Lab & pathology prices at Benewah Community Hospital
St. Maries, ID · every code in this section with a posted price and a Medicare benchmark.
409 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $554.40 | $616 | 1.8× |
| Acth (82024) | $243.90 | $271 | 6.3× |
| Acute hepatitis panel (80074) | $300.60 | $334 | 6.3× |
| Albumin Fluid (82042) | $26.10 | $29 | 3.4× |
| Albumin serum (82040) | $31.50 | $35 | 6.4× |
| Aldolase (82085) | $75.60 | $84 | 7.8× |
| Aldosterone urine (82088) | $257.40 | $286 | 6.3× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$40.50–$120.60 | $45–$134 | varies |
| Allg Spec Ige Recomb Ea (86008) | $124.20 | $138 | 6.9× |
| Alpha-1-antitrypsin total (82103) | $93.60 | $104 | 7.0× |
| Alpha-Fetoprotein Serum (82105) | $106.20 | $118 | 6.3× |
| Alt (sgpt) (84460) | $33.30 | $37 | 6.3× |
| Aminolevulinic acid (ala) (82135) | $81 | $90 | 4.9× |
| Ammonia (82140) | $117 | $130 | 8.0× |
| Amylase urine (82150) | $50.40 | $56 | 7.8× |
| Angiotensin converting enzyme csf (82164) | $92.70 | $103 | 6.3× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$94.50–$171 | $105–$190 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $98.10 | $109 | 5.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $80.10 | $89 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $110.70 | $123 | 6.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $125.10 | $139 | 10.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$91.80–$107.10 | $102–$119 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $122.40 | $136 | 8.5× |
| Antibody Herpes Smplx Type 1 (86695) | $127.80 | $142 | 9.7× |
| Antibody Titer (86886) | $135 | $150 | 26.1× |
| Antibody Treponema Pallidum (86780) | $94.50 | $105 | 7.1× |
| Antigen typing (86905) | $100.80 | $112 | 26.3× |
| Antinuclear antibodies (86038) | $83.70 | $93 | 6.9× |
| Antithrombin iii activity (85300) | $87.30 | $97 | 7.4× |
| Apc gene dup/delet variants (81203) | $847.80 | $942 | 4.2× |
| Apc gene full sequence (81201) | $1,266.30 | $1,407 | 1.6× |
| Apolipoprotein a1 (82172) | $95.40 | $106 | 4.5× |
| Assay Nephelometry Not Spec (83883) | $73.80 | $82 | 5.4× |
| Assay of 5-hiaa (83497) | $81.90 | $91 | 6.3× |
| Assay of blood/uric acid (84550) | $31.50 | $35 | 7.0× |
| Assay of estrone (82679) | $65.70 | $73 | 2.6× |
| Assay of gammaglobulin igm (82784) | $59.40 | $66 | 6.4× |
| Assay of lactic acid (83605) | $59.40 | $66 | 5.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$126–$247.50 | $140–$275 | varies |
| Assay of proinsulin (84206) | $108 | $120 | 4.0× |
| Assay of serum potassium (84132) | $29.70 | $33 | 6.2× |
| Assay of urea nitrogen (84520) | $26.10 | $29 | 6.6× |
| Assay of vasoactive intestinal peptide (84586) | $223.20 | $248 | 6.3× |
| Assay of vitamin b-1 (84425) | $124.20 | $138 | 5.9× |
| Assay Ph Body Fluid Nos (83986) | $18 | $20 | 5.0× |
| Automated Leukocyte Count (85048) | $33.30 | $37 | 13.1× |
| B cells total count (86355) | $98.10 | $109 | 2.6× |
| Bartonella antibody (86611) | $147.60 | $164 | 14.5× |
| Bcr/abl1 gene major bp (81206) | $343.80 | $382 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $309.60 | $344 | 2.1× |
| Beta 2 glycoprotein i antibody each (86146) | $160.20 | $178 | 6.3× |
| Beta hydroxybutyrate (82010) | $120.60 | $134 | 14.8× |
| Beta-2 Microglobulin (82232) | $102.60 | $114 | 6.3× |
| Bile acids total (82239) | $106.20 | $118 | 6.2× |
| Bilirubin direct (82248) | $31.50 | $35 | 6.3× |
| Bilirubin total (82247) | $31.50 | $35 | 6.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $29.70 | $33 | 8.7× |
