Lab & pathology prices at Franklin County Memorial Hospital
Franklin, NE · every code in this section with a posted price and a Medicare benchmark.
287 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $286 | $318 | 7.4× |
| Acute hepatitis panel (80074) | $305 | $339 | 6.4× |
| Acylcarnitines Quant (82017) | $87 | $97 | 5.2× |
| 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 Borrelia Burgdorferi Confirmatory Tst (86617) | $239 | $265 | 15.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $73 | $81 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $137 | $152 | 7.6× |
| Antibody helicobacter pylori (86677) | $149 | $166 | 8.8× |
| Antibody Herpes Smplx Type 1 (86695) | $92 | $102 | 7.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $110 | $122 | 8.0× |
| Antibody HIV-2 (86702) | $98 | $109 | 7.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $251 | $279 | 13.0× |
| Antibody identification leukocyte antibodies (86021) | $286 | $318 | 19.0× |
| Antibody; encephalitis, st. louis (86653) | $153 | $170 | 11.6× |
| 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 5-hiaa (83497) | $142 | $158 | 11.0× |
| Assay of blood/uric acid (84550) | $59 | $65 | 13.1× |
| Assay of g6pd enzyme (82955) | $127 | $141 | 13.1× |
| Assay of gammaglobulin igm (82784) | $170 | $189 | 18.3× |
| Assay of lactic acid (83605) | $130 | $144 | 11.2× |
| Assay of serum potassium (84132) | $51 | $57 | 10.7× |
| Assay of urea nitrogen (84520) | $56 | $62 | 14.2× |
| Assay of vitamin b-1 (84425) | $115 | $128 | 5.4× |
| 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× |
| Blood count reticulocyte automated (85045) | $81 | $90 | 20.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $70 | $78 | 18.4× |
| Blood gas (82803) | $260 | $289 | 10.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38 | $42 | 8.7× |
| Blood typing serologic abo (86900) | $68 | $75 | 22.7× |
| C diff amplified probe (87493) | $212 | $236 | 5.7× |
| C-Peptide (84681) | $154 | $171 | 7.4× |
| C-reactive protein (86140) | $99 | $110 | 19.1× |
| Ca 19-9 (86301) | $219 | $243 | 10.5× |
| 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× |
| Cancer Antigen 125 (86304) | $178 | $198 | 8.6× |
| Cancer Antigen 27.29 (86300) | $204 | $227 | 9.8× |
| Carbamazepine total (80156) | $124 | $138 | 8.5× |
| Carboxyhemoglobin (82375) | $142 | $158 | 11.5× |
| Carcinoembryonic antigen (82378) | $154 | $171 | 8.1× |
| Catecholamines fractionated (82384) | $219 | $243 | 8.7× |
| Ccp antibody (86200) | $147 | $163 | 11.4× |
| Cell count csf (89051) | $139 | $154 | 24.8× |
| Ceruloplasmin (82390) | $103 | $114 | 9.6× |
| Cholesterol total (82465) | $75 | $83 | 17.2× |
| Chorionic gonadotropin test (84702) | $142 | $158 | 9.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$96–$128 | $107–$142 | varies |
| Clostridium Difficile (87324) | $166 | $184 | 13.9× |
| Compatibility Each Unit Incubation (86921) | $202 | $224 | 1.1× |
| Compatibility test antiglob (86922) | $347 | $385 | 2.0× |
| Complement Antigen Each Component (86160) | $146 | $162 | 12.2× |
| Complement Total (Ch50) (86162) | $167 | $186 | 8.2× |
| Coombs direct (86880) | $23 | $26 | 4.3× |
| Cortisol free (82530) | $190 | $211 | 11.4× |
| Cortisol saliva (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 Urine (82570) | $74 | $82 | 14.3× |
| Crossmatch immediate spin (86920) | $267 | $297 | 1.5× |
| Cryptosporidium (87272) | $164 | $182 | 13.7× |
