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.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $98.55 $219 2.6×
Acetone serum qual (82009) $45 $100 10.0×
Acute hepatitis panel (80074) $116.55 $259 2.4×
Adrenocorticotropic hormone (82024) $117 $260 3.0×
Afp maternal serum (82105) $164.70 $366 9.8×
Albumin body fluid (82042) $45 $100 5.8×
Albumin serum (82040) $45.45 $101 9.2×
Aldolase (82085) $60.75 $135 6.3×
Aldosterone urine (82088) $170.78 $379.50 4.2×
Alt (sgpt) (84460) $52.65 $117 9.9×
Amikacin trough (80150) $101.25 $225 6.7×
Amino Acids, Multiple Qual (82128) $50.40 $112 3.6×
Amylase urine (82150) $38.70 $86 6.0×
Antibody cytomegalovirus cmv (86644) $94.50 $210 6.6×
Antibody epstein-barr eb virus early antigen ea (86663) $176.40 $392 13.4×
Antibody helicobacter pylori (86677) $71.32 $158.50 4.2×
Antibody Hiv-1&Hiv-2 Single Result (86703) $121.95 $271 8.9×
Antibody HIV-2 (86702) $267.30 $594 19.8×
Antibody identification (86870) $137.70 $306 0.4×
Antibody mumps (86735) $86.40 $192 6.6×
Antibody screen (86850) $76.72 $170.50 7.9×
Antibody treponema pallidum (86780) $82.80 $184 6.3×
Antigen typing (86905) $137.70 $306 36.0×
Antinuclear antibodies (86038) $50.85 $113 4.2×
Antistreptolysin o titer (86060) $38.70 $86 5.3×
Assay 17-(17-Ks)Ketosteroids (83586) $94.05 $209 7.3×
Assay of ammonia (82140) $90.45 $201 6.2×
Assay of c-peptide (84681) $59.40 $132 2.9×
Assay of ceruloplasmin (82390) $60.75 $135 5.7×
Assay of cyclosporine (80158) $86.85 $193 4.8×
Assay of ferritin (82728) $72.90 $162 5.3×
Assay of gammaglobulin igm (82784) $66.38 $147.50 7.1×
Assay of gastrin (82941) $74.25 $165 4.2×
Assay of gentamicin (80170) $82.80 $184 5.1×
Assay of homocystine (83090) $77.18 $171.50 4.3×
Assay of lactic acid (83605) $124.20 $276 10.7×
Assay of metanephrines (83835) $91.35 $203 5.4×
Assay of phenobarbital (80184) $81.90 $182 5.4×
Assay of prealbumin (84134) $75.60 $168 5.2×
Assay of prolactin (84146) $108.45 $241 5.6×
Assay of tacrolimus (80197) $124.65 $277 9.1×
Assay of urine vma (84585) $80.10 $178 5.2×
Ast (sgot) (84450) $52.65 $117 10.2×
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×
Bl Smear W/Diff Wbc Count (85007) $34.65 $77 9.1×
Bld Typing Serologic Rh Phnt (86906) $27 $60 3.5×
Blood gas (82803) $171 $380 6.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $9.90 $22 2.3×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $137.70 $306 21.7×
Blood typing abo (86900) $53.10 $118 17.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $27 $60 1.7×
Blood typing serologic rh (d) (86901) $24.08 $53.50 8.1×
Body fluid cell count (89051) $43.65 $97 7.8×
Bone Marrow Smear Interpretation (85097) $280.35 $623 0.3×
C diff amplified probe (87493) $180.45 $401 4.8×
C-reactive protein (86140) $51.30 $114 9.9×
Ca 125 (86304) $155.70 $346 7.5×
Ca 19-9 (86301) $155.25 $345 7.5×
Ca 27 29 (86300) $124.42 $276.50 6.0×
Calcium ionized (82330) $122.85 $273 9.0×
Calcium total (82310) $51.30 $114 9.9×
Calcium urine (82340) $45 $100 7.5×
Calculus Quantitative Chemical (82360) $45 $100 3.5×
Carbamazepine total (80156) $85.05 $189 5.8×
Carbon dioxide (82374) $20.25 $45 4.1×
Carcinoembryonic antigen (82378) $91.35 $203 4.8×
Cardiolipin ab igg (86147) $112.05 $249 4.4×
Catecholamines fraction plasma (82384) $131.62 $292.50 5.2×
Chloride blood (82435) $45.45 $101 9.9×
Chloride feces (82438) $49.50 $110 9.9×
Chloride urine (82436) $49.50 $110 8.6×
Cholesterol HDL (83718) $44.10 $98 5.4×
Cholesterol total (82465) $45 $100 10.3×
Ckmb (82553) $91.35 $203 7.9×
Clotting Inhibitors Protein S Free (85306) $196.65 $437 12.8×
Compatibility test antiglob (86922) $169.42 $376.50 1.0×
Complement c3 (86160) $94.50 $210 7.9×
Complement total (ch50) (86162) $112.05 $249 5.5×
Concentration Infectious Agent (87015) $103.50 $230 15.5×
Coombs direct (86880) $27.45 $61 5.1×
Copper urine (82525) $57.60 $128 4.6×
Cortisol free (82530) $102.38 $227.50 6.1×
Cortisol total (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) $57.38 $127.50 6.1×
Creatinine other source (82570) $45 $100 8.7×
Crystals body fluid (89060) $57.60 $128 7.9×
