Lab & pathology prices at Adams Memorial Hospital
Decatur, IN · every code in this section with a posted price and a Medicare benchmark.
470 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $94 | $94 | 5.1× |
| Acetylcholine receptor blocking antibody (86042) | $94 | $94 | 5.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $94 | $94 | 7.8× |
| Acth (82024) range across 2 matching MRF lines |
$192–$211 | $192–$211 | varies |
| Actin smooth muscle antibody each (86015) | $64 | $64 | 5.3× |
| Acute hepatitis panel (80074) | $301 | $301 | 6.3× |
| Acylcarnitines Quant (82017) | $122 | $122 | 7.2× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $72 | $72 | 4.4× |
| Albumin Fluid (82042) | $44 | $44 | 5.7× |
| Albumin serum (82040) | $28 | $28 | 5.7× |
| Aldolase (82085) | $54 | $54 | 5.6× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$119–$220 | $119–$220 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$74–$81 | $74–$81 | varies |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$24–$54 | $24–$54 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$22–$62 | $22–$62 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $78 | $78 | 5.4× |
| Alpha-1-antitrypsin total (82103) | $74 | $74 | 5.5× |
| Alpha-Fetoprotein Serum (82105) | $92 | $92 | 5.5× |
| Alt (sgpt) (84460) | $30 | $30 | 5.7× |
| Aluminum (82108) | $164 | $164 | 6.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $268 | $268 | 15.9× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $62 | $62 | 4.5× |
| Ammonia (82140) | $80 | $80 | 5.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $468 | $468 | 4.8× |
| Amylase urine (82150) | $35 | $35 | 5.4× |
| Ana Titer (86039) | $57.24 | $57.24 | 5.1× |
| Anca Titer Each Antibody (86037) | $66 | $66 | 5.5× |
| Androstenedione (82157) | $133.92 | $133.92 | 4.6× |
| Androsterone (hormone) level (82160) | $203 | $203 | 7.9× |
| Angiotensin converting enzyme csf (82164) | $80 | $80 | 5.5× |
| Anti-Phospholipid Antibody (86148) | $89 | $89 | 5.5× |
| Antibody aspergillus (86606) | $83 | $83 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $85 | $85 | 5.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $92 | $92 | 5.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$60–$66 | $60–$66 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$77–$85 | $77–$85 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $100 | $100 | 5.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $64 | $64 | 5.2× |
| Antibody helicobacter pylori (86677) | $84 | $84 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) | $73 | $73 | 5.5× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$57.24–$73 | $57.24–$73 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$77–$85 | $77–$85 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $31 | $31 | 5.4× |
| Antinomyces antibody (86602) | $54 | $54 | 5.3× |
| Antinuclear antibodies (86038) | $66 | $66 | 5.5× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$36–$40 | $36–$40 | varies |
| Antithrombin iii activity (85300) | $65 | $65 | 5.5× |
| Antithrombin iii antigen (85301) | $108 | $108 | 10.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$105–$116 | $105–$116 | varies |
| Arsenic (82175) | $103 | $103 | 5.4× |
| Aspergillus ag eia (87305) | $65 | $65 | 5.4× |
| Assay activated protein c (85307) | $81 | $81 | 5.3× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$68–$175 | $68–$175 | varies |
| Assay of anti-mullerian hormone (82166) | $121 | $121 | 3.1× |
| Assay of blood/uric acid (84550) | $26 | $26 | 5.8× |
| Assay of calcium in urine (82340) | $34 | $34 | 5.6× |
| Assay of estrone (82679) | $136 | $136 | 5.5× |
| Assay of g6pd enzyme (82955) | $54 | $54 | 5.6× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$46–$51 | $46–$51 | varies |
| Assay of lactic acid (83605) | $64 | $64 | 5.5× |
| Assay of metanephrines (83835) | $92 | $92 | 5.4× |
| Assay of proinsulin (84206) | $112 | $112 | 4.2× |
| Assay of serotonin (84260) | $162 | $162 | 5.2× |
| Assay of serum potassium (84132) | $28 | $28 | 5.9× |
