C. diff test cost in California
In California, 201 hospitals publish a cash price for C. difficile toxin gene test (stool PCR): from $12.17 to $776.69, with a median of $152.88. The lowest price is at Mercy Hospital of Folsom (Folsom). The highest price is 63.8× the lowest.
- The median here, $152.88, is 12% above the US median of $136.77.
- That is 4.1× Medicare's 2026 national rate for the same service ($37.27).
- California ranks 29th of 50 states by median, cheapest first.
- 59 of 201 hospitals list a cash price equal to their full list price, with no self-pay discount.
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 87493. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 12, 2026. See them on a map
Hospitals in California, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Mercy Hospital of Folsom lowest Folsom · Sacramento-Roseville-Folsom, CA RL-A-C DIFF TOX B TCDB PC | $12.17 | $32.60 | Sep 30, 2026 source file |
| Sierra Nevada Memorial-Miners Hospital Grass Valley · Truckee-Grass Valley, CA RL-A-C DIFF TOX B TCDB PC | $18.12 | $32.60 | Sep 30, 2026 source file |
| San Gorgonio Memorial Hospital Banning · Riverside-San Bernardino-Ontario, CA C DIFF AMPLIFIED PROBE | $18.96 | $94.81 | May 20, 2026 source file |
| Hemet Global Medical Center Hemet · Riverside-San Bernardino-Ontario, CA B-LAB NUCLEIC ACID PROBE B | $20.00 | $20.00 | Jun 15, 2026 source file |
| Menifee Global Medical Center Menifee · Riverside-San Bernardino-Ontario, CA B-LAB NUCLEIC ACID PROBE D | $20.00 | $20.00 | May 20, 2026 source file |
| St Joseph's Medical Center of Stockton Stockton · Stockton-Lodi, CA RL-A-CDIFF PCR 2002838 | $25.56 | $94.00 | Sep 30, 2026 source file |
| Kaweah Health Medical Center one side Visalia · Visalia, CA C. difficile toxin B gene (tcdB), RT-PCR Stool-ARUP | $29.00 | $29.00 | Jul 14, 2026 source file |
| Banner Lassen Medical Center Susanville · Susanville, CA LAB DET IA TOXIN C DIFF PRB AMP NS | $29.02 | $52.00 | Sep 12, 2026 source file |
| Glendale Memorial Hospital & Health Center Glendale · Los Angeles-Long Beach-Anaheim, CA RL-A-CDIFF PCR 2002838 | $29.58 | $94.00 | Sep 30, 2026 source file |
| St. Rose Hospital Hayward · San Francisco-Oakland-Fremont, CA LC -C.DIFFTOXINGENENAA | $29.93 | $99.75 | Feb 23, 2026 source file |
| St Bernardine Medical Center San Bernardino · Riverside-San Bernardino-Ontario, CA RL-A-CDIFF PCR 2002838 | $30.95 | $94.00 | Sep 30, 2026 source file |
| Sequoia Hospital Redwood City · San Francisco-Oakland-Fremont, CA RL-A-CDIFF PCR 2002838 | $32.07 | $94.00 | Sep 30, 2026 source file |
| Bakersfield Memorial Hospital Bakersfield · Bakersfield-Delano, CA RL-A-CDIFF PCR 2002838 | $34.16 | $94.00 | Sep 30, 2026 source file |
| French Hospital Medical Center San Luis Obispo · San Luis Obispo-Paso Robles, CA RL-A-CDIFF PCR 2002838 | $35.57 | $94.00 | Sep 30, 2026 source file |
| Mercy Hospital Bakersfield · Bakersfield-Delano, CA RL-A-CDIFF PCR 2002838 | $36.34 | $94.00 | Sep 30, 2026 source file |
| Community Hospital of San Bernardino San Bernardino · Riverside-San Bernardino-Ontario, CA RL-A-CDIFF PCR 2002838 | $36.56 | $94.00 | Sep 30, 2026 source file |
| Centinela Hospital Medical Center Inglewood · Los Angeles-Long Beach-Anaheim, CA REF CDIFF TOXIN | $37.00 | $48.24 | Sep 1, 2026 source file |
| Chino Valley Medical Center Chino · Riverside-San Bernardino-Ontario, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $447.95 | Sep 1, 2026 source file |
| Desert Valley Hospital Victorville · Riverside-San Bernardino-Ontario, CA C DIFF AMPLIFIED PROBE | $37.00 | $57.00 | Sep 1, 2026 source file |
