Rapid strep test cost in North Carolina
In North Carolina, 52 hospitals publish a cash price for rapid strep A antigen test from a throat swab, read visually: from $13.89 to $179.00, with a median of $57.25. The lowest price is at Harris Regional Hospital (Sylva). The highest price is 12.9× the lowest.
- The median here, $57.25, is 3% below the US median of $59.00.
- That is 3.5× Medicare's 2026 national rate for the same service ($16.53).
- North Carolina ranks 26th 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 87880. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$13.89Harris Regional Hospital
Median$57.25half of hospitals charge less
Highest$179.00in North Carolina
Lowest saves$43.36vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Harris Regional Hospital lowest Sylva · Sylva, NC Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $13.89 | $34.72 | Jul 10, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Strep a Immunoassay W/Optical Obs | $22.42 | $59.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Strep a Immunoassay W/Optical Obs | $22.42 | $59.00 | Feb 11, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Strep A Assay W/Optic | $23.80 | $35.00 | Nov 12, 2025 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC Strep a Assay W/Optic | $23.85 | $45.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC Strep a Assay W/Optic | $23.85 | $45.00 | Apr 1, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC STREP A ASSAY W/OPTIC | $25.50 | $51.00 | Aug 12, 2025 source file |
| Duke University Hospital Durham · Durham, NC Strep a W Dir Optic Obs | $33.48 | $124.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Strep a W Dir Optic Obs | $33.48 | $124.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Strep a W Dir Optic Obs | $33.48 | $124.00 | Apr 1, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC RAPID STREP SCREEN | $37.80 | $189.00 | Dec 30, 2024 source file |
| Wilson Medical Center Wilson · Wilson, NC Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $42.40 | $106.00 | Jul 10, 2026 source file |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC Group A Strep Rapid Test | $44.01 | $163.00 | Dec 31, 2025 source file |
| Highlands-Cashiers Hospital Highlands · Highlands, NC Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $44.43 | $44.43 | Sep 1, 2026 source file |
| Mission Hospital McDowell Marion · Marion, NC STREP A OPTICAL IA | $44.43 | $44.43 | Sep 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Strep a Assay W/Optic | $48.16 | $86.00 | Apr 1, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $50.45 | $126.12 | Jul 10, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC Strep a Assay W/Optic | $50.96 | $91.00 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC Strep a Assay W/Optic | $52.08 | $93.00 | Apr 1, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC STREP A ASSAY W/OPTIC | $52.50 | $105.00 | Oct 8, 2025 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC Strep a Assay W/Optic | $52.64 | $94.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC Strep a Assay W/Optic | $54.88 | $98.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC Strep a Assay W/Optic | $54.88 | $98.00 | Apr 1, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC STREP A ASSAY W/OPTIC | $55.50 | $111.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC STREP A ASSAY W/OPTIC | $55.50 | $111.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC STREP A ASSAY W/OPTIC | $56.50 | $113.00 | Oct 30, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC STREP A ASSAY W/OPTIC | $58.00 | $116.