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Procedure price report · Laboratory - Chemistry and Hematology

Total homocysteine blood test

CPT 83090the billing code this page is about

A blood test that measures the total amount of homocysteine, an amino acid linked to certain vitamin deficiencies and inherited metabolic conditions.

Hospitals typically charge $98 cash for this outpatient procedure — the median across 3,300 hospitals that filed a usable cash price; the average of the middle 60% is $106. Most fall between $41 and $203 (20th–80th percentile).

Hospitals
3,300
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 3,300 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
$24$51$98$174$289

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($24 vs $289).

How the prices are spread

$18 – $24: 172 hospitals$18$24 – $33: 193 hospitals$33 – $45: 195 hospitals$33$45 – $61: 327 hospitals$61 – $83: 348 hospitals$61$83 – $114: 432 hospitals$114 – $156: 479 hospitals$114$156 – $213: 382 hospitals$213 – $291: 288 hospitals$213$291 – $398: 158 hospitals$291median $98price bands are equal on a log scale
Hospitals per price band (2,974 of 3,300 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$24172
$24$33193
$33$45195
$45$61327
$61$83348
$83$114432
$114$156479
$156$213382
$213$291288
$291$398158

By state

The median cash price in each state, against the national median of $98.

Alaska: median $201 across 19 hospitalsAK$201Maine: median $67 across 28 hospitalsME$67Vermont: median $151 across 14 hospitalsVT$151New Hampshire: median $98 across 25 hospitalsNH$98Washington: median $115 across 77 hospitalsWA$115Idaho: median $80 across 24 hospitalsID$80Montana: median $134 across 29 hospitalsMT$134North Dakota: median $120 across 33 hospitalsND$120Minnesota: median $90 across 102 hospitalsMN$90Illinois: median $139 across 139 hospitalsIL$139Wisconsin: median $118 across 106 hospitalsWI$118Michigan: median $65 across 97 hospitalsMI$65New York: median $64 across 107 hospitalsNY$64Massachusetts: median $135 across 53 hospitalsMA$135Oregon: median $79 across 50 hospitalsOR$79Nevada: median $118 across 20 hospitalsNV$118Wyoming: median $80 across 16 hospitalsWY$80South Dakota: median $148 across 37 hospitalsSD$148Iowa: median $98 across 88 hospitalsIA$98Indiana: median $97 across 98 hospitalsIN$97Ohio: median $81 across 140 hospitalsOH$81Pennsylvania: median $91 across 120 hospitalsPA$91New Jersey: median $21 across 57 hospitalsNJ$21Connecticut: median $81 across 23 hospitalsCT$81Rhode Island: median $134 across 10 hospitalsRI$134California: median $28 across 148 hospitalsCA$28Utah: median $94 across 42 hospitalsUT$94Colorado: median $97 across 68 hospitalsCO$97Nebraska: median $172 across 79 hospitalsNE$172Missouri: median $84 across 75 hospitalsMO$84Kentucky: median $123 across 68 hospitalsKY$123West Virginia: median $88 across 43 hospitalsWV$88Virginia: median $111 across 73 hospitalsVA$111Maryland: median $79 across 40 hospitalsMD$79Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $125 across 39 hospitalsAZ$125New Mexico: median $143 across 28 hospitalsNM$143Kansas: median $194 across 89 hospitalsKS$194Arkansas: median $52 across 37 hospitalsAR$52Tennessee: median $52 across 80 hospitalsTN$52North Carolina: median $112 across 86 hospitalsNC$112South Carolina: median $165 across 52 hospitalsSC$165Oklahoma: median $106 across 72 hospitalsOK$106Louisiana: median $61 across 50 hospitalsLA$61Mississippi: median $65 across 54 hospitalsMS$65Alabama: median $101 across 43 hospitalsAL$101Georgia: median $103 across 104 hospitalsGA$103Hawaii: median $155 across 19 hospitalsHI$155Texas: median $150 across 240 hospitalsTX$150Florida: median $59 across 152 hospitalsFL$59
Cash price by state, most expensive first. National median $98. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK19$201+105%$38 – $312
Kansas KS89$194+97%$108 – $275
Nebraska NE79$172+75%$63 – $260
South Carolina SC52$165+68%$91 – $261
Hawaii HI19$155+58%$86 – $203
Vermont VT14$151+53%$114 – $295
Texas TX240$150+53%$70 – $332
South Dakota SD37$148+51%$74 – $225
New Mexico NM28$143+45%$85 – $227
Illinois IL139$139+41%$76 – $268
Massachusetts MA53$135+38%$55 – $172
Montana MT29$134+37%$82 – $167
Rhode Island RI10$134+36%$63 – $161
Arizona AZ39$125+27%$33 – $191
Kentucky KY68$123+25%$52 – $241
North Dakota ND33$120+22%$34 – $133
Nevada NV20$118+20%$30 – $189
Wisconsin WI106$118+20%$83 – $160
Washington WA77$115+17%$74 – $156
North Carolina NC86$112+13%$34 – $188
Virginia VA73$111+13%$30 – $325
Oklahoma OK72$106+8%$47 – $159
Georgia GA104$103+5%$52 – $186
Alabama AL43$101+3%$31 – $260
New Hampshire NH25$980%$55 – $212
Iowa IA88$98−1%$55 – $172
Colorado CO68$97−1%$36 – $245
Indiana IN98$97−1%$35 – $201
Utah UT42$94−5%$80 – $164
Pennsylvania PA120$91−7%$27 – $222
Minnesota MN102$90−9%$48 – $135
West Virginia WV43$88−10%$54 – $201
Missouri MO75$84−15%$49 – $195
Connecticut CT23$81−18%$66 – $141
Ohio OH140$81−18%$54 – $134
Idaho ID24$80−19%$52 – $119
Wyoming WY16$80−19%$39 – $178
Maryland MD40$79−19%$63 – $98
Oregon OR50$79−20%$55 – $117
Maine ME28$67−32%$46 – $186
Mississippi MS54$65−34%$27 – $129
Michigan MI97$65−34%$21 – $94
New York NY107$64−35%$25 – $215
Louisiana LA50$61−38%$39 – $143
Florida FL152$59−40%$18 – $230
Arkansas AR37$52−47%$45 – $103
Tennessee TN80$52−47%$29 – $192
California CA148$28−71%$13 – $143
New Jersey NJ57$21−79%$20 – $62
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 $98.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,277$93$34 – $206
Children’s64$131$40 – $215
Critical access949$119$57 – $199
Ownership
For-profit457$146$41 – $411
Government612$105$46 – $203
Non-profit2,221$94$41 – $179
System affiliation
Part of a system2,682$98$41 – $202
Independent618$103$44 – $207

Cash price vs list price

Median list price (chargemaster)$163
Median cash price$98
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

2,233 hospitals filed a usable inpatient cash price for this code. The median is $98 and the average of the middle 60% is $105; most fall between $43 and $191.

Cash price percentiles, inpatient, across 2,233 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
$26$53$98$164$269

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($26 vs $269).

Of the 2,453 hospitals that filed this code inpatient, 2,233 gave a usable cash price; 113 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 107 a list price only.

How complete is this

3,300 of the 3,956 hospitals with a price file in our corpus (83%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,584 hospitals that filed this code at all gave us
Usable cash price — counted3,300
Cash price carrying a plausibility flag — shown on the compare tool, excluded here156
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 — excluded127
Hospitals that filed this code3,584

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 Homocysteine, Quant, Urine 59.

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, “Total homocysteine blood test (CPT 83090) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-83090-total-homocysteine-blood-test