Lab & pathology prices at Arbuckle Memorial Hospital Authority
Sulphur, OK · every code in this section with a posted price and a Medicare benchmark.
531 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $22 | $28 | 2.0× |
| Acetylcholine receptor blocking antibody (86042) | $93 | $116 | 5.1× |
| Acth (82024) | $126 | $158 | 3.3× |
| Actin smooth muscle antibody each (86015) | $59 | $74 | 4.9× |
| Acute hepatitis panel (80074) | $132 | $165 | 2.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$6–$23 | $8–$29 | varies |
| Aldolase (82085) | $27 | $34 | 2.8× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$82–$124 | $102–$155 | varies |
| Alkaline phosphatase isoenzymes (84080) | $52 | $65 | 3.5× |
| Allergen specific ige (86003) range across 39 matching MRF lines |
$10–$600 | $13–$750 | varies |
| Allergen specific igg (86001) | $35 | $44 | 4.5× |
| Allg Spec Ige Recomb Ea (86008) | $146 | $182 | 8.1× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$44–$215 | $55–$269 | varies |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$44–$195 | $55–$244 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$56–$59 | $70–$74 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$6–$28 | $8–$35 | varies |
| Amikacin trough (80150) | $52 | $65 | 3.4× |
| Amines vaginal fluid qualitative (82120) | $18 | $22 | 3.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$8–$28 | $10–$35 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$28–$52 | $35–$65 | varies |
| Ammonia (82140) | $44 | $55 | 3.0× |
| Amylase urine (82150) range across 5 matching MRF lines |
$32–$132 | $40–$165 | varies |
| Ana Titer (86039) | $34 | $43 | 3.0× |
| Anca screen each antibody (86036) | $36 | $45 | 3.0× |
| Androstenedione (82157) | $98 | $123 | 3.3× |
| Angiotensin converting enzyme csf (82164) | $45 | $56 | 3.1× |
| Anti-Phospholipid Antibody (86148) | $18 | $22 | 1.1× |
| Antibody aspergillus (86606) | $42 | $53 | 2.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $27 | $34 | 2.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $43 | $54 | 2.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $36 | $45 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $42 | $53 | 2.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $51 | $64 | 2.8× |
| Antibody helicobacter pylori (86677) | $42 | $52 | 2.5× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$40–$65 | $50–$81 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$16–$38 | $20–$47 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $54 | $68 | 2.8× |
| Antibody leishmania (86717) | $30 | $38 | 2.4× |
| Antibody plasmodium malaria (86750) | $25 | $31 | 1.9× |
| Antibody Protozoa Nes (86753) | $124 | $155 | 10.0× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$33–$37 | $41–$46 | varies |
| Antigen typing (86905) | $22 | $27 | 5.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $24 | $30 | 4.2× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$36–$40 | $45–$50 | varies |
| Antistreptolysin o titer (86060) | $20 | $25 | 2.7× |
| Antithrombin iii activity (85300) | $40 | $50 | 3.4× |
| Antithrombin iii antigen (85301) | $40 | $50 | 3.7× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$44–$360 | $55–$450 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$53–$61 | $66–$76 | varies |
| Assay activated protein c (85307) | $52 | $65 | 3.4× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$6–$23 | $8–$29 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $180 | $225 | 6.4× |
| Assay Nephelometry Not Spec (83883) | $60 | $75 | 4.4× |
| Assay of 5-hiaa (83497) | $36 | $45 | 2.8× |
| Assay of blood/uric acid (84550) | $23 | $29 | 5.1× |
| Assay of calcium in urine (82340) | $17 | $21 | 2.8× |
| Assay of estrone (82679) | $240 | $300 | 9.6× |
| Assay of g6pd enzyme (82955) | $45 | $56 | 4.6× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$28–$62 | $35–$77 | varies |
| Assay of lactic acid (83605) | $30 | $38 | 2.6× |
| Assay of manganese (83785) | $103 | $129 | 3.9× |
| Assay of metanephrines (83835) range across 9 matching MRF lines |
$32–$154 | $40–$193 | varies |
