Procedure price report · Laboratory - Chemistry and Hematology

Alpha-1-antitrypsin typing test

CPT code CPT 82104the billing code this page is about

Laboratory test that identifies which variant forms of the alpha-1-antitrypsin protein are present in a blood sample.

Hospitals typically charge $67 cash for this outpatient procedure — the median across 2,790 hospitals that filed a usable cash price; the average of the middle 60% is $73. Most fall between $26 and $143 (20th–80th percentile).

Hospitals
2,790
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 2,790 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
$17$32$67$121$208

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($17 vs $208).

How the prices are spread

$14 – $20: 215 hospitals$14$20 – $27: 230 hospitals$27 – $36: 215 hospitals$27$36 – $49: 278 hospitals$49 – $67: 328 hospitals$49$67 – $91: 304 hospitals$91 – $124: 407 hospitals$91$124 – $169: 272 hospitals$169 – $230: 171 hospitals$169$230 – $313: 94 hospitals$230median $67price bands are equal on a log scale
Hospitals per price band (2,514 of 2,790 — the bands cover the 5th to 95th percentile)
FromToHospitals
$14$20215
$20$27230
$27$36215
$36$49278
$49$67328
$67$91304
$91$124407
$124$169272
$169$230171
$230$31394

By state

The median cash price in each state, against the national median of $67.

Alaska: median $38 across 14 hospitalsAK$38Maine: median $80 across 26 hospitalsME$80Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $60 across 18 hospitalsNH$60Washington: median $51 across 61 hospitalsWA$51Idaho: median $77 across 20 hospitalsID$77Montana: median $87 across 19 hospitalsMT$87North Dakota: median $74 across 29 hospitalsND$74Minnesota: median $60 across 83 hospitalsMN$60Illinois: median $90 across 125 hospitalsIL$90Wisconsin: median $100 across 98 hospitalsWI$100Michigan: median $29 across 67 hospitalsMI$29New York: median $48 across 100 hospitalsNY$48Massachusetts: median $89 across 49 hospitalsMA$89Oregon: median $47 across 42 hospitalsOR$47Nevada: median $98 across 17 hospitalsNV$98Wyoming: median $53 across 14 hospitalsWY$53South Dakota: median $104 across 30 hospitalsSD$104Iowa: median $67 across 70 hospitalsIA$67Indiana: median $89 across 90 hospitalsIN$89Ohio: median $65 across 123 hospitalsOH$65Pennsylvania: median $72 across 111 hospitalsPA$72New Jersey: median $17 across 53 hospitalsNJ$17Connecticut: median $52 across 14 hospitalsCT$52Rhode Island: median $84 across 10 hospitalsRI$84California: median $25 across 104 hospitalsCA$25Utah: median $92 across 36 hospitalsUT$92Colorado: median $83 across 49 hospitalsCO$83Nebraska: median $95 across 66 hospitalsNE$95Missouri: median $88 across 71 hospitalsMO$88Kentucky: median $54 across 61 hospitalsKY$54West Virginia: median $48 across 40 hospitalsWV$48Virginia: median $58 across 69 hospitalsVA$58Maryland: median $110 across 35 hospitalsMD$110Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $41 across 27 hospitalsAZ$41New Mexico: median $153 across 16 hospitalsNM$153Kansas: median $103 across 57 hospitalsKS$103Arkansas: median $52 across 31 hospitalsAR$52Tennessee: median $48 across 74 hospitalsTN$48North Carolina: median $32 across 80 hospitalsNC$32South Carolina: median $131 across 47 hospitalsSC$131Oklahoma: median $52 across 60 hospitalsOK$52Louisiana: median $35 across 43 hospitalsLA$35Mississippi: median $44 across 45 hospitalsMS$44Alabama: median $51 across 37 hospitalsAL$51Georgia: median $101 across 95 hospitalsGA$101Hawaii: median $66 across 12 hospitalsHI$66Texas: median $112 across 200 hospitalsTX$112Florida: median $34 across 136 hospitalsFL$34
Cash price by state, most expensive first. National median $67. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM16$153+130%$80 – $215
South Carolina SC47$131+96%$84 – $190
Texas TX200$112+68%$26 – $288
Maryland MD35$110+64%$71 – $128
South Dakota SD30$104+55%$50 – $201
Kansas KS57$103+54%$59 – $157
Georgia GA95$101+52%$58 – $294
Wisconsin WI98$100+50%$59 – $143
Nevada NV17$98+47%$31 – $239
Nebraska NE66$95+42%$46 – $212
Utah UT36$92+38%$76 – $108
Illinois IL125$90+34%$45 – $185
Massachusetts MA49$89+34%$46 – $134
Indiana IN90$89+33%$28 – $205
Missouri MO71$88+32%$41 – $151
Montana MT19$87+31%$51 – $118
Rhode Island RI10$84+26%$34 – $113
Colorado CO49$83+25%$30 – $196
Maine ME26$80+19%$33 – $120
Idaho ID20$77+15%$14 – $104
North Dakota ND29$74+11%$26 – $116
Pennsylvania PA111$72+8%$22 – $203
Iowa IA70$670%$45 – $118
Hawaii HI12$66−2%$38 – $201
Ohio OH123$65−3%$37 – $117
New Hampshire NH18$60−10%$47 – $291
Minnesota MN83$60−11%$27 – $128
Virginia VA69$58−12%$15 – $138
Kentucky KY61$54−20%$26 – $181
Wyoming WY14$53−21%$39 – $133
Oklahoma OK60$52−22%$32 – $108
Connecticut CT14$52−23%$34 – $62
Arkansas AR31$52−23%$21 – $100
Washington WA61$51−23%$32 – $92
Alabama AL37$51−24%$31 – $151
West Virginia WV40$48−28%$30 – $82
New York NY100$48−28%$15 – $116
Tennessee TN74$48−28%$25 – $78
Oregon OR42$47−29%$20 – $95
Mississippi MS45$44−34%$23 – $68
Arizona AZ27$41−39%$25 – $135
Alaska AK14$38−43%$32 – $224
Louisiana LA43$35−48%$22 – $88
Florida FL136$34−48%$16 – $67
North Carolina NC80$32−51%$19 – $123
Michigan MI67$29−57%$15 – $63
California CA104$25−63%$12 – $86
New Jersey NJ53$17−75%$14 – $49
Vermont VT9not enough hospitals filed a usable price
Delaware DE7not 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 $67.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,015$62$24 – $139
Children’s47$66$26 – $138
Critical access720$84$38 – $150
Ownership
For-profit378$79$26 – $284
Government459$66$29 – $139
Non-profit1,945$65$26 – $132
System affiliation
Part of a system2,335$66$25 – $145
Independent455$71$34 – $128

Cash price vs list price

Median list price (chargemaster)$115
Median cash price$67
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

1,922 hospitals filed a usable inpatient cash price for this code. The median is $69 and the average of the middle 60% is $74; most fall between $29 and $139.

Cash price percentiles, inpatient, across 1,922 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
$20$35$69$119$193

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($20 vs $193).

Of the 2,125 hospitals that filed this code inpatient, 1,922 gave a usable cash price; 108 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 95 a list price only.

How complete is this

2,790 of the 3,956 hospitals with a price file in our corpus (71%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,043 hospitals that filed this code at all gave us
Usable cash price — counted2,790
Cash price carrying a plausibility flag — shown on the compare tool, excluded here141
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded108
Hospitals that filed this code3,043

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 July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as HC A1at Phenotype.

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, “Alpha-1-antitrypsin typing test (CPT 82104) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-82104-alpha-1-antitrypsin-typing-test