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Procedure price report · Laboratory - Chemistry and Hematology

Delta-aminolevulinic acid test

CPT 82135the billing code this page is about

Laboratory test that measures the level of delta-aminolevulinic acid, usually in a urine sample.

Hospitals typically charge $78 cash for this outpatient procedure — the median across 2,111 hospitals that filed a usable cash price; the average of the middle 60% is $88. Most fall between $36 and $168 (20th–80th percentile).

Hospitals
2,111
States
50
Filings dated
Dec 2023 – 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 2,111 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
$23$43$78$145$243

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($23 vs $243).

How the prices are spread

$18 – $24: 116 hospitals$18$24 – $33: 156 hospitals$33 – $45: 169 hospitals$33$45 – $60: 257 hospitals$60 – $81: 282 hospitals$60$81 – $110: 222 hospitals$110 – $149: 297 hospitals$110$149 – $201: 222 hospitals$201 – $272: 126 hospitals$201$272 – $368: 54 hospitals$272median $78price bands are equal on a log scale
Hospitals per price band (1,901 of 2,111 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$24116
$24$33156
$33$45169
$45$60257
$60$81282
$81$110222
$110$149297
$149$201222
$201$272126
$272$36854

By state

The median cash price in each state, against the national median of $78.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $103 across 12 hospitalsME$103Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $53 across 10 hospitalsNH$53Washington: median $92 across 46 hospitalsWA$92Idaho: median $74 across 19 hospitalsID$74Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $37 across 15 hospitalsND$37Minnesota: median $87 across 39 hospitalsMN$87Illinois: median $126 across 97 hospitalsIL$126Wisconsin: median $85 across 71 hospitalsWI$85Michigan: median $47 across 64 hospitalsMI$47New York: median $49 across 79 hospitalsNY$49Massachusetts: median $85 across 40 hospitalsMA$85Oregon: median $83 across 36 hospitalsOR$83Nevada: median $65 across 13 hospitalsNV$65Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $83 across 41 hospitalsIA$83Indiana: median $72 across 59 hospitalsIN$72Ohio: median $104 across 114 hospitalsOH$104Pennsylvania: median $70 across 101 hospitalsPA$70New Jersey: median $18 across 44 hospitalsNJ$18Connecticut: median $64 across 12 hospitalsCT$64Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $43 across 68 hospitalsCA$43Utah: median $143 across 34 hospitalsUT$143Colorado: median $149 across 46 hospitalsCO$149Nebraska: median $136 across 28 hospitalsNE$136Missouri: median $85 across 54 hospitalsMO$85Kentucky: median $113 across 46 hospitalsKY$113West Virginia: median $36 across 19 hospitalsWV$36Virginia: median $58 across 55 hospitalsVA$58Maryland: median $71 across 28 hospitalsMD$71Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $127 across 32 hospitalsAZ$127New Mexico: median $133 across 11 hospitalsNM$133Kansas: median $105 across 32 hospitalsKS$105Arkansas: median $64 across 18 hospitalsAR$64Tennessee: median $50 across 54 hospitalsTN$50North Carolina: median $63 across 71 hospitalsNC$63South Carolina: median $117 across 49 hospitalsSC$117Oklahoma: median $78 across 39 hospitalsOK$78Louisiana: median $39 across 30 hospitalsLA$39Mississippi: median $52 across 35 hospitalsMS$52Alabama: median $62 across 28 hospitalsAL$62Georgia: median $131 across 76 hospitalsGA$131Hawaii: median $74 across 11 hospitalsHI$74Texas: median $112 across 171 hospitalsTX$112Florida: median $49 across 114 hospitalsFL$49
Cash price by state, most expensive first. National median $78. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO46$149+91%$90 – $231
Utah UT34$143+83%$121 – $168
Nebraska NE28$136+74%$46 – $245
New Mexico NM11$133+70%$89 – $247
Georgia GA76$131+67%$46 – $199
Arizona AZ32$127+63%$42 – $140
Illinois IL97$126+61%$53 – $213
South Carolina SC49$117+49%$62 – $154
Kentucky KY46$113+45%$49 – $206
Texas TX171$112+43%$50 – $307
Kansas KS32$105+34%$60 – $247
Ohio OH114$104+32%$51 – $175
Maine ME12$103+32%$57 – $243
Washington WA46$92+17%$49 – $154
Minnesota MN39$87+12%$24 – $135
Wisconsin WI71$85+9%$70 – $145
Massachusetts MA40$85+8%$48 – $150
Missouri MO54$85+8%$59 – $179
Iowa IA41$83+7%$64 – $191
Oregon OR36$83+6%$53 – $112
Oklahoma OK39$780%$48 – $123
Hawaii HI11$74−5%$61 – $100
Idaho ID19$74−6%$65 – $143
Indiana IN59$72−7%$36 – $135
Maryland MD28$71−10%$43 – $81
Pennsylvania PA101$70−11%$19 – $193
Nevada NV13$65−16%$22 – $113
Connecticut CT12$64−17%$45 – $77
Arkansas AR18$64−18%$43 – $85
North Carolina NC71$63−19%$37 – $130
Alabama AL28$62−20%$20 – $183
Virginia VA55$58−25%$29 – $167
New Hampshire NH10$53−32%$53 – $280
Mississippi MS35$52−33%$36 – $92
Tennessee TN54$50−36%$24 – $129
Florida FL114$49−37%$26 – $128
New York NY79$49−37%$20 – $126
Michigan MI64$47−40%$24 – $101
California CA68$43−46%$20 – $46
Louisiana LA30$39−49%$20 – $79
North Dakota ND15$37−53%$28 – $68
West Virginia WV19$36−53%$16 – $184
New Jersey NJ44$18−77%$16 – $49
South Dakota SD9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Vermont VT4not 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 $78.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,676$74$33 – $167
Children’s38$94$53 – $183
Critical access389$94$48 – $177
Ownership
For-profit302$101$37 – $321
Government304$82$37 – $154
Non-profit1,497$74$36 – $160
System affiliation
Part of a system1,789$76$36 – $168
Independent322$83$39 – $162

Cash price vs list price

Median list price (chargemaster)$140
Median cash price$78
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

1,478 hospitals filed a usable inpatient cash price for this code. The median is $85 and the average of the middle 60% is $92; most fall between $41 and $167.

Cash price percentiles, inpatient, across 1,478 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
$27$47$85$145$221

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($27 vs $221).

Of the 1,640 hospitals that filed this code inpatient, 1,478 gave a usable cash price; 91 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 71 a list price only.

How complete is this

2,111 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,308 hospitals that filed this code at all gave us
Usable cash price — counted2,111
Cash price carrying a plausibility flag — shown on the compare tool, excluded here114
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 — excluded81
Hospitals that filed this code2,308

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 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.

Related procedures

Part of the Laboratory - Chemistry and Hematology family.

Hospitals file this code under descriptions such as HC Aminolevulinic (Ala) Acid Random Urine.

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, “Delta-aminolevulinic acid test (CPT 82135) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-82135-delta-aminolevulinic-acid-test