Lab & pathology prices at Brigham City Community Hospital
Brigham City, UT · every code in this section with a posted price and a Medicare benchmark.
437 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) | $334.58 | $334.58 | 18.2× |
| Acetylcholine receptor blocking antibody (86042) | $572.56 | $572.56 | 31.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $551.34 | $551.34 | 45.8× |
| Acth (82024) | $933.02 | $933.02 | 24.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 3 matching MRF lines |
$71.25–$97.76 | $71.25–$97.76 | varies |
| Actin smooth muscle antibody each (86015) | $398.20 | $398.20 | 33.0× |
| Acute hepatitis panel (80074) | $1,017.85 | $1,017.85 | 21.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $407.67 | $407.67 | 6.3× |
| Albumin Fluid (82042) | $193.18 | $193.18 | 24.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$177.89–$200.87 | $177.89–$200.87 | varies |
| Aldolase (82085) | $199.10 | $199.10 | 20.5× |
| Aldosterone urine (82088) | $763.37 | $763.37 | 18.7× |
| Alkaline phosphatase isoenzymes (84080) | $275.68 | $275.68 | 18.7× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$136.07–$136.68 | $136.07–$136.68 | varies |
| Alpha-1-antitrypsin total (82103) | $191.44 | $191.44 | 14.2× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$388.75–$548.99 | $388.75–$548.99 | varies |
| Alt (sgpt) (84460) | $237.38 | $237.38 | 44.8× |
| Aluminum (82108) | $164.81 | $164.81 | 6.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $452.80 | $452.80 | 19.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $749.25 | $749.25 | 44.4× |
| Ammonia (82140) | $532.48 | $532.48 | 36.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $527.79 | $527.79 | 5.4× |
| Amylase urine (82150) range across 3 matching MRF lines |
$188.96–$234.47 | $188.96–$234.47 | varies |
| Anca screen each antibody (86036) | $198.51 | $198.51 | 16.5× |
| Androstenedione (82157) | $513.66 | $513.66 | 17.5× |
| Angiotensin converting enzyme csf (82164) | $192.63 | $192.63 | 13.2× |
| Anti-Phospholipid Antibody (86148) | $123.14 | $123.14 | 7.7× |
| Antibody aspergillus (86606) | $72.23 | $72.23 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $652.64 | $652.64 | 42.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $239.16 | $239.16 | 14.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$270.92–$278.05 | $270.92–$278.05 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $227.35 | $227.35 | 18.6× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$204.99–$591.39 | $204.99–$591.39 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$172.01–$180.86 | $172.01–$180.86 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $327.51 | $327.51 | 23.9× |
| Antibody identification leukocyte antibodies (86021) | $215.59 | $215.59 | 14.3× |
| Antibody Protozoa Nes (86753) | $775.16 | $775.16 | 62.6× |
| Antibody rotavirus (86759) | $563.11 | $563.11 | 30.9× |
| Antibody Titer (86886) | $513.66 | $513.66 | 99.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$239.16–$490.09 | $239.16–$490.09 | varies |
| Antibody yersinia (86793) | $81.31 | $81.31 | 6.2× |
| Antinuclear antibodies (86038) | $475.93 | $475.93 | 39.4× |
| Antistreptolysin o titer (86060) | $275.68 | $275.68 | 37.8× |
| Antithrombin iii activity (85300) | $245.62 | $245.62 | 20.7× |
| Apolipoprotein a1 (82172) | $318.06 | $318.06 | 15.1× |
| Aquaporin-4 Antb Elisa (86051) | $325.35 | $325.35 | 28.2× |
| Arsenic (82175) | $175.53 | $175.53 | 9.3× |
| Assay Blood Carbon Dioxide (82374) | $132.55 | $132.55 | 27.2× |
| Assay of 5-hiaa (83497) | $414.66 | $414.66 | 32.1× |
