Lab & pathology prices at Brodstone Healthcare
Superior, NE · every code in this section with a posted price and a Medicare benchmark.
464 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $339 | $357 | 8.8× |
| Actin smooth muscle antibody each (86015) | $63 | $66 | 5.2× |
| Acute hepatitis panel (80074) | $414 | $436 | 8.7× |
| Acylcarnitines Quant (82017) | $263 | $277 | 15.6× |
| Albumin serum (82040) | $60 | $63 | 12.1× |
| Aldolase (82085) | $137 | $144 | 14.1× |
| Aldosterone urine (82088) | $354 | $373 | 8.7× |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$222–$233 | $234–$245 | varies |
| Allergen specific ige (86003) range across 51 matching MRF lines |
$35–$524 | $37–$552 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$65–$95 | $68–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $209 | $220 | 14.5× |
| Alpha-1-antitrypsin total (82103) | $192 | $202 | 14.3× |
| Alpha-Fetoprotein Serum (82105) | $155 | $163 | 9.2× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$91–$93 | $96–$98 | varies |
| Ammonia (82140) | $167 | $176 | 11.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $257 | $270 | 2.6× |
| Amylase urine (82150) | $112 | $118 | 17.3× |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$58–$218 | $61–$229 | varies |
| Androstenedione (82157) | $297 | $313 | 10.1× |
| Angiotensin converting enzyme csf (82164) | $167 | $176 | 11.4× |
| Antibody aspergillus (86606) | $243 | $256 | 16.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $64 | $67 | 4.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $209 | $220 | 12.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $140 | $147 | 10.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $125 | $132 | 8.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$140–$170 | $147–$179 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $58 | $61 | 4.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $132 | $139 | 9.2× |
| Antibody Herpes Smplx Type 1 (86695) | $131 | $138 | 9.9× |
| Antibody HIV-2 (86702) | $179 | $188 | 13.2× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $422 | $444 | 1.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $312 | $328 | 16.1× |
| Antibody Protozoa Nes (86753) | $64 | $67 | 5.2× |
| Antibody Titer (86886) | $211 | $222 | 40.7× |
| Antibody Treponema Pallidum (86780) | $109 | $115 | 8.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $88 | $93 | 15.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$151–$152 | $159–$160 | varies |
| Antistreptolysin o titer (86060) | $107 | $113 | 14.7× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$34–$202 | $36–$213 | varies |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$70–$93 | $74–$98 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $635 | $668 | 16.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$143–$184 | $151–$194 | varies |
| Assay activated protein c (85307) | $372 | $392 | 24.3× |
| Assay Blood Carbon Dioxide (82374) | $74 | $78 | 15.2× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$93–$293 | $98–$308 | varies |
| Assay of 5-hiaa (83497) | $165 | $174 | 12.8× |
| Assay of anti-mullerian hormone (82166) | $246 | $259 | 6.4× |
| Assay of blood/uric acid (84550) | $80 | $84 | 17.7× |
| Assay of calcium in urine (82340) | $91 | $96 | 15.1× |
| Assay of g6pd enzyme (82955) | $154 | $162 | 15.9× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$86–$124 | $90–$130 | varies |
| Assay of lactic acid (83605) | $158 | $166 | 13.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$296–$316 | $312–$333 | varies |
| Assay of serotonin (84260) | $303 | $319 | 9.8× |
| Assay of serum potassium (84132) | $67 | $70 | 14.1× |
| Assay of urea nitrogen (84520) | $67 | $70 | 17.0× |
| Assay of vitamin b-1 (84425) | $266 | $280 | 12.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$64–$85 | $67–$89 | varies |
| Assay spec xcp ur&breath ia (82077) | $251 | $264 | 14.5× |
