Lab & pathology prices at Antelope Memorial Hospital
Neligh, NE · every code in this section with a posted price and a Medicare benchmark.
536 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | — | $356 | — |
| Acute hepatitis panel (80074) | — | $504 | — |
| Acylcarnitines Quant (82017) | — | $218 | — |
| Albumin Fluid (82042) | — | $103 | — |
| Albumin serum (82040) | — | $89 | — |
| Aldolase (82085) | — | $125 | — |
| Aldosterone urine (82088) | — | $322 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $190 | — |
| Allergen spec ige qual multiallergen screen (86005) | — | $15 | — |
| Allergen specific ige (86003) range across 14 matching MRF lines |
— | $23–$50 | — |
| Allergen specific igg (86001) | — | $65 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $25 | — |
| Alpha-1-antitrypsin phenotype (82104) range across 4 matching MRF lines |
— | $43–$79 | — |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
— | $43–$125 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $459 | — |
| Alpha-Fetoprotein Serum (82105) | — | $170 | — |
| Alt (sgpt) (84460) | — | $123 | — |
| Aluminum (82108) | — | $66 | — |
| Amikacin trough (80150) | — | $260 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $411 | — |
| Ammonia (82140) | — | $210 | — |
| Amylase urine (82150) | — | $139 | — |
| Ana Titer (86039) | — | $60 | — |
| Androstenedione (82157) | — | $291 | — |
| Angiotensin converting enzyme csf (82164) | — | $158 | — |
| Antibody aspergillus (86606) range across 5 matching MRF lines |
— | $23–$29 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $129 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $101 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $180 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $233 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $110 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $208 | — |
| Antibody haemophilus influenza (86684) | — | $222 | — |
| Antibody helicobacter pylori (86677) | — | $189 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $250 | — |
| Antibody HIV-2 (86702) | — | $46 | — |
| Antibody Hla Class I High Definition Panel Qual (86832) | — | $607 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $282 | — |
| Antibody Protozoa Nes (86753) | — | $62 | — |
| Antibody Titer (86886) | — | $183 | — |
| Antibody Treponema Pallidum (86780) | — | $112 | — |
| Antibody; influenza virus (86710) | — | $160 | — |
| Antigen typing (86905) | — | $250 | — |
| Antinomyces antibody (86602) | — | $138 | — |
| Antinuclear antibodies (86038) | — | $141 | — |
| Antistreptolysin o titer (86060) | — | $124 | — |
| Antithrombin iii activity (85300) range across 4 matching MRF lines |
— | $19–$290 | — |
| Antithrombin iii antigen (85301) | — | $284 | — |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
— | $56–$560 | — |
| Arsenic (82175) range across 4 matching MRF lines |
— | $34–$204 | — |
| Aspergillus ag eia (87305) | — | $184 | — |
| Assay activated protein c (85307) | — | $232 | — |
| Assay Blood Carbon Dioxide (82374) | — | $131 | — |
| Assay of 5-hiaa (83497) | — | $171 | — |
| Assay of blood/uric acid (84550) | — | $95 | — |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
— | $21–$108 | — |
| Assay of g6pd enzyme (82955) | — | $198 | — |
| Assay of gammaglobulin igm (82784) | — | $162 | — |
| Assay of lactic acid (83605) | — | $200 | — |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
— | $247–$646 | — |
| Assay of proinsulin (84206) | — | $375 | — |
| Assay of pyruvate (84210) | — | $131 | — |
| Assay of serotonin (84260) | — | $368 | — |
| Assay of serum potassium (84132) | — | $101 | — |
| Assay of urea nitrogen (84520) | — | $89 | — |
| Assay of urine vma (84585) | — | $256 | — |
| Assay of vitamin b-1 (84425) | — | $221 | — |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
— | $21–$171 | — |
| Automated Leukocyte Count (85048) | — | $86 | — |
| B cells total count (86355) | — | $97 | — |
| Bartonella antibody (86611) | — | $116 | — |
| Bcr/abl1 gene major bp (81206) | — | $503 | — |
| Bcr/abl1 gene minor bp (81207) | — | $245 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $380 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
