Lab & pathology prices at Niobrara Valley Hospital
Lynch, NE · every code in this section with a posted price and a Medicare benchmark.
258 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $136.50 | $136.50 | 3.5× |
| Acetaminophen level (80143) | $325.50 | $325.50 | 17.5× |
| Afb culture (87116) | $215.50 | $215.50 | 20.0× |
| Albumin serum (82040) | $79 | $79 | 16.0× |
| Aldosterone urine (82088) | $289 | $289 | 7.1× |
| Alpha-fetoprotein, serum (82105) | $166 | $166 | 9.9× |
| Alt (sgpt) (84460) | $110.50 | $110.50 | 20.8× |
| Ammonia (82140) | $212 | $212 | 14.6× |
| Amylase urine (82150) | $127.50 | $127.50 | 19.7× |
| Angiotensin i enzyme test (82164) | $240.50 | $240.50 | 16.5× |
| Antibody aspergillus (86606) | $58.50 | $58.50 | 3.9× |
| Antibody cytomegalovirus cmv (86644) | $119.50 | $119.50 | 8.3× |
| Antibody cytomegalovirus cmv igm (86645) | $163 | $163 | 9.7× |
| Antibody rubeola (86765) | $31.50 | $31.50 | 2.4× |
| Antibody screen (86850) | $173.50 | $173.50 | 17.8× |
| Antibody; Coccidioides (86635) | $58.50 | $58.50 | 5.1× |
| Antinuclear antibodies (86038) | $150 | $150 | 12.4× |
| Aspergillus ag eia (87305) | $279.50 | $279.50 | 23.3× |
| Assay of acth (82024) | $482 | $482 | 12.5× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $166 | $166 | 9.6× |
| Assay of blood chloride (82435) | $74.50 | $74.50 | 16.2× |
| Assay of calcitonin (82308) | $461 | $461 | 17.2× |
| Assay of ceruloplasmin (82390) | $169 | $169 | 15.7× |
| Assay of ferritin (82728) | $129.75 | $129.75 | 9.5× |
| Assay of gammaglobulin igm (82784) | $12.50 | $12.50 | 1.3× |
| Assay of gentamicin (80170) | $159.50 | $159.50 | 9.7× |
| Assay of homocystine (83090) | $63 | $63 | 3.5× |
| Assay of metanephrines (83835) | $251 | $251 | 14.8× |
| Assay of parathormone (83970) | $420 | $420 | 10.2× |
| Assay of phenobarbital (80184) | $199.50 | $199.50 | 13.0× |
| Assay of prealbumin (84134) | $179.50 | $179.50 | 12.3× |
| Assay of somatomedin (84305) | $48 | $48 | 2.3× |
| Assay of tacrolimus (80197) | $461 | $461 | 33.6× |
| Ast (sgot) (84450) | $94.50 | $94.50 | 18.2× |
| Beta hydroxybutyrate (82010) | $63 | $63 | 7.7× |
| Bile acids, total (82239) | $58 | $58 | 3.4× |
| Bilirubin direct (82248) | $64 | $64 | 12.7× |
| Bilirubin total (82247) | $57 | $57 | 11.4× |
| Bl Smear W/Diff Wbc Count (85007) | $74.50 | $74.50 | 19.6× |
| Blastomyces antibody (86612) | $58.50 | $58.50 | 4.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33.75 | $33.75 | 7.7× |
| Blood typing abo (86900) | $109 | $109 | 36.5× |
| Blood typing serologic rh (d) (86901) | $108 | $108 | 36.1× |
| C diff amplified probe (87493) | $299.50 | $299.50 | 8.0× |
| C-reactive protein (86140) | $131.50 | $131.50 | 25.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $200 | $200 | 15.4× |
| Ca 19-9 (86301) | $291 | $291 | 14.0× |
| Ca 27 29 (86300) | $94.50 | $94.50 | 4.5× |
| Calcium ionized (82330) | $189 | $189 | 13.8× |
| Calcium total (82310) | $84 | $84 | 16.3× |
| Calcium urine (82340) | $51.25 | $51.25 | 8.5× |
| Calprotectin, fecal (83993) | $98 | $98 | 5.0× |
| Calr gene com variants (81219) | $655 | $655 | 5.4× |
| Carbamazepine (tegretol) total (80156) | $180.50 | $180.50 | 12.4× |
| Carbon dioxide (82374) | $115.50 | $115.50 | 23.7× |
| Carboxyhemoglobin Quantitative (82375) | $199.50 | $199.50 | 16.2× |
| Carcinoembryonic antigen (82378) | $241.50 | $241.50 | 12.7× |
| Catecholamines fraction plasma (82384) | $396 | $396 | 15.7× |
| Chemiluminescent assay (82397) | $69.50 | $69.50 | 4.9× |
| Chloride urine (82436) | $79 | $79 | 13.7× |
| Chromogenic substrate assay (85130) | $617.50 | $617.50 | 51.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $230 | $230 | 6.6× |