| Blood count reticulocyte automated (85045) | $38.70 | $43 | 9.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $49.50 | $55 | 13.0× |
| Blood gas (82803) range across 2 matching MRF lines |
$88.20–$121.50 | $98–$135 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $86.40 | $96 | 5.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $21.60 | $24 | 4.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $100.80 | $112 | 15.9× |
| Blood typing serologic abo (86900) | $28.80 | $32 | 9.6× |
| Bordetella antibody (86615) | $115.20 | $128 | 8.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $821.70 | $913 | 1.9× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $671.40 | $746 | 1.8× |
| Brca1&2 gen full seq dup/del (81162) | $3,951.90 | $4,391 | 2.2× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $675.90 | $751 | 1.8× |
| Breath Alcohol Test (82075) | $75.60 | $84 | 2.5× |
| Brucella antibody (86622) | $366.30 | $407 | 41.0× |
| C diff amplified probe (87493) | $158.40 | $176 | 4.3× |
| C-Peptide (84681) | $132.30 | $147 | 6.4× |
| C-reactive protein (86140) | $75.60 | $84 | 14.6× |
| Ca 19-9 (86301) | $136.80 | $152 | 6.6× |
| Calcium ionized (82330) | $86.40 | $96 | 6.3× |
| Calcium total (82310) | $32.40 | $36 | 6.3× |
| Calculus assay quant (82360) | $96.30 | $107 | 7.5× |
| Calculus Spectroscopy (82365) | $120.60 | $134 | 9.3× |
| Calprotectin Fecal (83993) | $121.50 | $135 | 6.2× |
| Calr gene com variants (81219) | $547.20 | $608 | 4.5× |
| Cancer Antigen 125 (86304) | $166.50 | $185 | 8.0× |
| Cancer Antigen 27.29 (86300) | $184.50 | $205 | 8.9× |
| Candida antibody (86628) | $102.60 | $114 | 8.5× |
| Carbamazepine total (80156) | $124.20 | $138 | 8.5× |
| Carcinoembryonic antigen (82378) | $119.70 | $133 | 6.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$98.10–$351 | $109–$390 | varies |
| Ccp antibody (86200) | $95.40 | $106 | 7.4× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,129.50 | $1,255 | 4.7× |
| Cell count csf (89051) range across 2 matching MRF lines |
$62.10–$64.80 | $69–$72 | varies |
| Ceruloplasmin (82390) | $68.40 | $76 | 6.4× |
| Cftr gene com variants (81220) | $1,491.30 | $1,657 | 2.7× |
| Chemiluminescent assay (82397) | $121.50 | $135 | 8.6× |
| Chloride Serum (82435) | $27 | $30 | 5.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$27–$28.80 | $30–$32 | varies |
| Cholesterol total (82465) | $30.60 | $34 | 7.0× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$95.40–$118.80 | $106–$132 | varies |
| Chromogranin a (86316) | $112.50 | $125 | 5.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $153 | $170 | 4.4× |
| Ckmb (82553) | $92.70 | $103 | 8.0× |
| Clostridium Difficile (87324) | $128.70 | $143 | 10.7× |
| Clotting factor xii hageman (85280) | $264.60 | $294 | 13.7× |
| Clotting hi molec weight kininogen assay (85293) | $140.40 | $156 | 7.4× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $140.40 | $156 | 7.4× |
| Coccidioides antibody (86635) | $81 | $90 | 7.1× |
| Compatibility test antiglob (86922) | $144.90 | $161 | 0.9× |
| Complement Antigen Each Component (86160) | $120.60 | $134 | 10.0× |
| Complement/Function Activity (86161) | $81 | $90 | 6.8× |
| Coombs direct (86880) range across 2 matching MRF lines |
$40.50–$55.80 | $45–$62 | varies |
| Copper urine (82525) | $78.30 | $87 | 6.3× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$91.80–$182.70 | $102–$203 | varies |
| Creatine kinase total (82550) | $43.20 | $48 | 6.6× |
| Creatinine blood (82565) | $32.40 | $36 | 6.3× |
| Creatinine clearance (82575) | $76.50 | $85 | 8.1× |
| Creatinine Urine (82570) | $32.40 | $36 | 6.3× |
| Crp High Sensitivity (86141) | $69.30 | $77 | 5.4× |
