Lab & pathology prices at Kiowa District Hospital

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

259 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) $139.20 $174 3.6×
Acetaminophen level (80143) $82.40 $103 4.4×
Actin smooth muscle antibody each (86015) $24 $30 2.0×
Acute hepatitis panel (80074) $71.20 $89 1.5×
Albumin serum (82040) $32.80 $41 6.6×
Aldosterone urine (82088) $193.60 $242 4.8×
Allergen specific ige (86003) $20 $25 3.8×
Allg Spec Ige Recomb Ea (86008) $44.80 $56 2.5×
Alpha-1-antitrypsin, total (82103) $72.80 $91 5.4×
Alpha-fetoprotein, serum (82105) $88 $110 5.2×
Alt (sgpt) (84460) $40 $50 7.5×
Ammonia (82140) $78.40 $98 5.4×
Amylase urine (82150) $40 $50 6.2×
Angiotensin i enzyme test (82164) $73.60 $92 5.0×
Antibody coxiella burnetii q fever (86638) $97.60 $122 8.1×
Antibody herpes smplx type 1 (86695) $156 $195 11.8×
Antibody identification (86870) $102.40 $128 0.3×
Antibody identification leukocyte antibodies (86021) $79.20 $99 5.3×
Antibody mumps (86735) $68.40 $85.50 5.2×
Antibody rubeola (86765) $89.60 $112 7.0×
Antibody screen (86850) $146.40 $183 15.0×
Antibody treponema pallidum (86780) $60 $75 4.5×
Antinuclear antibodies (86038) $69.60 $87 5.8×
Antistreptolysin o titer (86060) $52.80 $66 7.2×
Antithrombin iii activity (85300) $45.60 $57 3.8×
Arsenic Urine (82175) $94.40 $118 5.0×
Assay Nephelometry Not Spec (83883) $163.20 $204 12.0×
Assay of acth (82024) $134.40 $168 3.5×
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $96 $120 5.6×
Assay of blood chloride (82435) $31.20 $39 6.8×
Assay of c-peptide (84681) $104.80 $131 5.0×
Assay of erythropoietin (82668) $104 $130 5.5×
Assay of ferritin (82728) $84 $105 6.2×
Assay of gammaglobulin igm (82784) $55.20 $69 5.9×
Assay of gastrin (82941) $100 $125 5.7×
Assay of gentamicin (80170) $36.40 $45.50 2.2×
Assay of homocystine (83090) $277.60 $347 15.5×
Assay of metanephrines (83835) $104 $130 6.1×
Assay of parathormone (83970) $178 $222.50 4.3×
Assay of phenobarbital (80184) $85.20 $106.50 5.6×
Assay of prealbumin (84134) $76.80 $96 5.3×
Assay of somatomedin (84305) $237.60 $297 11.2×
Assay of tacrolimus (80197) $105.60 $132 7.7×
Assay of urine vma (84585) $96 $120 6.2×
Ast (sgot) (84450) $40 $50 7.7×
Beta-2 microglobulin (82232) $67.20 $84 4.2×
Bilirubin direct (82248) $32 $40 6.4×
Bilirubin total (82247) $33.60 $42 6.7×
Bl Smear W/Diff Wbc Count (85007) $56 $70 14.7×
Blood count reticulocyte automated (85045) $124 $155 31.1×
Blood gases (82803) $96.80 $121 3.7×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $60 $75 3.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $66.40 $83 15.2×
Blood typing abo (86900) $26.40 $33 8.8×
Blood typing serologic rh (d) (86901) $136.80 $171 45.8×
Body fluid cell count (89051) $66.40 $83 11.9×
C diff amplified probe (87493) $96 $120 2.6×
C-reactive protein (86140) $41.60 $52 8.0×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $96.80 $121 7.5×
Ca 125 (86304) $85.20 $106.50 4.1×
Ca 19-9 (86301) $73.60 $92 3.5×
Ca 27 29 (86300) $88.40 $110.50 4.2×
