Lab & pathology prices at Baxter Health Fulton County Hospital
Salem, AR · every code in this section with a posted price and a Medicare benchmark.
500 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $75.60 | $108 | 3.3× |
| Acth (82024) | $47.22 | $67.45 | 1.2× |
| Actin smooth muscle antibody each (86015) | $17.33 | $24.75 | 1.4× |
| Acute hepatitis panel (80074) | $135.66 | $193.80 | 2.8× |
| Agglutinins Febrile Each Antigen (86000) | $169.79 | $242.55 | 24.3× |
| Albumin Fluid (82042) | $13.30 | $19 | 1.7× |
| Albumin serum (82040) range across 2 matching MRF lines |
$11.90–$16.17 | $17–$23.10 | varies |
| Aldolase (82085) | $20.41 | $29.15 | 2.1× |
| Aldosterone urine (82088) | $109.52 | $156.45 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $44.10 | $63 | 3.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$19.45–$29.26 | $27.79–$41.80 | varies |
| Allg Spec Ige Recomb Ea (86008) | $112.09 | $160.13 | 6.3× |
| Alpha-1-antitrypsin phenotype (82104) | $55.37 | $79.10 | 3.8× |
| Alpha-1-antitrypsin total (82103) | $33.25 | $47.50 | 2.5× |
| Alpha-Fetoprotein Serum (82105) | $47.88 | $68.40 | 2.9× |
| Alt (sgpt) (84460) | $18.48 | $26.40 | 3.5× |
| Aluminum (82108) | $25.90 | $37 | 1.0× |
| Amikacin trough (80150) | $45.50 | $65 | 3.0× |
| Aminolevulinic acid (ala) (82135) | $49.70 | $71 | 3.0× |
| Ammonia (82140) | $51.45 | $73.50 | 3.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$17.64–$29.40 | $25.20–$42 | varies |
| Ana Titer (86039) | $27.10 | $38.71 | 2.4× |
| Angiotensin converting enzyme csf (82164) | $48.51 | $69.30 | 3.3× |
| Anti-Phospholipid Antibody (86148) | $102.41 | $146.30 | 6.4× |
| Antibody aspergillus (86606) | $45.50 | $65 | 3.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $82.78 | $118.25 | 6.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $50.82 | $72.60 | 3.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $39.90 | $57 | 2.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $31.92 | $45.60 | 2.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $35.91 | $51.30 | 2.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$51.87–$82.46 | $74.10–$117.80 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $147 | $210 | 12.0× |
| Antibody helicobacter pylori (86677) | $50.82 | $72.60 | 3.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$37.10–$57.40 | $53–$82 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $24.50 | $35 | 1.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $59.54 | $85.05 | 4.3× |
| Antibody HIV-2 (86702) | $44.80 | $64 | 3.3× |
| Antibody identification leukocyte antibodies (86021) | $88.64 | $126.63 | 5.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $32.20 | $46 | 2.6× |
| Antibody plasmodium malaria (86750) | $218.75 | $312.50 | 16.6× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$32.20–$56.70 | $46–$81 | varies |
| Antibody Treponema Pallidum (86780) | $24.56 | $35.09 | 1.9× |
| Antibody; encephalitis, st. louis (86653) | $39.90 | $57 | 3.0× |
| Antibody; influenza virus (86710) | $80.50 | $115 | 5.9× |
| Antigen typing (86905) | $105 | $150 | 27.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $19.04 | $27.20 | 3.3× |
| Antinuclear antibodies (86038) | $134.75 | $192.50 | 11.1× |
| Antistreptolysin O Screen (86063) | $23.87 | $34.10 | 4.1× |
| Antithrombin iii activity (85300) | $254.80 | $364 | 21.5× |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$32.20–$38.50 | $46–$55 | varies |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $351.40 | $502 | 0.7× |
| Apolipoprotein a1 (82172) | $14.25 | $20.35 | 0.7× |
| Arsenic (82175) | $182.70 | $261 | 9.6× |
| Assay activated protein c (85307) | $148.23 | $211.75 | 9.7× |
| Assay Blood Carbon Dioxide (82374) | $16.17 | $23.10 | 3.3× |
| Assay Blood Catecholamines (82383) | $82.39 | $117.70 | 2.8× |
| Assay Nephelometry Not Spec (83883) | $190.96 | $272.80 | 14.0× |
| Assay of blood/uric acid (84550) | $22.33 | $31.90 | 4.9× |
| Assay of calcium in urine (82340) | $14.70 | $21 | 2.4× |
