Lab & pathology prices at Wagoner Community Hospital

Wagoner, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $131.53 $263.05 3.4×
Actin smooth muscle antibody each (86015) $101 $202 8.4×
Acute hepatitis panel (80074) $182.50 $365 3.8×
Albumin serum (82040) $16.83 $33.65 3.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$148.50–$164 $297–$328 varies
Allergen specific ige (86003)
range across 67 matching MRF lines
$9.24–$232.70 $18.47–$465.40 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$22.44–$45 $44.88–$90 varies
Alpha-1-antitrypsin total (82103) $23.09 $46.18 1.7×
Alpha-Fetoprotein Serum (82105)
range across 4 matching MRF lines
$26.50–$158.21 $53–$316.42 varies
Alt (sgpt) (84460) $18.03 $36.05 3.4×
Ammonia (82140) $46 $92 3.2×
Amylase urine (82150)
range across 4 matching MRF lines
$22.05–$43.84 $44.10–$87.68 varies
Ana Titer (86039) $66 $132 5.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $53.24 $106.48 3.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $106 $212 5.8×
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$25.49–$44.88 $50.98–$89.75 varies
Antibody HIV-2 (86702) $34 $68 2.5×
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$37.50–$103.50 $75–$207 varies
Antibody Titer (86886) $28.94 $57.88 5.6×
Antibody Treponema Pallidum (86780) $45.50 $91 3.4×
Antinuclear antibodies (86038) $94.50 $189 7.8×
Apolipoprotein a1 (82172) $52.73 $105.45 2.5×
Arsenic (82175)
range across 2 matching MRF lines
$52.70–$74.71 $105.40–$149.41 varies
Assay Nephelometry Not Spec (83883)
range across 6 matching MRF lines
$35.75–$123.50 $71.50–$247 varies
Assay of blood/uric acid (84550) $15.38 $30.75 3.4×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$21–$31 $42–$62 varies
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$15.85–$56.83 $31.70–$113.65 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$36.63–$68 $73.25–$136 varies
Assay of serotonin (84260) $154.50 $309 5.0×
Assay of serum potassium (84132) $15.65 $31.30 3.3×
Assay of urea nitrogen (84520) $13.43 $26.85 3.4×
Babesia microti amp prb (87469) $87.73 $175.45 2.5×
Bilirubin direct (82248) $17.08 $34.15 3.4×
Bilirubin total (82247)
range across 2 matching MRF lines
$17.08–$17.20 $34.15–$34.40 varies
Blood count reticulocyte automated (85045) $23.50 $47 5.9×
Blood gas (82803) $85 $170 3.3×
Blood typing serologic abo (86900) $32 $64 10.7×
Borrelia miyamotoi amp prb (87478) $87.73 $175.45 2.5×
C-Peptide (84681) $71 $142 3.4×
C-reactive protein (86140) $19 $38 3.7×
Calcium ionized (82330) $46.58 $93.15 3.4×
Calcium total (82310) $17.55 $35.10 3.4×
Cancer Antigen 125 (86304) $112.50 $225 5.4×
Carbamazepine total (80156) $62.50 $125 4.3×
Carcinoembryonic antigen (82378) $66.50 $133 3.5×
Ccp antibody (86200) $44.50 $89 3.4×
Ceruloplasmin (82390) $37 $74 3.4×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$24.41–$102.96 $48.82–$205.92 varies
Chloride urine (82436)
range across 2 matching MRF lines
$16–$17.50 $32–$35 varies
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$25.68–$51.28 $51.35–$102.55 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$87.50–$119.50 $175–$239 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines
$40.13–$88 $80.25–$176 varies
Clot Factor VIII Multimetric (85247) $137.50 $275 6.0×
Compatibility Each Unit Incubation (86921) $72 $144 0.4×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$31–$63.50 $62–$127 varies
