Lead test cost in North Carolina
In North Carolina, 54 hospitals publish a cash price for blood lead test: from $4.50 to $195.60, with a median of $35.64. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 43.5× the lowest.
- The median here, $35.64, is 23% below the US median of $46.28.
- That is 2.9× Medicare's 2026 national rate for the same service ($12.11).
- North Carolina ranks 9th of 51 states by median, cheapest first.
- 5 of 54 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 83655. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$4.50Sentara Albemarle Regional Medical Center
Median$35.64half of hospitals charge less
Highest$195.60in North Carolina
Lowest saves$31.14vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center lowest Elizabeth City · Elizabeth City, NC Chgl (Qu) Heavy Metals Group # 3, S/O | $4.50 | $9.00 | Apr 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Lead | $8.00 | $20.00 | Jul 10, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Assay of Lead | $8.36 | $22.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Assay of Lead | $8.36 | $22.00 | Feb 11, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Lead | $17.50 | $25.00 | Jan 25, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ASSAY OF LEAD | $18.00 | $36.00 | Oct 8, 2025 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC ASSAY OF LEAD | $19.00 | $38.00 | Oct 30, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ASSAY OF LEAD | $19.00 | $38.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ASSAY OF LEAD | $20.00 | $40.00 | Oct 8, 2025 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC ASSAY OF LEAD | $20.18 | $33.63 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC ASSAY OF LEAD | $20.18 | $33.63 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC ASSAY OF LEAD | $20.18 | $33.63 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC ASSAY OF LEAD | $20.18 | $33.63 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC ASSAY OF LEAD | $20.18 | $33.63 | Mar 22, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC ASSAY OF LEAD | $21.50 | $43.00 | Oct 30, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC 599 Assay of Lead-Ref-Qu | $21.73 | $41.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC 599 Assay of Lead-Ref-Qu | $21.73 | $41.00 | Apr 1, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Lead, Blood (Peds) Capillary | $22.64 | $33.30 | Nov 12, 2025 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC 599 Assay of Lead-Ref-Qu | $22.96 | $41.00 | Apr 1, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC ASSAY OF LEAD | $25.00 | $50.00 | Oct 30, 2026 source file |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC Lead Level | $34.83 | $129.00 | Dec 31, 2025 source file |
| Duke University Hospital Durham · Durham, NC Lead Pnl | $36.45 | $135.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Lead Pnl | $36.45 | $135.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC LEAD | $36.45 | $135.00 | Apr 1, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC LEAD BLOOD (007625) | $37.80 | $189.00 | Dec 30, 2024 source file |
| Harris Regional Hospital Sylva · Sylva, NC Lead | $38.16 | $95.40 | Jul 10, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC ASSAY OF LEAD | $51.50 | $103.00 | Aug 12, 2025 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Lead | $52.72 | $131.80 | Jul 10, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC LEAD, URINE | $66.06 | $94.37 | Sep 1, 2025 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC ASSAY OF LEAD | $75.50 | $151.00 | Oct 28, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP | $76.00 | $76.00 | Apr 1, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC LEAD URINE - ARUP | $76.00 | $76.00 | Apr 1, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ASSAY OF LEAD | $83.50 | $167.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC ASSAY OF LEAD | $83.50 | $167.00 | Oct 29, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG LEAD SERUM | $102.00 | $102.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG LEAD SERUM | $102.00 | $102.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG LEAD SERUM | $102.00 | $102.00 | May 11, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Lead Pnl | $105.57 | $391.00 | Apr 1, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Lead level | $105.70 | $151.00 | Nov 2, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Lead | $195.60 | $489.00 | Jul 10, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 13 | $34.83 | $83.50 |
| Fayetteville, NC | 3 | $20.18 | $20.18 |
| Raleigh-Cary, NC | 3 | $8.36 | $8.36 |
| Winston-Salem, NC | 3 | $20.00 | $21.50 |
| Durham-Chapel Hill, NC | 2 | $36.45 | $116.02 |
| Mount Airy, NC | 2 | $19.00 | $20.82 |
| Ahoskie, NC | 1 | $22.96 | $22.96 |
| Asheboro, NC | 1 | $37.80 | $37.80 |
| Albemarle, NC | 1 | $83.50 | $83.50 |
| Anderson Creek, NC | 1 | $20.18 | $20.18 |
| Asheville, NC | 1 | $76.00 | $76.00 |
| Clinton, NC | 1 | $105.70 | $105.70 |
| Columbus, NC | 1 | $76.00 | $76.00 |
| Durham, NC | 1 | $36.45 | $36.45 |
| Edenton, NC | 1 | $22.96 | $22.96 |
| Elizabethtown, NC | 1 | $20.18 | $20.18 |
| Elizabeth City, NC | 1 | $4.50 | $4.50 |
| Forest City, NC | 1 | $52.72 | $52.72 |
| Greensboro-High Point, NC | 1 | $19.00 | $19.00 |
| Greenville, NC | 1 | $21.73 | $21.73 |
| Kenansville, NC | 1 | $22.96 | $22.96 |
| Kill Devil Hills, NC | 1 | $22.96 | $22.96 |
| Laurinburg, NC | 1 | $75.50 | $75.50 |
| Murphy, NC | 1 | $17.50 | $17.50 |
| North Wilkesboro, NC | 1 | $18.00 | $18.00 |
| Roanoke Rapids, NC | 1 | $22.96 | $22.96 |
| Rocky Mount, NC | 1 | $22.96 | $22.96 |
| Sparta, NC | 1 | $51.50 | $51.50 |
| Sylva, NC | 1 | $38.16 | $38.16 |
| Shelby-Kings Mountain, NC | 1 | $83.50 | $83.50 |
| Whiteville, NC | 1 | $66.06 | $66.06 |
| Windsor, NC | 1 | $22.96 | $22.96 |
| Washington, NC | 1 | $21.73 | $21.73 |
| Wilson, NC | 1 | $8.00 | $8.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What lead test is, what the price covers and why prices differ: Lead test explained.
Blood lead test in other states
- Alabama$41.23
- Alaska$77.22
- Arizona$23.07
- Arkansas$29.73
- California$10.13
- Colorado$110.40
- Connecticut$44.81
- Delaware$140.96
- District of Columbia$131.68, 3 hospitals
- Florida$10.88
- Georgia$67.80
- Hawaii$113.00
- Idaho$57.00
- Illinois$53.90
- Indiana$71.26
- Iowa$55.20
- Kansas$52.16
- Kentucky$63.46
- Louisiana$28.22
- Maine$45.00
- Maryland$71.86
- Massachusetts$73.00
- Michigan$7.65
- Minnesota$46.20
- Mississippi$41.37
- Missouri$54.60
- Montana$58.90
- Nebraska$66.22
- Nevada$63.00
- New Hampshire$73.45
- New Jersey$13.93
- New Mexico$68.70
- New York$43.81
- North Dakota$46.00
- Ohio$48.60
- Oklahoma$47.50
- Oregon$32.50
- Pennsylvania$78.00
- Puerto Rico$51.50
- Rhode Island$54.60
- South Carolina$78.60
- South Dakota$55.57
- Tennessee$36.74
- Texas$46.55
- Utah$102.86
- Vermont$64.26
- Virginia$62.96
- Washington$63.55
- West Virginia$35.95
- Wisconsin$54.94
- Wyoming$55.73
Median cash price across the state's hospitals.