| Assay of corticosterone (82528) | $67.90 | $97 | 3.0× |
| Assay of cpk in blood (82552) | $34.30 | $49 | 2.6× |
| Assay of g6pd enzyme (82955) | $29.40 | $42 | 3.0× |
| Assay of gammaglobulin igm (82784) | $26.95 | $38.50 | 2.9× |
| Assay of lactic acid (83605) | $35.42 | $50.60 | 3.1× |
| Assay of manganese (83785) | $90.30 | $129 | 3.4× |
| Assay of metanephrines (83835) | $335.92 | $479.88 | 19.8× |
| Assay of procainamide (80190) | $43.40 | $62 | 0.7× |
| Assay of proinsulin (84206) | $53.20 | $76 | 2.0× |
| Assay of serotonin (84260) | $192.50 | $275 | 6.2× |
| Assay of serum potassium (84132) | $16.94 | $24.20 | 3.6× |
| Assay of urea nitrogen (84520) | $17.64 | $25.20 | 4.5× |
| Assay of urine vma (84585) | $46.20 | $66 | 3.0× |
| Assay of vasoactive intestinal peptide (84586) | $227.54 | $325.05 | 6.4× |
| Assay of vitamin b-1 (84425) | $70.07 | $100.10 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $47.60 | $68 | 13.3× |
| Automated Leukocyte Count (85048) | $10.50 | $15 | 4.1× |
| B cells total count (86355) | $115.68 | $165.25 | 3.1× |
| Bartonella antibody (86611) | $43.75 | $62.50 | 4.3× |
| Bcr/abl1 gene major bp (81206) | $611.23 | $873.18 | 3.7× |
| Bcr/abl1 gene minor bp (81207) | $611.23 | $873.18 | 4.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$21.70–$93.10 | $31–$133 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$18.20–$166.60 | $26–$238 | varies |
| Beta Lactamase (87185) | $26.25 | $37.50 | 5.5× |
| Beta-2 Microglobulin (82232) | $39.90 | $57 | 2.5× |
| Bilirubin direct (82248) | $9.98 | $14.25 | 2.0× |
| Bilirubin total (82247) | $11.97 | $17.10 | 2.4× |
| Bld Typing Serologic Rh Phnt (86906) | $172.20 | $246 | 22.2× |
| Bleeding time test (85002) | $22.57 | $32.24 | 4.7× |
| Blood count reticulocyte automated (85045) | $57.88 | $82.69 | 14.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$7–$9.56 | $10–$13.65 | varies |
| Blood gas (82803) | $239.17 | $341.67 | 9.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $11.90 | $17 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $163.80 | $234 | 25.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$70–$90.09 | $100–$128.70 | varies |
| Body fluid cell count (89050) | $8.75 | $12.50 | 1.9× |
| Bone marrow smear interpretation (85097) | $106.40 | $152 | 0.1× |
| Bordetella antibody (86615) | $39.90 | $57 | 3.0× |
| Brucella antibody (86622) | $64.14 | $91.63 | 7.2× |
| C diff amplified probe (87493) | $77.79 | $111.13 | 2.1× |
| C-Peptide (84681) | $68.53 | $97.90 | 3.3× |
| C-reactive protein (86140) | $29.40 | $42 | 5.7× |
| Ca 19-9 (86301) | $76.14 | $108.77 | 3.7× |
| Cadmium (82300) | $57.40 | $82 | 2.4× |
| Calcitonin (82308) | $66.50 | $95 | 2.5× |
| Calcium ionized (82330) | $36.19 | $51.70 | 2.6× |
| Calcium total (82310) | $21.56 | $30.80 | 4.2× |
| Calculus Spectroscopy (82365) | $136.50 | $195 | 10.6× |
| Calprotectin Fecal (83993) | $319.20 | $456 | 16.3× |
| Cancer Antigen 125 (86304) | $62.30 | $89 | 3.0× |
| Cancer Antigen 27.29 (86300) | $29.40 | $42 | 1.4× |
| Candida antibody (86628) | $154 | $220 | 12.8× |
| Carbamazepine total (80156) | $45.50 | $65 | 3.1× |
| Carboxyhemoglobin (82375) | $37.10 | $53 | 3.0× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$30.80–$62.37 | $44–$89.10 | varies |
| Cardiolipin ab iga (86147) | $102.41 | $146.30 | 4.0× |
| Catecholamines fractionated (82384) | $75.60 | $108 | 3.0× |
| Catecholamines total urine (82382) | $51.80 | $74 | 1.9× |
| Ccp antibody (86200) | $73.50 | $105 | 5.7× |
| Cell count csf (89051) | $15.44 | $22.05 | 2.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $336.70 | $481 | 2.5× |
| Ceruloplasmin (82390) | $30.59 | $43.70 | 2.8× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$91.41–$249.90 | $130.59–$357 | varies |
| Chlamydia antibody (86631) | $43.40 | $62 | 3.7× |
| Chlamydia Igm Antibody (86632) | $46.90 | $67 | 3.7× |
| Chloride Serum (82435) | $11.20 | $16 | 2.4× |
