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
$15
Average
$193
Median
$163
High
$864
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
231 hospitals; the 90th percentile is 9.9× 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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283 hospital rates
iThe hospitals that file a Phcs 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $64 | $76 | 118% | 127–820 | $14 – $950 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $316 | $506 | 160% | 7–70 | $16 – $4.5k |
| 3 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $127 | $166 | $271 | 163% | 7–70 | $5 – $5.2k |
| 4 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $61 | $41 | 68% | 6–60 | $19 – $304 |
| 5 | North Memorial Health Care Robbinsdale, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $99 | $142 | 144% | 5–50 | $16 – $900 |
| 6 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $66 | $56 | 84% | 5–50 | $10 – $1.0k |
| 7 | Tyler Regional Hospital, LLC Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $232 | $317 | $307 | 97% | 3–30 | $26 – $2.1k |
| 8 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $126 | $126 | $135 | 107% | 2–20 | $5 – $1.7k |
| 9 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $131 | $143 | 110% | 2–20 | $7 – $1.1k |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $316 | $506 | 160% | 1–10 | $16 – $4.5k |
| 11 | Jacksonville Hospital, LLC Jacksonville, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $462 | $527 | $439 | 83% | 1–10 | $30 – $2.8k |
| 12 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $62 | $91 | 147% | — | $3 – $802 |
| 13 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $257 | $315 | $320 | 101% | — | $22 – $2.4k |
| 14 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $286 | $348 | $313 | 90% | — | $13 – $2.3k |
| 15 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $295 | $429 | $372 | 87% | — | $40 – $2.3k |
| 16 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $213 | $292 | $275 | 94% | — | $25 – $2.2k |
| 17 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $138 | $151 | 110% | — | $7 – $1.2k |
| 18 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $128 | $141 | 110% | — | $7 – $1.1k |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $47 | $85 | 180% | — | $1 – $851 |
| 20 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $47 | $85 | 180% | — | $1 – $851 |
| 21 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $151 | $167 | 111% | — | $16 – $1.9k |
| 22 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $127 | $135 | 106% | — | $16 – $1.4k |
| 23 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $151 | $167 | 111% | — | $16 – $1.9k |
| 24 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 3 | $346 | $425 | $313 | 74% | — | $31 – $2.6k |
| 25 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $91 | $60 | 66% | — | $23 – $556 |
← Payers reporting RC 302 · Snapshot 20261111T120946Z-9134e7f7