Prolactin test Cost by Hospital

Prolactin test is a laboratory test. Prices are from 2316 US hospitals across 52 states, from their machine-readable files.

$107median cash price · 2316 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%).

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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 ★ 4/5 121 min —
Banner Lassen Medical Center Susanville, CA $16 $25 ★ 3/5 116 min —
St Mary Medical Center Long Beach, CA $16 $19 ★ 5/5 150 min —
St Mary-Corwin Hospital Pueblo, CO $16 $19 ★ 4/5 164 min —
Wilson N Jones Regional Medical Center Sherman, TX $17 $19 ★ 2/5 156 min —
Henry Mayo Newhall Hospital Valencia, CA $17 $19 ★ 2/5 174 min —
College Medical Center Long Beach, CA $17 $19 ★ 3/5 322 min —
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 —
University of Ks Hlth System Great Bend Campus Great Bend, KS $18 $53 ★ 4/5 107 min —
Grant Memorial Hospital Petersburg, WV $18 — ★ 3/5 110 min —
Amery Hospital & Clinic Amery, WI $18 $13 ★ 2/5 120 min —
Valley Presbyterian Hospital Van Nuys, CA $18 $19 ★ 1/5 208 min —
El Paso Children's Hospital El Paso, TX $18 $35 — — —
Legacy Emanuel Medical Center Portland, OR $18 — ★ 3/5 170 min —
Legacy Good Samaritan Medical Center Portland, OR $18 — ★ 4/5 183 min —
Legacy Mount Hood Medical Center Gresham, OR $18 — ★ 3/5 154 min —
Legacy Meridian Park Medical Center Tualatin, OR $18 — ★ 2/5 177 min —
Legacy Salmon Creek Medical Center Vancouver, WA $18 — ★ 4/5 260 min —
Maple Grove Hospital Maple Grove, MN $18 $20 ★ 5/5 194 min —
Legacy Silverton Medical Center Silverton, OR $18 — — 142 min —
HCA Florida Highlands Hospital Sebring, FL $19 $16 ★ 3/5 130 min —
St Lukes Magic Valley Medical Center Twin Falls, ID $19 $19 ★ 4/5 186 min —
St Luke's Regional Medical Center Boise, ID $19 $19 ★ 5/5 168 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 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 181
$19
$7 – $55
Medicare 573
$19
$19 – $73
Medicaid 367
$19
$12 – $110
UnitedHealthcare 1596
$20
$16 – $160
Devoted Health 256
$20
$19 – $22
Tricare / VA 458
$20
$17 – $131
Independent Health 51
$20
$17 – $30
Univera 16
$20
$16 – $29
Molina Healthcare 591
$21
$11 – $54
Centene / Ambetter 850
$21
$17 – $123
MVP Health Care 83
$21
$17 – $157
Bright Health 66
$21
$19 – $39
Highmark 128
$21
$13 – $89
AvMed 63
$24
$6 – $233
AmeriHealth 256
$24
$18 – $70
Humana 1093
$26
$19 – $215
Kaiser Permanente 228
$26
$12 – $180
Geisinger 68
$31
$19 – $94
Oscar Health 231
$33
$19 – $95
Health Net 314
$33
$5 – $270
Anthem 627
$33
$15 – $144
SelectHealth 48
$38
$19 – $165
Aetna 1470
$39
$17 – $207
Blue Cross Blue Shield 1353
$39
$19 – $179
UPMC Health Plan 102
$40
$19 – $116
UCare 65
$44
$19 – $106
Priority Health 60
$48
$14 – $125
Harvard Pilgrim 57
$48
$19 – $157
Medica 240
$51
$19 – $206
Cigna 1240
$53
$16 – $225
HealthPartners 269
$61
$20 – $197
EmblemHealth 75
$62
$19 – $139
Sanford Health Plan 71
$70
$33 – $204
Coventry 170
$78
$19 – $271
Security Health Plan 54
$85
$19 – $151
Workers' Comp / No-Fault 148
$104
$26 – $380
MultiPlan / PHCS network 901
$111
$19 – $316
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
New York$62
Alabama$64

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.

Does Medicare cover Prolactin test?

Yes — Medicare generally covers Prolactin test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $19. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $4 — 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 2316 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 2316 US hospitals is $107. Most hospitals fall between $26 and $276. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Prolactin test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $19). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
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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