Lab & pathology prices at Black River Memorial Hospital

Black River Falls, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $304.20 $338 13.3×
Acetylcholine receptor binding antibody (86041) $358.20 $398 19.5×
Acetylcholn Rcptr Modlg Antb (86043) $358.20 $398 29.7×
Acth (82024) $109.80 $122 2.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $465.30 $517 14.3×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$43.20–$44.10 $48–$49 varies
Acute hepatitis panel (80074) $680.40 $756 14.3×
Albumin Fluid (82042) $70.20 $78 9.0×
Albumin serum (82040)
range across 2 matching MRF lines
$26.10–$52.20 $29–$58 varies
Aldolase (82085) $94.50 $105 9.7×
Aldosterone urine (82088)
range across 2 matching MRF lines
$202.50–$307.80 $225–$342 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines
$117.90–$292.50 $131–$325 varies
Allergen specific ige (86003) $244.80 $272 46.9×
Allg Spec Ige Recomb Ea (86008) $173.70 $193 9.7×
Alpha-1-antitrypsin phenotype (82104) $142.20 $158 9.8×
Alpha-1-antitrypsin total (82103) $268.20 $298 20.0×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$59.40–$270 $66–$300 varies
Alt (sgpt) (84460) $69.30 $77 13.1×
Amino Acids Quant 2-5 (82136) $347.40 $386 17.7×
Ammonia (82140) $153.90 $171 10.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $273.60 $304 2.8×
Amylase urine (82150)
range across 4 matching MRF lines
$69.30–$106.20 $77–$118 varies
Ana Titer (86039) $64.80 $72 5.8×
Anca screen each antibody (86036) $90.90 $101 7.5×
Androstenedione (82157)
range across 2 matching MRF lines
$182.70–$378 $203–$420 varies
Angiotensin converting enzyme csf (82164) $142.20 $158 9.7×
Antibody aspergillus (86606) $130.50 $145 8.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 6 matching MRF lines
$139.50–$310.50 $155–$345 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$85.50–$91.80 $95–$102 varies
Antibody Encephalitis California La Crosse (86651) $144 $160 10.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $286.20 $318 21.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $291.60 $324 19.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $157.50 $175 8.7×
Antibody haemophilus influenza (86684) $446.40 $496 28.2×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$129.60–$219.60 $144–$244 varies
Antibody Herpes Smplx Type 1 (86695) $180 $200 13.6×
Antibody HIV-1&HIV-2 single result (86703) $134.10 $149 9.8×
Antibody htlv/HIV antibody confirmatory test (86689) $443.70 $493 22.9×
Antibody Protozoa Nes (86753) $277.20 $308 22.4×
Antibody Titer (86886) $163.80 $182 31.6×
Antibody Treponema Pallidum (86780) $79.20 $88 6.0×
Antibody; encephalitis, st. louis (86653) $144 $160 10.9×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $154.80 $172 27.1×
Antinuclear antibodies (86038) $151.20 $168 12.5×
Antistreptolysin o titer (86060) $97.20 $108 13.3×
Antithrombin iii activity (85300) $284.40 $316 24.0×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$87.30–$90 $97–$100 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $473.40 $526 12.5×
Arsenic (82175) $370.80 $412 19.5×
Aspergillus ag eia (87305) $361.80 $402 30.2×
Assay activated protein c (85307) $422.10 $469 27.6×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$53.10–$70.20 $59–$78 varies
Assay Nephelometry Not Spec (83883) $255.60 $284 18.8×
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$63–$79.20 $70–$88 varies
Assay of anti-mullerian hormone (82166) $269.10 $299 7.0×
Assay of blood/uric acid (84550) $67.50 $75 14.9×
Assay of calcium in urine (82340) $79.20 $88 13.1×
Assay of cpk in blood (82552) $185.40 $206 13.8×
Assay of g6pd enzyme (82955) $65.70 $73 6.8×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$27–$97.20 $30–$108 varies
Assay of lactic acid (83605) $136.80 $152 11.8×
Assay of manganese (83785) $284.40 $316 10.7×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$150.30–$198.90 $167–$221 varies
Assay of proinsulin (84206) $353.70 $393 13.3×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$58.50–$88.20 $65–$98 varies
