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.
Generation details were not recorded for this description.
Original text from hospital filings
HB Ref Herpes Simplex Virus Antibodies, Type 2 (Lc)
Low
$11
Average
$88
Median
$68
High
$2.0k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
269 hospitals; the 90th percentile is 8.8× 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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450 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $20 | $23 | 117% | 8–80 | $5 – $91 |
| 2 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $111 | $109 | $22 | 20% | 3–30 | $40 – $126 |
| 3 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $56 | $63 | $29 | 46% | 3–30 | $23 – $101 |
| 4 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $132 | $118 | $25 | 21% | 2–20 | $69 – $135 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 5 | $40 | $62 | $56 | 90% | 1–10 | $19 – $174 |
| 6 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 7 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $116 | $11 | 10% | 1–10 | $105 – $128 |
| 8 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $89 | $7 | 8% | 1–10 | $82 – $96 |
| 9 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $101 | $98 | $12 | 12% | 1–10 | $76 – $106 |
| 10 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 9 | $120 | $104 | $28 | 27% | 1–10 | $57 – $126 |
| 11 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $114 | $109 | $22 | 20% | 1–10 | $42 – $126 |
| 12 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 13 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 5 | $40 | $40 | $14 | 34% | 1–10 | $19 – $62 |
| 14 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 15 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 16 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 17 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 18 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 5 | $40 | $62 | $56 | 90% | — | $19 – $174 |
| 19 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $264 | $264 | $7 | 3% | — | $257 – $271 |
| 20 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $257 | $215 | $98 | 46% | — | $19 – $271 |
| 21 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 5 | $40 | $62 | $56 | 90% | — | $19 – $174 |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $264 | $264 | $7 | 3% | — | $257 – $271 |
| 23 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $257 | $215 | $98 | 46% | — | $19 – $271 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 5 | $40 | $62 | $56 | 90% | — | $19 – $174 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 86696 · Snapshot 20261111T120946Z-9134e7f7