Lab & pathology prices at Jewell County Hospital

Mankato, KS · every code in this section with a posted price and a Medicare benchmark.

290 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) $103.13 $137.50 2.7×
5 Hiaa (83497) $63 $84 4.9×
Acetaminophen level (80143) $121.88 $162.50 6.5×
Acute hepatitis panel (80074) $154.69 $206.25 3.2×
Afb culture (87116) $55.69 $74.25 5.2×
Albumin serum (82040) $23.44 $31.25 4.7×
Aldolase (82085) $65.63 $87.50 6.8×
Aldosterone urine (82088) $145.31 $193.75 3.6×
Allerg sp igg quan or semiquan (86001) $51.56 $68.75 6.6×
Allergen specific ige (86003) $11.44 $15.25 2.2×
Alpha-1-antitrypsin, total (82103) $60.94 $81.25 4.5×
Alpha-Fetoprotein L3 (82107) $182.81 $243.75 2.8×
Alpha-fetoprotein, serum (82105) $75 $100 4.5×
Alt (sgpt) (84460) $18.56 $24.75 3.5×
Amikacin trough (80150) $98.44 $131.25 6.5×
Ammonia (82140) $112.50 $150 7.7×
Amylase urine (82150) $32.81 $43.75 5.1×
Ana Titer (86039) $30.94 $41.25 2.8×
Angiotensin i enzyme test (82164) $84.38 $112.50 5.8×
Antibody cytomegalovirus cmv (86644) $56.81 $75.75 3.9×
Antibody cytomegalovirus cmv igm (86645) $56.81 $75.75 3.4×
Antibody identification (86870) $103.13 $137.50 0.3×
Antibody identification leukocyte antibodies (86021) $62.44 $83.25 4.1×
Antibody mumps (86735) $56.81 $75.75 4.4×
Antibody rubeola (86765) $72.19 $96.25 5.6×
Antibody treponema pallidum (86780) $30.94 $41.25 2.3×
Antigen typing (86905) $46.50 $62 12.1×
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $30.94 $41.25 6.0×
Antinuclear antibodies (86038) $68.62 $91.50 5.7×
Antistreptolysin o titer (86060) $77.44 $103.25 10.6×
Antithrombin iii antigen (85301) $259.88 $346.50 24.0×
Apolipoprotein b (82172) $39 $52 1.8×
Assay Nephelometry Not Spec (83883) $168.19 $224.25 12.4×
Assay of acth (82024) $117.19 $156.25 3.0×
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $105.47 $140.62 6.1×
Assay of blood chloride (82435) $23.44 $31.25 5.1×
Assay of c-peptide (84681) $61.88 $82.50 3.0×
Assay of cyclosporine (80158) $234.38 $312.50 13.0×
Assay of erythropoietin (82668) $295.31 $393.75 15.7×
Assay of ferritin (82728) $60.94 $81.25 4.5×
Assay of gammaglobulin igm (82784) $58.88 $78.50 6.3×
Assay of gentamicin (80170) $150 $200 9.2×
Assay of homocystine (83090) $218.63 $291.50 12.2×
Assay of lipoprotein(a) (83695) $34.13 $45.50 2.4×
Assay of metanephrines (83835) $201.94 $269.25 11.9×
Assay of parathormone (83970) $105.19 $140.25 2.5×
Assay of phenobarbital (80184) $98.44 $131.25 6.4×
Assay of prealbumin (84134) $47.44 $63.25 3.3×
Assay of somatomedin (84305) $113.44 $151.25 5.3×
Assay of tacrolimus (80197) $215.63 $287.50 15.7×
Assay of urine vma (84585) $244.50 $326 15.8×
Assay Ph Body Fluid Nos (83986) $84.10 $112.12 23.5×
Ast (sgot) (84450) $37.13 $49.50 7.2×
Automated rbc count (85041) $69.19 $92.25 22.9×
Beta-2 microglobulin (82232) $140.63 $187.50 8.7×
Bilirubin direct (82248) $32.81 $43.75 6.5×
Bilirubin total (82247) $32.81 $43.75 6.5×
Bleeding time (85002) $19.60 $26.13 4.1×
Blood count reticulocyte automated (85045) $43.31 $57.75 10.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $51.56 $68.75 3.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $33.75 $45 7.7×
Blood typing abo (86900) $28.41 $37.88 9.5×
Body fluid cell count (89051) $63.94 $85.25 11.4×
C diff amplified probe (87493) $56.81 $75.75 1.5×
C-reactive protein (86140) $63 $84 12.2×
Ca 125 (86304) $111.38 $148.50 5.4×
Ca 19-9 (86301) $72.19 $96.25 3.5×
Ca 27 29 (86300) $79.50 $106 3.8×
Calcium ionized (82330) $51.56 $68.75 3.8×
Calcium total (82310) $35.16 $46.88 6.8×
Calcium urine (82340) $60.94 $81.25 10.1×
