Cholinesterase challenge cost at US hospitals
Cholinesterase challenge · CPT 95857
$58.43
lowest cash price
$366.72
national median
$2,139.52
highest cash price
159
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $58.43–$2,139.52 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($362.98) → Sep 1, 2026 ($443.62)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 2 | $199.70 | $199.70 | $262.50 |
| California | 48 | $136.81 | $868.00 | $868.00 |
| Colorado | 13 | $633.50 | $633.50 | $908.31 |
| Florida | 65 | $443.62 | $1,745.90 | $2,139.52 |
| Georgia | 19 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $830.25 | $830.25 | $830.25 |
| Illinois | 31 | $120.00 | $385.20 | $519.20 |
| Indiana | 23 | $229.20 | $229.20 | $1,101.37 |
| Iowa | 16 | $85.92 | $120.00 | $635.75 |
| Kansas | 10 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 8 | $93.77 | $1,101.37 | $1,101.37 |
| Louisiana | 4 | $435.24 | $435.24 | $435.24 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 23 | $108.64 | $296.91 | $296.91 |
| Minnesota | 18 | $68.88 | $138.82 | $138.82 |
| Missouri | 10 | $85.45 | $85.45 | $292.50 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 8 | $145.74 | $145.74 | $152.15 |
| Nevada | 1 | $58.43 | $58.43 | $58.43 |
| New Hampshire | 1 | $269.35 | $269.35 | $269.35 |
| New Jersey | 21 | $340.32 | $344.68 | $366.72 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 16 | $368.50 | $368.50 | $934.83 |
| North Carolina | 14 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 33 | $137.80 | $137.80 | $137.80 |
| Oklahoma | 10 | $1,393.60 | $1,393.60 | $1,393.60 |
| Oregon | 6 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 1 | $372.00 | $372.00 | $372.00 |
| South Carolina | 9 | $351.00 | $351.00 | $351.00 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 23 | $135.43 | $149.44 | $154.11 |
| Texas | 73 | $128.76 | $284.59 | $310.86 |
| Virginia | 13 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 22 | $466.14 | $700.80 | $700.80 |
| West Virginia | 5 | $355.00 | $461.00 | $469.50 |
| Wisconsin | 13 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| lutheran hospital | Cleveland, OH | not published | $204.28 – $353.85 |
| fairview hospital | Cleveland, OH | not published | $204.28 – $371.67 |
| euclid hospital | Euclid, OH | not published | $204.28 – $395.63 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | not published | $214.21 – $492.57 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $544.48 – $630.45 |
| avon hospital | Avon, OH | not published | $204.28 – $339.85 |
| Atrium Health Pineville | Charlotte, NC | not published | $5.43 – $32.61 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | not published | $326.96 – $326.96 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $295.83 – $326.97 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $27.96 – $326.97 |
| Atrium Health Mercy | Charlotte, NC | not published | $5.43 – $32.61 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | not published | $326.96 – $326.96 |
| Sanford Tracy Hospital | Tracy, MN | not published | $326.96 – $326.96 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $231.33 – $320.89 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $226.44 – $320.89 |
| Covenant Children's Hospital | Lubbock, TX | not published | $104.45 – $104.45 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $417.77 – $417.77 |
| Healdsburg Hospital | Healdsburg, CA | not published | $166.26 – $290.92 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $30.72 – $259.53 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $33.93 – $698.74 |
| Sanford Luverne Medical Center | Luverne, MN | not published | $326.96 – $326.96 |
| Sanford Wheaton | Wheaton, MN | not published | $326.96 – $326.96 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $277.71 – $416.79 |
| Queen of The Valley Medical Center | Napa, CA | not published | $306.58 – $367.54 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | not published | $231.39 – $242.96 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $34.27 – $417.52 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $30.72 – $259.53 |
| Adventhealth Port Charlotte | Port Charlotte, FL | not published | $225.48 – $411.73 |
| Clara Maass Medical Center | Belleville, NJ | not published | $38.65 – $695.25 |
| Community Medical Center | Toms River, NJ | not published | $40.07 – $677.24 |
| Sanford Bagley Medical Center | Bagley, MN | not published | $326.96 – $326.96 |
| Sanford Westbrook Hospital | Westbrook, MN | not published | $326.96 – $326.96 |
| Sanford Canby Medical Center | Canby, MN | not published | $326.96 – $326.96 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $226.53 – $374.85 |
| Atrium Health Anson | Wadesboro, NC | not published | $5.43 – $27.00 |
| Covenant Hospital Plainview | Plainview, TX | not published | $64.46 – $228.84 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $84.91 – $513.77 |
| Grant Medical Center | Columbus, OH | not published | $208.20 – $208.20 |
| Berger Hospital | Circleville, OH | not published | $76.08 – $76.08 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $25.93 – $111.24 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $52.03 – $513.77 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $157.30 – $209.73 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $227.17 – $623.25 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $240.61 – $264.67 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $101.85 – $666.91 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $52.03 – $513.77 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $27.96 – $326.97 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $43.20 – $544.95 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | not published | $298.08 – $417.31 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $140.01 – $623.25 |