Lab & pathology prices at Community Hospital – Fairfax

Fairfax, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Activated protein c resistance (85307) $60 $60 3.9×
Acute hepatitis panel (80074) $427 $427 9.0×
Albumin serum (82040) $37 $37 7.5×
Alpha-fetoprotein, serum (82105) $41 $41 2.4×
Alt (sgpt) (84460) $48 $48 9.1×
Ammonia (82140) $23 $23 1.6×
Amylase urine (82150) $30 $30 4.6×
Ana Titer (86039) $52 $52 4.7×
Antibody herpes smplx type 1 (86695) $11 $11 0.8×
Antibody mumps (86735) $62 $62 4.8×
Antibody rubeola (86765) $53 $53 4.1×
Antibody screen (86850) $46.50 $46.50 4.8×
Antibody treponema pallidum (86780) $43.50 $43.50 3.3×
Antinuclear antibodies (86038) $29 $29 2.4×
Assay of acth (82024) $45 $45 1.2×
Assay of c-peptide (84681) $45 $45 2.2×
Assay of ceruloplasmin (82390) $37 $37 3.4×
Assay of erythropoietin (82668) $71 $71 3.8×
Assay of ferritin (82728) $123 $123 9.0×
Assay of gammaglobulin igm (82784) $42 $42 4.5×
Assay of homocystine (83090) $53 $53 3.0×
Assay of lipoprotein(a) (83695) $68 $68 4.7×
Assay of parathormone (83970) $310 $310 7.5×
Assay of somatomedin (84305) $51 $51 2.4×
Assay of vitamin k (84597) $78 $78 5.7×
Ast (sgot) (84450) $47 $47 9.1×
Bilirubin direct (82248) $38 $38 7.6×
Bilirubin total (82247) $45 $45 9.0×
Blood count reticulocyte automated (85045) $7 $7 1.8×
Blood gases (82803) $175 $175 6.7×
Blood typing abo (86900) $18 $18 6.0×
Blood typing serologic rh (d) (86901) $38.50 $38.50 12.9×
Body fluid cell count (89050) $21 $21 4.4×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $117 $117 9.0×
Ca 125 (86304) $156 $156 7.5×
Ca 19-9 (86301) $44 $44 2.1×
Calcium ionized (82330) $103 $103 7.5×
Calcium total (82310) $39 $39 7.6×
Calcium urine (82340) $33 $33 5.5×
Calprotectin, fecal (83993) $150 $150 7.6×
Carboxyhemoglobin Quantitative (82375) $35 $35 2.8×
Carcinoembryonic antigen (82378) $142 $142 7.5×
Cardiolipin ab igg (86147) $49 $49 1.9×
Cftr gene com variants (81220) $210 $210 0.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $155 $155 4.4×
Ckmb (82553) $87 $87 7.5×
Compatibility test antiglob (86922) $174 $174 1.0×
Complement c3 (86160) $33 $33 2.8×
Complement total ch50 (86162) $49 $49 2.4×
Concentration Infectious Agent (87015) $23 $23 3.4×
Coombs direct (86880) $80 $80 14.8×
Copper urine (82525) $55 $55 4.4×
Cortisol total (82533) $147 $147 9.0×
Creatine kinase total (82550) $49 $49 7.5×
Creatinine blood (82565) $46 $46 9.0×
Creatinine other source (82570) $8 $8 1.5×
Crossmatch immediate spin (86920) $150 $150 0.9×
Culture Aerobic Identify (87077) $73 $73 9.0×
Culture anaerobic (87075) $23 $23 2.4×
Culture blood (87040) $78 $78 7.6×
Culture fungus id yeast (87106) $48 $48 4.7×
Culture genital (87070) $78 $78 9.0×
Culture screen only (87081) $10 $10 1.5×
Culture urine (87086) $53 $53 6.6×
Cyclic Citrullinated Peptide (86200) $62.50 $62.50 4.8×
Cystatin c (82610) $84 $84 4.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $201 $201 3.9×
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $65 $65 1.2×
D-Dimer (85379) $92 $92 9.0×