| Automated Leukocyte Count (85048) | $51 | $54 | 20.1× |
| B cells total count (86355) | $165 | $174 | 4.4× |
| Babesia microti amp prb (87469) | $183 | $193 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $885 | $932 | 5.4× |
| Bcr/abl1 gene minor bp (81207) | $456 | $480 | 3.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$80–$160 | $84–$168 | varies |
| Beta hydroxybutyrate (82010) | $153 | $161 | 18.7× |
| Beta-2 Microglobulin (82232) | $184 | $194 | 11.4× |
| Bile acids total (82239) | $261 | $275 | 15.2× |
| Bilirubin direct (82248) | $66 | $69 | 13.1× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$71–$93 | $75–$98 | varies |
| Biotinidase (82261) | $67 | $70 | 4.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $19 | $20 | 5.5× |
| Blood Count Red Blood Cell Automated (85041) | $33 | $35 | 10.9× |
| Blood count reticulocyte automated (85045) | $84 | $88 | 21.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $91 | $96 | 23.9× |
| Blood gas (82803) range across 3 matching MRF lines |
$277–$321 | $292–$338 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $47 | $49 | 10.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $243 | $256 | 38.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $174 | $183 | 10.6× |
| Blood typing serologic abo (86900) | $93 | $98 | 31.1× |
| Bordetella antibody (86615) | $162 | $171 | 12.3× |
| Braf gene analysis (81210) | $844 | $888 | 4.8× |
| Breath Alcohol Test (82075) | $86 | $91 | 2.9× |
| C diff amplified probe (87493) | $225 | $237 | 6.0× |
| C-Peptide (84681) | $169 | $178 | 8.1× |
| C-reactive protein (86140) | $124 | $130 | 23.9× |
| Ca 19-9 (86301) | $270 | $284 | 13.0× |
| Cadmium (82300) | $150 | $158 | 6.3× |
| Calcium ionized (82330) | $165 | $174 | 12.1× |
| Calcium total (82310) | $77 | $81 | 14.9× |
| Calculus Spectroscopy (82365) | $176 | $185 | 13.6× |
| Calprotectin Fecal (83993) | $602 | $634 | 30.7× |
| Cancer Antigen 125 (86304) | $210 | $221 | 10.1× |
| Cancer Antigen 27.29 (86300) | $239 | $252 | 11.5× |
| Candida antibody (86628) | $131 | $138 | 10.9× |
| Carbamazepine total (80156) | $162 | $171 | 11.1× |
| Carboxyhemoglobin (82375) | $179 | $188 | 14.5× |
| Carcinoembryonic antigen (82378) | $189 | $199 | 10.0× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$34–$190 | $36–$200 | varies |
| Carnitine Quantitative Each Specimen (82379) | $416 | $438 | 24.7× |
| Catecholamines fractionated (82384) | $275 | $289 | 10.9× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$208–$273 | $219–$287 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$162–$214 | $171–$225 | varies |
| Ceruloplasmin (82390) | $128 | $135 | 11.9× |
| Chemiluminescent assay (82397) | $355 | $374 | 25.1× |
| Chloride Serum (82435) | $67 | $71 | 14.6× |
| Chloride urine (82436) | $83 | $87 | 14.4× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$86–$93 | $90–$98 | varies |
| Cholinesterase Serum (82480) | $99 | $104 | 12.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$168–$170 | $177–$179 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $198 | $208 | 5.9× |
| Chromogranin a (86316) | $256 | $269 | 12.3× |
| Chromosome Analysis 15-20 (88262) | $866 | $912 | 6.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $160 | $168 | 4.6× |
| Citric acid urine (82507) | $212 | $223 | 7.6× |
| Ckmb (82553) | $217 | $228 | 18.8× |
| Clotting factor viii related antigen (85244) | $126 | $133 | 6.2× |
| Cns DNA amp probe type 12-25 (87483) | $590 | $621 | 1.4× |
| Coccidioides antibody (86635) | $209 | $220 | 18.2× |
| Collagen crosslinks (82523) | $263 | $277 | 14.1× |
| Compatibility test antiglob (86922) | $242 | $255 | 1.4× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$148–$171 | $156–$180 | varies |
| Complement Total (Ch50) (86162) | $226 | $238 | 11.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $229 | $241 | 4.2× |
