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
$2
Average
$52
Median
$31
High
$1.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1936 hospitals; the 90th percentile is 5.3× 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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3,197 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 | Springhill Memorial Hospital Mobile, AL fee schedule · outpatient | 1 | $15 | $15 | — | — | 148 | $15 – $15 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $28 | $28 | $2 | 8% | 143 | $26 – $31 |
| 3 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $28 | $28 | $2 | 8% | 91 | $26 – $31 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $29 | $29 | $2 | 7% | 54–63 | $27 – $31 |
| 5 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $92 | $167 | $125 | 75% | 31–310 | $40 – $455 |
| 6 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 30 | $14 – $14 |
| 7 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $198 | $199 | $58 | 29% | 29–65 | $129 – $304 |
| 8 | University of Virginia Medical Center Charlottesville, VA per diem · both | 2 | $72 | $72 | $26 | 36% | 24–33 | $46 – $97 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $31 | $31 | — | — | 21 | $31 – $31 |
| 10 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $38 | $38 | — | — | 21 | $38 – $38 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $220 | $38 | 17% | 19–37 | $166 – $247 |
| 12 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $152 | $152 | $127 | 84% | 19 | $25 – $279 |
| 13 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 2 | $147 | $147 | $19 | 13% | 17–26 | $128 – $166 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $247 | $247 | — | — | 16–25 | $247 – $247 |
| 15 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $16 | $16 | — | — | 14 | $16 – $16 |
| 16 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $28 | $28 | $2 | 8% | 13–22 | $26 – $31 |
| 17 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $31 | $31 | — | — | 13 | $31 – $31 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $26 | $26 | — | — | 13 | $26 – $26 |
| 19 | Lake Regional Health System Osage Beach, MO fee schedule · both | 9 | $25 | $25 | $0 | 2% | 12–120 | $24 – $25 |
| 20 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 2 | $23 | $23 | $1 | 4% | 10–100 | $23 – $25 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $84 | $40 | 48% | 6–60 | $35 – $130 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $117 | $88 | $36 | 40% | 5–50 | $36 – $117 |
| 23 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $27 | $8 | 29% | 4–40 | $19 – $39 |
| 24 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 8 | $34 | $37 | $15 | 40% | 4–40 | $14 – $56 |
| 25 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $174 | $164 | $51 | 31% | 4–40 | $62 – $203 |
← Payers reporting CPT 86381 · Snapshot 20261112T124536Z-e251e855