Lab & pathology prices at Mercy Specialty Hospital Southeast Kansas

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

214 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $139.75 $215 6.1×
Acute hepatitis panel (80074) $505.05 $777 10.6×
Albumin Fluid (82042) $78.65 $121 10.1×
Ammonia (82140) $137.15 $211 9.4×
Amylase urine (82150)
range across 3 matching MRF lines
$102.70–$111.80 $158–$172 varies
Antibody HIV-1&HIV-2 single result (86703) $99.45 $153 7.3×
Antigen typing (86905) $78 $120 20.4×
Antinuclear antibodies (86038) $128.05 $197 10.6×
Antithrombin iii activity (85300) $179.40 $276 15.1×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $243.10 $374 6.4×
Aquaporin-4 Antb Cba Each (86052) $235.95 $363 19.6×
Assay Blood Carbon Dioxide (82374) $54.60 $84 11.2×
Assay of blood/uric acid (84550) $87.75 $135 19.4×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$97.50–$144.95 $150–$223 varies
Assay of serum potassium (84132) $54.60 $84 11.5×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$50.05–$53.30 $77–$82 varies
Assay of vitamin b-1 (84425) $203.45 $313 9.6×
Assay spec xcp ur&breath ia (82077) $121.55 $187 7.0×
Babesia microti amp prb (87469) $209.95 $323 6.0×
Beta Lactamase (87185) $41.60 $64 8.8×
Bilirubin direct (82248) $73.45 $113 14.6×
Biotinidase (82261) $18.20 $28 1.1×
Blood count reticulocyte automated (85045) $74.10 $114 18.6×
Blood gas (82803) $225.55 $347 8.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $44.85 $69 10.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $39.65 $61 6.2×
Blood typing serologic abo (86900) $74.10 $114 24.8×
Borrelia miyamotoi amp prb (87478) $191.75 $295 5.5×
C diff amplified probe (87493) $154.05 $237 4.1×
C-reactive protein (86140) $44.85 $69 8.7×
Calcium ionized (82330) $117 $180 8.6×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$148.85–$156.65 $229–$241 varies
Cardiolipin ab iga (86147) $122.20 $188 4.8×
Ccp antibody (86200) $133.90 $206 10.3×
Cell count csf (89051) $124.15 $191 22.2×
Chloride Serum (82435) $53.30 $82 11.6×
Chloride urine (82436) $59.80 $92 10.4×
Chorionic gonadotropin test (84702) $116.35 $179 7.7×
Ckmb (82553) $104.65 $161 9.1×
Column Chromotography Quant (82542) $86.45 $133 3.6×
Compatibility Each Unit Incubation (86921) $95.55 $147 0.6×
Compatibility test antiglob (86922) $126.75 $195 0.8×
Complement Total (Ch50) (86162) $163.80 $252 8.1×
Complement/Function Activity (86161) $209.30 $322 17.4×
Coombs direct (86880)
range across 2 matching MRF lines
$72.15–$87.10 $111–$134 varies
Cortisol saliva (82533) $156 $240 9.6×
Creatine kinase total (82550) $89.05 $137 13.7×
Creatinine blood (82565) $72.80 $112 14.2×
Creatinine Urine (82570)
range across 2 matching MRF lines
$60.45–$65 $93–$100 varies
Crossmatch electronic (86923) $59.15 $91 0.4×
Crossmatch immediate spin (86920) $140.40 $216 0.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $81.25 $125 10.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $83.20 $128 10.3×
Culture afb (87116) $175.50 $270 16.3×
Culture Anaerobic (87075) $230.75 $355 24.4×
Culture blood (87040) $182.65 $281 17.7×
Culture csf (87070)
range across 4 matching MRF lines
$98.80–$153.40 $152–$236 varies
Culture fungus (87102) $131.95 $203 15.7×
Culture screen only (87081) $70.85 $109 10.7×
Culture Typing Gas/High Pres Liq Chromatography (87143) $66.95 $103 5.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 8 matching MRF lines
$48.75–$65.65 $75–$101 varies
Culture urine (87086) $103.35 $159 12.8×
Cytp Concentration Smears & Interpretation (88108) $149.50 $230 4.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $125.45 $193 2.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $100.75 $155 2.8×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$137.15–$219.70 $211–$338 varies
Detect agnt mult DNA ampli (87801) $207.35 $319 3.0×
Dna/Rna Amplified Probe (87150) $39 $60 1.1×