| Coombs direct (86880) | $219 | $230 | 40.6× |
| Copper urine (82525) | $201 | $212 | 16.2× |
| Cortisol free (82530) range across 2 matching MRF lines |
$29–$225 | $31–$237 | varies |
| Cortisol saliva (82533) | $177 | $186 | 10.9× |
| Creatine kinase total (82550) | $117 | $123 | 18.0× |
| Creatinine blood (82565) | $77 | $81 | 15.0× |
| Creatinine clearance (82575) | $130 | $137 | 13.7× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$93–$130 | $98–$137 | varies |
| Crossmatch immediate spin (86920) | $242 | $255 | 1.4× |
| Crp High Sensitivity (86141) | $148 | $156 | 11.4× |
| Cryptococcus ag titer (87899) | $87 | $92 | 5.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $104 | $109 | 12.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $250 | $263 | 1.1× |
| Culture afb (87116) | $186 | $196 | 17.2× |
| Culture Anaerobic (87075) | $149 | $157 | 15.7× |
| Culture blood (87040) | $250 | $263 | 24.2× |
| Culture csf (87070) range across 14 matching MRF lines |
$66–$153 | $69–$161 | varies |
| Culture fungus (87102) | $257 | $271 | 30.6× |
| Culture fungus blood (87103) | $137 | $144 | 6.7× |
| Culture screen only (87081) | $90 | $95 | 13.6× |
| Culture stool (87045) | $149 | $157 | 15.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$34–$82 | $36–$86 | varies |
| Culture urine (87086) | $109 | $115 | 13.5× |
| Cystatin C (82610) | $189 | $199 | 10.2× |
| Cytogenetics 100-300 (88275) | $330 | $347 | 6.4× |
| Cytomegalovirus igg (86644) | $185 | $195 | 12.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $64 | $67 | 3.2× |
| Cytopath Cell Enhance Tech (88112) | $151 | $159 | 2.8× |
| Cytp Concentration Smears & Interpretation (88108) | $371 | $390 | 9.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $237 | $249 | 4.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $112 | $118 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $125 | $132 | 3.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $139 | $146 | 4.6× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$62–$1,315 | $65–$1,384 | varies |
| Dgp Antibody Each Ig Class (86258) | $172 | $181 | 14.3× |
| Dhea (82626) | $257 | $271 | 10.2× |
| Dhea-S (82627) | $29 | $31 | 1.3× |
| Dibucaine number (82638) | $39 | $41 | 3.2× |
| Digoxin (80162) | $165 | $174 | 12.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$152–$162 | $160–$170 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$215–$226 | $226–$238 | varies |
| Dna/Rna Sequencing (87153) | $75 | $79 | 0.7× |
| Drug assay acetaminophen (80143) | $287 | $302 | 15.4× |
| Drug assay adalimumab (80145) | $355 | $374 | 9.2× |
| Drug Assay Itraconazole (80189) | $271 | $285 | 10.0× |
| Drug Assay Lacosamide (80235) | $292 | $307 | 10.8× |
| Drug Screen Quant Clozapine (80159) | $252 | $265 | 12.5× |
| Drug Screen Quant Zonisamide (80203) | $268 | $282 | 20.2× |
| Drug Screen Quantitative Gabapentin (80171) | $235 | $247 | 10.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $217 | $228 | 16.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $274 | $288 | 20.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $273 | $287 | 20.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$11–$892 | $12–$939 | varies |
| Drug Test Prsmv Instrmnt (80306) | $251 | $264 | 14.6× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$64–$195 | $67–$205 | varies |
| El-1 Fecal Quantitative (82653) | $184 | $194 | 8.0× |
| Electrolyte panel (80051) | $169 | $178 | 24.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $185 | $195 | 15.3× |
| Enterovirus Antibody (86658) | $86 | $91 | 6.6× |
| Enzyme cell activity (82657) | $295 | $311 | 13.3× |
| Enzyme histochemistry (88319) | $286 | $301 | 0.3× |
| Erythropoietin (82668) | $218 | $229 | 11.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$29–$223 | $31–$235 | varies |
| Estrogens fractionated (82671) | $301 | $317 | 9.3× |
| Ethosuximide (80168) | $217 | $228 | 13.3× |
