Lab & pathology prices at Jeff Davis Hospital

Hazlehurst, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Albumin serum (82040) $21.70 $62 4.4×
Ammonia (82140) $23.02 $65.78 1.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $75.95 $217 0.8×
Amylase urine (82150) $73.32 $209.50 11.3×
Antibody; campylobacter (86625) $26.78 $76.50 2.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $68.95 $197 12.1×
Assay Blood Carbon Dioxide (82374) $2.45 $7 0.5×
Assay of blood/uric acid (84550) $24.85 $71 5.5×
Assay of lactic acid (83605) $22.75 $65 2.0×
Assay of serum potassium (84132) $8.26 $23.60 1.7×
Assay of urea nitrogen (84520) $27.65 $79 7.0×
Automated Leukocyte Count (85048) $11.55 $33 4.5×
Bilirubin direct (82248)
range across 2 matching MRF lines
$2.45–$12.95 $7–$37 varies
Bilirubin total (82247)
range across 5 matching MRF lines
$2.45–$12.95 $7–$37 varies
Blood Count Manual Cell Count Each (85032) $1.51 $4.31 0.4×
Blood count reticulocyte automated (85045) $14.27 $40.76 3.6×
Blood gas (82803) $66.07 $188.76 2.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $14 $40 3.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $114.80 $328 18.1×
Blood typing serologic abo (86900)
range across 4 matching MRF lines
$70.70–$82.08 $202–$234.52 varies
Breath Alcohol Test (82075) $10.15 $29 0.3×
C diff amplified probe (87493) $115.50 $330 3.1×
C-reactive protein (86140)
range across 3 matching MRF lines
$38.85–$70.70 $111–$202 varies
Calcium total (82310) $17.85 $51 3.5×
Carbamazepine total (80156) $21.70 $62 1.5×
Carcinoembryonic antigen (82378) $22.40 $64 1.2×
Cell count csf (89051) $42.35 $121 7.6×
Chloride Serum (82435) $13.30 $38 2.9×
Chloride urine (82436) $14.70 $42 2.6×
Cholesterol total (82465) $21 $60 4.8×
Chorionic gonadotropin test (84702) $56.31 $160.88 3.7×
Ckmb (82553)
range across 5 matching MRF lines
$26.78–$37.45 $76.51–$107 varies
Compatibility test antiglob (86922)
range across 7 matching MRF lines
$91.39–$95.20 $261.12–$272 varies
Coombs direct (86880) $25.72 $73.50 4.8×
Creatine kinase total (82550)
range across 3 matching MRF lines
$16.02–$31.50 $45.76–$90 varies
Creatinine blood (82565) $47.60 $136 9.3×
Creatinine clearance (82575) $19.25 $55 2.0×
Creatinine Urine (82570)
range across 4 matching MRF lines
$19.02–$22.13 $54.34–$63.23 varies
Crossmatch immediate spin (86920) $74.20 $212 0.5×
Crp High Sensitivity (86141) $15.05 $43 1.2×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$15.75–$22.75 $45–$65 varies
Cryptosporidium ag eia (87328) $42.29 $120.83 3.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $12.60 $36 1.6×
Culture aerobic quant other (87071)
range across 12 matching MRF lines
$22.77–$158.55 $65.07–$453 varies
Culture blood (87040) $29.75 $85 2.9×
Culture csf (87070)
range across 2 matching MRF lines
$10.50–$49 $30–$140 varies
Culture stool (87045) $81.72 $233.50 8.7×
Cytopath Cell Enhance Tech (88112) $44.45 $127 1.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $38.15 $109 0.8×
Digoxin (80162) $23.62 $67.50 1.8×
Drug assay acetaminophen (80143) $32.67 $93.35 1.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$14–$28 $40–$80 varies
Drug Test Prsmv Instrmnt (80306) $31.03 $88.66 1.8×
Electrolyte panel (80051) $21.70 $62 3.1×
Ferritin (82728)
range across 2 matching MRF lines
$24.02–$36.58 $68.64–$104.50 varies
Fibrin Degradation Quant (85379) $120.48 $344.23 11.8×
Flow cytometry first marker (88184) $114.80 $328 0.4×
Folic acid rbc (82747)
range across 2 matching MRF lines
$10.76–$15.05 $30.75–$43 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines
$15.05–$21.52 $43–$61.50 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $110.21 $314.88 0.7×
Gentamicin (80170) $25.90 $74 1.6×
Giardia antigen (87329) $46.02 $131.50 3.8×
Glucose body fluid (82945) $12.95 $37 3.3×
Glucose Serum (82947)
range across 10 matching MRF lines
$14.70–$17.27 $42–$49.34 varies
Glucose tolerance test (gtt) (82951) $58.45 $167 4.5×
Gonadotropin Chorionic Qualitative (84703) $51.41 $146.89 6.8×
Gtt-added samples (82952) $16.45 $47 4.2×
Hdl Cholesterol (83718) $23.10 $66 2.8×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$58.80–$76.65 $168–$219 varies
Hematocrit (85014) $10.82 $30.91 4.6×
Hemoglobin (85018)
