Lab & pathology prices at Upland Hills Health
Dodgeville, WI · every code in this section with a posted price and a Medicare benchmark.
149 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $181.90 | $336.85 | 3.8× |
| Albumin serum (82040) | $52.14 | $96.55 | 10.5× |
| Alt (sgpt) (84460) | $62.72 | $116.15 | 11.8× |
| Ammonia (82140) | $87.16 | $161.40 | 6.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $86.86 | $160.85 | 0.9× |
| Amylase urine (82150) | $64.34 | $119.15 | 9.9× |
| Antibody Titer (86886) | $34.18 | $63.30 | 6.6× |
| Antibody Treponema Pallidum (86780) | $42.90 | $79.45 | 3.2× |
| Antigen typing (86905) | $62.10 | $115 | 16.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $18.55 | $34.35 | 3.2× |
| Assay Blood Carbon Dioxide (82374) | $45.20 | $83.70 | 9.3× |
| Assay of blood/uric acid (84550) | $49.90 | $92.40 | 11.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$61.26–$69.66 | $113.45–$129 | varies |
| Assay of lactic acid (83605) | $91.91 | $170.20 | 7.9× |
| Assay of serum potassium (84132) | $49.55 | $91.75 | 10.4× |
| Assay of urea nitrogen (84520) | $46.04 | $85.25 | 11.7× |
| Assay spec xcp ur&breath ia (82077) | $121.64 | $225.25 | 7.0× |
| Automated Leukocyte Count (85048) | $45.25 | $83.80 | 17.8× |
| Beta hydroxybutyrate (82010) | $47.71 | $88.35 | 5.8× |
| Bilirubin direct (82248) | $45.79 | $84.80 | 9.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$50.36–$52.14 | $93.25–$96.55 | varies |
| Bilirubin total transcutaneous (88720) | $31.46 | $58.25 | 6.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $161.95 | $299.90 | 1.0× |
| Bld Typing Serologic Rh Phnt (86906) | $62.29 | $115.35 | 8.0× |
| Blood Count Automated Differential Wbc Count (85004) | $43.36 | $80.30 | 6.7× |
| Blood count reticulocyte automated (85045) | $58.81 | $108.90 | 14.7× |
| Blood gases w/02 saturation (82805) | $302.83 | $560.80 | 3.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $61.34 | $113.60 | 3.9× |
| Blood typing serologic abo (86900) | $39.39 | $72.95 | 13.2× |
| Body fluid cell count (89050) | $59.91 | $110.95 | 12.7× |
| Breath Alcohol Test (82075) | $97.20 | $180 | 3.2× |
| C diff amplified probe (87493) | $150.93 | $279.50 | 4.0× |
| C-reactive protein (86140) | $74.87 | $138.65 | 14.5× |
| Calcium total (82310) | $50.36 | $93.25 | 9.8× |
| Carbamazepine total (80156) | $110.92 | $205.40 | 7.6× |
| Carboxyhemoglobin (82375) | $71.23 | $131.90 | 5.8× |
| Cell count csf (89051) | $85.86 | $159 | 15.3× |
| Chlmy trch&neisra gonor mult (87494) | $252.34 | $467.30 | 3.6× |
| Chloride Serum (82435) | $42.31 | $78.35 | 9.2× |
| Cholesterol total (82465) | $49.22 | $91.15 | 11.3× |
| Chorionic gonadotropin test (84702) | $104.06 | $192.70 | 6.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $138.65 | $256.75 | 4.0× |
| Clostridium Difficile (87324) | $45.31 | $83.90 | 3.8× |
| Coombs direct (86880) | $58.97 | $109.20 | 10.9× |
| Cortisol saliva (82533) | $75.65 | $140.10 | 4.6× |
| Creatine kinase total (82550) | $63.61 | $117.80 | 9.8× |
| Creatinine blood (82565) | $61.51 | $113.90 | 12.0× |
