Lab & pathology prices at Bigfork Valley Hospital

Bigfork, MN · every code in this section with a posted price and a Medicare benchmark.

495 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $75.83 $106.80 6.8×
Abl1 gene analysis kinase domain variants (81170) $503.89 $709.70 1.7×
Acetylcholine receptor binding antibody (86041) $266.89 $375.90 14.5×
Acth (82024) $308.71 $434.80 8.0×
Acute hepatitis panel (80074) $271.93 $383 5.7×
Albumin Fluid (82042) $49.13 $69.20 6.3×
Albumin serum (82040) $29.82 $42 6.0×
Aldolase (82085) $65.75 $92.60 6.8×
Aldosterone urine (82088)
range across 2 matching MRF lines
$263.48–$313.47 $371.10–$441.50 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$93.72–$191.98 $132–$270.40 varies
Allergen spec ige qual multiallergen screen (86005) $71.71 $101 9.0×
Allergen specific ige (86003)
range across 7 matching MRF lines
$12.28–$403.28 $17.30–$568 varies
Allg Spec Ige Recomb Ea (86008) $32.31 $45.50 1.8×
Alpha-1-antitrypsin phenotype (82104) $94.71 $133.40 6.5×
Alpha-1-antitrypsin total (82103) $106 $149.30 7.9×
Alpha-Fetoprotein Serum (82105) $131 $184.50 7.8×
Alt (sgpt) (84460) $55.38 $78 10.4×
Amikacin trough (80150) $83.85 $118.10 5.6×
Amino Acids 1 Quantitative Each Specimen (82131) $406.97 $573.20 17.7×
Ammonia (82140) $166.99 $235.20 11.5×
Amylase urine (82150) $71 $100 11.0×
Androstenedione (82157) $279.10 $393.10 9.5×
Angiotensin converting enzyme csf (82164) $125.32 $176.50 8.6×
Antibody aspergillus (86606) $115.52 $162.70 7.7×
Antibody Bacterium Not Elsewhere Specified (86609) $68.94 $97.10 5.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $204.05 $287.40 13.2×
Antibody Cytomegalovirus Cmv Igm (86645) $116.09 $163.50 6.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $70.72 $99.60 5.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $71 $100 4.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $138.38 $194.90 7.6×
Antibody helicobacter pylori (86677) $96.56 $136 5.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $89.25 $125.70 6.2×
Antibody Herpes Smplx Type 1 (86695) $85.77 $120.80 6.5×
Antibody Protozoa Nes (86753) $175.30 $246.90 14.1×
Antibody Treponema Pallidum (86780) $68.87 $97 5.2×
Antigen typing (86905) $226.28 $318.70 59.1×
Antinuclear antibodies (86038) $112.46 $158.40 9.3×
Antistreptolysin o titer (86060) $94.08 $132.50 12.9×
Antithrombin iii activity (85300) $227.27 $320.10 19.2×
Antithrombin iii antigen (85301) $194.75 $274.30 18.0×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$36.85–$106.86 $51.90–$150.50 varies
Aquaporin-4 Antb Cba Each (86052) $539.60 $760 44.8×
Arsenic (82175)
range across 2 matching MRF lines
$100.96–$146.69 $142.20–$206.60 varies
Assay activated protein c (85307) $167.92 $236.50 11.0×
Assay Blood Carbon Dioxide (82374) $82.79 $116.60 17.0×
Assay Nephelometry Not Spec (83883) $37.06 $52.20 2.7×
Assay of 5-hiaa (83497) $142.07 $200.10 11.0×
Assay of blood/uric acid (84550) $48.99 $69 10.8×
Assay of calcium in urine (82340) $67.02 $94.40 11.1×
Assay of cpk in blood (82552) $179.99 $253.50 13.4×
Assay of estrone (82679) $79.95 $112.60 3.2×
Assay of g6pd enzyme (82955) $63.26 $89.10 6.5×
Assay of gammaglobulin igm (82784) $88.54 $124.70 9.5×
Assay of lactic acid (83605) $110.48 $155.60 9.5×
Assay of metanephrines (83835) $194.75 $274.30 11.5×
Assay of serum potassium (84132) $57.51 $81 12.1×
Assay of urea nitrogen (84520) $52.54 $74 13.3×
Assay of urine vma (84585) $101.25 $142.60 6.5×
Assay of vitamin b-1 (84425) $167.92 $236.50 7.9×
