Lab & pathology prices at Dr Dan C Trigg Memorial Hospital

Tucumcari, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $63 $90 3.4×
Acetylcholine receptor blocking antibody (86042) $63 $90 3.4×
Acetylcholn Rcptr Modlg Antb (86043) $41.30 $59 3.4×
Acth (82024) $196 $280 5.1×
Actin smooth muscle antibody each (86015) $21 $30 1.7×
Acute hepatitis panel (80074) $151.90 $217 3.2×
Albumin Fluid (82042) $14.70 $21 1.9×
Aldosterone urine (82088) $209.30 $299 5.1×
Alpha-Fetoprotein Serum (82105) $54.60 $78 3.3×
Alt (sgpt) (84460) $18.90 $27 3.6×
Ammonia (82140) $66.50 $95 4.6×
Amylase urine (82150) $30.10 $43 4.6×
Ana Titer (86039) $70 $100 6.3×
Anca screen each antibody (86036) $22.40 $32 1.9×
Anca Titer Each Antibody (86037) $22.40 $32 1.9×
Antibody Cytomegalovirus Cmv Igm (86645) $114.80 $164 6.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $93.10 $133 7.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $93.10 $133 6.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $107.80 $154 5.9×
Antibody helicobacter pylori (86677) $112.70 $161 6.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $89.60 $128 6.2×
Antibody identification leukocyte antibodies (86021) $93.10 $133 6.2×
Antibody Identification Platelet Immunogl Assay (86023) $79.80 $114 6.4×
Antibody Titer (86886) $186.90 $267 36.1×
Antibody Treponema Pallidum (86780) $38.50 $55 2.9×
Antigen typing (86905) $82.60 $118 21.6×
Antinuclear antibodies (86038) $70 $100 5.8×
Antithrombin iii activity (85300) $210 $300 17.7×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $22.40 $32 0.6×
Aquaporin-4 Antb Elisa (86051) $21 $30 1.8×
Assay of anti-mullerian hormone (82166) $109.20 $156 2.8×
Assay of blood/uric acid (84550) $18.90 $27 4.2×
Assay of cpk in blood (82552) $18.90 $27 1.4×
Assay of gammaglobulin igm (82784) $43.40 $62 4.7×
Assay of lactic acid (83605) $43.40 $62 3.8×
Assay of serum potassium (84132) $30.80 $44 6.5×
Assay of urea nitrogen (84520) $48.30 $69 12.2×
Assay of vitamin b-1 (84425) $57.40 $82 2.7×
Assay Ph Body Fluid Nos (83986) $8.40 $12 2.3×
Assay spec xcp ur&breath ia (82077) $26.60 $38 1.5×
Automated Leukocyte Count (85048) $16.80 $24 6.6×
Beta 2 glycoprotein i antibody each (86146) $102.90 $147 4.0×
Beta hydroxybutyrate (82010) $37.80 $54 4.6×
Beta Lactamase (87185) $33.60 $48 7.1×
Beta-2 Microglobulin (82232) $80.50 $115 5.0×
Bilirubin direct (82248) $16.80 $24 3.3×
Bilirubin total (82247) $14 $20 2.8×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $343 $490 2.0×
Blood gases w/02 saturation (82805) $127.40 $182 1.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $9.10 $13 2.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $109.20 $156 17.2×
Blood typing serologic abo (86900) $32.20 $46 10.8×
C diff amplified probe (87493) $86.80 $124 2.3×
C-reactive protein (86140) $35.70 $51 6.9×
Ca 19-9 (86301) $98 $140 4.7×
Calcium ionized (82330) $110.60 $158 8.1×
Calcium total (82310) $41.30 $59 8.0×
Calculus Spectroscopy (82365) $41.30 $59 3.2×
Cancer Antigen 125 (86304) $129.50 $185 6.2×
Cancer Antigen 27.29 (86300) $124.60 $178 6.0×
Carbamazepine total (80156) $43.40 $62 3.0×
