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
HC Aquaporin-4 Antibody Cell-Based Imfluor Assay
San Angelo, TX
See all hospitals reporting CPT 86052 →Price type
Shannon River Crest Hospital’s median price of $138 is 832% above the median hospital's median price ($15), higher than 87% of the 1,967 hospitals reporting CPT 86052. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Humana medicare advantage facility · case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Cigna ppo facility · case rate · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Ambetter ppo facility · case rate · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 6 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 8 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 9 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $193 | $193 | — | — | — | $193 – $193 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $193 | $193 | — | — | — | $193 – $193 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
Last updated: Dec 8, 2025
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