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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 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) | $156.25 | $312.50 | 3.8× |
| Allergen specific ige (86003) | $17.75 | $35.50 | 3.4× |
| Allg Spec Ige Recomb Ea (86008) | $33.72 | $67.44 | 1.9× |
| Alpha-1-antitrypsin, total (82103) | $23.09 | $46.18 | 1.7× |
| Alpha-fetoprotein, serum (82105) | $55 | $110 | 3.3× |
| Alt (sgpt) (84460) | $18.03 | $36.05 | 3.4× |
| Ammonia (82140) | $46 | $92 | 3.2× |
| Amylase urine (82150) | $22.28 | $44.55 | 3.4× |
| Ana Titer (86039) | $66 | $132 | 5.9× |
| Antibody herpes smplx type 1 (86695) | $35.18 | $70.36 | 2.7× |
| Antibody HIV-2 (86702) | $34 | $68 | 2.5× |
| Antibody identification (86870) | $108.25 | $216.50 | 0.3× |
| Antibody identification leukocyte antibodies (86021) | $57 | $114 | 3.8× |
| Antibody mumps (86735) | $45.25 | $90.50 | 3.5× |
| Antibody rubeola (86765) | $50 | $100 | 3.9× |
| Antibody screen (86850) | $72.50 | $145 | 7.4× |
| Antibody treponema pallidum (86780) | $45.50 | $91 | 3.4× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $28.94 | $57.88 | 5.6× |
| Antinuclear antibodies (86038) | $94.50 | $189 | 7.8× |
| Apolipoprotein b (82172) | $52.73 | $105.45 | 2.5× |
| Arsenic Urine (82175) | $63.70 | $127.40 | 3.4× |
| Assay Nephelometry Not Spec (83883) | $46.63 | $93.25 | 3.4× |
| Assay of acth (82024) | $131.53 | $263.05 | 3.4× |
| Assay of c-peptide (84681) | $71 | $142 | 3.4× |
| Assay of ceruloplasmin (82390) | $37 | $74 | 3.4× |
| Assay of ferritin (82728) | $46.35 | $92.70 | 3.4× |
| Assay of gammaglobulin igm (82784) | $32 | $64 | 3.4× |
| Assay of phenobarbital (80184) | $47 | $94 | 3.1× |
| Assay of prealbumin (84134) | $50 | $100 | 3.4× |
| Assay of serotonin (84260) | $154.50 | $309 | 5.0× |
| Assay of somatomedin (84305) | $63 | $126 | 3.0× |
| Assay of tacrolimus (80197) | $192.50 | $385 | 14.0× |
| Assay of vitamin k (84597) | $38.10 | $76.20 | 2.8× |
| Bilirubin direct (82248) | $17.08 | $34.15 | 3.4× |
| Bilirubin total (82247) | $17.14 | $34.28 | 3.4× |
| Blood count reticulocyte automated (85045) | $23.50 | $47 | 5.9× |
| Blood gases (82803) | $85 | $170 | 3.3× |
| Blood typing abo (86900) | $32 | $64 | 10.7× |
| Blood typing serologic rh (d) (86901) | $16 | $32 | 5.4× |
| Borrelia miyamotoi amp prb (87478) | $87.73 | $175.45 | 2.5× |
| C-reactive protein (86140) | $19 | $38 | 3.7× |
| Ca 125 (86304) | $112.50 | $225 | 5.4× |
| Calcium ionized (82330) | $46.58 | $93.15 | 3.4× |
| Calcium total (82310) | $17.55 | $35.10 | 3.4× |
| Calcium urine (82340) | $26 | $52 | 4.3× |
| Carbamazepine (tegretol) total (80156) | $62.50 | $125 | 4.3× |
| Carcinoembryonic antigen (82378) | $66.50 | $133 | 3.5× |
| Cd4 absolute count (86361) | $91.50 | $183 | 3.4× |
| Chemiluminescent assay (82397) | $55 | $110 | 3.9× |
| Chloride urine (82436) | $16.75 | $33.50 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $103.50 | $207 | 2.9× |
| Clot factor viii vw antigen (85246) | $108 | $216 | 4.7× |
| Compatibility Test Incubate (86921) | $72 | $144 | 0.4× |
| Complement c3 (86160) | $41 | $82 | 3.4× |
| Complement total ch50 (86162) | $70 | $140 | 3.4× |
| Coombs direct (86880) | $35.50 | $71 | 6.6× |
| Cortisol free (82530) | $132.45 | $264.90 | 7.9× |
| Cortisol total (82533) | $56 | $112 | 3.4× |
| Creatine kinase total (82550) | $29.50 | $59 | 4.5× |
| Creatinine blood (82565) | $17.43 | $34.85 | 3.4× |
| Creatinine other source (82570) | $28.32 | $56.62 | 5.5× |
| Culture Aerobic Identify (87077) | $9.50 | $19 | 1.2× |
| Culture anaerobic (87075) | $76 | $152 | 8.0× |
| Culture blood (87040) | $59.50 | $119 | 5.8× |
| Culture genital (87070) | $64.50 | $129 | 7.5× |
| Culture stool (87045) | $31.50 | $63 | 3.3× |
| Culture urine (87086) | $27.50 | $55 | 3.4× |