| Cryoglobulin (82595) | $41.40 | $46 | 6.4× |
| Cryptosporidium ag eia (87328) | $39.60 | $44 | 2.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$43.20–$51.30 | $48–$57 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $51.30 | $57 | 6.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $58.50 | $65 | 7.6× |
| Culture Anaerobic (87075) | $60.30 | $67 | 6.4× |
| Culture blood (87040) | $73.80 | $82 | 7.2× |
| Culture csf (87070) | $63.90 | $71 | 7.4× |
| Culture fungus (87102) | $48.60 | $54 | 5.8× |
| Culture screen only (87081) range across 3 matching MRF lines |
$31.50–$37.80 | $35–$42 | varies |
| Culture stool (87045) | $60.30 | $67 | 6.4× |
| Culture urine (87086) | $75.60 | $84 | 9.4× |
| Cyclosporine (80158) | $117.90 | $131 | 6.5× |
| Cyp2c19 gene analysis common variants (81225) | $249.30 | $277 | 0.9× |
| Cyp2d6 gene com variants (81226) | $929.70 | $1,033 | 2.1× |
| Cystatin C (82610) | $94.50 | $105 | 5.1× |
| Cytogenetics 100-300 (88275) | $152.10 | $169 | 3.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,438.90 | $3,821 | 3.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$74.70–$133.20 | $83–$148 | varies |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$98.10–$171.90 | $109–$191 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$116.10–$147.60 | $129–$164 | varies |
| Dhea-S (82627) | $116.10 | $129 | 5.2× |
| Digoxin (80162) | $108 | $120 | 8.1× |
| Dna Antibody Native/Double Stranded (86225) | $93.60 | $104 | 6.8× |
| Drug Screen Quant Clozapine (80159) | $126.90 | $141 | 6.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $107.10 | $119 | 8.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $136.80 | $152 | 10.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $162 | $180 | 12.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$51.30–$312.30 | $57–$347 | varies |
| Drug Test Prsmv Instrmnt (80306) | $103.50 | $115 | 6.0× |
| Electrolyte panel (80051) | $45.90 | $51 | 6.5× |
| Enzyme cell activity (82657) | $435.60 | $484 | 19.6× |
| Eosinophil Smear (89190) | $39.60 | $44 | 6.8× |
| Erythropoietin (82668) | $124.20 | $138 | 6.6× |
| Estradiol serum (82670) | $176.40 | $196 | 6.3× |
| Estriol (82677) | $167.40 | $186 | 6.9× |
| Estrogen total (82672) | $202.50 | $225 | 9.3× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$45–$77.40 | $50–$86 | varies |
| F2 Gene (81240) | $310.50 | $345 | 4.7× |
| Factor ix activity (85250) | $264.60 | $294 | 13.9× |
| Factor v leiden mutation (81241) | $241.20 | $268 | 3.3× |
| Factor vii assay (85230) | $260.10 | $289 | 14.5× |
| Factor viii assay (85240) | $111.60 | $124 | 6.2× |
| Factor xi activity (85270) | $262.80 | $292 | 14.7× |
| Fat/Lipids Feces Quantitative (82710) | $173.70 | $193 | 10.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$106.20–$108 | $118–$120 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $4,223.70 | $4,693 | 5.6× |
| Fetal Fibronectin (82731) | $405.90 | $451 | 6.3× |
| Fetal screen rosette (85461) range across 3 matching MRF lines |
$99.90–$128.70 | $111–$143 | varies |
| Fibrin Degradation Quant (85379) | $82.80 | $92 | 8.1× |
| Fibrinogen activity (85384) | $89.10 | $99 | 9.2× |
| Fibrinogen antigen (85385) | $58.50 | $65 | 4.0× |
| Flow cytometry first marker (88184) | $265.50 | $295 | 0.7× |
| Flt3 Gene (81245) | $283.50 | $315 | 1.7× |
| Flt3 gene analysis (81246) | $271.80 | $302 | 3.3× |
| Fluorescent antibody screen (86255) | $86.40 | $96 | 7.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $145.80 | $162 | 12.1× |
| Folic Acid Serum (82746) | $106.20 | $118 | 7.2× |
