Lab & pathology prices at Franklin County Memorial Hospital
Franklin, NE · every code in this section with a posted price and a Medicare benchmark.
286 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $315 | $350 | 8.2× |
| 5 Hiaa (83497) | $142 | $158 | 11.0× |
| Acetaminophen level (80143) | $336 | $373 | 18.0× |
| Acute hepatitis panel (80074) | $305 | $339 | 6.4× |
| Acylcarnitine Plasma (82017) | $87 | $97 | 5.2× |
| Afb culture (87116) | $175 | $194 | 16.2× |
| Albumin serum (82040) | $49 | $54 | 9.9× |
| Aldolase (82085) | $102 | $113 | 10.5× |
| Alpha-1-antitrypsin, total (82103) | $145 | $161 | 10.8× |
| Alpha-fetoprotein, serum (82105) | $128 | $142 | 7.6× |
| Alt (sgpt) (84460) | $63 | $70 | 11.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $372 | $413 | 22.1× |
| Ammonia (82140) | $131 | $146 | 9.0× |
| Amylase urine (82150) | $92 | $102 | 14.2× |
| Antibody coxiella burnetii q fever (86638) | $67 | $74 | 5.5× |
| Antibody cytomegalovirus cmv (86644) | $50 | $55 | 3.5× |
| Antibody Encephalitis St. Louis (86653) | $153 | $170 | 11.6× |
| Antibody helicobacter pylori (86677) | $149 | $166 | 8.8× |
| Antibody herpes smplx type 1 (86695) | $92 | $102 | 7.0× |
| Antibody HIV-2 (86702) | $98 | $109 | 7.2× |
| Antibody identification leukocyte antibodies (86021) | $286 | $318 | 19.0× |
| Antibody mumps (86735) | $108 | $120 | 8.3× |
| Antibody rubeola (86765) | $111 | $123 | 8.6× |
| Antibody screen (86850) | $119 | $132 | 12.2× |
| Antinuclear antibodies (86038) | $244 | $271 | 20.2× |
| Antistreptolysin o titer (86060) | $95 | $106 | 13.0× |
| Assay Nephelometry Not Spec (83883) | $256 | $284 | 18.8× |
| Assay of acth (82024) | $286 | $318 | 7.4× |
| Assay of c-peptide (84681) | $154 | $171 | 7.4× |
| Assay of ceruloplasmin (82390) | $103 | $114 | 9.6× |
| Assay of erythropoietin (82668) | $188 | $209 | 10.0× |
| Assay of ferritin (82728) | $122 | $135 | 9.0× |
| Assay of g6pd enzyme (82955) | $127 | $141 | 13.1× |
| Assay of gammaglobulin igm (82784) | $170 | $189 | 18.3× |
| Assay of gastrin (82941) | $161 | $179 | 9.1× |
| Assay of gentamicin (80170) | $209 | $232 | 12.8× |
| Assay of homocystine (83090) | $221 | $245 | 12.3× |
| Assay of parathormone (83970) | $262 | $291 | 6.3× |
| Assay of phenobarbital (80184) | $147 | $163 | 9.6× |
| Assay of prealbumin (84134) | $122 | $135 | 8.4× |
| Assay of somatomedin (84305) | $214 | $238 | 10.1× |
| Assay of tacrolimus (80197) | $221 | $245 | 16.1× |
| Ast (sgot) (84450) | $67 | $74 | 12.9× |
| B cells total count (86355) | $109 | $121 | 2.9× |
| Beta Lactamase (87185) | $56 | $62 | 11.8× |
| Bilirubin direct (82248) | $55 | $61 | 11.0× |
| Bilirubin total (82247) | $60 | $67 | 12.0× |
| Bl Smear W/Diff Wbc Count (85007) | $70 | $78 | 18.4× |
| Blood count reticulocyte automated (85045) | $81 | $90 | 20.3× |
| Blood gases (82803) | $260 | $289 | 10.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38 | $42 | 8.7× |
| Blood typing abo (86900) | $68 | $75 | 22.7× |
| Blood typing serologic rh (d) (86901) | $68 | $76 | 22.7× |
| Body fluid cell count (89051) | $139 | $154 | 24.8× |
| C diff amplified probe (87493) | $212 | $236 | 5.7× |
