Lab & pathology prices at Bitterroot Health - Daly Hospital
Hamilton, MT · every code in this section with a posted price and a Medicare benchmark.
490 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) | $133 | $133 | 7.2× |
| Acetylcholine receptor blocking antibody (86042) | $133 | $133 | 7.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $87 | $87 | 7.2× |
| Acth (82024) | $280 | $280 | 7.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $236 | $236 | 7.2× |
| Actin smooth muscle antibody each (86015) | $87 | $87 | 7.2× |
| Acute hepatitis panel (80074) | $345 | $345 | 7.2× |
| Acylcarnitines Quant (82017) | $122 | $122 | 7.2× |
| Albumin Fluid (82042) | $56 | $56 | 7.2× |
| Albumin serum (82040) | $36 | $36 | 7.3× |
| Aldolase (82085) | $70 | $70 | 7.2× |
| Aldosterone urine (82088) | $295 | $295 | 7.2× |
| Alkaline phosphatase isoenzymes (84080) | $107 | $107 | 7.2× |
| Allergen specific ige (86003) | $38 | $38 | 7.3× |
| Allg Spec Ige Recomb Ea (86008) | $130 | $130 | 7.3× |
| Alpha-1-antitrypsin total (82103) | $97 | $97 | 7.2× |
| Alpha-Fetoprotein Serum (82105) | $122 | $122 | 7.3× |
| Alt (sgpt) (84460) | $38 | $38 | 7.2× |
| Amikacin trough (80150) | $109 | $109 | 7.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $167 | $167 | 7.3× |
| Amino Acids Quant 2-5 (82136) | $142 | $142 | 7.2× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $103 | $103 | 7.3× |
| Ammonia (82140) | $106 | $106 | 7.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $711 | $711 | 7.2× |
| Amylase urine (82150) range across 4 matching MRF lines |
$47–$65 | $47–$65 | varies |
| Anca screen each antibody (86036) | $87 | $87 | 7.2× |
| Anca Titer Each Antibody (86037) | $87 | $87 | 7.2× |
| Androstenedione (82157) | $212 | $212 | 7.2× |
| Angiotensin converting enzyme csf (82164) | $106 | $106 | 7.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $112 | $112 | 7.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $122 | $122 | 7.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $95 | $95 | 7.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $111 | $111 | 7.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $132 | $132 | 7.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $89 | $89 | 7.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $104 | $104 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) | $96 | $96 | 7.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $99 | $99 | 7.2× |
| Antibody Protozoa Nes (86753) | $89.82 | $89.82 | 7.2× |
| Antibody Treponema Pallidum (86780) | $96 | $96 | 7.3× |
| Antigen typing (86905) | $111 | $111 | 29.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $41 | $41 | 7.2× |
| Antinuclear antibodies (86038) | $88 | $88 | 7.3× |
| Antistreptolysin o titer (86060) | $53 | $53 | 7.3× |
| Antithrombin iii activity (85300) | $86 | $86 | 7.3× |
| Antithrombin iii antigen (85301) | $78 | $78 | 7.2× |
| Apolipoprotein a1 (82172) | $153 | $153 | 7.3× |
| Aquaporin-4 Antb Cba Each (86052) | $689 | $689 | 57.2× |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$84–$350 | $84–$350 | varies |
| Arsenic (82175) | $138 | $138 | 7.3× |
| Assay activated protein c (85307) | $111 | $111 | 7.2× |
| Assay Blood Carbon Dioxide (82374) | $35 | $35 | 7.2× |
| Assay Nephelometry Not Spec (83883) | $99 | $99 | 7.3× |
| Assay of 5-hiaa (83497) | $94 | $94 | 7.3× |
| Assay of blood/uric acid (84550) | $46 | $46 | 10.2× |
| Assay of calcium in urine (82340) | $44 | $44 | 7.3× |
| Assay of estrone (82679) | $181 | $181 | 7.3× |
| Assay of g6pd enzyme (82955) | $70 | $70 | 7.2× |