Assay of sweat sodium (84302) $99 $110 20.4×
Assay of transcortin (84449) $139.50 $155 7.8×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$58.50–$74.70 $65–$83 varies
Assay of urine vma (84585) $204.30 $227 13.2×
Assay of vitamin b-1 (84425) $219.60 $244 10.3×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$48.60–$78.30 $54–$87 varies
Asy carbamazepin 10,11-epxid (80161) $153.90 $171 8.3×
Automated Leukocyte Count (85048) $56.70 $63 22.3×
Babesia microti amp prb (87469) $79.20 $88 2.3×
Bartonella antibody (86611) $78.30 $87 7.7×
Bcr/abl1 gene major bp (81206) $714.60 $794 4.4×
Beta 2 glycoprotein i antibody each (86146) $148.50 $165 5.8×
Beta hydroxybutyrate (82010) $107.10 $119 13.1×
Beta Lactamase (87185) $65.70 $73 13.8×
Beta-2 Microglobulin (82232) $105.30 $117 6.5×
Bile acids total (82239) $230.40 $256 13.5×
Bilirubin direct (82248) $67.50 $75 13.4×
Bilirubin total (82247) $67.50 $75 13.4×
Bilirubin total transcutaneous (88720) $54 $60 10.8×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 2 matching MRF lines
$297.90–$349.20 $331–$388 varies
Bld Typing Serologic Rh Phnt (86906) $104.40 $116 13.5×
Blood Count Automated Differential Wbc Count (85004)
range across 2 matching MRF lines
$60.30–$64.80 $67–$72 varies
Blood Count Red Blood Cell Automated (85041) $50.40 $56 16.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $60.30 $67 15.9×
Blood gas (82803) $288.90 $321 11.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $96.30 $107 6.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $96.30 $107 15.2×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $151.20 $168 9.3×
Blood typing serologic abo (86900)
range across 8 matching MRF lines
$70.20–$72.90 $78–$81 varies
Body fluid cell count (89050) $84.60 $94 17.9×
Borrelia miyamotoi amp prb (87478) $544.50 $605 15.5×
Brca1&2 gen full seq dup/del (81162) $2,317.50 $2,575 1.3×
Breath Alcohol Test (82075) $36.90 $41 1.2×
Brucella antibody (86622) $183.60 $204 20.6×
C diff amplified probe (87493)
range across 2 matching MRF lines
$224.10–$260.10 $249–$289 varies
C-Peptide (84681) $144 $160 6.9×
C-reactive protein (86140) $96.30 $107 18.6×
Ca 19-9 (86301) $101.70 $113 4.9×
Cadmium (82300) $280.80 $312 11.9×
Calcitonin (82308) $402.30 $447 15.0×
Calcium ionized (82330) $136.80 $152 10.0×
Calcium total (82310)
range across 3 matching MRF lines
$23.40–$69.30 $26–$77 varies
Calculus Spectroscopy (82365) $294.30 $327 22.8×
Calprotectin Fecal (83993) $286.20 $318 14.6×
Calr gene com variants (81219) $676.80 $752 5.6×
Cancer Antigen 125 (86304) $221.40 $246 10.6×
Cancer Antigen 27.29 (86300) $315.90 $351 15.2×
Candida antibody (86628) $90.90 $101 7.6×
Carbamazepine total (80156)
range across 2 matching MRF lines
$129.60–$169.20 $144–$188 varies
Carboxyhemoglobin (82375) $173.70 $193 14.1×
Carcinoembryonic antigen (82378) $103.50 $115 5.5×
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$63.90–$124.20 $71–$138 varies
Carnitine Quantitative Each Specimen (82379) $145.80 $162 8.6×
Carotene (82380) $223.20 $248 24.2×
Catecholamines fractionated (82384) $137.70 $153 5.5×
Ccp antibody (86200)
range across 2 matching MRF lines
$131.40–$135 $146–$150 varies
Cell count csf (89051) $114.30 $127 20.4×
Ceruloplasmin (82390) $201.60 $224 18.8×
Cftr gene com variants (81220) $1,301.40 $1,446 2.3×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$177.30–$189 $197–$210 varies
Chloride Serum (82435) $56.70 $63 12.3×
Chloride urine (82436)
range across 3 matching MRF lines
$20.70–$57.60 $23–$64 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$82.80–$92.70 $92–$103 varies
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$207.90–$225.90 $231–$251 varies
Chromium serum (82495) $306 $340 15.1×
Chromogranin a (86316) $369 $410 17.7×
Chromosome Analysis 15-20 (88262) $1,242.90 $1,381 9.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$76.50–$234 $85–$260 varies