Assay Ph Body Fluid Nos (83986) $61.42 $86.50 17.2×
Automated Leukocyte Count (85048) $47.57 $67 18.7×
B cells total count (86355) $50.62 $71.30 1.3×
Bartonella antibody (86611) $55.31 $77.90 5.4×
Beta 2 glycoprotein i antibody each (86146) $143.07 $201.50 5.6×
Beta hydroxybutyrate (82010) $17.96 $25.30 2.2×
Beta-2 Microglobulin (82232) $133.69 $188.30 8.3×
Bile acids total (82239) $62.48 $88 3.6×
Bilirubin direct (82248) $71.71 $101 14.3×
Bilirubin total (82247)
range across 3 matching MRF lines
$37.06–$62.41 $52.20–$87.90 varies
Blastomyces antibody (86612)
range across 3 matching MRF lines
$94.64–$118.64 $133.30–$167.10 varies
Bld Typing Serologic Rh Phnt (86906) $114.24 $160.90 14.7×
Blood count reticulocyte automated (85045) $50.41 $71 12.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $77.18 $108.70 20.3×
Blood gas (82803) $248.57 $350.10 9.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $80.23 $113 5.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $227.13 $319.90 35.8×
Blood typing serologic abo (86900) $87.19 $122.80 29.2×
Body fluid cell count (89050) $69.79 $98.30 14.8×
Brucella antibody (86622) $53.68 $75.60 6.0×
C diff amplified probe (87493)
range across 2 matching MRF lines
$136.53–$157.62 $192.30–$222 varies
C-Peptide (84681) $145.83 $205.40 7.0×
C-reactive protein (86140) $83.78 $118 16.2×
Ca 19-9 (86301) $160.60 $226.20 7.7×
Calcitonin (82308) $218.96 $308.40 8.2×
Calcium ionized (82330) $123.54 $174 9.0×
Calcium total (82310) $50.41 $71 9.8×
Calculus assay quant (82360) $107.71 $151.70 8.4×
Calprotectin Fecal (83993) $272.71 $384.10 13.9×
Cancer Antigen 125 (86304) $159.68 $224.90 7.7×
Cancer Antigen 27.29 (86300) $162.45 $228.80 7.8×
Carbamazepine free (80157) $38.48 $54.20 2.9×
Carbamazepine total (80156) $102.24 $144 7.0×
Carboxyhemoglobin (82375) $153.15 $215.70 12.4×
Carcinoembryonic antigen (82378) $137.46 $193.60 7.3×
Cardiolipin ab iga (86147) $153.15 $215.70 6.0×
Carotene (82380) $86.48 $121.80 9.4×
Catecholamines fractionated (82384) $240.19 $338.30 9.5×
Catecholamines total urine (82382) $113.32 $159.60 4.2×
Ccp antibody (86200) $30.81 $43.40 2.4×
Cell count csf (89051) $109.62 $154.40 19.6×
Cell enumeration & id (86152) $872.09 $1,228.30 3.5×
Ceruloplasmin (82390) $97.55 $137.40 9.1×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$231.60–$395.26 $326.20–$556.70 varies
Chlamydia antibody (86631) $43.03 $60.60 3.6×
Chlamydia Igm Antibody (86632) $43.03 $60.60 3.4×
Chloride Serum (82435) $53.18 $74.90 11.6×
Chloride urine (82436) $100.39 $141.40 17.5×
Cholesterol total (82465) $38.34 $54 8.8×
Chorionic gonadotropin test (84702) $166.21 $234.10 11.0×
Chromium serum (82495) $119.85 $168.80 5.9×
Chromogranin a (86316) $138.38 $194.90 6.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $125.67 $177 3.6×
Citric acid urine (82507) $162.24 $228.50 5.8×
Ckmb (82553) $181.97 $256.30 15.8×
Clostridium Difficile (87324) $131 $184.50 10.9×
Coccidioides antibody (86635)
range across 3 matching MRF lines
$101.74–$132.77 $143.30–$187 varies
Cold agglutinin titer (86157) $32.45 $45.70 4.0×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$39.26–$230.04 $55.30–$324 varies
Column Chromotography Quant (82542)
range across 9 matching MRF lines
$20.09–$253.40 $28.30–$356.90 varies
Compatibility test antiglob (86922) $205.12 $288.90 1.2×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$107.71–$111.97 $151.70–$157.70 varies
Complement Total (Ch50) (86162) $128.16 $180.50 6.3×
