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
HEP C Ab W/REFLEX TO RIBA
Low
$4
Average
$1.5k
Median
$31
High
$3275.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2259 hospitals; the 90th percentile is 8.6× 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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3,827 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $90 | $1 | 1% | 1,808 | $89 – $91 |
| 2 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | 822 | $68 – $68 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $95 | $95 | — | — | 606–642 | $95 – $95 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | — | — | 559 | $163 – $163 |
| 5 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | — | — | 520 | $163 – $163 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $101 | $102 | $34 | 34% | 519 | $68 – $177 |
| 7 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $16 | $16 | $1 | 7% | 494 | $15 – $17 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 451 | $52 – $52 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $24 | $24 | — | — | 390 | $24 – $24 |
| 10 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $14 | $14 | — | — | 359 | $14 – $14 |
| 11 | Newton Wellesley Hospital Newton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 352 | $82 – $82 |
| 12 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $29 | $29 | — | — | 346 | $29 – $29 |
| 13 | University of Virginia Medical Center Charlottesville, VA per diem · both | 2 | $72 | $72 | $26 | 36% | 345 | $46 – $97 |
| 14 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $94 | $83 | 88% | 331 | $19 – $209 |
| 15 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | 321 | $104 – $104 |
| 16 | Salem Hospital Salem, MA percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 309 | $82 – $82 |
| 17 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $37 | $37 | $19 | 50% | 290 | $14 – $60 |
| 18 | Springhill Memorial Hospital Mobile, AL fee schedule · outpatient | 1 | $12 | $12 | — | — | 246 | $12 – $12 |
| 19 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | $15 | 20% | 241 | $61 – $91 |
| 20 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 241 | $96 – $96 |
| 21 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | $15 | 20% | 241 | $61 – $91 |
| 22 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 241 | $96 – $96 |
| 23 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 3 | $18 | $25 | $19 | 76% | 202–283 | $17 – $73 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $15 | $15 | — | — | 201 | $15 – $15 |
| 25 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $17 | $16 | $1 | 8% | 199–235 | $14 – $17 |
← Payers reporting CPT 86803 · Snapshot 20261112T181611Z-3fa9fb76