Lab & pathology prices at Ahmc Seton Medical Center
Daly City, CA · every code in this section with a posted price and a Medicare benchmark.
452 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $38.14 | $38.14 | 1.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $320 | $320 | 9.8× |
| Acute hepatitis panel (80074) | $863 | $863 | 18.1× |
| Albumin serum (82040) | $233 | $233 | 47.1× |
| Aldolase (82085) | $8.71 | $8.71 | 0.9× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$40.24–$65.50 | $40.24–$65.50 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$14.59–$14.60 | $14.59–$14.60 | varies |
| Allergen specific ige (86003) | $4.65 | $4.65 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $80.74 | $80.74 | 5.6× |
| Alpha-1-antitrypsin total (82103) | $13.26 | $13.26 | 1.0× |
| Alpha-Fetoprotein Serum (82105) | $250 | $250 | 14.9× |
| Alt (sgpt) (84460) | $198 | $198 | 37.4× |
| Amikacin trough (80150) | $13.76 | $13.76 | 0.9× |
| Ammonia (82140) | $455 | $455 | 31.2× |
| Amylase urine (82150) range across 7 matching MRF lines |
$5.73–$450 | $5.73–$450 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$15.75–$17.50 | $15.75–$17.50 | varies |
| Androstenedione (82157) | $28.91 | $28.91 | 1.0× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$14.42–$17.99 | $14.42–$17.99 | varies |
| Antibody aspergillus (86606) | $14.86 | $14.86 | 1.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$15.30–$40 | $15.30–$40 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $14.36 | $14.36 | 0.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $12.96 | $12.96 | 1.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $13.66 | $13.66 | 0.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $15.82 | $15.82 | 0.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $10.41 | $10.41 | 0.7× |
| Antibody Herpes Smplx Type 1 (86695) | $11.80 | $11.80 | 0.9× |
| Antibody HIV-2 (86702) | $11.81 | $11.81 | 0.9× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$14.86–$144 | $14.86–$144 | varies |
| Antibody Protozoa Nes (86753) | $12.23 | $12.23 | 1.0× |
| Antibody Titer (86886) | $270 | $270 | 52.1× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$10.04–$184 | $10.04–$184 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$167–$275 | $167–$275 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $255 | $255 | 44.6× |
| Antinuclear antibodies (86038) | $17.50 | $17.50 | 1.4× |
| Antistreptolysin o titer (86060) | $8.54 | $8.54 | 1.2× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$10.47–$39.25 | $10.47–$39.25 | varies |
| Antithrombin iii antigen (85301) | $10.67 | $10.67 | 1.0× |
| Apolipoprotein a1 (82172) | $13.15 | $13.15 | 0.6× |
| Arsenic (82175) | $18.73 | $18.73 | 1.0× |
| Aspergillus ag eia (87305) | $8.99 | $8.99 | 0.8× |
| Assay Blood Carbon Dioxide (82374) | $232 | $232 | 47.5× |
| Assay Nephelometry Not Spec (83883) | $12.28 | $12.28 | 0.9× |
| Assay of 5-hiaa (83497) | $12.73 | $12.73 | 1.0× |
| Assay of blood/uric acid (84550) | $182 | $182 | 40.3× |
| Assay of calcium in urine (82340) | $205 | $205 | 34.0× |
| Assay of cpk in blood (82552) | $12 | $12 | 0.9× |
| Assay of g6pd enzyme (82955) | $9.57 | $9.57 | 1.0× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$6.08–$27.70 | $6.08–$27.70 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$125–$255 | $125–$255 | varies |
| Assay of metanephrines (83835) | $16.73 | $16.73 | 1.0× |
| Assay of serum potassium (84132) | $209 | $209 | 43.9× |
| Assay of sweat sodium (84302) | $4.80 | $4.80 | 1.0× |
| Assay of urea nitrogen (84520) | $157 | $157 | 39.7× |
| Assay of urine vma (84585) | $15.30 | $15.30 | 1.0× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$21.48–$43.95 | $21.48–$43.95 | varies |
