Lab & pathology prices at CHI St. Gabriel's Hospital

Little Falls, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acute hepatitis panel (80074) $58.58 $101 1.2×
Albumin Fluid (82042) $24.36 $42 3.1×
Albumin serum (82040) $30.74 $53 6.2×
Allergen specific ige (86003)
range across 3 matching MRF lines
$26.10–$138.04 $45–$238 varies
Alt (sgpt) (84460) $29 $50 5.5×
Ammonia (82140) $108.46 $187 7.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $157.18 $271 1.6×
Amylase urine (82150)
range across 4 matching MRF lines
$21.46–$56.84 $37–$98 varies
Antibody Titer (86886) $86.42 $149 16.7×
Antibody Treponema Pallidum (86780) $42.92 $74 3.2×
Antigen typing (86905) $87 $150 22.7×
Antinuclear antibodies (86038) $22.04 $38 1.8×
Antistreptolysin o titer (86060) $22.62 $39 3.1×
Antithrombin iii activity (85300) $55.68 $96 4.7×
Assay Blood Carbon Dioxide (82374) $20.30 $35 4.2×
Assay of blood/uric acid (84550) $32.48 $56 7.2×
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$25.52–$27.84 $44–$48 varies
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$26.10–$52.20 $45–$90 varies
Assay of lactic acid (83605) $87 $150 7.5×
Assay of serum potassium (84132) $40.02 $69 8.4×
Assay of urea nitrogen (84520) $24.36 $42 6.2×
Assay Ph Body Fluid Nos (83986) $20.88 $36 5.8×
Assay spec xcp ur&breath ia (82077) $120.06 $207 7.0×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$25.52–$29 $44–$50 varies
Beta 2 glycoprotein i antibody each (86146) $51.62 $89 2.0×
Beta hydroxybutyrate (82010) $31.32 $54 3.8×
Beta Lactamase (87185) $21.46 $37 4.5×
Bilirubin direct (82248) $26.10 $45 5.2×
Bilirubin total (82247)
range across 2 matching MRF lines
$23.20–$45.82 $40–$79 varies
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines
$8.70–$30.74 $15–$53 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $159.50 $275 0.9×
Blood Count Automated Differential Wbc Count (85004) $34.80 $60 5.4×
Blood count reticulocyte automated (85045) $30.74 $53 7.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $40.02 $69 10.5×
Blood gas (82803) $234.90 $405 9.0×
Blood gases w/02 saturation (82805) $231.42 $399 2.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $180.96 $312 11.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $92.80 $160 14.6×
Blood typing serologic abo (86900) $60.32 $104 20.2×
Body fluid cell count (89050)
range across 4 matching MRF lines
$21.46–$23.20 $37–$40 varies
C diff amplified probe (87493) $65.54 $113 1.8×
C-reactive protein (86140) $41.18 $71 7.9×
Calcium ionized (82330)
range across 2 matching MRF lines
$25.52–$26.10 $44–$45 varies
Calcium total (82310) $41.18 $71 8.0×
Cancer Antigen 125 (86304) $30.16 $52 1.4×
Carbamazepine total (80156) $26.10 $45 1.8×
Carboxyhemoglobin (82375) $100.92 $174 8.2×
Carcinoembryonic antigen (82378) $29 $50 1.5×
Cardiolipin ab iga (86147) $62.64 $108 2.5×
Ccp antibody (86200) $41.18 $71 3.2×
Cell count csf (89051)
range across 2 matching MRF lines
$29–$31.32 $50–$54 varies
Chloride Serum (82435) $42.34 $73 9.2×
Chloride urine (82436) $23.78 $41 4.1×
Cholesterol total (82465) $20.30 $35 4.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$36.54–$77.14 $63–$133 varies
Ckmb (82553) $20.88 $36 1.8×
Clostridium Difficile (87324) $23.20 $40 1.9×
Compatibility Each Unit Incubation (86921) $85.26 $147 0.5×
Compatibility test antiglob (86922) $150.80 $260 0.9×
Complement Antigen Each Component (86160) $26.10 $45 2.2×
Coombs direct (86880)
range across 2 matching MRF lines
$26.10–$62.64 $45–$108 varies