| Assay of gammaglobulin igm (82784) | $67 | $67 | 7.2× |
| Assay of lactic acid (83605) | $117 | $117 | 10.1× |
| Assay of metanephrines (83835) | $123 | $123 | 7.3× |
| Assay of serotonin (84260) | $225 | $225 | 7.3× |
| Assay of serum potassium (84132) | $35 | $35 | 7.4× |
| Assay of sweat sodium (84302) | $35 | $35 | 7.2× |
| Assay of urea nitrogen (84520) | $29 | $29 | 7.3× |
| Assay of vitamin b-1 (84425) | $154 | $154 | 7.3× |
| Assay Ph Body Fluid Nos (83986) | $26 | $26 | 7.3× |
| Automated Leukocyte Count (85048) | $18 | $18 | 7.1× |
| Bcr/abl1 gene major bp (81206) | $1,189 | $1,189 | 7.3× |
| Bcr/abl1 gene minor bp (81207) | $1,050 | $1,050 | 7.2× |
| Beta 2 glycoprotein i antibody each (86146) | $185 | $185 | 7.3× |
| Beta hydroxybutyrate (82010) | $59 | $59 | 7.2× |
| Beta-2 Microglobulin (82232) | $117 | $117 | 7.2× |
| Bile acids total (82239) | $124 | $124 | 7.2× |
| Bilirubin direct (82248) | $36 | $36 | 7.2× |
| Bilirubin total (82247) | $36 | $36 | 7.2× |
| Biotinidase (82261) | $122 | $122 | 7.2× |
| Bld Typing Serologic Rh Phnt (86906) | $56 | $56 | 7.2× |
| Bleeding time test (85002) | $35 | $35 | 7.3× |
| Blood Count Manual Cell Count Each (85032) | $31 | $31 | 7.2× |
| Blood Count Red Blood Cell Automated (85041) | $22 | $22 | 7.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28 | $28 | 7.4× |
| Blood count spun microhematocrit (85013) | $51 | $51 | 7.3× |
| Blood gases w/02 saturation (82805) | $571 | $571 | 7.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32 | $32 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $46 | $46 | 7.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $118 | $118 | 7.2× |
| Blood typing serologic abo (86900) | $22 | $22 | 7.4× |
| Body fluid cell count (89050) | $34 | $34 | 7.2× |
| Breath Alcohol Test (82075) | $218 | $218 | 7.3× |
| Brucella antibody (86622) | $65 | $65 | 7.3× |
| C diff amplified probe (87493) | $270 | $270 | 7.2× |
| C-Peptide (84681) | $151 | $151 | 7.3× |
| C-reactive protein (86140) | $53 | $53 | 10.2× |
| Ca 19-9 (86301) | $151 | $151 | 7.3× |
| Cadmium (82300) | $171 | $171 | 7.2× |
| Calcium ionized (82330) | $99 | $99 | 7.2× |
| Calcium total (82310) | $37 | $37 | 7.2× |
| Calculus assay quant (82360) | $93 | $93 | 7.2× |
| Calculus Spectroscopy (82365) | $94 | $94 | 7.3× |
| Calprotectin Fecal (83993) | $142 | $142 | 7.2× |
| Cancer Antigen 125 (86304) | $151 | $151 | 7.3× |
| Cancer Antigen 27.29 (86300) | $151 | $151 | 7.3× |
| Candida Dna Dir Probe (87480) | $145 | $145 | 7.2× |
| Carbamazepine total (80156) | $106 | $106 | 7.3× |
| Carboxyhemoglobin (82375) | $89 | $89 | 7.2× |
| Carcinoembryonic antigen (82378) | $137 | $137 | 7.2× |
| Cardiolipin ab iga (86147) | $185 | $185 | 7.3× |
| Carotene (82380) | $67 | $67 | 7.3× |
| Catecholamines fractionated (82384) | $183 | $183 | 7.2× |
| Ccp antibody (86200) | $94 | $94 | 7.3× |
| Cell count csf (89051) | $41 | $41 | 7.3× |
| Ceruloplasmin (82390) | $78 | $78 | 7.3× |
| Chemiluminescent assay (82397) | $102 | $102 | 7.2× |
| Chloride other source (82438) | $36 | $36 | 7.2× |
| Chloride Serum (82435) | $33 | $33 | 7.2× |
| Chloride urine (82436) | $42 | $42 | 7.3× |
| Cholesterol total (82465) | $32 | $32 | 7.4× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$109–$152 | $109–$152 | varies |
| Chromogranin a (86316) | $151 | $151 | 7.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $254 | $254 | 7.2× |
| Citric acid urine (82507) | $202 | $202 | 7.3× |
| Ckmb (82553) | $84 | $84 | 7.3× |
| Clostridium Difficile (87324) | $87 | $87 | 7.3× |
