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Procedure price report · Other Laboratory

Cold agglutinin level (titer)

CPT 86157the billing code this page is about

Blood test that measures the amount of antibody that clumps red blood cells at cold temperatures, reported as a titer.

Hospitals typically charge $45 cash for this outpatient procedure — the median across 2,651 hospitals that filed a usable cash price; the average of the middle 60% is $48. Most fall between $16 and $92 (20th–80th percentile).

Hospitals
2,651
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 2,651 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
$10$20$45$81$149

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($10 vs $149).

How the prices are spread

$8 – $11: 175 hospitals$8$11 – $16: 189 hospitals$16 – $22: 209 hospitals$16$22 – $30: 213 hospitals$30 – $42: 330 hospitals$30$42 – $59: 389 hospitals$59 – $82: 365 hospitals$59$82 – $114: 286 hospitals$114 – $159: 133 hospitals$114$159 – $222: 105 hospitals$159median $45price bands are equal on a log scale
Hospitals per price band (2,394 of 2,651 — the bands cover the 5th to 95th percentile)
FromToHospitals
$8$11175
$11$16189
$16$22209
$22$30213
$30$42330
$42$59389
$59$82365
$82$114286
$114$159133
$159$222105

By state

The median cash price in each state, against the national median of $45.

Alaska: median $93 across 14 hospitalsAK$93Maine: median $30 across 20 hospitalsME$30Vermont: median $103 across 11 hospitalsVT$103New Hampshire: median $53 across 15 hospitalsNH$53Washington: median $45 across 57 hospitalsWA$45Idaho: median $33 across 16 hospitalsID$33Montana: median $53 across 16 hospitalsMT$53North Dakota: median $34 across 20 hospitalsND$34Minnesota: median $46 across 77 hospitalsMN$46Illinois: median $59 across 111 hospitalsIL$59Wisconsin: median $46 across 94 hospitalsWI$46Michigan: median $18 across 70 hospitalsMI$18New York: median $26 across 94 hospitalsNY$26Massachusetts: median $45 across 47 hospitalsMA$45Oregon: median $36 across 40 hospitalsOR$36Nevada: median $55 across 17 hospitalsNV$55Wyoming: median $64 across 13 hospitalsWY$64South Dakota: median $72 across 17 hospitalsSD$72Iowa: median $55 across 57 hospitalsIA$55Indiana: median $51 across 80 hospitalsIN$51Ohio: median $46 across 123 hospitalsOH$46Pennsylvania: median $34 across 115 hospitalsPA$34New Jersey: median $9 across 53 hospitalsNJ$9Connecticut: median $40 across 20 hospitalsCT$40Rhode Island: median $65 across 10 hospitalsRI$65California: median $20 across 131 hospitalsCA$20Utah: median $44 across 35 hospitalsUT$44Colorado: median $47 across 52 hospitalsCO$47Nebraska: median $74 across 44 hospitalsNE$74Missouri: median $43 across 65 hospitalsMO$43Kentucky: median $60 across 54 hospitalsKY$60West Virginia: median $24 across 29 hospitalsWV$24Virginia: median $36 across 62 hospitalsVA$36Maryland: median $69 across 39 hospitalsMD$69Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $90 across 37 hospitalsAZ$90New Mexico: median $45 across 17 hospitalsNM$45Kansas: median $50 across 60 hospitalsKS$50Arkansas: median $47 across 27 hospitalsAR$47Tennessee: median $36 across 69 hospitalsTN$36North Carolina: median $45 across 77 hospitalsNC$45South Carolina: median $68 across 50 hospitalsSC$68Oklahoma: median $41 across 59 hospitalsOK$41Louisiana: median $28 across 44 hospitalsLA$28Mississippi: median $26 across 41 hospitalsMS$26Alabama: median $48 across 38 hospitalsAL$48Georgia: median $64 across 77 hospitalsGA$64Hawaii: median $53 across 14 hospitalsHI$53Texas: median $59 across 202 hospitalsTX$59Florida: median $14 across 116 hospitalsFL$14
