Lab & pathology prices at Refugio County Memorial Hospital

Refugio, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $100.20 $125.25 2.6×
Acute hepatitis panel (80074) $101.60 $127 2.1×
Albumin serum (82040) $55.20 $69 11.2×
Aldolase (82085) $157.80 $197.25 16.3×
Aldosterone urine (82088) $65.60 $82 1.6×
Alkaline phosphatase isoenzymes (84080) $132.20 $165.25 8.9×
Allergen specific ige (86003) $36.60 $45.75 7.0×
Alpha-1-antitrypsin, total (82103) $157.40 $196.75 11.7×
Alpha-fetoprotein, serum (82105) $35.60 $44.50 2.1×
Alt (sgpt) (84460) $64.09 $80.11 12.1×
Ammonia (82140) $136.41 $170.51 9.4×
Amylase urine (82150) $78.08 $97.60 12.0×
Antibody helicobacter pylori (86677) $116.22 $145.28 6.9×
Antibody Protozoa Nes (86753) $131 $163.75 10.6×
Antibody screen (86850) $101.12 $126.40 10.4×
Antibody treponema pallidum (86780) $61.80 $77.25 4.7×
Antinuclear antibodies (86038) $79 $98.75 6.5×
Antistreptolysin o titer (86060) $114.80 $143.50 15.7×
Antithrombin iii activity (85300) $129 $161.25 10.9×
Assay Nephelometry Not Spec (83883) $147.40 $184.25 10.8×
Assay of acth (82024) $258.60 $323.25 6.7×
Assay of blood chloride (82435) $72 $90 15.7×
Assay of c-peptide (84681) $36 $45 1.7×
Assay of ceruloplasmin (82390) $127.40 $159.25 11.9×
Assay of erythropoietin (82668) $53.60 $67 2.9×
Assay of ferritin (82728) $180.10 $225.12 13.2×
Assay of gammaglobulin igm (82784) $37.80 $47.25 4.1×
Assay of gentamicin (80170) $89 $111.25 5.4×
Assay of homocystine (83090) $44 $55 2.5×
Assay of metanephrines (83835) $112.60 $140.75 6.6×
Assay of parathormone (83970) $145.44 $181.80 3.5×
Assay of phenobarbital (80184) $153.60 $192 10.0×
Assay of prealbumin (84134) $39.20 $49 2.7×
Assay of somatomedin (84305) $84 $105 4.0×
Assay of tacrolimus (80197) $106.60 $133.25 7.8×
Ast (sgot) (84450) $63.25 $79.06 12.2×
Bcr/abl1 gene major bp (81206) $377.40 $471.75 2.3×
Bcr/abl1 gene minor bp (81207) $377.40 $471.75 2.6×
Beta 2 Glycoprotein I Antibody,Ea (86146) $84 $105 3.3×
Beta hydroxybutyrate (82010) $66.56 $83.20 8.1×
Beta-2 microglobulin (82232) $67.60 $84.50 4.2×
Bilirubin direct (82248) $67.71 $84.64 13.5×
Bilirubin total (82247) $55.68 $69.60 11.1×
Bl Smear W/Diff Wbc Count (85007) $41.15 $51.44 10.8×
Bleeding time (85002) $77.20 $96.50 16.0×
Blood count reticulocyte automated (85045) $10.40 $13 2.6×
Blood gases (82803) $328.96 $411.20 12.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $44.80 $56 10.2×
Blood typing abo (86900) $77.20 $96.50 25.8×
Blood typing serologic rh (d) (86901) $88.40 $110.50 29.6×
Body fluid cell count (89051) $83.77 $104.71 15.0×
Body fluid cell count (89050) $64.36 $80.45 13.6×
Breath Alcohol Test (82075) $46.40 $58 1.5×
C diff amplified probe (87493) $141.60 $177 3.8×
C-reactive protein (86140) $106.20 $132.75 20.5×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $42 $52.50 3.2×
Ca 125 (86304) $86.20 $107.75 4.1×
Ca 19-9 (86301) $249.60 $312 12.0×
Ca 27 29 (86300) $30.60 $38.25 1.5×
Calcium ionized (82330) $39.20 $49 2.9×
Calcium total (82310) $63.47 $79.34 12.3×
