Lab & pathology prices at Boys Town National Research Hospital
Boys Town, NE · every code in this section with a posted price and a Medicare benchmark.
499 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $182.40 | $228 | 8.0× |
| Acetylcholine receptor binding antibody (86041) | $147.20 | $184 | 8.0× |
| Acth (82024) | $57.60 | $72 | 1.5× |
| Actin smooth muscle antibody each (86015) | $96.80 | $121 | 8.0× |
| Acute hepatitis panel (80074) | $381.60 | $477 | 8.0× |
| Acylcarnitines Quant (82017) | $135.20 | $169 | 8.0× |
| Albumin Fluid (82042) | $62.40 | $78 | 8.0× |
| Albumin serum (82040) | $40 | $50 | 8.1× |
| Aldolase (82085) | $78.40 | $98 | 8.1× |
| Aldosterone urine (82088) | $206.40 | $258 | 5.1× |
| Alkaline phosphatase isoenzymes (84080) | $118.40 | $148 | 8.0× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$12.80–$42.40 | $16–$53 | varies |
| Allergen specific igg (86001) | $62.40 | $78 | 8.0× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$143.20–$144 | $179–$180 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $116 | $145 | 8.0× |
| Alpha-1-antitrypsin total (82103) | $108 | $135 | 8.0× |
| Alpha-Fetoprotein Serum (82105) | $134.40 | $168 | 8.0× |
| Alt (sgpt) (84460) | $42.40 | $53 | 8.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$54.40–$135.20 | $68–$169 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $111.20 | $139 | 8.0× |
| Ammonia (82140) | $116.80 | $146 | 8.0× |
| Amylase urine (82150) | $36 | $45 | 5.6× |
| Ana Titer (86039) | $89.60 | $112 | 8.0× |
| Anca screen each antibody (86036) | $96.80 | $121 | 8.0× |
| Anca Titer Each Antibody (86037) | $96.80 | $121 | 8.0× |
| Androstenedione (82157) | $180 | $225 | 6.1× |
| Angiotensin converting enzyme csf (82164) | $116.80 | $146 | 8.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $124 | $155 | 8.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $135.20 | $169 | 8.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $105.60 | $132 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $122.40 | $153 | 8.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $145.60 | $182 | 8.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $98.40 | $123 | 8.0× |
| Antibody haemophilus influenza (86684) | $127.20 | $159 | 8.0× |
| Antibody Herpes Smplx Type 1 (86695) | $105.60 | $132 | 8.0× |
| Antibody HIV-2 (86702) | $108 | $135 | 8.0× |
| Antibody identification leukocyte antibodies (86021) | $120.80 | $151 | 8.0× |
| Antibody Titer (86886) | $41.60 | $52 | 8.0× |
| Antibody Treponema Pallidum (86780) | $106.40 | $133 | 8.0× |
| Antigen typing (86905) | $30.40 | $38 | 7.9× |
| Antinuclear antibodies (86038) | $96.80 | $121 | 8.0× |
| Antistreptolysin o titer (86060) | $58.40 | $73 | 8.0× |
| Antithrombin iii activity (85300) | $95.20 | $119 | 8.0× |
| Apolipoprotein a1 (82172) | $168.80 | $211 | 8.0× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 3 matching MRF lines |
$302.40–$577.60 | $378–$722 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $96.80 | $121 | 8.0× |
| Arsenic (82175) | $152 | $190 | 8.0× |
| Assay Blood Carbon Dioxide (82374) | $39.20 | $49 | 8.0× |
| Assay Nephelometry Not Spec (83883) | $62.40 | $78 | 4.6× |
| Assay of 5-hiaa (83497) | $103.20 | $129 | 8.0× |
| Assay of blood/uric acid (84550) | $36.80 | $46 | 8.1× |
| Assay of calcium in urine (82340) | $48 | $60 | 8.0× |
| Assay of cpk in blood (82552) | $107.20 | $134 | 8.0× |
| Assay of estrone (82679) | $200 | $250 | 8.0× |
| Assay of g6pd enzyme (82955) | $77.60 | $97 | 8.0× |
| Assay of gammaglobulin igm (82784) | $74.40 | $93 | 8.0× |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$92.80–$166.40 | $116–$208 | varies |
| Assay of manganese (83785) | $213.60 | $267 | 8.0× |
