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Procedure price report · Laboratory - Chemistry and Hematology

Collagen crosslinks bone turnover test

CPT 82523the billing code this page is about

A laboratory test that measures collagen breakdown products, such as C-telopeptide, released into blood or urine as bone is remodeled.

Hospitals typically charge $79 cash for this outpatient procedure — the median across 2,821 hospitals that filed a usable cash price; the average of the middle 60% is $87. Most fall between $34 and $175 (20th–80th percentile).

Hospitals
2,821
States
50
Filings dated
Mar 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 2,821 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
$21$41$79$150$251

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($21 vs $251).

How the prices are spread

$16 – $22: 169 hospitals$16$22 – $30: 162 hospitals$30 – $41: 238 hospitals$30$41 – $57: 299 hospitals$57 – $78: 386 hospitals$57$78 – $107: 316 hospitals$107 – $146: 380 hospitals$107$146 – $200: 285 hospitals$200 – $275: 202 hospitals$200$275 – $377: 102 hospitals$275median $79price bands are equal on a log scale
Hospitals per price band (2,539 of 2,821 — the bands cover the 5th to 95th percentile)
FromToHospitals
$16$22169
$22$30162
$30$41238
$41$57299
$57$78386
$78$107316
$107$146380
$146$200285
$200$275202
$275$377102

By state

The median cash price in each state, against the national median of $79.

Alaska: median $78 across 14 hospitalsAK$78Maine: median $45 across 25 hospitalsME$45Vermont: median $112 across 14 hospitalsVT$112New Hampshire: median $96 across 23 hospitalsNH$96Washington: median $86 across 61 hospitalsWA$86Idaho: median $69 across 20 hospitalsID$69Montana: median $130 across 21 hospitalsMT$130North Dakota: median $62 across 27 hospitalsND$62Minnesota: median $55 across 76 hospitalsMN$55Illinois: median $111 across 126 hospitalsIL$111Wisconsin: median $84 across 100 hospitalsWI$84Michigan: median $37 across 77 hospitalsMI$37New York: median $49 across 102 hospitalsNY$49Massachusetts: median $85 across 51 hospitalsMA$85Oregon: median $87 across 44 hospitalsOR$87Nevada: median $125 across 17 hospitalsNV$125Wyoming: median $83 across 14 hospitalsWY$83South Dakota: median $222 across 27 hospitalsSD$222Iowa: median $83 across 66 hospitalsIA$83Indiana: median $92 across 89 hospitalsIN$92Ohio: median $90 across 135 hospitalsOH$90Pennsylvania: median $95 across 116 hospitalsPA$95New Jersey: median $21 across 56 hospitalsNJ$21Connecticut: median $84 across 19 hospitalsCT$84Rhode Island: median $73 across 10 hospitalsRI$73California: median $29 across 106 hospitalsCA$29Utah: median $133 across 40 hospitalsUT$133Colorado: median $114 across 62 hospitalsCO$114Nebraska: median $195 across 60 hospitalsNE$195Missouri: median $85 across 66 hospitalsMO$85Kentucky: median $111 across 62 hospitalsKY$111West Virginia: median $61 across 39 hospitalsWV$61Virginia: median $97 across 62 hospitalsVA$97Maryland: median $69 across 38 hospitalsMD$69Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $162 across 37 hospitalsAZ$162New Mexico: median $88 across 21 hospitalsNM$88Kansas: median $119 across 59 hospitalsKS$119Arkansas: median $84 across 33 hospitalsAR$84Tennessee: median $45 across 69 hospitalsTN$45North Carolina: median $90 across 78 hospitalsNC$90South Carolina: median $124 across 51 hospitalsSC$124Oklahoma: median $72 across 61 hospitalsOK$72Louisiana: median $45 across 41 hospitalsLA$45Mississippi: median $48 across 43 hospitalsMS$48Alabama: median $68 across 32 hospitalsAL$68Georgia: median $77 across 91 hospitalsGA$77Hawaii: median $139 across 13 hospitalsHI$139Texas: median $90 across 191 hospitalsTX$90Florida: median $33 across 129 hospitalsFL$33
Cash price by state, most expensive first. National median $79. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD27$222+181%$54 – $282
Nebraska NE60$195+147%$63 – $324
Arizona AZ37$162+106%$38 – $188
Hawaii HI13$139+76%$52 – $225
Utah UT40$133+69%$117 – $274
Montana MT21$130+64%$68 – $170
Nevada NV17$125+59%$33 – $160
South Carolina SC51$124+57%$68 – $189
Kansas KS59$119+51%$62 – $260
Colorado CO62$114+44%$64 – $241
Vermont VT14$112+41%$54 – $288
Illinois IL126$111+41%$56 – $201
Kentucky KY62$111+40%$51 – $201
Virginia VA62$97+22%$31 – $175
New Hampshire NH23$96+22%$37 – $261
Pennsylvania PA116$95+20%$29 – $219
Indiana IN89$92+16%$41 – $146
North Carolina NC78$90+14%$16 – $175
Ohio OH135$90+14%$58 – $220
Texas TX191$90+14%$49 – $293
New Mexico NM21$88+11%$62 – $152
Oregon OR44$87+11%$56 – $123
Washington WA61$86+9%$66 – $163
Massachusetts MA51$85+7%$46 – $165
Missouri MO66$85+7%$45 – $143
Arkansas AR33$84+7%$20 – $135
Connecticut CT19$84+7%$69 – $156
Wisconsin WI100$84+7%$52 – $170
Iowa IA66$83+5%$64 – $159
Wyoming WY14$83+5%$44 – $126
Alaska AK14$78−1%$27 – $297
Georgia GA91$77−3%$44 – $263
Rhode Island RI10$73−8%$43 – $102
Oklahoma OK61$72−9%$33 – $109
Idaho ID20$69−13%$35 – $120
Maryland MD38$69−13%$50 – $81
Alabama AL32$68−14%$29 – $183
North Dakota ND27$62−22%$33 – $135
West Virginia WV39$61−23%$45 – $145
Minnesota MN76$55−30%$32 – $209
New York NY102$49−38%$22 – $113
Mississippi MS43$48−40%$32 – $93
Maine ME25$45−42%$21 – $107
Tennessee TN69$45−43%$27 – $149
Louisiana LA41$45−43%$26 – $106
Michigan MI77$37−54%$14 – $100
Florida FL129$33−58%$14 – $93
California CA106$29−64%$10 – $78
New Jersey NJ56$21−73%$21 – $52
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 $79.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,012$70$30 – $158
Children’s62$96$52 – $181
Critical access738$108$46 – $207
Ownership
For-profit362$90$36 – $245
Government466$90$38 – $180
Non-profit1,984$77$33 – $167
System affiliation
Part of a system2,325$76$33 – $175
Independent496$91$45 – $172

Cash price vs list price

Median list price (chargemaster)$139
Median cash price$79
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

1,938 hospitals filed a usable inpatient cash price for this code. The median is $78 and the average of the middle 60% is $87; most fall between $35 and $170.

Cash price percentiles, inpatient, across 1,938 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$44$78$143$235

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($23 vs $235).

Of the 2,144 hospitals that filed this code inpatient, 1,938 gave a usable cash price; 109 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 97 a list price only.

How complete is this

2,821 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 3,080 hospitals that filed this code at all gave us
Usable cash price — counted2,821
Cash price carrying a plausibility flag — shown on the compare tool, excluded here144
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 — excluded113
Hospitals that filed this code3,080

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 Ntx-Telopeptide-Serum.

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, “Collagen crosslinks bone turnover test (CPT 82523) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-82523-collagen-crosslinks-bone-turnover-test