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
$1
Average
$26
Median
$19
High
$280
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
170 hospitals; the 90th percentile is 3.9× 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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231 hospital rates
iThe hospitals that file a Medicaid 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 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $6 | $15 | $35 | 224% | 4,370–4,406 | $0 – $275 |
| 2 | Tufts Medical Center BOSTON, MA other · both | 1 | $43 | $82 | $160 | 194% | 795–1,362 | $15 – $1.3k |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $43 | $96 | $155 | 162% | 507–723 | $7 – $1.8k |
| 4 | Lowell General Hospital Lowell, MA other · both | 1 | $48 | $55 | $31 | 56% | 311–752 | $15 – $218 |
| 5 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $19 | $20 | 108% | 265–598 | $3 – $98 |
| 6 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $13 | $13 | $6 | 48% | 80–224 | $3 – $47 |
| 7 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $44 | $54 | $34 | 64% | 47–317 | $18 – $218 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT other · inpatient | 1 | $12 | $18 | $10 | 56% | 23–41 | $9 – $32 |
| 9 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $46 | $46 | $29 | 63% | 17–26 | $17 – $74 |
| 10 | Eskenazi Health Indianapolis, IN facility · fee schedule · outpatient | 2 | $12 | $15 | $7 | 45% | 16–52 | $11 – $28 |
| 11 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 2 | $12 | $12 | $1 | 4% | 15–42 | $11 – $12 |
| 12 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $43 | $61 | $103 | 170% | 14–140 | $15 – $1.3k |
| 13 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $43 | $66 | $162 | 245% | 7–70 | $15 – $1.8k |
| 14 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $13 | $21 | $38 | 180% | 6–60 | $4 – $323 |
| 15 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $12 | $13 | $8 | 59% | 3–30 | $3 – $61 |
| 16 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 2 | $35 | $72 | $79 | 110% | 3–30 | $12 – $207 |
| 17 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA other · both | 1 | $14 | $14 | $2 | 16% | 3–30 | $12 – $17 |
| 18 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA other · both | 2 | $35 | $70 | $73 | 105% | 3–30 | $12 – $204 |
| 19 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 20 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $13 | $22 | $39 | 179% | 1–10 | $4 – $323 |
| 21 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 22 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $14 | $18 | $26 | 144% | — | $4 – $332 |
| 23 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $14 | $20 | $36 | 181% | — | $4 – $453 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $14 | $22 | $57 | 266% | — | $4 – $757 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $14 | $17 | $15 | 89% | — | $4 – $136 |
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