Lab & pathology prices at Callaway District Hospital

Callaway, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $305 $339 7.9×
5 Hiaa (83497) $131 $145 10.2×
Acetylcholine receptor (achr); blocking antibody (86042) $164 $182 8.9×
Acetylcholine receptor binding antibody (86041) $482 $535 26.2×
Acute hepatitis panel (80074) $290 $322 6.1×
Acylcarnitine Plasma (82017) $273 $303 16.2×
Afb culture (87116) $166 $184 15.4×
Albumin serum (82040) $53 $59 10.7×
Aldolase (82085) $80 $89 8.2×
Aldosterone urine (82088) $229 $254 5.6×
Alkaline phosphatase isoenzymes (84080) $105 $117 7.1×
Allergen specific ige (86003) $82 $91 15.7×
Alpha-1-antitrypsin, total (82103) $122 $135 9.1×
Alpha-fetoprotein, serum (82105) $105 $117 6.3×
Alt (sgpt) (84460) $73 $81 13.8×
Ammonia (82140) $137 $152 9.4×
Amylase urine (82150) $96 $107 14.8×
Angiotensin i enzyme test (82164) $113 $125 7.7×
Anti-phosphatidylserine antibody (86148) $80 $89 5.0×
Antibody epstein-barr eb virus early antigen ea (86663) $94 $104 7.2×
Antibody mumps (86735) $90 $100 6.9×
Antibody rubeola (86765) $90 $100 7.0×
Antibody screen (86850) $113 $126 11.6×
Antibody treponema pallidum (86780) $77 $85 5.8×
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $119 $132 9.9×
Antinuclear antibodies (86038) $175 $194 14.5×
Antistreptolysin o titer (86060) $76 $84 10.4×
Antithrombin iii activity (85300) $135 $150 11.4×
Arsenic Urine (82175) $101 $112 5.3×
Assay of acth (82024) $217 $241 5.6×
Assay of blood chloride (82435) $41 $45 8.9×
Assay of c-peptide (84681) $135 $150 6.5×
Assay of erythropoietin (82668) $160 $178 8.5×
Assay of ferritin (82728) $122 $136 9.0×
Assay of g6pd enzyme (82955) $140 $156 14.4×
Assay of gammaglobulin igm (82784) $187 $208 20.1×
Assay of metanephrines (83835) $202 $224 11.9×
Assay of parathormone (83970) $259 $288 6.3×
Assay of phenobarbital (80184) $131 $145 8.6×
Assay of prealbumin (84134) $99 $110 6.8×
Assay of somatomedin (84305) $296 $329 13.9×
Assay of tacrolimus (80197) $199 $221 14.5×
Assay of vitamin k (84597) $147 $163 10.7×
Ast (sgot) (84450) $73 $81 14.1×
B cells total count (86355) $108 $120 2.9×
Bcr/abl1 gene minor bp (81207) $228 $253 1.6×
Beta 2 Glycoprotein I Antibody,Ea (86146) $63 $70 2.5×
Bilirubin direct (82248) $60 $67 12.0×
Bilirubin total (82247) $62 $69 12.4×
Bl Smear W/Diff Wbc Count (85007) $50 $56 13.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $59 $65 3.7×
Blood typing abo (86900) $65 $72 21.7×
Blood typing serologic rh (d) (86901) $69 $77 23.1×
Body fluid cell count (89051) $140 $155 25.0×
Bordetella antibody (86615) $243 $270 18.4×
C diff amplified probe (87493) $172 $191 4.6×
C-reactive protein (86140) $103 $114 19.9×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $131 $146 10.1×
Ca 125 (86304) $182 $202 8.7×
Ca 19-9 (86301) $163 $181 7.8×
Cadmium level (82300) $96 $107 4.1×
Calcium ionized (82330) $122 $136 8.9×
Calcium total (82310) $62 $69 12.0×
Calcium urine (82340) $102 $113 16.9×
Calculus Spectroscopy (82365) $72 $80 5.6×
Calprotectin, fecal (83993) $415 $461 21.1×
Carbamazepine (tegretol) total (80156) $157 $174 10.8×
Carbamazepine free (80157) $86 $96 6.5×
Carbon dioxide (82374) $22 $24 4.5×
Carcinoembryonic antigen (82378) $158 $176 8.3×
Cardiolipin ab igg (86147) $248 $276 9.7×
Catecholamines fraction plasma (82384) $252 $280 10.0×
Chemiluminescent assay (82397) $167 $185 11.8×
Cholesterol total (82465) $57 $63 13.1×
Ckmb (82553) $175 $194 15.2×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $348 $387 14.4×