| Assay Ph Body Fluid Nos (83986) | $171 | $171 | 47.8× |
| Assay spec xcp ur&breath ia (82077) | $304 | $304 | 17.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $300 | $300 | 1.2× |
| Automated Leukocyte Count (85048) | $101 | $101 | 39.8× |
| Bartonella antibody (86611) | $10.05 | $10.05 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $250.37 | $250.37 | 9.8× |
| Beta hydroxybutyrate (82010) | $243 | $243 | 29.7× |
| Beta Lactamase (87185) | $243 | $243 | 51.2× |
| Beta-2 Microglobulin (82232) | $14.87 | $14.87 | 0.9× |
| Bilirubin direct (82248) | $176 | $176 | 35.1× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$4.09–$201 | $4.09–$201 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $130 | $130 | 16.8× |
| Blood Count Automated Differential Wbc Count (85004) | $201 | $201 | 31.1× |
| Blood Count Red Blood Cell Automated (85041) | $101 | $101 | 33.4× |
| Blood count reticulocyte automated (85045) | $209 | $209 | 52.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13 | $13 | 3.4× |
| Blood gas (82803) | $854 | $854 | 32.8× |
| Blood gases w/02 saturation (82805) | $395 | $395 | 5.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$14.29–$194 | $14.29–$194 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $134 | $134 | 30.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$45–$291 | $45–$291 | varies |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$35–$381 | $35–$381 | varies |
| Body fluid cell count (89050) | $275 | $275 | 58.3× |
| Bone marrow smear interpretation (85097) | $588 | $588 | 0.5× |
| Bordetella antibody (86615) | $13.02 | $13.02 | 1.0× |
| Brucella antibody (86622) | $8.82 | $8.82 | 1.0× |
| C diff amplified probe (87493) | $385 | $385 | 10.3× |
| C-Peptide (84681) | $211 | $211 | 10.1× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$4.63–$184 | $4.63–$184 | varies |
| Ca 19-9 (86301) | $12.87 | $12.87 | 0.6× |
| Calcitonin (82308) | $26.46 | $26.46 | 1.0× |
| Calcium ionized (82330) | $338 | $338 | 24.7× |
| Calcium total (82310) | $195 | $195 | 37.8× |
| Calculus Spectroscopy (82365) | $12.73 | $12.73 | 1.0× |
| Calprotectin Fecal (83993) | $140 | $140 | 7.1× |
| Cancer Antigen 125 (86304) | $279 | $279 | 13.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$18.86–$20.41 | $18.86–$20.41 | varies |
| Carbamazepine total (80156) | $360 | $360 | 24.7× |
| Carboxyhemoglobin (82375) | $266 | $266 | 21.6× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$117.50–$484 | $117.50–$484 | varies |
| Cardiolipin ab iga (86147) | $20.02 | $20.02 | 0.8× |
| Carnitine Quantitative Each Specimen (82379) | $15.02 | $15.02 | 0.9× |
| Carotene (82380) | $9.10 | $9.10 | 1.0× |
| Catecholamines fractionated (82384) | $24.94 | $24.94 | 1.0× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$12.95–$21.41 | $12.95–$21.41 | varies |
| Cell count csf (89051) | $312 | $312 | 55.7× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$9.55–$11.61 | $9.55–$11.61 | varies |
| Chlamydia antibody (86631) | $12.87 | $12.87 | 1.1× |
| Chlamydia Igm Antibody (86632) | $13.82 | $13.82 | 1.1× |
| Chloride other source (82438) | $4.82 | $4.82 | 1.0× |
| Chloride Serum (82435) | $168 | $168 | 36.5× |
| Chloride urine (82436) | $215 | $215 | 37.4× |
| Cholesterol total (82465) | $192 | $192 | 44.1× |
| Cholinesterase rbc (82482) | $7.84 | $7.84 | 0.8× |
| Chorionic gonadotropin test (84702) | $356 | $356 | 23.7× |
| Chromogranin a (86316) | $18.51 | $18.51 | 0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$28.97–$272 | $28.97–$272 | varies |
| Citric acid urine (82507) | $27.46 | $27.46 | 1.0× |
| Ckmb (82553) range across 2 matching MRF lines |
$177–$361 | $177–$361 | varies |
| Clostridium Difficile (87324) | $157 | $157 | 13.1× |
| Coagulation time activated (85347) | $177 | $177 | 41.4× |
