Lab & pathology prices at Ashley Medical Center
Ashley, ND · every code in this section with a posted price and a Medicare benchmark.
375 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $337 | $337 | 8.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $284 | $284 | 8.7× |
| Actin smooth muscle antibody each (86015) | $63 | $63 | 5.2× |
| Acute hepatitis panel (80074) | $396.50 | $396.50 | 8.3× |
| Albumin serum (82040) | $44.50 | $44.50 | 9.0× |
| Aldolase (82085) | $85.50 | $85.50 | 8.8× |
| Aldosterone urine (82088) | $355 | $355 | 8.7× |
| Alkaline phosphatase isoenzymes (84080) | $129.50 | $129.50 | 8.8× |
| Allergen specific ige (86003) | $43 | $43 | 8.2× |
| Alpha-1-antitrypsin total (82103) | $107.50 | $107.50 | 8.0× |
| Alpha-Fetoprotein Serum (82105) | $133.50 | $133.50 | 8.0× |
| Alt (sgpt) (84460) | $48 | $48 | 9.1× |
| Aluminum (82108) | $222.50 | $222.50 | 8.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $170.50 | $170.50 | 7.4× |
| Ammonia (82140) | $128.50 | $128.50 | 8.8× |
| Amylase urine (82150) | $58.50 | $58.50 | 9.0× |
| Ana Titer (86039) | $98.50 | $98.50 | 8.8× |
| Anca screen each antibody (86036) | $101 | $101 | 8.4× |
| Androstenedione (82157) | $255.50 | $255.50 | 8.7× |
| Angiotensin converting enzyme csf (82164) | $128.50 | $128.50 | 8.8× |
| Antibody aspergillus (86606) | $75 | $75 | 5.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $74 | $74 | 4.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $140 | $140 | 8.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $116 | $116 | 8.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $125.50 | $125.50 | 8.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $150.50 | $150.50 | 8.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $101.50 | $101.50 | 8.3× |
| Antibody helicobacter pylori (86677) | $127 | $127 | 7.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $109.50 | $109.50 | 8.0× |
| Antinuclear antibodies (86038) | $106.50 | $106.50 | 8.8× |
| Antistreptolysin o titer (86060) | $65 | $65 | 8.9× |
| Antithrombin iii activity (85300) | $104.50 | $104.50 | 8.8× |
| Antithrombin iii antigen (85301) | $95 | $95 | 8.8× |
| Apolipoprotein a1 (82172) | $174.50 | $174.50 | 8.3× |
| Assay Blood Carbon Dioxide (82374) | $43 | $43 | 8.8× |
| Assay Nephelometry Not Spec (83883) | $475 | $475 | 34.9× |
| Assay of 5-hiaa (83497) | $113 | $113 | 8.8× |
| Assay of anti-mullerian hormone (82166) | $386 | $386 | 10.0× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$39–$41 | $39–$41 | varies |
| Assay of calcium in urine (82340) | $53.50 | $53.50 | 8.9× |
| Assay of cpk in blood (82552) | $118 | $118 | 8.8× |
| Assay of estrone (82679) | $217 | $217 | 8.7× |
| Assay of g6pd enzyme (82955) | $85.50 | $85.50 | 8.8× |
| Assay of gammaglobulin igm (82784) | $82.50 | $82.50 | 8.9× |
| Assay of lactic acid (83605) | $94 | $94 | 8.1× |
| Assay of metanephrines (83835) | $148.50 | $148.50 | 8.8× |
| Assay of serum potassium (84132) | $41 | $41 | 8.6× |
| Assay of urea nitrogen (84520) | $35.50 | $35.50 | 9.0× |
| Assay of vasoactive intestinal peptide (84586) | $307.50 | $307.50 | 8.7× |
| Assay of vitamin b-1 (84425) | $186 | $186 | 8.8× |
| Assay Ph Body Fluid Nos (83986) | $32.50 | $32.50 | 9.1× |