Deoxyribonuclease antibody (86215) $38 $38 2.9×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $30 $30 1.8×
Dhea sulfate (82627) $64 $64 2.9×
Dilantin (80185) $23 $23 1.7×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $44 $44 3.2×
Drug Scrn Quan Levetiracetam (80177) $100 $100 7.5×
Drug test prsmv chem anlyzr (80307) $64.50 $64.50 1.0×
Drug Test Prsmv Dir Opt Obs (80305) $102 $102 8.1×
Ehrlichia antibody (86666) $30 $30 2.9×
Encephalitis Western Equine (86654) $152 $152 11.5×
Endomysial antibody iga (86255) $26 $26 2.2×
Estradiol (82670) $45 $45 1.6×
Estrogen fractionated (82671) $60 $60 1.9×
Eval c/v amniotic fluid protein qual ea specimen (84112) $580 $580 5.9×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $54 $54 7.4×
Fetal bleed screen (85461) $14 $14 1.5×
Fibrinogen activity (85384) $76 $76 7.8×
Flow cytometry first marker (88184) $290 $290 0.8×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $64 $64 5.3×
Folate serum (82746) $132 $132 9.0×
Follicle Stimulating Hormone (83001) $167 $167 9.0×
Fresh frozen plasma thawing each unit (86927) $67 $67 0.4×
Gammaglobulin ige (82785) $46 $46 2.8×
Gastric Occult Blood (82271) $24 $24 4.5×
Ggt (82977) $21 $21 2.9×
Giardia antigen eia stool (87329) $127 $127 10.6×
Glucose (82947) $15 $15 3.8×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $116 $116 9.0×
Hcg qualitative (84703) $50 $50 6.6×
Hcg quant (84702) $63 $63 4.2×
Hematocrit (85014) $35 $35 14.8×
Hemoglobin (85018) $18 $18 7.6×
Hemoglobin a1c (83036) $80 $80 8.2×
Hepatitis b core ab igm (86705) $25 $25 2.1×
Hepatitis B Surface Ab (86706) $97 $97 9.0×
Hepatitis B Surface Antigen (87340) $91 $91 8.8×
Hepatitis c ab confirm (86804) $120 $120 7.7×
Hepatitis c antibody (86803) $129 $129 9.0×
Hepatitis C Genotype (87902) $476 $476 1.8×
Herpes simplex type 2 (86696) $11 $11 0.6×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $6 $6 1.2×
Hfe gene (81256) $250 $250 3.8×
Hiv-1/Hiv-2 1 Result Antbdy (86703) $123 $123 9.0×
Homogenization tissue (87176) $27 $27 4.6×
Iaad ia cryptosporidium (87328) $134 $134 9.7×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $105 $105 7.3×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $321 $321 7.5×
Iadna human papillomavirus high-risk types (87624) $165 $165 4.7×
Iadna nos amplified probe tq each organism (87798) $178 $178 5.1×
Immunoassay infectious agent antibody quan nos (86317) $6 $6 0.4×
Immunoassay nonantibody (83516) $103 $103 8.9×
Immunofixj Electrophoresis Serum (86334) $168 $168 7.5×
Immunohistochemistry (88342) $300 $300 1.8×
Influenza DNA amp probe (87502) $247 $247 2.6×
Inhibin b (83520) $150 $150 8.7×
Insulin antibodies (86337) $101 $101 4.7×
Insulin total (83525) $34 $34 3.0×
Iron (83540) $58 $58 9.0×
Islet cell antibody (86341) $114.50 $114.50 4.9×
Lactic acid (83605) $43 $43 3.7×
Ldh (83615) $45 $45 7.5×
Lead (83655) $91 $91 7.5×
Legionella antigen urine (87449) $108 $108 9.0×
Level ii surg pathology gross&microscopic exam (88302) $131 $131 3.5×
Level v surg pathology gross&microscopic exam (88307) $406 $406 1.1×
