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

Semen analysis for sperm presence and movement only

CPT 89321the billing code this page is about

Limited laboratory check of a semen sample to see whether sperm are present and whether they are moving, without a full count or shape assessment.

Hospitals typically charge $66 cash for this outpatient procedure — the median across 2,034 hospitals that filed a usable cash price; the average of the middle 60% is $69. Most fall between $30 and $119 (20th–80th percentile).

Hospitals
2,034
States
50
Filings dated
Aug 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 2,034 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
$19$36$66$105$156

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($19 vs $156).

How the prices are spread

$13 – $17: 91 hospitals$13$17 – $23: 121 hospitals$23 – $30: 97 hospitals$23$30 – $39: 159 hospitals$39 – $50: 178 hospitals$39$50 – $66: 276 hospitals$66 – $86: 276 hospitals$66$86 – $112: 280 hospitals$112 – $147: 193 hospitals$112$147 – $192: 170 hospitals$147median $66price bands are equal on a log scale
Hospitals per price band (1,841 of 2,034 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$1791
$17$23121
$23$3097
$30$39159
$39$50178
$50$66276
$66$86276
$86$112280
$112$147193
$147$192170

By state

The median cash price in each state, against the national median of $66.

Alaska: median $110 across 17 hospitalsAK$110Maine: median $53 across 23 hospitalsME$53Vermont: median $107 across 11 hospitalsVT$107New Hampshire: median $49 across 23 hospitalsNH$49Washington: median $54 across 56 hospitalsWA$54Idaho: median $51 across 18 hospitalsID$51Montana: median $55 across 24 hospitalsMT$55North Dakota: median $83 across 19 hospitalsND$83Minnesota: median $73 across 84 hospitalsMN$73Illinois: median $93 across 97 hospitalsIL$93Wisconsin: median $73 across 92 hospitalsWI$73Michigan: median $63 across 65 hospitalsMI$63New York: median $34 across 67 hospitalsNY$34Massachusetts: median $94 across 32 hospitalsMA$94Oregon: median $46 across 38 hospitalsOR$46Nevada: median $59 across 13 hospitalsNV$59Wyoming: median $70 across 15 hospitalsWY$70South Dakota: median $86 across 22 hospitalsSD$86Iowa: median $56 across 70 hospitalsIA$56Indiana: median $51 across 79 hospitalsIN$51Ohio: median $89 across 68 hospitalsOH$89Pennsylvania: median $50 across 94 hospitalsPA$50New Jersey: median $13 across 34 hospitalsNJ$13Connecticut: median $54 across 11 hospitalsCT$54Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $126 across 90 hospitalsCA$126Utah: median $150 across 33 hospitalsUT$150Colorado: median $69 across 58 hospitalsCO$69Nebraska: median $90 across 52 hospitalsNE$90Missouri: median $79 across 55 hospitalsMO$79Kentucky: median $45 across 38 hospitalsKY$45West Virginia: median $67 across 27 hospitalsWV$67Virginia: median $90 across 38 hospitalsVA$90Maryland: median $23 across 14 hospitalsMD$23Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $81 across 20 hospitalsAZ$81New Mexico: median $50 across 14 hospitalsNM$50Kansas: median $64 across 56 hospitalsKS$64Arkansas: median $94 across 16 hospitalsAR$94Tennessee: median $25 across 43 hospitalsTN$25North Carolina: median $90 across 72 hospitalsNC$90South Carolina: median $65 across 33 hospitalsSC$65Oklahoma: median $36 across 39 hospitalsOK$36Louisiana: median $26 across 22 hospitalsLA$26Mississippi: median $31 across 26 hospitalsMS$31Alabama: median $24 across 22 hospitalsAL$24Georgia: median $40 across 48 hospitalsGA$40Hawaii: median $73 across 10 hospitalsHI$73Texas: median $80 across 89 hospitalsTX$80Florida: median $86 across 37 hospitalsFL$86
Cash price by state, most expensive first. National median $66. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT33$150+128%$82 – $176
California CA90$126+91%$56 – $159
Alaska AK17$110+67%$74 – $169
Vermont VT11$107+63%$36 – $172
Massachusetts MA32$94+43%$48 – $137
Arkansas AR16$94+42%$43 – $114
Illinois IL97$93+41%$52 – $155
Virginia VA38$90+37%$55 – $103
Nebraska NE52$90+37%$50 – $120
North Carolina NC72$90+36%$38 – $118
Ohio OH68$89+35%$38 – $151
South Dakota SD22$86+32%$60 – $178
Florida FL37$86+30%$10 – $286
North Dakota ND19$83+26%$61 – $90
Arizona AZ20$81+24%$34 – $147
Texas TX89$80+22%$26 – $213
Missouri MO55$79+20%$31 – $106
Hawaii HI10$73+11%$36 – $145
Wisconsin WI92$73+11%$49 – $122
Minnesota MN84$73+10%$41 – $102
Wyoming WY15$70+7%$25 – $113
Colorado CO58$69+5%$46 – $154
West Virginia WV27$67+1%$30 – $90
South Carolina SC33$65−1%$58 – $112
Kansas KS56$64−3%$40 – $95
Michigan MI65$63−4%$21 – $99
Nevada NV13$59−11%$29 – $118
Iowa IA70$56−14%$40 – $101
Montana MT24$55−16%$48 – $96
Connecticut CT11$54−18%$45 – $64
Washington WA56$54−18%$38 – $92
Maine ME23$53−20%$30 – $122
Idaho ID18$51−22%$40 – $93
Indiana IN79$51−23%$15 – $122
New Mexico NM14$50−24%$27 – $78
Pennsylvania PA94$50−25%$14 – $118
New Hampshire NH23$49−25%$36 – $152
Oregon OR38$46−30%$23 – $66
Kentucky KY38$45−31%$31 – $150
Georgia GA48$40−39%$21 – $91
Oklahoma OK39$36−45%$22 – $113
New York NY67$34−48%$13 – $58
Mississippi MS26$31−52%$19 – $54
Louisiana LA22$26−60%$18 – $76
Tennessee TN43$25−62%$21 – $51
Alabama AL22$24−63%$18 – $52
Maryland MD14$23−64%$16 – $29
New Jersey NJ34$13−80%$12 – $14
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE4not 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 $66.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,400$61$24 – $124
Children’s12fewer than 20 hospitals
Critical access619$74$41 – $114
Ownership
For-profit192$73$26 – $159
Government385$64$32 – $102
Non-profit1,454$65$30 – $122
System affiliation
Part of a system1,683$67$29 – $122
Independent351$61$32 – $98

Cash price vs list price

Median list price (chargemaster)$112
Median cash price$66
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

1,383 hospitals filed a usable inpatient cash price for this code. The median is $69 and the average of the middle 60% is $72; most fall between $34 and $124.

Cash price percentiles, inpatient, across 1,383 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
$22$41$69$107$159

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($22 vs $159).

Of the 1,507 hospitals that filed this code inpatient, 1,383 gave a usable cash price; 61 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 63 a list price only.

How complete is this

2,034 of the 3,956 hospitals with a price file in our corpus (51%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,177 hospitals that filed this code at all gave us
Usable cash price — counted2,034
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
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 — excluded62
Hospitals that filed this code2,177

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 PR Elective Self-Pay Semen Analysis After Vasectomy.

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, “Semen analysis for sperm presence and movement only (CPT 89321) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-89321-semen-analysis-for-sperm-presence-and-movement-only