C. diff test cost in North Carolina
In North Carolina, 52 hospitals publish a cash price for C. difficile toxin gene test (stool PCR): from $35.00 to $391.50, with a median of $125.61. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 11.2× the lowest.
- The median here, $125.61, is 8% below the US median of $136.79.
- That is 3.4× Medicare's 2026 national rate for the same service ($37.27).
- North Carolina ranks 19th of 50 states by median, cheapest first.
- 5 of 52 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 87493. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$35.00Sentara Albemarle Regional Medical Center
Median$125.61half of hospitals charge less
Highest$391.50in North Carolina
Lowest saves$90.61vs 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 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $38.40 | $64.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $38.40 | $64.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $38.40 | $64.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $38.40 | $64.00 | Mar 21, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC C Diff Amplified Probe | $44.80 | $80.00 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC C Diff Amplified Probe | $50.92 | $134.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC C Diff Amplified Probe | $50.92 | $134.00 | Feb 11, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC C Difficile Naat | $52.50 | $75.00 | Jan 25, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC C Diff Amplified Probe-Ref | $66.08 | $118.00 | Apr 1, 2026 source file |
| Duke University Hospital Durham · Durham, NC C Difficile Toxin Ampl Probe | $67.77 | $251.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC C Difficile Toxin Ampl Probe | $67.77 | $251.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC C Difficile Toxin Ampl Probe | $67.77 | $251.00 | Apr 1, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Detection test by nucleic acid for clostridium difficile, amplified probe technique | $68.60 | $98.00 | Nov 2, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC AMP PROBE CLOSTRIDIUM | $71.00 | $142.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC AMP PROBE CLOSTRIDIUM | $74.00 | $148.00 | Oct 30, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC C Diff Amplified Probe | $78.96 | $141.00 | Apr 1, 2026 source file |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC C.Difficile/EPI by PCR | $89.64 | $332.00 | Dec 31, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC AMP PROBE CLOSTRIDIUM | $91.50 | $183.00 | Oct 8, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC AMP PROBE CLOSTRIDIUM | $96.50 | $193.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC AMP PROBE CLOSTRIDIUM | $97.00 | $194.00 | Oct 30, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC AMP PROBE CLOSTRIDIUM | $101.00 | $202.00 | Oct 28, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC C Diff Amplified Probe | $102.48 | $183.00 | Apr 1, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $107.75 | $269.38 | Jul 10, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC C Diff Amplified Probe-Ref | $109.20 | $195.00 | Apr 1, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC C Diff Amplified Probe | $125.61 | $237.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC C Diff Amplified Probe | $125.61 | $237.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC C Diff Amplified Probe-Ref | $133.84 | $239.00 | Apr 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $137.20 | $343.00 | Jul 10, 2026 source file |
| Harris Regional Hospital Sylva · Sylva, NC Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $142.82 | $357.06 | Jul 10, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC C difficile Toxin Gene NAA LC | $145.00 | $207.14 | Sep 1, 2025 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC C Diff Amplified Probe | $165.76 | $296.00 | Apr 1, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC C DIFF GENE TOXIN AMP PROBE | $180.00 | $900.00 | Dec 30, 2024 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC C DIFF AMPLIFIED PROBE | $184.05 | $460.13 | Jul 8, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC C Difficile Toxin Ampl Probe | $193.05 | $715.00 | Apr 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR | $278.88 | $278.88 | Apr 1, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC CLOSTRIDIOIDES DIFFICILE TCDB GENE PCR STOOL - ARUP | $293.00 | $293.00 | Apr 1, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG CLOSTRIDIUM DIFFICILE AMP PROBE | $309.00 | $309.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG CLOSTRIDIUM DIFFICILE AMP PROBE | $309.00 | $309.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG CLOSTRIDIUM DIFFICILE AMP PROBE | $309.00 | $309.00 | May 11, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $322.40 | $806.00 | Jul 10, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC AMP PROBE CLOSTRIDIUM | $381.00 | $762.00 | Oct 30, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC AMP PROBE CLOSTRIDIUM | $391.50 | $783.00 | Oct 29, 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 | $89.64 | $391.50 |
| Raleigh-Cary, NC | 3 | $50.92 | $50.92 |
| Winston-Salem, NC | 3 | $91.50 | $96.50 |
| Durham-Chapel Hill, NC | 2 | $67.77 | $195.08 |
| Fayetteville, NC | 2 | $38.40 | $38.40 |
| Ahoskie, NC | 1 | $78.96 | $78.96 |
| Asheboro, NC | 1 | $180.00 | $180.00 |
| Albemarle, NC | 1 | $391.50 | $391.50 |
| Anderson Creek, NC | 1 | $38.40 | $38.40 |
| Asheville, NC | 1 | $293.00 | $293.00 |
| Clinton, NC | 1 | $68.60 | $68.60 |
| Columbus, NC | 1 | $278.88 | $278.88 |
| Durham, NC | 1 | $67.77 | $67.77 |
| Edenton, NC | 1 | $102.48 | $102.48 |
| Elizabethtown, NC | 1 | $38.40 | $38.40 |
| Elizabeth City, NC | 1 | $35.00 | $35.00 |
| Forest City, NC | 1 | $107.75 | $107.75 |
| Greensboro-High Point, NC | 1 | $381.00 | $381.00 |
| Greenville, NC | 1 | $125.61 | $125.61 |
| Hickory-Lenoir-Morganton, NC | 1 | $184.05 | $184.05 |
| Kenansville, NC | 1 | $133.84 | $133.84 |
| Kill Devil Hills, NC | 1 | $66.08 | $66.08 |
| Laurinburg, NC | 1 | $101.00 | $101.00 |
| Murphy, NC | 1 | $52.50 | $52.50 |
| Mount Airy, NC | 1 | $74.00 | $74.00 |
| North Wilkesboro, NC | 1 | $71.00 | $71.00 |
| Roanoke Rapids, NC | 1 | $165.76 | $165.76 |
| Rocky Mount, NC | 1 | $44.80 | $44.80 |
| Sylva, NC | 1 | $142.82 | $142.82 |
| Shelby-Kings Mountain, NC | 1 | $391.50 | $391.50 |
| Whiteville, NC | 1 | $145.00 | $145.00 |
| Windsor, NC | 1 | $109.20 | $109.20 |
| Washington, NC | 1 | $125.61 | $125.61 |
| Wilson, NC | 1 | $137.20 | $137.20 |
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 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
- California$152.88
- 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$55.60
- 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 Dakota$192.00
- Ohio$130.40
- Oklahoma$96.00
- 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$175.50
- West Virginia$113.60
- Wisconsin$151.80
- Wyoming$155.25
Median cash price across the state's hospitals.