Lab & pathology prices at Doctors Memorial Hospital

Bonifay, FL · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $117 $260 3.0×
Acute hepatitis panel (80074) $116.55 $259 2.4×
Albumin Fluid (82042) $45 $100 5.8×
Albumin serum (82040) $45.45 $101 9.2×
Aldolase (82085) $60.75 $135 6.3×
Aldosterone urine (82088)
range across 2 matching MRF lines
$129.60–$211.95 $288–$471 varies
Alpha-Fetoprotein Serum (82105)
range across 5 matching MRF lines
$74.25–$245.25 $165–$545 varies
Alt (sgpt) (84460) $52.65 $117 9.9×
Amikacin trough (80150) $101.25 $225 6.7×
Amino Acids Multiple Qualitative Each Specimen (82128) $50.40 $112 3.6×
Ammonia (82140) $90.45 $201 6.2×
Amylase urine (82150)
range across 4 matching MRF lines
$38.70–$64.80 $86–$144 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $176.40 $392 13.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $163.35 $363 10.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $163.35 $363 9.0×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$51.30–$91.35 $114–$203 varies
Antibody HIV-1&HIV-2 single result (86703) $121.95 $271 8.9×
Antibody HIV-2 (86702) $267.30 $594 19.8×
Antibody htlv/HIV antibody confirmatory test (86689) $85.05 $189 4.4×
Antibody Treponema Pallidum (86780) $82.80 $184 6.3×
Antigen typing (86905) $137.70 $306 36.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $73.35 $163 12.8×
Antinuclear antibodies (86038) $50.85 $113 4.2×
Antistreptolysin o titer (86060) $38.70 $86 5.3×
Assay Blood Carbon Dioxide (82374) $20.25 $45 4.1×
Assay of blood/uric acid (84550) $45.45 $101 10.1×
Assay of calcium in urine (82340) $45 $100 7.5×
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$60.30–$70.65 $134–$157 varies
Assay of lactic acid (83605) $124.20 $276 10.7×
Assay of metanephrines (83835) $91.35 $203 5.4×
Assay of serum potassium (84132) $45.45 $101 9.5×
Assay of urea nitrogen (84520) $38.70 $86 9.8×
Assay of urine vma (84585) $80.10 $178 5.2×
Assay of vitamin b-1 (84425) $62.10 $138 2.9×
Assay Ph Body Fluid Nos (83986) $48.60 $108 13.6×
Automated Leukocyte Count (85048) $35.10 $78 13.8×
B cells total count (86355) $49.05 $109 1.3×
Bilirubin direct (82248) $50.85 $113 10.1×
Bilirubin total (82247) $50.85 $113 10.1×
Bld Typing Serologic Rh Phnt (86906) $27 $60 3.5×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $18 $40 3.6×
Blood Count Red Blood Cell Automated (85041) $32.40 $72 10.7×
Blood count reticulocyte automated (85045) $21.60 $48 5.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $34.65 $77 9.1×
Blood gas (82803) $171 $380 6.6×
Blood gases w/02 saturation (82805) $185.85 $413 2.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $9.90 $22 2.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $137.70 $306 21.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $27 $60 1.7×
Blood typing serologic abo (86900) $53.10 $118 17.8×
Bone marrow smear interpretation (85097) $280.35 $623 0.3×
C diff amplified probe (87493) $180.45 $401 4.8×
C-Peptide (84681) $59.40 $132 2.9×
C-reactive protein (86140) $51.30 $114 9.9×
Ca 19-9 (86301) $155.25 $345 7.5×
Calcium ionized (82330)
range across 2 matching MRF lines
$81.90–$163.80 $182–$364 varies
Calcium total (82310) $51.30 $114 9.9×
Calculus assay quant (82360) $45 $100 3.5×
Cancer Antigen 125 (86304) $155.70 $346 7.5×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$119.25–$129.60 $265–$288 varies
Carbamazepine total (80156) $85.05 $189 5.8×
Carcinoembryonic antigen (82378) $91.35 $203 4.8×
Cardiolipin ab iga (86147) $112.05 $249 4.4×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$64.35–$198.90 $143–$442 varies
Cell count csf (89051) $43.65 $97 7.8×
Ceruloplasmin (82390) $60.75 $135 5.7×
Chloride other source (82438) $49.50 $110 9.9×
Chloride Serum (82435) $45.45 $101 9.9×
Chloride urine (82436) $49.50 $110 8.6×
Cholesterol total (82465) $45 $100 10.3×
Chorionic gonadotropin test (84702) $147.60 $328 9.8×
Ckmb (82553) $91.35 $203 7.9×