| Encino Hospital Medical Center Encino · Los Angeles-Long Beach-Anaheim, CA C DIFF TOXIN RFLEX TO AB AG LC | $37.00 | $125.00 | Sep 1, 2026 source file |
| Garden Grove Hospital Medical Center Garden Grove · Los Angeles-Long Beach-Anaheim, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $232.94 | Sep 1, 2026 source file |
| La Palma Intercommunity Hospital La Palma · Los Angeles-Long Beach-Anaheim, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $239.93 | Sep 1, 2026 source file |
| Montclair Hospital Medical Center Montclair · Riverside-San Bernardino-Ontario, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $447.95 | Sep 1, 2026 source file |
| Paradise Valley Hospital National City · San Diego-Chula Vista-Carlsbad, CA CDIFF NAA (PCR) LC183988 | $37.00 | $57.00 | Sep 1, 2026 source file |
| San Dimas Community Hospital San Dimas · Los Angeles-Long Beach-Anaheim, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $447.95 | Sep 1, 2026 source file |
| Shasta Regional Medical Center Redding · Redding, CA C DIFF TOXING BY DNA AMP | $37.00 | $248.55 | Sep 1, 2026 source file |
| Sherman Oaks Hospital Sherman Oaks · Los Angeles-Long Beach-Anaheim, CA C DIFF TOXIN RFLEX TO AB AG LC | $37.00 | $125.00 | Sep 1, 2026 source file |
| St Francis Medical Center Lynwood · Los Angeles-Long Beach-Anaheim, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $304.00 | Sep 1, 2026 source file |
| West Anaheim Medical Center Anaheim · Los Angeles-Long Beach-Anaheim, CA Hc Cytomed, Dna, Amp Probe | $37.00 | $239.93 | Sep 1, 2026 source file |
| Riverside University Medical Center Moreno Valley · Riverside-San Bernardino-Ontario, CA HC Cdiff Pcr Confirmation | $38.56 | $38.56 | Mar 30, 2026 source file |
| St Mary Medical Center Long Beach · Los Angeles-Long Beach-Anaheim, CA RL-A-CDIFF PCR 2002838 | $40.67 | $94.00 | Sep 30, 2026 source file |
| Healdsburg Hospital Healdsburg · Santa Rosa-Petaluma, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $40.80 | $80.00 | Apr 1, 2026 source file |
| Marian Regional Medical Center Santa Maria · Santa Maria-Santa Barbara, CA RL-A-CDIFF PCR 2002838 | $41.26 | $94.00 | Sep 30, 2026 source file |
| Foothill Regional Medical Center one side Tustin · Los Angeles-Long Beach-Anaheim, CA C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | Mar 18, 2026 source file |
| Southern California Hospital at Van Nuys D/P Aph one side Van Nuys · Los Angeles-Long Beach-Anaheim, CA C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | Mar 18, 2026 source file |
| Kern Valley Healthcare District Mountain Mesa · Bakersfield-Delano, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $46.83 | $223.00 | Jun 11, 2026 source file |
| Mercy Medical Center Redding Redding · Redding, CA RL-A-CDIFF PCR 2002838 | $47.24 | $94.00 | Sep 30, 2026 source file |
| Mercy Medical Center Merced · Merced, CA SJM-CLOS DIF TXN AMP PRB | $48.73 | $94.00 | Sep 30, 2026 source file |
| Anaheim Global Medical Center Anaheim · Los Angeles-Long Beach-Anaheim, CA FACTOR V NUCLEIC ACID PR | $51.00 | $51.00 | Jun 15, 2026 source file |
| Chapman Global Medical Center Orange · Los Angeles-Long Beach-Anaheim, CA NUCLEIC ACID PROBE C | $51.00 | $51.00 | May 6, 2026 source file |
| Orange County Global Medical Center Santa Ana · Los Angeles-Long Beach-Anaheim, CA NUCLEIC ACID PROBE C | $51.00 | $51.00 | Jun 15, 2026 source file |
| Providence Saint Joseph Medical Center Burbank · Los Angeles-Long Beach-Anaheim, CA HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE LAB | $51.80 | $148.00 | Apr 1, 2026 source file |
