Mayo alkaloids definitive assay nicotine/cotinine cost at US hospitals
HC Mayo Alkaloids Definitive Assay Nicotine/Cotinine · CPT 80323
$9.52
lowest cash price
$112.77
national median
$1,029.41
highest cash price
597
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $9.52–$1,029.41 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($158.70) → Sep 1, 2026 ($155.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $53.82 | $140.28 | $161.46 |
| Arizona | 17 | $13.44 | $25.28 | $68.62 |
| Arkansas | 9 | $63.05 | $89.05 | $264.00 |
| California | 63 | $9.52 | $80.08 | $248.56 |
| Colorado | 10 | $22.81 | $74.54 | $376.72 |
| Florida | 81 | $16.00 | $137.80 | $661.44 |
| Georgia | 22 | $186.03 | $552.00 | $552.00 |
| Hawaii | 2 | $98.25 | $98.25 | $104.32 |
| Illinois | 49 | $45.00 | $173.40 | $335.00 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 30 | $72.14 | $101.40 | $278.00 |
| Kansas | 9 | $42.40 | $141.70 | $587.95 |
| Kentucky | 7 | $218.39 | $264.76 | $375.30 |
| Louisiana | 3 | $83.98 | $83.98 | $83.98 |
| Maine | 7 | $96.10 | $99.00 | $227.00 |
| Maryland | 1 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 27 | $80.37 | $155.00 | $190.40 |
| Minnesota | 7 | $88.80 | $88.80 | $88.80 |
| Mississippi | 10 | $26.04 | $107.40 | $166.92 |
| Missouri | 19 | $67.50 | $151.25 | $309.65 |
| Montana | 2 | $75.20 | $75.20 | $75.20 |
| Nebraska | 13 | $28.06 | $138.18 | $224.93 |
| Nevada | 1 | $58.32 | $58.32 | $58.32 |
| New Hampshire | 1 | $163.00 | $163.00 | $163.00 |
| New Jersey | 21 | $38.18 | $48.51 | $58.87 |
| New York | 21 | $188.66 | $211.72 | $417.00 |
| North Carolina | 13 | $171.70 | $171.70 | $226.59 |
| North Dakota | 3 | $88.80 | $88.80 | $88.80 |
| Ohio | 46 | $70.00 | $270.75 | $386.10 |
| Oklahoma | 5 | $63.05 | $244.20 | $336.60 |
| Oregon | 12 | $16.28 | $47.25 | $93.75 |
| Pennsylvania | 7 | $61.20 | $61.20 | $201.60 |
| South Carolina | 11 | $34.80 | $268.50 | $471.00 |
| South Dakota | 5 | $88.80 | $88.80 | $112.00 |
| Tennessee | 35 | $21.85 | $22.35 | $167.98 |
| Texas | 89 | $10.68 | $99.72 | $1,029.41 |
| Virginia | 18 | $21.85 | $22.35 | $22.35 |
| Washington | 24 | $14.00 | $78.00 | $176.46 |
| West Virginia | 16 | $47.50 | $70.00 | $207.50 |
| Wisconsin | 35 | $33.00 | $172.25 | $344.30 |
| Wyoming | 4 | $74.41 | $76.44 | $80.47 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $151.25 | $24.66 – $65.73 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $151.25 | $24.66 – $65.73 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $151.25 | $24.66 – $65.73 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $151.25 | $24.66 – $65.73 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $151.25 | $24.66 – $65.73 |
| Providence Valdez Medical Center | Valdez, AK | $153.66 | not published |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $155.00 | $0.01 – $19.44 |
| Corewell Health Taylor | Taylor, MI | $155.00 | $0.01 – $19.44 |
| Corewell Health Trenton | Trenton, MI | $155.00 | $0.01 – $19.44 |
| Corewell Health Troy | Troy, MI | $155.00 | $0.01 – $20.24 |
| Corewell Health Wayne | Wayne, MI | $155.00 | $0.01 – $19.44 |
| MercyOne Centerville Medical Center | Centerville, IA | $156.00 | $42.81 – $156.00 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $156.00 | $13.77 – $165.75 |
| Adventhealth Dade City | Dade City, FL | $156.20 | not published |
| Stephens Memorial Hospital | Norway, ME | $158.70 | $20.35 – $149.18 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $159.62 | $0.01 – $76.00 |
| Grant Memorial Hospital | Petersburg, WV | $160.00 | not published |
| Providence Alaska Medical Center | Anchorage, AK | $161.46 | $0.02 – $0.02 |
| MaineHealth - Memorial Hospital | North Conway, NH | $163.00 | $8.21 – $88.92 |
| HCA HOUSTON CONROE | CONROE, TX | $163.13 | $0.07 – $98.98 |
| Corewell Health Pennock | Hastings, MI | $164.00 | $0.01 – $0.01 |
| Corewell Health Big Rapids | Big Rapids, MI | $164.00 | $0.01 – $0.01 |
| Corewell Health Gerber | Fremont, MI | $164.00 | $0.01 – $0.01 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $164.00 | $0.01 – $47.67 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $164.00 | $0.01 – $47.67 |
| Corewell Health Reed City | Po Box 75, MI | $164.00 | $0.01 – $0.01 |
| Corewell Health Greenville | Greenville, MI | $164.00 | $0.01 – $0.01 |
| Corewell Health Zeeland | Zeeland, MI | $164.00 | $0.01 – $36.77 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $165.00 | not published |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $165.00 | not published |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $166.92 | $76.00 – $76.00 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $167.13 | not published |
| OSF St Joseph Medical Center | Bloomington, IL | $167.40 | not published |
| HORIZON MEDICAL CENTER | DICKSON, TN | $167.98 | $0.01 – $0.01 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $168.30 | $0.01 – $44.18 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | $171.00 | $145.52 – $148.58 |
| Atrium Health Anson | Wadesboro, NC | $171.70 | $51.37 – $326.23 |
| Atrium Health Mercy | Charlotte, NC | $171.70 | $74.90 – $315.93 |
| Atrium Health Pineville | Charlotte, NC | $171.70 | $34.34 – $315.93 |
| Atrium Health Stanly | Albermarle, NC | $171.70 | $41.21 – $329.66 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $171.70 | $65.25 – $343.40 |
| Atrium Health Cleveland | Shelby, NC | $171.70 | $48.08 – $326.23 |
| Atrium Health Cabarrus | Concord, NC | $171.70 | $42.14 – $326.23 |
| Atrium Health Lincoln | Lincolnton, NC | $171.70 | $38.74 – $326.23 |
| Atrium Health Union | Monroe, NC | $171.70 | $44.64 – $326.23 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $171.70 | $105.05 – $315.93 |
| Atrium Health University City | Charlotte, NC | $171.70 | $34.34 – $315.93 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $171.70 | $74.90 – $309.06 |
| Adventhealth Ocala | Ocala, FL | $172.21 | not published |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $172.25 | $31.67 – $79.09 |