| Assay of blood/uric acid (84550) | $185.53 | $185.53 | 41.0× |
| Assay of calcium in urine (82340) | $144.32 | $144.32 | 23.9× |
| Assay of cpk in blood (82552) | $195.72 | $195.72 | 14.6× |
| Assay of estrone (82679) | $306.30 | $306.30 | 12.3× |
| Assay of g6pd enzyme (82955) | $226.18 | $226.18 | 23.3× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$200.87–$478.29 | $200.87–$478.29 | varies |
| Assay of lactic acid (83605) | $246.21 | $246.21 | 21.3× |
| Assay of manganese (83785) | $457.11 | $457.11 | 17.2× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$388.75–$1,086.19 | $388.75–$1,086.19 | varies |
| Assay of phosphatase acid total (84060) | $167.77 | $167.77 | 22.0× |
| Assay of serotonin (84260) | $657.35 | $657.35 | 21.2× |
| Assay of serum potassium (84132) | $102.50 | $102.50 | 21.5× |
| Assay of sweat sodium (84302) | $114.34 | $114.34 | 23.5× |
| Assay of urea nitrogen (84520) | $185.53 | $185.53 | 47.0× |
| Assay of vasoactive intestinal peptide (84586) | $537.18 | $537.18 | 15.2× |
| Assay of vitamin b-1 (84425) | $424.07 | $424.07 | 20.0× |
| Assay Ph Body Fluid Nos (83986) | $54.79 | $54.79 | 15.3× |
| Automated Leukocyte Count (85048) | $73.66 | $73.66 | 29.0× |
| Bartonella antibody (86611) | $171.40 | $171.40 | 16.8× |
| Beta 2 glycoprotein i antibody each (86146) | $83.04 | $83.04 | 3.3× |
| Beta hydroxybutyrate (82010) | $209.11 | $209.11 | 25.6× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$212.06–$490.09 | $212.06–$490.09 | varies |
| Bilirubin direct (82248) | $240.32 | $240.32 | 47.9× |
| Bilirubin total (82247) | $206.78 | $206.78 | 41.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $116.04 | $116.04 | 30.5× |
| Blood gases w/02 saturation (82805) | $424.07 | $424.07 | 5.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $223.33 | $223.33 | 14.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $123.14 | $123.14 | 28.1× |
| Blood typing serologic abo (86900) | $159.62 | $159.62 | 53.4× |
| Body fluid cell count (89050) | $346.36 | $346.36 | 73.4× |
| C diff amplified probe (87493) | $305.64 | $305.64 | 8.2× |
| C-Peptide (84681) | $263.90 | $263.90 | 12.7× |
| C-reactive protein (86140) | $184.38 | $184.38 | 35.6× |
| Ca 19-9 (86301) | $680.92 | $680.92 | 32.7× |
| Cadmium (82300) | $400.54 | $400.54 | 16.9× |
| Calcium ionized (82330) | $412.33 | $412.33 | 30.1× |
| Calcium total (82310) | $199.69 | $199.69 | 38.7× |
| Calculus assay quant (82360) | $450 | $450 | 35.0× |
| Calprotectin Fecal (83993) | $424.07 | $424.07 | 21.6× |
| Cancer Antigen 125 (86304) | $532.48 | $532.48 | 25.6× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$428.85–$513.66 | $428.85–$513.66 | varies |
| Candida antibody (86628) | $204.39 | $204.39 | 17.0× |
| Carbamazepine total (80156) | $386.41 | $386.41 | 26.5× |
| Carboxyhemoglobin (82375) | $289.81 | $289.81 | 23.5× |
| Carcinoembryonic antigen (82378) | $445.32 | $445.32 | 23.5× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$83.04–$216.19 | $83.04–$216.19 | varies |
| Carnitine Quantitative Each Specimen (82379) | $610.25 | $610.25 | 36.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$306.30–$1,977.34 | $306.30–$1,977.34 | varies |
| Ccp antibody (86200) | $511.66 | $511.66 | 39.5× |
| Cell count csf (89051) | $379.32 | $379.32 | 67.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $395.58 | $395.58 | 2.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$137.25–$323.10 | $137.25–$323.10 | varies |
| Chlamydia antibody (86631) | $325.16 | $325.16 | 27.5× |
| Chlamydia Igm Antibody (86632) | $339.28 | $339.28 | 26.8× |
