BNP (heart failure) test Cost by Hospital

BNP (heart failure) test is a laboratory test. Prices are from 2386 US hospitals across 52 states, from their machine-readable files.

$157median cash price · 2386 hospitals, 52 statestypically $50–$404 depending on the hospital
≈ 4.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$275
Cash / self-pay
$157
Insurer-negotiated
$68
Medicare pays
$39
$50$404
Median cash $157  ·  Medicare $39  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $157 — about 4.0× the Medicare rate ($39). High vs Medicare. A fair cash price is usually within ~2× Medicare ($79).

💡 Asking for the cash price instead of the $275 list price could save about $118 (43%).

Estimate what you’ll pay
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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
St Mary Medical Center Long Beach, CA $26 $35 ★ 5/5 153 min 14.0%
St Mary-Corwin Hospital Pueblo, CO $26 $35 ★ 4/5 167 min 14.8%
Canonsburg General Hospital Canonsburg, PA $26 $40 ★ 3/5 155 min 15.6%
Forbes Hospital Monroeville, PA $26 $41 ★ 3/5 252 min 16.5%
Coosa Valley Medical Center Sylacauga, AL $26 $57 ★ 3/5 122 min 15.1%
San Gorgonio Memorial Hospital Banning, CA $26 $41 ★ 3/5 191 min 14.6%
UCI Health-Los Alamitos Los Alamitos, CA $26 $53 ★ 1/5 236 min 15.4%
Banner Fort Collins Medical Center Fort Collins, CO $27 $79 — 114 min 15.0%
Memorial Hospital of Gardena Gardena, CA $27 $39 ★ 1/5 132 min 16.3%
Banner North Colorado Medical Center Greeley, CO $27 $94 ★ 4/5 145 min 14.6%
Banner North Co Medical Center-Loveland Campus Loveland, CO $27 $94 ★ 3/5 142 min 14.3%
Grove City Medical Center Grove City, PA $27 $41 ★ 4/5 147 min 14.1%
Ashtabula County Medical Center Ashtabula, OH $27 $39 ★ 3/5 191 min 16.8%
Allegheny Valley Hospital Natrona, PA $28 $41 ★ 4/5 201 min 15.7%
Allegheny General Hospital Pittsburgh, PA $28 $41 ★ 3/5 274 min 14.7%
Banner-University Medical Center South Campus Tucson, AZ $29 $48 ★ 4/5 275 min 14.5%
Jackson County Regional Health Center Maquoketa, IA $29 $141 — 80 min 15.1%
Banner-University Medical Center Tucson Campus Tucson, AZ $30 $43 ★ 3/5 306 min 14.6%
Northern Maine Medical Center Fort Kent, ME $30 $182 — 147 min —
Ahn Wexford Hospital Wexford, PA $31 $41 ★ 5/5 186 min 15.3%
Baptist Health Medical Center North Little Rock North Little Rock, AR $31 $50 ★ 1/5 213 min 15.8%
Baptist Health Medical Center-Little Rock Little Rock, AR $31 $50 ★ 3/5 146 min 16.1%
Trinity Hospital Weaverville, CA $31 $38 — 70 min 14.5%
West Penn Hospital Pittsburgh, PA $32 $41 ★ 3/5 203 min 16.3%
Uofl Health-Shelbyville Hospital Shelbyville, KY $32 $67 ★ 3/5 121 min 15.2%

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 BNP (heart failure) 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: $157; Medicare pays $39.

