Rheumatoid factor test Cost by Hospital

Rheumatoid factor test is a laboratory test. Prices are from 1612 US hospitals across 52 states, from their machine-readable files.

$51median cash price · 1612 hospitals, 52 statestypically $11–$136 depending on the hospital
≈ 8.2× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$85
Cash / self-pay
$51
Insurer-negotiated
$8
Medicare pays
$6
$11$136
Median cash $51  ·  Medicare $6  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $51 — about 8.2× the Medicare rate ($6). High vs Medicare. A fair cash price is usually within ~2× Medicare ($12).

💡 Asking for the cash price instead of the $85 list price could save about $34 (40%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Northwest Hills Surgical Hospital Austin, TX $8 $9 14.4%
Saint Thomas Hospital for Spinal Surgery Nashville, TN $8 $10 14.0%
McBride Orthopedic Hospital Oklahoma City, OK $8 $39 63 min 14.9%
Hills & Dales General Hospital Cass City, MI $8 $32 ★ 4/5 94 min 14.7%
Children's Hospital of Orange County Orange, CA $8 $5
Children's Hospital at Mission Mission Viejo, CA $8 $5
Healthbridge Children's Hospital-Orange Orange, CA $8 $5
Ochsner Medical Center Acute New Orleans, LA $8 $8 ★ 4/5 168 min 16.2%
University of Illinois Hospital and Clinics Chicago, IL $8 $5 ★ 4/5 319 min 15.9%
Ascension Sacred Heart Gulf Port Saint Joe, FL $9 $6 ★ 3/5 107 min 15.4%
Wakemed, Raleigh Campus Raleigh, NC $9 $9 ★ 4/5 204 min 13.9%
Wakemed, Cary Hospital Cary, NC $9 $9 ★ 5/5 195 min 14.6%
Surgical Institute of Reading Wyomissing, PA $9 $52 16.0%
St Elizabeth Community Hospital Red Bluff, CA $9 $12 ★ 4/5 136 min 15.1%
Cape Fear Valley Medical Center Fayetteville, NC $9 $6 ★ 2/5 219 min 15.4%
Betsy Johnson Regional Hospital Dunn, NC $9 $6 ★ 3/5 216 min 14.3%
Cape Fear Valley Hoke Hospital Raeford, NC $9 $6 ★ 4/5 208 min 15.3%
Cape Fear Valley-Bladen County Hospital Elizabethtown, NC $9 $68 191 min 15.0%
Banner-University Medical Center South Campus Tucson, AZ $10 $8 ★ 4/5 275 min 14.5%
Penn State Health Holy Spirit Medical Center Camp Hill, PA $10 $8 ★ 3/5 250 min 15.3%
Hospital General De Castaner Castaner, PR $10 $6
Dickenson Community Hospital Clintwood, VA $10 $13 109 min
Lee County Community Hospital Pennington Gap, VA $10 $10 112 min 15.2%
Heritage Valley Sewickley Sewickley, PA $10 $7 ★ 4/5 132 min 15.1%
Dunes Surgical Hospital Dakota Dunes, SD $10 $18 15.3%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Rheumatoid factor test

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $51; Medicare pays $6.

InsurerHospitalsNegotiated median
Univera 9
$5
$5 – $7
Amerigroup 143
$6
$5 – $12
UnitedHealthcare 1088
$6
$5 – $59
Tricare / VA 278
$6
$6 – $68
Medicare 344
$6
$6 – $79
Medicaid 209
$6
$5 – $75
Independent Health 39
$6
$6 – $7
Harvard Pilgrim 29
$6
$6 – $43
EmblemHealth 50
$6
$5 – $58
Devoted Health 225
$6
$6 – $7
Priority Health 28
$6
$4 – $29
Highmark 82
$6
$4 – $16
Molina Healthcare 414
$7
$6 – $21
Centene / Ambetter 624
$7
$6 – $38
Bright Health 61
$7
$6 – $13
AmeriHealth 195
$7
$6 – $58
Kaiser Permanente 158
$8
$6 – $134
UPMC Health Plan 69
$8
$6 – $37
Geisinger 45
$10
$6 – $45
Oscar Health 163
$10
$7 – $48
Anthem 424
$11
$5 – $50
SelectHealth 36
$12
$6 – $50
MVP Health Care 54
$12
$5 – $71
Health Net 194
$12
$6 – $292
Blue Cross Blue Shield 919
$12
$6 – $103
Humana 784
$14
$6 – $76
Aetna 1006
$14
$6 – $120
Medica 130
$16
$6 – $101
Cigna 838
$17
$5 – $95
UCare 45
$19
$6 – $96
HealthPartners 155
$21
$6 – $81
Security Health Plan 43
$28
$6 – $62
Sanford Health Plan 48
$37
$15 – $89
AvMed 41
$48
$7 – $212
Coventry 106
$52
$6 – $152
Workers' Comp / No-Fault 92
$57
$8 – $250
MultiPlan / PHCS network 484
$76
$11 – $253
Healthcare Highways 40
$78
$17 – $213

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
New Jersey$7
New York$25
Arizona$25
Puerto Rico$25
Maryland$25
Louisiana$28

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Rheumatoid factor test?

Yes — Medicare generally covers Rheumatoid factor test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $6. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $1 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1612 US hospitals across 52 states, the typical (median) cash price is $51, versus a chargemaster (list) price around $85, a median insurer-negotiated rate of $8, a Medicare rate of about $6. Most cash prices fall between $11 and $136 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Rheumatoid factor test cost without insurance?
The median cash (self-pay) price across 1612 US hospitals is $51. Most hospitals fall between $11 and $136. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Rheumatoid factor test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $6). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Rheumatoid factor test?
Medicare pays about $6. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Rheumatoid factor test prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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