Lab & pathology prices at Ranken Jordan Pediatric Bridge Hospital
Maryland Heights, MO · every code in this section with a posted price and a Medicare benchmark.
152 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adenovirus Ag Ia (87301) | $96.98 | $121.22 | 8.1× |
| Albumin serum (82040) | $5.28 | $6.60 | 1.1× |
| Aldolase (82085) | $178.56 | $223.20 | 18.4× |
| Allergen specific ige (86003) | $13.28 | $16.59 | 2.5× |
| Alpha-1-antitrypsin, total (82103) | $124.82 | $156.02 | 9.3× |
| Alt (sgpt) (84460) | $48.40 | $60.50 | 9.1× |
| Amikacin trough (80150) | $86.49 | $108.11 | 5.7× |
| Amylase urine (82150) | $22.07 | $27.58 | 3.4× |
| Ana Titer (86039) | $16.02 | $20.02 | 1.4× |
| Antibody helicobacter pylori (86677) | $34.82 | $43.52 | 2.1× |
| Antibody; campylobacter (86625) | $132 | $165 | 10.1× |
| Antinuclear antibodies (86038) | $19.66 | $24.57 | 1.6× |
| Assay of blood chloride (82435) | $5.28 | $6.60 | 1.1× |
| Assay of ferritin (82728) | $20.68 | $25.85 | 1.5× |
| Assay of gammaglobulin igm (82784) | $12.65 | $15.81 | 1.4× |
| Assay of gentamicin (80170) | $39.87 | $49.83 | 2.4× |
| Assay of manganese (83785) | $64.24 | $80.30 | 2.4× |
| Assay of parathormone (83970) | $38.57 | $48.21 | 0.9× |
| Assay of phenobarbital (80184) | $32.65 | $40.81 | 2.1× |
| Assay of prealbumin (84134) | $8.80 | $11 | 0.6× |
| Assay of selenium (84255) | $58.96 | $73.70 | 2.3× |
| Assay of tacrolimus (80197) | $206.28 | $257.84 | 15.0× |
| Assay Ph Body Fluid Nos (83986) | $36.61 | $45.76 | 10.2× |
| Ast (sgot) (84450) | $5.28 | $6.60 | 1.0× |
| Bilirubin direct (82248) | $5.28 | $6.60 | 1.1× |
| Bilirubin total (82247) | $10.56 | $13.20 | 2.1× |
| Blood Count Automated Differential Wbc Count (85004) | $42.60 | $53.25 | 6.6× |
| Blood gases (82803) | $218.24 | $272.80 | 8.4× |
| Blood gases w/02 saturation (82805) | $242.88 | $303.60 | 3.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14.96 | $18.70 | 3.4× |
| C-reactive protein (86140) | $22 | $27.50 | 4.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $22 | $27.50 | 1.7× |
| Calcium ionized (82330) | $31.43 | $39.28 | 2.3× |
| Calcium total (82310) | $5.28 | $6.60 | 1.0× |
| Calcium urine (82340) | $18.04 | $22.55 | 3.0× |
| Calculus Spectroscopy (82365) | $76.12 | $95.15 | 5.9× |
| Carbamazepine (tegretol) total (80156) | $64.52 | $80.65 | 4.4× |
| Carbamazepine free (80157) | $39.60 | $49.50 | 3.0× |
| Cholesterol total (82465) | $14.08 | $17.60 | 3.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $67.14 | $83.92 | 3.8× |
| Coagulation time activated (85347) | $5.28 | $6.60 | 1.2× |
| Complement c3 (86160) | $32.50 | $40.62 | 2.7× |
| Copper urine (82525) | $25.85 | $32.31 | 2.1× |
| Cortisol free (82530) | $36.31 | $45.38 | 2.2× |
| Cortisol total (82533) | $23.35 | $29.18 | 1.4× |
| Creatine kinase total (82550) | $11.99 | $14.98 | 1.8× |
| Creatinine blood (82565) | $5.44 | $6.79 | 1.1× |
| Creatinine clearance (82575) | $18.48 | $23.10 | 2.0× |
