Lab & pathology prices at Ed Fraser Memorial Hospital

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

166 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) $361 $361 9.4×
Acetone serum qual (82009) $114 $114 25.2×
Acute hepatitis panel (80074) $445 $445 9.3×
Adrenocorticotropic hormone (82024) $289 $289 7.5×
Afp maternal serum (82105) $166 $166 9.9×
Albumin serum (82040) $54 $54 10.9×
Aldolase (82085) $103 $103 10.6×
Alkaline phosphatase isoenzymes (84080) $123 $123 8.3×
Alt (sgpt) (84460) $54 $54 10.2×
Amylase urine (82150) $113 $113 17.4×
Angiotensin i enzyme test (82164) $156 $156 10.7×
Anti-phosphatidylserine antibody (86148) $151 $151 9.4×
Antibody screen (86850) $158 $158 16.2×
Antibody treponema pallidum (86780) $157 $157 11.9×
Antinuclear antibodies (86038) $364 $364 30.1×
Apolipoprotein each (82172) $144 $144 6.8×
Assay of ammonia (82140) $157 $157 10.8×
Assay of c-peptide (84681) $191 $191 9.2×
Assay of ceruloplasmin (82390) $122 $122 11.4×
Assay of erythropoietin (82668) $207 $207 11.0×
Assay of ferritin (82728) $103 $103 7.6×
Assay of gammaglobulin igm (82784) $105 $105 11.3×
Assay of gastrin (82941) $134 $134 7.6×
Assay of homocystine (83090) $232 $232 12.9×
Assay of lactic acid (83605) $118 $118 10.2×
Assay of lipoprotein(a) (83695) $122 $122 8.5×
Assay of prealbumin (84134) $89 $89 6.1×
Assay of prolactin (84146) $151 $151 7.8×
Assay of serotonin (84260) $252 $252 8.1×
Assay of tacrolimus (80197) $151 $151 11.0×
Assay of vitamin k (84597) $75 $75 5.5×
Ast (sgot) (84450) $54 $54 10.4×
Bilirubin direct (82248) $123 $123 24.5×
Bilirubin total (82247) $54 $54 10.8×
Bl Smear W/Diff Wbc Count (85007) $75 $75 19.7×
Blood gas (82803) $283 $283 10.9×
Blood Ph (82800) $283 $283 25.7×
Blood typing abo (86900) $58 $58 19.4×
Blood typing serologic rh (d) (86901) $58 $58 19.4×
Body fluid cell count (89051) $112 $112 20.0×
C-reactive protein (86140) $72 $72 13.9×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $393 $393 30.3×
Calcium ionized (82330) $132 $132 9.6×
Calprotectin, fecal (83993) $241 $241 12.3×
Chromogranin a (86316) $175 $175 8.4×
Ckmb (82553) $153 $153 13.2×
Complement c3 (86160) $145 $145 12.1×
Copper urine (82525) $165 $165 13.3×
Cortisol total (82533) $141 $141 8.7×
Creatine kinase total (82550) $157 $157 24.1×
Creatinine blood (82565) $105 $105 20.5×
Creatinine clearance (82575) $165 $165 17.4×
Creatinine other source (82570) $239 $239 46.1×
Crossmatch immediate spin (86920) $246 $246 1.4×
Crystals body fluid (89060) $57 $57 7.8×
Culture anaerobic (87075) $244 $244 25.8×
Culture blood (87040) $229 $229 22.2×
Culture genital (87070) $253 $253 29.4×
Culture stool (87045) $222 $222 23.5×
Culture urine (87086) $188 $188 23.3×
Cyclic Citrullinated Peptide (86200) $123 $123 9.5×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $569 $569 13.3×
D-Dimer (85378) $98 $98 10.1×
Dhea-sulfate (82627) $263 $263 11.8×
Digoxin (80162) $117 $117 8.8×
Drug quant nes (80299) $231 $231 12.4×
Drug test prsmv chem anlyzr (80307) $132 $132 2.1×
Estradiol (82670) $338.50 $338.50 12.1×
Fecal fat qual (82705) $57 $57 11.2×
Fibrinogen activity (85384) $114 $114 11.7×
Fluorescent Antibody Screen (86255) $364 $364 30.2×
Folate serum (82746) $167 $167 11.4×
Folic acid rbc (82747) $168 $168 9.5×
Follicle Stimulating Hormone (83001) $180 $180 9.7×
Fructosamine (82985) $96 $96 5.7×
Gammaglobulin ige (82785) $128 $128 7.8×
Gc Dna Probe (87590) $125 $125 4.7×
Ggt (82977) $56 $56 7.8×
Glucose (82947) $111 $111 28.2×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $170 $170 13.2×
Hcg qualitative (84703) $116 $116 15.4×
