Lab & pathology prices at Avera St. Mary's Hospital
Pierre, SD · every code in this section with a posted price and a Medicare benchmark.
510 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $172.80 | $192 | 9.4× |
| Acetylcholine receptor blocking antibody (86042) | $139.50 | $155 | 7.6× |
| Acth (82024) | $432 | $480 | 11.2× |
| Actin smooth muscle antibody each (86015) | $215.10 | $239 | 17.9× |
| Acute hepatitis panel (80074) | $306.90 | $341 | 6.4× |
| Albumin Fluid (82042) | $157.50 | $175 | 20.2× |
| Albumin serum (82040) | $129.60 | $144 | 26.2× |
| Aldolase (82085) | $86.40 | $96 | 8.9× |
| Aldosterone urine (82088) | $139.50 | $155 | 3.4× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$96.30–$124.20 | $107–$138 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $42.30 | $47 | 5.3× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$25.20–$26.10 | $28–$29 | varies |
| Allergen specific igg (86001) | $105.30 | $117 | 13.5× |
| Allg Spec Ige Recomb Ea (86008) | $60.30 | $67 | 3.4× |
| Alpha-1-antitrypsin phenotype (82104) | $375.30 | $417 | 26.0× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$97.20–$238.50 | $108–$265 | varies |
| Alpha-Fetoprotein Serum (82105) | $129.60 | $144 | 7.7× |
| Alt (sgpt) (84460) | $145.80 | $162 | 27.5× |
| Aluminum (82108) | $129.60 | $144 | 5.1× |
| Aminolevulinic acid (ala) (82135) | $382.50 | $425 | 23.3× |
| Ammonia (82140) | $110.70 | $123 | 7.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $350.10 | $389 | 3.6× |
| Amylase urine (82150) range across 3 matching MRF lines |
$116.10–$229.50 | $129–$255 | varies |
| Ana Titer (86039) | $35.10 | $39 | 3.1× |
| Anca screen each antibody (86036) | $93.60 | $104 | 7.8× |
| Androstenedione (82157) | $126 | $140 | 4.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$85.50–$180 | $95–$200 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$55.80–$56.70 | $62–$63 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $112.50 | $125 | 7.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $117 | $130 | 6.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $67.50 | $75 | 5.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.50 | $75 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $47.70 | $53 | 2.6× |
| Antibody haemophilus influenza (86684) | $179.10 | $199 | 11.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $109.80 | $122 | 7.6× |
| Antibody Herpes Smplx Type 1 (86695) | $71.10 | $79 | 5.4× |
| Antibody HIV-2 (86702) | $83.70 | $93 | 6.2× |
| Antibody Titer (86886) | $262.80 | $292 | 50.7× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$27.90–$79.20 | $31–$88 | varies |
| Antigen typing (86905) | $356.40 | $396 | 93.1× |
| Antistreptolysin o titer (86060) | $271.80 | $302 | 37.2× |
| Antithrombin iii activity (85300) | $154.80 | $172 | 13.1× |
| Antithrombin iii antigen (85301) | $126 | $140 | 11.7× |
| Apolipoprotein a1 (82172) | $69.30 | $77 | 3.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $374.40 | $416 | 9.9× |
| Aquaporin-4 Antb Cba Each (86052) | $2,071.80 | $2,302 | 171.9× |
| Arsenic (82175) | $159.30 | $177 | 8.4× |
| Aspergillus ag eia (87305) | $235.80 | $262 | 19.7× |
| Assay activated protein c (85307) | $88.20 | $98 | 5.8× |
| Assay Blood Carbon Dioxide (82374) | $129.60 | $144 | 26.6× |
| Assay of 5-hiaa (83497) | $122.40 | $136 | 9.5× |
| Assay of anti-mullerian hormone (82166) | $202.50 | $225 | 5.2× |
| Assay of blood/uric acid (84550) | $145.80 | $162 | 32.3× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$102.60–$136.80 | $114–$152 | varies |
| Assay of estrone (82679) | $92.70 | $103 | 3.7× |
| Assay of g6pd enzyme (82955) | $179.10 | $199 | 18.5× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$54–$79.20 | $60–$88 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$115.20–$120.60 | $128–$134 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$338.40–$429.30 | $376–$477 | varies |
| Assay of proinsulin (84206) | $628.20 | $698 | 23.5× |