Complement Total (Ch50) (86162) $70 $140 3.4×
Coombs direct (86880) $35.50 $71 6.6×
Cortisol free (82530)
range across 2 matching MRF lines
$56.90–$208 $113.80–$416 varies
Cortisol saliva (82533)
range across 3 matching MRF lines
$55.53–$56 $111.05–$112 varies
Creatine kinase total (82550) $29.50 $59 4.5×
Creatinine blood (82565) $17.43 $34.85 3.4×
Creatinine Urine (82570)
range across 2 matching MRF lines
$17.63–$39 $35.25–$78 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$9.50–$17.33 $19–$34.65 varies
Culture Anaerobic (87075) $76 $152 8.0×
Culture blood (87040) $59.50 $119 5.8×
Culture csf (87070)
range across 15 matching MRF lines
$15.71–$72.50 $31.42–$145 varies
Culture stool (87045) $31.50 $63 3.3×
Culture urine (87086)
range across 3 matching MRF lines
$27.50–$39 $55–$78 varies
Cystatin C (82610) $48.80 $97.60 2.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $66.50 $133 2.5×
Cytp Slides C/V Mnl Scr Under Phys (88150) $34.50 $69 1.9×
Detect Agent Nos Dna Amp (87798)
range across 42 matching MRF lines
$47.80–$192.50 $95.60–$385 varies
Dhea (82626) $77.50 $155 3.1×
Dhea-S (82627) $75.50 $151 3.4×
Digoxin (80162) $47.50 $95 3.6×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$47–$52.50 $94–$105 varies
Drug Screen Quantitative Lamotrigine (80175) $75 $150 5.7×
Drug Screen Quantitative Levetiracetam (80177) $176 $352 13.3×
Drug Screen Quantitative Oxcarbazepine (80183) $150.38 $300.76 11.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 27 matching MRF lines
$33.67–$247.40 $67.34–$494.80 varies
Estradiol serum (82670)
range across 2 matching MRF lines
$61.38–$95.50 $122.75–$191 varies
Estrogen total (82672) $86 $172 4.0×
Factor v leiden mutation (81241) $208.50 $417 2.8×
Factor viii assay (85240) $116 $232 6.5×
Ferritin (82728) $46.35 $92.70 3.4×
Fibrin Degradation Quant (85379) $59 $118 5.8×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$37.52–$283 $75.04–$566 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$40.94–$153 $81.87–$306 varies
Folic Acid Serum (82746) $50.08 $100.15 3.4×
Follicle Stimulating Hormone (83001) $63.50 $127 3.4×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$56.08–$56.50 $112.15–$113 varies
Ggt (82977) $24.53 $49.05 3.4×
Glucose Blood Test (82962) $4 $8 1.2×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$25.60–$80 $51.20–$160 varies
Haptoglobin (83010) $55 $110 4.4×
Helicobacter Pylori Stool (87338) $13.75 $27.50 1.0×
Hematocrit (85014) $20.50 $41 8.6×
Hemoglobin (85018) $20.50 $41 8.6×
Hemoglobin a1c (83036) $33.03 $66.05 3.4×
Hep a ab igm (86709) $50 $100 4.4×
Hepatitis a antibody total (86708) $42.50 $85 3.4×
Hepatitis b core ab igm (86705) $40.50 $81 3.4×
Hepatitis b core ab total (86704) $46 $92 3.8×
Hepatitis B Surface Antibody (86706) $41.50 $83 3.9×
Hepatitis B Surface Antigen (87340) $35.50 $71 3.4×
Hepatitis Be Antigen (87350) $39.50 $79 3.4×
Hepatitis C Antibody (86803) $49 $98 3.4×
Hepatitis C Genotype (87902) $877 $1,754 3.4×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$145.88–$202.50 $291.75–$405 varies
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$23.35–$66 $46.70–$132 varies
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$17.63–$51 $35.25–$102 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $60 $120 2.5×
Hla-b27 (86812) $99 $198 3.8×
Hpv High-Risk Types (87624) $87.50 $175 2.5×