Hcg quant (84702) $213 $213 14.2×
Heavy metal quant each (83018) $365.50 $365.50 16.6×
Hematocrit (85014) $54 $54 22.8×
Hemoglobin (85018) $54 $54 22.8×
Hemoglobin a1c (83036) $84 $84 8.7×
Hemoglobin electrophoresis (83020) $155 $155 12.0×
Hepatitis b core ab igm (86705) $112 $112 9.5×
Hepatitis B Surface Antigen (87340) $91 $91 8.8×
Hepatitis be antibody (86707) $102 $102 8.8×
Hepatitis Be Antigen (87350) $102 $102 8.8×
Hepatitis c antibody (86803) $114 $114 8.0×
Herpes simplex type i (86695) $114 $114 8.6×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $71 $71 13.7×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $183 $183 12.7×
Iaadi inffluenza a virus (87276) $85 $85 5.3×
Iaadi influenza b virus (87275) $85 $85 6.9×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $538 $538 12.6×
Iadna nos quantification each organism (87799) $486 $486 11.3×
Igg subclasses (82787) $31 $31 3.9×
Immunoassay nonantibody (83516) $164 $164 14.2×
Immunoelectrophoresis serum (86320) $305 $305 10.2×
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) $249 $249 10.8×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) $125 $125 5.5×
Insulin total (83525) $54 $54 4.7×
Iron (83540) $67 $67 10.4×
Iron binding capacity (83550) $99 $99 11.3×
Ldh body fluid (83615) $105 $105 17.4×
Lh (83002) $182 $182 9.8×
Lipase (83690) $96 $96 13.9×
Lithium (80178) $87 $87 13.2×
Lyme disease antibody (86618) $325 $325 19.1×
Magnesium (83735) $120 $120 17.9×
Mass spectrometry qual/quan (83789) $183 $183 7.6×
Methylmalonic acid serum (83921) $244 $244 11.5×
Microsomal antibodies (86376) $216 $216 14.8×
Natriuretic peptide (83880) $400 $400 10.2×
Nuclear antigen antibody (86235) $172 $172 9.6×
Osmolality serum (83930) $222 $222 33.6×
Osmolality urine (83935) $222 $222 32.6×
Ova and parasite direct-id lca (87177) $231 $231 26.0×
Phosphorus blood (84100) $61 $61 12.9×
Potassium (84132) $95 $95 20.0×
Procalcitonin (pct) (84145) $81 $81 3.0×
Protein body fluid (84157) $99 $99 24.8×
Protein urine (84156) $99 $99 27.0×
PSA free (84154) $111 $111 6.0×
Pth intact (83970) $320 $320 7.8×
Reticulocyte count auto (85045) $54 $54 13.5×
Rheumatoid factor quant (86431) $74 $74 13.1×
Rsv (87807) $112 $112 8.5×
Rubella antibody (86762) $118 $118 8.2×
Sedimentation rate (85651) $89 $89 20.8×
Sex hormone binding globulin (84270) $117 $117 5.4×
Smear gram stain (87205) $76 $76 17.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $76 $76 13.1×
Sodium (84295) $57 $57 11.9×
Strep a assay w/optic (87880) $77 $77 4.7×
T3 free (84481) $76 $76 4.5×
T3 total (84480) $136 $136 9.6×
T3 uptake (84479) $41 $41 6.3×
T4 free (84439) $164 $164 18.2×
T4 total (84436) $75 $75 10.9×
Tb test, cell immun measure (86480) $76 $76 1.2×
Testosterone free (84402) $399 $399 15.7×
Testosterone total (84403) $207 $207 8.0×
Thyroglobulin (84432) $170 $170 10.6×
Thyroglobulin antibody (86800) $122 $122 7.7×
Thyroid Stimulating Immune Globulins Tsi (84445) $392 $392 7.7×
Transferrin (84466) $110 $110 8.6×
Triglycerides (84478) $54 $54 9.4×
Troponin (84484) $209 $209 16.8×
Urea nitrogen (84520) $50 $50 12.7×
Uric acid blood (84550) $61 $61 13.5×
Urinalysis auto w/scope (81001) $118 $118 37.2×
Urinalysis Microscopic Only (81015) $216 $216 70.8×
Urine pregnancy test (81025) $116 $116 13.5×
Valproic acid (80164) $112 $112 8.3×
Vancomycin trough (80202) $185 $185 13.7×
Vdrl csf (86592) $76 $76 17.8×
Vitamin A (84590) $66 $66 5.7×
Vitamin b-12 (82607) $142 $142 9.4×
Vitamin b1 (thiamine) (84425) $180 $180 8.5×
Vitamin b6 (84207) $162 $162 5.8×
Vitamin D 25-Hydroxy (82306) $328 $328 11.1×
Vitamin e serum (84446) $59 $59 4.2×