Lab & pathology prices at Salem Township Hospital
Salem, IL · every code in this section with a posted price and a Medicare benchmark.
193 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $168.10 | $420.25 | 4.4× |
| Acute hepatitis panel (80074) | $340.10 | $850.24 | 7.1× |
| Aldosterone urine (82088) | $234.20 | $585.50 | 5.7× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$118.08–$119.80 | $295.21–$299.51 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$6.19–$30.67 | $15.48–$76.68 | varies |
| Allg Spec Ige Recomb Ea (86008) | $56 | $140 | 3.1× |
| Alpha-1-antitrypsin phenotype (82104) | $148.84 | $372.10 | 10.3× |
| Alt (sgpt) (84460) | $42.24 | $105.61 | 8.0× |
| Ammonia (82140) | $99.90 | $249.74 | 6.9× |
| Amylase urine (82150) | $97.99 | $244.98 | 15.1× |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$38.77–$88.70 | $96.93–$221.76 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $38.78 | $96.94 | 3.2× |
| Antinuclear antibodies (86038) | $80 | $200 | 6.6× |
| Assay of blood/uric acid (84550) | $49.20 | $123 | 10.9× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$20.62–$124.44 | $51.56–$311.09 | varies |
| Assay of lactic acid (83605) | $120.54 | $301.35 | 10.4× |
| Assay of serum potassium (84132) | $27.59 | $68.98 | 5.8× |
| Assay of urea nitrogen (84520) | $42.02 | $105.06 | 10.6× |
| Assay of vitamin b-1 (84425) | $75.98 | $189.95 | 3.6× |
| Beta 2 glycoprotein i antibody each (86146) | $180.11 | $450.28 | 7.1× |
| Beta-2 Microglobulin (82232) | $132.86 | $332.16 | 8.2× |
| Bilirubin direct (82248) | $30.99 | $77.47 | 6.2× |
| Blood count reticulocyte automated (85045) | $23.35 | $58.37 | 5.9× |
| Blood gas (82803) | $47.48 | $118.71 | 1.8× |
| Blood gases w/02 saturation (82805) | $286.04 | $715.10 | 3.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $37.10 | $92.74 | 2.3× |
| Blood typing serologic abo (86900) | $88.44 | $221.10 | 29.6× |
| C-reactive protein (86140) | $72.69 | $181.73 | 14.0× |
| Ca 19-9 (86301) | $130.31 | $325.78 | 6.3× |
| Calcium ionized (82330) | $125.87 | $314.68 | 9.2× |
| Calcium total (82310) | $55.39 | $138.48 | 10.7× |
| Calprotectin Fecal (83993) | $179.98 | $449.95 | 9.2× |
| Cancer Antigen 27.29 (86300) | $114.72 | $286.80 | 5.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$50.70–$87.02 | $126.75–$217.56 | varies |
| Carcinoembryonic antigen (82378) | $52.64 | $131.61 | 2.8× |
| Cardiolipin ab iga (86147) | $32.84 | $82.11 | 1.3× |
| Catecholamines fractionated (82384) | $136.21 | $340.52 | 5.4× |
| Ccp antibody (86200) | $29.40 | $73.50 | 2.3× |
| Chromogranin a (86316) | $123.53 | $308.82 | 5.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $84.40 | $210.99 | 2.4× |
| Clostridium Difficile (87324) | $63.47 | $158.68 | 5.3× |
| Complement Antigen Each Component (86160) | $61.44 | $153.61 | 5.1× |
| Coombs direct (86880) | $22.50 | $56.24 | 4.2× |
| Copper urine (82525) | $99.09 | $247.72 | 8.0× |
| Cortisol saliva (82533) | $84.90 | $212.25 | 5.2× |
| Creatine kinase total (82550) | $87.33 | $218.33 | 13.4× |
| Creatinine blood (82565) | $51.36 | $128.41 | 10.0× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$56.56–$70.66 | $141.39–$176.65 | varies |
| Crossmatch immediate spin (86920) | $46.32 | $115.81 | 0.3× |
| Crp High Sensitivity (86141) | $78.96 | $197.39 | 6.1× |
| Cryptococcus ag titer (87899) | $162.75 | $406.88 | 10.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $69.70 | $174.25 | 8.6× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $75.98 | $189.95 | 0.3× |
| Culture Anaerobic (87075) | $25.54 | $63.84 | 2.7× |
| Culture blood (87040) | $160.83 | $402.08 | 15.6× |
| Culture csf (87070) range across 2 matching MRF lines |
$148.01–$215.64 | $370.03–$539.11 | varies |
| Culture stool (87045) | $119.67 | $299.17 | 12.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14 | $35 | 2.7× |
| Culture urine (87086) | $165.85 | $414.63 | 20.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $147.84 | $369.60 | 5.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $59.22 | $148.05 | 1.1× |
| Dgp Antibody Each Ig Class (86258) | $22.80 | $57 | 1.9× |
