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 Varicella-Zoster Antibody, Igg
Low
$0
Average
$31
Median
$15
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
868 hospitals; the 90th percentile is 4.8× 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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1,138 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 | $28 | $29 | $17 | 58% | 225 | $12 – $46 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 167–176 | $12 – $26 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 86–95 | $12 – $26 |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | $38 | 49% | 23 | $39 – $114 |
| 5 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $77 | $38 | 49% | 23 | $39 – $114 |
| 6 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $32 | $28 | $7 | 25% | 20 | $15 – $32 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 19–28 | $12 – $26 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $40 | $39 | 99% | 12 | $6 – $101 |
| 9 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | $1 | 3% | 6–60 | $30 – $33 |
| 10 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $10 | $10 | $3 | 29% | 5–50 | $7 – $13 |
| 11 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $10 | $10 | $3 | 28% | 5–50 | $7 – $13 |
| 12 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $10 | $10 | — | — | 3–30 | $10 – $10 |
| 13 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $25 | $25 | — | — | 3–30 | $25 – $25 |
| 14 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $48 | $48 | $0 | 1% | 3–30 | $48 – $49 |
| 15 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $49 | 87% | 2–20 | $7 – $106 |
| 16 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 17 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $13 | $13 | — | — | 2–20 | $13 – $13 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $21 | $21 | — | — | 2–20 | $21 – $21 |
| 19 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | $1 | 16% | 2–20 | $8 – $10 |
| 20 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $70 | $70 | $32 | 46% | 2–20 | $38 – $102 |
| 21 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 22 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $2 | 16% | 2–20 | $11 – $16 |
| 23 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 24 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 25 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
← Payers reporting CPT 86787 · Snapshot 20261111T120946Z-9134e7f7