| Good Samaritan Hospital Bakersfield · Bakersfield-Delano, CA DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $52.18 | $74.54 | May 11, 2026 source file |
| St Elizabeth Community Hospital Red Bluff · Red Bluff, CA RL-A-CDIFF PCR 2002838 | $55.85 | $94.00 | Sep 30, 2026 source file |
| Coast Plaza Doctors Hospital Norwalk · Los Angeles-Long Beach-Anaheim, CA C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP | $57.00 | $57.00 | Feb 4, 2026 source file |
| Community Hospital of Huntington Park Huntington Park · Los Angeles-Long Beach-Anaheim, CA C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP | $57.00 | $57.00 | Feb 4, 2026 source file |
| East Los Angeles Doctors Hospital Los Angeles · Los Angeles-Long Beach-Anaheim, CA C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP | $57.00 | $57.00 | Feb 4, 2026 source file |
| Memorial Hospital of Gardena Gardena · Los Angeles-Long Beach-Anaheim, CA C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP | $57.00 | $57.00 | Feb 4, 2026 source file |
| Mark Twain Medical Center San Andreas · San Andreas, CA CLOS DIFF TOXIN AMP PROBE | $62.99 | $93.18 | Sep 30, 2026 source file |
| Trinity Hospital Weaverville · Weaverville, CA C DIFF AMPLIFIED DNA | $63.00 | $126.00 | Mar 30, 2026 source file |
| Marshall Medical Center Placerville · Sacramento-Roseville-Folsom, CA RF UCD LAB C DIFF AMPLIFIED PROBE | $64.73 | $113.62 | Feb 19, 2026 source file |
| Rady Children's Hospital - San Diego San Diego · San Diego-Chula Vista-Carlsbad, CA Rsp C Difficile Toxin Pcr | $65.25 | $87.00 | Apr 1, 2026 source file |
| Mercy Medical Center of Mt Shasta Mt Shasta · Mt Shasta, CA RL-A-CDIFF PCR 2002838 | $71.52 | $94.00 | Sep 30, 2026 source file |
| Sierra View Medical Center Porterville · Visalia, CA C DIFFICILE PCR-1 | $74.27 | $106.10 | Apr 1, 2026 source file |
| Mercy General Hospital Sacramento · Sacramento-Roseville-Folsom, CA IA CLOS DIFF TOXN AMP PRB | $74.59 | $404.00 | Sep 30, 2026 source file |
| UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Detection Test For Clostridium Difficile | $77.00 | $140.00 | Apr 1, 2026 source file |
| Riverside Community Hospital Riverside · Riverside-San Bernardino-Ontario, CA C DIFF TOX GENE AMP PROB | $78.00 | $78.00 | Sep 1, 2026 source file |
| Ridgecrest Regional Hospital Ridgecrest · Bakersfield-Delano, CA C diff testing | $85.02 | $160.41 | Nov 6, 2026 source file |
| Community Memorial Hospital Ventura · Oxnard-Thousand Oaks-Ventura, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $85.20 | $213.00 | Jun 15, 2026 source file |
| Loma Linda University Childrens Hospital Loma Linda · Riverside-San Bernardino-Ontario, CA HC CDIFF NUCLEIC ACID TEST | $87.30 | $194.00 | Sep 2, 2026 source file |
| Loma Linda University Medical Center Loma Linda · Riverside-San Bernardino-Ontario, CA HC CDIFF NUCLEIC ACID TEST | $87.30 | $194.00 | Sep 2, 2026 source file |
| Loma Linda University Medical Center - Murrieta Murrieta · Riverside-San Bernardino-Ontario, CA HC CDIFF NUCLEIC ACID TEST | $87.30 | $194.00 | Sep 2, 2026 source file |
| Mercy San Juan Medical Center Carmichael · Sacramento-Roseville-Folsom, CA IA CLOS DIFF TOXN AMP PRB | $91.00 | $404.00 | Sep 30, 2026 source file |
| Victor Valley Global Medical Center Victorville · Riverside-San Bernardino-Ontario, CA DIFFICILE TOXIN GENE NAA - LC | $93.00 | $93.00 | May 13, 2026 source file |
| Southern Monterey County Memorial Hospital King City · Salinas, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $93.75 | $125.00 | Oct 28, 2026 source file |
