Lab & pathology prices at Plains Memorial Hospital
Dimmitt, TX · every code in this section with a posted price and a Medicare benchmark.
304 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) | $154 | $205 | 4.0× |
| Acute hepatitis panel (80074) | $229 | $305 | 4.8× |
| Afb culture (87116) | $55 | $73 | 5.1× |
| Albumin serum (82040) | $24 | $32 | 4.8× |
| Aldolase (82085) | $47 | $62 | 4.8× |
| Aldosterone urine (82088) | $195 | $260 | 4.8× |
| Alpha-1-antitrypsin, total (82103) | $65 | $87 | 4.8× |
| Alpha-Fetoprotein L3 (82107) | $249 | $332 | 3.9× |
| Alpha-fetoprotein, serum (82105) | $82 | $109 | 4.9× |
| Alt (sgpt) (84460) | $26 | $35 | 4.9× |
| Ammonia (82140) | $71 | $95 | 4.9× |
| Amylase urine (82150) | $32 | $42 | 4.9× |
| Antibody helicobacter pylori (86677) | $39 | $52 | 2.3× |
| Antibody herpes smplx type 1 (86695) | $63 | $84 | 4.8× |
| Antibody identification (86870) | $141 | $188 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $88 | $117 | 5.8× |
| Antibody mumps (86735) | $62 | $83 | 4.8× |
| Antibody rubeola (86765) | $88 | $117 | 6.8× |
| Antibody screen (86850) | $99 | $132 | 10.1× |
| Antibody treponema pallidum (86780) | $41 | $54 | 3.1× |
| Antigen typing (86905) | $159 | $212 | 41.5× |
| Antinuclear antibodies (86038) | $57.50 | $76.50 | 4.8× |
| Apolipoprotein b (82172) | $62 | $82 | 2.9× |
| Assay myeloperoxidase (83876) | $163 | $217 | 3.2× |
| Assay Nephelometry Not Spec (83883) | $63 | $84 | 4.6× |
| Assay of acth (82024) | $195 | $260 | 5.0× |
| Assay of blood chloride (82435) | $23 | $30 | 5.0× |
| Assay of c-peptide (84681) | $100 | $133 | 4.8× |
| Assay of ceruloplasmin (82390) | $54 | $72 | 5.0× |
| Assay of cyclosporine (80158) | $91 | $121 | 5.0× |
| Assay of erythropoietin (82668) | $90 | $120 | 4.8× |
| Assay of ethosuximide (80168) | $78 | $104 | 4.8× |
| Assay of ferritin (82728) | $67 | $89 | 4.9× |
| Assay of gammaglobulin igm (82784) | $45 | $60 | 4.8× |
| Assay of gentamicin (80170) | $79 | $105 | 4.8× |
| Assay of homocystine (83090) | $78 | $104 | 4.4× |
| Assay of homovanillic acid (83150) | $84 | $112 | 3.7× |
| Assay of lipoprotein(a) (83695) | $62 | $83 | 4.3× |
| Assay of metanephrines (83835) | $86 | $114 | 5.1× |
| Assay of parathormone (83970) | $165 | $220 | 4.0× |
| Assay of phenobarbital (80184) | $56 | $74 | 3.7× |
| Assay of prealbumin (84134) | $44 | $58 | 3.0× |
| Assay of tacrolimus (80197) | $68 | $90 | 5.0× |
| Assay of urine vma (84585) | $74 | $99 | 4.8× |
| Assay of vitamin k (84597) | $147 | $196 | 10.7× |
| Assay Ph Body Fluid Nos (83986) | $35 | $46.50 | 9.8× |
| Ast (sgot) (84450) | $26 | $34 | 5.0× |
| Beta-2 microglobulin (82232) | $78 | $104 | 4.8× |
| Bilirubin direct (82248) | $26 | $34 | 5.2× |
| Bilirubin total (82247) | $26 | $34 | 5.2× |
| Bl Smear W/Diff Wbc Count (85007) | $17 | $22 | 4.5× |
| Blood count reticulocyte automated (85045) | $21 | $28 | 5.3× |
| Blood gases (82803) | $101 | $134 | 3.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $77 | $103 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $17 | $23 | 3.9× |
| Blood typing abo (86900) | $44 | $58 | 14.7× |
| Blood typing serologic rh (d) (86901) | $58 | $77 | 19.4× |
| Body fluid cell count (89051) | $28 | $37 | 5.0× |
| Breath Alcohol Test (82075) | $39 | $52 | 1.3× |