| Digoxin (80162) | $57.98 | $144.95 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) | $128.66 | $321.64 | 9.4× |
| Drug assay acetaminophen (80143) | $125.46 | $313.65 | 6.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $130.21 | $325.52 | 9.8× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$27.89–$130.21 | $69.72–$325.52 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$20–$148 | $50–$370.01 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $23.51 | $58.78 | 1.9× |
| Ehrlichia antibody (86666) | $224.89 | $562.22 | 22.1× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$277.73–$379.66 | $694.32–$949.16 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $30.14 | $75.34 | 2.5× |
| Erythropoietin (82668) | $162.16 | $405.39 | 8.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$42.11–$66.08 | $105.28–$165.21 | varies |
| Estrogen total (82672) | $181.17 | $452.93 | 8.3× |
| Fecal Fat Qualitative (82705) | $9.30 | $23.24 | 1.8× |
| Ferritin (82728) | $113.98 | $284.95 | 8.4× |
| Fibrin Degradation Quant (85379) | $153.75 | $384.38 | 15.1× |
| Folic Acid Serum (82746) | $103.32 | $258.29 | 7.0× |
| Follicle Stimulating Hormone (83001) | $163.75 | $409.37 | 8.8× |
| Gammaglobulin ige (82785) | $87.02 | $217.56 | 5.3× |
| Ggt (82977) | $42.24 | $105.61 | 5.9× |
| Glucose Blood Test (82962) | $21.53 | $53.83 | 6.6× |
| Glycated Protein (82985) | $46.51 | $116.27 | 2.8× |
| Gonadotropin Chorionic Qualitative (84703) | $108.55 | $271.37 | 14.4× |
| H Pylori (C-13) Breath (83013) | $241.01 | $602.52 | 3.6× |
| Helicobacter Pylori Stool (87338) | $98.28 | $245.71 | 6.8× |
| Hematocrit (85014) | $39.02 | $97.55 | 16.5× |
| Hemoglobin (85018) | $34.85 | $87.13 | 14.7× |
| Hemoglobin a1c (83036) | $81.36 | $203.41 | 8.4× |
| Hepatitis b core ab total (86704) | $8.96 | $22.40 | 0.7× |
| Hepatitis B Surface Antibody (86706) | $109.17 | $272.92 | 10.2× |
| Hepatitis B Surface Antigen (87340) | $112.13 | $280.32 | 10.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$18.40–$45.70 | $46–$114.24 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $178.35 | $445.88 | 4.2× |
| Heterophile Antibody Screen (86308) | $106.76 | $266.90 | 20.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$100.61–$117.67 | $251.52–$294.18 | varies |
| Hiv-1 Antibody (86701) | $85.24 | $213.09 | 9.6× |
| Iaad ia shiga-like toxin (87427) | $56.04 | $140.09 | 4.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $99.81 | $249.52 | 1.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $107.22 | $268.06 | 3.1× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$204.59 | $2.02–$511.48 | 11.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $119.34 | $298.35 | 8.0× |
| Immunofixation electrophoresis (86334) | $119.34 | $298.35 | 5.3× |
| Immunohistochemistry (88342) | $35.59 | $88.97 | 0.2× |
| Influenza DNA amp probe (87502) | $92.80 | $232 | 1.0× |
| Insulin total (83525) | $100 | $249.99 | 8.7× |
| Iron (83540) | $59.03 | $147.58 | 9.1× |
| Iron Binding Capacity (83550) | $70.66 | $176.65 | 8.1× |
| Lactate (ld) (ldh) enzyme (83615) | $61.91 | $154.78 | 10.3× |
| Legionella antigen urine (87449) | $104.43 | $261.07 | 8.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $7.87 | $19.67 | 0.3× |
| Level ii surg pathology grossµscopic exam (88302) | $18.64 | $46.60 | 0.5× |
| Lipase (83690) | $124.44 | $311.09 | 18.1× |
| Luteinizing Hormone (Lh) (83002) | $170.89 | $427.22 | 9.2× |
| Lyme disease antibody (86618) | $144.86 | $362.14 | 8.5× |
| Magnesium Urine (83735) | $82 | $205 | 12.2× |
| Meat fibers, feces (89160) | $14.82 | $37.04 | 3.1× |
| Methylmalonic acid serum (83921) | $118.08 | $295.21 | 5.6× |
| Microalbumin, quantitative (82043) | $69.57 | $173.92 | 12.0× |
| Microsomal Antibodies Each (86376) | $102.39 | $255.98 | 7.0× |
| Mrsa Pcr (87641) | $137.20 | $343 | 3.9× |
| Mumps antibody (86735) | $176.32 | $440.80 | 13.5× |
| Natriuretic peptide (83880) | $204.59 | $511.48 | 5.2× |
| Nuclear antigen antibody (86235) | $12.74 | $31.86 | 0.7× |
| Occult Blood Other Sources (82271) | $55.08 | $137.70 | 10.4× |
