Lab & pathology prices at Jefferson Community Health & Life

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $76.50 $102 2.0×
Albumin Fluid (82042) $43.50 $58 5.6×
Aldosterone urine (82088) $241.50 $322 5.9×
Allergen specific ige (86003) $58.50 $78 11.2×
Alpha-1-antitrypsin total (82103) $141.75 $189 10.5×
Alpha-Fetoprotein Serum (82105) $112.50 $150 6.7×
Alt (sgpt) (84460) $55.50 $74 10.5×
Amikacin trough (80150) $65.25 $87 4.3×
Ammonia (82140) $125.25 $167 8.6×
Amylase urine (82150) $84.75 $113 13.1×
Anca screen each antibody (86036) $39 $52 3.2×
Angiotensin converting enzyme csf (82164) $125.25 $167 8.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $178.50 $238 11.5×
Antibody Cytomegalovirus Cmv Igm (86645) $225 $300 13.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $36 $48 2.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $36 $48 2.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $36 $48 2.0×
Antibody Herpes Smplx Type 1 (86695) $94.50 $126 7.2×
Antibody htlv/HIV antibody confirmatory test (86689) $254.25 $339 13.1×
Antibody Treponema Pallidum (86780) $92.25 $123 7.0×
Antinuclear antibodies (86038) $109.50 $146 9.1×
Antistreptolysin o titer (86060) $85.50 $114 11.7×
Arsenic (82175) $128.25 $171 6.8×
Assay Blood Carbon Dioxide (82374) $45 $60 9.2×
Assay of 5-hiaa (83497) $85.50 $114 6.6×
Assay of blood/uric acid (84550) $59.25 $79 13.1×
Assay of calcium in urine (82340) $67.50 $90 11.2×
Assay of gammaglobulin igm (82784) $97.50 $130 10.5×
Assay of lactic acid (83605) $122.25 $163 10.6×
Assay of metanephrines (83835) $237.75 $317 14.0×
Assay of serotonin (84260) $114.75 $153 3.7×
Assay of serum potassium (84132) $52.50 $70 11.0×
Assay of urea nitrogen (84520) $50.25 $67 12.7×
Assay of vasoactive intestinal peptide (84586) $191.25 $255 5.4×
Assay of vitamin b-1 (84425) $195.75 $261 9.2×
B cells total count (86355) $81 $108 2.1×
Bcr/abl1 gene major bp (81206) $463.50 $618 2.8×
Beta 2 glycoprotein i antibody each (86146) $232.50 $310 9.1×
Beta-2 Microglobulin (82232) $131.25 $175 8.1×
Bilirubin direct (82248) $49.50 $66 9.9×
Bilirubin total (82247) $55.50 $74 11.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $55.50 $74 14.6×
Blood gas (82803) $226.50 $302 8.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $38.25 $51 8.7×
Blood typing serologic abo (86900) $62.25 $83 20.8×
Bone marrow smear interpretation (85097) $673.50 $898 0.8×
C diff amplified probe (87493) $144 $192 3.9×
C-reactive protein (86140) $94.50 $126 18.2×
Ca 19-9 (86301) $193.50 $258 9.3×
Cadmium (82300) $102.75 $137 4.3×
Calcium ionized (82330) $122.25 $163 8.9×
Calcium total (82310) $54.75 $73 10.6×
Calculus Spectroscopy (82365) $135.75 $181 10.5×
Calprotectin Fecal (83993) $195.75 $261 10.0×
Cancer Antigen 125 (86304) $162.75 $217 7.8×
Cancer Antigen 27.29 (86300) $180.75 $241 8.7×
Carboxyhemoglobin (82375) $137.25 $183 11.1×
Carcinoembryonic antigen (82378) $143.25 $191 7.6×
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$150.75–$151.50 $201–$202 varies
Ccp antibody (86200) $135 $180 10.4×
Cell count csf (89051) $123.75 $165 22.1×
Ceruloplasmin (82390) $96.75 $129 9.0×
Chemiluminescent assay (82397) $203.25 $271 14.4×
Chloride Serum (82435) $46.50 $62 10.1×
Cholesterol total (82465) $46.50 $62 10.7×
Chorionic gonadotropin test (84702) $127.50 $170 8.5×
Chromogranin a (86316) $114 $152 5.5×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$124.50–$645.75 $166–$861 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $131.25 $175 3.7×
Citric acid urine (82507) $63 $84 2.3×
Ckmb (82553) $156.75 $209 13.6×
Complement Antigen Each Component (86160) $106.50 $142 8.9×