Cortisol saliva (82533) $26.10 $45 1.6×
Creatine kinase total (82550) $64.96 $112 10.0×
Creatinine blood (82565) $36.54 $63 7.1×
Creatinine clearance (82575) $22.62 $39 2.4×
Creatinine Urine (82570)
range across 2 matching MRF lines
$26.10–$26.68 $45–$46 varies
Crossmatch immediate spin (86920) $121.80 $210 0.7×
Crp High Sensitivity (86141) $29 $50 2.2×
Cryptococcus ag titer (87899) $37.70 $65 2.3×
Cryptosporidium ag eia (87328) $33.64 $58 2.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$29–$66.70 $50–$115 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$52.20–$81.20 $90–$140 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $24.36 $42 3.2×
Culture Anaerobic (87075) $27.84 $48 2.9×
Culture blood (87040) $107.88 $186 10.5×
Culture csf (87070)
range across 9 matching MRF lines
$24.36–$49.30 $42–$85 varies
Culture fungus (87102) $24.36 $42 2.9×
Culture screen only (87081)
range across 2 matching MRF lines
$31.90–$32.48 $55–$56 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41.76 $72 8.1×
Culture urine (87086) $46.98 $81 5.8×
Cytopath Cell Enhance Tech (88112) $41.18 $71 0.8×
Cytp Concentration Smears & Interpretation (88108) $69.02 $119 1.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $24.36 $42 0.5×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $24.36 $42 0.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $450.66 $777 2.6×
Cytp smrs any oth src extnd std > 5 slides (88162) $68.44 $118 1.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $22.62 $39 0.8×
Cytp Urine 3-5 Probes Cmptr (88121) $450.66 $777 2.6×
Detect Agent Nos Dna Amp (87798) $62.64 $108 1.8×
Digoxin (80162) $87 $150 6.6×
Dna Antibody Native/Double Stranded (86225) $46.98 $81 3.4×
Dna/Rna Amplified Probe (87150) $71.92 $124 2.0×
Drug assay acetaminophen (80143) $147.32 $254 7.9×
Drug Test Prsmv Chem Anlyzr (80307) $108.46 $187 1.7×
Drug Test Prsmv Instrmnt (80306) $145.58 $251 8.5×
Electrolyte panel (80051) $72.50 $125 10.3×
Eosinophil Smear (89190) $22.62 $39 3.9×
Estradiol serum (82670) $42.92 $74 1.5×
Exam Synovial Fluid Crystals (89060) $30.74 $53 4.2×
F2 Gene (81240) $173.42 $299 2.6×
Factor v leiden mutation (81241) $176.90 $305 2.4×
Fat stain feces urine/respir secretions (89125) $22.04 $38 3.7×
Fecal Fat Qualitative (82705) $22.04 $38 4.3×
Ferritin (82728) $26.68 $46 2.0×
Fetal Fibronectin (82731) $113.10 $195 1.8×
Fetal screen rosette (85461) $80.62 $139 8.6×
Fibrin Degradation Quant (85379) $107.30 $185 10.5×
Fibrinogen activity (85384) $33.64 $58 3.5×
Folic Acid Serum (82746) $29 $50 2.0×
Follicle Stimulating Hormone (83001) $29 $50 1.6×
Frozen Section (88331) $37.12 $64 0.2×
Fungi Identification Yeast (87106) $71.34 $123 6.9×
Gammaglobulin ige (82785) $46.40 $80 2.8×
Gases blood ph only (82800) $95.12 $164 8.6×
Gentamicin (80170) $34.80 $60 2.1×
Ggt (82977) $29 $50 4.0×
Giardia antigen (87329)
range across 2 matching MRF lines
$31.90–$33.64 $55–$58 varies
Glucose 2 hr pp (82950) $26.10 $45 5.5×
Glucose Blood Test (82962) $48.72 $84 14.9×
Glucose body fluid (82945) $26.10 $45 6.6×
Glucose Serum (82947) $26.10 $45 6.6×
Glucose tolerance test (gtt) (82951) $41.18 $71 3.2×
Gonadotropin Chorionic Qualitative (84703) $53.94 $93 7.2×
Gtt-added samples (82952) $48.14 $83 12.3×
H Pylori (C-13) Breath (83013) $233.74 $403 3.5×
H Pylori Drug Admin (83014) $36.54 $63 4.6×
Hdl Cholesterol (83718) $31.32 $54 3.8×
Hematocrit (85014)
range across 2 matching MRF lines
$21.46–$22.04 $37–$38 varies
Hemoglobin (85018) $22.04 $38 9.3×
