Medicare Coverage Lookup

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

Data Note: Medicare rates shown are from the 2023 CMS Clinical Lab Fee Schedule (CLFS). Lab charge ranges reflect 2023 national pricing data. 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)

Medicare: $14.35

Lab charge range: $45.00–$237.00

Markup: 214%–1552%

Complete Blood Count with Differential (CBC)

Medicare: $7.77

Lab charge range: $30.00–$124.00

Markup: 286%–1496%

Lipid Panel

Medicare: $13.39

Lab charge range: $50.00–$177.00

Markup: 273%–1222%

Hemoglobin A1c (HbA1c)

Medicare: $11.78

Lab charge range: $40.00–$130.00

Markup: 240%–1003%

Basic Metabolic Panel (BMP)

Medicare: $9.64

Lab charge range: $35.00–$148.00

Markup: 263%–1435%

Thyroid Stimulating Hormone (TSH)

Medicare: $16.80

Lab charge range: $60.00–$220.00

Markup: 257%–1210%

Urinalysis, Automated

Medicare: $2.92

Lab charge range: $15.00–$67.00

Markup: 414%–2195%

Vitamin D, 25-Hydroxy

Medicare: $29.04

Lab charge range: $65.00–$298.00

Markup: 124%–926%

Testosterone, Total

Medicare: $25.10

Lab charge range: $89.00–$350.00

Markup: 255%–1294%

Hepatic Function Panel

Medicare: $10.41

Lab charge range: $40.00–$170.00

Markup: 284%–1534%

Glucose, Blood

Medicare: $4.52

Lab charge range: $20.00–$75.00

Markup: 343%–1560%

CBC without Differential

Medicare: $6.47

Lab charge range: $25.00–$100.00

Markup: 286%–1446%

PSA (Prostate Specific Antigen)

Medicare: $18.73

Lab charge range: $65.00–$240.00

Markup: 247%–1181%

Ferritin

Medicare: $16.39

Lab charge range: $55.00–$210.00

Markup: 236%–1181%

Vitamin B12 (Cyanocobalamin)

Medicare: $14.49

Lab charge range: $50.00–$195.00

Markup: 245%–1246%

T3, Total (Triiodothyronine)

Medicare: $11.27

Lab charge range: $45.00–$165.00

Markup: 299%–1364%

CK / CPK (Creatine Kinase)

Medicare: $8.34

Lab charge range: $30.00–$110.00

Markup: 260%–1219%

C-Reactive Protein (CRP)

Medicare: $5.09

Lab charge range: $25.00–$95.00

Markup: 391%–1766%

Magnesium

Medicare: $6.31

Lab charge range: $25.00–$85.00

Markup: 296%–1247%

Folate (Folic Acid)

Medicare: $14.49

Lab charge range: $45.00–$170.00

Markup: 211%–1073%

Have a Lab Bill? Compare It Now

Check My Bill