— | $23–$255 | — |
| Beta hydroxybutyrate (82010) range across 4 matching MRF lines |
— | $72–$313 | — |
| Beta-2 Microglobulin (82232) | — | $47 | — |
| Bile acids total (82239) | — | $151 | — |
| Bilirubin direct (82248) | — | $72 | — |
| Bilirubin total (82247) | — | $91 | — |
| Biotinidase (82261) range across 4 matching MRF lines |
— | $9–$74 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $19 | — |
| Blastomyces antibody (86612) | — | $60 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $105 | — |
| Blood gas (82803) range across 5 matching MRF lines |
— | $395–$442 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $18 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $208 | — |
| Blood typing serologic abo (86900) | — | $102 | — |
| Bordetella antibody (86615) | — | $164 | — |
| C diff amplified probe (87493) | — | $333 | — |
| C-Peptide (84681) | — | $159 | — |
| C-reactive protein (86140) | — | $149 | — |
| Ca 19-9 (86301) | — | $214 | — |
| Cadmium (82300) | — | $34 | — |
| Calcitonin (82308) | — | $87 | — |
| Calcium ionized (82330) | — | $181 | — |
| Calcium total (82310) | — | $95 | — |
| Calculus Spectroscopy (82365) | — | $192 | — |
| Calprotectin Fecal (83993) | — | $372 | — |
| Cancer Antigen 125 (86304) | — | $224 | — |
| Cancer Antigen 27.29 (86300) | — | $273 | — |
| Candida Dna Dir Probe (87480) | — | $32 | — |
| Carbamazepine total (80156) | — | $200 | — |
| Carboxyhemoglobin (82375) | — | $225 | — |
| Carcinoembryonic antigen (82378) | — | $271 | — |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
— | $23–$260 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $324 | — |
| Catecholamines fractionated (82384) | — | $320 | — |
| Ccp antibody (86200) | — | $192 | — |
| Cell count csf (89051) | — | $190 | — |
| Ceruloplasmin (82390) | — | $257 | — |
| Cftr gene com variants (81220) | — | $911 | — |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
— | $167–$671 | — |
| Chlamydia antibody (86631) | — | $30 | — |
| Chlamydia Igm Antibody (86632) | — | $30 | — |
| Chloride other source (82438) | — | $105 | — |
| Chloride Serum (82435) | — | $22 | — |
| Chloride urine (82436) range across 4 matching MRF lines |
— | $21–$90 | — |
| Cholesterol total (82465) | — | $92 | — |
| Cholinesterase Serum (82480) | — | $139 | — |
| Chorionic gonadotropin test (84702) | — | $193 | — |
| Chromogranin a (86316) | — | $307 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | — | $237 | — |
| Citric acid urine (82507) range across 4 matching MRF lines |
— | $21–$295 | — |
| Ckmb (82553) | — | $235 | — |
| Clot factor xiii fibrin stab (85290) | — | $257 | — |
| Clotting factor viii related antigen (85244) | — | $102 | — |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
— | $28–$93 | — |
| Cold agglutinin screen (86156) | — | $118 | — |
| Cold agglutinin titer (86157) | — | $164 | — |
| Collagen crosslinks (82523) | — | $202 | — |
| Column Chromotography Quant (82542) | — | $333 | — |
| Compatibility test antiglob (86922) | — | $322 | — |
| Complement Antigen Each Component (86160) | — | $117 | — |
| Complement Total (Ch50) (86162) | — | $194 | — |
| Complement/Function Activity (86161) | — | $245 | — |
| Coombs direct (86880) | — | $108 | — |
| Copper urine (82525) | — | $212 | — |
| Cortisol free (82530) | — | $301 | — |
| Cortisol saliva (82533) | — | $213 | — |
| Creatine kinase total (82550) | — | $138 | — |
| Creatinine blood (82565) | — | $95 | — |
| Creatinine clearance (82575) | — | $145 | — |
| Creatinine Urine (82570) | — | $123 | — |
| Crp High Sensitivity (86141) | — | $237 | — |
| Cryoglobulin (82595) | — | $100 | — |
| Cryptosporidium ag eia (87328) | — | $148 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 5 matching MRF lines |
— | $53–$120 | — |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | — | $134 | — |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
— | $25–$217 | — |
| Culture blood (87040) | — | $321 | — |
| Culture csf (87070) range across 8 matching MRF lines |
— | $25–$204 | — |
| Culture fungus (87102) | — | $232 | — |
| Culture fungus blood (87103) | — | $129 | — |
| Culture screen only (87081) range across 5 matching MRF lines |
— | $32–$114 | — |