| Exam Synovial Fluid Crystals (89060) | $95 | $100 | 13.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$34–$518 | $36–$545 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$34–$447 | $36–$471 | varies |
| Factor viii assay (85240) | $126 | $133 | 7.0× |
| Fecal Fat Qualitative (82705) | $251 | $264 | 49.2× |
| Ferritin (82728) | $156 | $164 | 11.4× |
| Fetal Fibronectin (82731) range across 3 matching MRF lines |
$559–$609 | $588–$641 | varies |
| Fetal screen rosette (85461) | $265 | $279 | 28.3× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$34–$193 | $36–$203 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$34–$128 | $36–$135 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$244–$256 | $257–$269 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$86–$415 | $91–$437 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $185 | $195 | 15.4× |
| Folic acid rbc (82747) | $65 | $68 | 3.7× |
| Folic Acid Serum (82746) | $166 | $175 | 11.3× |
| Follicle Stimulating Hormone (83001) | $166 | $175 | 8.9× |
| Francisella tularensis (86668) | $361 | $380 | 25.5× |
| Fungi Identification Mold (87107) | $164 | $173 | 15.9× |
| Fungi Identification Yeast (87106) | $143 | $150 | 13.9× |
| Galactose (82760) | $54 | $57 | 4.8× |
| Galactose transferase test (82776) | $50 | $53 | 4.3× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$166–$184 | $175–$194 | varies |
| Gases blood ph only (82800) | $128 | $135 | 11.6× |
| Gastrin (82941) | $179 | $188 | 10.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $632 | $665 | 1.5× |
| Gentamicin (80170) | $213 | $224 | 13.0× |
| Ggt (82977) range across 3 matching MRF lines |
$93–$95 | $98–$100 | varies |
| Glucose 2 hr pp (82950) | $196 | $206 | 41.3× |
| Glucose Blood Test (82962) | $75 | $79 | 22.9× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$66–$83 | $69–$87 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$57–$93 | $60–$98 | varies |
| Glucose tolerance test (gtt) (82951) | $72 | $76 | 5.6× |
| Glycated Protein (82985) | $170 | $179 | 10.1× |
| Growth hormone (83003) | $134 | $141 | 8.0× |
| Gtt-added samples (82952) | $90 | $95 | 23.0× |
| H Pylori (C-13) Breath (83013) | $291 | $306 | 4.3× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$93–$139 | $98–$146 | varies |
| Hdl Cholesterol (83718) | $78 | $82 | 9.5× |
| Helicobacter Pylori Stool (87338) | $289 | $304 | 20.1× |
| Helminth Antibody (86682) | $226 | $238 | 17.4× |
| Hematocrit (85014) | $51 | $54 | 21.5× |
| Hemoglobin (85018) | $49 | $52 | 20.7× |
| Hemoglobin a1c (83036) | $99 | $104 | 10.2× |
| Hemoglobin Chromotography (83021) | $191 | $201 | 10.6× |
| Hemoglobin electrophoresis (83020) | $100 | $105 | 7.8× |
| Hemoglobin F Fetal Chemical (83030) | $74 | $78 | 6.9× |
| Hep a ab igm (86709) | $151 | $159 | 13.4× |
| Heparin assay (85520) range across 4 matching MRF lines |
$34–$412 | $36–$434 | varies |
| Heparin Neutralization (85525) | $314 | $331 | 26.5× |
| Hepatitis a antibody total (86708) | $181 | $191 | 14.6× |
| Hepatitis b core ab igm (86705) | $167 | $176 | 14.2× |
| Hepatitis b core ab total (86704) | $130 | $137 | 10.8× |
| Hepatitis B Surface Antibody (86706) | $162 | $171 | 15.1× |
| Hepatitis B Surface Antigen (87340) | $130 | $137 | 12.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$148–$414 | $156–$436 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$333–$836 | $351–$880 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $640 | $674 | 14.9× |
| Herpes simplex type 2 (86696) | $134 | $141 | 6.9× |
| Heterophile Antibody Screen (86308) | $96 | $101 | 18.5× |
| Hfe Gene (81256) | $439 | $462 | 6.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $743 | $782 | 96.1× |
| Histoplasma antibody (86698) | $152 | $160 | 11.0× |
| Histoplasma antigen urine (87385) | $358 | $377 | 27.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $187 | $197 | 7.8× |
