Lab tests CPT 86431 Washington Outpatient

Rheumatoid factor test cost in Washington

In Washington, 58 hospitals publish a cash price for rheumatoid factor (RF) test: from $3.25 to $140.70, with a median of $39.99. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 43.3× the lowest.

  • The median here, $39.99, is about the same as the US median of $40.48.
  • That is 7.1× Medicare's 2026 national rate for the same service ($5.67).
  • Washington ranks 21st of 50 states by median, cheapest first.
  • 4 of 58 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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 11, 2026. See them on a map

Lowest$3.25Legacy Salmon Creek Medical Center
Median$39.99half of hospitals charge less
Highest$140.70in Washington
Lowest saves$36.74vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC RHEUMATOID FACTOR (RF) $3.25 $5.00 Apr 1, 2026
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Ferry County Memorial Hospital Republic · Republic, WA RHEUMATOID FACTOR $5.10 $6.00 Sep 14, 2026
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Rheumatoid Arthritis Factor $12.86 $25.73 Apr 1, 2026
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Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $16.10 $23.00 Apr 1, 2026
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Lourdes Health Pasco · Kennewick-Richland, WA RHEUMATOID FACTOR QUANT $21.32 $53.31 Jul 10, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA RA TITER $21.45 $33.00 Apr 1, 2026
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Rheumatoid Factor;Quantitative $21.60 $24.00 Aug 10, 2026
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Providence Centralia Hospital Centralia · Centralia, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $24.96 $48.00 Apr 1, 2026
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Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $24.96 $48.00 Apr 1, 2026
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Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC RA TITER $26.86 $93.13 Sep 30, 2026
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St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC RA TITER $28.33 $93.13 Sep 30, 2026
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Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC RA TITER $28.35 $93.13 Sep 30, 2026
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St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC RA TITER $28.64 $93.13 Sep 30, 2026
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Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC RHEUMATOID ARTHRITIS FACTOR $29.05 $50.08 Apr 14, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Rheumatoid Factor Quantitative $29.40 $42.00 Mar 12, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA RHEUMATOID FACTOR TITER $29.58 $58.00 Jan 1, 2026
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St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC RA TITER $29.66 $89.55 Feb 28, 2026
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Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $29.76 $62.00 Apr 1, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $29.76 $62.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $29.76 $62.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC RHEUMATOID FACTOR QUANT $29.76 $62.00 Apr 1, 2026
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Summit Pacific Medical Center Elma · Aberdeen, WA Rheumatoid factor level $31.86 $59.00 Aug 31, 2026
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Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC RHEUMATOID FACTOR QUANT $32.24 $62.00 Apr 1, 2026
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PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA RHEUMATOID FACTOR LEVEL $33.15 $51.00 Mar 20, 2026
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St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC RA TITER $34.20 $93.13 Sep 30, 2026
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Quincy Valley Medical Center Quincy · Moses Lake, WA Rheumatoid factor level $38.89 $38.89 May 27, 2026
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Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC RHEUMATOID FACTOR QUANTITATIVE # $39.05 $71.00 Jan 1, 2025
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Olympic Medical Center Port Angeles · Port Angeles, WA Rheumatoid factor level $39.20 $49.00 Jun 24, 2026
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St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC RA TITER $39.53 $89.55 Feb 28, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Rheumatoid factor level $40.45 $40.45 Sep 1, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC RA TITER $44.80 $56.00 Mar 26, 2026