| Chloride other source (82438) | $100.18 | $100.18 | 20.0× |
| Chloride Serum (82435) | $124.30 | $124.30 | 27.0× |
| Chloride urine (82436) | $54.17 | $54.17 | 9.4× |
| Cholesterol total (82465) | $133.71 | $133.71 | 30.7× |
| Chorionic gonadotropin test (84702) | $433.52 | $433.52 | 28.8× |
| Chromium serum (82495) | $211.47 | $211.47 | 10.4× |
| Chromogranin a (86316) | $516 | $516 | 24.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $344 | $344 | 9.8× |
| Citric acid urine (82507) | $294.52 | $294.52 | 10.6× |
| Ckmb (82553) | $379.32 | $379.32 | 32.8× |
| Coccidioides antibody (86635) | $97.76 | $97.76 | 8.5× |
| Collagen crosslinks (82523) | $253.88 | $253.88 | 13.6× |
| Column Chromotography Quant (82542) | $733.61 | $733.61 | 30.5× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$233.84–$975.46 | $233.84–$975.46 | varies |
| Complement Total (Ch50) (86162) | $247.40 | $247.40 | 12.2× |
| Coombs direct (86880) | $262.56 | $262.56 | 48.7× |
| Copper urine (82525) range across 2 matching MRF lines |
$254.48–$278.05 | $254.48–$278.05 | varies |
| Cortisol free (82530) | $433.52 | $433.52 | 25.9× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$318.06–$374.62 | $318.06–$374.62 | varies |
| Creatine kinase total (82550) | $138.99 | $138.99 | 21.4× |
| Creatinine blood (82565) | $217.36 | $217.36 | 42.5× |
| Creatinine clearance (82575) | $402.89 | $402.89 | 42.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$74.21–$93.66 | $74.21–$93.66 | varies |
| Crossmatch immediate spin (86920) | $261.52 | $261.52 | 1.5× |
| Cryofibrinogen (82585) | $78.08 | $78.08 | 5.5× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$90.13–$223.83 | $90.13–$223.83 | varies |
| Cryptococcus ag titer (87899) | $160.23 | $160.23 | 10.0× |
| Cryptosporidium ag eia (87328) | $194.97 | $194.97 | 14.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $137.22 | $137.22 | 17.0× |
| Culture afb (87116) | $570.18 | $570.18 | 52.8× |
| Culture Anaerobic (87075) | $222.07 | $222.07 | 23.4× |
| Culture blood (87040) | $303.96 | $303.96 | 29.5× |
| Culture chlamydia (87110) | $643.23 | $643.23 | 32.8× |
| Culture csf (87070) range across 14 matching MRF lines |
$54.17–$303.96 | $54.17–$303.96 | varies |
| Culture fungus (87102) | $391.11 | $391.11 | 46.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$15.92–$158.49 | $15.92–$158.49 | varies |
| Culture stool (87045) | $414.66 | $414.66 | 43.9× |
| Culture urine (87086) | $168.47 | $168.47 | 20.9× |
| Cyanide (82600) | $187.51 | $187.51 | 9.7× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $30.32 | $30.32 | 2.1× |
| Cyclosporine (80158) | $355.76 | $355.76 | 19.7× |
| Cystatin C (82610) | $305.42 | $305.42 | 16.5× |
| Cytomegalovirus igg (86644) | $208.50 | $208.50 | 14.5× |
| Cytopath Cell Enhance Tech (88112) | $391.11 | $391.11 | 7.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $742.20 | $742.20 | 14.1× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$294.52–$871.79 | $294.52–$871.79 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$275–$1,142.72 | $275–$1,142.72 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$268.62–$753.97 | $268.62–$753.97 | varies |
| Dhea (82626) | $973.10 | $973.10 | 38.5× |
| Dhea-S (82627) | $612.62 | $612.62 | 27.6× |
| Digoxin (80162) | $341.65 | $341.65 | 25.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$212.06–$492.44 | $212.06–$492.44 | varies |
| Dna Antibody Single Stranded (86226) | $241.23 | $241.23 | 19.9× |
| Dna/Rna Amplified Probe (87150) | $88.31 | $88.31 | 2.5× |
| Drug Assay Leflunomide (80193) | $577.26 | $577.26 | 15.0× |
