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Reviewed by John Caruso, FSA, MAAA • Data last updated

A1C Test Cost in North Carolina (2026): Average Prices & What You'll Pay

What does a a1c test cost in North Carolina?

The same a1c test in North Carolina might cost you $37 at one facility and $89 at another - the building you walk into drives the difference. The median cash price across 93 reporting hospitals is $66. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in North Carolina, from hospital price files

  • MURPHY MEDICAL CENTER INC · Murphy, NC $17
  • Northern Hospital District of Surry County · Mount Airy, NC $18
  • The Presbyterian Hospital · Charlotte, NC $19

All 93 facilities are listed below, free.

Where a1c test costs vary in North Carolina

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a a1c test depends on where you go and what is billed separately. Most patients find out after.

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Cheapest A1C Test Providers in North Carolina

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($66)
1 MURPHY MEDICAL CENTER INC Murphy, NC $17 $49 below
2 Northern Hospital District of Surry County Mount Airy, NC $18 $48 below
3 The Presbyterian Hospital Charlotte, NC $19 $47 below
4 Wilmington-Treatment-Center,LLC Wilmington, NC $20 $46 below
5 Forsyth Memorial Hospital, Inc. Winston-Salem, NC $22 $44 below
6 Caldwell Memorial Hospital Lenoir, NC $26 $40 below
7 CarolinaEast Medical Center NC $29 $37 below
8 Watauga Medical Center, Inc Boone, NC $36 $30 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • MURPHY MEDICAL CENTER INC is the lowest-cost option at $17 - $49 below the median posted price ($66), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $66, and it's often lower than what insurance pays before your deductible is satisfied.
  • Independent and doctor-office labs often charge much less than hospital labs for the same test and may not appear in this hospital-only dataset. Ask where your plan sends lab work.
A1c test prices by coverage in North Carolina, October 2026
CoverageHospitals with a rateTypical rangeMedian
With insurance (commercial, average)77$13 to $102$55
Without insurance (cash price)105$10 to $136$66
Blue Cross and Blue Shield of North Carolina61$16 to $111$54
Aetna64$20 to $109$72
Cigna61$10 to $125$32
UnitedHealthcare50$10 to $95$21

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does an a1c test cost with insurance in North Carolina?

Across 77 North Carolina hospitals, the negotiated rates commercial insurers pay for a1c test average $13 to $102 per hospital, with a median near $55. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does an a1c test cost without insurance in North Carolina?

Cash (self-pay) prices for a1c test at 105 North Carolina hospitals range from $10 to $136, with a median of $66. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does an a1c test cost with Blue Cross and Blue Shield of North Carolina?

Blue Cross and Blue Shield of North Carolina negotiated rates for a1c test at 61 North Carolina hospitals range from $16 to $111, with a median near $54. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does an a1c test cost with Aetna in North Carolina?

Aetna negotiated rates for a1c test at 64 North Carolina hospitals range from $20 to $109, with a median near $72. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does an a1c test cost with Cigna in North Carolina?

Cigna negotiated rates for a1c test at 61 North Carolina hospitals range from $10 to $125, with a median near $32. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does an a1c test cost with UnitedHealthcare in North Carolina?

UnitedHealthcare negotiated rates for a1c test at 50 North Carolina hospitals range from $10 to $95, with a median near $21. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for a1c test

The same a1c test bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$8–$404
  • Facility fee $8–$404

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$18–$404
  • Facility fee $18–$404

Estimated from CMS fee schedules + commercial rate multipliers

Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $238, including Central Carolina Hospital at $404, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $64 versus $111 inpatient (about 1.7× more), so where a procedure happens often matters more than which hospital you pick.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$66
Deductible met - 20% coinsurance ~$13
Out-of-network provider $145+

Frequently asked questions: a1c test costs in North Carolina

How much does an a1c test cost in North Carolina?

The typical insurer-negotiated rate is $9, with most facilities between $9 and $9 (based on 93 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Carolina hospitals run $10–$136; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an a1c test in North Carolina?

Based on declared prices, the lowest posted price in our North Carolina data is MURPHY MEDICAL CENTER INC in Murphy at about $17. By metro, Wilmington has the lowest median ($14).

Why is an a1c test so much cheaper at some North Carolina hospitals?

Typical prices vary about 95.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $66 versus a median negotiated rate of $55 - about 1.2× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an a1c test in North Carolina?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in North Carolina

A1C Test, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in North Carolina

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Imaging and scans

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General surgery

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Eye care

Infusions

Emergency care

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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