Calculus Quantitative Chemical (82360) $79.69 $106.25 6.2×
Calprotectin, fecal (83993) $243.38 $324.50 12.4×
Carbon dioxide (82374) $46.88 $62.50 9.6×
Carcinoembryonic antigen (82378) $65.63 $87.50 3.5×
Cardiolipin ab igg (86147) $71.72 $95.62 2.8×
Catecholamines fraction plasma (82384) $131.25 $175 5.2×
Chloride urine (82436) $32.81 $43.75 5.7×
Cholesterol total (82465) $37.50 $50 8.6×
Cholinesterase serum (82480) $60.94 $81.25 7.7×
Chrmsm count 15-20 cll 2karyotyp banding (88262) $302.44 $403.25 2.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $113.44 $151.25 3.2×
Citrate (82507) $84.38 $112.50 3.0×
Ckmb (82553) $121.88 $162.50 10.6×
Complement c3 (86160) $77.34 $103.12 6.4×
Complement total ch50 (86162) $68.06 $90.75 3.3×
Concentration Infectious Agent (87015) $37.13 $49.50 5.6×
Coombs direct (86880) $41.25 $55 7.7×
Cortisol free (82530) $159.38 $212.50 9.5×
Cortisol total (82533) $75 $100 4.6×
Creatine kinase total (82550) $42.19 $56.25 6.5×
Creatinine blood (82565) $46.88 $62.50 9.2×
Creatinine other source (82570) $44.53 $59.38 8.6×
Culture Aerobic Identify (87077) $39.84 $53.12 4.9×
Culture anaerobic (87075) $81.56 $108.75 8.6×
Culture blood (87040) $112.50 $150 10.9×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $120.75 $161 15.7×
Culture genital (87070) $63 $84 7.3×
Culture screen only (87081) $57.76 $77 8.7×
Culture stool (87045) $103.13 $137.50 10.9×
Culture typing if ea antiserum (87140) $69.19 $92.25 12.4×
Culture urine (87086) $55.22 $73.62 6.8×
Culture urine id ea isolate (87088) $39.38 $52.50 4.9×
Cyclic Citrullinated Peptide (86200) $147.56 $196.75 11.4×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $425.25 $567 9.9×
D-Dimer (85379) $180.47 $240.62 17.7×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $100.22 $133.62 6.1×
Dhea sulfate (82627) $206.25 $275 9.3×
Digoxin (80162) $42.19 $56.25 3.2×
Dilantin (80185) $65.63 $87.50 5.0×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $70.13 $93.50 5.1×
Drug assay carbamazepine -10,11-epoxide (80161) $164.06 $218.75 8.8×
Drug assay felbamate (80167) $46.88 $62.50 2.5×
Drug assay methotrexate (80204) $281.25 $375 7.3×
Drug Screen Quantitative Lamotrigine (80175) $112.50 $150 8.5×
Drug Scrn Quan Levetiracetam (80177) $60.94 $81.25 4.6×
Drug scrn quant oxcarbazepin (80183) $159.38 $212.50 12.0×
Drug Test Prsmv Dir Opt Obs (80305) $70.31 $93.75 5.6×
Ebv viral capsid (86665) $81.56 $108.75 4.5×
Ehrlichia antibody (86666) $100.09 $133.45 9.8×
Electrolyte panel (80051) $79.69 $106.25 11.4×
Endomysial antibody iga (86255) $68.06 $90.75 5.6×
Eosinophil count (85048) $30.94 $41.25 12.2×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $42.38 $56.50 2.8×
Estradiol (82670) $93.75 $125 3.4×
Estrogens total (82672) $201.56 $268.75 9.3×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $96.94 $129.25 13.2×
F5 gene (81241) $168.75 $225 2.3×
Factor v activity (85220) $243.38 $324.50 13.8×
Fecal fat qual (82705) $60.94 $81.25 11.9×
Fecal fat quant (82710) $182.81 $243.75 10.9×
Fibrin degradation products (85362) $165 $220 23.9×
Fibrinogen activity (85384) $50.63 $67.50 5.2×
Flow cytometry first marker (88184) $181.50 $242 0.6×
Folate serum (82746) $60.94 $81.25 4.1×
Follicle Stimulating Hormone (83001) $59.81 $79.75 3.2×
Gammaglobulin ige (82785) $74.25 $99 4.5×
Ggt (82977) $42.38 $56.50 5.9×
Giardia antigen eia stool (87329) $109.31 $145.75 9.1×
Glucose (82947) $43.31 $57.75 11.0×
Glucose Blood Test (82962) $28.60 $38.12 8.7×
Glucose post dose (82950) $35.06 $46.75 7.4×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $34.02 $45.35 8.7×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $109.31 $145.75 8.5×