| Chloride urine (82436) | $16.73 | $23.90 | 2.9× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$10.50–$12.64 | $15–$18.05 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$67.38–$70 | $96.25–$100 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $114.10 | $163 | 3.4× |
| Chromium serum (82495) | $46.90 | $67 | 2.3× |
| Chromogenic Substrate Assay (85130) | $18.90 | $27 | 1.6× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$53.20–$175 | $76–$250 | varies |
| Chromosome Analysis 20-25 (88264) | $382.18 | $545.97 | 2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $94.82 | $135.45 | 2.7× |
| Ckmb (82553) | $52.92 | $75.60 | 4.6× |
| Clostridium Difficile (87324) | $91.88 | $131.25 | 7.7× |
| Coccidioides antibody (86635) | $34.30 | $49 | 3.0× |
| Cold agglutinin titer (86157) | $20.30 | $29 | 2.5× |
| Collagen crosslinks (82523) | $98 | $140 | 5.2× |
| Column Chromotography Quant (82542) | $133.67 | $190.95 | 5.5× |
| Compatibility test antiglob (86922) | $129.36 | $184.80 | 0.8× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$19.95–$36.40 | $28.50–$52 | varies |
| Complement Total (Ch50) (86162) | $52.50 | $75 | 2.6× |
| Complement/Function Activity (86161) | $49.70 | $71 | 4.1× |
| Copper urine (82525) | $40.81 | $58.30 | 3.3× |
| Cortisol free (82530) range across 3 matching MRF lines |
$25.27–$313.78 | $36.10–$448.25 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$53.90–$210 | $77–$300 | varies |
| Creatine kinase total (82550) | $23.87 | $34.10 | 3.7× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$13.30–$16.94 | $19–$24.20 | varies |
| Creatinine clearance (82575) | $34.30 | $49 | 3.6× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$15.40–$29.40 | $22–$42 | varies |
| Crp High Sensitivity (86141) | $38.86 | $55.52 | 3.0× |
| Cryoglobulin (82595) | $16.10 | $23 | 2.5× |
| Cryptococcal Antigen (87327) | $22.40 | $32 | 1.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$21.28–$210 | $30.40–$300 | varies |
| Cryptosporidium ag eia (87328) | $88.20 | $126 | 6.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$31.57–$282.98 | $45.10–$404.25 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $26.17 | $37.38 | 3.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $15.40 | $22 | 2.0× |
| Culture aerobic quant other (87071) | $69.83 | $99.75 | 7.1× |
| Culture afb (87116) | $30.80 | $44 | 2.9× |
| Culture Anaerobic (87075) | $27.72 | $39.60 | 2.9× |
| Culture blood (87040) | $45.43 | $64.90 | 4.4× |
| Culture csf (87070) range across 3 matching MRF lines |
$27.20–$62.26 | $38.85–$88.94 | varies |
| Culture fungus (87102) | $21.70 | $31 | 2.6× |
| Culture fungus blood (87103) | $23.10 | $33 | 1.1× |
| Culture screen only (87081) range across 3 matching MRF lines |
$23.80–$80.15 | $34–$114.50 | varies |
| Culture stool (87045) | $41.90 | $59.85 | 4.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $13.30 | $19 | 2.6× |
| Culture urine (87086) range across 3 matching MRF lines |
$21–$44.66 | $30–$63.80 | varies |
| Cyclosporine (80158) | $51.21 | $73.15 | 2.8× |
| Cyp2c19 gene analysis common variants (81225) | $509.88 | $728.40 | 1.8× |
| Cyp2c9 gene com variants (81227) | $305.92 | $437.03 | 1.8× |
| Cyp2d6 gene com variants (81226) | $631.31 | $901.87 | 1.4× |
| Cyp3a4 gene common variants (81230) | $305.92 | $437.03 | 1.8× |
| Cyp3a5 gene common variants (81231) | $305.92 | $437.03 | 1.8× |
| Cystatin C (82610) | $122.85 | $175.50 | 6.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$189.70–$1,365 | $271–$1,950 | varies |
| Cytomegalovirus igg (86644) | $35.70 | $51 | 2.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $40.80 | $58.28 | 2.0× |
| Cytopath Cell Enhance Tech (88112) | $107.53 | $153.62 | 2.3× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$90.30–$339.50 | $129–$485 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$125.03–$382.20 | $178.61–$546 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$157.50–$317.63 | $225–$453.75 | varies |
| Dhea (82626) | $180.22 | $257.45 | 7.1× |
| Dhea-S (82627) | $66.50 | $95 | 3.0× |
