Lab & pathology prices at Sabine County Hospital

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

139 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) $200 $400 5.2×
Acetaminophen level (80143) $88 $176 4.7×
Acute hepatitis panel (80074) $222 $444 4.7×
Albumin Fluid (82042) $26 $52 3.3×
Albumin serum (82040) $22 $44 4.4×
Aldosterone urine (82088) $249.50 $499 6.1×
Ammonia (82140) $91 $182 6.2×
Amylase urine (82150) $34.50 $69 5.3×
Ana Titer (86039) $23 $46 2.1×
Antibody helicobacter pylori (86677) $75 $150 4.5×
Antibody herpes smplx type 1 (86695) $36.50 $73 2.8×
Antibody screen (86850) $90 $180 9.2×
Antibody treponema pallidum (86780) $80.50 $161 6.1×
Antinuclear antibodies (86038) $40 $80 3.3×
Assay of acth (82024) $255 $510 6.6×
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $78 $156 4.5×
Assay of ferritin (82728) $86 $172 6.3×
Assay of homocystine (83090) $81.50 $163 4.5×
Assay of lipoprotein(a) (83695) $27.50 $55 1.9×
Assay of parathormone (83970) $150 $300 3.6×
Assay of phenobarbital (80184) $94 $188 6.1×
Assay of prealbumin (84134) $59 $118 4.0×
Assay of tacrolimus (80197) $124 $248 9.0×
Bilirubin direct (82248) $38.50 $77 7.7×
Bl Smear W/Diff Wbc Count (85007) $22 $44 5.8×
Blood gases (82803) $137.50 $275 5.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $33 $66 2.1×
Blood typing serologic rh (d) (86901) $60 $120 20.1×
C-reactive protein (86140) $50 $100 9.7×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $61.50 $123 4.7×
Calcium total (82310) $27.50 $55 5.3×
Calprotectin, fecal (83993) $143 $286 7.3×
Carcinoembryonic antigen (82378) $97.50 $195 5.1×
Cardiolipin ab igg (86147) $62.50 $125 2.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $191.50 $383 5.5×
Ckmb (82553) $100 $200 8.7×
Compatibility test antiglob (86922) $275 $550 1.6×
Cortisol free (82530) $91 $182 5.4×
Cortisol total (82533) $100 $200 6.1×
Creatine kinase total (82550) $50 $100 7.7×
Creatinine blood (82565) $38 $76 7.4×
Creatinine clearance (82575) $88.50 $177 9.4×
Creatinine other source (82570) $37.50 $75 7.2×
Culture Aerobic Identify (87077) $37.50 $75 4.6×
Culture anaerobic (87075) $77 $154 8.1×
Culture Bacteria Anaerobic (87073) $29 $58 3.0×
Culture blood (87040) $100 $200 9.7×
Culture genital (87070) $75 $150 8.7×
Culture screen only (87081) $17.50 $35 2.6×
Culture stool (87045) $83 $166 8.8×
Culture urine (87086) $50 $100 6.2×
Cyclic Citrullinated Peptide (86200) $69.50 $139 5.4×
D-Dimer (85378) $87.50 $175 9.0×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $40 $80 2.4×
Dhea sulfate (82627) $47.50 $95 2.1×
Digoxin (80162) $91 $182 6.9×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $92.50 $185 6.7×
Drug Scrn Quan Levetiracetam (80177) $69.50 $139 5.2×
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $56 $112 3.3×
Electrolyte panel (80051) $32 $64 4.6×
Estradiol (82670) $133.50 $267 4.8×
Folate serum (82746) $76 $152 5.2×
Folic acid rbc (82747) $98 $196 5.6×
Follicle Stimulating Hormone (83001) $104.50 $209 5.6×
Ggt (82977) $77.50 $155 10.8×
Giardia antigen eia stool (87329) $64.50 $129 5.4×
Hcg qualitative (84703) $84.50 $169 11.2×