| Assay of metanephrines (83835) | $136 | $170 | 8.0× |
| Assay of proinsulin (84206) | $213.60 | $267 | 8.0× |
| Assay of pyruvate (84210) | $116 | $145 | 8.0× |
| Assay of serum potassium (84132) | $38.40 | $48 | 8.1× |
| Assay of urea nitrogen (84520) | $32 | $40 | 8.1× |
| Assay of urine vma (84585) | $124 | $155 | 8.0× |
| Assay of vasoactive intestinal peptide (84586) | $294.40 | $368 | 8.3× |
| Assay of vitamin b-1 (84425) | $170.40 | $213 | 8.0× |
| B cells total count (86355) | $302.40 | $378 | 8.0× |
| Bartonella antibody (86611) | $81.60 | $102 | 8.0× |
| Beta 2 glycoprotein i antibody each (86146) | $204 | $255 | 8.0× |
| Beta hydroxybutyrate (82010) | $65.60 | $82 | 8.0× |
| Beta-2 Microglobulin (82232) | $79.20 | $99 | 4.9× |
| Bilirubin direct (82248) | $40.80 | $51 | 8.1× |
| Bilirubin total (82247) | $40.80 | $51 | 8.1× |
| Bld Typing Serologic Rh Phnt (86906) | $62.40 | $78 | 8.1× |
| Blood Count Red Blood Cell Automated (85041) | $24.80 | $31 | 8.2× |
| Blood count reticulocyte automated (85045) | $32 | $40 | 8.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30.40 | $38 | 8.0× |
| Blood gas (82803) | $208.80 | $261 | 8.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35.20 | $44 | 8.0× |
| Blood typing serologic abo (86900) | $24 | $30 | 8.0× |
| Body fluid cell count (89050) | $37.60 | $47 | 8.0× |
| C diff amplified probe (87493) | $298.40 | $373 | 8.0× |
| C-Peptide (84681) | $167.20 | $209 | 8.0× |
| C-reactive protein (86140) | $41.60 | $52 | 8.0× |
| Calcium ionized (82330) | $109.60 | $137 | 8.0× |
| Calcium total (82310) | $41.60 | $52 | 8.1× |
| Calculus Spectroscopy (82365) | $103.20 | $129 | 8.0× |
| Calprotectin Fecal (83993) | $157.60 | $197 | 8.0× |
| Cancer Antigen 125 (86304) | $167.20 | $209 | 8.0× |
| Cancer Antigen 27.29 (86300) | $167.20 | $209 | 8.0× |
| Candida Dna Dir Probe (87480) | $160.80 | $201 | 8.0× |
| Carbamazepine total (80156) | $116.80 | $146 | 8.0× |
| Carboxyhemoglobin (82375) | $98.40 | $123 | 8.0× |
| Carcinoembryonic antigen (82378) | $152 | $190 | 8.0× |
| Cardiolipin ab iga (86147) | $204 | $255 | 8.0× |
| Carnitine Quantitative Each Specimen (82379) | $135.20 | $169 | 8.0× |
| Carotene (82380) | $73.60 | $92 | 8.0× |
| Catecholamines fractionated (82384) | $202.40 | $253 | 8.0× |
| Ccp antibody (86200) | $104 | $130 | 8.0× |
| Cell count csf (89051) | $44.80 | $56 | 8.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $1,087.20 | $1,359 | 8.0× |
| Ceruloplasmin (82390) | $86.40 | $108 | 8.0× |
| Cftr gene com variants (81220) | $4,452.80 | $5,566 | 8.0× |
| Chemiluminescent assay (82397) | $113.60 | $142 | 8.0× |
| Chloride Serum (82435) | $36.80 | $46 | 8.0× |
| Chloride urine (82436) | $83.20 | $104 | 14.5× |
| Cholesterol total (82465) | $35.20 | $44 | 8.1× |
| Chorionic gonadotropin test (84702) | $120.80 | $151 | 8.0× |
| Chromium serum (82495) | $162.40 | $203 | 8.0× |
| Chromogranin a (86316) | $166.40 | $208 | 8.0× |
| Chromosome Analysis 20-25 (88264) | $1,157.60 | $1,447 | 8.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $105.60 | $132 | 3.0× |
| Ckmb (82553) | $92.80 | $116 | 8.0× |
| Clostridium Difficile (87324) | $96 | $120 | 8.0× |
| Clotting factor xii hageman (85280) | $155.20 | $194 | 8.0× |
| Cns DNA amp probe type 12-25 (87483) | $1,384.80 | $1,731 | 3.3× |
| Collagen crosslinks (82523) | $149.60 | $187 | 8.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$192.80–$200.80 | $241–$251 | varies |
| Compatibility Each Unit Incubation (86921) | $298.40 | $373 | 1.7× |
| Compatibility test antiglob (86922) | $122.40 | $153 | 0.7× |
| Complement Antigen Each Component (86160) | $96 | $120 | 8.0× |
| Complement Total (Ch50) (86162) | $163.20 | $204 | 8.0× |