| C diff amplified probe (87493) | $176 | $234 | 4.7× |
| C-reactive protein (86140) | $26 | $34 | 5.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $63 | $84 | 4.9× |
| Ca 125 (86304) | $101 | $135 | 4.9× |
| Ca 19-9 (86301) | $100 | $133 | 4.8× |
| Calcium ionized (82330) | $26 | $34 | 1.9× |
| Calcium total (82310) | $24 | $32 | 4.7× |
| Calcium urine (82340) | $29 | $39 | 4.8× |
| Calprotectin, fecal (83993) | $165 | $220 | 8.4× |
| Carbamazepine (tegretol) total (80156) | $71 | $95 | 4.9× |
| Carbon dioxide (82374) | $24 | $32 | 4.9× |
| Carboxyhemoglobin Quantitative (82375) | $23 | $31 | 1.9× |
| Carcinoembryonic antigen (82378) | $92 | $123 | 4.9× |
| Catecholamines fraction plasma (82384) | $121 | $161 | 4.8× |
| Catecholamines Total Urine (82382) | $80 | $106 | 2.9× |
| Chloride urine (82436) | $44 | $59 | 7.7× |
| Cholesterol total (82465) | $21 | $28 | 4.8× |
| Chromium urine (82495) | $117 | $156 | 5.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $168 | $224 | 4.8× |
| Ckmb (82553) | $30 | $40 | 2.6× |
| Collagen cross links (82523) | $236 | $314 | 12.6× |
| Compatibility test antiglob (86922) | $234 | $312 | 1.4× |
| Complement c3 (86160) | $58 | $77 | 4.8× |
| Complement total ch50 (86162) | $87 | $116 | 4.3× |
| Coombs direct (86880) | $26 | $34 | 4.8× |
| Coombs Test Indirect Qual (86885) | $62.50 | $83.50 | 10.9× |
| Cortisol free (82530) | $80 | $107 | 4.8× |
| Cortisol total (82533) | $77 | $102 | 4.7× |
| Creatine kinase total (82550) | $32 | $42 | 4.9× |
| Creatinine blood (82565) | $25 | $33 | 4.9× |
| Creatinine clearance (82575) | $48 | $64 | 5.1× |
| Creatinine other source (82570) | $25 | $33 | 4.8× |
| Crossmatch immediate spin (86920) | $305 | $407 | 1.8× |
| Cryoglobulin (82595) | $38 | $50 | 5.9× |
| Culture Aerobic Identify (87077) | $41 | $54 | 5.1× |
| Culture anaerobic (87075) | $44 | $59 | 4.6× |
| Culture blood (87040) | $50 | $66 | 4.8× |
| Culture fungus other (87102) | $42 | $56 | 5.0× |
| Culture genital (87070) | $45 | $60 | 5.2× |
| Culture screen only (87081) | $35 | $46 | 5.3× |
| Culture stool (87045) | $47 | $63 | 5.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $88 | $117 | 17.0× |
| Culture urine (87086) | $39 | $52 | 4.8× |
| Cyclic Citrullinated Peptide (86200) | $141 | $188 | 10.9× |
| Cyp2c19 gene com variants (81225) | $512 | $682 | 1.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $268 | $357 | 6.3× |
| D-Dimer (85379) | $23 | $31 | 2.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $61 | $81 | 3.7× |
| Dhea sulfate (82627) | $104 | $138 | 4.7× |
| Digoxin (80162) | $64 | $85 | 4.8× |
| Dilantin (80185) | $65 | $86 | 4.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $234 | $312 | 17.0× |
| Dna/Rna Amplified Probe (87150) | $53 | $70 | 1.5× |
| Drug screen quant zonisamide (80203) | $167 | $223 | 12.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $80 | $107 | 6.0× |
| Drug Scrn Quan Levetiracetam (80177) | $92 | $122 | 6.9× |
| Drug scrn quant oxcarbazepin (80183) | $80 | $107 | 6.0× |
| Drug test prsmv chem anlyzr (80307) | $188 | $251 | 3.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $39 | $52 | 3.1× |
| Ebv viral capsid (86665) | $84 | $112 | 4.6× |
| Electrolyte panel (80051) | $37 | $49 | 5.3× |