range across 4 matching MRF lines
$5.51–$7.70 $15.73–$22 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$53.55–$58.45 $153–$167 varies
Heterophile Antibody Screen (86308) $45.15 $129 8.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 3 matching MRF lines
$28.78–$40.25 $82.23–$115 varies
Iaad ia shiga-like toxin (87427)
range across 4 matching MRF lines
$26.78–$28.70 $76.50–$82 varies
Iaadi respiratory synctial virus (87280) $23.45 $67 1.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $114.80 $328 0.4×
Immunohistochemistry (88342) $99.22 $283.50 0.7×
In situ hybridization 1st probe stain (88365) $105 $300 0.7×
Influenza a/b ag eia (87400) $13.51 $38.61 1.0×
Iron (83540)
range across 2 matching MRF lines
$25.08–$27.48 $71.66–$78.50 varies
Iron Binding Capacity (83550)
range across 5 matching MRF lines
$18.77–$27.48 $53.63–$78.50 varies
Lactate (ld) (ldh) enzyme (83615) $8.01 $22.88 1.3×
Lactoferrin fecal qualitative (83630) $17.50 $50 0.9×
LDL direct (83721) $16.80 $48 1.6×
Level I Surg Pathology Gross Examination Only (88300) $18.20 $52 0.7×
Level ii surg pathology gross&microscopic exam (88302) $25.20 $72 0.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $136.50 $390 0.4×
Lipase (83690) $63 $180 9.1×
Magnesium Urine (83735) $14.35 $41 2.1×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$19.02–$26.60 $54.34–$76 varies
Natriuretic peptide (83880)
range across 4 matching MRF lines
$31.85–$43.75 $91–$125 varies
Occult blood feces (82272)
range across 5 matching MRF lines
$5.60–$10.01 $16–$28.60 varies
Occult Blood Other Sources (82271) $17.15 $49 3.2×
Osmolality Urine (83935) $25.90 $74 3.8×
Phenytoin (Dilantin) (80185) $18.27 $52.20 1.4×
Phosphatase alkaline (84075) $11.20 $32 2.2×
Phosphorus Serum (84100) $11.20 $32 2.4×
Pinworm exam (87172) $4.55 $13 1.1×
Platelet count automated (85049) $12.60 $36 2.8×
Potassium Urine (84133) $11.55 $33 2.4×
Procalcitonin (Pct) (84145) $33.25 $95 1.2×
Protein body fluid (84157) $14.70 $42 3.7×
Protein total serum (84155) $11.90 $34 3.2×
Protein Total Urine (84156) $16.72 $47.77 4.6×
Pth Intact (83970)
range across 2 matching MRF lines
$32.20–$33.25 $92–$95 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines
$38.50–$446.25 $110–$1,275 varies
Rbc antibody screen (86850) $58.98 $168.50 6.0×
Rh (86901) $17.15 $49 5.7×
Rheumatoid Factor Qualitative (86430) $41.30 $118 6.7×
Rpr qualitative (86592) $9.80 $28 2.3×
Salicylate Level (80179) $32.67 $93.35 1.8×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$33.25–$50.92 $95–$145.50 varies
Sensitivity mic (87186)
range across 5 matching MRF lines
$9.01–$61.25 $25.74–$175 varies
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$28.70–$31.32 $82–$89.50 varies
Smear gram stain (87205) $13.01 $37.18 3.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $4.20 $12 0.7×
Sodium Serum (84295) $11.55 $33 2.4×
Sodium Urine (84300) $16.23 $46.37 3.2×
Special Stains Group 1 (88312) $44.45 $127 1.0×
Special Stains Group 2 (88313) $35.35 $101 0.3×
Specimen infect agnt concntj (87015) $7.70 $22 1.2×
Strep a assay w/optic (87880) $10.50 $30 0.6×
Strep a DNA amp probe (87651) $26.25 $75 0.7×
Surg path level iii (88304) $32.90 $94 0.7×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$74.20–$80.85 $212–$231 varies
T3 Free (84481) $52.68 $150.50 3.1×
T3 Uptake (84479) $31.15 $89 4.8×
T4 Free (84439) $39.90 $114 4.4×
T4 total (84436) $33.60 $96 4.9×
Test for acetone/ketones (82009) $7.51 $21.45 1.7×
Testosterone total (84403) $43.92 $125.50 1.7×
Tobramycin peak (80200) $26.25 $75 1.6×
Transferrin (84466)
range across 2 matching MRF lines
$24.85–$25.20 $71–$72 varies
Triglycerides (84478) $25.55 $73 4.5×
Troponin Quant (84484)
range across 4 matching MRF lines
$42–$64.40 $120–$184 varies
Tumor immunohistochem/comput (88361) $120.05 $343 0.4×
Urea nitrogen urine (84540) $12.30 $35.13 2.2×
Urine Bacteria Culture (87088) $24.85 $71 3.1×
Urine Pregnancy Test (81025) $50.65 $144.72 5.9×
Valproic acid (80164) $15.52 $44.33 1.1×
Vancomycin (80202) $52.85 $151.01 3.9×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$57.46–$62.65 $164.16–$179 varies
Vitamin D 25-Hydroxy (82306) $76.12 $217.50 2.6×

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.