| Cns DNA amp probe type 12-25 (87483) | $2,069 | $2,069 | 5.0× |
| Cold agglutinin screen (86156) | $59 | $59 | 7.3× |
| Cold agglutinin titer (86157) | $58 | $58 | 7.2× |
| Collagen crosslinks (82523) | $135 | $135 | 7.2× |
| Column Chromotography Quant (82542) | $175 | $175 | 7.3× |
| Compatibility Each Unit Incubation (86921) | $343 | $343 | 2.0× |
| Compatibility test antiglob (86922) | $343 | $343 | 2.0× |
| Complement Antigen Each Component (86160) | $87 | $87 | 7.3× |
| Complement Total (Ch50) (86162) | $147 | $147 | 7.2× |
| Coombs direct (86880) | $39 | $39 | 7.2× |
| Copper urine (82525) | $90 | $90 | 7.3× |
| Cortisol free (82530) | $121 | $121 | 7.2× |
| Cortisol saliva (82533) | $118 | $118 | 7.2× |
| Creatine kinase total (82550) | $47 | $47 | 7.2× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$37–$37.12 | $37–$37.12 | varies |
| Creatinine clearance (82575) | $69 | $69 | 7.3× |
| Creatinine Urine (82570) | $38 | $38 | 7.3× |
| Crossmatch immediate spin (86920) | $343 | $343 | 2.0× |
| Crp High Sensitivity (86141) | $94 | $94 | 7.3× |
| Cryptococcus ag titer (87899) | $117 | $117 | 7.3× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$100–$139 | $100–$139 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $59 | $59 | 7.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $56 | $56 | 7.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,581 | $1,581 | 7.3× |
| Culture afb (87116) | $78 | $78 | 7.2× |
| Culture Anaerobic (87075) | $69 | $69 | 7.3× |
| Culture blood (87040) | $105 | $105 | 10.2× |
| Culture csf (87070) range across 11 matching MRF lines |
$62–$88 | $62–$88 | varies |
| Culture screen only (87081) | $48 | $48 | 7.2× |
| Culture stool (87045) | $68 | $68 | 7.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $38 | $38 | 7.3× |
| Culture urine (87086) | $82 | $82 | 10.2× |
| Cyclosporine (80158) | $131 | $131 | 7.3× |
| Cystatin C (82610) range across 3 matching MRF lines |
$134–$134.27 | $134–$134.27 | varies |
| Cytomegalovirus igg (86644) | $104 | $104 | 7.2× |
| Cytopath Cell Enhance Tech (88112) | $240 | $240 | 4.5× |
| Cytp Concentration Smears & Interpretation (88108) | $177 | $177 | 4.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $240 | $240 | 4.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $177 | $177 | 4.6× |
| Detect Agent Nos Dna Amp (87798) | $254 | $254 | 7.2× |
| Detect Agent Nos Dna Quant (87799) | $311 | $311 | 7.3× |
| Detect agnt mult DNA ampli (87801) | $509 | $509 | 7.3× |
| Dgp Antibody Each Ig Class (86258) | $121 | $121 | 10.0× |
| Dhea (82626) | $183 | $183 | 7.2× |
| Dhea-S (82627) | $161 | $161 | 7.2× |
| Digoxin (80162) | $96 | $96 | 7.2× |
| Dihydrotestosterone (82642) | $212 | $212 | 7.2× |
| Dna Antibody Native/Double Stranded (86225) | $100 | $100 | 7.3× |
| Dna/Rna Amplified Probe (87150) | $254 | $254 | 7.2× |
| Drug assay acetaminophen (80143) | $135 | $135 | 7.2× |
| Drug assay adalimumab (80145) | $280 | $280 | 7.3× |
| Drug Assay Everolimus (80169) | $100 | $100 | 7.3× |
| Drug assay felbamate (80167) | $135 | $135 | 7.2× |
| Drug Assay Infliximab (80230) | $280 | $280 | 7.3× |
| Drug Assay Lacosamide (80235) | $197 | $197 | 7.3× |
| Drug Assay Vedolizumab (80280) | $280 | $280 | 7.3× |
| Drug Screen Quant Clozapine (80159) | $146 | $146 | 7.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $96 | $96 | 7.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $96 | $96 | 7.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $96 | $96 | 7.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $451 | $451 | 7.3× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$91–$127 | $91–$127 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 3 matching MRF lines |
