Lab & pathology prices at Roger Mills Memorial Hospital
Cheyenne, OK · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Albumin serum (82040) | $37.50 | $50 | 7.6× |
| Aldosterone urine (82088) | $192.75 | $257 | 4.7× |
| Allergen specific ige (86003) | $77.25 | $103 | 14.8× |
| Alpha-1-antitrypsin, total (82103) | $71.62 | $95.50 | 5.3× |
| Alpha-Fetoprotein L3 (82107) | $253.50 | $338 | 3.9× |
| Alt (sgpt) (84460) | $47.25 | $63 | 8.9× |
| Amikacin trough (80150) | $42.75 | $57 | 2.8× |
| Ammonia (82140) | $135 | $180 | 9.3× |
| Amylase urine (82150) | $80.25 | $107 | 12.4× |
| Ana Titer (86039) | $74.25 | $99 | 6.7× |
| Angiotensin i enzyme test (82164) | $162.75 | $217 | 11.1× |
| Anti-phosphatidylserine antibody (86148) | $95.25 | $127 | 5.9× |
| Antibody cytomegalovirus cmv (86644) | $254.25 | $339 | 17.7× |
| Antibody helicobacter pylori (86677) | $303 | $404 | 18.0× |
| Antibody mumps (86735) | $130.12 | $173.50 | 10.0× |
| Antibody Protozoa Nes (86753) | $181.50 | $242 | 14.6× |
| Antibody rubeola (86765) | $174 | $232 | 13.5× |
| Antibody screen (86850) | $84 | $112 | 8.6× |
| Antibody treponema pallidum (86780) | $89.25 | $119 | 6.7× |
| Antibody; campylobacter (86625) | $398.25 | $531 | 30.4× |
| Antinuclear antibodies (86038) | $80.25 | $107 | 6.6× |
| Antistreptolysin o titer (86060) | $123.75 | $165 | 17.0× |
| Apolipoprotein b (82172) | $66 | $88 | 3.1× |
| Assay Lipoprotein Pla2 (83698) | $234.75 | $313 | 5.1× |
| Assay Nephelometry Not Spec (83883) | $220.50 | $294 | 16.2× |
| Assay of acth (82024) | $207.75 | $277 | 5.4× |
| Assay of blood chloride (82435) | $17.25 | $23 | 3.8× |
| Assay of c-peptide (84681) | $174 | $232 | 8.4× |
| Assay of calcitonin (82308) | $291.75 | $389 | 10.9× |
| Assay of creatine (82540) | $119.25 | $159 | 25.7× |
| Assay of cyclosporine (80158) | $115.50 | $154 | 6.4× |
| Assay of erythropoietin (82668) | $79.50 | $106 | 4.2× |
| Assay of ferritin (82728) | $80.25 | $107 | 5.9× |
| Assay of gammaglobulin igm (82784) | $104.25 | $139 | 11.2× |
| Assay of gastrin (82941) | $41.25 | $55 | 2.3× |
| Assay of gentamicin (80170) | $176.25 | $235 | 10.8× |
| Assay of glucagon (82943) | $235.50 | $314 | 16.5× |
| Assay of homocystine (83090) | $293.25 | $391 | 16.4× |
| Assay of lipoprotein(a) (83695) | $65.62 | $87.50 | 4.6× |
| Assay of parathormone (83970) | $145.50 | $194 | 3.5× |
| Assay of phenobarbital (80184) | $102.75 | $137 | 6.7× |
| Assay of prealbumin (84134) | $122.62 | $163.50 | 8.4× |
| Assay of somatomedin (84305) | $252.75 | $337 | 11.9× |
| Assay of tacrolimus (80197) | $283.50 | $378 | 20.6× |
| Assay of vitamin k (84597) | $425.25 | $567 | 31.0× |
| Assay Ph Body Fluid Nos (83986) | $102 | $136 | 28.5× |
| Ast (sgot) (84450) | $42.75 | $57 | 8.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $95.25 | $127 | 3.7× |
| Beta-2 microglobulin (82232) | $51.75 | $69 | 3.2× |
| Bilirubin total (82247) | $84 | $112 | 16.7× |
| Bl Smear W/Diff Wbc Count (85007) | $21.75 | $29 | 5.7× |
| Blood Count Automated Differential Wbc Count (85004) | $88.50 | $118 | 13.7× |
| Blood gases (82803) | $151.50 | $202 | 5.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38.25 | $51 | 8.7× |
| Blood typing abo (86900) | $51 | $68 | 17.1× |
| Blood typing serologic rh (d) (86901) | $47.25 | $63 | 15.8× |
| Body fluid cell count (89051) | $134.25 | $179 | 24.0× |