| Assay of proinsulin (84206) | $50 | $62 | 1.9× |
| Assay of prostate specific antigen complexed (84152) | $150 | $188 | 8.2× |
| Assay of pyruvate (84210) | $37 | $46 | 2.6× |
| Assay of serotonin (84260) | $139 | $174 | 4.5× |
| Assay of serum potassium (84132) | $23 | $29 | 4.8× |
| Assay of urea nitrogen (84520) | $23 | $29 | 5.8× |
| Assay of urine vma (84585) | $43 | $54 | 2.8× |
| Assay of vasoactive intestinal peptide (84586) | $100 | $125 | 2.8× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$68–$140 | $85–$175 | varies |
| Assay Ph Body Fluid Nos (83986) | $10 | $13 | 2.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $10 | $12 | 0.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$10 | $12–$13 | 3.9× |
| B cells total count (86355) | $75 | $94 | 2.0× |
| Bacterial antigens 87802 (87802) | $28 | $35 | 2.2× |
| Bartonella antibody (86611) | $124 | $155 | 12.2× |
| Bcr/abl1 gene major bp (81206) | $280 | $350 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $240 | $300 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$70–$134 | $87–$167 | varies |
| Beta hydroxybutyrate (82010) | $20 | $25 | 2.4× |
| Beta Lactamase (87185) | $5 | $6 | 1.1× |
| Beta-2 Microglobulin (82232) | $46 | $57 | 2.8× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$14–$23 | $17–$29 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$14–$23 | $17–$29 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $7 | $9 | 0.9× |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$10–$12 | $12–$15 | varies |
| Blood Count Red Blood Cell Automated (85041) | $11 | $14 | 3.6× |
| Blood count reticulocyte automated (85045) | $12 | $15 | 3.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $10 | $12 | 2.6× |
| Blood gas (82803) range across 3 matching MRF lines |
$24–$92 | $30–$115 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $14 | $17 | 0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 6 matching MRF lines |
$8–$28 | $10–$35 | varies |
| Blood typing serologic abo (86900) | $12 | $15 | 4.0× |
| Body fluid cell count (89050) | $23 | $29 | 4.9× |
| Bordetella antibody (86615) | $186 | $232 | 14.1× |
| Brca1&2 gen full seq dup/del (81162) | $1,456 | $1,820 | 0.8× |
| Brucella antibody (86622) | $88 | $110 | 9.9× |
| C-Peptide (84681) | $57 | $71 | 2.7× |
| C-reactive protein (86140) | $14 | $18 | 2.7× |
| Ca 19-9 (86301) | $58 | $73 | 2.8× |
| Calcitonin (82308) | $124 | $155 | 4.6× |
| Calcium ionized (82330) | $41 | $51 | 3.0× |
| Calcium total (82310) range across 4 matching MRF lines |
$6–$23 | $8–$29 | varies |
| Calculus Spectroscopy (82365) | $32 | $40 | 2.5× |
| Calprotectin Fecal (83993) | $156 | $195 | 7.9× |
| Cancer Antigen 125 (86304) | $58 | $72 | 2.8× |
| Cancer Antigen 27.29 (86300) | $58 | $73 | 2.8× |
| Candida Dna Dir Probe (87480) | $34 | $43 | 1.7× |
| Carbamazepine total (80156) | $40 | $50 | 2.7× |
| Carboxyhemoglobin (82375) | $34 | $43 | 2.8× |
| Carcinoembryonic antigen (82378) | $53 | $66 | 2.8× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$29–$70 | $36–$87 | varies |
| Carnitine Quantitative Each Specimen (82379) | $154 | $193 | 9.1× |
| Catecholamines fractionated (82384) | $70 | $88 | 2.8× |
| Catecholamines total urine (82382) | $56 | $70 | 2.1× |
| Ccp antibody (86200) | $32 | $40 | 2.5× |
| Cell count csf (89051) range across 6 matching MRF lines |
$10–$28 | $12–$35 | varies |
| Cell marker study (88182) | $73 | $91 | 1.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $385 | $481 | 2.8× |
| Ceruloplasmin (82390) | $30 | $38 | 2.8× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $270 | $338 | 1.6× |
| Cftr gene com variants (81220) | $890 | $1,113 | 1.6× |
| Cftr gene dup/delet variants (81222) | $696 | $870 | 1.6× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$45–$308 | $56–$385 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$6–$23 | $7–$29 | varies |
| Chloride urine (82436) | $23 | $29 | 4.0× |
| Cholesterol total (82465) | $23 | $29 | 5.3× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$42–$52 | $52–$65 | varies |
