Lab & pathology prices at Holdenville General Hospital

Holdenville, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $328.50
Acetylcholine receptor binding antibody (86041) $334
Acetylcholn Rcptr Modlg Antb (86043) $436
Actin smooth muscle antibody each (86015) $134
Activated protein c resistance (85307) $102
Acute hepatitis panel (80074) $106
Adenovirus antibody (86603) $44
Afb culture (87116) $33
Albumin serum (82040) $65
Aldolase (82085) $147
Aldosterone urine (82088) $67.50
Alkaline phosphatase isoenzymes (84080) $33
Allergen specific ige (86003) $65
Allg Spec Ige Recomb Ea (86008) $106
Alpha-1-antitrypsin, total (82103) $143
Alpha-fetoprotein, serum (82105) $117
Alt (sgpt) (84460) $42
Aluminum (82108) $193
Amikacin trough (80150) $229
Ammonia (82140) $88
Amylase urine (82150) $70
Ana Titer (86039) $35
Angiotensin i enzyme test (82164) $113
Antibody cytomegalovirus cmv (86644) $59
Antibody cytomegalovirus cmv igm (86645) $59
Antibody epstein-barr eb virus early antigen ea (86663) $45
Antibody helicobacter pylori (86677) $85
Antibody Herpes Smplx Non-Specific Type Test (86694) $54
Antibody herpes smplx type 1 (86695) $42
Antibody HIV-2 (86702) $114
Antibody identification (86870) $129
Antibody influenza virus (86710) $46
Antibody mumps (86735) $58
Antibody Protozoa Nes (86753) $288.50
Antibody rubeola (86765) $93
Antibody screen (86850) $164
Antibody treponema pallidum (86780) $61.50
Antibody; Coccidioides (86635) $181
Antigen typing (86905) $84
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $380
Antinuclear antibodies (86038) $35
Antistreptolysin o titer (86060) $49
Antithrombin iii activity (85300) $95
Antithrombin iii antigen (85301) $180
Apolipoprotein b (82172) $80
Arsenic Urine (82175) $208.50
Aspergillus ag eia (87305) $833
Assay Lipoprotein Pla2 (83698) $134
Assay Nephelometry Not Spec (83883) $197
Assay of acth (82024) $242
Assay of androstenedione (82157) $99
Assay of anti-mullerian hormone (82166) $481
Assay of blood fatty acids (82725) $135
Assay of c-peptide (84681) $87
Assay of calcitonin (82308) $234
Assay of ceruloplasmin (82390) $211
Assay of creatine (82540) $16
Assay of cyclosporine (80158) $181
Assay of erythropoietin (82668) $59
Assay of ethosuximide (80168) $270
Assay of ferritin (82728) $26
Assay of g6pd enzyme (82955) $129
Assay of gammaglobulin igm (82784) $53
Assay of gastrin (82941) $164
Assay of gentamicin (80170) $75
Assay of homocystine (83090) $275
Assay of lipoprotein(a) (83695) $182
Assay of metanephrines (83835) $370.50
Assay of parathormone (83970) $163
Assay of phenobarbital (80184) $106
Assay of prealbumin (84134) $106
Assay of selenium (84255) $54
Assay of serotonin (84260) $331
Assay of somatomedin (84305) $113
Assay of tacrolimus (80197) $205
Assay of urine vma (84585) $94
Assay of vitamin k (84597) $804
Assay of volatiles (84600) $211
Assay Ph Body Fluid Nos (83986) $62
Assay Thiopurine S-Methyltransferase (84433) $921
Ast (sgot) (84450) $47
Bartonella antibody (86611) $44
Beta 2 Glycoprotein I Antibody,Ea (86146) $66
Beta Lactamase (87185) $13
Beta-2 microglobulin (82232) $221
Bilirubin direct (82248) $56
Bilirubin total (82247) $77
Bl Smear W/Diff Wbc Count (85007) $19
Blastomyces antibody (86612) $211
Blood count reticulocyte automated (85045) $25
Blood gases (82803) $71
Blood Ph - Ph Venous (82800) $54
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $54
Blood typing abo (86900) $24
Blood typing serologic rh (d) (86901) $29
Blood typing serologic rh phenotyping complete (86906) $30
Body fluid cell count (89051) $21
Bordetella antibody (86615) $158
C diff amplified probe (87493) $127
C-reactive protein (86140) $50
C1q binding assay (86332) $289
Ca 125 (86304) $75
Ca 19-9 (86301) $216
Ca 27 29 (86300) $75
Calcium ionized (82330) $31
Calcium total (82310) $35
Calcium urine (82340) $64
Calculus Spectroscopy (82365) $222
Calprotectin, fecal (83993) $599
Carbamazepine (tegretol) total (80156) $88
