Prolactin test Cost by Hospital

Prolactin test is a laboratory test. Prices are from 2257 US hospitals across 52 states, from their machine-readable files.

$107median cash price · 2257 hospitals, 52 statestypically $26–$276 depending on the hospital
≈ 5.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$190
Cash / self-pay
$107
Insurer-negotiated
$35
Medicare pays
$19
$26$276
Median cash $107  ·  Medicare $19  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $107 — about 5.5× the Medicare rate ($19). High vs Medicare. A fair cash price is usually within ~2× Medicare ($39).

💡 Asking for the cash price instead of the $190 list price could save about $83 (44%).

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
Methodist Hospital for Surgery Addison, TX $16 $21 ★ 4/5 120 min 14.4%
Banner Lassen Medical Center Susanville, CA $16 $25 ★ 3/5 116 min 14.5%
St Mary Medical Center Long Beach, CA $16 $19 ★ 5/5 153 min 14.0%
St Mary-Corwin Hospital Pueblo, CO $16 $19 ★ 4/5 167 min 14.8%
Wilson N Jones Regional Medical Center Sherman, TX $17 $19 ★ 2/5 153 min 14.6%
Valley Presbyterian Hospital Van Nuys, CA $17 $19 ★ 1/5 234 min 15.7%
Henry Mayo Newhall Hospital Valencia, CA $17 $19 ★ 2/5 172 min 15.1%
College Medical Center Long Beach, CA $17 $19 ★ 3/5 330 min 15.2%
College Hospital Cerritos, CA $17 $19 — — —
Glendora Hospital Glendora, CA $17 $19 — — —
University of Kansas Hospital Kansas City, KS $18 $65 ★ 5/5 307 min 14.1%
University of Ks Hlth System Great Bend Campus Great Bend, KS $18 $53 ★ 4/5 107 min 14.5%
Grant Memorial Hospital Petersburg, WV $18 — ★ 3/5 105 min 15.4%
Amery Hospital & Clinic Amery, WI $18 $13 ★ 2/5 116 min 14.5%
El Paso Children's Hospital El Paso, TX $18 $35 — — —
Legacy Emanuel Medical Center Portland, OR $18 — ★ 3/5 166 min 14.7%
Legacy Good Samaritan Medical Center Portland, OR $18 — ★ 4/5 186 min 14.1%
Legacy Mount Hood Medical Center Gresham, OR $18 — ★ 3/5 154 min 14.4%
Legacy Meridian Park Medical Center Tualatin, OR $18 — ★ 2/5 175 min 14.7%
Legacy Salmon Creek Medical Center Vancouver, WA $18 — ★ 4/5 272 min 14.1%
Maple Grove Hospital Maple Grove, MN $18 $20 ★ 5/5 184 min 14.9%
Legacy Silverton Medical Center Silverton, OR $18 — — 140 min 14.7%
HCA Florida Highlands Hospital Sebring, FL $19 $16 ★ 3/5 125 min 15.9%
St Lukes Magic Valley Medical Center Twin Falls, ID $19 $19 ★ 4/5 184 min 14.3%
St Luke's Regional Medical Center Boise, ID $19 $19 ★ 5/5 168 min 12.4%

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 June 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 Prolactin 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: $107; Medicare pays $19.

InsurerHospitalsNegotiated median
Amerigroup 176
$19
$7 – $57
Medicare 563
$19
$19 – $73
Medicaid 356
$19
$12 – $111
UnitedHealthcare 1534
$20
$16 – $168
Tricare / VA 452
$20
$17 – $134
Independent Health 50
$20
$17 – $40
Devoted Health 239
$20
$19 – $22
Univera 16
$20
$16 – $29
Molina Healthcare 559
$21
$11 – $55
Bright Health 65
$21
$19 – $39
MVP Health Care 82
$21
$17 – $157
Highmark 125
$21
$13 – $89
Centene / Ambetter 825
$22
$17 – $123
AvMed 59
$24
$6 – $233
AmeriHealth 242
$24
$18 – $79
EmblemHealth 62
$25
$19 – $207
Kaiser Permanente 226
$26
$12 – $181
Anthem 582
$28
$13 – $148
Humana 1053
$28
$19 – $215
Oscar Health 204
$31
$19 – $128
Geisinger 68
$31
$19 – $94
Health Net 309
$34
$5 – $271
UPMC Health Plan 87
$37
$19 – $129
SelectHealth 48
$38
$19 – $165
Blue Cross Blue Shield 1334
$39
$18 – $179
Aetna 1418
$39
$17 – $216
UCare 60
$39
$19 – $103
Priority Health 60
$48
$14 – $125
Harvard Pilgrim 57
$48
$19 – $157
Medica 236
$50
$19 – $204
Cigna 1185
$55
$15 – $231
HealthPartners 261
$60
$20 – $197
Sanford Health Plan 69
$69
$33 – $205
Coventry 162
$78
$19 – $272
Security Health Plan 51
$85
$19 – $151
Workers' Comp / No-Fault 147
$103
$26 – $380
MultiPlan / PHCS network 862
$112
$19 – $317
Healthcare Highways 50
$138
$58 – $455

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$41
Idaho$57
Maryland$57
Rhode Island$61
Alabama$64
Mississippi$70

Prices by city

Chicago, ILPhiladelphia, PAAustin, TXBaltimore, MDNew York, NYCincinnati, OHDallas, TXOklahoma City, OKBronx, NYBrooklyn, NYCharlotte, NCFort Worth, TXLos Angeles, CAMilwaukee, WINew Orleans, LASacramento, CASaint Louis, MOBaton Rouge, LABirmingham, ALBoston, MAEl Paso, TXHouston, TXKansas City, MORochester, NY

Prices by state

TexasCaliforniaOhioFloridaPennsylvaniaIllinoisNew YorkWisconsinMinnesotaNorth CarolinaMichiganLouisianaGeorgiaMissouriIowaColoradoNebraskaOklahomaTennesseeKentuckyArkansasSouth DakotaNew JerseyIndianaVirginiaKansasWashingtonMarylandMassachusettsMississippiWest VirginiaMaineAlabamaSouth CarolinaArizonaNorth DakotaIdahoOregonMontanaUtahConnecticutNew MexicoNew HampshirePuerto RicoNevadaHawaiiWyomingVermontRhode IslandDelawareAlaskaWashington DC

About these prices

Based on prices published by 2257 US hospitals across 52 states, the typical (median) cash price is $107, versus a chargemaster (list) price around $190, a median insurer-negotiated rate of $35, a Medicare rate of about $19. Most cash prices fall between $26 and $276 — 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 Prolactin test cost without insurance?
The median cash (self-pay) price across 2257 US hospitals is $107. Most hospitals fall between $26 and $276. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Prolactin test?
Medicare pays about $19. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Prolactin 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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