| Los Angeles Community Hospital one side Los Angeles · Los Angeles-Long Beach-Anaheim, CA C. DIFF TOXINS QL RT-PCR | $95.00 | $95.00 | Mar 18, 2026 source file |
| Salinas Valley Health Medical Center Salinas · Salinas, CA HC C Diff Amplified Probe | $95.00 | $95.00 | Jul 1, 2026 source file |
| Southern California Hospital at Culver City one side Culver City · Culver City, CA C. DIFF TOXINS QL RT-PCR | $95.00 | $95.00 | Mar 18, 2026 source file |
| Southern California Hospital at Hollywood one side Hollywood · Los Angeles-Long Beach-Anaheim, CA C. DIFF TOXINS QL RT-PCR | $95.00 | $95.00 | Mar 18, 2026 source file |
| Methodist Hospital of Sacramento Sacramento · Sacramento-Roseville-Folsom, CA IA CLOS DIFF TOXN AMP PRB | $97.79 | $404.00 | Sep 30, 2026 source file |
| Woodland Memorial Hospital Woodland · Sacramento-Roseville-Folsom, CA IA CLOS DIFF TOXN AMP PRB | $102.22 | $404.00 | Sep 30, 2026 source file |
| USC Arcadia Hospital Arcadia · Los Angeles-Long Beach-Anaheim, CA CLOSTRIDIUM DIFFICILE BY PCR | $110.25 | $315.00 | Jul 27, 2026 source file |
| Providence Holy Cross Medical Center Mission Hills · Los Angeles-Long Beach-Anaheim, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $112.35 | $321.00 | Apr 1, 2026 source file |
| UCI Health - Fountain Valley Orange · Los Angeles-Long Beach-Anaheim, CA C DIFF TOXIN AMP PROBE | $115.20 | $288.00 | Apr 1, 2026 source file |
| UCI Health - Placentia Linda Orange · Los Angeles-Long Beach-Anaheim, CA C DIFF TOXIN AMP PROBE | $115.20 | $288.00 | Apr 1, 2026 source file |
| Jerold Phelps Community Hospital Garberville · Eureka-Arcata, CA HC C DIFF AMPLIFIED PROBE | $115.37 | $144.21 | Aug 14, 2026 source file |
| Chinese Hospital San Francisco · San Francisco-Oakland-Fremont, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $117.00 | $117.00 | Jul 22, 2026 source file |
| Palomar Medical Center Escondido Escondido · San Diego-Chula Vista-Carlsbad, CA Clostridium difficile Toxin B by PC | $121.06 | $201.76 | Apr 1, 2026 source file |
| Palomar Medical Center Poway Poway · San Diego-Chula Vista-Carlsbad, CA Clostridium difficile Toxin B by PC | $121.06 | $201.76 | Apr 1, 2026 source file |
| St Mary Medical Center Apple Valley · Riverside-San Bernardino-Ontario, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $123.84 | $258.00 | Apr 1, 2026 source file |
| Pioneers Memorial Hospital Brawley · El Centro, CA C difficile/Epi (GeneXpert) | $123.90 | $354.00 | Feb 1, 2026 source file |
| Ojai Valley Community Hospital Ojai · Oxnard-Thousand Oaks-Ventura, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $127.80 | $213.00 | Jun 15, 2026 source file |
| Tri-City Medical Center Oceanside · San Diego-Chula Vista-Carlsbad, CA C difficile/Epi (GeneXpert) | $130.41 | $217.35 | May 29, 2026 source file |
| Redlands Community Hospital Redlands · Riverside-San Bernardino-Ontario, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $133.92 | $558.00 | Jun 19, 2026 source file |
| Northridge Hospital Medical Center Northridge · Northridge, CA IA CLOS DIFF TOXN AMP PRB | $134.62 | $501.00 | Sep 30, 2026 source file |
| Barstow Community Hospital Barstow · Riverside-San Bernardino-Ontario, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $135.97 | $226.62 | Sep 17, 2026 source file |
| Orchard Hospital Gridley · Chico, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $136.77 | $227.95 | Oct 23, 2026 source file |
| Dominican Hospital Santa Cruz · Santa Cruz-Watsonville, CA IA CLOS DIFF TOXN AMP PRB | $141.54 | $320.00 | Sep 30, 2026 source file |
