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 →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 5 Hiaa (83497) | $85.50 | $114 | 6.6× |
| Acetaminophen level (80143) | $238.50 | $318 | 12.8× |
| Afb culture (87116) | $158.25 | $211 | 14.7× |
| 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× |
| Angiotensin i enzyme test (82164) | $125.25 | $167 | 8.6× |
| Antibody cytomegalovirus cmv (86644) | $132 | $176 | 9.2× |
| Antibody cytomegalovirus cmv igm (86645) | $225 | $300 | 13.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $36 | $48 | 2.7× |
| Antibody herpes smplx type 1 (86695) | $94.50 | $126 | 7.2× |
| Antibody mumps (86735) | $104.25 | $139 | 8.0× |
| Antibody rubeola (86765) | $102 | $136 | 7.9× |
| Antibody screen (86850) | $104.25 | $139 | 10.7× |
| Antibody treponema pallidum (86780) | $92.25 | $123 | 7.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $39 | $52 | 3.2× |
| Antinuclear antibodies (86038) | $109.50 | $146 | 9.1× |
| Antistreptolysin o titer (86060) | $85.50 | $114 | 11.7× |
| Arsenic Urine (82175) | $128.25 | $171 | 6.8× |
| Assay of acth (82024) | $76.50 | $102 | 2.0× |
| Assay of blood chloride (82435) | $46.50 | $62 | 10.1× |
| Assay of ceruloplasmin (82390) | $96.75 | $129 | 9.0× |
| Assay of erythropoietin (82668) | $170.25 | $227 | 9.1× |
| Assay of ferritin (82728) | $116.25 | $155 | 8.5× |
| Assay of gammaglobulin igm (82784) | $97.50 | $130 | 10.5× |
| Assay of gastrin (82941) | $130.50 | $174 | 7.4× |
| Assay of gentamicin (80170) | $169.50 | $226 | 10.3× |
| Assay of homocystine (83090) | $198.75 | $265 | 11.1× |
| Assay of metanephrines (83835) | $237.75 | $317 | 14.0× |
| Assay of parathormone (83970) | $217.50 | $290 | 5.3× |
| Assay of phenobarbital (80184) | $144 | $192 | 9.4× |
| Assay of prealbumin (84134) | $114 | $152 | 7.8× |
| Assay of selenium (84255) | $82.50 | $110 | 3.2× |
| Assay of serotonin (84260) | $114.75 | $153 | 3.7× |
| Assay of somatomedin (84305) | $203.25 | $271 | 9.6× |
| Assay of tacrolimus (80197) | $194.25 | $259 | 14.1× |
| Ast (sgot) (84450) | $64.50 | $86 | 12.5× |
| 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,Ea (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× |
| Bl Smear W/Diff Wbc Count (85007) | $55.50 | $74 | 14.6× |
| Blood gases (82803) | $226.50 | $302 | 8.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38.25 | $51 | 8.7× |
| Blood typing abo (86900) | $62.25 | $83 | 20.8× |
| Blood typing serologic rh (d) (86901) | $66.75 | $89 | 22.3× |
| Body fluid cell count (89051) | $123.75 | $165 | 22.1× |
| 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 125 (86304) | $162.75 | $217 | 7.8× |
| Ca 19-9 (86301) | $193.50 | $258 | 9.3× |
| Ca 27 29 (86300) | $180.75 | $241 | 8.7× |
| Cadmium level (82300) | $102.75 | $137 | 4.3× |
| Calcium ionized (82330) | $122.25 | $163 | 8.9× |
| Calcium total (82310) | $54.75 | $73 | 10.6× |
| Calcium urine (82340) | $67.50 | $90 | 11.2× |
| Calculus Spectroscopy (82365) | $135.75 | $181 | 10.5× |
| Calprotectin, fecal (83993) | $195.75 | $261 | 10.0× |
| Carbon dioxide (82374) | $45 | $60 | 9.2× |
| Carboxyhemoglobin Quantitative (82375) | $137.25 | $183 | 11.1× |
| Carcinoembryonic antigen (82378) | $143.25 | $191 | 7.6× |
| Cardiolipin ab igg (86147) | $151.50 | $202 | 6.0× |
| Chemiluminescent assay (82397) | $203.25 | $271 | 14.4× |
| Cholesterol total (82465) | $46.50 | $62 | 10.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $385.12 | $513.50 | 3.1× |