| Drug Screen Quant Clozapine (80159) | $435.90 | $435.90 | 21.6× |
| Drug Screen Quant Zonisamide (80203) | $113.93 | $113.93 | 8.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $498.45 | $498.45 | 37.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $182.83 | $182.83 | 13.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $358.14 | $358.14 | 5.8× |
| Drug Test Prsmv Instrmnt (80306) | $169.51 | $169.51 | 9.9× |
| Electrolyte panel (80051) | $227.96 | $227.96 | 32.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$273.33–$296.87 | $273.33–$296.87 | varies |
| Enterovirus PCR (87498) | $864.70 | $864.70 | 24.6× |
| Enzyme cell activity (82657) | $353.25 | $353.25 | 15.9× |
| Erythropoietin (82668) | $457.11 | $457.11 | 24.3× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$341.65–$344 | $341.65–$344 | varies |
| Estriol (82677) | $351.10 | $351.10 | 14.5× |
| Estrogen total (82672) | $353.42 | $353.42 | 16.3× |
| Ethosuximide (80168) | $336.93 | $336.93 | 20.6× |
| Ethylene Glycol (82693) | $365.19 | $365.19 | 24.5× |
| Exam Synovial Fluid Crystals (89060) | $253.88 | $253.88 | 34.6× |
| F2 Gene (81240) | $471.23 | $471.23 | 7.2× |
| Factor ii activity (85210) | $113.16 | $113.16 | 8.7× |
| Factor ix activity (85250) | $252.13 | $252.13 | 13.2× |
| Factor v activity (85220) | $673.87 | $673.87 | 38.2× |
| Factor v leiden mutation (81241) | $271.45 | $271.45 | 3.7× |
| Factor viii assay (85240) | $815.23 | $815.23 | 45.5× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$199.69–$318.06 | $199.69–$318.06 | varies |
| Ferritin (82728) | $313.37 | $313.37 | 23.0× |
| Fetal Fibronectin (82731) | $1,234.62 | $1,234.62 | 19.2× |
| Fibrin Degradation Quant (85379) | $171.40 | $171.40 | 16.8× |
| Fibrinogen activity (85384) | $426.46 | $426.46 | 43.9× |
| Flow cytometry first marker (88184) | $385.46 | $385.46 | 1.1× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$144.89–$1,076.74 | $144.89–$1,076.74 | varies |
| Folic acid rbc (82747) | $119.87 | $119.87 | 6.8× |
| Folic Acid Serum (82746) | $313.37 | $313.37 | 21.3× |
| Follicle Stimulating Hormone (83001) | $452.36 | $452.36 | 24.3× |
| Frozen Section (88331) | $643.23 | $643.23 | 3.7× |
| Galactose (82760) | $239.73 | $239.73 | 21.4× |
| Gammaglobulin ige (82785) | $215.59 | $215.59 | 13.1× |
| Gastric Analy W/Ph Ea Spec (82930) | $47.70 | $47.70 | 7.1× |
| Gastrin (82941) | $353.42 | $353.42 | 20.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $860.63 | $860.63 | 2.1× |
| Gentamicin (80170) | $355.76 | $355.76 | 21.7× |
| Ggt (82977) | $227.96 | $227.96 | 31.7× |
| Giardia antigen (87329) | $341.65 | $341.65 | 28.5× |
| Giardia lamblia antibody (86674) | $323.30 | $323.30 | 22.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$146.46–$232.06 | $146.46–$232.06 | varies |
| Glucose body fluid (82945) | $106.03 | $106.03 | 27.0× |
| Glucose Serum (82947) | $108.99 | $108.99 | 27.7× |
| Glucose tolerance test (gtt) (82951) | $183.77 | $183.77 | 14.3× |
| Gonadotropin Chorionic Qualitative (84703) | $159.04 | $159.04 | 21.1× |
| Growth hormone (83003) | $213.24 | $213.24 | 12.8× |
| Gtt-added samples (82952) | $96.02 | $96.02 | 24.5× |
| H Pylori (C-13) Breath (83013) | $435.90 | $435.90 | 6.5× |
| Haloperidol (80173) | $200.21 | $200.21 | 12.7× |
| Haptoglobin (83010) | $419.39 | $419.39 | 33.3× |
| Hdl Cholesterol (83718) | $88.84 | $88.84 | 10.8× |
| Helicobacter Pylori Stool (87338) | $497.12 | $497.12 | 34.6× |
| Hematocrit (85014) | $121.35 | $121.35 | 51.2× |
| Hemoglobin (85018) | $121.35 | $121.35 | 51.2× |
| Hemoglobin a1c (83036) | $308.66 | $308.66 | 31.8× |
