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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Albumin Fluid (82042) | $17.25 | $23 | 2.2× |
| Albumin serum (82040) | $26.25 | $35 | 5.3× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$18–$50.25 | $24–$67 | varies |
| 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 converting enzyme csf (82164) | $135.75 | $181 | 9.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $30 | $40 | 2.2× |
| Antibody Titer (86886) | $28.50 | $38 | 5.5× |
| Antigen typing (86905) | $51.75 | $69 | 13.5× |
| Antistreptolysin o titer (86060) | $132.75 | $177 | 18.2× |
| Assay Blood Carbon Dioxide (82374) | $23.25 | $31 | 4.8× |
| Assay of blood/uric acid (84550) | $24 | $32 | 5.3× |
| Assay of cpk in blood (82552) | $48.75 | $65 | 3.6× |
| Assay of gammaglobulin igm (82784) | $28.50 | $38 | 3.1× |
| Assay of lactic acid (83605) | $42.75 | $57 | 3.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$23.25–$24.75 | $31–$33 | varies |
| Assay of urea nitrogen (84520) | $15.75 | $21 | 4.0× |
| Autol bld/component collj storage salvage (86891) | $1,838.25 | $2,451 | 2.2× |
| Automated Leukocyte Count (85048) | $12.75 | $17 | 5.0× |
| Beta Lactamase (87185) | $24.75 | $33 | 5.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$18.75–$27.75 | $25–$37 | varies |
| Bilirubin total (82247) | $15.75 | $21 | 3.1× |
| Bld Typing Serologic Rh Phnt (86906) | $51.75 | $69 | 6.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $26.25 | $35 | 6.9× |
| Blood gas (82803) | $90.75 | $121 | 3.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $27 | $36 | 4.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$27.75–$28.50 | $37–$38 | varies |
| Body fluid cell count (89050) | $45.75 | $61 | 9.7× |
| C-reactive protein (86140) | $24.75 | $33 | 4.8× |
| Calcium total (82310) | $30.75 | $41 | 6.0× |
| Cell count csf (89051) range across 2 matching MRF lines |
$33.75–$56.25 | $45–$75 | varies |
| Chloride Serum (82435) | $15 | $20 | 3.3× |
| Chorionic gonadotropin test (84702) | $87.75 | $117 | 5.8× |
| Chromogranin a (86316) | $132.75 | $177 | 6.4× |
| Chromosome Analysis 20-25 (88264) | $588 | $784 | 4.1× |
| Ckmb (82553) range across 2 matching MRF lines |
$84.75–$160.50 | $113–$214 | varies |
| Compatibility test antiglob (86922) | $112.50 | $150 | 0.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $559.50 | $746 | 10.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $93.75 | $125 | 2.4× |
| Coombs direct (86880) | $27.75 | $37 | 5.1× |
| Cortisol saliva (82533) | $42.75 | $57 | 2.6× |
| Creatine kinase total (82550) | $47.25 | $63 | 7.3× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$24.75–$46.50 | $33–$62 | varies |
| Creatinine Urine (82570) | $41.25 | $55 | 8.0× |
| Crossmatch electronic (86923) | $335.25 | $447 | 1.9× |
| Crossmatch immediate spin (86920) | $73.50 | $98 | 0.4× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$12–$26.25 | $16–$35 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$46.50–$186 | $62–$248 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$49.50–$52.50 | $66–$70 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $49.50 | $66 | 6.4× |
| Culture afb (87116) range across 2 matching MRF lines |
$203.25–$213.75 | $271–$285 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$51.75–$54.75 | $69–$73 | varies |
| Culture blood (87040) | $54.75 | $73 | 5.3× |
| Culture csf (87070) range across 3 matching MRF lines |
$53.25–$57.75 | $71–$77 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$105–$199.50 | $140–$266 | varies |
| Culture fungus blood (87103) | $66 | $88 | 3.2× |
| Culture screen only (87081) range across 2 matching MRF lines |
$54.75–$57.75 | $73–$77 | varies |
| 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× |
| Detect Agent Nos Dna Amp (87798) | $96.75 | $129 | 2.8× |
| 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× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$23.25–$24.75 | $31–$33 | varies |
| Fibrin degradation products (85362) | $30 | $40 | 4.4× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$29.25–$55.50 | $39–$74 | varies |
| Fibrinogen activity (85384) range across 4 matching MRF lines |
$22.50–$55.50 | $30–$74 | varies |
| Flow cytometry first marker (88184) | $61.50 | $82 | 0.2× |
| Fungi Identification Yeast (87106) | $105 | $140 | 10.2× |
| Gammaglobulin ige (82785) | $28.50 | $38 | 1.7× |
| Gases blood ph only (82800) | $26.25 | $35 | 2.4× |
| Gentamicin (80170) | $28.50 | $38 | 1.7× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$27.75–$138.75 | $37–$185 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$22.50–$23.25 | $30–$31 | varies |
| Glucose Serum (82947) | $14.25 | $19 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $87.75 | $117 | 11.7× |
| Hematocrit (85014) range across 3 matching MRF lines |
$20.25–$21.75 | $27–$29 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$20.25–$22.50 | $27–$30 | varies |
| Hemoglobin a1c (83036) | $59.25 | $79 | 6.1× |
