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 →
| Procedure | Cash price | Gross charge | × 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× |
| Antibody identification (86870) | $162 | $180 | 0.4× |
| Antibody screen (86850) | $116 | $129 | 11.9× |
| Antigen typing (86905) | $157 | $174 | 41.0× |
| Assay of blood chloride (82435) | $108 | $120 | 23.5× |
| Ast (sgot) (84450) | $77 | $85 | 14.9× |
| Automated rbc count (85041) | $38 | $42 | 12.6× |
| Bilirubin direct (82248) | $63 | $70 | 12.5× |
| Bilirubin total (82247) | $68 | $75 | 13.5× |
| Bilirubin total transcutaneous (88720) | $63 | $70 | 12.5× |
| Bl Smear W/Diff Wbc Count (85007) | $117 | $130 | 30.8× |
| Bleeding time (85002) | $77 | $85 | 16.0× |
| Blood gases (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 abo (86900) | $116 | $129 | 38.8× |
| Blood typing serologic rh (d) (86901) | $66 | $73 | 22.1× |
| C-reactive protein (86140) | $117 | $130 | 22.6× |
| Calcium total (82310) | $68 | $75 | 13.2× |
| Carboxyhemoglobin Quantitative (82375) | $167 | $185 | 13.6× |
| Ckmb (82553) | $189 | $210 | 16.4× |
| Compatibility Test Incubate (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 other source (82570) | $45 | $50 | 8.7× |
| Culture Aerobic Identify (87077) | $104 | $115 | 12.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $67 | $74 | 1.7× |
| Cytp concentration smears & interpretation (88108) | $95 | $105 | 2.4× |
| D-Dimer (85379) | $180 | $200 | 17.7× |
| Digoxin (80162) | $143 | $159 | 10.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $198 | $220 | 15.7× |
| Electrolyte panel (80051) | $171 | $190 | 24.4× |
| Folate serum (82746) | $142 | $157.50 | 9.7× |
| Glucose (82947) | $72 | $80 | 18.3× |
| Glucose Blood Test (82962) | $52 | $57.50 | 15.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $88 | $97.50 | 22.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $189 | $210 | 14.7× |
| Hcg quant (84702) | $153 | $170 | 10.2× |
| Hdl Cholesterol (83718) | $63 | $70 | 7.7× |
| Hematocrit (85014) | $54 | $60 | 22.8× |
| Hemoglobin (85018) | $44 | $48.50 | 18.6× |
| Hemoglobin a1c (83036) | $90 | $100 | 9.3× |
| Heterophile Antibodies,Screen - Mononucleosis 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× |
| Iaadi influenza b virus (87275) | $63 | $70 | 5.1× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $43 | $48 | 2.7× |
| Immunohistochemistry (88342) | $270 | $300 | 1.5× |
| India ink prep (87210) | $72 | $80 | 12.4× |
| Influenza DNA amp probe (87502) | $135 | $150 | 1.4× |
| Lactic acid (83605) | $144 | $160 | 12.4× |
| Level ii surg pathology grossµscopic exam (88302) | $144 | $160 | 3.7× |
| Level v surg pathology grossµscopic exam (88307) | $518 | $575 | 1.4× |
| Lipase (83690) | $135 | $150 | 19.6× |
| Magnesium (83735) | $95 | $105 | 14.2× |
| Manual reticulocyte count (85044) | $63 | $70 | 14.6× |
| Mass spectrometry qual/quan (83789) | $153 | $170 | 6.3× |
| Myoglobin urine (83874) | $144 | $160 | 11.1× |
| Natriuretic peptide (83880) | $306 | $340 | 7.8× |
| Phosphatase alkaline (84075) | $73 | $81 | 14.1× |
| Phosphorus blood (84100) | $72 | $80 | 15.2× |
| Platelet count (85049) | $72 | $80 | 16.1× |
| Potassium (84132) | $63 | $70 | 13.2× |
| Procalcitonin (pct) (84145) | $243 | $270 | 8.9× |
| Protein Total Serum (84155) | $90 | $100 | 24.5× |
| Protein urine (84156) | $36 | $40 | 9.8× |
| Reagent strip/blood glucose (82948) | $54 | $60 | 10.7× |
| Rsv (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 analysis sperm presence&/motility sprm (89321) | $113 | $125 | 9.4× |
| Sensitivity mic (87186) | $131 | $145 | 15.1× |
| Smear acid fast (87206) | $72 | $80 | 13.4× |
| Sodium (84295) | $81 | $90 | 16.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $180 | $200 | 1.3× |
| Special stains group 1 (88312) | $158 | $175 | 2.9× |
| Strep a assay w/optic (87880) | $86 | $95 | 5.2× |
| Surg path level iii (88304) | $180 | $200 | 3.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $81 | $90 | 2.7× |
| Surgical pathology level IV (88305) | $338 | $375 | 6.2× |
| T4 Free (84439) | $122 | $135 | 13.5× |
| Tb intradermal test (86580) | $23 | $26 | 0.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $56 | $62 | 4.9× |
| Triglycerides (84478) | $70 | $78 | 12.2× |
| Troponin (84484) | $257 | $285 | 20.6× |
| Urea nitrogen (84520) | $63 | $70 | 15.9× |
| Urinalysis w/microscopic (81001) | $63 | $70 | 19.9× |
| Urine pregnancy test (81025) | $92.50 | $102.50 | 10.7× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $50 | $55 | 22.2× |
| Vancomycin trough (80202) | $189 | $210 | 14.0× |
| Vitamin b-12 (82607) | $140 | $155.50 | 9.3× |
| Vitamin D 25-Hydroxy (82306) | $198 | $220 | 6.7× |