| Chromium serum (82495) | $54 | $67 | 2.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$58–$88 | $73–$110 | varies |
| Chromosome Analysis 15-20 (88262) | $302 | $377 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 7 matching MRF lines |
$24–$1,044 | $30–$1,305 | varies |
| Citric acid urine (82507) | $76 | $95 | 2.7× |
| Ckmb (82553) | $42 | $52 | 3.6× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$33–$82 | $41–$103 | varies |
| Clot Factor VIII Multimetric (85247) | $654 | $817 | 28.5× |
| Clotting factor xii hageman (85280) | $402 | $503 | 20.8× |
| Cold agglutinin titer (86157) | $22 | $28 | 2.7× |
| Collagen crosslinks (82523) range across 5 matching MRF lines |
$52–$474 | $65–$593 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$49–$50 | $61–$62 | varies |
| Compatibility Each Unit Incubation (86921) | $41 | $51 | 0.3× |
| Compatibility test antiglob (86922) | $41 | $51 | 0.3× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$33–$34 | $41–$42 | varies |
| Complement Total (Ch50) (86162) | $57 | $71 | 2.8× |
| Complement/Function Activity (86161) | $38 | $48 | 3.2× |
| Coombs direct (86880) | $24 | $30 | 4.5× |
| Copper urine (82525) range across 3 matching MRF lines |
$28–$34 | $35–$43 | varies |
| Cortisol free (82530) | $106 | $133 | 6.3× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$45–$46 | $56–$57 | varies |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$8–$37 | $10–$46 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$14–$23 | $18–$29 | varies |
| Creatinine clearance (82575) | $26 | $33 | 2.7× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$14–$43 | $18–$54 | varies |
| Crossmatch immediate spin (86920) | $36 | $45 | 0.2× |
| Crp High Sensitivity (86141) | $36 | $45 | 2.8× |
| Cryptococcus ag titer (87899) | $34 | $42 | 2.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $22 | $28 | 2.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $28 | $35 | 3.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $17 | $21 | 2.2× |
| Culture afb (87116) range across 5 matching MRF lines |
$20–$42 | $25–$53 | varies |
| Culture Anaerobic (87075) | $26 | $33 | 2.7× |
| Culture blood (87040) | $29 | $36 | 2.8× |
| Culture chlamydia (87110) | $54 | $68 | 2.8× |
| Culture csf (87070) range across 25 matching MRF lines |
$17–$88 | $21–$110 | varies |
| Culture fungus (87102) | $23 | $29 | 2.7× |
| Culture screen only (87081) range across 3 matching MRF lines |
$18–$42 | $23–$52 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$26–$44 | $33–$55 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14 | $18 | 2.7× |
| Culture urine (87086) | $22 | $28 | 2.7× |
| Cyclosporine (80158) | $50 | $62 | 2.8× |
| Cyp2d6 gene com variants (81226) | $580 | $725 | 1.3× |
| Cytomegalovirus igg (86644) | $47 | $59 | 3.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $112 | $140 | 5.5× |
| Cytopath Cell Enhance Tech (88112) | $109 | $136 | 2.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $25 | $31 | 1.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $2 | $3 | 0.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$51–$112 | $64–$140 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $14 | $18 | 0.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $90 | $112 | 4.9× |
| Deoxyribonuclease antibody (86215) | $44 | $55 | 3.3× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$88–$249 | $110–$311 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$118–$290 | $147–$363 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$24–$35 | $30–$44 | varies |
| Dhea (82626) range across 3 matching MRF lines |
$62–$70 | $77–$87 | varies |
| Dhea-S (82627) | $62 | $77 | 2.8× |
| Digoxin (80162) | $60 | $75 | 4.5× |
| Dihydrotestosterone (82642) | $49 | $61 | 1.7× |
| Dipropylacetic Acid Free (80165) | $38 | $48 | 2.8× |
| Dna Antibody Native/Double Stranded (86225) | $62 | $78 | 4.5× |
| Dna Antibody Single Stranded (86226) | $48 | $60 | 4.0× |
| Drug assay acetaminophen (80143) | $60 | $75 | 3.2× |
| Drug Assay Amiodarone (80151) | $88 | $110 | 4.7× |
| Drug Assay Everolimus (80169) | $140 | $175 | 10.2× |
| Drug assay felbamate (80167) | $67 | $84 | 3.6× |