| San Bernardino County Colton · Riverside-San Bernardino-Ontario, CA HC C.DIFF TOXIN B | $149.00 | $149.00 | Feb 25, 2026 source file |
| Hoag Memorial Hospital Presbyterian Newport Beach · Los Angeles-Long Beach-Anaheim, CA HC Clostridium Difficile Toxins Amplified Probe | $149.47 | $229.96 | Apr 1, 2026 source file |
| El Camino Hospital Mountain View · San Jose-Sunnyvale-Santa Clara, CA HC C-DIFF TOXIN, BY PCR | $152.00 | $608.00 | Apr 1, 2026 source file |
| Casa Colina Hospital and Centers for Healthcare Pomona · Los Angeles-Long Beach-Anaheim, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $152.10 | $117.00 | Oct 5, 2026 source file |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $152.88 | $294.00 | Apr 1, 2026 source file |
| St. John's Pleasant Valley Hospital Camarillo · Oxnard-Thousand Oaks-Ventura, CA IA CLOS DIFF TOXN AMP PRB | $157.57 | $378.00 | Sep 30, 2026 source file |
| St Jude Hospital Fullerton · Los Angeles-Long Beach-Anaheim, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $158.40 | $330.00 | Apr 1, 2026 source file |
| St Johns Regional Medical Center Oxnard · Oxnard-Thousand Oaks-Ventura, CA IA CLOS DIFF TOXN AMP PRB | $158.66 | $378.00 | Sep 30, 2026 source file |
| Mad River Community Hospital Arcata · Eureka-Arcata, CA CLOSTRIDIUM DIFFICILE TOXIN GENE NAA | $167.35 | $167.35 | Jul 22, 2025 source file |
| Valley Presbyterian Hospital Van Nuys · Los Angeles-Long Beach-Anaheim, CA C DIFF DNA ASSAY | $176.00 | $176.00 | Jul 9, 2026 source file |
| Grossmont Hospital La Mesa · San Diego-Chula Vista-Carlsbad, CA HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | Apr 1, 2026 source file |
| Sharp Chula Vista Medical Center Chula Vista · San Diego-Chula Vista-Carlsbad, CA HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | Apr 1, 2026 source file |
| Sharp Coronado Hospital and Healthcare Center Coronado · San Diego-Chula Vista-Carlsbad, CA HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | Apr 1, 2026 source file |
| Sharp Memorial Hospital San Diego · San Diego-Chula Vista-Carlsbad, CA HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | Apr 1, 2026 source file |
| Mission Hospital Regional Med Center Mission Viejo · Los Angeles-Long Beach-Anaheim, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $181.44 | $378.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Orange Orange · Los Angeles-Long Beach-Anaheim, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $181.44 | $378.00 | Apr 1, 2026 source file |
| San Antonio Regional Hospital Upland · Riverside-San Bernardino-Ontario, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $185.00 | $632.00 | Apr 2, 2026 source file |
| Fairchild Medical Center Yreka · Yreka, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $195.00 | $195.00 | Sep 24, 2026 source file |
| Plumas District Hospital Quincy · Quincy, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $200.80 | $251.00 | Nov 6, 2026 source file |
| Oroville Hospital Oroville · Chico, CA C. Difficile Amp. Dna | $203.00 | $406.00 | — source file |
| UCI Health - Lakewood Orange · Los Angeles-Long Beach-Anaheim, CA C DIFF TOXIN AMP PROBE | $204.00 | $510.00 | Apr 1, 2026 source file |
| Keck Hospital of USC Los Angeles · Los Angeles-Long Beach-Anaheim, CA C Diff Amplified Probe | $217.00 | $217.00 | Apr 1, 2026 source file |
| Providence Little Co of Mary Medical Center San Pedro San Pedro · Los Angeles-Long Beach-Anaheim, CA HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE LAB | $217.00 | $620.00 | Apr 1, 2026 source file |
