Lab & pathology prices at Summit Healthcare Regional Medical Center

Show Low, AZ · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $50.87
5 Hiaa (83497) $50.93
Abl1 gene (81170) $765.40
Acute hepatitis panel (80074) $179.82
Afb culture (87116) $95.34
Albumin Fluid (82042) $56.78
Albumin serum (82040) $77.49
Aldolase (82085) $35.85
Aldosterone urine (82088) $49.44
Alkaline phosphatase isoenzymes (84080) $60.14
Allergen specific ige (86003) $32.36
Alpha-1-antitrypsin, total (82103) $40.08
Alpha-fetoprotein, serum (82105) $42.22
Alt (sgpt) (84460) $135.73
Aluminum (82108) $256.34
Amikacin trough (80150) $208.32
Ammonia (82140) $324.32
Amylase urine (82150) $203.52
Angiotensin i enzyme test (82164) $42.15
Antibody Absorption (86978) $287.29
Antibody cytomegalovirus cmv (86644) $70.02
Antibody cytomegalovirus cmv igm (86645) $55.06
Antibody epstein-barr eb virus early antigen ea (86663) $58.11
Antibody Herpes Smplx Non-Specific Type Test (86694) $114.23
Antibody herpes smplx type 1 (86695) $35.55
Antibody HIV-2 (86702) $164.27
Antibody identification (86870) $1,102.60
Antibody mumps (86735) $49.75
Antibody rubeola (86765) $43.11
Antibody screen (86850) $177.36
Antibody treponema pallidum (86780) $56.38
Antibody; Coccidioides (86635) $44.26
Antigen typing (86905) $1,102.60
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $333.09
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $125
Antinuclear antibodies (86038) $54.67
Antistreptolysin o titer (86060) $45.97
Antithrombin iii activity (85300) $51.32
Assay Nephelometry Not Spec (83883) $55.80
Assay of acth (82024) $53.27
Assay of blood chloride (82435) $168.74
Assay of c-peptide (84681) $43.11
Assay of calcitonin (82308) $70.30
Assay of cyclosporine (80158) $48.66
Assay of erythropoietin (82668) $37.50
Assay of ferritin (82728) $210.08
Assay of gammaglobulin igm (82784) $49.32
Assay of gastrin (82941) $44.82
Assay of gentamicin (80170) $449.87
Assay of glucagon (82943) $72.30
Assay of homocystine (83090) $92.48
Assay of manganese (83785) $205.10
Assay of metanephrines (83835) $47.11
Assay of parathormone (83970) $399.38
Assay of prealbumin (84134) $234.96
Assay of procainamide (80190) $105.29
Assay of selenium (84255) $288.36
Assay of serotonin (84260) $69.22
Assay of somatomedin (84305) $49
Assay of tacrolimus (80197) $51.81
Assay of urine vma (84585) $54.89
Assay Ph Body Fluid Nos (83986) $70.15
Ast (sgot) (84450) $154.30
Automated rbc count (85041) $89.63
Bcr/abl1 gene major bp (81206) $358.68
Bcr/abl1 gene minor bp (81207) $235.26
Beta 2 Glycoprotein I Antibody,Ea (86146) $69.23
Beta hydroxybutyrate (82010) $173.14
Beta-2 microglobulin (82232) $69.02
Bilirubin direct (82248) $148.31
Bilirubin total (82247) $154.75
Bilirubin total transcutaneous (88720) $41.89
Bl Smear W/Diff Wbc Count (85007) $110.74
Bl Smear W/O Diff Wbc Count (85008) $54.22
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $704.17
Blood count reticulocyte automated (85045) $117.85
Blood gases (82803) $635.01
Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) $172.37
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $67.25
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $209.12
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $1,102.60
Blood typing abo (86900) $423.81
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $52
Blood typing serologic rh (d) (86901) $82.98
Blood typing serologic rh phenotyping complete (86906) $177.36
Body fluid cell count (89051) $49.78
Body fluid cell count (89050) $111.07
Bone Marrow Smear Interpretation (85097) $2,483.94
C diff amplified probe (87493) $451.11
C-reactive protein (86140) $87.50
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $317.36
Ca 125 (86304) $75.17
Ca 19-9 (86301) $42.94
Ca 27 29 (86300) $56.78
Calcium ionized (82330) $40.01
Calcium total (82310) $120.35
Calcium urine (82340) $44.89
Calculus Spectroscopy (82365) $45.32
Calprotectin, fecal (83993) $259.92
Calr gene com variants (81219) $802.98
Carbamazepine (tegretol) total (80156) $290.18
Carbon dioxide (82374) $121.97
Carcinoembryonic antigen (82378) $83.08
Cardiolipin ab igg (86147) $78.44
Carnitine (82379) $391
Carotene (82380) $174.25