Carbamazepine (tegretol) total (80156) $164.48 $205.60 11.3×
Carbon dioxide (82374) $54.56 $68.20 11.2×
Carcinoembryonic antigen (82378) $63.40 $79.25 3.3×
Cardiolipin ab igg (86147) $99.60 $124.50 3.9×
Chemiluminescent assay (82397) $110 $137.50 7.8×
Chloride urine (82436) $17 $21.25 3.0×
Cholesterol total (82465) $51.60 $64.50 11.9×
Chromogranin a (86316) $187 $233.75 9.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $85.20 $106.50 2.4×
Ck isoenzymes (82552) $114.40 $143 8.5×
Ckmb (82553) $118.30 $147.88 10.2×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $99.60 $124.50 4.1×
Compatibility test antiglob (86922) $232.39 $290.49 1.4×
Compatibility Test Incubate (86921) $231.38 $289.23 1.4×
Complement c3 (86160) $58.90 $73.62 4.9×
Complement total ch50 (86162) $39.20 $49 1.9×
Concentration Infectious Agent (87015) $710.60 $888.25 106.4×
Coombs direct (86880) $85.76 $107.20 15.9×
Coombs Test Indirect Qual (86885) $40.32 $50.40 7.0×
Cortisol free (82530) $60.80 $76 3.6×
Cortisol total (82533) $60.80 $76 3.7×
Creatine kinase total (82550) $92.70 $115.88 14.2×
Creatinine blood (82565) $51.20 $64 10.0×
Creatinine clearance (82575) $117.27 $146.59 12.4×
Creatinine other source (82570) $44 $55 8.5×
Crossmatch immediate spin (86920) $229.12 $286.40 1.3×
Cryoglobulin (82595) $146.20 $182.75 22.6×
Culture blood (87040) $178.40 $223 17.3×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $71.60 $89.50 9.3×
Culture genital (87070) $126.70 $158.38 14.7×
Culture urine id ea isolate (87088) $135.90 $169.88 16.8×
Cyclic Citrullinated Peptide (86200) $117.20 $146.50 9.1×
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $52.60 $65.75 2.0×
D-Dimer (85379) $158.40 $198 15.6×
Deoxyribonuclease antibody (86215) $41.20 $51.50 3.1×
Dhea sulfate (82627) $40 $50 1.8×
Digoxin (80162) $135.68 $169.60 10.2×
Dilantin (80185) $169.10 $211.38 12.8×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $78.60 $98.25 5.7×
Drug screen quant zonisamide (80203) $78.60 $98.25 5.9×
Drug Screen Quantitative Lamotrigine (80175) $206 $257.50 15.5×
Drug Scrn Quan Levetiracetam (80177) $78.60 $98.25 5.9×
Drug scrn quant oxcarbazepin (80183) $126.80 $158.50 9.6×
Drug test prsmv chem anlyzr (80307) $73.80 $92.25 1.2×
Drug Test Prsmv Dir Opt Obs (80305) $58.56 $73.20 4.6×
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $118.08 $147.60 6.9×
Echinococcus ab igg (86682) $73.40 $91.75 5.6×
Electrolyte panel (80051) $130.56 $163.20 18.6×
Endomysial antibody iga (86255) $63 $78.75 5.2×
Enterovirus antibody (86658) $50.40 $63 3.9×
Estradiol (82670) $77.40 $96.75 2.8×
Estrone (82679) $57.60 $72 2.3×
F2 gene analysis 20210g >a variant (81240) $173 $216.25 2.6×
F5 gene (81241) $344.20 $430.25 4.7×
Factor v activity (85220) $68.80 $86 3.9×
Factor viii ahg (85240) $68.80 $86 3.8×
Fibrinogen activity (85384) $91.60 $114.50 9.4×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $141.60 $177 11.8×
Fmr1 gene detection (81243) $186.20 $232.75 3.3×
Folate serum (82746) $117.90 $147.38 8.0×