$124–$173 | $124–$173 | varies |
| Ehrlichia antibody (86666) | $73.80 | $73.80 | 7.2× |
| El-1 Fecal Quantitative (82653) | $167 | $167 | 7.3× |
| Electrolyte panel (80051) | $51 | $51 | 7.3× |
| Eosinophil Smear (89190) | $41.97 | $41.97 | 7.2× |
| Erythropoietin (82668) | $136 | $136 | 7.2× |
| Estradiol serum (82670) | $203 | $203 | 7.3× |
| Estriol (82677) | $175 | $175 | 7.2× |
| Estrogen total (82672) | $157 | $157 | 7.2× |
| Exam Synovial Fluid Crystals (89060) | $53 | $53 | 7.2× |
| F2 Gene (81240) | $476 | $476 | 7.2× |
| Factor v activity (85220) | $128 | $128 | 7.3× |
| Factor v leiden mutation (81241) | $532 | $532 | 7.3× |
| Factor viii assay (85240) | $130 | $130 | 7.3× |
| Fat stain feces urine/respir secretions (89125) | $43 | $43 | 7.3× |
| Ferritin (82728) | $138 | $138 | 10.1× |
| Fetal Fibronectin (82731) | $467 | $467 | 7.3× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $137 | $137 | 7.2× |
| Fetal screen rosette (85461) | $68 | $68 | 7.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $98 | $98 | 10.1× |
| Fibrinogen activity (85384) | $70 | $70 | 7.2× |
| Flow cytometry first marker (88184) | $545.28 | $545.28 | 1.5× |
| Fluorescent antibody screen (86255) range across 19 matching MRF lines |
$87–$817 | $87–$817 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$87–$150 | $87–$150 | varies |
| Folic Acid Serum (82746) | $107 | $107 | 7.3× |
| Follicle Stimulating Hormone (83001) | $135 | $135 | 7.3× |
| Francisella tularensis (86668) | $103 | $103 | 7.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $343 | $343 | 2.0× |
| Frozen Section (88331) | $771 | $771 | 4.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $153 | $153 | 7.3× |
| Gammaglobulin ige (82785) | $119 | $119 | 7.2× |
| Gardner vag DNA dir probe (87510) | $145 | $145 | 7.2× |
| Gases blood ph only (82800) | $80 | $80 | 7.3× |
| Gastrin (82941) | $128 | $128 | 7.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,069 | $2,069 | 5.0× |
| Gentamicin (80170) | $119 | $119 | 7.3× |
| Ggt (82977) | $52 | $52 | 7.2× |
| Giardia antigen (87329) | $87 | $87 | 7.3× |
| Glucose 2 hr pp (82950) | $34 | $34 | 7.2× |
| Glucose body fluid (82945) | $28 | $28 | 7.1× |
| Glucose Serum (82947) | $28 | $28 | 7.1× |
| Glucose tolerance test (gtt) (82951) | $93 | $93 | 7.2× |
| Glycated Protein (82985) | $122 | $122 | 7.3× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$55–$77 | $55–$77 | varies |
| Growth hormone (83003) | $121 | $121 | 7.3× |
| Gtt-added samples (82952) | $28 | $28 | 7.1× |
| Haptoglobin (83010) | $91 | $91 | 7.2× |
| Hba1/Hba2 Gene (81257) | $741 | $741 | 7.2× |
| Hdl Cholesterol (83718) | $59 | $59 | 7.2× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$104–$145 | $104–$145 | varies |
| Hematocrit (85014) | $17 | $17 | 7.2× |
| Hemoglobin (85018) | $17 | $17 | 7.2× |
| Hemoglobin a1c (83036) | $70 | $70 | 7.2× |
| Hemoglobin Chromotography (83021) | $131 | $131 | 7.3× |
| Hemoglobin electrophoresis (83020) | $93 | $93 | 7.2× |
| Hep a ab igm (86709) | $82 | $82 | 7.3× |
| Heparin assay (85520) range across 3 matching MRF lines |
$94.90–$95 | $94.90–$95 | varies |
| Hepatitis a antibody total (86708) | $90 | $90 | 7.3× |
| Hepatitis b core ab igm (86705) | $85 | $85 | 7.2× |
| Hepatitis b core ab total (86704) | $87 | $87 | 7.2× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$75–$105 | $75–$105 | varies |
