Lab & pathology prices at Trego County Lemke Memorial Hospital

Wakeeney, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $156.40 $184 4.0×
Acute hepatitis panel (80074) $181.90 $214 3.8×
Afp-l3 fraction isoform & total afp w/ratio (82107) $188.70 $222 2.9×
Albumin serum (82040) $14.45 $17 2.9×
Aldosterone urine (82088) $162.35 $191 4.0×
Allergen specific ige (86003) $20.40 $24 3.9×
Alpha-Fetoprotein Serum (82105) $73.10 $86 4.4×
Alt (sgpt) (84460) $14.45 $17 2.7×
Amylase urine (82150) $32.30 $38 5.0×
Ana Titer (86039) $55.25 $65 5.0×
Angiotensin converting enzyme csf (82164) $65.45 $77 4.5×
Antibody Cytomegalovirus Cmv Igm (86645) $95.20 $112 5.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $119.85 $141 7.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $84.15 $99 4.6×
Antinuclear antibodies (86038) $57.76 $67.95 4.8×
Antistreptolysin o titer (86060) $44.20 $52 6.1×
Apolipoprotein a1 (82172) $44.20 $52 2.1×
Assay of blood/uric acid (84550) $19.55 $23 4.3×
Assay of calcium in urine (82340) $29.75 $35 4.9×
Assay of gammaglobulin igm (82784) $65.45 $77 7.0×
Assay of lactic acid (83605) $62.90 $74 5.4×
Assay of metanephrines (83835) $140.25 $165 8.3×
Assay of serum potassium (84132) $13.60 $16 2.9×
Assay of urea nitrogen (84520) $11.90 $14 3.0×
Assay of vitamin b-1 (84425) $96.05 $113 4.5×
Assay spec xcp ur&breath ia (82077) $79.90 $94 4.6×
Automated Leukocyte Count (85048) $12.75 $15 5.0×
Bcr/abl1 gene major bp (81206) $255 $300 1.6×
Beta Lactamase (87185) $24.65 $29 5.2×
Bilirubin direct (82248) $25.04 $29.45 5.0×
Bilirubin total (82247) $28.05 $33 5.6×
Blood count reticulocyte automated (85045) $105.78 $124.45 26.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $10.20 $12 2.7×
Blood gas (82803) $90.10 $106 3.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $45.05 $53 2.8×
Blood typing serologic abo (86900) $63.75 $75 21.3×
C diff amplified probe (87493) $99.45 $117 2.7×
C-Peptide (84681) $88.40 $104 4.2×
C-reactive protein (86140) $34.85 $41 6.7×
Ca 19-9 (86301) $72.25 $85 3.5×
Calcium ionized (82330) $61.20 $72 4.5×
Calcium total (82310)
range across 2 matching MRF lines
$15.30–$46.75 $18–$55 varies
Calculus assay quant (82360) $65.45 $77 5.1×
Calprotectin Fecal (83993) $148.75 $175 7.6×
Cancer Antigen 125 (86304) $72.25 $85 3.5×
Cancer Antigen 27.29 (86300) $72.25 $85 3.5×
Carcinoembryonic antigen (82378) $94.90 $111.65 5.0×
Cardiolipin ab iga (86147) $103.70 $122 4.1×
Ccp antibody (86200) $63.75 $75 4.9×
Chorionic gonadotropin test (84702) $79.90 $94 5.3×
Chromosome Analysis 15-20 (88262) $626.88 $737.50 5.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $99.45 $117 2.8×
Ckmb (82553) $72.68 $85.50 6.3×
Clostridium Difficile (87324) $72.25 $85 6.0×
Complement Antigen Each Component (86160) $71.87 $84.55 6.0×
Copper urine (82525) $35.70 $42 2.9×
Cortisol saliva (82533) $80.75 $95 5.0×
Creatine kinase total (82550) $30.60 $36 4.7×
Creatinine blood (82565) $15.30 $18 3.0×
Creatinine Urine (82570) $28.90 $34 5.6×
Crossmatch immediate spin (86920) $61.20 $72 0.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $40.80 $48 5.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $40.80 $48 5.0×
Culture Anaerobic (87075) $41.65 $49 4.4×
Culture blood (87040) $51 $60 4.9×
Culture csf (87070) $29.75 $35 3.5×