Folic acid rbc (82747) $52.60 $65.75 3.0×
Follicle Stimulating Hormone (83001) $59.20 $74 3.2×
Francisella Tularensis (86668) $127.40 $159.25 9.0×
Gastric Occult Blood (82271) $44.80 $56 8.4×
Ggt (82977) $63.20 $79 8.8×
Glucose (82947) $44.48 $55.60 11.3×
Glucose Blood Test (82962) $87.20 $109 26.6×
Glucose post dose (82950) $70.40 $88 14.8×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $155.20 $194 39.6×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $126.09 $157.61 9.8×
Haptoglobin (83010) $45.20 $56.50 3.6×
Hcg qualitative (84703) $62.24 $77.80 8.3×
Hcg quant (84702) $153.60 $192 10.2×
Hdl Cholesterol (83718) $95.36 $119.20 11.6×
Heavy metal quant each (83018) $78.40 $98 3.6×
Hematocrit (85014) $41.76 $52.20 17.6×
Hemoglobin (85018) $48.40 $60.50 20.4×
Hemoglobin a1c (83036) $114.50 $143.12 11.8×
Hemoglobin electrophoresis (83020) $84.20 $105.25 6.5×
Hepatitis a antibody total (86708) $19.60 $24.50 1.6×
Hepatitis b core ab igm (86705) $114.60 $143.25 9.7×
Hepatitis b core antibody total (86704) $43.40 $54.25 3.6×
Hepatitis B Surface Ab (86706) $28.30 $35.38 2.6×
Hepatitis B Surface Antigen (87340) $101.40 $126.75 9.8×
Hepatitis c antibody (86803) $46.40 $58 3.3×
Hepatitis C Genotype (87902) $425.20 $531.50 1.7×
Herpes simplex type 2 (86696) $83.50 $104.38 4.3×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $104.96 $131.20 20.3×
Hfe gene (81256) $88.20 $110.25 1.3×
Hla ii typing 1 locus lr (81376) $335.80 $419.75 2.7×
Hla-b27 (86812) $56.20 $70.25 2.2×
Iaad ia clostridium difficile toxin (87324) $94.40 $118 7.9×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $80 $100 3.3×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $68.20 $85.25 4.7×
Iaadi respiratory synctial virus (87280) $52.60 $65.75 3.9×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $99.60 $124.50 2.3×
Iadna human papillomavirus high-risk types (87624) $63 $78.75 1.8×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $298.80 $373.50 8.5×
Immunfix e-phorsis/urine/csf (86335) $57.60 $72 2.0×
Immunoassay nonantibody (83516) $79.10 $98.88 6.9×
Immunofixj Electrophoresis Serum (86334) $246 $307.50 11.0×
India ink prep (87210) $71.68 $89.60 12.3×
Influenza a/b ag eia (87400) $101.76 $127.20 7.2×
Inhibin b (83520) $294.60 $368.25 17.1×
Insulin total (83525) $36 $45 3.1×
Intrinsic factor antibody (86340) $150.80 $188.50 10.0×
Iron (83540) $78.08 $97.60 12.1×
Iron binding capacity (83550) $59 $73.75 6.8×
Irradiation of blood product (86945) $134.40 $168 3.6×
Lactic acid (83605) $139.20 $174 12.0×
Ldh (83615) $99.60 $124.50 16.5×
LDL cholesterol direct (83721) $80 $100 7.6×
Lead (83655) $112 $140 9.2×
Lh (83002) $37.34 $46.68 2.0×
Lipase (83690) $110.10 $137.62 16.0×
Lithium (80178) $17.40 $21.75 2.6×
Lyme disease antibody (86618) $52.60 $65.75 3.1×
Lyme disease antibody confirm (86617) $89.20 $111.50 5.8×
Magnesium (83735) $99.60 $124.50 14.9×
Methylmalonic acid serum (83921) $69 $86.25 3.3×
Microalbumin urine (82043) $71.60 $89.50 12.4×
Microsomal antibodies (86376) $189.20 $236.50 13.0×