Clostridium Difficile (87324) $180.45 $401 15.1×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$95.40–$243.45 $212–$541 varies
Complement Antigen Each Component (86160) $94.50 $210 7.9×
Complement Total (Ch50) (86162)
range across 3 matching MRF lines
$94.50–$176.40 $210–$392 varies
Coombs direct (86880) $27.45 $61 5.1×
Copper urine (82525) $57.60 $128 4.6×
Cortisol free (82530)
range across 2 matching MRF lines
$95.85–$108.90 $213–$242 varies
Cortisol saliva (82533) $75.60 $168 4.6×
Creatine kinase total (82550) $28.35 $63 4.4×
Creatinine blood (82565) $41.40 $92 8.1×
Creatinine clearance (82575)
range across 2 matching MRF lines
$52.65–$62.10 $117–$138 varies
Creatinine Urine (82570) $45 $100 8.7×
Cryptococcus ag titer (87899) $95.85 $213 6.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $36 $80 4.5×
Culture Anaerobic (87075) $98.55 $219 10.4×
Culture blood (87040) $120.60 $268 11.7×
Culture csf (87070)
range across 6 matching MRF lines
$59.40–$84.15 $132–$187 varies
Culture fungus (87102) $72.90 $162 8.7×
Culture screen only (87081)
range across 2 matching MRF lines
$20.25–$72.90 $45–$162 varies
Culture stool (87045) $72.90 $162 7.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $35.10 $78 6.8×
Culture urine (87086) $67.50 $150 8.4×
Cyclosporine (80158) $86.85 $193 4.8×
Cytomegalovirus igg (86644) $94.50 $210 6.6×
Cytopath Cell Enhance Tech (88112) $34.65 $77 0.6×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $46.80 $104 1.2×
Dhea (82626) $61.65 $137 2.4×
Dhea-S (82627) $50.40 $112 2.3×
Digoxin (80162) $90.45 $201 6.8×
Dna Antibody Native/Double Stranded (86225) $98.55 $219 7.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$44.10–$179.55 $98–$399 varies
Electrolyte panel (80051) $54.90 $122 7.8×
Estradiol serum (82670) $117 $260 4.2×
Estrogen total (82672) $108.45 $241 5.0×
Exam Synovial Fluid Crystals (89060) $57.60 $128 7.9×
Fat/Lipids Feces Quantitative (82710) $129.15 $287 7.7×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $91.35 $203 14.0×
Ferritin (82728) $72.90 $162 5.3×
Fibrin degradation products (85362) $80.10 $178 11.6×
Fibrin Degradation Quant (85379) $67.05 $149 6.6×
Fibrinogen activity (85384) $81.90 $182 8.4×
Flow cytometry first marker (88184) $155.25 $345 0.4×
Fluorescent antibody screen (86255) $109.80 $244 9.1×
Folic Acid Serum (82746) $72.90 $162 5.0×
Follicle Stimulating Hormone (83001) $85.50 $190 4.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $73.35 $163 0.4×
Gammaglobulin ige (82785) $62.10 $138 3.8×
Gastrin (82941) $74.25 $165 4.2×
Gentamicin (80170) $82.80 $184 5.1×
Ggt (82977) $28.35 $63 3.9×
Giardia antigen (87329) $14.85 $33 1.2×
Glucose 2 hr pp (82950) $14.85 $33 3.1×
Glucose Blood Test (82962) $9.90 $22 3.0×
Glucose body fluid (82945) $45.45 $101 11.6×
Glucose Serum (82947)
range across 3 matching MRF lines
$45.45–$59.40 $101–$132 varies
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$38.70–$124.20 $86–$276 varies
Glycated Protein (82985) $69.30 $154 4.1×
Gonadotropin Chorionic Qualitative (84703) $54.90 $122 7.3×
Gtt-added samples (82952) $38.70 $86 9.9×
Haptoglobin (83010) $59.40 $132 4.7×
Hdl Cholesterol (83718) $44.10 $98 5.4×
Helicobacter Pylori Stool (87338) $62.10 $138 4.3×
Hematocrit (85014)
range across 2 matching MRF lines
$20.25–$79.65 $45–$177 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$9.90–$20.25 $22–$45 varies
Hemoglobin a1c (83036) $75.60 $168 7.8×
Hemoglobin Chromotography (83021) $73.80 $164 4.1×
Hepatitis b core ab total (86704) $74.70 $166 6.2×
Hepatitis B Surface Antibody (86706) $108 $240 10.1×
Hepatitis B Surface Antigen (87340) $75.60 $168 7.3×
Hepatitis C Antibody (86803) $45 $100 3.2×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines
$148.50–$191.25 $330–$425 varies
Hepatitis C Revrs Trnscrpj (87522) $109.80 $244 2.6×
Hepatitis Delta Agent Antibody (86692) $103.50 $230 6.0×
Heterophile Antibody Screen (86308) $41.40 $92 8.0×