Complement/Function Activity (86161)
range across 2 matching MRF lines
$111.97–$151.37 $157.70–$213.20 varies
Consltj Compre Review Reprt Referred Matrl (88325) $269.09 $379 1.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $196.10 $276.20 3.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $225.07 $317 5.8×
Coombs direct (86880) $76.33 $107.50 14.2×
Copper urine (82525) $103.23 $145.40 8.3×
Cortisol free (82530) $188.29 $265.20 11.3×
Cortisol saliva (82533) $143.07 $201.50 8.8×
Creatine kinase total (82550) $63.90 $90 9.8×
Creatinine blood (82565) $62.48 $88 12.2×
Creatinine clearance (82575) $146.69 $206.60 15.5×
Creatinine Urine (82570)
range across 5 matching MRF lines
$8.66–$56.80 $12.20–$80 varies
Crossmatch immediate spin (86920) $125.32 $176.50 0.7×
Crp High Sensitivity (86141) $94.79 $133.50 7.3×
Cryoglobulin (82595) $59 $83.10 9.1×
Cryptococcus ab (86641) $73.70 $103.80 5.1×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$78.10–$143.92 $110–$202.70 varies
Cryptosporidium ag eia (87328) $72.63 $102.30 5.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $75.40 $106.20 9.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $69.79 $98.30 8.6×
Culture aerobic quant other (87071) $60.35 $85 6.1×
Culture afb (87116) $29.04 $40.90 2.7×
Culture Anaerobic (87075) $131.35 $185 13.9×
Culture blood (87040) $171.75 $241.90 16.6×
Culture chlamydia (87110) $193.12 $272 9.9×
Culture csf (87070) $97.27 $137 11.3×
Culture screen only (87081) $102.17 $143.90 15.4×
Culture stool (87045) $125.32 $176.50 13.3×
Culture typing if ea antiserum (87140) $52.19 $73.50 9.4×
Culture urine (87086) $105.01 $147.90 13.0×
Cystatin C (82610) $145.41 $204.80 7.9×
Cytomegalovirus igg (86644) $111.54 $157.10 7.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $83.07 $117 4.1×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$54.24–$63.90 $76.40–$90 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $221.73 $312.30 4.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $171.75 $241.90 4.5×
Deoxyribonuclease antibody (86215) $45.01 $63.40 3.4×
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
$152.58–$661.44 $214.90–$931.60 varies
Detect Agent Nos Dna Quant (87799) $318.72 $448.90 7.4×
Dhea (82626) $230.04 $324 9.1×
Dhea-S (82627) $198.73 $279.90 8.9×
Digoxin (80162) $107.21 $151 8.1×
Dihydrotestosterone (82642) $134.19 $189 4.6×
Dna Antibody Native/Double Stranded (86225) $132.77 $187 9.7×
Dna Antibody Single Stranded (86226) $85.77 $120.80 7.1×
Drug Screen Quant Clozapine (80159) $36.49 $51.40 1.8×
Drug Screen Quantitative Gabapentin (80171) $188.29 $265.20 8.7×
Drug Screen Quantitative Lamotrigine (80175) $188.29 $265.20 14.2×
Drug Screen Quantitative Oxcarbazepine (80183) $188.29 $265.20 14.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$8.66–$247.65 $12.20–$348.80 varies
Drug Test Prsmv Instrmnt (80306)
range across 8 matching MRF lines
$8.66–$261.85 $12.20–$368.80 varies
Ehrlichia antibody (86666) $143.85 $202.60 14.1×
Electrolyte panel (80051) $233.80 $329.30 33.4×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$147.89–$154.14 $208.30–$217.10 varies
Eosinophil Smear (89190) $45.72 $64.40 7.9×
Erythropoietin (82668) $330.08 $464.90 17.6×
Estradiol serum (82670) $149.60 $210.70 5.4×
Estriol (82677) $104.02 $146.50 4.3×
Estrogen total (82672) $248.57 $350.10 11.5×
Ethylene Glycol (82693) $133.76 $188.40 9.0×
Exam Synovial Fluid Crystals (89060) $87.33 $123 11.9×
F2 Gene (81240) $266.18 $374.90 4.1×
