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 Ebv-Ea-D Igg/Igm by Elisa (Mdl)
Low
$1
Average
$1.3k
Median
$34
High
$2562.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2012 hospitals; the 90th percentile is 9.5× 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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3,314 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $34 | $36 | $13 | 36% | 62–134 | $15 – $57 |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | $25 | 21% | 61–70 | $94 – $144 |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | $25 | 21% | 61–70 | $94 – $144 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $26 | $11 | 45% | 33 | $2 – $34 |
| 5 | Methodist Hospitals of Dallas Dallas, TX fee schedule · both | 8 | $53 | $45 | $16 | 37% | 22–40 | $13 – $60 |
| 6 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $36 | $61 | $45 | 74% | 15–150 | $17 – $162 |
| 7 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | 15 | $74 – $74 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $284 | $284 | $201 | 71% | 14 | $83 – $485 |
| 9 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 5 | $30 | $38 | $37 | 97% | 13–31 | $1 – $120 |
| 10 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | 11 | $47 – $47 |
| 11 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 4 | $52 | $48 | $21 | 44% | 6–60 | $13 – $67 |
| 12 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $18 | $4 | 23% | 4–40 | $14 – $25 |
| 13 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $173 | — | — | 4–40 | $173 – $173 |
| 14 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $6 | $6 | — | — | 3–30 | $6 – $6 |
| 15 | Samaritan Hospital Troy, NY facility · other · both | 1 | $43 | $43 | — | — | 3–30 | $43 – $43 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $29 | $3 | 12% | 3–30 | $25 – $34 |
| 17 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $26 | $26 | $4 | 16% | 3–30 | $21 – $32 |
| 18 | St Peters Hospital Albany, NY facility · other · both | 1 | $43 | $43 | — | — | 3–30 | $43 – $43 |
| 19 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 2–20 | $97 – $97 |
| 20 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $100 | $136 | $66 | 48% | 2–20 | $44 – $217 |
| 21 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $24 | $24 | $1 | 5% | 2–20 | $23 – $25 |
| 22 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | $9 | 7% | 2–20 | $113 – $130 |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $284 | $284 | $201 | 71% | 2–20 | $83 – $485 |
| 24 | MCLAREN GREATER LANSING LANSING, MI percent of total billed chargesfrom % of charges | 1 | $36 | $36 | — | — | 2–20 | $36 – $36 |
| 25 | MCLAREN MACOMB CLEMENS, MI percent of total billed chargesfrom % of charges | 1 | $83 | $83 | — | — | 2–20 | $83 – $83 |
← Payers reporting CPT 86663 · Snapshot 20261111T120946Z-9134e7f7