| Brucella antibody (86622) | $203.25 | $271 | 22.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $105.75 | $141 | 8.2× |
| Ca 125 (86304) | $90 | $120 | 4.3× |
| Ca 19-9 (86301) | $97.50 | $130 | 4.7× |
| Ca 27 29 (86300) | $119.62 | $159.50 | 5.7× |
| Calcium ionized (82330) | $137.25 | $183 | 10.0× |
| Calcium total (82310) | $115.12 | $153.50 | 22.3× |
| Calcium urine (82340) | $113.25 | $151 | 18.8× |
| Calculus Spectroscopy (82365) | $170.25 | $227 | 13.2× |
| Calprotectin, fecal (83993) | $222.75 | $297 | 11.3× |
| Calr gene com variants (81219) | $548.25 | $731 | 4.5× |
| Carbamazepine (tegretol) total (80156) | $69.75 | $93 | 4.8× |
| Carbon dioxide (82374) | $30 | $40 | 6.1× |
| Carcinoembryonic antigen (82378) | $154.50 | $206 | 8.1× |
| Cardiolipin ab igg (86147) | $78 | $104 | 3.1× |
| Catecholamines fraction plasma (82384) | $151.50 | $202 | 6.0× |
| Chloride other source (82438) | $66.75 | $89 | 13.4× |
| Cholesterol total (82465) | $33.75 | $45 | 7.8× |
| Chromium urine (82495) | $204.75 | $273 | 10.1× |
| Chromogranin a (86316) | $240.75 | $321 | 11.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $264 | $352 | 7.5× |
| Ckmb (82553) | $105.75 | $141 | 9.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $145.50 | $194 | 6.0× |
| Compatibility test antiglob (86922) | $135 | $180 | 0.8× |
| Compatibility Test Incubate (86921) | $76.50 | $102 | 0.5× |
| Complement c3 (86160) | $85.88 | $114.50 | 7.2× |
| Complement total ch50 (86162) | $92.25 | $123 | 4.5× |
| Concentration Infectious Agent (87015) | $67.88 | $90.50 | 10.2× |
| Coombs direct (86880) | $31.50 | $42 | 5.8× |
| Copper urine (82525) | $31.50 | $42 | 2.5× |
| Cortisol free (82530) | $199.50 | $266 | 11.9× |
| Cortisol total (82533) | $129 | $172 | 7.9× |
| Creatine kinase total (82550) | $66.75 | $89 | 10.3× |
| Creatinine blood (82565) | $42.75 | $57 | 8.3× |
| Creatinine clearance (82575) | $144.75 | $193 | 15.3× |
| Creatinine other source (82570) | $81.75 | $109 | 15.8× |
| Crossmatch immediate spin (86920) | $114 | $152 | 0.7× |
| Culture Aerobic Identify (87077) | $32.25 | $43 | 4.0× |
| Culture anaerobic (87075) | $71.25 | $95 | 7.5× |
| Culture blood (87040) | $121.50 | $162 | 11.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $159.75 | $213 | 20.7× |
| Culture fungus id yeast (87106) | $159.75 | $213 | 15.5× |
| Culture genital (87070) | $127.50 | $170 | 14.8× |
| Culture stool (87045) | $96.75 | $129 | 10.2× |
| Culture urine (87086) | $80.25 | $107 | 9.9× |
| Culture urine id ea isolate (87088) | $32.25 | $43 | 4.0× |
| Cyclic Citrullinated Peptide (86200) | $88.50 | $118 | 6.8× |
| Cystatin c (82610) | $213 | $284 | 11.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $643.50 | $858 | 15.0× |
| D-Dimer (85378) | $79.50 | $106 | 8.2× |
| Deoxyribonuclease antibody (86215) | $176.25 | $235 | 13.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $66.75 | $89 | 4.0× |
| Detect agnt mult DNA ampli (87801) | $467.25 | $623 | 6.7× |
| Dhea (82626) | $186 | $248 | 7.4× |
| Digoxin (80162) | $131.25 | $175 | 9.9× |
| Dilantin (80185) | $96.75 | $129 | 7.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $186.75 | $249 | 13.6× |
| Drug Assay Lacosamide (80235) | $169.50 | $226 | 6.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $137.25 | $183 | 10.4× |
| Drug Scrn Quan Levetiracetam (80177) | $180 | $240 | 13.6× |
