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 Epstein-Barr Capsid Vca
Low
$1
Average
$40
Median
$20
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
866 hospitals; the 90th percentile is 4.6× 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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1,118 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $26 | $26 | $10 | 36% | 102 | $17 – $36 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $78 | $78 | $38 | 49% | 35 | $40 – $116 |
| 3 | Parkland Health Dallas, TX facility · other · both | 4 | $40 | $40 | $23 | 58% | 21–66 | $17 – $65 |
| 4 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $27 | $27 | $0 | 0% | 17–44 | $27 – $27 |
| 5 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $108 | $108 | — | — | 12 | $108 – $108 |
| 6 | Sparta Community Hospital Sparta, IL facility · fee schedule · both | 2 | $21 | $21 | $6 | 26% | 6–60 | $16 – $27 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $18 | $16 | $2 | 14% | 5–50 | $14 – $18 |
| 8 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $13 | $13 | $5 | 43% | 5–50 | $7 – $18 |
| 9 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $18 | $16 | $2 | 14% | 5–50 | $14 – $18 |
| 10 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $19 | $19 | — | — | 3–30 | $19 – $19 |
| 11 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | 3–30 | $113 – $113 |
| 12 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 3–30 | $64 – $64 |
| 13 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $16 | $16 | — | — | 3–30 | $16 – $16 |
| 14 | Weirton Medical Center Inc Weirton, WV facility · other · outpatient | 2 | $13 | $13 | $5 | 43% | 3–30 | $7 – $18 |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 2 | $14 | $14 | $4 | 29% | 2–20 | $10 – $18 |
| 16 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $18 | $18 | $2 | 11% | 2–20 | $16 – $20 |
| 17 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS fee schedule · both | 1 | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 18 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 19 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $20 | $20 | $4 | 18% | 2–20 | $16 – $24 |
| 20 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $68 | $68 | $1 | 1% | 2–20 | $67 – $69 |
| 21 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $14 | $14 | — | — | 2–20 | $14 – $14 |
| 22 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $18 | $18 | — | — | 2–20 | $18 – $18 |
| 23 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $44 | $44 | $0 | 1% | 2–20 | $44 – $44 |
| 24 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 25 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
← Payers reporting CPT 86665 · Snapshot 20261111T120946Z-9134e7f7