Lab & pathology prices at Aultman Hospital
Canton, OH · every code in this section with a posted price and a Medicare benchmark.
351 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $66.60 | $148 | 1.7× |
| Acute hepatitis panel (80074) | $108 | $240 | 2.3× |
| Albumin serum (82040) | $17.10 | $38 | 3.5× |
| Aldosterone urine (82088) | $94.95 | $211 | 2.3× |
| Alpha-1-antitrypsin total (82103) | $48.60 | $108 | 3.6× |
| Alpha-Fetoprotein Serum (82105) | $43.65 | $97 | 2.6× |
| Alt (sgpt) (84460) | $26.55 | $59 | 5.0× |
| Amines vaginal fluid qualitative (82120) | $11.25 | $25 | 1.9× |
| Ammonia (82140) | $56.25 | $125 | 3.9× |
| Amylase urine (82150) | $39.60 | $88 | 6.1× |
| Ana Titer (86039) range across 3 matching MRF lines |
$10.35–$80.10 | $23–$178 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $72.45 | $161 | 4.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 5 matching MRF lines |
$8.55–$58.95 | $19–$131 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$7.20–$45 | $16–$100 | varies |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$17.10–$53.55 | $38–$119 | varies |
| Antibody Titer (86886) | $29.25 | $65 | 5.6× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$6.75–$69.30 | $15–$154 | varies |
| Antigen typing (86905) | $58.50 | $130 | 15.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$9.90–$81.45 | $22–$181 | varies |
| Antithrombin iii activity (85300) | $40.50 | $90 | 3.4× |
| Assay activated protein c (85307) | $56.25 | $125 | 3.7× |
| Assay Blood Carbon Dioxide (82374) | $18.90 | $42 | 3.9× |
| Assay Nephelometry Not Spec (83883) | $12.60 | $28 | 0.9× |
| Assay of blood/uric acid (84550) | $22.50 | $50 | 5.0× |
| Assay of calcium in urine (82340) | $38.25 | $85 | 6.3× |
| Assay of gammaglobulin igm (82784) | $34.65 | $77 | 3.7× |
| Assay of lactic acid (83605) | $51.30 | $114 | 4.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$21.60–$22.95 | $48–$51 | varies |
| Assay of urea nitrogen (84520) | $18.90 | $42 | 4.8× |
| Assay Ph Body Fluid Nos (83986) | $5.85 | $13 | 1.6× |
| Assay spec xcp ur&breath ia (82077) | $11.70 | $26 | 0.7× |
| Automated Leukocyte Count (85048) | $14.40 | $32 | 5.7× |
| B cells total count (86355) range across 3 matching MRF lines |
$18.90–$90 | $42–$200 | varies |
| Beta-2 Microglobulin (82232) | $49.95 | $111 | 3.1× |
| Bilirubin direct (82248) | $21.60 | $48 | 4.3× |
| Bilirubin total (82247) | $23.85 | $53 | 4.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $27.90 | $62 | 8.1× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $26.10 | $58 | 5.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $40.05 | $89 | 10.5× |
| Blood count spun microhematocrit (85013) | $24.30 | $54 | 3.5× |
| Blood gas (82803) range across 2 matching MRF lines |
$74.25–$78.30 | $165–$174 | varies |
| Blood gases w/02 saturation (82805) | $70.65 | $157 | 0.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$12.15–$36.90 | $27–$82 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18 | $40 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $24.75 | $55 | 3.9× |
| Blood typing serologic abo (86900) | $31.50 | $70 | 10.5× |
| Breath Alcohol Test (82075) | $30.60 | $68 | 1.0× |
| C diff amplified probe (87493) | $39.15 | $87 | 1.1× |
| C-Peptide (84681) | $48.60 | $108 | 2.3× |
| C-reactive protein (86140) | $52.65 | $117 | 10.2× |
| Ca 19-9 (86301) | $26.55 | $59 | 1.3× |
| Calcium ionized (82330) | $56.70 | $126 | 4.1× |
| Calcium total (82310) | $26.55 | $59 | 5.1× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$13.50–$15.75 | $30–$35 | varies |
| Cancer Antigen 125 (86304) | $90.90 | $202 | 4.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$29.25–$52.20 | $65–$116 | varies |
| Candida Dna Dir Probe (87480) range across 3 matching MRF lines |