| Hiv-1 Antibody (86701) | $124 | $131 | 13.9× |
| HIV-1 p24 antigen (87390) | $124 | $131 | 5.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $439 | $462 | 5.9× |
| Homocysteine (83090) | $287 | $302 | 16.0× |
| Homogenization Tissue (87176) | $49 | $52 | 8.3× |
| Hsv Dna Amp Probe (87529) | $381 | $401 | 10.9× |
| Hydroxyprogesterone 17-d (83498) | $185 | $195 | 6.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $112 | $118 | 10.8× |
| Iaad ia shiga-like toxin (87427) | $155 | $163 | 12.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $183 | $193 | 5.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $190 | $200 | 5.4× |
| Iadna Cytomegalovirus Quantification (87497) | $491 | $517 | 11.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $224 | $236 | 3.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $183 | $193 | 5.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $612 | $644 | 14.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $205 | $216 | 5.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $201 | $212 | 5.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $162 | $171 | 4.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $434 | $457 | 3.0× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$79–$238 | $83–$251 | varies |
| Igg subclasses (82787) | $130 | $137 | 16.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$76–$217 | $80–$228 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$90–$825 | $95–$868 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $230 | $242 | 15.3× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$188–$221 | $198–$233 | varies |
| Immunofixation electrophoresis (86334) | $232 | $244 | 10.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $301 | $317 | 1.7× |
| Immunohistochemistry (88342) | $238 | $250 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $348 | $366 | 2.0× |
| Influenza DNA amp probe (87502) | $279 | $294 | 2.9× |
| Inhibin b (83520) range across 5 matching MRF lines |
$238–$293 | $251–$308 | varies |
| Insulin total (83525) | $162 | $170 | 14.2× |
| Iron (83540) | $90 | $95 | 13.9× |
| Iron Binding Capacity (83550) | $107 | $113 | 12.2× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$86–$666 | $91–$701 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $923 | $972 | 10.1× |
| Koh Prep (87220) | $68 | $72 | 15.9× |
| Kras Gene Variants Exon 2 (81275) | $150 | $158 | 0.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$92–$98 | $97–$103 | varies |
| Lactoferrin fecal qualitative (83630) | $162 | $171 | 8.2× |
| Ldh Isoenzymes (83625) | $144 | $152 | 11.3× |
| LDL direct (83721) | $219 | $230 | 20.9× |
| Lead (83655) range across 4 matching MRF lines |
$103–$150 | $108–$158 | varies |
| Legionella antigen urine (87449) | $277 | $292 | 23.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $93 | $98 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $158 | $166 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $510 | $537 | 1.4× |
| Lipase (83690) | $149 | $157 | 21.6× |
| Lipoprotein A (83695) | $80 | $84 | 5.6× |
| Lipoprotein Bld Quan Part (83704) | $159 | $167 | 4.7× |
| Lithium (80178) | $117 | $123 | 17.7× |
| Luteinizing Hormone (Lh) (83002) | $171 | $180 | 9.2× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$219–$257 | $230–$270 | varies |
| Lysozyme serum (85549) | $109 | $115 | 5.8× |
| Magnesium Urine (83735) | $108 | $114 | 16.1× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$166–$395 | $175–$416 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$107–$231 | $113–$243 | varies |
| Methylmalonic acid serum (83921) | $379 | $399 | 17.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$93–$130 | $98–$137 | varies |
| Microbe Suscept Macrobroth (87188) | $69 | $73 | 10.4× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$152–$167 | $160–$176 | varies |
