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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Acetaminophen level (80143) | $198.25 | $305 | 10.6× |
| Acute hepatitis panel (80074) | $505.05 | $777 | 10.6× |
| Afb culture (87116) | $175.50 | $270 | 16.3× |
| Albumin Fluid (82042) | $78.65 | $121 | 10.1× |
| Ammonia (82140) | $137.15 | $211 | 9.4× |
| Amylase urine (82150) | $109.85 | $169 | 17.0× |
| Antibody Absorption (86978) | $152.75 | $235 | 2.6× |
| Antibody coxiella burnetii q fever (86638) | $55.90 | $86 | 4.6× |
| Antibody identification (86870) | $219.05 | $337 | 0.6× |
| Antibody screen (86850) | $107.25 | $165 | 11.0× |
| Antigen typing (86905) | $78 | $120 | 20.4× |
| Antinuclear antibodies (86038) | $128.05 | $197 | 10.6× |
| Antithrombin iii activity (85300) | $179.40 | $276 | 15.1× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $235.95 | $363 | 19.6× |
| Aquaporin-4 antibody flow cytometry each (86053) | $243.10 | $374 | 6.4× |
| Assay of 17-hydroxypregnenolone (84143) | $139.75 | $215 | 6.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $121.55 | $187 | 7.0× |
| Assay of blood chloride (82435) | $53.30 | $82 | 11.6× |
| Assay of ferritin (82728) | $138.45 | $213 | 10.2× |
| Assay of gentamicin (80170) | $200.85 | $309 | 12.3× |
| Assay of homocystine (83090) | $237.25 | $365 | 13.2× |
| Assay of parathormone (83970) | $204.75 | $315 | 5.0× |
| Beta Lactamase (87185) | $41.60 | $64 | 8.8× |
| Bilirubin direct (82248) | $73.45 | $113 | 14.6× |
| Biotinidase ea specimen (82261) | $18.20 | $28 | 1.1× |
| Blood count reticulocyte automated (85045) | $74.10 | $114 | 18.6× |
| Blood gases (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 - Blood Typing, Antigen (86902) | $39.65 | $61 | 6.2× |
| Blood typing abo (86900) | $74.10 | $114 | 24.8× |
| Blood typing serologic rh (d) (86901) | $64.35 | $99 | 21.5× |
| Body fluid cell count (89051) | $124.15 | $191 | 22.2× |
| 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× |
| Carbon dioxide (82374) | $54.60 | $84 | 11.2× |
| Carcinoembryonic antigen (82378) | $152.75 | $235 | 8.1× |
| Cardiolipin ab igg (86147) | $122.20 | $188 | 4.8× |
| Chloride urine (82436) | $59.80 | $92 | 10.4× |
| Ckmb (82553) | $104.65 | $161 | 9.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $86.45 | $133 | 3.6× |
| Compatibility test antiglob (86922) | $126.75 | $195 | 0.8× |
| Compatibility Test Incubate (86921) | $95.55 | $147 | 0.6× |
| Complement total ch50 (86162) | $163.80 | $252 | 8.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $209.30 | $322 | 17.4× |
| Concentration Infectious Agent (87015) | $58.82 | $90.50 | 8.8× |
| Coombs direct (86880) | $79.62 | $122.50 | 14.8× |
| Cortisol total (82533) | $156 | $240 | 9.6× |
| Creatine kinase total (82550) | $89.05 | $137 | 13.7× |
| Creatinine blood (82565) | $72.80 | $112 | 14.2× |
| Creatinine other source (82570) | $62.72 | $96.50 | 12.1× |
| Crossmatch immediate spin (86920) | $140.40 | $216 | 0.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $83.20 | $128 | 10.3× |
| Culture Aerobic Identify (87077) | $81.25 | $125 | 10.1× |
| Culture anaerobic (87075) | $230.75 | $355 | 24.4× |
| Culture blood (87040) | $182.65 | $281 | 17.7× |
| Culture fungus id yeast (87106) | $89.70 | $138 | 8.7× |
| Culture fungus other (87102) | $131.95 | $203 | 15.7× |
| Culture genital (87070) | $140.40 | $216 | 16.3× |
| Culture screen only (87081) | $70.85 | $109 | 10.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $54.60 | $84 | 10.5× |
| Culture Typing, Glc Method (87143) | $66.95 | $103 | 5.3× |
| Culture urine (87086) | $103.35 | $159 | 12.8× |