Carbon dioxide (82374) $37
Carboxyhemoglobin Quantitative (82375) $129
Carcinoembryonic antigen (82378) $91
Cardiolipin ab igg (86147) $179.50
Catecholamines fraction plasma (82384) $269
Cd4 absolute count (86361) $102
Chemiluminescent assay (82397) $191
Chlamydia Igm Antibody (86632) $44
Chloride urine (82436) $65
Cholesterol total (82465) $35
Chromium urine (82495) $420
Chromogranin a (86316) $210
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $65
Citrate (82507) $278
Ckmb (82553) $80
Clot factor viii vw antigen (85246) $83
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $256
Clozapine level (80159) $310
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $284
Cold agglutinin titer (86157) $35
Collagen cross links (82523) $47
Compatibility test antiglob (86922) $146
Complement c3 (86160) $117
Complement total ch50 (86162) $107
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $160
Concentration Infectious Agent (87015) $22.50
Coombs direct (86880) $64
Copper urine (82525) $105
Cortisol free (82530) $356
Cortisol total (82533) $98
Creatine kinase total (82550) $59
Creatinine blood (82565) $42
Creatinine clearance (82575) $79
Creatinine other source (82570) $19
Cryoglobulin (82595) $24
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $29
Culture Aerobic Identify (87077) $31
Culture anaerobic (87075) $37
Culture blood (87040) $64
Culture fungus id yeast (87106) $44
Culture fungus other (87102) $32
Culture genital (87070) $32
Culture screen only (87081) $32
Culture stool (87045) $37
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $20
Culture urine (87086) $32
Culture urine id ea isolate (87088) $23
Cyclic Citrullinated Peptide (86200) $120.50
Cystatin c (82610) $128
Cytopath cell enhance tech (88112) $176
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $117
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $54
D-Dimer (85379) $169
Deoxyribonuclease antibody (86215) $146
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $39
Detect agnt mult DNA ampli (87801) $128
Dhea (82626) $512
Dhea sulfate (82627) $45
Digoxin (80162) $65
Dihydrotestosterone (82642) $94
Dilantin (80185) $97
Dipropylacetic acid free (80165) $94
Dna Antibody Single Stranded (86226) $162
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $174
Drug assay adalimumab (80145) $503
Drug Assay Infliximab (80230) $521
Drug Assay Lacosamide (80235) $420
Drug Screen Quant Gabapentin (80171) $169
Drug screen quant zonisamide (80203) $232
Drug Screen Quantitative Lamotrigine (80175) $226
Drug Scrn Quan Levetiracetam (80177) $275
Drug scrn quant oxcarbazepin (80183) $267
Drug test prsmv chem anlyzr (80307) $175
Drug Test Prsmv Dir Opt Obs (80305) $33
Ebv viral capsid (86665) $71
Ehrlichia antibody (86666) $33
Elastase pancreatic fecal quantitative (82653) $783
Electrolyte panel (80051) $75
Endomysial antibody iga (86255) $188.50
Eosinophil count (85048) $22
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $54
Estradiol (82670) $52
Estriol (82677) $351
Estrogens total (82672) $93
Estrone (82679) $242
Ethylene glycol (82693) $158
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $25
F2 gene analysis 20210g >a variant (81240) $658
F5 gene (81241) $1,321
Factor ii activity (85210) $256
Factor v activity (85220) $256
Factor vii assay (85230) $256
Factor viii ahg (85240) $45
Factor viii vw multimetric (85247) $169
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $270
Fecal fat qual (82705) $104
Fecal fat quant (82710) $59
Fibrinogen activity (85384) $82
Fibrinolytic Plasminogen (85415) $316
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $281
Folate serum (82746) $34
Follicle Stimulating Hormone (83001) $65
Francisella Tularensis (86668) $314
Fresh frozen plasma thawing each unit (86927) $54
Frozen blood prep (86930) $228
Fructosamine (82985) $80
Fungus Identification, Mold - Fungal Identification, Mold (87107) $44
Gammaglobulin ige (82785) $100