| Mitochondrial Antibody Each (86381) | $188 | $198 | 7.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $430 | $453 | 20.1× |
| Mononuclear cell antigen (86356) | $249 | $262 | 9.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$126–$174 | $133–$183 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$169–$198 | $178–$208 | varies |
| Natriuretic peptide (83880) | $318 | $335 | 8.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $263 | $277 | 1.0× |
| Niacin (84591) | $180 | $189 | 10.6× |
| Nk cells total count (86357) | $189 | $199 | 5.0× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$142–$164 | $149–$173 | varies |
| Occult blood feces (82272) | $54 | $57 | 12.8× |
| Osmolality serum (83930) | $124 | $131 | 18.8× |
| Osmolality Urine (83935) | $119 | $125 | 17.4× |
| Ova and parasites smears (87177) | $126 | $133 | 14.2× |
| Oxalate urine (83945) | $174 | $183 | 12.0× |
| Ph urine (81003) | $58 | $61 | 25.8× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$191–$192 | $201–$202 | varies |
| Phenytoin (Dilantin) (80185) | $180 | $189 | 13.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$70–$74 | $74–$78 | varies |
| Phosphorus Serum (84100) | $79 | $83 | 16.7× |
| Phosphorus urine (84105) | $75 | $79 | 13.0× |
| Pinworm exam (87172) | $67 | $70 | 15.7× |
| Platelet Antibodies (86022) | $413 | $435 | 22.5× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$68–$72 | $72–$76 | varies |
| Platelet neutralization (85597) | $55 | $58 | 3.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $223 | $235 | 15.2× |
| Potassium Urine (84133) | $70 | $74 | 14.8× |
| Prealbumin (84134) | $169 | $178 | 11.6× |
| Pregnenolone (84140) | $129 | $136 | 6.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $558 | $587 | 3.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $113 | $119 | 1.8× |
| Primidone (80188) | $210 | $221 | 12.7× |
| Procalcitonin (Pct) (84145) | $335 | $353 | 12.3× |
| Progesterone (84144) range across 2 matching MRF lines |
$29–$190 | $31–$200 | varies |
| Prolactin (84146) | $232 | $244 | 12.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$70–$72 | $74–$76 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$34–$264 | $36–$278 | varies |
| Protein Electrophoresis Urine (84166) | $198 | $208 | 11.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$143–$149 | $150–$157 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$34–$334 | $36–$352 | varies |
| Protein total serum (84155) | $80 | $84 | 21.8× |
| Protein Total Urine (84156) range across 8 matching MRF lines |
$48–$86 | $51–$90 | varies |
| Protein Western Blot Test (84182) | $86 | $91 | 2.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $29 | $30 | 7.4× |
| PSA free (84154) | $174 | $183 | 9.5× |
| Pth Intact (83970) | $333 | $351 | 8.1× |
| Q Fever Antibody (86638) range across 4 matching MRF lines |
$112–$129 | $118–$136 | varies |
| Quantiferon tb gold plus (86480) | $314 | $330 | 5.1× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$245–$763 | $258–$803 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$188–$312 | $198–$328 | varies |
| Rbc antibody elution (86860) | $296 | $312 | 1.7× |
| Rbc antibody identification (86870) | $299 | $315 | 0.8× |
| Rbc antibody screen (86850) | $154 | $162 | 15.8× |
| Rbc pretreatment serum (86978) | $311 | $327 | 5.1× |
| Renin activity plasma (84244) | $261 | $275 | 11.9× |
| Reticulocyte separation (86972) | $150 | $158 | 0.8× |
| Rh (86901) | $92 | $97 | 30.8× |
| Rheumatoid factor quant (86431) | $92 | $97 | 16.2× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$150–$164 | $158–$173 | varies |
| Ristocetin cofactor (85245) | $126 | $133 | 5.5× |
| Rotavirus ag eia (87425) | $192 | $202 | 16.0× |
| Rpr qualitative (86592) | $70 | $74 | 16.4× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$114–$120 | $120–$126 | varies |
| Rubeola antibody (86765) | $135 | $142 | 10.5× |
| Russell Viper Venom Time Diluted (85613) range across 8 matching MRF lines |
