Lab & pathology prices at Androscoggin Valley Hospital

Berlin, NH · every code in this section with a posted price and a Medicare benchmark.

350 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Acetylcholine receptor binding antibody (86041) $63.63 $101 3.5×
Acetylcholine receptor blocking antibody (86042) $63.63 $101 3.5×
Acetylcholn Rcptr Modlg Antb (86043) $82.53 $131 6.8×
Actin smooth muscle antibody each (86015) $42.21 $67 3.5×
Acute hepatitis panel (80074) $354.69 $563 7.4×
Adrenocorticotropic hormone (82024) $221.76 $352 5.7×
Afp maternal serum (82105) $60.48 $96 3.6×
Albumin serum (82040) $44.10 $70 8.9×
Aldolase (82085) $35.91 $57 3.7×
Aldosterone urine (82088) $257.04 $408 6.3×
Alkaline phosphatase isoenzymes (84080) $94.50 $150 6.4×
Allergen peanut (86003) $34.02 $54 6.5×
Alpha-1-antitrypsin phenotype (82104) $52.92 $84 3.7×
Alpha-1-antitrypsin, total (82103) $49.77 $79 3.7×
Alt (sgpt) (84460) $19.53 $31 3.7×
Amino Acids 1 Quantitative Each Specimen (82131) $100.80 $160 4.4×
Amylase urine (82150) $23.94 $38 3.7×
Angiotensin i enzyme test (82164) $93.24 $148 6.4×
Antibody cytomegalovirus cmv (86644) $90.72 $144 6.3×
Antibody epstein-barr eb virus early antigen ea (86663) $47.88 $76 3.6×
Antibody Hiv-1&Hiv-2 Single Result (86703) $50.40 $80 3.7×
Antibody identification (86870) $201.60 $320 0.5×
Antibody mumps (86735) $46.30 $73.50 3.5×
Antibody Protozoa Nes (86753) $44.73 $71 3.6×
Antibody screen (86850) $124.11 $197 12.7×
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $44.10 $70 3.7×
Antinuclear antibodies (86038) $44.10 $70 3.6×
Antistreptolysin o titer (86060) $27.09 $43 3.7×
Antithrombin iii activity (85300) $80.64 $128 6.8×
Antithrombin iii antigen (85301) $40.32 $64 3.7×
Apolipoprotein each (82172) $58.28 $92.50 2.8×
Arsenic Urine (82175) $109.62 $174 5.8×
Assay Nephelometry Not Spec (83883) $86.31 $137 6.3×
Assay of 5-hiaa (83497) $82.53 $131 6.4×
Assay of ammonia (82140) $52.92 $84 3.6×
Assay of anti-mullerian hormone (82166) $52.92 $84 1.4×
Assay of c-peptide (84681) $131.67 $209 6.3×
Assay of ceruloplasmin (82390) $68.67 $109 6.4×
Assay of erythropoietin (82668) $118.44 $188 6.3×
Assay of estrone (82679) $90.09 $143 3.6×
Assay of ferritin (82728) $114.03 $181 8.4×
Assay of gammaglobulin igm (82784) $58.59 $93 6.3×
Assay of homocystine (83090) $64.89 $103 3.6×
Assay of lactic acid (83605) $42.21 $67 3.6×
Assay of lipoprotein(a) (83695) $52.29 $83 3.7×
Assay of metanephrines (83835) $61.11 $97 3.6×
Assay of phenobarbital (80184) $71.19 $113 4.7×
Assay of prealbumin (84134) $52.92 $84 3.6×
Assay of prolactin (84146) $69.93 $111 3.6×
Assay of tacrolimus (80197) $50.40 $80 3.7×
Assay of topiramate (80201) $80.64 $128 6.8×
Assay of vitamin k (84597) $87.57 $139 6.4×
Ast (sgot) (84450) $18.90 $30 3.6×
Beta hydroxybutyrate (82010) $29.61 $47 3.6×
Bile acids, total (82239) $61.74 $98 3.6×
Bilirubin direct (82248) $18.90 $30 3.8×
Bilirubin total (82247) $18.90 $30 3.8×
Bl Smear W/Diff Wbc Count (85007) $13.86 $22 3.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $79.38 $126 5.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $15.75 $25 3.6×
Blood Ph (82800) $40.32 $64 3.7×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $23.31 $37 3.7×
Blood typing abo (86900) $11.34 $18 3.8×
Blood typing serologic rh (d) (86901) $25.83 $41 8.6×
Body fluid cell count (89051) $34.02 $54 6.1×
C diff amplified probe (87493) $134.82 $214 3.6×