| C-reactive protein (86140) | $99 | $110 | 19.1× |
| Ca 125 (86304) | $178 | $198 | 8.6× |
| Ca 19-9 (86301) | $219 | $243 | 10.5× |
| Ca 27 29 (86300) | $204 | $227 | 9.8× |
| Calcium ionized (82330) | $123 | $137 | 9.0× |
| Calcium total (82310) | $57 | $63 | 11.0× |
| Calculus Spectroscopy (82365) | $150 | $167 | 11.6× |
| Calprotectin, fecal (83993) | $419 | $466 | 21.3× |
| Carbamazepine (tegretol) total (80156) | $124 | $138 | 8.5× |
| Carboxyhemoglobin Quantitative (82375) | $142 | $158 | 11.5× |
| Carcinoembryonic antigen (82378) | $154 | $171 | 8.1× |
| Catecholamines fraction plasma (82384) | $219 | $243 | 8.7× |
| Cholesterol total (82465) | $75 | $83 | 17.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $112 | $124.50 | 3.2× |
| Compatibility test antiglob (86922) | $347 | $385 | 2.0× |
| Compatibility Test Incubate (86921) | $202 | $224 | 1.1× |
| Complement c3 (86160) | $146 | $162 | 12.2× |
| Complement total ch50 (86162) | $167 | $186 | 8.2× |
| Concentration Infectious Agent (87015) | $58 | $64 | 8.7× |
| Coombs direct (86880) | $23 | $26 | 4.3× |
| Cortisol free (82530) | $190 | $211 | 11.4× |
| Cortisol total (82533) | $151 | $168 | 9.3× |
| Creatine kinase total (82550) | $98 | $109 | 15.1× |
| Creatinine blood (82565) | $61 | $68 | 11.9× |
| Creatinine clearance (82575) | $120 | $133 | 12.7× |
| Creatinine other source (82570) | $74 | $82 | 14.3× |
| Crossmatch immediate spin (86920) | $267 | $297 | 1.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $132 | $147 | 16.3× |
| Culture Aerobic Identify (87077) | $63 | $70 | 7.8× |
| Culture anaerobic (87075) | $123 | $137 | 13.0× |
| Culture blood (87040) | $252 | $280 | 24.4× |
| Culture chlamydia (87110) | $97 | $108 | 4.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $121 | $134 | 15.7× |
| Culture fungus id yeast (87106) | $117 | $130 | 11.3× |
| Culture fungus other (87102) | $150 | $167 | 17.8× |
| Culture genital (87070) | $118 | $131 | 13.7× |
| Culture screen only (87081) | $59 | $65 | 8.9× |
| Culture stool (87045) | $113 | $125 | 12.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $70 | $78 | 13.5× |
| Culture urine (87086) | $91 | $101 | 11.3× |
| Culture urine id ea isolate (87088) | $100 | $111 | 12.4× |
| Cyclic Citrullinated Peptide (86200) | $147 | $163 | 11.4× |
| Cytopath smear cerv/vag,index add-on (88155) | $22 | $24 | 1.5× |
| D-Dimer (85379) | $158 | $176 | 15.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $59 | $65 | 3.6× |
| Dhea (82626) | $208 | $231 | 8.2× |
| Digoxin (80162) | $128 | $142 | 9.6× |
| Dilantin (80185) | $140 | $156 | 10.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $65 | $72 | 4.7× |
| DNA/RNA direct probe (87149) | $109 | $121 | 5.4× |
| Drug Assay Lacosamide (80235) | $206 | $229 | 7.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $164 | $182 | 12.4× |
| Drug Scrn Quan Levetiracetam (80177) | $214 | $238 | 16.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $133 | $148 | 10.6× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $23 | $25 | 1.3× |
| Ebv viral capsid (86665) | $137 | $152 | 7.6× |
| Elastase pancreatic fecal quantitative (82653) | $284 | $315 | 12.4× |
| Electrolyte panel (80051) | $115 | $128 | 16.4× |