Carboxyhemoglobin (82375) $63.70 $91 5.2×
Carcinoembryonic antigen (82378) $56 $80 3.0×
Cardiolipin ab iga (86147) $151.20 $216 5.9×
Ccp antibody (86200) $84 $120 6.5×
Cell count csf (89051) $30.10 $43 5.4×
Chloride Serum (82435) $23.80 $34 5.2×
Cholesterol total (82465) $15.40 $22 3.5×
Chorionic gonadotropin test (84702) $67.90 $97 4.5×
Chromogenic Substrate Assay (85130) $74.20 $106 6.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $135.80 $194 3.9×
Ckmb (82553) $60.20 $86 5.2×
Clostridium Difficile (87324) $30.80 $44 2.6×
Coccidioides antibody (86635) $375.20 $536 32.7×
Comparative Anal Str Markers Patient&Comp Spec (81265) $1,606.50 $2,295 6.9×
Complement Antigen Each Component (86160) $76.30 $109 6.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $128.10 $183 2.5×
Coombs direct (86880) $32.20 $46 6.0×
Copper urine (82525) $73.50 $105 5.9×
Cortisol free (82530) $63 $90 3.8×
Cortisol saliva (82533) $53.90 $77 3.3×
Creatine kinase total (82550) $42 $60 6.5×
Creatinine blood (82565) $46.20 $66 9.0×
Creatinine Urine (82570) $43.40 $62 8.4×
Crossmatch electronic (86923) $25.20 $36 0.1×
Crossmatch immediate spin (86920) $826 $1,180 4.9×
Cryptococcus ag titer (87899) $29.40 $42 1.8×
Cryptosporidium ag eia (87328) $39.20 $56 2.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $18.90 $27 2.3×
Culture afb (87116) $50.40 $72 4.7×
Culture Anaerobic (87075) $33.60 $48 3.5×
Culture blood (87040) $29.40 $42 2.8×
Culture chlamydia (87110) $99.40 $142 5.1×
Culture csf (87070) $68.60 $98 8.0×
Culture fungus (87102) $26.60 $38 3.2×
Culture screen only (87081) $17.50 $25 2.6×
Culture typing if ea antiserum (87140) $20.30 $29 3.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $14.70 $21 2.8×
Culture urine (87086) $35 $50 4.3×
Cyp2c9 gene com variants (81227) $1,000.30 $1,429 5.7×
Cytomegalovirus igg (86644) $98 $140 6.8×
Detect Agent Nos Dna Amp (87798) $63.70 $91 1.8×
Detect Agent Nos Dna Quant (87799) $275.80 $394 6.4×
Dgp Antibody Each Ig Class (86258) $21 $30 1.7×
Digoxin (80162) $48.30 $69 3.6×
Dna Antibody Native/Double Stranded (86225) $77 $110 5.6×
Drug assay acetaminophen (80143) $25.90 $37 1.4×
Drug Assay Lacosamide (80235) $139.30 $199 5.1×
Drug Screen Quant Zonisamide (80203) $79.10 $113 6.0×
Drug Screen Quantitative Lamotrigine (80175) $33.60 $48 2.5×
Drug Screen Quantitative Levetiracetam (80177) $23.80 $34 1.8×
Drug Test Prsmv Chem Anlyzr (80307) $116.90 $167 1.9×
Drug Test Prsmv Instrmnt (80306) $116.90 $167 6.8×
El-1 Fecal Quantitative (82653) $35 $50 1.5×
Electrolyte panel (80051) $97.30 $139 13.9×
Electron Microscopy (88348) $284.90 $407 0.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $22.40 $32 1.9×
Enterovirus PCR (87498) $179.90 $257 5.1×
Erythropoietin (82668) $74.20 $106 3.9×
Exam Synovial Fluid Crystals (89060) $19.60 $28 2.7×
F2 Gene (81240) $715.40 $1,022 10.9×
Factor v leiden mutation (81241) $715.40 $1,022 9.8×
Factor viii assay (85240) $107.10 $153 6.0×
Ferritin (82728) $43.40 $62 3.2×
Fibrin Degradation Quant (85379) $156.80 $224 15.4×
Fibrinogen activity (85384) $46.20 $66 4.8×
