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

Tissue typing for multiple DR or DQ markers

CPT 86817the billing code this page is about

A laboratory test that identifies several HLA class II tissue-type antigens in one run, used mainly for transplant matching.

Hospitals typically charge $344 cash for this outpatient procedure — the median across 766 hospitals that filed a usable cash price; the average of the middle 60% is $394. Most fall between $147 and $781 (20th–80th percentile).

Hospitals
766
States
48
Filings dated
Dec 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 766 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
$106$172$344$730$1,543

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($106 vs $1,543).

How the prices are spread

$98 – $132: 88 hospitals$98$132 – $178: 77 hospitals$178 – $240: 66 hospitals$178$240 – $323: 102 hospitals$323 – $435: 70 hospitals$323$435 – $586: 90 hospitals$586 – $790: 87 hospitals$586$790 – $1,064: 40 hospitals$1,064 – $1,433: 32 hospitals$1,064$1,433 – $1,931: 40 hospitals$1,433median $344price bands are equal on a log scale
Hospitals per price band (692 of 766 — the bands cover the 5th to 95th percentile)
FromToHospitals
$98$13288
$132$17877
$178$24066
$240$323102
$323$43570
$435$58690
$586$79087
$790$1,06440
$1,064$1,43332
$1,433$1,93140

By state

The median cash price in each state, against the national median of $344.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $401 across 31 hospitalsIL$401Wisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $126 across 12 hospitalsMI$126New York: median $168 across 45 hospitalsNY$168Massachusetts: median $374 across 13 hospitalsMA$374Oregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 8 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 $142 across 18 hospitalsIA$142Indiana: median $209 across 40 hospitalsIN$209Ohio: median $476 across 43 hospitalsOH$476Pennsylvania: median $271 across 52 hospitalsPA$271New Jersey: median $117 across 31 hospitalsNJ$117Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $750 across 40 hospitalsCA$750Utah: median $1,910 across 26 hospitalsUT$1,910Colorado: median $1,024 across 19 hospitalsCO$1,024Nebraska: median $362 across 17 hospitalsNE$362Missouri: median $547 across 23 hospitalsMO$547Kentucky: median $756 across 23 hospitalsKY$756West Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $577 across 11 hospitalsVA$577Maryland: median $270 across 16 hospitalsMD$270Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $593 across 12 hospitalsAZ$593New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,089 across 11 hospitalsKS$1,089Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $282 across 11 hospitalsTN$282North Carolina: median $285 across 18 hospitalsNC$285South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $258 across 24 hospitalsOK$258Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $302 across 29 hospitalsGA$302Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $514 across 63 hospitalsTX$514Florida: median $298 across 43 hospitalsFL$298
Cash price by state, most expensive first. National median $344. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$1,910+455%$1,910 – $2,247
Kansas KS11$1,089+216%$478 – $1,768
Colorado CO19$1,024+198%$369 – $2,377
Kentucky KY23$756+120%$261 – $868
California CA40$750+118%$263 – $750
Arizona AZ12$593+72%$505 – $593
Virginia VA11$577+68%$481 – $701
Missouri MO23$547+59%$406 – $2,395
Texas TX63$514+49%$147 – $782
Ohio OH43$476+38%$248 – $737
Illinois IL31$401+16%$142 – $730
Massachusetts MA13$374+9%$157 – $540
Nebraska NE17$362+5%$116 – $1,105
Georgia GA29$302−12%$172 – $1,543
Florida FL43$298−14%$218 – $587
North Carolina NC18$285−17%$284 – $408
Tennessee TN11$282−18%$156 – $524
Pennsylvania PA52$271−21%$106 – $490
Maryland MD16$270−22%$208 – $410
Oklahoma OK24$258−25%$186 – $585
Indiana IN40$209−39%$153 – $596
New York NY45$168−51%$106 – $453
Iowa IA18$142−59%$142 – $450
Michigan MI12$126−63%$106 – $146
New Jersey NJ31$117−66%$106 – $122
Mississippi MS9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
New Hampshire NH1not 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 $344.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care636$338$142 – $756
Children’s27$669$222 – $889
Critical access102$345$177 – $805
Ownership
For-profit101$362$175 – $1,683
Government85$232$122 – $575
Non-profit579$369$146 – $756
System affiliation
Part of a system673$350$147 – $781
Independent93$318$146 – $805

Cash price vs list price

Median list price (chargemaster)$732
Median cash price$344
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

526 hospitals filed a usable inpatient cash price for this code. The median is $425 and the average of the middle 60% is $441; most fall between $186 and $750.

Cash price percentiles, inpatient, across 526 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
$139$225$425$716$1,148

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($139 vs $1,148).

Of the 572 hospitals that filed this code inpatient, 526 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

766 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 818 hospitals that filed this code at all gave us
Usable cash price — counted766
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded24
Hospitals that filed this code818

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

Hospitals file this code under descriptions such as HC IR-Drb 3,4,5; Cord.

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 typing for multiple DR or DQ markers (CPT 86817) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86817-tissue-typing-for-multiple-dr-or-dq-markers