Drug assay acetaminophen (80143) $198.25 $305 10.6×
Drug Screen Quantitative Gabapentin (80171) $124.80 $192 5.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$58.50–$174.20 $90–$268 varies
Drug Test Prsmv Dir Opt Obs (80305) $18.20 $28 1.4×
Drug Test Prsmv Instrmnt (80306) $117.65 $181 6.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $85.80 $132 7.1×
Enzyme cell activity (82657) $22.75 $35 1.0×
Exam Synovial Fluid Crystals (89060) $75.40 $116 10.3×
F2 Gene (81240) $371.80 $572 5.7×
Factor v activity (85220) $195 $300 11.0×
Factor v leiden mutation (81241) $357.50 $550 4.9×
Factor vii assay (85230) $157.95 $243 8.8×
Factor viii assay (85240) $195 $300 10.9×
Ferritin (82728) $138.45 $213 10.2×
Fetal Congenital Abnor Assay Four Anal (81511) $198.90 $306 1.3×
Fibrin Degradation Quant (85379) $152.10 $234 14.9×
Fibrinogen activity (85384) $114.40 $176 11.8×
Folic Acid Serum (82746) $121.55 $187 8.3×
Follicle Stimulating Hormone (83001) $165.75 $255 8.9×
Fungi Identification Mold (87107) $109.85 $169 10.6×
Fungi Identification Yeast (87106) $89.70 $138 8.7×
Galactose transferase test (82776) $9.10 $14 0.8×
Gentamicin (80170) $200.85 $309 12.3×
Ggt (82977) $83.85 $129 11.6×
Glucose Blood Test (82962) $24.05 $37 7.3×
Glucose body fluid (82945) $78 $120 19.8×
Glucose Serum (82947) $49.40 $76 12.6×
Glycated Protein (82985) $73.45 $113 4.4×
Gonadotropin Chorionic Qualitative (84703) $83.85 $129 11.2×
Hematocrit (85014) $31.85 $49 13.4×
Hemoglobin (85018)
range across 2 matching MRF lines
$21.45–$27.95 $33–$43 varies
Hemoglobin a1c (83036) $95.55 $147 9.8×
Hemoglobin electrophoresis (83020) $13.65 $21 1.1×
Heparin Neutralization (85525) $61.75 $95 5.2×
Hepatitis b core ab igm (86705) $154.70 $238 13.1×
Hepatitis B Surface Antigen (87340) $141.05 $217 13.7×
Hepatitis C Antibody (86803) $139.10 $214 9.7×
Hepatitis C Revrs Trnscrpj (87522) $430.30 $662 10.0×
Heterophile Antibody Screen (86308) $70.85 $109 13.7×
Hiv Antigen W/Hiv Antibodies (87806) $83.85 $129 2.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $102.05 $157 4.2×
Hla-b27 (86812) $161.20 $248 6.2×
Homocysteine (83090) $237.25 $365 13.2×
Homogenization Tissue (87176) $55.25 $85 9.4×
Hsv Dna Amp Probe (87529) $268.45 $413 7.7×
Hydroxyprogesterone 17-d (83498) $28.60 $44 1.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $122.20 $188 8.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $67.60 $104 1.9×
Iaad Ia Streptococcus Group A (87430) $86.45 $133 5.1×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $147.55 $227 4.2×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $227.50 $350 6.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $241.15 $371 5.8×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $135.20 $208 2.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $291.20 $448 2.0×
Immunoassay analyte qual/semiqual single step (83518) $319.15 $491 33.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $107.25 $165 7.2×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$12.35–$100.75 $19–$155 varies
Immunodiffusion not elsewhere specified (86329) $100.10 $154 7.1×
Immunoelectrophoresis Serum (86320) $157.95 $243 5.3×
Immunofixation electrophoresis (86334) $163.80 $252 7.3×
Immunofluorescence per spec 1st singl antb stain (88346) $158.60 $244 1.0×
Immunohistochemistry (88342) $225.55 $347 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $101.40 $156 1.4×
Influenza assay w/optic (87804) $63.05 $97 3.8×
Inhibin b (83520) $156.65 $241 9.1×
Insulin total (83525) $74.75 $115 6.5×
Intrinsic factor antibody (86340) $124.15 $191 8.2×
Iron (83540) $89.70 $138 13.9×
Iron Binding Capacity (83550) $83.85 $129 9.6×
Lactate (ld) (ldh) enzyme (83615) $74.75 $115 12.4×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$61.10–$31,503.06 $94–$48,466.25 varies
Level ii surg pathology gross&microscopic exam (88302) $78.65 $121 2.2×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$465.40–$12,302.51 $716–$18,926.94 varies