| Endomysial antibody iga (86255) | $230 | $255 | 19.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $73 | $81 | 4.8× |
| Estradiol (82670) | $165 | $183 | 5.9× |
| Estrogens total (82672) | $234 | $260 | 10.8× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $77 | $86 | 10.5× |
| F5 gene (81241) | $317 | $352 | 4.3× |
| Fat stain (89125) | $44 | $49 | 7.5× |
| Fecal fat qual (82705) | $35 | $39 | 6.9× |
| Folate serum (82746) | $131 | $146 | 8.9× |
| Follicle Stimulating Hormone (83001) | $126 | $140 | 6.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $117 | $130 | 11.3× |
| Gammaglobulin ige (82785) | $78 | $87 | 4.7× |
| Gastric Occult Blood (82271) | $54 | $60 | 10.2× |
| Ggt (82977) | $83 | $92 | 11.5× |
| Giardia antigen eia stool (87329) | $123 | $137 | 10.3× |
| Glucose (82947) | $58 | $64 | 14.8× |
| Glucose Blood Test (82962) | $11 | $12 | 3.4× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $65 | $72 | 16.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $153 | $170 | 11.9× |
| Haptoglobin (83010) | $117 | $130 | 9.3× |
| Hcg qualitative (84703) | $125 | $139 | 16.6× |
| Hcg quant (84702) | $142 | $158 | 9.4× |
| Hematocrit (85014) | $45 | $50 | 19.0× |
| Hemoglobin (85018) | $23 | $25.50 | 9.7× |
| Hemoglobin a1c (83036) | $80 | $89 | 8.2× |
| Hemolysins/agglutinins auto screen (86940) | $25 | $28 | 2.9× |
| Hepatitis a antibody total (86708) | $144 | $160 | 11.6× |
| Hepatitis a igm (86709) | $119 | $132 | 10.6× |
| Hepatitis b core ab igm (86705) | $119 | $132 | 10.1× |
| Hepatitis b core antibody total (86704) | $120 | $133 | 10.0× |
| Hepatitis B Surface Ab (86706) | $117 | $130 | 10.9× |
| Hepatitis B Surface Antigen (87340) | $99 | $110 | 9.6× |
| Hepatitis c antibody (86803) | $119 | $132 | 8.3× |
| Herpes culture (87252) | $168 | $187 | 6.4× |
| Herpes simplex type 2 (86696) | $82 | $91 | 4.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $77 | $86 | 14.9× |
| Histoplasma antigen urine (87385) | $290 | $322 | 21.9× |
| HIV confirmation (86689) | $251 | $279 | 13.0× |
| HIV-1 antibody (86701) | $102 | $113 | 11.5× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $110 | $122 | 8.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $215 | $239 | 3.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $259 | $288 | 7.4× |
| Hydroxyprogesterone 17-d (83498) | $128 | $142 | 4.7× |
| Iaad ia clostridium difficile toxin (87324) | $166 | $184 | 13.9× |
| Iaad ia cryptosporidium (87328) | $112 | $124 | 8.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $99 | $110 | 4.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $201 | $223 | 14.0× |
| Iaad ia rotavirus (87425) | $155 | $172 | 12.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $131 | $146 | 3.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $90 | $100 | 7.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $91 | $101 | 2.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $480 | $533 | 11.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $413 | $459 | 11.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $111 | $123 | 3.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $131 | $146 | 3.7× |