Growth hormone (83003) $118.69 $158.25 7.1×
Haptoglobin (83010) $131.06 $174.75 10.4×
Hcg qualitative (84703) $45.38 $60.50 6.0×
Hcg quant (84702) $56.81 $75.75 3.8×
Hdl Cholesterol (83718) $56.81 $75.75 6.9×
Hematocrit (85014) $26.72 $35.62 11.3×
Hemoglobin (85018) $25.69 $34.25 10.8×
Hemoglobin a1c (83036) $69.19 $92.25 7.1×
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $148.50 $198 8.2×
Hepatitis a antibody total (86708) $129 $172 10.4×
Hepatitis a igm (86709) $59.81 $79.75 5.3×
Hepatitis b core ab igm (86705) $56.81 $75.75 4.8×
Hepatitis b core antibody total (86704) $59.81 $79.75 5.0×
Hepatitis B Surface Ab (86706) $58.88 $78.50 5.5×
Hepatitis B Surface Antigen (87340) $42 $56 4.1×
Hepatitis c antibody (86803) $72.19 $96.25 5.1×
Hepatitis C Genotype (87902) $522.94 $697.25 2.0×
Herpes culture (87252) $178.50 $238 6.8×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $16.50 $22 3.2×
Histoplasma antibody (86698) $114.56 $152.75 8.3×
Hiv-1/Hiv-2 1 Result Antbdy (86703) $68.06 $90.75 5.0×
Hla-b27 (86812) $86.63 $115.50 3.4×
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $94.88 $126.50 1.4×
Hydroxyprogesterone 17-d (83498) $158.81 $211.75 5.8×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $63.75 $85 1.4×
Iaad ia clostridium difficile toxin (87324) $72.19 $96.25 6.0×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $67.16 $89.55 2.8×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $94.88 $126.50 6.6×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $103.13 $137.50 2.9×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $103.13 $137.50 8.6×
Iaad Ia Streptococcus Group A (87430) $58.13 $77.50 3.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $178.13 $237.50 2.5×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $568.31 $757.75 13.3×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $113.44 $151.25 3.2×
Iadna nos quantification each organism (87799) $349.69 $466.25 8.2×
Iadna trichomonas vaginalis amplified probe tech (87661) $195 $260 5.6×
If cryptosporidium antigen (87272) $82.50 $110 6.9×
Immunfix e-phorsis/urine/csf (86335) $77.44 $103.25 2.6×
Immunoassay infectious agent antibody quan nos (86317) $40.50 $54 2.7×
Immunoassay nonantibody (83516) $91.88 $122.50 8.0×
Immunofixj Electrophoresis Serum (86334) $131.06 $174.75 5.9×
Influenza DNA amp probe (87502) $151.69 $202.25 1.6×
Insulin total (83525) $46.50 $62 4.1×
Iron (83540) $44.44 $59.25 6.9×
Iron binding capacity (83550) $44.44 $59.25 5.1×
Koh Prep (87220) $43.31 $57.75 10.1×
Lactic acid (83605) $131.06 $174.75 11.3×
Ldh (83615) $79.97 $106.62 13.2×
LDL cholesterol direct (83721) $51.56 $68.75 4.9×
Lead (83655) $49.50 $66 4.1×
Legionella antibody (86713) $224.81 $299.75 14.7×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $53.63 $71.50 12.6×
Lh (83002) $59.81 $79.75 3.2×
Lipase (83690) $69.19 $92.25 10.0×
Lithium (80178) $51.56 $68.75 7.8×
Lyme disease antibody (86618) $164.06 $218.75 9.6×
Lyme disease antibody confirm (86617) $75.38 $100.50 4.9×
Magnesium (83735) $56.81 $75.75 8.5×
Meat fibers, feces (89160) $135.19 $180.25 27.9×
Mercury (83825) $59.81 $79.75 3.7×
Methylmalonic acid serum (83921) $215.63 $287.50 10.2×
Microsomal antibodies (86376) $43.88 $58.50 3.0×
Myoglobin urine (83874) $119.63 $159.50 9.3×
Natriuretic peptide (83880) $181.88 $242.50 4.6×
Nuclear antigen antibody (86235) $103.13 $137.50 5.8×
Occult blood stool (82272) $51.56 $68.75 12.2×
Osmolality serum (83930) $91.88 $122.50 13.9×
Osmolality urine (83935) $115.50 $154 16.9×
Ova and parasite direct-id lca (87177) $85.69 $114.25 9.6×
Oxalate urine (83945) $80.44 $107.25 5.6×