| Drug scrn quant oxcarbazepin (80183) | $130.50 | $174 | 9.8× |
| Drug test prsmv chem anlyzr (80307) | $246.75 | $329 | 4.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $32.25 | $43 | 2.6× |
| Ehrlichia antibody (86666) | $306.38 | $408.50 | 30.1× |
| Elastase pancreatic fecal quantitative (82653) | $356.25 | $475 | 15.5× |
| Electrolyte panel (80051) | $72 | $96 | 10.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $133.12 | $177.50 | 11.0× |
| Endomysial antibody iga (86255) | $110.62 | $147.50 | 9.2× |
| Enzyme cell activity (82657) | $567 | $756 | 25.6× |
| Eosinophil count (85048) | $42.75 | $57 | 16.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $113.25 | $151 | 7.4× |
| Estradiol (82670) | $308.25 | $411 | 11.0× |
| Estrogen fractionated (82671) | $573.75 | $765 | 17.8× |
| Estrogens total (82672) | $266.25 | $355 | 12.3× |
| Estrone (82679) | $66.75 | $89 | 2.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $171.75 | $229 | 23.4× |
| F5 gene (81241) | $476.25 | $635 | 6.5× |
| Fecal fat qual (82705) | $87.75 | $117 | 17.2× |
| Fibrinogen activity (85384) | $127.50 | $170 | 13.1× |
| Folate serum (82746) | $80.25 | $107 | 5.5× |
| Folic acid rbc (82747) | $90 | $120 | 5.1× |
| Follicle Stimulating Hormone (83001) | $143.25 | $191 | 7.7× |
| Fructosamine (82985) | $105 | $140 | 6.3× |
| Gammaglobulin ige (82785) | $105 | $140 | 6.4× |
| Ggt (82977) | $84.75 | $113 | 11.8× |
| Giardia antigen eia stool (87329) | $166.50 | $222 | 13.9× |
| Glucose (82947) | $42.75 | $57 | 10.9× |
| Glucose Blood Test (82962) | $9.75 | $13 | 3.0× |
| Glucose post dose (82950) | $17.25 | $23 | 3.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $47.25 | $63 | 3.7× |
| Haptoglobin (83010) | $43.50 | $58 | 3.5× |
| Hcg qualitative (84703) | $151.50 | $202 | 20.1× |
| Hdl Cholesterol (83718) | $29.25 | $39 | 3.6× |
| Heavy metal quant each (83018) | $184.50 | $246 | 8.4× |
| Hematocrit (85014) | $29.25 | $39 | 12.3× |
| Hemoglobin (85018) | $29.25 | $39 | 12.3× |
| Hemoglobin a1c (83036) | $51 | $68 | 5.3× |
| Heparin assay (85520) | $225.75 | $301 | 17.2× |
| Hepatitis a antibody total (86708) | $144.75 | $193 | 11.7× |
| Hepatitis a igm (86709) | $72 | $96 | 6.4× |
| Hepatitis b core ab igm (86705) | $72 | $96 | 6.1× |
| Hepatitis B Surface Ab (86706) | $175.50 | $234 | 16.3× |
| Hepatitis B Surface Antigen (87340) | $66.75 | $89 | 6.5× |
| Hepatitis c antibody (86803) | $51 | $68 | 3.6× |
| Hepatitis C Genotype (87902) | $439.50 | $586 | 1.7× |
| Herpes culture (87252) | $357.75 | $477 | 13.7× |
| Herpes simplex type 2 (86696) | $105.75 | $141 | 5.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $33.75 | $45 | 6.5× |
| Hfe gene (81256) | $598.50 | $798 | 9.2× |
| Hla b 27 disease association lc (81374) | $171 | $228 | 2.3× |
| Hla-b27 (86812) | $63 | $84 | 2.4× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $240.75 | $321 | 3.6× |
| Iaad ia clostridium difficile toxin (87324) | $135 | $180 | 11.3× |
| Iaad ia cryptosporidium (87328) | $111.75 | $149 | 8.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $266.25 | $355 | 18.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $79.50 | $106 | 5.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $39.75 | $53 | 1.1× |