$10.80–$40.95 | $24–$91 | varies |
| Carbamazepine total (80156) | $60.30 | $134 | 4.1× |
| Carboxyhemoglobin (82375) | $43.20 | $96 | 3.5× |
| Carcinoembryonic antigen (82378) | $75.15 | $167 | 4.0× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$47.70–$57.60 | $106–$128 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$8.10–$31.50 | $18–$70 | varies |
| Cell count csf (89051) | $46.35 | $103 | 8.3× |
| Ceruloplasmin (82390) | $39.60 | $88 | 3.7× |
| Chloride other source (82438) | $19.80 | $44 | 4.0× |
| Chloride Serum (82435) | $18.90 | $42 | 4.1× |
| Chloride urine (82436) | $26.55 | $59 | 4.6× |
| Cholesterol total (82465) | $18.90 | $42 | 4.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$52.20–$72.90 | $116–$162 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$10.35–$94.05 | $23–$209 | varies |
| Ckmb (82553) | $64.35 | $143 | 5.6× |
| Clostridium Difficile (87324) | $22.50 | $50 | 1.9× |
| Cns DNA amp probe type 12-25 (87483) | $427.95 | $951 | 1.0× |
| Coagulation time activated (85347) range across 8 matching MRF lines |
$14.85–$64.35 | $33–$143 | varies |
| Compatibility test antiglob (86922) | $90 | $200 | 0.6× |
| Complement Antigen Each Component (86160) | $41.85 | $93 | 3.5× |
| Coombs direct (86880) range across 4 matching MRF lines |
$38.25–$80.10 | $85–$178 | varies |
| Cortisol saliva (82533) | $57.15 | $127 | 3.5× |
| Creatine kinase total (82550) | $21.15 | $47 | 3.2× |
| Creatinine blood (82565) | $25.20 | $56 | 4.9× |
| Creatinine clearance (82575) | $78.75 | $175 | 8.3× |
| Creatinine Urine (82570) | $26.55 | $59 | 5.1× |
| Crossmatch electronic (86923) | $145.35 | $323 | 0.9× |
| Crossmatch immediate spin (86920) | $48.60 | $108 | 0.3× |
| Crp High Sensitivity (86141) | $41.85 | $93 | 3.2× |
| Cryoglobulin (82595) | $34.65 | $77 | 5.4× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$32.40–$39.60 | $72–$88 | varies |
| Cryptosporidium ag eia (87328) | $57.15 | $127 | 4.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$39.60–$55.35 | $88–$123 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $52.65 | $117 | 6.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $87.75 | $195 | 11.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $147.15 | $327 | 0.7× |
| Culture afb (87116) | $87.75 | $195 | 8.1× |
| Culture Anaerobic (87075) | $88.65 | $197 | 9.4× |
| Culture blood (87040) | $89.10 | $198 | 8.6× |
| Culture csf (87070) range across 8 matching MRF lines |
$18.90–$78.30 | $42–$174 | varies |
| Culture fungus (87102) | $87.75 | $195 | 10.4× |
| Culture fungus blood (87103) | $87.75 | $195 | 4.3× |
| Culture screen only (87081) | $32.40 | $72 | 4.9× |
| Culture stool (87045) range across 2 matching MRF lines |
$83.70–$86.40 | $186–$192 | varies |
| Culture typing if ea antiserum (87140) | $13.50 | $30 | 2.4× |
| Culture urine (87086) | $62.55 | $139 | 7.8× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $18.90 | $42 | 0.7× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$10.80–$102.15 | $24–$227 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$25.65–$85.95 | $57–$191 | varies |
| Cytopath Cell Enhance Tech (88112) range across 4 matching MRF lines |
$14.40–$114.30 | $32–$254 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$21.15–$98.55 | $47–$219 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$13.05–$45 | $29–$100 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $54 | $120 | 1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$27.45–$34.20 | $61–$76 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$9.90–$58.50 | $22–$130 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$54–$60.75 | $120–$135 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 2 matching MRF lines |