Hemoglobin a1c (83036) $41.18 $71 4.2×
Hemoglobin Methemoglobin Quantitative (83050) $52.20 $90 6.4×
Hemolysins&Agglutinins Auto Screen Each (86940) $32.48 $56 3.7×
Hep a ab igm (86709) $31.90 $55 2.8×
Heparin assay (85520) $31.32 $54 2.4×
Hepatitis b core ab igm (86705) $29 $50 2.5×
Hepatitis B Surface Antibody (86706) $26.10 $45 2.4×
Hepatitis B Surface Antigen (87340) $42.34 $73 4.1×
Hepatitis C Antibody (86803) $29 $50 2.0×
Heterophile Antibody Screen (86308) $33.64 $58 6.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $58 $100 7.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $40.60 $70 1.7×
Hpv High-Risk Types (87624) $52.78 $91 1.5×
Hpv Types 16 & 18 Only (87625) $36.54 $63 0.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $24.36 $42 1.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $73.66 $127 2.1×
Iaad ia shiga-like toxin (87427) $29.58 $51 2.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $49.88 $86 1.4×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $300.44 $518 1.1×
Immunoassay nonantibody (83516) $37.70 $65 3.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $147.32 $254 2.1×
Influenza assay w/optic (87804) $32.48 $56 2.0×
Iron (83540) $37.70 $65 5.8×
Iron Binding Capacity (83550) $27.26 $47 3.1×
Koh Prep (87220) $27.26 $47 6.4×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$26.10–$27.84 $45–$48 varies
Lactoferrin fecal qualitative (83630) $27.84 $48 1.4×
LDL direct (83721) $26.10 $45 2.5×
Lead (83655) $31.32 $54 2.6×
Legionella antigen urine (87449) $23.20 $40 1.9×
Level I Surg Pathology Gross Examination Only (88300) $24.94 $43 0.8×
Level ii surg pathology gross&microscopic exam (88302) $24.94 $43 0.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $47.56 $82 0.1×
Lipase (83690)
range across 2 matching MRF lines
$18.56–$87 $32–$150 varies
Lithium (80178) $26.68 $46 4.0×
Luteinizing Hormone (Lh) (83002) $29 $50 1.6×
Lyme disease antibody (86618) $33.64 $58 2.0×
Macroscopic exam arthropod (87168) $35.96 $62 8.4×
Macroscopic Exam Parasite (87169) $45.24 $78 10.5×
Magnesium Urine (83735)
range across 2 matching MRF lines
$45.82–$74.24 $79–$128 varies
Metabolic panel ionized ca (80047) $171.10 $295 12.5×
Methotrexate (80204) $41.18 $71 1.1×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$26.68–$30.74 $46–$53 varies
Microsomal Antibodies Each (86376) $52.20 $90 3.6×
Natriuretic peptide (83880) $157.76 $272 4.0×
Nfct ds bv&vaginitis DNA alg (81515) $268.54 $463 1.0×
Nuclear antigen antibody (86235) $52.20 $90 2.9×
Occult blood feces (82272) $67.86 $117 16.0×
Occult Blood Other Sources (82271) $25.52 $44 4.8×
Ova and parasites smears (87177) $32.48 $56 3.6×
Path Consltj Surg Cytologic Exam Initial Site (88333) $31.32 $54 0.0×
Ph urine (81003) $37.12 $64 16.5×
Phenobarbital Level (80184) $20.30 $35 1.3×
Phenytoin (Dilantin) (80185) $101.50 $175 7.7×
Phenytoin free (80186) $31.32 $54 2.3×
Phosphatase alkaline (84075) $80.04 $138 15.5×
Phosphorus Serum (84100) $25.52 $44 5.4×
Pinworm exam (87172) $37.70 $65 8.8×
Platelet Aggregation (85576) $48.14 $83 1.9×
Platelet count automated (85049)
range across 2 matching MRF lines
$27.26–$28.42 $47–$49 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$17.40–$20.30 $30–$35 varies
Procalcitonin (Pct) (84145) $150.80 $260 5.5×
Progesterone (84144) $41.76 $72 2.0×
Prolactin (84146) $29 $50 1.5×
Protein body fluid (84157) $26.10 $45 6.5×
Protein C Activity (85303) $63.80 $110 4.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $31.32 $54 2.9×
