Lab & pathology prices at Throckmorton County Memorial Hospital

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

253 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) $264 $264 6.9×
Acute hepatitis panel (80074) $416 $416 8.7×
Albumin serum (82040) $53 $53 10.7×
Aldolase (82085) $110 $110 11.3×
Allergen specific ige (86003) $101 $101 19.3×
Alpha-1-antitrypsin, total (82103) $173 $173 12.9×
Alpha-fetoprotein, serum (82105) $140 $140 8.3×
Alt (sgpt) (84460) $41 $41 7.7×
Ammonia (82140) $94 $94 6.5×
Amylase urine (82150) $72 $72 11.1×
Angiotensin i enzyme test (82164) $130 $130 8.9×
Antibody cytomegalovirus cmv (86644) $180 $180 12.5×
Antibody epstein-barr eb virus early antigen ea (86663) $174 $174 13.3×
Antibody helicobacter pylori (86677) $111 $111 6.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $106 $106 7.4×
Antibody herpes smplx type 1 (86695) $94 $94 7.1×
Antibody identification (86870) $64 $64 0.2×
Antibody identification leukocyte antibodies (86021) $349 $349 23.2×
Antibody mumps (86735) $70 $70 5.4×
Antibody rubeola (86765) $84 $84 6.5×
Antibody screen (86850) $74 $74 7.6×
Antibody treponema pallidum (86780) $63 $63 4.8×
Antinuclear antibodies (86038) $65 $65 5.4×
Antistreptolysin o titer (86060) $43 $43 5.9×
Arsenic Urine (82175) $104 $104 5.5×
Assay of acth (82024) $309 $309 8.0×
Assay of blood chloride (82435) $52.50 $52.50 11.4×
Assay of c-peptide (84681) $180 $180 8.6×
Assay of erythropoietin (82668) $208 $208 11.1×
Assay of ferritin (82728) $103 $103 7.6×
Assay of g6pd enzyme (82955) $62 $62 6.4×
Assay of gammaglobulin igm (82784) $32 $32 3.4×
Assay of gastrin (82941) $150 $150 8.5×
Assay of gentamicin (80170) $57 $57 3.5×
Assay of homocystine (83090) $224 $224 12.5×
Assay of metanephrines (83835) $121 $121 7.1×
Assay of parathormone (83970) $190 $190 4.6×
Assay of phenobarbital (80184) $40 $40 2.6×
Assay of prealbumin (84134) $155 $155 10.6×
Assay of serotonin (84260) $136 $136 4.4×
Assay of somatomedin (84305) $152 $152 7.1×
Assay of urine vma (84585) $254 $254 16.4×
Assay of vitamin k (84597) $131 $131 9.5×
Ast (sgot) (84450) $51 $51 9.8×
Bartonella antibody (86611) $59 $59 5.8×
Bilirubin direct (82248) $38 $38 7.6×
Bilirubin total (82247) $79 $79 15.7×
Blood count reticulocyte automated (85045) $44 $44 11.0×
Blood gases (82803) $151 $151 5.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $38 $38 8.7×
Blood typing abo (86900) $243 $243 81.3×
Blood typing serologic rh (d) (86901) $53 $53 17.7×
Body fluid cell count (89051) $202 $202 36.1×
Body fluid cell count (89050) $123 $123 26.1×
C-reactive protein (86140) $40 $40 7.7×
Ca 125 (86304) $268 $268 12.9×
Ca 19-9 (86301) $259 $259 12.4×
Calcium ionized (82330) $191 $191 14.0×
Calcium total (82310) $106 $106 20.5×
Calcium urine (82340) $88 $88 14.6×
Calculus Spectroscopy (82365) $170 $170 13.2×
Calprotectin, fecal (83993) $340 $340 17.3×
Carbamazepine (tegretol) total (80156) $249 $249 17.1×
Carbon dioxide (82374) $71 $71 14.5×
Carcinoembryonic antigen (82378) $136 $136 7.2×
Catecholamines fraction plasma (82384) $160 $160 6.3×
Cholesterol total (82465) $107 $107 24.6×
Chromogranin a (86316) $182 $182 8.7×
Ckmb (82553) $96 $96 8.3×
Clot factor viii vw antigen (85246) $58 $58 2.5×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $243 $243 10.1×
Cold agglutinin screen (86156) $40 $40 5.0×
Cold agglutinin titer (86157) $58 $58 7.2×
Compatibility test antiglob (86922) $174 $174 1.0×
Complement c3 (86160) $89 $89 7.4×
Complement total ch50 (86162) $152 $152 7.5×
Concentration Infectious Agent (87015) $99 $99 14.8×
Cortisol free (82530) $126 $126 7.5×
Cortisol total (82533) $72 $72 4.4×
Creatine kinase total (82550) $40 $40 6.1×
Creatinine blood (82565) $48 $48 9.4×
Creatinine clearance (82575) $60 $60 6.3×