| Culture urine id ea isolate (87088) | $32 | $64 | 4.0× |
| Cyclic Citrullinated Peptide (86200) | $44.50 | $89 | 3.4× |
| 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× |
| D-Dimer (85379) | $59 | $118 | 5.8× |
| Dhea (82626) | $77.50 | $155 | 3.1× |
| Dhea sulfate (82627) | $75.50 | $151 | 3.4× |
| Digoxin (80162) | $47.50 | $95 | 3.6× |
| Dilantin (80185) | $60 | $120 | 4.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $49.75 | $99.50 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $75 | $150 | 5.7× |
| Drug Scrn Quan Levetiracetam (80177) | $176 | $352 | 13.3× |
| Drug scrn quant oxcarbazepin (80183) | $150.38 | $300.76 | 11.3× |
| Drug test prsmv chem anlyzr (80307) | $62.93 | $125.85 | 1.0× |
| Ebv viral capsid (86665) | $106 | $212 | 5.8× |
| Endomysial antibody iga (86255) | $94 | $187.98 | 7.8× |
| Estradiol (82670) | $78.44 | $156.88 | 2.8× |
| Estrogens total (82672) | $86 | $172 | 4.0× |
| F5 gene (81241) | $208.50 | $417 | 2.8× |
| Factor viii ahg (85240) | $116 | $232 | 6.5× |
| Factor viii vw multimetric (85247) | $137.50 | $275 | 6.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $67.90 | $135.78 | 5.6× |
| Folate serum (82746) | $50.08 | $100.15 | 3.4× |
| Follicle Stimulating Hormone (83001) | $63.50 | $127 | 3.4× |
| Gammaglobulin ige (82785) | $56.29 | $112.58 | 3.4× |
| Gastric Occult Blood (82271) | $81.50 | $163 | 15.3× |
| Ggt (82977) | $24.53 | $49.05 | 3.4× |
| Glucose Blood Test (82962) | $4 | $8 | 1.2× |
| Haptoglobin (83010) | $55 | $110 | 4.4× |
| Hcg qualitative (84703) | $52.80 | $105.60 | 7.0× |
| Hcg quant (84702) | $38.48 | $76.95 | 2.6× |
| Hematocrit (85014) | $20.50 | $41 | 8.6× |
| Hemoglobin (85018) | $20.50 | $41 | 8.6× |
| Hemoglobin a1c (83036) | $33.03 | $66.05 | 3.4× |
| Hepatitis a antibody total (86708) | $42.50 | $85 | 3.4× |
| Hepatitis a igm (86709) | $50 | $100 | 4.4× |
| Hepatitis b core ab igm (86705) | $40.50 | $81 | 3.4× |
| Hepatitis b core antibody total (86704) | $46 | $92 | 3.8× |
| Hepatitis B Surface Ab (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× |
| Herpes simplex type 2 (86696) | $65.85 | $131.70 | 3.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $34.32 | $68.62 | 6.6× |
| Hla-b27 (86812) | $99 | $198 | 3.8× |
| Hydroxyprogesterone 17-d (83498) | $93 | $186 | 3.4× |
| Iaad ia clostridium difficile toxin (87324) | $64.06 | $128.12 | 5.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $60 | $120 | 2.5× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $13.75 | $27.50 | 1.0× |
| Iaad ia rotavirus (87425) | $57.01 | $114.01 | 4.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $87.73 | $175.45 | 2.5× |
| Iadna babesia microti amplified probe technique (87469) | $87.73 | $175.45 | 2.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $87.73 | $175.45 | 2.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $202.50 | $405 | 4.7× |
| Iadna human papillomavirus high-risk types (87624) | $87.50 | $175 | 2.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $108.49 | $216.98 | 3.1× |
| Iadna nos amplified probe tq each organism (87798) | $87.50 | $175 | 2.5× |
| Immunoassay nonantibody (83516) | $117.29 | $234.58 | 10.2× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $25 | $50 | 1.6× |
| Immunoglobulin light chains free each (83521) | $43.18 | $86.35 | 2.5× |
| Immunohistochemistry (88342) | $159 | $318 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Other Outpatient (87487) | $107.10 | $214.20 | 2.5× |
| Influenza a/b ag eia (87400) | $37 | $74 | 2.6× |
| Inhibin b (83520) | $45.65 | $91.30 | 2.6× |
| 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× |
| Lactic acid (83605) | $52.32 | $104.62 | 4.5× |
| Ldh (83615) | $30.75 | $61.50 | 5.1× |
| LDL cholesterol direct (83721) | $32.48 | $64.95 | 3.1× |
| Lead (83655) | $53.36 | $106.72 | 4.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $12.50 | $25 | 2.9× |