$12.15–$49.05 | $27–$109 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 4 matching MRF lines |
$9.90–$78.30 | $22–$174 | varies |
| Detect Agent Nos Dna Amp (87798) | $58.05 | $129 | 1.7× |
| Dhea-S (82627) | $51.30 | $114 | 2.3× |
| Digoxin (80162) | $58.05 | $129 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$6.75–$69.30 | $15–$154 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$34.20–$36.45 | $76–$81 | varies |
| Drug assay acetaminophen (80143) | $15.75 | $35 | 0.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$63–$132.75 | $140–$295 | varies |
| Egfr Gene Analysis Common Variants (81235) | $295.65 | $657 | 0.9× |
| El-1 Fecal Quantitative (82653) | $15.30 | $34 | 0.7× |
| Electrolyte panel (80051) | $35.55 | $79 | 5.1× |
| Enzyme histochemistry (88319) | $124.65 | $277 | 0.2× |
| Eosinophil Smear (89190) | $17.10 | $38 | 3.0× |
| Estradiol serum (82670) | $81 | $180 | 2.9× |
| Exam Synovial Fluid Crystals (89060) | $16.65 | $37 | 2.3× |
| Factor ii activity (85210) | $28.80 | $64 | 2.2× |
| Factor ix activity (85250) | $76.95 | $171 | 4.0× |
| Factor viii assay (85240) | $132.30 | $294 | 7.4× |
| Factor X (85260) | $49.95 | $111 | 2.8× |
| Ferritin (82728) | $59.85 | $133 | 4.4× |
| Fetal Fibronectin (82731) | $257.40 | $572 | 4.0× |
| Fetal screen rosette (85461) | $10.35 | $23 | 1.1× |
| Fibrin Degradation Quant (85379) range across 5 matching MRF lines |
$12.60–$46.80 | $28–$104 | varies |
| Fibrinogen activity (85384) range across 8 matching MRF lines |
$40.50–$64.35 | $90–$143 | varies |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$49.50–$85.50 | $110–$190 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$6.75–$78.75 | $15–$175 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 11 matching MRF lines |
$6.30–$200.25 | $14–$445 | varies |
| Folic Acid Serum (82746) | $56.25 | $125 | 3.8× |
| Follicle Stimulating Hormone (83001) | $93.15 | $207 | 5.0× |
| Frozen Section (88331) | $117.90 | $262 | 0.7× |
| Fungi Identification Yeast (87106) | $27 | $60 | 2.6× |
| Gammaglobulin ige (82785) | $39.60 | $88 | 2.4× |
| Gardner vag DNA dir probe (87510) range across 3 matching MRF lines |
$10.80–$40.95 | $24–$91 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $19.80 | $44 | 2.0× |
| Gases blood ph only (82800) | $20.70 | $46 | 1.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $354.15 | $787 | 0.8× |
| Gentamicin (80170) | $36.45 | $81 | 2.2× |
| Ggt (82977) | $31.05 | $69 | 4.3× |
| Giardia antigen (87329) | $56.25 | $125 | 4.7× |
| Glucose Blood Test (82962) range across 7 matching MRF lines |
$13.05–$13.50 | $29–$30 | varies |
| Glucose body fluid (82945) | $26.55 | $59 | 6.8× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$18.90–$20.25 | $42–$45 | varies |
| Glucose tolerance test (gtt) (82951) | $63 | $140 | 4.9× |
| Gonadotropin Chorionic Qualitative (84703) | $51.30 | $114 | 6.8× |
| Growth hormone (83003) | $59.85 | $133 | 3.6× |
| Gtt-added samples (82952) | $22.50 | $50 | 5.7× |
| Haptoglobin (83010) | $61.65 | $137 | 4.9× |
| Hdl Cholesterol (83718) | $31.05 | $69 | 3.8× |
| Hematocrit (85014) | $13.50 | $30 | 5.7× |
| Hemoglobin (85018) | $12.60 | $28 | 5.3× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$39.15–$50.85 | $87–$113 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$13.50–$81 | $30–$180 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $28.35 | $63 | 3.5× |
| Hemosiderin urine (83070) | $13.05 | $29 | 2.7× |
| Hep a ab igm (86709) | $44.55 | $99 | 4.0× |
| Heparin assay (85520) | $45.45 | $101 | 3.5× |
| Hepatitis b core ab igm (86705) | $35.55 | $79 | 3.0× |
| Hepatitis b core ab total (86704) | $8.10 | $18 | 0.7× |
| Hepatitis B Surface Antibody (86706) | $53.55 | $119 | 5.0× |
| Hepatitis B Surface Antigen (87340) | $46.35 | $103 | 4.5× |
