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Procedure price report · Laboratory - Chemistry and Hematology

Direct bilirubin blood test

CPT 82248the billing code this page is about

Measures the direct (conjugated) portion of bilirubin in a blood sample.

Hospitals typically charge $40 cash for this outpatient procedure — the median across 3,387 hospitals that filed a usable cash price; the average of the middle 60% is $43. Most fall between $18 and $78 (20th–80th percentile).

Hospitals
3,387
States
50
Filings dated
Aug 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 3,387 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
$10$22$40$69$126

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($10 vs $126).

How the prices are spread

$6 – $9: 95 hospitals$6$9 – $12: 153 hospitals$12 – $18: 232 hospitals$12$18 – $25: 389 hospitals$25 – $37: 482 hospitals$25$37 – $52: 598 hospitals$52 – $75: 554 hospitals$52$75 – $108: 301 hospitals$108 – $154: 175 hospitals$108$154 – $221: 71 hospitals$154median $40price bands are equal on a log scale
Hospitals per price band (3,050 of 3,387 — the bands cover the 5th to 95th percentile)
FromToHospitals
$6$995
$9$12153
$12$18232
$18$25389
$25$37482
$37$52598
$52$75554
$75$108301
$108$154175
$154$22171

By state

The median cash price in each state, against the national median of $40.

