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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ProcedureCash priceGross charge× Medicare
Acetaminophen level (80143) $147.32 $254 7.9×
Acute hepatitis panel (80074) $58.58 $101 1.2×
Albumin body fluid (82042) $24.36 $42 3.1×
Albumin serum (82040) $30.74 $53 6.2×
Allergen peanut (86003) $32.48 $56 6.2×
Alt (sgpt) (84460) $29 $50 5.5×
Amylase urine (82150) $23.20 $40 3.6×
Antibody identification (86870) $218.08 $376 0.6×
Antibody screen (86850) $82.94 $143 8.5×
Antibody treponema pallidum (86780) $42.92 $74 3.2×
Antigen typing (86905) $87 $150 22.7×
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $86.42 $149 16.7×
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 of ammonia (82140) $108.46 $187 7.4×
Assay of ferritin (82728) $26.68 $46 2.0×
Assay of gammaglobulin igm (82784) $29.58 $51 3.2×
Assay of gentamicin (80170) $34.80 $60 2.1×
Assay of lactic acid (83605) $87 $150 7.5×
Assay of phenobarbital (80184) $20.30 $35 1.3×
Assay of prolactin (84146) $29 $50 1.5×
Assay spec xcp ur&breath ia (82077) $120.06 $207 7.0×
Ast (sgot) (84450) $29 $50 5.6×
Beta 2 glycoprotein 1 igm (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) $34.51 $59.50 6.9×
Bilirubin total transcutaneous (88720) $19.72 $34 3.9×
Bl Smear W/Diff Wbc Count (85007) $40.02 $69 10.5×
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 Reticulocytes Auto 1/> Cell Meas (85046) $29.58 $51 5.3×
Blood gas (82803) $234.90 $405 9.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $180.96 $312 11.4×
Blood Ph (82800) $95.12 $164 8.6×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $92.80 $160 14.6×
Blood typing abo (86900) $60.32 $104 20.2×
Blood typing serologic rh (d) (86901) $41.76 $72 14.0×
Body fluid cell count (89051) $30.16 $52 5.4×
Body fluid cell count (89050) $22.33 $38.50 4.7×
C diff amplified probe (87493) $65.54 $113 1.8×
C-reactive protein (86140) $41.18 $71 7.9×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $29 $50 2.2×
Ca 125 (86304) $30.16 $52 1.4×
Calcium ionized (82330) $25.81 $44.50 1.9×
Calcium total (82310) $41.18 $71 8.0×
Calcium urine (82340) $26.10 $45 4.3×
Carbamazepine total (80156) $26.10 $45 1.8×
Carbon dioxide (82374) $20.30 $35 4.2×
Carboxyhemoglobin (82375) $100.92 $174 8.2×
Carcinoembryonic antigen (82378) $29 $50 1.5×
Cardiolipin ab igg (86147) $62.64 $108 2.5×
Chloride blood (82435) $42.34 $73 9.2×
Chloride urine (82436) $23.78 $41 4.1×
Cholesterol HDL (83718) $31.32 $54 3.8×
Cholesterol total (82465) $20.30 $35 4.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $41.18 $71 1.2×
Ckmb (82553) $20.88 $36 1.8×
Compatibility test antiglob (86922) $150.80 $260 0.9×
Compatibility Test Incubate (86921) $85.26 $147 0.5×
Complement c3 (86160) $26.10 $45 2.2×
Concentration Infectious Agent (87015) $23.20 $40 3.5×
Coombs direct (86880) $44.37 $76.50 8.2×
Cortisol total (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 other source (82570) $26.39 $45.50 5.1×
Crossmatch immediate spin (86920) $121.80 $210 0.7×
Crystals body fluid (89060) $30.74 $53 4.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $66.70 $115 8.3×
Culture Aerobic Identify (87077) $57.42 $99 7.1×
Culture anaerobic (87075) $27.84 $48 2.9×
Culture blood (87040) $107.88 $186 10.5×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $24.36 $42 3.2×
Culture fungus id yeast (87106) $71.34 $123 6.9×
Culture fungus other (87102) $24.36 $42 2.9×
Culture genital (87070) $33.64 $58 3.9×
Culture screen only (87081) $32.19 $55.50 4.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41.76 $72 8.1×
Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) $71.92 $124 2.0×
Culture urine (87086) $46.98 $81 5.8×