Culture Aerobic Identify (87077) $36 $80 4.5×
Culture anaerobic (87075) $98.55 $219 10.4×
Culture blood (87040) $120.60 $268 11.7×
Culture fungus other (87102) $72.90 $162 8.7×
Culture genital (87070) $74.70 $166 8.7×
Culture screen only (87081) $46.58 $103.50 7.0×
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×
Cytopath cell enhance tech (88112) $34.65 $77 0.6×
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $46.80 $104 1.2×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $28.80 $64 1.7×
Dhea (82626) $61.65 $137 2.4×
Dhea-sulfate (82627) $50.40 $112 2.3×
Digoxin (80162) $90.45 $201 6.8×
Dilantin (80185) $86.85 $193 6.6×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $98.55 $219 7.2×
Drug quant nes (80299) $101.25 $225 5.4×
Drug test prsmv chem anlyzr (80307) $44.10 $98 0.7×
Ebv viral capsid (86665) $163.35 $363 9.0×
Electrolyte panel (80051) $54.90 $122 7.8×
Eosinophil count (85048) $35.10 $78 13.8×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $163.35 $363 10.7×
Estradiol (82670) $117 $260 4.2×
Estrogens total (82672) $108.45 $241 5.0×
Fecal fat quant (82710) $129.15 $287 7.7×
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×
Folate 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×
Fructosamine (82985) $69.30 $154 4.1×
Gammaglobulin ige (82785) $62.10 $138 3.8×
Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) $185.85 $413 2.4×
Ggt (82977) $28.35 $63 3.9×
Giardia antigen eia stool (87329) $14.85 $33 1.2×
Glucose (82947) $45.45 $101 11.6×
Glucose Blood Test (82962) $9.90 $22 3.0×
Glucose body fluid (82945) $45.45 $101 11.6×
Glucose post dose (82950) $14.85 $33 3.1×
Glucose tolerance ea addl beyond 3 specimens (82952) $38.70 $86 9.9×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $124.20 $276 9.7×
Haptoglobin (83010) $59.40 $132 4.7×
Hcg qualitative (84703) $54.90 $122 7.3×
Hcg quant (84702) $147.60 $328 9.8×
Hematocrit (85014) $49.95 $111 21.1×
Hemoglobin (85018) $15.08 $33.50 6.4×
Hemoglobin a1c (83036) $75.60 $168 7.8×
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $73.80 $164 4.1×
Hepatitis b core antibody total (86704) $74.70 $166 6.2×
Hepatitis B Surface Ab (86706) $108 $240 10.1×
Hepatitis B Surface Antigen (87340) $75.60 $168 7.3×
Hepatitis c antibody (86803) $45 $100 3.2×
Hepatitis delta ab (86692) $103.50 $230 6.0×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $41.40 $92 8.0×
HIV confirmation (86689) $85.05 $189 4.4×
HIV-1 antibody (86701) $124.20 $276 14.0×
Hla-b27 (86812) $135.45 $301 5.2×
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 clostridium difficile toxin (87324) $180.45 $401 15.1×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $62.10 $138 4.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $37.35 $83 1.1×
Iaadi Pneumocustis Carinii (87281) $54.90 $122 4.6×
Iaadi respiratory synctial virus (87280) $27.45 $61 2.0×
Iaadiadoo not otherwise specified (87899) $95.85 $213 6.0×
Iadna hepatitis b virus amplified probe tq (87516) $199.35 $443 5.7×
Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) $169.88 $377.50 4.8×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $109.80 $244 2.6×
Iadna HIV-1 quant & reverse transcription (87536) $160.65 $357 1.9×
Igg subclasses (82787) $95.85 $213 12.0×
Immunoassay nonantibody (83516) $177.75 $395 15.4×
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) $138.60 $308 6.0×
In situ hybridization (88365) $109.35 $243 0.6×
Indirect coombs (86885) $73.35 $163 12.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $132.75 $295 1.9×
Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) $101.70 $226 7.5×
Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) $162.90 $362 13.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) $63 $140 2.8×
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×
Ldh body fluid (83615) $88.42 $196.50 14.6×
Ldh isoenzymes (83625) $52.65 $117 4.1×
LDL cholesterol direct (83721) $66.60 $148 6.3×
Lead (83655) $81.90 $182 6.8×
Legionella antibody (86713) $94.50 $210 6.2×
Leukocyte Assmt Fecal Qual/Semiquantitative (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×