Culture screen only (87081) $33.11 $38.95 5.0×
Culture stool (87045) $39.10 $46 4.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $24.65 $29 4.8×
Culture urine (87086) $40.38 $47.50 5.0×
Cytomegalovirus igg (86644) $95.20 $112 6.6×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$170–$195.50 $200–$230 varies
Detect Agent Nos Dna Quant (87799) $282.92 $332.85 6.6×
Dhea-S (82627) $106.25 $125 4.8×
Digoxin (80162) $72.25 $85 5.4×
Dna Antibody Native/Double Stranded (86225) $79.90 $94 5.8×
Drug assay acetaminophen (80143) $76.50 $90 4.1×
Drug Screen Quantitative Lamotrigine (80175) $48.45 $57 3.7×
Drug Screen Quantitative Levetiracetam (80177) $69.70 $82 5.3×
Drug Test Prsmv Dir Opt Obs (80305) $37.40 $44 3.0×
Erythropoietin (82668) $93.50 $110 5.0×
Estradiol serum (82670) $164.90 $194 5.9×
Estrogen total (82672) $111.35 $131 5.1×
Factor v leiden mutation (81241) $230.35 $271 3.1×
Factor viii assay (85240) $123.25 $145 6.9×
Ferritin (82728) $70.55 $83 5.2×
Fibrin Degradation Quant (85379) $96.90 $114 9.5×
Folic Acid Serum (82746) $82.88 $97.50 5.6×
Follicle Stimulating Hormone (83001) $94.48 $111.15 5.1×
Fungi Identification Yeast (87106) $52.40 $61.65 5.1×
Gammaglobulin ige (82785) $83.30 $98 5.1×
Ggt (82977) $21.25 $25 3.0×
Giardia antigen (87329) $72.25 $85 6.0×
Glucose tolerance test (gtt) (82951) $64.60 $76 5.0×
Gonadotropin Chorionic Qualitative (84703) $45.90 $54 6.1×
Gtt-added samples (82952) $19.55 $23 5.0×
Haptoglobin (83010) $68.85 $81 5.5×
Helicobacter Pylori Stool (87338) $108.80 $128 7.6×
Hematocrit (85014) $11.90 $14 5.0×
Hemoglobin (85018) $13.60 $16 5.7×
Hemoglobin a1c (83036) $46.05 $54.18 4.7×
Hepatitis a antibody total (86708) $61.20 $72 4.9×
Hepatitis b core ab igm (86705) $45.05 $53 3.8×
Hepatitis b core ab total (86704) $58.65 $69 4.9×
Hepatitis B Surface Antibody (86706) $61.20 $72 5.7×
Hepatitis B Surface Antigen (87340) $33.15 $39 3.2×
Hepatitis C Antibody (86803) $59.50 $70 4.2×
Hepatitis C Genotype (87902) $726.75 $855 2.8×
Hepatitis C Revrs Trnscrpj (87522) $212.50 $250 5.0×
Heterophile Antibody Screen (86308) $27.20 $32 5.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $79.05 $93 3.3×
Hla-b27 (86812) $73.10 $86 2.8×
Homocysteine (83090) $232.90 $274 13.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $57.80 $68 1.6×
Iaad ia shiga-like toxin (87427) $72.25 $85 6.0×
Iadna Cytomegalovirus Quantification (87497) $121.55 $143 2.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $79.05 $93 2.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $99.45 $117 2.8×
Ig Light Chains Free Each (83521) $127.50 $150 7.4×
Immunoassay Analyte Quant Radioimmunoassay (83519) $48.45 $57 2.6×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $58.65 $69 3.9×
Immunofixation electrophoresis (86334) $128.35 $151 5.7×
Influenza assay w/optic (87804) $57.80 $68 3.5×
Insulin total (83525) $67.15 $79 5.9×
Iron (83540) $34 $40 5.3×
Iron Binding Capacity (83550) $54.40 $64 6.2×
Lactate (ld) (ldh) enzyme (83615) $36.47 $42.90 6.0×
Lead (83655) $32.30 $38 2.7×
Legionella antigen urine (87449) $78.63 $92.50 6.6×
Leukocyte Assessment Fecal (89055) $20.40 $24 4.8×
Lipase (83690) $37.40 $44 5.4×
Lipoprotein A (83695) $30.60 $36 2.1×
Lithium (80178) $34.85 $41 5.3×
Luteinizing Hormone (Lh) (83002) $94.56 $111.25 5.1×