Compatibility test antiglob (86922) $782 $869 4.4×
Complement c3 (86160) $151 $168 12.6×
Coombs direct (86880) $100 $111 18.6×
Copper urine (82525) $125 $139 10.1×
Cortisol total (82533) $145 $161 8.9×
Creatine kinase total (82550) $95 $105 14.6×
Creatinine blood (82565) $64 $71 12.5×
Creatinine other source (82570) $69 $77 13.3×
Crossmatch immediate spin (86920) $419 $465 2.4×
Culture Aerobic Identify (87077) $78 $87 9.7×
Culture anaerobic (87075) $205 $228 21.6×
Culture blood (87040) $295 $328 28.6×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $116 $129 15.0×
Culture fungus other (87102) $65 $72 7.7×
Culture genital (87070) $119 $132 13.8×
Culture screen only (87081) $92 $102 13.9×
Culture stool (87045) $112 $124 11.9×
Culture typing id bld pthgn&resist typing 6+trgt (87154) $320 $356 1.5×
Culture typing if ea antiserum (87140) $65 $72 11.7×
Culture urine (87086) $88 $98 10.9×
Cultyp nucleic acid sequencing meth ea isolate (87153) $125 $139 1.1×
Cyclic Citrullinated Peptide (86200) $158 $175 12.2×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $363 $403 8.5×
D-Dimer (85379) $165 $183 16.2×
Deoxyribonuclease antibody (86215) $64 $71 4.8×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $113 $125 6.8×
Dhea (82626) $186 $207 7.4×
Dhea sulfate (82627) $185 $205 8.3×
Digoxin (80162) $126 $140 9.5×
Dilantin (80185) $138 $153 10.4×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $379 $421 27.6×
Drug assay voriconazole (80285) $167 $185 6.2×
Drug screen quant zonisamide (80203) $107 $119 8.1×
Drug Screen Quantitative Lamotrigine (80175) $161 $179 12.2×
Drug Scrn Quan Levetiracetam (80177) $206 $229 15.5×
Drug test prsmv chem anlyzr (80307) $247 $274 4.0×
Drug Test Prsmv Dir Opt Obs (80305) $180 $200 14.3×
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $30 $33 1.8×
Ebv viral capsid (86665) $115 $128 6.3×
Elastase pancreatic fecal quantitative (82653) $183 $203 8.0×
Electrolyte panel (80051) $96 $107 13.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $87 $97 7.2×
Endomysial antibody iga (86255) $175 $194 14.5×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $91 $101 6.0×
Estradiol (82670) $168 $187 6.0×
Estrogen fractionated (82671) $101 $112 3.1×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $71 $79 9.7×
Fecal fat qual (82705) $72 $80 14.1×
Fibrinogen activity (85384) $88 $98 9.1×
Folate serum (82746) $137 $152 9.3×
Follicle Stimulating Hormone (83001) $123 $137 6.6×
Fungus Identification, Mold - Fungal Identification, Mold (87107) $101 $112 9.8×
Gammaglobulin ige (82785) $140 $155 8.5×
Ggt (82977) $65 $72 9.0×
Giardia antigen eia stool (87329) $164 $182 13.7×
Gliadin antibody each immunoglobulin class (86258) $59 $65 4.9×
Glucose (82947) $63 $70 16.0×
Glucose body fluid (82945) $50 $56 12.7×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $59 $66 15.1×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $187 $208 14.5×
Growth hormone (83003) $105 $117 6.3×
Haptoglobin (83010) $115 $128 9.1×
Hcg qualitative (84703) $161 $179 21.4×
Hcg quant (84702) $135 $150 9.0×
Hdl Cholesterol (83718) $56 $62 6.8×
Hematocrit (85014) $47 $52 19.8×
Hemoglobin (85018) $42 $47 17.7×
Hemoglobin a1c (83036) $82 $91 8.4×
Hemoglobin plasma (83051) $96 $107 13.1×
Heparin neutralization (85525) $117 $130 9.9×
Hepatitis b core ab igm (86705) $116 $129 9.9×
Hepatitis b core antibody total (86704) $121 $134 10.0×
Hepatitis B Surface Ab (86706) $115 $128 10.7×