Hiv-1 Antibody (86701) $124.20 $276 14.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $160.65 $357 1.9×
Hla-b27 (86812) $135.45 $301 5.2×
Homocysteine (83090)
range across 2 matching MRF lines
$74.70–$79.65 $166–$177 varies
Hydroxycorticosteroids 17 (83491) $95.40 $212 5.3×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $31.50 $70 0.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$26.10–$48.60 $58–$108 varies
Iaadi giardia (87269) $101.70 $226 7.5×
Iaadi herpes smplx virus type 1 (87274) $162.90 $362 13.6×
Iaadi pneumocustis carinii (87281) $54.90 $122 4.6×
Iaadi respiratory synctial virus (87280) $27.45 $61 2.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $63 $140 2.8×
Iadna hepatitis b virus amplified probe tq (87516) $199.35 $443 5.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $94.50 $210 2.3×
Igg subclasses (82787) $95.85 $213 12.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $92.25 $205 5.0×
Immunoassay nonantibody (83516) $177.75 $395 15.4×
Immunoelectrophoresis Other Fluids Concentration (86325) $138.60 $308 6.0×
In situ hybridization 1st probe stain (88365) $109.35 $243 0.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $132.75 $295 1.9×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$26.10–$31.50 $58–$70 varies
Insitu hybridization auto (88367) $137.70 $306 0.4×
Insulin antibodies (86337) $114.75 $255 5.4×
Insulin total (83525) $70.20 $156 6.1×
Iron (83540) $45.45 $101 7.0×
Iron Binding Capacity (83550) $60.30 $134 6.9×
Ketosteroids 17 total (83586) $94.05 $209 7.3×
Lactate (ld) (ldh) enzyme (83615)
range across 4 matching MRF lines
$52.65–$124.20 $117–$276 varies
Ldh Isoenzymes (83625) $52.65 $117 4.1×
LDL direct (83721) $66.60 $148 6.3×
Lead (83655) $81.90 $182 6.8×
Legionella antibody (86713) $94.50 $210 6.2×
Leukocyte Assessment Fecal (89055) $28.35 $63 6.6×
Level ii surg pathology gross&microscopic exam (88302) $148.95 $331 3.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $137.70 $306 0.4×
Lipase (83690) $67.05 $149 9.7×
Lithium (80178) $64.80 $144 9.8×
Luteinizing Hormone (Lh) (83002) $80.10 $178 4.3×
Lyme disease antibody (86618) $123.30 $274 7.2×
Magnesium Urine (83735) $28.35 $63 4.2×
Microalbumin, quantitative (82043) $63 $140 10.9×
Microsomal Antibodies Each (86376) $159.30 $354 10.9×
Mopath procedure level 2 (81401) $149.40 $332 1.1×
Mumps antibody (86735) $86.40 $192 6.6×
Mycoplasma antibody (86738) $57.60 $128 4.4×
Myoglobin urine (83874) $81.90 $182 6.3×
Natriuretic peptide (83880) $51.30 $114 1.3×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $9.90 $22 0.1×
Occult blood feces (82272) $116.10 $258 27.4×
Occult Blood Other Sources (82271) $38.70 $86 7.3×
Osmolality serum (83930) $57.60 $128 8.7×
Osmolality Urine (83935) $57.60 $128 8.4×
Ova and parasites smears (87177) $67.05 $149 7.5×
Ph urine (81003) $9.90 $22 4.4×
Phenobarbital Level (80184) $81.90 $182 5.4×
Phenytoin (Dilantin) (80185) $86.85 $193 6.6×
Phosphatase alkaline (84075) $45 $100 8.7×
Phosphorus Serum (84100) $45.45 $101 9.6×
Phosphorus urine (84105) $25.20 $56 4.4×
Platelet count automated (85049) $21.60 $48 4.8×
Porphyrins Urine Quantitation & Fractionation (84120) $95.40 $212 6.5×
Potassium Urine (84133) $45.45 $101 9.6×
Prealbumin (84134) $75.60 $168 5.2×
Primidone (80188) $70.20 $156 4.2×
Progesterone (84144) $90.45 $201 4.3×
Prolactin (84146) $108.45 $241 5.6×
Protein C Activity (85303) $175.05 $389 12.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $103.50 $230 9.6×
Protein S Free (85306) $196.65 $437 12.8×
Protein total serum (84155)
range across 4 matching MRF lines
$28.80–$54.90 $64–$122 varies
Protein Total Urine (84156) $52.65 $117 14.3×
PSA free (84154) $69.30 $154 3.8×
Pth Intact (83970) $143.10 $318 3.5×
Quantiferon tb gold plus (86480) $161.10 $358 2.6×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$94.50–$108 $210–$240 varies
Rbc antibody identification (86870) $137.70 $306 0.4×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$51.30–$102.15 $114–$227 varies