| Complement/Function Activity (86161) | $96 | $120 | 8.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $664.80 | $831 | 3.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $864 | $1,080 | 16.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $608.80 | $761 | 15.7× |
| Coombs direct (86880) | $43.20 | $54 | 8.0× |
| Copper urine (82525) | $100 | $125 | 8.1× |
| Cortisol free (82530) | $133.60 | $167 | 8.0× |
| Cortisol saliva (82533) | $130.40 | $163 | 8.0× |
| Creatine kinase total (82550) | $38.40 | $48 | 5.9× |
| Creatinine blood (82565) | $41.60 | $52 | 8.1× |
| Creatinine Urine (82570) | $41.60 | $52 | 8.0× |
| Crossmatch immediate spin (86920) | $501.60 | $627 | 2.8× |
| Crp High Sensitivity (86141) | $104 | $130 | 8.0× |
| Cryptococcus ag titer (87899) | $128.80 | $161 | 8.0× |
| Cryptosporidium ag eia (87328) | $111.20 | $139 | 8.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $64.80 | $81 | 8.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $64.80 | $81 | 8.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $62.40 | $78 | 8.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,744.80 | $2,181 | 8.0× |
| Culture aerobic quant other (87071) | $79.20 | $99 | 8.0× |
| Culture afb (87116) | $86.40 | $108 | 8.0× |
| Culture Anaerobic (87075) | $76 | $95 | 8.0× |
| Culture blood (87040) | $83.20 | $104 | 8.1× |
| Culture chlamydia (87110) | $156.80 | $196 | 8.0× |
| Culture csf (87070) range across 16 matching MRF lines |
$39.20–$69.60 | $49–$87 | varies |
| Culture fungus (87102) | $68 | $85 | 8.1× |
| Culture fungus blood (87103) | $164 | $205 | 8.0× |
| Culture screen only (87081) range across 6 matching MRF lines |
$52.80–$53.60 | $66–$67 | varies |
| Culture stool (87045) | $76 | $95 | 8.1× |
| Culture typing if ea antiserum (87140) | $44.80 | $56 | 8.0× |
| Culture urine (87086) | $64.80 | $81 | 8.0× |
| Cyclosporine (80158) | $144.80 | $181 | 8.0× |
| Cystatin C (82610) | $148.80 | $186 | 8.0× |
| Cytomegalovirus igg (86644) | $115.20 | $144 | 8.0× |
| Cytopath Cell Enhance Tech (88112) | $499.20 | $624 | 9.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $213.60 | $267 | 8.0× |
| Cytp Concentration Smears & Interpretation (88108) | $176.80 | $221 | 4.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $1,228.80 | $1,536 | 22.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $186.40 | $233 | 1.1× |
| Deoxyribonuclease antibody (86215) | $106.40 | $133 | 8.0× |
| Detect Agent Nos Dna Amp (87798) | $280.80 | $351 | 8.0× |
| Detect Agent Nos Dna Quant (87799) | $343.20 | $429 | 8.0× |
| Detect agnt mult DNA ampli (87801) | $196.80 | $246 | 2.8× |
| Dgp Antibody Each Ig Class (86258) | $96.80 | $121 | 8.0× |
| Dhea (82626) | $202.40 | $253 | 8.0× |
| Dhea-S (82627) | $178.40 | $223 | 8.0× |
| Digoxin (80162) | $106.40 | $133 | 8.0× |
| Diphtheria antitoxoid (86648) | $122.40 | $153 | 8.0× |
| Dipropylacetic Acid Free (80165) | $108.80 | $136 | 8.0× |
| Dna Antibody Native/Double Stranded (86225) | $110.40 | $138 | 8.0× |
| Dna/Rna Amplified Probe (87150) | $280.80 | $351 | 8.0× |
| Dna/Rna Sequencing (87153) | $923.20 | $1,154 | 8.0× |
| Drug assay acetaminophen (80143) | $149.60 | $187 | 8.0× |
| Drug assay adalimumab (80145) | $308.80 | $386 | 8.0× |
| Drug assay felbamate (80167) | $149.60 | $187 | 8.0× |
| Drug Assay Infliximab (80230) | $308.80 | $386 | 8.0× |
| Drug Assay Lacosamide (80235) | $217.60 | $272 | 8.0× |
| Drug Assay Vedolizumab (80280) | $308.80 | $386 | 8.0× |
| Drug Screen Quant Clozapine (80159) | $161.60 | $202 | 8.0× |
| Drug Screen Quant Zonisamide (80203) | $106.40 | $133 | 8.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $106.40 | $133 | 8.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $106.40 | $133 | 8.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $106.40 | $133 | 8.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $496.80 | $621 | 8.0× |
