Medicare Coverage Lookup

See what Medicare pays for common lab tests — and what labs actually charge.

Data Note: Medicare rates shown are from the current CMS Clinical Laboratory Fee Schedule (CLFS), updated annually by CMS. Lab charge ranges reflect 2023 Medicare claims data (most recent available). As we build out our database from GougeStop usage (no patient information is collected), we’ll enhance this tool with real-world pricing data.

Comprehensive Metabolic Panel (CMP)

CPT 80053
Medicare: $14.35
Lab charge range: $45.00–$237.00
Markup: 214%–1552%
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Complete Blood Count with Differential (CBC)

CPT 85025
Medicare: $7.77
Lab charge range: $30.00–$124.00
Markup: 286%–1496%
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Lipid Panel

CPT 80061
Medicare: $13.39
Lab charge range: $50.00–$177.00
Markup: 273%–1222%
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Hemoglobin A1c (HbA1c)

CPT 83036
Medicare: $11.78
Lab charge range: $40.00–$130.00
Markup: 240%–1003%
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Basic Metabolic Panel (BMP)

CPT 80048
Medicare: $9.64
Lab charge range: $35.00–$148.00
Markup: 263%–1435%
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Thyroid Stimulating Hormone (TSH)

CPT 84443
Medicare: $16.80
Lab charge range: $60.00–$220.00
Markup: 257%–1210%
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Urinalysis, Automated

CPT 81003
Medicare: $2.92
Lab charge range: $15.00–$67.00
Markup: 414%–2195%
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Vitamin D, 25-Hydroxy

CPT 82306
Medicare: $29.04
Lab charge range: $65.00–$298.00
Markup: 124%–926%
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Testosterone, Total

CPT 84403
Medicare: $25.10
Lab charge range: $89.00–$350.00
Markup: 255%–1294%
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Hepatic Function Panel

CPT 80076
Medicare: $10.41
Lab charge range: $40.00–$170.00
Markup: 284%–1534%
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Glucose, Blood

CPT 82947
Medicare: $4.52
Lab charge range: $20.00–$75.00
Markup: 343%–1560%
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CBC without Differential

CPT 85027
Medicare: $6.47
Lab charge range: $25.00–$100.00
Markup: 286%–1446%
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PSA (Prostate Specific Antigen)

CPT 84153
Medicare: $18.73
Lab charge range: $65.00–$240.00
Markup: 247%–1181%
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Ferritin

CPT 82728
Medicare: $16.39
Lab charge range: $55.00–$210.00
Markup: 236%–1181%
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Vitamin B12 (Cyanocobalamin)

CPT 82607
Medicare: $14.49
Lab charge range: $50.00–$195.00
Markup: 245%–1246%
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T3, Total (Triiodothyronine)

CPT 84480
Medicare: $11.27
Lab charge range: $45.00–$165.00
Markup: 299%–1364%
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CK / CPK (Creatine Kinase)

CPT 82550
Medicare: $8.34
Lab charge range: $30.00–$110.00
Markup: 260%–1219%
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C-Reactive Protein (CRP)

CPT 86140
Medicare: $5.09
Lab charge range: $25.00–$95.00
Markup: 391%–1766%
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Magnesium

CPT 83735
Medicare: $6.31
Lab charge range: $25.00–$85.00
Markup: 296%–1247%
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Folate (Folic Acid)

CPT 82746
Medicare: $14.49
Lab charge range: $45.00–$170.00
Markup: 211%–1073%
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