Lab & pathology prices at Mason District Hospital
Havana, IL · every code in this section with a posted price and a Medicare benchmark.
202 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $164.40 | $205.50 | 7.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $104.80 | $131 | 3.2× |
| Acute hepatitis panel (80074) | $150.80 | $188.50 | 3.2× |
| Albumin Fluid (82042) | $12.80 | $16 | 1.6× |
| Aldolase (82085) | $50.40 | $63 | 5.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$140.40–$206.80 | $175.50–$258.50 | varies |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$8.80–$326.40 | $11–$408 | varies |
| Alpha-Fetoprotein Serum (82105) | $90 | $112.50 | 5.4× |
| Alt (sgpt) (84460) | $12.80 | $16 | 2.4× |
| Amikacin trough (80150) | $77.60 | $97 | 5.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $322.40 | $403 | 14.0× |
| Ammonia (82140) | $34.80 | $43.50 | 2.4× |
| Amylase urine (82150) range across 3 matching MRF lines |
$16–$26 | $20–$32.50 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $150.80 | $188.50 | 11.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $43.20 | $54 | 2.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$124.80–$164 | $156–$205 | varies |
| Antibody helicobacter pylori (86677) | $77.60 | $97 | 4.6× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$94.40–$182.80 | $118–$228.50 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $114 | $142.50 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $12.80 | $16 | 2.6× |
| Assay of 5-hiaa (83497) | $85.60 | $107 | 6.6× |
| Assay of blood/uric acid (84550) | $12.40 | $15.50 | 2.7× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$37.60–$43.20 | $47–$54 | varies |
| Assay of lactic acid (83605) | $36 | $45 | 3.1× |
| Assay of serum potassium (84132) | $12.40 | $15.50 | 2.6× |
| Assay of urea nitrogen (84520) | $11.20 | $14 | 2.8× |
| Assay of urine vma (84585) | $95.60 | $119.50 | 6.2× |
| Bilirubin direct (82248) | $11.20 | $14 | 2.2× |
| Bilirubin total (82247) | $11.20 | $14 | 2.2× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$22–$34.40 | $27.50–$43 | varies |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$21.20–$38.40 | $26.50–$48 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$34.40–$38.40 | $43–$48 | varies |
| Blood count spun microhematocrit (85013) | $37.60 | $47 | 5.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.40 | $80.50 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$15.20–$50.40 | $19–$63 | varies |
| Bone marrow smear interpretation (85097) range across 3 matching MRF lines |
$121.20–$316.40 | $151.50–$395.50 | varies |
| C-reactive protein (86140) | $88.40 | $110.50 | 17.1× |
| Calcium ionized (82330) | $14.80 | $18.50 | 1.1× |
| Calcium total (82310) | $13.60 | $17 | 2.6× |
| Carbamazepine total (80156) | $33.20 | $41.50 | 2.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$19.60–$73.20 | $24.50–$91.50 | varies |
| Carcinoembryonic antigen (82378) | $62 | $77.50 | 3.3× |
| Carotene (82380) | $64.40 | $80.50 | 7.0× |
| Catecholamines total urine (82382) | $115.60 | $144.50 | 4.2× |
| Ccp antibody (86200) | $227.60 | $284.50 | 17.6× |
| Ceruloplasmin (82390) | $64.40 | $80.50 | 6.0× |
| Cftr gene com variants (81220) | $528.80 | $661 | 1.0× |
| Chemiluminescent assay (82397) | $263.60 | $329.50 | 18.7× |
| Chloride Serum (82435) | $12.80 | $16 | 2.8× |
| Cholesterol total (82465) | $12.80 | $16 | 2.9× |
| Chorionic gonadotropin test (84702) | $109.20 | $136.50 | 7.3× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $482.80 | $603.50 | 7.0× |
| Chromogranin a (86316) | $69.20 | $86.50 | 3.3× |
| Chromosome analysis 45 cells (88263) | $1,096.80 | $1,371 | 7.3× |
| Chromosome analysis, 5 (88261) | $1,252.80 | $1,566 | 4.7× |
| Citric acid urine (82507) | $154.40 | $193 | 5.6× |
| Ckmb (82553) range across 2 matching MRF lines |
$62.80–$243.20 | $78.50–$304 | varies |
| Cold agglutinin screen (86156) | $60.40 | $75.50 | 7.5× |
| Complement Fixation Tests Each Antigen (86171) range across 3 matching MRF lines |
$130.80–$340.80 | $163.50–$426 | varies |
| Complement Total (Ch50) (86162) | $124.80 | $156 | 6.1× |
| Cortisol saliva (82533) | $40 | $50 | 2.5× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$12.80–$96.80 | $16–$121 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$11.20–$53.60 | $14–$67 | varies |