| Creatinine clearance (82575) | $63.02 | $116.70 | 6.7× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$69.44–$69.71 | $128.60–$129.10 | varies |
| Crossmatch immediate spin (86920) | $103.36 | $191.40 | 0.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $42.12 | $78 | 5.2× |
| Culture blood (87040) | $122.77 | $227.35 | 11.9× |
| Culture csf (87070) range across 4 matching MRF lines |
$83.86–$117.80 | $155.30–$218.15 | varies |
| Culture screen only (87081) range across 2 matching MRF lines |
$50.54–$81.32 | $93.60–$150.60 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$32.62–$44.74 | $60.40–$82.85 | varies |
| Culture urine (87086) | $76.79 | $142.20 | 9.5× |
| Detect agnt mult DNA ampli (87801) | $227.45 | $421.20 | 3.2× |
| Digoxin (80162) | $117.99 | $218.50 | 8.9× |
| Drug assay acetaminophen (80143) | $123.80 | $229.25 | 6.6× |
| Drug Test Prsmv Instrmnt (80306) | $69.85 | $129.35 | 4.1× |
| Electrolyte panel (80051) | $124.52 | $230.60 | 17.8× |
| Estrogen total (82672) | $51.14 | $94.70 | 2.4× |
| Ferritin (82728) | $97.36 | $180.30 | 7.1× |
| Fetal Fibronectin (82731) | $268.62 | $497.45 | 4.2× |
| Fetal screen rosette (85461) | $33.51 | $62.05 | 3.6× |
| Fibrin Degradation Quant (85379) | $122.58 | $227 | 12.0× |
| Folic Acid Serum (82746) | $102.03 | $188.95 | 6.9× |
| Follicle Stimulating Hormone (83001) | $96.26 | $178.25 | 5.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $299.21 | $554.10 | 1.8× |
| Ggt (82977) | $49.73 | $92.10 | 6.9× |
| Glucose 2 hr pp (82950) | $43.58 | $80.70 | 9.2× |
| Glucose Blood Test (82962) | $66.07 | $122.35 | 20.1× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$47.06–$59 | $87.15–$109.25 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$44.25–$63.88 | $81.95–$118.30 | varies |
| Glucose tolerance test (gtt) (82951) | $103.95 | $192.50 | 8.1× |
| Gonadotropin Chorionic Qualitative (84703) | $59.40 | $110 | 7.9× |
| Gtt-added samples (82952) | $29.89 | $55.35 | 7.6× |
| Hdl Cholesterol (83718) | $69.34 | $128.40 | 8.5× |
| Hematocrit (85014) | $64.53 | $119.50 | 27.2× |
| Hemoglobin (85018) | $29 | $53.70 | 12.2× |
| Hemoglobin a1c (83036) | $74.98 | $138.85 | 7.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $31.35 | $58.05 | 3.8× |
| Hepatitis B Surface Antigen (87340) | $71.63 | $132.65 | 6.9× |
| Hepatitis C Antibody (86803) | $103.68 | $192 | 7.3× |
| Heterophile Antibody Screen (86308) | $51.49 | $95.35 | 9.9× |
| Hgb Quantitative Transcutaneous (88738) | $17.44 | $32.30 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $102.33 | $189.50 | 4.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $69.17 | $128.10 | 2.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $113.70 | $210.55 | 3.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $423.47 | $784.20 | 3.0× |
| Iron (83540) | $62.69 | $116.10 | 9.7× |
| Koh Prep (87220) | $16.90 | $31.30 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) | $49.38 | $91.45 | 8.2× |
| LDL direct (83721) | $81.16 | $150.30 | 7.7× |
| Legionella antigen urine (87449) | $45.31 | $83.90 | 3.8× |
| Lipase (83690) | $86.27 | $159.75 | 12.5× |
| Lithium (80178) | $65.37 | $121.05 | 9.9× |
| Lyme disease antibody (86618) | $99.82 | $184.85 | 5.9× |