C-reactive protein (86140) $63.63 $101 12.3×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $47.25 $75 3.6×
Ca 125 (86304) $131.67 $209 6.3×
Ca 19-9 (86301) $131.67 $209 6.3×
Ca 27 29 (86300) $131.67 $209 6.3×
Calcium ionized (82330) $50.40 $80 3.7×
Calcium total (82310) $18.90 $30 3.7×
Calcium urine (82340) $39.06 $62 6.5×
Calculus Quantitative Chemical (82360) $47.25 $75 3.7×
Calprotectin, fecal (83993) $71.19 $113 3.6×
Carbamazepine total (80156) $248.22 $394 17.0×
Carboxyhemoglobin (82375) $70.56 $112 5.7×
Carcinoembryonic antigen (82378) $120.96 $192 6.4×
Cardiolipin ab igg (86147) $92.61 $147 3.6×
Carnitine (82379) $61.11 $97 3.6×
Catecholamines fraction plasma (82384) $91.98 $146 3.6×
Cftr gene com variants (81220) $1,202.67 $1,909 2.2×
Chemiluminescent assay (82397) $51.66 $82 3.7×
Chlamydia antibody (86631) $43.47 $69 3.7×
Chlamydia Igm Antibody (86632) $46.62 $74 3.7×
Cholesterol HDL (83718) $29.61 $47 3.6×
Cholesterol total (82465) $16.38 $26 3.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $164.43 $261 4.7×
Ckmb (82553) $66.78 $106 5.8×
Clot factor viii vw antigen (85246) $83.16 $132 3.6×
Clotting Inhibitors Protein S Free (85306) $56.07 $89 3.7×
Cmv ab igm (86645) $107.10 $170 6.4×
Compatibility test antiglob (86922) $173.88 $276 1.0×
Complement c3 (86160) $43.47 $69 3.6×
Coombs direct (86880) $19.53 $31 3.6×
Copper urine (82525) $45.99 $73 3.7×
Cortisol free (82530) $60.48 $96 3.6×
Cortisol total (82533) $102.69 $163 6.3×
Creatine kinase total (82550) $41.58 $66 6.4×
Creatinine blood (82565) $18.90 $30 3.7×
Creatinine other source (82570) $17.64 $28 3.4×
Crossmatch immediate spin (86920) $163.80 $260 0.9×
Crystals body fluid (89060) $44.73 $71 6.1×
Culture Aerobic Identify (87077) $29.61 $47 3.7×
Culture anaerobic (87075) $60.48 $96 6.4×
Culture blood (87040) $94.50 $150 9.2×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $28.35 $45 3.7×
Culture genital (87070) $31.50 $50 3.7×
Culture screen only (87081) $24.57 $39 3.7×
Culture urine (87086) $29.61 $47 3.7×
Culture virus (87252) $94.50 $150 3.6×
Cyclic Citrullinated Peptide (86200) $47.25 $75 3.6×
Cytopath cell enhance tech (88112) $349.65 $555 6.3×
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $158.76 $252 6.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $403.83 $641 7.3×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $80.64 $128 4.9×
Detect agnt mult DNA ampli (87801) $270.90 $430 3.9×
Dgp antibody each ig class (86258) $42.21 $67 3.5×
Dhea (82626) $91.98 $146 3.6×
Dhea-sulfate (82627) $81.27 $129 3.7×
Digoxin (80162) $84.42 $134 6.4×
Dihydrotestosterone (82642) $151.83 $241 5.2×
Dilantin (80185) $76.86 $122 5.8×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $87.57 $139 6.4×
DNA/RNA direct probe (87149) $97.96 $155.50 4.9×
Drug assay adalimumab (80145) $219.24 $348 5.7×
Drug quant nes (80299) $51.66 $82 2.8×
Drug Screen Quantitative Lamotrigine (80175) $76.86 $122 5.8×
Drug Scrn Quan Levetiracetam (80177) $76.86 $122 5.8×
Drug test prsmv chem anlyzr (80307) $180.18 $286 2.9×
Drug tst prsmv read instrmnt asstd dir opt obs (80306) $61.74 $98 3.6×
Ebv viral capsid (86665) $66.15 $105 3.6×
Ehrlichia antibody (86666) $37.80 $60 3.7×
Elastase pancreatic fecal quantitative (82653) $50.40 $80 2.2×
Electrolyte panel (80051) $52.92 $84 7.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $44.10 $70 3.6×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $56.07 $89 3.7×
Estradiol (82670) $100.80 $160 3.6×