Hydroxyprogesterone 17-d (83498) $93 $186 3.4×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $87.73 $175.45 2.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $87.73 $175.45 2.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$97.48–$119.50 $194.95–$239 varies
Ig Light Chains Free Each (83521) $43.18 $86.35 2.5×
Immunoassay nonantibody (83516)
range across 11 matching MRF lines
$17.33–$260 $34.65–$520 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines
$36.76–$159 $73.52–$318 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $25 $50 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $107.10 $214.20 2.5×
Influenza a/b ag eia (87400)
range across 5 matching MRF lines
$28.50–$37 $57–$74 varies
Inhibin b (83520)
range across 19 matching MRF lines
$17.33–$350 $34.65–$700 varies
Insulin total (83525) $39 $78 3.4×
Iron (83540) $22.03 $44.05 3.4×
Iron Binding Capacity (83550) $29.75 $59.50 3.4×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$16–$45.50 $32–$91 varies
LDL direct (83721) $32.48 $64.95 3.1×
Lead (83655)
range across 3 matching MRF lines
$41.50–$109.15 $83–$218.30 varies
Leukocyte Assessment Fecal (89055) $12.50 $25 2.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 3 matching MRF lines
$31.50–$62.50 $63–$125 varies
Level ii surg pathology gross&microscopic exam (88302) $60.50 $121 1.7×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$260.50–$332.50 $521–$665 varies
Lipase (83690) $23.45 $46.90 3.4×
Lithium (80178) $26 $52 3.9×
Luteinizing Hormone (Lh) (83002) $63.50 $127 3.4×
Magnesium Urine (83735)
range across 3 matching MRF lines
$22.78–$47 $45.55–$94 varies
Mercury urine (83825)
range across 2 matching MRF lines
$45.15–$85.50 $90.30–$171 varies
Metabolic panel ionized ca (80047) $33.33 $66.65 2.4×
Microalbumin, quantitative (82043) $18.98 $37.95 3.3×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$18.55–$110.94 $37.09–$221.88 varies
Mrsa Pcr (87641)
range across 4 matching MRF lines
$87.50–$97.50 $175–$195 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$44.50–$46 $89–$92 varies
Natriuretic peptide (83880)
range across 4 matching MRF lines
$98.15–$261 $196.30–$522 varies
Nuclear antigen antibody (86235)
range across 12 matching MRF lines
$15–$123.54 $30–$247.07 varies
Occult blood feces (82272) $8.50 $17 2.0×
Occult Blood Other Sources (82271) $81.50 $163 15.3×
Osmolality serum (83930) $28.50 $57 4.3×
Ova and parasites smears (87177) $45.50 $91 5.1×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $62.50 $125 1.2×
Ph urine (81003)
range across 5 matching MRF lines
$5.63–$7.70 $11.25–$15.40 varies
Phenobarbital Level (80184) $47 $94 3.1×
Phenytoin (Dilantin) (80185) $60 $120 4.5×
Phosphorus Serum (84100) $16.13 $32.25 3.4×
Platelet count automated (85049) $24.50 $49 5.5×
Potassium Urine (84133)
range across 2 matching MRF lines
$15–$16.50 $30–$33 varies
Prealbumin (84134) $50 $100 3.4×
Progesterone (84144) $71.50 $143 3.4×
Prolactin (84146)
range across 2 matching MRF lines
$32.97–$66 $65.93–$132 varies
Protein Electrophoresis Urine (84166) $57.50 $115 3.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $40.50 $81 3.8×
Protein Total Urine (84156) $27.50 $55 7.5×
Quantiferon tb gold plus (86480) $105.70 $211.40 1.7×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$79–$137.50 $158–$275 varies
Rbc antibody screen (86850) $72.50 $145 7.4×
Reagent Strip/Blood Glucose (82948) $11 $22 2.2×
Renin activity plasma (84244)
range across 2 matching MRF lines
