Lab tests CPT 86431 Virginia Outpatient

Rheumatoid factor test cost in Virginia

In Virginia, 65 hospitals publish a cash price for rheumatoid factor (RF) test: from $3.00 to $489.00, with a median of $36.00. The lowest price is at Augusta Health (Fishersville). The highest price is 163.0× the lowest.

  • The median here, $36.00, is 11% below the US median of $40.48.
  • That is 6.3× Medicare's 2026 national rate for the same service ($5.67).
  • Virginia ranks 18th of 50 states by median, cheapest first.
  • 13 of 65 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 86431. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 1, 2026. See them on a map

Lowest$3.00Augusta Health
Median$36.00half of hospitals charge less
Highest$489.00in Virginia
Lowest saves$33.00vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Augusta Health lowest Fishersville · Staunton-Stuarts Draft, VA S-Rheumatoid Factor $3.00 $6.00 Apr 1, 2026
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Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Obici Hospital Suffolk · Suffolk, VA Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) Cryoglobulin Reflex, S/O $7.00 $14.00 Apr 1, 2026
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Dickenson Community Hospital Clintwood · Clintwood, VA HC RHEUMATOID FACTOR $9.66 $42.00 Mar 23, 2026
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Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC RHEUMATOID FACTOR $9.66 $42.00 Mar 23, 2026
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Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC RHEUMATOID FACTOR $9.90 $66.00 Mar 23, 2026
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Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC RHEUMATOID FACTOR $9.90 $66.00 Mar 23, 2026
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Russell County Hospital Lebanon · Lebanon, VA HC RHEUMATOID FACTOR $9.90 $66.00 Mar 23, 2026
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Smyth County Community Hospital Marion · Marion, VA HC RHEUMATOID FACTOR $9.90 $66.00 Mar 23, 2026
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Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC So Ra Titer, Quantitative $11.10 $37.00 Apr 1, 2026
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Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC So Ra Titer, Quantitative $11.10 $37.00 Apr 1, 2026
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Clinch Valley Health Richlands · Bluefield, WV-VA Rheumatoid factor; quantitative $15.50 $38.74 Jul 14, 2026
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Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC So Ra Titer, Quantitative $21.60 $36.00 Apr 1, 2026
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Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Rheumatoid Factor Quest $24.21 $48.42 Mar 11, 2026
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Bath Community Hospital Hot Springs · Hot Springs, VA RHEUMATOID (RA) FACTOR 006502 $27.77 $39.67 Mar 25, 2026
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Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Carilion Giles Community Hospital Roanoke · Roanoke, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Apr 17, 2026
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Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB RHEUMATOID FACTOR QUANT $32.20 $92.00 Dec 15, 2025
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC So Ra Titer, Quantitative $36.00 $60.00 Apr 1, 2026
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Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC So Ra Titer, Quantitative $36.00 $60.00 Apr 1, 2026
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC So Ra Titer, Quantitative $36.00 $60.00 Apr 1, 2026
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC So Ra Titer, Quantitative $36.00 $60.00 Apr 1, 2026
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC RHEUMATOID FACTOR QUANT $48.00 $96.00 Apr 1, 2026
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC RHEUMATOID FACTOR QUANT $48.00 $96.00 Apr 1, 2026
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC RHEUMATOID FACTOR QUANT $48.00 $96.00 Apr 1, 2026
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC RHEUMATOID FACTOR QUANT $48.00 $96.00 Apr 1, 2026
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC RHEUMATOID FACTOR QUANT $48.00 $96.00 Apr 1, 2026
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Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Rheumatoid factor quant $51.50 $103.00 Dec 30, 2024
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Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Rheumatoid factor quant $51.50 $103.00 Dec 30, 2024
