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 →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $195 $260 5.0×
Acute hepatitis panel (80074) $229 $305 4.8×
Afp-l3 fraction isoform & total afp w/ratio (82107) $249 $332 3.9×
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 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 Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $71 $95 4.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $84 $112 4.6×
Antibody helicobacter pylori (86677) $39 $52 2.3×
Antibody Herpes Smplx Type 1 (86695) $63 $84 4.8×
Antibody identification leukocyte antibodies (86021) $88 $117 5.8×
Antibody Treponema Pallidum (86780) $41 $54 3.1×
Antigen typing (86905)
range across 2 matching MRF lines
$102–$216 $136–$288 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines
$26–$99 $35–$132 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$56–$59 $75–$78 varies
Apolipoprotein a1 (82172) $62 $82 2.9×
Assay Blood Carbon Dioxide (82374) $24 $32 4.9×
Assay myeloperoxidase (83876) $163 $217 3.2×
Assay Nephelometry Not Spec (83883) $63 $84 4.6×
Assay of blood/uric acid (84550) $23 $30 5.1×
Assay of calcium in urine (82340) $29 $39 4.8×
Assay of gammaglobulin igm (82784) $45 $60 4.8×
Assay of lactic acid (83605) $51 $68 4.4×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$81–$169 $108–$225 varies
Assay of serum potassium (84132) $23 $30 4.8×
Assay of urea nitrogen (84520) $20 $26 5.1×
Assay of urine vma (84585) $74 $99 4.8×
Assay of vitamin b-1 (84425) $80 $107 3.8×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$26–$44 $35–$58 varies
Automated Leukocyte Count (85048) $13 $17 5.1×
Beta-2 Microglobulin (82232) $78 $104 4.8×
Bilirubin direct (82248) $26 $34 5.2×
Bilirubin total (82247) $26 $34 5.2×
Blood count reticulocyte automated (85045) $21 $28 5.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $17 $22 4.5×
Blood gas (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 serologic abo (86900) $44 $58 14.7×
Breath Alcohol Test (82075) $39 $52 1.3×
C diff amplified probe (87493) $176 $234 4.7×
C-Peptide (84681) $100 $133 4.8×
C-reactive protein (86140) $26 $34 5.0×
Ca 19-9 (86301) $100 $133 4.8×
Calcium ionized (82330) $26 $34 1.9×
Calcium total (82310) $24 $32 4.7×
Calprotectin Fecal (83993) $165 $220 8.4×
Cancer Antigen 125 (86304) $101 $135 4.9×
Carbamazepine total (80156) $71 $95 4.9×
Carboxyhemoglobin (82375) $23 $31 1.9×
Carcinoembryonic antigen (82378) $92 $123 4.9×
Catecholamines fractionated (82384) $121 $161 4.8×
Catecholamines total urine (82382) $80 $106 2.9×
Ccp antibody (86200) $141 $188 10.9×
Cell count csf (89051) $28 $37 5.0×
Ceruloplasmin (82390) $54 $72 5.0×
Chloride Serum (82435) $23 $30 5.0×
Chloride urine (82436) $44 $59 7.7×
Cholesterol total (82465) $21 $28 4.8×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$41–$43 $54–$57 varies
Chromium serum (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 crosslinks (82523) $236 $314 12.6×
Compatibility test antiglob (86922) $234 $312 1.4×
Complement Antigen Each Component (86160) $58 $77 4.8×
Complement Total (Ch50) (86162) $87 $116 4.3×
Coombs direct (86880) $26 $34 4.8×
Cortisol free (82530) $80 $107 4.8×
Cortisol saliva (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 Urine (82570) $25 $33 4.8×
Crossmatch electronic (86923) $305 $407 1.8×
Crossmatch immediate spin (86920) $305 $407 1.8×
Crp High Sensitivity (86141) $63 $84 4.9×
Cryoglobulin (82595) $38 $50 5.9×
Cryptosporidium ag eia (87328) $62 $83 4.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $41 $54 5.1×
Culture afb (87116) $55 $73 5.1×
Culture Anaerobic (87075) $44 $59 4.6×
Culture blood (87040) $50 $66 4.8×
Culture csf (87070)
range across 13 matching MRF lines
$35–$45 $46–$60 varies
Culture fungus (87102) $42 $56 5.0×
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×
Cyclosporine (80158) $91 $121 5.0×
Cyp2c19 gene analysis common variants (81225) $512 $682 1.8×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$158–$291 $210–$388 varies
Detect Agent Nos Dna Quant (87799) $307 $409 7.2×
Dhea-S (82627) $104 $138 4.7×
Digoxin (80162) $64 $85 4.8×
Dna Antibody Native/Double Stranded (86225) $234 $312 17.0×
Dna/Rna Amplified Probe (87150)
range across 3 matching MRF lines
$53–$1,509 $70–$2,012 varies
Drug Screen Quant Zonisamide (80203) $167 $223 12.6×