| Iadna hepatitis b virus quantification (87517) | $516 | $688 | 12.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $793.50 | $1,058 | 18.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $211.50 | $282 | 6.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $264 | $352 | 7.5× |
| Iadna nos amplified probe tq each organism (87798) | $632.25 | $843 | 18.0× |
| Iadna nos quantification each organism (87799) | $703.50 | $938 | 16.4× |
| Immunfix e-phorsis/urine/csf (86335) | $229.50 | $306 | 7.8× |
| Immunoassay nonantibody (83516) | $227.25 | $303 | 19.7× |
| Immunodiffusion Ouchterlony (86331) | $318 | $424 | 26.5× |
| Immunofixj Electrophoresis Serum (86334) | $291.75 | $389 | 13.1× |
| Immunoglobulin light chains free each (83521) | $190.50 | $254 | 11.0× |
| Inhibin b (83520) | $135.75 | $181 | 7.9× |
| Insulin total (83525) | $92.25 | $123 | 8.1× |
| Iron (83540) | $43.88 | $58.50 | 6.8× |
| Iron binding capacity (83550) | $54.75 | $73 | 6.3× |
| Jak2 Targeted Sequence Analysis (81279) | $516.75 | $689 | 2.8× |
| Koh Prep (87220) | $9 | $12 | 2.1× |
| Lactic acid (83605) | $90.75 | $121 | 7.8× |
| Ldh (83615) | $82.50 | $110 | 13.7× |
| Lead (83655) | $183.75 | $245 | 15.2× |
| Legionella antigen urine (87449) | $267.75 | $357 | 22.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $66.75 | $89 | 15.6× |
| Lh (83002) | $29.25 | $39 | 1.6× |
| Lipase (83690) | $84 | $112 | 12.2× |
| Lithium (80178) | $114 | $152 | 17.2× |
| Lyme disease antibody (86618) | $234 | $312 | 13.7× |
| Magnesium (83735) | $51 | $68 | 7.6× |
| Malaria smear (87207) | $56.25 | $75 | 9.4× |
| Manual reticulocyte count (85044) | $33.75 | $45 | 7.8× |
| Mercury (83825) | $364.88 | $486.50 | 22.4× |
| Methylmalonic acid serum (83921) | $273.75 | $365 | 12.9× |
| Microalbumin urine (82043) | $66.75 | $89 | 11.5× |
| Microsomal antibodies (86376) | $166.50 | $222 | 11.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $389.25 | $519 | 2.1× |
| Mrsa amp probe (87641) | $278.25 | $371 | 7.9× |
| Myoglobin urine (83874) | $224.25 | $299 | 17.4× |
| Natriuretic peptide (83880) | $187.50 | $250 | 4.8× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $459.75 | $613 | 6.4× |
| Niacin (84591) | $309 | $412 | 18.1× |
| Nmr Lipoprofile (83704) | $197.25 | $263 | 5.8× |
| Nuclear antigen antibody (86235) | $186 | $248 | 10.4× |
| Occult blood stool (82272) | $25.50 | $34 | 6.0× |
| Osmolality serum (83930) | $142.50 | $190 | 21.6× |
| Osmolality urine (83935) | $135 | $180 | 19.8× |
| Ova and parasite direct-id lca (87177) | $88.50 | $118 | 9.9× |
| Pancreatic elastase fecal (82656) | $316.50 | $422 | 27.5× |
| Pancreatic polypeptide (83519) | $212.62 | $283.50 | 11.6× |
| Particle Agglutination Screen Each Antibody (86403) | $24 | $32 | 2.1× |
| Phosphatase acid prostatic (84066) | $47.25 | $63 | 4.9× |
| Phosphatase alkaline (84075) | $37.50 | $50 | 7.2× |
| Phosphorus blood (84100) | $207.75 | $277 | 43.8× |
| Platelet count (85049) | $72 | $96 | 16.1× |
| Potassium (84132) | $37.50 | $50 | 7.9× |
| Potassium urine (84133) | $113.25 | $151 | 23.9× |
| Progesterone (84144) | $33.75 | $45 | 1.6× |
| Prolactin (84146) | $228.75 | $305 | 11.8× |
| Protein body fluid (84157) | $84.75 | $113 | 21.2× |
| Protein electrophoresis serum (84165) | $160.50 | $214 | 14.9× |
| Protein Electrophoresis Urine (84166) | $132 | $176 | 7.4× |
| Protein Total Serum (84155) | $30 | $40 | 8.2× |
| Protein urine (84156) | $110.25 | $147 | 30.0× |