Protein s total (85305) $51.62 $89 4.4×
Protein total serum (84155) $26.68 $46 7.3×
Protein Total Urine (84156)
range across 2 matching MRF lines
$26.10–$30.16 $45–$52 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $28.42 $49 7.2×
Pth Intact (83970) $74.82 $129 1.8×
Rbc antibody elution (86860) $85.26 $147 0.5×
Rbc antibody identification (86870) $218.08 $376 0.6×
Rbc antibody screen (86850) $82.94 $143 8.5×
Rbc pretreatment serum (86978) $198.94 $343 3.3×
Resp virus 12-25 targets (87633) $280.72 $484 0.7×
Reticulocyte Count (85046) $29.58 $51 5.3×
Rh (86901) $41.76 $72 14.0×
Rheumatoid factor quant (86431) $29 $50 5.1×
Rotavirus ag eia (87425) $34.80 $60 2.9×
Rpr qualitative (86592) $21.46 $37 5.0×
Rsv Assay W/Optic (87807) $100.34 $173 7.7×
Rubella Antibody (86762) $29 $50 2.0×
Salicylate Level (80179) $63.22 $109 3.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $53.36 $92 1.0×
Sarscov2&inf a&b&rsv amp prb (87637) $201.84 $348 1.4×
Sedimentation rate (85651) $20.30 $35 4.8×
Sedimentation Rate, Automated (85652) $27.26 $47 10.1×
Semen Anal Sperm Detection (89321) $27.84 $48 2.3×
Sensitivity mic (87186) $40.60 $70 4.7×
Skin test tuberculosis intradermal (86580) $24.36 $42 0.8×
Smear complex stain (87209) $24.94 $43 1.4×
Smear gram stain (87205)
range across 2 matching MRF lines
$19.72–$51.04 $34–$88 varies
Smear Special Stain (87207) $54.52 $94 9.1×
Sodium Serum (84295) $42.34 $73 8.8×
Sodium Urine (84300) $20.30 $35 4.0×
Special Stains Group 1 (88312) $24.36 $42 0.5×
Special Stains Group 2 (88313) $20.88 $36 0.2×
Specimen infect agnt concntj (87015) $23.20 $40 3.5×
Spectrophotometry (84311) $17.40 $30 2.1×
Stool cultr aerobic bact ea (87046) $19.14 $33 2.0×
Strep a assay w/optic (87880) $43.50 $75 2.6×
Strep a DNA amp probe (87651) $63.80 $110 1.8×
Strep b DNA amp probe (87653) $52.20 $90 1.5×
Surg path level iii (88304) $38.86 $67 0.7×
Surgical pathology level IV (88305) $41.76 $72 0.8×
Surgical pathology level vi (88309) $61.48 $106 0.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $21.46 $37 4.5×
Susceptibility Study Antimicrobial Disk Method (87184) $28.42 $49 3.8×
Syphilis Test Non-Trep Quant (86593) $36.54 $63 8.3×
T3 Free (84481) $30.16 $52 1.8×
T3 Uptake (84479) $41.18 $71 6.4×
T4 Free (84439) $44.08 $76 4.9×
T4 total (84436) $26.10 $45 3.8×
Testosterone total (84403) $40.60 $70 1.6×
Theophylline (80198) $59.16 $102 4.2×
Thrombin Time (85670) $22.62 $39 3.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$31.90–$48.72 $55–$84 varies
Tobramycin peak (80200) $22.62 $39 1.4×
Touch prep (88161) $31.32 $54 1.0×
Transferase Aspartate Amino Ast Sgot (84450) $29 $50 5.6×
Transferrin (84466) $20.30 $35 1.6×
Triglycerides (84478)
range across 2 matching MRF lines
$23.20–$38.86 $40–$67 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$26.68–$110.20 $46–$190 varies
Tumor Immunohistochem/Manual (88360) $176.32 $304 1.0×
Uric acid other source (84560)
range across 3 matching MRF lines
$18.56–$24.94 $32–$43 varies
Urinalysis Microscopic Only (81015) $21.46 $37 7.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $20.88 $36 9.6×
Urine Pregnancy Test (81025) $48.14 $83 5.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $55.68 $96 17.6×
Valproic acid (80164) $29 $50 2.1×
Vancomycin (80202) $141.52 $244 10.5×
Varicella-zoster antibody (86787) $41.76 $72 3.2×
Vitamin b-12 (82607) $95.12 $164 6.3×
Vitamin D 25-Hydroxy (82306) $135.14 $233 4.6×

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.