Alaska: median $63 across 19 hospitalsAK$63Maine: median $26 across 28 hospitalsME$26Vermont: median $41 across 14 hospitalsVT$41New Hampshire: median $37 across 25 hospitalsNH$37Washington: median $45 across 77 hospitalsWA$45Idaho: median $30 across 25 hospitalsID$30Montana: median $40 across 33 hospitalsMT$40North Dakota: median $41 across 35 hospitalsND$41Minnesota: median $39 across 106 hospitalsMN$39Illinois: median $65 across 141 hospitalsIL$65Wisconsin: median $40 across 108 hospitalsWI$40Michigan: median $24 across 98 hospitalsMI$24New York: median $22 across 119 hospitalsNY$22Massachusetts: median $32 across 53 hospitalsMA$32Oregon: median $26 across 51 hospitalsOR$26Nevada: median $43 across 22 hospitalsNV$43Wyoming: median $34 across 16 hospitalsWY$34South Dakota: median $88 across 41 hospitalsSD$88Iowa: median $41 across 89 hospitalsIA$41Indiana: median $23 across 95 hospitalsIN$23Ohio: median $38 across 139 hospitalsOH$38Pennsylvania: median $25 across 122 hospitalsPA$25New Jersey: median $6 across 54 hospitalsNJ$6Connecticut: median $27 across 23 hospitalsCT$27Rhode Island: median $32 across 10 hospitalsRI$32California: median $86 across 164 hospitalsCA$86Utah: median $46 across 43 hospitalsUT$46Colorado: median $40 across 72 hospitalsCO$40Nebraska: median $55 across 83 hospitalsNE$55Missouri: median $37 across 78 hospitalsMO$37Kentucky: median $59 across 69 hospitalsKY$59West Virginia: median $28 across 42 hospitalsWV$28Virginia: median $53 across 73 hospitalsVA$53Maryland: median $16 across 41 hospitalsMD$16Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $52 across 42 hospitalsAZ$52New Mexico: median $52 across 30 hospitalsNM$52Kansas: median $38 across 93 hospitalsKS$38Arkansas: median $24 across 39 hospitalsAR$24Tennessee: median $26 across 83 hospitalsTN$26North Carolina: median $42 across 84 hospitalsNC$42South Carolina: median $49 across 53 hospitalsSC$49Oklahoma: median $30 across 70 hospitalsOK$30Louisiana: median $22 across 52 hospitalsLA$22Mississippi: median $27 across 54 hospitalsMS$27Alabama: median $26 across 44 hospitalsAL$26Georgia: median $35 across 108 hospitalsGA$35Hawaii: median $44 across 19 hospitalsHI$44Texas: median $69 across 247 hospitalsTX$69Florida: median $92 across 154 hospitalsFL$92
Cash price by state, most expensive first. National median $40. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL154$92+130%$19 – $779
South Dakota SD41$88+120%$54 – $129
California CA164$86+114%$36 – $145
Texas TX247$69+72%$33 – $187
Illinois IL141$65+63%$30 – $95
Alaska AK19$63+56%$7 – $95
Kentucky KY69$59+47%$20 – $85
Nebraska NE83$55+38%$30 – $69
Virginia VA73$53+31%$29 – $100
Arizona AZ42$52+31%$14 – $232
New Mexico NM30$52+30%$21 – $73
South Carolina SC53$49+23%$26 – $77
Utah UT43$46+14%$39 – $69
Washington WA77$45+12%$26 – $72
Hawaii HI19$44+10%$31 – $53
Nevada NV22$43+7%$27 – $103
North Carolina NC84$42+5%$22 – $59
North Dakota ND35$41+2%$31 – $48
Vermont VT14$41+2%$17 – $82
Iowa IA89$41+2%$28 – $57
Montana MT33$40+1%$26 – $61
Wisconsin WI108$40−1%$23 – $58
Colorado CO72$40−1%$29 – $76
Minnesota MN106$39−3%$16 – $67
Ohio OH139$38−4%$23 – $56
Kansas KS93$38−4%$25 – $55
Missouri MO78$37−7%$22 – $72
New Hampshire NH25$37−8%$20 – $65
Georgia GA108$35−11%$14 – $113
Wyoming WY16$34−15%$22 – $67
Massachusetts MA53$32−19%$19 – $68
Rhode Island RI10$32−20%$13 – $41
Idaho ID25$30−25%$22 – $39
Oklahoma OK70$30−26%$15 – $59
West Virginia WV42$28−31%$20 – $55
Connecticut CT23$27−32%$19 – $30
Mississippi MS54$27−32%$16 – $48
Oregon OR51$26−34%$20 – $56
Alabama AL44$26−34%$16 – $153
Maine ME28$26−35%$14 – $57
Tennessee TN83$26−36%$9 – $60
Pennsylvania PA122$25−37%$8 – $59
Michigan MI98$24−40%$16 – $40
Arkansas AR39$24−40%$16 – $57
Indiana IN95$23−43%$11 – $49
New York NY119$22−45%$11 – $65
Louisiana LA52$22−46%$9 – $44
Maryland MD41$16−59%$13 – $20
New Jersey NJ54$6−86%$6 – $23
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 $40.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,321$38$16 – $85
Children’s67$74$24 – $115
Critical access989$43$24 – $68
Ownership
For-profit471$69$23 – $313
Government647$41$20 – $65
Non-profit2,259$38$17 – $72
System affiliation
Part of a system2,736$41$18 – $81
Independent651$38$20 – $69

Cash price vs list price

Median list price (chargemaster)$68
Median cash price$40
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

2,277 hospitals filed a usable inpatient cash price for this code. The median is $40 and the average of the middle 60% is $43; most fall between $19 and $76.

Cash price percentiles, inpatient, across 2,277 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
$11$23$40$69$113

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($11 vs $113).

Of the 2,508 hospitals that filed this code inpatient, 2,277 gave a usable cash price; 121 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 110 a list price only.

How complete is this

3,387 of the 3,956 hospitals with a price file in our corpus (86%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,690 hospitals that filed this code at all gave us
Usable cash price — counted3,387
Cash price carrying a plausibility flag — shown on the compare tool, excluded here171
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded131
Hospitals that filed this code3,690

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.

Related procedures

Part of the Laboratory - Chemistry and Hematology family.

Hospitals file this code under descriptions such as HC Bilirubin Direct.

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, “Direct bilirubin blood test (CPT 82248) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-82248-direct-bilirubin-blood-test