| Chromogranin a (86316) | $114 | $152 | 5.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $131.25 | $175 | 3.7× |
| Citrate (82507) | $63 | $84 | 2.3× |
| Ckmb (82553) | $156.75 | $209 | 13.6× |
| Clozapine level (80159) | $186.75 | $249 | 9.3× |
| Complement c3 (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 total (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 other source (82570) | $66.75 | $89 | 12.9× |
| Culture Aerobic Identify (87077) | $81 | $108 | 10.0× |
| Culture anaerobic (87075) | $99 | $132 | 10.5× |
| Culture blood (87040) | $197.25 | $263 | 19.1× |
| Culture fungus other (87102) | $127.50 | $170 | 15.2× |
| Culture genital (87070) | $116.25 | $155 | 13.5× |
| Culture screen only (87081) | $68.25 | $91 | 10.3× |
| Culture stool (87045) | $111.75 | $149 | 11.8× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $429.75 | $573 | 2.0× |
| Culture urine (87086) | $81.75 | $109 | 10.1× |
| Cyclic Citrullinated Peptide (86200) | $135 | $180 | 10.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $260.25 | $347 | 6.1× |
| D-Dimer (85379) | $150 | $200 | 14.7× |
| Deoxyribonuclease antibody (86215) | $78.75 | $105 | 5.9× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $101.25 | $135 | 2.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $21.75 | $29 | 1.3× |
| Dhea sulfate (82627) | $175.50 | $234 | 7.9× |
| Digoxin (80162) | $122.25 | $163 | 9.2× |
| Dilantin (80185) | $133.50 | $178 | 10.1× |
| Dipropylacetic acid free (80165) | $147 | $196 | 10.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $135 | $180 | 9.8× |
| Dna/Rna Amplified Probe (87150) | $328.50 | $438 | 9.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $159.75 | $213 | 12.1× |
| Drug Scrn Quan Levetiracetam (80177) | $207 | $276 | 15.6× |
| Drug test prsmv chem anlyzr (80307) | $227.62 | $303.50 | 3.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $46.50 | $62 | 3.7× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $64.50 | $86 | 3.8× |
| Ebv viral capsid (86665) | $36 | $48 | 2.0× |
| Ehrlichia antibody (86666) | $123.75 | $165 | 12.2× |
| Electrolyte panel (80051) | $109.50 | $146 | 15.6× |
| Endomysial antibody iga (86255) | $165 | $220 | 13.7× |
| Enzyme cell activity (82657) | $321 | $428 | 14.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $36 | $48 | 2.4× |
| Estradiol (82670) | $159 | $212 | 5.7× |
| Estrogen fractionated (82671) | $161.25 | $215 | 5.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $48.75 | $65 | 6.7× |
| F5 gene (81241) | $204.75 | $273 | 2.8× |
| Factor v activity (85220) | $310.50 | $414 | 17.6× |
| Fecal fat qual (82705) | $75.75 | $101 | 14.9× |
| Fibrinogen activity (85384) | $72 | $96 | 7.4× |
| Flow cytometry first marker (88184) | $255.75 | $341 | 0.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $139.50 | $186 | 11.6× |
| Folate serum (82746) | $124.50 | $166 | 8.5× |
| Folic acid rbc (82747) | $63 | $84 | 3.6× |
| Follicle Stimulating Hormone (83001) | $121.50 | $162 | 6.5× |
| Francisella Tularensis (86668) | $131.25 | $175 | 9.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $115.50 | $154 | 11.2× |
| Gammaglobulin ige (82785) | $131.25 | $175 | 8.0× |
| Ggt (82977) | $66 | $88 | 9.2× |
| Giardia antigen eia stool (87329) | $116.25 | $155 | 9.7× |
| Glucose (82947) | $50.25 | $67 | 12.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $74.25 | $99 | 18.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $151.50 | $202 | 11.8× |