Hepatitis B Surface Antigen (87340) $102 $113 9.9×
Hepatitis c antibody (86803) $119 $132 8.3×
Herpes culture (87252) $167 $185 6.4×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $90 $100 17.4×
Histoplasma antigen urine (87385) $321 $357 24.2×
HIV confirmation (86689) $147 $163 7.6×
Hla b 27 disease association lc (81374) $389 $432 5.2×
Homogenization tissue (87176) $23 $26 3.9×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $197 $219 5.6×
Iaad ia clostridium difficile toxin (87324) $172 $191 14.4×
Iaad ia cryptosporidium (87328) $122 $136 8.8×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $99 $110 4.1×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $203 $226 14.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $187 $208 5.3×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $113 $126 9.4×
Iaadi influenza b virus (87275) $53 $59 4.3×
Iaadiadoo not otherwise specified (87899) $84 $93 5.2×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $432 $480 10.1×
Iadna human papillomavirus high-risk types (87624) $144 $160 4.1×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $122 $136 3.5×
Iadna nos amplified probe tq each organism (87798) $554 $615 15.8×
Iadna-DNA/RNA probe tq 12-25 (87507) $642 $713 1.5×
Immunoassay infectious agent antibody quan nos (86317) $154 $171 10.3×
Immunoassay nonantibody (83516) $164 $182 14.2×
Immunofixj Electrophoresis Serum (86334) $195 $217 8.7×
Immunoglobulin light chains free each (83521) $221 $246 12.8×
India ink prep (87210) $69 $77 11.9×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) $117 $130 1.7×
Inhibin b (83520) $191 $212 11.1×
Insulin total (83525) $106 $118 9.3×
Iron (83540) $66 $73 10.2×
Iron binding capacity (83550) $78 $87 8.9×
Islet cell antibody (86341) $324 $360 13.7×
Jak2 gene analysis (81270) $147 $163 1.6×
Koh Prep (87220) $46 $51 10.8×
Lactic acid (83605) $135 $150 11.7×
Lactoferrin fecal qualitative (83630) $88 $98 4.5×
Ldh (83615) $70 $78 11.6×
LDL cholesterol direct (83721) $64 $71 6.1×
Lead (83655) $96 $107 7.9×
Legionella antigen urine (87449) $158 $176 13.2×
Level ii surg pathology gross&microscopic exam (88302) $120 $133 3.1×
Level v surg pathology gross&microscopic exam (88307) $429 $477 1.2×
Lh (83002) $115 $128 6.2×
Lipase (83690) $117 $130 17.0×
Lithium (80178) $93 $103 14.1×
Lyme disease antibody (86618) $263 $292 15.4×
Lyme disease antibody confirm (86617) $437 $485 28.2×
Macroscopic exam arthropod (87168) $65 $72 15.2×
Magnesium (83735) $86 $95 12.8×
Mass spectrometry qual/quan (83789) $347 $386 14.4×
Mercury (83825) $139 $154 8.5×
Methylmalonic acid serum (83921) $302 $336 14.2×
Microalbumin urine (82043) $104 $115 18.0×
Microsomal antibodies (86376) $113 $126 7.8×
Mitochondrial antibody each (86381) $131 $145 5.1×
Mycoplasma antibody (86738) $60 $67 4.5×
Nasal smear for eosinophils (89190) $46 $51 7.9×
Natriuretic peptide (83880) $270 $300 6.9×
Nuclear antigen antibody (86235) $379 $421 21.1×
Organic Acids Total Quantitative Each Specimen (83918) $333 $370 14.1×
Osmolality serum (83930) $92 $102 13.9×
Osmolality urine (83935) $95 $106 13.9×
Ova and parasite direct-id lca (87177) $107 $119 12.0×
Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) $184 $204 2.6×
Phenytoin free (80186) $116 $129 8.4×
Phosphatase alkaline (84075) $73 $81 14.1×
Phospholipid Neutralization Hexagonal (85598) $172 $191 9.6×
Phosphorus blood (84100) $66 $73 13.9×
Platelet neutralization (85597) $147 $163 8.2×