| Drug Assay Itraconazole (80189) range across 3 matching MRF lines |
$38–$128 | $47–$160 | varies |
| Drug Assay Lacosamide (80235) | $42 | $52 | 1.5× |
| Drug Screen Quant Clozapine (80159) | $53 | $66 | 2.6× |
| Drug Screen Quant Zonisamide (80203) | $38 | $48 | 2.9× |
| Drug Screen Quantitative Gabapentin (80171) | $42 | $52 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $38 | $48 | 2.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $38 | $48 | 2.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $60 | $75 | 4.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$30–$536 | $37–$670 | varies |
| Ehrlichia antibody (86666) | $28 | $35 | 2.8× |
| El-1 Fecal Quantitative (82653) | $226 | $283 | 9.8× |
| Electrolyte panel (80051) | $42 | $52 | 6.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $32 | $40 | 2.6× |
| Enzyme cell activity (82657) | $45 | $56 | 2.0× |
| Erythropoietin (82668) | $83 | $104 | 4.4× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$62–$180 | $78–$225 | varies |
| Estriol (82677) | $85 | $106 | 3.5× |
| Estrogen total (82672) | $60 | $75 | 2.8× |
| Ethosuximide (80168) | $81 | $101 | 5.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$15–$20 | $19–$25 | varies |
| F2 Gene (81240) | $135 | $169 | 2.1× |
| Factor ii activity (85210) | $402 | $503 | 31.0× |
| Factor ix activity (85250) | $45 | $56 | 2.4× |
| Factor v activity (85220) | $53 | $66 | 3.0× |
| Factor v leiden mutation (81241) | $198 | $247 | 2.7× |
| Factor viii assay (85240) | $157 | $196 | 8.8× |
| Factor xi activity (85270) | $42 | $53 | 2.3× |
| Fat/Lipids Feces Quantitative (82710) | $50 | $62 | 3.0× |
| Fatty acids free (82725) | $160 | $200 | 8.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $18 | $23 | 2.8× |
| Fecal Fat Qualitative (82705) | $24 | $30 | 4.7× |
| Ferritin (82728) | $38 | $47 | 2.8× |
| Fetal screen rosette (85461) | $47 | $59 | 5.0× |
| Fibrin Degradation Quant (85379) | $21 | $26 | 2.1× |
| Fibrinogen activity (85384) | $24 | $30 | 2.5× |
| Flecainide level (80181) | $42 | $52 | 2.3× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$30–$50 | $37–$63 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$30–$140 | $37–$175 | varies |
| Folic acid rbc (82747) | $47 | $59 | 2.7× |
| Folic Acid Serum (82746) | $50 | $63 | 3.4× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$50–$51 | $63–$64 | varies |
| Francisella tularensis (86668) | $30 | $38 | 2.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$44–$48 | $55–$60 | varies |
| Fungi Identification Mold (87107) | $41 | $51 | 4.0× |
| Fungi Identification Yeast (87106) | $29 | $36 | 2.8× |
| Gammaglobulin ige (82785) | $46 | $58 | 2.8× |
| Gastrin (82941) | $302 | $378 | 17.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,365 | $1,706 | 3.3× |
| Gentamicin (80170) | $46 | $57 | 2.8× |
| Ggt (82977) | $23 | $29 | 3.2× |
| Giardia antigen (87329) | $34 | $42 | 2.8× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $45 | $56 | 7.4× |
| Glucose Blood Test (82962) | $28 | $35 | 8.5× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$11–$23 | $14–$29 | varies |
| Glucose Serum (82947) | $23 | $29 | 5.9× |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$37–$58 | $46–$72 | varies |
| Glycated Protein (82985) | $102 | $128 | 6.1× |
| Gonadotropin Chorionic Qualitative (84703) | $32 | $40 | 4.3× |
| Growth hormone (83003) | $48 | $60 | 2.9× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$10–$42 | $12–$52 | varies |
| Haptoglobin (83010) | $35 | $44 | 2.8× |
| Hdl Cholesterol (83718) | $23 | $29 | 2.8× |
| Helicobacter Pylori Stool (87338) | $98 | $122 | 6.8× |
| Hematocrit (85014) | $8 | $10 | 3.4× |
| Hemoglobin (85018) | $8 | $10 | 3.4× |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$24–$32 | $30–$40 | varies |
| Hemoglobin electrophoresis (83020) | $88 | $110 | 6.8× |
| Hep a ab igm (86709) | $30 | $38 | 2.7× |
| Heparin assay (85520) | $200 | $250 | 15.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$120–$150 | $150–$188 | varies |
| Hepatitis b core ab igm (86705) | $33 | $41 | 2.8× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$34–$132 | $42–$165 | varies |
