Lab & pathology prices at Pembina County Memorial Hospital

Cavalier, ND · every code in this section with a posted price and a Medicare benchmark.

265 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $80 $80 7.2×
Acth (82024) $290 $290 7.5×
Actin smooth muscle antibody each (86015) $66 $66 5.5×
Acute hepatitis panel (80074) $332 $332 7.0×
Acylcarnitines Quant (82017) $123 $123 7.3×
Albumin serum (82040) $44 $44 8.9×
Aldosterone urine (82088) $313 $313 7.7×
Allergen specific ige (86003) $48 $48 9.2×
Alpha-Fetoprotein Serum (82105) $121 $121 7.2×
Alt (sgpt) (84460) $46 $46 8.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $100 $100 5.9×
Ammonia (82140) $122 $122 8.4×
Amylase urine (82150) $55 $55 8.5×
Ana Titer (86039) $105 $105 9.4×
Antibody aspergillus (86606) $160 $160 10.6×
Antibody Cytomegalovirus Cmv Igm (86645) $113 $113 6.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $118 $118 7.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $118 $118 6.5×
Antibody helicobacter pylori (86677) $122 $122 7.2×
Antibody Herpes Smplx Type 1 (86695) $99 $99 7.5×
Antibody Protozoa Nes (86753) $78 $78 6.3×
Antibody Treponema Pallidum (86780) $94 $94 7.1×
Antinuclear antibodies (86038) $100 $100 8.3×
Antistreptolysin o titer (86060) $116 $116 15.9×
Aspergillus ag eia (87305) $97 $97 8.1×
Assay Nephelometry Not Spec (83883) $209 $209 15.4×
Assay of blood/uric acid (84550) $39 $39 8.6×
Assay of calcium in urine (82340) $52 $52 8.6×
Assay of estrone (82679) $89 $89 3.6×
Assay of g6pd enzyme (82955) $141 $141 14.5×
Assay of gammaglobulin igm (82784) $121 $121 13.0×
Assay of lactic acid (83605) $90 $90 7.8×
Assay of pyruvate (84210) $59 $59 4.1×
Assay of serum potassium (84132) $39 $39 8.2×
Assay of urea nitrogen (84520) $34 $34 8.6×
Assay of vitamin b-1 (84425) $142 $142 6.7×
Assay Ph Body Fluid Nos (83986) $32 $32 8.9×
Assay Phosphohexose Enzymes (84087) $74 $74 6.9×
Babesia microti amp prb (87469) $56 $56 1.6×
Bcr/abl1 gene major bp (81206) $1,171 $1,171 7.1×
Beta Lactamase (87185) $38 $38 8.0×
Beta-2 Microglobulin (82232) $136 $136 8.4×
Bilirubin direct (82248) $44 $44 8.8×
Bilirubin total (82247) $44 $44 8.8×
Bilirubin total transcutaneous (88720) $32 $32 6.4×
Blastomyces antibody (86612) $95 $95 7.4×
Blood count reticulocyte automated (85045) $47 $47 11.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $30 $30 7.9×
Blood gases w/02 saturation (82805) $472 $472 6.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $27 $27 6.2×
Blood typing serologic abo (86900) $52 $52 17.4×
Borrelia miyamotoi amp prb (87478) $56 $56 1.6×
C diff amplified probe (87493) $281 $281 7.5×
C-Peptide (84681) $159 $159 7.6×
C-reactive protein (86140) $45 $45 8.7×
Calcium ionized (82330) $113 $113 8.3×
Calcium total (82310) $45 $45 8.7×
Calprotectin Fecal (83993) $151 $151 7.7×
Cancer Antigen 125 (86304) $172 $172 8.3×
Carcinoembryonic antigen (82378) $142 $142 7.5×
Catecholamines fractionated (82384) $194 $194 7.7×
Ccp antibody (86200) $116 $116 9.0×
