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
$6
Average
$60
Median
$29
High
$943
Each hospital's average Optum rate, under the methodology and billing class chosen below.
246 hospitals; the 90th percentile is 11.2× 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.
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337 hospital rates
iThe hospitals that file a Optum 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 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $74 | $79 | 106% | 569–1,253 | $4 – $511 |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $19 | $61 | $166 | 274% | 314–1,979 | $3 – $4.4k |
| 3 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $13 | $19 | $29 | 147% | 147–426 | $4 – $292 |
| 4 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $14 | $19 | $30 | 155% | 111–381 | $4 – $310 |
| 5 | Tufts Medical Center BOSTON, MA other · both | 1 | $43 | $117 | $266 | 228% | 100–289 | $15 – $1.3k |
| 6 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $61 | $85 | 140% | 92–290 | $2 – $611 |
| 7 | Boston Children's Hospital Boston, MA case rate · both | 1 | $438 | $438 | — | — | 86 | $438 – $438 |
| 8 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $85 | $93 | $61 | 66% | 56 | $29 – $171 |
| 9 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $13 | $19 | $25 | 137% | 37–208 | $4 – $268 |
| 10 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $63 | $48 | $22 | 45% | 37–244 | $4 – $63 |
| 11 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $63 | $48 | $22 | 45% | 37–244 | $4 – $63 |
| 12 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $13 | $21 | $28 | 136% | 27–270 | $4 – $247 |
| 13 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $14 | $19 | $22 | 119% | 26–161 | $4 – $208 |
| 14 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $13 | $18 | $18 | 103% | 12–120 | $4 – $191 |
| 15 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $33 | $33 | 98% | 9–90 | $1 – $173 |
| 16 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $30 | $36 | 120% | 9–90 | $3 – $301 |
| 17 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $13 | $18 | $23 | 129% | 6–60 | $4 – $226 |
| 18 | Vanderbilt Clarksville Hospital Clarksville, TN other · both | 1 | $14 | $22 | $62 | 278% | 5–50 | $4 – $720 |
| 19 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $69 | $121 | 176% | 4–40 | $7 – $626 |
| 20 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $110 | $59 | 53% | 4–40 | $21 – $564 |
| 21 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $50 | $54 | 109% | 3–30 | $3 – $358 |
| 22 | Mayo Clinic Rochester, MN facility · other · both | 1 | $197 | $215 | $201 | 93% | 3–30 | $33 – $930 |
| 23 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $112 | $130 | $94 | 72% | 3–30 | $13 – $1.0k |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $198 | $193 | $130 | 67% | 3–30 | $34 – $416 |
| 25 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $176 | $168 | $118 | 70% | 3–30 | $30 – $371 |
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