{"procedure":{"code_type":"CPT","code":"86386","lay_name":"Urine bladder cancer marker test (NMP22), yes or no result","blurb":"A laboratory test that checks a urine sample for nuclear matrix protein 22 and reports only whether it is present, without a numeric level.","slug":"cpt-86386-urine-bladder-cancer-marker-test-nmp22-yes-or-no-result","description":"Protein test for diagnosis and monitoring of bladder cancer","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":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:26.750973Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":212,"n_usable":205,"n_not_usable":1,"n_labelled":3,"n_no_cash":3,"n_estimated":0,"n_states":31,"cash_p10":20.0,"cash_p20":21.78,"cash_p25":23.96,"cash_p50":44.0,"cash_p75":104.65,"cash_p80":137.28,"cash_p90":162.96,"cash_mean_trimmed":57.99,"gross_p50":98.22,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":32,"p20":137.28,"p50":162.96,"p80":162.96},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":6,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":44.0,"p50":44.0,"p80":44.0},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":22,"p20":21.78,"p50":23.96,"p80":23.96},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":21.78,"p50":21.78,"p80":63.84},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":2,"p20":null,"p50":null,"p80":null},{"state":"OR","n":13,"p20":41.6,"p50":44.0,"p80":58.4},{"state":"PA","n":15,"p20":14.52,"p50":17.16,"p80":32.67},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":13,"p20":34.8,"p50":42.9,"p80":55.9},{"state":"WI","n":12,"p20":104.65,"p50":104.65,"p80":104.65},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":171,"p20":21.78,"p50":41.6,"p80":137.28},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":32,"p20":42.9,"p50":76.0,"p80":105.0}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":18,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":178,"p20":23.96,"p50":44.0,"p80":137.28}],"affiliation":[{"key":"affiliated","n":187,"p20":21.78,"p50":44.0,"p80":137.28},{"key":"independent","n":18,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":14.52,"hi":18.49,"n":11},{"lo":18.49,"hi":23.55,"n":24},{"lo":23.55,"hi":29.99,"n":24},{"lo":29.99,"hi":38.2,"n":21},{"lo":38.2,"hi":48.64,"n":28},{"lo":48.64,"hi":61.95,"n":9},{"lo":61.95,"hi":78.89,"n":11},{"lo":78.89,"hi":100.48,"n":2},{"lo":100.48,"hi":127.96,"n":19},{"lo":127.96,"hi":162.96,"n":38}],"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":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:26:25.308434Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":115,"n_usable":110,"n_not_usable":0,"n_labelled":1,"n_no_cash":4,"n_estimated":0,"n_states":22,"cash_p10":21.78,"cash_p20":43.6,"cash_p25":44.0,"cash_p50":104.65,"cash_p75":137.28,"cash_p80":162.96,"cash_p90":162.96,"cash_mean_trimmed":105.74,"gross_p50":161.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":32,"p20":137.28,"p50":162.96,"p80":162.96},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":44.0,"p50":44.0,"p80":44.0},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":5,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":8,"p20":null,"p50":null,"p80":null},{"state":"WI","n":12,"p20":104.65,"p50":104.65,"p80":104.65},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":91,"p20":43.6,"p50":104.65,"p80":162.96},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":18,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":4,"p20":null,"p50":null,"p80":null},{"key":"government","n":3,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":103,"p20":43.6,"p50":104.65,"p80":162.96}],"affiliation":[{"key":"affiliated","n":102,"p20":43.6,"p50":104.65,"p80":162.96},{"key":"independent","n":8,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":12.9,"hi":16.62,"n":8},{"lo":16.62,"hi":21.42,"n":1},{"lo":21.42,"hi":27.61,"n":1},{"lo":27.61,"hi":35.58,"n":7},{"lo":35.58,"hi":45.85,"n":18},{"lo":45.85,"hi":59.09,"n":6},{"lo":59.09,"hi":76.14,"n":6},{"lo":76.14,"hi":98.13,"n":3},{"lo":98.13,"hi":126.45,"n":17},{"lo":126.45,"hi":162.96,"n":38}],"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"}]}