| Assay of urea nitrogen (84520) | $21 | $21 | 5.3× |
| Assay of urine vma (84585) | $77 | $77 | 5.0× |
| Assay of vasoactive intestinal peptide (84586) | $177 | $177 | 5.0× |
| Assay of vitamin b-1 (84425) | $116 | $116 | 5.5× |
| Assay Ph Body Fluid Nos (83986) | $20 | $20 | 5.6× |
| Assay spec xcp ur&breath ia (82077) | $26 | $26 | 1.5× |
| Bartonella antibody (86611) | $56 | $56 | 5.5× |
| Bcr/abl1 gene major bp (81206) | $744 | $744 | 4.5× |
| Bcr/abl1 gene minor bp (81207) | $717 | $717 | 5.0× |
| Beta 2 glycoprotein i antibody each (86146) | $124 | $124 | 4.9× |
| Beta hydroxybutyrate (82010) | $45 | $45 | 5.5× |
| Beta-2 Microglobulin (82232) | $89 | $89 | 5.5× |
| Bile acids total (82239) | $90 | $90 | 5.3× |
| Bilirubin direct (82248) | $29 | $29 | 5.8× |
| Bilirubin total (82247) | $29 | $29 | 5.8× |
| Bilirubin total transcutaneous (88720) | $23 | $23 | 4.6× |
| Biotinidase (82261) | $71 | $71 | 4.2× |
| Blastomyces antibody (86612) | $75 | $75 | 5.8× |
| Bld Typing Serologic Rh Phnt (86906) | $113 | $113 | 14.6× |
| Blood count reticulocyte automated (85045) | $21 | $21 | 5.3× |
| Blood gases w/02 saturation (82805) | $358 | $358 | 4.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$59–$87 | $59–$87 | varies |
| Blood typing serologic abo (86900) | $30 | $30 | 10.0× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$26–$29 | $26–$29 | varies |
| Bordetella antibody (86615) | $62.54 | $62.54 | 4.7× |
| C diff amplified probe (87493) | $184 | $184 | 4.9× |
| C-Peptide (84681) | $114 | $114 | 5.5× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$58–$64 | $58–$64 | varies |
| Ca 19-9 (86301) | $114 | $114 | 5.5× |
| Calcium ionized (82330) | $75 | $75 | 5.5× |
| Calcium total (82310) | $29 | $29 | 5.6× |
| Calculus Spectroscopy (82365) | $72 | $72 | 5.6× |
| Calprotectin Fecal (83993) | $224 | $224 | 11.4× |
| Cancer Antigen 125 (86304) | $114 | $114 | 5.5× |
| Cancer Antigen 27.29 (86300) | $114 | $114 | 5.5× |
| Carbamazepine total (80156) | $80 | $80 | 5.5× |
| Carboxyhemoglobin (82375) | $68 | $68 | 5.5× |
| Carcinoembryonic antigen (82378) | $103 | $103 | 5.4× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$116–$128 | $116–$128 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$118.80–$138 | $118.80–$138 | varies |
| Ccp antibody (86200) | $72 | $72 | 5.6× |
| Cell count csf (89051) range across 2 matching MRF lines |
$29–$32 | $29–$32 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $679 | $679 | 5.0× |
| Ceruloplasmin (82390) | $58 | $58 | 5.4× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$101–$175 | $101–$175 | varies |
| Chloride Serum (82435) | $20.52 | $20.52 | 4.5× |
| Chloride urine (82436) | $31 | $31 | 5.4× |
| Cholesterol total (82465) | $25 | $25 | 5.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$75–$83 | $75–$83 | varies |
| Chromogranin a (86316) | $114 | $114 | 5.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $175 | $175 | 5.0× |
| Ckmb (82553) | $64 | $64 | 5.5× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$59–$102 | $59–$102 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 3 matching MRF lines |
$671–$1,724 | $671–$1,724 | varies |
| Cold agglutinin screen (86156) | $77 | $77 | 9.5× |
| Cold agglutinin titer (86157) | $45 | $45 | 5.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$93–$102 | $93–$102 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$165–$1,641 | $165–$1,641 | varies |
| Compatibility test antiglob (86922) | $177 | $177 | 1.0× |
| Complement Antigen Each Component (86160) | $65 | $65 | 5.4× |
| Complement Total (Ch50) (86162) | $111 | $111 | 5.5× |
| Coombs direct (86880) range across 3 matching MRF lines |
$30–$63 | $30–$63 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$62–$68 | $62–$68 | varies |
| Cortisol free (82530) | $91 | $91 | 5.4× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$82–$90 | $82–$90 | varies |
| Creatine kinase total (82550) | $36 | $36 | 5.5× |
| Creatinine blood (82565) | $29 | $29 | 5.7× |
| Creatinine clearance (82575) | $51 | $51 | 5.4× |
