LDL cholesterol test is a laboratory test. Prices are from 2219 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $49 — about 4.7× the Medicare rate ($11). High vs Medicare. A fair cash price is usually within ~2× Medicare ($21).
💡 Asking for the cash price instead of the $86 list price could save about $37 (43%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Banner North Colorado Medical Center | Greeley, CO | $7 | $26 | ★ 4/5 | 145 min | 14.6% |
| Banner North Co Medical Center-Loveland Campus | Loveland, CO | $7 | $26 | ★ 3/5 | 142 min | 14.3% |
| Grove City Medical Center | Grove City, PA | $7 | $11 | ★ 4/5 | 147 min | 14.1% |
| Kingman Healthcare Center | Kingman, KS | $8 | $7 | — | 98 min | 14.7% |
| Bsa Hospital | Amarillo, TX | $8 | $53 | ★ 2/5 | 217 min | 14.8% |
| Allegheny Valley Hospital | Natrona, PA | $8 | $11 | ★ 4/5 | 201 min | 15.7% |
| Allegheny General Hospital | Pittsburgh, PA | $8 | $11 | ★ 3/5 | 274 min | 14.7% |
| Deckerville Community Hospital | Deckerville, MI | $8 | $15 | — | 86 min | — |
| University of Michigan Health-West | Wyoming, MI | $8 | — | ★ 4/5 | 184 min | 14.5% |
| Tulsa Spine & Specialty Hospital | Tulsa, OK | $8 | $8 | — | 208 min | 15.3% |
| Ahn Wexford Hospital | Wexford, PA | $8 | $11 | ★ 5/5 | 186 min | 15.3% |
| Aultman Hospital | Canton, OH | $9 | $11 | ★ 4/5 | 204 min | 13.9% |
| Aultman Orrville Hospital | Orrville, OH | $9 | $11 | — | 115 min | 14.8% |
| West Penn Hospital | Pittsburgh, PA | $9 | $11 | ★ 3/5 | 203 min | 16.3% |
| St Michael's Hospital-CAH | Tyndall, SD | $9 | $8 | — | 116 min | 14.9% |
| Bakersfield Memorial Hospital | Bakersfield, CA | $9 | $12 | ★ 3/5 | 226 min | 15.2% |
| Memorial Hospital and Manor | Bainbridge, GA | $9 | $11 | ★ 1/5 | 168 min | 15.4% |
| McCurtain Memorial Hospital | Idabel, OK | $10 | $4 | ★ 4/5 | 84 min | 15.5% |
| University Medical Center of El Paso | El Paso, TX | $10 | $11 | ★ 3/5 | 242 min | 15.4% |
| McLaren Caro Region | Caro, MI | $10 | $8 | — | 70 min | — |
| El Paso Children's Hospital | El Paso, TX | $10 | $19 | — | — | — |
| Riverview Regional Medical Center | Gadsden, AL | $10 | $11 | ★ 3/5 | 160 min | 15.7% |
| Paradise Valley Hospital | National City, CA | $10 | $11 | ★ 3/5 | 202 min | 16.0% |
| Saint Francis Medical Center | Lynwood, CA | $10 | $11 | ★ 3/5 | 250 min | 14.9% |
| Encino Hospital Medical Center | Encino, CA | $10 | $11 | ★ 3/5 | 135 min | 15.6% |
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 LDL cholesterol 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: $49; Medicare pays $11.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Amerigroup | 171 |
$7 – $30 |
| UnitedHealthcare | 1484 |
$9 – $76 |
| Tricare / VA | 438 |
$10 – $69 |
| Medicare | 541 |
$10 – $31 |
| Medicaid | 331 |
$7 – $42 |
| Devoted Health | 247 |
$11 – $13 |
| Independent Health | 50 |
$9 – $11 |
| Highmark | 122 |
$7 – $39 |
| Univera | 16 |
$9 – $16 |
| Molina Healthcare | 521 |
$6 – $35 |
| Centene / Ambetter | 800 |
$9 – $51 |
| MVP Health Care | 76 |
$9 – $94 |
| AmeriHealth | 243 |
$10 – $42 |
| Bright Health | 62 |
$11 – $21 |
| Kaiser Permanente | 218 |
$7 – $82 |
| EmblemHealth | 58 |
$9 – $54 |
| UPMC Health Plan | 99 |
$10 – $50 |
| Health Net | 258 |
$6 – $136 |
| Anthem | 577 |
$8 – $65 |
| Geisinger | 69 |
$11 – $47 |
| Humana | 1035 |
$10 – $106 |
| Oscar Health | 211 |
$11 – $35 |
| AvMed | 43 |
$7 – $148 |
| UCare | 63 |
$10 – $74 |
| SelectHealth | 43 |
$11 – $61 |
| Workers' Comp / No-Fault | 131 |
$11 – $193 |
| Blue Cross Blue Shield | 1256 |
$10 – $99 |
| Aetna | 1361 |
$10 – $97 |
| Medica | 219 |
$11 – $101 |
| Priority Health | 53 |
$7 – $69 |
| Cigna | 1148 |
$9 – $109 |
| HealthPartners | 244 |
$11 – $101 |
| Harvard Pilgrim | 54 |
$11 – $92 |
| Coventry | 152 |
$10 – $117 |
| Sanford Health Plan | 68 |
$12 – $111 |
| Security Health Plan | 49 |
$11 – $62 |
| Healthcare Highways | 31 |
$20 – $80 |
| MultiPlan / PHCS network | 759 |
$17 – $139 |
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
| State | Median cash |
|---|---|
| New Jersey | $12 |
| Arizona | $17 |
| Alabama | $26 |
| Tennessee | $29 |
| Idaho | $29 |
| Florida | $29 |
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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Eric Weiner, MD | Internal Medicine | Boynton Beach, FL | 2,491 |
| Todd Halper, M.D. | Family Practice | Rockville Centre, NY | 1,829 |
| Rajesh Desai, MD | Endocrinology | Melbourne, FL | 1,537 |
| William Biggs, M.D. | Endocrinology | Amarillo, TX | 1,483 |
| Stephen Corday, M.D. | Cardiology | Los Angeles, CA | 1,387 |
| Russell Dambra, MD | Endocrinology | New Hyde Park, NY | 1,383 |
| John Hill, MD | Family Practice | Deland, FL | 1,307 |
| Barbara Hirsch, MD | Endocrinology | Manhasset, NY | 1,297 |
| Alan Keister, M.D. | Internal Medicine | Amarillo, TX | 1,028 |
| Kenneth Hershon, MD | Endocrinology | New Hyde Park, NY | 1,019 |
| Kenneth Lee, DO | Family Practice | Ocala, FL | 987 |
| Clara De Jesus Kalil, M.D. | Family Practice | Ocala, FL | 958 |
Does Medicare cover LDL cholesterol test?
Yes — Medicare generally covers LDL cholesterol test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $11. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $2 — 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 2219 US hospitals across 52 states, the typical (median) cash price is $49, versus a chargemaster (list) price around $86, a median insurer-negotiated rate of $17, a Medicare rate of about $11. Most cash prices fall between $16 and $123 — 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 LDL cholesterol test cost without insurance?
Does Medicare cover LDL cholesterol test?
What does Medicare pay for LDL cholesterol test?
Why do LDL cholesterol test prices vary between hospitals?
Is the cash price lower than using insurance?
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