| Follicle Stimulating Hormone (83001) | $120.60 | $134 | 6.5× |
| Francisella tularensis (86668) | $244.80 | $272 | 17.3× |
| Fungi Identification Yeast (87106) | $40.50 | $45 | 3.9× |
| Gammaglobulin ige (82785) | $59.40 | $66 | 3.6× |
| Gastrin (82941) | $110.70 | $123 | 6.3× |
| Genet Virus Isolate Hsv (87255) | $62.10 | $69 | 1.8× |
| Gentamicin (80170) | $108 | $120 | 6.6× |
| Ggt (82977) | $45 | $50 | 6.3× |
| Giardia antigen (87329) | $73.80 | $82 | 6.2× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $38.70 | $43 | 6.4× |
| Glucose 2 hr pp (82950) | $39.60 | $44 | 8.3× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$14.40–$18.90 | $16–$21 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$38.70–$72.90 | $43–$81 | varies |
| Glucose Serum (82947) | $27.90 | $31 | 7.1× |
| Glucose tolerance test (gtt) (82951) | $87.30 | $97 | 6.8× |
| Gonadotropin Chorionic Qualitative (84703) | $46.80 | $52 | 6.2× |
| Gtt-added samples (82952) | $27 | $30 | 6.9× |
| H Pylori (C-13) Breath (83013) | $243.90 | $271 | 3.6× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$79.20–$89.10 | $88–$99 | varies |
| Hdl Cholesterol (83718) | $52.20 | $58 | 6.4× |
| Helicobacter Pylori Stool (87338) | $150.30 | $167 | 10.5× |
| Hematocrit (85014) range across 2 matching MRF lines |
$17.10–$19.80 | $19–$22 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$17.10–$20.70 | $19–$23 | varies |
| Hemoglobin a1c (83036) | $81.90 | $91 | 8.4× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $36.90 | $41 | 3.9× |
| Hepatitis a antibody total (86708) | $133.20 | $148 | 10.8× |
| Hepatitis b core ab igm (86705) | $136.80 | $152 | 11.6× |
| Hepatitis b core ab total (86704) | $75.60 | $84 | 6.3× |
| Hepatitis B Surface Antibody (86706) | $68.40 | $76 | 6.4× |
| Hepatitis B Surface Antigen (87340) | $64.80 | $72 | 6.3× |
| Hepatitis Be Antibody (86707) | $75.60 | $84 | 6.5× |
| Hepatitis Be Antigen (87350) | $85.50 | $95 | 7.4× |
| Hepatitis C Antibody (86803) | $90.90 | $101 | 6.4× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$316.80–$877.50 | $352–$975 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$322.20–$556.20 | $358–$618 | varies |
| Herpes simplex type 2 (86696) | $121.50 | $135 | 6.3× |
| Heterophile Antibody Screen (86308) | $35.10 | $39 | 6.8× |
| Hfe Gene (81256) | $413.10 | $459 | 6.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $138.60 | $154 | 17.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $133.20 | $148 | 5.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $536.40 | $596 | 6.3× |
| Hla-b27 (86812) | $162.90 | $181 | 6.3× |
| Homocysteine (83090) | $106.20 | $118 | 5.9× |
| Hsv Dna Amp Probe (87529) | $166.50 | $185 | 4.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $29.70 | $33 | 0.8× |
| Iaad ia shiga-like toxin (87427) | $75.60 | $84 | 6.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $221.40 | $246 | 6.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $102.60 | $114 | 2.9× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$566.10–$585 | $629–$650 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $512.10 | $569 | 14.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $497.70 | $553 | 11.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $153 | $170 | 4.4× |
| Igh gene rearrange amp meth (81261) | $570.60 | $634 | 2.9× |
| Igk rearrangeabn clonal pop (81264) | $502.20 | $558 | 2.9× |
| Immunfix e-phorsis/urine/csf (86335) | $82.80 | $92 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $144.90 | $161 | 7.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $53.10 | $59 | 3.5× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$68.40–$136.80 | $76–$152 | varies |