| Culture urine id ea isolate (87088) | $68.25 | $105 | 8.4× |
| Cyclic Citrullinated Peptide (86200) | $133.90 | $206 | 10.3× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $100.75 | $155 | 2.8× |
| Cytp concentration smears & interpretation (88108) | $149.50 | $230 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $125.45 | $193 | 2.5× |
| D-Dimer (85379) | $152.10 | $234 | 14.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $63.05 | $97 | 3.8× |
| Detect agnt mult DNA ampli (87801) | $207.35 | $319 | 3.0× |
| Dna/Rna Amplified Probe (87150) | $39 | $60 | 1.1× |
| Drug Screen Quant Gabapentin (80171) | $124.80 | $192 | 5.8× |
| Drug test prsmv chem anlyzr (80307) | $116.35 | $179 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $18.20 | $28 | 1.4× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $117.65 | $181 | 6.9× |
| Electronic crossmatch (86923) | $59.15 | $91 | 0.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $85.80 | $132 | 7.1× |
| Enzyme cell activity (82657) | $22.75 | $35 | 1.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $75.40 | $116 | 10.3× |
| F2 gene analysis 20210g >a variant (81240) | $371.80 | $572 | 5.7× |
| F5 gene (81241) | $357.50 | $550 | 4.9× |
| Factor v activity (85220) | $195 | $300 | 11.0× |
| Factor vii assay (85230) | $157.95 | $243 | 8.8× |
| Factor viii ahg (85240) | $195 | $300 | 10.9× |
| Fibrinogen activity (85384) | $114.40 | $176 | 11.8× |
| Folate serum (82746) | $121.55 | $187 | 8.3× |
| Follicle Stimulating Hormone (83001) | $165.75 | $255 | 8.9× |
| Fructosamine (82985) | $73.45 | $113 | 4.4× |
| Ftl cgen abnor four anal (81511) | $198.90 | $306 | 1.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $109.85 | $169 | 10.6× |
| Galactose transferase test (82776) | $9.10 | $14 | 0.8× |
| Ggt (82977) | $83.85 | $129 | 11.6× |
| Glucose (82947) | $49.40 | $76 | 12.6× |
| Glucose Blood Test (82962) | $24.05 | $37 | 7.3× |
| Glucose body fluid (82945) | $78 | $120 | 19.8× |
| Hcg qualitative (84703) | $83.85 | $129 | 11.2× |
| Hcg quant (84702) | $116.35 | $179 | 7.7× |
| Hematocrit (85014) | $31.85 | $49 | 13.4× |
| Hemoglobin (85018) | $24.70 | $38 | 10.4× |
| 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× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $70.85 | $109 | 13.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $99.45 | $153 | 7.3× |
| Hla-b27 (86812) | $161.20 | $248 | 6.2× |
| Homogenization tissue (87176) | $55.25 | $85 | 9.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $268.45 | $413 | 7.7× |
| Hydroxyprogesterone 17-d (83498) | $28.60 | $44 | 1.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $102.05 | $157 | 4.2× |
| 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× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $83.85 | $129 | 2.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $147.55 | $227 | 4.2× |
| Iadna babesia microti amplified probe technique (87469) | $209.95 | $323 | 6.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $227.50 | $350 | 6.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $430.30 | $662 | 10.0× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $241.15 | $371 | 5.8× |
| Iadna nos amplified probe tq each organism (87798) | $178.42 | $274.50 | 5.1× |
| 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) | $56.55 | $87 | 4.9× |
| Immunodiffusion not elsewhere specified (86329) | $100.10 | $154 | 7.1× |
| Immunoelectrophoresis serum (86320) | $157.95 | $243 | 5.3× |
| Immunofixj Electrophoresis Serum (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× |
| 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× |
| Lactic acid (83605) | $121.22 | $186.50 | 10.5× |