Complement Total (Ch50) (86162) $171 $228 8.4×
Coombs direct (86880) $77.25 $103 14.3×
Copper urine (82525) $70.50 $94 5.7×
Cortisol free (82530) $169.50 $226 10.1×
Cortisol saliva (82533) $134.25 $179 8.2×
Creatine kinase total (82550) $84.75 $113 13.0×
Creatinine blood (82565) $55.50 $74 10.8×
Creatinine clearance (82575) $96 $128 10.1×
Creatinine Urine (82570)
range across 5 matching MRF lines
$66.75–$67.50 $89–$90 varies
Cryptosporidium ag eia (87328) $87.75 $117 6.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $81 $108 10.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $429.75 $573 2.0×
Culture afb (87116) $158.25 $211 14.7×
Culture Anaerobic (87075) $99 $132 10.5×
Culture blood (87040) $197.25 $263 19.1×
Culture csf (87070)
range across 9 matching MRF lines
$104.25–$116.25 $139–$155 varies
Culture fungus (87102) $127.50 $170 15.2×
Culture screen only (87081) $68.25 $91 10.3×
Culture stool (87045) $111.75 $149 11.8×
Culture urine (87086) $81.75 $109 10.1×
Cytomegalovirus igg (86644) $132 $176 9.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $87.75 $117 4.3×
Deoxyribonuclease antibody (86215) $78.75 $105 5.9×
Detect Agent Nos Dna Amp (87798) $269.25 $359 7.7×
Detect Agent Nos Dna Quant (87799) $450.75 $601 10.5×
Dhea-S (82627) $175.50 $234 7.9×
Digoxin (80162) $122.25 $163 9.2×
Dipropylacetic Acid Free (80165) $147 $196 10.9×
Dna Antibody Native/Double Stranded (86225) $135 $180 9.8×
Dna/Rna Amplified Probe (87150) $328.50 $438 9.4×
Drug assay acetaminophen (80143) $238.50 $318 12.8×
Drug Screen Quant Clozapine (80159) $186.75 $249 9.3×
Drug Screen Quantitative Lamotrigine (80175) $159.75 $213 12.1×
Drug Screen Quantitative Levetiracetam (80177) $207 $276 15.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$212.25–$243 $283–$324 varies
Drug Test Prsmv Dir Opt Obs (80305) $46.50 $62 3.7×
Drug Test Prsmv Instrmnt (80306) $64.50 $86 3.8×
Ehrlichia antibody (86666) $123.75 $165 12.2×
Electrolyte panel (80051) $109.50 $146 15.6×
Enzyme cell activity (82657) $321 $428 14.5×
Erythropoietin (82668) $170.25 $227 9.1×
Estradiol serum (82670) $159 $212 5.7×
Estrogens fractionated (82671) $161.25 $215 5.0×
Exam Synovial Fluid Crystals (89060) $48.75 $65 6.7×
Factor v activity (85220) $310.50 $414 17.6×
Factor v leiden mutation (81241) $204.75 $273 2.8×
Fecal Fat Qualitative (82705) $75.75 $101 14.9×
Ferritin (82728) $116.25 $155 8.5×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$149.25–$150.75 $199–$201 varies
Fibrinogen activity (85384) $72 $96 7.4×
Flow cytometry first marker (88184) $255.75 $341 0.7×
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$165–$167.25 $220–$223 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $139.50 $186 11.6×
Folic acid rbc (82747) $63 $84 3.6×
Folic Acid Serum (82746) $124.50 $166 8.5×
Follicle Stimulating Hormone (83001) $121.50 $162 6.5×
Francisella tularensis (86668) $131.25 $175 9.3×
Fungi Identification Mold (87107) $115.50 $154 11.2×
Gammaglobulin ige (82785) $131.25 $175 8.0×
Gastrin (82941) $130.50 $174 7.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 22 matching MRF lines
$356.25–$504 $475–$672 varies
Gentamicin (80170) $169.50 $226 10.3×
Ggt (82977) $66 $88 9.2×
Giardia antigen (87329) $116.25 $155 9.7×
Glucose Serum (82947) $50.25 $67 12.8×
Glucose tolerance test (gtt) (82951) $151.50 $202 11.8×
Gtt-added samples (82952) $74.25 $99 18.9×
Haptoglobin (83010) $107.25 $143 8.5×
Helicobacter Pylori Stool (87338) $202.50 $270 14.1×
Hematocrit (85014) $42 $56 17.7×
Hemoglobin (85018) $39 $52 16.5×
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$71.25–$75 $95–$100 varies
Hemoglobin Methemoglobin Quantitative (83050) $72.75 $97 8.9×