| Providence Little Company of Mary Medical Center Torrance Torrance · Los Angeles-Long Beach-Anaheim, CA HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE LAB | $217.00 | $620.00 | Apr 1, 2026 source file |
| NorthBay Medical Center Fairfield · Vallejo, CA Clostridium Difficile Pcr | $223.00 | $223.00 | Apr 1, 2026 source file |
| Dameron Hospital Stockton · Stockton-Lodi, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $233.73 | $519.40 | Oct 13, 2026 source file |
| Palo Verde Hospital Blythe · Riverside-San Bernardino-Ontario, CA C difficile Toxin Gene NAA LC | $236.25 | $315.00 | Jul 1, 2026 source file |
| County of Monterey Salinas · Salinas, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $249.00 | $249.00 | Aug 14, 2026 source file |
| Saint Agnes Medical Center Fresno · Fresno, CA HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) | $257.40 | $396.00 | Mar 31, 2026 source file |
| USC Kenneth Norris Jr Cancer Hospital Los Angeles · Los Angeles-Long Beach-Anaheim, CA C Diff Amplified Probe | $258.00 | $258.00 | Apr 1, 2026 source file |
| Shriners Childrens - Northern California Sacramento · Sacramento-Roseville-Folsom, CA C DIFF AMPLIFIED PROBE | $271.20 | $271.20 | Mar 19, 2026 source file |
| Clovis Community Medical Center Clovis · Fresno, CA C DIFFICILE PCR | $272.00 | $340.00 | Jun 15, 2026 source file |
| Community Regional Medical Center Fresno · Fresno, CA C DIFFICILE PCR | $272.00 | $340.00 | Jun 18, 2026 source file |
| Fresno Heart and Surgical Hospital Fresno · Fresno, CA C DIFFICILE PCR | $272.00 | $340.00 | Jun 16, 2026 source file |
| Stanford Health Care Tri-Valley Pleasanton · San Francisco-Oakland-Fremont, CA HC Cdtpcr C Diff Toxin Amp Stl | $327.20 | $818.00 | Apr 1, 2026 source file |
| Sutter Lakeside Hospital Lakeport · Clearlake, CA HCHG C DIFF AMPLIFIED PROBE | $335.00 | $335.00 | Apr 1, 2026 source file |
| Sutter Amador Hospital Jackson · Jackson, CA HCHG CORE C DIFF AMPLIFIED PROBE | $336.00 | $336.00 | Apr 1, 2026 source file |
| Sutter Coast Hospital Crescent City · Crescent City, CA HCHG CORE C DIFF AMPLIFIED PROBE | $336.00 | $336.00 | Apr 1, 2026 source file |
| American Advanced - Glenn Medical Center Willows · Willows, CA INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CLOSTRIDIUM DIFFICILE, TOXIN GENE(S), AMPLIFIED PROBE TECHNIQUE | $340.83 | $568.05 | Oct 4, 2025 source file |
| Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $341.60 | $610.00 | Apr 1, 2026 source file |
| Childrens Hospital at Mission - Cerner Mission Viejo · Los Angeles-Long Beach-Anaheim, CA CLOSTRIDIOIDES DIFFICILE NAAT REFLEX TO TOX AG | $347.00 | $347.00 | Mar 18, 2026 source file |
| Petaluma Valley Hospital Petaluma · Santa Rosa-Petaluma, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $361.59 | $709.00 | Apr 1, 2026 source file |
| Memorial Hospital Los Banos Los Banos · Merced, CA HCHG C DIFF AMPLIFIED PROBE | $363.00 | $363.00 | Apr 1, 2026 source file |
| Providence Santa Rosa Memorial Hospital Santa Rosa · Santa Rosa-Petaluma, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $366.18 | $718.00 | Apr 1, 2026 source file |
| MarinHealth Medical Center Greenbrae · San Francisco-Oakland-Fremont, CA DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $370.20 | $617.00 | Mar 26, 2026 source file |
| Catalina Island Medical Center Avalon · Los Angeles-Long Beach-Anaheim, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $375.87 | $536.96 | Jul 20, 2026 source file |
