Semen analysis Cost by Hospital

Semen analysis is a laboratory test. Prices are from 1835 US hospitals across 52 states, from their machine-readable files.

$77median cash price · 1835 hospitals, 52 statestypically $21–$204 depending on the hospital
≈ 6.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$138
Cash / self-pay
$77
Insurer-negotiated
$21
Medicare pays
$12
$21$204
Median cash $77  ·  Medicare $12  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $77 — about 6.3× the Medicare rate ($12). High vs Medicare. A fair cash price is usually within ~2× Medicare ($24).

💡 Asking for the cash price instead of the $138 list price could save about $61 (44%).

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
Riverview Regional Medical Center Gadsden, AL $12 $12 ★ 3/5 155 min —
Paradise Valley Hospital National City, CA $12 $12 ★ 3/5 188 min —
Garden Grove Hospital & Medical Center Garden Grove, CA $12 $12 ★ 2/5 134 min —
West Anaheim Medical Center Anaheim, CA $12 $12 ★ 2/5 190 min —
Huntington Beach Hospital Huntington Beach, CA $12 $12 ★ 1/5 158 min —
La Palma Intercommunity Hospital La Palma, CA $12 $12 ★ 3/5 204 min —
Desert Valley Hospital Victorville, CA $12 $12 ★ 3/5 167 min —
Sherman Oaks Hospital Sherman Oaks, CA $12 $12 ★ 2/5 140 min —
Monroe Hospital Bloomington, IN $12 $12 ★ 4/5 108 min —
Saint John Hospital Leavenworth, KS $12 $17 ★ 3/5 126 min —
Central Maine Medical Center Lewiston, ME $12 $12 ★ 4/5 253 min —
Lake Huron Medical Center Port Huron, MI $12 $12 ★ 4/5 168 min —
Garden City Hospital Garden City, MI $12 $12 ★ 2/5 114 min —
North Vista Hospital North Las Vegas, NV $12 $12 ★ 3/5 131 min —
St Mary's General Hospital Passaic, NJ $12 $12 ★ 3/5 182 min —
Saint Clare's Hospital/ Denville Campus Denville, NJ $12 $12 ★ 2/5 166 min —
Saint Michael's Medical Center Newark, NJ $12 $12 ★ 4/5 169 min —
Coshocton Regional Medical Center Coshocton, OH $12 $12 ★ 4/5 149 min —
Lower Bucks Hospital Bristol, PA $12 $13 ★ 3/5 150 min —
Roxborough Memorial Hospital Philadelphia, PA $12 $13 ★ 2/5 186 min —
Landmark Medical Center Woonsocket, RI $12 $12 ★ 2/5 225 min —
Knapp Medical Center Weslaco, TX $12 $12 ★ 5/5 133 min —
Dallas Regional Medical Center Mesquite, TX $12 $13 ★ 3/5 166 min —
Lincoln Medical & Mental Health Center Bronx, NY $12 $46 ★ 2/5 234 min —
Jacobi Medical Center Bronx, NY $12 $46 ★ 2/5 220 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 Semen analysis

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: $77; Medicare pays $12.

InsurerHospitalsNegotiated median
Univera 11
$11
$10 – $15
Amerigroup 143
$12
$6 – $63
UnitedHealthcare 1218
$12
$10 – $88
Tricare / VA 323
$12
$12 – $78
Medicare 436
$12
$12 – $60
Bright Health 55
$12
$12 – $25
Devoted Health 214
$12
$12 – $13
Highmark 97
$13
$8 – $36
Independent Health 46
$13
$12 – $49
MVP Health Care 63
$13
$7 – $110
Centene / Ambetter 668
$13
$12 – $54
Molina Healthcare 411
$13
$12 – $34
Medicaid 207
$14
$5 – $115
AmeriHealth 175
$14
$11 – $83
Kaiser Permanente 164
$21
$10 – $154
Oscar Health 175
$21
$15 – $69
SelectHealth 41
$24
$12 – $125
Blue Cross Blue Shield 1045
$25
$12 – $132
Aetna 1101
$27
$12 – $151
Humana 839
$28
$12 – $140
UPMC Health Plan 66
$28
$12 – $123
Geisinger 45
$28
$12 – $111
Anthem 446
$30
$9 – $89
Priority Health 31
$30
$7 – $76
Cigna 937
$34
$9 – $131
UCare 60
$34
$12 – $88
EmblemHealth 63
$35
$8 – $109
Harvard Pilgrim 48
$36
$12 – $103
Coventry 110
$38
$12 – $150
Health Net 186
$40
$12 – $211
Medica 191
$44
$12 – $113
HealthPartners 188
$49
$12 – $116
Security Health Plan 54
$53
$12 – $136
Sanford Health Plan 56
$54
$25 – $107
AvMed 31
$76
$13 – $358
Workers' Comp / No-Fault 106
$104
$19 – $334
Healthcare Highways 38
$106
$28 – $286
MultiPlan / PHCS network 619
$109
$29 – $321

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$14
Louisiana$26
Rhode Island$35
Tennessee$38
New York$38
Texas$51

Prices by city

Prices by state

Does Medicare cover Semen analysis?

Yes — Medicare generally covers Semen analysis. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $12. 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 1835 US hospitals across 52 states, the typical (median) cash price is $77, versus a chargemaster (list) price around $138, a median insurer-negotiated rate of $21, a Medicare rate of about $12. Most cash prices fall between $21 and $204 — 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 Semen analysis cost without insurance?
The median cash (self-pay) price across 1835 US hospitals is $77. Most hospitals fall between $21 and $204. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Semen analysis?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $12). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Semen analysis?
Medicare pays about $12. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Semen analysis 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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