Lab & pathology prices at Molokai General Hospital
Kaunakakai, HI · every code in this section with a posted price and a Medicare benchmark.
251 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $590.10 | $843 | 12.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$49–$54.60 | $70–$78 | varies |
| Albumin serum (82040) | $63 | $90 | 12.7× |
| Allergen specific ige (86003) | $146.30 | $209 | 28.0× |
| Allergen specific igg (86001) | $88.20 | $126 | 11.3× |
| Alpha-1-antitrypsin total (82103) | $185.50 | $265 | 13.8× |
| Alpha-Fetoprotein Serum (82105) | $63.70 | $91 | 3.8× |
| Alt (sgpt) (84460) | $85.40 | $122 | 16.1× |
| Amikacin trough (80150) | $149.80 | $214 | 9.9× |
| Ammonia (82140) | $70.70 | $101 | 4.9× |
| Amylase urine (82150) | $86.80 | $124 | 13.4× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$198.10–$259.70 | $283–$371 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $92.40 | $132 | 5.5× |
| Antibody helicobacter pylori (86677) | $133 | $190 | 7.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $83.30 | $119 | 6.1× |
| Antibody HIV-2 (86702) | $49 | $70 | 3.6× |
| Antibody identification leukocyte antibodies (86021) | $437.50 | $625 | 29.1× |
| Antibody Treponema Pallidum (86780) | $132.30 | $189 | 10.0× |
| Antigen typing (86905) | $298.20 | $426 | 77.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $161 | $230 | 28.1× |
| Antinuclear antibodies (86038) | $254.80 | $364 | 21.1× |
| Antistreptolysin o titer (86060) | $56.70 | $81 | 7.8× |
| Assay Blood Carbon Dioxide (82374) | $58.10 | $83 | 11.9× |
| Assay of blood/uric acid (84550) | $88.20 | $126 | 19.5× |
| Assay of g6pd enzyme (82955) | $52.50 | $75 | 5.4× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$86.80–$91 | $124–$130 | varies |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$74.20–$388.50 | $106–$555 | varies |
| Assay of urea nitrogen (84520) | $74.20 | $106 | 18.8× |
| Assay spec xcp ur&breath ia (82077) | $490 | $700 | 28.4× |
| Automated Leukocyte Count (85048) | $30.10 | $43 | 11.9× |
| Bacterial antigens 87802 (87802) | $79.80 | $114 | 6.3× |
| Beta hydroxybutyrate (82010) | $120.40 | $172 | 14.7× |
| Bilirubin direct (82248) | $107.80 | $154 | 21.5× |
| Bilirubin total (82247) | $74.20 | $106 | 14.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $142.10 | $203 | 0.7× |
| Bleeding time test (85002) | $73.50 | $105 | 15.2× |
| Blood Count Automated Differential Wbc Count (85004) | $98.70 | $141 | 15.3× |
| Blood count reticulocyte automated (85045) | $18.90 | $27 | 4.7× |
| Blood gas (82803) range across 2 matching MRF lines |
$294.70–$366.80 | $421–$524 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $102.90 | $147 | 6.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$52.50–$55.30 | $75–$79 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $298.20 | $426 | 47.0× |
| Blood typing serologic abo (86900) | $197.40 | $282 | 66.0× |
| Body fluid cell count (89050) | $77 | $110 | 16.3× |
| C diff amplified probe (87493) | $472.50 | $675 | 12.7× |
| C-Peptide (84681) | $167.30 | $239 | 8.0× |
| C-reactive protein (86140) | $55.30 | $79 | 10.7× |
| Calcium ionized (82330) | $106.40 | $152 | 7.8× |
| Calcium total (82310) | $74.20 | $106 | 14.4× |
| Cancer Antigen 125 (86304) | $144.90 | $207 | 7.0× |
| Candida Dna Dir Probe (87480) | $137.20 | $196 | 6.8× |
| Carcinoembryonic antigen (82378) | $190.40 | $272 | 10.0× |
| Cell count csf (89051) | $100.80 | $144 | 18.0× |
| Chloride Serum (82435) | $77.70 | $111 | 16.9× |
| Chloride urine (82436) | $53.20 | $76 | 9.3× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$56.70–$59.50 | $81–$85 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$149.80–$245.70 | $214–$351 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $335.30 | $479 | 9.6× |
| Citric acid urine (82507) | $516.60 | $738 | 18.6× |
| Ckmb (82553) | $241.50 | $345 | 20.9× |