Drug Screen Quantitative Lamotrigine (80175) $80 $107 6.0×
Drug Screen Quantitative Levetiracetam (80177) $92 $122 6.9×
Drug Screen Quantitative Oxcarbazepine (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×
Electrolyte panel (80051) $37 $49 5.3×
Enterovirus PCR (87498) $258 $344 7.4×
Erythropoietin (82668) $90 $120 4.8×
Estradiol serum (82670) $137 $182 4.9×
Estriol (82677) $118 $157 4.9×
Ethosuximide (80168) $78 $104 4.8×
Exam Synovial Fluid Crystals (89060) $35 $46 4.8×
Fecal Fat Qualitative (82705) $32 $43 6.3×
Ferritin (82728) $67 $89 4.9×
Fibrin degradation products (85362) $347 $463 50.4×
Fibrin Degradation Quant (85379) $23 $31 2.3×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $63 $84 6.2×
Folic Acid 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×
Genet Virus Isolate Hsv (87255) $163 $217 4.8×
Gentamicin (80170) $79 $105 4.8×
Ggt (82977) $35 $46 4.9×
Glucose 2 hr pp (82950) $23 $31 4.8×
Glucose Blood Test (82962) $11 $15 3.4×
Glucose body fluid (82945) $20 $27 5.1×
Glucose Serum (82947) $20 $26 5.1×
Gtt-added samples (82952) $19 $25 4.8×
H Pylori (C-13) Breath (83013) $261 $348 3.9×
H Pylori Drug Admin (83014) $40 $53 5.1×
Haptoglobin (83010) $51 $68 4.1×
Hdl Cholesterol (83718) $40 $53 4.9×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$112–$149 $149–$198 varies
Hematocrit (85014) $11 $15 4.6×
Hemoglobin (85018) $11 $15 4.6×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$30–$49 $40–$65 varies
Hemoglobin Methemoglobin Quantitative (83050) $16 $21 2.0×
Hep a ab igm (86709) $59 $78 5.2×
Hepatitis a antibody total (86708) $79 $105 6.4×
Hepatitis b core ab total (86704) $77 $103 6.4×
Hepatitis B Surface Antibody (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×
Hepatitis C Revrs Trnscrpj (87522) $197 $262 4.6×
Herpes simplex type 2 (86696) $36 $48 1.9×
Heterophile Antibody Screen (86308) $26 $34 5.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $116 $154 4.8×
Hla-b27 (86812) $124 $165 4.8×
Homocysteine (83090) $78 $104 4.4×
Homovanillic acid urine (83150) $84 $112 3.7×
Hsv Dna Amp Probe (87529) $168 $224 4.8×
Hydroxyprogesterone 17-d (83498) $130 $173 4.8×
Iaad ia shiga-like toxin (87427) $106 $141 8.8×
Iadna chlamydia pneumoniae amplified probe tq (87486) $158 $210 4.5×
Iadna Cytomegalovirus Quantification (87497) $268 $357 6.3×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $193 $257 2.7×
Iadna Hepatitis B Virus Quantification (87517) $261 $348 6.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $158 $210 4.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $168 $224 4.8×
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)
range across 5 matching MRF lines
$41–$128 $54–$170 varies
Immunofixation electrophoresis (86334) $158 $211 7.1×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $320 $427 6.2×
Influenza assay w/optic (87804) $61 $81 3.7×
Inhibin A (86336) $30 $40 1.9×
Inhibin b (83520)
range across 4 matching MRF lines
$62–$110 $83–$147 varies
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 Blood Product Each Unit (86945) $150 $200 4.0×
Islet cell antibody (86341)
range across 2 matching MRF lines
$88–$170 $117–$226 varies
Lactate (ld) (ldh) enzyme (83615) $29 $38 4.8×
LDL direct (83721) $47 $62 4.5×
Lead (83655) $58 $77 4.8×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$61–$74 $81–$98 varies
Leukocyte Assessment Fecal (89055) $20 $27 4.7×
Level I Surg Pathology Gross Examination Only (88300) $23 $30 0.8×
Level ii surg pathology gross&microscopic exam (88302) $45 $60 1.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $180 $240 0.5×
Lipase (83690) $34 $45 4.9×
Lipoprotein A (83695) $62 $83 4.3×
Lithium (80178) $32 $42 4.8×
Luteinizing Hormone (Lh) (83002) $89 $118 4.8×
Lyme disease antibody (86618) $81 $108 4.8×
Magnesium Urine (83735)
range across 2 matching MRF lines
$32–$101 $43–$135 varies
Mass Spectrometry Quant (83789) $164 $218 6.8×
Methylmalonic acid serum (83921) $79 $105 3.7×
Microalbumin, quantitative (82043) $27 $36 4.7×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$70–$77 $93–$103 varies
Mumps antibody (86735) $62 $83 4.8×
Myoglobin urine (83874) $62 $83 4.8×
Natriuretic peptide (83880) $166 $221 4.2×
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$125–$305 $166–$407 varies
Occult blood feces (82272) $17 $23 4.0×