| Digoxin (80162) range across 2 matching MRF lines |
$37.10–$43.89 | $53–$62.70 | varies |
| Diphtheria antitoxoid (86648) | $136.91 | $195.58 | 9.0× |
| Dipropylacetic Acid Free (80165) | $52.50 | $75 | 3.9× |
| Dna Antibody Native/Double Stranded (86225) | $43.37 | $61.95 | 3.2× |
| Drug assay acetaminophen (80143) | $63.95 | $91.35 | 3.4× |
| Drug assay adalimumab (80145) | $420 | $600 | 10.9× |
| Drug Assay Amiodarone (80151) | $14.70 | $21 | 0.8× |
| Drug Assay Lacosamide (80235) | $232.75 | $332.50 | 8.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $66.15 | $94.50 | 5.0× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$115.50–$262.40 | $165–$374.85 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $305.73 | $436.75 | 23.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $50.40 | $72 | 3.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $293.30 | $419 | 4.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $54.99 | $78.55 | 4.4× |
| Drug Test Prsmv Instrmnt (80306) | $73.33 | $104.75 | 4.3× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$81.62–$148.23 | $116.60–$211.75 | varies |
| El-1 Fecal Quantitative (82653) | $245 | $350 | 10.7× |
| Electrolyte panel (80051) | $36.75 | $52.50 | 5.2× |
| Encephaltis East Eqne Anbdy (86652) | $39.90 | $57 | 3.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $115.50 | $165 | 9.6× |
| Erythropoietin (82668) | $56.70 | $81 | 3.0× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$72.77–$91.63 | $103.95–$130.90 | varies |
| Estrogen total (82672) | $71.61 | $102.30 | 3.3× |
| Estrogens fractionated (82671) | $61.60 | $88 | 1.9× |
| Exam Synovial Fluid Crystals (89060) | $19.25 | $27.50 | 2.6× |
| F2 Gene (81240) range across 2 matching MRF lines |
$101.50–$191.10 | $145–$273 | varies |
| Factor ii activity (85210) | $107.80 | $154 | 8.3× |
| Factor Inhibitor Test (85335) | $157.22 | $224.60 | 12.2× |
| Factor ix activity (85250) | $291.55 | $416.50 | 15.3× |
| Factor v activity (85220) | $92.67 | $132.39 | 5.3× |
| Factor v leiden mutation (81241) | $229.25 | $327.50 | 3.1× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$46.20–$107.80 | $66–$154 | varies |
| Fat stain feces urine/respir secretions (89125) | $19.25 | $27.50 | 3.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $189.63 | $270.90 | 29.0× |
| Ferritin (82728) | $46.97 | $67.10 | 3.4× |
| Fibrin degradation products (85362) | $24.63 | $35.18 | 3.6× |
| Fibrin Degradation Quant (85379) | $92.92 | $132.74 | 9.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $57.40 | $82 | 5.9× |
| Fibrinogen activity (85384) | $25.20 | $36 | 2.6× |
| Flow cytometry first marker (88184) | $205.80 | $294 | 0.6× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$30.80–$78.75 | $44–$112.50 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$67.76–$115.50 | $96.80–$165 | varies |
| Folic acid rbc (82747) | $49.28 | $70.40 | 2.8× |
| Folic Acid Serum (82746) | $55.13 | $78.75 | 3.8× |
| Follicle Stimulating Hormone (83001) | $61.60 | $88 | 3.3× |
| Fungi Identification Yeast (87106) | $24.50 | $35 | 2.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $63 | $90 | 3.0× |
| Gammaglobulin ige (82785) | $53.13 | $75.90 | 3.2× |
| Gentamicin (80170) | $51.45 | $73.50 | 3.1× |
| Ggt (82977) | $22.79 | $32.55 | 3.2× |
| Giardia antigen (87329) | $41.13 | $58.75 | 3.4× |
| Giardia lamblia antibody (86674) | $48.51 | $69.30 | 3.3× |
| Glucagon (82943) | $34.65 | $49.50 | 2.4× |
| Glucose Blood Test (82962) | $15.40 | $22 | 4.7× |
| Glucose body fluid (82945) | $13.09 | $18.70 | 3.3× |
| Glucose Serum (82947) | $13.09 | $18.70 | 3.3× |
| Glucose tolerance test (gtt) (82951) | $36.58 | $52.25 | 2.8× |
| Glycated Protein (82985) | $39.20 | $56 | 2.3× |
| Gonadotropin Chorionic Qualitative (84703) | $42.90 | $61.28 | 5.7× |
| Growth hormone (83003) | $176.40 | $252 | 10.6× |
| Gtt-added samples (82952) | $13.09 | $18.70 | 3.3× |
| Haptoglobin (83010) | $90.37 | $129.10 | 7.2× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$20.30–$24.50 | $29–$35 | varies |