| Osmolality Urine (83935) | $61.70 | $154.26 | 9.0× |
| Ph urine (81003) range across 2 matching MRF lines |
$19.96–$58.58 | $49.89–$146.46 | varies |
| Phenytoin (Dilantin) (80185) | $98.26 | $245.66 | 7.4× |
| Phosphorus Serum (84100) | $57.40 | $143.50 | 12.1× |
| Procalcitonin (Pct) (84145) | $181.22 | $453.05 | 6.7× |
| Progesterone (84144) | $108.55 | $271.37 | 5.2× |
| Prolactin (84146) | $158.71 | $396.78 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $179.98 | $449.95 | 16.8× |
| Protein S Free (85306) | $27.86 | $69.64 | 1.8× |
| Protein s total (85305) | $27.86 | $69.64 | 2.4× |
| Protein total serum (84155) | $32.84 | $82.11 | 8.9× |
| Protein Total Urine (84156) | $67.54 | $168.84 | 18.4× |
| Pth Intact (83970) | $216.48 | $541.20 | 5.2× |
| Quantiferon tb gold plus (86480) | $80 | $200 | 1.3× |
| Quantitative assay drug (80299) | $124.05 | $310.12 | 6.7× |
| Rbc antibody screen (86850) | $133.25 | $333.13 | 13.6× |
| Reagent Strip/Blood Glucose (82948) | $34.03 | $85.08 | 6.8× |
| Renin activity plasma (84244) | $181.97 | $454.93 | 8.3× |
| Rh (86901) | $78.72 | $196.80 | 26.3× |
| Rheumatoid Factor Qualitative (86430) | $62.69 | $156.73 | 10.2× |
| Rheumatoid factor quant (86431) | $225.29 | $563.23 | 39.7× |
| Rpr qualitative (86592) | $11.87 | $29.68 | 2.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$14.86–$40.84 | $37.16–$102.11 | varies |
| Rubeola antibody (86765) | $148.42 | $371.04 | 11.5× |
| Russell Viper Venom Time Diluted (85613) | $118.95 | $297.38 | 12.4× |
| Salicylate Level (80179) | $125.46 | $313.65 | 6.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $69.60 | $174 | 1.4× |
| Sedimentation Rate, Automated (85652) | $55.76 | $139.40 | 20.7× |
| Selenium (84255) | $45.63 | $114.08 | 1.8× |
| Semen Anal Sperm Detection (89321) | $42.87 | $107.18 | 3.6× |
| Sensitivity mic (87186) | $186.28 | $465.71 | 21.5× |
| Sex Hormone Binding Globulin (84270) | $38.82 | $97.06 | 1.8× |
| Smear gram stain (87205) | $27.59 | $68.98 | 6.5× |
| Sodium Serum (84295) | $26.92 | $67.30 | 5.6× |
| Sodium Urine (84300) | $5.26 | $13.16 | 1.0× |
| Special Stains Group 1 (88312) | $94.35 | $235.88 | 1.7× |
| Special Stains Group 2 (88313) | $40.16 | $100.39 | 0.3× |
| Stool cultr aerobic bact ea (87046) | $75.52 | $188.81 | 8.0× |
| Strep a DNA amp probe (87651) | $98.20 | $245.49 | 2.8× |
| Surg path level iii (88304) | $24.85 | $62.13 | 0.4× |
| Surgical pathology level IV (88305) | $48.25 | $120.62 | 0.9× |
| T3 Free (84481) | $183.87 | $459.67 | 10.9× |
| T3 reverse (84482) | $96.63 | $241.58 | 6.1× |
| T3 Total (84480) | $102.44 | $256.10 | 7.2× |
| T4 Free (84439) | $98.28 | $245.71 | 10.9× |
| T4 total (84436) | $43.90 | $109.75 | 6.4× |
| Tacrolimus (80197) | $206.30 | $515.76 | 15.0× |
| Test for acetone/ketones (82009) | $75.98 | $189.95 | 16.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$10.21–$119.80 | $25.52–$299.51 | varies |
| Testosterone, Free (84402) | $70.47 | $176.18 | 2.8× |
| Thyroglobulin Antibody (86800) | $112.53 | $281.32 | 7.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$74.13–$134.77 | $185.33–$336.92 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $43.90 | $109.75 | 8.5× |
| Transferrin (84466) | $84.05 | $210.13 | 6.6× |
| Trichomonas Vaginalis Amplif (87661) | $133.54 | $333.85 | 3.8× |
| Troponin Quant (84484) | $182.53 | $456.33 | 14.6× |
| Urinalysis Microscopic Only (81015) | $4.56 | $11.39 | 1.5× |
| Urine Pregnancy Test (81025) | $102.11 | $255.27 | 11.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $63.14 | $157.85 | 19.9× |
| Valproic acid (80164) | $100.08 | $250.19 | 7.4× |
| Vancomycin (80202) | $169.33 | $423.33 | 12.5× |
| Vit D 1 25-Dihydroxy (82652) | $200.03 | $500.07 | 5.2× |
| Vitamin b-12 (82607) | $120.54 | $301.35 | 8.0× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$78.05–$149.42 | $195.12–$373.55 | varies |
| Vitamin D 25-Hydroxy (82306) | $190.63 | $476.58 | 6.4× |
| Vitamin E (84446) | $92.99 | $232.47 | 6.6× |
| Zinc (84630) | $98.88 | $247.20 | 8.7× |
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.