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

Stool test for Shiga-like toxin from E. coli

CPT 87427the billing code this page is about

A laboratory immunoassay that looks for Shiga-like toxin produced by certain E. coli bacteria in a stool sample.

Hospitals typically charge $53 cash for this outpatient procedure — the median across 2,400 hospitals that filed a usable cash price; the average of the middle 60% is $54. Most fall between $23 and $101 (20th–80th percentile).

Hospitals
2,400
States
50
Filings dated
Nov 2023 – 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 2,400 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
$16$27$53$89$145

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($16 vs $145).

How the prices are spread

$13 – $17: 142 hospitals$13$17 – $22: 186 hospitals$22 – $29: 200 hospitals$22$29 – $38: 242 hospitals$38 – $50: 277 hospitals$38$50 – $66: 335 hospitals$66 – $87: 273 hospitals$66$87 – $114: 236 hospitals$114 – $150: 162 hospitals$114$150 – $197: 108 hospitals$150median $53price bands are equal on a log scale
Hospitals per price band (2,161 of 2,400 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$17142
$17$22186
$22$29200
$29$38242
$38$50277
$50$66335
$66$87273
$87$114236
$114$150162
$150$197108

By state

The median cash price in each state, against the national median of $53.

Alaska: median $98 across 16 hospitalsAK$98Maine: median $37 across 24 hospitalsME$37Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $54 across 20 hospitalsNH$54Washington: median $52 across 61 hospitalsWA$52Idaho: median $60 across 14 hospitalsID$60Montana: median $61 across 12 hospitalsMT$61North Dakota: median $57 across 19 hospitalsND$57Minnesota: median $52 across 45 hospitalsMN$52Illinois: median $60 across 100 hospitalsIL$60Wisconsin: median $58 across 66 hospitalsWI$58Michigan: median $25 across 54 hospitalsMI$25New York: median $32 across 89 hospitalsNY$32Massachusetts: median $54 across 43 hospitalsMA$54Oregon: median $45 across 27 hospitalsOR$45Nevada: median $49 across 16 hospitalsNV$49Wyoming: median $46 across 12 hospitalsWY$46South Dakota: median $103 across 13 hospitalsSD$103Iowa: median $44 across 53 hospitalsIA$44Indiana: median $40 across 90 hospitalsIN$40Ohio: median $52 across 73 hospitalsOH$52Pennsylvania: median $53 across 102 hospitalsPA$53New Jersey: median $14 across 47 hospitalsNJ$14Connecticut: median $44 across 14 hospitalsCT$44Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $48 across 115 hospitalsCA$48Utah: median $99 across 38 hospitalsUT$99Colorado: median $65 across 57 hospitalsCO$65Nebraska: median $80 across 68 hospitalsNE$80Missouri: median $58 across 56 hospitalsMO$58Kentucky: median $42 across 59 hospitalsKY$42West Virginia: median $24 across 31 hospitalsWV$24Virginia: median $65 across 65 hospitalsVA$65Maryland: median $69 across 31 hospitalsMD$69Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $52 across 33 hospitalsAZ$52New Mexico: median $65 across 11 hospitalsNM$65Kansas: median $72 across 68 hospitalsKS$72Arkansas: median $36 across 24 hospitalsAR$36Tennessee: median $29 across 68 hospitalsTN$29North Carolina: median $52 across 50 hospitalsNC$52South Carolina: median $62 across 43 hospitalsSC$62Oklahoma: median $37 across 50 hospitalsOK$37Louisiana: median $25 across 35 hospitalsLA$25Mississippi: median $22 across 53 hospitalsMS$22Alabama: median $25 across 29 hospitalsAL$25Georgia: median $53 across 85 hospitalsGA$53Hawaii: median $59 across 17 hospitalsHI$59Texas: median $68 across 189 hospitalsTX$68Florida: median $80 across 104 hospitalsFL$80
Cash price by state, most expensive first. National median $53. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD13$103+97%$60 – $154
Utah UT38$99+88%$77 – $116
Alaska AK16$98+86%$62 – $142
Florida FL104$80+53%$22 – $201
Nebraska NE68$80+52%$41 – $137
Kansas KS68$72+37%$50 – $101
Maryland MD31$69+31%$50 – $78
Texas TX189$68+30%$36 – $129
Colorado CO57$65+24%$30 – $106
New Mexico NM11$65+24%$64 – $104
Virginia VA65$65+24%$38 – $107
South Carolina SC43$62+18%$48 – $97
Montana MT12$61+17%$25 – $81
Idaho ID14$60+14%$41 – $99
Illinois IL100$60+14%$38 – $112
Hawaii HI17$59+13%$16 – $73
Missouri MO56$58+11%$34 – $79
Wisconsin WI66$58+10%$46 – $72
North Dakota ND19$57+9%$21 – $84
Massachusetts MA43$54+4%$28 – $112
New Hampshire NH20$54+3%$17 – $131
Pennsylvania PA102$53+1%$14 – $130
Georgia GA85$530%$27 – $103
Ohio OH73$52−1%$24 – $92
Minnesota MN45$52−1%$17 – $90
North Carolina NC50$52−1%$22 – $95
Washington WA61$52−1%$36 – $89
Arizona AZ33$52−2%$24 – $361
Nevada NV16$49−7%$34 – $84
California CA115$48−9%$29 – $107
Wyoming WY12$46−12%$40 – $86
Oregon OR27$45−14%$20 – $62
Connecticut CT14$44−16%$26 – $73
Iowa IA53$44−16%$36 – $64
Kentucky KY59$42−20%$20 – $145
Indiana IN90$40−23%$17 – $68
Oklahoma OK50$37−30%$18 – $66
Maine ME24$37−30%$17 – $91
Arkansas AR24$36−32%$17 – $75
New York NY89$32−39%$14 – $60
Tennessee TN68$29−45%$18 – $48
Michigan MI54$25−52%$15 – $72
Alabama AL29$25−53%$14 – $109
Louisiana LA35$25−53%$15 – $50
West Virginia WV31$24−54%$22 – $54
Mississippi MS53$22−59%$15 – $29
New Jersey NJ47$14−74%$12 – $24
Delaware DE4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Rhode Island RI3not 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 $53.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,735$49$21 – $102
Children’s42$85$58 – $105
Critical access618$60$30 – $98
Ownership
For-profit362$68$25 – $187
Government423$54$27 – $91
Non-profit1,610$50$22 – $93
System affiliation
Part of a system1,990$53$22 – $105
Independent410$51$25 – $84

Cash price vs list price

Median list price (chargemaster)$87
Median cash price$53
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

1,591 hospitals filed a usable inpatient cash price for this code. The median is $54 and the average of the middle 60% is $54; most fall between $24 and $97.

Cash price percentiles, inpatient, across 1,591 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
$17$29$54$85$129

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($17 vs $129).

Of the 1,771 hospitals that filed this code inpatient, 1,591 gave a usable cash price; 97 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 83 a list price only.

How complete is this

2,400 of the 3,956 hospitals with a price file in our corpus (61%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,626 hospitals that filed this code at all gave us
Usable cash price — counted2,400
Cash price carrying a plausibility flag — shown on the compare tool, excluded here128
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded96
Hospitals that filed this code2,626

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

Hospitals file this code under descriptions such as Hc Shiga-Like Toxin Ag Eia.

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, “Stool test for Shiga-like toxin from E. coli (CPT 87427) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-87427-stool-test-for-shiga-like-toxin-from-e-coli