| Drug Test Prsmv Instrmnt (80306) | $117.60 | $147 | 6.9× |
| El-1 Fecal Quantitative (82653) | $184 | $230 | 8.0× |
| Electrolyte panel (80051) | $56 | $70 | 8.0× |
| Electron Microscopy (88348) | $191.20 | $239 | 0.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $96.80 | $121 | 8.0× |
| Enterovirus PCR (87498) | $280.80 | $351 | 8.0× |
| Enzyme cell activity (82657) | $177.60 | $222 | 8.0× |
| Eosinophil Smear (89190) | $46.40 | $58 | 8.0× |
| Estradiol serum (82670) | $196.80 | $246 | 7.0× |
| Estriol (82677) | $193.60 | $242 | 8.0× |
| Ethosuximide (80168) | $131.20 | $164 | 8.0× |
| Exam Synovial Fluid Crystals (89060) | $59.20 | $74 | 8.1× |
| F2 Gene (81240) | $260 | $325 | 4.0× |
| Factor v leiden mutation (81241) | $496 | $620 | 6.8× |
| Factor viii assay (85240) | $44.80 | $56 | 2.5× |
| Factor xi activity (85270) | $14.40 | $18 | 0.8× |
| Ferritin (82728) | $109.60 | $137 | 8.0× |
| Fetal Fibronectin (82731) | $515.20 | $644 | 8.0× |
| Fibrin Degradation Quant (85379) | $81.60 | $102 | 8.0× |
| Fibrinogen activity (85384) | $49.60 | $62 | 5.1× |
| Flow cytometry first marker (88184) | $559.20 | $699 | 1.5× |
| Fluorescent antibody screen (86255) | $96.80 | $121 | 8.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $96.80 | $121 | 8.0× |
| Folic acid rbc (82747) | $141.60 | $177 | 8.0× |
| Folic Acid Serum (82746) | $117.60 | $147 | 8.0× |
| Follicle Stimulating Hormone (83001) | $148.80 | $186 | 8.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $632 | $790 | 3.6× |
| Frozen Section (88331) | $749.60 | $937 | 4.2× |
| Fungi Identification Mold (87107) | $83.20 | $104 | 8.1× |
| Gammaglobulin ige (82785) | $132 | $165 | 8.0× |
| Gardner vag DNA dir probe (87510) | $160.80 | $201 | 8.0× |
| Gardner Vag Dna Quant (87512) | $334.40 | $418 | 8.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,467.20 | $1,834 | 3.5× |
| Gentamicin (80170) | $131.20 | $164 | 8.0× |
| Ggt (82977) | $57.60 | $72 | 8.0× |
| Giardia antigen (87329) | $82.40 | $103 | 6.9× |
| Glucose 2 hr pp (82950) | $38.40 | $48 | 8.1× |
| Glucose Blood Test (82962) | $26.40 | $33 | 8.0× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$23.20–$31.20 | $29–$39 | varies |
| Glucose Serum (82947) | $32 | $40 | 8.1× |
| Glucose tolerance test (gtt) (82951) | $103.20 | $129 | 8.0× |
| Gonadotropin Chorionic Qualitative (84703) | $60.80 | $76 | 8.1× |
| Gtt-added samples (82952) | $32 | $40 | 8.2× |
| Haptoglobin (83010) | $100.80 | $126 | 8.0× |
| Hdl Cholesterol (83718) | $65.60 | $82 | 8.0× |
| Helicobacter Pylori Stool (87338) | $115.20 | $144 | 8.0× |
| Hematocrit (85014) | $19.20 | $24 | 8.1× |
| Hemoglobin (85018) | $19.20 | $24 | 8.1× |
| Hemoglobin a1c (83036) | $47.20 | $59 | 4.9× |
| Hemoglobin Chromotography (83021) | $73.60 | $92 | 4.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $65.60 | $82 | 8.0× |
| Hep a ab igm (86709) | $90.40 | $113 | 8.0× |
| Heparin assay (85520) | $104.80 | $131 | 8.0× |
| Hepatitis a antibody total (86708) | $99.20 | $124 | 8.0× |
| Hepatitis b core ab igm (86705) | $94.40 | $118 | 8.0× |
| Hepatitis b core ab total (86704) | $96.80 | $121 | 8.0× |
| Hepatitis B Surface Antibody (86706) | $86.40 | $108 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $83.20 | $104 | 8.1× |
| Hepatitis Be Antibody (86707) | $92.80 | $116 | 8.0× |
| Hepatitis Be Antigen (87350) | $92 | $115 | 8.0× |
| Hepatitis C Antibody (86803) | $114.40 | $143 | 8.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $343.20 | $429 | 8.0× |
| Herpes simplex type 2 (86696) | $155.20 | $194 | 8.0× |
