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 Herpes Simplex Type 1, Igm Ab
Low
$1
Average
$31
Median
$15
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
848 hospitals; the 90th percentile is 3.8× 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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1,094 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 | Parkland Health Dallas, TX facility · other · both | 4 | $29 | $29 | $17 | 58% | 78 | $12 – $47 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 39 | $12 – $26 |
| 3 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $41 | $41 | — | — | 35–44 | $41 – $41 |
| 4 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $17 | $17 | — | — | 19 | $17 – $17 |
| 5 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $32 | $32 | — | — | 19 | $32 – $32 |
| 6 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $12 | $12 | $2 | 14% | 8–80 | $10 – $13 |
| 7 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $13 | $10 | $3 | 29% | 8–80 | $7 – $13 |
| 8 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $12 | $12 | $2 | 14% | 5–50 | $10 – $13 |
| 9 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · both | 1 | $17 | $17 | — | — | 4–40 | $17 – $17 |
| 10 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 11 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $14 | $16 | $4 | 25% | 2–20 | $13 – $22 |
| 12 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $44 | $44 | $20 | 46% | 2–20 | $24 – $64 |
| 13 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $10 | $10 | — | — | 2–20 | $10 – $10 |
| 14 | Sparta Community Hospital Sparta, IL facility · fee schedule · both | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 15 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 16 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 17 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 18 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 19 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 20 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 21 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 22 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $47 | $56 | $19 | 34% | 1–10 | $36 – $87 |
| 23 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 24 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 25 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · other · outpatient | 1 | $7 | $7 | — | — | 1–10 | $7 – $7 |
← Payers reporting CPT 86695 · Snapshot 20261111T120946Z-9134e7f7