| Cryptosporidium ag eia (87328) | $112 | $124 | 8.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $92 | $102 | 11.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $132 | $147 | 16.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $121 | $134 | 15.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $585 | $650 | 2.7× |
| Culture afb (87116) | $175 | $194 | 16.2× |
| Culture Anaerobic (87075) | $123 | $137 | 13.0× |
| Culture blood (87040) | $252 | $280 | 24.4× |
| Culture chlamydia (87110) | $97 | $108 | 4.9× |
| Culture csf (87070) | $118 | $131 | 13.7× |
| Culture fungus (87102) | $150 | $167 | 17.8× |
| 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× |
| Cytomegalovirus igg (86644) | $50 | $55 | 3.5× |
| Cytopath C/V Index Add-On (88155) | $22 | $24 | 1.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $74 | $82 | 3.7× |
| Detect Agent Nos Dna Amp (87798) | $308 | $342 | 8.8× |
| Detect Agent Nos Dna Quant (87799) | $175 | $194 | 4.1× |
| Dhea (82626) | $208 | $231 | 8.2× |
| Digoxin (80162) | $128 | $142 | 9.6× |
| Dna Antibody Native/Double Stranded (86225) | $65 | $72 | 4.7× |
| DNA/RNA direct probe (87149) | $109 | $121 | 5.4× |
| Drug assay acetaminophen (80143) | $336 | $373 | 18.0× |
| Drug Assay Lacosamide (80235) | $206 | $229 | 7.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $164 | $182 | 12.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $214 | $238 | 16.2× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$23–$197 | $25–$219 | varies |
| Drug Test Prsmv Instrmnt (80306) | $23 | $25 | 1.3× |
| El-1 Fecal Quantitative (82653) | $284 | $315 | 12.4× |
| Electrolyte panel (80051) | $115 | $128 | 16.4× |
| Erythropoietin (82668) | $188 | $209 | 10.0× |
| Estradiol serum (82670) | $165 | $183 | 5.9× |
| Estrogen total (82672) | $234 | $260 | 10.8× |
| Exam Synovial Fluid Crystals (89060) | $77 | $86 | 10.5× |
| Factor v leiden mutation (81241) | $317 | $352 | 4.3× |
| Fat stain feces urine/respir secretions (89125) | $44 | $49 | 7.5× |
| Fecal Fat Qualitative (82705) | $35 | $39 | 6.9× |
| Ferritin (82728) | $122 | $135 | 9.0× |
| Fibrin Degradation Quant (85379) | $158 | $176 | 15.5× |
| Fluorescent antibody screen (86255) | $230 | $255 | 19.1× |
| Folic Acid Serum (82746) | $131 | $146 | 8.9× |
| Follicle Stimulating Hormone (83001) | $126 | $140 | 6.8× |
| Fungi Identification Mold (87107) | $117 | $130 | 11.3× |
| Fungi Identification Yeast (87106) | $117 | $130 | 11.3× |
| Gammaglobulin ige (82785) | $78 | $87 | 4.7× |
| Gastrin (82941) | $161 | $179 | 9.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,701 | $1,890 | 4.1× |
| Genet Virus Isolate Hsv (87255) | $89 | $99 | 2.6× |
| Gentamicin (80170) | $209 | $232 | 12.8× |
| Ggt (82977) | $83 | $92 | 11.5× |
| Giardia antigen (87329) | $123 | $137 | 10.3× |
| Glucose Blood Test (82962) | $11 | $12 | 3.4× |
| Glucose Serum (82947) | $58 | $64 | 14.8× |
| Glucose tolerance test (gtt) (82951) | $153 | $170 | 11.9× |
| Gonadotropin Chorionic Qualitative (84703) | $125 | $139 | 16.6× |
| Gtt-added samples (82952) | $65 | $72 | 16.6× |
| H Pylori (C-13) Breath (83013) | $215 | $239 | 3.2× |
| Haptoglobin (83010) | $117 | $130 | 9.3× |
| Helicobacter Pylori Stool (87338) | $201 | $223 | 14.0× |
| Hematocrit (85014) | $45 | $50 | 19.0× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$7–$39 | $8–$43 | varies |
| Hemoglobin a1c (83036) | $80 | $89 | 8.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $25 | $28 | 2.9× |