Lyme disease antibody (86618) $101.15 $119 5.9×
Magnesium Urine (83735) $35.70 $42 5.3×
Methylmalonic acid serum (83921) $56.95 $67 2.7×
Microalbumin, quantitative (82043) $33.11 $38.95 5.7×
Microsomal Antibodies Each (86376) $67.15 $79 4.6×
Mumps antibody (86735) $85.85 $101 6.6×
Natriuretic peptide (83880) $96.05 $113 2.4×
Nuclear antigen antibody (86235) $68.85 $81 3.8×
Osmolality serum (83930) $38.25 $45 5.8×
Osmolality Urine (83935) $41.65 $49 6.1×
Ova and parasites smears (87177) $45.90 $54 5.2×
Pancreatic Elastase Fecal (82656) $238 $280 20.6×
Ph urine (81003)
range across 2 matching MRF lines
$12.74–$12.75 $14.99–$15 varies
Phosphorus Serum (84100) $13.60 $16 2.9×
Prealbumin (84134) $64.60 $76 4.4×
Procalcitonin (Pct) (84145) $97.75 $115 3.6×
Progesterone (84144) $94.35 $111 4.5×
Prolactin (84146) $104.55 $123 5.4×
Protein C Activity (85303) $133.45 $157 9.6×
Protein Electrophoresis Urine (84166) $51 $60 2.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $53.55 $63 5.0×
Protein S Free (85306) $129.63 $152.50 8.5×
Protein Total Urine (84156) $25.50 $30 6.9×
Pth Intact (83970) $204 $240 4.9×
Quantiferon tb gold plus (86480) $162.69 $191.40 2.6×
Rbc antibody screen (86850) $55.25 $65 5.7×
Resp virus 12-25 targets (87633) $4.25 $5 0.0×
Rh (86901) $51 $60 17.1×
Rheumatoid factor quant (86431) $34 $40 6.0×
Rpr qualitative (86592) $22.10 $26 5.2×
Rubella Antibody (86762) $40.80 $48 2.8×
Rubeola antibody (86765) $90.10 $106 7.0×
Russell Viper Venom Time Diluted (85613) $35.70 $42 3.7×
Salicylate Level (80179) $76.50 $90 4.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $119.85 $141 2.3×
Sedimentation rate (85651) $17.85 $21 4.2×
Sensitivity mic (87186) $44.03 $51.80 5.1×
Smear acid fast (87206) $40.80 $48 7.6×
Smear complex stain (87209) $51 $60 2.8×
Smear gram stain (87205) $18.70 $22 4.4×
Sodium Urine (84300) $26.35 $31 5.2×
Somatomedin (84305) $158.95 $187 7.5×
Stool cultr aerobic bact ea (87046) $39.10 $46 4.1×
Strep a assay w/optic (87880) $57.80 $68 3.5×
Surgical pathology level IV (88305) $233.75 $275 4.9×
T3 Free (84481) $111.35 $131 6.6×
T3 reverse (84482) $109.65 $129 7.0×
T3 Total (84480) $62.90 $74 4.4×
T4 Free (84439) $39.57 $46.55 4.4×
T4 total (84436) $24.23 $28.50 3.5×
Tacrolimus (80197) $124.95 $147 9.1×
Testosterone total (84403) $138.55 $163 5.4×
Testosterone, Free (84402) $143.65 $169 5.6×
Thyroglobulin Antibody (86800) $90.95 $107 5.7×
Thyroid Stimulating Immunoglobulin (84445) $617.95 $727 12.2×
Tissue Culture Lymphocyte (88230) $774.35 $911 6.6×
Transferase Aspartate Amino Ast Sgot (84450) $15.30 $18 3.0×
Transferrin (84466) $102.85 $121 8.1×
Troponin Quant (84484) $97.75 $115 7.8×
Urine Bacteria Culture (87088) $35.53 $41.80 4.4×
Urine Pregnancy Test (81025) $36.55 $43 4.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $13.60 $16 4.3×
Valproic acid (80164) $86.70 $102 6.4×
Vancomycin (80202) $77.35 $91 5.7×
Varicella-zoster antibody (86787) $87.55 $103 6.8×
Vit D 1 25-Dihydroxy (82652) $116.45 $137 3.0×
Vitamin A (84590) $62.05 $73 5.3×
Vitamin b-12 (82607) $75.65 $89 5.0×
Vitamin B6 (84207) $185.30 $218 6.6×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$64.60–$262.23 $76–$308.50 varies
Zinc (84630) $38.25 $45 3.4×

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.