Prolactin test is a laboratory test. Prices are from 2316 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
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%).
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 |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Amerigroup | 181 |
$7 – $55 |
| Medicare | 573 |
$19 – $73 |
| Medicaid | 367 |
$12 – $110 |
| UnitedHealthcare | 1596 |
$16 – $160 |
| Devoted Health | 256 |
$19 – $22 |
| Tricare / VA | 458 |
$17 – $131 |
| Independent Health | 51 |
$17 – $30 |
| Univera | 16 |
$16 – $29 |
| Molina Healthcare | 591 |
$11 – $54 |
| Centene / Ambetter | 850 |
$17 – $123 |
| MVP Health Care | 83 |
$17 – $157 |
| Bright Health | 66 |
$19 – $39 |
| Highmark | 128 |
$13 – $89 |
| AvMed | 63 |
$6 – $233 |
| AmeriHealth | 256 |
$18 – $70 |
| Humana | 1093 |
$19 – $215 |
| Kaiser Permanente | 228 |
$12 – $180 |
| Geisinger | 68 |
$19 – $94 |
| Oscar Health | 231 |
$19 – $95 |
| Health Net | 314 |
$5 – $270 |
| Anthem | 627 |
$15 – $144 |
| SelectHealth | 48 |
$19 – $165 |
| Aetna | 1470 |
$17 – $207 |
| Blue Cross Blue Shield | 1353 |
$19 – $179 |
| UPMC Health Plan | 102 |
$19 – $116 |
| UCare | 65 |
$19 – $106 |
| Priority Health | 60 |
$14 – $125 |
| Harvard Pilgrim | 57 |
$19 – $157 |
| Medica | 240 |
$19 – $206 |
| Cigna | 1240 |
$16 – $225 |
| HealthPartners | 269 |
$20 – $197 |
| EmblemHealth | 75 |
$19 – $139 |
| Sanford Health Plan | 71 |
$33 – $204 |
| Coventry | 170 |
$19 – $271 |
| Security Health Plan | 54 |
$19 – $151 |
| Workers' Comp / No-Fault | 148 |
$26 – $380 |
| MultiPlan / PHCS network | 901 |
$19 – $316 |
| Healthcare Highways | 50 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Benjamin Tripp, M.D. | Urology | Delray Beach, FL | 1,575 |
| Kiarash Michel, M.D. | Urology | Los Angeles, CA | 1,349 |
| Carl Lord, M.D. | Obstetrics & Gynecology | Columbia, MD | 670 |
| Danita Ionescu, MD | Family Practice | Amityville, NY | 494 |
| Robert Salant, MD | Urology | New York, NY | 455 |
| Michael Ohebshalom, MD | Urology | Manhasset, NY | 290 |
| Robert Gluck, MD | Urology | New York, NY | 289 |
| Lev Paukman, MD | Internal Medicine | Brooklyn, NY | 240 |
| Nicholas Maruniak, MD | Pathology | Oxford, FL | 229 |
| Jeffrey Brown, MD | Endocrinology | Houston, TX | 224 |
| Alfred Shtainer, MD | Urology | New York, NY | 171 |
| Mahmood Siddique, D.O. | Internal Medicine | Lawrenceville, NJ | 126 |
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?
Does Medicare cover Prolactin test?
What does Medicare pay for Prolactin test?
Why do Prolactin test prices vary between hospitals?
Is the cash price lower than using insurance?
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