| Helicobacter Pylori Stool (87338) | $99.75 | $142.50 | 6.9× |
| Helminth Antibody (86682) | $213.93 | $305.62 | 16.4× |
| Hematocrit (85014) | $12.32 | $17.60 | 5.2× |
| Hemoglobin (85018) | $12.32 | $17.60 | 5.2× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$14.70–$64.83 | $21–$92.62 | varies |
| Hemoglobin electrophoresis (83020) | $31.85 | $45.50 | 2.5× |
| Hemoglobin plasma (83051) | $107.10 | $153 | 14.7× |
| Hep a ab igm (86709) | $27.93 | $39.90 | 2.5× |
| Heparin assay (85520) | $440.02 | $628.60 | 33.6× |
| Hepatitis b core ab igm (86705) | $30.10 | $43 | 2.6× |
| Hepatitis b core ab total (86704) | $48.51 | $69.30 | 4.0× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$26.60–$30.80 | $38–$44 | varies |
| Hepatitis B Surface Antigen (87340) | $27.93 | $39.90 | 2.7× |
| Hepatitis C Antibody (86803) | $40.81 | $58.30 | 2.9× |
| Hepatitis c antibody confirmatory test (86804) | $39.90 | $57 | 2.6× |
| Hepatitis C Genotype (87902) | $679.70 | $971 | 2.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $153.78 | $219.69 | 3.6× |
| Hepatitis Delta Agent Antibody (86692) | $51.80 | $74 | 3.0× |
| Herpes simplex type 2 (86696) | $49.70 | $71 | 2.6× |
| Heterophile Antibody Screen (86308) | $14.63 | $20.90 | 2.8× |
| Hfe Gene (81256) | $240.63 | $343.75 | 3.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $80.15 | $114.50 | 3.3× |
| Hiv-1 Antibody (86701) | $29.40 | $42 | 3.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $660.28 | $943.25 | 7.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$175–$210.70 | $250–$301 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $148.40 | $212 | 2.6× |
| Hla-b27 (86812) | $51.74 | $73.92 | 2.0× |
| Homocysteine (83090) | $68.25 | $97.50 | 3.8× |
| Homogenization Tissue (87176) | $12.60 | $18 | 2.1× |
| Hsv Dna Amp Probe (87529) | $80.63 | $115.19 | 2.3× |
| Hydroxyprogesterone 17-d (83498) | $81.20 | $116 | 3.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $25.41 | $36.30 | 1.8× |
| Iaad ia shiga-like toxin (87427) | $27.93 | $39.90 | 2.3× |
| Iaadi inffluenza a virus (87276) | $63.03 | $90.04 | 3.9× |
| Iaadi pneumocustis carinii (87281) | $23.10 | $33 | 1.9× |
| Iaadi respiratory synctial virus (87280) | $23.10 | $33 | 1.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $140 | $200 | 4.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $451.26 | $644.65 | 12.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $128.73 | $183.90 | 3.7× |
| Iadna Cytomegalovirus Quantification (87497) | $372.40 | $532 | 8.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $174.57 | $249.38 | 4.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $77 | $110 | 2.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $94.82 | $135.45 | 2.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $385 | $550 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $83.16 | $118.80 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$44.93–$217.17 | $64.18–$310.24 | varies |
| Immunoassay infectious agent (86318) range across 3 matching MRF lines |
$32.20–$39.20 | $46–$56 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$28.20–$98.70 | $40.28–$141 | varies |
| Immunodiffusion Ouchterlony (86331) | $35.27 | $50.38 | 2.9× |
| Immunofixation electrophoresis (86334) | $63.14 | $90.20 | 2.8× |
| Immunohistochemistry (88342) | $126 | $180 | 0.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $146.27 | $208.95 | 2.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $63.03 | $90.04 | 5.1× |
| Influenza assay w/optic (87804) | $23.10 | $33 | 1.4× |
| Influenza DNA amp probe (87502) | $126 | $180 | 1.3× |
| Inhibin A (86336) range across 2 matching MRF lines |
$43.40–$95.55 | $62–$136.50 | varies |
| Inhibin b (83520) range across 7 matching MRF lines |
$59.50–$700 | $85–$1,000 | varies |
| Insulin antibodies (86337) | $70.84 | $101.20 | 3.3× |
| Insulin free (83527) | $61.50 | $87.85 | 4.7× |
| Insulin total (83525) | $30.87 | $44.10 | 2.7× |
| Intrinsic factor antibody (86340) | $98 | $140 | 6.5× |
