Lab & pathology prices at Adair County Memorial Hospital
Greenfield, IA · every code in this section with a posted price and a Medicare benchmark.
402 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $176.25 | $235 | 4.6× |
| Actin smooth muscle antibody each (86015) | $75 | $100 | 6.2× |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$191.25–$270 | $255–$360 | varies |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$26.25–$60 | $35–$80 | varies |
| Albumin serum (82040) | $71.25 | $95 | 14.4× |
| Aldolase (82085) range across 2 matching MRF lines |
$75–$77.25 | $100–$103 | varies |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$90–$138 | $120–$184 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$39.75–$71.25 | $53–$95 | varies |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$26.25–$93.75 | $35–$125 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $112.50 | $150 | 7.8× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$101.25–$258.75 | $135–$345 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$49.50–$157.50 | $66–$210 | varies |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$45.75–$120 | $61–$160 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$210.75–$307.50 | $281–$410 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $386.25 | $515 | 22.9× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$191.25–$198.75 | $255–$265 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$66–$157.50 | $88–$210 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$15.75–$101.25 | $21–$135 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$30–$108.75 | $40–$145 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$30–$75 | $40–$100 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$52.50–$97.50 | $70–$130 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$64.50–$82.50 | $86–$110 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$70.50–$78.75 | $94–$105 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$33.75–$82.50 | $45–$110 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$64.50–$78.75 | $86–$105 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$76.50–$82.50 | $102–$110 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$93.75–$127.50 | $125–$170 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$60–$78.75 | $80–$105 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$60.75–$90 | $81–$120 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$42–$67.50 | $56–$90 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $131.25 | $175 | 9.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$131.25–$172.50 | $175–$230 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$97.50–$105 | $130–$140 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$25.50–$150 | $34–$200 | varies |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$56.25–$180 | $75–$240 | varies |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$19.50–$67.50 | $26–$90 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$45–$138 | $60–$184 | varies |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$45.75–$858.75 | $61–$1,145 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$33.75–$97.50 | $45–$130 | varies |
| Assay Blood Carbon Dioxide (82374) | $75 | $100 | 15.4× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$45.75–$172.50 | $61–$230 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$53.25–$78.75 | $71–$105 | varies |
| Assay of blood/uric acid (84550) | $63.75 | $85 | 14.1× |
| Assay of calcium in urine (82340) range across 5 matching MRF lines |
$30–$52.50 | $40–$70 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$120–$141 | $160–$188 | varies |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$45–$112.50 | $60–$150 | varies |
| Assay of lactic acid (83605) | $127.50 | $170 | 11.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$191.25–$206.25 | $255–$275 | varies |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$26.25–$63.75 | $35–$85 | varies |
| Assay of urea nitrogen (84520) | $60 | $80 | 15.2× |
| Assay of vitamin b-1 (84425) | $112.50 | $150 | 5.3× |
| Assay Ph Body Fluid Nos (83986) | $26.25 | $35 | 7.3× |
| Automated Leukocyte Count (85048) | $45 | $60 | 17.7× |
| Bartonella antibody (86611) | $161.25 | $215 | 15.8× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$252.75–$397.50 | $337–$530 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$252.75–$397.50 | $337–$530 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$13.50–$120 | $18–$160 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$41.25–$99.75 | $55–$133 | varies |
| Beta-2 Microglobulin (82232) | $101.25 | $135 | 6.3× |
| Bile acids total (82239) range across 2 matching MRF lines |
$55.50–$131.25 | $74–$175 | varies |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$41.25–$71.25 | $55–$95 | varies |
| Bilirubin total (82247) range across 5 matching MRF lines |