Creatinine other source (82570) $37 $37 7.1×
Crossmatch immediate spin (86920) $54 $54 0.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $63 $63 7.8×
Culture Aerobic Identify (87077) $57 $57 7.1×
Culture blood (87040) $75 $75 7.3×
Culture chlamydia (87110) $93 $93 4.7×
Culture fungus other (87102) $248 $248 29.5×
Culture genital (87070) $62 $62 7.2×
Culture stool (87045) $194 $194 20.6×
Culture urine (87086) $55 $55 6.8×
Cyclic Citrullinated Peptide (86200) $159 $159 12.3×
Cystatin c (82610) $130 $130 7.0×
D-Dimer (85379) $86 $86 8.4×
Deoxyribonuclease antibody (86215) $45 $45 3.4×
Detect Agent, Mult Orgs, Dna, Dir (87800) $385 $385 8.8×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $86 $86 5.2×
Dhea (82626) $361 $361 14.3×
Digoxin (80162) $108 $108 8.1×
Dilantin (80185) $113 $113 8.5×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $150 $150 10.9×
Drug test prsmv chem anlyzr (80307) $75 $75 1.2×
Elastase pancreatic fecal quantitative (82653) $243 $243 10.6×
Electrolyte panel (80051) $86 $86 12.3×
Endomysial antibody iga (86255) $86 $86 7.1×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $202 $202 13.2×
Estradiol (82670) $124 $124 4.4×
Estrogens total (82672) $153 $153 7.1×
F5 gene (81241) $535 $535 7.3×
Fecal fat quant (82710) $59 $59 3.5×
Fibrin degradation products (85362) $86 $86 12.5×
Fibrinogen activity (85384) $165 $165 17.0×
Fibrinolytic Plasminogen (85415) $566 $566 32.9×
Folate serum (82746) $97 $97 6.6×
Follicle Stimulating Hormone (83001) $82 $82 4.4×
Gammaglobulin ige (82785) $167 $167 10.1×
Gastric Occult Blood (82271) $88 $88 16.5×
Ggt (82977) $95 $95 13.2×
Giardia antigen eia stool (87329) $82 $82 6.8×
Glucose Blood Test (82962) $35 $35 10.7×
Glucose body fluid (82945) $75 $75 19.1×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $125 $125 9.7×
Hcg qualitative (84703) $55 $55 7.3×
Hcg quant (84702) $183 $183 12.2×
Hematocrit (85014) $24 $24 10.1×
Hemoglobin (85018) $24 $24 10.1×
Hemoglobin a1c (83036) $72 $72 7.4×
Hepatitis a antibody total (86708) $174 $174 14.0×
Hepatitis b core antibody total (86704) $187 $187 15.5×
Hepatitis B Surface Ab (86706) $173 $173 16.1×
Hepatitis B Surface Antigen (87340) $198 $198 19.2×
Hepatitis Be Antigen (87350) $83 $83 7.2×
Hepatitis c antibody (86803) $221 $221 15.5×
HIV confirmation (86689) $139 $139 7.2×
HIV-1 antibody (86701) $188 $188 21.1×
Hiv-1/Hiv-2 1 Result Antbdy (86703) $191 $191 13.9×
Hla-b27 (86812) $177 $177 6.9×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $150 $150 3.3×
Iaad ia clostridium difficile toxin (87324) $189 $189 15.8×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $50 $50 3.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $65 $65 4.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $176 $176 5.0×
Iaad Ia Streptococcus Group A (87430) $55 $55 3.3×
Iadna hepatitis b virus quantification (87517) $200 $200 4.7×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $499 $499 11.6×
Iadna HIV-1 quant & reverse transcription (87536) $500 $500 5.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $140 $140 4.0×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $249 $249 7.1×
Iadna nos amplified probe tq each organism (87798) $140 $140 4.0×
Immunoassay infectious agent antibody quan nos (86317) $42 $42 2.8×
Immunoassay nonantibody (83516) $155 $155 13.4×
Immunofixj Electrophoresis Serum (86334) $104 $104 4.7×
Immunofluorescence per spec 1st singl antb stain (88346) $301 $301 1.8×
Inhibin b (83520) $155 $155 9.0×
Insulin total (83525) $145 $145 12.7×
Intrinsic factor antibody (86340) $121 $121 8.0×
Iron (83540) $62 $62 9.6×
Iron binding capacity (83550) $70 $70 8.0×
Jak2 gene analysis (81270) $653 $653 7.1×
Koh Prep (87220) $64 $64 15.0×
Lactic acid (83605) $214 $214 18.5×
Lactoferrin fecal qualitative (83630) $25 $25 1.3×