Hematocrit (85014) $20.50 $41 8.6×
Hemoglobin (85018) $22 $44 9.3×
Hemoglobin a1c (83036) $50 $100 5.1×
Hepatitis a igm (86709) $35 $70 3.1×
Hepatitis b core antibody total (86704) $29 $58 2.4×
Hepatitis B Surface Ab (86706) $78.50 $157 7.3×
Hepatitis c antibody (86803) $131 $262 9.2×
Herpes simplex type 2 (86696) $38.50 $77 2.0×
Iaad ia clostridium difficile toxin (87324) $39 $78 3.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $75 $150 2.1×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $191.50 $383 5.5×
Iadna trichomonas vaginalis amplified probe tech (87661) $67 $134 1.9×
Influenza DNA amp probe (87502) $100 $200 1.0×
Iron (83540) $40 $80 6.2×
Iron binding capacity (83550) $56.50 $113 6.5×
Koh Prep (87220) $20 $40 4.7×
Lactic acid (83605) $40 $80 3.5×
Ldh (83615) $50 $100 8.3×
Lead (83655) $55.50 $111 4.6×
Level ii surg pathology gross&microscopic exam (88302) $65 $130 1.7×
Lh (83002) $98 $196 5.3×
Lipase (83690) $37.50 $75 5.4×
Magnesium (83735) $57.50 $115 8.6×
Methotrexate (80299) $67.50 $135 3.6×
Microalbumin urine (82043) $48.50 $97 8.4×
Microsomal antibodies (86376) $60.50 $121 4.2×
Mitochondrial antibody each (86381) $60 $120 2.4×
Natriuretic peptide (83880) $125 $250 3.2×
Nfct agent DNA/RNA gastrointestinal pathogen (87505) $244.50 $489 1.9×
Nuclear antigen antibody (86235) $92.50 $185 5.2×
Osmolality urine (83935) $22.50 $45 3.3×
Ova and parasite direct-id lca (87177) $65 $130 7.3×
Particle Agglutination Screen Each Antibody (86403) $64.50 $129 5.6×
Phosphorus blood (84100) $39 $78 8.2×
Potassium (84132) $28 $56 5.9×
Primidone (80188) $85 $170 5.1×
Progesterone (84144) $141.50 $283 6.8×
Prolactin (84146) $110 $220 5.7×
Protein electrophoresis serum (84165) $55 $110 5.1×
Protein Electrophoresis Urine (84166) $81.50 $163 4.6×
Protein Total Serum (84155) $19.50 $39 5.3×
Protein urine (84156) $41.50 $83 11.3×
Quantiferon tb gold (86480) $129 $258 2.1×
Respiratory Virus (86756) $184 $368 11.6×
Rheumatoid Factor Qual (86430) $43.50 $87 7.1×
Rheumatoid factor quant (86431) $29 $58 5.1×
Sed rate automated (85652) $37.50 $75 13.9×
Sedimentation rate (85651) $37.50 $75 8.8×
Sickle cell screen (85660) $25 $50 4.5×
Sodium urine (84300) $37.50 $75 7.4×
Strep a assay w/optic (87880) $30 $60 1.8×
T3 free (84481) $122.50 $245 7.2×
T3 total (84480) $81.50 $163 5.7×
T3 uptake (84479) $34.50 $69 5.3×
T4 Free (84439) $62.50 $125 6.9×
T4 total (84436) $53.50 $107 7.8×
Tb intradermal test (86580) $24.50 $49 0.8×
Testosterone free (84402) $139 $278 5.5×
Testosterone total (84403) $102.50 $205 4.0×
Thin prep pap (88142) $22.50 $45 1.1×
Toxin or antitoxin assay (87230) $130.50 $261 6.6×
Troponin (84484) $100 $200 8.0×
Urea nitrogen (84520) $35 $70 8.9×
Uric acid blood (84550) $43.50 $87 9.6×
Urinalysis w/microscopic (81001) $37.50 $75 11.8×
Urine pregnancy test (81025) $17.50 $35 2.0×
Valproic acid level (80164) $92 $184 6.8×
Vancomycin trough (80202) $108.50 $217 8.0×
Vitamin A (84590) $49.50 $99 4.3×
Vitamin b-12 (82607) $75 $150 5.0×
Vitamin b1 (thiamine) (84425) $82.50 $165 3.9×
Vitamin D 25-Hydroxy (82306) $112.50 $225 3.8×