Lab & pathology prices at Gothenburg Health

Gothenburg, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Albumin serum (82040) $59 $65 11.9×
Alt (sgpt) (84460) $81 $90 15.3×
Ammonia (82140) $153 $170 10.5×
Amylase urine (82150) $104 $115 16.0×
Antigen typing (86905) $157 $174 41.0×
Assay of lactic acid (83605) $144 $160 12.4×
Assay of serum potassium (84132) $63 $70 13.2×
Assay of urea nitrogen (84520) $63 $70 15.9×
Bilirubin direct (82248) $63 $70 12.5×
Bilirubin total (82247) $68 $75 13.5×
Bilirubin total transcutaneous (88720) $63 $70 12.5×
Bleeding time test (85002) $77 $85 16.0×
Blood Count Red Blood Cell Automated (85041) $38 $42 12.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $117 $130 30.8×
Blood gas (82803) $270 $300 10.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $50 $55 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $45 $50 10.3×
Blood typing serologic abo (86900) $116 $129 38.8×
C-reactive protein (86140) $117 $130 22.6×
Calcium total (82310) $68 $75 13.2×
Carboxyhemoglobin (82375) $167 $185 13.6×
Chloride Serum (82435) $108 $120 23.5×
Chorionic gonadotropin test (84702) $153 $170 10.2×
Ckmb (82553) $189 $210 16.4×
Compatibility Each Unit Incubation (86921) $270 $300 1.5×
Coombs direct (86880) $86 $95 16.0×
Creatine kinase total (82550) $104 $115 16.0×
Creatinine blood (82565) $72 $80 14.1×
Creatinine Urine (82570) $45 $50 8.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $104 $115 12.9×
Cytp Concentration Smears & Interpretation (88108) $95 $105 2.4×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $67 $74 1.7×
Digoxin (80162) $143 $159 10.8×
Drug Test Prsmv Dir Opt Obs (80305) $198 $220 15.7×
Electrolyte panel (80051) $171 $190 24.4×
Fibrin Degradation Quant (85379) $180 $200 17.7×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$122–$162 $135–$180 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines
$50–$54 $55–$60 varies
Glucose Serum (82947) $72 $80 18.3×
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$72–$189 $80–$210 varies
Gtt-added samples (82952)
range across 2 matching MRF lines
$86–$90 $95–$100 varies
Hdl Cholesterol (83718) $63 $70 7.7×
Hematocrit (85014) $54 $60 22.8×
Hemoglobin (85018)
range across 2 matching MRF lines
$41–$47 $45–$52 varies
Hemoglobin a1c (83036) $90 $100 9.3×
Heterophile Antibody Screen (86308) $90 $100 17.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $195 $217 14.0×
Iaad Ia Streptococcus Group A (87430) $90 $100 5.4×
Iaadi inffluenza a virus (87276) $63 $70 3.9×
Immunohistochemistry (88342) $270 $300 1.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $43 $48 2.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $63 $70 5.1×
Influenza DNA amp probe (87502) $135 $150 1.4×
Level I Surg Pathology Gross Examination Only (88300) $81 $90 2.7×
Level ii surg pathology gross&microscopic exam (88302) $144 $160 3.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $518 $575 1.4×
Lipase (83690) $135 $150 19.6×
Magnesium Urine (83735) $95 $105 14.2×
Mass Spectrometry Quant (83789) $153 $170 6.3×
Myoglobin urine (83874) $144 $160 11.1×
Natriuretic peptide (83880) $306 $340 7.8×
Ph urine (81003)
range across 3 matching MRF lines
$41–$63 $45–$70 varies
Phosphatase alkaline (84075) $73 $81 14.1×
Phosphorus Serum (84100) $72 $80 15.2×
Platelet count automated (85049) $72 $80 16.1×
Procalcitonin (Pct) (84145) $243 $270 8.9×
Protein total serum (84155) $90 $100 24.5×
Protein Total Urine (84156) $36 $40 9.8×
Rbc antibody identification (86870) $162 $180 0.4×
Rbc antibody screen (86850) $116 $129 11.9×
Reagent Strip/Blood Glucose (82948) $54 $60 10.7×
Reticulocyte Count Manual (85044) $63 $70 14.6×
Rh (86901) $66 $73 22.1×
Rsv Assay W/Optic (87807) $135 $150 10.3×
Sars-Cov-2 Covid-19 Amp Prb (87635) $144 $160 2.8×
Sedimentation rate (85651) $63 $70 14.8×
Semen Anal Sperm Detection (89321) $113 $125 9.4×
Sensitivity mic (87186) $131 $145 15.1×
Skin test tuberculosis intradermal (86580) $23 $26 0.8×
Smear acid fast (87206) $72 $80 13.4×
Smr Prim Src Wet Mount Nfct Agt (87210) $72 $80 12.4×
Sodium Serum (84295) $81 $90 16.8×
Special Stains Group 1 (88312) $158 $175 2.9×
Special Stains Group 2 (88313) $180 $200 1.3×
Strep a assay w/optic (87880) $86 $95 5.2×
Surg path level iii (88304) $180 $200 3.3×
Surgical pathology level IV (88305) $338 $375 6.2×
T4 Free (84439) $122 $135 13.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $56 $62 4.9×
Transferase Aspartate Amino Ast Sgot (84450) $77 $85 14.9×
Triglycerides (84478) $70 $78 12.2×
Troponin Quant (84484)
range across 5 matching MRF lines
$155–$532 $172–$591 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$90–$95 $100–$105 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $63 $70 19.9×
Vancomycin (80202) $189 $210 14.0×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$118–$162 $131–$180 varies
Vitamin D 25-Hydroxy (82306) $198 $220 6.7×

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.