Cyclic Citrullinated Peptide (86200) $41.18 $71 3.2×
Cytopath cell enhance tech (88112) $41.18 $71 0.8×
Cytopath Smear Other Source (88160) $22.62 $39 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 fna eval dx 1st each site (88172) $24.36 $42 0.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $450.66 $777 2.6×
Cytp Insitu Hybrid Urne Spec 3-5 Probes Cptr Ea (88121) $450.66 $777 2.6×
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $68.44 $118 1.3×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $32.48 $56 2.0×
Digoxin (80162) $87 $150 6.6×
Dilantin (80185) $101.50 $175 7.7×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $46.98 $81 3.4×
Drug assay methotrexate (80204) $41.18 $71 1.1×
Drug test prsmv chem anlyzr (80307) $108.46 $187 1.7×
Drug tst prsmv read instrmnt asstd dir opt obs (80306) $145.58 $251 8.5×
E test (87181) $21.46 $37 4.5×
Electrolyte panel (80051) $72.50 $125 10.3×
Eosinophil count (85048) $27.26 $47 10.7×
Estradiol (82670) $42.92 $74 1.5×
Eval c/v amniotic fluid protein qual ea specimen (84112) $157.18 $271 1.6×
F2 gene analysis 20210g >a variant (81240) $173.42 $299 2.6×
F5 gene analysis, leiden variant (81241) $176.90 $305 2.4×
Fecal fat qual (82705) $22.04 $38 4.3×
Fetal bleed screen (85461) $80.62 $139 8.6×
Fetal fibronectin (82731) $113.10 $195 1.8×
Fibrin Degradation Quant (85379) $107.30 $185 10.5×
Fibrinogen activity (85384) $33.64 $58 3.5×
Folate serum (82746) $29 $50 2.0×
Follicle Stimulating Hormone (83001) $29 $50 1.6×
Frozen Section (88331) $37.12 $64 0.2×
Gammaglobulin ige (82785) $46.40 $80 2.8×
Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) $231.42 $399 2.9×
Ggt (82977) $29 $50 4.0×
Giardia antigen eia stool (87329) $32.77 $56.50 2.7×
Glucose (82947) $26.10 $45 6.6×
Glucose Blood Test (82962) $48.72 $84 14.9×
Glucose body fluid (82945) $26.10 $45 6.6×
Glucose post dose (82950) $26.10 $45 5.5×
Glucose tolerance ea addl beyond 3 specimens (82952) $48.14 $83 12.3×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $41.18 $71 3.2×
H pylori breath test (83013) $233.74 $403 3.5×
Hcg qualitative (84703) $53.94 $93 7.2×
Hematocrit (85014) $21.75 $37.50 9.2×
Hemoglobin (85018) $22.04 $38 9.3×
Hemoglobin a1c (83036) $41.18 $71 4.2×
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $58 $100 7.5×
Hemolysins/agglutinins auto screen (86940) $32.48 $56 3.7×
Heparin assay (85520) $31.32 $54 2.4×
Hepatitis a igm (86709) $31.90 $55 2.8×
Hepatitis b core ab igm (86705) $29 $50 2.5×
Hepatitis B Surface Ab (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 Antibodies,Screen - Mononucleosis Screen (86308) $33.64 $58 6.5×
Hpylori Drug Administration (83014) $36.54 $63 4.6×
Iaad ia clostridium difficile toxin (87324) $23.20 $40 1.9×
Iaad ia cryptosporidium (87328) $33.64 $58 2.4×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $40.60 $70 1.7×
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×
Iaadiadoo not otherwise specified (87899) $37.70 $65 2.3×
Iadna human papillomavirus high-risk types (87624) $52.78 $91 1.5×
Iadna Human Papillomavirus Types 16 & 18 Only (87625) $36.54 $63 0.9×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $49.88 $86 1.4×
Iadna nos amplified probe tq each organism (87798) $62.64 $108 1.8×
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×
Iron (83540) $37.70 $65 5.8×
Iron binding capacity (83550) $27.26 $47 3.1×
Lactoferrin fecal qual (83630) $27.84 $48 1.4×
Ldh body fluid (83615) $26.97 $46.50 4.5×
LDL cholesterol direct (83721) $26.10 $45 2.5×
Lead (83655) $31.32 $54 2.6×
Legionella antigen urine (87449) $23.20 $40 1.9×
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×
Level vi surg pathology gross&microscopic exam (88309) $61.48 $106 0.1×
