H. pylori test Cost by Hospital

H. pylori test is a laboratory test. Prices are from 1909 US hospitals across 52 states, from their machine-readable files.

$168median cash price · 1909 hospitals, 52 statestypically $53–$415 depending on the hospital
≈ 2.5× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$311
Cash / self-pay
$168
Insurer-negotiated
$86
Medicare pays
$67
$53$415
Median cash $168  ·  Medicare $67  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $168 — about 2.5× the Medicare rate ($67). On the higher side. A fair cash price is usually within ~2× Medicare ($135).

💡 Asking for the cash price instead of the $311 list price could save about $143 (46%).

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
Stanford Health Care Tri-Valley Pleasanton, CA $26 $67 ★ 5/5 211 min 14.0%
Stanford Health Care Stanford, CA $26 $67 ★ 5/5 275 min 14.7%
St. Vincent's East Birmingham, AL $26 $68 ★ 3/5 156 min 14.6%
St Vincent's Birmingham Birmingham, AL $26 $68 ★ 3/5 245 min 15.3%
St Vincent's St Clair Pell City, AL $26 $68 ★ 3/5 156 min 15.8%
St Vincent's Chilton Clanton, AL $26 $68 164 min 14.8%
Ascension St Vincent's Riverside Jacksonville, FL $26 $68 ★ 3/5 161 min 14.6%
Ascension St Vincent's Southside Jacksonville, FL $26 $68 ★ 4/5 123 min 14.5%
Ascension St Vincent's Clay County Middleburg, FL $26 $69 ★ 3/5 192 min 14.3%
Ascension St Vincent's St Johns County St. Johns, FL $26 $68 ★ 4/5 122 min 15.2%
Ascension St Vincent Hospital Indianapolis, IN $26 $68 ★ 2/5 125 min 13.9%
Ascension St Vincent Clay Brazil, IN $26 $69 143 min 15.3%
St Mary Medical Center Long Beach, CA $26 $62 ★ 5/5 153 min 14.0%
St Mary-Corwin Hospital Pueblo, CO $26 $62 ★ 4/5 167 min 14.8%
Seton Medical Center Harker Heights Harker Heights, TX $28 $107 ★ 4/5 174 min 16.3%
Virtua Our Lady of Lourdes Hospital Camden, NJ $28 ★ 2/5 161 min 15.4%
Virtua Willingboro Hospital Willingboro, NJ $28 ★ 3/5 181 min 14.8%
Nocona General Hospital Nocona, TX $28 $208 ★ 1/5 104 min 15.9%
Sacred Heart Hospital Pensacola, FL $28 $68 ★ 4/5 143 min 14.1%
Ascension Sacred Heart Bay Panama City, FL $28 $69 ★ 3/5 178 min 15.1%
Sacred Heart Hospital on the Emerald Coast Miramar Beach, FL $28 $68 ★ 3/5 181 min 14.6%
Ascension Sacred Heart Gulf Port Saint Joe, FL $28 $68 ★ 3/5 107 min 15.4%
Ascension Genesys Hospital Grand Blanc, MI $28 $68 ★ 3/5 231 min 15.2%
St Rose Hospital Hayward, CA $28 $79 ★ 1/5 167 min 16.5%
Northern Maine Medical Center Fort Kent, ME $30 $54 147 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 July 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 H. pylori 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: $168; Medicare pays $67.

InsurerHospitalsNegotiated median
Medicaid 264
$61
$36 – $112
AvMed 29
$63
$16 – $138
Amerigroup 142
$67
$44 – $92
UnitedHealthcare 1233
$67
$51 – $195
Tricare / VA 361
$67
$58 – $162
Medicare 438
$67
$60 – $86
Devoted Health 227
$67
$67 – $72
EmblemHealth 49
$67
$67 – $319
AmeriHealth 213
$68
$39 – $125
MVP Health Care 68
$69
$59 – $315
Kaiser Permanente 187
$69
$47 – $226
Harvard Pilgrim 40
$69
$67 – $258
Independent Health 50
$69
$59 – $74
Highmark 98
$70
$44 – $245
Univera 15
$71
$57 – $100
Anthem 483
$71
$49 – $328
Molina Healthcare 455
$73
$40 – $150
Bright Health 55
$74
$67 – $135
UPMC Health Plan 77
$76
$66 – $324
Centene / Ambetter 687
$77
$57 – $333
Geisinger 56
$84
$66 – $284
Humana 876
$89
$62 – $748
Health Net 226
$100
$54 – $428
Priority Health 49
$101
$36 – $276
Aetna 1136
$104
$54 – $365
Blue Cross Blue Shield 1044
$108
$57 – $317
Oscar Health 181
$115
$67 – $202
Workers' Comp / No-Fault 110
$126
$67 – $281
UCare 53
$129
$67 – $326
SelectHealth 44
$131
$67 – $267
Medica 153
$133
$64 – $322
HealthPartners 182
$141
$65 – $369
Cigna 968
$147
$47 – $357
Healthcare Highways 33
$157
$101 – $258
Coventry 115
$162
$67 – $356
Sanford Health Plan 62
$186
$56 – $383
Security Health Plan 47
$188
$67 – $380
MultiPlan / PHCS network 627
$208
$64 – $463

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
Mississippi$46
Maryland$57
Arizona$68
Florida$71
New Jersey$76
West Virginia$79

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
David Heydt, M.DPathologySilver Spring, MD407
John Saito, MDPulmonary DiseaseFountain Valley, CA146
Shang Wu, M.D.GastroenterologyHacienda Heights, CA119
David Kim, M.D.GastroenterologyTorrance, CA85
Artoon Arakel, M.DFamily PracticeGlendale, CA73
Joel Sach, M.D.GastroenterologyTarzana, CA71
Adam Shapiro, M.D.OtolaryngologySt Thomas, VI64
Mark Davidson, M.D.GastroenterologyLos Angeles, CA59
Darius Gharib, M.D.EndocrinologyEncino, CA57
James Hixon, M.D.GastroenterologyAnniston, AL55
Vlad Nusinovich, M.D.Internal MedicineWest Hollywood, CA54
Shakir Hyder, M.D.GastroenterologyFremont, CA49

Browse doctors by specialty & city →

Does Medicare cover H. pylori test?

Yes — Medicare generally covers H. pylori test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $67. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $13 — 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 1909 US hospitals across 52 states, the typical (median) cash price is $168, versus a chargemaster (list) price around $311, a median insurer-negotiated rate of $86, a Medicare rate of about $67. Most cash prices fall between $53 and $415 — 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 H. pylori test cost without insurance?
The median cash (self-pay) price across 1909 US hospitals is $168. Most hospitals fall between $53 and $415. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover H. pylori test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $67). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for H. pylori test?
Medicare pays about $67. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do H. pylori 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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