| Coccidioides antibody (86635) | $10.24 | $10.24 | 0.9× |
| Column Chromotography Quant (82542) | $76.17 | $76.17 | 3.2× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$108–$575 | $108–$575 | varies |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$10.51–$47.42 | $10.51–$47.42 | varies |
| Complement Total (Ch50) (86162) | $22.58 | $22.58 | 1.1× |
| Complement/Function Activity (86161) | $11.85 | $11.85 | 1.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $55 | $55 | 1.0× |
| Coombs direct (86880) range across 3 matching MRF lines |
$53–$328 | $53–$328 | varies |
| Copper urine (82525) | $12.25 | $12.25 | 1.0× |
| Cortisol free (82530) | $41.25 | $41.25 | 2.5× |
| Cortisol saliva (82533) | $481 | $481 | 29.5× |
| Creatine (82540) | $4.57 | $4.57 | 1.0× |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$5.80–$177 | $5.80–$177 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$161–$694.45 | $161–$694.45 | varies |
| Creatinine clearance (82575) | $433 | $433 | 45.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$4.69–$185 | $4.69–$185 | varies |
| Crossmatch electronic (86923) | $300 | $300 | 1.2× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$108–$454 | $108–$454 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$11.19–$45 | $11.19–$45 | varies |
| Cryoglobulin (82595) | $5.32 | $5.32 | 0.8× |
| Cryptococcal Antigen (87327) | $10.10 | $10.10 | 0.8× |
| Cryptococcus ag titer (87899) | $75 | $75 | 4.7× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$8.62–$56.20 | $8.62–$56.20 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $226 | $226 | 28.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $328 | $328 | 40.6× |
| Culture afb (87116) range across 3 matching MRF lines |
$9.12–$12.26 | $9.12–$12.26 | varies |
| Culture Anaerobic (87075) | $364 | $364 | 38.4× |
| Culture blood (87040) | $425 | $425 | 41.2× |
| Culture chlamydia (87110) | $12.67 | $12.67 | 0.6× |
| Culture csf (87070) range across 9 matching MRF lines |
$9.52–$386 | $9.52–$386 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$7.68–$297 | $7.68–$297 | varies |
| Culture fungus blood (87103) | $432 | $432 | 21.1× |
| Culture screen only (87081) range across 7 matching MRF lines |
$5.68–$323 | $5.68–$323 | varies |
| Culture stool (87045) | $28.32 | $28.32 | 3.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $219 | $219 | 42.3× |
| Culture urine (87086) | $377 | $377 | 46.7× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $14.14 | $14.14 | 1.0× |
| Cyclosporine (80158) | $16.14 | $16.14 | 0.9× |
| Cytomegalovirus igg (86644) | $12.38 | $12.38 | 0.9× |
| Cytopath Cell Enhance Tech (88112) | $52.56 | $52.56 | 0.7× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$54.42–$490 | $54.42–$490 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$113.01–$555 | $113.01–$555 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$57–$229 | $57–$229 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$52.56–$373 | $52.56–$373 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $337.50 | $337.50 | 1.4× |
| Deoxyribonuclease antibody (86215) | $25 | $25 | 1.9× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$34.18–$289 | $34.18–$289 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$39.11–$183.74 | $39.11–$183.74 | varies |
| Dhea-S (82627) | $19.62 | $19.62 | 0.9× |
| Digoxin (80162) | $410 | $410 | 30.9× |
| Dna Antibody Native/Double Stranded (86225) | $9.45 | $9.45 | 0.7× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$50–$221.40 | $50–$221.40 | varies |
| Drug assay acetaminophen (80143) | $263.50 | $263.50 | 14.1× |
| Drug Assay Lacosamide (80235) | $77.60 | $77.60 | 2.9× |