| Assay of serotonin (84260) | $180.90 | $201 | 5.8× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$84.60–$129.60 | $94–$144 | varies |
| Assay of urea nitrogen (84520) | $84.60 | $94 | 21.4× |
| Assay of vasoactive intestinal peptide (84586) | $612.90 | $681 | 17.3× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$164.70–$253.80 | $183–$282 | varies |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$33.30–$136.80 | $37–$152 | varies |
| Assay spec xcp ur&breath ia (82077) | $256.50 | $285 | 14.9× |
| Automated Leukocyte Count (85048) | $43.20 | $48 | 17.0× |
| B cells total count (86355) | $138.60 | $154 | 3.7× |
| Bartonella antibody (86611) | $92.70 | $103 | 9.1× |
| Beta 2 glycoprotein i antibody each (86146) | $171 | $190 | 6.7× |
| Beta hydroxybutyrate (82010) | $200.70 | $223 | 24.6× |
| Beta Lactamase (87185) | $113.40 | $126 | 23.9× |
| Beta-2 Microglobulin (82232) | $135.90 | $151 | 8.4× |
| Bile acids total (82239) | $184.50 | $205 | 10.8× |
| Bilirubin direct (82248) | $183.60 | $204 | 36.6× |
| Bilirubin total (82247) | $183.60 | $204 | 36.6× |
| Biotinidase (82261) | $35.10 | $39 | 2.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $63.90 | $71 | 18.6× |
| Blastomyces antibody (86612) | $52.20 | $58 | 4.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $489.60 | $544 | 2.8× |
| Blood Count Automated Differential Wbc Count (85004) | $43.20 | $48 | 6.7× |
| Blood count reticulocyte automated (85045) | $83.70 | $93 | 21.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $84.60 | $94 | 22.3× |
| Blood gas (82803) | $240.30 | $267 | 9.2× |
| Blood gases w/02 saturation (82805) | $288 | $320 | 3.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $71.10 | $79 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $356.40 | $396 | 56.1× |
| Blood typing serologic abo (86900) | $126.90 | $141 | 42.4× |
| Brucella antibody (86622) | $60.30 | $67 | 6.8× |
| C diff amplified probe (87493) | $288.90 | $321 | 7.8× |
| C-Peptide (84681) | $168.30 | $187 | 8.1× |
| C-reactive protein (86140) | $228.60 | $254 | 44.1× |
| Ca 19-9 (86301) | $162.90 | $181 | 7.8× |
| Cadmium (82300) | $260.10 | $289 | 11.0× |
| Calcium ionized (82330) | $89.10 | $99 | 6.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$39.60–$87.30 | $44–$97 | varies |
| Calculus Spectroscopy (82365) | $154.80 | $172 | 12.0× |
| Calprotectin Fecal (83993) | $509.40 | $566 | 26.0× |
| Cancer Antigen 125 (86304) | $211.50 | $235 | 10.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$105.30–$211.50 | $117–$235 | varies |
| Candida Dna Dir Probe (87480) | $54.90 | $61 | 2.7× |
| Carbamazepine total (80156) | $91.80 | $102 | 6.3× |
| Carboxyhemoglobin (82375) | $104.40 | $116 | 8.5× |
| Carcinoembryonic antigen (82378) | $325.80 | $362 | 17.2× |
| Cardiolipin ab iga (86147) | $107.10 | $119 | 4.2× |
| Carnitine Quantitative Each Specimen (82379) | $441.90 | $491 | 26.2× |
| Catecholamines fractionated (82384) | $377.10 | $419 | 14.9× |
| Ccp antibody (86200) | $96.30 | $107 | 7.4× |
| Cell count csf (89051) | $167.40 | $186 | 29.9× |
| Ceruloplasmin (82390) | $90 | $100 | 8.4× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$212.40–$1,285.20 | $236–$1,428 | varies |
| Chloride other source (82438) | $93.60 | $104 | 18.7× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$35.10–$123.30 | $39–$137 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$36–$136.80 | $40–$152 | varies |
| Cholesterol total (82465) | $138.60 | $154 | 31.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$82.80–$305.10 | $92–$339 | varies |
| Chromium serum (82495) | $83.70 | $93 | 4.1× |
| Chromogranin a (86316) | $288.90 | $321 | 13.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $123.30 | $137 | 3.5× |
| Citric acid urine (82507) | $281.70 | $313 | 10.1× |
| Ckmb (82553) | $309.60 | $344 | 26.8× |
| Clostridium Difficile (87324) | $179.10 | $199 | 14.9× |
| Clot Factor VIII Multimetric (85247) | $201.60 | $224 | 8.8× |
| Clot factor xiii fibrin stab (85290) | $366.30 | $407 | 22.4× |
| Clotting factor xii hageman (85280) | $385.20 | $428 | 19.9× |