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Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc So Ra Titer, Quantitative $60.50 $100.83 Jul 1, 2026
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Twin County Regional Healthcare Galax · Galax, VA Rheumatoid factor; quantitative $63.62 $159.04 Jul 10, 2026
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Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Rheumatoid Factor Quantitative $68.40 $114.00 Apr 1, 2026
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Rheumatoid Factor Quantitative $68.40 $114.00 Apr 1, 2026
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Rheumatoid Factor Quantitative $68.40 $114.00 Apr 1, 2026
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Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So Ra Titer, Quantitative $88.50 $295.00 Apr 1, 2026
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Sovah Health - Danville Danville · Danville, VA Rheumatoid factor; quantitative $108.00 $270.00 Jul 11, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Rheumatoid factor; quantitative $108.00 $270.00 Jul 10, 2026
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Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV RA QN $125.27 $125.27 Sep 1, 2026
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Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV Rheumatoid factor; quantitative $125.34 $125.34 Sep 1, 2026
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Wythe County Community Hospital Wytheville · Wytheville, VA Rheumatoid factor; quantitative $177.72 $444.31 Jul 10, 2026
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Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Rheumatoid factor; quantitative $184.00 $460.00 Jul 14, 2026
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Lewisgale Hospital Alleghany Low Moor · Low Moor, VA Rheumatoid factor; quantitative $211.00 $211.00 Sep 1, 2026
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Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Rheumatoid factor; quantitative $218.00 $218.00 Sep 1, 2026
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Chippenham Hospital Chesterfield · Richmond, VA Rheumatoid factor; quantitative $287.00 $287.00 Sep 1, 2026
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Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA RA QN $287.00 $287.00 Sep 1, 2026
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Johnston-Willis Hospital Richmond · Richmond, VA Rheumatoid factor; quantitative $287.00 $287.00 Sep 1, 2026
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Parham Doctors Hospital Richmond · Richmond, VA RA QN $287.00 $287.00 Sep 1, 2026
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Retreat Doctors Hospital Richmond · Richmond, VA RA QN $287.00 $287.00 Sep 1, 2026
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Tricities Hospital Prince George · Richmond, VA Rheumatoid factor; quantitative $287.00 $287.00 Sep 1, 2026
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Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Rheumatoid factor; quantitative $304.00 $304.00 Sep 1, 2026
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Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV RA QN $307.80 $307.80 Sep 1, 2026
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Lewisgale Medical Center Roanoke · Roanoke, VA Rheumatoid factor; quantitative $489.00 $489.00 Sep 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Washington-Arlington-Alexandria, DC-VA-MD-WV 12 $7.00 $49.75
Richmond, VA 11 $36.00 $287.00
Virginia Beach-Chesapeake-Norfolk, VA-NC 11 $7.00 $7.00
Roanoke, VA 6 $11.10 $32.20
Blacksburg-Christiansburg-Radford, VA 3 $32.20 $218.00
Bluefield, WV-VA 2 $15.50 $23.85
Big Stone Gap, VA 1 $9.90 $9.90
Clintwood, VA 1 $9.66 $9.66
Charlottesville, VA 1 $7.00 $7.00
Danville, VA 1 $108.00 $108.00
Emporia, VA 1 $11.10 $11.10
Galax, VA 1 $63.62 $63.62
Hot Springs, VA 1 $27.77 $27.77
Harrisonburg, VA 1 $7.00 $7.00
Kilmarnock, VA 1 $21.60 $21.60
Kingsport-Bristol, TN-VA 1 $9.90 $9.90
Lebanon, VA 1 $9.90 $9.90
Lexington, VA 1 $32.20 $32.20
Low Moor, VA 1 $211.00 $211.00
Marion, VA 1 $9.90 $9.90
Martinsville, VA 1 $108.00 $108.00
Pennington Gap, VA 1 $9.66 $9.66
South Boston, VA 1 $7.00 $7.00
Suffolk, VA 1 $7.00 $7.00
Staunton-Stuarts Draft, VA 1 $3.00 $3.00
Wytheville, VA 1 $177.72 $177.72
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What rheumatoid factor test is, what the price covers and why prices differ: Rheumatoid factor test explained.

Rheumatoid factor (RF) test in other states

Median cash price across the state's hospitals.