Lh (83002) $167 $167 9.0×
Lipase (83690) $62 $62 9.0×
Lithium (80178) $60 $60 9.1×
Lyme disease antibody (86618) $56 $56 3.3×
M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) $579 $579 3.4×
Magnesium (83735) $50 $50 7.5×
Metabolic Panel Ionized Ca (80047) $24 $24 1.7×
Methylmalonic acid serum (83921) $48 $48 2.3×
Microalbumin urine (82043) $67 $67 11.6×
Microsomal antibodies (86376) $35 $35 2.4×
Molec cytg interphase ish analyze 100-300 cll (88275) $227 $227 4.4×
Molecular pathology procedure level 2 (81401) $467 $467 3.4×
Myoglobin urine (83874) $97 $97 7.5×
Natriuretic peptide (83880) $69 $69 1.8×
Nuclear antigen antibody (86235) $31.50 $31.50 1.8×
Occult blood stool (82272) $24 $24 5.7×
Pancreatic polypeptide (83519) $77 $77 4.2×
Phosphorus blood (84100) $36 $36 7.6×
Platelet count (85049) $45 $45 10.0×
Potassium (84132) $35 $35 7.4×
Progesterone (84144) $188 $188 9.0×
Prolactin (84146) $175 $175 9.0×
Protein electrophoresis serum (84165) $81 $81 7.5×
Protein Electrophoresis Urine (84166) $97 $97 5.4×
Quantiferon tb gold (86480) $170 $170 2.7×
Reagent strip/blood glucose (82948) $32 $32 6.3×
Rheumatoid factor quant (86431) $51 $51 9.0×
Rickettsia antibody (86757) $42 $42 2.2×
Rubella antibody (86762) $13 $13 0.9×
Russell viper venom time diluted (85613) $23 $23 2.4×
Saccharomyces ab iga (86671) $92 $92 7.5×
Sedimentation rate (85651) $45 $45 10.5×
Sensitivity mic (87186) $65 $65 7.5×
Sex hormone binding globulin (84270) $60 $60 2.8×
Smear gram stain (87205) $11 $11 2.6×
Sodium (84295) $36 $36 7.5×
Special stains group 1 (88312) $131 $131 2.5×
Strep a assay w/optic (87880) $25 $25 1.5×
Strep a DNA amp probe (87651) $263 $263 7.5×
Surg path level iii (88304) $341 $341 6.5×
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $109 $109 3.8×
Surgical pathology level IV (88305) $241 $241 4.6×
T cells, total count (86359) $77 $77 2.0×
T3 free (84481) $63 $63 3.7×
T3 total (84480) $106 $106 7.5×
T4 Free (84439) $80 $80 8.9×
T4 total (84436) $62 $62 9.0×
Tb intradermal test (86580) $55 $55 1.9×
Testosterone total (84403) $60 $60 2.3×
Thrombin time plasma (85670) $13 $13 2.3×
Thyroglobulin Ab (86800) $44 $44 2.8×
Thyroid Stimulating Immunoglobulin (84445) $60 $60 1.2×
Tissue Culture Lymphocyte (88230) $549 $549 4.7×
Transferrin (84466) $21 $21 1.6×
Triglycerides (84478) $43 $43 7.5×
Troponin (84484) $88 $88 7.1×
Urea nitrogen (84520) $30 $30 7.6×
Uric acid blood (84550) $34 $34 7.5×
Urinalysis w/microscopic (81001) $66 $66 20.8×
Urine pregnancy test (81025) $20 $20 2.3×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $19.50 $19.50 8.7×
Valproic acid level (80164) $102 $102 7.5×
Vancomycin trough (80202) $122 $122 9.0×
Varicella-zoster antibody (86787) $51 $51 4.0×
Vdrl csf (86592) $16 $16 3.7×
Vitamin A (84590) $69 $69 5.9×
Vitamin b-12 (82607) $136 $136 9.0×
Vitamin b1 (thiamine) (84425) $68 $68 3.2×
Vitamin b6 (84207) $105 $105 3.7×
Vitamin D 25-Hydroxy (82306) $267 $267 9.0×
Vitamin e serum (84446) $48 $48 3.4×
Zinc (84630) $55 $55 4.8×