Gastric Occult Blood (82271) $14
Ggt (82977) $70
Giardia antigen eia stool (87329) $41
Gliadin antibody each immunoglobulin class (86258) $50
Glucose (82947) $35
Glucose body fluid (82945) $14
Glucose post dose (82950) $35
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $22
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $35
Growth hormone (83003) $94
Haloperidol (haldol) (80173) $393
Haptoglobin (83010) $87
Hcg quant (84702) $129
Hdl Cholesterol (83718) $71
Heavy metal quant each (83018) $231.50
Hematocrit (85014) $24
Hemoglobin (85018) $22
Hemoglobin a1c (83036) $75
Hemoglobin electrophoresis (83020) $123
Hepatitis a antibody total (86708) $115
Hepatitis a igm (86709) $40
Hepatitis b core ab igm (86705) $43
Hepatitis B Surface Ab (86706) $102
Hepatitis B Surface Antigen (87340) $102
Hepatitis c antibody (86803) $102
Hepatitis C Genotype (87902) $865
Herpes simplex type 2 (86696) $73
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $47
Hfe gene (81256) $526
Histoplasma antibody (86698) $186
HIV-1 antibody (86701) $76
Hiv-1/Hiv-2 1 Result Antbdy (86703) $76
Hla b 27 disease association lc (81374) $431
Hla class i typing high resolution complete (81379) $1,245
Hla i typing 1 locus hr (81380) $679
Hpv types 16 & 18 only (87625) $128
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $168.50
Hydroxyprogesterone 17-d (83498) $586
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $54
Iaad ia clostridium difficile toxin (87324) $44
Iaad ia cryptosporidium (87328) $41
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $58
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $59
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $234
Iaad ia rotavirus (87425) $27
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $64
Iaadiadoo not otherwise specified (87899) $35
Iadna borrelia burgdorferi amplified probe tq (87476) $538
Iadna candida species amplified probe tq (87481) $69
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $182
Iadna hepatitis b virus quantification (87517) $281
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $319
Iadna HIV-1 quant & reverse transcription (87536) $504
Iadna human papillomavirus high-risk types (87624) $132
Iadna neisseria gonorrhoeae amplified probe tq (87591) $65
Iadna nos amplified probe tq each organism (87798) $400
Iadna nos quantification each organism (87799) $666.50
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $2,013
Iadna trichomonas vaginalis amplified probe tech (87661) $193
Iadna-DNA/RNA probe tq 12-25 (87507) $905
Igg subclasses (82787) $62
Immunoassay infectious agent antibody quan nos (86317) $273
Immunoassay nonantibody (83516) $199
Immunofixj Electrophoresis Serum (86334) $123
Immunoglobulin light chains free each (83521) $280
India ink prep (87210) $27
Influenza DNA amp probe (87502) $584
Inhibin b (83520) $183
Insulin antibodies (86337) $315
Insulin free (83527) $48
Insulin total (83525) $75
Intrinsic factor antibody (86340) $288
Iron (83540) $71
Iron binding capacity (83550) $42
Irradiation of blood product (86945) $59
Islet cell antibody (86341) $445
Jak2 gene analysis (81270) $506
Lactic acid (83605) $105
Lactoferrin fecal qualitative (83630) $176
Ldh (83615) $41
LDL cholesterol direct (83721) $76
Lead (83655) $91
Legionella antibody (86713) $54
Legionella antigen urine (87449) $144
Lh (83002) $48
Lipase (83690) $65
Lipoprotein Bld Hr Fraction (83701) $96
Lithium (80178) $71
Lyme disease antibody (86618) $170.50
Lyme disease antibody confirm (86617) $110
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $469
Magnesium (83735) $71
Mercury (83825) $44
Metabolic Panel Ionized Ca (80047) $31
Methotrexate (80299) $425
Methylmalonic acid serum (83921) $246
Microalbumin urine (82043) $256
Microbe susceptible diffuse (87181) $27
Microsomal antibodies (86376) $125.50
Mitochondrial antibody each (86381) $69
Molecular pathology procedure level 2 (81401) $209
Mopath procedure level 4 (81403) $796