| Los Robles Hospital and Medical Center Thousand Oaks · Oxnard-Thousand Oaks-Ventura, CA C DIFF TOX GENE AMP PROB | $386.66 | $386.66 | Sep 1, 2026 source file |
| Memorial Medical Center Modesto · Modesto, CA HCHG C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Auburn Faith Hospital Auburn · Sacramento-Roseville-Folsom, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Davis Hospital Davis · Sacramento-Roseville-Folsom, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Medical Center, Sacramento Sacramento · Sacramento-Roseville-Folsom, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Roseville Medical Center Roseville · Sacramento-Roseville-Folsom, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Surgical Hospital - North Valley Yuba City · Yuba City, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Sutter Tracy Community Hospital Tracy · Stockton-Lodi, CA HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | Apr 1, 2026 source file |
| Alta Bates Summit Medical Center Oakland · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Alta Bates Summit Medical Center - Alta Bates Camp Berkeley · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Alta Bates Summit Medical Center - Herrick Campus Berkeley · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| California Pacific Medical Center- Van Ness Campus San Francisco · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| California Pacific Medical Ctr-Davies Campus Hospital San Francisco · San Francisco-Oakland-Fremont, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Eden Medical Center Castro Valley · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Mills Health Center San Mateo · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Mills-Peninsula Medical Center Burlingame · San Francisco-Oakland-Fremont, CA HCHG C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Novato Community Hospital Novato · San Francisco-Oakland-Fremont, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Sutter Delta Medical Center Antioch · San Francisco-Oakland-Fremont, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Sutter Maternity & Surgery Center of Santa Cruz Santa Cruz · Santa Cruz-Watsonville, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Sutter Santa Rosa Regional Hospital Santa Rosa · Santa Rosa-Petaluma, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Sutter Solano Medical Center Vallejo · Vallejo, CA HCHG CORE C DIFF AMPLIFIED PROBE | $421.00 | $421.00 | Apr 1, 2026 source file |
| Stanford Health Care Stanford · San Jose-Sunnyvale-Santa Clara, CA HC Cdtpcr C Diff Toxin Amp Stl | $434.00 | $1,085.00 | Apr 1, 2026 source file |
| Watsonville Community Hospital Watsonville · Santa Cruz-Watsonville, CA C DIFF AMPLI PROBE | $443.88 | $739.80 | Oct 8, 2026 source file |
| Providence Cedars Sinai Tarzana Medical Center Tarzana · Los Angeles-Long Beach-Anaheim, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $487.90 | $1,394.00 | Apr 1, 2026 source file |
| Providence Queen of the Valley Medical Center Napa · Napa, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $503.88 | $988.00 | Apr 1, 2026 source file |
| Providence Redwood Memorial Hospital Fortuna · Eureka-Arcata, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $531.42 | $1,042.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Eureka · Eureka-Arcata, CA HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE | $537.54 | $1,054.00 | Apr 1, 2026 source file |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto · San Jose-Sunnyvale-Santa Clara, CA HC Cdtpcr C Diff Toxin Amp Stool | $542.50 | $1,085.00 | Mar 31, 2026 source file |
