ACTH test cost in St. Louis, MO
In St. Louis, MO-IL, 12 hospitals list a cash price for ACTH blood test: from $86.45 to $303.50, with a median of $198.40. The lowest listed price is at Mercy Hospital St Louis — $111.95 less than the median here. Across Missouri, the median is $154.80 at 61 hospitals.
Cash prices at 12 facilities across 10 cities for code 82024, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 6, 2026 and Jun 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO · (314) 251-6000 Acth Adrenocorticotropic Hormone File of Jun 4, 2026 · source file | $86.45 | $133.00 | $8.65–$133.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Acth Adrenocorticotropic Hormone File of Jun 10, 2026 · source file | $144.95 | $223.00 | $14.50–$200.70 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Acth Adrenocorticotropic Hormone File of Jun 10, 2026 · source file | $144.95 | $223.00 | $34.76–$86.90 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Acth Adrenocorticotropic Hormone File of Jun 10, 2026 · source file | $149.50 | $230.00 | $14.95–$230.00 | 35% |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Adrenocorticotropic hormone (ACTH) File of Apr 13, 2026 · source file | $155.62 | $251.00 | $9.56–$239.00 | 38% |
| Community Hospital of Staunton Staunton, IL · (618) 635-2200 ACTH File of Feb 9, 2026 · source file | $196.40 | $392.80 | $96.00–$357.45 | 50% |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 Q211 ACTH PL IA File of Mar 30, 2026 · source file | $200.40 | $334.00 | $334.00 | 40% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 ACTH(REF) File of Mar 21, 2026 · source file | $231.70 | $331.00 | $119.16–$472.86 | 30% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Acth Adrenocorticotropic Hormone File of Jun 10, 2026 · source file | $247.00 | $380.00 | $24.70–$380.00 | 35% |
| Anderson Hospital Maryville, IL · (618) 288-5711 ACTH File of Feb 6, 2026 · source file | $261.20 | $522.40 | $36.10–$470.16 | 50% |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC ACTH -90 File of Mar 24, 2026 · source file | $300.96 | $418.00 | $25.81–$418.00 | 28% |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 ASSAY OF ACTH File of Mar 18, 2026 · source file | $303.50 | $303.50 | $21.38–$66.38 | — |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 ADRENOCORT ACTH File of Mar 30, 2026 · source file | $1,405.84 | $2,343.07 | $2,343.07 | 40% |
Outpatient: lowest $86.45, median $198.40, highest $303.50 — a 3.5× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $231.70. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 10 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
An ACTH test measures the pituitary hormone that tells the adrenal glands to make cortisol. It is used with cortisol to find the cause of too much or too little cortisol.
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.