| Creatinine other source (82570) | $18.04 | $22.55 | 3.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $117.23 | $146.53 | 14.5× |
| Culture blood (87040) | $62.04 | $77.55 | 6.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $86.63 | $108.28 | 11.2× |
| Culture genital (87070) | $48.92 | $61.14 | 5.7× |
| Culture screen only (87081) | $129.96 | $162.45 | 19.6× |
| Culture stool (87045) | $58.08 | $72.60 | 6.2× |
| Culture urine (87086) | $18.12 | $22.65 | 2.2× |
| Culture urine id ea isolate (87088) | $39.87 | $49.83 | 4.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $538.56 | $673.20 | 12.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $130.24 | $162.80 | 7.9× |
| Digoxin (80162) | $22.54 | $28.17 | 1.7× |
| Dilantin (80185) | $66.36 | $82.94 | 5.0× |
| Drug test prsmv chem anlyzr (80307) | $52.80 | $66 | 0.8× |
| Electrolyte panel (80051) | $5.92 | $7.40 | 0.8× |
| Eosinophil count (85048) | $23.12 | $28.89 | 9.1× |
| Folate serum (82746) | $34.05 | $42.56 | 2.3× |
| Follicle Stimulating Hormone (83001) | $19.11 | $23.88 | 1.0× |
| Ggt (82977) | $22.14 | $27.67 | 3.1× |
| Glucose (82947) | $11.17 | $13.96 | 2.8× |
| Glucose Blood Test (82962) | $7.92 | $9.90 | 2.4× |
| Hcg qualitative (84703) | $38.21 | $47.76 | 5.1× |
| Hdl Cholesterol (83718) | $22 | $27.50 | 2.7× |
| Hematocrit (85014) | $3.31 | $4.13 | 1.4× |
| Hemoglobin (85018) | $4.96 | $6.19 | 2.1× |
| Hemoglobin a1c (83036) | $13.84 | $17.30 | 1.4× |
| Hemoglobin-oxygen affinity (82820) | $271.92 | $339.90 | 20.4× |
| Heparin assay (85520) | $65.66 | $82.07 | 5.0× |
| Hepatitis a antibody total (86708) | $54.92 | $68.64 | 4.4× |
| Hepatitis a igm (86709) | $30.70 | $38.37 | 2.7× |
| Hepatitis b core ab igm (86705) | $24.75 | $30.93 | 2.1× |
| Hepatitis b core antibody total (86704) | $18.89 | $23.61 | 1.6× |
| Hepatitis B Surface Ab (86706) | $18.66 | $23.32 | 1.7× |
| Hepatitis B Surface Antigen (87340) | $18.66 | $23.32 | 1.8× |
| Hepatitis be antibody (86707) | $26.91 | $33.63 | 2.3× |
| Hepatitis Be Antigen (87350) | $26.91 | $33.63 | 2.3× |
| Hepatitis c antibody (86803) | $21.29 | $26.61 | 1.5× |
| Herpes culture (87252) | $303.60 | $379.50 | 11.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $7.63 | $9.53 | 1.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $14.64 | $18.29 | 1.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $52.07 | $65.08 | 3.7× |
| Iaad ia rotavirus (87425) | $98.80 | $123.49 | 8.2× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $119.95 | $149.93 | 10.0× |
| Iadna hepatitis b virus quantification (87517) | $43.52 | $54.39 | 1.0× |
| Iadna nos amplified probe tq each organism (87798) | $251.20 | $314 | 7.2× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $1,320 | $1,650 | 6.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,291.20 | $1,614 | 3.1× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) | $90.40 | $112.99 | 7.1× |
| Iron (83540) | $31.38 | $39.22 | 4.9× |