| Hepatitis C Antibody (86803) | $103 | $103 | 7.2× |
| Hepatitis C Genotype (87902) | $1,867 | $1,867 | 7.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $311 | $311 | 7.3× |
| Herpes simplex type 2 (86696) | $140 | $140 | 7.2× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$38–$53 | $38–$53 | varies |
| Hfe Gene (81256) | $474 | $474 | 7.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $56 | $56 | 7.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $175 | $175 | 7.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $617 | $617 | 7.3× |
| HIV-2 probe&revrse trnscripj (87538) | $254 | $254 | 7.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $539 | $539 | 7.3× |
| Homocysteine (83090) | $130 | $130 | 7.3× |
| Homogenization Tissue (87176) | $43 | $43 | 7.3× |
| Hpv High-Risk Types (87624) | $254.40 | $254.40 | 7.2× |
| Hsv Dna Amp Probe (87529) | $254 | $254 | 7.2× |
| Hydroxyprogesterone 17-d (83498) | $197 | $197 | 7.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $101 | $101 | 7.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $254 | $254 | 7.2× |
| Iadna Cytomegalovirus Quantification (87497) | $311 | $311 | 7.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $311 | $311 | 7.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $254 | $254 | 7.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $254 | $254 | 7.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $254 | $254 | 7.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $372 | $372 | 7.3× |
| Ig Light Chains Free Each (83521) | $125 | $125 | 7.2× |
| Igg subclasses (82787) | $58 | $58 | 7.2× |
| Immunfix e-phorsis/urine/csf (86335) | $213 | $213 | 7.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$133–$954 | $133–$954 | varies |
| Immunoassay infectious agent (86318) | $131 | $131 | 7.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$75–$109 | $75–$109 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$83.59–$144 | $83.59–$144 | varies |
| Immunofixation electrophoresis (86334) | $162 | $162 | 7.3× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$771–$1,266 | $771–$1,266 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $109 | $109 | 7.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$258–$510 | $258–$510 | varies |
| Influenza assay w/optic (87804) | $120 | $120 | 7.3× |
| Inhibin A (86336) | $113 | $113 | 7.2× |
| Inhibin b (83520) range across 6 matching MRF lines |
$125–$125.21 | $125–$125.21 | varies |
| Insulin antibodies (86337) | $155 | $155 | 7.2× |
| Insulin total (83525) | $83 | $83 | 7.3× |
| Interleukin-6 (83529) | $125.20 | $125.20 | 7.2× |
| Iron (83540) | $47 | $47 | 7.3× |
| Irradiation Blood Product Each Unit (86945) | $79 | $79 | 2.1× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$170.88–$171 | $170.88–$171 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $665 | $665 | 7.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,343 | $1,343 | 7.3× |
| Koh Prep (87220) | $31 | $31 | 7.3× |
| Lactate (ld) (ldh) enzyme (83615) | $44 | $44 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $143 | $143 | 7.3× |
| Lamellar Body Count (83664) | $140 | $140 | 7.2× |
| LDL direct (83721) | $76 | $76 | 7.2× |
| Lead (83655) | $88 | $88 | 7.3× |
| Legionella antigen urine (87449) | $87 | $87 | 7.3× |
| Leukocyte Assessment Fecal (89055) | $31 | $31 | 7.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $110 | $110 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $177 | $177 | 4.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $381 | $381 | 1.0× |
