Lab & pathology prices at Memorial Hospital
Gonzales, TX · every code in this section with a posted price and a Medicare benchmark.
239 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Acetaminophen level (80143) | $61.60 | $154 | 3.3× |
| Actin smooth muscle antibody each (86015) | $52 | $130 | 4.3× |
| Activated protein c resistance (85307) | $72.40 | $181 | 4.7× |
| Acute hepatitis panel (80074) | $154.80 | $387 | 3.3× |
| Aldolase (82085) | $50.40 | $126 | 5.2× |
| Alpha-fetoprotein, serum (82105) | $44.80 | $112 | 2.7× |
| Alt (sgpt) (84460) | $34.40 | $86 | 6.5× |
| Ammonia (82140) | $68 | $170 | 4.7× |
| Amylase urine (82150) | $29.80 | $74.50 | 4.6× |
| Angiotensin i enzyme test (82164) | $38.80 | $97 | 2.7× |
| Antibody cytomegalovirus cmv (86644) | $53.20 | $133 | 3.7× |
| Antibody cytomegalovirus cmv igm (86645) | $53.20 | $133 | 3.2× |
| Antibody herpes smplx type 1 (86695) | $38.60 | $96.50 | 2.9× |
| Antibody identification (86870) | $46.80 | $117 | 0.1× |
| Antibody mumps (86735) | $33.60 | $84 | 2.6× |
| Antibody Protozoa Nes (86753) | $54.40 | $136 | 4.4× |
| Antibody rubeola (86765) | $51.60 | $129 | 4.0× |
| Antibody screen (86850) | $43.20 | $108 | 4.4× |
| Antibody treponema pallidum (86780) | $30.80 | $77 | 2.3× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $52.40 | $131 | 4.3× |
| Antinuclear antibodies (86038) | $40.40 | $101 | 3.3× |
| Antistreptolysin o titer (86060) | $22.40 | $56 | 3.1× |
| Antithrombin iii activity (85300) | $68.60 | $171.50 | 5.8× |
| Apolipoprotein b (82172) | $23.20 | $58 | 1.1× |
| Assay direct measurement free estradiol (82681) | $26.80 | $67 | 1.0× |
| Assay of acth (82024) | $116 | $290 | 3.0× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $63.20 | $158 | 3.7× |
| Assay of anti-mullerian hormone (82166) | $48.80 | $122 | 1.3× |
| Assay of c-peptide (84681) | $64.40 | $161 | 3.1× |
| Assay of erythropoietin (82668) | $83.20 | $208 | 4.4× |
| Assay of ferritin (82728) | $48.80 | $122 | 3.6× |
| Assay of gammaglobulin igm (82784) | $40 | $100 | 4.3× |
| Assay of lipoprotein(a) (83695) | $43.20 | $108 | 3.0× |
| Assay of metanephrines (83835) | $78.80 | $197 | 4.7× |
| Assay of parathormone (83970) | $74 | $185 | 1.8× |
| Assay of prealbumin (84134) | $55.60 | $139 | 3.8× |
| Assay of tacrolimus (80197) | $81.60 | $204 | 5.9× |
| Ast (sgot) (84450) | $33.20 | $83 | 6.4× |
| Bartonella antibody (86611) | $27.20 | $68 | 2.7× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $29.20 | $73 | 1.1× |
| Beta Lactamase (87185) | $35.20 | $88 | 7.4× |
| Bilirubin direct (82248) | $32.40 | $81 | 6.5× |
| Bilirubin total (82247) | $22.80 | $57 | 4.5× |
| Blood count reticulocyte automated (85045) | $25.20 | $63 | 6.3× |
| Blood gases w/02 saturation (82805) | $54.20 | $135.50 | 0.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20 | $50 | 4.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $42.80 | $107 | 6.7× |
| Blood typing abo (86900) | $20.80 | $52 | 7.0× |
| Blood typing serologic rh (d) (86901) | $29.60 | $74 | 9.9× |
| Body fluid cell count (89051) | $22.60 | $56.50 | 4.0× |
| C-reactive protein (86140) | $29.60 | $74 | 5.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $54.20 | $135.50 | 4.2× |
| Ca 125 (86304) | $86.80 | $217 | 4.2× |
| Calcium total (82310) | $17.60 | $44 | 3.4× |
| Calcium urine (82340) | $26.60 | $66.50 | 4.4× |
