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 AB;LYME'S (WB) IGM CONFIRM
Low
$1
Average
$1.3k
Median
$40
High
$2566.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2093 hospitals; the 90th percentile is 9.0× 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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3,475 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 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $43 | $6 | 13% | 56–74 | $36 – $49 |
| 2 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $43 | $6 | 13% | 56–74 | $36 – $49 |
| 3 | St Peters Hospital Albany, NY facility · other · both | 1 | $50 | $50 | — | — | 48 | $50 – $50 |
| 4 | St Peters Hospital Albany, NY facility · other · outpatient | 1 | $101 | $101 | — | — | 48 | $101 – $101 |
| 5 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $51 | $28 | 54% | 42–96 | $30 – $90 |
| 6 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $44 | $7 | 16% | 40–58 | $36 – $53 |
| 7 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | 39 | $90 – $90 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $43 | $43 | $18 | 41% | 38–272 | $17 – $89 |
| 9 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $44 | $73 | $55 | 75% | 36–360 | $10 – $255 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 36 | $54 – $54 |
| 11 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | 32 | $106 – $106 |
| 12 | Samaritan Hospital Troy, NY facility · other · both | 1 | $50 | $50 | — | — | 28 | $50 – $50 |
| 13 | Samaritan Hospital Troy, NY facility · other · outpatient | 1 | $101 | $101 | — | — | 28 | $101 – $101 |
| 14 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $245 | $175 | $99 | 56% | 27–36 | $35 – $245 |
| 15 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $139 | $10 | 7% | 26–35 | $129 – $149 |
| 16 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | $5 | 13% | 26 | $32 – $41 |
| 17 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | 22 | $106 – $106 |
| 18 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 22 | $106 – $106 |
| 19 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | — | — | 19 | $58 – $58 |
| 20 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $79 | $81 | $49 | 61% | 18–180 | $30 – $135 |
| 21 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $229 | $229 | — | — | 16 | $229 – $229 |
| 22 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 15 | $62 – $62 |
| 23 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | 14 | $90 – $90 |
| 24 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 14 | $129 – $129 |
| 25 | Virtua_Willingboro_Hospital_Inc Willinboro, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 14 | $44 – $44 |
← Payers reporting CPT 86617 · Snapshot 20261111T120946Z-9134e7f7