| Lipase (83690) | $70 | $70 | 10.2× |
| Lipoprotein A (83695) | $104 | $104 | 7.3× |
| Lipoprotein Bld Quan Part (83704) | $248 | $248 | 7.3× |
| Lithium (80178) | $48 | $48 | 7.3× |
| Luteinizing Hormone (Lh) (83002) | $134 | $134 | 7.2× |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$123–$123.46 | $123–$123.46 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,772 | $1,772 | 10.2× |
| M/phmtrc alys ishquant/semiq (88374) | $771 | $771 | 4.4× |
| Magnesium Urine (83735) | $49 | $49 | 7.3× |
| Mass Spectrometry Quant (83789) | $175 | $175 | 7.3× |
| Mercury urine (83825) | $118 | $118 | 7.3× |
| Methylmalonic acid serum (83921) | $154 | $154 | 7.3× |
| Microalbumin, quantitative (82043) | $42 | $42 | 7.3× |
| Microsatellite instability (81301) | $2,527 | $2,527 | 7.2× |
| Microsomal Antibodies Each (86376) | $105 | $105 | 7.2× |
| Mitochondrial Antibody Each (86381) | $185 | $185 | 7.3× |
| Mog-Igg1 Antb Cba Each (86362) | $636 | $636 | 52.8× |
| Mononuclear cell antigen (86356) | $194 | $194 | 7.2× |
| Mrsa Pcr (87641) | $254 | $254 | 7.2× |
| Mumps antibody (86735) | $95 | $95 | 7.3× |
| Mycoplasma antibody (86738) | $96 | $96 | 7.3× |
| Mycoplasma culture (87109) | $112 | $112 | 7.3× |
| Myoglobin urine (83874) | $94 | $94 | 7.3× |
| Natriuretic peptide (83880) | $285 | $285 | 7.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $1,907 | $1,907 | 7.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $523 | $523 | 7.2× |
| Nk cells total count (86357) | $274 | $274 | 7.3× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$129.99–$909.93 | $129.99–$909.93 | varies |
| Nudt15 Gene Common Variants (81306) | $2,112 | $2,112 | 7.2× |
| Occult blood feces (82272) range across 7 matching MRF lines |
$31–$43 | $31–$43 | varies |
| Occult Blood Other Sources (82271) | $39 | $39 | 7.3× |
| Oligoclonal bands (83916) | $199 | $199 | 7.3× |
| Organic Acids Qualitative Each Specimen (83919) | $119 | $119 | 7.2× |
| Osmolality serum (83930) | $48 | $48 | 7.3× |
| Osmolality Urine (83935) | $49 | $49 | 7.2× |
| Ova and parasites smears (87177) | $65 | $65 | 7.3× |
| Oxalate urine (83945) | $105 | $105 | 7.3× |
| Particle Agglutination Screen Each Antibody (86403) | $84 | $84 | 7.3× |
| Ph urine (81003) | $16 | $16 | 7.1× |
| Phenobarbital Level (80184) | $111 | $111 | 7.3× |
| Phenylalanine (84030) | $40 | $40 | 7.3× |
| Phenytoin (Dilantin) (80185) | $96 | $96 | 7.2× |
| Phenytoin free (80186) | $100 | $100 | 7.3× |
| Phosphatase acid prostatic (84066) | $70 | $70 | 7.2× |
| Phosphatase alkaline (84075) | $38 | $38 | 7.3× |
| Phospholipid Neutralization Hexagonal (85598) | $130 | $130 | 7.2× |
| Phosphorus Serum (84100) | $34 | $34 | 7.2× |
| Phosphorus urine (84105) | $42 | $42 | 7.3× |
| Pinworm exam (87172) | $31 | $31 | 7.3× |
| Platelet count automated (85049) | $32 | $32 | 7.1× |
| Porphobilinogen, urine; quantitative (84110) | $61 | $61 | 7.2× |
| Potassium Urine (84133) | $34 | $34 | 7.2× |
| Prealbumin (84134) | $106 | $106 | 7.3× |
| Pregnenolone (84140) | $150 | $150 | 7.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $343 | $343 | 2.0× |
| Primidone (80188) | $120 | $120 | 7.2× |
| Procalcitonin (Pct) (84145) | $197 | $197 | 7.2× |
| Progesterone (84144) | $151 | $151 | 7.2× |
| Prolactin (84146) | $141 | $141 | 7.3× |
| Protein body fluid (84157) | $29 | $29 | 7.3× |
| Protein C Activity (85303) | $100 | $100 | 7.2× |
| Protein c antigen (85302) | $87 | $87 | 7.2× |
| Protein Electrophoresis Urine (84166) | $129 | $129 | 7.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $78 | $78 | 7.3× |