| Magnesium Urine (83735) | $66.69 | $123.50 | 10.0× |
| Microalbumin, quantitative (82043) | $74.55 | $138.05 | 12.9× |
| Mrsa Pcr (87641) | $138.65 | $256.75 | 4.0× |
| Natriuretic peptide (83880) | $153.85 | $284.90 | 3.9× |
| Occult blood feces (82272) | $25.19 | $46.65 | 6.0× |
| Ph urine (81003) | $29.35 | $54.35 | 13.0× |
| Phenytoin (Dilantin) (80185) | $112.46 | $208.25 | 8.5× |
| Phosphatase alkaline (84075) | $52.14 | $96.55 | 10.1× |
| Phosphorus Serum (84100) | $64.58 | $119.60 | 13.6× |
| Platelet count automated (85049) | $49.52 | $91.70 | 11.1× |
| Potassium Urine (84133) | $52.92 | $98 | 11.2× |
| Procalcitonin (Pct) (84145) | $177.53 | $328.75 | 6.5× |
| Protein body fluid (84157) | $61.70 | $114.25 | 15.4× |
| Protein total serum (84155) | $50.09 | $92.75 | 13.6× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$34.91–$51.54 | $64.65–$95.45 | varies |
| Pth Intact (83970) | $162.86 | $301.60 | 3.9× |
| Rbc antibody elution (86860) | $178.52 | $330.60 | 1.1× |
| Rbc antibody identification (86870) | $132.71 | $245.75 | 0.4× |
| Rbc antibody screen (86850) | $116.67 | $216.05 | 11.9× |
| Rh (86901) | $41.69 | $77.20 | 13.9× |
| Rubella Antibody (86762) | $85.67 | $158.65 | 6.0× |
| Salicylate Level (80179) | $108.19 | $200.35 | 5.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $166.27 | $307.90 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $241.65 | $447.50 | 1.7× |
| Sedimentation Rate, Automated (85652) | $50 | $92.60 | 18.5× |
| Semen Anal Sperm Detection (89321) | $45.63 | $84.50 | 3.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$34.86–$66.56 | $64.55–$123.25 | varies |
| Skin test tuberculosis intradermal (86580) | $36.10 | $66.85 | 1.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$33.94–$38.77 | $62.85–$71.80 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $32.99 | $61.10 | 5.7× |
| Sodium Serum (84295) | $45.31 | $83.90 | 9.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$56.11–$60.26 | $103.90–$111.60 | varies |
| Staph a DNA amp probe (87640) | $138.65 | $256.75 | 4.0× |
| Strep a assay w/optic (87880) | $53.57 | $99.20 | 3.2× |
| Strep a DNA amp probe (87651) | $113.70 | $210.55 | 3.2× |
| T3 Free (84481) | $70.44 | $130.45 | 4.2× |
| T4 Free (84439) | $80.30 | $148.70 | 8.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.36 | $93.25 | 9.7× |
| Transferrin (84466) | $58.83 | $108.95 | 4.6× |
| Trichomonas Vaginalis Amplif (87661) | $134.33 | $248.75 | 3.8× |
| Triglycerides (84478) | $50.98 | $94.40 | 8.9× |
| Troponin Quant (84484) | $147.04 | $272.30 | 11.8× |
| Urinalysis Microscopic Only (81015) | $33.43 | $61.90 | 11.0× |
| Urinalysis Volume Measure (81050) | $21.57 | $39.95 | 5.9× |
| Urine Bacteria Culture (87088) | $51.49 | $95.35 | 6.4× |
| Urine Pregnancy Test (81025) | $42.20 | $78.15 | 4.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57.81 | $107.05 | 18.2× |
| Valproic acid (80164) | $101.41 | $187.80 | 7.5× |
| Vancomycin (80202) | $102.84 | $190.45 | 7.6× |
| Vitamin b-12 (82607) | $111.46 | $206.40 | 7.4× |
| Vitamin D 25-Hydroxy (82306) | $131.25 | $243.05 | 4.4× |
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.