Catecholamines fraction plasma (82384) $64.56
Chemiluminescent assay (82397) $284.59
Chloride urine (82436) $52.08
Cholesterol total (82465) $144.74
Chromium urine (82495) $65.76
Chromogranin a (86316) $45.54
Chromosome analysis 20-25 cells (88264) $405.60
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $245.39
Citrate (82507) $253.68
Ckmb (82553) $288.52
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $382.68
Cmv PCR (87496) $95.91
Cns DNA amp probe type 12-25 (87483) $626.04
Coagulation time activated (85347) $122.66
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $161.92
Cold agglutinin titer (86157) $64.03
Compatibility test antiglob (86922) $564.67
Compatibility Test Incubate (86921) $217.40
Complement c3 (86160) $39.97
Complement total ch50 (86162) $41.97
Coombs direct (86880) $90.72
Coombs Test Indirect Qual (86885) $129.72
Copper urine (82525) $45.01
Cortisol free (82530) $49.91
Cortisol total (82533) $193.87
Creatine kinase total (82550) $136.04
Creatinine blood (82565) $220.55
Creatinine clearance (82575) $472.38
Creatinine other source (82570) $63.44
Crossmatch immediate spin (86920) $564.67
Cryoglobulin (82595) $49.11
Culture Aerobic Identify (87077) $159.08
Culture aerobic quant other (87071) $365.05
Culture Bacteria Anaerobic (87073) $314.32
Culture blood (87040) $411.25
Culture fungus other (87102) $153.81
Culture screen only (87081) $259.92
Culture urine (87086) $269.65
Cyclic Citrullinated Peptide (86200) $42.99
Cytogenetics DNA probe (88271) $133.07
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $104.82
Cytopath cell enhance tech (88112) $246.32
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $323.18
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $250.36
Cytp fna eval dx 1st each site (88172) $220.78
Cytp slides cerv/vag mnl scrn physician supv (88164) $78.21
D-Dimer (85378) $313.18
Detect agnt mult DNA ampli (87801) $160.96
Dhea (82626) $54.25
Dhea sulfate (82627) $42.08
Digoxin (80162) $149.67
Dilantin (80185) $267.20
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $57.10
Dna/Rna Amplified Probe (87150) $657.96
DNA/RNA direct probe (87149) $253.47
Drug Assay Infliximab (80230) $355.58
Drug Screen Quant Gabapentin (80171) $50.02
Drug Screen Quantitative Lamotrigine (80175) $48.26
Drug Scrn Quan Levetiracetam (80177) $50.92
Drug test prsmv chem anlyzr (80307) $110.53
Drug Test Prsmv Dir Opt Obs (80305) $168.59
Ebv viral capsid (86665) $48.56
Electrolyte panel (80051) $372.58
Electron microscopy diagnostic (88348) $1,782.27
Electronic crossmatch (86923) $564.67
Endomysial Antibody Each Immunoglobulin Class (86231) $170.56
Endomysial antibody iga (86255) $126.49
Enterovirus Pcr (87498) $101.67
Eosinophil count (85048) $70.61
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $44.14
Estradiol (82670) $45.15
Estriol (82677) $46.55
Estrogen fractionated (82671) $53.11
Estrogen receptor analysis (84233) $293.40
Estrone (82679) $48.47
Eval c/v amniotic fluid protein qual ea specimen (84112) $297.44
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $78.54
F2 gene analysis 20210g >a variant (81240) $134.88
F5 gene (81241) $54.05
Factor ii activity (85210) $382.68
Factor inhibitor test (85335) $327.02
Factor ix activity (85250) $105.94
Factor v activity (85220) $382.68
Factor vii assay (85230) $382.68
Factor viii ahg (85240) $77.79
Factor xi assay (85270) $382.68
Factor xii assay (85280) $382.68
Fecal fat quant (82710) $294.63
Fetal bleed screen (85461) $181.60
Fetal fibronectin (82731) $754.96
Fibrinogen activity (85384) $224.74
Flow cytometry first marker (88184) $1,102.60
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $97.25
Folate serum (82746) $101.34
Follicle Stimulating Hormone (83001) $38.76
Frozen Section (88331) $349.87
Fructosamine (82985) $140.61
Ftl cgen abnor four anal (81511) $69.34
Gammaglobulin ige (82785) $37.58
Gastric Occult Blood (82271) $67.46
Ggt (82977) $211.96
Giardia antigen eia stool (87329) $54.18
Glucose (82947) $152.83
Glucose Blood Test (82962) $43.24
Glucose body fluid (82945) $147.17
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $97.90
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $129.52