| Calprotectin, fecal (83993) | $93.20 | $233 | 4.7× |
| Carbamazepine (tegretol) total (80156) | $72.40 | $181 | 5.0× |
| Carcinoembryonic antigen (82378) | $74.40 | $186 | 3.9× |
| Cardiolipin ab igg (86147) | $52.20 | $130.50 | 2.1× |
| Cd4 absolute count (86361) | $64.80 | $162 | 2.4× |
| Chloride urine (82436) | $19.20 | $48 | 3.3× |
| Cholesterol total (82465) | $24.80 | $62 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $40 | $100 | 1.1× |
| Ckmb (82553) | $73.60 | $184 | 6.4× |
| Compatibility test antiglob (86922) | $50 | $125 | 0.3× |
| Compatibility Test Incubate (86921) | $26.40 | $66 | 0.2× |
| Complement c3 (86160) | $38.80 | $97 | 3.2× |
| Coombs direct (86880) | $78.80 | $197 | 14.6× |
| Coombs Test Indirect Qual (86885) | $32.20 | $80.50 | 5.6× |
| Cortisol total (82533) | $46 | $115 | 2.8× |
| Creatine kinase total (82550) | $44.80 | $112 | 6.9× |
| Creatinine blood (82565) | $18.80 | $47 | 3.7× |
| Creatinine clearance (82575) | $46.80 | $117 | 4.9× |
| Creatinine other source (82570) | $28 | $70 | 5.4× |
| Crossmatch immediate spin (86920) | $34 | $85 | 0.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $58.40 | $146 | 7.2× |
| Culture Aerobic Identify (87077) | $49.20 | $123 | 6.1× |
| Culture anaerobic (87075) | $44.40 | $111 | 4.7× |
| Culture blood (87040) | $50 | $125 | 4.8× |
| Culture genital (87070) | $52 | $130 | 6.0× |
| Culture screen only (87081) | $30.40 | $76 | 4.6× |
| Culture stool (87045) | $42.80 | $107 | 4.5× |
| Culture urine (87086) | $51.60 | $129 | 6.4× |
| Cyclic Citrullinated Peptide (86200) | $47.60 | $119 | 3.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $44.60 | $111.50 | 1.7× |
| D-Dimer (85379) | $98.40 | $246 | 9.7× |
| Deoxyribonuclease antibody (86215) | $53.60 | $134 | 4.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $15.20 | $38 | 0.9× |
| Detect agnt mult DNA ampli (87801) | $113.20 | $283 | 1.6× |
| Dhea (82626) | $134 | $335 | 5.3× |
| Digoxin (80162) | $43.60 | $109 | 3.3× |
| Dilantin (80185) | $50.40 | $126 | 3.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $36 | $90 | 2.6× |
| Dna/Rna Amplified Probe (87150) | $25.20 | $63 | 0.7× |
| Drug Scrn Quan Levetiracetam (80177) | $53.60 | $134 | 4.0× |
| Drug test prsmv chem anlyzr (80307) | $79.60 | $199 | 1.3× |
| Ebv viral capsid (86665) | $46.80 | $117 | 2.6× |
| Elastase pancreatic fecal quantitative (82653) | $117.20 | $293 | 5.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $43.20 | $108 | 3.6× |
| Endomysial antibody iga (86255) | $50.20 | $125.50 | 4.2× |
| Entamoeba histolytica antigen (87337) | $25.20 | $63 | 2.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $40 | $100 | 2.6× |
| Estradiol (82670) | $85.60 | $214 | 3.1× |
| Estriol (82677) | $56.40 | $141 | 2.3× |
| Estrogens total (82672) | $89.20 | $223 | 4.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $12 | $30 | 1.6× |
| Fecal fat qual (82705) | $12.40 | $31 | 2.4× |
| Fibrinogen activity (85384) | $42.80 | $107 | 4.4× |
| Folate serum (82746) | $54 | $135 | 3.7× |
| Folic acid rbc (82747) | $34.80 | $87 | 2.0× |
| Follicle Stimulating Hormone (83001) | $60.20 | $150.50 | 3.2× |
| Ggt (82977) | $22.80 | $57 | 3.2× |
| Giardia antigen eia stool (87329) | $24 | $60 | 2.0× |
| Gliadin antibody each immunoglobulin class (86258) | $21.60 | $54 | 1.8× |
| Glucose (82947) | $18 | $45 | 4.6× |
| Glucose body fluid (82945) | $22.20 | $55.50 | 5.6× |