| Hepatitis C Antibody (86803) | $55.35 | $123 | 3.9× |
| Heterophile Antibody Screen (86308) | $60.30 | $134 | 11.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $58.50 | $130 | 7.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $37.80 | $84 | 1.6× |
| Hiv-1 Antibody (86701) | $56.25 | $125 | 6.3× |
| Homocysteine (83090) | $54.45 | $121 | 3.0× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$15.75–$85.05 | $35–$189 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $47.25 | $105 | 0.7× |
| Hpv Types 16 & 18 Only (87625) | $27.45 | $61 | 0.7× |
| Hsv Dna Amp Probe (87529) | $24.30 | $54 | 0.7× |
| Iaad ia shiga-like toxin (87427) | $39.60 | $88 | 3.3× |
| Iaadi inffluenza a virus (87276) | $43.65 | $97 | 2.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $23.85 | $53 | 0.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $58.05 | $129 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $58.05 | $129 | 1.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$10.35–$94.05 | $23–$209 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $96.30 | $214 | 0.7× |
| Ig Light Chains Free Each (83521) | $11.70 | $26 | 0.7× |
| Igg subclasses (82787) | $44.10 | $98 | 5.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $366.75 | $815 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$15.75–$112.95 | $35–$251 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$4.05–$56.25 | $9–$125 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$13.50–$90 | $30–$200 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $352.80 | $784 | 2.2× |
| Immunohistochemistry (88342) | $208.35 | $463 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $376.20 | $836 | 2.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $39.60 | $88 | 0.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $43.65 | $97 | 3.6× |
| Influenza DNA amp probe (87502) | $89.10 | $198 | 0.9× |
| Insitu hybridization manual (88368) | $265.05 | $589 | 0.8× |
| Insulin total (83525) | $44.55 | $99 | 3.9× |
| Iron (83540) | $31.05 | $69 | 4.8× |
| Iron Binding Capacity (83550) | $28.35 | $63 | 3.2× |
| Irradiation Blood Product Each Unit (86945) | $7.65 | $17 | 0.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $176.40 | $392 | 0.9× |
| Lactate (ld) (ldh) enzyme (83615) | $26.55 | $59 | 4.4× |
| Lactoferrin fecal qualitative (83630) | $21.15 | $47 | 1.1× |
| LDL direct (83721) | $8.55 | $19 | 0.8× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$22.50–$32.40 | $50–$72 | varies |
| Legionella DNA probe (87540) | $32.40 | $72 | 1.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $58.05 | $129 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $102.60 | $228 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $204.75 | $455 | 0.6× |
| Lipase (83690) | $34.20 | $76 | 5.0× |
| Lithium (80178) | $32.40 | $72 | 4.9× |
| Liver ds alys 3 bmrk srm alg (81517) | $118.80 | $264 | 0.7× |
| Luteinizing Hormone (Lh) (83002) | $80.10 | $178 | 4.3× |
| M. Genitalium Amp Probe (87563) | $24.30 | $54 | 0.7× |
| Macroscopic exam arthropod (87168) | $44.10 | $98 | 10.3× |
| Macroscopic Exam Parasite (87169) | $11.25 | $25 | 2.6× |
| Magnesium Urine (83735) | $32.85 | $73 | 4.9× |
| Metabolic panel ionized ca (80047) | $46.80 | $104 | 3.4× |
| Microalbumin, quantitative (82043) | $27.90 | $62 | 4.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$38.25–$44.55 | $85–$99 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$43.20–$110.70 | $96–$246 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$4.95–$29.25 | $11–$65 | varies |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$8.55–$75.60 | $19–$168 | varies |
| Myoglobin urine (83874) | $61.65 | $137 | 4.8× |
