C. diff test cost in Virginia
In Virginia, 66 hospitals publish a cash price for C. difficile toxin gene test (stool PCR): from $35.00 to $483.00, with a median of $126.09. The lowest price is at Hospital for Extended Recovery (Norfolk) and 9 other hospitals. The highest price is 13.8× the lowest.
- The median here, $126.09, is 8% below the US median of $136.79.
- That is 3.4× Medicare's 2026 national rate for the same service ($37.27).
- Virginia ranks 20th of 50 states by median, cheapest first.
- 13 of 66 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 1, 2026. See them on a map
Lowest$35.00Hospital for Extended Recovery + 9 more
Median$126.09half of hospitals charge less
Highest$483.00in Virginia
Lowest saves$91.09vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hospital for Extended Recovery lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital lowest Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital lowest Charlottesville · Charlottesville, VA Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center lowest Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital lowest Suffolk · Suffolk, VA Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center lowest Harrisonburg · Harrisonburg, VA Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgl 87493 C.Diff Toxin Gene, Pcr | $40.00 | $80.00 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Clostridium Difficile By Pcr | $52.00 | $104.00 | Apr 1, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $52.50 | $175.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC C DIFF AMPLIFIED PROBE | $60.03 | $261.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC C DIFF AMPLIFIED PROBE | $60.03 | $261.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC C DIFF AMPLIFIED PROBE | $61.50 | $410.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC C DIFF AMPLIFIED PROBE | $61.50 | $410.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC C DIFF AMPLIFIED PROBE | $61.50 | $410.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC C DIFF AMPLIFIED PROBE | $61.50 | $410.00 | Mar 23, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $85.20 | $284.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB CLOSTRIDIUM DIFFICILE TOXINGENES | $90.30 | $258.00 | Dec 15, 2025 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $100.45 | $251.13 | Jul 10, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC C Diff Toxin a/B | $102.61 | $205.22 | Mar 11, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So Clost Diff,Toxin Gene,Amp Prbe | $109.50 | $365.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV C diff amplified probe | $116.00 | $232.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV C diff amplified probe | $116.00 | $232.00 | Dec 30, 2024 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $122.58 | $306.44 | Jul 14, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC So Clost Diff,Toxin Gene,Amp Prbe | $129.60 | $216.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $155.20 | $388.00 | Jul 14, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA C DIFF GENE NAA 183988 | $156.31 | $223.30 | Mar 25, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $156.80 | $392.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $156.80 | $392.00 | Jul 10, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Inf Agent Det Nucleic Acid Clostridium Amp Prob | $159.36 | $265.60 | Jul 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $167.17 | $417.93 | Jul 10, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC C.DIFICILE TOXIN, PCR | $171.76 | $190.84 | Mar 17, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Clost Diff,Toxin Gene,Amp Prbe | $174.00 | $290.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Clost Diff,Toxin Gene,Amp Prbe | $174.00 | $290.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $192.00 | $320.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG NA CLOSTRIDIUM DIF TOXIN AMP | $204.00 | $408.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG NA CLOSTRIDIUM DIF TOXIN AMP | $204.00 | $408.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG NA CLOSTRIDIUM DIF TOXIN AMP | $204.00 | $408.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG NA CLOSTRIDIUM DIF TOXIN AMP | $204.00 | $408.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG NA CLOSTRIDIUM DIF TOXIN AMP | $204.00 | $408.00 | Apr 1, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC So Clost Diff,Toxin Gene,Amp Prbe | $213.60 | $356.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC So Clost Diff,Toxin Gene,Amp Prbe | $213.60 | $356.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $213.60 | $356.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $213.60 | $356.00 | Apr 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV C DIFF TOX B NAP1 ST AMP | $348.75 | $348.75 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA C DIFF TOX B NAP1 ST AMP | $349.00 | $349.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV C DIFF TOX B NAP1 ST AMP | $354.24 | $354.24 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV C DIFF TOX B NAP1 ST AMP | $355.21 | $355.21 | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA C DIFF TOX GENE AMP PROB | $448.00 | $448.00 | Sep 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA C DIFF TOX GENE AMP PROB | $452.00 | $452.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA C DIFF TOX GENE AMP PROB | $453.00 | $453.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA C DIFF TOX B NAP1 ST AMP | $483.00 | $483.00 | Sep 1, 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 |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $35.00 | $68.80 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $35.00 | $204.00 |
| Richmond, VA | 11 | $109.50 | $349.00 |
| Roanoke, VA | 6 | $52.50 | $90.30 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $90.30 | $448.00 |
| Bluefield, WV-VA | 2 | $90.30 | $106.44 |
| Big Stone Gap, VA | 1 | $61.50 | $61.50 |
| Clintwood, VA | 1 | $60.03 | $60.03 |
| Charlottesville, VA | 1 | $35.00 | $35.00 |
| Danville, VA | 1 | $156.80 | $156.80 |
| Emporia, VA | 1 | $85.20 | $85.20 |
| Galax, VA | 1 | $167.17 | $167.17 |
| Hot Springs, VA | 1 | $156.31 | $156.31 |
| Harrisonburg, VA | 1 | $35.00 | $35.00 |
| Kilmarnock, VA | 1 | $129.60 | $129.60 |
| Kingsport-Bristol, TN-VA | 1 | $61.50 | $61.50 |
| Lebanon, VA | 1 | $61.50 | $61.50 |
| Lexington, VA | 1 | $90.30 | $90.30 |
| Low Moor, VA | 1 | $483.00 | $483.00 |
| Marion, VA | 1 | $61.50 | $61.50 |
| Martinsville, VA | 1 | $156.80 | $156.80 |
| Pennington Gap, VA | 1 | $60.03 | $60.03 |
| South Boston, VA | 1 | $40.00 | $40.00 |
| Suffolk, VA | 1 | $35.00 | $35.00 |
| Staunton-Stuarts Draft, VA | 1 | $52.00 | $52.00 |
| Wytheville, VA | 1 | $100.45 | $100.45 |
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 Carolina$125.61
- 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
- Washington$175.50
- West Virginia$113.60
- Wisconsin$151.80
- Wyoming$155.25
Median cash price across the state's hospitals.