| Drug Screen Quantitative Gabapentin (80171) | $14.43 | $14.43 | 0.7× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$37.17–$53.75 | $37.17–$53.75 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$13.08–$40.43 | $13.08–$40.43 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) | $310 | $310 | 5.0× |
| El-1 Fecal Quantitative (82653) | $224 | $224 | 9.8× |
| Electrolyte panel (80051) | $409 | $409 | 58.3× |
| Enterovirus Antibody (86658) | $12.86 | $12.86 | 1.0× |
| Erythropoietin (82668) | $21.26 | $21.26 | 1.1× |
| Estradiol serum (82670) | $301 | $301 | 10.8× |
| Estrogens fractionated (82671) | $31.90 | $31.90 | 1.0× |
| Ethylene Glycol (82693) | $14.71 | $14.71 | 1.0× |
| Exam Synovial Fluid Crystals (89060) | $242 | $242 | 33.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$31.83–$71.35 | $31.83–$71.35 | varies |
| Factor v activity (85220) | $17.43 | $17.43 | 1.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$60–$65.41 | $60–$65.41 | varies |
| Factor X (85260) | $17.68 | $17.68 | 1.0× |
| Fat/Lipids Feces Quantitative (82710) | $16.59 | $16.59 | 1.0× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$5.03–$10.11 | $5.03–$10.11 | varies |
| Ferritin (82728) | $286 | $286 | 21.0× |
| Fibrin Degradation Quant (85379) | $444 | $444 | 43.6× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $119 | $119 | 11.7× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$100–$425 | $100–$425 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$42.18–$220 | $42.18–$220 | varies |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$10.87–$23.85 | $10.87–$23.85 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $10.39 | $10.39 | 0.9× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$11.49–$27.20 | $11.49–$27.20 | varies |
| Folic Acid Serum (82746) | $223 | $223 | 15.2× |
| Follicle Stimulating Hormone (83001) | $299 | $299 | 16.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$254–$1,078 | $254–$1,078 | varies |
| Frozen Section (88331) range across 2 matching MRF lines |
$55.81–$413 | $55.81–$413 | varies |
| Fungi Identification Mold (87107) | $11.24 | $11.24 | 1.1× |
| Fungi Identification Yeast (87106) | $187 | $187 | 18.1× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$14.60–$16.66 | $14.60–$16.66 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $792 | $792 | 81.1× |
| Gases blood ph only (82800) | $214 | $214 | 19.5× |
| Gastrin (82941) | $17.41 | $17.41 | 1.0× |
| Gentamicin (80170) | $602 | $602 | 36.8× |
| Ggt (82977) | $221 | $221 | 30.7× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$8.79–$12.04 | $8.79–$12.04 | varies |
| Glucose 2 hr pp (82950) | $205 | $205 | 43.2× |
| Glucose Blood Test (82962) | $242 | $242 | 73.8× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$5.63–$191 | $5.63–$191 | varies |
| Glucose Serum (82947) | $263 | $263 | 66.9× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$170–$189 | $170–$189 | varies |
| Glycated Protein (82985) | $11.86 | $11.86 | 0.7× |
| Gonadotropin Chorionic Qualitative (84703) | $312 | $312 | 41.5× |
| Growth hormone (83003) | $16.46 | $16.46 | 1.0× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$60.71–$160 | $60.71–$160 | varies |
| Haloperidol (80173) | $14.38 | $14.38 | 0.9× |
| Haptoglobin (83010) | $287 | $287 | 22.8× |
| Hdl Cholesterol (83718) | $241 | $241 | 29.4× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$11.06–$28.26 | $11.06–$28.26 | varies |
| Helminth Antibody (86682) | $12.84 | $12.84 | 1.0× |
| Hematocrit (85014) | $242 | $242 | 102.1× |
| Hemoglobin (85018) | $62 | $62 | 26.2× |
| Hemoglobin a1c (83036) | $197 | $197 | 20.3× |
| Hemoglobin Chromotography (83021) | $15.40 | $15.40 | 0.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $91 | $91 | 11.1× |
| Hemoglobin plasma (83051) | $7.22 | $7.22 | 1.0× |
| Hep a ab igm (86709) | $425 | $425 | 37.7× |
