% | 3–30 | $188 – $201 |
| 8 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · both | 12 | $12 | $17 | $7 | 42% | 3–30 | $12 – $27 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $58 | $56 | $10 | 18% | 3–30 | $45 – $74 |
| 10 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $49 | $62 | $36 | 57% | 3–30 | $24 – $114 |
| 11 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $49 | $62 | $36 | 57% | 3–30 | $24 – $114 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $166 | $138 | $39 | 29% | 3–30 | $82 – $166 |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $166 | $145 | $42 | 29% | 3–30 | $82 – $184 |
| 14 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 15 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 6 | $16 | $28 | $26 | 91% | 2–20 | $15 – $111 |
| 16 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $20 | $22 | $10 | 45% | 2–20 | $12 – $33 |
| 17 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 7 | $21 | $21 | $6 | 29% | 2–20 | $12 – $28 |
| 18 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 6 | $33 | $36 | $23 | 64% | 2–20 | $15 – $111 |
| 19 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 20 | Lake Regional Health System Osage Beach, MO fee schedule · both | 9 | $27 | $27 | $0 | 2% | 2–20 | $26 – $27 |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $148 | $148 | — | — | 2–20 | $148 – $148 |
| 22 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $208 | $208 | $68 | 33% | 2–20 | $140 – $275 |
| 23 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 24 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 2 | $27 | $29 | $3 | 10% | 2–20 | $27 – $34 |
| 25 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 2–20 | $24 – $24 |
← Payers reporting CPT 83916 · Snapshot 20261112T181611Z-3fa9fb76