| Immunofixation electrophoresis (86334) | $140.40 | $156 | 6.3× |
| Immunohistochemistry (88342) | $342.90 | $381 | 2.0× |
| Influenza assay w/optic (87804) | $36.90 | $41 | 2.2× |
| Influenza DNA amp probe (87502) | $147.60 | $164 | 1.5× |
| Inhibin A (86336) range across 2 matching MRF lines |
$94.50–$96.30 | $105–$107 | varies |
| Inhibin b (83520) range across 3 matching MRF lines |
$92.70–$554.40 | $103–$616 | varies |
| Insulin antibodies (86337) | $214.20 | $238 | 10.0× |
| Insulin total (83525) | $75.60 | $84 | 6.6× |
| Iron (83540) range across 2 matching MRF lines |
$41.40–$75.60 | $46–$84 | varies |
| Iron Binding Capacity (83550) | $55.80 | $62 | 6.4× |
| Islet cell antibody (86341) | $93.60 | $104 | 4.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $577.80 | $642 | 6.3× |
| Koh Prep (87220) | $27.90 | $31 | 6.5× |
| Lactate (ld) (ldh) enzyme (83615) | $38.70 | $43 | 6.4× |
| Lactoferrin Fecal Quantitative (83631) | $63.90 | $71 | 3.3× |
| LDL direct (83721) | $61.20 | $68 | 5.8× |
| Lead (83655) | $54.90 | $61 | 4.5× |
| Leukocyte Assessment Fecal (89055) | $51.30 | $57 | 12.0× |
| Level ii surg pathology grossµscopic exam (88302) | $180.90 | $201 | 4.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $675 | $750 | 1.9× |
| Lipase (83690) | $58.50 | $65 | 8.5× |
| Lipoprotein A (83695) | $108 | $120 | 7.5× |
| Lipoprotein Bld Quan Part (83704) | $30.60 | $34 | 0.9× |
| Lithium (80178) | $41.40 | $46 | 6.3× |
| Luteinizing Hormone (Lh) (83002) | $113.40 | $126 | 6.1× |
| Lyme disease antibody (86618) | $107.10 | $119 | 6.3× |
| Lysozyme serum (85549) | $98.10 | $109 | 5.2× |
| Macroscopic Exam Parasite (87169) | $35.10 | $39 | 8.1× |
| Magnesium Urine (83735) | $44.10 | $49 | 6.6× |
| Metabolic panel ionized ca (80047) | $55.80 | $62 | 4.1× |
| Methylmalonic acid serum (83921) | $45 | $50 | 2.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$26.10–$65.70 | $29–$73 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$91.80–$121.50 | $102–$135 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $706.50 | $785 | 3.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,455.30 | $1,617 | 2.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $73.80 | $82 | 3.4× |
| Molecular Pathology Procedure Level 3 (81402) | $427.50 | $475 | 2.8× |
| Molecular Pathology Procedure Level 6 (81405) | $424.80 | $472 | 1.4× |
| Mopath procedure level 4 (81403) | $825.30 | $917 | 4.5× |
| Mopath procedure level 5 (81404) | $601.20 | $668 | 2.2× |
| Mopath procedure level 7 (81406) | $423 | $470 | 1.5× |
| Mopath procedure level 9 (81408) | $1,425.60 | $1,584 | 0.7× |
| Mrsa Pcr (87641) | $195.30 | $217 | 5.6× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $675.90 | $751 | 1.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,237.50 | $1,375 | 1.9× |
| Mucin Clot Body Fluid (83872) | $52.20 | $58 | 8.9× |
| Mumps antibody (86735) | $82.80 | $92 | 6.3× |
| Mycophenolic Acid (80180) | $307.80 | $342 | 17.1× |
| Mycoplasma culture (87109) | $117 | $130 | 7.6× |
| Myoglobin urine (83874) | $99.90 | $111 | 7.7× |
| Natriuretic peptide (83880) | $217.80 | $242 | 5.5× |
| Nk cells total count (86357) | $117 | $130 | 3.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $355.50 | $395 | 1.4× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$97.20–$113.40 | $108–$126 | varies |
| Obstetric panel (80081) | $620.10 | $689 | 8.3× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$20.70–$21.60 | $23–$24 | varies |
| Occult Blood Other Sources (82271) | $20.70 | $23 | 3.9× |