Factor ii activity (85210) $190.35 $268.10 14.7×
Factor v activity (85220) $246.80 $347.60 14.0×
Factor v leiden mutation (81241) $383.76 $540.50 5.2×
Factor viii assay (85240) $270.23 $380.60 15.1×
Factor X (85260) $196.60 $276.90 11.0×
Factor xiii screen (85291) $114.45 $161.20 12.6×
Fat stain feces urine/respir secretions (89125) $60.56 $85.30 10.3×
Fat/Lipids Feces Quantitative (82710) $164.37 $231.50 9.8×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $211.51 $297.90 32.4×
Ferritin (82728) $149.81 $211 11.0×
Fetal Chrmoml Aneuploidy (81420) $853.49 $1,202.10 1.1×
Fibrin Degradation Quant (85379) $147.68 $208 14.5×
Fibrinogen activity (85384) $126.24 $177.80 13.0×
Flow cytometry first marker (88184) $13.77 $19.40 0.0×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$139.30–$198.73 $196.20–$279.90 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $159.68 $224.90 13.3×
Folic acid rbc (82747) $132.77 $187 7.5×
Folic Acid Serum (82746) $137.74 $194 9.4×
Follicle Stimulating Hormone (83001) $100.82 $142 5.4×
Francisella tularensis (86668) $90.03 $126.80 6.4×
Fungi Identification Mold (87107) $73.56 $103.60 7.1×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$89.60–$112.46 $126.20–$158.40 varies
Gases blood ph only (82800) $96.84 $136.40 8.8×
Gastrin (82941) $134.62 $189.60 7.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $642.12 $904.40 1.5×
Gentamicin (80170) $170.83 $240.60 10.4×
Ggt (82977)
range across 2 matching MRF lines
$37.06–$72.63 $52.20–$102.30 varies
Giardia antigen (87329) $81.86 $115.30 6.8×
Glucose 2 hr pp (82950) $58.72 $82.70 12.4×
Glucose body fluid (82945)
range across 2 matching MRF lines
$65.25–$119.85 $91.90–$168.80 varies
Glucose Serum (82947)
range across 2 matching MRF lines
$37.06–$52.19 $52.20–$73.50 varies
Glucose tolerance test (gtt) (82951) $160.60 $226.20 12.5×
Glycated Protein (82985) $66.10 $93.10 3.9×
Gonadotropin Chorionic Qualitative (84703) $113.32 $159.60 15.1×
H Pylori (C-13) Breath (83013) $169.69 $239 2.5×
H Pylori Drug Admin (83014) $34.65 $48.80 4.4×
Haloperidol (80173) $103.23 $145.40 6.5×
Haptoglobin (83010)
range across 2 matching MRF lines
$37.06–$108.77 $52.20–$153.20 varies
Hdl Cholesterol (83718) $51.05 $71.90 6.2×
Helicobacter Pylori Stool (87338) $230.04 $324 16.0×
Hematocrit (85014) $46.58 $65.60 19.7×
Hemoglobin (85018) $48.56 $68.40 20.5×
Hemoglobin a1c (83036) $71 $100 7.3×
Hep a ab igm (86709) $78.46 $110.50 7.0×
Heparin assay (85520) $272.71 $384.10 20.8×
Hepatitis a antibody total (86708) $77.18 $108.70 6.2×
Hepatitis b core ab igm (86705) $138.38 $194.90 11.8×
Hepatitis b core ab total (86704) $102.17 $143.90 8.5×
Hepatitis B Surface Antibody (86706) $87.33 $123 8.1×
Hepatitis B Surface Antigen (87340) $86.62 $122 8.4×
Hepatitis Be Antibody (86707) $97.55 $137.40 8.4×
Hepatitis Be Antigen (87350) $123.54 $174 10.7×
Hepatitis C Antibody (86803) $108.63 $153 7.6×
Hepatitis c antibody confirmatory test (86804) $307 $432.40 19.8×
Hepatitis C Genotype (87902) $206.33 $290.60 0.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $393.06 $553.60 11.2×
Hepatitis C Revrs Trnscrpj (87522) $517.24 $728.50 12.1×
Herpes simplex type 2 (86696) $102.17 $143.90 5.3×
Heterophile Antibody Screen (86308) $58.22 $82 11.2×
Hfe Gene (81256) $139.30 $196.20 2.1×
Histoplasma antibody (86698) $54.32 $76.50 3.9×
Histoplasma antigen urine (87385) $104.73 $147.50 7.9×