Estriol serum (82677) $87.57 $139 3.6×
Eval c/v amniotic fluid protein qual ea specimen (84112) $353.43 $561 3.6×
F2 gene analysis 20210g >a variant (81240) $306.81 $487 4.7×
F5 gene analysis, leiden variant (81241) $264.60 $420 3.6×
Factor v activity (85220) $112.14 $178 6.4×
Factor viii ahg (85240) $64.89 $103 3.6×
Fibrin Degradation Quant (85379) $37.80 $60 3.7×
Fibrinogen activity (85384) $35.91 $57 3.7×
Fluorescent Antibody Screen (86255) $44.10 $70 3.7×
Folate serum (82746) $53.55 $85 3.6×
Folic acid rbc (82747) $64.26 $102 3.6×
Follicle Stimulating Hormone (83001) $118.44 $188 6.4×
Frozen Section (88331) $370.44 $588 2.0×
Fructosamine (82985) $86.94 $138 5.2×
Gammaglobulin ige (82785) $59.85 $95 3.6×
Gardner vag DNA dir probe (87510) $73.08 $116 3.6×
Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) $283.50 $450 3.6×
Ggt (82977) $47.25 $75 6.6×
Giardia antigen eia stool (87329) $43.47 $69 3.6×
Glucose (82947) $14.49 $23 3.7×
Glucose post dose (82950) $17.64 $28 3.7×
Glucose tolerance ea addl beyond 3 specimens (82952) $14.18 $22.50 3.6×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $45.68 $72.50 3.5×
Growth hormone (83003) $60.48 $96 3.6×
Haloperidol (haldol) (80173) $93.24 $148 5.9×
Haptoglobin (83010) $80.01 $127 6.4×
Hcg qualitative (84703) $27.72 $44 3.7×
Hcg quant (84702) $54.81 $87 3.6×
Hematocrit (85014) $9.45 $15 4.0×
Hemoglobin (85018) $12.60 $20 5.3×
Hemoglobin a1c (83036) $61.74 $98 6.4×
Hemoglobin electrophoresis (83020) $112.14 $178 8.7×
Hepatitis a antibody total (86708) $44.73 $71 3.6×
Hepatitis a igm (86709) $41.58 $66 3.7×
Hepatitis b core ab igm (86705) $42.84 $68 3.6×
Hepatitis b core antibody total (86704) $44.10 $70 3.7×
Hepatitis B Surface Ab (86706) $39.69 $63 3.7×
Hepatitis B Surface Antigen (87340) $38.43 $61 3.7×
Hepatitis be antibody (86707) $66.78 $106 5.8×
Hepatitis Be Antigen (87350) $71.82 $114 6.2×
Hepatitis c antibody (86803) $52.29 $83 3.7×
Hepatitis C Genotype (87902) $1,472.31 $2,337 5.7×
Hepatitis delta ab (86692) $101.43 $161 5.9×
Herpes simplex type i (86695) $84.42 $134 6.4×
Herpes simplex type ii (86696) $122.22 $194 6.3×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $18.90 $30 3.6×
Hexagonal phospholipid (85598) $102.69 $163 5.7×
Hfe gene (81256) $376.74 $598 5.8×
HIV-1 p24 antigen (87390) $87.57 $139 3.6×
Hla class i typing high resolution one allele or allele group (81381) $371.07 $589 2.2×
HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) $392.49 $623 4.1×
Hla I Low Resolution One Antigen Equivalent Each (81374) $268.38 $426 3.6×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $170.10 $270 4.8×
Hydroxyprogesterone 17-d (83498) $98.28 $156 3.6×
Iaad ia clostridium difficile toxin (87324) $43.47 $69 3.6×
Iaad ia cryptosporidium (87328) $69.30 $110 5.0×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $143.64 $228 6.0×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $52.29 $83 3.6×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $51.03 $81 3.7×
Iaad Ia Streptococcus Group A (87430) $61.11 $97 3.6×
Iaadiadoo not otherwise specified (87899) $58.59 $93 3.6×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $127.26 $202 3.6×
Iadna babesia microti amplified probe technique (87469) $127.26 $202 3.6×
Iadna Candida Species Direct Probe Tq (87480) $73.08 $116 3.6×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $127.26 $202 3.6×
