RC 302
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 Aquaporin-4 Antibody (Nmo-Igg), Elisa (Q)
Low
$4
Average
$2.3k
Median
$85
High
$3423.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1538 hospitals; the 90th percentile is 6.7× 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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3,130 hospital rates
iThe hospitals that file a Aetna 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $46 | $77 | $152 | 198% | 16,584–33,549 | $2 – $3.8k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $69 | $149 | $286 | 192% | 11,431–30,529 | $3 – $8.3k |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $435 | $3.4k | 771% | 9,760–11,227 | $49 – $43.9k |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $124 | $164 | $251 | 153% | 9,477–11,070 | $49 – $3.7k |
| 5 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $91 | $201 | $949 | 472% | 7,759–8,749 | $6 – $16.7k |
| 6 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $91 | $201 | $949 | 472% | 7,759–8,749 | $6 – $16.7k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $130 | $137 | $75 | 54% | 6,433–8,008 | $23 – $791 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $106 | $226 | 213% | 5,890–7,690 | $1 – $1.5k |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $144 | $138 | 96% | 4,736–8,210 | $4 – $777 |
| 10 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $72 | $79 | $43 | 55% | 4,658–5,135 | $22 – $425 |
| 11 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $83 | $98 | 118% | 4,269–6,249 | $1 – $885 |
| 12 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $71 | $78 | $39 | 50% | 4,229–4,733 | $22 – $336 |
| 13 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $42 | $63 | $74 | 118% | 3,210–4,209 | $5 – $560 |
| 14 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $200 | $318 | 159% | 2,828–3,305 | $38 – $3.7k |
| 15 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $181 | $171 | $124 | 73% | 2,311–2,932 | $5 – $469 |
| 16 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $80 | $138 | 172% | 2,200–4,468 | $3 – $1.7k |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $65 | $77 | 118% | 2,181–5,232 | $15 – $968 |
| 18 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $41 | $65 | $70 | 106% | 2,158–5,038 | $1 – $416 |
| 19 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $66 | $85 | 128% | 2,148–3,948 | $3 – $1.1k |
| 20 | St Peters Hospital Albany, NY facility · other · both | 2 | $39 | $39 | $25 | 64% | 2,122–4,408 | $14 – $201 |
| 21 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $136 | $200 | 147% | 2,058–2,850 | $20 – $1.9k |
| 22 | The Toledo Hospital Maumee, OH facility · other · outpatient | 3 | $33 | $83 | $263 | 318% | 2,035–2,665 | $7 – $2.6k |
| 23 | St. Charles Bend Bend, OR percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $106 | $115 | 108% | 1,918–2,611 | $13 – $835 |
| 24 | St. Charles Redmond Redmond, OR percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $106 | $115 | 108% | 1,918–2,611 | $13 – $835 |
| 25 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $24 | $40 | $42 | 105% | 1,767–10,083 | $2 – $455 |
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