Hiv Genotype (87901) $1,011.89 $1,425.20 3.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $39.05 $55 1.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $465.33 $655.40 5.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $163.16 $229.80 2.2×
Hla ii type 1 ag equiv lr (81377) $212.36 $299.10 2.2×
Hla ii typing 1 allele hr (81383) $212.36 $299.10 1.9×
Hla-b27 (86812) $189.29 $266.60 7.3×
Homocysteine (83090) $212.50 $299.30 11.9×
Hpv High-Risk Types (87624) $136.32 $192 3.9×
Hsv Dna Amp Probe (87529) $144.41 $203.40 4.1×
Htlv-I Antibody (86687) $79.73 $112.30 8.8×
Hydroxyprogesterone 17-d (83498) $225.50 $317.60 8.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $40.04 $56.40 1.1×
Iaadi inffluenza a virus (87276) $46.65 $65.70 2.9×
Iaadi not otherwise specified each organism (87299) $46.65 $65.70 2.9×
Iaadi parainfluenza virus each type (87279) $46.65 $65.70 2.8×
Iaadi respiratory synctial virus (87280) $46.65 $65.70 3.5×
Iadna Bartonella Amplified Probe Technique (87471) $244.52 $344.40 7.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $406.05 $571.90 11.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $152.58 $214.90 4.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $141.08 $198.70 6.2×
Iadna Cytomegalovirus Quantification (87497) $264.48 $372.50 6.2×
Iadna Hepatitis B Virus Quantification (87517) $328.30 $462.40 7.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $152.58 $214.90 4.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $124.25 $175 3.5×
Iadna Nos Direct Probe Tq Each Organism (87797) $230.04 $324 7.7×
Ig Light Chains Free Each (83521) $153.15 $215.70 8.9×
Igg subclasses (82787) $100.82 $142 12.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $414.14 $583.30 1.1×
Immunfix e-phorsis/urine/csf (86335) $203.13 $286.10 6.9×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$143.85–$1,362.06 $202.60–$1,918.40 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$2.20–$67.59 $3.10–$95.20 varies
Immunoassay nonantibody (83516)
range across 17 matching MRF lines
$93.22–$194.75 $131.30–$274.30 varies
Immunofixation electrophoresis (86334) $203.13 $286.10 9.1×
Immunofluorescence per spec 1st singl antb stain (88346) $226.28 $318.70 1.3×
Immunohistochemistry (88342) $245.73 $346.10 1.4×
In situ hybridization 1st probe stain (88365) $350.31 $493.40 2.0×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $46.65 $65.70 3.2×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $46.65 $65.70 3.8×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$50.55–$85.77 $71.20–$120.80 varies
Influenza DNA amp probe (87502) $113.03 $159.20 1.2×
Inhibin A (86336) $92.02 $129.60 5.9×
Inhibin b (83520)
range across 12 matching MRF lines
$96.70–$592.92 $136.20–$835.10 varies
Insitu hybridization manual (88368) $496.57 $699.40 1.3×
Insulin antibodies (86337) $202.28 $284.90 9.4×
Insulin total (83525) $75.26 $106 6.6×
Intrinsic factor antibody (86340) $149.53 $210.60 9.9×
Iron (83540) $73.84 $104 11.4×
Iron Binding Capacity (83550) $81.86 $115.30 9.4×
Islet cell antibody (86341) $150.45 $211.90 6.4×
Jak2 gene analysis p.val617phe variant (81270) $182.40 $256.90 2.0×
Koh Prep (87220) $55.88 $78.70 13.1×
Lactate (ld) (ldh) enzyme (83615) $75.40 $106.20 12.5×
Lactoferrin Fecal Quantitative (83631) $54.10 $76.20 2.8×
Ldh Isoenzymes (83625) $128.16 $180.50 10.0×
LDL direct (83721) $84.56 $119.10 8.1×
Lead (83655) $64.61 $91 5.3×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$85.20–$127.94 $120–$180.20 varies
Leukocyte Assessment Fecal (89055) $55.88 $78.70 13.1×