| Clotting Funct Activity (85397) | $558 | $620 | 18.1× |
| Cns DNA amp probe type 12-25 (87483) | $999 | $1,110 | 2.4× |
| Coccidioides antibody (86635) | $55.80 | $62 | 4.9× |
| Cold agglutinin titer (86157) | $87.30 | $97 | 10.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$106.20–$153 | $118–$170 | varies |
| Compatibility test antiglob (86922) | $299.70 | $333 | 1.7× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$54.90–$119.70 | $61–$133 | varies |
| Complement Total (Ch50) (86162) | $108.90 | $121 | 5.4× |
| Complement/Function Activity (86161) | $751.50 | $835 | 62.6× |
| Coombs direct (86880) range across 3 matching MRF lines |
$70.20–$86.40 | $78–$96 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$108.90–$128.70 | $121–$143 | varies |
| Cortisol free (82530) | $415.80 | $462 | 24.9× |
| Cortisol saliva (82533) | $109.80 | $122 | 6.7× |
| Creatine kinase total (82550) | $145.80 | $162 | 22.4× |
| Creatinine blood (82565) | $129.60 | $144 | 25.3× |
| Creatinine clearance (82575) | $252 | $280 | 26.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$36.90–$157.50 | $41–$175 | varies |
| Crossmatch immediate spin (86920) | $195.30 | $217 | 1.1× |
| Crp High Sensitivity (86141) | $125.10 | $139 | 9.7× |
| Cryptococcal Antigen (87327) | $108.90 | $121 | 8.1× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$58.50–$172.80 | $65–$192 | varies |
| Cryptosporidium ag eia (87328) | $66.60 | $74 | 4.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$63–$75.60 | $70–$84 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$70.20–$109.80 | $78–$122 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $119.70 | $133 | 15.5× |
| Culture afb (87116) | $102.60 | $114 | 9.5× |
| Culture Anaerobic (87075) | $256.50 | $285 | 27.1× |
| Culture blood (87040) | $254.70 | $283 | 24.7× |
| Culture csf (87070) | $175.50 | $195 | 20.4× |
| Culture fungus (87102) | $139.50 | $155 | 16.6× |
| Culture screen only (87081) | $45.90 | $51 | 6.9× |
| Culture stool (87045) | $89.10 | $99 | 9.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $154.80 | $172 | 29.9× |
| Culture urine (87086) | $183.60 | $204 | 22.8× |
| Cystatin C (82610) | $422.10 | $469 | 22.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,618.10 | $2,909 | 2.3× |
| Cytomegalovirus igg (86644) | $76.50 | $85 | 5.3× |
| Cytopath Cell Enhance Tech (88112) | $293.40 | $326 | 5.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $240.30 | $267 | 4.5× |
| Deoxyribonuclease antibody (86215) | $75.60 | $84 | 5.7× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$176.40–$582.30 | $196–$647 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$198–$441 | $220–$490 | varies |
| Dgp Antibody Each Ig Class (86258) | $98.10 | $109 | 8.1× |
| Dhea (82626) | $467.10 | $519 | 18.5× |
| Dhea-S (82627) | $187.20 | $208 | 8.4× |
| Digoxin (80162) | $166.50 | $185 | 12.5× |
| Dihydrotestosterone (82642) | $170.10 | $189 | 5.8× |
| Dipropylacetic Acid Free (80165) | $224.10 | $249 | 16.6× |
| Dna Antibody Native/Double Stranded (86225) | $93.60 | $104 | 6.8× |
| DNA/RNA direct probe (87149) | $138.60 | $154 | 6.9× |
| Dna/Rna Sequencing (87153) | $1,583.10 | $1,759 | 13.7× |
| Drug assay acetaminophen (80143) | $362.70 | $403 | 19.5× |
| Drug assay adalimumab (80145) | $1,000.80 | $1,112 | 25.9× |
| Drug Assay Amiodarone (80151) | $67.50 | $75 | 3.6× |
| Drug Assay Everolimus (80169) | $288.90 | $321 | 21.0× |
| Drug Assay Infliximab (80230) | $1,675.80 | $1,862 | 43.4× |
| Drug Assay Itraconazole (80189) | $405.90 | $451 | 15.0× |
| Drug Assay Vedolizumab (80280) | $2,638.80 | $2,932 | 68.4× |
| Drug assay voriconazole (80285) | $747 | $830 | 27.6× |
| Drug Screen Quant Clozapine (80159) | $165.60 | $184 | 8.2× |
| Drug Screen Quant Zonisamide (80203) | $276.30 | $307 | 20.9× |
| Drug Screen Quantitative Gabapentin (80171) | $139.50 | $155 | 6.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $154.80 | $172 | 11.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $157.50 | $175 | 11.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $102.60 | $114 | 7.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$158.40–$204.30 | $176–$227 | varies |