| Culture stool (87045) range across 4 matching MRF lines |
— | $22–$161 | — |
| Culture urine (87086) | — | $131 | — |
| Cyclosporine (80158) | — | $286 | — |
| Cystatin C (82610) | — | $40 | — |
| Cytomegalovirus igg (86644) | — | $124 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 4 matching MRF lines |
— | $36–$299 | — |
| Cytopath Cell Enhance Tech (88112) | — | $333 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $525 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $313 | — |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | — | $747 | — |
| Desoxycorticosterone (82633) | — | $103 | — |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
— | $246–$658 | — |
| Detect Agent Nos Dna Quant (87799) | — | $393 | — |
| Dhea (82626) | — | $285 | — |
| Dhea-S (82627) | — | $285 | — |
| Digoxin (80162) | — | $180 | — |
| Diphtheria antitoxoid (86648) | — | $138 | — |
| Dipropylacetic Acid Free (80165) | — | $176 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $137 | — |
| Dna Antibody Single Stranded (86226) | — | $183 | — |
| Dna/Rna Amplified Probe (87150) range across 6 matching MRF lines |
— | $15–$144 | — |
| Dna/Rna Sequencing (87153) | — | $56 | — |
| Drug assay acetaminophen (80143) | — | $359 | — |
| Drug Assay Infliximab (80230) | — | $271 | — |
| Drug Assay Itraconazole (80189) | — | $144 | — |
| Drug Assay Lacosamide (80235) | — | $103 | — |
| Drug Assay Vedolizumab (80280) | — | $426 | — |
| Drug assay voriconazole (80285) | — | $128 | — |
| Drug Screen Quant Zonisamide (80203) | — | $116 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $302 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $226 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $288 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $238 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $193 | — |
| Drug Test Prsmv Chem Anlyzr (80307) | — | $256 | — |
| Drug Test Prsmv Dir Opt Obs (80305) range across 6 matching MRF lines |
— | $32–$284 | — |
| Ehrlichia antibody (86666) | — | $129 | — |
| Electrolyte panel (80051) | — | $188 | — |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
— | $76–$210 | — |
| Enterovirus PCR (87498) | — | $379 | — |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
— | $9–$405 | — |
| Eosinophil Smear (89190) | — | $60 | — |
| Erythropoietin (82668) | — | $237 | — |
| Estradiol serum (82670) | — | $271 | — |
| Estriol (82677) | — | $176 | — |
| Estrogen total (82672) | — | $135 | — |
| Estrogens fractionated (82671) | — | $88 | — |
| Ethosuximide (80168) | — | $300 | — |
| Exam Synovial Fluid Crystals (89060) | — | $132 | — |
| F2 Gene (81240) | — | $276 | — |
| Factor ii activity (85210) | — | $336 | — |
| Factor ix activity (85250) | — | $146 | — |
| Factor v activity (85220) | — | $405 | — |
| Factor v leiden mutation (81241) | — | $529 | — |
| Factor vii assay (85230) | — | $386 | — |
| Factor viii assay (85240) range across 4 matching MRF lines |
— | $321–$414 | — |
| Factor X (85260) | — | $146 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $455 | — |
| Fecal Fat Qualitative (82705) | — | $21 | — |
| Ferritin (82728) | — | $197 | — |
| Fetal Congenital Abnor Assay Four Anal (81511) | — | $215 | — |
| Fetal Fibronectin (82731) | — | $945 | — |
| Fetal lung maturity assessment; foam stability test Facility (83662) | — | $223 | — |
| Fibrin degradation products (85362) | — | $234 | — |
| Fibrin Degradation Quant (85379) range across 4 matching MRF lines |
— | $19–$237 | — |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | — | $185 | — |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
— | $19–$170 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | — | $338 | — |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
— | $240–$401 | — |
| Flt3 Gene (81245) range across 4 matching MRF lines |
— | $317–$446 | — |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
— | $25–$233 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
— | $23–$233 | — |
| Folic Acid Serum (82746) | — | $189 | — |
| Follicle Stimulating Hormone (83001) | — | $203 | — |
| Francisella tularensis (86668) | — | $45 | — |
| Fungi Identification Yeast (87106) | — | $106 | — |
