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
$10
Average
$54
Median
$38
High
$322
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 7.8× 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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178 hospital rates
iThe hospitals that file a Wellmark 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 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $59 | $88 | 148% | 1,140–3,462 | $2 – $951 |
| 2 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $23 | $27 | $16 | 59% | 901–4,114 | $20 – $150 |
| 3 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $3 | 13% | 284 | $21 – $27 |
| 4 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $59 | $62 | 104% | 156–372 | $8 – $581 |
| 5 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $81 | $67 | 83% | 85–211 | $6 – $482 |
| 6 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $46 | $47 | $11 | 24% | 65–398 | $40 – $115 |
| 7 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $60 | $46 | 76% | 43–205 | $5 – $353 |
| 8 | Sanford Webster Hospital Webster, SD percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $80 | $61 | 76% | 26–98 | $11 – $431 |
| 9 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $50 | $54 | $26 | 49% | 23–122 | $16 – $144 |
| 10 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $63 | $36 | 58% | 18–180 | $23 – $204 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $22 | $34 | $35 | 104% | 4–40 | $3 – $641 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 3 | $136 | $454 | $897 | 198% | 1–10 | $24 – $2.9k |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $142 | $137 | $67 | 49% | 1–10 | $38 – $227 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $14 | $24 | $37 | 157% | — | $4 – $332 |
| 15 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $244 | $322 | $384 | 119% | — | $46 – $3.9k |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $322 | $384 | 119% | — | $46 – $3.9k |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $12 | $14 | $18 | 133% | — | $4 – $322 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $12 | $15 | $24 | 160% | — | $4 – $322 |
| 20 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $17 | $21 | $19 | 89% | — | $4 – $99 |
| 21 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $14 | $24 | $37 | 157% | — | $4 – $332 |
| 22 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 3 | $12 | $13 | $9 | 68% | — | $4 – $99 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 3 | $107 | $265 | $516 | 195% | — | $9 – $1.7k |
| 24 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $127 | $488 | $626 | 128% | — | $127 – $1.6k |
← Payers reporting RC 302 · Snapshot 20261111T120946Z-9134e7f7