| Automated Leukocyte Count (85048) | $24 | $24 | 9.4× |
| Beta 2 glycoprotein i antibody each (86146) | $210 | $210 | 8.3× |
| Bilirubin direct (82248) | $44.50 | $44.50 | 8.9× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$42–$44.50 | $42–$44.50 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $29.50 | $29.50 | 8.6× |
| Bleeding time test (85002) | $41 | $41 | 8.5× |
| Blood Count Red Blood Cell Automated (85041) | $27.50 | $27.50 | 9.1× |
| Blood count reticulocyte automated (85045) | $34 | $34 | 8.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$29.50–$30.50 | $29.50–$30.50 | varies |
| Blood gas (82803) | $171.50 | $171.50 | 6.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$12–$13 | $12–$13 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $76 | $76 | 12.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$36.50–$38 | $36.50–$38 | varies |
| C diff amplified probe (87493) | $305.50 | $305.50 | 8.2× |
| C-Peptide (84681) | $181.50 | $181.50 | 8.7× |
| C-reactive protein (86140) | $47 | $47 | 9.1× |
| Ca 19-9 (86301) | $181.50 | $181.50 | 8.7× |
| Cadmium (82300) | $202.50 | $202.50 | 8.6× |
| Calcitonin (82308) | $233.50 | $233.50 | 8.7× |
| Calcium ionized (82330) | $120 | $120 | 8.8× |
| Calcium total (82310) | $47 | $47 | 9.1× |
| Calculus assay quant (82360) | $103 | $103 | 8.0× |
| Calculus Spectroscopy (82365) | $106.50 | $106.50 | 8.3× |
| Calprotectin Fecal (83993) | $327 | $327 | 16.7× |
| Cancer Antigen 125 (86304) | $181.50 | $181.50 | 8.7× |
| Cancer Antigen 27.29 (86300) | $181.50 | $181.50 | 8.7× |
| Candida Dna Dir Probe (87480) | $175.50 | $175.50 | 8.8× |
| Carbamazepine free (80157) | $117 | $117 | 8.8× |
| Carcinoembryonic antigen (82378) | $166 | $166 | 8.8× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$180.50–$186 | $180.50–$186 | varies |
| Catecholamines fractionated (82384) | $220 | $220 | 8.7× |
| Ccp antibody (86200) | $113 | $113 | 8.7× |
| Cell count csf (89051) | $47 | $47 | 8.4× |
| Ceruloplasmin (82390) | $95 | $95 | 8.8× |
| Chemiluminescent assay (82397) | $251.50 | $251.50 | 17.8× |
| Chloride Serum (82435) | $41 | $41 | 8.9× |
| Chloride urine (82436) | $45.50 | $45.50 | 7.9× |
| Cholesterol total (82465) | $39 | $39 | 9.0× |
| Chorionic gonadotropin test (84702) | $131.50 | $131.50 | 8.7× |
| Chromogranin a (86316) | $181.50 | $181.50 | 8.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $305.50 | $305.50 | 8.7× |
| Citric acid urine (82507) | $243.50 | $243.50 | 8.8× |
| Ckmb (82553) | $95.50 | $95.50 | 8.3× |
| Clostridium Difficile (87324) | $99 | $99 | 8.3× |
| Coccidioides antibody (86635) | $94.50 | $94.50 | 8.2× |
| Collagen crosslinks (82523) | $150.50 | $150.50 | 8.1× |
| Column Chromotography Quant (82542) | $513.50 | $513.50 | 21.3× |
| Compatibility Each Unit Incubation (86921) | $313.50 | $313.50 | 1.8× |
| Compatibility test antiglob (86922) | $313.50 | $313.50 | 1.8× |
| Complement Antigen Each Component (86160) | $105.50 | $105.50 | 8.8× |
| Complement/Function Activity (86161) | $105.50 | $105.50 | 8.8× |
| Coombs direct (86880) | $48 | $48 | 8.9× |
| Copper urine (82525) | $102.50 | $102.50 | 8.3× |
| Cortisol free (82530) | $146.50 | $146.50 | 8.8× |