| Clostridium Difficile (87324) | $92.40 | $132 | 7.7× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$184.10–$552.30 | $263–$789 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$196–$588 | $280–$840 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$112.70–$623 | $161–$890 | varies |
| Complement/Function Activity (86161) | $106.40 | $152 | 8.9× |
| Coombs direct (86880) | $147 | $210 | 27.3× |
| Cortisol saliva (82533) | $93.10 | $133 | 5.7× |
| Creatine (82540) | $88.20 | $126 | 19.0× |
| Creatine kinase total (82550) | $103.60 | $148 | 15.9× |
| Creatinine blood (82565) | $74.20 | $106 | 14.5× |
| Creatinine clearance (82575) | $97.30 | $139 | 10.3× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$56.70–$75.60 | $81–$108 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$334.60–$1,003.80 | $478–$1,434 | varies |
| Crp High Sensitivity (86141) | $52.50 | $75 | 4.1× |
| Cryptococcal Antigen (87327) | $156.80 | $224 | 11.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$159.60–$478.80 | $228–$684 | varies |
| Culture aerobic quant other (87071) | $130.20 | $186 | 13.2× |
| Culture afb (87116) | $168.70 | $241 | 15.6× |
| Culture Anaerobic (87075) | $174.30 | $249 | 18.4× |
| Culture bacteria anaerobic (87073) | $135.10 | $193 | 14.0× |
| Culture blood (87040) range across 3 matching MRF lines |
$151.20–$302.40 | $216–$432 | varies |
| Culture chlamydia (87110) | $114.80 | $164 | 5.9× |
| Culture csf (87070) range across 6 matching MRF lines |
$43.40–$146.30 | $62–$209 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$108.50–$151.20 | $155–$216 | varies |
| Culture stool (87045) | $116.20 | $166 | 12.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $94.50 | $135 | 18.2× |
| Culture urine (87086) | $358.40 | $512 | 44.4× |
| Cytopath Cell Enhance Tech (88112) | $271.60 | $388 | 4.4× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$160.30–$787.50 | $229–$1,125 | varies |
| Digoxin (80162) | $170.10 | $243 | 12.8× |
| Dna Antibody Native/Double Stranded (86225) | $92.40 | $132 | 6.7× |
| Dna/Rna Amplified Probe (87150) | $165.90 | $237 | 4.7× |
| Drug assay acetaminophen (80143) | $103.60 | $148 | 5.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $103.60 | $148 | 7.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $289.10 | $413 | 21.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$503.30–$679.70 | $719–$971 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $503.30 | $719 | 39.9× |
| Electrolyte panel (80051) | $95.90 | $137 | 13.7× |
| Erythropoietin (82668) | $123.90 | $177 | 6.6× |
| Exam Synovial Fluid Crystals (89060) | $118.30 | $169 | 16.1× |
| Ferritin (82728) | $86.80 | $124 | 6.4× |
| Fibrin Degradation Quant (85379) | $65.10 | $93 | 6.4× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $65.10 | $93 | 6.7× |
| Fibrinogen activity (85384) | $67.20 | $96 | 6.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $161.70 | $231 | 13.4× |
| Folic acid rbc (82747) | $144.90 | $207 | 8.2× |
| Folic Acid Serum (82746) | $137.20 | $196 | 9.3× |
| Follicle Stimulating Hormone (83001) | $107.10 | $153 | 5.8× |
| Gammaglobulin ige (82785) | $184.10 | $263 | 11.2× |
| Gardner vag DNA dir probe (87510) | $137.20 | $196 | 6.8× |
| Gases blood ph only (82800) | $77.70 | $111 | 7.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $553.70 | $791 | 1.3× |
| Gentamicin (80170) | $217.70 | $311 | 13.3× |
| Ggt (82977) | $74.20 | $106 | 10.3× |
| Glucose 2 hr pp (82950) | $94.50 | $135 | 19.9× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$49–$294 | $70–$420 | varies |
| Glucose body fluid (82945) | $56.70 | $81 | 14.4× |
| Glucose Serum (82947) | $79.10 | $113 | 20.1× |
| Glucose tolerance test (gtt) (82951) | $177.80 | $254 | 13.8× |
| Gonadotropin Chorionic Qualitative (84703) | $138.60 | $198 | 18.4× |
| Gtt-added samples (82952) | $180.60 | $258 | 46.1× |
| Haptoglobin (83010) | $85.40 | $122 | 6.8× |
| Hdl Cholesterol (83718) | $82.60 | $118 | 10.1× |
| Hematocrit (85014) | $30.10 | $43 | 12.7× |