| Natriuretic peptide (83880) | $82.80 | $184 | 2.1× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $95.85 | $213 | 0.7× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$18.90–$90 | $42–$200 | varies |
| Nuclear antigen antibody (86235) | $43.20 | $96 | 2.4× |
| Occult blood feces (82272) | $12.60 | $28 | 3.0× |
| Occult Blood Other Sources (82271) | $14.85 | $33 | 2.8× |
| Osmolality serum (83930) | $38.25 | $85 | 5.8× |
| Osmolality Urine (83935) | $38.70 | $86 | 5.7× |
| Particle Agglut Antbdy Titr (86406) range across 4 matching MRF lines |
$5.40–$9.45 | $12–$21 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$9–$44.55 | $20–$99 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$44.55–$55.35 | $99–$123 | varies |
| Pathology Consultation During Surgery (88329) | $71.55 | $159 | 1.3× |
| Ph urine (81003) range across 7 matching MRF lines |
$18–$27.90 | $40–$62 | varies |
| Phenobarbital Level (80184) | $45.90 | $102 | 3.0× |
| Phenytoin (Dilantin) (80185) | $53.10 | $118 | 4.0× |
| Phosphatase alkaline (84075) | $18.90 | $42 | 3.6× |
| Phosphorus Serum (84100) | $23.40 | $52 | 4.9× |
| Phosphorus urine (84105) | $32.85 | $73 | 5.7× |
| Pinworm exam (87172) | $30.60 | $68 | 7.2× |
| Platelet Aggregation (85576) | $42.75 | $95 | 1.7× |
| Platelet count automated (85049) | $28.80 | $64 | 6.4× |
| Platelet neutralization (85597) | $60.75 | $135 | 3.4× |
| Pooling blood platelets (86965) | $66.15 | $147 | 0.4× |
| Potassium Urine (84133) | $26.10 | $58 | 5.5× |
| Prealbumin (84134) | $50.85 | $113 | 3.5× |
| Progesterone (84144) | $72 | $160 | 3.5× |
| Prolactin (84146) | $106.20 | $236 | 5.5× |
| Protein body fluid (84157) | $23.40 | $52 | 5.9× |
| Protein C Activity (85303) | $72.45 | $161 | 5.2× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$7.65–$54.90 | $17–$122 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$11.70–$54.45 | $26–$121 | varies |
| Protein S Free (85306) | $77.40 | $172 | 5.1× |
| Protein total serum (84155) | $18.90 | $42 | 5.1× |
| Protein Total Urine (84156) | $34.65 | $77 | 9.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $32.85 | $73 | 8.3× |
| Pth Intact (83970) range across 2 matching MRF lines |
$87.30–$111.15 | $194–$247 | varies |
| Rbc antibody elution (86860) | $99 | $220 | 0.6× |
| Rbc antibody identification (86870) | $122.85 | $273 | 0.4× |
| Rbc antibody screen (86850) | $56.25 | $125 | 5.8× |
| Reticulocyte Count (85046) | $31.50 | $70 | 5.7× |
| Reticulocyte Count Manual (85044) | $32.85 | $73 | 7.6× |
| Rh (86901) | $31.95 | $71 | 10.7× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$5.40–$35.55 | $12–$79 | varies |
| Rotavirus ag eia (87425) range across 3 matching MRF lines |
$6.75–$86.40 | $15–$192 | varies |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$5.40–$32.40 | $12–$72 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$9.45–$73.35 | $21–$163 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$3.15–$49.95 | $7–$111 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$6.75–$47.70 | $15–$106 | varies |
| Russell Viper Venom Time Diluted (85613) | $56.25 | $125 | 5.9× |
| Salicylate Level (80179) | $15.75 | $35 | 0.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$36.45–$67.05 | $81–$149 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $115.20 | $256 | 0.8× |
| Sedimentation Rate, Automated (85652) | $22.50 | $50 | 8.3× |
| Semen Anal Sperm Detection (89321) | $33.75 | $75 | 2.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$57.15–$80.10 | $127–$178 | varies |
| Sickling of rbc reduction (85660) | $35.10 | $78 | 6.4× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$35.55–$44.10 | $79–$98 | varies |
| Smear complex stain (87209) | $44.10 | $98 | 2.5× |
| Smear gram stain (87205) | $29.70 | $66 | 7.0× |
