Drug screen (urine) cost in North Carolina

Prices at 71 hospitals in North Carolina, from their machine-readable files. Here the median cash price is $140 — 24% above the US median ($113), roughly 8.2× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Alleghany Memorial Hospital Sparta, NC $31 $106
Transylvania Regional Hospital, Inc Brevard, NC $48 $20 ★ 2/5 98 min
Wilkes Regional Medical Center North Wilkesboro, NC $57 $67 ★ 3/5 164 min
ECU Health North Hospital Roanoke Rapids, NC $61 $111 ★ 2/5 212 min
Washington County Hosp Inc Plymouth, NC $68
Cape Fear Valley-Bladen County Hospital Elizabethtown, NC $68 $68 193 min
Duke University Hospital Durham, NC $73 $73 ★ 5/5 317 min
Duke Health Lake Norman Hospital Mooresville, NC $73 $73 ★ 1/5 190 min
Duke Regional Hospital Durham, NC $73 $73 ★ 5/5 255 min
High Point Regional Health System High Point, NC $75 $91 ★ 2/5 247 min
Carolinas Medical Center/behav Health Charlotte, NC $91 $111 ★ 4/5 196 min
Wakemed, Raleigh Campus Raleigh, NC $92 $79 ★ 4/5 204 min
Alamance Regional Medical Center Burlington, NC $92 $108 ★ 3/5 228 min
Moses H. Cone Memorial Hospital, The Greensboro, NC $92 $108 ★ 3/5 224 min
Wakemed, Cary Hospital Cary, NC $92 $74 ★ 5/5 196 min
The Outer Banks Hospital, Inc Nags Head, NC $92 $141 ★ 4/5 208 min
Atrium Health Lincoln Lincolnton, NC $97 $99 ★ 3/5 177 min
Betsy Johnson Regional Hospital Dunn, NC $97 $62 ★ 3/5 210 min
Carolinas Medical Center-Northeast Concord, NC $103 $117 ★ 4/5 186 min
Atrium Health Cleveland Shelby, NC $103 $116 ★ 3/5 160 min
Stanly Regional Medical Center Albemarle, NC $103 $124 ★ 3/5 144 min
Atrium Health Union Monroe, NC $103 $102 ★ 4/5 132 min
Atrium Health University City Charlotte, NC $103 $109 ★ 3/5 148 min
Atrium Health Anson Wadesboro, NC $105 $117 118 min
Caromont Regional Medical Center Gastonia, NC $114 $96 ★ 4/5 192 min

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 September 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.

Price comparison (median)

Chargemaster (list price)
$243
Cash / self-pay
$140
Insurer-negotiated
$108
Medicare pays
$17
$73$330
Median cash $140  ·  Medicare $17  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $140 — about 8.2× the Medicare rate ($17). High vs Medicare. A fair cash price is usually within ~2× Medicare ($34).

💡 Asking for the cash price instead of the $243 list price could save about $103 (42%).

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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.

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Drug screen (urine) cost in other states

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