Level vi surg pathology gross&microscopic exam (88309) $304.20 $676 0.4×
Lh (83002) $80.10 $178 4.3×
Lipase (83690) $67.05 $149 9.7×
Lithium (80178) $64.80 $144 9.8×
Lyme disease antibody (86618) $123.30 $274 7.2×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $116.55 $259 0.7×
Magnesium (83735) $28.35 $63 4.2×
Malaria smear (87207) $87.75 $195 14.6×
Manual Diff Wbc Count B-Coat (85009) $18 $40 3.6×
Microalbumin urine (82043) $63 $140 10.9×
Microsomal antibodies (86376) $159.30 $354 10.9×
Molecular pathology procedure level 2 (81401) $149.40 $332 1.1×
Mtb PCR (87556) $94.50 $210 2.3×
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 gastric (82271) $38.70 $86 7.3×
Occult blood stool (82272) $116.10 $258 27.4×
Osmolality serum (83930) $57.60 $128 8.7×
Osmolality urine (83935) $57.60 $128 8.4×
Ova and parasite direct-id lca (87177) $67.05 $149 7.5×
Pancreatic polypeptide (83519) $92.25 $205 5.0×
Ph body fluid (83986) $48.60 $108 13.6×
Ph urine (81003) $9.90 $22 4.4×
Phosphatase alkaline (84075) $45 $100 8.7×
Phosphorus blood (84100) $45.45 $101 9.6×
Phosphorus urine (84105) $25.20 $56 4.4×
Plasminogen (85420) $91.35 $203 14.0×
Platelet count automated (85049) $21.60 $48 4.8×
Porphyrins Urine Quantitation & Fractionation (84120) $95.40 $212 6.5×
Potassium (84132) $45.45 $101 9.5×
Potassium urine (84133) $45.45 $101 9.6×
Primidone (80188) $70.20 $156 4.2×
Progesterone (84144) $90.45 $201 4.3×
Protein c activity (85303) $175.05 $389 12.6×
Protein electrophoresis serum (84165) $103.50 $230 9.6×
Protein total serum (84155) $41.85 $93 11.4×
Protein urine (84156) $52.65 $117 14.3×
PSA free (84154) $69.30 $154 3.8×
Pth intact (83970) $143.10 $318 3.5×
Rbc (85041) $32.40 $72 10.7×
Reagent strip/blood glucose (82948) $14.85 $33 2.9×
Reticulocyte count auto (85045) $21.60 $48 5.4×
Rheumatoid factor quant (86431) $54.68 $121.50 9.6×
Rotavirus ag eia (87425) $89.55 $199 7.5×
Rsv (87807) $97.65 $217 7.5×
Rubella antibody (86762) $57.60 $128 4.0×
Rubeola Antibody Igg (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×
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×
Smr Prim Src Wet Mount Nfct Agt (87210) $25.20 $56 4.3×
Sodium (84295) $45.45 $101 9.4×
Sodium urine (84300) $55.58 $123.50 11.0×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $61.65 $137 0.4×
Special stains group 1 (88312) $61.20 $136 1.1×
Sputum specimen collection (89220) $73.35 $163 0.4×
Stool Culture, Addl Pathogens (87046) $18 $40 1.9×
Strep a assay w/optic (87880) $20.48 $45.50 1.2×
Surg path level iii (88304) $297 $660 5.5×
Surgical pathology level IV (88305) $372.15 $827 6.8×
T Cell Absolute Count (86361) $104.18 $231.50 3.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $88.42 $196.50 1.9×
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×
Tb intradermal test (86580) $49.50 $110 1.6×
Tb test, cell immun measure (86480) $161.10 $358 2.6×
Testosterone free (84402) $32.40 $72 1.3×
Testosterone total (84403) $121.05 $269 4.7×
Theophylline (80198) $85.05 $189 6.0×
Thyroglobulin antibody (86800) $77.40 $172 4.9×
Thyroid Stimulating Immune Globulins Tsi (84445) $112.05 $249 2.2×
Tobramycin peak (80200) $72.90 $162 4.5×
Toxoplasma antibody igg (86777) $168.75 $375 11.7×
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 (84484) $113.62 $252.50 9.1×
Urea nitrogen (84520) $38.70 $86 9.8×
Urea Nitrogen Clearance (84545) $62.10 $138 8.6×
Urea nitrogen urine (84540) $45.45 $101 8.2×
Uric acid blood (84550) $45.45 $101 10.1×
Uric acid other source (84560) $45.45 $101 8.9×
Urinalysis (81005) $27.45 $61 12.6×
Urinalysis auto w/scope (81001) $20.70 $46 6.5×
Urinalysis Microscopic Only (81015) $25.20 $56 8.3×
Urine Bacteria Culture (87088) $121.05 $269 15.0×
Urine pregnancy test (81025) $32.40 $72 3.8×
Urine volume measurement (81050) $6.75 $15 1.9×
Valproic acid (80164) $70.65 $157 5.2×
Vancomycin trough (80202) $72.90 $162 5.4×
Varicella-zoster antibody (86787) $57.60 $128 4.5×
Vdrl csf (86592) $31.50 $70 7.4×
Vitamin b-12 (82607) $74.70 $166 5.0×
Vitamin b1 (thiamine) (84425) $62.10 $138 2.9×
Vitamin D 25-Hydroxy (82306) $94.05 $209 3.2×
Zinc (84630) $62.10 $138 5.5×