Lab & pathology prices at Midwest Surgical Hospital LLC
Omaha, NE · every code in this section with a posted price and a Medicare benchmark.
159 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Afb culture (87116) | $208.50 | $278 | 19.3× |
| Albumin Fluid (82042) | $17.25 | $23 | 2.2× |
| Albumin serum (82040) | $26.25 | $35 | 5.3× |
| Allergen specific ige (86003) | $28.50 | $38 | 5.5× |
| Alpha-fetoprotein, serum (82105) | $87.75 | $117 | 5.2× |
| Alt (sgpt) (84460) | $24 | $32 | 4.5× |
| Ammonia (82140) | $54.75 | $73 | 3.8× |
| Amylase urine (82150) | $38.25 | $51 | 5.9× |
| Angiotensin i enzyme test (82164) | $135.75 | $181 | 9.3× |
| Antibody identification (86870) | $84.75 | $113 | 0.2× |
| Antibody screen (86850) | $49.50 | $66 | 5.1× |
| Antigen typing (86905) | $51.75 | $69 | 13.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $28.50 | $38 | 5.5× |
| Antistreptolysin o titer (86060) | $132.75 | $177 | 18.2× |
| Assay of blood chloride (82435) | $15 | $20 | 3.3× |
| Assay of gammaglobulin igm (82784) | $28.50 | $38 | 3.1× |
| Assay of gentamicin (80170) | $28.50 | $38 | 1.7× |
| Ast (sgot) (84450) | $24 | $32 | 4.6× |
| Beta Lactamase (87185) | $24.75 | $33 | 5.2× |
| Bilirubin direct (82248) | $23.25 | $31 | 4.6× |
| Bilirubin total (82247) | $15.75 | $21 | 3.1× |
| Bl Smear W/Diff Wbc Count (85007) | $26.25 | $35 | 6.9× |
| Blood gases (82803) | $90.75 | $121 | 3.5× |
| Blood Ph - Ph Venous (82800) | $26.25 | $35 | 2.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $27 | $36 | 4.3× |
| Blood typing abo (86900) | $28.12 | $37.50 | 9.4× |
| Blood typing serologic rh (d) (86901) | $35.25 | $47 | 11.8× |
| Blood typing serologic rh phenotyping complete (86906) | $51.75 | $69 | 6.7× |
| Body fluid cell count (89051) | $45 | $60 | 8.0× |
| Body fluid cell count (89050) | $45.75 | $61 | 9.7× |
| C-reactive protein (86140) | $24.75 | $33 | 4.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $12.75 | $17 | 1.0× |
| Calcium total (82310) | $30.75 | $41 | 6.0× |
| Carbon dioxide (82374) | $23.25 | $31 | 4.8× |
| Cell saver (86891) | $1,838.25 | $2,451 | 2.2× |
| Chromogranin a (86316) | $132.75 | $177 | 6.4× |
| Chromosome analysis 20-25 cells (88264) | $588 | $784 | 4.1× |
| Ck isoenzymes (82552) | $48.75 | $65 | 3.6× |
| Ckmb (82553) | $122.62 | $163.50 | 10.6× |
| Compatibility test antiglob (86922) | $112.50 | $150 | 0.6× |
| Concentration Infectious Agent (87015) | $76.50 | $102 | 11.5× |
| Coombs direct (86880) | $27.75 | $37 | 5.1× |
| Cortisol total (82533) | $42.75 | $57 | 2.6× |
| Creatine kinase total (82550) | $47.25 | $63 | 7.3× |
| Creatinine blood (82565) | $35.62 | $47.50 | 7.0× |
| Creatinine other source (82570) | $41.25 | $55 | 8.0× |
| Crossmatch immediate spin (86920) | $73.50 | $98 | 0.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $51 | $68 | 6.3× |
| Culture Aerobic Identify (87077) | $49.50 | $66 | 6.1× |
| Culture anaerobic (87075) | $53.25 | $71 | 5.6× |
| Culture blood (87040) | $54.75 | $73 | 5.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $49.50 | $66 | 6.4× |