| Hemoglobin (85018) | $36.40 | $52 | 15.4× |
| Hemoglobin a1c (83036) | $119 | $170 | 12.3× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $72.80 | $104 | 7.8× |
| Hepatitis a antibody total (86708) | $83.30 | $119 | 6.7× |
| Hepatitis b core ab total (86704) | $83.30 | $119 | 6.9× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$83.30–$175 | $119–$250 | varies |
| Hepatitis B Surface Antigen (87340) | $63 | $90 | 6.1× |
| Hepatitis C Antibody (86803) | $83.30 | $119 | 5.8× |
| Heterophile Antibody Screen (86308) | $74.90 | $107 | 14.5× |
| Hgb Quantitative Transcutaneous (88738) | $28 | $40 | 5.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $34.30 | $49 | 4.4× |
| Histamine urine (83088) | $280 | $400 | 9.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $193.20 | $276 | 8.0× |
| Hiv-1 Antibody (86701) | $49 | $70 | 5.5× |
| HIV-1 p24 antigen (87390) | $49 | $70 | 2.0× |
| Hla-b27 (86812) | $242.20 | $346 | 9.4× |
| Homocysteine (83090) | $149.80 | $214 | 8.4× |
| Hsv Dna Amp Probe (87529) | $264.60 | $378 | 7.5× |
| Iaad ia shiga-like toxin (87427) | $25.20 | $36 | 2.1× |
| Iaadi respiratory synctial virus (87280) | $94.50 | $135 | 7.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $51.80 | $74 | 0.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,007.30 | $1,439 | 28.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $168.70 | $241 | 4.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $335.30 | $479 | 9.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $105 | $150 | 0.7× |
| Immune Complex Assay (86332) | $223.30 | $319 | 9.2× |
| Immunfix e-phorsis/urine/csf (86335) | $211.40 | $302 | 7.2× |
| Influenza a/b ag eia (87400) | $197.40 | $282 | 14.0× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$228.90–$619.50 | $327–$885 | varies |
| Inhibin b (83520) | $261.10 | $373 | 15.1× |
| Iron (83540) range across 2 matching MRF lines |
$65.80–$69.30 | $94–$99 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$193.90–$203.70 | $277–$291 | varies |
| Koh Prep (87220) | $52.50 | $75 | 12.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$65.80–$69.30 | $94–$99 | varies |
| LDL direct (83721) | $81.90 | $117 | 7.8× |
| Lead (83655) | $151.90 | $217 | 12.5× |
| Legionella antigen urine (87449) | $219.10 | $313 | 18.3× |
| Leukocyte Assessment Fecal (89055) | $100.10 | $143 | 23.4× |
| Lipase (83690) range across 2 matching MRF lines |
$97.30–$102.20 | $139–$146 | varies |
| Lithium (80178) | $78.40 | $112 | 11.9× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$62.30–$77.70 | $89–$111 | varies |
| Metabolic panel ionized ca (80047) | $114.80 | $164 | 8.4× |
| Methotrexate (80204) | $191.80 | $274 | 5.0× |
| Methylmalonic acid serum (83921) | $194.60 | $278 | 9.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$207.20–$217.70 | $296–$311 | varies |
| Mumps antibody (86735) | $172.20 | $246 | 13.2× |
| Myoglobin urine (83874) | $104.30 | $149 | 8.1× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$97.30–$252.70 | $139–$361 | varies |
| Occult blood feces (82272) | $35 | $50 | 8.3× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$66.50–$70 | $95–$100 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$66.50–$70 | $95–$100 | varies |
| Ova and parasites smears (87177) | $111.30 | $159 | 12.5× |
| Ph urine (81003) | $65.80 | $94 | 29.2× |
| Phenytoin (Dilantin) (80185) | $144.90 | $207 | 10.9× |
| Phenytoin free (80186) | $107.10 | $153 | 7.8× |
| Phosphatase alkaline (84075) | $74.20 | $106 | 14.3× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$55.30–$110.60 | $79–$158 | varies |
| Platelet count automated (85049) | $49 | $70 | 10.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$56.70–$59.50 | $81–$85 | varies |
| Prealbumin (84134) | $111.30 | $159 | 7.6× |
| Procalcitonin (Pct) (84145) | $242.90 | $347 | 8.9× |
| Prolactin (84146) | $240.10 | $343 | 12.4× |
| Protein body fluid (84157) | $65.80 | $94 | 16.5× |
