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
$1.5k
Median
$23
High
$3266.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2180 hospitals; the 90th percentile is 8.0× 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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3,611 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 178–187 | $13 – $16 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 93–102 | $13 – $16 |
| 3 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $27 | $27 | — | — | 65 | $27 – $27 |
| 4 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $15 | $15 | $1 | 8% | 49–58 | $13 – $16 |
| 5 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $41 | $41 | $13 | 32% | 44–440 | $27 – $56 |
| 6 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 43–52 | $13 – $16 |
| 7 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 2 | $16 | $16 | $0 | 1% | 38–146 | $16 – $16 |
| 8 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $108 | $121 | $68 | 56% | 37 | $24 – $293 |
| 9 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $15 | $15 | $1 | 7% | 35 | $14 – $16 |
| 10 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | $3 | 5% | 33–51 | $57 – $65 |
| 11 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 27 | $42 – $42 |
| 12 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $2 | 4% | 25–34 | $59 – $64 |
| 13 | St. Peter's Health Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $64 | $64 | — | — | 24 | $64 – $64 |
| 14 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $89 | $92 | $8 | 8% | 17 | $84 – $102 |
| 15 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | $33 | 62% | 17 | $21 – $87 |
| 16 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $89 | $92 | $8 | 8% | 17 | $84 – $102 |
| 17 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | $33 | 62% | 17 | $21 – $87 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $22 | $22 | — | — | 16 | $22 – $22 |
| 19 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $41 | $34 | 84% | 15 | $10 – $111 |
| 20 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $206 | $193 | $97 | 50% | 15 | $69 – $305 |
| 21 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | 15 | $86 – $86 |
| 22 | University of Virginia Medical Center Charlottesville, VA per diem · both | 2 | $72 | $72 | $26 | 36% | 15–24 | $46 – $97 |
| 23 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $19 | $19 | $5 | 29% | 14–140 | $13 – $24 |
| 24 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | $9 | 40% | 14–140 | $14 – $32 |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 7 | $54 | $60 | $14 | 24% | 14 | $42 – $76 |
← Payers reporting CPT 86695 · Snapshot 20261112T124536Z-e251e855