| Iron (83540) | $22.05 | $31.50 | 3.4× |
| Iron Binding Capacity (83550) | $28.49 | $40.70 | 3.3× |
| Islet cell antibody (86341) | $105 | $150 | 4.5× |
| Koh Prep (87220) | $10.64 | $15.20 | 2.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$6.65–$82.58 | $9.50–$117.97 | varies |
| Lactoferrin fecal qualitative (83630) | $73.24 | $104.63 | 3.7× |
| Ldh Isoenzymes (83625) | $78.65 | $112.35 | 6.1× |
| LDL direct (83721) | $28.70 | $41 | 2.7× |
| Lead (83655) | $182.70 | $261 | 15.1× |
| Legionella antibody (86713) | $33.47 | $47.81 | 2.2× |
| Legionella antigen urine (87449) | $23.10 | $33 | 1.9× |
| Legionella pneumophila dfa (87278) | $140.14 | $200.20 | 9.0× |
| Leptospira antibody (86720) | $315 | $450 | 19.4× |
| Leukocyte Assessment Fecal (89055) | $17.50 | $25 | 4.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $36.05 | $51.50 | 1.4× |
| Lipase (83690) range across 2 matching MRF lines |
$16.17–$30.87 | $23.10–$44.10 | varies |
| Lipoprotein A (83695) | $32.20 | $46 | 2.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $66.50 | $95 | 5.9× |
| Lithium (80178) | $19.60 | $28 | 3.0× |
| Luteinizing Hormone (Lh) (83002) | $60.83 | $86.90 | 3.3× |
| Lyme disease antibody (86618) | $43.74 | $62.48 | 2.6× |
| Lysozyme serum (85549) | $105 | $150 | 5.6× |
| M/phmtrc alys ishquant/semiq (88374) | $1,087.80 | $1,554 | 7.0× |
| Macroscopic exam arthropod (87168) | $25.90 | $37 | 6.1× |
| Macroscopic Exam Parasite (87169) | $24.50 | $35 | 5.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$31.57–$129.94 | $45.10–$185.63 | varies |
| Mercury urine (83825) | $182.70 | $261 | 11.2× |
| Methylmalonic acid serum (83921) | $102.80 | $146.85 | 4.8× |
| Microalbumin, quantitative (82043) | $35.42 | $50.60 | 6.1× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$37.80–$105.11 | $54–$150.15 | varies |
| Mononuclear cell antigen (86356) | $14.56 | $20.80 | 0.5× |
| Mopath procedure level 1 (81400) | $363.83 | $519.75 | 5.7× |
| Mopath procedure level 4 (81403) | $900.38 | $1,286.25 | 4.9× |
| Mrsa Pcr (87641) | $137.79 | $196.84 | 3.9× |
| Mthfr Gene Analysis Common Variants (81291) | $275.10 | $393 | 4.2× |
| Mumps antibody (86735) | $43.75 | $62.50 | 3.4× |
| Mycoplasma antibody (86738) | $57.40 | $82 | 4.3× |
| Myoglobin urine (83874) | $73.30 | $104.72 | 5.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$81.90–$112.42 | $117–$160.60 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $46.20 | $66 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $404.25 | $577.50 | 5.6× |
| Niacin (84591) range across 2 matching MRF lines |
$217–$245 | $310–$350 | varies |
| Nk cells total count (86357) | $115.68 | $165.25 | 3.1× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$29.40–$89.32 | $42–$127.60 | varies |
| Obstetric panel (80081) | $304.50 | $435 | 4.1× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$10.78–$16.80 | $15.40–$24 | varies |
| Occult Blood Other Sources (82271) | $10.78 | $15.40 | 2.0× |
| Osmolality serum (83930) | $18.48 | $26.40 | 2.8× |
| Osmolality Urine (83935) | $20.30 | $29 | 3.0× |
| Ova and parasites smears (87177) | $23.10 | $33 | 2.6× |
| Oxalate urine (83945) | $38.50 | $55 | 2.7× |
| Particle Agglutination Screen Each Antibody (86403) | $49.70 | $71 | 4.3× |
| Ph urine (81003) | $20.30 | $29 | 9.0× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$34.30–$329.18 | $49–$470.25 | varies |
| Phenylalanine (84030) | $16.80 | $24 | 3.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$39.90–$40.43 | $57–$57.75 | varies |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$11.59–$69.30 | $16.55–$99 | varies |
| Phosphorus Serum (84100) | $15.40 | $22 | 3.2× |
| Platelet count automated (85049) | $13.30 | $19 | 3.0× |
| Porphobilinogen, urine; quantitative (84110) | $53.82 | $76.88 | 6.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $128.63 | $183.75 | 8.7× |
| Potassium Urine (84133) | $10.50 | $15 | 2.2× |
| Prealbumin (84134) | $41.90 | $59.85 | 2.9× |