| Heterophile Antibody Screen (86308) | $41.60 | $52 | 8.0× |
| Hfe Gene (81256) | $523.20 | $654 | 8.0× |
| Histoplasma antibody (86698) | $110.40 | $138 | 8.0× |
| Histoplasma antigen urine (87385) | $106.40 | $133 | 8.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $192.80 | $241 | 8.0× |
| Hiv-1 Antibody (86701) | $71.20 | $89 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $310.40 | $388 | 3.6× |
| Hla class ii typing high resolution one locus ea (81382) | $989.60 | $1,237 | 8.0× |
| Hla ii typing 1 locus lr (81376) | $978.40 | $1,223 | 8.0× |
| Hla-b27 (86812) | $207.20 | $259 | 8.0× |
| Homocysteine (83090) | $111.20 | $139 | 6.2× |
| Homogenization Tissue (87176) | $47.20 | $59 | 8.0× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$179.20–$180 | $224–$225 | varies |
| Hpv High-Risk Types (87624) | $280.80 | $351 | 8.0× |
| Hpv Types 16 & 18 Only (87625) | $324.80 | $406 | 8.0× |
| Hsv Dna Amp Probe (87529) | $280.80 | $351 | 8.0× |
| Hydroxyprogesterone 17-d (83498) | $31.20 | $39 | 1.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $82.40 | $103 | 8.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$102.40–$111.20 | $128–$139 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $98.40 | $123 | 2.8× |
| Iaad ia shiga-like toxin (87427) | $96 | $120 | 8.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $122.40 | $153 | 8.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $280.80 | $351 | 8.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $280.80 | $351 | 8.0× |
| Iadna Cytomegalovirus Quantification (87497) | $342.40 | $428 | 8.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $120 | $150 | 1.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $280.80 | $351 | 8.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $280.80 | $351 | 8.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $116 | $145 | 3.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $116 | $145 | 3.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,140.80 | $1,426 | 8.0× |
| Ig Light Chains Free Each (83521) | $138.40 | $173 | 8.0× |
| Igg subclasses (82787) | $64.80 | $81 | 8.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $323.20 | $404 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $235.20 | $294 | 8.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$90.40–$147.20 | $113–$184 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $120 | $150 | 8.0× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$92–$505.60 | $115–$632 | varies |
| Immunofixation electrophoresis (86334) | $179.20 | $224 | 8.0× |
| Immunohistochemistry (88342) | $776 | $970 | 4.4× |
| In situ hybridization 1st probe stain (88365) | $1,292.80 | $1,616 | 7.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $562.40 | $703 | 8.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $174.40 | $218 | 8.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $115.20 | $144 | 8.0× |
| Influenza a/b ag eia (87400) range across 4 matching MRF lines |
$112.80–$113.60 | $141–$142 | varies |
| Influenza assay w/optic (87804) | $132.80 | $166 | 8.0× |
| Influenza DNA amp probe (87502) | $320 | $400 | 3.3× |
| Inhibin A (86336) | $124.80 | $156 | 8.0× |
| Inhibin b (83520) range across 9 matching MRF lines |
$108–$138.40 | $135–$173 | varies |
| Insulin antibodies (86337) | $171.20 | $214 | 8.0× |
| Insulin total (83525) | $92 | $115 | 8.0× |
| Intrinsic factor antibody (86340) | $120.80 | $151 | 8.0× |
| Iron (83540) | $52 | $65 | 8.0× |
| Iron Binding Capacity (83550) | $70.40 | $88 | 8.1× |
| Islet cell antibody (86341) | $188.80 | $236 | 8.0× |
| Koh Prep (87220) | $34.40 | $43 | 8.1× |
| Lactate (ld) (ldh) enzyme (83615) | $48.80 | $61 | 8.1× |