| Drug Test Prsmv Instrmnt (80306) | $343.80 | $382 | 20.1× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$161.10–$432 | $179–$480 | varies |
| El-1 Fecal Quantitative (82653) | $305.10 | $339 | 13.3× |
| Electrolyte panel (80051) | $324.90 | $361 | 46.3× |
| Enzyme cell activity (82657) | $143.10 | $159 | 6.5× |
| Erythropoietin (82668) | $261.90 | $291 | 13.9× |
| Estradiol serum (82670) | $116.10 | $129 | 4.2× |
| Estriol (82677) | $130.50 | $145 | 5.4× |
| Estrogens fractionated (82671) | $236.70 | $263 | 7.3× |
| Ethylene Glycol (82693) | $480.60 | $534 | 32.3× |
| Exam Synovial Fluid Crystals (89060) | $129.60 | $144 | 17.7× |
| F2 Gene (81240) | $211.50 | $235 | 3.2× |
| Factor ii activity (85210) | $388.80 | $432 | 30.0× |
| Factor ix activity (85250) | $204.30 | $227 | 10.7× |
| Factor v activity (85220) | $592.20 | $658 | 33.6× |
| Factor v leiden mutation (81241) | $291.60 | $324 | 4.0× |
| Factor vii assay (85230) | $213.30 | $237 | 11.9× |
| Factor viii assay (85240) | $224.10 | $249 | 12.5× |
| Factor X (85260) | $133.20 | $148 | 7.4× |
| Factor xi activity (85270) | $213.30 | $237 | 11.9× |
| Fecal Fat Qualitative (82705) | $74.70 | $83 | 14.6× |
| Ferritin (82728) | $200.70 | $223 | 14.7× |
| Fetal screen rosette (85461) | $210.60 | $234 | 22.5× |
| Fibrin Degradation Quant (85379) | $297 | $330 | 29.2× |
| Fibrinogen activity (85384) | $130.50 | $145 | 13.4× |
| Flow cytometry first marker (88184) | $356.40 | $396 | 1.0× |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$81–$441.90 | $90–$491 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$122.40–$1,017 | $136–$1,130 | varies |
| Folic acid rbc (82747) | $123.30 | $137 | 7.0× |
| Folic Acid Serum (82746) | $200.70 | $223 | 13.7× |
| Follicle Stimulating Hormone (83001) | $125.10 | $139 | 6.7× |
| Fungi Identification Mold (87107) | $322.20 | $358 | 31.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$47.70–$131.40 | $53–$146 | varies |
| Galactose transferase test (82776) | $35.10 | $39 | 3.0× |
| Galectin-3 (82777) | $967.50 | $1,075 | 21.9× |
| Gammaglobulin ige (82785) | $97.20 | $108 | 5.9× |
| Gardner vag DNA dir probe (87510) | $54.90 | $61 | 2.7× |
| Gastrin (82941) | $180.90 | $201 | 10.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,129.50 | $1,255 | 2.7× |
| Genet Virus Isolate Hsv (87255) | $283.50 | $315 | 8.4× |
| Ggt (82977) | $181.80 | $202 | 25.3× |
| Giardia antigen (87329) | $138.60 | $154 | 11.6× |
| Glucose 2 hr pp (82950) | $162.90 | $181 | 34.3× |
| Glucose body fluid (82945) | $102.60 | $114 | 26.1× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$88.20–$138.60 | $98–$154 | varies |
| Glucose tolerance test (gtt) (82951) | $383.40 | $426 | 29.8× |
| Glycated Protein (82985) | $46.80 | $52 | 2.8× |
| Gonadotropin Chorionic Qualitative (84703) | $136.80 | $152 | 18.2× |
| Growth hormone (83003) | $245.70 | $273 | 14.7× |
| Gtt-added samples (82952) | $129.60 | $144 | 33.1× |
| Haptoglobin (83010) | $89.10 | $99 | 7.1× |
| Hdl Cholesterol (83718) | $26.10 | $29 | 3.2× |
| Helicobacter Pylori Stool (87338) | $215.10 | $239 | 15.0× |
| Helminth Antibody (86682) | $363.60 | $404 | 27.9× |
| Hematocrit (85014) | $83.70 | $93 | 35.3× |
| Hemoglobin (85018) | $83.70 | $93 | 35.3× |
| Hemoglobin a1c (83036) | $153 | $170 | 15.8× |
| Hemoglobin electrophoresis (83020) | $35.10 | $39 | 2.7× |
| Hep a ab igm (86709) | $83.70 | $93 | 7.4× |
| Heparin assay (85520) | $193.50 | $215 | 14.8× |
| Hepatitis a antibody total (86708) | $87.30 | $97 | 7.0× |
| Hepatitis b core ab igm (86705) | $175.50 | $195 | 14.9× |
| Hepatitis b core ab total (86704) | $48.60 | $54 | 4.0× |
| Hepatitis B Surface Antibody (86706) | $84.60 | $94 | 7.9× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$40.50–$66.60 | $45–$74 | varies |