| Protein S Free (85306) | $111 | $111 | 7.2× |
| Protein s total (85305) | $84 | $84 | 7.2× |
| Protein total serum (84155) | $27 | $27 | 7.4× |
| Protein Total Urine (84156) | $27 | $27 | 7.4× |
| Protein Western Blot Test (84182) range across 15 matching MRF lines |
$212–$350 | $212–$350 | varies |
| PSA free (84154) | $133 | $133 | 7.2× |
| Pth Intact (83970) | $299 | $299 | 7.2× |
| Q Fever Antibody (86638) | $88 | $88 | 7.3× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$434–$449 | $434–$449 | varies |
| Quantitative assay drug (80299) | $135 | $135 | 7.2× |
| Quantitative Screen Metals (83018) | $159 | $159 | 7.2× |
| Rbc antibody elution (86860) | $343 | $343 | 2.0× |
| Rbc antibody identification (86870) | $719 | $719 | 2.0× |
| Rbc antibody screen (86850) range across 9 matching MRF lines |
$71–$99 | $71–$99 | varies |
| Reagent Strip/Blood Glucose (82948) | $37 | $37 | 7.3× |
| Renin activity plasma (84244) | $159 | $159 | 7.2× |
| Resp virus 12-25 targets (87633) | $2,069 | $2,069 | 5.0× |
| Reticulocyte Count (85046) | $40 | $40 | 7.2× |
| Rh (86901) range across 7 matching MRF lines |
$22–$31 | $22–$31 | varies |
| Rheumatoid Factor Qualitative (86430) | $45 | $45 | 7.3× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$41–$58 | $41–$58 | varies |
| Rickettsia antibody (86757) | $140 | $140 | 7.2× |
| Ristocetin cofactor (85245) | $166 | $166 | 7.2× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$31–$43 | $31–$43 | varies |
| Rubella Antibody (86762) | $104 | $104 | 7.2× |
| Rubeola antibody (86765) range across 6 matching MRF lines |
$65–$93 | $65–$93 | varies |
| Russell Viper Venom Time Diluted (85613) | $69 | $69 | 7.2× |
| Salicylate Level (80179) | $135 | $135 | 7.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $372 | $372 | 7.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $305 | $305 | 7.2× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $300 | $300 | 7.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $1,034 | $1,034 | 7.2× |
| Sedimentation rate (85651) | $43 | $43 | 10.1× |
| Selenium (84255) | $185 | $185 | 7.2× |
| Semen Anal Sperm Detection (89321) | $87 | $87 | 7.2× |
| Sensitivity mic (87186) | $63 | $63 | 7.3× |
| Sex Hormone Binding Globulin (84270) | $158 | $158 | 7.3× |
| Sickling of rbc reduction (85660) | $40 | $40 | 7.3× |
| Sirolimus (80195) | $100 | $100 | 7.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$75–$178 | $75–$178 | varies |
| Smear acid fast (87206) | $39 | $39 | 7.2× |
| Smear complex stain (87209) | $130 | $130 | 7.2× |
| Smear gram stain (87205) | $31 | $31 | 7.3× |
| Smear Special Stain (87207) | $43 | $43 | 7.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$42–$133 | $42–$133 | varies |
| Sodium Serum (84295) | $49 | $49 | 10.2× |
| Sodium Urine (84300) | $37 | $37 | 7.3× |
| Somatomedin (84305) | $154 | $154 | 7.2× |
| Special Stains Group 1 (88312) | $240 | $240 | 4.5× |
| Special Stains Group 2 (88313) | $580 | $580 | 4.3× |
| Specimen infect agnt concntj (87015) | $48 | $48 | 7.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $514 | $514 | 3.0× |
| Staph a DNA amp probe (87640) | $254 | $254 | 7.2× |
| Stool cultr aerobic bact ea (87046) | $68 | $68 | 7.2× |
| Strep a assay w/optic (87880) range across 5 matching MRF lines |
$87–$120 | $87–$120 | varies |
| Strep a DNA amp probe (87651) | $254 | $254 | 7.2× |
| Strep b DNA amp probe (87653) | $254 | $254 | 7.2× |
| Sulfate urine (84392) | $40 | $40 | 7.3× |
| Surg path level iii (88304) | $196 | $196 | 3.7× |
