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
$5
Average
$94
Median
$34
High
$3.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1596 hospitals; the 90th percentile is 17.5× 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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2,350 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 | $42 | $42 | $3 | 8% | 77 | $38 – $45 |
| 2 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $42 | $42 | $3 | 8% | 20–29 | $38 – $45 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $336 | $336 | $290 | 87% | 6–60 | $45 – $626 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA per diem · outpatient | 1 | $163 | $163 | — | — | 4–40 | $163 – $163 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $378 | $361 | $151 | 42% | 4–40 | $154 – $611 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $213 | $233 | $73 | 31% | 3–30 | $162 – $369 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $191 | $216 | $64 | 30% | 3–30 | $156 – $332 |
| 8 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $353 | $318 | $126 | 39% | 3–30 | $150 – $452 |
| 9 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $353 | $318 | $126 | 39% | 3–30 | $150 – $452 |
| 10 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $531 | $531 | $384 | 72% | 2–20 | $146 – $915 |
| 11 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 2–20 | $62 – $62 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $181 | $158 | $52 | 33% | 2–20 | $41 – $181 |
| 13 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $133 | $133 | — | — | 2–20 | $133 – $133 |
| 14 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $153 | $153 | — | — | 2–20 | $153 – $153 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | $0 | 0% | 2–20 | $130 – $131 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $172 | $172 | $15 | 9% | 2–20 | $156 – $187 |
| 17 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $222 | $222 | $156 | 70% | 2–20 | $67 – $378 |
| 18 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $33 | $32 | $2 | 6% | 2–20 | $28 – $33 |
| 19 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $33 | $32 | $2 | 6% | 2–20 | $28 – $33 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $531 | $531 | — | — | 2–20 | $531 – $531 |
| 21 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $38 | $38 | $0 | 0% | 2–20 | $38 – $38 |
| 22 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | 2–20 | $7 – $7 |
| 23 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $42 | $42 | $3 | 8% | 1–10 | $38 – $45 |
| 24 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $292 | $292 | — | — | 1–10 | $292 – $292 |
| 25 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
← Payers reporting CPT 86053 · Snapshot 20261112T181611Z-3fa9fb76