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Procedure price report · Other Laboratory

Blood test for early-response toxoplasma antibodies

CPT 86778the billing code this page is about

A blood test for IgM antibodies to the Toxoplasma parasite, the antibody type that usually appears early after infection; often billed alongside other tests in a panel.

Hospitals typically charge $63 cash for this outpatient procedure — the median across 2,981 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $24 and $135 (20th–80th percentile).

Hospitals
2,981
States
50
Filings dated
Dec 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 2,981 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$29$63$114$195

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($14 vs $195).

How the prices are spread

$11 – $15: 189 hospitals$11$15 – $21: 182 hospitals$21 – $29: 214 hospitals$21$29 – $40: 285 hospitals$40 – $56: 360 hospitals$40$56 – $78: 361 hospitals$78 – $108: 433 hospitals$78$108 – $151: 336 hospitals$151 – $210: 201 hospitals$151$210 – $293: 123 hospitals$210median $63price bands are equal on a log scale
Hospitals per price band (2,684 of 2,981 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$15189
$15$21182
$21$29214
$29$40285
$40$56360
$56$78361
$78$108433
$108$151336
$151$210201
$210$293123

By state

The median cash price in each state, against the national median of $63.

Alaska: median $46 across 16 hospitalsAK$46Maine: median $54 across 27 hospitalsME$54Vermont: median $91 across 14 hospitalsVT$91New Hampshire: median $111 across 21 hospitalsNH$111Washington: median $81 across 66 hospitalsWA$81Idaho: median $45 across 21 hospitalsID$45Montana: median $92 across 23 hospitalsMT$92North Dakota: median $64 across 23 hospitalsND$64Minnesota: median $62 across 88 hospitalsMN$62Illinois: median $90 across 133 hospitalsIL$90Wisconsin: median $79 across 99 hospitalsWI$79Michigan: median $34 across 91 hospitalsMI$34New York: median $40 across 101 hospitalsNY$40Massachusetts: median $91 across 48 hospitalsMA$91Oregon: median $44 across 44 hospitalsOR$44Nevada: median $71 across 18 hospitalsNV$71Wyoming: median $57 across 14 hospitalsWY$57South Dakota: median $132 across 25 hospitalsSD$132Iowa: median $62 across 64 hospitalsIA$62Indiana: median $49 across 92 hospitalsIN$49Ohio: median $64 across 138 hospitalsOH$64Pennsylvania: median $61 across 119 hospitalsPA$61New Jersey: median $17 across 55 hospitalsNJ$17Connecticut: median $52 across 22 hospitalsCT$52Rhode Island: median $61 across 10 hospitalsRI$61California: median $18 across 137 hospitalsCA$18Utah: median $53 across 38 hospitalsUT$53Colorado: median $91 across 56 hospitalsCO$91Nebraska: median $89 across 54 hospitalsNE$89Missouri: median $65 across 70 hospitalsMO$65Kentucky: median $99 across 60 hospitalsKY$99West Virginia: median $43 across 40 hospitalsWV$43Virginia: median $80 across 72 hospitalsVA$80Maryland: median $68 across 39 hospitalsMD$68Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $75 across 35 hospitalsAZ$75New Mexico: median $76 across 24 hospitalsNM$76Kansas: median $76 across 59 hospitalsKS$76Arkansas: median $55 across 32 hospitalsAR$55Tennessee: median $36 across 78 hospitalsTN$36North Carolina: median $56 across 82 hospitalsNC$56South Carolina: median $138 across 51 hospitalsSC$138Oklahoma: median $42 across 61 hospitalsOK$42Louisiana: median $33 across 48 hospitalsLA$33Mississippi: median $34 across 52 hospitalsMS$34Alabama: median $57 across 40 hospitalsAL$57Georgia: median $80 across 100 hospitalsGA$80Hawaii: median $85 across 16 hospitalsHI$85Texas: median $52 across 216 hospitalsTX$52Florida: median $22 across 142 hospitalsFL$22
Cash price by state, most expensive first. National median $63. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC51$138+122%$117 – $145
South Dakota SD25$132+111%$38 – $283
New Hampshire NH21$111+77%$45 – $240
Kentucky KY60$99+58%$43 – $184
Montana MT23$92+47%$48 – $119
Vermont VT14$91+46%$40 – $240
Massachusetts MA48$91+45%$37 – $149
Colorado CO56$91+45%$30 – $126
Illinois IL133$90+44%$42 – $162
Nebraska NE54$89+43%$47 – $132
Hawaii HI16$85+35%$71 – $144
Washington WA66$81+30%$52 – $112
Virginia VA72$80+28%$25 – $157
Georgia GA100$80+27%$29 – $158
Wisconsin WI99$79+27%$52 – $144
Kansas KS59$76+22%$42 – $117
New Mexico NM24$76+21%$58 – $152
Arizona AZ35$75+20%$20 – $152
Nevada NV18$71+13%$25 – $120
Maryland MD39$68+9%$52 – $81
Missouri MO70$65+4%$40 – $136
Ohio OH138$64+3%$40 – $107
North Dakota ND23$64+2%$25 – $90
Iowa IA64$620%$49 – $104
Minnesota MN88$62−1%$28 – $133
Pennsylvania PA119$61−2%$22 – $169
Rhode Island RI10$61−3%$31 – $127
Wyoming WY14$57−9%$32 – $106
Alabama AL40$57−9%$24 – $186
North Carolina NC82$56−11%$26 – $110
Arkansas AR32$55−12%$20 – $75
Maine ME27$54−14%$22 – $114
Utah UT38$53−15%$45 – $99
Connecticut CT22$52−16%$36 – $120
Texas TX216$52−17%$14 – $192
Indiana IN92$49−21%$31 – $138
Alaska AK16$46−26%$18 – $136
Idaho ID21$45−28%$14 – $53
Oregon OR44$44−29%$22 – $79
West Virginia WV40$43−32%$15 – $87
Oklahoma OK61$42−33%$31 – $88
New York NY101$40−36%$17 – $102
Tennessee TN78$36−42%$25 – $109
Mississippi MS52$34−46%$15 – $63
Michigan MI91$34−46%$14 – $117
Louisiana LA48$33−46%$22 – $53
Florida FL142$22−66%$11 – $118
California CA137$18−71%$7 – $157
New Jersey NJ55$17−73%$16 – $72
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 $63.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,194$59$20 – $138
Children’s49$50$22 – $119
Critical access728$74$34 – $132
Ownership
For-profit428$77$22 – $296
Government492$62$25 – $116
Non-profit2,051$61$24 – $127
System affiliation
Part of a system2,457$63$24 – $138
Independent524$61$29 – $119

Cash price vs list price

Median list price (chargemaster)$108
Median cash price$63
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

2,067 hospitals filed a usable inpatient cash price for this code. The median is $64 and the average of the middle 60% is $68; most fall between $25 and $132.

Cash price percentiles, inpatient, across 2,067 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
$15$30$64$113$169

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($15 vs $169).

Of the 2,272 hospitals that filed this code inpatient, 2,067 gave a usable cash price; 111 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 94 a list price only.

How complete is this

2,981 of the 3,956 hospitals with a price file in our corpus (75%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,234 hospitals that filed this code at all gave us
Usable cash price — counted2,981
Cash price carrying a plausibility flag — shown on the compare tool, excluded here146
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 — excluded106
Hospitals that filed this code3,234

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 Toxoplasma Igm.

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, “Blood test for early-response toxoplasma antibodies (CPT 86778) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86778-blood-test-for-early-response-toxoplasma-antibodies