| Heparin assay (85520) range across 3 matching MRF lines |
$153–$506 | $153–$506 | varies |
| Hepatitis a antibody total (86708) | $336 | $336 | 27.1× |
| Hepatitis b core ab igm (86705) | $414 | $414 | 35.2× |
| Hepatitis b core ab total (86704) | $474 | $474 | 39.3× |
| Hepatitis B Surface Antibody (86706) | $326 | $326 | 30.4× |
| Hepatitis B Surface Antigen (87340) | $338 | $338 | 32.7× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$10.88–$12.94 | $10.88–$12.94 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$10.88–$12.94 | $10.88–$12.94 | varies |
| Hepatitis C Antibody (86803) | $300 | $300 | 21.0× |
| Hepatitis C Genotype (87902) | $236.13 | $236.13 | 0.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $104.65 | $104.65 | 2.4× |
| Hepatitis delta ag (87380) | $125 | $125 | 6.8× |
| Herpes simplex type 2 (86696) | $17.20 | $17.20 | 0.9× |
| Heterophile Antibody Screen (86308) | $4.81 | $4.81 | 0.9× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$12.34–$14.93 | $12.34–$14.93 | varies |
| Hiv Genotype (87901) | $280.28 | $280.28 | 1.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $262 | $262 | 10.9× |
| Hiv-1 Antibody (86701) | $7.91 | $7.91 | 0.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $76.33 | $76.33 | 0.9× |
| Hla-b27 (86812) | $28.10 | $28.10 | 1.1× |
| Homocysteine (83090) | $289 | $289 | 16.1× |
| Homogenization Tissue (87176) | $291 | $291 | 49.5× |
| Hsv Dna Amp Probe (87529) | $30.73 | $30.73 | 0.9× |
| Hydroxyprogesterone 17-d (83498) | $23.93 | $23.93 | 0.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $95 | $95 | 2.7× |
| Iaad ia shiga-like toxin (87427) | $20 | $20 | 1.7× |
| Iaadi herpes smplx virus type 1 (87274) | $10.10 | $10.10 | 0.8× |
| Iaadi herpes smplx virus type 2 (87273) | $10.10 | $10.10 | 0.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $38.21 | $38.21 | 1.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$38.21–$41.25 | $38.21–$41.25 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$31.27–$516 | $31.27–$516 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $38.75 | $38.75 | 0.9× |
| Iadna Hepatitis B Virus Quantification (87517) range across 3 matching MRF lines |
$38.33–$150.51 | $38.33–$150.51 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $124.87 | $124.87 | 3.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$100–$289 | $100–$289 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$38.21–$41.25 | $38.21–$41.25 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $268 | $268 | 7.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,437 | $1,437 | 10.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$210.79–$1,171 | $210.79–$1,171 | varies |
| Ig Light Chains Free Each (83521) | $95.14 | $95.14 | 5.5× |
| Igg subclasses (82787) | $7.92 | $7.92 | 1.0× |
| Immune Complex Assay (86332) | $26.54 | $26.54 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$24.88–$284.88 | $24.88–$284.88 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$12.27–$118 | $12.27–$118 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$9.51–$13.52 | $9.51–$13.52 | varies |
| Immunoassay nonantibody (83516) | $8.60 | $8.60 | 0.7× |
| Immunodiffusion Ouchterlony (86331) | $13.25 | $13.25 | 1.1× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$20.03–$24.88 | $20.03–$24.88 | varies |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$45–$450 | $45–$450 | varies |
| Influenza DNA amp probe (87502) | $642 | $642 | 6.7× |
| Inhibin b (83520) range across 4 matching MRF lines |
$29.81–$255.51 | $29.81–$255.51 | varies |
| Insulin antibodies (86337) | $21.14 | $21.14 | 1.0× |
| Insulin total (83525) | $11.94 | $11.94 | 1.0× |
| Intrinsic factor antibody (86340) | $14.88 | $14.88 | 1.0× |
