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
$11
Average
$107
Median
$51
High
$1.8k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
347 hospitals; the 90th percentile is 5.2× 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.
Filter by billing methodology
Filter by billing class
509 hospital rates
iThe hospitals that file a Ambetter 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 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $64 | $74 | 114% | 2,476–2,710 | $6 – $712 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $249 | $398 | 160% | 1,542–2,361 | $13 – $3.6k |
| 3 | Columbus Regional Hospital Columbus, IN fee schedule · both | 1 | $19 | $20 | $12 | 60% | 727–1,303 | $7 – $99 |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $165 | $273 | 166% | 689–1,076 | $15 – $1.6k |
| 5 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $13 | $18 | $18 | 99% | 592–1,546 | $5 – $100 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $249 | $398 | 160% | 370–1,207 | $13 – $3.6k |
| 7 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $90 | $89 | 99% | 229–283 | $6 – $847 |
| 8 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $57 | $77 | 134% | 227–362 | $6 – $701 |
| 9 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $65 | $83 | 128% | 173–308 | $6 – $706 |
| 10 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $102 | $292 | $775 | 266% | 102–561 | $4 – $9.1k |
| 11 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $125 | $56 | 44% | 95–194 | $31 – $205 |
| 12 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $67 | $100 | 149% | 63–135 | $8 – $743 |
| 13 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $59 | $41 | 69% | 54–540 | $3 – $378 |
| 14 | USA Health University Hospital Mobile, AL facility · other · outpatient | 1 | $54 | $52 | $4 | 7% | 43–97 | $43 – $54 |
| 15 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $217 | $244 | $177 | 72% | 38–218 | $37 – $568 |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $49 | $108 | $211 | 195% | 36–171 | $14 – $1.2k |
| 17 | Columbus Regional Hospital Columbus, IN other · both | 1 | $157 | $186 | $129 | 69% | 28–55 | $26 – $418 |
| 18 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $31 | $42 | 137% | 23–131 | $3 – $354 |
| 19 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $76 | $27 | 35% | 12–120 | $17 – $131 |
| 20 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $26 | $37 | $24 | 65% | 10–100 | $10 – $88 |
| 21 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $33 | $43 | 130% | 10–100 | $6 – $448 |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $231 | $265 | $187 | 71% | 4–40 | $39 – $606 |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $231 | $265 | $187 | 71% | 4–40 | $39 – $606 |
| 24 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $50 | $226 | $446 | 197% | 4–40 | $50 – $1.4k |
| 25 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $50 | $226 | $446 | 197% | 4–40 | $50 – $1.4k |
← Payers reporting RC 302 · Snapshot 20261111T120946Z-9134e7f7