| Hepatitis Be Antibody (86707) | $129.60 | $144 | 11.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$39.60–$107.10 | $44–$119 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$788.40–$828 | $876–$920 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $123.30 | $137 | 3.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $389.70 | $433 | 9.1× |
| Herpes simplex type 2 (86696) | $91.80 | $102 | 4.7× |
| Hfe Gene (81256) | $206.10 | $229 | 3.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $296.10 | $329 | 38.3× |
| Histamine urine (83088) | $238.50 | $265 | 8.1× |
| Histoplasma antibody (86698) | $54.90 | $61 | 4.0× |
| Histoplasma antigen urine (87385) | $277.20 | $308 | 20.9× |
| Hiv Antigen W/Hiv Antibodies (87806) | $234 | $260 | 7.1× |
| Hiv Genotype (87901) | $1,485.90 | $1,651 | 5.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$62.10–$254.70 | $69–$283 | varies |
| Hiv-1 Antibody (86701) | $83.70 | $93 | 9.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $302.40 | $336 | 3.6× |
| Hla I Typing 1 Allele Hr (81381) | $381.60 | $424 | 2.2× |
| Hla ii typing 1 locus lr (81376) | $426.60 | $474 | 3.5× |
| Hla-b27 (86812) | $130.50 | $145 | 5.1× |
| Homocysteine (83090) | $73.80 | $82 | 4.1× |
| Homogenization Tissue (87176) | $63.90 | $71 | 10.9× |
| Hsv Dna Amp Probe (87529) | $1,129.50 | $1,255 | 32.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$35.10–$116.10 | $39–$129 | varies |
| Iaadi inffluenza a virus (87276) | $58.50 | $65 | 3.6× |
| Iaadi not otherwise specified each organism (87299) | $58.50 | $65 | 3.6× |
| Iaadi parainfluenza virus each type (87279) | $59.40 | $66 | 3.6× |
| Iaadi respiratory synctial virus (87280) | $59.40 | $66 | 4.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $427.50 | $475 | 12.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $1,619.10 | $1,799 | 46.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $225 | $250 | 6.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$901.80–$2,099.70 | $1,002–$2,333 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $270.90 | $301 | 6.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $241.20 | $268 | 3.4× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $427.50 | $475 | 12.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $123.30 | $137 | 3.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $468.90 | $521 | 10.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $480.60 | $534 | 11.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $123.30 | $137 | 3.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $409.50 | $455 | 11.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $123.30 | $137 | 3.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $459.90 | $511 | 3.2× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$103.50–$108 | $115–$120 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $344.70 | $383 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$182.70–$459 | $203–$510 | varies |
| Immunoassay infectious agent (86318) | $143.10 | $159 | 7.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $109.80 | $122 | 7.3× |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$37.80–$214.20 | $42–$238 | varies |
| Immunodiffusion Ouchterlony (86331) | $56.70 | $63 | 4.7× |
| Immunofixation electrophoresis (86334) | $176.40 | $196 | 7.9× |
| Immunohistochemistry (88342) | $425.70 | $473 | 2.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $59.40 | $66 | 4.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $59.40 | $66 | 4.8× |
| Influenza DNA amp probe (87502) | $288.90 | $321 | 3.0× |
| Inhibin A (86336) | $153 | $170 | 9.8× |
| Inhibin b (83520) range across 7 matching MRF lines |
$79.20–$946.80 | $88–$1,052 | varies |
| Insitu hybridization manual (88368) | $368.10 | $409 | 1.0× |
| Insulin antibodies (86337) | $306 | $340 | 14.3× |
| Insulin free (83527) | $131.40 | $146 | 10.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$54.90–$90.90 | $61–$101 | varies |
| Iron (83540) | $216.90 | $241 | 33.5× |
| Iron Binding Capacity (83550) | $229.50 | $255 | 26.3× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$178.20–$1,111.50 | $198–$1,235 | varies |