Iadna hepatitis b virus quantification (87517) $154.98 $246 3.6×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $200.34 $318 4.7×
Iadna HIV-1 quant & reverse transcription (87536) $307.44 $488 3.6×
Iadna Human Papillomavirus Types 16 & 18 Only (87625) $148.36 $235.50 3.7×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $238.14 $378 6.8×
Iadna nos amplified probe tq each organism (87798) $123.16 $195.50 3.5×
Iadna nos quantification each organism (87799) $154.98 $246 3.6×
Iadna trichomonas vaginalis amplified probe tech (87661) $127.26 $202 3.6×
Iadna-DNA/RNA probe tq 12-25 (87507) $1,080.45 $1,715 2.6×
Iadna-DNA/RNA probe tq 6-11 (87506) $946.89 $1,503 3.6×
Igg subclasses (82787) $52.29 $83 6.5×
Immunoassay infectious agent antibody quan nos (86317) $86.94 $138 5.8×
Immunoassay nonantibody (83516) $42.21 $67 3.7×
Immunofixation (86334) $140.49 $223 6.3×
Immunofixation urine (86335) $106.47 $169 3.6×
Immunoglobulin light chains free each (83521) $49.77 $79 2.9×
Immunohistochemistry (88342) $621.81 $987 3.4×
Inhibin a (86336) $56.70 $90 3.6×
Inhibin b (83520) $201.60 $320 11.7×
Insulin antibodies (86337) $78.75 $125 3.7×
Insulin total (83525) $71.82 $114 6.3×
Iron (83540) $41.58 $66 6.4×
Iron binding capacity (83550) $54.81 $87 6.3×
Islet cell antibody (86341) $85.68 $136 3.6×
Jak2 gene analysis (81270) $527.31 $837 5.8×
Lactoferrin Fecal Quantitative (83631) $71.19 $113 3.6×
Ldh body fluid (83615) $39.06 $62 6.5×
LDL cholesterol direct (83721) $36.54 $58 3.5×
Lead (83655) $44.10 $70 3.6×
Legionella antigen urine (87449) $43.47 $69 3.6×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $16.38 $26 3.8×
Level ii surg pathology gross&microscopic exam (88302) $221.13 $351 5.5×
Level v surg pathology gross&microscopic exam (88307) $609.21 $967 1.6×
Lh (83002) $67.41 $107 3.6×
Lipase (83690) $57.96 $92 8.4×
Lithium (80178) $24.57 $39 3.7×
Lyme disease antibody (86618) $61.74 $98 3.6×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $725.13 $1,151 4.0×
Magnesium (83735) $53.55 $85 8.0×
Malaria smear (87207) $22.05 $35 3.7×
Mass spectrometry qual/quan (83789) $87.57 $139 3.6×
Mercury urine (83825) $59.22 $94 3.6×
Methylmalonic acid serum (83921) $103.95 $165 4.9×
Microalbumin urine (82043) $83.16 $132 14.4×
Microsatellite instability (81301) $2,646 $4,200 7.6×
Microsomal antibodies (86376) $52.92 $84 3.6×
Mitochondrial antibody each (86381) $54.81 $87 2.2×
Mrsa PCR (87641) $127.26 $202 3.6×
Mycoplasma antibody (86738) $48.51 $77 3.7×
Mycoplasma genitalium PCR (87563) $120.96 $192 3.4×
Natriuretic peptide (83880) $141.75 $225 3.6×
Nfct ds bv&vaginitis DNA alg (81515) $491.40 $780 1.9×
Nuclear antigen antibody (86235) $134.19 $213 7.5×
Occult blood stool (82272) $15.12 $24 3.6×
Osmolality serum (83930) $24.57 $39 3.7×
Osmolality urine (83935) $25.83 $41 3.8×
Ova and parasite direct-id lca (87177) $32.13 $51 3.6×
Pancreatic polypeptide (83519) $66.78 $106 3.6×
Parvovirus antibody (86747) $94.50 $150 6.3×
Ph urine (81003) $9.45 $15 4.2×
Phosphatase alkaline (84075) $32.76 $52 6.3×
Phosphorus blood (84100) $17.64 $28 3.7×
Phosphorus urine (84105) $21.42 $34 3.7×
Platelet count automated (85049) $17.01 $27 3.8×
Potassium (84132) $17.64 $28 3.7×
Procalcitonin (pct) (84145) $98.91 $157 3.6×
Progesterone (84144) $120.33 $191 5.8×
Protein c activity (85303) $51.03 $81 3.7×
Protein c antigen (85302) $44.10 $70 3.7×
Protein electrophoresis serum (84165) $68.67 $109 6.4×
Protein Electrophoresis Urine (84166) $64.89 $103 3.6×
Protein s total (85305) $42.84 $68 3.7×