| Culture fungus blood (87103) | $66 | $88 | 3.2× |
| Culture fungus id yeast (87106) | $105 | $140 | 10.2× |
| Culture fungus other (87102) | $152.25 | $203 | 18.1× |
| Culture genital (87070) | $56.25 | $75 | 6.5× |
| Culture screen only (87081) | $56.25 | $75 | 8.5× |
| Culture stool (87045) | $27.75 | $37 | 2.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $46.50 | $62 | 9.0× |
| Culture typing other methods (87158) | $44.25 | $59 | 5.7× |
| Culture urine (87086) | $54.75 | $73 | 6.8× |
| Culture urine id ea isolate (87088) | $55.50 | $74 | 6.9× |
| D-Dimer (85379) | $42.38 | $56.50 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $243.75 | $325 | 3.5× |
| Digoxin (80162) | $36 | $48 | 2.7× |
| DNA/RNA direct probe (87149) | $55.50 | $74 | 2.8× |
| Drug test prsmv chem anlyzr (80307) | $81 | $108 | 1.3× |
| Electrolyte panel (80051) | $24 | $32 | 3.4× |
| Electronic crossmatch (86923) | $335.25 | $447 | 1.9× |
| Eosinophil count (85048) | $12.75 | $17 | 5.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $24 | $32 | 3.3× |
| Fibrin degradation products (85362) | $30 | $40 | 4.4× |
| Fibrinogen activity (85384) | $37.88 | $50.50 | 3.9× |
| Flow cytometry first marker (88184) | $61.50 | $82 | 0.2× |
| Gammaglobulin ige (82785) | $28.50 | $38 | 1.7× |
| Glucose (82947) | $14.25 | $19 | 3.6× |
| Glucose Blood Test (82962) | $42.38 | $56.50 | 12.9× |
| Glucose body fluid (82945) | $22.88 | $30.50 | 5.8× |
| Hcg qualitative (84703) | $87.75 | $117 | 11.7× |
| Hcg quant (84702) | $87.75 | $117 | 5.8× |
| Hematocrit (85014) | $21 | $28 | 8.9× |
| Hemoglobin (85018) | $21.75 | $29 | 9.2× |
| Hemoglobin a1c (83036) | $59.25 | $79 | 6.1× |
| Hemoglobin plasma (83051) | $30.75 | $41 | 4.2× |
| Hepatitis B Surface Ab (86706) | $55.50 | $74 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $60.75 | $81 | 5.9× |
| Hepatitis c antibody (86803) | $63 | $84 | 4.4× |
| Herpes culture (87252) | $139.50 | $186 | 5.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $20.25 | $27 | 3.9× |
| HIV-1 antibody (86701) | $55.50 | $74 | 6.2× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $30 | $40 | 2.2× |
| Homogenization tissue (87176) | $59.25 | $79 | 10.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $97.50 | $130 | 4.0× |
| Iaad ia rotavirus (87425) | $277.50 | $370 | 23.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $120.75 | $161 | 10.1× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $40.12 | $53.50 | 1.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $278.62 | $371.50 | 4.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $340.50 | $454 | 7.9× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $97.50 | $130 | 2.3× |
| Iadna nos amplified probe tq each organism (87798) | $96.75 | $129 | 2.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $444 | $592 | 1.7× |
| Immunoassay nonantibody (83516) | $51.75 | $69 | 4.5× |
| Immunohistochemistry (88342) | $546 | $728 | 3.1× |
| Influenza DNA amp probe (87502) | $119.25 | $159 | 1.2× |
