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
$52
Median
$27
High
$1.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
569 hospitals; the 90th percentile is 6.6× 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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968 hospital rates
iThe hospitals that file a Molina 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 | Parkland Health Dallas, TX facility · other · both | 4 | $35 | $44 | $89 | 205% | 19,371–21,315 | $3 – $1.2k |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 7 | $28 | $67 | $137 | 203% | 8,676–8,793 | $1 – $1.2k |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $118 | $215 | 183% | 2,294–2,888 | $12 – $3.3k |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $43 | $80 | $138 | 173% | 2,209–2,767 | $6 – $1.7k |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $38 | $44 | 114% | 1,247–2,066 | $1 – $331 |
| 6 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $20 | $40 | $38 | 96% | 829–1,639 | $5 – $190 |
| 7 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $14 | $18 | $18 | 102% | 815–2,201 | $4 – $100 |
| 8 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $28 | $47 | $42 | 90% | 486–2,061 | $4 – $194 |
| 9 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $61 | $66 | 108% | 406–2,971 | $17 – $590 |
| 10 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $30 | $26 | 89% | 369–612 | $4 – $156 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $11 | $16 | $17 | 105% | 368–1,133 | $1 – $312 |
| 12 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $14 | $23 | $41 | 181% | 313–1,762 | $4 – $345 |
| 13 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $6 | $8 | $18 | 211% | 293–653 | $4 – $367 |
| 14 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $52 | $61 | $35 | 57% | 292–940 | $16 – $235 |
| 15 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $38 | $41 | 107% | 254–605 | $1 – $289 |
| 16 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $57 | $28 | 48% | 254–623 | $5 – $184 |
| 17 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 3 | $14 | $20 | $23 | 111% | 217–397 | $2 – $218 |
| 18 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $8 | $9 | $9 | 93% | 196–565 | $1 – $51 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $21 | $25 | 117% | 190–838 | $2 – $321 |
| 20 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $15 | $38 | $67 | 176% | 167–176 | $4 – $405 |
| 21 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $13 | $25 | $51 | 206% | 158–1,580 | $4 – $769 |
| 22 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $13 | $23 | $41 | 182% | 147–1,470 | $2 – $342 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $13 | $35 | $56 | 158% | 128–182 | $5 – $182 |
| 24 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $14 | $24 | $43 | 184% | 105–1,050 | $4 – $366 |
| 25 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 2 | $12 | $12 | $8 | 69% | 100–1,000 | $3 – $62 |
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