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
$0
Average
$744
Median
$42
High
$1133.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1669 hospitals; the 90th percentile is 10.0× 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.
Filter by billing methodology
Filter by billing class
2,302 hospital rates
iThe hospitals that file a Cigna 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | $197 | 71% | 18 | $82 – $476 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | $197 | 71% | 18 | $82 – $476 |
| 3 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $60 | $60 | $18 | 30% | 17 | $42 – $78 |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | 16 | $101 – $101 |
| 5 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $59 | $60 | $6 | 9% | 15–24 | $53 – $67 |
| 6 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $105 | $28 | 27% | 12–120 | $70 – $162 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $95 | $92 | $4 | 5% | 10–100 | $86 – $95 |
| 8 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $29 | $29 | $9 | 32% | 6–60 | $13 – $38 |
| 9 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $240 | $240 | — | — | 4–40 | $240 – $240 |
| 10 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 6 | $14 | $13 | $2 | 15% | 3–30 | $9 – $15 |
| 11 | Northwestern Memorial Hospital Chicago, IL other · outpatient | 1 | $37 | $37 | — | — | 3–30 | $37 – $37 |
| 12 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $61 | $51 | $31 | 61% | 3–30 | $9 – $92 |
| 13 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $27 | $16 | 58% | 3–30 | $5 – $38 |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | $2 | 4% | 3–30 | $51 – $56 |
| 15 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $40 | $28 | $17 | 58% | 3–30 | $5 – $40 |
| 16 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $108 | $108 | $21 | 20% | 2–20 | $86 – $129 |
| 17 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $20 | $24 | $7 | 31% | 2–20 | $17 – $34 |
| 18 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $23 | $7 | 31% | 2–20 | $17 – $32 |
| 19 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $169 | $169 | — | — | 2–20 | $169 – $169 |
| 20 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 21 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $76 | $76 | $2 | 3% | 2–20 | $74 – $79 |
| 22 | Cary Medical Center Caribou, ME percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 23 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $29 | $30 | $11 | 35% | 1–10 | $13 – $44 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN percent of total billed charges · bothfrom % of charges | 4 | $95 | $89 | $13 | 15% | 1–10 | $59 – $95 |
| 25 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 5 | $95 | $89 | $13 | 15% | 1–10 | $59 – $97 |
← Payers reporting CPT 86663 · Snapshot 20261111T120946Z-9134e7f7