$55.50–$120 | $74–$160 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$33.75–$105 | $45–$140 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$92.25–$165 | $123–$220 | varies |
| Bleeding time test (85002) range across 2 matching MRF lines |
$24–$33.75 | $32–$45 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $63.75 | $85 | 9.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$71.25–$101.25 | $95–$135 | varies |
| Blood gas (82803) | $258.75 | $345 | 9.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$56.25–$97.50 | $75–$130 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $45 | $60 | 10.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$150–$551.25 | $200–$735 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $90 | $120 | 5.5× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$18.75–$112.50 | $25–$150 | varies |
| Brucella antibody (86622) | $157.50 | $210 | 17.6× |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$146.25–$172.50 | $195–$230 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$69.75–$97.50 | $93–$130 | varies |
| C-reactive protein (86140) | $101.25 | $135 | 19.5× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$43.50–$97.50 | $58–$130 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$88.50–$153.75 | $118–$205 | varies |
| Calcium ionized (82330) | $75 | $100 | 5.5× |
| Calcium total (82310) | $67.50 | $90 | 13.1× |
| Calculus Spectroscopy (82365) | $101.25 | $135 | 7.8× |
| Calprotectin Fecal (83993) range across 3 matching MRF lines |
$201.75–$427.50 | $269–$570 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$67.50–$135 | $90–$180 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$120–$134.25 | $160–$179 | varies |
| Carboxyhemoglobin (82375) | $213.75 | $285 | 17.3× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$90–$132.75 | $120–$177 | varies |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$13.50–$145.50 | $18–$194 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$63–$131.25 | $84–$175 | varies |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$100.50–$198.75 | $134–$265 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$67.50–$108.75 | $90–$145 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$28.50–$60 | $38–$80 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$38.25–$75 | $51–$100 | varies |
| Chemiluminescent assay (82397) | $67.50 | $90 | 4.8× |
| Chloride Serum (82435) | $33.75 | $45 | 7.3× |
| Chloride urine (82436) range across 3 matching MRF lines |
$12–$26.25 | $16–$35 | varies |
| Cholesterol total (82465) range across 5 matching MRF lines |
$47.25–$120 | $63–$160 | varies |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$41.25–$79.50 | $55–$106 | varies |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$45–$172.50 | $60–$230 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$108–$161.25 | $144–$215 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$54.75–$288.75 | $73–$385 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$49.50–$142.50 | $66–$190 | varies |
| Ckmb (82553) | $161.25 | $215 | 14.0× |
| Coccidioides antibody (86635) | $97.50 | $130 | 8.5× |
| Cold agglutinin titer (86157) range across 3 matching MRF lines |
$33.75–$45 | $45–$60 | varies |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$61.50–$198.75 | $82–$265 | varies |
| Column Chromotography Quant (82542) | $266.25 | $355 | 11.1× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$66–$236.25 | $88–$315 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| Coombs direct (86880) | $56.25 | $75 | 10.4× |
| Copper urine (82525) range across 2 matching MRF lines |
$43.50–$75 | $58–$100 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$103.50–$142.50 | $138–$190 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$78.75–$127.50 | $105–$170 | varies |
| Creatine kinase total (82550) | $90 | $120 | 13.8× |
| Creatinine blood (82565) | $63.75 | $85 | 12.5× |
| Creatinine clearance (82575) range across 3 matching MRF lines |
$45–$120 | $60–$160 | varies |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$26.25–$101.25 | $35–$135 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$46.50–$236.25 | $62–$315 | varies |
| Crp High Sensitivity (86141) | $67.50 | $90 | 5.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$30–$90.75 | $40–$121 | varies |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$24.75–$63.75 | $33–$85 | varies |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$25.50–$101.25 | $34–$135 | varies |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$54.75–$63.75 | $73–$85 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$56.25–$71.25 | $75–$95 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$33.75–$75 | $45–$100 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $56.25 | $75 | 7.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$322.50–$341.25 | $430–$455 | varies |
