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Procedure price report · Laboratory - Chemistry and Hematology

Blood test for a vitamin not listed elsewhere

CPT 84591the billing code this page is about

Measures the level of a vitamin that has no specific test code of its own, such as niacin. Covers one measurement of one vitamin.

Hospitals typically charge $89 cash for this outpatient procedure — the median across 2,476 hospitals that filed a usable cash price; the average of the middle 60% is $94. Most fall between $37 and $173 (20th–80th percentile).

Hospitals
2,476
States
50
Filings dated
Nov 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 2,476 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
$22$47$89$152$251

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($22 vs $251).

How the prices are spread

$17 – $23: 174 hospitals$17$23 – $31: 142 hospitals$31 – $42: 134 hospitals$31$42 – $57: 217 hospitals$57 – $78: 289 hospitals$57$78 – $105: 365 hospitals$105 – $142: 355 hospitals$105$142 – $192: 280 hospitals$192 – $260: 184 hospitals$192$260 – $353: 108 hospitals$260median $89price bands are equal on a log scale
Hospitals per price band (2,248 of 2,476 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$23174
$23$31142
$31$42134
$42$57217
$57$78289
$78$105365
$105$142355
$142$192280
$192$260184
$260$353108

By state

The median cash price in each state, against the national median of $89.

Alaska: median $176 across 15 hospitalsAK$176Maine: median $73 across 27 hospitalsME$73Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $90 across 16 hospitalsNH$90Washington: median $113 across 54 hospitalsWA$113Idaho: median $123 across 18 hospitalsID$123Montana: median $149 across 14 hospitalsMT$149North Dakota: median $70 across 20 hospitalsND$70Minnesota: median $109 across 62 hospitalsMN$109Illinois: median $111 across 102 hospitalsIL$111Wisconsin: median $110 across 90 hospitalsWI$110Michigan: median $72 across 71 hospitalsMI$72New York: median $44 across 84 hospitalsNY$44Massachusetts: median $104 across 44 hospitalsMA$104Oregon: median $104 across 41 hospitalsOR$104Nevada: median $78 across 15 hospitalsNV$78Wyoming: median $132 across 14 hospitalsWY$132South Dakota: median $178 across 12 hospitalsSD$178Iowa: median $122 across 54 hospitalsIA$122Indiana: median $78 across 88 hospitalsIN$78Ohio: median $119 across 124 hospitalsOH$119Pennsylvania: median $70 across 108 hospitalsPA$70New Jersey: median $20 across 54 hospitalsNJ$20Connecticut: median $68 across 17 hospitalsCT$68Rhode Island: median $47 across 10 hospitalsRI$47California: median $64 across 91 hospitalsCA$64Utah: median $138 across 38 hospitalsUT$138Colorado: median $103 across 50 hospitalsCO$103Nebraska: median $92 across 50 hospitalsNE$92Missouri: median $101 across 64 hospitalsMO$101Kentucky: median $123 across 52 hospitalsKY$123West Virginia: median $95 across 32 hospitalsWV$95Virginia: median $43 across 61 hospitalsVA$43Maryland: median $136 across 35 hospitalsMD$136Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $105 across 32 hospitalsAZ$105New Mexico: median $72 across 19 hospitalsNM$72Kansas: median $115 across 52 hospitalsKS$115Arkansas: median $90 across 21 hospitalsAR$90Tennessee: median $52 across 59 hospitalsTN$52North Carolina: median $102 across 69 hospitalsNC$102South Carolina: median $145 across 47 hospitalsSC$145Oklahoma: median $52 across 58 hospitalsOK$52Louisiana: median $41 across 44 hospitalsLA$41Mississippi: median $50 across 39 hospitalsMS$50Alabama: median $104 across 34 hospitalsAL$104Georgia: median $77 across 83 hospitalsGA$77Hawaii: median $160 across 13 hospitalsHI$160Texas: median $120 across 162 hospitalsTX$120Florida: median $50 across 104 hospitalsFL$50
Cash price by state, most expensive first. National median $89. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD12$178+100%$135 – $272
Alaska AK15$176+99%$117 – $222
Hawaii HI13$160+81%$131 – $184
Montana MT14$149+68%$86 – $205
South Carolina SC47$145+64%$52 – $201
Utah UT38$138+56%$105 – $163
Maryland MD35$136+53%$89 – $160
Wyoming WY14$132+49%$58 – $190
Kentucky KY52$123+39%$87 – $349
Idaho ID18$123+38%$87 – $154
Iowa IA54$122+38%$64 – $284
Texas TX162$120+36%$38 – $268
Ohio OH124$119+34%$77 – $211
Kansas KS52$115+30%$79 – $229
Washington WA54$113+27%$42 – $164
Illinois IL102$111+26%$52 – $284
Wisconsin WI90$110+24%$51 – $137
Minnesota MN62$109+23%$67 – $154
Arizona AZ32$105+19%$29 – $168
Massachusetts MA44$104+18%$42 – $195
Alabama AL34$104+17%$36 – $510
Oregon OR41$104+17%$83 – $151
Colorado CO50$103+16%$63 – $139
North Carolina NC69$102+15%$52 – $170
Missouri MO64$101+14%$55 – $198
West Virginia WV32$95+7%$60 – $151
Nebraska NE50$92+4%$29 – $195
Arkansas AR21$90+2%$56 – $104
New Hampshire NH16$90+2%$68 – $269
Indiana IN88$78−12%$28 – $188
Nevada NV15$78−12%$44 – $130
Georgia GA83$77−13%$49 – $157
Maine ME27$73−17%$44 – $273
Michigan MI71$72−18%$23 – $90
New Mexico NM19$72−19%$48 – $127
Pennsylvania PA108$70−20%$20 – $200
North Dakota ND20$70−21%$30 – $106
Connecticut CT17$68−23%$58 – $80
California CA91$64−28%$45 – $85
Oklahoma OK58$52−41%$26 – $113
Tennessee TN59$52−42%$20 – $225
Florida FL104$50−43%$19 – $124
Mississippi MS39$50−44%$22 – $77
Rhode Island RI10$47−46%$27 – $92
New York NY84$44−50%$18 – $120
Virginia VA61$43−51%$23 – $146
Louisiana LA44$41−54%$19 – $97
New Jersey NJ54$20−78%$19 – $75
Vermont VT9not enough hospitals filed a usable price
Delaware DE4not 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 $89.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,825$82$32 – $160
Children’s38$104$41 – $222
Critical access607$115$55 – $210
Ownership
For-profit336$82$38 – $217
Government405$102$50 – $192
Non-profit1,729$87$35 – $163
System affiliation
Part of a system2,056$88$35 – $168
Independent420$98$44 – $192

Cash price vs list price

Median list price (chargemaster)$151
Median cash price$89
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

1,744 hospitals filed a usable inpatient cash price for this code. The median is $90 and the average of the middle 60% is $97; most fall between $43 and $170.

Cash price percentiles, inpatient, across 1,744 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$52$90$151$243

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

Of the 1,930 hospitals that filed this code inpatient, 1,744 gave a usable cash price; 92 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 94 a list price only.

How complete is this

2,476 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 2,707 hospitals that filed this code at all gave us
Usable cash price — counted2,476
Cash price carrying a plausibility flag — shown on the compare tool, excluded here132
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 — excluded97
Hospitals that filed this code2,707

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 Vitamin B5 (Pantothenic Acid).

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 a vitamin not listed elsewhere (CPT 84591) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-84591-blood-test-for-a-vitamin-not-listed-elsewhere