Flow cytometry first marker (88184) $331.10 $473 0.9×
Fluorescent antibody screen (86255) $73.50 $105 6.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $98 $140 8.1×
Fmr1 Gene Charac Alleles (81244) $152.60 $218 3.4×
Folic Acid Serum (82746) $57.40 $82 3.9×
Francisella tularensis (86668) $95.20 $136 6.7×
Fungi Identification Mold (87107) $28.70 $41 2.8×
Gases blood ph only (82800) $12.60 $18 1.1×
Gentamicin (80170) $39.90 $57 2.4×
Ggt (82977) $37.10 $53 5.2×
Giardia antigen (87329) $46.20 $66 3.9×
Glucose Blood Test (82962) $28.70 $41 8.8×
Glucose body fluid (82945) $10.50 $15 2.7×
Glucose Serum (82947) $37.10 $53 9.4×
Glucose tolerance test (gtt) (82951) $122.50 $175 9.5×
Gonadotropin Chorionic Qualitative (84703) $41.30 $59 5.5×
Gtt-added samples (82952) $14.70 $21 3.8×
Haptoglobin (83010) $34.30 $49 2.7×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $336 $480 1.7×
Helicobacter Pylori Stool (87338) $23.80 $34 1.7×
Hematocrit (85014) $16.80 $24 7.1×
Hemoglobin (85018) $16.10 $23 6.8×
Hemoglobin a1c (83036) $37.80 $54 3.9×
Hemoglobin electrophoresis (83020) $39.90 $57 3.1×
Hemoglobin plasma (83051) $39.90 $57 5.5×
Hep a ab igm (86709) $70 $100 6.2×
Heparin assay (85520)
range across 2 matching MRF lines
$52.50–$81.20 $75–$116 varies
Heparin-Protamine Tolerance Tst (85530) $81.20 $116 6.2×
Hepatitis b core ab igm (86705) $80.50 $115 6.8×
Hepatitis b core ab total (86704) $48.30 $69 4.0×
Hepatitis B Surface Antibody (86706) $189.70 $271 17.7×
Hepatitis B Surface Antigen (87340) $98 $140 9.5×
Hepatitis C Antibody (86803) $98.70 $141 6.9×
Hepatitis C Genotype (87902) $1,320.20 $1,886 5.1×
Hepatitis C Revrs Trnscrpj (87522) $164.50 $235 3.8×
Heterophile Antibody Screen (86308) $46.20 $66 8.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $65.80 $94 2.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $239.40 $342 2.8×
Homocysteine (83090) $45.50 $65 2.5×
Hpv sep hi-rsk typ&pool rslt (87626) $213.50 $305 3.0×
Hsv Dna Amp Probe (87529) $179.20 $256 5.1×
Iaad Ia Streptococcus Group A (87430) $29.40 $42 1.7×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $48.30 $69 1.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $166.60 $238 4.7×
Iadna Candida Species Amplified Probe Tq (87481) $179.90 $257 5.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $226.10 $323 6.4×
Iadna Cytomegalovirus Quantification (87497) $275.80 $394 6.4×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $48.30 $69 1.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $226.10 $323 6.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $146.30 $209 4.2×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $179.90 $257 3.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $826 $1,180 5.8×
Ig Light Chains Free Each (83521) $26.60 $38 1.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $96.60 $138 0.3×
Immunoassay nonantibody (83516) $70.70 $101 6.1×
Immunofixation electrophoresis (86334) $138.60 $198 6.2×
Immunohistochemistry (88342) $74.90 $107 0.4×
Inhibin b (83520) $47.60 $68 2.8×
Interleukin-6 (83529) $26.60 $38 1.5×
Intrinsic factor antibody (86340) $93.10 $133 6.2×