| Culture aerobic quant other (87071) range across 3 matching MRF lines |
$41.25–$67.50 | $55–$90 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$28.50–$60 | $38–$80 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$67.50–$131.25 | $90–$175 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$56.25–$134.25 | $75–$179 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$97.50–$105 | $130–$140 | varies |
| Culture csf (87070) range across 3 matching MRF lines |
$41.25–$71.25 | $55–$95 | varies |
| Culture fungus (87102) range across 4 matching MRF lines |
$24.75–$142.50 | $33–$190 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$45–$59.25 | $60–$79 | varies |
| Culture screen only (87081) range across 5 matching MRF lines |
$30–$57.75 | $40–$77 | varies |
| Culture typing other methods (87158) range across 2 matching MRF lines |
$22.50–$33.75 | $30–$45 | varies |
| Culture urine (87086) range across 4 matching MRF lines |
$67.50–$105 | $90–$140 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$82.50–$151.50 | $110–$202 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$774.75–$1,890 | $1,033–$2,520 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$24–$71.25 | $32–$95 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$105–$131.25 | $140–$175 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $105 | $140 | 3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $191.25 | $255 | 3.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$61.50–$101.25 | $82–$135 | varies |
| Deoxyribonuclease antibody (86215) range across 3 matching MRF lines |
$30–$78.75 | $40–$105 | varies |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$191.25–$723.75 | $255–$965 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$190.50–$892.50 | $254–$1,190 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$138–$191.25 | $184–$255 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$33.75–$90 | $45–$120 | varies |
| Dhea (82626) | $78.75 | $105 | 3.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$85.50–$105 | $114–$140 | varies |
| Digoxin (80162) range across 3 matching MRF lines |
$67.50–$123.75 | $90–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$63.75–$101.25 | $85–$135 | varies |
| DNA/RNA direct probe (87149) range across 3 matching MRF lines |
$23.25–$56.25 | $31–$75 | varies |
| Drug Screen Quant Clozapine (80159) range across 3 matching MRF lines |
$165–$213.75 | $220–$285 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $108.75 | $145 | 8.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $112.50 | $150 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $108.75 | $145 | 8.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$78.75–$393.75 | $105–$525 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $165 | $220 | 13.1× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$80.25–$172.50 | $107–$230 | varies |
| El-1 Fecal Quantitative (82653) | $262.50 | $350 | 11.4× |
| Electrolyte panel (80051) | $108.75 | $145 | 15.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 3 matching MRF lines |
$98.25–$213.75 | $131–$285 | varies |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$17.25–$101.25 | $23–$135 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$46.50–$63.75 | $62–$85 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$22.50–$27 | $30–$36 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$101.25–$151.50 | $135–$202 | varies |
| Estradiol serum (82670) range across 4 matching MRF lines |
$101.25–$131.25 | $135–$175 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$51.75–$176.25 | $69–$235 | varies |
| Ethosuximide (80168) | $127.50 | $170 | 7.8× |
| Exam Synovial Fluid Crystals (89060) | $33.75 | $45 | 4.6× |
| F2 Gene (81240) range across 2 matching MRF lines |
$270–$363.75 | $360–$485 | varies |
| Factor ii activity (85210) | $127.50 | $170 | 9.8× |
| Factor v activity (85220) range across 2 matching MRF lines |
$48–$120 | $64–$160 | varies |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$206.25–$270 | $275–$360 | varies |
| Factor viii assay (85240) range across 6 matching MRF lines |
$25.50–$270.75 | $34–$361 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$72–$161.25 | $96–$215 | varies |
| Fat stain feces urine/respir secretions (89125) range across 3 matching MRF lines |
$26.25–$56.25 | $35–$75 | varies |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$206.25–$342 | $275–$456 | varies |
| Ferritin (82728) | $161.25 | $215 | 11.8× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$117.75–$153.75 | $157–$205 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$41.25–$55.50 | $55–$74 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$122.25–$221.25 | $163–$295 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$30–$75 | $40–$100 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$30–$120 | $40–$160 | varies |
| Folic Acid Serum (82746) range across 4 matching MRF lines |
