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Procedure price report · Other Laboratory

Tumor marker immunoassay, positive or negative result

CPT 86294the billing code this page is about

Laboratory immunoassay that detects a tumor-associated antigen, such as a bladder tumor antigen in urine, reported as present, absent, or approximate amount rather than an exact number.

Hospitals typically charge $59 cash for this outpatient procedure — the median across 356 hospitals that filed a usable cash price; the average of the middle 60% is $74. Most fall between $28 and $163 (20th–80th percentile).

Hospitals
356
States
41
Filings dated
Nov 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 356 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
$25$30$59$131$199

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($25 vs $199).

How the prices are spread

$18 – $25: 25 hospitals$18$25 – $34: 64 hospitals$34 – $47: 33 hospitals$34$47 – $64: 44 hospitals$64 – $88: 45 hospitals$64$88 – $121: 25 hospitals$121 – $166: 38 hospitals$121$166 – $227: 40 hospitals$227 – $312: 4 hospitals$227$312 – $427: 4 hospitals$312median $59price bands are equal on a log scale
Hospitals per price band (322 of 356 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$2525
$25$3464
$34$4733
$47$6444
$64$8845
$88$12125
$121$16638
$166$22740
$227$3124
$312$4274

By state

The median cash price in each state, against the national median of $59.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $56 across 14 hospitalsWA$56Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $57 across 17 hospitalsIL$57Wisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $33 across 17 hospitalsMI$33New York: median $34 across 27 hospitalsNY$34Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $59 across 12 hospitalsOR$59Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $57 across 13 hospitalsIA$57Indiana: median $41 across 15 hospitalsIN$41Ohio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $38 across 32 hospitalsPA$38New Jersey: median $28 across 24 hospitalsNJ$28Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $199 across 36 hospitalsCA$199Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: median $177 across 10 hospitalsKY$177West Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $30 across 10 hospitalsTN$30North Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $45 across 12 hospitalsOK$45Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $87 across 29 hospitalsTX$87Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $59. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA36$199+241%$163 – $199
Kentucky KY10$177+203%$31 – $177
Texas TX29$87+48%$67 – $87
Oregon OR12$590%$52 – $75
Iowa IA13$57−3%$57 – $57
Illinois IL17$57−3%$37 – $129
Washington WA14$56−4%$43 – $78
Oklahoma OK12$45−23%$45 – $427
Indiana IN15$41−30%$33 – $59
Pennsylvania PA32$38−34%$18 – $489
New York NY27$34−42%$26 – $75
Michigan MI17$33−44%$12 – $35
Tennessee TN10$30−49%$25 – $30
New Jersey NJ24$28−52%$26 – $28
Colorado CO8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $59.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care302$57$27 – $163
Children’s5fewer than 20 hospitals
Critical access49$59$47 – $144
Ownership
For-profit37$77$25 – $191
Government28$31$26 – $76
Non-profit291$66$28 – $163
System affiliation
Part of a system307$59$28 – $163
Independent49$68$28 – $155

Cash price vs list price

Median list price (chargemaster)$133
Median cash price$59
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

197 hospitals filed a usable inpatient cash price for this code. The median is $87 and the average of the middle 60% is $98; most fall between $45 and $191.

Cash price percentiles, inpatient, across 197 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
$31$54$87$163$199

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($31 vs $199).

Of the 209 hospitals that filed this code inpatient, 197 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

356 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 364 hospitals that filed this code at all gave us
Usable cash price — counted356
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded1
Hospitals that filed this code364

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 IMMUNOASSAY TUMOR QUAL.

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, “Tumor marker immunoassay, positive or negative result (CPT 86294) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86294-tumor-marker-immunoassay-positive-or-negative-result