Citric acid urine (82507) $385.20 $428 13.9×
Ckmb (82553) $211.50 $235 18.3×
Clostridium Difficile (87324) $224.10 $249 18.7×
Coccidioides antibody (86635) $234 $260 20.4×
Cold agglutinin titer (86157) $67.50 $75 8.4×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$370.80–$415.80 $412–$462 varies
Column Chromotography Quant (82542)
range across 6 matching MRF lines
$199.80–$209.70 $222–$233 varies
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$135.90–$168.30 $151–$187 varies
Complement Total (Ch50) (86162) $83.70 $93 4.1×
Coombs direct (86880)
range across 3 matching MRF lines
$83.70–$90.90 $93–$101 varies
Copper urine (82525)
range across 2 matching MRF lines
$215.10–$217.80 $239–$242 varies
Cortisol free (82530) $351 $390 21.0×
Cortisol saliva (82533)
range across 6 matching MRF lines
$84.60–$193.50 $94–$215 varies
Creatine kinase total (82550) $104.40 $116 16.0×
Creatinine blood (82565)
range across 3 matching MRF lines
$63.90–$101.70 $71–$113 varies
Creatinine clearance (82575) $152.10 $169 16.1×
Creatinine Urine (82570)
range across 4 matching MRF lines
$20.70–$81 $23–$90 varies
Crossmatch electronic (86923)
range across 2 matching MRF lines
$131.40–$224.10 $146–$249 varies
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$123.30–$131.40 $137–$146 varies
Cryoglobulin (82595) $150.30 $167 23.2×
Cryptococcus ag titer (87899) $107.10 $119 6.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $87.30 $97 10.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $106.20 $118 13.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$75.60–$109.80 $84–$122 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $761.40 $846 3.5×
Culture afb (87116) $198 $220 18.3×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$156.60–$161.10 $174–$179 varies
Culture blood (87040)
range across 2 matching MRF lines
$116.10–$167.40 $129–$186 varies
Culture csf (87070)
range across 8 matching MRF lines
$107.10–$193.50 $119–$215 varies
Culture fungus (87102) $151.20 $168 18.0×
Culture fungus blood (87103) $109.80 $122 5.4×
Culture screen only (87081)
range across 4 matching MRF lines
$30.60–$128.70 $34–$143 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $75.60 $84 14.6×
Culture urine (87086)
range across 2 matching MRF lines
$61.20–$107.10 $68–$119 varies
Cyclosporine (80158) $215.10 $239 11.9×
Cystatin C (82610) $165.60 $184 8.9×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $4,649.40 $5,166 4.0×
Cytomegalovirus igg (86644) $106.20 $118 7.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 3 matching MRF lines
$84.60–$148.50 $94–$165 varies
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$98.10–$700.20 $109–$778 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $796.50 $885 15.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 2 matching MRF lines
$81–$148.50 $90–$165 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $346.50 $385 12.3×
Detect Agent Nos Dna Amp (87798)
range across 12 matching MRF lines
$79.20–$699.30 $88–$777 varies
Detect Agent Nos Dna Quant (87799) $370.80 $412 8.7×
Detect agnt mult DNA ampli (87801) $395.10 $439 5.6×
Dgp Antibody Each Ig Class (86258) $208.80 $232 17.3×
Dhea-S (82627)
range across 2 matching MRF lines
$90.90–$207.90 $101–$231 varies
Digoxin (80162) $139.50 $155 10.5×
Dihydrotestosterone (82642) $364.50 $405 12.4×
Dipropylacetic Acid Free (80165) $82.80 $92 6.1×
Dna Antibody Native/Double Stranded (86225) $79.20 $88 5.8×
Dna/Rna Sequencing (87153) $420.30 $467 3.6×
Drug assay acetaminophen (80143) $208.80 $232 11.2×
Drug assay adalimumab (80145) $705.60 $784 18.3×
Drug Assay Amiodarone (80151) $368.10 $409 19.7×
Drug Assay Infliximab (80230) $297.90 $331 7.7×
Drug Assay Itraconazole (80189) $248.40 $276 9.2×
Drug Assay Lacosamide (80235) $261 $290 9.6×
Drug Assay Posaconazole (80187) $595.80 $662 22.0×
Drug assay voriconazole (80285) $261 $290 9.6×
Drug Screen Quant Clozapine (80159) $210.60 $234 10.5×
Drug Screen Quant Zonisamide (80203)