| Insitu hybridization (fish) (88365) | $337.50 | $450 | 1.9× |
| Insulin total (83525) | $45 | $60 | 3.9× |
| Iron (83540) | $28.50 | $38 | 4.4× |
| Iron binding capacity (83550) | $27.75 | $37 | 3.2× |
| Lactic acid (83605) | $42.75 | $57 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $126 | $168 | 3.2× |
| Level v surg pathology grossµscopic exam (88307) | $1,101 | $1,468 | 3.0× |
| Lipase (83690) | $85.50 | $114 | 12.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $119.25 | $159 | 0.7× |
| Magnesium (83735) | $100.12 | $133.50 | 14.9× |
| Microbe susceptible diffuse (87181) | $30.75 | $41 | 6.5× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $559.50 | $746 | 10.3× |
| Mycobacteria Dna Amp Probe (87551) | $97.50 | $130 | 2.0× |
| Myoglobin urine (83874) | $113.25 | $151 | 8.8× |
| Natriuretic peptide (83880) | $126 | $168 | 3.2× |
| Oligoclonal bands (83916) | $39.75 | $53 | 1.5× |
| Phosphatase alkaline (84075) | $23.25 | $31 | 4.5× |
| Phosphorus blood (84100) | $23.25 | $31 | 4.9× |
| Platelet count (85049) | $26.25 | $35 | 5.9× |
| Potassium (84132) | $24 | $32 | 5.0× |
| Procalcitonin (pct) (84145) | $105.38 | $140.50 | 3.9× |
| Protein body fluid (84157) | $22.88 | $30.50 | 5.7× |
| Protein Total Serum (84155) | $14.25 | $19 | 3.9× |
| Protein urine (84156) | $48 | $64 | 13.1× |
| Ref consult prep elsewhere (88321) | $93.75 | $125 | 2.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120.75 | $161 | 2.4× |
| Sedimentation rate (85651) | $22.50 | $30 | 5.3× |
| Sensitivity mic (87186) | $80.25 | $107 | 9.3× |
| Smear acid fast (87206) | $48.38 | $64.50 | 9.0× |
| Smear gram stain (87205) | $32.62 | $43.50 | 7.6× |
| Sodium (84295) | $43.50 | $58 | 9.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $463.50 | $618 | 3.4× |
| Special stains group 1 (88312) | $187.12 | $249.50 | 3.5× |
| Stool Cultr Aerobic Bact Ea (87046) | $24.75 | $33 | 2.6× |
| Surg path level iii (88304) | $831.38 | $1,108.50 | 15.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $360.75 | $481 | 12.0× |
| Surgical pathology level IV (88305) | $831.38 | $1,108.50 | 15.4× |
| Susceptibility study antimicrobial disk method (87184) | $80.25 | $107 | 10.7× |
| T3 free (84481) | $155.62 | $207.50 | 9.2× |
| T3 total (84480) | $76.50 | $102 | 5.4× |
| T3 uptake (84479) | $42 | $56 | 6.5× |
| T4 Free (84439) | $44.25 | $59 | 4.9× |
| T4 total (84436) | $29.25 | $39 | 4.3× |
| Tb intradermal test (86580) | $52.50 | $70 | 1.7× |
| Thrombin time plasma (85670) | $19.88 | $26.50 | 3.4× |
| Tissue culture solid tumor (88239) | $674.25 | $899 | 4.6× |
| Tobramycin peak (80200) | $28.50 | $38 | 1.8× |
| Troponin (84484) | $156.75 | $209 | 12.6× |
| Urea nitrogen (84520) | $15.75 | $21 | 4.0× |
| Uric acid blood (84550) | $24 | $32 | 5.3× |
| Urinalysis w/microscopic (81001) | $24 | $32 | 7.6× |
| Urine pregnancy test (81025) | $47.25 | $63 | 5.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $24.75 | $33 | 11.0× |
| Vancomycin trough (80202) | $83.25 | $111 | 6.1× |
| Vitamin D 25-Hydroxy (82306) | $65.25 | $87 | 2.2× |