| Hepatitis b surface ag quan (87467) | $32 | $40 | 1.3× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$17–$30 | $21–$38 | varies |
| Hepatitis B Surface Antigen (87340) | $29 | $36 | 2.8× |
| Hepatitis Be Antibody (86707) | $32 | $40 | 2.8× |
| Hepatitis Be Antigen (87350) | $32 | $40 | 2.8× |
| Hepatitis C Antibody (86803) range across 5 matching MRF lines |
$34–$380 | $43–$475 | varies |
| Hepatitis c antibody confirmatory test (86804) | $62 | $77 | 4.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$432–$515 | $540–$644 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$118–$266 | $148–$333 | varies |
| Herpes simplex type 2 (86696) | $54 | $68 | 2.8× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$14–$18 | $18–$22 | varies |
| Hfe Gene (81256) | $280 | $350 | 4.3× |
| Histamine urine (83088) range across 2 matching MRF lines |
$317–$704 | $396–$880 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$26–$360 | $33–$450 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $60 | $75 | 2.5× |
| Hiv-1 Antibody (86701) | $25 | $31 | 2.8× |
| HIV-1 p24 antigen (87390) | $49 | $61 | 2.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $97 | $121 | 1.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $70 | $87 | 0.9× |
| Hla ii typing 1 allele hr (81383) | $272 | $340 | 2.5× |
| Hla ii typing 1 locus lr (81376) | $304 | $380 | 2.5× |
| Homocysteine (83090) | $47 | $59 | 2.6× |
| Homogenization Tissue (87176) | $17 | $21 | 2.9× |
| Homovanillic acid urine (83150) | $54 | $67 | 2.4× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$72–$96 | $90–$120 | varies |
| Hydroxyprogesterone 17-d (83498) | $84 | $105 | 3.1× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $90 | $113 | 2.0× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $97 | $121 | 8.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $90 | $113 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) | $36 | $45 | 2.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $34 | $43 | 2.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $86 | $108 | 2.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 2 matching MRF lines |
$22–$55 | $28–$69 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $175 | $219 | 4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $274 | $343 | 3.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $120 | $150 | 2.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$55–$78 | $69–$98 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $353 | $441 | 2.5× |
| Ig Light Chains Free Each (83521) | $124 | $155 | 7.2× |
| Igg subclasses (82787) | $22 | $28 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $81 | $101 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$45–$1,000 | $56–$1,250 | varies |
| Immunoassay infectious agent (86318) | $56 | $70 | 3.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$32–$44 | $40–$55 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$35–$334 | $44–$418 | varies |
| Immunodiffusion Ouchterlony (86331) | $34 | $42 | 2.8× |
| Immunoelectrophoresis Serum (86320) | $62 | $77 | 2.1× |
| Immunofixation electrophoresis (86334) | $62 | $77 | 2.8× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$18–$36 | $22–$45 | varies |
| Inhibin A (86336) | $48 | $60 | 3.1× |
| Inhibin b (83520) range across 16 matching MRF lines |
$34–$168 | $43–$210 | varies |
| Insulin antibodies (86337) | $60 | $75 | 2.8× |
| Insulin free (83527) | $26 | $32 | 2.0× |
| Insulin total (83525) range across 2 matching MRF lines |
$23–$54 | $29–$67 | varies |
| Intrinsic factor antibody (86340) | $42 | $53 | 2.8× |
| Iron (83540) range across 4 matching MRF lines |
$15–$54 | $19–$67 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$14–$68 | $17–$85 | varies |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$76–$96 | $95–$120 | varies |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$47–$300 | $59–$375 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $240 | $300 | 2.6× |
| Ketosteroids 17 total (83586) | $36 | $45 | 2.8× |