Iron (83540) $18.90 $27 2.9×
Iron Binding Capacity (83550) $23.10 $33 2.6×
Jak2 Gene Trgt Sequence Alys (81279) $630 $900 3.4×
Lactate (ld) (ldh) enzyme (83615) $66.50 $95 11.0×
LDL direct (83721) $22.40 $32 2.1×
Legionella antigen urine (87449) $28.70 $41 2.4×
Level ii surg pathology gross&microscopic exam (88302) $84 $120 2.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $280 $400 0.8×
Lipase (83690) $46.20 $66 6.7×
Lipoprotein-Associated Phospholipase A2 (83698) $349.30 $499 7.5×
Lithium (80178) $38.50 $55 5.8×
Lyme disease antibody (86618) $86.80 $124 5.1×
M. Genitalium Amp Probe (87563) $220.50 $315 6.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$56.70–$165.90 $81–$237 varies
Macroscopic Exam Parasite (87169) $20.30 $29 4.7×
Magnesium Urine (83735) $19.60 $28 2.9×
Methotrexate (80204) $86.80 $124 2.3×
Microsomal Antibodies Each (86376) $102.90 $147 7.1×
Mitochondrial Antibody Each (86381) $46.90 $67 1.8×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $22.40 $32 0.6×
Mpl gene common variants (81338) $511.70 $731 3.4×
Mrsa Pcr (87641) $86.80 $124 2.5×
Mumps antibody (86735) $98.70 $141 7.6×
Muscle-Specific Kinase Antb (86366) $63 $90 3.4×
Mycobacteric Identification (87118) $69.30 $99 4.7×
Mycoplasma culture (87109) $112 $160 7.3×
Myoglobin urine (83874) $58.80 $84 4.6×
Natriuretic peptide (83880) $107.10 $153 2.7×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $349.30 $499 2.7×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $195.30 $279 1.4×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $360.50 $515 1.4×
Nuclear antigen antibody (86235) $109.20 $156 6.1×
Nudt15 Gene Common Variants (81306) $483.70 $691 1.7×
Occult blood feces (82272) $9.10 $13 2.2×
Oligoclonal bands (83916) $189 $270 6.9×
Osmolality serum (83930) $51.10 $73 7.7×
Osmolality Urine (83935) $24.50 $35 3.6×
Ova and parasites smears (87177) $21.70 $31 2.4×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $32.90 $47 0.6×
Ph urine (81003) $33.60 $48 14.9×
Phenobarbital Level (80184) $78.40 $112 5.1×
Phenytoin (Dilantin) (80185) $42.70 $61 3.2×
Phenytoin free (80186) $33.60 $48 2.4×
Phosphorus Serum (84100) $15.40 $22 3.2×
Platelet Antibodies (86022) $73.50 $105 4.0×
Potassium Urine (84133) $11.90 $17 2.5×
Prealbumin (84134) $42 $60 2.9×
Primidone (80188) $85.40 $122 5.1×
Procalcitonin (Pct) (84145) $72.80 $104 2.7×
Prolactin (84146) $56.70 $81 2.9×
Protein body fluid (84157) $9.80 $14 2.5×
Protein C Activity (85303) $108.50 $155 7.8×
Protein Electrophoresis Urine (84166) $44.10 $63 2.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $41.30 $59 3.8×
Protein S Free (85306) $159.60 $228 10.4×
Protein total serum (84155) $16.10 $23 4.4×
Protein Total Urine (84156) $14.70 $21 4.0×
PSA free (84154) $93.80 $134 5.1×
Pth Intact (83970) $88.90 $127 2.2×
Quantiferon tb gold plus (86480) $226.80 $324 3.7×
Rbc antibody identification (86870) $152.60 $218 0.4×
Rbc antibody screen (86850) $58.10 $83 5.9×
Resp virus 12-25 targets (87633) $2,682.40 $3,832 6.4×
Reticulated Platelet Assay (85055) $97.30 $139 2.7×
Reticulocyte Count (85046) $44.10 $63 7.9×