Growth hormone (83003) $46.10
Haptoglobin (83010) $43.35
Hcg quant (84702) $253.60
Hdl Cholesterol (83718) $171.92
Hematocrit (85014) $87.53
Hemoglobin (85018) $69.78
Hemoglobin a1c (83036) $103
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $57.08
Hemoglobin electrophoresis (83020) $70.72
Hemoglobin Methemoglobin Quantitative (83050) $94.59
Hepatitis a antibody total (86708) $43.74
Hepatitis a igm (86709) $44.75
Hepatitis b core ab igm (86705) $36.77
Hepatitis b core antibody total (86704) $43.16
Hepatitis B Surface Ab (86706) $40.44
Hepatitis B Surface Antigen (87340) $39.05
Hepatitis c antibody (86803) $55.08
Hepatitis C Genotype (87902) $163.97
Herpes culture (87252) $243.02
Herpes simplex type 2 (86696) $39.52
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $151.87
Hfe gene (81256) $249.29
HIV-1 antibody (86701) $117.23
Hla-b27 (86812) $64.66
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $75.71
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $80.04
Iaad ia cryptosporidium (87328) $80.89
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $109.55
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $71.51
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $193.07
Iaadiadoo not otherwise specified (87899) $60.36
Iadna chlamydia pneumoniae amplified probe tq (87486) $50.69
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $128.12
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $419.78
Iadna HIV-1 quant & reverse transcription (87536) $776.59
Iadna mycobacteria tuberculosis amp prb (87556) $227.41
Iadna mycoplsm pneumoniae amplified probe tq (87581) $50.69
Iadna neisseria gonorrhoeae amplified probe tq (87591) $245.39
Iadna nos amplified probe tq each organism (87798) $106.27
Iadna nos quantification each organism (87799) $114.22
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $793.74
Iadna-DNA/RNA probe tq 12-25 (87507) $626.04
Iadna-DNA/RNA probe tq 6-11 (87506) $1,218.64
Immunfix e-phorsis/urine/csf (86335) $64.06
Immunoassay nonantibody (83516) $43.80
Immunoelectrophoresis serum (86320) $46.15
Immunofixj Electrophoresis Serum (86334) $199.60
Immunofluorescence per spec 1st singl antb stain (88346) $427.91
Immunoglobulin light chains free each (83521) $41.24
Immunohisto Antibody Slide (88344) $390.24
Immunohistochemistry (88342) $468.24
In situ hybridization ea multiplex probe stain (88366) $456.14
India ink prep (87210) $155.44
Influenza DNA amp probe (87502) $500.77
Inhibin b (83520) $67.31
Insitu hybridization (fish) (88365) $429.24
Insitu hybridization auto (88367) $429.24
Insulin antibodies (86337) $70.66
Insulin total (83525) $39.66
Intraop cyto path consult 1 (88333) $2,483.94
Intrinsic factor antibody (86340) $48.88
Iron (83540) $135.80
Iron binding capacity (83550) $150.17
Islet cell antibody (86341) $57.54
Jak2 gene analysis (81270) $324.48
Lactic acid (83605) $101.65
Lactoferrin fecal qualitative (83630) $115.73
Ldh (83615) $111.84
Legion pneumo, DNA, amp prob (87541) $50.69
Legionella antibody (86713) $218.28
Level ii surg pathology gross&microscopic exam (88302) $175.03
Level v surg pathology gross&microscopic exam (88307) $840.80
Level vi surg pathology gross&microscopic exam (88309) $1,294.04
Lh (83002) $38.99
Lidocaine level (80176) $200.64
Lipase (83690) $135.42
Lipoprotein Bld Hr Fraction (83701) $46.28
Lithium (80178) $205.88
Lyme disease antibody (86618) $44.24
M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) $456.14
M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) $842.69
M/phmtrc alys tumor imhchem ea antibody manual (88360) $629.64
Magnesium (83735) $132.58
Metabolic Panel Ionized Ca (80047) $160.96
Methylmalonic acid serum (83921) $60.44
Microalbumin urine (82043) $87.64
Microsomal antibodies (86376) $43.24
Mopath procedure level 4 (81403) $521.56
Mrsa amp probe (87641) $309.20
Mthfr Gene Analysis Common Variants (81291) $322.30
Mycophenolic acid (80180) $54.58
Mycoplasma antibody (86738) $58.31
Myoglobin urine (83874) $49.30
Nasal smear for eosinophils (89190) $31.35
Natriuretic peptide (83880) $501.86
Nuclear antigen antibody (86235) $48.57
Oligoclonal bands (83916) $52.26
Osmolality serum (83930) $84.93
Osmolality urine (83935) $118.56