| Hemoglobin electrophoresis (83020) | $405.26 | $405.26 | 31.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $243.86 | $243.86 | 29.7× |
| Hemoglobin plasma (83051) | $149.39 | $149.39 | 20.4× |
| Heparin assay (85520) | $400.08 | $400.08 | 30.6× |
| Hepatitis a antibody total (86708) | $308.66 | $308.66 | 24.9× |
| Hepatitis b core ab total (86704) | $187.92 | $187.92 | 15.6× |
| Hepatitis B Surface Antibody (86706) | $315.73 | $315.73 | 29.4× |
| Hepatitis B Surface Antigen (87340) | $332.22 | $332.22 | 32.2× |
| Hepatitis Be Antibody (86707) | $167.51 | $167.51 | 14.5× |
| Hepatitis Be Antigen (87350) | $152.57 | $152.57 | 13.2× |
| Hepatitis C Antibody (86803) | $612.62 | $612.62 | 42.9× |
| Hepatitis C Genotype (87902) | $620.60 | $620.60 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $313.37 | $313.37 | 7.3× |
| Herpes simplex type 2 (86696) | $128.98 | $128.98 | 6.7× |
| Heterophile Antibody Screen (86308) | $270.92 | $270.92 | 52.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $196.12 | $196.12 | 25.4× |
| Histamine urine (83088) | $101 | $101 | 3.4× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$90.13–$193.76 | $90.13–$193.76 | varies |
| Histoplasma antigen urine (87385) | $272.54 | $272.54 | 20.6× |
| Hiv-1 Antibody (86701) | $153.44 | $153.44 | 17.3× |
| HIV-1 p24 antigen (87390) | $216.62 | $216.62 | 9.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $741.66 | $741.66 | 8.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $306.15 | $306.15 | 4.1× |
| Hla I Typing 1 Allele Hr (81381) | $743.69 | $743.69 | 4.4× |
| Hla ii type 1 ag equiv lr (81377) | $1,335.31 | $1,335.31 | 14.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $565.48 | $565.48 | 9.7× |
| Hla-b27 (86812) | $466.53 | $466.53 | 18.1× |
| Homocysteine (83090) | $140.72 | $140.72 | 7.9× |
| Hsv Dna Amp Probe (87529) | $224.06 | $224.06 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $235.03 | $235.03 | 8.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $13.60 | $13.60 | 0.4× |
| Iaad ia shiga-like toxin (87427) | $160.23 | $160.23 | 13.4× |
| Iaadi respiratory synctial virus (87280) | $812.87 | $812.87 | 60.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $218.30 | $218.30 | 6.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $883.54 | $883.54 | 25.2× |
| Iadna Cytomegalovirus Quantification (87497) | $881.19 | $881.19 | 20.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $159.62 | $159.62 | 2.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $659.25 | $659.25 | 15.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $218.30 | $218.30 | 6.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $369.91 | $369.91 | 10.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $419.76 | $419.76 | 2.9× |
| Ig Light Chains Free Each (83521) | $212.06 | $212.06 | 12.3× |
| Igg subclasses (82787) | $876.50 | $876.50 | 109.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$196.12–$410 | $196.12–$410 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$107.78–$204.06 | $107.78–$204.06 | varies |
| Immunoassay nonantibody (83516) | $80.78 | $80.78 | 7.0× |
| Immunofixation electrophoresis (86334) | $353.42 | $353.42 | 15.8× |
| Immunohistochemistry (88342) | $473.58 | $473.58 | 2.7× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $340.71 | $340.71 | 6.6× |
| Influenza a/b ag eia (87400) | $124.30 | $124.30 | 8.8× |
| Inhibin A (86336) | $52.40 | $52.40 | 3.4× |
| Inhibin b (83520) range across 10 matching MRF lines |
$63.53–$418.33 | $63.53–$418.33 | varies |
| Insulin antibodies (86337) | $631.42 | $631.42 | 29.5× |
| Insulin total (83525) | $245.62 | $245.62 | 21.5× |