| Quantiferon tb gold (86480) | $338.25 | $451 | 5.5× |
| Reducing substances, stool (84376) | $133.50 | $178 | 24.3× |
| Respiratory viral panel PCR (87633) | $1,113 | $1,484 | 2.7× |
| Rheumatoid Factor Qual (86430) | $58.50 | $78 | 9.5× |
| Rheumatoid factor quant (86431) | $27.75 | $37 | 4.9× |
| Rickettsia antibody (86757) | $198 | $264 | 10.2× |
| Rsv (87807) | $42.75 | $57 | 3.3× |
| Rubella antibody (86762) | $54 | $72 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $159 | $212 | 3.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $129.38 | $172.50 | 3.1× |
| Sedimentation rate (85651) | $58.50 | $78 | 13.7× |
| Sensitivity mic (87186) | $39 | $52 | 4.5× |
| Sex hormone binding globulin (84270) | $181.50 | $242 | 8.4× |
| Skin test candida (86485) | $71.25 | $95 | 2.6× |
| Smear acid fast (87206) | $87.75 | $117 | 16.3× |
| Smear gram stain (87205) | $15 | $20 | 3.5× |
| Sodium (84295) | $42.75 | $57 | 8.9× |
| Sodium other source (84302) | $109.88 | $146.50 | 22.6× |
| Sodium urine (84300) | $17.25 | $23 | 3.4× |
| Soluble transferrin receptor (84238) | $229.50 | $306 | 6.3× |
| Spectrophotometry (84311) | $66.75 | $89 | 8.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $145.50 | $194 | 15.4× |
| Strep a assay w/optic (87880) | $84.38 | $112.50 | 5.1× |
| T3 free (84481) | $102 | $136 | 6.0× |
| T3 reverse (84482) | $388.50 | $518 | 24.7× |
| T3 total (84480) | $39.75 | $53 | 2.8× |
| T3 uptake (84479) | $51 | $68 | 7.9× |
| T4 Free (84439) | $72 | $96 | 8.0× |
| T4 total (84436) | $82.50 | $110 | 12.0× |
| Tb intradermal test (86580) | $33.38 | $44.50 | 1.2× |
| Testosterone free (84402) | $321 | $428 | 12.6× |
| Testosterone total (84403) | $131.25 | $175 | 5.1× |
| Theophylline (80198) | $92.25 | $123 | 6.5× |
| Thyroglobulin Ab (86800) | $36 | $48 | 2.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $468 | $624 | 9.2× |
| Toxin or antitoxin assay (87230) | $96.75 | $129 | 4.9× |
| Transferrin (84466) | $160.50 | $214 | 12.6× |
| Triglycerides (84478) | $47.25 | $63 | 8.2× |
| Troponin (84484) | $114 | $152 | 9.1× |
| Urea nitrogen (84520) | $42.75 | $57 | 10.8× |
| Uric acid blood (84550) | $36.75 | $49 | 8.1× |
| Urinalysis w/microscopic (81001) | $42.75 | $57 | 13.5× |
| Urine pregnancy test (81025) | $46.12 | $61.50 | 5.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $42.75 | $57 | 19.0× |
| Valproic acid level (80164) | $50.25 | $67 | 3.7× |
| Vancomycin trough (80202) | $289.50 | $386 | 21.4× |
| Varicella-zoster antibody (86787) | $325.50 | $434 | 25.3× |
| Vdrl csf (86592) | $54.75 | $73 | 12.8× |
| Virus antibody nos (86790) | $49.50 | $66 | 3.8× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $184.50 | $246 | 5.4× |
| Virus inoculation, shell via (87254) | $148.50 | $198 | 7.6× |
| Vitamin A (84590) | $195 | $260 | 16.8× |
| Vitamin b-12 (82607) | $52.50 | $70 | 3.5× |
| Vitamin b-2 (riboflavin) (84252) | $257.25 | $343 | 12.7× |
| Vitamin b1 (thiamine) (84425) | $211.50 | $282 | 10.0× |
| Vitamin b6 (84207) | $321 | $428 | 11.4× |
| Vitamin D 25-Hydroxy (82306) | $162.75 | $217 | 5.5× |
| Vitamin e serum (84446) | $85.50 | $114 | 6.0× |
| West nile virus ab, igm (86788) | $206.25 | $275 | 12.2× |
| West nile virus antibody (86789) | $206.25 | $275 | 14.3× |
| Zika Virus Igm Antibody (86794) | $450.75 | $601 | 26.8× |
| Zinc (84630) | $237 | $316 | 20.8× |