| Creatinine Urine (82570) | $34 | $34 | 6.6× |
| Crossmatch electronic (86923) | $224 | $224 | 1.2× |
| Crossmatch immediate spin (86920) | $177 | $177 | 1.0× |
| Crp High Sensitivity (86141) | $145 | $145 | 11.2× |
| Cryoglobulin (82595) | $35 | $35 | 5.4× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$81–$89 | $81–$89 | varies |
| Cryptosporidium ag eia (87328) | $70 | $70 | 5.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $45 | $45 | 5.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $43 | $43 | 5.6× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $387 | $387 | 1.8× |
| Culture afb (87116) | $59 | $59 | 5.5× |
| Culture Anaerobic (87075) | $51 | $51 | 5.4× |
| Culture blood (87040) | $57 | $57 | 5.5× |
| Culture csf (87070) | $47 | $47 | 5.5× |
| Culture screen only (87081) | $36 | $36 | 5.4× |
| Culture stool (87045) range across 2 matching MRF lines |
$47–$51 | $47–$51 | varies |
| Culture urine (87086) | $45 | $45 | 5.6× |
| Cyclosporine (80158) | $100 | $100 | 5.5× |
| Cytomegalovirus igg (86644) | $78 | $78 | 5.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$72–$89 | $72–$89 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $117 | $117 | 4.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $301 | $301 | 5.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $51.86 | $51.86 | 0.3× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $68 | $68 | 3.7× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$172–$460 | $172–$460 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$329–$382 | $329–$382 | varies |
| Detect agnt mult DNA ampli (87801) | $382 | $382 | 5.4× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$58–$64 | $58–$64 | varies |
| Dhea (82626) | $133 | $133 | 5.3× |
| Dhea-S (82627) | $121 | $121 | 5.4× |
| Digoxin (80162) | $74 | $74 | 5.6× |
| Dihydrotestosterone (82642) | $113 | $113 | 3.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$75–$94 | $75–$94 | varies |
| Dna/Rna Amplified Probe (87150) | $100 | $100 | 2.8× |
| Drug assay acetaminophen (80143) | $29 | $29 | 1.6× |
| Drug Assay Itraconazole (80189) | $279 | $279 | 10.3× |
| Drug Screen Quant Clozapine (80159) | $101 | $101 | 5.0× |
| Drug Screen Quantitative Gabapentin (80171) | $109 | $109 | 5.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $73 | $73 | 5.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $73 | $73 | 5.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $73 | $73 | 5.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$64–$429 | $64–$429 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $87 | $87 | 6.9× |
| El-1 Fecal Quantitative (82653) | $284 | $284 | 12.4× |
| Electrolyte panel (80051) | $118 | $118 | 16.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $66 | $66 | 5.5× |
| Erythropoietin (82668) | $103 | $103 | 5.5× |
| Estradiol serum (82670) | $152 | $152 | 5.4× |
| Estriol (82677) | $102 | $102 | 4.2× |
| Estrogen total (82672) | $119 | $119 | 5.5× |
| Exam Synovial Fluid Crystals (89060) | $40 | $40 | 5.5× |
| F2 Gene (81240) | $325 | $325 | 4.9× |
| Factor ix activity (85250) | $90.72 | $90.72 | 4.8× |
| Factor v leiden mutation (81241) | $399 | $399 | 5.4× |
| Factor viii assay (85240) | $97 | $97 | 5.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $29 | $29 | 4.4× |
| Fecal Fat Qualitative (82705) | $23 | $23 | 4.5× |
| Ferritin (82728) | $75 | $75 | 5.5× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$93–$307 | $93–$307 | varies |
| Fetal screen rosette (85461) | $42 | $42 | 4.5× |
| Fibrin Degradation Quant (85379) | $56 | $56 | 5.5× |
| Fibrinogen activity (85384) | $54 | $54 | 5.6× |
| Flow cytometry first marker (88184) | $273 | $273 | 0.7× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$66–$101 | $66–$101 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$87–$96 | $87–$96 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$73–$80 | $73–$80 | varies |
| Follicle Stimulating Hormone (83001) | $102 | $102 | 5.5× |
| Fungi Identification Yeast (87106) | $67 | $67 | 6.5× |