| Intrinsic factor antibody (86340) | $301.58 | $301.58 | 20.0× |
| Iron (83540) | $99.55 | $99.55 | 15.4× |
| Iron Binding Capacity (83550) | $138.20 | $138.20 | 15.8× |
| Islet cell antibody (86341) | $270.92 | $270.92 | 11.5× |
| Koh Prep (87220) | $57.12 | $57.12 | 13.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$120.75–$193.18 | $120.75–$193.18 | varies |
| Ldh Isoenzymes (83625) | $203.50 | $203.50 | 15.9× |
| Lead (83655) | $232.66 | $232.66 | 19.2× |
| Legionella antigen urine (87449) | $322.80 | $322.80 | 26.9× |
| Leukocyte Assessment Fecal (89055) | $56.54 | $56.54 | 13.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $161.38 | $161.38 | 5.5× |
| Level ii surg pathology grossµscopic exam (88302) | $237.38 | $237.38 | 6.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $676.20 | $676.20 | 1.9× |
| Lipase (83690) | $196.12 | $196.12 | 28.5× |
| Lipoprotein Bld Quan Part (83704) | $546.60 | $546.60 | 16.0× |
| Lithium (80178) | $289.81 | $289.81 | 43.8× |
| Luteinizing Hormone (Lh) (83002) | $421.74 | $421.74 | 22.8× |
| Lyme disease antibody (86618) | $184.38 | $184.38 | 10.8× |
| Lysozyme serum (85549) | $212.26 | $212.26 | 11.3× |
| Macroscopic Exam Parasite (87169) | $107.49 | $107.49 | 24.9× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$169.65–$224.40 | $169.65–$224.40 | varies |
| Mass Spectrometry Quant (83789) | $303.96 | $303.96 | 12.6× |
| Mercury urine (83825) | $362.84 | $362.84 | 22.3× |
| Methylmalonic acid serum (83921) | $1,357.11 | $1,357.11 | 64.0× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$294.54–$351.25 | $294.54–$351.25 | varies |
| Mitochondrial Antibody Each (86381) | $311.01 | $311.01 | 12.2× |
| Mopath procedure level 1 (81400) | $594.71 | $594.71 | 9.3× |
| Mthfr Gene Analysis Common Variants (81291) | $696.50 | $696.50 | 10.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$235.61–$253.88 | $235.61–$253.88 | varies |
| Mycoplasma antibody (86738) | $301.58 | $301.58 | 22.8× |
| Mycoplasma culture (87109) | $63.85 | $63.85 | 4.1× |
| Myelin basic protein csf (83873) | $318.06 | $318.06 | 18.5× |
| Natriuretic peptide (83880) | $560.78 | $560.78 | 14.3× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$130.79–$212.06 | $130.79–$212.06 | varies |
| Occult Blood Other Sources (82271) | $140.77 | $140.77 | 26.5× |
| Oligoclonal bands (83916) | $186.73 | $186.73 | 6.8× |
| Oncoprotein dcp (83951) | $429.03 | $429.03 | 6.7× |
| Organic Acids Qualitative Each Specimen (83919) | $574.89 | $574.89 | 34.9× |
| Osmolality serum (83930) | $217.92 | $217.92 | 33.0× |
| Osmolality Urine (83935) | $239.73 | $239.73 | 35.2× |
| Ova and parasites smears (87177) | $426.46 | $426.46 | 47.9× |
| Oxalate urine (83945) | $194.39 | $194.39 | 13.5× |
| Pancreatic Elastase Fecal (82656) | $554.13 | $554.13 | 48.1× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$134.30–$157.86 | $134.30–$157.86 | varies |
| Parvovirus antibody (86747) | $417.03 | $417.03 | 27.7× |
| Ph urine (81003) | $99.98 | $99.98 | 44.4× |
| Phenobarbital Level (80184) | $313.37 | $313.37 | 20.5× |
| Phenylalanine (84030) | $308.66 | $308.66 | 56.1× |
| Phenytoin (Dilantin) (80185) | $341.65 | $341.65 | 25.8× |
| Phosphatase acid prostatic (84066) | $179.64 | $179.64 | 18.6× |
| Phosphatase alkaline (84075) | $227.96 | $227.96 | 44.0× |
| Phosphorus Serum (84100) | $177.89 | $177.89 | 37.5× |
| Phosphorus urine (84105) | $65.39 | $65.39 | 11.3× |
| Pinworm exam (87172) | $86.09 | $86.09 | 20.2× |
| Platelet Antibodies (86022) | $91.21 | $91.21 | 5.0× |