| Glucose post dose (82950) | $17.20 | $43 | 3.6× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $28.80 | $72 | 7.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $58.80 | $147 | 4.6× |
| Hcg qualitative (84703) | $29.60 | $74 | 3.9× |
| Hcg quant (84702) | $54.40 | $136 | 3.6× |
| Hematocrit (85014) | $13.40 | $33.50 | 5.7× |
| Hemoglobin (85018) | $15 | $37.50 | 6.3× |
| Hemoglobin a1c (83036) | $44.80 | $112 | 4.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $46 | $115 | 2.5× |
| Hepatitis b core antibody total (86704) | $46.40 | $116 | 3.9× |
| Hepatitis B Surface Antigen (87340) | $37 | $92.50 | 3.6× |
| Hepatitis c antibody (86803) | $25.60 | $64 | 1.8× |
| Herpes simplex type 2 (86696) | $38.60 | $96.50 | 2.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $32.80 | $82 | 6.3× |
| Hla-b27 (86812) | $80 | $200 | 3.1× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $130.40 | $326 | 1.9× |
| Iaad ia clostridium difficile toxin (87324) | $78.80 | $197 | 6.6× |
| Iaad ia cryptosporidium (87328) | $24 | $60 | 1.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $104 | $260 | 7.2× |
| Iaad ia rotavirus (87425) | $79.20 | $198 | 6.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $8.80 | $22 | 0.2× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $42.40 | $106 | 1.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $145.20 | $363 | 1.7× |
| Iadna human papillomavirus high-risk types (87624) | $43.20 | $108 | 1.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $52 | $130 | 1.5× |
| Iadna nos quantification each organism (87799) | $232.80 | $582 | 5.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $36.60 | $91.50 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $141.20 | $353 | 4.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $47 | $117.50 | 3.1× |
| Immunoassay nonantibody (83516) | $57.20 | $143 | 5.0× |
| India ink prep (87210) | $22.40 | $56 | 3.8× |
| Inhibin a (86336) | $44 | $110 | 2.8× |
| Insulin total (83525) | $38.20 | $95.50 | 3.3× |
| Iron (83540) | $25.40 | $63.50 | 3.9× |
| Iron binding capacity (83550) | $31 | $77.50 | 3.5× |
| Islet cell antibody (86341) | $77.20 | $193 | 3.3× |
| Lactic acid (83605) | $34.80 | $87 | 3.0× |
| Lactoferrin Fecal Quantitative (83631) | $88.40 | $221 | 4.5× |
| Ldh (83615) | $18.40 | $46 | 3.0× |
| Lead (83655) | $44.40 | $111 | 3.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $24 | $60 | 5.6× |
| Leukocyte phagocytosis (86344) | $23.60 | $59 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $11.20 | $28 | 0.3× |
| Lh (83002) | $53.60 | $134 | 2.9× |
| Lipase (83690) | $48.80 | $122 | 7.1× |
| Lithium (80178) | $33.20 | $83 | 5.0× |
| Lyme disease antibody (86618) | $61.60 | $154 | 3.6× |
| Magnesium (83735) | $29.60 | $74 | 4.4× |
| Microalbumin urine (82043) | $38.40 | $96 | 6.6× |
| Microsomal antibodies (86376) | $46.80 | $117 | 3.2× |
| Mitochondrial antibody each (86381) | $50.40 | $126 | 2.0× |
| Muramidase (85549) | $54.40 | $136 | 2.9× |
| Myoglobin urine (83874) | $54 | $135 | 4.2× |
| Natriuretic peptide (83880) | $93.20 | $233 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $111.60 | $279 | 0.4× |
| Nuclear antigen antibody (86235) | $40 | $100 | 2.2× |
| Occult blood stool (82272) | $18.40 | $46 | 4.3× |
| Osmolality urine (83935) | $32 | $80 | 4.7× |
| Pancreatic polypeptide (83519) | $69.60 | $174 | 3.8× |