InsurerHospitalsNegotiated median
Amerigroup 179
$39
$21 – $88
Medicare 597
$39
$38 – $99
Medicaid 372
$39
$24 – $90
UnitedHealthcare 1593
$40
$33 – $237
Devoted Health 255
$40
$39 – $44
Independent Health 50
$40
$34 – $42
Univera 16
$41
$33 – $58
EmblemHealth 63
$41
$34 – $113
AmeriHealth 255
$42
$35 – $164
Highmark 126
$42
$26 – $169
Tricare / VA 462
$42
$39 – $193
Molina Healthcare 591
$43
$32 – $157
UPMC Health Plan 100
$44
$39 – $188
Bright Health 65
$49
$39 – $84
Anthem 619
$49
$26 – $223
Centene / Ambetter 848
$50
$35 – $186
Geisinger 70
$53
$39 – $181
Kaiser Permanente 232
$53
$31 – $285
MVP Health Care 82
$56
$35 – $197
Humana 1119
$61
$39 – $335
Oscar Health 218
$65
$39 – $149
Health Net 321
$68
$39 – $440
Blue Cross Blue Shield 1373
$75
$35 – $274
Workers' Comp / No-Fault 152
$79
$39 – $377
UCare 67
$79
$39 – $217
Priority Health 59
$85
$21 – $176
SelectHealth 47
$89
$39 – $236
Aetna 1478
$92
$38 – $303
Medica 246
$103
$39 – $270
Harvard Pilgrim 58
$108
$39 – $276
Cigna 1236
$112
$39 – $316
HealthPartners 276
$124
$40 – $306
Sanford Health Plan 69
$128
$54 – $247
Security Health Plan 54
$147
$39 – $213
Coventry 167
$164
$39 – $445
AvMed 61
$181
$43 – $454
Healthcare Highways 51
$205
$74 – $531
MultiPlan / PHCS network 893
$214
$64 – $493

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$73
Mississippi$75
Arizona$81
Arkansas$83
Maryland$86
Alabama$98

Prices by city

Chicago, ILPhiladelphia, PAAustin, TXBaltimore, MDDallas, TXNew York, NYCincinnati, OHSacramento, CAHouston, TXOklahoma City, OKBaton Rouge, LABronx, NYBrooklyn, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CAMilwaukee, WINashville, TNNew Orleans, LAOmaha, NESaint Louis, MOAlbuquerque, NMBirmingham, AL

Prices by state

CaliforniaTexasOhioWisconsinNew YorkPennsylvaniaIllinoisFloridaMinnesotaNorth CarolinaMichiganLouisianaGeorgiaTennesseeNebraskaColoradoMissouriIowaOklahomaKentuckyArkansasKansasArizonaVirginiaSouth DakotaIndianaNew JerseyWashingtonMarylandMassachusettsMississippiWest VirginiaMaineAlabamaSouth CarolinaNorth DakotaMontanaOregonIdahoConnecticutNew MexicoNew HampshireUtahNevadaPuerto RicoHawaiiWyomingVermontRhode IslandDelawareAlaskaWashington DC

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.

ClinicianSpecialtyLocationMedicare services
Afshine Emrani, MDCardiologyTarzana, CA3,395
Leon Schwechter, D.O.Internal MedicineGreenvale, NY1,838
Stephen Corday, M.D.CardiologyLos Angeles, CA1,466
Javier Morales, M.D.Internal MedicineGreenvale, NY1,233
Mason Weiss, M.D.Interventional CardiologyInglewood, CA1,143
Ayman Karkoutly, M.D.Internal MedicineLubbock, TX1,114
Frank Mcgrew, MDCardiologyMemphis, TN1,069
Bruce Vannatta, MDCardiologyLos Alamitos, CA1,042
Leslie Meals, A.P.R.N.Nurse PractitionerJackson, TN957
Kellee Etghayi, A.P.R.N.Nurse PractitionerJackson, TN899
Ronald Karlsberg, M.D.CardiologyBeverly Hills, CA890
Adrian Shandling, MDCardiologyLos Alamitos, CA726

Browse doctors by specialty & city →

Does Medicare cover BNP (heart failure) test?

Yes — Medicare generally covers BNP (heart failure) test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $39. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $8 — 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 2386 US hospitals across 52 states, the typical (median) cash price is $157, versus a chargemaster (list) price around $275, a median insurer-negotiated rate of $68, a Medicare rate of about $39. Most cash prices fall between $50 and $404 — 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 BNP (heart failure) test cost without insurance?
The median cash (self-pay) price across 2386 US hospitals is $157. Most hospitals fall between $50 and $404. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover BNP (heart failure) test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $39). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for BNP (heart failure) test?
Medicare pays about $39. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do BNP (heart failure) 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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