| Platelet count automated (85049) | $158.49 | $158.49 | 35.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $267.75 | $267.75 | 18.2× |
| Potassium Urine (84133) | $54.17 | $54.17 | 11.5× |
| Prealbumin (84134) | $256.79 | $256.79 | 17.6× |
| Pregnenolone (84140) | $329.85 | $329.85 | 16.0× |
| Primidone (80188) | $374.62 | $374.62 | 22.6× |
| Procalcitonin (Pct) (84145) | $565.48 | $565.48 | 20.8× |
| Progesterone (84144) | $506.57 | $506.57 | 24.3× |
| Prolactin (84146) | $704.48 | $704.48 | 36.4× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$193.18–$212.06 | $193.18–$212.06 | varies |
| Protein C Activity (85303) | $654.99 | $654.99 | 47.3× |
| Protein c antigen (85302) | $185.53 | $185.53 | 15.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $289.81 | $289.81 | 27.0× |
| Protein S Free (85306) | $598.48 | $598.48 | 39.1× |
| Protein s total (85305) | $185.53 | $185.53 | 16.0× |
| Protein total serum (84155) | $187.92 | $187.92 | 51.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$81.31–$163.14 | $81.31–$163.14 | varies |
| Protoporphyrin rbc quantitative (84202) | $332.67 | $332.67 | 23.2× |
| Pth Intact (83970) | $711.55 | $711.55 | 17.2× |
| Quantiferon tb gold plus (86480) | $154.32 | $154.32 | 2.5× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$273.33–$803.47 | $273.33–$803.47 | varies |
| Quantitative Screen Metals (83018) | $193.18 | $193.18 | 8.8× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$777.51–$1,050.84 | $777.51–$1,050.84 | varies |
| Rbc antibody screen (86850) | $159.62 | $159.62 | 16.3× |
| Renin activity plasma (84244) | $400.54 | $400.54 | 18.2× |
| Resp virus 12-25 targets (87633) | $1,239.63 | $1,239.63 | 3.0× |
| Resp Virus 6-11 Targets (87632) | $2,236.76 | $2,236.76 | 10.3× |
| Reticulocyte Count Manual (85044) | $204.39 | $204.39 | 47.4× |
| Rh (86901) | $159.62 | $159.62 | 53.4× |
| Rheumatoid Factor Qualitative (86430) | $191.44 | $191.44 | 31.2× |
| Ristocetin cofactor (85245) | $464.18 | $464.18 | 20.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$97.20–$182.61 | $97.20–$182.61 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$94.11–$177.31 | $94.11–$177.31 | varies |
| Rubeola antibody (86765) | $132.55 | $132.55 | 10.3× |
| Russell Viper Venom Time Diluted (85613) | $263.90 | $263.90 | 27.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$52.70–$73.08 | $52.70–$73.08 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $60.16 | $60.16 | 1.4× |
| Sedimentation rate (85651) | $162.01 | $162.01 | 37.9× |
| Selenium (84255) | $280.40 | $280.40 | 11.0× |
| Semen analysis motility and count (89310) | $142.56 | $142.56 | 16.6× |
| Sensitivity mic (87186) | $183.18 | $183.18 | 21.2× |
| Sex Hormone Binding Globulin (84270) | $360.49 | $360.49 | 16.6× |
| Sickling of rbc reduction (85660) | $123.69 | $123.69 | 22.4× |
| Sirolimus (80195) | $947.20 | $947.20 | 69.0× |
| Skin test tuberculosis intradermal (86580) | $201.44 | $201.44 | 6.9× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$74.82–$147.25 | $74.82–$147.25 | varies |
| Smear Special Stain (87207) | $131.34 | $131.34 | 21.9× |
| Sodium Serum (84295) | $134.89 | $134.89 | 28.0× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$54.17–$77.74 | $54.17–$77.74 | varies |
| Somatomedin (84305) | $322.80 | $322.80 | 15.2× |
| Special Stains Group 1 (88312) | $228.56 | $228.56 | 4.3× |
| Special Stains Group 2 (88313) | $355.76 | $355.76 | 2.6× |
| Strep a assay w/optic (87880) | $104.26 | $104.26 | 6.3× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $34.78 | $34.78 | 6.3× |
| Surg path level iii (88304) | $414.66 | $414.66 | 7.9× |
