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Procedure price report · Other Laboratory

Antinuclear antibody screen

CPT 86038the billing code this page is about

Blood screen that checks whether antinuclear antibodies, often seen in autoimmune conditions, are present.

Hospitals typically charge $54 cash for this outpatient procedure — the median across 3,310 hospitals that filed a usable cash price; the average of the middle 60% is $60. Most fall between $22 and $114 (20th–80th percentile).

Hospitals
3,310
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 3,310 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
$13$27$54$100$172

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($13 vs $172).

How the prices are spread

$8 – $12: 115 hospitals$8$12 – $16: 210 hospitals$16 – $23: 225 hospitals$16$23 – $33: 319 hospitals$33 – $47: 399 hospitals$33$47 – $67: 463 hospitals$67 – $95: 479 hospitals$67$95 – $135: 422 hospitals$135 – $191: 222 hospitals$135$191 – $271: 126 hospitals$191median $54price bands are equal on a log scale
Hospitals per price band (2,980 of 3,310 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$12115
$12$16210
$16$23225
$23$33319
$33$47399
$47$67463
$67$95479
$95$135422
$135$191222
$191$271126

By state

The median cash price in each state, against the national median of $54.

Alaska: median $73 across 19 hospitalsAK$73Maine: median $49 across 28 hospitalsME$49Vermont: median $65 across 14 hospitalsVT$65New Hampshire: median $68 across 25 hospitalsNH$68Washington: median $63 across 77 hospitalsWA$63Idaho: median $43 across 25 hospitalsID$43Montana: median $70 across 31 hospitalsMT$70North Dakota: median $70 across 33 hospitalsND$70Minnesota: median $53 across 101 hospitalsMN$53Illinois: median $90 across 141 hospitalsIL$90Wisconsin: median $69 across 101 hospitalsWI$69Michigan: median $45 across 95 hospitalsMI$45New York: median $30 across 118 hospitalsNY$30Massachusetts: median $64 across 53 hospitalsMA$64Oregon: median $51 across 49 hospitalsOR$51Nevada: median $60 across 20 hospitalsNV$60Wyoming: median $59 across 16 hospitalsWY$59South Dakota: median $65 across 17 hospitalsSD$65Iowa: median $66 across 81 hospitalsIA$66Indiana: median $44 across 97 hospitalsIN$44Ohio: median $65 across 141 hospitalsOH$65Pennsylvania: median $60 across 122 hospitalsPA$60New Jersey: median $14 across 52 hospitalsNJ$14Connecticut: median $45 across 20 hospitalsCT$45Rhode Island: median $97 across 10 hospitalsRI$97California: median $24 across 144 hospitalsCA$24Utah: median $37 across 42 hospitalsUT$37Colorado: median $66 across 70 hospitalsCO$66Nebraska: median $92 across 76 hospitalsNE$92Missouri: median $59 across 77 hospitalsMO$59Kentucky: median $67 across 69 hospitalsKY$67West Virginia: median $53 across 44 hospitalsWV$53Virginia: median $126 across 73 hospitalsVA$126Maryland: median $41 across 41 hospitalsMD$41Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $49 across 42 hospitalsAZ$49New Mexico: median $92 across 29 hospitalsNM$92Kansas: median $65 across 92 hospitalsKS$65Arkansas: median $16 across 38 hospitalsAR$16Tennessee: median $26 across 83 hospitalsTN$26North Carolina: median $64 across 90 hospitalsNC$64South Carolina: median $75 across 52 hospitalsSC$75Oklahoma: median $42 across 74 hospitalsOK$42Louisiana: median $43 across 54 hospitalsLA$43Mississippi: median $42 across 56 hospitalsMS$42Alabama: median $47 across 43 hospitalsAL$47Georgia: median $61 across 106 hospitalsGA$61Hawaii: median $98 across 21 hospitalsHI$98Texas: median $74 across 248 hospitalsTX$74Florida: median $22 across 153 hospitalsFL$22
Cash price by state, most expensive first. National median $54. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA73$126+132%$54 – $167
Hawaii HI21$98+81%$73 – $114
Rhode Island RI10$97+78%$30 – $120
Nebraska NE76$92+69%$32 – $131
New Mexico NM29$92+69%$39 – $120
Illinois IL141$90+65%$39 – $173
South Carolina SC52$75+38%$37 – $114
Texas TX248$74+36%$14 – $230
Alaska AK19$73+34%$14 – $146
Montana MT31$70+29%$42 – $83
North Dakota ND33$70+29%$23 – $96
Wisconsin WI101$69+27%$45 – $110
New Hampshire NH25$68+24%$38 – $153
Kentucky KY69$67+22%$25 – $152
Iowa IA81$66+22%$43 – $106
Colorado CO70$66+21%$34 – $123
Vermont VT14$65+20%$34 – $108
Kansas KS92$65+19%$42 – $103
Ohio OH141$65+19%$30 – $104
South Dakota SD17$65+19%$30 – $126
Massachusetts MA53$64+18%$38 – $143
North Carolina NC90$64+17%$23 – $199
Washington WA77$63+16%$38 – $100
Georgia GA106$61+12%$24 – $133
Pennsylvania PA122$60+10%$19 – $142
Nevada NV20$60+9%$23 – $85
Missouri MO77$59+9%$39 – $122
Wyoming WY16$59+8%$26 – $101
Minnesota MN101$53−2%$21 – $103
West Virginia WV44$53−3%$37 – $121
Oregon OR49$51−6%$30 – $81
Arizona AZ42$49−10%$19 – $324
Maine ME28$49−10%$24 – $133
Alabama AL43$47−13%$20 – $128
Michigan MI95$45−18%$16 – $100
Connecticut CT20$45−18%$20 – $64
Indiana IN97$44−19%$23 – $101
Idaho ID25$43−21%$6 – $55
Louisiana LA54$43−22%$22 – $71
Oklahoma OK74$42−23%$13 – $94
Mississippi MS56$42−24%$23 – $75
Maryland MD41$41−25%$31 – $49
Utah UT42$37−33%$31 – $93
New York NY118$30−45%$12 – $94
Tennessee TN83$26−52%$14 – $86
California CA144$24−56%$5 – $91
Florida FL153$22−60%$5 – $110
Arkansas AR38$16−71%$11 – $66
New Jersey NJ52$14−74%$13 – $41
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 $54.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,283$50$19 – $120
Children’s65$86$26 – $140
Critical access952$64$31 – $110
Ownership
For-profit470$78$21 – $249
Government623$56$25 – $106
Non-profit2,207$53$22 – $109
System affiliation
Part of a system2,665$55$22 – $119
Independent645$54$24 – $100

Cash price vs list price

Median list price (chargemaster)$94
Median cash price$54
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

2,240 hospitals filed a usable inpatient cash price for this code. The median is $56 and the average of the middle 60% is $60; most fall between $23 and $112.

Cash price percentiles, inpatient, across 2,240 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$28$56$98$160

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($14 vs $160).

Of the 2,476 hospitals that filed this code inpatient, 2,240 gave a usable cash price; 127 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 109 a list price only.

How complete is this

3,310 of the 3,956 hospitals with a price file in our corpus (84%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,623 hospitals that filed this code at all gave us
Usable cash price — counted3,310
Cash price carrying a plausibility flag — shown on the compare tool, excluded here180
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 — excluded132
Hospitals that filed this code3,623

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 Other Laboratory family.

Hospitals file this code under descriptions such as HC Anti-Nuclear Antibody W Reflex (Anar).

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, “Antinuclear antibody screen (CPT 86038) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86038-antinuclear-antibody-screen