| Galactose (82760) | $47 | $47 | 4.2× |
| Galactose transferase test (82776) | $49 | $49 | 4.2× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$82–$90 | $82–$90 | varies |
| Gases blood ph only (82800) | $59 | $59 | 5.4× |
| Gastrin (82941) | $94 | $94 | 5.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $819 | $819 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $125 | $125 | 3.7× |
| Gentamicin (80170) range across 3 matching MRF lines |
$75–$86 | $75–$86 | varies |
| Ggt (82977) | $40 | $40 | 5.6× |
| Giardia antigen (87329) | $65 | $65 | 5.4× |
| Glucose 2 hr pp (82950) | $26 | $26 | 5.5× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$13–$26 | $13–$26 | varies |
| Glucose body fluid (82945) | $21 | $21 | 5.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$20–$21 | $20–$21 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$65–$72 | $65–$72 | varies |
| Glycated Protein (82985) | $84 | $84 | 5.0× |
| Gonadotropin Chorionic Qualitative (84703) | $43 | $43 | 5.7× |
| Growth hormone (83003) | $91 | $91 | 5.5× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$19–$21 | $19–$21 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$333–$366 | $333–$366 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$64–$70 | $64–$70 | varies |
| Hdl Cholesterol (83718) | $41 | $41 | 5.0× |
| Helicobacter Pylori Stool (87338) | $78 | $78 | 5.4× |
| Helminth Antibody (86682) | $70 | $70 | 5.4× |
| Hematocrit (85014) | $17 | $17 | 7.2× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$15–$17 | $15–$17 | varies |
| Hemoglobin a1c (83036) | $54 | $54 | 5.6× |
| Hemoglobin electrophoresis (83020) | $57 | $57 | 4.4× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$57–$63 | $57–$63 | varies |
| Heparin assay (85520) | $70 | $70 | 5.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$62–$68 | $62–$68 | varies |
| Hepatitis b core ab igm (86705) | $65 | $65 | 5.5× |
| Hepatitis b core ab total (86704) | $66 | $66 | 5.5× |
| Hepatitis B Surface Antibody (86706) | $54 | $54 | 5.0× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$52–$57 | $52–$57 | varies |
| Hepatitis Be Antibody (86707) | $62 | $62 | 5.4× |
| Hepatitis Be Antigen (87350) | $62 | $62 | 5.4× |
| Hepatitis C Antibody (86803) | $78 | $78 | 5.5× |
| Hepatitis C Genotype (87902) | $1,085 | $1,085 | 4.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$212–$233 | $212–$233 | varies |
| Herpes simplex type 2 (86696) | $106 | $106 | 5.5× |
| Heterophile Antibody Screen (86308) | $29 | $29 | 5.6× |
| Hfe Gene (81256) | $283.50 | $283.50 | 4.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $105 | $105 | 13.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$65.88–$76 | $65.88–$76 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$66–$73 | $66–$73 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $153 | $153 | 4.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $132 | $132 | 5.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $200 | $200 | 2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $369 | $369 | 5.0× |
| Homocysteine (83090) | $97 | $97 | 5.4× |
| Hpv High-Risk Types (87624) | $154 | $154 | 4.4× |
| Hpv Types 16 & 18 Only (87625) | $171 | $171 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$114–$176 | $114–$176 | varies |
| Human Epididymis Protein 4 (86305) | $251 | $251 | 12.1× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$114–$142 | $114–$142 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $44 | $44 | 3.2× |
| Iaad ia shiga-like toxin (87427) | $65 | $65 | 5.4× |
| Iaad Ia Streptococcus Group A (87430) | $33 | $33 | 2.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $163 | $163 | 4.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $70 | $70 | 2.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $67 | $67 | 2.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $374.85 | $374.85 | 10.7× |