| Sonoma Valley Hospital Sonoma · Santa Rosa-Petaluma, CA Detection test by nucleic acid for clostridium difficile, amplified probe technique | $546.70 | $781.00 | May 22, 2026 source file |
| USC Verdugo Hills Hospital Glendale · Glendale, CA C Diff Amplified Probe | $651.50 | $651.50 | Apr 1, 2026 source file |
| Good Samaritan Hospital San Jose · San Jose-Sunnyvale-Santa Clara, CA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $776.69 | $776.69 | Sep 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Los Angeles-Long Beach-Anaheim, CA | 49 | $29.58 | $115.20 |
| San Francisco-Oakland-Fremont, CA | 26 | $29.93 | $341.60 |
| Riverside-San Bernardino-Ontario, CA | 24 | $18.96 | $87.30 |
| Sacramento-Roseville-Folsom, CA | 14 | $12.17 | $306.40 |
| San Diego-Chula Vista-Carlsbad, CA | 13 | $37.00 | $152.88 |
| San Jose-Sunnyvale-Santa Clara, CA | 6 | $152.00 | $387.80 |
| Santa Rosa-Petaluma, CA | 6 | $40.80 | $363.88 |
| Bakersfield-Delano, CA | 5 | $34.16 | $46.83 |
| Fresno, CA | 5 | $257.40 | $272.00 |
| Oxnard-Thousand Oaks-Ventura, CA | 5 | $85.20 | $157.57 |
| Eureka-Arcata, CA | 4 | $115.37 | $349.38 |
| Stockton-Lodi, CA | 4 | $25.56 | $287.66 |
| Vallejo, CA | 4 | $223.00 | $341.60 |
| Salinas, CA | 3 | $93.75 | $95.00 |
| Santa Cruz-Watsonville, CA | 3 | $141.54 | $421.00 |
| Chico, CA | 2 | $136.77 | $169.88 |
| Merced, CA | 2 | $48.73 | $205.86 |
| Modesto, CA | 2 | $341.60 | $369.30 |
| Redding, CA | 2 | $37.00 | $42.12 |
| Visalia, CA | 2 | $29.00 | $51.64 |
| Culver City, CA | 1 | $95.00 | $95.00 |
| Clearlake, CA | 1 | $335.00 | $335.00 |
| Crescent City, CA | 1 | $336.00 | $336.00 |
| El Centro, CA | 1 | $123.90 | $123.90 |
| Glendale, CA | 1 | $651.50 | $651.50 |
| Jackson, CA | 1 | $336.00 | $336.00 |
| Mt Shasta, CA | 1 | $71.52 | $71.52 |
| Northridge, CA | 1 | $134.62 | $134.62 |
| Napa, CA | 1 | $503.88 | $503.88 |
| Quincy, CA | 1 | $200.80 | $200.80 |
| Red Bluff, CA | 1 | $55.85 | $55.85 |
| San Andreas, CA | 1 | $62.99 | $62.99 |
| San Luis Obispo-Paso Robles, CA | 1 | $35.57 | $35.57 |
| Santa Maria-Santa Barbara, CA | 1 | $41.26 | $41.26 |
| Susanville, CA | 1 | $29.02 | $29.02 |
| Truckee-Grass Valley, CA | 1 | $18.12 | $18.12 |
| Weaverville, CA | 1 | $63.00 | $63.00 |
| Willows, CA | 1 | $340.83 | $340.83 |
| Yreka, CA | 1 | $195.00 | $195.00 |
| Yuba City, CA | 1 | $397.00 | $397.00 |
What C. diff test is, what the price covers and why prices differ: C. diff test explained.
C. difficile toxin gene test (stool PCR) in other states
- Alabama$98.00
- Alaska$234.00
- Arizona$72.90
- Arkansas$88.90
- Colorado$293.42
- Connecticut$146.48
- Delaware$409.92
- District of Columbia$210.35, 3 hospitals
- Florida$113.60
- Georgia$88.35
- Hawaii$299.65
- Idaho$166.00
- Illinois$185.40
- Indiana$133.00
- Iowa$116.46
- Kansas$111.85
- Kentucky$99.80
- Louisiana$74.72
- Maine$108.24
- Maryland$327.75
- Massachusetts$169.81
- Michigan$116.00
- Minnesota$139.42
- Mississippi$56.30
- Missouri$152.01
- Montana$168.51
- Nebraska$166.18
- Nevada$92.53
- New Hampshire$208.32
- New Jersey$42.86
- New Mexico$149.60
- New York$126.45
- North Carolina$125.61
- North Dakota$192.00
- Ohio$130.40
- Oklahoma$90.91
- Oregon$156.71
- Pennsylvania$207.60
- Puerto Rico$1,003.00, 1 hospital
- Rhode Island$104.40
- South Carolina$193.50
- South Dakota$208.00
- Tennessee$89.61
- Texas$175.50
- Utah$160.40
- Vermont$233.99
- Virginia$126.09
- Washington$180.75
- West Virginia$113.60
- Wisconsin$151.80
- Wyoming$155.25
Median cash price across the state's hospitals.