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DUTCH Complete vs DUTCH Plus: what the Plus adds and what it costs

DUTCH Complete and DUTCH Plus are dried-urine hormone tests from Precision Analytical. The Plus adds one thing: a cortisol awakening response (CAR) measurement. Here is what that adds, per the lab, and what it costs extra at the same sellers (checked Oct 19, 2026).

What's the difference?

Precision Analytical describes the DUTCH Complete as "a bundle that includes the sex hormone, adrenal, and organic acid panels", and the DUTCH Plus as "a DUTCH Complete™ plus the DUTCH CAR (Cortisol Awakening Response)". The lab describes the CAR as "measuring cortisol levels right after waking", and lists "6 Salivette™ saliva collection tubes" in the DUTCH Plus kit.

We have not reviewed published guidelines or systematic reviews on either test (evidence level: Not yet reviewed). This page compares prices and the lab's descriptions; it is not a recommendation to order either test.

How much more does the Plus cost?

Across all sellers we track, DUTCH Complete ran $350–$499 (10 listings) and DUTCH Plus $434–$650 (8 listings). At the 8 sellers that list both, the Plus cost $80 to $189 more:

Totals include fees each seller lists on its product page. Sorted by the extra cost of the Plus.

Insurance and HSA/FSA

Precision Analytical says: "We do not bill or accept payment from insurance and we are considered out of network." It adds that if a provider orders the test and you have out-of-network coverage, you can submit a receipt to your insurer for possible reimbursement, and that "We will accept payment from FSA/HSA if it is in the form of a credit card." The IRS counts "laboratory fees that are part of medical care" as medical expenses; check with your plan administrator whether a given test qualifies.

Compare prices

• DUTCH Complete: 10 prices, $350–$499
• DUTCH Plus: 8 prices, $434–$650

Sources

1. Precision Analytical: Frequently Asked Questions about the DUTCH Test https://shop.dutchtest.com/blog/frequently-asked-questions-about-dutch-test/
2. Precision Analytical: DUTCH Plus https://dutchtest.com/dutchplus
3. IRS Publication 502, Medical and Dental Expenses (section "Laboratory Fees") https://www.irs.gov/publications/p502

Sources checked 2026-10-19. Prices are from our price tables and update when we re-check sellers.

Informational only, not medical advice. See about & disclaimer.