| Iadna Cytomegalovirus Quantification (87497) | $233 | $233 | 5.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $117 | $117 | 1.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $320 | $320 | 7.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$154–$175 | $154–$175 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $214 | $214 | 1.5× |
| Ig Light Chains Free Each (83521) | $75 | $75 | 4.3× |
| Igg subclasses (82787) | $40 | $40 | 5.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,178.10 | $1,178.10 | 4.0× |
| Immunfix e-phorsis/urine/csf (86335) | $161 | $161 | 5.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $101 | $101 | 5.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $75 | $75 | 5.0× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$58–$236 | $58–$236 | varies |
| Immunodiffusion Ouchterlony (86331) | $65 | $65 | 5.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$111–$122 | $111–$122 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $469 | $469 | 2.6× |
| Immunohistochemistry (88342) | $152 | $152 | 0.8× |
| In situ hybridization 1st probe stain (88365) | $171 | $171 | 0.9× |
| Influenza a/b ag eia (87400) | $44 | $44 | 3.1× |
| Influenza assay w/optic (87804) | $47 | $47 | 2.8× |
| Influenza DNA amp probe (87502) | $158 | $158 | 1.6× |
| Inhibin A (86336) | $158 | $158 | 10.1× |
| Inhibin b (83520) range across 4 matching MRF lines |
$95–$334.70 | $95–$334.70 | varies |
| Insulin antibodies (86337) | $112 | $112 | 5.2× |
| Insulin total (83525) | $63 | $63 | 5.5× |
| Interleukin-6 (83529) | $110 | $110 | 6.4× |
| Intrinsic factor antibody (86340) | $83 | $83 | 5.5× |
| Iron (83540) | $35 | $35 | 5.4× |
| Iron Binding Capacity (83550) | $47 | $47 | 5.4× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$101–$234 | $101–$234 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $744 | $744 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$31–$34 | $31–$34 | varies |
| Lactoferrin Fecal Quantitative (83631) | $103 | $103 | 5.2× |
| Ldh Isoenzymes (83625) | $65 | $65 | 5.1× |
| LDL direct (83721) | $57 | $57 | 5.4× |
| Lead (83655) range across 4 matching MRF lines |
$52–$66 | $52–$66 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$65–$173 | $65–$173 | varies |
| Leukocyte Assessment Fecal (89055) | $26 | $26 | 6.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $46 | $46 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $98 | $98 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $743 | $743 | 2.0× |
| Lipase (83690) | $39 | $39 | 5.7× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$71–$78 | $71–$78 | varies |
| Lipoprotein Bld Quan Part (83704) | $169 | $169 | 4.9× |
| Lithium (80178) | $36 | $36 | 5.4× |
| Luteinizing Hormone (Lh) (83002) | $102 | $102 | 5.5× |
| Lyme disease antibody (86618) | $94 | $94 | 5.5× |
| M. Genitalium Amp Probe (87563) | $176 | $176 | 5.0× |
| M/phmtrc alys ishquant/semiq (88374) | $317 | $317 | 1.8× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$34–$36 | $34–$36 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$120–$132 | $120–$132 | varies |
| Mercury urine (83825) | $90 | $90 | 5.5× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$105–$116 | $105–$116 | varies |
| Microalbumin, quantitative (82043) | $34 | $34 | 5.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$73–$80 | $73–$80 | varies |
| Mitochondrial Antibody Each (86381) | $64 | $64 | 2.5× |
| Mopath procedure level 2 (81401) | $426 | $426 | 3.1× |
| Mrsa Pcr (87641) | $193 | $193 | 5.5× |
| Mthfr Gene Analysis Common Variants (81291) | $343 | $343 | 5.2× |
| Mumps antibody (86735) | $66 | $66 | 5.1× |
| Muscle-Specific Kinase Antb (86366) | $1,024 | $1,024 | 55.7× |
| Mycoplasma antibody (86738) | $57.24 | $57.24 | 4.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$65–$72 | $65–$72 | varies |
| Natriuretic peptide (83880) | $215 | $215 | 5.5× |
| Neutralization Test Viral (86382) | $95 | $95 | 5.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $284 | $284 | 1.1× |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$393–$501 | $393–$501 | varies |
| Niacin (84591) range across 2 matching MRF lines |