Ova and parasite direct-id lca (87177) $34.64
Oxalate urine (83945) $181.93
Pancreatic polypeptide (83519) $308.26
Parvovirus antibody (86747) $48.68
Path Consult During Surgery (88329) $399.64
Phosphatase alkaline (84075) $75.96
Phosphorus blood (84100) $116.84
Phosphorus urine (84105) $87.83
Platelet aggregation (85576) $197.12
Platelet count (85049) $119.12
Platelet neutralization (85597) $65.01
Porphobilinogen urine quant (84110) $152.61
Porphyrins qn & fraction urine (84120) $245.87
Potassium (84132) $105.38
Potassium urine (84133) $91.66
Pretx rbc antibody incubat w/enzymes each (86971) $1,102.60
Pretx serum rbc antb id incubation inhibitors ea (86977) $200.10
Procainamide napa (80192) $105.29
Progesterone (84144) $41.59
Progesterone (reproductive hormone) receptor analysis (84234) $238.14
Prolactin (84146) $41.54
Protein body fluid (84157) $154.75
Protein c activity (85303) $55.06
Protein electrophoresis serum (84165) $46.40
Protein Electrophoresis Urine (84166) $51.59
Protein S Functional (85306) $65.33
Protein Total Serum (84155) $88.92
Protein urine (84156) $54.27
PSA free (84154) $38.45
Quantiferon tb gold (86480) $85.52
Rbc antibody elution (86860) $185.13
Rbc pretx incubatj w/chemicl (86970) $367.19
Renin activity plasma (84244) $41.88
Resp virus 3-5 targets (87631) $217.40
Respiratory viral panel PCR (87633) $601.96
Reticulated platelet assay (85055) $138.99
Reticulocyte Count (85046) $124.12
Reticulocyte separation (86972) $259.58
Rheumatoid factor quant (86431) $37.18
Rickettsia antibody (86757) $49.62
Rpr Titer (86593) $45
Rubella antibody (86762) $40.02
Russell viper venom time diluted (85613) $45.05
Sars-Cov-2 Covid-19 Amp Prb (87635) $190.62
Sarscov2&inf a&b&rsv amp prb (87637) $673.40
Sed rate automated (85652) $119
Sedimentation rate (85651) $106.22
Semen analysis sperm presence&/motility sprm (89321) $127.30
Sensitivity mic (87186) $166.99
Serotonin Release Assay (86022) $82.70
Sex hormone binding globulin (84270) $56.74
Sirolimus (rapamycin) (80195) $52.82
Smear acid fast (87206) $81.58
Smear complex stain (87209) $42.38
Smear gram stain (87205) $131.66
Sodium (84295) $153.56
Sodium urine (84300) $116.83
Soluble transferrin receptor (84238) $47.70
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $222.11
Special stains group 1 (88312) $270.54
Specific gravity body fluid (84315) $40.86
Splitting blood/blood products each unit (86985) $554.32
Strep a assay w/optic (87880) $195.35
Strep a DNA amp probe (87651) $184.53
Strep b DNA amp probe (87653) $364
Surg path level iii (88304) $384.86
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $95.70
Surgical pathology level IV (88305) $683.44
T3 free (84481) $62.24
T3 reverse (84482) $55.90
T3 total (84480) $47.30
T3 uptake (84479) $33.61
T4 Free (84439) $171.91
T4 total (84436) $34.78
Testosterone bioavailable (84410) $92.86
Testosterone free (84402) $59.21
Testosterone total (84403) $86.38
Theophylline (80198) $317.02
Thyroglobulin (84432) $107.37
Thyroglobulin Ab (86800) $68.72
Thyroid Stimulating Immunoglobulin (84445) $110.17
Tobramycin peak (80200) $215.46
Transferrin (84466) $38.28
Translocation analysis (bcr/abl1) other breakpoint (81208) $149.29
Triglycerides (84478) $105.38
Troponin (84484) $355.27
Unlisted transfusion medicine procedure (86999) $253.64
Urea nitrogen (84520) $141.02
Urea nitrogen urine (84540) $39.63
Uric acid blood (84550) $164.62
Uric acid other source (84560) $39.21
Urinalysis microscopic only (81015) $169.62
Urinalysis w/microscopic (81001) $158.81
Urine pregnancy test (81025) $267.08
Urine volume measurement (81050) $30.62
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $76.95
Valproic acid level (80164) $229.50
Vancomycin trough (80202) $477.97
Varicella-zoster antibody (86787) $107.11
Vasopressin (84588) $77.59
Vdrl csf (86592) $60.41
Virus antibody nos (86790) $163.62
Viscosity serum (85810) $70.08
Vitamin A (84590) $51.78
Vitamin b-12 (82607) $122.03
Vitamin b1 (thiamine) (84425) $55.86
Vitamin b6 (84207) $58.80
Vitamin D 25-Hydroxy (82306) $236.91
Vitamin e serum (84446) $52.46
West nile virus ab, igm (86788) $60.88
West nile virus antibody (86789) $55.94
Zinc (84630) $41.93