Potassium (84132) $59 $65 12.4×
Potassium urine (84133) $41 $46 8.7×
Procalcitonin (pct) (84145) $212 $236 7.8×
Progesterone (84144) $169 $188 8.1×
Prolactin (84146) $143 $159 7.4×
Protein body fluid (84157) $54 $60 13.5×
Protein c activity (85303) $176 $196 12.7×
Protein electrophoresis serum (84165) $118 $131 11.0×
Protein Electrophoresis Urine (84166) $111 $123 6.2×
Protein S Functional (85306) $176 $196 11.5×
Protein Total Serum (84155) $54 $60 14.7×
Protein urine (84156) $71 $79 19.3×
PSA free (84154) $127 $141 6.9×
Quantiferon tb gold (86480) $238 $264 3.8×
Renin activity plasma (84244) $162 $180 7.4×
Resp virus 3-5 targets (87631) $236 $262 1.7×
Reticulocyte Count (85046) $65 $72 11.7×
Rheumatoid factor quant (86431) $72 $80 12.7×
Rickettsia antibody (86757) $28 $31 1.4×
Rsv (87807) $149 $165 11.4×
Rubella antibody (86762) $65 $72 4.5×
Russell viper venom time diluted (85613) $102 $113 10.6×
Saccharomyces ab iga (86671) $53 $59 4.3×
Sars-Cov-2 Covid-19 Antibody (86769) $116 $129 2.8×
Sarscov2 & inf a&b amp prb (87636) $126 $140 0.9×
Sed rate automated (85652) $48 $53 17.8×
Sensitivity mic (87186) $216 $240 25.0×
Sex hormone binding globulin (84270) $136 $151 6.3×
Sickle cell screen (85660) $83 $92 15.1×
Smear gram stain (87205) $62 $69 14.5×
Sodium (84295) $67 $74 13.9×
Sodium urine (84300) $58 $64 11.5×
Soluble transferrin receptor (84238) $154 $171 4.2×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $201 $223 1.5×
Special stains group 1 (88312) $185 $205 3.4×
Stool Cultr Aerobic Bact Ea (87046) $93 $103 9.9×
Strep a assay w/optic (87880) $76 $84 4.6×
Surg path level iii (88304) $163 $181 3.0×
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $140 $156 4.7×
Surgical pathology level IV (88305) $336 $373 6.2×
T cells, total count (86359) $109 $121 2.9×
T3 free (84481) $184 $204 10.9×
T3 reverse (84482) $234 $260 14.8×
T3 total (84480) $112 $124 7.9×
T4 Free (84439) $103 $114 11.4×
T4 total (84436) $65 $72 9.5×
Tau phosphorylated each (84393) $486 $540 3.8×
Tb intradermal test (86580) $27 $30 0.9×
Testosterone total (84403) $148 $164 5.7×
Theophylline (80198) $86 $96 6.1×
Thin prep pap (88142) $111 $123 5.5×
Thromboplastin time prtl substit plasma frctj ea (85732) $147 $163 22.7×
Thyroglobulin Ab (86800) $115 $128 7.2×
Thyroid Stimulating Immunoglobulin (84445) $378 $420 7.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $130 $144 11.3×
Topiramate (80201) $172 $191 14.4×
Triglycerides (84478) $59 $66 10.3×
Troponin i qualitative (84512) $107 $119 10.6×
Urea nitrogen (84520) $56 $62 14.2×
Urea nitrogen urine (84540) $45 $50 8.1×
Uric acid blood (84550) $60 $67 13.3×
Urinalysis microscopic only (81015) $32 $36 10.5×
Urinalysis w/microscopic (81001) $60 $67 18.9×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $60 $67 26.7×
Valproic acid level (80164) $137 $152 10.1×
Vancomycin trough (80202) $157 $174 11.6×
Varicella-zoster antibody (86787) $128 $142 9.9×
Vdrl csf (86592) $45 $50 10.5×
Virus antibody nos (86790) $176 $196 13.7×
Virus inoculate tissue addl (87253) $77 $85 3.8×
Vitamin A (84590) $138 $153 11.9×
Vitamin b-12 (82607) $147 $163 9.7×
Vitamin b-2 (riboflavin) (84252) $156 $173 7.7×
Vitamin b1 (thiamine) (84425) $197 $219 9.3×
Vitamin b6 (84207) $216 $240 7.7×
Vitamin D 25-Hydroxy (82306) $167 $185 5.6×
Vitamin e serum (84446) $131 $145 9.2×
West nile virus ab, igm (86788) $102 $113 6.1×
West nile virus antibody (86789) $99 $110 6.9×
Zinc (84630) $59 $66 5.2×