CPT 86051 · 1,012 hospitals reporting

Elisa detection of aquaporin-4 (neuromyelitis optica [nmo]) antibody

The same procedure costs $50.4 at one hospital and $1,086 at another — a 22× spread for what's billed under the same code. Median: $217.

Cheapest published

$50.4

157 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,012 hospitals

$217

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$1,086

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

172 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
NAVICENT HEALTH BALDWIN	GA	$433	$217	—	—	1 insurers
ATRIUM HEALTH NAVICENT PEACH	GA	$433	$217	—	—	1 insurers
ATRIUM HEALTH FLOYD MEDICAL CENTER	GA	$432	$216	—	—	2 insurers
CHI ST ALEXIUS HEALTH DICKINSON	ND	$340	$214	$238	$330	5 insurers
CHI ST ALEXIUS HEALTH DICKINSON	ND	$340	$214	$143	$330	5 insurers
SAINT JOSEPH HOSPITAL	KY	$468	$220	$426	$426	1 insurers
SAINT JOSEPH HOSPITAL	KY	$468	$220	$110	$426	5 insurers
UNITED REGIONAL HEALTH CARE SYSTEM	TX	$223	$212	—	—	0 insurers
ATRIUM HEALTH NAVICENT THE MEDICAL CENTER	GA	$448	$224	—	—	2 insurers
CAPE FEAR VALLEY MEDICAL CENTER	NC	$388	$233	—	—	5 insurers
BETSY JOHNSON REGIONAL HOSPITAL	NC	$388	$233	—	—	5 insurers
SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS	NV	$1,150	$236	$345	$828	4 insurers
SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS	NV	$1,150	$236	$230	$828	5 insurers
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL	NJ	$194	$194	—	—	4 insurers
SUNY/STONY BROOK UNIVERSITY HOSPITAL	NY	$192	$192	—	—	2 insurers
SOUTHEAST HEALTH MEDICAL CENTER	AL	$612	$245	—	—	5 insurers
SAINT JOSEPH EAST	KY	$468	$188	$426	$426	1 insurers
SAINT JOSEPH EAST	KY	$468	$188	$114	$426	5 insurers
SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS	NJ	$468	$188	$426	$426	1 insurers
SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS	NJ	$468	$188	$114	$426	5 insurers
MANATEE MEMORIAL HOSPITAL	FL	$616	$246	—	—	5 insurers
LAKEWOOD RANCH MEDICAL CENTER	FL	$616	$246	—	—	5 insurers
UCHEALTH YAMPA VALLEY MEDICAL CENTER	CO	$280	$252	—	—	5 insurers
SOUTH CENTRAL REG MED CTR	MS	$603	$253	—	—	0 insurers
SOUTH CENTRAL HEALTH	ND	$603	$253	—	—	0 insurers
PENDER COMMUNITY HOSPITAL	NE	$572	$257	$147	$555	5 insurers
SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS	NV	$1,150	$261	$345	$828	4 insurers
SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS	NV	$1,150	$261	$230	$828	5 insurers
VIRTUA OUR LADY OF LOURDES HOSPITAL	NJ	$1,701	$170	—	—	5 insurers
VIRTUA MOUNT HOLLY HOSPITAL	NJ	$1,701	$170	—	—	5 insurers
CHI HEALTH SCHUYLER	NE	$197	$167	$178	$193	5 insurers
CHI HEALTH SCHUYLER	NE	$197	$167	$42.2	$223	5 insurers
SAINT JOSEPH LONDON	KY	$464	$166	$422	$422	1 insurers
SAINT JOSEPH LONDON	KY	$464	$166	$66.26	$422	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$197	$165	$178	$193	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$197	$165	$120	$267	5 insurers
MEMORIAL HOSPITAL	IL	$341	$154	—	—	3 insurers
BATON ROUGE GENERAL MEDICAL CENTER	LA	$406	$284	—	—	5 insurers
THE GENERAL	LA	$406	$284	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$593	$148	—	—	5 insurers