Cadmium level (82300) $100 $125 4.2×
Calcium ionized (82330) $72.80 $91 5.3×
Calcium total (82310) $31.20 $39 6.0×
Calculus Spectroscopy (82365) $68 $85 5.3×
Calprotectin, fecal (83993) $34.80 $43.50 1.8×
Carbamazepine (tegretol) total (80156) $144 $180 9.9×
Carbon dioxide (82374) $31.20 $39 6.4×
Carcinoembryonic antigen (82378) $112 $140 5.9×
Catecholamines fraction plasma (82384) $182.40 $228 7.2×
Chloride urine (82436) $32 $40 5.6×
Cholesterol total (82465) $31.20 $39 7.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $150.40 $188 4.3×
Citrate (82507) $112 $140 4.0×
Ckmb (82553) $85.60 $107 7.4×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $304.80 $381 12.7×
Compatibility test antiglob (86922) $66.40 $83 0.4×
Compatibility Test Incubate (86921) $104 $130 0.7×
Complement c3 (86160) $87.60 $109.50 7.3×
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $87.60 $109.50 7.3×
Coombs direct (86880) $61.60 $77 11.4×
Coombs Test Indirect Qual (86885) $40 $50 7.0×
Cortisol free (82530) $105.60 $132 6.3×
Cortisol total (82533) $95.20 $119 5.8×
Creatine kinase total (82550) $77.60 $97 11.9×
Creatinine blood (82565) $31.20 $39 6.1×
Creatinine clearance (82575) $55.20 $69 5.8×
Creatinine other source (82570) $32.80 $41 6.3×
Crossmatch immediate spin (86920) $72.80 $91 0.5×
Culture Aerobic Identify (87077) $50.40 $63 6.2×
Culture anaerobic (87075) $49.60 $62 5.2×
Culture blood (87040) $60.80 $76 5.9×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $37.60 $47 4.9×
Culture genital (87070) $49.60 $62 5.8×
Culture screen only (87081) $37.60 $47 5.7×
Culture stool (87045) $39.60 $49.50 4.2×
Culture urine (87086) $48.80 $61 6.0×
Culture urine id ea isolate (87088) $50.40 $63 6.2×
Cyclic Citrullinated Peptide (86200) $108 $135 8.3×
Cytogenetics DNA probe (88271) $231.20 $289 10.8×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $144 $180 3.4×
D-Dimer (85379) $116 $145 11.4×
Detect agnt mult DNA ampli (87801) $236 $295 3.4×
Dhea (82626) $104 $130 4.1×
Dhea sulfate (82627) $92 $115 4.1×
Digoxin (80162) $85.60 $107 6.4×
Dilantin (80185) $85.60 $107 6.5×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $90.80 $113.50 6.6×
Drug assay carbamazepine -10,11-epoxide (80161) $144 $180 7.7×
Drug Screen Quantitative Lamotrigine (80175) $58.40 $73 4.4×
Drug Scrn Quan Levetiracetam (80177) $57.60 $72 4.3×
Drug scrn quant oxcarbazepin (80183) $48 $60 3.6×
Drug test prsmv chem anlyzr (80307) $28.80 $36 0.5×
Drug Test Prsmv Dir Opt Obs (80305) $123.20 $154 9.8×
Ehrlichia antibody (86666) $110.50 $138.12 10.9×
Elastase pancreatic fecal quantitative (82653) $142.40 $178 6.2×
Electrolyte panel (80051) $52.80 $66 7.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $25.60 $32 2.1×
Endomysial antibody iga (86255) $78.80 $98.50 6.5×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $89.20 $111.50 5.8×
Estradiol (82670) $174.40 $218 6.2×
Estrogen fractionated (82671) $187.20 $234 5.8×
Estrone (82679) $80 $100 3.2×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $114.40 $143 15.6×
