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Procedure price report · Other Laboratory

Histoplasmosis skin test

CPT 86510the billing code this page is about

A small amount of histoplasmosis fungal antigen is injected into the skin to see whether the immune system reacts.

Hospitals typically charge $44 cash for this outpatient procedure — the median across 253 hospitals that filed a usable cash price; the average of the middle 60% is $45. Most fall between $15 and $96 (20th–80th percentile).

Hospitals
253
States
36
Filings dated
Dec 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 253 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$18$44$90$148

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($12 vs $148).

How the prices are spread

$11 – $15: 30 hospitals$11$15 – $19: 24 hospitals$19 – $26: 6 hospitals$19$26 – $34: 34 hospitals$34 – $45: 28 hospitals$34$45 – $59: 38 hospitals$59 – $79: 11 hospitals$59$79 – $104: 25 hospitals$104 – $138: 11 hospitals$104$138 – $183: 23 hospitals$138median $44price bands are equal on a log scale
Hospitals per price band (230 of 253 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$1530
$15$1924
$19$266
$26$3434
$34$4528
$45$5938
$59$7911
$79$10425
$104$13811
$138$18323

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$44
Cash as a multiple of Medicare1.16×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $44.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $16 across 13 hospitalsIL$16Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $46 across 19 hospitalsNY$46Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $14 across 14 hospitalsIA$14Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $44 across 13 hospitalsPA$44New Jersey: median $46 across 18 hospitalsNJ$46Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $139 across 42 hospitalsCA$139Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $28 across 10 hospitalsVA$28Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $12 across 14 hospitalsOK$12Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $26 across 36 hospitalsTX$26Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $44. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA42$139+215%$90 – $148
New York NY19$46+5%$44 – $47
New Jersey NJ18$46+3%$43 – $52
Pennsylvania PA13$440%$38 – $46
Virginia VA10$28−38%$28 – $28
Texas TX36$26−41%$26 – $123
Illinois IL13$16−64%$15 – $50
Iowa IA14$14−69%$14 – $17
Oklahoma OK14$12−73%$12 – $60
Michigan MI7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wisconsin WI1not 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 $44.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care225$44$15 – $93
Children’s4fewer than 20 hospitals
Critical access24$26$15 – $123
Ownership
For-profit41$57$15 – $250
Government28$39$12 – $46
Non-profit184$43$15 – $90
System affiliation
Part of a system220$44$15 – $96
Independent33$39$16 – $76

Cash price vs list price

Median list price (chargemaster)$62
Median cash price$44
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

161 hospitals filed a usable inpatient cash price for this code. The median is $30 and the average of the middle 60% is $43; most fall between $14 and $97.

Cash price percentiles, inpatient, across 161 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$15$30$90$148

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($12 vs $148).

Of the 176 hospitals that filed this code inpatient, 161 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

253 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 271 hospitals that filed this code at all gave us
Usable cash price — counted253
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
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 — excluded6
Hospitals that filed this code271

Sections not shown for this setting

  • 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 5, 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 Skin Test Histoplasmosis.

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, “Histoplasmosis skin test (CPT 86510) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86510-histoplasmosis-skin-test