| Cortisol saliva (82533) | $143 | $143 | 8.8× |
| Creatine (82540) | $38 | $38 | 8.2× |
| Creatine kinase total (82550) | $58.50 | $58.50 | 9.0× |
| Creatinine blood (82565) | $45.50 | $45.50 | 8.9× |
| Creatinine clearance (82575) | $83.50 | $83.50 | 8.8× |
| Creatinine Urine (82570) | $47 | $47 | 9.1× |
| Crossmatch electronic (86923) | $271 | $271 | 1.6× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$280–$313.50 | $280–$313.50 | varies |
| Crp High Sensitivity (86141) | $104.50 | $104.50 | 8.1× |
| Cryptococcus ag titer (87899) | $120 | $120 | 7.5× |
| Cryptosporidium ag eia (87328) | $105.50 | $105.50 | 7.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72 | $72 | 8.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $72 | $72 | 8.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $68 | $68 | 8.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,429 | $1,429 | 6.6× |
| Culture afb (87116) | $89 | $89 | 8.2× |
| Culture Anaerobic (87075) | $83.50 | $83.50 | 8.8× |
| Culture blood (87040) | $91 | $91 | 8.8× |
| Culture csf (87070) | $76.50 | $76.50 | 8.9× |
| Culture fungus (87102) | $69.50 | $69.50 | 8.3× |
| Culture fungus blood (87103) | $164 | $164 | 8.0× |
| Culture screen only (87081) | $54.50 | $54.50 | 8.2× |
| Culture stool (87045) | $78.50 | $78.50 | 8.3× |
| Culture typing if ea antiserum (87140) | $60 | $60 | 10.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$25–$45 | $25–$45 | varies |
| Culture urine (87086) | $72 | $72 | 8.9× |
| Cytomegalovirus igg (86644) | $125.50 | $125.50 | 8.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$55–$61 | $55–$61 | varies |
| Cytopath Cell Enhance Tech (88112) | $175.50 | $175.50 | 3.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$72–$80 | $72–$80 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $189.50 | $189.50 | 5.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $2,371.50 | $2,371.50 | 13.6× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$98–$281.50 | $98–$281.50 | varies |
| Detect Agent Nos Dna Quant (87799) | $442.50 | $442.50 | 10.3× |
| Dgp Antibody Each Ig Class (86258) | $96.50 | $96.50 | 8.0× |
| Dhea (82626) | $221.50 | $221.50 | 8.8× |
| Dhea-S (82627) | $194.50 | $194.50 | 8.7× |
| Dibucaine number (82638) | $98 | $98 | 8.0× |
| Digoxin (80162) | $117 | $117 | 8.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$109.50–$120 | $109.50–$120 | varies |
| Dna/Rna Amplified Probe (87150) | $305.50 | $305.50 | 8.7× |
| DNA/RNA direct probe (87149) | $175.50 | $175.50 | 8.8× |
| Dna/Rna Sequencing (87153) | $916 | $916 | 7.9× |
| Drug assay acetaminophen (80143) | $150.50 | $150.50 | 8.1× |
| Drug assay adalimumab (80145) | $309 | $309 | 8.0× |
| Drug Assay Infliximab (80230) | $319.50 | $319.50 | 8.3× |
| Drug Screen Quant Zonisamide (80203) | $100 | $100 | 7.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $117 | $117 | 8.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $109.50 | $109.50 | 8.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $133.50 | $133.50 | 8.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$93–$598.50 | $93–$598.50 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $94 | $94 | 7.5× |
| El-1 Fecal Quantitative (82653) | $279.50 | $279.50 | 12.2× |