Rh (86901) $28.70 $41 9.6×
Rheumatoid factor quant (86431) $98.70 $141 17.4×
Rubella Antibody (86762) $58.10 $83 4.0×
Rubeola antibody (86765) $88.20 $126 6.8×
Russell Viper Venom Time Diluted (85613) $58.80 $84 6.1×
Salicylate Level (80179) $25.90 $37 1.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $251.30 $359 4.9×
Sarscov2 & inf a&b amp prb (87636) $290.50 $415 2.0×
Sarscov2&inf a&b&rsv amp prb (87637) $302.40 $432 2.1×
Sedimentation Rate, Automated (85652) $70 $100 25.9×
Sensitivity mic (87186) $46.20 $66 5.3×
Sex Hormone Binding Globulin (84270) $98.70 $141 4.5×
Smear acid fast (87206) $25.90 $37 4.8×
Smear complex stain (87209) $44.80 $64 2.5×
Smear gram stain (87205) $20.30 $29 4.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $24.50 $35 4.2×
Sodium Serum (84295) $43.40 $62 9.0×
Sodium Urine (84300) $21 $30 4.2×
Soluble Transferrin Receptor (84238) $252 $360 6.9×
Special Stains Group 1 (88312) $57.40 $82 1.1×
Specimen infect agnt concntj (87015) $16.80 $24 2.5×
Spectrophotometry (84311) $42 $60 5.2×
Splitting Blood/Blood Products Each Unit (86985) $273 $390 1.6×
Stool cultr aerobic bact ea (87046) $32.20 $46 3.4×
Strep a assay w/optic (87880) $52.50 $75 3.2×
Strep a DNA amp probe (87651) $175 $250 5.0×
Surg path level iii (88304) $110.60 $158 2.1×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$144.20–$530.60 $206–$758 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $18.90 $27 4.0×
Susceptibility Study Antimicrobial Disk Method (87184) $23.80 $34 3.2×
Syphilis Test Non-Trep Quant (86593) $33.60 $48 7.6×
T3 Free (84481) $72.80 $104 4.3×
T3 Total (84480) $53.90 $77 3.8×
T4 Free (84439) $31.50 $45 3.5×
T4 total (84436) $18.90 $27 2.8×
Test for acetone/ketones (82009) $12.60 $18 2.8×
Testosterone total (84403) $74.90 $107 2.9×
Theophylline (80198) $38.50 $55 2.7×
Thiopurine methyltransferase (84433) $30.80 $44 1.4×
Thyroglobulin (84432) $43.40 $62 2.7×
Thyroglobulin Antibody (86800) $170.80 $244 10.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $21 $30 1.8×
Topiramate (80201) $29.40 $42 2.5×
Transferase Aspartate Amino Ast Sgot (84450) $18.90 $27 3.6×
Trichomonas Vaginalis Amplif (87661) $175 $250 5.0×
Triglycerides (84478) $18.90 $27 3.3×
Troponin Quant (84484) $91.70 $131 7.4×
Urinalysis Volume Measure (81050) $8.40 $12 2.3×
Urine Bacteria Culture (87088) $33.60 $48 4.2×
Urine Pregnancy Test (81025) $22.40 $32 2.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $30.10 $43 9.5×
Valproic acid (80164) $33.60 $48 2.5×
Vancomycin (80202) $56.70 $81 4.2×
Varicella-zoster antibody (86787) $79.80 $114 6.2×
Vasopressin (84588) $91.70 $131 2.7×
Viral Culture (87252) $168 $240 6.4×
Virus antibody nos (86790) $88.20 $126 6.8×
Virus inoculation, shell via (87254) $47.60 $68 2.4×
Vitamin b-12 (82607) $50.40 $72 3.3×
Vitamin c (82180) $74.90 $107 7.6×
Vitamin D 25-Hydroxy (82306) $94.50 $135 3.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $33.60 $48 2.8×
West nile virus ab igm (86788) $105 $150 6.2×
West Nile Virus Antibody (86789) $89.60 $128 6.2×

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.