Occult Blood Other Sources (82271) $15 $20 2.8×
Osmolality serum (83930) $25 $33 3.8×
Osmolality Urine (83935) $24 $32 3.5×
Ova and parasites smears (87177) $43 $57 4.8×
Ph urine (81003) $11 $15 4.9×
Phenobarbital Level (80184) $56 $74 3.7×
Phenylalanine (84030) $125 $166 22.7×
Phenytoin (Dilantin) (80185) $65 $86 4.9×
Phosphatase alkaline (84075) $27 $36 5.2×
Phosphorus Serum (84100) $23 $31 4.9×
Phosphorus urine (84105) $32 $42 5.5×
Pinworm exam (87172) $53 $70 12.4×
Platelet count automated (85049) $22 $29 4.9×
Potassium Urine (84133)
range across 2 matching MRF lines
$21–$66 $28–$88 varies
Prealbumin (84134) $44 $58 3.0×
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 Urine (84166)
range across 2 matching MRF lines
$86–$87 $114–$116 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $51 $68 4.7×
Protein S Free (85306) $49 $65 3.2×
Protein total serum (84155) $17 $23 4.6×
Protein Total Urine (84156) $18 $24 4.9×
PSA free (84154) $88 $117 4.8×
Pth Intact (83970) $165 $220 4.0×
Quantiferon tb gold plus (86480) $248 $330 4.0×
Quantitative assay drug (80299) $76 $101 4.1×
Quantitative Screen Metals (83018) $176 $234 8.0×
Rbc antibody identification (86870) $141 $188 0.4×
Rbc antibody screen (86850) $99 $132 10.1×
Renin activity plasma (84244) $105 $140 4.8×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$834–$884 $1,112–$1,178 varies
Rh (86901)
range across 2 matching MRF lines
$44–$72 $58–$96 varies
Rheumatoid Factor Qualitative (86430) $29 $39 4.7×
Rheumatoid factor quant (86431) $35 $46 6.2×
Rotavirus ag eia (87425) $68 $91 5.7×
Rpr qualitative (86592) $23 $30 5.4×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$44–$61 $58–$81 varies
Rubella Antibody (86762) $69 $92 4.8×
Rubeola antibody (86765) $88 $117 6.8×
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×
Sedimentation rate (85651) $18 $24 4.2×
Sedimentation Rate, Automated (85652) $18 $24 6.7×
Sensitivity mic (87186) $42 $56 4.9×
Sex Hormone Binding Globulin (84270) $51 $68 2.3×
Sickling of rbc reduction (85660) $63 $84 11.4×
Sirolimus (80195) $82 $109 6.0×
Skin test tuberculosis intradermal (86580) $53 $71 1.8×
Smear acid fast (87206) $55 $73 10.2×
Smear gram stain (87205) $22 $29 5.2×
Sodium Serum (84295) $23 $31 4.8×
Sodium Urine (84300)
range across 3 matching MRF lines
$23–$73 $31–$97 varies
Stool cultr aerobic bact ea (87046) $21 $28 2.2×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$44–$61 $58–$81 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$66–$149 $88–$198 varies
Surg path level iii (88304) $56 $75 1.1×
Surgical pathology level IV (88305) $88 $117 1.7×
Syphilis Test Non-Trep Quant (86593) $21 $28 4.8×
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×
Tacrolimus (80197) $68 $90 5.0×
Tb ag response t-cell susp (86481) $239 $319 2.4×
Test for acetone/ketones (82009) $37 $49 8.2×
Testosterone total (84403) $124 $165 4.8×
Theophylline (80198) $74 $98 5.2×
Thyroglobulin Antibody (86800) $74 $99 4.7×
Tobramycin peak (80200) $57 $76 3.5×
Toxin/Antitoxin Assay Tissue Culture (87230) $163 $217 8.3×
Transferase Aspartate Amino Ast Sgot (84450) $26 $34 5.0×
Transferrin (84466) $45 $60 3.5×
Trichomonas Vaginalis Amplif (87661) $129 $172 3.7×
Triglycerides (84478) $29 $38 5.1×
Troponin Quant (84484)
range across 2 matching MRF lines
$35–$48 $46–$64 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$37–$69 $49–$92 varies
Urinalysis Microscopic Only (81015) $16 $21 5.2×
Urine Albumin Semiquantitative (82044) $23 $30 3.7×
Urine Pregnancy Test (81025) $31 $41 3.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $16 $21 5.0×
Valproic acid (80164) $66 $88 4.9×
Vancomycin (80202) $74 $99 5.5×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$40–$56 $53–$75 varies
Vasopressin (84588) $166 $221 4.9×
Viral Culture (87252) $267 $356 10.2×
Virus antibody nos (86790)
range across 2 matching MRF lines
$185–$232 $246–$309 varies
Vit D 1 25-Dihydroxy (82652) $154 $205 4.0×
Vitamin A (84590) $56 $74 4.8×
Vitamin b-12 (82607) $72 $96 4.8×
Vitamin B6 (84207) $137 $183 4.9×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$56–$130 $74–$173 varies
Vitamin E (84446) $147 $196 10.4×
Vitamin K (84597) $147 $196 10.7×
West nile virus ab igm (86788) $115 $153 6.8×
Zinc (84630) $53 $71 4.7×

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.