| Koh Prep (87220) | $12 | $15 | 2.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$17–$23 | $21–$29 | varies |
| Lactoferrin fecal qualitative (83630) | $56 | $70 | 2.8× |
| Lactoferrin Fecal Quantitative (83631) | $56 | $70 | 2.9× |
| Ldh Isoenzymes (83625) | $35 | $44 | 2.7× |
| LDL direct (83721) | $26 | $33 | 2.5× |
| Lead (83655) range across 6 matching MRF lines |
$34–$119 | $42–$149 | varies |
| Legionella antibody (86713) | $40 | $50 | 2.6× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$33–$360 | $41–$450 | varies |
| Legionella pneumophila dfa (87278) | $34 | $42 | 2.2× |
| Leukocyte Assessment Fecal (89055) | $12 | $15 | 2.8× |
| Lipase (83690) | $19 | $24 | 2.8× |
| Lipoprotein A (83695) | $40 | $50 | 2.8× |
| Lipoprotein Bld Quan Part (83704) | $16 | $20 | 0.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $73 | $91 | 2.2× |
| Lithium (80178) | $28 | $35 | 4.2× |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$17–$52 | $21–$65 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$43–$62 | $54–$77 | varies |
| Lymphocyte transformation (86353) | $216 | $270 | 4.4× |
| Lysozyme serum (85549) | $258 | $323 | 13.8× |
| Macroscopic exam arthropod (87168) | $12 | $15 | 2.8× |
| Macroscopic Exam Parasite (87169) | $84 | $105 | 19.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$18–$28 | $23–$35 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$71–$100 | $89–$125 | varies |
| Mercury urine (83825) | $46 | $57 | 2.8× |
| Methotrexate (80204) | $42 | $52 | 1.1× |
| Methylmalonic acid serum (83921) | $46 | $58 | 2.2× |
| Microalbumin, quantitative (82043) range across 6 matching MRF lines |
$10–$116 | $12–$145 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$41–$138 | $51–$172 | varies |
| Mitochondrial Antibody Each (86381) | $91 | $114 | 3.6× |
| Mononuclear cell antigen (86356) | $54 | $67 | 2.0× |
| Mopath procedure level 5 (81404) | $440 | $550 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $592 | $740 | 9.1× |
| Mumps antibody (86735) range across 7 matching MRF lines |
$24–$40 | $30–$50 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,000 | $1,250 | 54.3× |
| Mycophenolic Acid (80180) | $42 | $52 | 2.3× |
| Mycoplasma antibody (86738) | $38 | $47 | 2.9× |
| Mycoplasma culture (87109) | $42 | $53 | 2.7× |
| Myoglobin urine (83874) | $36 | $45 | 2.8× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$95–$162 | $119–$203 | varies |
| Neisseria Dir Na Probe (87590) | $22 | $28 | 0.8× |
| Neutralization Test Viral (86382) | $90 | $112 | 5.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $360 | $450 | 5.0× |
| Niacin (84591) range across 2 matching MRF lines |
$102–$233 | $127–$291 | varies |
| Nickel level (83885) | $67 | $84 | 2.7× |
| Nk cells total count (86357) | $75 | $94 | 2.0× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$50–$244 | $63–$305 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$8–$28 | $10–$35 | varies |
| Occult Blood Other Sources (82271) | $17 | $21 | 3.2× |
| Organic Acids Qualitative Each Specimen (83919) | $196 | $245 | 11.9× |
| Organic acids urine (83918) | $196 | $245 | 8.3× |
| Osmolality serum (83930) | $18 | $23 | 2.7× |
| Osmolality Urine (83935) | $19 | $24 | 2.8× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$24–$100 | $30–$125 | varies |
| Oxalate urine (83945) | $35 | $44 | 2.4× |
| Parvovirus antibody (86747) | $41 | $51 | 2.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $200 | $250 | 4.0× |
| Ph urine (81003) range across 2 matching MRF lines |
$14–$28 | $18–$35 | varies |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$10–$116 | $13–$145 | varies |
| Phenytoin (Dilantin) (80185) | $50 | $63 | 3.8× |
| Phenytoin free (80186) | $35 | $44 | 2.5× |
| Phosphatase acid prostatic (84066) range across 3 matching MRF lines |
$38–$48 | $47–$60 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$6–$28 | $8–$35 | varies |
| Phosphorus Serum (84100) | $23 | $29 | 4.9× |
| Phosphorus urine (84105) | $14 | $18 | 2.4× |
| Pinworm exam (87172) | $12 | $15 | 2.8× |
| Platelet count automated (85049) | $21 | $26 | 4.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $41 | $51 | 2.8× |