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC STREP A ASSAY W/OPTIC | $60.50 | $121.00 | Oct 30, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC Strep a Assay W/Optic | $62.72 | $112.00 | Apr 1, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Chgl Strep Screen Stat | $69.50 | $139.00 | Apr 1, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC STREP A ASSAY W/OPTIC | $82.50 | $165.00 | Oct 28, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC STREP SCREEN THROAT | $84.96 | $121.37 | Sep 1, 2025 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $93.20 | $233.00 | Jul 10, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $98.07 | $98.07 | Apr 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC STREP A ASSAY W/OPTIC | $100.80 | $168.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC STREP A ASSAY W/OPTIC | $100.80 | $168.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC STREP A ASSAY W/OPTIC | $100.80 | $168.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC STREP A ASSAY W/OPTIC | $100.80 | $168.00 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC STREP A ASSAY W/OPTIC | $100.80 | $168.00 | Mar 22, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC STREP A ASSAY W/OPTIC | $110.00 | $220.00 | Oct 29, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Grp a Strep Assay W/Optic Obs | $119.00 | $170.00 | Jan 25, 2026 source file |
| Mission Hospital Asheville · Asheville, NC STREP A OPTICAL IA | $174.10 | $174.10 | Sep 1, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $179.00 | $179.00 | Apr 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 9 | $44.01 | $110.00 |
| Fayetteville, NC | 3 | $100.80 | $100.80 |
| Raleigh-Cary, NC | 3 | $22.42 | $22.42 |
| Winston-Salem, NC | 3 | $52.50 | $55.50 |
| Asheville, NC | 2 | $174.10 | $176.55 |
| Durham-Chapel Hill, NC | 2 | $33.48 | $63.34 |
| Mount Airy, NC | 2 | $23.80 | $42.15 |
| Ahoskie, NC | 1 | $54.88 | $54.88 |
| Asheboro, NC | 1 | $37.80 | $37.80 |
| Albemarle, NC | 1 | $110.00 | $110.00 |
| Anderson Creek, NC | 1 | $100.80 | $100.80 |
| Columbus, NC | 1 | $98.07 | $98.07 |
| Durham, NC | 1 | $33.48 | $33.48 |
| Edenton, NC | 1 | $52.08 | $52.08 |
| Elizabethtown, NC | 1 | $100.80 | $100.80 |
| Elizabeth City, NC | 1 | $69.50 | $69.50 |
| Forest City, NC | 1 | $50.45 | $50.45 |
| Greensboro-High Point, NC | 1 | $55.50 | $55.50 |
| Greenville, NC | 1 | $23.85 | $23.85 |
| Highlands, NC | 1 | $44.43 | $44.43 |
| Kenansville, NC | 1 | $50.96 | $50.96 |
| Kill Devil Hills, NC | 1 | $54.88 | $54.88 |
| Laurinburg, NC | 1 | $82.50 | $82.50 |
| Murphy, NC | 1 | $119.00 | $119.00 |
| Marion, NC | 1 | $44.43 | $44.43 |
| North Wilkesboro, NC | 1 | $58.00 | $58.00 |
| Roanoke Rapids, NC | 1 | $62.72 | $62.72 |
| Rocky Mount, NC | 1 | $48.16 | $48.16 |
| Sparta, NC | 1 | $25.50 | $25.50 |
| Sylva, NC | 1 | $13.89 | $13.89 |
| Shelby-Kings Mountain, NC | 1 | $110.00 | $110.00 |
| Whiteville, NC | 1 | $84.96 | $84.96 |
| Windsor, NC | 1 | $52.64 | $52.64 |
| Washington, NC | 1 | $23.85 | $23.85 |
| Wilson, NC | 1 | $42.40 | $42.40 |
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 rapid strep test is, what the price covers and why prices differ: Rapid strep test explained.
Rapid strep A antigen test from a throat swab, read visually in other states
- Alabama$43.16
- Alaska$87.87
- Arizona$30.50
- Arkansas$26.65
- California$107.89
- Colorado$142.19
- Connecticut$46.63
- Delaware$114.75
- District of Columbia$102.00, 3 hospitals
- Florida$114.40
- Georgia$72.10
- Hawaii$55.50
- Idaho$61.51
- Illinois$61.00
- Indiana$77.70
- Iowa$53.90
- Kansas$72.00
- Kentucky$59.26
- Louisiana$26.55
- Maine$39.60
- Maryland$72.37
- Massachusetts$64.37
- Michigan$53.55
- Minnesota$54.56
- Mississippi$34.50
- Missouri$45.01
- Montana$48.75
- Nebraska$48.90
- Nevada$35.77
- New Hampshire$77.90
- New Jersey$18.18
- New Mexico$66.00
- New York$40.00
- North Dakota$78.65
- Ohio$57.20
- Oklahoma$48.56
- Oregon$54.75
- Pennsylvania$63.30
- Puerto Rico$37.50
- Rhode Island$27.65, 4 hospitals
- South Carolina$87.50
- South Dakota$75.65
- Tennessee$36.00
- Texas$98.80
- Utah$112.60
- Vermont$67.00
- Virginia$89.50
- Washington$72.05
- West Virginia$40.75
- Wisconsin$45.58
- Wyoming$53.25
Median cash price across the state's hospitals.