F5 gene (81241) $216 $270 2.9×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $89.60 $112 7.4×
Folate serum (82746) $82.80 $103.50 5.6×
Follicle Stimulating Hormone (83001) $112.80 $141 6.1×
Francisella Tularensis (86668) $118.80 $148.50 8.4×
Gammaglobulin ige (82785) $86.40 $108 5.2×
Ggt (82977) $24.80 $31 3.4×
Gliadin antibody each immunoglobulin class (86258) $31 $38.75 2.6×
Glucose (82947) $31.20 $39 7.9×
Glucose Blood Test (82962) $13.60 $17 4.1×
Glucose post dose (82950) $32 $40 6.7×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $23.20 $29 5.9×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $76.80 $96 6.0×
Hcg qualitative (84703) $48.80 $61 6.5×
Hcg quant (84702) $88 $110 5.8×
Hdl Cholesterol (83718) $40 $50 4.9×
Hematocrit (85014) $17.60 $22 7.4×
Hemoglobin (85018) $17.60 $22 7.4×
Hemoglobin a1c (83036) $57.60 $72 5.9×
Hepatitis B Surface Ab (86706) $72.80 $91 6.8×
Hepatitis B Surface Antigen (87340) $59.20 $74 5.7×
Hepatitis c antibody (86803) $71.20 $89 5.0×
Hepatitis C Genotype (87902) $865.60 $1,082 3.4×
Herpes simplex type 2 (86696) $156 $195 8.1×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $31.20 $39 6.0×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $308 $385 8.8×
Iaad ia clostridium difficile toxin (87324) $96 $120 8.0×
Iaad ia cryptosporidium (87328) $247.20 $309 17.9×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $94.40 $118 3.9×
Iaad ia rotavirus (87425) $247.20 $309 20.6×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $86.40 $108 2.4×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $60.80 $76 5.1×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $144 $180 3.4×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $150.40 $188 4.3×
Iadna nos amplified probe tq each organism (87798) $218.40 $273 6.2×
Iadna-DNA/RNA probe tq 12-25 (87507) $1,425.60 $1,782 3.4×
Immunfix e-phorsis/urine/csf (86335) $101.60 $127 3.5×
Immunoassay nonantibody (83516) $68 $85 5.9×
Immunofixj Electrophoresis Serum (86334) $119.20 $149 5.3×
Immunoglobulin light chains free each (83521) $65.60 $82 3.8×
Influenza a/b ag eia (87400) $86.40 $108 6.1×
Insulin total (83525) $80 $100 7.0×
Iron (83540) $30.60 $38.25 4.7×
Iron binding capacity (83550) $64 $80 7.3×
Islet cell antibody (86341) $128 $160 5.4×
Lactic acid (83605) $75.20 $94 6.5×
Ldh (83615) $36 $45 6.0×
LDL cholesterol direct (83721) $71.20 $89 6.8×
Lead (83655) $38.40 $48 3.2×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $20 $25 4.7×
Lh (83002) $108.80 $136 5.9×
Lipase (83690) $44 $55 6.4×
Lithium (80178) $42.40 $53 6.4×
Lyme disease antibody (86618) $87.60 $109.50 5.1×
Magnesium (83735) $41.60 $52 6.2×
Mercury (83825) $78.40 $98 4.8×
Microalbumin urine (82043) $40 $50 6.9×
Microsomal antibodies (86376) $88 $110 6.0×
Mycobacteric Identification (87118) $247.20 $309 16.9×
Natriuretic peptide (83880) $114.40 $143 2.9×
Nuclear antigen antibody (86235) $80.80 $101 4.5×
Osmolality urine (83935) $47.20 $59 6.9×
Ova and parasite direct-id lca (87177) $39.60 $49.50 4.4×
Oxalate urine (83945) $76 $95 5.3×