| Potassium Urine (84133) | $14 | $17 | 3.0× |
| Prealbumin (84134) | $40 | $50 | 2.7× |
| Pregnenolone (84140) | $56 | $70 | 2.7× |
| Procalcitonin (Pct) (84145) | $172 | $215 | 6.3× |
| Progesterone (84144) range across 2 matching MRF lines |
$57–$58 | $71–$72 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$18–$54 | $22–$67 | varies |
| Protein body fluid (84157) | $10 | $13 | 2.5× |
| Protein C Activity (85303) | $40 | $50 | 2.9× |
| Protein c antigen (85302) | $64 | $80 | 5.3× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$30–$62 | $37–$77 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $30 | $38 | 2.8× |
| Protein S Free (85306) | $43 | $54 | 2.8× |
| Protein s total (85305) range across 2 matching MRF lines |
$33–$36 | $41–$45 | varies |
| Protein total serum (84155) | $23 | $29 | 6.3× |
| Protein Total Urine (84156) | $10 | $13 | 2.7× |
| Protoporphyrin rbc quantitative (84202) | $40 | $50 | 2.8× |
| PSA free (84154) | $51 | $64 | 2.8× |
| Pth Intact (83970) | $114 | $143 | 2.8× |
| Quantiferon tb gold plus (86480) | $200 | $250 | 3.2× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$38–$120 | $47–$150 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$60–$100 | $75–$125 | varies |
| Rbc antibody identification (86870) | $252 | $315 | 0.7× |
| Rbc antibody screen (86850) | $42 | $53 | 4.3× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$16–$17 | $20–$21 | varies |
| Renin activity plasma (84244) | $62 | $77 | 2.8× |
| Resp Virus 6-11 Targets (87632) | $436 | $545 | 2.0× |
| Reticulated Platelet Assay (85055) | $75 | $94 | 2.1× |
| Rh (86901) | $12 | $15 | 4.0× |
| Rheumatoid Factor Qualitative (86430) | $16 | $20 | 2.6× |
| Rheumatoid factor quant (86431) | $16 | $20 | 2.8× |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$48–$58 | $60–$72 | varies |
| Ristocetin cofactor (85245) | $67 | $84 | 2.9× |
| Rotavirus ag eia (87425) | $33 | $41 | 2.8× |
| Rpr qualitative (86592) | $18 | $23 | 4.2× |
| Rsv ab (86756) | $36 | $45 | 2.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$28–$72 | $35–$90 | varies |
| Rubella Antibody (86762) range across 6 matching MRF lines |
$36–$142 | $45–$178 | varies |
| Rubeola antibody (86765) | $36 | $45 | 2.8× |
| Russell Viper Venom Time Diluted (85613) | $26 | $33 | 2.7× |
| Salmonella antibody (86768) | $26 | $32 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$102–$120 | $128–$150 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$79–$84 | $99–$105 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $114 | $143 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $114 | $143 | 0.8× |
| Sedimentation rate (85651) | $18 | $23 | 4.2× |
| Sedimentation Rate, Automated (85652) | $18 | $23 | 6.7× |
| Selenium (84255) | $70 | $87 | 2.7× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$24–$55 | $30–$69 | varies |
| Serpina 1 gene (81332) | $110 | $138 | 2.5× |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$61–$160 | $76–$200 | varies |
| Shigella Antibody (86771) | $37 | $46 | 1.5× |
| Sickling of rbc reduction (85660) | $15 | $19 | 2.7× |
| Sirolimus (80195) | $38 | $48 | 2.8× |
| Skin test tuberculosis intradermal (86580) | $8 | $10 | 0.3× |
| Smear acid fast (87206) | $12 | $15 | 2.2× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$12–$150 | $15–$187 | varies |
| Smear Special Stain (87207) | $38 | $47 | 6.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $12 | $15 | 2.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$14–$23 | $17–$29 | varies |
| Sodium Urine (84300) | $14 | $17 | 2.8× |
| Soluble Transferrin Receptor (84238) | $280 | $350 | 7.7× |
| Somatomedin (84305) | $223 | $279 | 10.5× |
| Specific gravity body fluid (84315) | $7 | $9 | 2.1× |
| Specimen infect agnt concntj (87015) | $26 | $32 | 3.9× |
| Stool cultr aerobic bact ea (87046) | $34 | $42 | 3.6× |
| Strep a assay w/optic (87880) range across 7 matching MRF lines |
$16–$52 | $20–$65 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $1,520 | $1,900 | 16.5× |
| Sugars Single Qual (84376) | $11 | $14 | 2.0× |
| Sulfate urine (84392) | $12 | $15 | 2.2× |