| Haptoglobin (83010) | $107.25 | $143 | 8.5× |
| Hcg quant (84702) | $127.50 | $170 | 8.5× |
| Hematocrit (85014) | $42 | $56 | 17.7× |
| Hemoglobin (85018) | $39 | $52 | 16.5× |
| Hemoglobin a1c (83036) | $75 | $100 | 7.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $72.75 | $97 | 8.9× |
| Heparin assay (85520) | $245.25 | $327 | 18.7× |
| Hepatitis a antibody total (86708) | $129 | $172 | 10.4× |
| Hepatitis a igm (86709) | $108 | $144 | 9.6× |
| Hepatitis b core ab igm (86705) | $114 | $152 | 9.7× |
| Hepatitis b core antibody total (86704) | $116.25 | $155 | 9.6× |
| Hepatitis B Surface Ab (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× |
| Herpes simplex type 2 (86696) | $94.50 | $126 | 4.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $72.75 | $97 | 14.0× |
| HIV confirmation (86689) | $254.25 | $339 | 13.1× |
| HIV-1 antibody (86701) | $91.50 | $122 | 10.3× |
| Iaad ia cryptosporidium (87328) | $87.75 | $117 | 6.3× |
| Iaad ia HIV-1 (87390) | $110.25 | $147 | 4.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $96 | $128 | 4.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $202.50 | $270 | 14.1× |
| Iaad ia rotavirus (87425) | $74.25 | $99 | 6.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $92.25 | $123 | 2.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $109.50 | $146 | 9.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $1,131.75 | $1,509 | 32.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $462 | $616 | 10.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $359.25 | $479 | 4.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $124.50 | $166 | 3.5× |
| Iadna nos amplified probe tq each organism (87798) | $269.25 | $359 | 7.7× |
| Iadna nos quantification each organism (87799) | $450.75 | $601 | 10.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $356.25 | $475 | 0.9× |
| Igvh somatic hypermutation (81263) | $966 | $1,288 | 3.3× |
| Immunfix e-phorsis/urine/csf (86335) | $141 | $188 | 4.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $148.12 | $197.50 | 9.9× |
| Immunoassay nonantibody (83516) | $90.38 | $120.50 | 7.8× |
| Immunofixj Electrophoresis Serum (86334) | $150.75 | $201 | 6.7× |
| Immunoglobulin light chains free each (83521) | $216 | $288 | 12.5× |
| Influenza a/b ag eia (87400) | $107.25 | $143 | 7.6× |
| 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 analysis (81275) | $193.50 | $258 | 1.0× |
| Lactic acid (83605) | $122.25 | $163 | 10.6× |
| Ldh (83615) | $68.25 | $91 | 11.3× |
| LDL cholesterol direct (83721) | $47.25 | $63 | 4.5× |
| Lead (83655) | $40.50 | $54 | 3.3× |
| Legionella antigen urine (87449) | $189 | $252 | 15.8× |
| Lh (83002) | $122.25 | $163 | 6.6× |
| Lipase (83690) | $112.50 | $150 | 16.3× |
| Lithium (80178) | $90 | $120 | 13.6× |
| Lyme disease antibody (86618) | $165 | $220 | 9.7× |
| Lyme disease antibody confirm (86617) | $178.50 | $238 | 11.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $217.50 | $290 | 1.2× |
| Magnesium (83735) | $81.75 | $109 | 12.2× |
| Manual reticulocyte count (85044) | $49.50 | $66 | 11.5× |
| Mercury (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 urine (82043) | $93.75 | $125 | 16.2× |
| Microsomal antibodies (86376) | $112.50 | $150 | 7.7× |
| Mononuclear cell antigen (86356) | $81 | $108 | 3.0× |
| Natriuretic peptide (83880) | $252 | $336 | 6.4× |
| Nk cells total count (86357) | $79.50 | $106 | 2.1× |