Mycoplasma antibody (86738) $42
Myoglobin urine (83874) $216
Natriuretic peptide (83880) $322
Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) $483
Niacin (84591) $288
Nuclear antigen antibody (86235) $85
Osmolality serum (83930) $305
Osmolality urine (83935) $62
Ova and parasite direct-id lca (87177) $74
Oxalate urine (83945) $129
Pancreatic polypeptide (83519) $134
Parvovirus antibody (86747) $72
Phenytoin free (80186) $65
Phosphatase alkaline (84075) $33
Phosphorus blood (84100) $47
Phosphorus urine (84105) $65
Pinworm exam (87172) $40
Porphyrins qn & fraction urine (84120) $176
Potassium (84132) $35
Potassium urine (84133) $35
Pregnenolone (84140) $212
Pretx rbc antibody incubat w/enzymes each (86971) $245
Primidone (80188) $88
Procalcitonin (pct) (84145) $147
Progesterone (84144) $200
Prolactin (84146) $108
Protein body fluid (84157) $13
Protein c activity (85303) $94
Protein c antigen (85302) $351
Protein electrophoresis serum (84165) $105
Protein Electrophoresis Urine (84166) $94
Protein S Functional (85306) $291
Protein s total (85305) $578
Protein Total Serum (84155) $30
Protein urine (84156) $27
Prothrombin time substitution (85611) $50
PSA free (84154) $84
Reagent strip/blood glucose (82948) $34
Renin activity plasma (84244) $162
Resp virus 3-5 targets (87631) $1,100
Respiratory Virus (86756) $44
Reticulated platelet assay (85055) $77
Rheumatoid factor quant (86431) $85
Rickettsia antibody (86757) $244.50
Rsv (87807) $40
Rubella antibody (86762) $71
Russell viper venom time diluted (85613) $690
Saccharomyces ab iga (86671) $406
Salmonella antibody (86768) $58
Sars-Cov-2 Covid-19 Amp Prb (87635) $201
Sedimentation rate (85651) $32
Sensitivity mic (87186) $24
Serotonin Release Assay (86022) $427
Sex hormone binding globulin (84270) $77
Sickle cell screen (85660) $21
Sirolimus (rapamycin) (80195) $263
Smear acid fast (87206) $9
Smear complex stain (87209) $63
Smear gram stain (87205) $43
Sodium (84295) $35
Sodium urine (84300) $35
Soluble transferrin receptor (84238) $393
Spectrophotometry (84311) $346
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $304
Stool Cultr Aerobic Bact Ea (87046) $28
Strep a assay w/optic (87880) $42
Sulfate urine (84392) $16
Surgical pathology level IV (88305) $367
Susceptibility study antimicrobial disk method (87184) $25
T3 free (84481) $287
T3 reverse (84482) $276
T3 total (84480) $47
T3 uptake (84479) $65
T4 Free (84439) $140
T4 total (84436) $65
Tb ag response t-cell susp (86481) $110
Tb intradermal test (86580) $75.75
Testosterone free (84402) $92
Testosterone total (84403) $93
Theophylline (80198) $106
Thin prep pap (88142) $100
Thrombin time plasma (85670) $56
Thromboplastin Inhibition Tissue (85705) $34.50
Thromboplastin time prtl substit plasma frctj ea (85732) $45
Thyroglobulin (84432) $166
Thyroglobulin Ab (86800) $56
Thyroid Stimulating Immunoglobulin (84445) $468
Tiss Trnsgltmnase Ea Ig Clas (86364) $48
Topiramate (80201) $176
Transferrin (84466) $117
Triglycerides (84478) $39
Troponin (84484) $69
Unlisted transfusion medicine procedure (86999) $37
Urea nitrogen (84520) $35
Urea nitrogen urine (84540) $65
Uric acid blood (84550) $47
Uric acid other source (84560) $65
Urinalysis w/microscopic (81001) $45
Urine pregnancy test (81025) $27
Urine volume measurement (81050) $30
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $32
Urobilinogen (84578) $26
Valproic acid level (80164) $129
Vancomycin trough (80202) $76
Varicella-zoster antibody (86787) $44.50
Vdrl csf (86592) $29
Virus antibody nos (86790) $110
Virus inoculation, shell via (87254) $56
Viscosity serum (85810) $127
Vitamin A (84590) $42
Vitamin b-12 (82607) $122
Vitamin b1 (thiamine) (84425) $107
Vitamin b6 (84207) $622
Vitamin C (82180) $158
Vitamin D 25-Hydroxy (82306) $178
Vitamin e serum (84446) $197
Von willebrand factor activity (85245) $60
West nile virus ab, igm (86788) $44
West nile virus antibody (86789) $44
Zinc (84630) $105