Lab & pathology prices at Goodall Witcher Hospital

Clifton, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Albumin Fluid (82042) $11.53 $16.47 1.5×
Albumin serum (82040) $14 $20 2.8×
Aldolase (82085) $25.20 $36 2.6×
Alt (sgpt) (84460) $15.40 $22 2.9×
Amniotic fluid protein test on cervicovaginal fluid (84112) $122.50 $175 1.2×
Amylase urine (82150) $14.43 $20.62 2.2×
Antibody helicobacter pylori (86677) $86.80 $124 5.2×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$39.20–$44.80 $56–$64 varies
Antibody; campylobacter (86625) $36.40 $52 2.8×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $38.50 $55 6.7×
Assay of blood/uric acid (84550) $54.60 $78 12.1×
Assay of gammaglobulin igm (82784) $29.40 $42 3.2×
Assay of lactic acid (83605) $62.30 $89 5.4×
Assay of phosphatase alkaline heat stable (84078) $56 $80 6.8×
Assay of serum potassium (84132) $56 $80 11.8×
Bacterial antigens 87802 (87802) $34.30 $49 2.7×
Bilirubin direct (82248) $14.70 $21 2.9×
Bilirubin total (82247) $47.60 $68 9.5×
Bleeding time test (85002) $35 $50 7.3×
Blood gas (82803)
range across 4 matching MRF lines
$45.62–$153.30 $65.17–$219 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $7.70 $11 1.8×
Blood typing serologic abo (86900) $271.60 $388 90.8×
Body fluid cell count (89050) $54.60 $78 11.6×
C diff amplified probe (87493) $94.50 $135 2.5×
Ca 19-9 (86301) $18.90 $27 0.9×
Calcium ionized (82330) $48.30 $69 3.5×
Calcium total (82310) $14.70 $21 2.8×
Carbamazepine total (80156) $61.60 $88 4.2×
Carboxyhemoglobin (82375) $51.10 $73 4.1×
Carcinoembryonic antigen (82378) $60.20 $86 3.2×
Cardiolipin ab iga (86147) $52.50 $75 2.1×
Cell count csf (89051) $16.10 $23 2.9×
Chloride Serum (82435) $44.10 $63 9.6×
Chloride urine (82436) $10.06 $14.37 1.7×
Cholesterol total (82465) $51.10 $73 11.7×
Chorionic gonadotropin test (84702) $43.40 $62 2.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$93.79–$130.90 $133.99–$187 varies
Ckmb (82553) $85.40 $122 7.4×
Clostridium Difficile (87324) $91 $130 7.6×
Compatibility test antiglob (86922) $92.40 $132 0.5×
Creatine kinase total (82550) $62.30 $89 9.6×
Creatinine blood (82565) $60.20 $86 11.8×
Creatinine clearance (82575) $27.30 $39 2.9×
Creatinine Urine (82570)
range across 3 matching MRF lines
$15.40–$70 $22–$100 varies
Crossmatch electronic (86923) $316.40 $452 1.8×
Culture blood (87040) $76.30 $109 7.4×
Culture csf (87070)
range across 6 matching MRF lines
$24.50–$81.20 $35–$116 varies
Culture screen only (87081) $12.88 $18.40 1.9×
Culture stool (87045) $27.30 $39 2.9×
Cytopath Cell Enhance Tech (88112) $82.78 $118.25 1.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $76.30 $109 2.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $143.61 $205.15 2.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $35.90 $51.28 0.2×
Detect Agent Nos Dna Amp (87798) $55.76 $79.65 1.6×
Dna/Rna Amplified Probe (87150) $2,065 $2,950 58.8×
Drug Test Prsmv Dir Opt Obs (80305) $100.10 $143 7.9×
Electrolyte panel (80051) $44.80 $64 6.4×
Exam Synovial Fluid Crystals (89060) $20.30 $29 2.8×
Ferritin (82728)
range across 2 matching MRF lines
$39.20–$43.40 $56–$62 varies
Fibrin Degradation Quant (85379) $44.80 $64 4.4×
Folic Acid Serum (82746) $61.60 $88 4.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $496.78 $709.68 1.2×
Gentamicin (80170) $90.30 $129 5.5×
Ggt (82977) $21 $30 2.9×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$6.30–$10.43 $9–$14.90 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$8.75–$11.20 $12.50–$16 varies
Glucose Serum (82947)
range across 2 matching MRF lines
$8.75–$28.70 $12.50–$41 varies
Glucose tolerance test (gtt) (82951) $108.50 $155 8.4×
Gtt-added samples (82952) $11.90 $17 3.0×
Hdl Cholesterol (83718) $87.50 $125 10.7×
Hematocrit (85014) $7 $10 3.0×
Hemoglobin a1c (83036) $37.80 $54 3.9×
Hepatitis C Antibody (86803) $27.73 $39.62 1.9×
Hepatitis C Revrs Trnscrpj (87522) $114.49 $163.55 2.7×