| Electrolyte panel (80051) | $63 | $63 | 9.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $288.50 | $288.50 | 23.9× |
| Erythropoietin (82668) | $165 | $165 | 8.8× |
| Estradiol serum (82670) | $244.50 | $244.50 | 8.8× |
| Estrogen total (82672) | $163 | $163 | 7.5× |
| Estrogens fractionated (82671) | $282 | $282 | 8.7× |
| Exam Synovial Fluid Crystals (89060) | $61 | $61 | 8.3× |
| Factor v leiden mutation (81241) | $541.50 | $541.50 | 7.4× |
| Factor viii assay (85240) | $145 | $145 | 8.1× |
| Fat/Lipids Feces Quantitative (82710) | $147.50 | $147.50 | 8.8× |
| Fecal Fat Qualitative (82705) | $56.50 | $56.50 | 11.1× |
| Ferritin (82728) | $120 | $120 | 8.8× |
| Fibrin Degradation Quant (85379) | $84.50 | $84.50 | 8.3× |
| Fibrinogen activity (85384) | $75.50 | $75.50 | 7.8× |
| Fluorescent antibody screen (86255) | $312 | $312 | 25.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $312 | $312 | 25.9× |
| Folic Acid Serum (82746) | $129.50 | $129.50 | 8.8× |
| Follicle Stimulating Hormone (83001) | $162.50 | $162.50 | 8.7× |
| Fungi Identification Mold (87107) | $91 | $91 | 8.8× |
| Fungi Identification Yeast (87106) | $91 | $91 | 8.8× |
| Gammaglobulin ige (82785) | $144 | $144 | 8.7× |
| Gardner vag DNA dir probe (87510) | $175.50 | $175.50 | 8.8× |
| Gastrin (82941) | $154.50 | $154.50 | 8.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $3,617.50 | $3,617.50 | 8.7× |
| Gentamicin (80170) | $139 | $139 | 8.5× |
| Ggt (82977) | $64 | $64 | 8.9× |
| Giardia antigen (87329) | $105.50 | $105.50 | 8.8× |
| Glucose 2 hr pp (82950) | $42 | $42 | 8.8× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$9–$10 | $9–$10 | varies |
| Glucose body fluid (82945) | $35.50 | $35.50 | 9.0× |
| Glucose Serum (82947) | $35.50 | $35.50 | 9.0× |
| Glucose tolerance test (gtt) (82951) | $113 | $113 | 8.8× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $124.50 | $124.50 | 8.1× |
| Growth hormone (83003) | $146.50 | $146.50 | 8.8× |
| Growth Hormone Stimulation Panel (80428) | $580 | $580 | 8.7× |
| Gtt-added samples (82952) | $35.50 | $35.50 | 9.1× |
| Haptoglobin (83010) | $111 | $111 | 8.8× |
| Hdl Cholesterol (83718) | $68 | $68 | 8.3× |
| Helicobacter Pylori Stool (87338) | $158 | $158 | 11.0× |
| Hematocrit (85014) | $21.50 | $21.50 | 9.1× |
| Hemoglobin (85018) | $21.50 | $21.50 | 9.1× |
| Hemoglobin a1c (83036) | $85.50 | $85.50 | 8.8× |
| Hemoglobin Chromotography (83021) | $158 | $158 | 8.7× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) range across 2 matching MRF lines |
$11–$12 | $11–$12 | varies |
| Hemoglobin electrophoresis (83020) | $97 | $97 | 7.5× |
| Hemoglobin Thermolabile (83065) | $71.50 | $71.50 | 7.9× |
| Hepatitis b core ab igm (86705) | $111 | $111 | 9.4× |
| Hepatitis b core ab total (86704) | $106.50 | $106.50 | 8.8× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$58.50–$92 | $58.50–$92 | varies |
| Hepatitis B Surface Antigen (87340) | $85.50 | $85.50 | 8.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$120.50–$124.50 | $120.50–$124.50 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $490.50 | $490.50 | 11.4× |
| Hepatitis Delta Agent Antibody (86692) | $201.50 | $201.50 | 11.7× |
| Heterophile Antibody Screen (86308) | $47 | $47 | 9.1× |