| Ldh (83615) | $74.75 | $115 | 12.4× |
| Level ii surg pathology grossµscopic exam (88302) | $78.65 | $121 | 2.2× |
| Level v surg pathology grossµscopic exam (88307) | $6,383.96 | $9,821.47 | 18.2× |
| Level vi surg pathology grossµscopic exam (88309) | $620.10 | $954 | 0.8× |
| Lh (83002) | $165.75 | $255 | 8.9× |
| Lipase (83690) | $120.90 | $186 | 17.5× |
| Lithium (80178) | $105.30 | $162 | 15.9× |
| Lyme disease antibody (86618) | $170.30 | $262 | 10.0× |
| Magnesium (83735) | $103.35 | $159 | 15.4× |
| Mass spectrometry qual/quan (83789) | $18.85 | $29 | 0.8× |
| Microalbumin urine (82043) | $112.45 | $173 | 19.5× |
| Microbe susceptible diffuse (87181) | $40.30 | $62 | 8.5× |
| Microsomal antibodies (86376) | $124.80 | $192 | 8.6× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $410.80 | $632 | 34.1× |
| Mrsa amp probe (87641) | $128.70 | $198 | 3.7× |
| Mycobacteric Identification (87118) | $87.10 | $134 | 6.0× |
| Natriuretic peptide (83880) | $163.80 | $252 | 4.2× |
| Occult blood stool (82272) | $48.75 | $75 | 11.5× |
| Orthopoxvirus Amp Prb Each (87593) | $135.20 | $208 | 2.6× |
| Osmolality urine (83935) | $67.60 | $104 | 9.9× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $101.40 | $156 | 1.4× |
| Phosphatase alkaline (84075) | $70.85 | $109 | 13.7× |
| Platelet count (85049) | $28.60 | $44 | 6.4× |
| Potassium (84132) | $54.60 | $84 | 11.5× |
| 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 electrophoresis serum (84165) | $130 | $200 | 12.1× |
| Protein S Functional (85306) | $215.80 | $332 | 14.1× |
| Protein Total Serum (84155) | $68.90 | $106 | 18.8× |
| Protein urine (84156) | $94.25 | $145 | 25.7× |
| Rbc antibody elution (86860) | $165.10 | $254 | 1.0× |
| Resp virus 3-5 targets (87631) | $291.20 | $448 | 2.0× |
| Reticulocyte Count (85046) | $75.40 | $116 | 13.5× |
| 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× |
| Sed rate automated (85652) | $48.75 | $75 | 18.1× |
| Sedimentation rate (85651) | $65 | $100 | 15.2× |
| Sensitivity mic (87186) | $99.45 | $153 | 11.5× |
| Serotonin Release Assay (86022) | $283.40 | $436 | 15.4× |
| Smear acid fast (87206) | $92.95 | $143 | 17.2× |
| Smear gram stain (87205) | $66.30 | $102 | 15.5× |
| Sodium (84295) | $58.50 | $90 | 12.2× |
| Sodium urine (84300) | $66.95 | $103 | 13.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $1,998.46 | $3,074.56 | 15.4× |
| Special stains group 1 (88312) | $2,615.12 | $4,023.27 | 51.3× |
| Surg path level iii (88304) | $5,902.22 | $9,080.34 | 115.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $15,782.08 | $24,280.12 | 557.9× |
| Surgical pathology level IV (88305) | $212.22 | $326.50 | 4.2× |
| 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 plasma (85670) | $62.40 | $96 | 10.8× |
| Thyroglobulin Ab (86800) | $131.30 | $202 | 8.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $343.20 | $528 | 6.7× |
| Troponin (84484) | $132.92 | $204.50 | 10.7× |
| Urea nitrogen (84520) | $51.68 | $79.50 | 13.1× |
| Uric acid blood (84550) | $87.75 | $135 | 19.4× |
| Urinalysis microscopic only (81015) | $35.75 | $55 | 11.7× |
| Urinalysis w/microscopic (81001) | $71.50 | $110 | 22.6× |
| Urine pregnancy test (81025) | $109.20 | $168 | 12.7× |
| Urine volume measurement (81050) | $23.40 | $36 | 6.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $36.40 | $56 | 16.2× |
| Vancomycin trough (80202) | $295.10 | $454 | 21.8× |
| Vitamin b-12 (82607) | $122.20 | $188 | 8.1× |
| Vitamin b1 (thiamine) (84425) | $203.45 | $313 | 9.6× |
| Vitamin b6 (84207) | $212.55 | $327 | 7.6× |
| Vitamin D 25-Hydroxy (82306) | $232.05 | $357 | 7.8× |