| Galactose (82760) | — | $9 | — |
| Galactose transferase test (82776) range across 4 matching MRF lines |
— | $9–$101 | — |
| Gammaglobulin ige (82785) range across 6 matching MRF lines |
— | $155–$169 | — |
| Gardner vag DNA dir probe (87510) | — | $32 | — |
| Gases blood ph only (82800) | — | $152 | — |
| Gastrin (82941) | — | $217 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $903 | — |
| Gentamicin (80170) | — | $310 | — |
| Ggt (82977) | — | $96 | — |
| Giardia antigen (87329) | — | $240 | — |
| Glucose 2 hr pp (82950) | — | $76 | — |
| Glucose Blood Test (82962) range across 6 matching MRF lines |
— | $18–$82 | — |
| Glucose body fluid (82945) | — | $124 | — |
| Glucose Serum (82947) | — | $63 | — |
| Glucose tolerance test (gtt) (82951) | — | $198 | — |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | — | $59 | — |
| Gonadotropin Chorionic Qualitative (84703) range across 4 matching MRF lines |
— | $32–$225 | — |
| H Pylori (C-13) Breath (83013) | — | $159 | — |
| Haptoglobin (83010) | — | $225 | — |
| Hba1/Hba2 Gene (81257) | — | $1,006 | — |
| Hdl Cholesterol (83718) | — | $117 | — |
| Helicobacter Pylori Stool (87338) | — | $419 | — |
| Hematocrit (85014) | — | $66 | — |
| Hemoglobin (85018) range across 5 matching MRF lines |
— | $18–$63 | — |
| Hemoglobin a1c (83036) | — | $134 | — |
| Hemoglobin Chromotography (83021) | — | $65 | — |
| Hemoglobin electrophoresis (83020) range across 6 matching MRF lines |
— | $9–$110 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $65 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $134 | — |
| Hep a ab igm (86709) | — | $137 | — |
| Heparin assay (85520) range across 4 matching MRF lines |
— | $34–$308 | — |
| Heparin Neutralization (85525) | — | $122 | — |
| Hepatitis a antibody total (86708) | — | $237 | — |
| Hepatitis b core ab igm (86705) range across 4 matching MRF lines |
— | $42–$232 | — |
| Hepatitis b core ab total (86704) | — | $40 | — |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
— | $40–$197 | — |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
— | $106–$167 | — |
| Hepatitis Be Antibody (86707) | — | $42 | — |
| Hepatitis Be Antigen (87350) range across 4 matching MRF lines |
— | $42–$161 | — |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
— | $76–$212 | — |
| Hepatitis C Genotype (87902) | — | $501 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $589 | — |
| Hepatitis Delta Agent Antibody (86692) | — | $351 | — |
| Herpes simplex type 2 (86696) | — | $62 | — |
| Heterophile Antibody Screen (86308) | — | $130 | — |
| Hfe Gene (81256) range across 4 matching MRF lines |
— | $183–$503 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $167 | — |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
— | $28–$87 | — |
| Histoplasma antigen urine (87385) | — | $408 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 5 matching MRF lines |
— | $46–$176 | — |
| HIV-1 p24 antigen (87390) | — | $46 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $573 | — |
| Hla class ii high defin qual (86833) | — | $607 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $393 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $440 | — |
| Hla ii typing 1 locus lr (81376) | — | $294 | — |
| Hla Typing Dr/Dq Multiple Antigens (86817) | — | $1,054 | — |
| Homocysteine (83090) | — | $339 | — |
| Homogenization Tissue (87176) | — | $26 | — |
| Hpv Types 16 & 18 Only (87625) | — | $213 | — |
| Hsv Dna Amp Probe (87529) | — | $245 | — |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
— | $9–$233 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $78 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $194 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 4 matching MRF lines |
— | $59–$152 | — |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
— | $22–$137 | — |
| Iaad Ia Streptococcus Group A (87430) | — | $129 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $643 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $957 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $479 | — |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | — | $207 | — |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | — | $161 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | — | $161 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $171 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | — | $237 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $207 | — |