| Electronic crossmatch (86923) | $305 | $407 | 1.8× |
| Enterovirus Pcr (87498) | $258 | $344 | 7.4× |
| Eosinophil count (85048) | $13 | $17 | 5.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $71 | $95 | 4.6× |
| Estradiol (82670) | $137 | $182 | 4.9× |
| Estriol (82677) | $118 | $157 | 4.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $35 | $46 | 4.8× |
| Fecal fat qual (82705) | $32 | $43 | 6.3× |
| Fibrin degradation products (85362) | $347 | $463 | 50.4× |
| Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) | $63 | $84 | 6.2× |
| Folate serum (82746) | $77 | $102 | 5.2× |
| Follicle Stimulating Hormone (83001) | $89 | $119 | 4.8× |
| Fresh frozen plasma thawing each unit (86927) | $19 | $25 | 0.1× |
| Gammaglobulin ige (82785) | $77 | $102 | 4.7× |
| Gastric Occult Blood (82271) | $15 | $20 | 2.8× |
| Ggt (82977) | $35 | $46 | 4.9× |
| Glucose (82947) | $20 | $26 | 5.1× |
| Glucose Blood Test (82962) | $11 | $15 | 3.4× |
| Glucose body fluid (82945) | $20 | $27 | 5.1× |
| Glucose post dose (82950) | $23 | $31 | 4.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $19 | $25 | 4.8× |
| Haptoglobin (83010) | $51 | $68 | 4.1× |
| Hcg quant (84702) | $42 | $55.50 | 2.8× |
| Hdl Cholesterol (83718) | $40 | $53 | 4.9× |
| Heavy metal quant each (83018) | $176 | $234 | 8.0× |
| Hematocrit (85014) | $11 | $15 | 4.6× |
| Hemoglobin (85018) | $11 | $15 | 4.6× |
| Hemoglobin a1c (83036) | $39.50 | $52.50 | 4.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $16 | $21 | 2.0× |
| Hepatitis a antibody total (86708) | $79 | $105 | 6.4× |
| Hepatitis a igm (86709) | $59 | $78 | 5.2× |
| Hepatitis b core antibody total (86704) | $77 | $103 | 6.4× |
| Hepatitis B Surface Ab (86706) | $56 | $74 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $50 | $66 | 4.8× |
| Hepatitis be antibody (86707) | $47 | $63 | 4.1× |
| Hepatitis Be Antigen (87350) | $47 | $63 | 4.1× |
| Hepatitis c antibody (86803) | $74 | $99 | 5.2× |
| Hepatitis C Genotype (87902) | $440 | $586 | 1.7× |
| Herpes culture (87252) | $267 | $356 | 10.2× |
| Herpes simplex type 2 (86696) | $36 | $48 | 1.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $26 | $34 | 5.0× |
| Hla-b27 (86812) | $124 | $165 | 4.8× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $261 | $348 | 3.9× |
| Hpylori Drug Administration (83014) | $40 | $53 | 5.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $168 | $224 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $130 | $173 | 4.8× |
| Iaad ia cryptosporidium (87328) | $62 | $83 | 4.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $116 | $154 | 4.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $130.50 | $173.50 | 9.1× |
| Iaad ia rotavirus (87425) | $68 | $91 | 5.7× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $106 | $141 | 8.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $158 | $210 | 4.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $193 | $257 | 2.7× |
| Iadna hepatitis b virus quantification (87517) | $261 | $348 | 6.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $197 | $262 | 4.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $158 | $210 | 4.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $168 | $224 | 4.8× |