Pancreatic elastase fecal (82656) $142.40 $178 12.4×
Phosphatase alkaline (84075) $35.20 $44 6.8×
Phosphorus blood (84100) $139.20 $174 29.4×
Phosphorus urine (84105) $28 $35 4.8×
Pinworm exam (87172) $26.40 $33 6.2×
Porphobilinogen urine quant (84110) $76.80 $96 9.1×
Potassium (84132) $31.20 $39 6.6×
Potassium urine (84133) $32 $40 6.8×
Procalcitonin (pct) (84145) $144 $180 5.3×
Progesterone (84144) $112.80 $141 5.4×
Prolactin (84146) $138.40 $173 7.1×
Protein electrophoresis serum (84165) $54 $67.50 5.0×
Protein Electrophoresis Urine (84166) $36.80 $46 2.1×
Protein Total Serum (84155) $20.40 $25.50 5.6×
Protein urine (84156) $32 $40 8.7×
Quantiferon tb gold (86480) $209.60 $262 3.4×
Respiratory viral panel PCR (87633) $32.80 $41 0.1×
Rheumatoid factor quant (86431) $40.80 $51 7.2×
Rickettsia antibody (86757) $149.60 $187 7.7×
Rsv (87807) $44 $55 3.4×
Rubella antibody (86762) $62.40 $78 4.3×
Sars-Cov-2 Covid-19 Amp Prb (87635) $110.40 $138 2.2×
Sars-Cov-2 Covid-19 Antibody (86769) $33.20 $41.50 0.8×
Sed rate automated (85652) $20.80 $26 7.7×
Semen analysis sperm presence&/motility sprm (89321) $72 $90 6.0×
Sensitivity mic (87186) $52 $65 6.0×
Sex hormone binding globulin (84270) $202.40 $253 9.3×
Sirolimus (rapamycin) (80195) $36 $45 2.6×
Smear complex stain (87209) $43.20 $54 2.4×
Smear gram stain (87205) $19.20 $24 4.5×
Sodium (84295) $31.20 $39 6.5×
Sodium urine (84300) $29.60 $37 5.8×
Stool Cultr Aerobic Bact Ea (87046) $39.60 $49.50 4.2×
Strep a assay w/optic (87880) $86.40 $108 5.2×
Strep b DNA amp probe (87653) $119.20 $149 3.4×
T3 free (84481) $146.40 $183 8.6×
T3 reverse (84482) $118.40 $148 7.5×
T3 total (84480) $62.80 $78.50 4.4×
T3 uptake (84479) $36 $45 5.6×
T4 Free (84439) $108 $135 12.0×
T4 total (84436) $28.40 $35.50 4.1×
Tb intradermal test (86580) $20.40 $25.50 0.8×
Testosterone free (84402) $127.80 $159.75 5.0×
Testosterone total (84403) $116 $145 4.5×
Thyroglobulin Ab (86800) $116.40 $145.50 7.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $67.20 $84 5.8×
Transferrin (84466) $106 $132.50 8.3×
Triglycerides (84478) $31.20 $39 5.4×
Troponin (84484) $185.60 $232 14.9×
Urea nitrogen (84520) $31.20 $39 7.9×
Uric acid blood (84550) $31.20 $39 6.9×
Uric acid other source (84560) $28.80 $36 5.7×
Urinalysis microscopic only (81015) $13.60 $17 4.5×
Urinalysis w/microscopic (81001) $31.20 $39 9.8×
Urine pregnancy test (81025) $48.80 $61 5.7×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $17.60 $22 7.8×
Valproic acid level (80164) $103.20 $129 7.6×
Vancomycin trough (80202) $88.40 $110.50 6.5×
Varicella-zoster antibody (86787) $88.80 $111 6.9×
Vasopressin (84588) $205.60 $257 6.1×
Vdrl csf (86592) $31.20 $39 7.3×
Vitamin b-12 (82607) $76.80 $96 5.1×
Vitamin b1 (thiamine) (84425) $113.60 $142 5.4×
Vitamin b6 (84207) $220 $275 7.8×
Vitamin C (82180) $69.60 $87 7.0×
Vitamin D 25-Hydroxy (82306) $343.20 $429 11.6×
Vitamin e serum (84446) $343.20 $429 24.2×
West nile virus ab, igm (86788) $52 $65 3.1×
West nile virus antibody (86789) $48.80 $61 3.4×
Zinc (84630) $56 $70 4.9×