| Koh Prep (87220) | $116.10 | $129 | 27.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$114.30–$145.80 | $127–$162 | varies |
| Lactoferrin fecal qualitative (83630) | $84.60 | $94 | 4.3× |
| Ldh Isoenzymes (83625) | $195.30 | $217 | 15.3× |
| LDL direct (83721) | $139.50 | $155 | 13.3× |
| Lead (83655) range across 2 matching MRF lines |
$63–$159.30 | $70–$177 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$169.20–$333 | $188–$370 | varies |
| Leukocyte Assessment Fecal (89055) | $84.60 | $94 | 19.8× |
| Level ii surg pathology grossµscopic exam (88302) | $182.70 | $203 | 4.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $540.90 | $601 | 1.5× |
| Lipase (83690) | $229.50 | $255 | 33.3× |
| Lipoprotein A (83695) | $172.80 | $192 | 12.1× |
| Lithium (80178) | $94.50 | $105 | 14.3× |
| Luteinizing Hormone (Lh) (83002) | $217.80 | $242 | 11.8× |
| Lyme disease antibody (86618) | $250.20 | $278 | 14.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,328.40 | $1,476 | 7.6× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$87.30–$162.90 | $97–$181 | varies |
| Mass Spectrometry Quant (83789) | $35.10 | $39 | 1.5× |
| Mercury urine (83825) range across 2 matching MRF lines |
$118.80–$159.30 | $132–$177 | varies |
| Methylmalonic acid serum (83921) | $304.20 | $338 | 14.3× |
| Microalbumin, quantitative (82043) | $108.90 | $121 | 18.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$126–$162 | $140–$180 | varies |
| Mitochondrial Antibody Each (86381) | $124.20 | $138 | 4.9× |
| Mopath procedure level 5 (81404) | $1,065.60 | $1,184 | 3.9× |
| Mrsa Pcr (87641) | $245.70 | $273 | 7.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$80.10–$164.70 | $89–$183 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,671.30 | $1,857 | 90.8× |
| Mycophenolic Acid (80180) | $110.70 | $123 | 6.1× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$250.20–$309.60 | $278–$344 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $425.70 | $473 | 1.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $6,020.10 | $6,689 | 46.8× |
| Niacin (84591) | $200.70 | $223 | 11.8× |
| Nk cells total count (86357) | $166.50 | $185 | 4.4× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$71.10–$93.60 | $79–$104 | varies |
| Occult blood feces (82272) | $87.30 | $97 | 20.6× |
| Occult Blood Other Sources (82271) | $80.10 | $89 | 15.1× |
| Oligoclonal bands (83916) | $158.40 | $176 | 5.8× |
| Osmolality serum (83930) | $115.20 | $128 | 17.4× |
| Osmolality Urine (83935) | $81.90 | $91 | 12.0× |
| Ova and parasites smears (87177) | $72 | $80 | 8.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$110.70–$136.80 | $123–$152 | varies |
| Parvovirus antibody (86747) | $125.10 | $139 | 8.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$45.90–$66.60 | $51–$74 | varies |
| Phenobarbital Level (80184) | $291.60 | $324 | 19.1× |
| Phenotype Infect Agent Drug (87900) | $659.70 | $733 | 5.1× |
| Phenytoin (Dilantin) (80185) | $236.70 | $263 | 17.9× |
| Phenytoin free (80186) | $151.20 | $168 | 11.0× |
| Phosphatase alkaline (84075) | $133.20 | $148 | 25.7× |
| Phospholipid Neutralization Hexagonal (85598) | $201.60 | $224 | 11.2× |
| Phosphorus Serum (84100) | $132.30 | $147 | 27.9× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$102.60–$136.80 | $114–$152 | varies |
| Platelet Aggregation (85576) | $191.70 | $213 | 7.7× |
| Platelet Antibodies (86022) | $344.70 | $383 | 18.8× |
| Platelet count automated (85049) | $56.70 | $63 | 12.7× |
| Platelet neutralization (85597) | $128.70 | $143 | 7.2× |
| Pneumcysts jirovecii amp prb (87594) | $1,104.30 | $1,227 | 31.5× |
| Porphobilinogen, urine; quantitative (84110) | $132.30 | $147 | 15.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $281.70 | $313 | 19.2× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$102.60–$136.80 | $114–$152 | varies |
| Prealbumin (84134) | $109.80 | $122 | 7.5× |
| Primidone (80188) | $89.10 | $99 | 5.4× |
| Procalcitonin (Pct) (84145) | $155.70 | $173 | 5.7× |
| Progesterone (84144) | $86.40 | $96 | 4.1× |