| Iadna nos amplified probe tq each organism (87798) | $224.50 | $299 | 6.4× |
| Iadna nos quantification each organism (87799) | $307 | $409 | 7.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $129 | $172 | 3.7× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $493 | $657 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $156 | $208 | 5.3× |
| Immunoassay nonantibody (83516) | $65 | $87 | 5.6× |
| Immunofixj Electrophoresis Serum (86334) | $158 | $211 | 7.1× |
| Influenza DNA amp prob 1+ (87501) | $320 | $427 | 6.2× |
| Inhibin a (86336) | $30 | $40 | 1.9× |
| Inhibin b (83520) | $90.50 | $120.50 | 5.2× |
| Insulin antibodies (86337) | $95 | $126 | 4.4× |
| Insulin total (83525) | $59 | $79 | 5.2× |
| Intrinsic factor antibody (86340) | $53 | $71 | 3.5× |
| Iron (83540) | $33 | $44 | 5.1× |
| Irradiation of blood product (86945) | $150 | $200 | 4.0× |
| Islet cell antibody (86341) | $129 | $171.50 | 5.5× |
| Lactic acid (83605) | $51 | $68 | 4.4× |
| Ldh (83615) | $29 | $38 | 4.8× |
| LDL cholesterol direct (83721) | $47 | $62 | 4.5× |
| Lead (83655) | $58 | $77 | 4.8× |
| Legionella antigen urine (87449) | $67.50 | $89.50 | 5.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $20 | $27 | 4.7× |
| Level ii surg pathology grossµscopic exam (88302) | $45 | $60 | 1.2× |
| Level v surg pathology grossµscopic exam (88307) | $180 | $240 | 0.5× |
| Lh (83002) | $89 | $118 | 4.8× |
| Lipase (83690) | $34 | $45 | 4.9× |
| Lithium (80178) | $32 | $42 | 4.8× |
| Lyme disease antibody (86618) | $81 | $108 | 4.8× |
| Magnesium (83735) | $66.50 | $89 | 9.9× |
| Mass spectrometry qual/quan (83789) | $164 | $218 | 6.8× |
| Methotrexate (80299) | $76 | $101 | 4.1× |
| Methylmalonic acid serum (83921) | $79 | $105 | 3.7× |
| Microalbumin urine (82043) | $27 | $36 | 4.7× |
| Microsomal antibodies (86376) | $73.50 | $98 | 5.1× |
| Myoglobin urine (83874) | $62 | $83 | 4.8× |
| Natriuretic peptide (83880) | $166 | $221 | 4.2× |
| Nuclear antigen antibody (86235) | $305 | $407 | 17.0× |
| Occult blood stool (82272) | $17 | $23 | 4.0× |
| Osmolality serum (83930) | $25 | $33 | 3.8× |
| Osmolality urine (83935) | $24 | $32 | 3.5× |
| Ova and parasite direct-id lca (87177) | $43 | $57 | 4.8× |
| Phenylalanine (84030) | $125 | $166 | 22.7× |
| Phosphatase alkaline (84075) | $27 | $36 | 5.2× |
| Phosphorus blood (84100) | $23 | $31 | 4.9× |
| Phosphorus urine (84105) | $32 | $42 | 5.5× |
| Pinworm exam (87172) | $53 | $70 | 12.4× |
| Platelet count (85049) | $22 | $29 | 4.9× |
| Potassium (84132) | $23 | $30 | 4.8× |
| Potassium urine (84133) | $43.50 | $58 | 9.2× |
| Procalcitonin (pct) (84145) | $77 | $102 | 2.8× |
| Progesterone (84144) | $102 | $136 | 4.9× |
| Prolactin (84146) | $95 | $126 | 4.9× |
| Protein body fluid (84157) | $19 | $25 | 4.8× |
| Protein c activity (85303) | $49 | $65 | 3.5× |
| Protein electrophoresis serum (84165) | $51 | $68 | 4.7× |
| Protein Electrophoresis Urine (84166) | $86.50 | $115 | 4.9× |
| Protein S Functional (85306) | $49 | $65 | 3.2× |
| Protein Total Serum (84155) | $17 | $23 | 4.6× |
| Protein urine (84156) | $18 | $24 | 4.9× |
| PSA free (84154) | $88 | $117 | 4.8× |
| Quantiferon tb gold (86480) | $248 | $330 | 4.0× |
| Renin activity plasma (84244) | $105 | $140 | 4.8× |
| Respiratory viral panel PCR (87633) | $859 | $1,145 | 2.1× |