$94–$130 | $94–$130 | varies |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$88–$170 | $88–$170 | varies |
| Obstetric panel (80081) | $357 | $357 | 4.8× |
| Occult blood feces (82272) | $27 | $27 | 6.4× |
| Occult Blood Other Sources (82271) | $30 | $30 | 5.6× |
| Oligoclonal bands (83916) | $132 | $132 | 4.8× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$33–$36 | $33–$36 | varies |
| Osmolality Urine (83935) | $51 | $51 | 7.5× |
| Osteocalcin (83937) | $181.65 | $181.65 | 6.1× |
| Ova and parasites smears (87177) | $48 | $48 | 5.4× |
| Oxalate urine (83945) | $78 | $78 | 5.4× |
| Particle Agglutination Screen Each Antibody (86403) | $32 | $32 | 2.8× |
| Parvovirus antibody (86747) | $83 | $83 | 5.5× |
| Ph urine (81003) | $15 | $15 | 6.7× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$77–$85 | $77–$85 | varies |
| Phenotype Infect Agent Drug (87900) | $567 | $567 | 4.3× |
| Phenytoin (Dilantin) (80185) | $73 | $73 | 5.5× |
| Phosphatase alkaline (84075) | $29 | $29 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $97 | $97 | 5.4× |
| Phosphorus Serum (84100) | $26 | $26 | 5.5× |
| Pinworm exam (87172) | $57 | $57 | 13.3× |
| Platelet Aggregation (85576) | $136 | $136 | 5.5× |
| Platelet count automated (85049) | $25 | $25 | 5.6× |
| Potassium Urine (84133) | $26 | $26 | 5.5× |
| Prealbumin (84134) | $80 | $80 | 5.5× |
| Pregnenolone (84140) | $112 | $112 | 5.4× |
| Pretx serum rbc antibody identification dilution (86976) | $58 | $58 | 1.9× |
| Primidone (80188) | $87 | $87 | 5.2× |
| Procalcitonin (Pct) (84145) | $149 | $149 | 5.5× |
| Progesterone (84144) | $114 | $114 | 5.5× |
| Prolactin (84146) | $106 | $106 | 5.5× |
| Protein body fluid (84157) | $21 | $21 | 5.3× |
| Protein C Activity (85303) | $76 | $76 | 5.5× |
| Protein c antigen (85302) | $66 | $66 | 5.5× |
| Protein Electrophoresis Urine (84166) | $97 | $97 | 5.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$53–$58 | $53–$58 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$85–$195 | $85–$195 | varies |
| Protein s total (85305) | $62 | $62 | 5.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$18–$20 | $18–$20 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$18–$20 | $18–$20 | varies |
| PSA free (84154) | $101 | $101 | 5.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$205–$226 | $205–$226 | varies |
| Q Fever Antibody (86638) | $51 | $51 | 4.2× |
| Quantiferon tb gold plus (86480) | $283 | $283 | 4.6× |
| Quantitative assay drug (80299) | $119 | $119 | 6.4× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$351–$371 | $351–$371 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$55–$90 | $55–$90 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $354 | $354 | 2.0× |
| Reagent Strip/Blood Glucose (82948) | $14 | $14 | 2.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$119–$120 | $119–$120 | varies |
| Reticulocyte Count (85046) | $31 | $31 | 5.6× |
| Rh (86901) | $30 | $30 | 10.0× |
| Rheumatoid factor quant (86431) | $31 | $31 | 5.5× |
| Ristocetin cofactor (85245) | $124 | $124 | 5.4× |
| Rotavirus ag eia (87425) | $148.05 | $148.05 | 12.4× |
| Rpr qualitative (86592) | $25 | $25 | 5.9× |
| Rsv Assay W/Optic (87807) | $54 | $54 | 4.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$28.78–$73 | $28.78–$73 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$59–$65 | $59–$65 | varies |
| Russell Viper Venom Time Diluted (85613) | $54 | $54 | 5.6× |
| Salicylate Level (80179) | $29 | $29 | 1.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $85 | $85 | 1.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $88 | $88 | 2.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$45–$46 | $45–$46 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$214–$235 | $214–$235 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $214 | $214 | 1.5× |
| Sedimentation Rate, Automated (85652) | $18 | $18 | 6.7× |
| Selenium (84255) | $140 | $140 | 5.5× |
| Semen Anal Sperm Detection (89321) | $68 | $68 | 5.6× |
| Sensitivity mic (87186) | $47 | $47 | 5.4× |
| Sex Hormone Binding Globulin (84270) | $119 | $119 | 5.5× |