| Primidone (80188) | $49.70 | $71 | 3.0× |
| Procalcitonin (Pct) (84145) | $496.13 | $708.75 | 18.2× |
| Progesterone (84144) | $68.53 | $97.90 | 3.3× |
| Prolactin (84146) | $61.01 | $87.15 | 3.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$9.24–$9.80 | $13.20–$14 | varies |
| Protein C Activity (85303) range across 4 matching MRF lines |
$41.30–$131.25 | $59–$187.50 | varies |
| Protein c antigen (85302) | $193.47 | $276.38 | 16.1× |
| Protein Electrophoresis Urine (84166) | $46.20 | $66 | 2.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $40.81 | $58.30 | 3.8× |
| Protein S Free (85306) range across 2 matching MRF lines |
$46.20–$131.43 | $66–$187.75 | varies |
| Protein s total (85305) | $193.47 | $276.38 | 16.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$9.10–$12.32 | $13–$17.60 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$7.70–$31.57 | $11–$45.10 | varies |
| PSA free (84154) | $55.30 | $79 | 3.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$202.90–$317.50 | $289.85–$453.57 | varies |
| Q Fever Antibody (86638) | $36.40 | $52 | 3.0× |
| Quantiferon tb gold plus (86480) | $129.36 | $184.80 | 2.1× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$63–$249.90 | $90–$357 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$63–$65.80 | $90–$94 | varies |
| Quinidine (80194) | $44.10 | $63 | 3.0× |
| Rbc antibody identification (86870) | $147 | $210 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$8.46–$154.77 | $12.08–$221.10 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $34.13 | $48.75 | 0.2× |
| Reagent Strip/Blood Glucose (82948) | $16.94 | $24.20 | 3.4× |
| Renin activity plasma (84244) | $72.38 | $103.40 | 3.3× |
| Resp virus 12-25 targets (87633) | $402.50 | $575 | 1.0× |
| Reticulocyte Count Manual (85044) | $17.50 | $25 | 4.1× |
| Rh (86901) range across 2 matching MRF lines |
$23.80–$90.09 | $34–$128.70 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$19.25–$38.50 | $27.50–$55 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$16.17–$24.15 | $23.10–$34.50 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$17.50–$54.67 | $25–$78.10 | varies |
| Ristocetin cofactor (85245) | $58.80 | $84 | 2.6× |
| Rotavirus ag eia (87425) | $37.80 | $54 | 3.2× |
| Rpr qualitative (86592) | $42.35 | $60.50 | 9.9× |
| Rubella Antibody (86762) | $37.10 | $53 | 2.6× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$15.40–$42 | $22–$60 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$42–$63 | $60–$90 | varies |
| Salicylate Level (80179) | $63.95 | $91.35 | 3.4× |
| Salmonella antibody (86768) | $35 | $50 | 2.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $95.55 | $136.50 | 1.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $159.25 | $227.50 | 3.8× |
| Sedimentation rate (85651) | $23.52 | $33.60 | 5.5× |
| Selenium (84255) | $135 | $192.85 | 5.3× |
| Sensitivity mic (87186) | $10.78 | $15.40 | 1.2× |
| Sex Hormone Binding Globulin (84270) | $48.66 | $69.52 | 2.2× |
| Shigella Antibody (86771) | $35 | $50 | 1.4× |
| Sickling of rbc reduction (85660) | $19.60 | $28 | 3.6× |
| Sirolimus (80195) range across 2 matching MRF lines |
$61.60–$176.09 | $88–$251.55 | varies |
| Smear acid fast (87206) | $14 | $20 | 2.6× |
| Smear complex stain (87209) | $38.22 | $54.60 | 2.1× |
| Smear gram stain (87205) | $14.70 | $21 | 3.4× |
| Smear Special Stain (87207) | $15.40 | $22 | 2.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $10.64 | $15.20 | 1.8× |
| Sodium Serum (84295) | $16.94 | $24.20 | 3.5× |
| Sodium Urine (84300) | $14.70 | $21 | 2.9× |
| Soluble Transferrin Receptor (84238) range across 5 matching MRF lines |
$93.80–$447.65 | $134–$639.50 | varies |
| Somatomedin (84305) | $53.36 | $76.23 | 2.5× |
| Special Stains Group 1 (88312) | $219.10 | $313 | 4.6× |
| Special Stains Group 2 (88313) | $85.40 | $122 | 0.7× |
| Specific gravity body fluid (84315) | $11.90 | $17 | 3.6× |
| Specimen infect agnt concntj (87015) | $17.50 | $25 | 2.6× |
| Spectrophotometry (84311) | $17.50 | $25 | 2.2× |