| Phospholipid Neutralization Hexagonal (85598) | $33.60 | $84 | 1.9× |
| Phosphorus blood (84100) | $16 | $40 | 3.4× |
| Platelet count (85049) | $10 | $25 | 2.2× |
| Potassium (84132) | $15.40 | $38.50 | 3.2× |
| Potassium urine (84133) | $20.40 | $51 | 4.3× |
| Pregnenolone (84140) | $95.60 | $239 | 4.6× |
| Progesterone (84144) | $75.80 | $189.50 | 3.6× |
| Prolactin (84146) | $74.80 | $187 | 3.9× |
| Protein body fluid (84157) | $23.60 | $59 | 5.9× |
| Protein c activity (85303) | $51.20 | $128 | 3.7× |
| Protein electrophoresis serum (84165) | $16.80 | $42 | 1.6× |
| Protein S Functional (85306) | $60.80 | $152 | 4.0× |
| Protein s total (85305) | $60.80 | $152 | 5.2× |
| Protein Total Serum (84155) | $16.80 | $42 | 4.6× |
| Protein urine (84156) | $26 | $65 | 7.1× |
| PSA free (84154) | $32.80 | $82 | 1.8× |
| Quantiferon tb gold (86480) | $100.80 | $252 | 1.6× |
| Rbc antibody elution (86860) | $48.80 | $122 | 0.3× |
| Rheumatoid Factor Qual (86430) | $22.40 | $56 | 3.6× |
| Rheumatoid factor quant (86431) | $18.40 | $46 | 3.2× |
| Rsv (87807) | $58 | $145 | 4.4× |
| Rubella antibody (86762) | $33.20 | $83 | 2.3× |
| Russell viper venom time diluted (85613) | $30.80 | $77 | 3.2× |
| Saccharomyces ab iga (86671) | $46.80 | $117 | 3.8× |
| Salicylate (80179) | $57.60 | $144 | 3.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $113.20 | $283 | 0.8× |
| Sed rate automated (85652) | $24.80 | $62 | 9.2× |
| Sensitivity mic (87186) | $35.20 | $88 | 4.1× |
| Sex hormone binding globulin (84270) | $34 | $85 | 1.6× |
| Sickle cell screen (85660) | $46 | $115 | 8.3× |
| Smear gram stain (87205) | $20 | $50 | 4.7× |
| Sodium urine (84300) | $20.80 | $52 | 4.1× |
| Stool Cultr Aerobic Bact Ea (87046) | $46 | $115 | 4.9× |
| Strep a assay w/optic (87880) | $23.60 | $59 | 1.4× |
| Surg path level iii (88304) | $13.20 | $33 | 0.3× |
| T3 free (84481) | $56.40 | $141 | 3.3× |
| T3 total (84480) | $50.40 | $126 | 3.6× |
| T3 uptake (84479) | $28 | $70 | 4.3× |
| T4 Free (84439) | $70.40 | $176 | 7.8× |
| T4 total (84436) | $29.80 | $74.50 | 4.3× |
| Test for acetone/ketones (82009) | $13.20 | $33 | 2.9× |
| Testosterone bioavailable (84410) | $78.40 | $196 | 1.5× |
| Testosterone free (84402) | $75.60 | $189 | 3.0× |
| Testosterone total (84403) | $76.20 | $190.50 | 3.0× |
| Thrombin time plasma (85670) | $39.60 | $99 | 6.9× |
| Thyroglobulin (84432) | $35.20 | $88 | 2.2× |
| Thyroglobulin Ab (86800) | $40.60 | $101.50 | 2.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $102 | $255 | 2.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $40.80 | $102 | 3.5× |
| Triglycerides (84478) | $19.20 | $48 | 3.3× |
| Troponin (84484) | $86.40 | $216 | 6.9× |
| Urea nitrogen (84520) | $18.80 | $47 | 4.8× |
| Uric acid blood (84550) | $18.80 | $47 | 4.2× |
| Uric acid other source (84560) | $26.60 | $66.50 | 5.2× |
| Urinalysis w/microscopic (81001) | $21.60 | $54 | 6.8× |
| Urine volume measurement (81050) | $8.40 | $21 | 2.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $18.40 | $46 | 8.2× |
| Valproic acid level (80164) | $58.40 | $146 | 4.3× |
| Varicella-zoster antibody (86787) | $48.60 | $121.50 | 3.8× |
| Vdrl csf (86592) | $29 | $72.50 | 6.8× |
| Vitamin b-12 (82607) | $54 | $135 | 3.6× |
| Vitamin b1 (thiamine) (84425) | $78.80 | $197 | 3.7× |
| Vitamin D 25-Hydroxy (82306) | $99.40 | $248.50 | 3.4× |
| Zinc (84630) | $43.80 | $109.50 | 3.8× |