Lab tests CPT 84146 Outpatient

Prolactin test cost in St. Louis, MO

In St. Louis, MO-IL, 11 hospitals list a cash price for prolactin blood test: from $85.88 to $216.72, with a median of $138.24. The lowest listed price is at Gateway Regional Medical Center — $52.36 less than the median here. Across Missouri, the median is $111.00 at 29 hospitals.

Cash prices at 11 facilities across 9 cities for code 84146, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$85.88Gateway Regional Medical Center
Median$138.24half pay less
Highest$216.72in this market
Difference2.5×highest vs lowest

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.

median
Lowest $85.88Highest $575.85

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gateway Regional Medical Center lowest Granite City, IL · (618) 798-3000 PROLACTIN $85.88 $143.14 $143.14 40% —
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC PROLACTIN $87.84 $122.00 $9.27–$122.00 28% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Prolactin $96.20 $148.00 $9.62–$148.00 35% —
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Mercy Hospital Jefferson Festus, MO Prolactin $110.50 $170.00 $11.05–$170.00 35% —
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Mercy Hospital Washington Washington, MO Prolactin $110.50 $170.00 $11.05–$153.00 35% —
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC PROLACTIN $138.24 $192.00 $21.58–$192.00 28% —
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Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 ASSAY OF PROLACTIN $146.30 $146.30 $9.94–$33.30 — —
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Mercy Hospital St Louis Saint Louis, MO Prolactin $172.25 $265.00 $17.23–$265.00 35% —
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC PROLACTIN $174.24 $242.00 $9.27–$242.00 28% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Prolactin $180.70 $278.00 $18.07–$278.00 35% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 ASSAY OF PROLACTIN $216.72 $301.00 $9.74–$301.00 28% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 Q40049 PROLACTIN $575.85 $959.75 $959.75 40% —
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Outpatient: lowest $85.88, median $138.24, highest $216.72 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $138.24. 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 11 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

Prolactin is a pituitary hormone that drives milk production. The test is ordered for irregular or absent periods, nipple discharge, infertility, low sex drive and suspected pituitary tumors.

What the price covers

The price usually covers running the test. The blood draw (36415) is often billed as a separate line.