| Lactoferrin fecal qualitative (83630) | $74.40 | $93 | 3.8× |
| Lactoferrin Fecal Quantitative (83631) | $156.80 | $196 | 8.0× |
| LDL direct (83721) | $84 | $105 | 8.0× |
| Lead (83655) | $53.60 | $67 | 4.4× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$93.60–$96 | $117–$120 | varies |
| Leukocyte Assessment Fecal (89055) | $34.40 | $43 | 8.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $116.80 | $146 | 3.9× |
| Level ii surg pathology grossµscopic exam (88302) | $240 | $300 | 6.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $2,099.20 | $2,624 | 5.6× |
| Lipase (83690) | $55.20 | $69 | 8.0× |
| Lipoprotein A (83695) | $114.40 | $143 | 8.0× |
| Lipoprotein Bld Quan Part (83704) | $273.60 | $342 | 8.0× |
| Lithium (80178) | $50.40 | $63 | 7.6× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$148–$148.80 | $185–$186 | varies |
| Lyme disease antibody (86618) | $136.80 | $171 | 8.0× |
| Lymphocyte transformation (86353) | $392 | $490 | 8.0× |
| Lysozyme serum (85549) | $150.40 | $188 | 8.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,179.20 | $1,474 | 6.7× |
| Macroscopic Exam Parasite (87169) | $34.40 | $43 | 8.0× |
| Magnesium Urine (83735) | $53.60 | $67 | 8.0× |
| Mercury urine (83825) | $130.40 | $163 | 8.0× |
| Metabolic panel ionized ca (80047) | $110.40 | $138 | 8.0× |
| Methotrexate (80204) | $308.80 | $386 | 8.0× |
| Methylmalonic acid serum (83921) | $74.40 | $93 | 3.5× |
| Mgmt methylation analysis (81287) | $996.80 | $1,246 | 8.0× |
| Microalbumin, quantitative (82043) | $46.40 | $58 | 8.0× |
| Microbe Suscept Macrobroth (87188) | $52.80 | $66 | 8.0× |
| Microsomal Antibodies Each (86376) | $116.80 | $146 | 8.0× |
| Mitochondrial Antibody Each (86381) | $204 | $255 | 8.0× |
| Mog-Igg1 Antb Cba Each (86362) | $96.80 | $121 | 8.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 3 matching MRF lines |
$302.40–$636 | $378–$795 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $284 | $355 | 4.3× |
| Mumps antibody (86735) | $104.80 | $131 | 8.0× |
| Muscle-Specific Kinase Antb (86366) | $1,148 | $1,435 | 62.4× |
| Mycoplasma antibody (86738) | $106.40 | $133 | 8.0× |
| Mycoplasma culture (87109) | $123.20 | $154 | 8.0× |
| Myelin basic protein csf (83873) | $137.60 | $172 | 8.0× |
| Myoglobin urine (83874) | $104 | $130 | 8.0× |
| Natriuretic peptide (83880) | $314.40 | $393 | 8.0× |
| Neutralization Test Viral (86382) | $136 | $170 | 8.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $420.80 | $526 | 1.6× |
| Nk cells total count (86357) | $302.40 | $378 | 8.0× |
| Nuclear antigen antibody (86235) | $144 | $180 | 8.0× |
| Occult blood feces (82272) | $34.40 | $43 | 8.1× |
| Occult Blood Other Sources (82271) | $42.40 | $53 | 8.0× |
| Oligoclonal bands (83916) | $219.20 | $274 | 8.0× |
| Organic acids urine (83918) | $147.20 | $184 | 6.2× |
| Osmolality serum (83930) | $53.60 | $67 | 8.1× |
| Osmolality Urine (83935) | $55.20 | $69 | 8.1× |
| Ova and parasites smears (87177) | $71.20 | $89 | 8.0× |
| Particle Agglut Antbdy Titr (86406) | $84.80 | $106 | 8.0× |
| Particle Agglutination Screen Each Antibody (86403) | $92 | $115 | 8.0× |
| Parvovirus antibody (86747) | $120 | $150 | 8.0× |
| Ph urine (81003) | $18.40 | $23 | 8.2× |
| Phenobarbital Level (80184) | $94.40 | $118 | 6.2× |
| Phenytoin (Dilantin) (80185) | $106.40 | $133 | 8.0× |
| Phenytoin free (80186) | $110.40 | $138 | 8.0× |
| Phosphatase alkaline (84075) | $41.60 | $52 | 8.0× |
| Phospholipid Neutralization Hexagonal (85598) | $144 | $180 | 8.0× |
| Phosphorus Serum (84100) | $38.40 | $48 | 8.1× |
| Pinworm exam (87172) | $34.40 | $43 | 8.1× |
| Platelet Aggregation (85576) | $199.20 | $249 | 8.0× |
| Platelet Antibodies (86022) | $147.20 | $184 | 8.0× |