| Histamine urine (83088) | $235.50 | $235.50 | 8.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $198 | $198 | 8.2× |
| Hla-b27 (86812) | $226 | $226 | 8.8× |
| Homocysteine (83090) | $147.50 | $147.50 | 8.2× |
| Homovanillic acid urine (83150) | $154.50 | $154.50 | 6.9× |
| Hpv High-Risk Types (87624) | $305.50 | $305.50 | 8.7× |
| Hsv Dna Amp Probe (87529) | $305.50 | $305.50 | 8.7× |
| Hydroxycorticosteroids 17 (83491) | $153.50 | $153.50 | 8.6× |
| Hydroxyprogesterone 17-d (83498) | $236.50 | $236.50 | 8.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$76–$177 | $76–$177 | varies |
| Iaad ia shiga-like toxin (87427) | $96 | $96 | 8.0× |
| Iaad Ia Streptococcus Group A (87430) | $124.50 | $124.50 | 7.4× |
| Iaadi respiratory synctial virus (87280) | $105.50 | $105.50 | 7.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $305.50 | $305.50 | 8.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $305.50 | $305.50 | 8.7× |
| Ig Light Chains Free Each (83521) | $228 | $228 | 13.2× |
| Igg subclasses (82787) | $42.50 | $42.50 | 5.3× |
| Immunfix e-phorsis/urine/csf (86335) | $255.50 | $255.50 | 8.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $136 | $136 | 7.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $39.50 | $39.50 | 2.6× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$92–$124.50 | $92–$124.50 | varies |
| Immunodiffusion Ouchterlony (86331) | $66 | $66 | 5.5× |
| Immunofixation electrophoresis (86334) | $184 | $184 | 8.2× |
| Immunohistochemistry (88342) | $280 | $280 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $107.50 | $107.50 | 7.4× |
| Influenza assay w/optic (87804) | $122.50 | $122.50 | 7.4× |
| Inhibin b (83520) range across 5 matching MRF lines |
$168–$173.50 | $168–$173.50 | varies |
| Insulin antibodies (86337) | $176.50 | $176.50 | 8.2× |
| Insulin total (83525) | $96.50 | $96.50 | 8.4× |
| Iron (83540) | $57 | $57 | 8.8× |
| Iron Binding Capacity (83550) | $77.50 | $77.50 | 8.9× |
| Islet cell antibody (86341) | $175.50 | $175.50 | 7.4× |
| Koh Prep (87220) | $39 | $39 | 9.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$48.50–$53.50 | $48.50–$53.50 | varies |
| Lactoferrin fecal qualitative (83630) | $171.50 | $171.50 | 8.7× |
| LDL direct (83721) | $84 | $84 | 8.0× |
| Lead (83655) | $106.50 | $106.50 | 8.8× |
| Legionella antigen urine (87449) | $96 | $96 | 8.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $76.50 | $76.50 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $166 | $166 | 4.4× |
| Lipase (83690) | $61.50 | $61.50 | 8.9× |
| Lipoprotein A (83695) | $117.50 | $117.50 | 8.2× |
| Lipoprotein Bld Quan Part (83704) | $98 | $98 | 2.9× |
| Lithium (80178) | $58.50 | $58.50 | 8.9× |
| Luteinizing Hormone (Lh) (83002) | $162.50 | $162.50 | 8.8× |
| Lyme disease antibody (86618) | $144 | $144 | 8.5× |
| Macroscopic Exam Parasite (87169) | $39 | $39 | 9.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$59.50–$112.50 | $59.50–$112.50 | varies |
| Mercury urine (83825) | $142 | $142 | 8.7× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$158–$171 | $158–$171 | varies |
| Microalbumin, quantitative (82043) | $46.50 | $46.50 | 8.0× |
| Microsomal Antibodies Each (86376) | $128.50 | $128.50 | 8.8× |