| Lactic acid (83605) | $21.83 | $27.28 | 1.9× |
| Ldh (83615) | $12.32 | $15.40 | 2.0× |
| LDL cholesterol direct (83721) | $21.77 | $27.21 | 2.1× |
| Lead (83655) | $27.82 | $34.77 | 2.3× |
| Lh (83002) | $200.45 | $250.56 | 10.8× |
| Lipase (83690) | $19.60 | $24.50 | 2.8× |
| Lithium (80178) | $12.71 | $15.88 | 1.9× |
| Magnesium (83735) | $14.04 | $17.54 | 2.1× |
| Manual cell count each (85032) | $17.60 | $22 | 4.1× |
| Manual reticulocyte count (85044) | $40.48 | $50.60 | 9.4× |
| Methotrexate (80299) | $57.43 | $71.78 | 3.1× |
| Mrsa amp probe (87641) | $21.01 | $26.26 | 0.6× |
| Osmolality serum (83930) | $21.58 | $26.97 | 3.3× |
| Osmolality urine (83935) | $25.89 | $32.36 | 3.8× |
| Ova and parasite direct-id lca (87177) | $75.96 | $94.95 | 8.5× |
| Oxalate urine (83945) | $22.32 | $27.90 | 1.5× |
| Parainfluenza ag if (87279) | $83.60 | $104.50 | 5.1× |
| Phenytoin free (80186) | $23.03 | $28.78 | 1.7× |
| Phosphatase alkaline (84075) | $38.16 | $47.69 | 7.4× |
| Phosphorus blood (84100) | $5.28 | $6.60 | 1.1× |
| Phosphorus urine (84105) | $9.23 | $11.53 | 1.6× |
| Platelet count (85049) | $2.32 | $2.89 | 0.5× |
| Potassium (84132) | $5.28 | $6.60 | 1.1× |
| Protein urine (84156) | $17.64 | $22.04 | 4.8× |
| Quantiferon tb gold (86480) | $40.44 | $50.55 | 0.7× |
| Respiratory viral panel PCR (87633) | $1,320 | $1,650 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $22 | $27.50 | 0.4× |
| Sed rate automated (85652) | $5.86 | $7.32 | 2.2× |
| Sensitivity mic (87186) | $173.36 | $216.70 | 20.0× |
| Smear gram stain (87205) | $10.79 | $13.48 | 2.5× |
| Sodium (84295) | $31.19 | $38.98 | 6.5× |
| Sodium urine (84300) | $19.22 | $24.02 | 3.8× |
| Strep a assay w/optic (87880) | $76.54 | $95.67 | 4.6× |
| T4 Free (84439) | $40.10 | $50.12 | 4.4× |
| T4 total (84436) | $18.29 | $22.86 | 2.7× |
| Test for urine cystines (82615) | $63.10 | $78.87 | 6.6× |
| Testosterone free (84402) | $44 | $55 | 1.7× |
| Testosterone total (84403) | $26.28 | $32.84 | 1.0× |
| Tobramycin peak (80200) | $29.25 | $36.56 | 1.8× |
| Toxin or antitoxin assay (87230) | $97.95 | $122.43 | 5.0× |
| Transferrin (84466) | $54.40 | $68 | 4.3× |
| Triglycerides (84478) | $7.92 | $9.90 | 1.4× |
| Urea nitrogen (84520) | $6.94 | $8.67 | 1.8× |
| Uric acid blood (84550) | $18.08 | $22.59 | 4.0× |
| Uric acid other source (84560) | $21.70 | $27.12 | 4.3× |
| Urinalysis microscopic only (81015) | $2.48 | $3.10 | 0.8× |
| Urinalysis qual/semiquant except immunoassays (81005) | $32.61 | $40.76 | 15.0× |
| Urinalysis w/microscopic (81001) | $4.60 | $5.75 | 1.5× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) | $2.12 | $2.65 | 0.1× |
| Valproic acid level (80164) | $29.74 | $37.17 | 2.2× |
| Vancomycin trough (80202) | $24.64 | $30.80 | 1.8× |
| Virus inoculation, shell via (87254) | $98.84 | $123.55 | 5.1× |
| Vitamin b-12 (82607) | $46.76 | $58.45 | 3.1× |
| Vitamin D 25-Hydroxy (82306) | $26.40 | $33 | 0.9× |
| Zinc (84630) | $25.52 | $31.90 | 2.2× |