| Smear Special Stain (87207) | $32.85 | $73 | 5.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$14.85–$32.85 | $33–$73 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$21.60–$22.95 | $48–$51 | varies |
| Sodium Urine (84300) | $26.10 | $58 | 5.2× |
| Somatomedin (84305) | $46.80 | $104 | 2.2× |
| Special Stains Group 1 (88312) | $70.20 | $156 | 1.4× |
| Special Stains Group 2 (88313) | $71.55 | $159 | 0.6× |
| Specific gravity body fluid (84315) | $11.25 | $25 | 3.4× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$16.65–$32.85 | $37–$73 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $151.65 | $337 | 0.9× |
| Stone Analysis (82355) | $74.25 | $165 | 6.4× |
| Stool cultr aerobic bact ea (87046) | $25.65 | $57 | 2.7× |
| Strep a assay w/optic (87880) | $34.20 | $76 | 2.1× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$30.15–$34.65 | $67–$77 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$34.20–$110.70 | $76–$246 | varies |
| Surg path level iii (88304) | $118.35 | $263 | 2.4× |
| Surgical pathology level IV (88305) range across 7 matching MRF lines |
$5.40–$1,405.80 | $12–$3,124 | varies |
| Surgical pathology level vi (88309) | $164.25 | $365 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $34.20 | $76 | 7.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $24.30 | $54 | 3.2× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$2.70–$24.30 | $6–$54 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$23.85–$187.20 | $53–$416 | varies |
| T cells total count (86359) range across 4 matching MRF lines |
$18.90–$166.05 | $42–$369 | varies |
| T3 Free (84481) | $36.90 | $82 | 2.2× |
| T3 Total (84480) | $58.05 | $129 | 4.1× |
| T3 Uptake (84479) | $51.30 | $114 | 7.9× |
| T4 Free (84439) | $59.40 | $132 | 6.6× |
| T4 total (84436) | $51.75 | $115 | 7.5× |
| Test for acetone/ketones (82009) | $46.80 | $104 | 10.4× |
| Testosterone total (84403) | $65.70 | $146 | 2.5× |
| Theophylline (80198) | $58.95 | $131 | 4.2× |
| Thrombin Time (85670) | $24.30 | $54 | 4.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $43.65 | $97 | 6.7× |
| Thyroglobulin (84432) | $26.55 | $59 | 1.7× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$38.25–$41.40 | $85–$92 | varies |
| Tobramycin peak (80200) | $49.05 | $109 | 3.0× |
| Touch prep (88161) | $51.75 | $115 | 1.9× |
| Toxoplasma ab igm (86778) | $80.10 | $178 | 5.6× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$17.10–$80.10 | $38–$178 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $21.60 | $48 | 4.2× |
| Transferrin (84466) | $43.65 | $97 | 3.4× |
| Trichomonas vagin dir probe (87660) range across 3 matching MRF lines |
$10.80–$40.95 | $24–$91 | varies |
| Trichomonas Vaginalis Amplif (87661) | $23.85 | $53 | 0.7× |
| Triglycerides (84478) | $26.55 | $59 | 4.6× |
| Troponin Quant (84484) | $58.95 | $131 | 4.7× |
| Tumor Immunohistochem/Manual (88360) | $167.40 | $372 | 1.0× |
| Urea nitrogen urine (84540) | $27 | $60 | 4.9× |
| Uric acid other source (84560) | $30.15 | $67 | 5.9× |
| Urinalysis Microscopic Only (81015) | $14.85 | $33 | 4.9× |
| Urine Bacteria Culture (87088) | $39.60 | $88 | 4.9× |
| Urine Pregnancy Test (81025) | $54.90 | $122 | 6.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $27.90 | $62 | 8.8× |
| Valproic acid (80164) | $85.05 | $189 | 6.3× |
| Vancomycin (80202) | $52.20 | $116 | 3.9× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$3.15–$34.20 | $7–$76 | varies |
| Virus inoculate tissue addl (87253) | $75.60 | $168 | 3.7× |
| Virus inoculation, shell via (87254) | $44.10 | $98 | 2.3× |
| Vitamin b-12 (82607) | $57.60 | $128 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $65.25 | $145 | 2.2× |
| Von willebrand factor ag (85246) | $65.25 | $145 | 2.8× |
| Wbc Alkaline Phosphatase Count (85540) | $53.55 | $119 | 6.2× |
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.