| Prolactin (84146) | $164.70 | $183 | 8.5× |
| Protein body fluid (84157) | $102.60 | $114 | 25.7× |
| Protein C Activity (85303) | $179.10 | $199 | 12.9× |
| Protein c antigen (85302) | $381.60 | $424 | 31.8× |
| Protein Electrophoresis Urine (84166) | $77.40 | $86 | 4.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $63.90 | $71 | 5.9× |
| Protein S Free (85306) | $117.90 | $131 | 7.7× |
| Protein s total (85305) | $180.90 | $201 | 15.6× |
| Protein total serum (84155) | $129.60 | $144 | 35.3× |
| Protein Total Urine (84156) | $40.50 | $45 | 11.0× |
| PSA free (84154) | $68.40 | $76 | 3.7× |
| Pth Intact (83970) | $325.80 | $362 | 7.9× |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$68.40–$148.50 | $76–$165 | varies |
| Quantiferon tb gold plus (86480) | $256.50 | $285 | 4.1× |
| Quantitative assay drug (80299) | $175.50 | $195 | 9.4× |
| Quantitative Screen Metals (83018) | $89.10 | $99 | 4.1× |
| Rbc antibody identification (86870) | $356.40 | $396 | 1.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$59.40–$175.50 | $66–$195 | varies |
| Renin activity plasma (84244) | $86.40 | $96 | 3.9× |
| Reptilase test (85635) | $405.90 | $451 | 41.2× |
| Reticulocyte Count (85046) | $118.80 | $132 | 21.3× |
| Rh (86901) range across 2 matching MRF lines |
$54.90–$115.20 | $61–$128 | varies |
| Rheumatoid factor quant (86431) | $122.40 | $136 | 21.6× |
| Rickettsia antibody (86757) | $82.80 | $92 | 4.3× |
| Ristocetin cofactor (85245) | $164.70 | $183 | 7.2× |
| Rotavirus ag eia (87425) | $108 | $120 | 9.0× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$23.40–$71.10 | $26–$79 | varies |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$42.30–$73.80 | $47–$82 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$80.10–$183.60 | $89–$204 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$77.40–$81.90 | $86–$91 | varies |
| Rx metab gen seq alys pnl 6 (81418) | $161.10 | $179 | 0.2× |
| Salicylate Level (80179) | $362.70 | $403 | 19.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $139.50 | $155 | 2.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $105.30 | $117 | 2.5× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $50.40 | $56 | 1.2× |
| Sarscov2 & inf a&b amp prb (87636) | $459.90 | $511 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $523.80 | $582 | 3.7× |
| Sedimentation Rate, Automated (85652) | $101.70 | $113 | 37.7× |
| Selenium (84255) | $153.90 | $171 | 6.0× |
| Semen Anal Sperm Detection (89321) | $71.10 | $79 | 5.9× |
| Semen analysis complete (89320) | $550.80 | $612 | 44.7× |
| Sensitivity mic (87186) | $154.80 | $172 | 17.9× |
| Sex Hormone Binding Globulin (84270) | $134.10 | $149 | 6.2× |
| Sirolimus (80195) | $240.30 | $267 | 17.5× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$45–$60.30 | $50–$67 | varies |
| Smear acid fast (87206) | $61.20 | $68 | 11.4× |
| Smear complex stain (87209) | $72 | $80 | 4.0× |
| Smear gram stain (87205) | $103.50 | $115 | 24.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $311.40 | $346 | 2.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$129.60–$179.10 | $144–$199 | varies |
| Sodium Serum (84295) | $84.60 | $94 | 17.6× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$102.60–$136.80 | $114–$152 | varies |
| Somatomedin (84305) | $291.60 | $324 | 13.7× |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$393.30–$477 | $437–$530 | varies |
| Special Stains Group 2 (88313) range across 9 matching MRF lines |
$389.70–$393.30 | $433–$437 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$42.30–$57.60 | $47–$64 | varies |
| Spectrophotometry (84311) | $157.50 | $175 | 19.4× |
| Stool cultr aerobic bact ea (87046) | $36.90 | $41 | 3.9× |
| Strep a DNA amp probe (87651) | $459.90 | $511 | 13.1× |
| Strep b DNA amp probe (87653) | $130.50 | $145 | 3.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $67.50 | $75 | 0.7× |
| Sugars Single Qual (84376) | $71.10 | $79 | 12.9× |
| Sulfate urine (84392) | $136.80 | $152 | 24.9× |
| Surg path level iii (88304) | $228.60 | $254 | 4.3× |