| Osmolality serum (83930) | $50.40 | $56 | 7.6× |
| Osmolality Urine (83935) | $50.40 | $56 | 7.4× |
| Ova and parasites smears (87177) | $59.40 | $66 | 6.7× |
| Pancreatic Elastase Fecal (82656) | $94.50 | $105 | 8.2× |
| Parvovirus antibody (86747) | $95.40 | $106 | 6.3× |
| Ph urine (81003) | $20.70 | $23 | 9.2× |
| Phenobarbital Level (80184) | $93.60 | $104 | 6.1× |
| Phenotype Infect Agent Drug (87900) | $316.80 | $352 | 2.4× |
| Phenytoin (Dilantin) (80185) | $112.50 | $125 | 8.5× |
| Phosphatase alkaline (84075) | $32.40 | $36 | 6.3× |
| Phospholipid Neutralization Hexagonal (85598) | $183.60 | $204 | 10.2× |
| Phosphorus Serum (84100) | $29.70 | $33 | 6.3× |
| Platelet Aggregation (85576) | $98.10 | $109 | 3.9× |
| Platelet count automated (85049) | $28.80 | $32 | 6.4× |
| Platelet neutralization (85597) | $161.10 | $179 | 9.0× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $702 | $780 | 3.4× |
| Pms2 gene full seq analysis (81317) | $2,537.10 | $2,819 | 3.8× |
| Porphobilinogen, urine; quantitative (84110) | $53.10 | $59 | 6.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $90 | $100 | 6.1× |
| Potassium Urine (84133) | $34.20 | $38 | 7.2× |
| Prealbumin (84134) | $85.50 | $95 | 5.9× |
| Procalcitonin (Pct) (84145) | $383.40 | $426 | 14.1× |
| Progesterone (84144) | $132.30 | $147 | 6.3× |
| Prolactin (84146) range across 2 matching MRF lines |
$121.50–$184.50 | $135–$205 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$27.90–$53.10 | $31–$59 | varies |
| Protein C Activity (85303) | $141.30 | $157 | 10.2× |
| Protein Electrophoresis Urine (84166) | $62.10 | $69 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $68.40 | $76 | 6.4× |
| Protein S Free (85306) | $141.30 | $157 | 9.2× |
| Protein total serum (84155) | $30.60 | $34 | 8.3× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$45.90–$53.10 | $51–$59 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $24.30 | $27 | 6.2× |
| PSA free (84154) range across 2 matching MRF lines |
$109.80–$116.10 | $122–$129 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $1,428.30 | $1,587 | 4.8× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $2,467.80 | $2,742 | 4.1× |
| Pth Intact (83970) | $260.10 | $289 | 6.3× |
| Quantiferon tb gold plus (86480) | $93.60 | $104 | 1.5× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$72.90–$86.40 | $81–$96 | varies |
| Rbc antibody elution (86860) | $138.60 | $154 | 0.8× |
| Rbc antibody identification (86870) | $162.90 | $181 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$44.10–$56.70 | $49–$63 | varies |
| Rbc pretreatment serum (86978) | $151.20 | $168 | 2.6× |
| Renin activity plasma (84244) | $138.60 | $154 | 6.3× |
| Reptilase test (85635) | $136.80 | $152 | 13.9× |
| Reticulocyte Count (85046) | $35.10 | $39 | 6.3× |
| Reticulocyte Count Manual (85044) | $27.90 | $31 | 6.5× |
| Rh (86901) | $28.80 | $32 | 9.6× |
| Rheumatoid factor quant (86431) | $60.30 | $67 | 10.6× |
| Ristocetin cofactor (85245) | $82.80 | $92 | 3.6× |
| Rotavirus ag eia (87425) | $73.80 | $82 | 6.2× |
| Rpr qualitative (86592) | $48.60 | $54 | 11.4× |
| Rsv Assay W/Optic (87807) | $73.80 | $82 | 5.6× |
| Rubella Antibody (86762) | $75.60 | $84 | 5.3× |
| Rubeola antibody (86765) | $81.90 | $91 | 6.4× |
| Russell Viper Venom Time Diluted (85613) | $68.40 | $76 | 7.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$63.90–$98.10 | $71–$109 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$82.80–$83.70 | $92–$93 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$17.10–$45.90 | $19–$51 | varies |
| Selenium (84255) | $182.70 | $203 | 7.2× |
