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Procedure price report · Laboratory - Chemistry and Hematology

Fetal red cell screening test for maternal blood

CPT 85461the billing code this page is about

A rosette screening test on maternal blood that checks whether fetal red cells carrying fetal hemoglobin are present.

Hospitals typically charge $61 cash for this outpatient procedure — the median across 2,322 hospitals that filed a usable cash price; the average of the middle 60% is $64. Most fall between $26 and $130 (20th–80th percentile).

Hospitals
2,322
States
50
Filings dated
Jan 2024 – 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 2,322 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
$14$31$61$105$204

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($14 vs $204).

How the prices are spread

$11 – $15: 141 hospitals$11$15 – $21: 145 hospitals$21 – $30: 156 hospitals$21$30 – $42: 265 hospitals$42 – $59: 318 hospitals$42$59 – $83: 369 hospitals$83 – $117: 304 hospitals$83$117 – $165: 174 hospitals$165 – $232: 142 hospitals$165$232 – $326: 80 hospitals$232median $61price bands are equal on a log scale
Hospitals per price band (2,094 of 2,322 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$15141
$15$21145
$21$30156
$30$42265
$42$59318
$59$83369
$83$117304
$117$165174
$165$232142
$232$32680

By state

The median cash price in each state, against the national median of $61.

Alaska: median $133 across 10 hospitalsAK$133Maine: median $46 across 24 hospitalsME$46Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $68 across 18 hospitalsNH$68Washington: median $47 across 51 hospitalsWA$47Idaho: median $72 across 17 hospitalsID$72Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $49 across 10 hospitalsND$49Minnesota: median $56 across 65 hospitalsMN$56Illinois: median $70 across 91 hospitalsIL$70Wisconsin: median $63 across 83 hospitalsWI$63Michigan: median $56 across 74 hospitalsMI$56New York: median $27 across 82 hospitalsNY$27Massachusetts: median $29 across 30 hospitalsMA$29Oregon: median $75 across 35 hospitalsOR$75Nevada: median $49 across 14 hospitalsNV$49Wyoming: median $50 across 12 hospitalsWY$50South Dakota: median $142 across 16 hospitalsSD$142Iowa: median $52 across 50 hospitalsIA$52Indiana: median $58 across 76 hospitalsIN$58Ohio: median $42 across 119 hospitalsOH$42Pennsylvania: median $48 across 93 hospitalsPA$48New Jersey: median $11 across 49 hospitalsNJ$11Connecticut: median $33 across 16 hospitalsCT$33Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $82 across 124 hospitalsCA$82Utah: median $141 across 36 hospitalsUT$141Colorado: median $83 across 52 hospitalsCO$83Nebraska: median $92 across 52 hospitalsNE$92Missouri: median $55 across 51 hospitalsMO$55Kentucky: median $52 across 40 hospitalsKY$52West Virginia: median $42 across 16 hospitalsWV$42Virginia: median $55 across 59 hospitalsVA$55Maryland: median $37 across 30 hospitalsMD$37Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $62 across 28 hospitalsAZ$62New Mexico: median $49 across 18 hospitalsNM$49Kansas: median $70 across 41 hospitalsKS$70Arkansas: median $35 across 17 hospitalsAR$35Tennessee: median $35 across 67 hospitalsTN$35North Carolina: median $68 across 73 hospitalsNC$68South Carolina: median $71 across 47 hospitalsSC$71Oklahoma: median $46 across 50 hospitalsOK$46Louisiana: median $24 across 38 hospitalsLA$24Mississippi: median $28 across 37 hospitalsMS$28Alabama: median $56 across 29 hospitalsAL$56Georgia: median $47 across 73 hospitalsGA$47Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $102 across 170 hospitalsTX$102Florida: median $100 across 103 hospitalsFL$100
Cash price by state, most expensive first. National median $61. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD16$142+133%$78 – $224
Utah UT36$141+133%$114 – $166
Alaska AK10$133+118%$87 – $340
Texas TX170$102+68%$38 – $219
Florida FL103$100+65%$31 – $245
Nebraska NE52$92+52%$46 – $148
Colorado CO52$83+36%$42 – $183
California CA124$82+34%$67 – $234
Oregon OR35$75+24%$43 – $83
Idaho ID17$72+19%$43 – $116
South Carolina SC47$71+17%$26 – $102
Kansas KS41$70+16%$34 – $120
Illinois IL91$70+15%$40 – $128
New Hampshire NH18$68+13%$35 – $122
North Carolina NC73$68+11%$32 – $168
Wisconsin WI83$63+3%$38 – $73
Arizona AZ28$62+1%$37 – $457
Indiana IN76$58−5%$20 – $98
Minnesota MN65$56−7%$32 – $73
Michigan MI74$56−8%$18 – $86
Alabama AL29$56−8%$13 – $196
Missouri MO51$55−9%$43 – $89
Virginia VA59$55−10%$33 – $121
Kentucky KY40$52−15%$24 – $82
Iowa IA50$52−15%$34 – $82
Wyoming WY12$50−18%$18 – $155
North Dakota ND10$49−19%$42 – $56
New Mexico NM18$49−19%$38 – $104
Nevada NV14$49−19%$23 – $85
Pennsylvania PA93$48−21%$11 – $110
Georgia GA73$47−23%$17 – $156
Washington WA51$47−23%$17 – $105
Maine ME24$46−24%$18 – $85
Oklahoma OK50$46−25%$37 – $69
Ohio OH119$42−30%$29 – $204
West Virginia WV16$42−32%$32 – $82
Maryland MD30$37−39%$30 – $47
Arkansas AR17$35−42%$20 – $73
Tennessee TN67$35−43%$20 – $65
Connecticut CT16$33−46%$14 – $62
Massachusetts MA30$29−52%$21 – $76
Mississippi MS37$28−55%$14 – $40
New York NY82$27−55%$11 – $98
Louisiana LA38$24−61%$8 – $58
New Jersey NJ49$11−82%$9 – $139
Montana MT9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI5not 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 $61.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,855$57$23 – $133
Children’s18fewer than 20 hospitals
Critical access441$70$34 – $110
Ownership
For-profit337$98$35 – $333
Government321$58$21 – $122
Non-profit1,656$56$25 – $106
System affiliation
Part of a system1,985$61$26 – $132
Independent337$61$26 – $122

Cash price vs list price

Median list price (chargemaster)$105
Median cash price$61
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

1,662 hospitals filed a usable inpatient cash price for this code. The median is $63 and the average of the middle 60% is $65; most fall between $28 and $121.

Cash price percentiles, inpatient, across 1,662 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
$17$34$63$105$178

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($17 vs $178).

Of the 1,831 hospitals that filed this code inpatient, 1,662 gave a usable cash price; 88 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 81 a list price only.

How complete is this

2,322 of the 3,956 hospitals with a price file in our corpus (59%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,533 hospitals that filed this code at all gave us
Usable cash price — counted2,322
Cash price carrying a plausibility flag — shown on the compare tool, excluded here118
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded93
Hospitals that filed this code2,533

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 Fetal Screen (Rh+Fetal Cells).

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, “Fetal red cell screening test for maternal blood (CPT 85461) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-85461-fetal-red-cell-screening-test-for-maternal-blood