| Sirolimus (80195) | $102 | $102 | 7.4× |
| Skin test tuberculosis intradermal (86580) | $27 | $27 | 0.9× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$30–$41 | $30–$41 | varies |
| Smear complex stain (87209) | $97 | $97 | 5.4× |
| Smear gram stain (87205) | $25 | $25 | 5.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $32 | $32 | 5.5× |
| Sodium Serum (84295) | $28 | $28 | 5.8× |
| Sodium Urine (84300) | $29 | $29 | 5.7× |
| Soluble Transferrin Receptor (84238) | $205 | $205 | 5.6× |
| Somatomedin (84305) | $118 | $118 | 5.6× |
| Special Stains Group 1 (88312) | $196 | $196 | 3.6× |
| Special Stains Group 2 (88313) | $159 | $159 | 1.1× |
| Stool cultr aerobic bact ea (87046) | $46 | $46 | 4.9× |
| Strep a assay w/optic (87880) | $47 | $47 | 2.8× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$56–$100 | $56–$100 | varies |
| Strep b DNA amp probe (87653) | $56 | $56 | 1.6× |
| Surg path level iii (88304) | $120 | $120 | 2.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$65.73–$133 | $65.73–$133 | varies |
| Surgical pathology level vi (88309) | $1,121 | $1,121 | 1.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $41 | $41 | 5.5× |
| T cells absolute cd4 count (86361) | $144 | $144 | 5.4× |
| T3 Free (84481) | $92 | $92 | 5.4× |
| T3 reverse (84482) | $87 | $87 | 5.5× |
| T3 Total (84480) range across 2 matching MRF lines |
$70–$77 | $70–$77 | varies |
| T3 Uptake (84479) | $34 | $34 | 5.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$60–$66 | $60–$66 | varies |
| T4 total (84436) | $39 | $39 | 5.7× |
| Tacrolimus (80197) | $75 | $75 | 5.5× |
| Tb ag response t-cell susp (86481) | $119 | $119 | 1.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$141–$182 | $141–$182 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$139–$182 | $139–$182 | varies |
| Theophylline (80198) | $75 | $75 | 5.3× |
| Thrombin Time (85670) | $35 | $35 | 6.1× |
| Thromboplastin Inhibition Tissue (85705) | $51 | $51 | 5.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $35 | $35 | 5.4× |
| Thyroglobulin (84432) | $89 | $89 | 5.5× |
| Thyroglobulin Antibody (86800) | $87 | $87 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $152 | $152 | 3.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$58–$64 | $58–$64 | varies |
| Topiramate (80201) | $87 | $87 | 7.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $29 | $29 | 5.6× |
| Transferrin (84466) | $72 | $72 | 5.6× |
| Trichomonas Vaginalis Amplif (87661) | $172 | $172 | 4.9× |
| Triglycerides (84478) | $31 | $31 | 5.4× |
| Troponin Quant (84484) | $68 | $68 | 5.5× |
| Tumor Immunohistochem/Manual (88360) | $298 | $298 | 1.7× |
| Urea Nitrogen Clearance (84545) | $34 | $34 | 4.7× |
| Urea nitrogen urine (84540) | $30 | $30 | 5.4× |
| Urinalysis Volume Measure (81050) | $21 | $21 | 5.8× |
| Urine Bacteria Culture (87088) | $45 | $45 | 5.6× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$38–$47 | $38–$47 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18 | $18 | 5.7× |
| Valproic acid (80164) | $75 | $75 | 5.5× |
| Vancomycin (80202) range across 2 matching MRF lines |
$66–$73 | $66–$73 | varies |
| Varicella-zoster antibody (86787) | $65 | $65 | 5.0× |
| Viral Culture (87252) | $138 | $138 | 5.3× |
| Virus inoculation, shell via (87254) | $96 | $96 | 4.9× |
| Vit D 1 25-Dihydroxy (82652) | $210 | $210 | 5.5× |
| Vitamin A (84590) | $64 | $64 | 5.5× |
| Vitamin b-12 (82607) | $83 | $83 | 5.5× |
| Vitamin B2 (Riboflavin) (84252) | $110 | $110 | 5.4× |
| Vitamin B6 (84207) | $153 | $153 | 5.4× |
| Vitamin c (82180) | $95 | $95 | 9.6× |
| Vitamin D 25-Hydroxy (82306) | $162 | $162 | 5.5× |
| Vitamin E (84446) | $77 | $77 | 5.4× |
| Vitamin K (84597) | $190 | $190 | 13.8× |
| Von willebrand factor ag (85246) | $124 | $124 | 5.4× |
| West nile virus ab igm (86788) | $81 | $81 | 4.8× |
| West Nile Virus Antibody (86789) | $69 | $69 | 4.8× |
| Zinc (84630) range across 2 matching MRF lines |
$57–$63 | $57–$63 | varies |
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.