Chemiluminescent assay (82397) $111 $111 7.9×
Chloride urine (82436) $44 $44 7.7×
Chorionic gonadotropin test (84702) $125 $125 8.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $281 $281 8.0×
Citric acid urine (82507) $217 $217 7.8×
Ckmb (82553) $97 $97 8.4×
Column Chromotography Quant (82542) $244 $244 10.1×
Compatibility test antiglob (86922) $252 $252 1.4×
Complement Antigen Each Component (86160) $192 $192 16.0×
Coombs direct (86880) $52 $52 9.6×
Copper urine (82525) $151 $151 12.2×
Cortisol saliva (82533) $124 $124 7.6×
Creatine kinase total (82550) $50 $50 7.7×
Creatinine blood (82565) $45 $45 8.8×
Creatinine Urine (82570) $45 $45 8.7×
Crossmatch immediate spin (86920) $252 $252 1.4×
Cryptococcus ag titer (87899) $97 $97 6.0×
Cryptosporidium ag eia (87328) $100 $100 7.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $69 $69 8.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $69 $69 8.5×
Culture Anaerobic (87075) $79 $79 8.3×
Culture blood (87040) $87 $87 8.4×
Culture csf (87070) $72 $72 8.4×
Culture fungus (87102) $71 $71 8.4×
Culture screen only (87081) $48 $48 7.2×
Culture stool (87045) $79 $79 8.4×
Culture urine (87086) $58 $58 7.2×
Cyclosporine (80158) $150 $150 8.3×
Cytomegalovirus igg (86644) $112 $112 7.8×
Cytopath Cell Enhance Tech (88112) $150 $150 2.8×
Detect Agent Nos Dna Amp (87798) $250 $250 7.1×
Dgp Antibody Each Ig Class (86258) $41 $41 3.4×
Dhea (82626) $194 $194 7.7×
Dhea-S (82627) $262 $262 11.8×
Digoxin (80162) $111 $111 8.4×
Dna Antibody Native/Double Stranded (86225) $105 $105 7.6×
Dna/Rna Amplified Probe (87150) $281 $281 8.0×
Dna/Rna Sequencing (87153) $663 $663 5.7×
Drug Assay Infliximab (80230) $532 $532 13.8×
Drug Assay Vedolizumab (80280) $313 $313 8.1×
Drug Test Prsmv Dir Opt Obs (80305) $122 $122 9.7×
Ehrlichia antibody (86666) $79 $79 7.8×
Electrolyte panel (80051) $59 $59 8.4×
Enzyme cell activity (82657) $343 $343 15.5×
Estradiol serum (82670) $229 $229 8.2×
Factor v activity (85220) $145 $145 8.2×
Ferritin (82728) $113 $113 8.3×
Fibrin Degradation Quant (85379) $172 $172 16.9×
Fibrinogen activity (85384) $143 $143 14.7×
Flow cytometry first marker (88184) $238 $238 0.6×
Folic Acid Serum (82746) $123 $123 8.4×
Follicle Stimulating Hormone (83001) $154 $154 8.3×
Fungi Identification Yeast (87106) $87 $87 8.4×
Gammaglobulin ige (82785) $126 $126 7.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,226 $1,226 2.9×
Ggt (82977) $61 $61 8.5×
Giardia antigen (87329) $100 $100 8.3×
Glucose Serum (82947) $34 $34 8.7×
Glutathione (82978) $95 $95 6.1×
Glycated Protein (82985) $101 $101 6.0×
Gonadotropin Chorionic Qualitative (84703) $63 $63 8.4×
H Pylori (C-13) Breath (83013) $476 $476 7.1×
H Pylori Drug Admin (83014) $100 $100 12.7×
Haptoglobin (83010) $104 $104 8.3×
Helicobacter Pylori Stool (87338) $115 $115 8.0×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $515 $515 7.6×
Hematocrit (85014) $20 $20 8.4×
Hemoglobin (85018) $20 $20 8.4×
Hemoglobin a1c (83036) $81 $81 8.3×