| Stone Analysis (82355) | $35 | $50 | 3.0× |
| Stool cultr aerobic bact ea (87046) | $33.08 | $47.25 | 3.5× |
| Strep a assay w/optic (87880) range across 5 matching MRF lines |
$22.61–$23.80 | $32.30–$34 | varies |
| Sugars Single Qual (84376) | $11.90 | $17 | 2.2× |
| Surgical pathology level IV (88305) | $164.50 | $235 | 3.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $17 | $24.28 | 3.6× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $14.70 | $21 | 2.0× |
| T cells absolute cd4 count (86361) | $89.04 | $127.20 | 3.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $121.10 | $173 | 2.6× |
| T cells total count (86359) | $127.25 | $181.78 | 3.4× |
| T3 Free (84481) | $53.66 | $76.65 | 3.2× |
| T3 reverse (84482) | $93.72 | $133.88 | 5.9× |
| T3 Total (84480) | $44.84 | $64.05 | 3.2× |
| T3 Uptake (84479) | $22.33 | $31.90 | 3.5× |
| T4 Free (84439) | $28.67 | $40.95 | 3.2× |
| T4 total (84436) | $19.85 | $28.35 | 2.9× |
| Tacrolimus (80197) | $160.97 | $229.95 | 11.7× |
| Test for acetone/ketones (82009) | $13.97 | $19.95 | 3.1× |
| Testosterone total (84403) | $85.47 | $122.10 | 3.3× |
| Testosterone, Free (84402) | $83.93 | $119.90 | 3.3× |
| Tetanus antibody (86774) | $136.91 | $195.58 | 9.3× |
| Theophylline (80198) | $42.70 | $61 | 3.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$105–$157.50 | $150–$225 | varies |
| Thyroglobulin (84432) | $45.89 | $65.55 | 2.9× |
| Thyroglobulin Antibody (86800) | $45.43 | $64.90 | 2.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $123.69 | $176.70 | 2.4× |
| Thyroxine binding globulin (84442) | $46.72 | $66.74 | 3.2× |
| Tissue culture bone marrow (88237) | $604 | $862.86 | 4.2× |
| Tobramycin peak (80200) | $48.30 | $69 | 3.0× |
| Topiramate (80201) | $72.63 | $103.75 | 6.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $47.74 | $68.20 | 2.4× |
| Toxoplasma ab igm (86778) | $37.10 | $53 | 2.6× |
| Tpmt gene com variants (81335) | $332.50 | $475 | 1.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $18.48 | $26.40 | 3.6× |
| Transferrin (84466) | $36.19 | $51.70 | 2.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$14–$19.25 | $20–$27.50 | varies |
| Troponin Quant (84484) | $53.13 | $75.90 | 4.3× |
| Urea nitrogen urine (84540) | $9.10 | $13 | 1.6× |
| Uric acid other source (84560) | $14 | $20 | 2.8× |
| Urinalysis Microscopic Only (81015) | $11.76 | $16.80 | 3.9× |
| Urinalysis Volume Measure (81050) | $9.10 | $13 | 2.5× |
| Urine Bacteria Culture (87088) | $28.97 | $41.38 | 3.6× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$17.50–$17.96 | $25–$25.65 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $29.40 | $42 | 9.3× |
| Valproic acid (80164) range across 2 matching MRF lines |
$35–$42.63 | $50–$60.90 | varies |
| Vancomycin (80202) | $62.37 | $89.10 | 4.6× |
| Varicella-zoster antibody (86787) | $130.71 | $186.73 | 10.1× |
| Vasopressin (84588) | $72.80 | $104 | 2.1× |
| Viral Culture (87252) | $67.20 | $96 | 2.6× |
| Virus antibody nos (86790) | $33.60 | $48 | 2.6× |
| Virus inoculate tissue addl (87253) | $51.80 | $74 | 2.6× |
| Viscosity serum (85810) | $38.50 | $55 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $99.96 | $142.80 | 2.6× |
| Vitamin A (84590) | $41.16 | $58.80 | 3.5× |
| Vitamin b-12 (82607) | $50.05 | $71.50 | 3.3× |
| Vitamin B2 (Riboflavin) (84252) | $50.40 | $72 | 2.5× |
| Vitamin B6 (84207) | $84 | $120 | 3.0× |
| Vitamin c (82180) | $23.28 | $33.25 | 2.4× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$33.08–$123 | $47.25–$129.15 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$30.80–$42.70 | $44–$61 | varies |
| Vitamin K (84597) | $281.63 | $402.33 | 20.5× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$58.80–$81.90 | $84–$117 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$42–$66.50 | $60–$95 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$35.70–$134.75 | $51–$192.50 | varies |
| Zinc (84630) | $37.73 | $53.90 | 3.3× |
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.