$75.75–$135 | $101–$180 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$77.25–$93.75 | $103–$125 | varies |
| Frozen Section (88331) range across 2 matching MRF lines |
$82.50–$139.50 | $110–$186 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$30–$90 | $40–$120 | varies |
| Gammaglobulin ige (82785) | $75 | $100 | 4.6× |
| Gastrin (82941) range across 2 matching MRF lines |
$39–$90 | $52–$120 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $851.25 | $1,135 | 2.0× |
| Gentamicin (80170) | $78.75 | $105 | 4.8× |
| Ggt (82977) range across 6 matching MRF lines |
$45.75–$150 | $61–$200 | varies |
| Glucose 2 hr pp (82950) | $127.50 | $170 | 26.8× |
| Glucose Blood Test (82962) | $22.50 | $30 | 6.9× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$22.50–$39.75 | $30–$53 | varies |
| Glucose Serum (82947) range across 6 matching MRF lines |
$7.50–$120 | $10–$160 | varies |
| Glucose tolerance test (gtt) (82951) | $131.25 | $175 | 10.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$63.75–$108.75 | $85–$145 | varies |
| Gtt-added samples (82952) | $56.25 | $75 | 14.3× |
| Haptoglobin (83010) range across 6 matching MRF lines |
$45.75–$150 | $61–$200 | varies |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$7.50–$82.50 | $10–$110 | varies |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$112.50–$161.25 | $150–$215 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$33.75–$60 | $45–$80 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$33.75–$45 | $45–$60 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$15–$101.25 | $20–$135 | varies |
| Hemoglobin electrophoresis (83020) | $213.75 | $285 | 16.6× |
| Hemoglobin plasma (83051) | $63.75 | $85 | 8.7× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$48–$60 | $64–$80 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$43.50–$71.25 | $58–$95 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$33–$45 | $44–$60 | varies |
| Hepatitis B Surface Antibody (86706) range across 6 matching MRF lines |
$33.75–$157.50 | $45–$210 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$45–$71.25 | $60–$95 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$45.75–$131.25 | $61–$175 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$48–$120 | $64–$160 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$71.25–$105 | $95–$140 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$227.25–$438.75 | $303–$585 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$33.75–$42 | $45–$56 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$63.75–$75 | $85–$100 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$239.25–$247.50 | $319–$330 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$44.25–$101.25 | $59–$135 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$313.50–$555 | $418–$740 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $105 | $140 | 3.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$45–$78.75 | $60–$105 | varies |
| Hla-b27 (86812) range across 3 matching MRF lines |
$67.50–$127.50 | $90–$170 | varies |
| Homocysteine (83090) range across 3 matching MRF lines |
$74.25–$90 | $99–$120 | varies |
| Hpv High-Risk Types (87624) | $146.25 | $195 | 4.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $161.25 | $215 | 2.3× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$126–$303.75 | $168–$405 | varies |
| Hydroxyprogesterone 17-d (83498) | $63.75 | $85 | 2.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $183.75 | $245 | 13.2× |
| Iaadi giardia (87269) range across 3 matching MRF lines |
$55.50–$67.50 | $74–$90 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $258.75 | $345 | 6.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$108.75–$157.50 | $145–$210 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 3 matching MRF lines |
$295.50–$453.75 | $394–$605 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$161.25–$202.50 | $215–$270 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $356.25 | $475 | 1.4× |
| Ig Light Chains Free Each (83521) | $71.25 | $95 | 4.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $780 | $1,040 | 2.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$135–$150 | $180–$200 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$72–$210 | $96–$280 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$67.50–$213.75 | $90–$285 | varies |
| Immunofixation electrophoresis (86334) | $101.25 | $135 | 4.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$174–$307.50 | $232–$410 | varies |
| Immunohistochemistry (88342) | $161.25 | $215 | 1.0× |
| Influenza assay w/optic (87804) | $60 | $80 | 3.6× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$108.75–$157.50 | $145–$210 | varies |
| Inhibin A (86336) range across 3 matching MRF lines |
$76.50–$187.50 | $102–$250 | varies |
| Inhibin b (83520) range across 4 matching MRF lines |
$123.75–$213.75 | $165–$285 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$401.25–$527.25 | $535–$703 | varies |