| Igg subclasses (82787) | — | $75 | — |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | — | $827 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $254 | — |
| Immunfix e-phorsis/urine/csf (86335) | — | $256 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 9 matching MRF lines |
— | $25–$835 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | — | $132 | — |
| Immunoassay nonantibody (83516) range across 15 matching MRF lines |
— | $9–$195 | — |
| Immunodiffusion Ouchterlony (86331) range across 4 matching MRF lines |
— | $20–$29 | — |
| Immunofixation electrophoresis (86334) | — | $252 | — |
| Immunohistochemistry (88342) | — | $483 | — |
| In situ hybridization 1st probe stain (88365) | — | $438 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | — | $300 | — |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
— | $32–$146 | — |
| Influenza DNA amp probe (87502) range across 4 matching MRF lines |
— | $242–$417 | — |
| Inhibin A (86336) | — | $163 | — |
| Inhibin b (83520) range across 6 matching MRF lines |
— | $144–$224 | — |
| Insulin antibodies (86337) | — | $305 | — |
| Insulin total (83525) | — | $142 | — |
| Interleukin-6 (83529) | — | $142 | — |
| Iron (83540) | — | $103 | — |
| Iron Binding Capacity (83550) | — | $124 | — |
| Islet cell antibody (86341) | — | $512 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $1,023 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $990 | — |
| Koh Prep (87220) range across 4 matching MRF lines |
— | $23–$69 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $105 | — |
| Lactoferrin fecal qualitative (83630) | — | $102 | — |
| Ldh Isoenzymes (83625) | — | $170 | — |
| LDL direct (83721) | — | $100 | — |
| Lead (83655) range across 5 matching MRF lines |
— | $34–$118 | — |
| Legionella antibody (86713) | — | $141 | — |
| Legionella antigen urine (87449) | — | $329 | — |
| Leptospira antibody (86720) | — | $198 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $25 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $75 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $1,407 | — |
| Lipase (83690) | — | $162 | — |
| Lipoprotein A (83695) | — | $160 | — |
| Lipoprotein Bld Quan Part (83704) | — | $193 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) | — | $439 | — |
| Lithium (80178) | — | $155 | — |
| Luteinizing Hormone (Lh) (83002) | — | $170 | — |
| Lyme disease antibody (86618) | — | $377 | — |
| Lysozyme serum (85549) | — | $46 | — |
| Magnesium Urine (83735) | — | $129 | — |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
— | $9–$418 | — |
| Mercury urine (83825) range across 4 matching MRF lines |
— | $34–$200 | — |
| Methotrexate (80204) | — | $66 | — |
| Methylmalonic acid serum (83921) | — | $380 | — |
| Microalbumin, quantitative (82043) | — | $162 | — |
| Microbe Suscept Macrobroth (87188) | — | $140 | — |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
— | $26–$119 | — |
| Mononuclear cell antigen (86356) | — | $47 | — |
| Mopath procedure level 4 (81403) | — | $273 | — |
| Mopath procedure level 9 (81408) | — | $1,013 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $184 | — |
| Mumps antibody (86735) | — | $131 | — |
| Mycoplasma antibody (86738) | — | $171 | — |
| Myelin basic protein csf (83873) | — | $295 | — |
| Myoglobin urine (83874) | — | $205 | — |
| Natriuretic peptide (83880) | — | $360 | — |
| Neutralization Test Viral (86382) range across 4 matching MRF lines |
— | $159–$228 | — |
| Nfct ds bv&vaginitis DNA alg (81515) | — | $169 | — |
| Niacin (84591) | — | $204 | — |
| Nk cells total count (86357) | — | $48 | — |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
— | $14–$131 | — |
| Nudt15 Gene Common Variants (81306) | — | $202 | — |
| Obstetric panel (80081) | — | $371 | — |
| Occult blood feces (82272) range across 4 matching MRF lines |
— | $18–$54 | — |
| Occult Blood Other Sources (82271) range across 4 matching MRF lines |
— | $16–$72 | — |