| Iadna nos amplified probe tq each organism (87798) | $308 | $342 | 8.8× |
| Iadna nos quantification each organism (87799) | $175 | $194 | 4.1× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $383 | $425 | 1.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $144 | $160 | 4.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,701 | $1,890 | 4.1× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $983 | $1,092 | 3.7× |
| If cryptosporidium antigen (87272) | $164 | $182 | 13.7× |
| Immunfix e-phorsis/urine/csf (86335) | $260 | $289 | 8.9× |
| Immunoassay nonantibody (83516) | $185 | $206 | 16.0× |
| Immunofixj Electrophoresis Serum (86334) | $261 | $290 | 11.7× |
| Immunoglobulin light chains free each (83521) | $123 | $137 | 7.1× |
| Influenza DNA amp probe (87502) | $246 | $273 | 2.6× |
| Inhibin b (83520) | $171.50 | $190 | 9.9× |
| Insulin antibodies (86337) | $87 | $97 | 4.1× |
| Insulin total (83525) | $113 | $126 | 9.9× |
| Iron (83540) | $67 | $74 | 10.4× |
| Iron binding capacity (83550) | $80 | $89 | 9.2× |
| Islet cell antibody (86341) | $96 | $107 | 4.1× |
| Lactic acid (83605) | $130 | $144 | 11.2× |
| Ldh (83615) | $73 | $81 | 12.1× |
| Lead (83655) | $86 | $96 | 7.1× |
| Legionella antigen urine (87449) | $176 | $195 | 14.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $79 | $88 | 18.5× |
| Lh (83002) | $116 | $129 | 6.3× |
| Lipase (83690) | $112 | $124 | 16.3× |
| Lithium (80178) | $91 | $101 | 13.8× |
| Lyme disease antibody (86618) | $181 | $201 | 10.6× |
| Lyme disease antibody confirm (86617) | $239 | $265 | 15.4× |
| Magnesium (83735) | $86 | $96 | 12.8× |
| Mass spectrometry qual/quan (83789) | $140 | $156 | 5.8× |
| Methotrexate (80299) | $184 | $204.50 | 9.9× |
| Methylmalonic acid serum (83921) | $324 | $360 | 15.3× |
| Microalbumin urine (82043) | $104 | $116 | 18.0× |
| Mucin synovial fluid ropes test (83872) | $19 | $21 | 3.2× |
| Mycoplasma antibody (86738) | $140 | $155 | 10.6× |
| Mycoplasma genitalium PCR (87563) | $144 | $160 | 4.1× |
| Natriuretic peptide (83880) | $267 | $297 | 6.8× |
| Occult blood stool (82272) | $43 | $48 | 10.2× |
| Osmolality serum (83930) | $100 | $111 | 15.1× |
| Osmolality urine (83935) | $103 | $114 | 15.1× |
| Ova and parasite direct-id lca (87177) | $94 | $104 | 10.6× |
| Pancreatic polypeptide (83519) | $402 | $447 | 21.8× |
| Phosphatase alkaline (84075) | $57 | $63 | 11.0× |
| Phosphorus blood (84100) | $72 | $80 | 15.2× |
| Potassium (84132) | $51 | $57 | 10.7× |
| Potassium urine (84133) | $23 | $25 | 4.9× |
| Primidone (80188) | $156 | $173 | 9.4× |
| Procalcitonin (pct) (84145) | $214 | $238 | 7.9× |
| Progesterone (84144) | $139 | $154 | 6.7× |
| Prolactin (84146) | $169 | $188 | 8.7× |
| Protein electrophoresis serum (84165) | $113 | $126 | 10.5× |
| Protein Electrophoresis Urine (84166) | $132 | $147 | 7.4× |
| Protein Total Serum (84155) | $55 | $61 | 15.0× |
| Protein urine (84156) | $68 | $76 | 18.5× |
| Quantiferon tb gold (86480) | $235 | $261 | 3.8× |
| Resp virus 3-5 targets (87631) | $263 | $292 | 1.8× |
| Respiratory viral panel PCR (87633) | $347 | $386 | 0.8× |
| Respiratory Virus (86756) | $267 | $297 | 16.8× |
| Rheumatoid factor quant (86431) | $67 | $74 | 11.8× |