Hep a ab igm (86709) $108 $144 9.6×
Heparin assay (85520)
range across 2 matching MRF lines
$228.75–$261.75 $305–$349 varies
Hepatitis a antibody total (86708) $129 $172 10.4×
Hepatitis b core ab igm (86705) $114 $152 9.7×
Hepatitis b core ab total (86704) $116.25 $155 9.6×
Hepatitis B Surface Antibody (86706) $120.75 $161 11.2×
Hepatitis B Surface Antigen (87340) $94.50 $126 9.1×
Hepatitis C Antibody (86803) $105.75 $141 7.4×
Hepatitis C Revrs Trnscrpj (87522) $462 $616 10.8×
Herpes simplex type 2 (86696) $94.50 $126 4.9×
Heterophile Antibody Screen (86308) $72.75 $97 14.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$87–$105 $116–$140 varies
Hiv-1 Antibody (86701) $91.50 $122 10.3×
HIV-1 p24 antigen (87390) $110.25 $147 4.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $359.25 $479 4.2×
Homocysteine (83090) $198.75 $265 11.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $92.25 $123 2.6×
Iaad ia shiga-like toxin (87427) $109.50 $146 9.1×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $1,131.75 $1,509 32.3×
Iadna Cytomegalovirus Quantification (87497) $260.25 $347 6.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $101.25 $135 2.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $124.50 $166 3.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$159–$273 $212–$364 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $966 $1,288 3.3×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$141–$199.50 $188–$266 varies
Immunoassay Analyte Quant Radioimmunoassay (83519) $252 $336 13.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$127.50–$168.75 $170–$225 varies
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$39–$141.75 $52–$189 varies
Immunofixation electrophoresis (86334) $150.75 $201 6.7×
Influenza a/b ag eia (87400) $107.25 $143 7.6×
Influenza assay w/optic (87804) $21.75 $29 1.3×
Inhibin b (83520) $203.25 $271 11.8×
Insulin total (83525) $117 $156 10.2×
Intrinsic factor antibody (86340) $144.75 $193 9.6×
Iron (83540) $63.75 $85 9.9×
Iron Binding Capacity (83550) $75.75 $101 8.7×
Islet cell antibody (86341) $235.50 $314 10.0×
Koh Prep (87220) $51.75 $69 12.1×
Kras Gene Variants Exon 2 (81275) $193.50 $258 1.0×
Lactate (ld) (ldh) enzyme (83615) $68.25 $91 11.3×
LDL direct (83721) $47.25 $63 4.5×
Lead (83655)
range across 3 matching MRF lines
$40.50–$76.50 $54–$102 varies
Legionella antigen urine (87449) $189 $252 15.8×
Lipase (83690) $112.50 $150 16.3×
Lithium (80178) $90 $120 13.6×
Luteinizing Hormone (Lh) (83002) $122.25 $163 6.6×
Lyme disease antibody (86618) $165 $220 9.7×
Magnesium Urine (83735) $81.75 $109 12.2×
Mercury urine (83825) $132.75 $177 8.2×
Metabolic panel ionized ca (80047) $143.25 $191 10.4×
Methylmalonic acid serum (83921) $285.75 $381 13.5×
Microalbumin, quantitative (82043) $93.75 $125 16.2×
Microsomal Antibodies Each (86376) $112.50 $150 7.7×
Mononuclear cell antigen (86356) $81 $108 3.0×
Mumps antibody (86735) $104.25 $139 8.0×
Natriuretic peptide (83880) $252 $336 6.4×
Nk cells total count (86357) $79.50 $106 2.1×
Nuclear antigen antibody (86235)
range across 10 matching MRF lines
$12–$258.75 $16–$345 varies
Occult blood feces (82272) $40.50 $54 9.6×
Osmolality serum (83930) $93 $124 14.1×
Osmolality Urine (83935) $90 $120 13.2×
Oxalate urine (83945) $83.25 $111 5.8×
Parvovirus antibody (86747) $111.75 $149 7.4×
Ph urine (81003)
range across 3 matching MRF lines
$30.75–$42 $41–$56 varies
Phenobarbital Level (80184) $144 $192 9.4×
Phenytoin (Dilantin) (80185) $133.50 $178 10.1×
Phosphatase alkaline (84075) $53.25 $71 10.3×
Phosphorus Serum (84100) $56.25 $75 11.9×
Platelet count automated (85049) $58.50 $78 13.1×