| Iron (83540) | $172 | $172 | 26.6× |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$45–$50 | $45–$50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$66.20–$66.30 | $66.20–$66.30 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$6.62–$227 | $6.62–$227 | varies |
| Lactoferrin fecal qualitative (83630) | $19.38 | $19.38 | 1.0× |
| Ldh Isoenzymes (83625) | $12.63 | $12.63 | 1.0× |
| LDL direct (83721) | $191 | $191 | 18.2× |
| Lead (83655) range across 3 matching MRF lines |
$6–$10.63 | $6–$10.63 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$8.40–$146 | $8.40–$146 | varies |
| Legionella pneumophila dfa (87278) | $10.10 | $10.10 | 0.6× |
| Leukocyte Assessment Fecal (89055) | $251 | $251 | 58.8× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$14.54–$315 | $14.54–$315 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$33.09–$411 | $33.09–$411 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$273.78–$1,220 | $273.78–$1,220 | varies |
| Lipase (83690) | $252 | $252 | 36.6× |
| Lipoprotein A (83695) range across 3 matching MRF lines |
$12.78–$90 | $12.78–$90 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $36.95 | $36.95 | 0.8× |
| Lithium (80178) | $274 | $274 | 41.5× |
| Luteinizing Hormone (Lh) (83002) | $410 | $410 | 22.1× |
| Lyme disease antibody (86618) | $16.81 | $16.81 | 1.0× |
| Lysozyme serum (85549) | $18.51 | $18.51 | 1.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $267.50 | $267.50 | 1.1× |
| M/phmtrc alys ishquant/semiq (88374) | $267.50 | $267.50 | 1.1× |
| Magnesium Urine (83735) | $273 | $273 | 40.7× |
| Mercury urine (83825) | $14.12 | $14.12 | 0.9× |
| Methylmalonic acid serum (83921) | $47.57 | $47.57 | 2.2× |
| Microalbumin, quantitative (82043) | $191 | $191 | 33.0× |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$6.17–$14.68 | $6.17–$14.68 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$11.59–$23.85 | $11.59–$23.85 | varies |
| Mycobacteric Identification (87118) | $75 | $75 | 5.1× |
| Mycoplasma antibody (86738) | $13.07 | $13.07 | 1.0× |
| Myelin basic protein csf (83873) | $16.99 | $16.99 | 1.0× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$11.80–$19.66 | $11.80–$19.66 | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$129–$483 | $129–$483 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $178.39 | $178.39 | 0.7× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$5–$19.03 | $5–$19.03 | varies |
| Occult blood feces (82272) | $118 | $118 | 27.9× |
| Occult Blood Other Sources (82271) | $138 | $138 | 25.9× |
| Oligoclonal bands (83916) | $21.90 | $21.90 | 0.8× |
| Osmolality serum (83930) range across 3 matching MRF lines |
$8.65–$262 | $8.65–$262 | varies |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$16.79–$214 | $16.79–$214 | varies |
| Osteocalcin (83937) | $29.85 | $29.85 | 1.0× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$10.45–$12.12 | $10.45–$12.12 | varies |
| Oxalate urine (83945) | $12.71 | $12.71 | 0.9× |
| Particle Agglutination Screen Each Antibody (86403) | $27.84 | $27.84 | 2.4× |
| Parvovirus antibody (86747) | $14.84 | $14.84 | 1.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $44.68 | $44.68 | 0.0× |
| Ph urine (81003) | $121 | $121 | 53.8× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$8.40–$325 | $8.40–$325 | varies |
| Phenytoin (Dilantin) (80185) | $459 | $459 | 34.6× |
| Phenytoin free (80186) | $12.59 | $12.59 | 0.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$4.13–$240 | $4.13–$240 | varies |
| Phosphorus Serum (84100) | $169 | $169 | 35.7× |
| Phosphorus urine (84105) | $171 | $171 | 29.6× |
| Platelet Antibodies (86022) | $18.14 | $18.14 | 1.0× |
| Platelet count automated (85049) | $192 | $192 | 42.9× |
| Porphobilinogen, urine; quantitative (84110) | $8.33 | $8.33 | 1.0× |