range across 2 matching MRF lines
$104.40–$189 $116–$210 varies
Drug Screen Quantitative Lamotrigine (80175) $151.20 $168 11.4×
Drug Screen Quantitative Levetiracetam (80177) $151.20 $168 11.4×
Drug Screen Quantitative Oxcarbazepine (80183) $105.30 $117 7.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $208.80 $232 12.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$45–$473.40 $50–$526 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 3 matching MRF lines
$104.40–$245.70 $116–$273 varies
Drug Test Prsmv Instrmnt (80306)
range across 3 matching MRF lines
$159.30–$163.80 $177–$182 varies
Ehrlichia antibody (86666) $226.80 $252 22.3×
El-1 Fecal Quantitative (82653) $396.90 $441 17.3×
Electrolyte panel (80051) $144 $160 20.5×
Encephaltis East Eqne Anbdy (86652) $144 $160 10.9×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$114.30–$212.40 $127–$236 varies
Enterovirus PCR (87498)
range across 3 matching MRF lines
$214.20–$286.20 $238–$318 varies
Erythropoietin (82668) $189.90 $211 10.1×
Estradiol serum (82670)
range across 3 matching MRF lines
$124.20–$221.40 $138–$246 varies
Estriol (82677) $61.20 $68 2.5×
Ethosuximide (80168) $278.10 $309 17.0×
Exam Synovial Fluid Crystals (89060)
range across 4 matching MRF lines
$55.80–$156.60 $62–$174 varies
F2 Gene (81240) $1,620.90 $1,801 24.7×
Factor v leiden mutation (81241) $422.10 $469 5.8×
Factor vii assay (85230) $134.10 $149 7.5×
Fat stain feces urine/respir secretions (89125) $69.30 $77 11.8×
Fat/Lipids Feces Quantitative (82710) $407.70 $453 24.3×
Ferritin (82728) $161.10 $179 11.8×
Fetal Aneuploidy Trisom Risk (81507) $1,545.30 $1,717 1.9×
Fetal Fibronectin (82731)
range across 3 matching MRF lines
$220.50–$740.70 $245–$823 varies
Fetal screen rosette (85461)
range across 2 matching MRF lines
$72.90–$164.70 $81–$183 varies
Fibrin degradation products (85362)
range across 2 matching MRF lines
$131.40–$135 $146–$150 varies
Fibrin Degradation Quant (85379) $227.70 $253 22.4×
Fibrin dgradj products d-dimer qual/semiquan (85378) $166.50 $185 17.1×
Fibrinogen activity (85384)
range across 3 matching MRF lines
$59.40–$126.90 $66–$141 varies
Flow cytometry first marker (88184) $445.50 $495 1.3×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$152.10–$1,431.90 $169–$1,591 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines
$91.80–$149.40 $102–$166 varies
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$103.50–$221.40 $115–$246 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $151.20 $168 0.9×
Frozen Section (88331) $347.40 $386 2.1×
Galactose (82760) $63.90 $71 5.7×
Gammaglobulin ige (82785) $184.50 $205 11.2×
Gases blood ph only (82800) $113.40 $126 10.3×
Gastric Analy W/Ph Ea Spec (82930)
range across 2 matching MRF lines
$45–$46.80 $50–$52 varies
Gastrin (82941) $199.80 $222 11.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $854.10 $949 2.0×
Gentamicin (80170)
range across 2 matching MRF lines
$99.90–$102.60 $111–$114 varies
Ggt (82977)
range across 2 matching MRF lines
$63.90–$83.70 $71–$93 varies
Giardia antigen (87329) $89.10 $99 7.4×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$83.70–$87.30 $93–$97 varies
Glucose Blood Test (82962) $48.60 $54 14.8×
Glucose body fluid (82945) $90 $100 22.9×
Glucose Serum (82947) $52.20 $58 13.3×
Glucose tolerance test (gtt) (82951) $229.50 $255 17.8×
Glycated Protein (82985) $208.80 $232 12.5×
Gonadotropin Chorionic Qualitative (84703)
range across 3 matching MRF lines
$122.40–$166.50 $136–$185 varies
Growth hormone (83003) $153 $170 9.2×
Gtt-added samples (82952) $76.50 $85 19.5×
H Pylori (C-13) Breath (83013) $424.80 $472 6.3×
H Pylori Drug Admin (83014) $64.80 $72 8.2×
Haloperidol (80173) $232.20 $258 14.7×
Haptoglobin (83010) $146.70 $163 11.7×
Hdl Cholesterol (83718) $81.90 $91 10.0×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$153.90–$158.40 $171–$176 varies
Helminth Antibody (86682) $195.30 $217 15.0×
Hematocrit (85014) $45 $50 19.0×