Potassium Urine (84133) $52.50 $70 11.1×
Prealbumin (84134) $114 $152 7.8×
Procalcitonin (Pct) (84145) $213 $284 7.8×
Progesterone (84144) $128.25 $171 6.1×
Prolactin (84146) $162 $216 8.4×
Protein body fluid (84157) $54.75 $73 13.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $108.75 $145 10.1×
Protein total serum (84155) $55.50 $74 15.1×
Protein Total Urine (84156)
range across 4 matching MRF lines
$64.50–$67.50 $86–$90 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $29.25 $39 7.4×
PSA free (84154) $124.50 $166 6.8×
Pth Intact (83970) $217.50 $290 5.3×
Quantiferon tb gold plus (86480) $222 $296 3.6×
Rbc antibody screen (86850) $104.25 $139 10.7×
Renin activity plasma (84244) $187.50 $250 8.5×
Reticulocyte Count (85046) $65.25 $87 11.7×
Reticulocyte Count Manual (85044) $49.50 $66 11.5×
Rh (86901) $66.75 $89 22.3×
Rheumatoid factor quant (86431) $72 $96 12.7×
Rickettsia antibody (86757) $130.50 $174 6.7×
Rotavirus ag eia (87425) $74.25 $99 6.2×
Rsv Assay W/Optic (87807) $156 $208 11.9×
Rubella Antibody (86762) $87.75 $117 6.1×
Rubeola antibody (86765) $102 $136 7.9×
Russell Viper Venom Time Diluted (85613) $141 $188 14.7×
Salicylate Level (80179) $167.25 $223 9.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $159 $212 3.1×
Selenium (84255) $82.50 $110 3.2×
Semen analysis complete (89320) $165.75 $221 13.5×
Sensitivity mic (87186) $108 $144 12.5×
Sex Hormone Binding Globulin (84270) $33 $44 1.5×
Sickling of rbc reduction (85660) $103.50 $138 18.8×
Skin test tuberculosis intradermal (86580) $15.75 $21 0.5×
Smear acid fast (87206) $70.50 $94 13.1×
Smear complex stain (87209) $84.75 $113 4.7×
Smear gram stain (87205)
range across 2 matching MRF lines
$53.25–$55.50 $71–$74 varies
Sodium Urine (84300) $54.75 $73 10.8×
Soluble Transferrin Receptor (84238) $87 $116 2.4×
Somatomedin (84305) $203.25 $271 9.6×
Special Stains Group 1 (88312) $135.75 $181 2.5×
Special Stains Group 2 (88313) $145.50 $194 1.1×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$21.75–$72 $29–$96 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $81 $108 1.7×
T cells total count (86359) $81 $108 2.1×
T3 Free (84481) $171.75 $229 10.1×
T3 reverse (84482) $198.75 $265 12.6×
T3 Total (84480) $107.25 $143 7.6×
T4 Free (84439)
range across 3 matching MRF lines
$92.25–$93 $123–$124 varies
T4 total (84436) $57.75 $77 8.4×
Tacrolimus (80197) $194.25 $259 14.1×
Testosterone total (84403) $136.50 $182 5.3×
Testosterone, Free (84402) $65.25 $87 2.6×
Theophylline (80198) $123 $164 8.7×
Thyroglobulin (84432) $132.75 $177 8.3×
Thyroglobulin Antibody (86800) $111.75 $149 7.0×
Thyroid Stimulating Immunoglobulin (84445) $366.75 $489 7.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $135 $180 11.7×
Topiramate (80201) $212.25 $283 17.8×
Transferase Aspartate Amino Ast Sgot (84450) $64.50 $86 12.5×
Transferrin (84466) $116.25 $155 9.1×
Triglycerides (84478) $60.75 $81 10.6×
Troponin Quant (84484) $208.50 $278 16.7×
Tumor Immunohistochem/Manual (88360) $217.50 $290 1.2×
Urinalysis Microscopic Only (81015) $30.75 $41 10.1×
Urinalysis Volume Measure (81050) $27 $36 7.4×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$11.25–$80.25 $15–$107 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $54.75 $73 17.3×
Valproic acid (80164) $144.75 $193 10.7×
Vancomycin (80202) $168 $224 12.4×
Virus antibody nos (86790) $188.25 $251 14.6×
Viscosity serum (85810) $138 $184 11.8×
Vitamin A (84590) $159.75 $213 13.8×
Vitamin b-12 (82607) $126 $168 8.4×
Vitamin B6 (84207) $180.75 $241 6.4×
Vitamin D 25-Hydroxy (82306) $120.75 $161 4.1×
Vitamin E (84446) $148.50 $198 10.5×

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.