| Potassium Urine (84133) | $205 | $205 | 43.3× |
| Prealbumin (84134) | $268 | $268 | 18.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $175 | $175 | 0.7× |
| Primidone (80188) | $16.38 | $16.38 | 1.0× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$101.60–$178 | $101.60–$178 | varies |
| Progesterone (84144) | $464 | $464 | 22.2× |
| Prolactin (84146) | $316 | $316 | 16.3× |
| Protein body fluid (84157) range across 7 matching MRF lines |
$5.63–$210 | $5.63–$210 | varies |
| Protein C Activity (85303) | $13.66 | $13.66 | 1.0× |
| Protein c antigen (85302) range across 2 matching MRF lines |
$11.86–$30 | $11.86–$30 | varies |
| Protein Electrophoresis Urine (84166) | $16.24 | $16.24 | 0.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$9.51–$9.58 | $9.51–$9.58 | varies |
| Protein S Free (85306) | $15.13 | $15.13 | 1.0× |
| Protein s total (85305) range across 2 matching MRF lines |
$11.46–$77.30 | $11.46–$77.30 | varies |
| Protein Total Refractometry Any Src (84160) | $7.45 | $7.45 | 1.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$9.51–$207 | $9.51–$207 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$3.26–$167 | $3.26–$167 | varies |
| Protein Western Blot Test (84182) | $87.11 | $87.11 | 3.0× |
| PSA free (84154) | $258 | $258 | 14.0× |
| Pth Intact (83970) | $432 | $432 | 10.5× |
| Q Fever Antibody (86638) | $13.20 | $13.20 | 1.1× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$55.04–$341 | $55.04–$341 | varies |
| Quantitative assay drug (80299) | $12.59 | $12.59 | 0.7× |
| Rbc antibody elution (86860) | $260 | $260 | 1.1× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$175–$617 | $175–$617 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$108–$239 | $108–$239 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$380–$430 | $380–$430 | varies |
| Rbc serum pretx incubj drugs (86975) | $540 | $540 | 0.8× |
| Renin activity plasma (84244) | $21.72 | $21.72 | 1.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$41.25–$700 | $41.25–$700 | varies |
| Reticulocyte separation (86972) | $430 | $430 | 1.7× |
| Rh (86901) range across 2 matching MRF lines |
$37.50–$195 | $37.50–$195 | varies |
| Rheumatoid factor quant (86431) | $5 | $5 | 0.9× |
| Ristocetin cofactor (85245) | $22.65 | $22.65 | 1.0× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$2.92–$8.29 | $2.92–$8.29 | varies |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$12.93–$185 | $12.93–$185 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$9.51–$11.45 | $9.51–$11.45 | varies |
| Russell Viper Venom Time Diluted (85613) | $8.45 | $8.45 | 0.9× |
| Salicylate Level (80179) | $291 | $291 | 15.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
$65–$199 | $65–$199 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $400 | $400 | 2.8× |
| Sedimentation Rate, Automated (85652) | $170 | $170 | 63.0× |
| Sensitivity mic (87186) | $399 | $399 | 46.1× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$18.72–$33.72 | $18.72–$33.72 | varies |
| Sickling of rbc reduction (85660) | $15 | $15 | 2.7× |
| Sirolimus (80195) | $11.99 | $11.99 | 0.9× |
| Smear acid fast (87206) | $4.87 | $4.87 | 0.9× |
| Smear complex stain (87209) | $14.96 | $14.96 | 0.8× |
| Smear gram stain (87205) | $131 | $131 | 30.7× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$6.10–$299 | $6.10–$299 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $202 | $202 | 34.7× |
| Sodium Serum (84295) | $273 | $273 | 56.8× |
| Sodium Urine (84300) | $205 | $205 | 40.5× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$114.24–$450 | $114.24–$450 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$91.98–$424 | $91.98–$424 | varies |
