BNP (heart failure) test Cost by Hospital

BNP (heart failure) test is a laboratory test. Prices are from 2401 US hospitals across 52 states, from their machine-readable files.

$158median cash price · 2401 hospitals, 52 statestypically $49–$409 depending on the hospital
≈ 4.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$276
Cash / self-pay
$158
Insurer-negotiated
$67
Medicare pays
$39
$49$409
Median cash $158  ·  Medicare $39  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $158 — 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 $276 list price could save about $119 (43%).

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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 ★ 5/5 150 min —
St Mary-Corwin Hospital Pueblo, CO $26 $35 ★ 4/5 164 min —
Canonsburg General Hospital Canonsburg, PA $26 $40 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $26 $41 ★ 3/5 261 min —
Coosa Valley Medical Center Sylacauga, AL $26 $40 ★ 3/5 124 min —
San Gorgonio Memorial Hospital Banning, CA $26 $41 ★ 3/5 194 min —
UCI Health-Los Alamitos Los Alamitos, CA $26 $53 ★ 1/5 238 min —
Banner Fort Collins Medical Center Fort Collins, CO $27 $79 — 118 min —
Memorial Hospital of Gardena Gardena, CA $27 $39 ★ 1/5 138 min —
Banner North Colorado Medical Center Greeley, CO $27 $94 ★ 4/5 137 min —
Banner North Co Medical Center-Loveland Campus Loveland, CO $27 $94 ★ 3/5 140 min —
Grove City Medical Center Grove City, PA $27 $41 ★ 4/5 150 min —
Allegheny Valley Hospital Natrona, PA $28 $41 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $28 $41 ★ 3/5 274 min —
Banner-University Medical Center South Campus Tucson, AZ $29 $48 ★ 4/5 260 min —
Jackson County Regional Health Center Maquoketa, IA $29 $141 — 77 min —
Banner-University Medical Center Tucson Campus Tucson, AZ $30 $43 ★ 3/5 311 min —
Northern Maine Medical Center Fort Kent, ME $30 $182 — 140 min —
Ahn Wexford Hospital Wexford, PA $31 $41 ★ 5/5 184 min —
Baptist Health Medical Center North Little Rock North Little Rock, AR $31 $50 ★ 1/5 186 min —
Baptist Health Medical Center-Little Rock Little Rock, AR $31 $50 ★ 3/5 140 min —
Trinity Hospital Weaverville, CA $31 $38 — 69 min —
West Penn Hospital Pittsburgh, PA $32 $41 ★ 3/5 208 min —
Uofl Health-Shelbyville Hospital Shelbyville, KY $32 $67 ★ 3/5 117 min —
Uofl Health-Jewish Hospital and Mary & Elizabeth Hospital Louisville, KY $32 $67 ★ 2/5 138 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 October 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: $158; Medicare pays $39.

InsurerHospitalsNegotiated median
Amerigroup 181
$39
$21 – $88
Medicare 606
$39
$38 – $100
Medicaid 378
$39
$24 – $90
Devoted Health 259
$40
$39 – $44
UnitedHealthcare 1623
$40
$33 – $238
Independent Health 50
$40
$34 – $42
Univera 16
$41
$33 – $58
AmeriHealth 257
$42
$35 – $164
Highmark 129
$42
$26 – $175
Tricare / VA 464
$42
$39 – $193
Molina Healthcare 599
$43
$31 – $157
UPMC Health Plan 103
$47
$39 – $188
Bright Health 66
$49
$39 – $84
Centene / Ambetter 869
$49
$35 – $186
Anthem 636
$50
$27 – $223
EmblemHealth 76
$51
$34 – $114
Geisinger 70
$53
$39 – $181
Kaiser Permanente 233
$54
$31 – $285
MVP Health Care 83
$57
$35 – $197
Humana 1134
$59
$39 – $341
Oscar Health 233
$65
$39 – $151
Health Net 324
$68
$39 – $440
Blue Cross Blue Shield 1379
$75
$35 – $274
Workers' Comp / No-Fault 153
$79
$39 – $373
UCare 68
$79
$39 – $216
Priority Health 59
$85
$21 – $176
SelectHealth 47
$89
$39 – $236
Aetna 1502
$92
$38 – $304
Medica 247
$104
$39 – $270
Harvard Pilgrim 58
$108
$39 – $276
Cigna 1261
$110
$39 – $318
HealthPartners 277
$124
$40 – $305
Sanford Health Plan 71
$131
$54 – $254
Security Health Plan 54
$147
$39 – $213
Coventry 171
$164
$39 – $445
AvMed 63
$175
$43 – $454
Healthcare Highways 51
$205
$74 – $531
MultiPlan / PHCS network 908
$214
$64 – $502

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$72
Mississippi$75
Arizona$81
Arkansas$83
Maryland$86
Alabama$98

Prices by city

Prices by state

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 2401 US hospitals across 52 states, the typical (median) cash price is $158, versus a chargemaster (list) price around $276, a median insurer-negotiated rate of $67, a Medicare rate of about $39. Most cash prices fall between $49 and $409 — 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 2401 US hospitals is $158. Most hospitals fall between $49 and $409. 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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