| Mrsa Pcr (87641) | $279.50 | $279.50 | 8.0× |
| Mumps antibody (86735) | $114 | $114 | 8.7× |
| Mycobacteric Identification (87118) | $97.50 | $97.50 | 6.7× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$139–$144.50 | $139–$144.50 | varies |
| Myoglobin urine (83874) | $113 | $113 | 8.7× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$270–$296 | $270–$296 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $592 | $592 | 2.3× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$94–$148 | $94–$148 | varies |
| Organic acids urine (83918) | $175.50 | $175.50 | 7.4× |
| Osmolality serum (83930) | $58.50 | $58.50 | 8.9× |
| Osmolality Urine (83935) | $60.50 | $60.50 | 8.9× |
| Osteocalcin (83937) | $260.50 | $260.50 | 8.7× |
| Ova and parasites smears (87177) | $78.50 | $78.50 | 8.8× |
| Oxalate urine (83945) | $113 | $113 | 7.8× |
| Parvovirus antibody (86747) | $131.50 | $131.50 | 8.7× |
| Phenobarbital Level (80184) | $150 | $150 | 9.8× |
| Phenytoin (Dilantin) (80185) | $117 | $117 | 8.8× |
| Phosphatase acid prostatic (84066) | $85.50 | $85.50 | 8.9× |
| Phosphatase alkaline (84075) | $47 | $47 | 9.1× |
| Phosphorus Serum (84100) | $42 | $42 | 8.9× |
| Phosphorus urine (84105) | $47 | $47 | 8.1× |
| Pinworm exam (87172) | $39 | $39 | 9.1× |
| Platelet count automated (85049) | $40 | $40 | 8.9× |
| Porphobilinogen, urine; quantitative (84110) | $74.50 | $74.50 | 8.8× |
| Potassium Urine (84133) | $39 | $39 | 8.2× |
| Prealbumin (84134) | $120 | $120 | 8.2× |
| Progesterone (84144) | $181.50 | $181.50 | 8.7× |
| Prolactin (84146) | $169.50 | $169.50 | 8.7× |
| Protein body fluid (84157) | $32.50 | $32.50 | 8.1× |
| Protein C Activity (85303) | $112 | $112 | 8.1× |
| Protein Electrophoresis Urine (84166) | $146.50 | $146.50 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $95 | $95 | 8.8× |
| Protein S Free (85306) | $124 | $124 | 8.1× |
| Protein Total Refractometry Any Src (84160) | $47 | $47 | 8.4× |
| Protein total serum (84155) | $32.50 | $32.50 | 8.9× |
| Protein Total Urine (84156) | $49 | $49 | 13.4× |
| PSA free (84154) | $147.50 | $147.50 | 8.0× |
| Pth Intact (83970) | $359.50 | $359.50 | 8.7× |
| Quantiferon tb gold plus (86480) | $200 | $200 | 3.2× |
| Rbc antibody identification (86870) | $639 | $639 | 1.7× |
| Rbc antibody screen (86850) | $165 | $165 | 16.9× |
| Renin activity plasma (84244) | $192.50 | $192.50 | 8.8× |
| Resp Virus 6-11 Targets (87632) | $1,852.50 | $1,852.50 | 8.5× |
| Reticulocyte Count (85046) | $50 | $50 | 9.0× |
| Reticulocyte Count Manual (85044) | $58 | $58 | 13.5× |
| Rh (86901) | $38 | $38 | 12.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$48.50–$50 | $48.50–$50 | varies |
| Ristocetin cofactor (85245) | $200 | $200 | 8.7× |
| Rpr qualitative (86592) | $39 | $39 | 9.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$121.50–$125.50 | $121.50–$125.50 | varies |
| Rubeola antibody (86765) | $113 | $113 | 8.8× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$81.50–$180.50 | $81.50–$180.50 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 5 matching MRF lines |
$74–$81.50 | $74–$81.50 | varies |
| Sedimentation rate (85651) | $32.50 | $32.50 | 7.6× |
| Sensitivity mic (87186) | $72 | $72 | 8.3× |
