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
HC Aquaporin-4 Antibody Flow Cytometry Each
Low
$1
Average
$195
Median
$101
High
$3.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1162 hospitals; the 90th percentile is 13.9× 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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1,555 hospital rates
iThe hospitals that file a Cigna 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 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $439 | $439 | $2 | 0% | 24–240 | $437 – $441 |
| 2 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $11 | $11 | — | — | 12–21 | $11 – $11 |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $99 | $145 | $131 | 90% | 11–110 | $26 – $670 |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $224 | $415 | $409 | 98% | 11–110 | $28 – $2.0k |
| 5 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $90 | $78 | $17 | 22% | 3–30 | $53 – $90 |
| 6 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $149 | $128 | $29 | 22% | 3–30 | $88 – $149 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $165 | $205 | $57 | 28% | 3–30 | $165 – $286 |
| 8 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $217 | $86 | 39% | 3–30 | $102 – $308 |
| 9 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $217 | $86 | 39% | 3–30 | $102 – $308 |
| 10 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $96 | $96 | $19 | 20% | 2–20 | $77 – $114 |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $189 | $191 | $4 | 2% | 2–20 | $189 – $199 |
| 12 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $142 | $142 | $6 | 4% | 2–20 | $136 – $148 |
| 13 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $186 | $186 | $21 | 11% | 2–20 | $166 – $207 |
| 14 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $80 | $71 | $13 | 19% | 2–20 | $52 – $81 |
| 15 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $49 | $49 | — | — | 2–20 | $49 – $49 |
| 16 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | $127 | 22% | 2–20 | $452 – $706 |
| 17 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $182 | $199 | $142 | 71% | 2–20 | $53 – $380 |
| 18 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $228 | $228 | $44 | 19% | 2–20 | $184 – $272 |
| 19 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 20 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 1–10 | $82 – $82 |
| 21 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 22 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC fee schedule · both | 3 | $39 | $83 | $77 | 93% | 1–10 | $38 – $215 |
| 23 | Parkland Health Center Farmington, MO percent of total billed charges · bothfrom % of charges | 3 | $96 | $98 | $11 | 11% | 1–10 | $85 – $112 |
| 24 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 9 | $575 | $597 | $60 | 10% | 1–10 | $575 – $767 |
| 25 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $153 | $153 | — | — | 1–10 | $153 – $153 |
← Payers reporting CPT 86053 · Snapshot 20261111T120946Z-9134e7f7