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Procedure price report · Pathology

Liver fibrosis blood test of three markers with score

CPT 81517the billing code this page is about

Blood test that measures three protein markers of liver scarring and combines them into a single score describing the risk of liver fibrosis.

Hospitals typically charge $337 cash for this outpatient procedure — the median across 916 hospitals that filed a usable cash price; the average of the middle 60% is $360. Most fall between $185 and $663 (20th–80th percentile).

Hospitals
916
States
44
Filings dated
Sep 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 916 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$154$200$337$601$850

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($154 vs $850).

How the prices are spread

$100 – $128: 23 hospitals$100$128 – $163: 32 hospitals$163 – $209: 150 hospitals$163$209 – $267: 127 hospitals$267 – $341: 103 hospitals$267$341 – $436: 110 hospitals$436 – $557: 62 hospitals$436$557 – $712: 117 hospitals$712 – $910: 70 hospitals$712$910 – $1,164: 35 hospitals$910median $337price bands are equal on a log scale
Hospitals per price band (829 of 916 — the bands cover the 5th to 95th percentile)
FromToHospitals
$100$12823
$128$16332
$163$209150
$209$267127
$267$341103
$341$436110
$436$55762
$557$712117
$712$91070
$910$1,16435

By state

The median cash price in each state, against the national median of $337.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $396 across 20 hospitalsIL$396Wisconsin: median $781 across 12 hospitalsWI$781Michigan: median $243 across 10 hospitalsMI$243New York: median $335 across 40 hospitalsNY$335Massachusetts: median $548 across 22 hospitalsMA$548Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $756 across 16 hospitalsIA$756Indiana: median $276 across 39 hospitalsIN$276Ohio: median $476 across 65 hospitalsOH$476Pennsylvania: median $389 across 75 hospitalsPA$389New Jersey: median $194 across 43 hospitalsNJ$194Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $175 across 35 hospitalsCA$175Utah: no hospital in the corpus filed a usable priceUTColorado: median $604 across 15 hospitalsCO$604Nebraska: no hospital in the corpus filed a usable priceNEMissouri: median $315 across 13 hospitalsMO$315Kentucky: median $207 across 32 hospitalsKY$207West Virginia: median $340 across 14 hospitalsWV$340Virginia: median $253 across 51 hospitalsVA$253Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $383 across 12 hospitalsAZ$383New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $531 across 14 hospitalsKS$531Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $177 across 28 hospitalsTN$177North Carolina: median $230 across 47 hospitalsNC$230South Carolina: median $371 across 30 hospitalsSC$371Oklahoma: median $168 across 11 hospitalsOK$168Louisiana: median $208 across 21 hospitalsLA$208Mississippi: median $190 across 25 hospitalsMS$190Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $295 across 47 hospitalsGA$295Hawaii: no hospital in the corpus filed a usable priceHITexas: median $523 across 70 hospitalsTX$523Florida: median $306 across 23 hospitalsFL$306
Cash price by state, most expensive first. National median $337. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI12$781+132%$781 – $896
Iowa IA16$756+124%$613 – $756
Colorado CO15$604+79%$479 – $604
Massachusetts MA22$548+63%$226 – $697
Kansas KS14$531+58%$264 – $859
Texas TX70$523+55%$178 – $601
Ohio OH65$476+41%$261 – $670
Illinois IL20$396+18%$356 – $612
Pennsylvania PA75$389+16%$264 – $1,030
Arizona AZ12$383+14%$142 – $997
South Carolina SC30$371+10%$333 – $529
West Virginia WV14$340+1%$340 – $340
New York NY40$335−1%$176 – $727
Missouri MO13$315−7%$264 – $534
Florida FL23$306−9%$176 – $529
Georgia GA47$295−12%$266 – $408
Indiana IN39$276−18%$195 – $467
Virginia VA51$253−25%$178 – $381
Michigan MI10$243−28%$243 – $264
North Carolina NC47$230−32%$200 – $365
Louisiana LA21$208−38%$104 – $540
Kentucky KY32$207−38%$146 – $881
New Jersey NJ43$194−42%$176 – $203
Mississippi MS25$190−44%$76 – $377
Tennessee TN28$177−48%$80 – $330
California CA35$175−48%$175 – $255
Oklahoma OK11$168−50%$159 – $209
Washington WA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $337.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care759$335$178 – $626
Children’s6fewer than 20 hospitals
Critical access147$340$198 – $691
Ownership
For-profit111$280$168 – $601
Government128$293$176 – $424
Non-profit673$340$194 – $705
System affiliation
Part of a system805$334$178 – $670
Independent111$345$203 – $572

Cash price vs list price

Median list price (chargemaster)$680
Median cash price$337
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

671 hospitals filed a usable inpatient cash price for this code. The median is $367 and the average of the middle 60% is $403; most fall between $200 and $670.

Cash price percentiles, inpatient, across 671 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$168$226$367$612$917

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($168 vs $917).

Of the 712 hospitals that filed this code inpatient, 671 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

916 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 970 hospitals that filed this code at all gave us
Usable cash price — counted916
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded22
Hospitals that filed this code970

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as LIVER DS ALYS 3 BMRK SRM ALG.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Liver fibrosis blood test of three markers with score (CPT 81517) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81517-liver-fibrosis-blood-test-of-three-markers-with-score