| Sex Hormone Binding Globulin (84270) | $190.50 | $190.50 | 8.8× |
| Sirolimus (80195) | $120 | $120 | 8.7× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$26.50–$28 | $26.50–$28 | varies |
| Smear gram stain (87205) | $39 | $39 | 9.1× |
| Sodium Serum (84295) | $43 | $43 | 8.9× |
| Sodium Urine (84300) | $43 | $43 | 8.5× |
| Soluble Transferrin Receptor (84238) | $318.50 | $318.50 | 8.7× |
| Somatomedin (84305) | $165 | $165 | 7.8× |
| Special Stains Group 1 (88312) | $322 | $322 | 6.0× |
| Special Stains Group 2 (88313) | $258 | $258 | 1.9× |
| Specimen infect agnt concntj (87015) | $54.50 | $54.50 | 8.2× |
| Stone Analysis (82355) | $98.50 | $98.50 | 8.5× |
| Stool cultr aerobic bact ea (87046) | $76 | $76 | 8.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $290 | $290 | 3.2× |
| Sulfate urine (84392) | $45.50 | $45.50 | 8.3× |
| Surg path level iii (88304) | $198.50 | $198.50 | 3.7× |
| Surgical pathology level IV (88305) | $269.50 | $269.50 | 5.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $42 | $42 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $61.50 | $61.50 | 8.2× |
| T3 Free (84481) | $148.50 | $148.50 | 8.8× |
| T3 reverse (84482) | $139 | $139 | 8.8× |
| T3 Total (84480) | $124.50 | $124.50 | 8.8× |
| T3 Uptake (84479) | $57 | $57 | 8.8× |
| T4 Free (84439) | $75.50 | $75.50 | 8.4× |
| T4 total (84436) | $60.50 | $60.50 | 8.8× |
| Tacrolimus (80197) | $135 | $135 | 9.8× |
| Test for acetone/ketones (82009) | $41 | $41 | 9.1× |
| Testosterone total (84403) | $226 | $226 | 8.8× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$211.50–$222.50 | $211.50–$222.50 | varies |
| Theophylline (80198) | $123.50 | $123.50 | 8.7× |
| Thyroglobulin (84432) | $141 | $141 | 8.8× |
| Thyroglobulin Antibody (86800) | $140 | $140 | 8.8× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$442.50–$508 | $442.50–$508 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$77.50–$124.50 | $77.50–$124.50 | varies |
| Tobramycin peak (80200) | $141 | $141 | 8.7× |
| Topiramate (80201) | $105.50 | $105.50 | 8.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $47 | $47 | 9.1× |
| Transferrin (84466) | $112 | $112 | 8.8× |
| Trichomonas vagin dir probe (87660) | $119 | $119 | 5.9× |
| Triglycerides (84478) | $51 | $51 | 8.9× |
| Troponin Quant (84484) | $93 | $93 | 7.5× |
| Urea nitrogen urine (84540) | $42 | $42 | 7.6× |
| Uric acid other source (84560) | $42 | $42 | 8.3× |
| Urine Bacteria Culture (87088) | $72 | $72 | 8.9× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$23.50–$26 | $23.50–$26 | varies |
| Valproic acid (80164) | $119 | $119 | 8.8× |
| Vancomycin (80202) | $119 | $119 | 8.8× |
| Varicella-zoster antibody (86787) | $113 | $113 | 8.8× |
| Vit D 1 25-Dihydroxy (82652) | $325.50 | $325.50 | 8.5× |
| Vitamin A (84590) | $93.50 | $93.50 | 8.1× |
| Vitamin b-12 (82607) | $133 | $133 | 8.8× |
| Vitamin D 25-Hydroxy (82306) | $258.50 | $258.50 | 8.7× |
| Vitamin E (84446) | $124.50 | $124.50 | 8.8× |
| Von willebrand factor ag (85246) | $200 | $200 | 8.7× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$133–$137 | $133–$137 | varies |
| Zinc (84630) | $92.50 | $92.50 | 8.1× |
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.