Level I Surg Pathology Gross Examination Only (88300) $84.56 $119.10 2.8×
Level ii surg pathology gross&microscopic exam (88302) $138.38 $194.90 3.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $344.92 $485.80 0.9×
Lipase (83690) $78.81 $111 11.4×
Lipoprotein A (83695) $107.35 $151.20 7.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $95.57 $134.60 2.8×
Lipoprotein-Associated Phospholipase A2 (83698) $221.73 $312.30 4.8×
Lithium (80178) $67.45 $95 10.2×
Luteinizing Hormone (Lh) (83002) $102.95 $145 5.6×
Lyme disease antibody (86618) $147.68 $208 8.7×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $766.94 $1,080.20 4.4×
Macroscopic Exam Parasite (87169) $55.88 $78.70 13.0×
Magnesium Urine (83735) $81.65 $115 12.2×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$120.77–$164.37 $170.10–$231.50 varies
Mercury urine (83825) $119.85 $168.80 7.4×
Metabolic panel ionized ca (80047) $229.12 $322.70 16.7×
Methylmalonic acid serum (83921) $266.18 $374.90 12.5×
Microalbumin, quantitative (82043) $122.55 $172.60 21.2×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$73.13–$74.41 $103–$104.80 varies
Mog-Igg1 Antb Cba Each (86362) $714.69 $1,006.60 59.3×
Molecular Cytogenetics Dna Probe Each (88271) $140.30 $197.60 6.5×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $377.37 $531.50 8.9×
Molecular Pathology Procedure Level 6 (81405) $1,118.82 $1,575.80 3.7×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$503.89–$586.67 $709.70–$826.30 varies
Mopath procedure level 9 (81408) $4,011.57 $5,650.10 2.0×
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,593.67 $2,244.60 2.5×
Mthfr Gene Analysis Common Variants (81291) $233.52 $328.90 3.6×
Mumps antibody (86735)
range across 2 matching MRF lines
$4.54–$13.49 $6.40–$19 varies
Mycophenolic Acid (80180) $131.85 $185.70 7.3×
Mycoplasma antibody (86738) $79.95 $112.60 6.0×
Myoglobin urine (83874) $145.83 $205.40 11.3×
Natriuretic peptide (83880) $196.67 $277 5.0×
Neisseria Dir Na Probe (87590) $151.37 $213.20 5.6×
Neutralization Test Viral (86382) $287.41 $404.80 17.0×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $172.89 $243.50 1.3×
Nfct ds chrnc hcv 6 assays (81596) $261.07 $367.70 3.6×
Nickel level (83885) $96.92 $136.50 4.0×
Nuclear antigen antibody (86235)
range across 12 matching MRF lines
$88.89–$114.24 $125.20–$160.90 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $408.89 $575.90 9.3×
Occult blood feces (82272) $47.57 $67 11.2×
Occult Blood Other Sources (82271) $65.11 $91.70 12.2×
Osmolality serum (83930) $107.71 $151.70 16.3×
Osmolality Urine (83935) $96.84 $136.40 14.2×
Osteocalcin (83937) $122.55 $172.60 4.1×
Ova and parasites smears (87177) $104.02 $146.50 11.7×
Oxalate urine (83945) $114.24 $160.90 7.9×
Pancreatic Elastase Fecal (82656) $249.49 $351.40 21.6×
Parvovirus antibody (86747) $76.33 $107.50 5.1×
Ph urine (81003) $36.21 $51 16.1×
Phenobarbital Level (80184) $131.85 $185.70 8.6×
Phenytoin (Dilantin) (80185) $105.79 $149 8.0×
Phenytoin free (80186) $127.30 $179.30 9.3×
Phosphatase alkaline (84075) $63.19 $89 12.2×
Phosphorus Serum (84100) $51.12 $72 10.8×
Phosphorus urine (84105) $71.71 $101 12.4×
Pinworm exam (87172) $43.03 $60.60 10.1×
Platelet count automated (85049) $73.56 $103.60 16.4×
Platelet neutralization (85597) $128.16 $180.50 7.1×
Porphobilinogen, urine; quantitative (84110) $49.42 $69.60 5.9×
Porphyrins Urine Quantitation & Fractionation (84120) $77.25 $108.80 5.3×
Potassium Urine (84133)
range across 2 matching MRF lines