| Surgical pathology level IV (88305) | $464.40 | $516 | 8.7× |
| Surgical pathology level vi (88309) | $745.20 | $828 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $154.80 | $172 | 20.7× |
| Syphilis Test Non-Trep Quant (86593) | $266.40 | $296 | 60.5× |
| T cells absolute cd4 count (86361) | $523.80 | $582 | 19.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $108.90 | $121 | 2.3× |
| T cells total count (86359) | $108.90 | $121 | 2.9× |
| T3 Free (84481) | $171.90 | $191 | 10.1× |
| T3 reverse (84482) | $340.20 | $378 | 21.6× |
| T3 Total (84480) | $133.20 | $148 | 9.4× |
| T3 Uptake (84479) | $139.50 | $155 | 21.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$138.60–$213.30 | $154–$237 | varies |
| T4 total (84436) | $95.40 | $106 | 13.9× |
| Tacrolimus (80197) | $149.40 | $166 | 10.9× |
| Testosterone total (84403) range across 3 matching MRF lines |
$123.30–$206.10 | $137–$229 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$127.80–$170.10 | $142–$189 | varies |
| Thiopurine methyltransferase (84433) | $425.70 | $473 | 19.2× |
| Thrombin Time (85670) | $75.60 | $84 | 13.1× |
| Thromboplastin Inhibition Tissue (85705) | $289.80 | $322 | 30.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $53.10 | $59 | 8.2× |
| Thyroglobulin (84432) | $188.10 | $209 | 11.7× |
| Thyroglobulin Antibody (86800) | $83.70 | $93 | 5.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $595.80 | $662 | 11.7× |
| Thyroxine binding globulin (84442) | $90.90 | $101 | 6.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $138.60 | $154 | 12.0× |
| Topiramate (80201) | $166.50 | $185 | 14.0× |
| Toxoplasma ab igm (86778) | $232.20 | $258 | 16.1× |
| Toxoplasma antibody (86777) | $234 | $260 | 16.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $11,577.60 | $12,864 | 35.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $145.80 | $162 | 28.1× |
| Transferrin (84466) | $79.20 | $88 | 6.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $494.10 | $549 | 2.4× |
| Trg gene rearrangement anal (81342) | $1,045.80 | $1,162 | 5.2× |
| Trichomonas vagin dir probe (87660) | $54.90 | $61 | 2.7× |
| Trichomonas Vaginalis Amplif (87661) | $144 | $160 | 4.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$37.80–$95.40 | $42–$106 | varies |
| Troponin Quant (84484) | $309.60 | $344 | 24.8× |
| Tumor Immunohistochem/Manual (88360) | $425.70 | $473 | 2.4× |
| Urea Nitrogen Clearance (84545) | $107.10 | $119 | 14.9× |
| Urea nitrogen urine (84540) | $97.20 | $108 | 17.5× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$114.30–$136.80 | $127–$152 | varies |
| Urinalysis Microscopic Only (81015) | $121.50 | $135 | 39.8× |
| Urine Pregnancy Test (81025) | $126 | $140 | 14.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $129.60 | $144 | 40.9× |
| Valproic acid (80164) | $153.90 | $171 | 11.4× |
| Vancomycin (80202) | $325.80 | $362 | 24.1× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$197.10–$200.70 | $219–$223 | varies |
| Very Long Chain Fatty Acids (82726) | $1,115.10 | $1,239 | 56.5× |
| Viral Culture (87252) | $149.40 | $166 | 5.7× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$185.40–$472.50 | $206–$525 | varies |
| Vit D 1 25-Dihydroxy (82652) | $206.10 | $229 | 5.4× |
| Vitamin A (84590) | $225 | $250 | 19.4× |
| Vitamin b-12 (82607) | $170.10 | $189 | 11.3× |
| Vitamin B2 (Riboflavin) (84252) | $379.80 | $422 | 18.8× |
| Vitamin B6 (84207) | $171.90 | $191 | 6.1× |
| Vitamin c (82180) | $113.40 | $126 | 11.5× |
| Vitamin D 25-Hydroxy (82306) | $150.30 | $167 | 5.1× |
| Vitamin E (84446) | $87.30 | $97 | 6.2× |
| Vitamin K (84597) | $166.50 | $185 | 12.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $119.70 | $133 | 9.9× |
| Von willebrand factor ag (85246) | $100.80 | $112 | 4.4× |
| West nile virus ab igm (86788) | $90 | $100 | 5.3× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$97.20–$286.20 | $108–$318 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$54–$83.70 | $60–$93 | 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.