Pancreatic elastase fecal (82656) $42.19 $56.25 3.7×
Pancreatic polypeptide (83519) $170.44 $227.25 9.3×
Phosphatase alkaline (84075) $20.63 $27.50 4.0×
Phosphorus blood (84100) $43.31 $57.75 9.1×
Phosphorus urine (84105) $50.63 $67.50 8.8×
Platelet count (85049) $30.94 $41.25 6.9×
Potassium (84132) $50.63 $67.50 10.6×
Potassium urine (84133) $54.75 $73 11.6×
Primidone (80188) $93.75 $125 5.7×
Progesterone (84144) $67.13 $89.50 3.2×
Prolactin (84146) $75.38 $100.50 3.9×
Protein c activity (85303) $233.06 $310.75 16.8×
Protein electrophoresis serum (84165) $74.25 $99 6.9×
Protein Electrophoresis Urine (84166) $152.63 $203.50 8.6×
Protein S Functional (85306) $267.19 $356.25 17.4×
Protein Total Serum (84155) $48 $64 13.1×
Protein urine (84156) $52.69 $70.25 14.4×
PSA free (84154) $143.44 $191.25 7.8×
Quantiferon tb gold (86480) $96 $128 1.5×
Reagent strip/blood glucose (82948) $30.94 $41.25 6.1×
Reducing substances, stool (84376) $46.50 $62 8.5×
Rheumatoid factor quant (86431) $50.82 $67.75 9.0×
Rubella antibody (86762) $57.75 $77 4.0×
Russell viper venom time diluted (85613) $52.69 $70.25 5.5×
Salicylate (80179) $152.34 $203.12 8.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $136.69 $182.25 2.7×
Sars-Cov-2 Covid-19 Antibody (86769) $86.63 $115.50 2.1×
Sars-cov-2 covid19 w/optic (87811) $48.75 $65 1.2×
Sedimentation rate (85651) $50.63 $67.50 11.9×
Semen analysis sperm presence&/motility sprm (89321) $63.94 $85.25 5.3×
Sensitivity mic (87186) $46.50 $62 5.4×
Smear acid fast (87206) $55.69 $74.25 10.3×
Smear complex stain (87209) $45.38 $60.50 2.5×
Smear gram stain (87205) $34.13 $45.50 8.0×
Sodium (84295) $50.63 $67.50 10.5×
Sodium urine (84300) $57.75 $77 11.4×
Stool Cultr Aerobic Bact Ea (87046) $103.13 $137.50 10.9×
Strep a assay w/optic (87880) $33.56 $44.75 2.0×
Surgical pathology level IV (88305) $56.81 $75.75 1.2×
Susceptibility study antimicrobial disk method (87184) $36.19 $48.25 4.8×
T3 free (84481) $79.50 $106 4.7×
T3 reverse (84482) $269.25 $359 17.1×
T3 total (84480) $67.13 $89.50 4.7×
T4 Free (84439) $62.44 $83.25 6.9×
T4 total (84436) $56.81 $75.75 8.3×
Tb intradermal test (86580) $18.75 $25 0.7×
Testosterone free (84402) $118.69 $158.25 4.7×
Testosterone total (84403) $214.50 $286 8.3×
Thyroglobulin (84432) $122.81 $163.75 7.6×
Thyroglobulin Ab (86800) $50.63 $67.50 3.2×
Thyroid Stimulating Immunoglobulin (84445) $452.81 $603.75 8.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $112.50 $150 9.8×
Transferrin (84466) $113.44 $151.25 8.9×
Triglycerides (84478) $50.63 $67.50 8.8×
Troponin (84484) $150.56 $200.75 12.1×
Urea nitrogen (84520) $43.31 $57.75 11.0×
Uric acid blood (84550) $36.19 $48.25 8.0×
Uric acid other source (84560) $36.19 $48.25 7.1×
Urinalysis microscopic only (81015) $32.81 $43.75 10.8×
Urinalysis w/microscopic (81001) $37.50 $50 11.8×
Urine microalbumin (protein) analysis (82044) $46.88 $62.50 7.5×
Urine pregnancy test (81025) $46.40 $61.88 5.4×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $27.66 $36.88 12.3×
Valproic acid level (80164) $93.75 $125 6.9×
Vancomycin trough (80202) $127.04 $169.38 9.4×
Varicella-zoster antibody (86787) $84.19 $112.25 6.5×
Vasopressin (84588) $302.25 $403 8.9×
Vdrl csf (86592) $30 $40 7.0×
Virus id non-immunologic oth/thn cytopathic (87255) $43.31 $57.75 1.3×
Vitamin b-12 (82607) $56.25 $75 3.7×
Vitamin b1 (thiamine) (84425) $87.75 $117 4.1×
Vitamin b6 (84207) $109.31 $145.75 3.9×
Vitamin D 25-Hydroxy (82306) $112.50 $150 3.8×
Vitamin e serum (84446) $122.81 $163.75 8.7×
West nile virus ab, igm (86788) $39.19 $52.25 2.3×
West nile virus antibody (86789) $39.19 $52.25 2.7×