$54.95–$70.72 $77.40–$99.60 varies
Prealbumin (84134) $106.86 $150.50 7.3×
Pregnenolone (84140) $99.47 $140.10 4.8×
Primidone (80188) $119.85 $168.80 7.2×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$236.64–$274.49 $333.30–$386.60 varies
Progesterone (84144) $153.15 $215.70 7.3×
Prolactin (84146) $108.63 $153 5.6×
Protein C Activity (85303) $242.18 $341.10 17.5×
Protein c antigen (85302) $199.51 $281 16.6×
Protein Electrophoresis Urine (84166) $117.01 $164.80 6.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $112.46 $158.40 10.5×
Protein S Free (85306)
range across 2 matching MRF lines
$230.04–$246.80 $324–$347.60 varies
Protein s total (85305) $230.04 $324 19.8×
Protein total serum (84155) $62.41 $87.90 17.0×
Protein Total Urine (84156) $78.24 $110.20 21.3×
Protoporphyrin rbc quantitative (84202) $88.54 $124.70 6.2×
PSA free (84154) $106 $149.30 5.8×
Pth Intact (83970) $257.80 $363.10 6.2×
Quantiferon tb gold plus (86480) $203.13 $286.10 3.3×
Quantitative assay drug (80299)
range across 8 matching MRF lines
$91.38–$395.26 $128.70–$556.70 varies
Quantitative Screen Metals (83018) $245.73 $346.10 11.2×
Rbc antibody elution (86860) $179.20 $252.40 1.0×
Rbc antibody identification (86870) $281.02 $395.80 0.8×
Rbc antibody screen (86850) $124.53 $175.40 12.7×
Rbc pretreatment serum (86978) $53.04 $74.70 0.9×
Renin activity plasma (84244) $191.13 $269.20 8.7×
Resp virus 12-25 targets (87633) $152.58 $214.90 0.4×
Reticulocyte Count Manual (85044) $81.01 $114.10 18.8×
Reticulocyte separation (86972) $118.85 $167.40 0.7×
Rh (86901) $62.41 $87.90 20.9×
Rheumatoid Factor Qualitative (86430) $73.56 $103.60 12.0×
Rheumatoid factor quant (86431) $57.51 $81 10.1×
Rickettsia antibody (86757) $216.20 $304.50 11.2×
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$86.48–$158.19 $121.80–$222.80 varies
Rpr qualitative (86592) $43.31 $61 10.1×
Rsv ab (86756) $144.84 $204 9.1×
Rsv Assay W/Optic (87807) $50.55 $71.20 3.9×
Rubella Antibody (86762)
range across 3 matching MRF lines
$4.54–$62.48 $6.40–$88 varies
Rubeola antibody (86765) $13.49 $19 1.0×
Russell Viper Venom Time Diluted (85613) $119.85 $168.80 12.5×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$50.55–$143.63 $71.20–$202.30 varies
Sars-cov-2 COVID-19 antibody (86769) $135.97 $191.50 3.2×
Sedimentation Rate, Automated (85652) $40.47 $57 15.0×
Selenium (84255) $127.30 $179.30 5.0×
Semen analysis motility and count (89310) $175.30 $246.90 20.4×
Sensitivity mic (87186) $108.77 $153.20 12.6×
Sex Hormone Binding Globulin (84270) $50.34 $70.90 2.3×
Sickling of rbc reduction (85660) $16.61 $23.40 3.0×
Skin test tuberculosis intradermal (86580) $118.91 $167.48 4.0×
Smear acid fast (87206) $67.88 $95.60 12.6×
Smear gram stain (87205) $63.26 $89.10 14.8×
Smear Special Stain (87207) $106 $149.30 17.7×
Sodium Serum (84295) $53.96 $76 11.2×
Sodium Urine (84300)
range across 2 matching MRF lines
$63.26–$72.63 $89.10–$102.30 varies
Somatomedin (84305) $214.35 $301.90 10.1×
Special Stains Group 1 (88312) $162.45 $228.80 3.0×
Special Stains Group 2 (88313) $166.21 $234.10 1.2×
Specific gravity body fluid (84315) $62.41 $87.90 19.0×
Specimen infect agnt concntj (87015) $49.42 $69.60 7.4×
Spectrophotometry (84311)
range across 4 matching MRF lines
$54.67–$110.48 $77–$155.60 varies
Stool cultr aerobic bact ea (87046) $54.95 $77.40 5.8×
Strep a assay w/optic (87880) $81.01 $114.10 4.9×
Strep a DNA amp probe (87651) $101.39 $142.80 2.9×
Sugars Single Qual (84376) $46.65 $65.70 8.5×