| Hep a ab igm (86709) | $119 | $132 | 10.6× |
| Hepatitis a antibody total (86708) | $144 | $160 | 11.6× |
| Hepatitis b core ab igm (86705) | $119 | $132 | 10.1× |
| Hepatitis b core ab total (86704) | $120 | $133 | 10.0× |
| Hepatitis B Surface Antibody (86706) | $117 | $130 | 10.9× |
| Hepatitis B Surface Antigen (87340) | $99 | $110 | 9.6× |
| Hepatitis C Antibody (86803) | $119 | $132 | 8.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $480 | $533 | 11.2× |
| Herpes simplex type 2 (86696) | $82 | $91 | 4.2× |
| Heterophile Antibody Screen (86308) | $77 | $86 | 14.9× |
| Histoplasma antigen urine (87385) | $290 | $322 | 21.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $99 | $110 | 4.1× |
| Hiv-1 Antibody (86701) | $102 | $113 | 11.5× |
| Homocysteine (83090) | $221 | $245 | 12.3× |
| Hsv Dna Amp Probe (87529) | $259 | $288 | 7.4× |
| Hydroxyprogesterone 17-d (83498) | $128 | $142 | 4.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $131 | $146 | 3.7× |
| Iaad ia shiga-like toxin (87427) | $90 | $100 | 7.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $91 | $101 | 2.6× |
| 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 Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $263 | $292 | 1.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $983 | $1,092 | 3.7× |
| Ig Light Chains Free Each (83521) | $123 | $137 | 7.1× |
| Immunfix e-phorsis/urine/csf (86335) | $260 | $289 | 8.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $402 | $447 | 21.8× |
| Immunoassay nonantibody (83516) | $185 | $206 | 16.0× |
| Immunofixation electrophoresis (86334) | $261 | $290 | 11.7× |
| Influenza assay w/optic (87804) range across 8 matching MRF lines |
$37–$121 | $41–$134 | varies |
| Influenza DNA amp probe (87502) | $246 | $273 | 2.6× |
| Inhibin b (83520) range across 2 matching MRF lines |
$95–$248 | $105–$275 | varies |
| 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× |
| Lactate (ld) (ldh) enzyme (83615) | $73 | $81 | 12.1× |
| Lead (83655) | $86 | $96 | 7.1× |
| Legionella antigen urine (87449) | $176 | $195 | 14.7× |
| Leukocyte Assessment Fecal (89055) | $79 | $88 | 18.5× |
| Lipase (83690) | $112 | $124 | 16.3× |
| Lithium (80178) | $91 | $101 | 13.8× |
| Luteinizing Hormone (Lh) (83002) | $116 | $129 | 6.3× |
| Lyme disease antibody (86618) | $181 | $201 | 10.6× |
| M. Genitalium Amp Probe (87563) | $144 | $160 | 4.1× |
| Magnesium Urine (83735) | $86 | $96 | 12.8× |
| Mass Spectrometry Quant (83789) | $140 | $156 | 5.8× |
| Methylmalonic acid serum (83921) | $324 | $360 | 15.3× |
| Microalbumin, quantitative (82043) | $104 | $116 | 18.0× |
| Mucin Clot Body Fluid (83872) | $19 | $21 | 3.2× |
| Mumps antibody (86735) | $108 | $120 | 8.3× |
| Mycoplasma antibody (86738) | $140 | $155 | 10.6× |
| Natriuretic peptide (83880) | $267 | $297 | 6.8× |
| Occult blood feces (82272) range across 4 matching MRF lines |
$12–$43 | $13–$48 | varies |
| Occult Blood Other Sources (82271) | $54 | $60 | 10.2× |
| Osmolality serum (83930) | $100 | $111 | 15.1× |
| Osmolality Urine (83935) | $103 | $114 | 15.1× |
| Ova and parasites smears (87177) | $94 | $104 | 10.6× |
| Ph urine (81003) | $39 | $43 | 17.3× |
| Phenobarbital Level (80184) | $147 | $163 | 9.6× |
| Phenytoin (Dilantin) (80185) | $140 | $156 | 10.6× |
| Phosphatase alkaline (84075) | $57 | $63 | 11.0× |
| Phosphorus Serum (84100) | $72 | $80 | 15.2× |
| Potassium Urine (84133) | $23 | $25 | 4.9× |
| Prealbumin (84134) | $122 | $135 | 8.4× |