| Oligoclonal bands (83916) | — | $339 | — |
| Osmolality serum (83930) | — | $213 | — |
| Osmolality Urine (83935) | — | $175 | — |
| Ova and parasites smears (87177) | — | $152 | — |
| Oxalate urine (83945) range across 4 matching MRF lines |
— | $21–$267 | — |
| Parvovirus antibody (86747) | — | $177 | — |
| Ph urine (81003) | — | $69 | — |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
— | $207–$222 | — |
| Phenylalanine (84030) | — | $128 | — |
| Phenytoin (Dilantin) (80185) | — | $185 | — |
| Phenytoin free (80186) | — | $207 | — |
| Phosphatase acid prostatic (84066) | — | $175 | — |
| Phosphatase alkaline (84075) | — | $68 | — |
| Phosphatidylglycerol (84081) | — | $365 | — |
| Phosphorus Serum (84100) | — | $119 | — |
| Phosphorus urine (84105) range across 4 matching MRF lines |
— | $21–$88 | — |
| Pinworm exam (87172) | — | $38 | — |
| Platelet Aggregation (85576) | — | $236 | — |
| Platelet count automated (85049) range across 4 matching MRF lines |
— | $19–$79 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $171 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $260 | — |
| Porphyrins, urine; qualitative (84119) | — | $130 | — |
| Potassium Urine (84133) range across 4 matching MRF lines |
— | $21–$88 | — |
| Prealbumin (84134) | — | $177 | — |
| Pretx serum rbc antibody identification dilution (86976) | — | $92 | — |
| Procalcitonin (Pct) (84145) | — | $345 | — |
| Progesterone (84144) | — | $177 | — |
| Prolactin (84146) | — | $224 | — |
| Prostaglandin (84150) | — | $406 | — |
| Protein body fluid (84157) | — | $120 | — |
| Protein C Activity (85303) | — | $315 | — |
| Protein Electrophoresis Urine (84166) | — | $254 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $180 | — |
| Protein S Free (85306) | — | $371 | — |
| Protein total serum (84155) | — | $86 | — |
| Protein Total Urine (84156) | — | $95 | — |
| Protein Western Blot Test (84182) | — | $65 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $27 | — |
| PSA free (84154) | — | $194 | — |
| Pth Intact (83970) | — | $471 | — |
| Q Fever Antibody (86638) | — | $63 | — |
| Quantiferon tb gold plus (86480) | — | $530 | — |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
— | $50–$456 | — |
| Rbc antibody elution (86860) | — | $286 | — |
| Rbc antibody identification (86870) | — | $345 | — |
| Rbc antibody screen (86850) | — | $191 | — |
| Rbc pretreatment serum (86978) | — | $705 | — |
| Renin activity plasma (84244) | — | $188 | — |
| Reticulocyte Count Manual (85044) | — | $79 | — |
| Rh (86901) | — | $96 | — |
| Rheumatoid factor quant (86431) | — | $107 | — |
| Rickettsia antibody (86757) | — | $155 | — |
| Ristocetin cofactor (85245) | — | $122 | — |
| Rotavirus ag eia (87425) | — | $203 | — |
| Rpr qualitative (86592) | — | $79 | — |
| Rsv Assay W/Optic (87807) | — | $208 | — |
| Rubella Antibody (86762) | — | $69 | — |
| Rubeola antibody (86765) range across 5 matching MRF lines |
— | $65–$124 | — |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
— | $23–$36 | — |
| Russell Viper Venon Time Undiluted (85612) | — | $221 | — |
| Salicylate Level (80179) | — | $359 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
— | $180–$242 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $141 | — |
| Sars-Cov-2 Covid19 W/Optic (87811) | — | $32 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $484 | — |
| Sedimentation Rate, Automated (85652) | — | $76 | — |
| Semen Anal Sperm Detection (89321) | — | $160 | — |
| Semen analysis complete (89320) | — | $134 | — |
| Semen analysis motility and count (89310) | — | $128 | — |
| Sensitivity mic (87186) range across 4 matching MRF lines |
— | $159–$167 | — |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
— | $17–$408 | — |
| Sickling of rbc reduction (85660) | — | $125 | — |
| Sirolimus (80195) | — | $139 | — |
| Skin test tuberculosis intradermal (86580) | — | $23 | — |
| Smear acid fast (87206) | — | $331 | — |
| Smear complex stain (87209) | — | $129 | — |
| Smear gram stain (87205) | — | $90 | — |
| Smear Special Stain (87207) | — | $97 | — |
| Smn1 Gene Dos/Deletion Alys (81329) | — | $9 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
— | $23–$91 | — |