$75–$104.65 $150–$209.29 varies
Reticulated Platelet Assay (85055) $89.35 $178.70 2.5×
Rh (86901) $16 $32 5.4×
Rheumatoid Factor Qualitative (86430) $49 $98 8.0×
Rickettsia antibody (86757)
range across 7 matching MRF lines
$33–$66 $66–$132 varies
Ristocetin cofactor (85245) $137.50 $275 6.0×
Rotavirus ag eia (87425) $57.01 $114.01 4.8×
Rubella Antibody (86762)
range across 6 matching MRF lines
$13.13–$49.50 $26.25–$99 varies
Rubeola antibody (86765) $50 $100 3.9×
Russell Viper Venom Time Diluted (85613) $82.50 $165 8.6×
Sars-cov-2 COVID-19 antibody (86769) $107.80 $215.60 2.6×
Sarscov2&inf a&b&rsv amp prb (87637) $356.58 $713.15 2.5×
Sedimentation rate (85651) $9.20 $18.40 2.2×
Semen Anal Sperm Detection (89321)
range across 3 matching MRF lines
$17.33–$33.48 $34.65–$66.95 varies
Sensitivity mic (87186) $25.50 $51 2.9×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$74.50–$94.50 $149–$189 varies
Sickling of rbc reduction (85660) $49 $98 8.9×
Smear complex stain (87209) $45 $90 2.5×
Smear gram stain (87205)
range across 5 matching MRF lines
$15.50–$89 $31–$178 varies
Sodium Urine (84300)
range across 3 matching MRF lines
$12–$18 $24–$36 varies
Somatomedin (84305)
range across 2 matching MRF lines
$53.50–$72.50 $107–$145 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$76–$145 $152–$290 varies
Stool cultr aerobic bact ea (87046) $23.74 $47.48 2.5×
Strep a assay w/optic (87880) $56 $112 3.4×
Surg path level iii (88304)
range across 2 matching MRF lines
$67.50–$73.50 $135–$147 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$117.50–$125 $235–$250 varies
T cells absolute cd4 count (86361) $91.50 $183 3.4×
T3 Free (84481) $58 $116 3.4×
T3 reverse (84482) $115.43 $230.85 7.3×
T3 Total (84480) $48.63 $97.25 3.4×
T4 Free (84439) $30.68 $61.35 3.4×
T4 total (84436) $23.38 $46.75 3.4×
Tacrolimus (80197) $192.50 $385 14.0×
Testosterone total (84403)
range across 3 matching MRF lines
$87.93–$88 $175.85–$176 varies
Testosterone, Free (84402) $86.63 $173.25 3.4×
Thromboplastin Inhibition Tissue (85705) $99 $198 10.3×
Thyroglobulin Antibody (86800) $54.18 $108.35 3.4×
Thyroid Stimulating Immunoglobulin (84445) $142.10 $284.20 2.8×
Thyroxine binding globulin (84442) $69 $138 4.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $250 $500 21.7×
Toxin/Antitoxin Assay Tissue Culture (87230) $110.50 $221 5.6×
Transferrin (84466) $44.50 $89 3.5×
Triglycerides (84478) $19.55 $39.10 3.4×
Troponin Quant (84484) $52.50 $105 4.2×
Urinalysis Microscopic Only (81015)
range across 4 matching MRF lines
$7.63–$10.88 $15.25–$21.75 varies
Urine Bacteria Culture (87088)
range across 5 matching MRF lines
$9.50–$32 $19–$64 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$21.50–$74.50 $43–$149 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 4 matching MRF lines
$7.65–$10.88 $15.30–$21.75 varies
Valproic acid (80164) $74 $148 5.5×
Vancomycin (80202) $54.50 $109 4.0×
Varicella-zoster antibody (86787) $44 $88 3.4×
Vasopressin (84588) $116 $232 3.4×
Vitamin A (84590) $62.50 $125 5.4×
Vitamin b-12 (82607) $51.28 $102.55 3.4×
Vitamin B6 (84207) $51.63 $103.26 1.8×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$54.50–$101 $109–$202 varies
Vitamin E (84446) $68 $136 4.8×
Vitamin K (84597) $38.10 $76.20 2.8×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$78.50–$137.50 $157–$275 varies
Zinc (84630) $49 $98 4.3×

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.