Hemoglobin Chromotography (83021) $121 $121 6.7×
Hemoglobin electrophoresis (83020) $87 $87 6.8×
Hemoglobin stability screen (83068) $61 $61 6.4×
Hep a ab igm (86709) $92 $92 8.2×
Hepatitis b core ab igm (86705) $93 $93 7.9×
Hepatitis b core ab total (86704) $93 $93 7.7×
Hepatitis B Surface Antibody (86706) $110 $110 10.2×
Hepatitis B Surface Antigen (87340) $82 $82 7.9×
Hepatitis C Antibody (86803) $142 $142 10.0×
Hepatitis C Revrs Trnscrpj (87522) $343 $343 8.0×
Herpes simplex type 2 (86696) $142 $142 7.3×
Heterophile Antibody Screen (86308) $45 $45 8.7×
Hfe Gene (81256) $461 $461 7.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $193 $193 8.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $539 $539 6.3×
Hla ii typing 1 locus lr (81376) $812 $812 6.6×
Hla-b27 (86812) $181 $181 7.0×
Homocysteine (83090) $130 $130 7.3×
Hpv High-Risk Types (87624) $281 $281 8.0×
Hsv Dna Amp Probe (87529) $281 $281 8.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $67 $67 1.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $56 $56 1.6×
Iadna Candida Species Amplified Probe Tq (87481) $129 $129 3.7×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $56 $56 1.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $281 $281 8.0×
Ig Light Chains Free Each (83521) $220 $220 12.7×
Immunoassay nonantibody (83516) $102 $102 8.8×
Immunohistochemistry (88342) $247 $247 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $120 $120 1.7×
Influenza assay w/optic (87804) $99 $99 6.0×
Inhibin b (83520) $242 $242 14.0×
Insulin total (83525) $97 $97 8.5×
Iron (83540) $55 $55 8.5×
Iron Binding Capacity (83550) $73 $73 8.4×
Lactate (ld) (ldh) enzyme (83615) $52 $52 8.6×
Lead (83655) $93 $93 7.7×
Legionella antigen urine (87449) $95 $95 7.9×
Leukocyte Assessment Fecal (89055) $35 $35 8.2×
Level ii surg pathology gross&microscopic exam (88302) $109 $109 2.9×
Lipase (83690) $57 $57 8.3×
Lithium (80178) $56 $56 8.5×
Luteinizing Hormone (Lh) (83002) $154 $154 8.3×
Lyme disease antibody (86618) $120 $120 7.0×
Magnesium Urine (83735) $56 $56 8.4×
Methylmalonic acid serum (83921) $128 $128 6.0×
Microsomal Antibodies Each (86376) $112 $112 7.7×
Mitochondrial Antibody Each (86381) $96 $96 3.8×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$131–$290 $131–$290 varies
Mumps antibody (86735) $109 $109 8.4×
Muscle-Specific Kinase Antb (86366) $1,775 $1,775 96.5×
Myoglobin urine (83874) $109 $109 8.4×
Natriuretic peptide (83880) $277 $277 7.1×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $496 $496 3.5×
Nuclear antigen antibody (86235) $150 $150 8.4×
Osmolality serum (83930) $56 $56 8.5×
Osmolality Urine (83935) $57 $57 8.4×
Oxalate urine (83945) $107 $107 7.4×
Ph urine (81003) $21 $21 9.3×
Phosphorus Serum (84100) $42 $42 8.9×
Phosphorus urine (84105) $45 $45 7.8×
Platelet count automated (85049) $38 $38 8.5×
Potassium Urine (84133) $35 $35 7.4×
Procalcitonin (Pct) (84145) $179 $179 6.6×
Progesterone (84144) $172 $172 8.2×
Prolactin (84146) $160 $160 8.3×