Hemoglobin (85018) $45 $50 19.0×
Hemoglobin a1c (83036) $120.60 $134 12.4×
Hemoglobin Chromotography (83021) $318.60 $354 17.6×
Hemoglobin electrophoresis (83020) $202.50 $225 15.7×
Hemoglobin Methemoglobin Quantitative (83050) $89.10 $99 10.9×
Hemolysins&Agglutinins Auto Screen Each (86940) $144 $160 16.4×
Hemolysins&Agglutinins Incubated (86941) $868.50 $965 71.7×
Hep a ab igm (86709) $122.40 $136 10.9×
Heparin assay (85520) $203.40 $226 15.5×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$72.90–$123.30 $81–$137 varies
Hepatitis b core ab igm (86705) $74.70 $83 6.3×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$105.30–$132.30 $117–$147 varies
Hepatitis B Surface Antibody (86706) $132.30 $147 12.3×
Hepatitis B Surface Antigen (87340)
range across 4 matching MRF lines
$118.80–$145.80 $132–$162 varies
Hepatitis C Antibody (86803) $182.70 $203 12.8×
Hepatitis C Genotype (87902) $875.70 $973 3.4×
Hepatitis C Revrs Trnscrpj (87522) $492.30 $547 11.5×
Herpes simplex type 2 (86696) $191.70 $213 9.9×
Heterophile Antibody Screen (86308) $104.40 $116 20.2×
Hfe Gene (81256) $502.20 $558 7.7×
Hgb Quantitative Transcutaneous (88738) $36 $40 7.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines
$162.90–$174.60 $181–$194 varies
Histamine urine (83088) $240.30 $267 8.1×
Histoplasma antigen urine (87385) $454.50 $505 34.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$189.90–$201.60 $211–$224 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $927.90 $1,031 10.9×
Hla I Typing 1 Allele Hr (81381) $992.70 $1,103 5.8×
Hla ii typing 1 locus lr (81376) $939.60 $1,044 7.7×
Hla-b27 (86812) $256.50 $285 9.9×
Homocysteine (83090)
range across 2 matching MRF lines
$98.10–$183.60 $109–$204 varies
Homovanillic acid urine (83150) $176.40 $196 7.9×
Hpv High-Risk Types (87624)
range across 3 matching MRF lines
$129.60–$222.30 $144–$247 varies
Hpv Types 16 & 18 Only (87625)
range across 3 matching MRF lines
$259.20–$341.10 $288–$379 varies
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines
$273.60–$393.30 $304–$437 varies
Hydroxyprogesterone 17-d (83498) $166.50 $185 6.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $157.50 $175 11.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $460.80 $512 13.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $403.20 $448 11.5×
Iadna Cytomegalovirus Quantification (87497) $500.40 $556 11.7×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $392.40 $436 5.6×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $79.20 $88 2.3×
Iadna Hepatitis B Virus Quantification (87517) $491.40 $546 11.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $232.20 $258 6.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$72.90–$74.70 $81–$83 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $148.50 $165 2.9×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $430.20 $478 3.0×
Ig Light Chains Free Each (83521) $66.60 $74 3.9×
Igg subclasses (82787) $166.50 $185 20.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $530.10 $589 1.5×
Immunfix e-phorsis/urine/csf (86335) $135.90 $151 4.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $201.60 $224 11.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $161.10 $179 10.7×
Immunoassay nonantibody (83516)
range across 8 matching MRF lines
$149.40–$199.80 $166–$222 varies
Immunofixation electrophoresis (86334) $163.80 $182 7.3×
Immunofluorescence per spec 1st singl antb stain (88346) $342 $380 2.1×
Immunohistochemistry (88342) $288.90 $321 1.7×
In situ hybridization 1st probe stain (88365) $648.90 $721 3.9×
In situ hybridization ea multiplex probe stain (88366) $767.70 $853 4.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $132.30 $147 8.3×
Influenza DNA amp probe (87502) $454.50 $505 4.7×
Inhibin A (86336) $59.40 $66 3.8×
Inhibin b (83520)
range across 6 matching MRF lines
$116.10–$463.50 $129–$515 varies
Insitu hybridization auto (88367) $1,549.80 $1,722 4.5×
Insulin antibodies (86337) $162.90 $181 7.6×