| Insulin antibodies (86337) | $247.50 | $330 | 11.6× |
| Insulin total (83525) | $60 | $80 | 5.2× |
| Intrinsic factor antibody (86340) | $165 | $220 | 10.9× |
| Iron (83540) range across 2 matching MRF lines |
$75–$78.75 | $100–$105 | varies |
| Iron Binding Capacity (83550) | $90 | $120 | 10.3× |
| Islet cell antibody (86341) | $142.50 | $190 | 6.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $330 | $440 | 3.6× |
| Koh Prep (87220) range across 3 matching MRF lines |
$36.75–$71.25 | $49–$95 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$30–$75 | $40–$100 | varies |
| Lactoferrin fecal qualitative (83630) range across 3 matching MRF lines |
$49.50–$97.50 | $66–$130 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$41.25–$78.75 | $55–$105 | varies |
| Lead (83655) range across 4 matching MRF lines |
$41.25–$105 | $55–$140 | varies |
| Legionella antibody (86713) | $127.50 | $170 | 8.3× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$34.50–$60 | $46–$80 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$75.75–$120 | $101–$160 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$295.50–$367.50 | $394–$490 | varies |
| Lipase (83690) | $108.75 | $145 | 15.8× |
| Lipoprotein A (83695) | $78.75 | $105 | 5.5× |
| Lithium (80178) range across 3 matching MRF lines |
$67.50–$82.50 | $90–$110 | varies |
| Luteinizing Hormone (Lh) (83002) | $90 | $120 | 4.9× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$71.25–$228.75 | $95–$305 | varies |
| Magnesium Urine (83735) | $101.25 | $135 | 15.1× |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$127.50–$513.75 | $170–$685 | varies |
| Mercury urine (83825) | $71.25 | $95 | 4.4× |
| Methylmalonic acid serum (83921) | $82.50 | $110 | 3.9× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$93.75–$601.50 | $125–$802 | varies |
| Microsomal Antibodies Each (86376) | $71.25 | $95 | 4.9× |
| Mitochondrial Antibody Each (86381) | $75 | $100 | 2.9× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$339–$438.75 | $452–$585 | varies |
| Mumps antibody (86735) | $67.50 | $90 | 5.2× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$67.50–$127.50 | $90–$170 | varies |
| Myoglobin urine (83874) | $82.50 | $110 | 6.4× |
| Natriuretic peptide (83880) | $247.50 | $330 | 6.3× |
| Neutralization Test Viral (86382) range across 3 matching MRF lines |
$128.25–$262.50 | $171–$350 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $356.25 | $475 | 2.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $232.50 | $310 | 0.9× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$63.75–$71.25 | $85–$95 | varies |
| Obstetric panel (80081) | $345 | $460 | 4.6× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$33–$52.50 | $44–$70 | varies |
| Occult Blood Other Sources (82271) | $82.50 | $110 | 15.5× |
| Osmolality serum (83930) | $37.50 | $50 | 5.7× |
| Osmolality Urine (83935) | $37.50 | $50 | 5.5× |
| Ova and parasites smears (87177) | $63.75 | $85 | 7.2× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$33.75–$97.50 | $45–$130 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$24.75–$33.75 | $33–$45 | varies |
| Parvovirus antibody (86747) | $78.75 | $105 | 5.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $90 | $120 | 0.1× |
| Ph urine (81003) | $56.25 | $75 | 25.0× |
| Phenobarbital Level (80184) | $60 | $80 | 3.9× |
| Phenytoin (Dilantin) (80185) | $67.50 | $90 | 5.1× |
| Phosphatase alkaline (84075) | $78.75 | $105 | 15.2× |
| Phosphorus Serum (84100) | $67.50 | $90 | 14.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$76.50–$93.75 | $102–$125 | varies |
| Platelet count automated (85049) | $63.75 | $85 | 14.2× |
| Prealbumin (84134) | $71.25 | $95 | 4.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$69–$206.25 | $92–$275 | varies |
| Procalcitonin (Pct) (84145) | $198.75 | $265 | 7.3× |
| Progesterone (84144) | $101.25 | $135 | 4.9× |
| Prolactin (84146) | $90 | $120 | 4.6× |
| Protein body fluid (84157) | $26.25 | $35 | 6.6× |
| Protein C Activity (85303) | $67.50 | $90 | 4.9× |
| Protein Electrophoresis Urine (84166) | $82.50 | $110 | 4.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $150 | $200 | 14.0× |
| Protein S Free (85306) | $97.50 | $130 | 6.4× |
| Protein total serum (84155) | $67.50 | $90 | 18.4× |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$22.50–$75 | $30–$100 | varies |
| Pth Intact (83970) | $191.25 | $255 | 4.6× |
| Quantiferon tb gold plus (86480) | $120 | $160 | 1.9× |
| Rbc antibody elution (86860) | $112.50 | $150 | 0.7× |
| Rbc antibody identification (86870) | $258.75 | $345 | 0.8× |
| Rbc antibody screen (86850) | $150 | $200 | 15.4× |
| Renin activity plasma (84244) | $120 | $160 | 5.5× |
| Reticulocyte Count Manual (85044) | $33.75 | $45 | 7.8× |
| Rh (86901) range across 6 matching MRF lines |
$31.50–$112.50 | $42–$150 | varies |