| Surgical pathology level IV (88305) | $190 | $237 | 3.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $14 | $17 | 2.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 10 matching MRF lines |
$17–$60 | $21–$75 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $24 | $30 | 0.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $94 | $117 | 2.0× |
| T cells total count (86359) | $75 | $94 | 2.0× |
| T3 Free (84481) | $47 | $59 | 2.8× |
| T3 reverse (84482) | $43 | $54 | 2.7× |
| T3 Total (84480) | $40 | $50 | 2.8× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$16–$29 | $20–$36 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$25–$45 | $31–$56 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$19–$88 | $24–$110 | varies |
| Tacrolimus (80197) | $38 | $48 | 2.8× |
| Tau phosphorylated each (84393) | $258 | $322 | 2.0× |
| Tb ag response t-cell susp (86481) | $200 | $250 | 2.0× |
| Test for acetone/ketones (82009) | $13 | $16 | 2.9× |
| Testosterone total (84403) range across 6 matching MRF lines |
$18–$160 | $22–$200 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$70–$71 | $87–$89 | varies |
| Theophylline (80198) | $50 | $63 | 3.5× |
| Thiopurine methyltransferase (84433) | $45 | $56 | 2.0× |
| Thrombin Time (85670) | $18 | $22 | 3.1× |
| Thromboplastin Inhibition Tissue (85705) range across 3 matching MRF lines |
$26–$27 | $33–$34 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $18 | $23 | 2.8× |
| Thyroglobulin (84432) | $44 | $55 | 2.7× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$44–$45 | $55–$56 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $144 | $180 | 2.8× |
| Thyroxine binding globulin (84442) | $88 | $110 | 6.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $59 | $74 | 5.1× |
| Tissue Culture Lymphocyte (88230) | $280 | $350 | 2.4× |
| Tobramycin peak (80200) | $45 | $56 | 2.8× |
| Topiramate (80201) | $27 | $34 | 2.3× |
| Toxoplasma ab igm (86778) | $40 | $50 | 2.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$6–$23 | $8–$29 | varies |
| Transferrin (84466) | $35 | $44 | 2.7× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$62–$78 | $77–$98 | varies |
| Triglycerides (84478) | $23 | $29 | 4.0× |
| Troponin Quant (84484) | $65 | $81 | 5.2× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$142–$300 | $178–$375 | varies |
| Urea nitrogen urine (84540) | $13 | $16 | 2.3× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$14–$87 | $17–$109 | varies |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$8–$18 | $10–$22 | varies |
| Urinalysis Volume Measure (81050) | $10 | $12 | 2.7× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$17–$22 | $21–$28 | varies |
| Urine Pregnancy Test (81025) range across 5 matching MRF lines |
$18–$32 | $23–$40 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $28 | $35 | 8.8× |
| Valproic acid (80164) range across 3 matching MRF lines |
$38–$39 | $47–$49 | varies |
| Vancomycin (80202) | $38 | $47 | 2.8× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$15–$72 | $19–$90 | varies |
| Vasopressin (84588) | $178 | $222 | 5.2× |
| Viral Culture (87252) | $72 | $90 | 2.8× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$200–$346 | $250–$433 | varies |
| Virus inoculation, shell via (87254) | $72 | $90 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $107 | $134 | 2.8× |
| Vitamin A (84590) | $42 | $52 | 3.6× |
| Vitamin b-12 (82607) | $42 | $52 | 2.8× |
| Vitamin B2 (Riboflavin) (84252) | $56 | $70 | 2.8× |
| Vitamin B6 (84207) | $94 | $118 | 3.3× |
| Vitamin c (82180) | $26 | $32 | 2.6× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$82–$109 | $102–$136 | varies |
| Vitamin E (84446) | $154 | $193 | 10.9× |
| Vitamin K (84597) | $103 | $129 | 7.5× |
| Von willebrand factor ag (85246) | $67 | $84 | 2.9× |
| Wbc Alkaline Phosphatase Count (85540) | $24 | $30 | 2.8× |
| West Nile Virus Antibody (86789) | $32 | $40 | 2.2× |
| Xylose Absorption Test (84620) | $33 | $41 | 2.6× |
| Zinc (84630) range across 3 matching MRF lines |
$31–$32 | $39–$40 | 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.