{"procedure":{"code_type":"CPT","code":"86316","lay_name":"Blood test for a less common tumor marker, each marker","blurb":"An immunoassay that measures the amount of a tumor-associated substance in blood other than the commonly billed markers; the charge applies to each marker tested.","slug":"cpt-86316-blood-test-for-a-less-common-tumor-marker-each-marker","description":"HC Chromagranin A","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"235","label":"Other Laboratory","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":3298,"n_usable":3018,"n_not_usable":1,"n_labelled":154,"n_no_cash":124,"n_estimated":1,"n_states":50,"cash_p10":24.73,"cash_p20":36.45,"cash_p25":44.2,"cash_p50":89.99,"cash_p75":156.03,"cash_p80":178.75,"cash_p90":259.8,"cash_mean_trimmed":94.86,"gross_p50":152.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":14,"p20":70.98,"p50":147.0,"p80":299.0},{"state":"AL","n":40,"p20":35.23,"p50":66.0,"p80":131.0},{"state":"AR","n":35,"p20":29.9,"p50":40.85,"p80":127.27},{"state":"AZ","n":38,"p20":28.27,"p50":140.41,"p80":218.0},{"state":"CA","n":118,"p20":15.2,"p50":35.0,"p80":76.8},{"state":"CO","n":59,"p20":72.75,"p50":121.51,"p80":204.0},{"state":"CT","n":20,"p20":40.22,"p50":89.0,"p80":173.0},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":141,"p20":22.8,"p50":30.52,"p80":96.36},{"state":"GA","n":96,"p20":38.26,"p50":69.6,"p80":145.5},{"state":"HI","n":16,"p20":60.0,"p50":102.05,"p80":250.16},{"state":"IA","n":77,"p20":48.57,"p50":108.0,"p80":181.35},{"state":"ID","n":23,"p20":40.0,"p50":120.25,"p80":186.0},{"state":"IL","n":134,"p20":50.4,"p50":130.0,"p80":257.6},{"state":"IN","n":96,"p20":44.82,"p50":108.57,"p80":214.5},{"state":"KS","n":75,"p20":70.6,"p50":118.4,"p80":211.2},{"state":"KY","n":65,"p20":57.81,"p50":91.88,"p80":211.49},{"state":"LA","n":49,"p20":27.9,"p50":51.0,"p80":81.0},{"state":"MA","n":50,"p20":61.0,"p50":106.0,"p80":166.5},{"state":"MD","n":38,"p20":69.09,"p50":82.47,"p80":105.71},{"state":"ME","n":28,"p20":62.0,"p50":77.74,"p80":214.2},{"state":"MI","n":71,"p20":15.1,"p50":26.55,"p80":112.68},{"state":"MN","n":96,"p20":38.94,"p50":73.99,"p80":163.8},{"state":"MO","n":72,"p20":50.7,"p50":96.9,"p80":141.6},{"state":"MS","n":44,"p20":26.62,"p50":47.15,"p80":74.0},{"state":"MT","n":28,"p20":61.8,"p50":120.0,"p80":179.72},{"state":"NC","n":84,"p20":34.7,"p50":58.59,"p80":154.5},{"state":"ND","n":28,"p20":37.46,"p50":92.0,"p80":147.0},{"state":"NE","n":72,"p20":83.48,"p50":166.4,"p80":292.0},{"state":"NH","n":24,"p20":59.75,"p50":108.78,"p80":230.26},{"state":"NJ","n":55,"p20":22.89,"p50":23.93,"p80":70.5},{"state":"NM","n":20,"p20":81.2,"p50":161.6,"p80":225.0},{"state":"NV","n":19,"p20":32.29,"p50":102.2,"p80":147.08},{"state":"NY","n":104,"p20":28.0,"p50":75.34,"p80":194.0},{"state":"OH","n":135,"p20":44.2,"p50":85.5,"p80":148.2},{"state":"OK","n":62,"p20":62.43,"p50":84.96,"p80":176.0},{"state":"OR","n":47,"p20":41.25,"p50":110.95,"p80":166.48},{"state":"PA","n":119,"p20":23.93,"p50":102.6,"p80":245.0},{"state":"RI","n":10,"p20":27.85,"p50":75.5,"p80":165.6},{"state":"SC","n":50,"p20":115.05,"p50":162.6,"p80":292.5},{"state":"SD","n":23,"p20":52.8,"p50":115.2,"p80":177.3},{"state":"TN","n":71,"p20":32.43,"p50":53.36,"p80":130.89},{"state":"TX","n":221,"p20":51.63,"p50":96.95,"p80":265.5},{"state":"UT","n":40,"p20":147.46,"p50":155.38,"p80":238.74},{"state":"VA","n":70