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
REF ANTI-MITOCHON ANTI
Low
$0
Average
$70
Median
$43
High
$3.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1833 hospitals; the 90th percentile is 5.6× 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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3,039 hospital rates
iThe hospitals that file a Aetna 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $14 | $14 | — | — | 42 | $14 – $14 |
| 2 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $27 | $49 | $44 | 90% | 18–180 | $6 – $147 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | 16 | $53 – $53 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 13 | $86 – $86 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 11 | $40 – $40 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $81 | $39 | 48% | 6–60 | $36 – $119 |
| 7 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $243 | $71 | 29% | 4–40 | $172 – $348 |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $26 | $34 | $18 | 52% | 4–40 | $19 – $69 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $19 | $17 | $4 | 24% | 3–30 | $11 – $20 |
| 10 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $19 | $70 | $72 | 103% | 3–30 | $19 – $171 |
| 11 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $104 | $96 | $32 | 33% | 3–30 | $48 – $130 |
| 12 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $40 | $40 | — | — | 3–30 | $40 – $40 |
| 13 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $46 | $46 | $2 | 5% | 2–20 | $44 – $48 |
| 14 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 15 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | $0 | 0% | 2–20 | $50 – $50 |
| 16 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $0 | 0% | 2–20 | $42 – $42 |
| 17 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO percent of total billed charges · outpatientfrom % of charges | 3 | $668 | $623 | $144 | 23% | 2–20 | $387 – $769 |
| 18 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $51 | 68% | 2–20 | $24 – $127 |
| 19 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $269 | $269 | — | — | 2–20 | $269 – $269 |
| 20 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | $26 | 75% | 2–20 | $9 – $62 |
| 21 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $1 | 9% | 2–20 | $11 – $14 |
| 22 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $1 | 9% | 2–20 | $11 – $14 |
| 23 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | — | — | 2–20 | $124 – $124 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $218 | $221 | $52 | 24% | 2–20 | $160 – $287 |
| 25 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
← Payers reporting CPT 86381 · Snapshot 20261111T120946Z-9134e7f7