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$6.75–$22.95 $15–$51 varies
Rh (86901)
range across 2 matching MRF lines
$19.35–$28.80 $43–$64 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$27.45–$81.90 $61–$182 varies
Rotavirus ag eia (87425) $89.55 $199 7.5×
Rpr qualitative (86592) $31.50 $70 7.4×
Rsv Assay W/Optic (87807) $97.65 $217 7.5×
Rubella Antibody (86762) $57.60 $128 4.0×
Rubeola antibody (86765) $82.35 $183 6.4×
Russell Viper Venom Time Diluted (85613) $198 $440 20.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $48.60 $108 0.9×
Sedimentation rate (85651) $41.85 $93 9.8×
Selenium (84255) $58.95 $131 2.3×
Semen analysis complete (89320) $81.90 $182 6.7×
Sensitivity mic (87186) $22.05 $49 2.5×
Sex Hormone Binding Globulin (84270) $32.40 $72 1.5×
Sickling of rbc reduction (85660) $72.90 $162 13.2×
Skin test tuberculosis intradermal (86580) $49.50 $110 1.6×
Smear acid fast (87206) $27.45 $61 5.1×
Smear complex stain (87209) $14.85 $33 0.8×
Smear gram stain (87205) $38.70 $86 9.1×
Smear Special Stain (87207)
range across 2 matching MRF lines
$60.75–$114.75 $135–$255 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $25.20 $56 4.3×
Sodium Serum (84295) $45.45 $101 9.4×
Sodium Urine (84300)
range across 2 matching MRF lines
$45.45–$65.70 $101–$146 varies
Special Stains Group 1 (88312) $61.20 $136 1.1×
Special Stains Group 2 (88313) $61.65 $137 0.4×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$98.55–$180.90 $219–$402 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $73.35 $163 0.4×
Stool cultr aerobic bact ea (87046) $18 $40 1.9×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$20.25–$20.70 $45–$46 varies
Surg path level iii (88304) $297 $660 5.5×
Surgical pathology level IV (88305) $372.15 $827 6.8×
Surgical pathology level vi (88309) $304.20 $676 0.4×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$96.30–$112.05 $214–$249 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$52.65–$124.20 $117–$276 varies
T cells total count (86359) $49.05 $109 1.3×
T3 Free (84481) $171.45 $381 10.1×
T3 Total (84480) $62.10 $138 4.4×
T3 Uptake (84479) $25.20 $56 3.9×
T4 Free (84439) $86.85 $193 9.6×
T4 total (84436) $25.20 $56 3.7×
Tacrolimus (80197) $124.65 $277 9.1×
Test for acetone/ketones (82009) $45 $100 10.0×
Testosterone total (84403)
range across 2 matching MRF lines
$111.60–$130.50 $248–$290 varies
Testosterone, Free (84402) $32.40 $72 1.3×
Theophylline (80198) $85.05 $189 6.0×
Thyroglobulin Antibody (86800) $77.40 $172 4.9×
Thyroid Stimulating Immunoglobulin (84445) $112.05 $249 2.2×
Tobramycin peak (80200) $72.90 $162 4.5×
Toxoplasma antibody (86777) $168.75 $375 11.7×
Transferase Aspartate Amino Ast Sgot (84450) $52.65 $117 10.2×
Transferrin (84466) $60.75 $135 4.8×
Trichomonas vagin dir probe (87660) $9.90 $22 0.5×
Triglycerides (84478) $180.45 $401 31.4×
Troponin Quant (84484)
range across 2 matching MRF lines
$75.60–$151.65 $168–$337 varies
Tumor Immunohistochem/Manual (88360) $116.55 $259 0.7×
Urea Nitrogen Clearance (84545) $62.10 $138 8.6×
Urea nitrogen urine (84540) $45.45 $101 8.2×
Uric acid other source (84560) $45.45 $101 8.9×
Urinalysis Microscopic Only (81015) $25.20 $56 8.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $27.45 $61 12.6×
Urinalysis Volume Measure (81050) $6.75 $15 1.9×
Urine Bacteria Culture (87088) $121.05 $269 15.0×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$9.90–$54.90 $22–$122 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $20.70 $46 6.5×
Valproic acid (80164) $70.65 $157 5.2×
Vancomycin (80202) $72.90 $162 5.4×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$38.70–$76.50 $86–$170 varies
Vit D 1 25-Dihydroxy (82652) $98.55 $219 2.6×
Vitamin b-12 (82607) $74.70 $166 5.0×
Vitamin D 25-Hydroxy (82306) $94.05 $209 3.2×
Zinc (84630) $62.10 $138 5.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.