| Surgical pathology level IV (88305) | $525.40 | $525.40 | 10.0× |
| Surgical pathology level vi (88309) | $954.22 | $954.22 | 1.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $80.78 | $80.78 | 1.7× |
| T cells total count (86359) | $80.78 | $80.78 | 2.1× |
| T3 Free (84481) | $501.76 | $501.76 | 29.6× |
| T3 reverse (84482) | $209.11 | $209.11 | 13.3× |
| T3 Total (84480) | $541.92 | $541.92 | 38.2× |
| T3 Uptake (84479) | $199.10 | $199.10 | 30.8× |
| T4 Free (84439) | $438.23 | $438.23 | 48.6× |
| T4 total (84436) | $105.43 | $105.43 | 15.3× |
| T4-neonatal (84437) | $173.76 | $173.76 | 26.9× |
| Tacrolimus (80197) | $763.37 | $763.37 | 55.6× |
| Test for acetone/ketones (82009) | $57.12 | $57.12 | 12.6× |
| Testosterone total (84403) range across 2 matching MRF lines |
$127.43–$742.20 | $127.43–$742.20 | varies |
| Testosterone, Free (84402) | $539.56 | $539.56 | 21.2× |
| Tetanus antibody (86774) | $306.30 | $306.30 | 20.7× |
| Theophylline (80198) | $341.65 | $341.65 | 24.2× |
| Thiopurine methyltransferase (84433) | $613.61 | $613.61 | 27.7× |
| Thyroglobulin (84432) | $318.06 | $318.06 | 19.8× |
| Thyroglobulin Antibody (86800) | $329.85 | $329.85 | 20.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $414.66 | $414.66 | 8.2× |
| Thyroxine binding globulin (84442) | $77.54 | $77.54 | 5.2× |
| Topiramate (80201) | $678.55 | $678.55 | 56.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $598.48 | $598.48 | 30.3× |
| Toxoplasma ab igm (86778) | $351.10 | $351.10 | 24.4× |
| Toxoplasma antibody (86777) | $268.62 | $268.62 | 18.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $239.73 | $239.73 | 46.3× |
| Transferrin (84466) | $161.38 | $161.38 | 12.6× |
| Triglycerides (84478) | $144.32 | $144.32 | 25.1× |
| Troponin Quant (84484) | $369.91 | $369.91 | 29.7× |
| Tumor Immunohistochem/Manual (88360) | $473.58 | $473.58 | 2.7× |
| Uric acid other source (84560) | $120.75 | $120.75 | 23.8× |
| Urinalysis Microscopic Only (81015) | $197.34 | $197.34 | 64.7× |
| Urine Albumin Semiquantitative (82044) | $159.04 | $159.04 | 25.5× |
| Urine Pregnancy Test (81025) | $89.50 | $89.50 | 10.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $91.88 | $91.88 | 29.0× |
| Valproic acid (80164) | $341.65 | $341.65 | 25.2× |
| Vancomycin (80202) range across 2 matching MRF lines |
$375.82–$468.88 | $375.82–$468.88 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$232.06–$419.39 | $232.06–$419.39 | varies |
| Vasopressin (84588) | $315.73 | $315.73 | 9.3× |
| Very Long Chain Fatty Acids (82726) | $530.14 | $530.14 | 26.8× |
| Viral Culture (87252) range across 3 matching MRF lines |
$273.01–$1,050.84 | $273.01–$1,050.84 | varies |
| Virus antibody nos (86790) | $370.05 | $370.05 | 28.7× |
| Virus inoculation, shell via (87254) | $193.43 | $193.43 | 9.9× |
| Vit D 1 25-Dihydroxy (82652) | $516 | $516 | 13.4× |
| Vitamin A (84590) | $263.90 | $263.90 | 22.7× |
| Vitamin b-12 (82607) | $367.55 | $367.55 | 24.4× |
| Vitamin B6 (84207) | $303.96 | $303.96 | 10.8× |
| Vitamin c (82180) | $218.22 | $218.22 | 22.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$273.33–$600.79 | $273.33–$600.79 | varies |
| Vitamin E (84446) | $245.62 | $245.62 | 17.3× |
| Vitamin K (84597) | $1,130.93 | $1,130.93 | 82.4× |
| Von willebrand factor ag (85246) | $878.85 | $878.85 | 38.3× |
| Wbc Alkaline Phosphatase Count (85540) | $656.40 | $656.40 | 76.3× |
| West nile virus ab igm (86788) | $581.96 | $581.96 | 34.5× |
| West Nile Virus Antibody (86789) | $558.41 | $558.41 | 38.8× |
| Zinc (84630) | $105.43 | $105.43 | 9.3× |
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.