| Hemoglobin plasma (83051) | $30.75 | $41 | 4.2× |
| Hepatitis B Surface Antibody (86706) | $55.50 | $74 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $60.75 | $81 | 5.9× |
| Hepatitis C Antibody (86803) | $63 | $84 | 4.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $340.50 | $454 | 7.9× |
| Heterophile Antibody Screen (86308) | $20.25 | $27 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $97.50 | $130 | 4.0× |
| Hiv-1 Antibody (86701) | $55.50 | $74 | 6.2× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$57.75–$60.75 | $77–$81 | varies |
| Iaad ia shiga-like toxin (87427) | $120.75 | $161 | 10.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$39–$41.25 | $52–$55 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$271.50–$285.75 | $362–$381 | varies |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $97.50 | $130 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $97.50 | $130 | 2.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $444 | $592 | 1.7× |
| Immunoassay nonantibody (83516) | $51.75 | $69 | 4.5× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$532.50–$559.50 | $710–$746 | varies |
| In situ hybridization 1st probe stain (88365) | $337.50 | $450 | 1.9× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$82.50–$156 | $110–$208 | varies |
| Insulin total (83525) | $45 | $60 | 3.9× |
| Iron (83540) range across 2 matching MRF lines |
$27.75–$29.25 | $37–$39 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$27–$28.50 | $36–$38 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$351.75–$369.75 | $469–$493 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $126 | $168 | 3.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$1,074–$1,128 | $1,432–$1,504 | varies |
| Lipase (83690) | $85.50 | $114 | 12.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$97.50–$102.75 | $130–$137 | varies |
| Myoglobin urine (83874) | $113.25 | $151 | 8.8× |
| Natriuretic peptide (83880) | $126 | $168 | 3.2× |
| Oligoclonal bands (83916) | $39.75 | $53 | 1.5× |
| Ph urine (81003) range across 3 matching MRF lines |
$23.25–$80.25 | $31–$107 | varies |
| Phosphatase alkaline (84075) | $23.25 | $31 | 4.5× |
| Phosphorus Serum (84100) | $23.25 | $31 | 4.9× |
| Platelet count automated (85049) range across 3 matching MRF lines |
$16.50–$27 | $22–$36 | varies |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$102.75–$108 | $137–$144 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$22.50–$23.25 | $30–$31 | varies |
| Protein total serum (84155) | $14.25 | $19 | 3.9× |
| Protein Total Urine (84156) | $48 | $64 | 13.1× |
| Rbc antibody identification (86870) | $84.75 | $113 | 0.2× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$43.50–$51.75 | $58–$69 | varies |
| Rh (86901) | $35.25 | $47 | 11.8× |
| Rotavirus ag eia (87425) | $277.50 | $370 | 23.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$104.25–$229.50 | $139–$306 | varies |
| Sedimentation rate (85651) | $22.50 | $30 | 5.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$55.50–$105 | $74–$140 | varies |
| Skin test tuberculosis intradermal (86580) | $52.50 | $70 | 1.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$33.75–$63 | $45–$84 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$31.50–$33.75 | $42–$45 | varies |
| Sodium Serum (84295) | $43.50 | $58 | 9.0× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$182.25–$192 | $243–$256 | varies |
| Special Stains Group 2 (88313) | $463.50 | $618 | 3.4× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$52.50–$100.50 | $70–$134 | varies |
| Stool cultr aerobic bact ea (87046) | $24.75 | $33 | 2.6× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$810.75–$852 | $1,081–$1,136 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$810.75–$852 | $1,081–$1,136 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $30.75 | $41 | 6.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $80.25 | $107 | 10.7× |
| T3 Free (84481) range across 2 matching MRF lines |
$151.50–$159.75 | $202–$213 | varies |
| 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) range across 2 matching MRF lines |
$28.50–$30 | $38–$40 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$19.50–$20.25 | $26–$27 | varies |
| Tiss cul neo disorders solid tumor (88239) | $674.25 | $899 | 4.6× |
| Tobramycin peak (80200) | $28.50 | $38 | 1.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $24 | $32 | 4.6× |
| Troponin Quant (84484) range across 4 matching MRF lines |
$146.25–$292.50 | $195–$390 | varies |
| Tumor Immunohistochem/Manual (88360) | $119.25 | $159 | 0.7× |
| Urine Bacteria Culture (87088) | $55.50 | $74 | 6.9× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$45.75–$48.75 | $61–$65 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$23.25–$24.75 | $31–$33 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$81–$85.50 | $108–$114 | varies |
| Viral Culture (87252) | $139.50 | $186 | 5.4× |
| Vitamin D 25-Hydroxy (82306) | $65.25 | $87 | 2.2× |
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.