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Procedure price report · Microscopic examination (bacterial smear, culture, toxicology)

Tissue type test for one DR or DQ marker

CPT 86816the billing code this page is about

A laboratory test that identifies a single HLA class II tissue-type antigen, DR or DQ, on a blood sample; billed once per single antigen tested.

Hospitals typically charge $129 cash for this outpatient procedure — the median across 485 hospitals that filed a usable cash price; the average of the middle 60% is $161. Most fall between $44 and $342 (20th–80th percentile).

Hospitals
485
States
42
Filings dated
Jan 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 485 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$52$129$322$517

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($31 vs $517).

How the prices are spread

$30 – $41: 61 hospitals$30$41 – $57: 48 hospitals$57 – $78: 50 hospitals$57$78 – $107: 36 hospitals$107 – $147: 41 hospitals$107$147 – $201: 30 hospitals$201 – $276: 50 hospitals$201$276 – $379: 70 hospitals$379 – $520: 28 hospitals$379$520 – $714: 24 hospitals$520median $129price bands are equal on a log scale
Hospitals per price band (438 of 485 — the bands cover the 5th to 95th percentile)
FromToHospitals
$30$4161
$41$5748
$57$7850
$78$10736
$107$14741
$147$20130
$201$27650
$276$37970
$379$52028
$520$71424

By state

The median cash price in each state, against the national median of $129.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $72 across 11 hospitalsWA$72Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $130 across 32 hospitalsIL$130Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $42 across 11 hospitalsMI$42New York: median $40 across 30 hospitalsNY$40Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $60 across 17 hospitalsIN$60Ohio: median $223 across 19 hospitalsOH$223Pennsylvania: median $40 across 31 hospitalsPA$40New Jersey: median $33 across 27 hospitalsNJ$33Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 25 hospitalsCA$342Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $194 across 25 hospitalsCO$194Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $216 across 26 hospitalsMO$216Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $233 across 10 hospitalsAR$233Tennessee: median $120 across 14 hospitalsTN$120North Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $91 across 23 hospitalsOK$91Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $831 across 11 hospitalsGA$831Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $438 across 38 hospitalsTX$438Florida: median $150 across 29 hospitalsFL$150
Cash price by state, most expensive first. National median $129. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$831+544%$714 – $1,128
Texas TX38$438+239%$100 – $563
California CA25$342+165%$75 – $342
Arkansas AR10$233+81%$124 – $258
Ohio OH19$223+73%$90 – $549
Missouri MO26$216+67%$139 – $304
Colorado CO25$194+50%$75 – $1,051
Florida FL29$150+16%$71 – $483
Illinois IL32$130+1%$44 – $354
Tennessee TN14$120−7%$49 – $273
Oklahoma OK23$91−30%$53 – $221
Washington WA11$72−44%$50 – $135
Indiana IN17$60−53%$45 – $111
Iowa IA13$57−56%$57 – $57
Michigan MI11$42−68%$42 – $235
Pennsylvania PA31$40−69%$22 – $93
New York NY30$40−69%$30 – $101
New Jersey NJ27$33−74%$30 – $33
Virginia VA8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Oregon OR2not 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 $129.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care414$120$41 – $342
Children’s12fewer than 20 hospitals
Critical access57$190$67 – $332
Ownership
For-profit60$273$49 – $563
Government44$102$35 – $363
Non-profit379$120$44 – $342
System affiliation
Part of a system429$130$44 – $342
Independent56$120$45 – $290

Cash price vs list price

Median list price (chargemaster)$290
Median cash price$129
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

300 hospitals filed a usable inpatient cash price for this code. The median is $139 and the average of the middle 60% is $175; most fall between $57 and $350.

Cash price percentiles, inpatient, across 300 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
$48$65$139$342$549

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($48 vs $549).

Of the 337 hospitals that filed this code inpatient, 300 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

485 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 521 hospitals that filed this code at all gave us
Usable cash price — counted485
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded13
Hospitals that filed this code521

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 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 Microscopic examination (bacterial smear, culture, toxicology) family.

Hospitals file this code under descriptions such as HC Hr-Drb1 Donor Typing.

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, “Tissue type test for one DR or DQ marker (CPT 86816) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86816-tissue-type-test-for-one-dr-or-dq-marker