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Whitman Hospital and Medical Center Colfax · Pullman, WA Rheumatoid factor level $46.40 $58.00 Jun 29, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC RHEUMATOID FACTOR $46.90 $67.00 Apr 1, 2026
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Willapa Harbor Hospital South Bend · South Bend, WA RHEUMATOID FACTOR LEVEL $50.27 $71.82 Feb 24, 2026
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Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA RHEUMATOID FACTOR QUANTITATIVE $52.80 $66.00 Apr 1, 2026
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Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA RHEUMATOID FACTOR LEVEL $54.20 $54.20 Mar 18, 2026
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PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA RHEUMATOID FACTOR LEVEL $54.60 $84.00 Mar 21, 2026
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Jefferson Healthcare Port Townsend · Port Townsend, WA Rheumatoid factor level $56.80 $71.00 Aug 6, 2026
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Arbor Health Morton Hospital Morton · Centralia, WA Rheumatoid factor level $57.04 $92.00 May 18, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Rheumatoid factor level $61.20 $72.00 Oct 7, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA RHEUMATOID FACTOR LEVEL $69.55 $107.00 Mar 21, 2026
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Forks Community Hospital Forks · Port Townsend, WA Rheumatoid factor level $69.60 $87.00 Oct 27, 2026
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Samaritan Hospital Moses Lake · Moses Lake, WA Rheumatoid factor level $71.00 $71.00 Jan 4, 2026
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Mason General Hospital & Family of Clinics Shelton · Shelton, WA Rheumatoid Arthritis Factor LC $71.25 $95.00 Mar 10, 2026
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Ocean Beach Hospital Ilwaco · Ilwaco, WA HC RHEUMATOID FACTOR QUANT $71.25 $95.00 Oct 23, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA RHEUMATOID ARTHRITIS FACTOR $72.00 $90.00 Dec 2, 2024
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC RHEUMATOID FACTOR QUANT - RA TITER $77.00 $110.00 Apr 1, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $79.10 $113.00 Apr 1, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC RA TITER $80.80 $101.00 Mar 26, 2026
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Pullman Regional Hospital Pullman · Pullman, WA Rheumatoid factor level $81.60 $96.00 Jun 9, 2026
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Lincoln Hospital Davenport · Davenport, WA Rheumatoid factor level $81.77 $90.85 Sep 14, 2026
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Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Rheumatoid factor quant $82.40 $103.00 May 15, 2026
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Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $90.30 $129.00 Apr 1, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA RHEUMATOID FACTOR LEVEL $91.65 $141.00 Mar 20, 2026
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA RHEUMATOID FACTOR LEVEL $93.60 $144.00 Mar 21, 2026
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Othello Community Hospital Othello · Othello, WA Rheumatoid factor level $100.31 $133.75 Jul 1, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA RA TITER $119.70 $210.00 Apr 1, 2026
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Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC RHEUMATOID FACTOR QUANTITATIVE LAB $140.70 $201.00 Apr 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
Seattle-Tacoma-Bellevue, WA 17 $12.86 $29.66
Spokane-Spokane Valley, WA 5 $46.90 $77.00
Kennewick-Richland, WA 4 $21.32 $59.08
Wenatchee-East Wenatchee, WA 3 $21.60 $40.45
Centralia, WA 2 $24.96 $41.00
Moses Lake, WA 2 $38.89 $54.94
Mount Vernon-Anacortes, WA 2 $54.60 $67.70
Port Townsend, WA 2 $56.80 $63.20
Portland-Vancouver-Hillsboro, OR-WA 2 $3.25 $47.45
Pullman, WA 2 $46.40 $64.00
Aberdeen, WA 1 $31.86 $31.86
Bellingham, WA 1 $69.55 $69.55
Bremerton-Silverdale-Port Orchard, WA 1 $39.53 $39.53
Davenport, WA 1 $81.77 $81.77
Ellensburg, WA 1 $61.20 $61.20
Friday Harbor, WA 1 $33.15 $33.15
Goldendale, WA 1 $72.00 $72.00
Ilwaco, WA 1 $71.25 $71.25
Longview-Kelso, WA 1 $93.60 $93.60
Olympia-Lacey-Tumwater, WA 1 $24.96 $24.96
Othello, WA 1 $100.31 $100.31
Port Angeles, WA 1 $39.20 $39.20
Republic, WA 1 $5.10 $5.10
South Bend, WA 1 $50.27 $50.27
Shelton, WA 1 $71.25 $71.25
Walla Walla, WA 1 $16.10 $16.10
Yakima, WA 1 $21.45 $21.45
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.