| Protein Electrophoresis Urine (84166) | $199.50 | $285 | 11.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $46.20 | $66 | 4.3× |
| Protein total serum (84155) | $60.20 | $86 | 16.4× |
| Protein Total Urine (84156) | $65.80 | $94 | 17.9× |
| Pth Intact (83970) | $452.90 | $647 | 11.0× |
| Quantitative assay drug (80299) | $571.90 | $817 | 30.7× |
| Rbc antibody elution (86860) | $309.40 | $442 | 1.5× |
| Rbc antibody identification (86870) | $476 | $680 | 1.1× |
| Rbc antibody screen (86850) | $142.10 | $203 | 14.5× |
| Rbc pretreatment serum (86978) | $269.50 | $385 | 3.9× |
| Reagent Strip/Blood Glucose (82948) | $40.60 | $58 | 8.1× |
| Resp virus 12-25 targets (87633) | $4,874.80 | $6,964 | 11.7× |
| Reticulocyte Count Manual (85044) | $71.40 | $102 | 16.6× |
| Rh (86901) | $98.70 | $141 | 33.0× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$65.10–$88.20 | $93–$126 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$265.30–$1,397.20 | $379–$1,996 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$43.40–$56 | $62–$80 | varies |
| Rsv Assay W/Optic (87807) | $67.90 | $97 | 5.2× |
| Rubella Antibody (86762) | $98 | $140 | 6.8× |
| Salicylate Level (80179) | $48.30 | $69 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$73.50–$107.10 | $105–$153 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $497 | $710 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $105 | $150 | 0.7× |
| Sedimentation rate (85651) | $47.60 | $68 | 11.1× |
| Sedimentation Rate, Automated (85652) | $55.30 | $79 | 20.5× |
| Semen Anal Sperm Detection (89321) | $148.40 | $212 | 12.3× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$200.90–$718.20 | $287–$1,026 | varies |
| Skin test tuberculosis intradermal (86580) | $97.30 | $139 | 2.8× |
| Smear acid fast (87206) | $158.90 | $227 | 29.5× |
| Smear complex stain (87209) | $201.60 | $288 | 11.2× |
| Smear gram stain (87205) | $176.40 | $252 | 41.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $91 | $130 | 15.6× |
| Sodium Serum (84295) | $74.20 | $106 | 15.4× |
| Sodium Urine (84300) | $50.40 | $72 | 10.0× |
| Specific gravity body fluid (84315) | $14 | $20 | 4.3× |
| Specimen infect agnt concntj (87015) | $221.90 | $317 | 33.2× |
| Spectrophotometry (84311) | $208.60 | $298 | 25.8× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$60.90–$177.10 | $87–$253 | varies |
| Strep a assay w/optic (87880) | $158.90 | $227 | 9.6× |
| Strep b DNA amp probe (87653) | $462.70 | $661 | 13.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $78.40 | $112 | 16.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$137.90–$220.50 | $197–$315 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $187.60 | $268 | 4.0× |
| T3 Total (84480) | $131.60 | $188 | 9.3× |
| T4 Free (84439) | $131.60 | $188 | 14.6× |
| T4 total (84436) | $137.20 | $196 | 20.0× |
| Tacrolimus (80197) | $204.40 | $292 | 14.9× |
| Theophylline (80198) | $206.50 | $295 | 14.6× |
| Thyroglobulin Antibody (86800) | $137.90 | $197 | 8.7× |
| Topiramate (80201) | $113.40 | $162 | 9.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $85.40 | $122 | 16.5× |
| Transferrin (84466) | $50.40 | $72 | 3.9× |
| Trichomonas vagin dir probe (87660) | $137.20 | $196 | 6.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$47.60–$77.70 | $68–$111 | varies |
| Troponin Quant (84484) range across 5 matching MRF lines |
$9.10–$257.60 | $13–$368 | varies |
| Urinalysis Microscopic Only (81015) | $45.50 | $65 | 14.9× |
| Urine Bacteria Culture (87088) | $123.90 | $177 | 15.3× |
| Urine Pregnancy Test (81025) | $63.70 | $91 | 7.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $52.50 | $75 | 16.6× |
| Valproic acid (80164) | $385 | $550 | 28.4× |
| Vancomycin (80202) | $195.30 | $279 | 14.4× |
| Viral Culture (87252) | $56.70 | $81 | 2.2× |
| Vitamin b-12 (82607) | $185.50 | $265 | 12.3× |
| Vitamin D 25-Hydroxy (82306) | $326.90 | $467 | 11.0× |
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.