Insulin free (83527) $166.50 $185 12.9×
Insulin total (83525)
range across 3 matching MRF lines
$93.60–$162 $104–$180 varies
Intrinsic factor antibody (86340) $330.30 $367 21.9×
Iron (83540)
range across 2 matching MRF lines
$75.60–$83.70 $84–$93 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$83.70–$90.90 $93–$101 varies
Islet cell antibody (86341)
range across 5 matching MRF lines
$114.30–$182.70 $127–$203 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$373.50–$583.20 $415–$648 varies
Koh Prep (87220) $36.90 $41 8.6×
Lactate (ld) (ldh) enzyme (83615) $71.10 $79 11.8×
Lactoferrin fecal qualitative (83630)
range across 3 matching MRF lines
$100.80–$139.50 $112–$155 varies
LDL direct (83721) $151.20 $168 14.4×
Lead (83655) $104.40 $116 8.6×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$180–$264.60 $200–$294 varies
Level I Surg Pathology Gross Examination Only (88300)
range across 3 matching MRF lines
$41.40–$110.70 $46–$123 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 4 matching MRF lines
$88.20–$172.80 $98–$192 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$581.40–$767.70 $646–$853 varies
Lipase (83690) $117 $130 17.0×
Lipoprotein A (83695) $128.70 $143 9.0×
Lipoprotein Bld Quan Part (83704) $202.50 $225 5.9×
Lithium (80178)
range across 2 matching MRF lines
$85.50–$93.60 $95–$104 varies
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$101.70–$211.50 $113–$235 varies
Lyme disease antibody (86618) $197.10 $219 11.6×
Lysozyme serum (85549) $313.20 $348 16.7×
M. Genitalium Amp Probe (87563) $208.80 $232 6.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $2,631.60 $2,924 15.9×
Macroscopic exam arthropod (87168) $92.70 $103 21.7×
Macroscopic Exam Parasite (87169) $91.80 $102 21.3×
Magnesium Urine (83735)
range across 4 matching MRF lines
$87.30–$106.20 $97–$118 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$205.20–$309.60 $228–$344 varies
Mercury urine (83825) $333 $370 20.5×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$174.60–$180 $194–$200 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$61.20–$123.30 $68–$137 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$52.20–$144 $58–$160 varies
Mitochondrial Antibody Each (86381) $257.40 $286 10.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $992.70 $1,103 26.3×
Mpl gene analysis sequence analysis exon 10 (81339) $693 $770 3.7×
Mrsa Pcr (87641) $204.30 $227 5.8×
Mumps antibody (86735) $98.10 $109 7.5×
Muscle-Specific Kinase Antb (86366) $549 $610 29.8×
Mycophenolic Acid (80180) $195.30 $217 10.8×
Mycoplasma antibody (86738) $230.40 $256 17.4×
Myoglobin urine (83874)
range across 2 matching MRF lines
$44.10–$131.40 $49–$146 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines
$234–$266.40 $260–$296 varies
Neutralization Test Viral (86382) $447.30 $497 26.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $269.10 $299 2.1×
Nfct ds chrnc hcv 6 assays (81596) $851.40 $946 11.8×
Niacin (84591) $279.90 $311 16.4×
Nuclear antigen antibody (86235) $120.60 $134 6.7×
Osmolality serum (83930) $94.50 $105 14.3×
Osmolality Urine (83935) $101.70 $113 14.9×
Osteocalcin (83937) $223.20 $248 7.5×
Ova and parasites smears (87177) $161.10 $179 18.1×
Oxalate urine (83945) $202.50 $225 14.0×
Parvovirus antibody (86747) $144 $160 9.6×
Ph urine (81003)
range across 2 matching MRF lines
$38.70–$44.10 $43–$49 varies
Phenobarbital Level (80184) $46.80 $52 3.1×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$150.30–$163.80 $167–$182 varies
Phenytoin free (80186) $332.10 $369 24.1×
Phosphatase alkaline (84075) $62.10 $69 12.0×
Phosphorus Serum (84100)
range across 3 matching MRF lines
$59.40–$64.80 $66–$72 varies
Phosphorus urine (84105)
range across 2 matching MRF lines
$21.60–$31.50 $24–$35 varies
Pinworm exam (87172) $128.70 $143 30.1×
Platelet Antibodies (86022) $244.80 $272 13.3×
Platelet count automated (85049) $67.50 $75 15.1×
Platelet neutralization (85597) $282.60 $314 15.7×