Cash price by state, most expensive first. National median $45. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Vermont VT11$103+128%$55 – $192
Alaska AK14$93+107%$28 – $224
Arizona AZ37$90+100%$13 – $100
Nebraska NE44$74+64%$40 – $152
South Dakota SD17$72+60%$51 – $177
Maryland MD39$69+53%$54 – $85
South Carolina SC50$68+52%$38 – $86
Rhode Island RI10$65+43%$19 – $71
Wyoming WY13$64+43%$40 – $90
Georgia GA77$64+43%$23 – $116
Kentucky KY54$60+33%$12 – $101
Illinois IL111$59+31%$34 – $124
Texas TX202$59+30%$16 – $192
Nevada NV17$55+22%$24 – $131
Iowa IA57$55+21%$42 – $84
Montana MT16$53+18%$42 – $86
Hawaii HI14$53+17%$41 – $95
New Hampshire NH15$53+17%$18 – $186
Indiana IN80$51+14%$15 – $101
Kansas KS60$50+11%$30 – $81
Alabama AL38$48+6%$21 – $178
Arkansas AR27$47+5%$10 – $73
Colorado CO52$47+5%$15 – $95
Minnesota MN77$46+3%$16 – $84
Wisconsin WI94$46+3%$30 – $84
Ohio OH123$46+1%$28 – $94
Massachusetts MA47$450%$23 – $89
North Carolina NC77$450%$16 – $87
New Mexico NM17$450%$26 – $102
Washington WA57$450%$34 – $73
Utah UT35$44−3%$37 – $136
Missouri MO65$43−5%$25 – $70
Oklahoma OK59$41−9%$21 – $63
Connecticut CT20$40−12%$24 – $67
Virginia VA62$36−19%$14 – $154
Tennessee TN69$36−20%$17 – $60
Oregon OR40$36−20%$18 – $69
North Dakota ND20$34−25%$14 – $57
Pennsylvania PA115$34−25%$9 – $100
Idaho ID16$33−27%$18 – $72
Maine ME20$30−33%$16 – $85
Louisiana LA44$28−38%$14 – $57
New York NY94$26−42%$10 – $66
Mississippi MS41$26−43%$16 – $50
West Virginia WV29$24−47%$3 – $49
California CA131$20−55%$8 – $132
Michigan MI70$18−60%$10 – $44
Florida FL116$14−68%$6 – $109
New Jersey NJ53$9−79%$9 – $56
Delaware DE5not 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 $45.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,001$44$15 – $93
Children’s42$52$18 – $145
Critical access599$52$24 – $91
Ownership
For-profit380$60$16 – $219
Government422$45$20 – $88
Non-profit1,840$44$16 – $85
System affiliation
Part of a system2,207$45$16 – $95
Independent444$48$20 – $88

Cash price vs list price

Median list price (chargemaster)$76
Median cash price$45
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

1,838 hospitals filed a usable inpatient cash price for this code. The median is $46 and the average of the middle 60% is $48; most fall between $18 and $90.

Cash price percentiles, inpatient, across 1,838 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
$12$22$46$79$136

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($12 vs $136).

Of the 2,035 hospitals that filed this code inpatient, 1,838 gave a usable cash price; 105 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 92 a list price only.

How complete is this

2,651 of the 3,956 hospitals with a price file in our corpus (67%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,896 hospitals that filed this code at all gave us
Usable cash price — counted2,651
Cash price carrying a plausibility flag — shown on the compare tool, excluded here139
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 — excluded104
Hospitals that filed this code2,896

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 Other Laboratory family.

Hospitals file this code under descriptions such as HC Cold Agglutinin.

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, “Cold agglutinin level (titer) (CPT 86157) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86157-cold-agglutinin-level-titer