| 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 Urine (84166) | $132 | $147 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $113 | $126 | 10.5× |
| Protein total serum (84155) | $55 | $61 | 15.0× |
| Protein Total Urine (84156) | $68 | $76 | 18.5× |
| Pth Intact (83970) | $262 | $291 | 6.3× |
| Q Fever Antibody (86638) | $67 | $74 | 5.5× |
| Quantiferon tb gold plus (86480) | $235 | $261 | 3.8× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$101–$267 | $112–$297 | varies |
| Rbc antibody screen (86850) | $119 | $132 | 12.2× |
| Resp virus 12-25 targets (87633) | $347 | $386 | 0.8× |
| Resp Virus 6-11 Targets (87632) | $383 | $425 | 1.8× |
| Rh (86901) | $68 | $76 | 22.7× |
| Rheumatoid factor quant (86431) | $67 | $74 | 11.8× |
| Rickettsia antibody (86757) | $158 | $175 | 8.2× |
| Rotavirus ag eia (87425) | $155 | $172 | 12.9× |
| Rpr qualitative (86592) | $52 | $58 | 12.2× |
| Rsv ab (86756) | $267 | $297 | 16.8× |
| Rsv Assay W/Optic (87807) | $38 | $42 | 2.9× |
| Rubella Antibody (86762) | $88 | $98 | 6.1× |
| Rubeola antibody (86765) | $111 | $123 | 8.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $165 | $183 | 3.2× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$66–$89 | $73–$99 | varies |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$17–$52 | $19–$58 | varies |
| Sensitivity mic (87186) | $119 | $132 | 13.8× |
| Sex Hormone Binding Globulin (84270) | $139 | $154 | 6.4× |
| Sirolimus (80195) | $249 | $277 | 18.1× |
| Skin test tuberculosis intradermal (86580) | $44 | $49 | 1.5× |
| 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× |
| Somatomedin (84305) | $214 | $238 | 10.1× |
| Specimen infect agnt concntj (87015) | $58 | $64 | 8.7× |
| Stool cultr aerobic bact ea (87046) | $97 | $108 | 10.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$37–$84 | $41–$93 | varies |
| 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× |
| Tacrolimus (80197) | $221 | $245 | 16.1× |
| Testosterone total (84403) | $143 | $159 | 5.5× |
| Testosterone, Free (84402) | $161 | $179 | 6.3× |
| Theophylline (80198) | $123 | $137 | 8.7× |
| Thyroglobulin (84432) | $55 | $61 | 3.4× |
| Thyroglobulin Antibody (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 (86777) | $69 | $77 | 4.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $67 | $74 | 12.9× |
| Transferrin (84466) | $125 | $139 | 9.8× |
| Trichomonas Vaginalis Amplif (87661) | $144 | $160 | 4.1× |
| Triglycerides (84478) | $61 | $68 | 10.6× |
| Troponin Quant (84484) | $227 | $252 | 18.2× |
| Urea nitrogen urine (84540) | $26 | $29 | 4.7× |
| Urinalysis Microscopic Only (81015) | $34 | $38 | 11.1× |
| Urinalysis Volume Measure (81050) | $27 | $30 | 7.4× |
| Urine Albumin Semiquantitative (82044) | $59 | $66 | 9.5× |
| Urine Bacteria Culture (87088) | $100 | $111 | 12.4× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$20–$84 | $22–$93 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $59 | $65 | 18.6× |
| Valproic acid (80164) | $152 | $169 | 11.2× |
| Vancomycin (80202) | $176 | $196 | 13.0× |
| Varicella-zoster antibody (86787) | $144 | $160 | 11.2× |
| Viral Culture (87252) | $168 | $187 | 6.4× |
| Virus inoculation, shell via (87254) | $88 | $98 | 4.5× |
| Vit D 1 25-Dihydroxy (82652) | $315 | $350 | 8.2× |
| Vitamin A (84590) | $171 | $190 | 14.7× |
| Vitamin b-12 (82607) | $132 | $147 | 8.8× |
| 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× |
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.