Mononuclear cell antigen (86356) $64 $80 2.4×
Mopath procedure level 4 (81403) $1,034 $1,292.50 5.6×
Mycoplasma antibody (86738) $74 $92.50 5.6×
Natriuretic peptide (83880) $230.40 $288 5.9×
Nuclear antigen antibody (86235) $56.40 $70.50 3.1×
Occult blood stool (82272) $44.80 $56 10.6×
Osmolality serum (83930) $56.20 $70.25 8.5×
Osmolality urine (83935) $56.20 $70.25 8.2×
Ova and parasite direct-id lca (87177) $72 $90 8.1×
Parvovirus antibody (86747) $40 $50 2.7×
Phosphatase alkaline (84075) $75.84 $94.80 14.6×
Phosphorus blood (84100) $55.88 $69.86 11.8×
Pinworm exam (87172) $77.20 $96.50 18.1×
Potassium (84132) $51.03 $63.79 10.7×
Potassium urine (84133) $17 $21.25 3.6×
Procalcitonin (pct) (84145) $290 $362.50 10.7×
Prolactin (84146) $41.40 $51.75 2.1×
Protein c activity (85303) $126 $157.50 9.1×
Protein electrophoresis serum (84165) $56.60 $70.75 5.3×
Protein Total Serum (84155) $69.70 $87.13 19.0×
Protein urine (84156) $69.70 $87.12 19.0×
Quantiferon tb gold (86480) $105 $131.25 1.7×
Reagent strip/blood glucose (82948) $48.60 $60.75 9.6×
Renin activity plasma (84244) $86.20 $107.75 3.9×
Rheumatoid factor quant (86431) $65.68 $82.10 11.6×
Rickettsia antibody (86757) $367.20 $459 19.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $120 $150 2.3×
Sars-Cov-2 Covid-19 Antibody (86769) $42.46 $53.08 1.0×
Sarscov2&inf a&b&rsv amp prb (87637) $458.40 $573 3.2×
Sed rate automated (85652) $82 $102.50 30.4×
Sensitivity mic (87186) $146.40 $183 16.9×
Smear gram stain (87205) $51.46 $64.33 12.1×
Sodium (84295) $45.04 $56.30 9.4×
Sodium urine (84300) $27 $33.75 5.3×
Strep a assay w/optic (87880) $71.36 $89.21 4.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $89.20 $111.50 1.9×
T cells, total count (86359) $126 $157.50 3.3×
T3 free (84481) $105 $131.25 6.2×
T3 total (84480) $38.60 $48.25 2.7×
T3 uptake (84479) $88.32 $110.40 13.7×
T4 Free (84439) $87.90 $109.88 9.7×
T4 total (84436) $91.97 $114.96 13.4×
Tb intradermal test (86580) $30.84 $38.55 1.1×
Test for acetone/ketones (82009) $46.08 $57.60 10.2×
Testosterone free (84402) $56.60 $70.75 2.2×
Testosterone total (84403) $55 $68.75 2.1×
Thyroglobulin Ab (86800) $83.50 $104.38 5.2×
Thyroid Stimulating Immunoglobulin (84445) $140.20 $175.25 2.8×
Topiramate (80201) $25.40 $31.75 2.1×
Toxin or antitoxin assay (87230) $215.80 $269.75 10.9×
Triglycerides (84478) $81.53 $101.91 14.2×
Troponin (84484) $202.40 $253 16.2×
Urea nitrogen (84520) $55.68 $69.60 14.1×
Uric acid blood (84550) $66.30 $82.88 14.7×
Urinalysis w/microscopic (81001) $70.90 $88.62 22.4×
Urine microalbumin (protein) analysis (82044) $49.04 $61.30 7.9×
Urine pregnancy test (81025) $45.80 $57.25 5.3×
Valproic acid level (80164) $234.68 $293.35 17.3×
Vancomycin trough (80202) $174.72 $218.40 12.9×
Varicella-zoster antibody (86787) $33.60 $42 2.6×
Vdrl csf (86592) $61.44 $76.80 14.4×
Vitamin b-12 (82607) $160 $200 10.6×
Vitamin b1 (thiamine) (84425) $498.20 $622.75 23.5×
Vitamin D 25-Hydroxy (82306) $158.50 $198.12 5.4×
Zinc (84630) $121.80 $152.25 10.7×