Protein Electrophoresis Urine (84166) $149 $149 8.4×
Protein total serum (84155) $47 $47 12.8×
Protein Total Urine (84156) $32 $32 8.7×
Pth Intact (83970) $340 $340 8.2×
Pyruvate kinase (84220) $68 $68 7.2×
Quantiferon tb gold plus (86480) $412 $412 6.6×
Quantitative assay drug (80299) $151 $151 8.1×
Rbc antibody screen (86850) $121 $121 12.4×
Reagent Strip/Blood Glucose (82948) $31 $31 6.2×
Renin activity plasma (84244) $168 $168 7.6×
Rh (86901) $52 $52 17.4×
Rheumatoid Factor Qualitative (86430) $45 $45 7.3×
Rheumatoid factor quant (86431) $42.63 $42.63 7.5×
Rpr qualitative (86592) $35 $35 8.2×
Rsv Assay W/Optic (87807) $97 $97 7.4×
Rubella Antibody (86762) $151 $151 10.5×
Rubeola antibody (86765) $79 $79 6.1×
Sedimentation rate (85651) $30 $30 7.0×
Selenium (84255) $187 $187 7.3×
Semen Anal Sperm Detection (89321) $100 $100 8.3×
Sensitivity mic (87186) $70 $70 8.1×
Sex Hormone Binding Globulin (84270) $154 $154 7.1×
Smear gram stain (87205) $35 $35 8.2×
Smr Prim Src Wet Mount Nfct Agt (87210) $35 $35 6.0×
Sodium Urine (84300) $42 $42 8.3×
Somatomedin (84305) $163 $163 7.7×
Special Stains Group 1 (88312) $271 $271 5.1×
Stool cultr aerobic bact ea (87046) $79 $79 8.4×
Strep a DNA amp probe (87651) $131 $131 3.7×
Sulfate urine (84392) $169 $169 30.8×
Surg path level iii (88304) $144 $144 2.7×
Surgical pathology level IV (88305) $246 $246 4.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $42 $42 8.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $360 $360 7.7×
T cells total count (86359) $289 $289 7.7×
T3 Free (84481) $140 $140 8.3×
T3 reverse (84482) $121 $121 7.7×
T4 Free (84439) $69 $69 7.6×
T4 total (84436) $97 $97 14.1×
Tacrolimus (80197) $108 $108 7.9×
Tau phosphorylated each (84393) $1,300 $1,300 10.1×
Testosterone total (84403) $199 $199 7.7×
Testosterone, Free (84402) $195 $195 7.7×
Thiopurine methyltransferase (84433) $359 $359 16.2×
Thyroglobulin (84432) $168 $168 10.5×
Thyroglobulin Antibody (86800) $128 $128 8.0×
Thyroid Stimulating Immunoglobulin (84445) $217 $217 4.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $96 $96 8.3×
Transferase Aspartate Amino Ast Sgot (84450) $45 $45 8.7×
Transferrin (84466) $107 $107 8.4×
Trichomonas Vaginalis Amplif (87661) $129 $129 3.7×
Triglycerides (84478) $48 $48 8.4×
Troponin Quant (84484) $75 $75 6.0×
Urea nitrogen urine (84540) $169 $169 30.4×
Uric acid other source (84560) $42 $42 8.3×
Urine Albumin Semiquantitative (82044) $39 $39 6.3×
Urine Bacteria Culture (87088) $54 $54 6.7×
Urine Pregnancy Test (81025) $54 $54 6.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $28 $28 8.8×
Valproic acid (80164) $113 $113 8.3×
Varicella-zoster antibody (86787) $103 $103 8.0×
Vitamin A (84590) $91 $91 7.8×
Vitamin b-12 (82607) $125 $125 8.3×
Vitamin B6 (84207) $216 $216 7.7×
Vitamin c (82180) $89 $89 9.0×
Vitamin D 25-Hydroxy (82306) $257 $257 8.7×
Vitamin E (84446) $117 $117 8.3×
Vitamin K (84597) $100 $100 7.3×
Zinc (84630) $137 $137 12.0×

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.