| Ckmb (82553) | $206 | $206 | 17.8× |
| Compatibility test antiglob (86922) | $322.50 | $322.50 | 1.8× |
| Copper urine (82525) | $325.50 | $325.50 | 26.2× |
| Cortisol total (82533) | $160.50 | $160.50 | 9.8× |
| Creatine kinase total (82550) | $121 | $121 | 18.6× |
| Creatinine blood (82565) | $74.50 | $74.50 | 14.6× |
| Creatinine clearance (82575) | $135.50 | $135.50 | 14.3× |
| Creatinine other source (82570) | $79 | $79 | 15.3× |
| Crossmatch immediate spin (86920) | $260.25 | $260.25 | 1.5× |
| Culture Aerobic Identify (87077) | $104 | $104 | 12.9× |
| Culture anaerobic (87075) | $189 | $189 | 20.0× |
| Culture blood (87040) | $289 | $289 | 28.0× |
| Culture fungus id yeast (87106) | $187 | $187 | 18.1× |
| Culture genital (87070) | $184 | $184 | 21.3× |
| Culture screen only (87081) | $104 | $104 | 15.7× |
| Culture stool (87045) | $105 | $105 | 11.1× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $860 | $860 | 3.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $103 | $103 | 19.9× |
| Culture urine (87086) | $119.50 | $119.50 | 14.8× |
| Cystatin c (82610) | $58 | $58 | 3.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $643.50 | $643.50 | 15.0× |
| Cytopath cell enhance tech (88112) | $299.50 | $299.50 | 5.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $69.50 | $69.50 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $472.50 | $472.50 | 8.7× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $63 | $63 | 3.4× |
| D-Dimer (85379) | $231 | $231 | 22.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $107.25 | $107.25 | 6.5× |
| Dhea (82626) | $518.50 | $518.50 | 20.5× |
| Dhea sulfate (82627) | $257.50 | $257.50 | 11.6× |
| Digoxin (80162) | $206 | $206 | 15.5× |
| Dilantin (80185) | $168 | $168 | 12.7× |
| DNA/RNA direct probe (87149) | $820 | $820 | 40.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $35 | $35 | 2.6× |
| Drug Scrn Quan Levetiracetam (80177) | $252 | $252 | 19.0× |
| Drug scrn quant oxcarbazepin (80183) | $215.50 | $215.50 | 16.3× |
| Drug test prsmv chem anlyzr (80307) | $200 | $200 | 3.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $299.50 | $299.50 | 23.8× |
| Ebv viral capsid (86665) | $189 | $189 | 10.4× |
| Electrolyte panel (80051) | $176.50 | $176.50 | 25.2× |
| Endomysial antibody iga (86255) | $12.50 | $12.50 | 1.0× |
| Eosinophil count (85048) | $73.50 | $73.50 | 28.9× |
| Estradiol (82670) | $359 | $359 | 12.8× |
| Estrogens total (82672) | $339 | $339 | 15.6× |
| F5 gene (81241) | $478 | $478 | 6.5× |
| Factor v activity (85220) | $480 | $480 | 27.2× |
| Fecal fat qual (82705) | $114.50 | $114.50 | 22.5× |
| Folate serum (82746) | $168 | $168 | 11.4× |
| Follicle Stimulating Hormone (83001) | $173.50 | $173.50 | 9.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $166 | $166 | 16.1× |
| Ggt (82977) | $79 | $79 | 11.0× |
| Giardia antigen eia stool (87329) | $180.50 | $180.50 | 15.1× |
| Glucose (82947) | $73.50 | $73.50 | 18.7× |
| Glucose Blood Test (82962) | $36.75 | $36.75 | 11.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $53.50 | $53.50 | 13.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $185 | $185 | 14.4× |
| Hcg qualitative (84703) | $163 | $163 | 21.7× |
| Hcg quant (84702) | $139.50 | $139.50 | 9.3× |
| Hematocrit spun (85013) | $42 | $42 | 6.0× |
| Hemoglobin (85018) | $54 | $54 | 22.8× |
| Hemoglobin a1c (83036) | $121 | $121 | 12.5× |
| Heparin assay (85520) | $273 | $273 | 20.9× |
| Hepatitis a igm (86709) | $131.50 | $131.50 | 11.7× |
| Hepatitis b core ab igm (86705) | $241.50 | $241.50 | 20.5× |
| Hepatitis b core antibody total (86704) | $224.50 | $224.50 | 18.6× |
| Hepatitis B Surface Ab (86706) | $150 | $150 | 14.0× |