Lh (83002) $29 $50 1.6×
Lipase (83690) $52.78 $91 7.7×
Lithium (80178) $26.68 $46 4.0×
Lyme disease antibody (86618) $33.64 $58 2.0×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $176.32 $304 1.0×
Macroscopic exam arthropod (87168) $35.96 $62 8.4×
Macroscopic exam parasite (87169) $45.24 $78 10.5×
Magnesium (83735) $60.03 $103.50 9.0×
Malaria smear (87207) $54.52 $94 9.1×
Metabolic Panel Ionized Ca (80047) $171.10 $295 12.5×
Methemoglobin (83050) $52.20 $90 6.4×
Microalbumin urine (82043) $28.71 $49.50 5.0×
Microsomal antibodies (86376) $52.20 $90 3.6×
Nasal smear for eosinophils (89190) $22.62 $39 3.9×
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 gastric (82271) $25.52 $44 4.8×
Occult blood stool (82272) $67.86 $117 16.0×
Ova and parasite direct-id lca (87177) $32.48 $56 3.6×
Path Consltj Surg Cytologic Exam Initial Site (88333) $31.32 $54 0.0×
Ph body fluid (83986) $20.88 $36 5.8×
Ph urine (81003) $37.12 $64 16.5×
Phenytoin free (80186) $31.32 $54 2.3×
Phosphatase alkaline (84075) $80.04 $138 15.5×
Phosphorus blood (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) $27.84 $48 6.2×
Potassium (84132) $40.02 $69 8.4×
Potassium urine (84133) $18.85 $32.50 4.0×
Procalcitonin (pct) (84145) $150.80 $260 5.5×
Progesterone (84144) $41.76 $72 2.0×
Protein body fluid (84157) $26.10 $45 6.5×
Protein c activity (85303) $63.80 $110 4.6×
Protein electrophoresis 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 urine (84156) $28.13 $48.50 7.7×
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 pretreatment serum (86978) $198.94 $343 3.3×
Resp virus 12-25 targets (87633) $280.72 $484 0.7×
Reticulocyte count auto (85045) $30.74 $53 7.7×
Rheumatoid factor quant (86431) $29 $50 5.1×
Rotavirus ag eia (87425) $34.80 $60 2.9×
Rpr Titer (86593) $36.54 $63 8.3×
Rsv (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 auto (85652) $27.26 $47 10.1×
Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) $27.84 $48 2.3×
Sensitivity kb (87184) $28.42 $49 3.8×
Sensitivity mic (87186) $40.60 $70 4.7×
Smear complex stain (87209) $24.94 $43 1.4×
Smear gram stain (87205) $35.38 $61 8.3×
Sodium (84295) $42.34 $73 8.8×
Sodium urine (84300) $20.30 $35 4.0×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $20.88 $36 0.2×
Special stains group 1 (88312) $24.36 $42 0.5×
Specimen fat stain (89125) $22.04 $38 3.7×
Spectrophotometry (84311) $17.40 $30 2.1×
Stool Culture, Addl Pathogens (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 1 (88300) $24.94 $43 0.8×
Surg path level iii (88304) $38.86 $67 0.7×
Surgical pathology level IV (88305) $41.76 $72 0.8×
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×
Tb intradermal test (86580) $24.36 $42 0.8×
Testosterone total (84403) $40.60 $70 1.6×
Theophylline (80198) $59.16 $102 4.2×
Thrombin time plasma (85670) $22.62 $39 3.9×
Thromboplastin time prtl substit plasma frctj ea (85732) $40.31 $69.50 6.2×
Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) $27.26 $47 6.4×
Tobramycin peak (80200) $22.62 $39 1.4×
Touch prep (88161) $31.32 $54 1.0×
Transferrin (84466) $20.30 $35 1.6×
Triglycerides (84478) $31.03 $53.50 5.4×
Troponin (84484) $68.44 $118 5.5×
Urea nitrogen (84520) $24.36 $42 6.2×
Uric acid blood (84550) $32.48 $56 7.2×
Uric acid other source (84560) $20.30 $35 4.0×
Urinalysis (81005) $20.88 $36 9.6×
Urinalysis auto w/scope (81001) $55.68 $96 17.6×
Urinalysis Microscopic Only (81015) $21.46 $37 7.0×
Urine pregnancy test (81025) $48.14 $83 5.6×
Valproic acid (80164) $29 $50 2.1×
Vancomycin trough (80202) $141.52 $244 10.5×
Varicella-zoster antibody (86787) $41.76 $72 3.2×
Vdrl csf (86592) $21.46 $37 5.0×
Vitamin b-12 (82607) $95.12 $164 6.3×
Vitamin D 25-Hydroxy (82306) $135.14 $233 4.6×