Lab tests CPT 86038 Inpatient — admitted to hospital

ANA test cost in San Francisco, CA — inpatient

In San Francisco-Oakland-Fremont, CA, 11 hospitals list a cash price for antinuclear antibody (ANA) blood test, screen as an inpatient: from $17.88 to $59.20, with a median of $53.20. The lowest listed price is at Hayward Sisters Hospital — $35.32 less than the median here. Across California, the median is $40.60 at 77 hospitals.

Cash prices at 11 facilities across 11 cities for code 86038, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 23, 2026 and Apr 1, 2026.

Lowest$17.88Hayward Sisters Hospital
Median$53.20half pay less
Highest$59.20in this market
Difference3.3×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 San Francisco-Oakland-Fremont, CA.

median
Lowest $17.88Highest $59.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Hayward Sisters Hospital lowest Hayward, CA · (510) 782-6200 LC-ANTINUCLEAR ANTIBODIES ANA $17.88 $59.59 $41.71–$45.88 70% Feb 23, 2026
source file
Hayward Sisters Hospital Hayward, CA · (510) 782-6200 LC -ANA CCP(IGG/A)ANTIBODI $42.29 $140.96 $98.67–$108.54 70% Feb 23, 2026
source file
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 ANTINUCLEAR ANTIBODIES ANA $53.20 $95.00 $11.00–$35.00 44% —
source file
Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 HC Anti-Nuc Ab (Fana) $59.20 $148.00 — 60% Apr 1, 2026
source file

Inpatient: lowest $17.88, median $53.20, highest $59.20 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 12 facilities here, median $53.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 10 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.

4 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86038 ($67.60). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Hayward Sisters Hospital Hayward, CALC -ANTINUCLEARANTIBODIESIF $1.26 file
Stanford Health Care Tri-Valley Pleasanton, CAANA $2.00 file
Stanford Health Care Tri-Valley Pleasanton, CA6942lab256 Anti-Nu Ab (Ifa) $3.74 file
Stanford Health Care Tri-Valley Pleasanton, CAAna - Part of Lupus Colla $5.07 file