Lab tests CPT 86038 Outpatient

ANA test cost in St. Louis, MO

In St. Louis, MO-IL, 12 hospitals list a cash price for antinuclear antibody (ANA) blood test, screen: from $19.66 to $494.56, with a median of $117.65. The lowest listed price is at Ranken Jordan Home for Convalescent Crippled Children Hospital — $97.99 less than the median here. Across Missouri, the median is $83.15 at 30 hospitals.

Cash prices at 12 facilities across 10 cities for code 86038, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 24, 2026 and Apr 24, 2026.

Lowest$19.66Ranken Jordan Home for Convalescent Crippled Children Hospital
Median$117.65half pay less
Highest$494.56in this market
Difference25.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.

median
Lowest $19.66Highest $539.06

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ranken Jordan Home for Convalescent Crippled Children Hospital lowest Maryland Heights, MO · (314) 872-6400 Antinuclear Antibody Screen $19.66 $24.57 — 20% Apr 24, 2026
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Mercy Hospital Jefferson Festus, MO Ana Screen $42.90 $66.00 $4.29–$66.00 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Ana Screen $79.30 $122.00 $10.88–$27.20 35% —
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Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 ANTINUCLEAR ANTIBODIES $95.10 $95.10 $6.70–$20.78 — —
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Mercy Hospital Washington Washington, MO Ana Screen $107.25 $165.00 $10.88–$20.44 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Antinuclear Antibodies $113.75 $175.00 $11.38–$175.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Ana Screen $121.55 $187.00 $10.88–$27.20 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Centromere Antibody $126.10 $194.00 $12.09–$17.12 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Ana Screen $128.05 $197.00 $12.09–$17.12 35% —
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC ANA SCREEN $131.76 $183.00 $8.09–$183.00 28% —
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC ANA SCREEN $149.76 $208.00 $18.83–$208.00 28% —
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC ANA SCREEN $162.72 $226.00 $8.09–$226.00 28% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC ANA SCREEN-90 $172.08 $239.00 $8.50–$239.00 28% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC ANA SCREEN $172.08 $239.00 $8.50–$239.00 28% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 L164947 ANA IFA $494.56 $824.26 $824.26 40% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 Q249 ANA SCRN IFA $539.06 $898.44 $898.44 40% —
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Outpatient: lowest $19.66, median $117.65, highest $494.56 — a 25.2× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $156.04. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 7 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

An ANA test looks for antibodies that target the body's own cell nuclei. It is used as a screening test when a doctor suspects an autoimmune condition such as lupus.

What the price covers

The price usually covers the ANA screen only. The blood draw is often billed separately, and a titer (86039) or tests for specific antibodies after a positive result each have their own charge.