Semen analysis Cost by Hospital

Semen analysis is a laboratory test. Prices are from 1814 US hospitals across 52 states, from their machine-readable files.

$77median cash price · 1814 hospitals, 52 statestypically $21–$204 depending on the hospital
≈ 6.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$139
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 $139 list price could save about $62 (45%).

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 ★ 3/5 160 min 15.7%
Paradise Valley Hospital National City, CA $12 $12 ★ 3/5 202 min 16.0%
Garden Grove Hospital & Medical Center Garden Grove, CA $12 $12 ★ 2/5 138 min 16.6%
West Anaheim Medical Center Anaheim, CA $12 $12 ★ 2/5 196 min 16.6%
Huntington Beach Hospital Huntington Beach, CA $12 $12 ★ 1/5 173 min 14.8%
La Palma Intercommunity Hospital La Palma, CA $12 $12 ★ 3/5 214 min 16.5%
Desert Valley Hospital Victorville, CA $12 $12 ★ 3/5 173 min 15.8%
Sherman Oaks Hospital Sherman Oaks, CA $12 $12 ★ 2/5 153 min 15.8%
Monroe Hospital Bloomington, IN $12 $12 ★ 4/5 105 min 15.1%
Saint John Hospital Leavenworth, KS $12 $17 ★ 3/5 124 min 15.5%
Central Maine Medical Center Lewiston, ME $12 $12 ★ 4/5 239 min 14.5%
Lake Huron Medical Center Port Huron, MI $12 $12 ★ 4/5 169 min 14.6%
Garden City Hospital Garden City, MI $12 $12 ★ 2/5 108 min 16.3%
North Vista Hospital North Las Vegas, NV $12 $12 ★ 3/5 134 min 15.8%
St Mary's General Hospital Passaic, NJ $12 $12 ★ 3/5 183 min 16.2%
Saint Clare's Hospital/ Denville Campus Denville, NJ $12 $12 ★ 2/5 164 min 16.2%
Saint Michael's Medical Center Newark, NJ $12 $12 ★ 4/5 176 min 16.0%
Coshocton Regional Medical Center Coshocton, OH $12 $12 ★ 4/5 149 min 15.0%
Lower Bucks Hospital Bristol, PA $12 $13 ★ 3/5 154 min 15.2%
Roxborough Memorial Hospital Philadelphia, PA $12 $13 ★ 2/5 182 min 15.5%
Landmark Medical Center Woonsocket, RI $12 $12 ★ 2/5 229 min 17.2%
Knapp Medical Center Weslaco, TX $12 $12 ★ 5/5 141 min 14.4%
Dallas Regional Medical Center Mesquite, TX $12 $13 ★ 3/5 168 min 14.8%
Summa Health System Akron, OH $12 $19 ★ 3/5 194 min 15.1%
Natchitoches Regional Medical Center Natchitoches, LA $13 $13 ★ 4/5 160 min 15.4%

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 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 142
$12
$6 – $63
UnitedHealthcare 1187
$12
$10 – $85
Tricare / VA 323
$12
$12 – $78
Bright Health 54
$12
$12 – $25
Medicare 429
$12
$12 – $60
Devoted Health 208
$12
$12 – $13
Highmark 90
$13
$8 – $33
MVP Health Care 62
$13
$7 – $111
Independent Health 46
$13
$12 – $49
Centene / Ambetter 650
$13
$12 – $55
Molina Healthcare 408
$13
$12 – $34
Medicaid 204
$14
$5 – $115
AmeriHealth 172
$15
$11 – $85
Kaiser Permanente 165
$21
$10 – $154
EmblemHealth 48
$22
$7 – $92
SelectHealth 41
$24
$12 – $125
Geisinger 43
$24
$12 – $112
Anthem 432
$25
$8 – $77
Blue Cross Blue Shield 1035
$25
$12 – $132
Oscar Health 162
$25
$14 – $69
Aetna 1078
$28
$12 – $152
Humana 828
$28
$12 – $139
UPMC Health Plan 62
$28
$12 – $123
Priority Health 32
$28
$7 – $75
UCare 59
$34
$12 – $88
Cigna 912
$35
$9 – $131
Harvard Pilgrim 48
$36
$12 – $103
Coventry 108
$39
$12 – $151
Health Net 182
$42
$12 – $213
Medica 190
$44
$12 – $112
HealthPartners 186
$49
$12 – $116
Security Health Plan 54
$53
$12 – $136
Sanford Health Plan 55
$54
$25 – $107
AvMed 29
$79
$13 – $358
Workers' Comp / No-Fault 106
$104
$19 – $334
Healthcare Highways 38
$106
$28 – $286
MultiPlan / PHCS network 602
$109
$29 – $320

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$47
Texas$50

Prices by city

Chicago, ILAustin, TXNew York, NYPhiladelphia, PADallas, TXCharlotte, NCCleveland, OHSacramento, CABaltimore, MDBronx, NYBrooklyn, NYFort Worth, TXLos Angeles, CAMilwaukee, WINashville, TNRochester, NYSan Antonio, TXAurora, COBirmingham, ALCincinnati, OHColorado Springs, COKnoxville, TNMiami, FLMobile, AL

Prices by state

CaliforniaTexasOhioWisconsinFloridaIllinoisNew YorkMinnesotaPennsylvaniaNorth CarolinaMichiganTennesseeGeorgiaColoradoIowaMissouriIndianaNew JerseyWashingtonLouisianaKansasNebraskaMaineOklahomaKentuckyWest VirginiaAlabamaMassachusettsVirginiaArkansasMarylandMississippiSouth DakotaOregonSouth CarolinaIdahoNew HampshireUtahArizonaMontanaPuerto RicoNorth DakotaNew MexicoWyomingNevadaVermontConnecticutAlaskaHawaiiDelawareRhode IslandWashington DC

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 1814 US hospitals across 52 states, the typical (median) cash price is $77, versus a chargemaster (list) price around $139, 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 1814 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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