| Specimen infect agnt concntj (87015) | $6.31 | $6.31 | 0.9× |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$6.50–$150 | $6.50–$150 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$475.60–$589 | $475.60–$589 | varies |
| Stool cultr aerobic bact ea (87046) | $134 | $134 | 14.2× |
| Strep a assay w/optic (87880) | $283 | $283 | 17.1× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$40.50–$549 | $40.50–$549 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$42.30–$778 | $42.30–$778 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$390.64–$1,706 | $390.64–$1,706 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $7.74 | $7.74 | 1.0× |
| Syphilis Test Non-Trep Quant (86593) | $221 | $221 | 50.2× |
| T cells absolute cd4 count (86361) | $24.54 | $24.54 | 0.9× |
| T3 Free (84481) range across 2 matching MRF lines |
$14.97–$220 | $14.97–$220 | varies |
| T3 reverse (84482) | $15.56 | $15.56 | 1.0× |
| T3 Total (84480) range across 2 matching MRF lines |
$13.25–$28.26 | $13.25–$28.26 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$4.01–$5.68 | $4.01–$5.68 | varies |
| T4 Free (84439) range across 3 matching MRF lines |
$7.91–$252 | $7.91–$252 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$4–$6.03 | $4–$6.03 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$55–$57.08 | $55–$57.08 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$22.80–$292 | $22.80–$292 | varies |
| Theophylline (80198) | $541 | $541 | 38.3× |
| Thrombin Time (85670) | $4.99 | $4.99 | 0.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$7.05–$76 | $7.05–$76 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$14.33–$23.20 | $14.33–$23.20 | varies |
| Thyroglobulin Antibody (86800) | $14.27 | $14.27 | 0.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $59.46 | $59.46 | 1.2× |
| Tobramycin peak (80200) | $519 | $519 | 32.2× |
| Toxoplasma ab igm (86778) | $12.83 | $12.83 | 0.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $247 | $247 | 47.7× |
| Transferrin (84466) | $223 | $223 | 17.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$5.02–$330 | $5.02–$330 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$460–$517.45 | $460–$517.45 | varies |
| Tumor immunohistochem/comput (88361) | $78 | $78 | 0.1× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$80–$109.60 | $80–$109.60 | varies |
| Urea nitrogen urine (84540) | $167 | $167 | 30.0× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$4.68–$171 | $4.68–$171 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $67 | $67 | 30.9× |
| Urine Pregnancy Test (81025) | $281 | $281 | 32.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $179 | $179 | 56.5× |
| Valproic acid (80164) | $320 | $320 | 23.6× |
| Vancomycin (80202) range across 3 matching MRF lines |
$310–$875 | $310–$875 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$5.47–$33.73 | $5.47–$33.73 | varies |
| Vasopressin (84588) | $33.52 | $33.52 | 1.0× |
| Viral Culture (87252) | $21.87 | $21.87 | 0.8× |
| Vit D 1 25-Dihydroxy (82652) range across 3 matching MRF lines |
$46.01–$56.51 | $46.01–$56.51 | varies |
| Vitamin A (84590) | $10.21 | $10.21 | 0.9× |
| Vitamin b-12 (82607) | $213 | $213 | 14.1× |
| Vitamin B2 (Riboflavin) (84252) | $19.98 | $19.98 | 1.0× |
| Vitamin B6 (84207) | $27.74 | $27.74 | 1.0× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$24.79–$312 | $24.79–$312 | varies |
| Vitamin E (84446) | $12 | $12 | 0.8× |
| Volatiles (84600) | $17.77 | $17.77 | 1.0× |
| Von willebrand factor ag (85246) | $22.65 | $22.65 | 1.0× |
| Wbc Alkaline Phosphatase Count (85540) | $9.50 | $9.50 | 1.1× |
| West nile virus ab igm (86788) | $18.34 | $18.34 | 1.1× |
| West Nile Virus Antibody (86789) | $15.66 | $15.66 | 1.1× |
| Zinc (84630) | $10.21 | $10.21 | 0.9× |
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.