| Rickettsia antibody (86757) | $158 | $175 | 8.2× |
| Rsv (87807) | $38 | $42 | 2.9× |
| Rubella antibody (86762) | $88 | $98 | 6.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $165 | $183 | 3.2× |
| Sars-cov-2 covid19 w/optic (87811) | $77.50 | $86 | 1.9× |
| Sedimentation rate (85651) | $34.50 | $38.50 | 8.1× |
| Sensitivity mic (87186) | $119 | $132 | 13.8× |
| Sex hormone binding globulin (84270) | $139 | $154 | 6.4× |
| Sirolimus (rapamycin) (80195) | $249 | $277 | 18.1× |
| Smear acid fast (87206) | $77 | $85 | 14.3× |
| Smear complex stain (87209) | $91 | $101 | 5.1× |
| Smear gram stain (87205) | $58 | $64 | 13.6× |
| Sodium urine (84300) | $60 | $67 | 11.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $97 | $108 | 10.3× |
| Strep a assay w/optic (87880) | $60.50 | $67 | 3.7× |
| Strep a DNA amp probe (87651) | $175 | $194 | 5.0× |
| Surgical pathology level IV (88305) | $206 | $229 | 3.8× |
| Susceptibility study antimicrobial disk method (87184) | $111 | $123 | 14.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $147 | $163 | 3.1× |
| T cells, total count (86359) | $109 | $121 | 2.9× |
| T3 free (84481) | $188 | $209 | 11.1× |
| T3 total (84480) | $112 | $124 | 7.9× |
| T4 Free (84439) | $96 | $107 | 10.6× |
| T4 total (84436) | $74 | $82 | 10.8× |
| Tb intradermal test (86580) | $44 | $49 | 1.5× |
| Testosterone free (84402) | $161 | $179 | 6.3× |
| Testosterone total (84403) | $143 | $159 | 5.5× |
| Theophylline (80198) | $123 | $137 | 8.7× |
| Thin prep pap (88142) | $74 | $82 | 3.7× |
| Thyroglobulin (84432) | $55 | $61 | 3.4× |
| Thyroglobulin Ab (86800) | $114 | $127 | 7.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $416 | $462 | 8.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $55 | $61 | 4.8× |
| Toxoplasma antibody igg (86777) | $69 | $77 | 4.8× |
| Transferrin (84466) | $125 | $139 | 9.8× |
| Triglycerides (84478) | $61 | $68 | 10.6× |
| Troponin (84484) | $227 | $252 | 18.2× |
| Urea nitrogen (84520) | $56 | $62 | 14.2× |
| Urea nitrogen urine (84540) | $26 | $29 | 4.7× |
| Uric acid blood (84550) | $59 | $65 | 13.1× |
| Urinalysis microscopic only (81015) | $34 | $38 | 11.1× |
| Urinalysis w/microscopic (81001) | $59 | $65 | 18.6× |
| Urine microalbumin (protein) analysis (82044) | $59 | $66 | 9.5× |
| Urine pregnancy test (81025) | $20 | $22 | 2.3× |
| Urine volume measurement (81050) | $27 | $30 | 7.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $39 | $43 | 17.3× |
| Valproic acid level (80164) | $152 | $169 | 11.2× |
| Vancomycin trough (80202) | $176 | $196 | 13.0× |
| Varicella-zoster antibody (86787) | $144 | $160 | 11.2× |
| Vdrl csf (86592) | $52 | $58 | 12.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $89 | $99 | 2.6× |
| Virus inoculation, shell via (87254) | $88 | $98 | 4.5× |
| Vitamin A (84590) | $171 | $190 | 14.7× |
| Vitamin b-12 (82607) | $132 | $147 | 8.8× |
| Vitamin b1 (thiamine) (84425) | $115 | $128 | 5.4× |
| Vitamin C (82180) | $149 | $165 | 15.1× |
| Vitamin D 25-Hydroxy (82306) | $174 | $193 | 5.9× |
| West nile virus ab, igm (86788) | $131 | $145 | 7.8× |
| West nile virus antibody (86789) | $131 | $145 | 9.1× |