Hpv High-Risk Types (87624) $100.80 $144 2.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $122.50 $175 3.5×
Iadna chlamydia pneumoniae amplified probe tq (87486) $55.76 $79.65 1.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $55.76 $79.65 1.6×
Immunohistochemistry (88342) $189.58 $270.83 1.1×
Influenza assay w/optic (87804) $50.40 $72 3.0×
Iron (83540) $18.90 $27 2.9×
Iron Binding Capacity (83550) $79.10 $113 9.1×
Koh Prep (87220) $12.60 $18 3.0×
Lactate (ld) (ldh) enzyme (83615) $71.40 $102 11.8×
LDL direct (83721) $27.30 $39 2.6×
Level ii surg pathology gross&microscopic exam (88302) $51.65 $73.78 1.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $316.06 $451.52 0.9×
Lipase (83690) $42 $60 6.1×
M/phmtrc alys ishquant/semiq (88374) $527.17 $753.10 3.1×
Magnesium Urine (83735) $49.70 $71 7.4×
Microalbumin, quantitative (82043) $74.20 $106 12.8×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$2.21–$254.10 $3.15–$363 varies
Nfct Ds Bv&Vaginitis Dna Alg (81514) $553 $790 2.1×
Occult Blood Other Sources (82271) $17.50 $25 3.3×
Osmolality serum (83930) $32.20 $46 4.9×
Osmolality Urine (83935) $19.60 $28 2.9×
Ova and parasites smears (87177) $23.67 $33.81 2.7×
Ph urine (81003) $12.60 $18 5.6×
Phenobarbital Level (80184) $32.90 $47 2.2×
Phenytoin (Dilantin) (80185) $112.70 $161 8.5×
Phosphatase alkaline (84075) $15.41 $22.01 3.0×
Phosphorus Serum (84100) $58.80 $84 12.4×
Pinworm exam (87172) $18.90 $27 4.4×
Platelet count automated (85049) $46.20 $66 10.3×
Potassium Urine (84133) $12.60 $18 2.7×
Prealbumin (84134) $63.70 $91 4.4×
Procalcitonin (Pct) (84145) $59.67 $85.24 2.2×
Progesterone (84144) $100.10 $143 4.8×
Protein body fluid (84157) $10.50 $15 2.6×
Protein total serum (84155) $38.50 $55 10.5×
Protein Total Urine (84156)
range across 2 matching MRF lines
$23.80–$28.70 $34–$41 varies
Pth Intact (83970)
range across 2 matching MRF lines
$84–$110.32 $120–$157.60 varies
Rbc antibody identification (86870) $70.70 $101 0.2×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$454.99–$1,116.50 $649.98–$1,595 varies
Reticulocyte Count Manual (85044) $13.30 $19 3.1×
Rh (86901) $34.30 $49 11.5×
Rpr qualitative (86592) $54.60 $78 12.8×
Rsv ab (86756) $37.10 $53 2.3×
Rubella Antibody (86762) $72.80 $104 5.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $105 $150 2.0×
Sars-cov-2 COVID-19 antibody (86769) $105 $150 2.5×
Sars-Cov-2 Covid19 W/Optic (87811) $105 $150 2.5×
Sarscov2&inf a&b&rsv amp prb (87637) $105 $150 0.7×
Sedimentation rate (85651) $43.40 $62 10.2×
Semen Anal Sperm Detection (89321) $23.10 $33 1.9×
Sensitivity mic (87186) $62.30 $89 7.2×
Smear gram stain (87205)
range across 3 matching MRF lines
$12.60–$14 $18–$20 varies
Sodium Serum (84295) $39.20 $56 8.1×
Sodium Urine (84300) $45.50 $65 9.0×
Special Stains Group 1 (88312) $122.78 $175.40 2.3×
Special Stains Group 2 (88313) $67.20 $96 0.5×
Surg path level iii (88304) $52.28 $74.68 1.0×
Surgical pathology level IV (88305) $41.57 $59.38 0.8×
T3 Free (84481) $45.28 $64.69 2.7×
T3 Total (84480) $37.90 $54.14 2.7×
T3 Uptake (84479) $17.28 $24.69 2.7×
T4 Free (84439) $118.30 $169 13.1×
T4 total (84436)
range across 2 matching MRF lines
$10.50–$18.35 $15–$26.22 varies
Testosterone total (84403) $65.80 $94 2.5×
Tobramycin peak (80200) $50.40 $72 3.1×
Transferase Aspartate Amino Ast Sgot (84450) $14.70 $21 2.8×
Transferrin (84466) $56.70 $81 4.4×
Triglycerides (84478) $16.80 $24 2.9×
Troponin Quant (84484) $70.70 $101 5.7×
Tumor immunohistochem/comput (88361) $445.24 $636.05 1.2×
Tumor Immunohistochem/Manual (88360) $152.43 $217.75 0.9×
Urea nitrogen urine (84540) $23.80 $34 4.3×
Urinalysis Microscopic Only (81015) $18.90 $27 6.2×
Urine Bacteria Culture (87088) $69.30 $99 8.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $27.30 $39 8.6×
Valproic acid (80164) $39.20 $56 2.9×
Vancomycin (80202) $98.70 $141 7.3×
Vitamin b-12 (82607) $46.90 $67 3.1×
Vitamin D 25-Hydroxy (82306) $52.50 $75 1.8×

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.