Ldh (83615) $37.50 $37.50 6.2×
LDL cholesterol direct (83721) $87 $87 8.3×
Lead (83655) $78 $78 6.4×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $45 $45 10.5×
Lh (83002) $196 $196 10.6×
Lipase (83690) $61 $61 8.9×
Lipoprotein Bld Hr Fraction (83701) $36 $36 1.1×
Lithium (80178) $149 $149 22.5×
Lyme disease antibody (86618) $113 $113 6.6×
Magnesium (83735) $57 $57 8.5×
Mercury (83825) $60 $60 3.7×
Methotrexate (80299) $188 $188 10.1×
Methylmalonic acid serum (83921) $162 $162 7.6×
Microalbumin urine (82043) $73 $73 12.6×
Microsomal antibodies (86376) $168 $168 11.5×
Natriuretic peptide (83880) $153.50 $153.50 3.9×
Nuclear antigen antibody (86235) $85 $85 4.7×
Occult blood stool (82272) $41 $41 9.7×
Osmolality serum (83930) $130 $130 19.7×
Osmolality urine (83935) $17 $17 2.5×
Ova and parasite direct-id lca (87177) $47 $47 5.3×
Pancreatic polypeptide (83519) $291 $291 15.8×
Pappa, serum (84163) $125 $125 8.3×
Phosphatase acid prostatic (84066) $114 $114 11.8×
Phosphatase alkaline (84075) $93 $93 18.0×
Phosphorus blood (84100) $42 $42 8.9×
Pinworm exam (87172) $15 $15 3.5×
Potassium (84132) $42 $42 8.8×
Procalcitonin (pct) (84145) $277 $277 10.2×
Progesterone (84144) $190 $190 9.1×
Prolactin (84146) $231 $231 11.9×
Protein body fluid (84157) $16 $16 4.0×
Protein c antigen (85302) $42 $42 3.5×
Protein electrophoresis serum (84165) $41 $41 3.8×
Protein Total Serum (84155) $35 $35 9.5×
Reagent strip/blood glucose (82948) $29 $29 5.8×
Renin activity plasma (84244) $128 $128 5.8×
Respiratory viral panel PCR (87633) $500 $500 1.2×
Rheumatoid factor quant (86431) $68 $68 12.0×
Rotavirus (86759) $110 $110 6.0×
Rubella antibody (86762) $231.50 $231.50 16.1×
Russell viper venom time diluted (85613) $133 $133 13.9×
Saccharomyces ab iga (86671) $160 $160 13.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $200 $200 3.9×
Sars-Cov-2 Covid-19 Antibody (86769) $100 $100 2.4×
Sedimentation rate (85651) $42 $42 9.8×
Sensitivity mic (87186) $60 $60 6.9×
Serotonin Release Assay (86022) $213 $213 11.6×
Sex hormone binding globulin (84270) $141 $141 6.5×
Sickle cell screen (85660) $40 $40 7.3×
Smear acid fast (87206) $78.50 $78.50 14.6×
Smear complex stain (87209) $74 $74 4.1×
Smear gram stain (87205) $34 $34 8.0×
Sodium (84295) $87 $87 18.1×
Stool Cultr Aerobic Bact Ea (87046) $78 $78 8.3×
Surgical pathology level IV (88305) $94 $94 1.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $361 $361 7.7×
T3 free (84481) $158 $158 9.3×
T3 reverse (84482) $159 $159 10.1×
T3 total (84480) $191 $191 13.5×
T3 uptake (84479) $55 $55 8.5×
T4 Free (84439) $58.50 $58.50 6.5×
T4 total (84436) $56 $56 8.2×
Tb intradermal test (86580) $26 $26 0.9×
Test for acetone/ketones (82009) $111 $111 24.6×
Testosterone free (84402) $126 $126 4.9×
Testosterone total (84403) $154 $154 6.0×
Thyroglobulin Ab (86800) $97.50 $97.50 6.1×
Thyroid Stimulating Immunoglobulin (84445) $364 $364 7.2×
Tobramycin peak (80200) $173 $173 10.7×
Topiramate (80201) $146 $146 12.2×
Transferrin (84466) $143 $143 11.2×
Triglycerides (84478) $136 $136 23.7×
Troponin (84484) $93 $93 7.5×
Urea nitrogen (84520) $42 $42 10.6×
Uric acid blood (84550) $46 $46 10.2×
Uric acid other source (84560) $82 $82 16.1×
Urine pregnancy test (81025) $197 $197 22.9×
Urine volume measurement (81050) $10 $10 2.7×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $47 $47 20.9×
Valproic acid level (80164) $107 $107 7.9×
Vancomycin trough (80202) $85 $85 6.3×
Varicella-zoster antibody (86787) $130 $130 10.1×
Vasopressin (84588) $119 $119 3.5×
Vdrl csf (86592) $40 $40 9.4×
Virus antibody nos (86790) $119 $119 9.2×
Vitamin b-12 (82607) $110 $110 7.3×
Vitamin b1 (thiamine) (84425) $32 $32 1.5×
Vitamin b6 (84207) $131 $131 4.7×
Vitamin D 25-Hydroxy (82306) $97 $97 3.3×