Protein total serum (84155) $24.57 $39 6.7×
Protein urine (84156) $13.86 $22 3.8×
PSA free (84154) $66.78 $106 3.6×
Pth intact (83970) $260.19 $413 6.3×
Renin activity plasma (84244) $139.23 $221 6.3×
Resp virus 12-25 targets (87633) $1,641.15 $2,605 3.9×
Resp virus 3-5 targets (87631) $308.70 $490 2.2×
Reticulocyte count auto (85045) $26.46 $42 6.6×
Rheumatoid factor quant (86431) $21.42 $34 3.8×
Ristocetin cofactor (85245) $83.16 $132 3.6×
Rubella antibody (86762) $52.29 $83 3.6×
Rubeola Antibody Igg (86765) $47.25 $75 3.7×
Russell viper venom time diluted (85613) $34.02 $54 3.6×
Sars-Cov-2 Covid-19 Amp Prb (87635) $115.92 $184 2.3×
Sars-cov-2 covid19 w/optic (87811) $115.92 $184 2.8×
Sedimentation rate auto (85652) $10.71 $17 4.0×
Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) $42.84 $68 3.6×
Sensitivity mic (87186) $31.50 $50 3.6×
Sex hormone binding globulin (84270) $79.38 $126 3.7×
Sickling of rbc reduction (85660) $34.02 $54 6.2×
Smear acid fast (87206) $34.02 $54 6.3×
Smear complex stain (87209) $64.89 $103 3.6×
Smear gram stain (87205) $27.72 $44 6.5×
Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) $493.29 $783 3.6×
Smr Prim Src Wet Mount Nfct Agt (87210) $22.05 $35 3.8×
Sodium (84295) $18.27 $29 3.8×
Sodium urine (84300) $18.90 $30 3.7×
Somatomedin (84305) $132.93 $211 6.3×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $609.21 $967 4.3×
Special stains group 1 (88312) $756 $1,200 13.6×
Strep a DNA amp probe (87651) $120.96 $192 3.4×
Surg path level 1 (88300) $98.28 $156 3.2×
Surg path level iii (88304) $269.64 $428 4.8×
Surgical pathology level IV (88305) $297.36 $472 5.3×
T Cell Absolute Count (86361) $97.02 $154 3.6×
T3 free (84481) $107.10 $170 6.3×
T3 reverse (84482) $90.72 $144 5.8×
T3 total (84480) $51.66 $82 3.6×
T3 uptake (84479) $41.58 $66 6.4×
T4 free (84439) $100.80 $160 11.2×
T4 total (84436) $40.32 $64 5.9×
Tb test, cell immun measure (86480) $223.65 $355 3.6×
Testosterone free (84402) $92.61 $147 3.6×
Testosterone total (84403) $93.87 $149 3.6×
Thrombin time plasma (85670) $21.42 $34 3.7×
Thromboplastin Inhibition Tissue (85705) $35.91 $57 3.7×
Thromboplastin time prtl substit plasma frctj ea (85732) $23.94 $38 3.7×
Thyroglobulin (84432) $100.80 $160 6.3×
Thyroglobulin antibody (86800) $57.96 $92 3.6×
Thyroid Stimulating Immune Globulins Tsi (84445) $183.96 $292 3.6×
Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) $16.38 $26 3.8×
Tissue transglutaminase ab iga (86364) $42.21 $67 3.7×
Trichomonas vagin dir probe (87660) $73.08 $116 3.6×
Triglycerides (84478) $21.42 $34 3.7×
Troponin (84484) $120.96 $192 9.7×
Urea nitrogen (84520) $31.50 $50 8.0×
Uric acid blood (84550) $17.01 $27 3.8×
Uric acid other source (84560) $27.72 $44 5.5×
Urinalysis auto w/scope (81001) $43.47 $69 13.7×
Urine pregnancy test (81025) $31.50 $50 3.7×
Urine volume measurement (81050) $19.53 $31 5.4×
Valproic acid (80164) $86.31 $137 6.4×
Vancomycin trough (80202) $49.77 $79 3.7×
Varicella-zoster antibody (86787) $45.68 $72.50 3.5×
Vdrl csf (86592) $16.38 $26 3.8×
Virus antibody nos (86790) $47.25 $75 3.7×
Virus id non-immunologic oth/thn cytopathic (87255) $122.85 $195 3.6×
Vitamin A (84590) $93.87 $149 8.1×
Vitamin b-12 (82607) $90.09 $143 6.0×
Vitamin b1 (thiamine) (84425) $78.12 $124 3.7×
Vitamin b6 (84207) $101.43 $161 3.6×
Vitamin D 25-Hydroxy (82306) $209.79 $333 7.1×
Vitamin e serum (84446) $93.87 $149 6.6×
Zinc (84630) $41.58 $66 3.7×