Porphobilinogen Urine Qualitative (84106) $27.90 $31 4.8×
Potassium Urine (84133)
range across 2 matching MRF lines
$21.60–$46.80 $24–$52 varies
Prealbumin (84134) $121.50 $135 8.3×
Pregnenolone (84140) $140.40 $156 6.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $100.80 $112 0.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $242.10 $269 4.2×
Primidone (80188) $164.70 $183 9.9×
Procalcitonin (Pct) (84145) $234 $260 8.6×
Progesterone (84144)
range across 2 matching MRF lines
$119.70–$151.20 $133–$168 varies
Prolactin (84146)
range across 2 matching MRF lines
$98.10–$206.10 $109–$229 varies
Protein body fluid (84157) $85.50 $95 21.4×
Protein C Activity (85303) $181.80 $202 13.1×
Protein c antigen (85302)
range across 2 matching MRF lines
$134.10–$167.40 $149–$186 varies
Protein Electrophoresis Urine (84166) $186.30 $207 10.4×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$119.70–$171.90 $133–$191 varies
Protein S Free (85306) $536.40 $596 35.0×
Protein s total (85305) $136.80 $152 11.8×
Protein total serum (84155) $62.10 $69 16.9×
Protein Total Urine (84156)
range across 4 matching MRF lines
$72.90–$74.70 $81–$83 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $115.20 $128 29.2×
PSA free (84154) $152.10 $169 8.3×
Pth Intact (83970) $344.70 $383 8.4×
Quantiferon tb gold plus (86480) $263.70 $293 4.3×
Quantitative assay drug (80299)
range across 8 matching MRF lines
$171.90–$477 $191–$530 varies
Quantitative Screen Metals (83018) $318.60 $354 14.5×
Quinidine (80194) $204.30 $227 14.0×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$243.90–$284.40 $271–$316 varies
Rbc antibody screen (86850)
range across 5 matching MRF lines
$152.10–$218.70 $169–$243 varies
Rbc pretreatment serum (86978) $225 $250 3.9×
Rbc pretx incubatj w/enzymes (86971) $89.10 $99 0.5×
Renin activity plasma (84244) $202.50 $225 9.2×
Reticulocyte Count (85046)
range across 3 matching MRF lines
$44.10–$83.70 $49–$93 varies
Reticulocyte Count Manual (85044) $100.80 $112 23.4×
Rh (86901)
range across 4 matching MRF lines
$57.60–$60.30 $64–$67 varies
Rheumatoid factor quant (86431) $76.50 $85 13.5×
Rickettsia antibody (86757) $213.30 $237 11.0×
Ristocetin cofactor (85245) $454.50 $505 19.8×
Rotavirus ag eia (87425) $88.20 $98 7.4×
Rpr qualitative (86592) $59.40 $66 13.9×
Rubella Antibody (86762) $110.70 $123 7.7×
Rubeola antibody (86765) $102.60 $114 8.0×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$62.10–$135.90 $69–$151 varies
Salicylate Level (80179) $208.80 $232 11.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $196.20 $218 3.8×
Sars-cov-2 COVID-19 antibody (86769) $116.10 $129 2.8×
Sars-Cov-2 Covid19 W/Optic (87811) $76.50 $85 1.8×
Sarscov2 & inf a&b amp prb (87636) $284.40 $316 2.0×
Sarscov2&inf a&b&rsv amp prb (87637) $510.30 $567 3.6×
Sedimentation rate (85651) $73.80 $82 17.3×
Selenium (84255) $243.90 $271 9.6×
Semen Anal Sperm Detection (89321) $91.80 $102 7.6×
Semen analysis complete (89320) $271.80 $302 22.1×
Sensitivity mic (87186)
range across 3 matching MRF lines
$102.60–$105.30 $114–$117 varies
Sex Hormone Binding Globulin (84270) $126.90 $141 5.8×
Sickling of rbc reduction (85660) $28.80 $32 5.2×
Sirolimus (80195) $599.40 $666 43.7×
Skin test tuberculosis intradermal (86580) $38.70 $43 1.4×
Smear acid fast (87206) $125.10 $139 23.2×
Smear gram stain (87205)
range across 2 matching MRF lines
$70.20–$88.20 $78–$98 varies
Smear Special Stain (87207) $43.20 $48 7.2×
Smr Prim Src Wet Mount Nfct Agt (87210) $71.10 $79 12.2×
Sodium Serum (84295) $58.50 $65 12.2×
Sodium Urine (84300)
range across 2 matching MRF lines
$21.60–$67.50 $24–$75 varies
Soluble Transferrin Receptor (84238) $424.80 $472 11.6×
Somatomedin (84305) $141.30 $157 6.6×
Special Stains Group 1 (88312) $88.20 $98 1.7×
Special Stains Group 2 (88313) $112.50 $125 0.9×
Specific gravity body fluid (84315) $35.10 $39 10.7×
Stone Analysis (82355) $145.80 $162 12.6×
Strep a assay w/optic (87880)
