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Procedure price report · Other Laboratory

Definitive drug test for fentanyl

CPT 80354the billing code this page is about

A laboratory test on blood or urine that confirms and measures fentanyl and its breakdown product; billed once per date of service for this drug.

Hospitals typically charge $73 cash for this outpatient procedure — the median across 1,753 hospitals that filed a usable cash price; the average of the middle 60% is $81. Most fall between $26 and $165 (20th–80th percentile).

Hospitals
1,753
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,753 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$13$32$73$141$252

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($13 vs $252).

How the prices are spread

$7 – $10: 58 hospitals$7$10 – $15: 88 hospitals$15 – $23: 85 hospitals$15$23 – $34: 138 hospitals$34 – $50: 170 hospitals$34$50 – $73: 256 hospitals$73 – $109: 264 hospitals$73$109 – $161: 248 hospitals$161 – $238: 164 hospitals$161$238 – $352: 108 hospitals$238median $73price bands are equal on a log scale
Hospitals per price band (1,579 of 1,753 — the bands cover the 5th to 95th percentile)
FromToHospitals
$7$1058
$10$1588
$15$2385
$23$34138
$34$50170
$50$73256
$73$109264
$109$161248
$161$238164
$238$352108

By state

The median cash price in each state, against the national median of $73.

Alaska: median $118 across 13 hospitalsAK$118Maine: median $59 across 20 hospitalsME$59Vermont: median $58 across 10 hospitalsVT$58New Hampshire: median $122 across 13 hospitalsNH$122Washington: median $64 across 47 hospitalsWA$64Idaho: median $88 across 12 hospitalsID$88Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $54 across 16 hospitalsND$54Minnesota: median $60 across 55 hospitalsMN$60Illinois: median $113 across 95 hospitalsIL$113Wisconsin: median $69 across 81 hospitalsWI$69Michigan: median $53 across 49 hospitalsMI$53New York: median $70 across 64 hospitalsNY$70Massachusetts: median $105 across 38 hospitalsMA$105Oregon: median $56 across 37 hospitalsOR$56Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $72 across 29 hospitalsIA$72Indiana: median $114 across 53 hospitalsIN$114Ohio: median $28 across 87 hospitalsOH$28Pennsylvania: median $176 across 54 hospitalsPA$176New Jersey: median $57 across 34 hospitalsNJ$57Connecticut: median $38 across 11 hospitalsCT$38Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $55 across 93 hospitalsCA$55Utah: median $143 across 28 hospitalsUT$143Colorado: median $120 across 27 hospitalsCO$120Nebraska: median $72 across 24 hospitalsNE$72Missouri: median $46 across 46 hospitalsMO$46Kentucky: median $81 across 32 hospitalsKY$81West Virginia: median $48 across 29 hospitalsWV$48Virginia: median $100 across 30 hospitalsVA$100Maryland: median $42 across 27 hospitalsMD$42Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $72 across 16 hospitalsAZ$72New Mexico: median $165 across 13 hospitalsNM$165Kansas: median $96 across 36 hospitalsKS$96Arkansas: median $75 across 21 hospitalsAR$75Tennessee: median $95 across 43 hospitalsTN$95North Carolina: median $61 across 61 hospitalsNC$61South Carolina: median $100 across 34 hospitalsSC$100Oklahoma: median $56 across 29 hospitalsOK$56Louisiana: median $33 across 35 hospitalsLA$33Mississippi: median $67 across 23 hospitalsMS$67Alabama: median $60 across 18 hospitalsAL$60Georgia: median $125 across 58 hospitalsGA$125Hawaii: median $157 across 10 hospitalsHI$157Texas: median $96 across 93 hospitalsTX$96Florida: median $47 across 75 hospitalsFL$47
Cash price by state, most expensive first. National median $73. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA54$176+143%$80 – $335
New Mexico NM13$165+128%$41 – $189
Hawaii HI10$157+117%$89 – $195
Utah UT28$143+97%$86 – $169
Georgia GA58$125+72%$75 – $292
New Hampshire NH13$122+67%$30 – $305
Colorado CO27$120+66%$46 – $235
Alaska AK13$118+62%$49 – $251
Indiana IN53$114+57%$41 – $226
Illinois IL95$113+56%$37 – $210
Massachusetts MA38$105+44%$48 – $306
South Carolina SC34$100+38%$88 – $175
Virginia VA30$100+38%$13 – $562
Texas TX93$96+33%$49 – $155
Kansas KS36$96+32%$27 – $223
Tennessee TN43$95+31%$13 – $256
Idaho ID12$88+21%$29 – $88
Kentucky KY32$81+12%$28 – $212
Arkansas AR21$75+3%$44 – $86
Arizona AZ16$720%$31 – $225
Iowa IA29$72−1%$55 – $139
Nebraska NE24$72−1%$11 – $131
New York NY64$70−4%$28 – $158
Wisconsin WI81$69−5%$51 – $109
Mississippi MS23$67−7%$17 – $124
Washington WA47$64−11%$32 – $131
North Carolina NC61$61−16%$26 – $68
Minnesota MN55$60−17%$6 – $105
Alabama AL18$60−18%$17 – $206
Maine ME20$59−18%$30 – $282
Vermont VT10$58−20%$26 – $114
New Jersey NJ34$57−21%$33 – $136
Oklahoma OK29$56−23%$21 – $100
Oregon OR37$56−23%$28 – $160
California CA93$55−25%$17 – $96
North Dakota ND16$54−26%$15 – $120
Michigan MI49$53−27%$8 – $166
West Virginia WV29$48−34%$5 – $198
Florida FL75$47−35%$7 – $122
Missouri MO46$46−37%$15 – $157
Maryland MD27$42−43%$5 – $89
Connecticut CT11$38−48%$33 – $161
Louisiana LA35$33−55%$14 – $73
Ohio OH87$28−62%$14 – $142
Montana MT9not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $73.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,282$73$26 – $167
Children’s26$74$32 – $157
Critical access441$73$26 – $154
Ownership
For-profit205$96$41 – $242
Government289$70$26 – $155
Non-profit1,255$72$23 – $156
System affiliation
Part of a system1,445$73$26 – $166
Independent308$71$22 – $153

Cash price vs list price

Median list price (chargemaster)$122
Median cash price$73
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,206 hospitals filed a usable inpatient cash price for this code. The median is $76 and the average of the middle 60% is $83; most fall between $25 and $161.

Cash price percentiles, inpatient, across 1,206 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$13$32$76$142$240

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($13 vs $240).

Of the 1,353 hospitals that filed this code inpatient, 1,206 gave a usable cash price; 94 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,753 of the 3,956 hospitals with a price file in our corpus (44%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,973 hospitals that filed this code at all gave us
Usable cash price — counted1,753
Cash price carrying a plausibility flag — shown on the compare tool, excluded here113
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded105
Hospitals that filed this code1,973

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other Laboratory family.

Hospitals file this code under descriptions such as DRUG SCREENING FENTANYL.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Definitive drug test for fentanyl (CPT 80354) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-80354-definitive-drug-test-for-fentanyl