| Rheumatoid factor quant (86431) | $33.75 | $45 | 6.0× |
| Rickettsia antibody (86757) | $183.75 | $245 | 9.5× |
| Rotavirus ag eia (87425) | $63.75 | $85 | 5.3× |
| Rpr qualitative (86592) | $26.25 | $35 | 6.1× |
| Rubella Antibody (86762) | $71.25 | $95 | 5.0× |
| Rubeola antibody (86765) | $131.25 | $175 | 10.2× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$24.75–$33.75 | $33–$45 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$108.75–$183.75 | $145–$245 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $172.50 | $230 | 4.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $393.75 | $525 | 2.8× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$45–$60 | $60–$80 | varies |
| Selenium (84255) | $135 | $180 | 5.3× |
| Semen Anal Sperm Detection (89321) | $101.25 | $135 | 8.4× |
| Sensitivity mic (87186) range across 7 matching MRF lines |
$19.50–$93.75 | $26–$125 | varies |
| Sex Hormone Binding Globulin (84270) | $97.50 | $130 | 4.5× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$41.25–$69 | $55–$92 | varies |
| Skin test tuberculosis intradermal (86580) | $22.50 | $30 | 0.8× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$28.50–$41.25 | $38–$55 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$32.25–$56.25 | $43–$75 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$22.50–$38.25 | $30–$51 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$27.75–$71.25 | $37–$95 | varies |
| Sodium Serum (84295) | $56.25 | $75 | 11.7× |
| Sodium Urine (84300) | $22.50 | $30 | 4.4× |
| Somatomedin (84305) | $142.50 | $190 | 6.7× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$175.50–$206.25 | $234–$275 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$99.75–$172.50 | $133–$230 | varies |
| Specific gravity body fluid (84315) | $30 | $40 | 9.1× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$21–$57.75 | $28–$77 | varies |
| Stone Analysis (82355) range across 3 matching MRF lines |
$46.50–$63.75 | $62–$85 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$78.75–$108.75 | $105–$145 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$131.25–$135 | $175–$180 | varies |
| Surg path level iii (88304) | $75 | $100 | 1.5× |
| Surgical pathology level IV (88305) | $75 | $100 | 1.5× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$464.25–$487.50 | $619–$650 | varies |
| T3 Free (84481) | $78.75 | $105 | 4.6× |
| T3 reverse (84482) | $135 | $180 | 8.6× |
| T3 Total (84480) | $63.75 | $85 | 4.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$72–$108.75 | $96–$145 | varies |
| T4 total (84436) | $37.50 | $50 | 5.5× |
| Tacrolimus (80197) | $67.50 | $90 | 4.9× |
| Testosterone total (84403) | $120 | $160 | 4.6× |
| Testosterone, Free (84402) | $165 | $220 | 6.5× |
| Theophylline (80198) | $71.25 | $95 | 5.0× |
| Thrombin Time (85670) | $33.75 | $45 | 5.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$19.50–$26.25 | $26–$35 | varies |
| Thyroglobulin (84432) | $82.50 | $110 | 5.1× |
| Thyroglobulin Antibody (86800) | $112.50 | $150 | 7.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $296.25 | $395 | 5.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$86.25–$90 | $115–$120 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 6 matching MRF lines |
$45.75–$120 | $61–$160 | varies |
| Transferrin (84466) | $63.75 | $85 | 5.0× |
| Triglycerides (84478) range across 5 matching MRF lines |
$45.75–$120 | $61–$160 | varies |
| Troponin Quant (84484) | $191.25 | $255 | 15.3× |
| Tumor Immunohistochem/Manual (88360) | $187.50 | $250 | 1.1× |
| Urinalysis Microscopic Only (81015) | $41.25 | $55 | 13.5× |
| Urinalysis Volume Measure (81050) range across 5 matching MRF lines |
$26.25–$84 | $35–$112 | varies |
| Urine Albumin Semiquantitative (82044) | $52.50 | $70 | 8.4× |
| Urine Bacteria Culture (87088) range across 4 matching MRF lines |
$38.25–$56.25 | $51–$75 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$52.50–$82.50 | $70–$110 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $67.50 | $90 | 21.3× |
| Valproic acid (80164) | $67.50 | $90 | 5.0× |
| Vancomycin (80202) | $183.75 | $245 | 13.6× |
| Varicella-zoster antibody (86787) | $67.50 | $90 | 5.2× |
| Vasopressin (84588) range across 2 matching MRF lines |
$70.50–$187.50 | $94–$250 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$41.25–$120 | $55–$160 | varies |
| Vit D 1 25-Dihydroxy (82652) | $176.25 | $235 | 4.6× |
| Vitamin A (84590) | $97.50 | $130 | 8.4× |
| Vitamin b-12 (82607) | $131.25 | $175 | 8.7× |
| Vitamin B6 (84207) | $150 | $200 | 5.3× |
| Vitamin c (82180) | $176.25 | $235 | 17.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$135–$191.25 | $180–$255 | varies |
| Vitamin E (84446) | $150 | $200 | 10.6× |
| Vitamin K (84597) | $255 | $340 | 18.6× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$112.50–$120 | $150–$160 | varies |
| Zinc (84630) | $75 | $100 | 6.6× |
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.