| Level ii surg pathology grossµscopic exam (88302) | $60.50 | $121 | 1.7× |
| Level v surg pathology grossµscopic exam (88307) | $296.50 | $593 | 0.9× |
| Lh (83002) | $63.50 | $127 | 3.4× |
| Lipase (83690) | $23.45 | $46.90 | 3.4× |
| Lithium (80178) | $26 | $52 | 3.9× |
| Lyme disease antibody confirm (86617) | $53.24 | $106.48 | 3.4× |
| Magnesium (83735) | $22.78 | $45.55 | 3.4× |
| Mercury (83825) | $65.32 | $130.65 | 4.0× |
| Metabolic Panel Ionized Ca (80047) | $33.33 | $66.65 | 2.4× |
| Microalbumin urine (82043) | $18.98 | $37.95 | 3.3× |
| Microsomal antibodies (86376) | $49.55 | $99.10 | 3.4× |
| Mrsa amp probe (87641) | $97.50 | $195 | 2.8× |
| Natriuretic peptide (83880) | $179.58 | $359.15 | 4.6× |
| Nuclear antigen antibody (86235) | $61.50 | $123 | 3.4× |
| Occult blood stool (82272) | $8.50 | $17 | 2.0× |
| Osmolality serum (83930) | $28.50 | $57 | 4.3× |
| Ova and parasite direct-id lca (87177) | $45.50 | $91 | 5.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $62.50 | $125 | 1.2× |
| Phosphorus blood (84100) | $16.13 | $32.25 | 3.4× |
| Platelet count (85049) | $24.50 | $49 | 5.5× |
| Potassium (84132) | $15.65 | $31.30 | 3.3× |
| Potassium urine (84133) | $15.75 | $31.50 | 3.3× |
| Progesterone (84144) | $71.50 | $143 | 3.4× |
| Prolactin (84146) | $49.48 | $98.96 | 2.6× |
| Protein electrophoresis serum (84165) | $40.50 | $81 | 3.8× |
| Protein Electrophoresis Urine (84166) | $57.50 | $115 | 3.2× |
| Protein urine (84156) | $27.50 | $55 | 7.5× |
| Quantiferon tb gold (86480) | $105.70 | $211.40 | 1.7× |
| Reagent strip/blood glucose (82948) | $11 | $22 | 2.2× |
| Renin activity plasma (84244) | $89.82 | $179.64 | 4.1× |
| Reticulated platelet assay (85055) | $89.35 | $178.70 | 2.5× |
| Rheumatoid Factor Qual (86430) | $49 | $98 | 8.0× |
| Rickettsia antibody (86757) | $33 | $66 | 1.7× |
| Rubella antibody (86762) | $27.64 | $55.29 | 1.9× |
| 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 analysis sperm presence&/motility sprm (89321) | $32.06 | $64.11 | 2.7× |
| Sensitivity mic (87186) | $25.50 | $51 | 2.9× |
| Sex hormone binding globulin (84270) | $84.50 | $169 | 3.9× |
| Sickle cell screen (85660) | $49 | $98 | 8.9× |
| Smear complex stain (87209) | $45 | $90 | 2.5× |
| Smear gram stain (87205) | $33.27 | $66.53 | 7.8× |
| Sodium urine (84300) | $16.50 | $33 | 3.3× |
| Special stains group 1 (88312) | $110.50 | $221 | 2.2× |
| 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) | $70.50 | $141 | 1.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $62.50 | $125 | 2.2× |
| Surgical pathology level IV (88305) | $121.25 | $242.50 | 2.4× |
| 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× |
| Testosterone free (84402) | $86.63 | $173.25 | 3.4× |
| Testosterone total (84403) | $88 | $176 | 3.4× |
| Thromboplastin Inhibition Tissue (85705) | $99 | $198 | 10.3× |
| Thyroglobulin Ab (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 or antitoxin assay (87230) | $110.50 | $221 | 5.6× |
| Transferrin (84466) | $44.50 | $89 | 3.5× |
| Triglycerides (84478) | $19.55 | $39.10 | 3.4× |
| Troponin (84484) | $52.50 | $105 | 4.2× |
| Urea nitrogen (84520) | $13.43 | $26.85 | 3.4× |
| Uric acid blood (84550) | $15.38 | $30.75 | 3.4× |
| Urinalysis microscopic only (81015) | $9.12 | $18.25 | 3.0× |
| Urinalysis w/microscopic (81001) | $7.96 | $15.92 | 2.5× |
| Urine pregnancy test (81025) | $48 | $96 | 5.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $7.65 | $15.30 | 3.4× |
| Valproic acid level (80164) | $74 | $148 | 5.5× |
| Vancomycin trough (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) | $77.75 | $155.50 | 2.6× |
| Vitamin e serum (84446) | $68 | $136 | 4.8× |
| Von willebrand factor activity (85245) | $137.50 | $275 | 6.0× |
| Zinc (84630) | $49 | $98 | 4.3× |