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Procedure price report · Laboratory - Chemistry and Hematology

Blood test for vasoactive intestinal peptide

CPT 84586the billing code this page is about

Measures the level of vasoactive intestinal peptide, a hormone made in the gut and nervous system. Covers one measurement.

Hospitals typically charge $121 cash for this outpatient procedure — the median across 2,489 hospitals that filed a usable cash price; the average of the middle 60% is $134. Most fall between $55 and $275 (20th–80th percentile).

Hospitals
2,489
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 2,489 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
$40$62$121$236$433

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($40 vs $433).

How the prices are spread

$33 – $44: 197 hospitals$33$44 – $60: 237 hospitals$60 – $81: 289 hospitals$60$81 – $109: 267 hospitals$109 – $146: 335 hospitals$109$146 – $197: 283 hospitals$197 – $266: 235 hospitals$197$266 – $359: 200 hospitals$359 – $484: 141 hospitals$359$484 – $652: 59 hospitals$484median $121price bands are equal on a log scale
Hospitals per price band (2,243 of 2,489 — the bands cover the 5th to 95th percentile)
FromToHospitals
$33$44197
$44$60237
$60$81289
$81$109267
$109$146335
$146$197283
$197$266235
$266$359200
$359$484141
$484$65259

By state

The median cash price in each state, against the national median of $121.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $183 across 25 hospitalsME$183Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $159 across 20 hospitalsNH$159Washington: median $158 across 53 hospitalsWA$158Idaho: median $108 across 13 hospitalsID$108Montana: median $205 across 13 hospitalsMT$205North Dakota: median $116 across 19 hospitalsND$116Minnesota: median $143 across 65 hospitalsMN$143Illinois: median $156 across 102 hospitalsIL$156Wisconsin: median $168 across 94 hospitalsWI$168Michigan: median $62 across 67 hospitalsMI$62New York: median $77 across 94 hospitalsNY$77Massachusetts: median $134 across 46 hospitalsMA$134Oregon: median $123 across 32 hospitalsOR$123Nevada: median $200 across 15 hospitalsNV$200Wyoming: median $104 across 11 hospitalsWY$104South Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $110 across 50 hospitalsIA$110Indiana: median $177 across 83 hospitalsIN$177Ohio: median $142 across 116 hospitalsOH$142Pennsylvania: median $178 across 114 hospitalsPA$178New Jersey: median $41 across 53 hospitalsNJ$41Connecticut: median $150 across 15 hospitalsCT$150Rhode Island: median $153 across 10 hospitalsRI$153California: median $58 across 99 hospitalsCA$58Utah: median $138 across 38 hospitalsUT$138Colorado: median $92 across 53 hospitalsCO$92Nebraska: median $191 across 36 hospitalsNE$191Missouri: median $148 across 67 hospitalsMO$148Kentucky: median $197 across 51 hospitalsKY$197West Virginia: median $100 across 29 hospitalsWV$100Virginia: median $134 across 60 hospitalsVA$134Maryland: median $69 across 39 hospitalsMD$69Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $254 across 28 hospitalsAZ$254New Mexico: median $195 across 16 hospitalsNM$195Kansas: median $152 across 46 hospitalsKS$152Arkansas: median $72 across 23 hospitalsAR$72Tennessee: median $84 across 65 hospitalsTN$84North Carolina: median $90 across 76 hospitalsNC$90South Carolina: median $200 across 49 hospitalsSC$200Oklahoma: median $130 across 56 hospitalsOK$130Louisiana: median $79 across 40 hospitalsLA$79Mississippi: median $97 across 35 hospitalsMS$97Alabama: median $135 across 35 hospitalsAL$135Georgia: median $114 across 80 hospitalsGA$114Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $159 across 186 hospitalsTX$159Florida: median $48 across 133 hospitalsFL$48
Cash price by state, most expensive first. National median $121. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ28$254+110%$75 – $357
Montana MT13$205+70%$71 – $281
Nevada NV15$200+66%$54 – $399
South Carolina SC49$200+66%$87 – $275
Kentucky KY51$197+63%$93 – $292
New Mexico NM16$195+62%$101 – $313
Nebraska NE36$191+58%$98 – $368
Maine ME25$183+52%$56 – $266
Pennsylvania PA114$178+47%$55 – $415
Indiana IN83$177+47%$57 – $340
Wisconsin WI94$168+40%$96 – $465
Texas TX186$159+32%$54 – $503
New Hampshire NH20$159+32%$31 – $294
Washington WA53$158+31%$101 – $239
Illinois IL102$156+29%$97 – $352
Rhode Island RI10$153+26%$82 – $164
Kansas KS46$152+26%$80 – $350
Connecticut CT15$150+24%$85 – $189
Missouri MO67$148+23%$111 – $254
Minnesota MN65$143+18%$52 – $282
Ohio OH116$142+18%$107 – $259
Utah UT38$138+14%$117 – $257
Alabama AL35$135+12%$65 – $523
Virginia VA60$134+11%$58 – $277
Massachusetts MA46$134+11%$83 – $232
Oklahoma OK56$130+8%$64 – $253
Oregon OR32$123+2%$61 – $145
North Dakota ND19$116−4%$61 – $287
Georgia GA80$114−6%$63 – $281
Iowa IA50$110−9%$102 – $200
Idaho ID13$108−11%$92 – $325
Wyoming WY11$104−14%$77 – $115
West Virginia WV29$100−18%$92 – $195
Mississippi MS35$97−19%$55 – $138
Colorado CO53$92−23%$53 – $267
North Carolina NC76$90−25%$63 – $276
Tennessee TN65$84−30%$53 – $240
Louisiana LA40$79−35%$55 – $178
New York NY94$77−37%$36 – $200
Arkansas AR23$72−40%$43 – $139
Maryland MD39$69−43%$52 – $81
Michigan MI67$62−49%$47 – $150
California CA99$58−52%$25 – $120
Florida FL133$48−60%$33 – $111
New Jersey NJ53$41−66%$35 – $100
Alaska AK9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Delaware DE6not 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 $121.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,920$112$52 – $268
Children’s41$111$70 – $326
Critical access519$144$79 – $285
Ownership
For-profit358$162$57 – $539
Government364$111$60 – $248
Non-profit1,758$120$55 – $262
System affiliation
Part of a system2,101$119$54 – $277
Independent388$126$62 – $248

Cash price vs list price

Median list price (chargemaster)$209
Median cash price$121
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

1,735 hospitals filed a usable inpatient cash price for this code. The median is $127 and the average of the middle 60% is $139; most fall between $60 and $267.

Cash price percentiles, inpatient, across 1,735 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
$42$63$127$238$415

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($42 vs $415).

Of the 1,905 hospitals that filed this code inpatient, 1,735 gave a usable cash price; 86 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 84 a list price only.

How complete is this

2,489 of the 3,956 hospitals with a price file in our corpus (63%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,704 hospitals that filed this code at all gave us
Usable cash price — counted2,489
Cash price carrying a plausibility flag — shown on the compare tool, excluded here116
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded96
Hospitals that filed this code2,704

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 Vip.

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, “Blood test for vasoactive intestinal peptide (CPT 84586) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-84586-blood-test-for-vasoactive-intestinal-peptide