| Creatinine Urine (82570) | $18.40 | $23 | 3.6× |
| Cryptosporidium ag eia (87328) | $171.60 | $214.50 | 12.4× |
| Culture Anaerobic (87075) | $33.20 | $41.50 | 3.5× |
| Culture blood (87040) | $66 | $82.50 | 6.4× |
| Culture chlamydia (87110) | $68.40 | $85.50 | 3.5× |
| Culture csf (87070) range across 10 matching MRF lines |
$30.80–$60.40 | $38.50–$75.50 | varies |
| Culture fungus (87102) | $44 | $55 | 5.2× |
| Culture screen only (87081) range across 6 matching MRF lines |
$22.80–$98.80 | $28.50–$123.50 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$33.20–$172.40 | $41.50–$215.50 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$33.20–$152.80 | $41.50–$191 | varies |
| Cytomegalovirus igg (86644) | $43.20 | $54 | 3.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $29.20 | $36.50 | 0.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $50.40 | $63 | 2.7× |
| Dhea (82626) | $290 | $362.50 | 11.5× |
| Dhea-S (82627) | $38.80 | $48.50 | 1.7× |
| Digoxin (80162) | $31.60 | $39.50 | 2.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $84 | $105 | 5.0× |
| Electrolyte panel (80051) | $18.80 | $23.50 | 2.7× |
| Enterovirus Antibody (86658) | $196.80 | $246 | 15.1× |
| Enzyme cell activity (82657) | $424 | $530 | 19.1× |
| Estradiol serum (82670) | $95.60 | $119.50 | 3.4× |
| Ethosuximide (80168) | $104 | $130 | 6.4× |
| Ferritin (82728) | $19.60 | $24.50 | 1.4× |
| Fibrin degradation products (85362) | $33.20 | $41.50 | 4.8× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$22.40–$126.40 | $28–$158 | varies |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$56.40–$121.20 | $70.50–$151.50 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $77.60 | $97 | 6.4× |
| Folic acid rbc (82747) | $78.40 | $98 | 4.4× |
| Folic Acid Serum (82746) | $95.60 | $119.50 | 6.5× |
| Follicle Stimulating Hormone (83001) | $40.80 | $51 | 2.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $96.80 | $121 | 0.5× |
| Frozen Section (88331) | $155.60 | $194.50 | 0.9× |
| Gammaglobulin ige (82785) | $43.20 | $54 | 2.6× |
| Gastrin (82941) | $122.40 | $153 | 6.9× |
| Gentamicin (80170) | $33.20 | $41.50 | 2.0× |
| Ggt (82977) | $12.80 | $16 | 1.8× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$11.20–$29.20 | $14–$36.50 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$126.80–$134 | $158.50–$167.50 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $23.20 | $29 | 3.1× |
| Haptoglobin (83010) | $64.40 | $80.50 | 5.1× |
| Hdl Cholesterol (83718) | $43.60 | $54.50 | 5.3× |
| Helicobacter Pylori Stool (87338) | $52.80 | $66 | 3.7× |
| Hemoglobin (85018) | $37.60 | $47 | 15.9× |
| Hemoglobin a1c (83036) | $77.60 | $97 | 8.0× |
| Hep a ab igm (86709) | $43.20 | $54 | 3.8× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$33.20–$89.60 | $41.50–$112 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$36–$122.40 | $45–$153 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$56.80–$134.80 | $71–$168.50 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $506 | $632.50 | 14.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $268.80 | $336 | 6.3× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $32.80 | $41 | 4.5× |
| Htlv-I Antibody (86687) | $56.80 | $71 | 6.2× |
| Hydroxycorticosteroids 17 (83491) | $85.60 | $107 | 4.8× |
| Iaad Ia Streptococcus Group A (87430) | $32.80 | $41 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $158.80 | $198.50 | 10.6× |
| Immunoassay nonantibody (83516) | $69.60 | $87 | 6.0× |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$79.60–$80.80 | $99.50–$101 | varies |
| Immunoelectrophoresis Serum (86320) | $162 | $202.50 | 5.4× |
| Influenza a/b ag eia (87400) | $193.20 | $241.50 | 13.7× |
| Inhibin b (83520) | $198 | $247.50 | 11.5× |
| Insitu hybridization auto (88367) | $482.80 | $603.50 | 1.3× |
| Insulin total (83525) | $79.20 | $99 | 6.9× |
| Iron (83540) | $16 | $20 | 2.5× |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$85.60–$263.60 | $107–$329.50 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $36 | $45 | 6.0× |
| LDL direct (83721) range across 2 matching MRF lines |
$12.80–$152.80 | $16–$191 | varies |
| Lead (83655) | $38.40 | $48 | 3.2× |
| Legionella antigen urine (87449) | $320 | $400 | 26.7× |
| Leptospira antibody (86720) | $164.40 | $205.50 | 10.1× |
| Lidocaine (80176) | $43.20 | $54 | 2.9× |