range across 3 matching MRF lines
$99.90–$140.40 $111–$156 varies
Strep a DNA amp probe (87651) $153.90 $171 4.4×
Strep b DNA amp probe (87653) $194.40 $216 5.5×
Sugars Single Qual (84376) $63.90 $71 11.6×
Surg path level iii (88304)
range across 2 matching MRF lines
$114.30–$216.90 $127–$241 varies
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$192.60–$464.40 $214–$516 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$1,105.20–$1,155.60 $1,228–$1,284 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $31.50 $35 6.6×
Susceptibility Study Antimicrobial Disk Method (87184) $100.80 $112 13.5×
Syphilis Test Non-Trep Quant (86593) $110.70 $123 25.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $234.90 $261 5.0×
T cells total count (86359) $379.80 $422 10.1×
T3 Free (84481)
range across 2 matching MRF lines
$90.90–$183.60 $101–$204 varies
T3 reverse (84482) $129.60 $144 8.2×
T3 Total (84480)
range across 2 matching MRF lines
$72.90–$135.90 $81–$151 varies
T3 Uptake (84479) $141.30 $157 21.8×
T4 Free (84439) $146.70 $163 16.3×
T4 total (84436) $105.30 $117 15.3×
Tacrolimus (80197) $202.50 $225 14.7×
Test for acetone/ketones (82009)
range across 2 matching MRF lines
$79.20–$81.90 $88–$91 varies
Testosterone Bioavailable (84410) $223.20 $248 4.4×
Testosterone total (84403)
range across 3 matching MRF lines
$88.20–$215.10 $98–$239 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$158.40–$181.80 $176–$202 varies
Theophylline (80198)
range across 2 matching MRF lines
$51.30–$160.20 $57–$178 varies
Thrombin Time (85670) $160.20 $178 27.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $110.70 $123 17.1×
Thyroglobulin (84432) $67.50 $75 4.2×
Thyroglobulin Antibody (86800) $104.40 $116 6.6×
Thyroid Stimulating Immunoglobulin (84445) $818.10 $909 16.1×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$97.20–$194.40 $108–$216 varies
Tissue culture bone marrow (88237) $1,112.40 $1,236 7.7×
Tissue Culture Lymphocyte (88230) $1,183.50 $1,315 10.2×
Topiramate (80201) $74.70 $83 6.3×
Toxoplasma ab igm (86778) $378 $420 26.2×
Toxoplasma antibody (86777) $360 $400 25.0×
Transferase Aspartate Amino Ast Sgot (84450) $70.20 $78 13.6×
Transferrin (84466)
range across 2 matching MRF lines
$81.90–$84.60 $91–$94 varies
Trichinella Antibody (86784) $244.80 $272 19.5×
Trichomonas Vaginalis Amplif (87661) $174.60 $194 5.0×
Triglycerides (84478)
range across 2 matching MRF lines
$65.70–$67.50 $73–$75 varies
Troponin Quant (84484)
range across 4 matching MRF lines
$181.80–$217.80 $202–$242 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$278.10–$922.50 $309–$1,025 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$76.50–$88.20 $85–$98 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$30.60–$46.80 $34–$52 varies
Urine Albumin Semiquantitative (82044)
range across 2 matching MRF lines
$44.10–$78.30 $49–$87 varies
Urine Bacteria Culture (87088) $99.90 $111 12.3×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$97.20–$174.60 $108–$194 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $71.10 $79 22.4×
Valproic acid (80164)
range across 2 matching MRF lines
$85.50–$169.20 $95–$188 varies
Vancomycin (80202)
range across 3 matching MRF lines
$95.40–$191.70 $106–$213 varies
Varicella-zoster antibody (86787) $135 $150 10.5×
Virus antibody nos (86790)
range across 6 matching MRF lines
$144–$316.80 $160–$352 varies
Viscosity serum (85810)
range across 3 matching MRF lines
$87.30–$190.80 $97–$212 varies
Vit D 1 25-Dihydroxy (82652) $270 $300 7.0×
Vitamin A (84590) $360 $400 31.0×
Vitamin b-12 (82607) $171 $190 11.3×
Vitamin B6 (84207) $240.30 $267 8.6×
Vitamin c (82180) $219.60 $244 22.2×
Vitamin D 25-Hydroxy (82306) $260.10 $289 8.8×
Vitamin E (84446) $120.60 $134 8.5×
Vitamin K (84597) $213.30 $237 15.5×
West nile virus ab igm (86788) $275.40 $306 16.3×
West Nile Virus Antibody (86789) $261 $290 18.1×
Zinc (84630) $81.90 $91 7.2×

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.