Lipase (83690) $120.90 $186 17.5×
Lithium (80178) $105.30 $162 15.9×
Luteinizing Hormone (Lh) (83002) $165.75 $255 8.9×
Lyme disease antibody (86618) $170.30 $262 10.0×
Magnesium Urine (83735) $103.35 $159 15.4×
Mass Spectrometry Quant (83789) $18.85 $29 0.8×
Microalbumin, quantitative (82043) $112.45 $173 19.5×
Microsomal Antibodies Each (86376) $124.80 $192 8.6×
Mog-Igg1 Antb Cba Each (86362) $410.80 $632 34.1×
Mrsa Pcr (87641) $128.70 $198 3.7×
Mycobacteric Identification (87118) $87.10 $134 6.0×
Natriuretic peptide (83880) $163.80 $252 4.2×
Occult blood feces (82272) $48.75 $75 11.5×
Osmolality Urine (83935) $67.60 $104 9.9×
Ph urine (81003) $36.40 $56 16.2×
Phosphatase alkaline (84075) $70.85 $109 13.7×
Platelet Antibodies (86022) $283.40 $436 15.4×
Platelet count automated (85049) $28.60 $44 6.4×
Potassium Urine (84133) $62.40 $96 13.2×
Procalcitonin (Pct) (84145) $208 $320 7.6×
Protein body fluid (84157) $86.45 $133 21.6×
Protein C Activity (85303) $212.55 $327 15.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $130 $200 12.1×
Protein S Free (85306) $215.80 $332 14.1×
Protein total serum (84155) $68.90 $106 18.8×
Protein Total Urine (84156) $94.25 $145 25.7×
Pth Intact (83970) $204.75 $315 5.0×
Q Fever Antibody (86638) $55.90 $86 4.6×
Rbc antibody elution (86860) $165.10 $254 1.0×
Rbc antibody identification (86870)
range across 5 matching MRF lines
$208.65–$251.55 $321–$387 varies
Rbc antibody screen (86850) $107.25 $165 11.0×
Rbc pretreatment serum (86978) $152.75 $235 2.6×
Reticulocyte Count (85046) $75.40 $116 13.5×
Rh (86901) $64.35 $99 21.5×
Rheumatoid factor quant (86431) $69.55 $107 12.3×
Russell Viper Venom Time Diluted (85613) $124.15 $191 13.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $135.20 $208 2.6×
Sars-cov-2 COVID-19 antibody (86769) $67.60 $104 1.6×
Sarscov2 & inf a&b amp prb (87636) $219.05 $337 1.5×
Sarscov2&inf a&b&rsv amp prb (87637) $334.10 $514 2.3×
Sedimentation rate (85651) $65 $100 15.2×
Sedimentation Rate, Automated (85652) $48.75 $75 18.1×
Sensitivity mic (87186) $99.45 $153 11.5×
Smear acid fast (87206) $92.95 $143 17.2×
Smear gram stain (87205) $66.30 $102 15.5×
Sodium Serum (84295) $58.50 $90 12.2×
Sodium Urine (84300)
range across 2 matching MRF lines
$63.05–$70.85 $97–$109 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$64.35–$5,165.90 $99–$7,947.54 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$63.05–$3,933.88 $97–$6,052.12 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$55.25–$62.40 $85–$96 varies
Surg path level iii (88304)
range across 2 matching MRF lines
$100.10–$11,704.34 $154–$18,006.67 varies
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$200.20–$5,141.02 $308–$7,909.26 varies
Surgical pathology level vi (88309) $620.10 $954 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $40.30 $62 8.5×
Susceptibility Study Antimicrobial Disk Method (87184) $78 $120 10.4×
T3 Free (84481) $154.05 $237 9.1×
T3 Total (84480) $122.20 $188 8.6×
T4 Free (84439) $126.10 $194 14.0×
T4 total (84436) $89.05 $137 13.0×
Tb ag response t-cell susp (86481) $169 $260 1.7×
Thrombin Time (85670) $62.40 $96 10.8×
Thyroglobulin Antibody (86800) $131.30 $202 8.3×
Thyroid Stimulating Immunoglobulin (84445) $343.20 $528 6.7×
Troponin Quant (84484)
range across 2 matching MRF lines
$125.45–$140.40 $193–$216 varies
Urinalysis Microscopic Only (81015) $35.75 $55 11.7×
Urinalysis Volume Measure (81050) $23.40 $36 6.4×
Urine Bacteria Culture (87088) $68.25 $105 8.4×
Urine Pregnancy Test (81025) $109.20 $168 12.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $71.50 $110 22.6×
Vancomycin (80202) $295.10 $454 21.8×
Vitamin b-12 (82607) $122.20 $188 8.1×
Vitamin B6 (84207) $212.55 $327 7.6×
Vitamin D 25-Hydroxy (82306) $232.05 $357 7.8×

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.