| Semen analysis motility and count (89310) | $82.80 | $92 | 9.6× |
| Sensitivity mic (87186) | $45 | $50 | 5.2× |
| Sex Hormone Binding Globulin (84270) | $137.70 | $153 | 6.3× |
| Sirolimus (80195) | $177.30 | $197 | 12.9× |
| Skin test tuberculosis intradermal (86580) | $48.60 | $54 | 1.7× |
| Smear acid fast (87206) | $49.50 | $55 | 9.2× |
| Smear complex stain (87209) | $75.60 | $84 | 4.2× |
| Smear gram stain (87205) | $27 | $30 | 6.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27 | $30 | 4.6× |
| Sodium Serum (84295) | $30.60 | $34 | 6.4× |
| Sodium Urine (84300) | $30.60 | $34 | 6.0× |
| Somatomedin (84305) range across 2 matching MRF lines |
$134.10–$177.30 | $149–$197 | varies |
| Special Stains Group 1 (88312) | $410.40 | $456 | 8.0× |
| Specific gravity body fluid (84315) | $28.80 | $32 | 8.8× |
| Specimen infect agnt concntj (87015) | $34.20 | $38 | 5.1× |
| Stool cultr aerobic bact ea (87046) | $60.30 | $67 | 6.4× |
| Strep a assay w/optic (87880) | $73.80 | $82 | 4.5× |
| Strep a DNA amp probe (87651) | $98.10 | $109 | 2.8× |
| Surg path level iii (88304) | $236.70 | $263 | 4.6× |
| Surgical pathology level IV (88305) | $312.30 | $347 | 6.1× |
| Syphilis Test Non-Trep Quant (86593) | $45.90 | $51 | 10.4× |
| T cells absolute cd4 count (86361) | $196.20 | $218 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $196.20 | $218 | 4.2× |
| T cells total count (86359) | $98.10 | $109 | 2.6× |
| T3 Free (84481) | $217.80 | $242 | 12.9× |
| T3 reverse (84482) | $138.60 | $154 | 8.8× |
| T3 Total (84480) | $157.50 | $175 | 11.1× |
| T4 Free (84439) | $93.60 | $104 | 10.4× |
| T4 total (84436) | $50.40 | $56 | 7.3× |
| Tacrolimus (80197) | $142.20 | $158 | 10.4× |
| Test for acetone/ketones (82009) | $28.80 | $32 | 6.4× |
| Testosterone Bioavailable (84410) | $103.50 | $115 | 2.0× |
| Testosterone total (84403) | $148.50 | $165 | 5.8× |
| Testosterone, Free (84402) | $147.60 | $164 | 5.8× |
| Theophylline (80198) | $105.30 | $117 | 7.4× |
| Thrombin Time (85670) | $55.80 | $62 | 9.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $393.30 | $437 | 60.8× |
| Thyroglobulin Antibody (86800) | $100.80 | $112 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $462.60 | $514 | 9.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $137.70 | $153 | 7.0× |
| Toxoplasma ab igm (86778) | $85.50 | $95 | 5.9× |
| Toxoplasma antibody (86777) | $85.50 | $95 | 5.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $46.80 | $52 | 9.0× |
| Transferrin (84466) | $81 | $90 | 6.3× |
| Trg gene rearrangement anal (81342) | $569.70 | $633 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) | $185.40 | $206 | 5.3× |
| Triglycerides (84478) | $43.20 | $48 | 7.5× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$62.10–$173.70 | $69–$193 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$40.50–$56.70 | $45–$63 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $37.80 | $42 | 11.9× |
| Valproic acid (80164) | $126.90 | $141 | 9.4× |
| Vancomycin (80202) | $169.20 | $188 | 12.5× |
| Varicella-zoster antibody (86787) | $81.90 | $91 | 6.4× |
| Viral Culture (87252) | $167.40 | $186 | 6.4× |
| Vit D 1 25-Dihydroxy (82652) | $243 | $270 | 6.3× |
| Vitamin A (84590) | $97.20 | $108 | 8.4× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$112.50–$121.50 | $125–$135 | varies |
| Vitamin B6 (84207) | $80.10 | $89 | 2.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$152.10–$265.50 | $169–$295 | varies |
| Von willebrand factor ag (85246) | $136.80 | $152 | 6.0× |
| Western Blot Test (84181) | $53.10 | $59 | 3.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.