| Hepatitis B Surface Antigen (87340) | $124 | $124 | 12.0× |
| Hepatitis c antibody (86803) | $217.50 | $217.50 | 15.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $95.50 | $95.50 | 18.4× |
| Hfe gene (81256) | $129 | $129 | 2.0× |
| Histamine plasma (83088) | $159.50 | $159.50 | 5.4× |
| Histoplasma antibody (86698) | $58.50 | $58.50 | 4.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $489.50 | $489.50 | 7.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $108 | $108 | 3.1× |
| Hydroxyprogesterone 17-d (83498) | $336 | $336 | 12.4× |
| Iaad ia cryptosporidium (87328) | $192 | $192 | 13.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $145 | $145 | 6.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $254 | $254 | 17.7× |
| Iaad ia rotavirus (87425) | $184 | $184 | 15.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $77 | $77 | 2.2× |
| Iaadiadoo not otherwise specified (87899) | $157.50 | $157.50 | 9.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $139.50 | $139.50 | 2.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $184 | $184 | 4.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $352 | $352 | 5.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $230 | $230 | 6.6× |
| Iadna nos amplified probe tq each organism (87798) | $79 | $79 | 2.3× |
| Iadna nos quantification each organism (87799) | $195.50 | $195.50 | 4.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $553.50 | $553.50 | 1.3× |
| Immunoassay nonantibody (83516) | $12.50 | $12.50 | 1.1× |
| Immunofixj Electrophoresis Serum (86334) | $305.50 | $305.50 | 13.7× |
| Immunohistochemistry (88342) | $436 | $436 | 2.5× |
| Inhibin b (83520) | $353.75 | $353.75 | 20.5× |
| Insulin total (83525) | $176.50 | $176.50 | 15.4× |
| Iron (83540) | $89.50 | $89.50 | 13.8× |
| Iron binding capacity (83550) | $75 | $75 | 8.6× |
| Islet cell antibody (86341) | $303 | $303 | 12.9× |
| Jak2 gene analysis (81270) | $504 | $504 | 5.5× |
| Koh Prep (87220) | $52.50 | $52.50 | 12.3× |
| Lactic acid (83605) | $178.50 | $178.50 | 15.4× |
| Ldh (83615) | $94.50 | $94.50 | 15.6× |
| Lead (83655) | $147 | $147 | 12.1× |
| Legionella antigen urine (87449) | $380 | $380 | 31.7× |
| Lh (83002) | $274 | $274 | 14.8× |
| Lipase (83690) | $135 | $135 | 19.6× |
| Lithium (80178) | $67 | $67 | 10.1× |
| Lyme disease antibody (86618) | $164 | $164 | 9.6× |
| Lyme disease antibody confirm (86617) | $224.50 | $224.50 | 14.5× |
| Magnesium (83735) | $115.50 | $115.50 | 17.2× |
| Methotrexate (80299) | $188 | $188 | 10.1× |
| Methylmalonic acid serum (83921) | $70 | $70 | 3.3× |
| Microalbumin urine (82043) | $157.50 | $157.50 | 27.2× |
| Microbe susceptible diffuse (87181) | $56.50 | $56.50 | 11.9× |
| Microsomal antibodies (86376) | $216 | $216 | 14.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $588 | $588 | 3.2× |
| Mrsa amp probe (87641) | $146 | $146 | 4.2× |
| Mycophenolic acid (80180) | $184 | $184 | 10.2× |
| Mycoplasma antibody (86738) | $161.50 | $161.50 | 12.2× |
| Myoglobin urine (83874) | $291 | $291 | 22.5× |
| Natriuretic peptide (83880) | $312 | $312 | 7.9× |
| Nuclear antigen antibody (86235) | $138 | $138 | 7.7× |
| Occult blood stool (82272) | $31.75 | $31.75 | 7.5× |
| Osmolality serum (83930) | $189 | $189 | 28.6× |
| Osmolality urine (83935) | $32 | $32 | 4.7× |
| Ova and parasite direct-id lca (87177) | $136.50 | $136.50 | 15.3× |
| Pancreatic elastase fecal (82656) | $391.50 | $391.50 | 34.0× |
| Pancreatic polypeptide (83519) | $249.25 | $249.25 | 13.5× |
| Pca3/klk3 antigen (81313) | $1,270 | $1,270 | 5.0× |
| Phosphatase alkaline (84075) | $80 | $80 | 15.4× |
| Phosphorus blood (84100) | $74.50 | $74.50 | 15.7× |
| Platelet count (85049) | $68.50 | $68.50 | 15.3× |