| Rheumatoid Factor Qual (86430) | $29 | $39 | 4.7× |
| Rheumatoid factor quant (86431) | $35 | $46 | 6.2× |
| Rpr Titer (86593) | $21 | $28 | 4.8× |
| Rsv (87807) | $52.50 | $69.50 | 4.0× |
| Rubella antibody (86762) | $69 | $92 | 4.8× |
| Salmonella antibody (86768) | $86 | $115 | 6.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $77 | $103 | 1.5× |
| Sars-cov-2 covid19 w/optic (87811) | $31 | $41 | 0.7× |
| Sed rate automated (85652) | $18 | $24 | 6.7× |
| Sedimentation rate (85651) | $18 | $24 | 4.2× |
| Sensitivity mic (87186) | $42 | $56 | 4.9× |
| Sex hormone binding globulin (84270) | $51 | $68 | 2.3× |
| Sickle cell screen (85660) | $63 | $84 | 11.4× |
| Sirolimus (rapamycin) (80195) | $82 | $109 | 6.0× |
| Smear acid fast (87206) | $55 | $73 | 10.2× |
| Smear gram stain (87205) | $22 | $29 | 5.2× |
| Sodium (84295) | $23 | $31 | 4.8× |
| Sodium urine (84300) | $23 | $31 | 4.5× |
| Stool Cultr Aerobic Bact Ea (87046) | $21 | $28 | 2.2× |
| Strep a assay w/optic (87880) | $52.50 | $69.50 | 3.2× |
| Strep a DNA amp probe (87651) | $107.50 | $143 | 3.1× |
| Surg path level iii (88304) | $56 | $75 | 1.1× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $23 | $30 | 0.8× |
| Surgical pathology level IV (88305) | $88 | $117 | 1.7× |
| T3 free (84481) | $83 | $110 | 4.9× |
| T3 reverse (84482) | $45 | $60 | 2.9× |
| T3 total (84480) | $74 | $98 | 5.2× |
| T3 uptake (84479) | $36 | $48 | 5.6× |
| T4 Free (84439) | $44 | $59 | 4.9× |
| T4 total (84436) | $33 | $44 | 4.8× |
| Tb ag response t-cell susp (86481) | $239 | $319 | 2.4× |
| Tb intradermal test (86580) | $53 | $71 | 1.8× |
| Test for acetone/ketones (82009) | $37 | $49 | 8.2× |
| Testosterone total (84403) | $124 | $165 | 4.8× |
| Theophylline (80198) | $74 | $98 | 5.2× |
| Thyroglobulin Ab (86800) | $74 | $99 | 4.7× |
| Tobramycin peak (80200) | $57 | $76 | 3.5× |
| Toxin or antitoxin assay (87230) | $163 | $217 | 8.3× |
| Transferrin (84466) | $45 | $60 | 3.5× |
| Triglycerides (84478) | $29 | $38 | 5.1× |
| Troponin (84484) | $41.50 | $55 | 3.3× |
| Urea nitrogen (84520) | $20 | $26 | 5.1× |
| Uric acid blood (84550) | $23 | $30 | 5.1× |
| Uric acid other source (84560) | $37 | $49 | 7.3× |
| Urinalysis microscopic only (81015) | $16 | $21 | 5.2× |
| Urinalysis w/microscopic (81001) | $16 | $21 | 5.0× |
| Urine microalbumin (protein) analysis (82044) | $23 | $30 | 3.7× |
| Urine pregnancy test (81025) | $31 | $41 | 3.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $11 | $15 | 4.9× |
| Valproic acid level (80164) | $66 | $88 | 4.9× |
| Vancomycin trough (80202) | $74 | $99 | 5.5× |
| Varicella-zoster antibody (86787) | $48 | $64 | 3.7× |
| Vasopressin (84588) | $166 | $221 | 4.9× |
| Vdrl csf (86592) | $23 | $30 | 5.4× |
| Virus antibody nos (86790) | $208.50 | $277.50 | 16.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $163 | $217 | 4.8× |
| Vitamin A (84590) | $56 | $74 | 4.8× |
| Vitamin b-12 (82607) | $72 | $96 | 4.8× |
| Vitamin b1 (thiamine) (84425) | $80 | $107 | 3.8× |
| Vitamin b6 (84207) | $137 | $183 | 4.9× |
| Vitamin D 25-Hydroxy (82306) | $93 | $123.50 | 3.1× |
| Vitamin e serum (84446) | $147 | $196 | 10.4× |
| West nile virus ab, igm (86788) | $115 | $153 | 6.8× |
| Zinc (84630) | $53 | $71 | 4.7× |