| Surgical pathology level IV (88305) | $240 | $240 | 4.5× |
| Surgical pathology level vi (88309) | $1,225 | $1,225 | 1.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $34.45 | $34.45 | 7.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $54.25 | $54.25 | 7.3× |
| Syphilis Test Non-Trep Quant (86593) | $32 | $32 | 7.3× |
| T cells absolute cd4 count (86361) | $194 | $194 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $341 | $341 | 7.3× |
| T cells total count (86359) | $274 | $274 | 7.3× |
| T3 Free (84481) | $123 | $123 | 7.3× |
| T3 reverse (84482) | $114 | $114 | 7.2× |
| T3 Total (84480) | $103 | $103 | 7.3× |
| T3 Uptake (84479) | $47 | $47 | 7.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$65–$91 | $65–$91 | varies |
| T4 total (84436) | $50 | $50 | 7.3× |
| T4-neonatal (84437) | $47 | $47 | 7.3× |
| Tacrolimus (80197) | $100 | $100 | 7.3× |
| Test for acetone/ketones (82009) | $46 | $46 | 10.2× |
| Test for urine cystines (82615) | $69 | $69 | 7.2× |
| Testosterone total (84403) | $187 | $187 | 7.2× |
| Testosterone, Free (84402) | $185 | $185 | 7.3× |
| Theophylline (80198) | $103 | $103 | 7.3× |
| Thiopurine methyltransferase (84433) | $161 | $161 | 7.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $47 | $47 | 7.3× |
| Thyroglobulin Antibody (86800) | $115 | $115 | 7.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $369 | $369 | 7.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$84–$117 | $84–$117 | varies |
| Topiramate (80201) | $86 | $86 | 7.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $143 | $143 | 7.2× |
| Toxoplasma ab igm (86778) | $104 | $104 | 7.2× |
| Toxoplasma antibody (86777) | $104 | $104 | 7.2× |
| Tpmt gene com variants (81335) | $1,267 | $1,267 | 7.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $38 | $38 | 7.3× |
| Transferrin (84466) range across 2 matching MRF lines |
$93–$129 | $93–$129 | varies |
| Trichomonas vagin dir probe (87660) | $145 | $145 | 7.2× |
| Trichomonas Vaginalis Amplif (87661) | $254 | $254 | 7.2× |
| Triglycerides (84478) | $42 | $42 | 7.3× |
| Troponin Quant (84484) | $90 | $90 | 7.2× |
| Tumor Immunohistochem/Manual (88360) | $771 | $771 | 4.4× |
| Urea nitrogen urine (84540) | $40 | $40 | 7.2× |
| Uric acid other source (84560) | $37 | $37 | 7.3× |
| Urinalysis Microscopic Only (81015) | $22 | $22 | 7.2× |
| Urinalysis Volume Measure (81050) | $26 | $26 | 7.1× |
| Urine Albumin Semiquantitative (82044) | $45 | $45 | 7.2× |
| Urine Bacteria Culture (87088) | $59 | $59 | 7.3× |
| Urine Pregnancy Test (81025) | $62 | $62 | 7.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 6 matching MRF lines |
$15–$23 | $15–$23 | varies |
| Valproic acid (80164) | $98 | $98 | 7.2× |
| Vancomycin (80202) | $98 | $98 | 7.2× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$63–$93 | $63–$93 | varies |
| Viral Culture (87252) | $189 | $189 | 7.2× |
| Virus antibody nos (86790) | $93 | $93 | 7.2× |
| Virus inoculation, shell via (87254) | $142 | $142 | 7.3× |
| Vit D 1 25-Dihydroxy (82652) | $279 | $279 | 7.2× |
| Vitamin A (84590) | $84 | $84 | 7.2× |
| Vitamin b-12 (82607) | $109 | $109 | 7.2× |
| Vitamin B6 (84207) | $204 | $204 | 7.3× |
| Vitamin c (82180) | $72 | $72 | 7.3× |
| Vitamin D 25-Hydroxy (82306) | $215 | $215 | 7.3× |
| Vitamin E (84446) | $103 | $103 | 7.3× |
| Vitamin K (84597) | $99 | $99 | 7.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $87 | $87 | 7.2× |
| Von willebrand factor ag (85246) | $166 | $166 | 7.2× |
| Zinc (84630) | $83 | $83 | 7.3× |
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.