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
$42
Average
$88
Median
$84
High
$289
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 2.5× 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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50 hospital rates
iThe hospitals that file a Bcbs Mn 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 4 | $93 | $97 | $65 | 67% | 1,346–2,552 | $6 – $396 |
| 2 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 3 | $36 | $50 | $51 | 103% | 988–2,905 | $5 – $506 |
| 3 | Sanford Jackson Hospital Jackson, MN percent of total billed charges · outpatientfrom % of charges | 4 | $56 | $78 | $77 | 99% | 348–753 | $9 – $625 |
| 4 | Sanford Luverne Medical Center Luverne, MN percent of total billed charges · outpatientfrom % of charges | 4 | $45 | $56 | $42 | 76% | 234–468 | $8 – $354 |
| 5 | Mahnomen Health Center Mahnomen, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $132 | $184 | 140% | 223–439 | $11 – $2.9k |
| 6 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $73 | $78 | $39 | 50% | 155–695 | $16 – $225 |
| 7 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $73 | $78 | $39 | 50% | 155–695 | $16 – $225 |
| 8 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $73 | $78 | $39 | 50% | 155–695 | $16 – $225 |
| 9 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $73 | $78 | $39 | 50% | 154–694 | $16 – $225 |
| 10 | Allina Health Systems Buffalo, MN facility · other · outpatient | 2 | $73 | $78 | $39 | 50% | 154–694 | $16 – $225 |
| 11 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 4 | $56 | $68 | $54 | 80% | 138–408 | $5 – $459 |
| 12 | Sanford Wheaton Wheaton, MN percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $50 | $52 | 106% | 115–691 | $3 – $518 |
| 13 | Sanford Westbrook Hospital Westbrook, MN percent of total billed charges · outpatientfrom % of charges | 3 | $63 | $98 | $94 | 95% | 92–200 | $3 – $690 |
| 14 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 3 | $63 | $98 | $94 | 95% | 89–215 | $3 – $690 |
| 15 | Pembina County Memorial Hospital Association Cavalier, ND facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $84 | $67 | 80% | 54–162 | $24 – $283 |
| 16 | Sanford Hillsboro Medical Center Hillsboro, ND percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $55 | $76 | 138% | 12–120 | $3 – $935 |
| 17 | Sanford Mayville Medical Center Mayville, ND percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $55 | $76 | 138% | 5–50 | $3 – $935 |
| 18 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $165 | $254 | 154% | — | $12 – $1.6k |
| 19 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $50 | $50 | $30 | 60% | — | $6 – $175 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $79 | $167 | $253 | 152% | — | $9 – $1.6k |
| 21 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $165 | $254 | 154% | — | $12 – $1.6k |
| 22 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $77 | $178 | $266 | 149% | — | $14 – $1.7k |
| 23 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 4 | $44 | $45 | $28 | 61% | — | $6 – $166 |
| 24 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $59 | $134 | $212 | 158% | — | $8 – $2.2k |
| 25 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $165 | $254 | 154% | — | $12 – $1.6k |
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