Neuromyelitis optica antibody blood test at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AQUAPORIN-4 ANTB CBA EACH

Luling, TX

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How this price compares nationally

Ascension Seton’s median price of $10 is 31% below the median hospital's median price ($15), higher than 3% of the 1,955 hospitals reporting CPT 86052. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 86052 at Ascension Seton

Negotiated rates from the hospital’s own file: 4 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
4	Blue Cross Blue Shield 4170_blue cross chip (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
5	Blue Cross Blue Shield 4170_blue cross chip/star kids (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
6	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
7	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
8	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
9	Blue Cross Blue Shield 5007_blue cross star kids (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
10	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
11	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
12	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
13	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
14	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
15	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
16	Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
17	Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
18	Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
19	Superior Healthplan 4243_chirp superior star (ebd) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
20	Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
21	Superior Healthplan 4393_chirp superior star plus (ebd) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
22	Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
23	Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
24	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
25	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$47	$47	—	—	—	$47 – $47

Page 1 of 2 · 28 rates

Last updated: Jan 1, 2026

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