| Platelet count automated (85049) | $36 | $45 | 8.0× |
| Platelet neutralization (85597) | $144 | $180 | 8.0× |
| Porphobilinogen, urine; quantitative (84110) | $67.20 | $84 | 8.0× |
| Potassium Urine (84133) | $37.60 | $47 | 7.9× |
| Prealbumin (84134) | $116.80 | $146 | 8.0× |
| Primidone (80188) | $132.80 | $166 | 8.0× |
| Procalcitonin (Pct) (84145) | $218.40 | $273 | 8.0× |
| Progesterone (84144) | $167.20 | $209 | 8.0× |
| Prolactin (84146) | $155.20 | $194 | 8.0× |
| Protein body fluid (84157) | $32 | $40 | 8.0× |
| Protein C Activity (85303) | $111.20 | $139 | 8.0× |
| Protein Electrophoresis Urine (84166) | $142.40 | $178 | 8.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $86.40 | $108 | 8.0× |
| Protein S Free (85306) | $123.20 | $154 | 8.0× |
| Protein total serum (84155) | $29.60 | $37 | 8.1× |
| Protein Total Urine (84156) | $29.60 | $37 | 8.1× |
| Protein Western Blot Test (84182) range across 8 matching MRF lines |
$233.60–$234.40 | $292–$293 | varies |
| PSA free (84154) | $147.20 | $184 | 8.0× |
| Pth Intact (83970) | $330.40 | $413 | 8.0× |
| Quantiferon tb gold plus (86480) | $496 | $620 | 8.0× |
| Quantitative assay drug (80299) | $149.60 | $187 | 8.0× |
| Rbc antibody identification (86870) | $276.80 | $346 | 0.7× |
| Rbc antibody screen (86850) | $78.40 | $98 | 8.0× |
| Renin activity plasma (84244) | $176 | $220 | 8.0× |
| Resp Virus 6-11 Targets (87632) | $1,744.80 | $2,181 | 8.0× |
| Reticulocyte Count (85046) | $44.80 | $56 | 8.0× |
| Rh (86901) | $24 | $30 | 8.0× |
| Rheumatoid factor quant (86431) | $45.60 | $57 | 8.0× |
| Ristocetin cofactor (85245) | $184 | $230 | 8.0× |
| Rpr qualitative (86592) | $34.40 | $43 | 8.1× |
| Rsv Assay W/Optic (87807) | $104.80 | $131 | 8.0× |
| Rubella Antibody (86762) | $115.20 | $144 | 8.0× |
| Rubeola antibody (86765) | $103.20 | $129 | 8.0× |
| Rufinamide (80210) | $216.80 | $271 | 8.0× |
| Russell Viper Venom Time Diluted (85613) | $76.80 | $96 | 8.0× |
| Salicylate Level (80179) | $149.60 | $187 | 8.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120 | $150 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $337.60 | $422 | 8.0× |
| Sarscov2 & inf a&b amp prb (87636) | $1,140.80 | $1,426 | 8.0× |
| Sedimentation Rate, Automated (85652) | $21.60 | $27 | 8.0× |
| Selenium (84255) | $204.80 | $256 | 8.0× |
| Sensitivity mic (87186) | $69.60 | $87 | 8.0× |
| Serpina 1 gene (81332) | $349.60 | $437 | 8.0× |
| Sex Hormone Binding Globulin (84270) | $174.40 | $218 | 8.0× |
| Sickling of rbc reduction (85660) | $44.80 | $56 | 8.1× |
| Sirolimus (80195) | $109.60 | $137 | 8.0× |
| Skin test tuberculosis intradermal (86580) | $288.80 | $361 | 9.6× |
| Smear acid fast (87206) | $43.20 | $54 | 8.0× |
| Smear complex stain (87209) | $144 | $180 | 8.0× |
| Smear gram stain (87205) | $34.40 | $43 | 8.1× |
| Smear Special Stain (87207) | $48 | $60 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $47.20 | $59 | 8.1× |
| Sodium Serum (84295) | $39.20 | $49 | 8.1× |
| Sodium Urine (84300) | $40.80 | $51 | 8.1× |
| Soluble Transferrin Receptor (84238) | $292.80 | $366 | 8.0× |
| Somatomedin (84305) | $170.40 | $213 | 8.0× |
| Special Stains Group 1 (88312) | $820.80 | $1,026 | 15.2× |
| Special Stains Group 2 (88313) | $600.80 | $751 | 4.3× |
| Specimen infect agnt concntj (87015) | $53.60 | $67 | 8.0× |
| Spectrophotometry (84311) | $64.80 | $81 | 8.0× |
| Splitting Blood/Blood Products Each Unit (86985) | $74.40 | $93 | 0.4× |
| Stool cultr aerobic bact ea (87046) | $76 | $95 | 8.1× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$132–$132.80 | $165–$166 | varies |
| Strep a DNA amp probe (87651) | $117.60 | $147 | 3.4× |