Surg path level iii (88304) $189.29 $266.60 3.5×
Surgical pathology level IV (88305) $230.04 $324 4.3×
Surgical pathology level vi (88309) $502.82 $708.20 0.6×
Susceptibility Study Antimicrobial Disk Method (87184) $60.56 $85.30 8.1×
Syphilis Test Non-Trep Quant (86593) $29.47 $41.50 6.7×
T cells absolute cd4 count (86361) $145.83 $205.40 5.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $50.62 $71.30 1.1×
T cells total count (86359) $50.62 $71.30 1.3×
T3 Free (84481) $117.15 $165 6.9×
T3 reverse (84482) $217.19 $305.90 13.8×
T3 Total (84480) $130 $183.10 9.2×
T3 Uptake (84479) $72.63 $102.30 11.2×
T4 Free (84439) $77.39 $109 8.6×
T4 total (84436) $85.77 $120.80 12.5×
Tacrolimus (80197) $170.54 $240.20 12.4×
Test for acetone/ketones (82009) $47.57 $67 10.5×
Testosterone Bioavailable (84410) $95.78 $134.90 1.9×
Testosterone total (84403) $117.86 $166 4.6×
Testosterone, Free (84402) $155.99 $219.70 6.1×
Theophylline (80198) $131.85 $185.70 9.3×
Thrombin Time (85670) $70.72 $99.60 12.3×
Thromboplastin Inhibition Tissue (85705) $216.20 $304.50 22.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $131 $184.50 20.2×
Thyroglobulin (84432) $134.62 $189.60 8.4×
Thyroglobulin Antibody (86800) $125.32 $176.50 7.9×
Thyroid Stimulating Immunoglobulin (84445) $469.03 $660.60 9.2×
Topiramate (80201) $154.14 $217.10 12.9×
Toxoplasma ab igm (86778) $100.39 $141.40 7.0×
Toxoplasma antibody (86777) $70.72 $99.60 4.9×
Transferase Aspartate Amino Ast Sgot (84450) $53.25 $75 10.3×
Transferrin (84466) $100.11 $141 7.8×
Trb@ Rearrangement Anal Amplification Method (81340) $546.77 $770.10 2.6×
Trg gene rearrangement anal (81342) $513.19 $722.80 2.5×
Trichomonas Vaginalis Amplif (87661) $114.38 $161.10 3.3×
Triglycerides (84478)
range across 2 matching MRF lines
$37.06–$74.41 $52.20–$104.80 varies
Troponin Quant (84484) $169.76 $239.10 13.6×
Tumor Immunohistochem/Manual (88360) $264.48 $372.50 1.5×
Urea nitrogen urine (84540) $43.03 $60.60 7.7×
Uric acid other source (84560) $70.72 $99.60 13.9×
Urinalysis Microscopic Only (81015) $39.26 $55.30 12.9×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $44.80 $63.10 20.6×
Urinalysis Volume Measure (81050) $45.80 $64.50 12.6×
Urine Albumin Semiquantitative (82044) $19.81 $27.90 3.2×
Urine Bacteria Culture (87088) $106.86 $150.50 13.2×
Urine Pregnancy Test (81025) $100.39 $141.40 11.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $56.09 $79 17.7×
Valproic acid (80164)
range across 2 matching MRF lines
$127.37–$146.69 $179.40–$206.60 varies
Vancomycin (80202) $179.99 $253.50 13.3×
Varicella-zoster antibody (86787) $77.39 $109 6.0×
Viral Culture (87252) $278.25 $391.90 10.7×
Virus antibody nos (86790)
range across 3 matching MRF lines
$69.94–$115.52 $98.50–$162.70 varies
Virus inoculation, shell via (87254) $175.30 $246.90 9.0×
Viscosity serum (85810) $105.86 $149.10 9.1×
Vit D 1 25-Dihydroxy (82652) $274.56 $386.70 7.1×
Vitamin A (84590) $129.01 $181.70 11.1×
Vitamin b-12 (82607) $140.58 $198 9.3×
Vitamin B2 (Riboflavin) (84252) $206.40 $290.70 10.2×
Vitamin B6 (84207) $223.58 $314.90 8.0×
Vitamin c (82180) $47.64 $67.10 4.8×
Vitamin D 25-Hydroxy (82306) $178.21 $251 6.0×
Vitamin E (84446) $95.57 $134.60 6.7×
Vitamin K (84597) $176.79 $249 12.9×
Volatiles (84600) $96.06 $135.30 5.6×
Von willebrand factor ag (85246) $194.33 $273.70 8.5×
Western Blot Test (84181) $161.77 $227.85 9.5×
Zinc (84630) $110.48 $155.60 9.7×

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.