,"p20":36.45,"p50":105.58,"p80":180.5},{"state":"VT","n":13,"p20":66.78,"p50":130.73,"p80":233.6},{"state":"WA","n":71,"p20":79.2,"p50":120.0,"p80":177.75},{"state":"WI","n":96,"p20":71.5,"p50":107.5,"p80":159.25},{"state":"WV","n":40,"p20":25.0,"p50":61.77,"p80":145.6},{"state":"WY","n":15,"p20":56.7,"p50":96.58,"p80":172.81}],"by_segment":{"hospital_type":[{"key":"acute","n":2138,"p20":32.3,"p50":79.05,"p80":165.6},{"key":"childrens","n":45,"p20":33.66,"p50":66.0,"p80":166.4},{"key":"critical_access","n":825,"p20":56.4,"p50":118.95,"p80":202.4}],"ownership":[{"key":"for_profit","n":405,"p20":39.91,"p50":98.32,"p80":302.5},{"key":"government","n":540,"p20":41.25,"p50":96.23,"p80":176.0},{"key":"nonprofit","n":2063,"p20":35.65,"p50":87.63,"p80":167.0}],"affiliation":[{"key":"affiliated","n":2476,"p20":35.25,"p50":86.5,"p80":177.3},{"key":"independent","n":542,"p20":45.85,"p50":99.45,"p80":182.18}]},"histogram":[{"lo":20.0,"hi":26.7,"n":213},{"lo":26.7,"hi":35.65,"n":227},{"lo":35.65,"hi":47.6,"n":242},{"lo":47.6,"hi":63.55,"n":277},{"lo":63.55,"hi":84.85,"n":332},{"lo":84.85,"hi":113.29,"n":370},{"lo":113.29,"hi":151.26,"n":425},{"lo":151.26,"hi":201.95,"n":288},{"lo":201.95,"hi":269.63,"n":218},{"lo":269.63,"hi":360.0,"n":134}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":2267,"n_usable":2048,"n_not_usable":0,"n_labelled":113,"n_no_cash":106,"n_estimated":0,"n_states":50,"cash_p10":26.88,"cash_p20":38.26,"cash_p25":48.57,"cash_p50":90.25,"cash_p75":150.6,"cash_p80":169.2,"cash_p90":242.5,"cash_mean_trimmed":95.1,"gross_p50":153.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":29,"p20":62.64,"p50":103.0,"p80":360.0},{"state":"AR","n":12,"p20":21.66,"p50":55.0,"p80":187.54},{"state":"AZ","n":34,"p20":28.27,"p50":170.25,"p80":313.6},{"state":"CA","n":97,"p20":17.65,"p50":36.96,"p80":86.0},{"state":"CO","n":40,"p20":72.0,"p50":119.0,"p80":152.81},{"state":"CT","n":11,"p20":65.0,"p50":89.91,"p80":102.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":73,"p20":22.8,"p50":30.52,"p80":133.33},{"state":"GA","n":77,"p20":49.2,"p50":69.6,"p80":141.75},{"state":"HI","n":11,"p20":60.0,"p50":102.05,"p80":119.25},{"state":"IA","n":44,"p20":48.57,"p50":104.16,"p80":181.35},{"state":"ID","n":13,"p20":40.0,"p50":115.0,"p80":141.95},{"state":"IL","n":102,"p20":69.6,"p50":158.0,"p80":261.0},{"state":"IN","n":65,"p20":54.0,"p50":110.0,"p80":231.0},{"state":"KS","n":24,"p20":47.4,"p50":94.74,"p80":162.4},{"state":"KY","n":40,"p20":50.32,"p50":74.72,"p80":111.05},{"state":"LA","n":29,"p20":26.88,"p50":48.4,"p80":76.86},{"state":"MA","n":42,"p20":60.2,"p50":102.0,"p80":175.0},{"state":"MD","n":30,"p20":68.91,"p50":80.85,"p80":107.33},{"state":"ME","n":22,"p20":62.0,"p50":77.74,"p80":226.48},{"state":"MI","n":57,"p20":15.1,"p50":26.55,"p80":112.68},{"state":"MN","n":72,"p20":37.0,"p50":59.92,"p80":172.5},{"state":"MO","n":38,"p20":66.0,"p50":101.2,"p80":141.6},{"state":"MS","n":29,"p20":43.93,"p50":54.0,"p80":133.1},{"state":"MT","n":16,"p20":61.8,"p50":118.27,"p80":179.72},{"state":"NC","n":46,"p20":26.88,"p50":58.59,"p80":147.88},{"state":"ND","n":20,"p20":36.21,"p50":54.4,"p80":129.63},{"state":"NE","n":29,"p20":59.59,"p50":144.48,"p80":312.0},{"state":"NH","n":17,"p20":66.0,"p50":108.78,"p80":122.07},{"state":"NJ","n":25,"p20":23.93,"p50":23.93,"p80":70.5},{"state":"NM","n":14,"p20":112.2,"p50":184.8,"p80":225.0},{"state":"NV","n":11,"p20":42.9,"p50":63.0,"p80":113.4},{"state":"NY","n":57,"p20":51.0,"p50":92.73,"p80":250.0},{"state":"OH","n":121,"p20":44.2,"p50":85.5,"p80":137.7},{"state":"OK","n":42,"p20":66.51,"p50":84.96,"p80":156.3},{"state":"OR","n":25,"p20":41.25,"p50":84.15,"p80":166.48},{"state":"PA","n":105,"p20":51.96,"p50":116.4,"p80":245.0},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":39,"p20":127.0,"p50":207.0,"p80":292.5},{"state":"SD","n":17,"p20":52.8,"p50":140.0,"p80":181.8},{"state":"TN","n":60,"p20":23.41,"p50":51.98,"p80":89.59},{"state":"TX","n":157,"p20":51.63,"p50":79.05,"p80":145.0},{"state":"UT","n":28,"p20":147.46,"p50":147.46,"p80":173.49},{"state":"VA","n":50,"p20":35.5,"p50":105.27,"p80":150.0},{"state":"VT","n":8,"p20":null,"p50":null,"p80":null},{"state":"WA","n":49,"p20":62.3,"p50":116.87,"p80":184.8},{"state":"WI","n":79,"p20":70.48,"p50":107.78,"p80":169.29},{"state":"WV","n":19,"p20":64.24,"p50":114.8,"p80":280.84},{"state":"WY","n":8,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1529,"p20":36.45,"p50":84.76,"p80":158.2},{"key":"childrens","n":36,"p20":43.0,"p50":66.0,"p80":172.0},{"key":"critical_access","n":473,"p20":53.95,"p50":117.0,"p80":194.4}],"ownership":[{"key":"for_profit","n":212,"p20":44.64,"p50":84.64,"p80":207.0},{"key":"government","n":294,"p20":42.0,"p50":91.5,"p80":150.0},{"key":"nonprofit","n":1532,"p20":36.96,"p50":91.6,"p80":169.29}],"affiliation":[{"key":"affiliated","n":1742,"p20":38.0,"p50":89.0,"p80":169.58},{"key":"independent","n":306,"p20":39.9,"p50":95.2,"p80":165.0}]},"histogram":[{"lo":20.52,"hi":26.86,"n":101},{"lo":26.86,"hi":35.15,"n":132},{"lo":35.15,"hi":46.0,"n":153},{"lo":46.0,"hi":60.2,"n":195},{"lo":60.2,"hi":78.79,"n":225},{"lo":78.79,"hi":103.11,"n":230},{"lo":103.11,"hi":134.95,"n":254},{"lo":134.95,"hi":176.61,"n":277},{"lo":176.61,"hi":231.14,"n":160},{"lo":231.14,"hi":302.5,"n":117}],"previous":null}},"related":[{"code_type":"CPT","code":"36415","lay_name":"Routine blood draw from a vein","slug":"cpt-36415-routine-blood-draw-from-a-vein"},{"code_type":"CPT","code":"80076","lay_name":"Liver function blood panel","slug":"cpt-80076-liver-function-blood-panel"},{"code_type":"CPT","code":"80061","lay_name":"Cholesterol blood panel","slug":"cpt-80061-cholesterol-blood-panel"},{"code_type":"CPT","code":"86900","lay_name":"ABO blood type test","slug":"cpt-86900-abo-blood-type-test"},{"code_type":"CPT","code":"86901","lay_name":"Rh blood type test","slug":"cpt-86901-rh-blood-type-test"},{"code_type":"CPT","code":"86140","lay_name":"C-reactive protein blood test","slug":"cpt-86140-c-reactive-protein-blood-test"},{"code_type":"CPT","code":"80202","lay_name":"Vancomycin blood level","slug":"cpt-80202-vancomycin-blood-level"},{"code_type":"CPT","code":"86850","lay_name":"Red blood cell antibody screen","slug":"cpt-86850-red-blood-cell-antibody-screen"},{"code_type":"CPT","code":"80164","lay_name":"Valproic acid blood level, total","slug":"cpt-80164-valproic-acid-blood-level-total"},{"code_type":"CPT","code":"86762","lay_name":"Blood test for rubella antibodies","slug":"cpt-86762-blood-test-for-rubella-antibodies"},{"code_type":"CPT","code":"80162","lay_name":"Digoxin blood level, total","slug":"cpt-80162-digoxin-blood-level-total"},{"code_type":"CPT","code":"86803","lay_name":"Hepatitis C antibody blood test","slug":"cpt-86803-hepatitis-c-antibody-blood-test"}]}