| Potassium (84132) | $89.50 | $89.50 | 18.8× |
| Primidone (80188) | $116.50 | $116.50 | 7.0× |
| Procalcitonin (pct) (84145) | $299.50 | $299.50 | 11.0× |
| Progesterone (84144) | $258.50 | $258.50 | 12.4× |
| Prolactin (84146) | $189.50 | $189.50 | 9.8× |
| Protein electrophoresis serum (84165) | $208 | $208 | 19.4× |
| Protein Electrophoresis Urine (84166) | $140.50 | $140.50 | 7.9× |
| Protein Total Serum (84155) | $74.50 | $74.50 | 20.3× |
| Protein urine (84156) | $83 | $83 | 22.6× |
| Quantiferon tb gold (86480) | $254 | $254 | 4.1× |
| Renin activity plasma (84244) | $168 | $168 | 7.6× |
| Resp virus 3-5 targets (87631) | $426.50 | $426.50 | 3.0× |
| Reticulocyte Count (85046) | $53 | $53 | 9.5× |
| Rheumatoid Factor Qual (86430) | $72.50 | $72.50 | 11.8× |
| Rheumatoid factor quant (86431) | $45 | $45 | 7.9× |
| Rickettsia antibody (86757) | $143 | $143 | 7.4× |
| Rsv (87807) | $146 | $146 | 11.1× |
| Rubella antibody (86762) | $75.50 | $75.50 | 5.2× |
| Salicylate (80179) | $325.50 | $325.50 | 17.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $218.50 | $218.50 | 4.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $144 | $144 | 3.4× |
| Sedimentation rate (85651) | $68.50 | $68.50 | 16.0× |
| Sensitivity mic (87186) | $145 | $145 | 16.8× |
| Sex hormone binding globulin (84270) | $51.06 | $51.06 | 2.3× |
| Smear acid fast (87206) | $100 | $100 | 18.6× |
| Smear complex stain (87209) | $125 | $125 | 7.0× |
| Smear gram stain (87205) | $77.50 | $77.50 | 18.1× |
| Sodium (84295) | $74.50 | $74.50 | 15.5× |
| Sodium urine (84300) | $79 | $79 | 15.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $73.50 | $73.50 | 7.8× |
| Strep a assay w/optic (87880) | $103 | $103 | 6.2× |
| Surgical pathology level IV (88305) | $304.50 | $304.50 | 5.6× |
| Susceptibility study antimicrobial disk method (87184) | $227 | $227 | 30.3× |
| T3 free (84481) | $284.50 | $284.50 | 16.8× |
| T3 reverse (84482) | $306.50 | $306.50 | 19.4× |
| T3 total (84480) | $244.50 | $244.50 | 17.2× |
| T4 Free (84439) | $147 | $147 | 16.3× |
| T4 total (84436) | $137 | $137 | 19.9× |
| Tb ag response t-cell susp (86481) | $236.50 | $236.50 | 2.4× |
| Tb intradermal test (86580) | $46 | $46 | 1.5× |
| Testosterone bioavailable (84410) | $20 | $20 | 0.4× |
| Testosterone free (84402) | $97 | $97 | 3.8× |
| Testosterone total (84403) | $204.25 | $204.25 | 7.9× |
| Thyroglobulin Ab (86800) | $228 | $228 | 14.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $745.50 | $745.50 | 14.7× |
| Troponin (84484) | $273 | $273 | 21.9× |
| Urea nitrogen (84520) | $79 | $79 | 20.0× |
| Uric acid blood (84550) | $84 | $84 | 18.6× |
| Uric acid other source (84560) | $100 | $100 | 19.7× |
| Urinalysis microscopic only (81015) | $35 | $35 | 11.5× |
| Urinalysis w/microscopic (81001) | $89.50 | $89.50 | 28.2× |
| Urine microalbumin (protein) analysis (82044) | $110.50 | $110.50 | 17.7× |
| Urine pregnancy test (81025) | $28.50 | $28.50 | 3.3× |
| Urine volume measurement (81050) | $32.50 | $32.50 | 8.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $63 | $63 | 28.0× |
| Valproic acid level (80164) | $176.50 | $176.50 | 13.0× |
| Vancomycin trough (80202) | $205 | $205 | 15.1× |
| Varicella-zoster antibody (86787) | $50.50 | $50.50 | 3.9× |
| Vdrl csf (86592) | $68.50 | $68.50 | 16.0× |
| Vitamin b-12 (82607) | $41 | $41 | 2.7× |
| Vitamin b1 (thiamine) (84425) | $50 | $50 | 2.4× |
| Vitamin b6 (84207) | $249 | $249 | 8.9× |
| Vitamin D 25-Hydroxy (82306) | $105 | $105 | 3.5× |
| Vitamin e serum (84446) | $149 | $149 | 10.5× |
| West nile virus ab, igm (86788) | $79 | $79 | 4.7× |
| West nile virus antibody (86789) | $77.50 | $77.50 | 5.4× |
| Zinc (84630) | $173.50 | $173.50 | 15.2× |