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=TISSUE TRANSGLUTAMINASE AB IGA (MAYO BACKUP)
Low
$1
Average
$16
Median
$10
High
$186
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
149 hospitals; the 90th percentile is 4.3× 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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175 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 | $1 | $1 | — | — | 40–49 | $1 – $1 |
| 2 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 2 | $11 | $11 | — | — | 13–22 | $11 – $11 |
| 3 | Eskenazi Health Indianapolis, IN facility · fee schedule · outpatient | 2 | $11 | $11 | — | — | 13–22 | $11 – $11 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $30 | $39 | $18 | 45% | 1–10 | $23 – $72 |
| 5 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 6 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 7 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 3 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $320 | $320 | $218 | 68% | — | $102 – $538 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 17 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 18 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Boston Medical Center Boston, MA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Boston Medical Center Brighton Boston, MA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Boston Medical Center South Brockton, MA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 86364 · Snapshot 20261111T120946Z-9134e7f7