| Lipase (83690) | $23.20 | $29 | 3.4× |
| Lithium (80178) | $23.20 | $29 | 3.5× |
| Luteinizing Hormone (Lh) (83002) | $198 | $247.50 | 10.7× |
| Lysozyme serum (85549) | $131.20 | $164 | 7.0× |
| Magnesium Urine (83735) | $18.40 | $23 | 2.7× |
| Microsatellite instability (81301) | $1,252.80 | $1,566 | 3.6× |
| Microsomal Antibodies Each (86376) | $155.60 | $194.50 | 10.7× |
| Neisseria Dir Na Probe (87590) | $64.40 | $80.50 | 2.4× |
| Neutralization Test Viral (86382) | $127.60 | $159.50 | 7.5× |
| Osmolality serum (83930) | $26.80 | $33.50 | 4.1× |
| Osmolality Urine (83935) | $26.80 | $33.50 | 3.9× |
| Oxalate urine (83945) | $64.40 | $80.50 | 4.5× |
| Phenobarbital Level (80184) | $33.20 | $41.50 | 2.2× |
| Phenylalanine (84030) | $40 | $50 | 7.3× |
| Phenytoin (Dilantin) (80185) | $33.20 | $41.50 | 2.5× |
| Phosphatase alkaline (84075) | $12.80 | $16 | 2.5× |
| Phosphorus Serum (84100) | $12.80 | $16 | 2.7× |
| Phosphorus urine (84105) | $19.60 | $24.50 | 3.4× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$547.60–$1,570 | $684.50–$1,962.50 | varies |
| Pooling blood platelets (86965) | $79.60 | $99.50 | 0.4× |
| Potassium Urine (84133) | $30.80 | $38.50 | 6.5× |
| Progesterone (84144) | $38.40 | $48 | 1.8× |
| Prolactin (84146) | $38.40 | $48 | 2.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$30.80–$38.80 | $38.50–$48.50 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$23.20–$27.20 | $29–$34 | varies |
| Protoporphyrin rbc quantitative (84202) | $38.40 | $48 | 2.7× |
| Pth Intact (83970) range across 3 matching MRF lines |
$64.80–$156.80 | $81–$196 | varies |
| Quantitative assay drug (80299) | $353.60 | $442 | 19.0× |
| Quinidine (80194) | $64.40 | $80.50 | 4.4× |
| Reticulocyte Count Manual (85044) | $27.20 | $34 | 6.3× |
| Rheumatoid Factor Qualitative (86430) | $92.40 | $115.50 | 15.0× |
| Rpr qualitative (86592) | $23.20 | $29 | 5.4× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$30.80–$69.60 | $38.50–$87 | varies |
| Rubeola antibody (86765) | $156.80 | $196 | 12.2× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$14.80–$40.80 | $18.50–$51 | varies |
| Semen analysis complete (89320) | $145.60 | $182 | 11.8× |
| Skin test tuberculosis intradermal (86580) | $39.48 | $49.35 | 1.3× |
| Smear gram stain (87205) | $22 | $27.50 | 5.2× |
| Smear Special Stain (87207) | $21.20 | $26.50 | 3.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18.80 | $23.50 | 3.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$12.80–$21.20 | $16–$26.50 | varies |
| Sodium Urine (84300) | $18.40 | $23 | 3.6× |
| Somatomedin (84305) | $147.20 | $184 | 6.9× |
| Special Stains Group 1 (88312) | $79.20 | $99 | 1.4× |
| Special Stains Group 2 (88313) | $64.80 | $81 | 0.5× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $22 | $27.50 | 0.1× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $198 | $247.50 | 17.2× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$98.80–$189.20 | $123.50–$236.50 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $29.20 | $36.50 | 3.9× |
| Syphilis Test Non-Trep Quant (86593) | $73.20 | $91.50 | 16.6× |
| T3 Uptake (84479) | $22 | $27.50 | 3.4× |
| T4 Free (84439) | $22 | $27.50 | 2.4× |
| T4 total (84436) | $22 | $27.50 | 3.2× |
| T4-neonatal (84437) | $40 | $50 | 6.2× |
| Testosterone total (84403) | $43.20 | $54 | 1.7× |
| Theophylline (80198) | $33.20 | $41.50 | 2.3× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$100–$121.60 | $125–$152 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $43.60 | $54.50 | 2.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $12.80 | $16 | 2.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$12.80–$31.60 | $16–$39.50 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$56.80–$96.80 | $71–$121 | varies |
| Urea nitrogen urine (84540) | $27.20 | $34 | 4.9× |
| Uric acid other source (84560) | $18.80 | $23.50 | 3.7× |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$12.80–$76.80 | $16–$96 | varies |
| Urine Pregnancy Test (81025) | $103.60 | $129.50 | 12.0× |
| Valproic acid (80164) | $33.20 | $41.50 | 2.5× |
| Vancomycin (80202) range across 2 matching MRF lines |
$42–$44.80 | $52.50–$56 | varies |
| Viral Culture (87252) | $84 | $105 | 3.2× |
| Vitamin b-12 (82607) | $69.20 | $86.50 | 4.6× |
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.