| Nuclear antigen antibody (86235) | $12 | $16 | 0.7× |
| Occult blood stool (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× |
| Pancreatic polypeptide (83519) | $252 | $336 | 13.7× |
| Parvovirus antibody (86747) | $111.75 | $149 | 7.4× |
| Phosphatase alkaline (84075) | $53.25 | $71 | 10.3× |
| Phosphorus blood (84100) | $56.25 | $75 | 11.9× |
| Platelet count (85049) | $58.50 | $78 | 13.1× |
| Potassium (84132) | $52.50 | $70 | 11.0× |
| Potassium urine (84133) | $52.50 | $70 | 11.1× |
| 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 electrophoresis serum (84165) | $108.75 | $145 | 10.1× |
| Protein Total Serum (84155) | $55.50 | $74 | 15.1× |
| Protein urine (84156) | $64.50 | $86 | 17.6× |
| Prothrombin time substitution (85611) | $29.25 | $39 | 7.4× |
| PSA free (84154) | $124.50 | $166 | 6.8× |
| Quantiferon tb gold (86480) | $222 | $296 | 3.6× |
| Renin activity plasma (84244) | $187.50 | $250 | 8.5× |
| Reticulocyte Count (85046) | $65.25 | $87 | 11.7× |
| Rheumatoid factor quant (86431) | $72 | $96 | 12.7× |
| Rickettsia antibody (86757) | $130.50 | $174 | 6.7× |
| Rsv (87807) | $156 | $208 | 11.9× |
| Rubella antibody (86762) | $87.75 | $117 | 6.1× |
| Russell viper venom time diluted (85613) | $141 | $188 | 14.7× |
| Salicylate (80179) | $167.25 | $223 | 9.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $159 | $212 | 3.1× |
| 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× |
| Sickle cell screen (85660) | $103.50 | $138 | 18.8× |
| Smear acid fast (87206) | $70.50 | $94 | 13.1× |
| Smear complex stain (87209) | $84.75 | $113 | 4.7× |
| Smear gram stain (87205) | $54.38 | $72.50 | 12.7× |
| Sodium urine (84300) | $54.75 | $73 | 10.8× |
| Soluble transferrin receptor (84238) | $87 | $116 | 2.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $145.50 | $194 | 1.1× |
| Special stains group 1 (88312) | $135.75 | $181 | 2.5× |
| Strep a assay w/optic (87880) | $46.88 | $62.50 | 2.8× |
| 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) | $93 | $124 | 10.3× |
| T4 total (84436) | $57.75 | $77 | 8.4× |
| Tb intradermal test (86580) | $15.75 | $21 | 0.5× |
| Testosterone free (84402) | $65.25 | $87 | 2.6× |
| Testosterone total (84403) | $136.50 | $182 | 5.3× |
| Theophylline (80198) | $123 | $164 | 8.7× |
| Thin prep pap (88142) | $87.75 | $117 | 4.3× |
| Thyroglobulin (84432) | $132.75 | $177 | 8.3× |
| Thyroglobulin Ab (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× |
| Transferrin (84466) | $116.25 | $155 | 9.1× |
| Triglycerides (84478) | $60.75 | $81 | 10.6× |
| Troponin (84484) | $208.50 | $278 | 16.7× |
| Urea nitrogen (84520) | $50.25 | $67 | 12.7× |
| Uric acid blood (84550) | $59.25 | $79 | 13.1× |
| Urinalysis microscopic only (81015) | $30.75 | $41 | 10.1× |
| Urinalysis w/microscopic (81001) | $54.75 | $73 | 17.3× |
| Urine pregnancy test (81025) | $80.25 | $107 | 9.3× |
| Urine volume measurement (81050) | $27 | $36 | 7.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $42 | $56 | 18.7× |
| Valproic acid level (80164) | $144.75 | $193 | 10.7× |
| Vancomycin trough (80202) | $168 | $224 | 12.4× |
| Vasoactive intestinal peptide (vip) (84586) | $191.25 | $255 | 5.4× |
| 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 b1 (thiamine) (84425) | $195.75 | $261 | 9.2× |
| Vitamin b6 (84207) | $180.75 | $241 | 6.4× |
| Vitamin D 25-Hydroxy (82306) | $120.75 | $161 | 4.1× |
| Vitamin e serum (84446) | $148.50 | $198 | 10.5× |