| Strep b DNA amp probe (87653) | $280.80 | $351 | 8.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $88.80 | $111 | 1.0× |
| Surg path level iii (88304) | $312 | $390 | 5.8× |
| Surgical pathology level IV (88305) | $440 | $550 | 8.1× |
| Surgical pathology level vi (88309) | $3,164.80 | $3,956 | 3.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $38.40 | $48 | 8.1× |
| Syphilis Test Non-Trep Quant (86593) | $35.20 | $44 | 8.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $376 | $470 | 8.0× |
| T cells total count (86359) | $302.40 | $378 | 8.0× |
| T3 Free (84481) | $136 | $170 | 8.0× |
| T3 reverse (84482) | $126.40 | $158 | 8.0× |
| T3 Total (84480) | $113.60 | $142 | 8.0× |
| T4 Free (84439) | $72.80 | $91 | 8.1× |
| T4 total (84436) | $55.20 | $69 | 8.0× |
| Tacrolimus (80197) | $110.40 | $138 | 8.0× |
| Testosterone total (84403) | $112 | $140 | 4.3× |
| Testosterone, Free (84402) | $100.80 | $126 | 4.0× |
| Tetanus antibody (86774) | $118.40 | $148 | 8.0× |
| Tgsap so/hl 51/< RNA alys (81456) | $8,972.80 | $11,216 | 3.1× |
| Theophylline (80198) | $112.80 | $141 | 8.0× |
| Thiopurine methyltransferase (84433) | $177.60 | $222 | 8.0× |
| Thrombin Time (85670) | $46.40 | $58 | 8.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $52 | $65 | 8.0× |
| Thyroglobulin (84432) | $128.80 | $161 | 8.0× |
| Thyroglobulin Antibody (86800) | $128 | $160 | 8.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $407.20 | $509 | 8.0× |
| Tiss cul neo disorders solid tumor (88239) | $1,180.80 | $1,476 | 8.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $92.80 | $116 | 8.0× |
| Tobramycin peak (80200) | $128.80 | $161 | 8.0× |
| Topiramate (80201) | $96 | $120 | 8.1× |
| Toxoplasma ab igm (86778) | $116 | $145 | 8.0× |
| Toxoplasma antibody (86777) | $115.20 | $144 | 8.0× |
| Tpmt gene com variants (81335) | $1,398.40 | $1,748 | 8.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41.60 | $52 | 8.0× |
| Transferrin (84466) | $102.40 | $128 | 8.0× |
| Trichomonas vagin dir probe (87660) | $160.80 | $201 | 8.0× |
| Trichomonas Vaginalis Amplif (87661) | $280.80 | $351 | 8.0× |
| Triglycerides (84478) | $46.40 | $58 | 8.1× |
| Troponin Quant (84484) | $100 | $125 | 8.0× |
| Tumor Immunohistochem/Manual (88360) | $882.40 | $1,103 | 5.0× |
| Urea nitrogen urine (84540) | $44.80 | $56 | 8.1× |
| Urinalysis Microscopic Only (81015) | $24.80 | $31 | 8.1× |
| Urinalysis Volume Measure (81050) | $28.80 | $36 | 7.9× |
| Urine Bacteria Culture (87088) | $64.80 | $81 | 8.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$48–$68.80 | $60–$86 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $25.60 | $32 | 8.1× |
| Valproic acid (80164) | $108.80 | $136 | 8.0× |
| Vancomycin (80202) | $108.80 | $136 | 8.0× |
| Varicella-zoster antibody (86787) | $103.20 | $129 | 8.0× |
| Very Long Chain Fatty Acids (82726) | $158.40 | $198 | 8.0× |
| Viral Culture (87252) | $208.80 | $261 | 8.0× |
| Virus antibody nos (86790) | $103.20 | $129 | 8.0× |
| Vit D 1 25-Dihydroxy (82652) | $308 | $385 | 8.0× |
| Vitamin A (84590) | $93.60 | $117 | 8.1× |
| Vitamin b-12 (82607) | $120.80 | $151 | 8.0× |
| Vitamin B2 (Riboflavin) (84252) | $162.40 | $203 | 8.0× |
| Vitamin B6 (84207) | $224.80 | $281 | 8.0× |
| Vitamin c (82180) | $69.60 | $87 | 7.0× |
| Vitamin D 25-Hydroxy (82306) | $236.80 | $296 | 8.0× |
| Vitamin E (84446) | $113.60 | $142 | 8.0× |
| Vitamin K (84597) | $110.40 | $138 | 8.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $96.80 | $121 | 8.0× |
| Von willebrand factor ag (85246) | $184 | $230 | 8.0× |
| West nile virus ab igm (86788) | $135.20 | $169 | 8.0× |
| West Nile Virus Antibody (86789) | $115.20 | $144 | 8.0× |
| Zinc (84630) | $91.20 | $114 | 8.0× |
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.