| Sodium Serum (84295) | — | $54 | — |
| Sodium Urine (84300) range across 4 matching MRF lines |
— | $21–$96 | — |
| Soluble fibrin monomer (85366) | — | $152 | — |
| Somatomedin (84305) | — | $439 | — |
| Special Stains Group 1 (88312) | — | $471 | — |
| Special Stains Group 2 (88313) | — | $397 | — |
| Specimen infect agnt concntj (87015) | — | $24 | — |
| Spectrophotometry (84311) | — | $13 | — |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
— | $22–$138 | — |
| Strep a assay w/optic (87880) | — | $32 | — |
| Strep a DNA amp probe (87651) | — | $223 | — |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
— | $82–$141 | — |
| Surg path level iii (88304) | — | $264 | — |
| Surgical pathology level IV (88305) | — | $338 | — |
| Surgical pathology level vi (88309) | — | $828 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $24 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $27 | — |
| T cells absolute cd4 count (86361) | — | $267 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | — | $110 | — |
| T cells total count (86359) range across 6 matching MRF lines |
— | $48–$240 | — |
| T3 Free (84481) | — | $250 | — |
| T3 reverse (84482) | — | $215 | — |
| T3 Total (84480) | — | $169 | — |
| T3 Uptake (84479) | — | $132 | — |
| T4 Free (84439) range across 4 matching MRF lines |
— | $164–$207 | — |
| T4 total (84436) | — | $105 | — |
| T4-neonatal (84437) range across 4 matching MRF lines |
— | $9–$117 | — |
| Tacrolimus (80197) | — | $285 | — |
| Tau phosphorylated each (84393) | — | $424 | — |
| Tb ag response t-cell susp (86481) | — | $263 | — |
| Test for acetone/ketones (82009) | — | $123 | — |
| Test for urine cystines (82615) | — | $65 | — |
| Testosterone total (84403) range across 4 matching MRF lines |
— | $17–$218 | — |
| Testosterone, Free (84402) range across 4 matching MRF lines |
— | $17–$240 | — |
| Tetanus antibody (86774) | — | $112 | — |
| Theophylline (80198) | — | $198 | — |
| Thrombin Time (85670) range across 4 matching MRF lines |
— | $36–$80 | — |
| Thyroglobulin (84432) | — | $171 | — |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
— | $26–$128 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $767 | — |
| Thyroxine binding globulin (84442) | — | $270 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $62 | — |
| Tobramycin peak (80200) | — | $215 | — |
| Topiramate (80201) | — | $322 | — |
| Toxoplasma ab igm (86778) | — | $151 | — |
| Toxoplasma antibody (86777) | — | $151 | — |
| Tpmt gene com variants (81335) | — | $202 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $154 | — |
| Transferrin (84466) | — | $172 | — |
| Trichomonas vagin dir probe (87660) | — | $32 | — |
| Triglycerides (84478) | — | $86 | — |
| Troponin Quant (84484) | — | $308 | — |
| Tumor immunohistochem/comput (88361) | — | $674 | — |
| Tumor Immunohistochem/Manual (88360) range across 10 matching MRF lines |
— | $258–$437 | — |
| Urea nitrogen urine (84540) | — | $63 | — |
| Uric acid other source (84560) range across 4 matching MRF lines |
— | $21–$112 | — |
| Urinalysis Microscopic Only (81015) | — | $41 | — |
| Urine Albumin Semiquantitative (82044) | — | $62 | — |
| Urine Bacteria Culture (87088) | — | $141 | — |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
— | $34–$162 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $98 | — |
| Valproic acid (80164) | — | $207 | — |
| Vancomycin (80202) | — | $250 | — |
| Varicella-zoster antibody (86787) | — | $124 | — |
| Very Long Chain Fatty Acids (82726) | — | $9 | — |
| Viral Culture (87252) | — | $292 | — |
| Virus antibody nos (86790) | — | $218 | — |
| Virus inoculation, shell via (87254) | — | $359 | — |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | — | $373 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $437 | — |
| Vitamin A (84590) | — | $213 | — |
| Vitamin b-12 (82607) | — | $185 | — |
| Vitamin B6 (84207) | — | $159 | — |
| Vitamin c (82180) | — | $95 | — |
| Vitamin D 25-Hydroxy (82306) | — | $342 | — |
| Vitamin E (84446) | — | $113 | — |
| West nile virus ab igm (86788) | — | $162 | — |
| West Nile Virus Antibody (86789) | — | $162 | — |
| Zinc (84630) | — | $122 | — |
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.