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
HB Ref Celiac Panel, Gliadin Iga/Igg Elisa (Pro)
Low
$1
Average
$22
Median
$11
High
$862
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
140 hospitals; the 90th percentile is 3.9× 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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162 hospital rates
iThe hospitals that file a Medicaid 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 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $5 | $5 | $4 | 81% | 13 | $1 – $9 |
| 2 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 3 | Eskenazi Health Indianapolis, IN facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $11 | $11 | $0 | 2% | — | $11 – $12 |
| 5 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $11 | $11 | $0 | 2% | — | $11 – $12 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $11 | $11 | $0 | 2% | — | $11 – $12 |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $12 | $11 | $0 | 2% | — | $11 – $12 |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $27 | $35 | $23 | 65% | — | $14 – $72 |
| 12 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 13 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 14 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Boston Medical Center Boston, MA fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Boston Medical Center Brighton Boston, MA fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Boston Medical Center South Brockton, MA fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 23 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $1 | $1 | $1 | 81% | — | $0 – $1 |
| 25 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting CPT 86258 · Snapshot 20261111T120946Z-9134e7f7