$34–$195 | $36–$205 | varies |
| Salicylate Level (80179) | $356 | $375 | 19.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $336 | $354 | 6.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $96 | $101 | 2.3× |
| Sedimentation Rate, Automated (85652) | $71 | $75 | 26.3× |
| Selenium (84255) range across 2 matching MRF lines |
$170–$333 | $179–$351 | varies |
| Semen Anal Sperm Detection (89321) | $119 | $125 | 9.9× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$142–$314 | $149–$331 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$47–$170 | $49–$179 | varies |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$24–$79 | $25–$83 | varies |
| Smear acid fast (87206) | $88 | $93 | 16.3× |
| Smear complex stain (87209) | $107 | $113 | 6.0× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$67–$69 | $70–$73 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $334 | $352 | 2.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $85 | $89 | 14.6× |
| Sodium Serum (84295) | $69 | $73 | 14.3× |
| Sodium Urine (84300) | $72 | $76 | 14.2× |
| Soluble Transferrin Receptor (84238) | $310 | $326 | 8.5× |
| Somatomedin (84305) | $289 | $304 | 13.6× |
| Special Stains Group 1 (88312) | $205 | $216 | 3.8× |
| Special Stains Group 2 (88313) | $225 | $237 | 1.6× |
| Specimen infect agnt concntj (87015) | $63 | $66 | 9.4× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$18–$78 | $19–$82 | varies |
| Stool cultr aerobic bact ea (87046) | $102 | $107 | 10.8× |
| Strep a DNA amp probe (87651) | $164 | $173 | 4.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $230 | $242 | 2.5× |
| Surg path level iii (88304) | $213 | $224 | 3.9× |
| Surgical pathology level IV (88305) | $251 | $264 | 4.6× |
| Surgical pathology level vi (88309) | $715 | $753 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $29 | $30 | 6.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $162 | $171 | 21.7× |
| Syphilis Test Non-Trep Quant (86593) | $75 | $79 | 17.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $229 | $241 | 4.9× |
| T cells total count (86359) range across 2 matching MRF lines |
$151–$152 | $159–$160 | varies |
| T3 Free (84481) | $227 | $239 | 13.4× |
| T3 reverse (84482) | $289 | $304 | 18.3× |
| T3 Total (84480) | $148 | $156 | 10.4× |
| T4 Free (84439) | $124 | $130 | 13.7× |
| T4 total (84436) | $124 | $130 | 18.0× |
| T4-neonatal (84437) | $50 | $53 | 7.7× |
| Tacrolimus (80197) | $273 | $287 | 19.9× |
| Testosterone total (84403) range across 3 matching MRF lines |
$47–$190 | $49–$200 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$29–$211 | $31–$222 | varies |
| Theophylline (80198) | $226 | $238 | 16.0× |
| Thiopurine methyltransferase (84433) | $216 | $227 | 9.7× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$34–$105 | $36–$111 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 6 matching MRF lines |
$35–$126 | $37–$133 | varies |
| Thyroglobulin (84432) | $149 | $157 | 9.3× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$149–$185 | $157–$195 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $490 | $516 | 9.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$48–$188 | $51–$198 | varies |
| Tissue culture bone marrow (88237) | $961 | $1,012 | 6.7× |
| Tobramycin peak (80200) | $173 | $182 | 10.7× |
| Topiramate (80201) | $290 | $305 | 24.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$86–$93 | $90–$98 | varies |
| Transferrin (84466) | $158 | $166 | 12.4× |
| Trichomonas Vaginalis Amplif (87661) | $182 | $192 | 5.2× |
| Triglycerides (84478) range across 2 matching MRF lines |
$83–$93 | $87–$98 | varies |
| Troponin Quant (84484) | $261 | $275 | 20.9× |
| Tumor immunohistochem/comput (88361) | $235 | $247 | 0.6× |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
$275–$834 | $289–$878 | varies |
| Urea nitrogen urine (84540) | $67 | $70 | 12.1× |
| Uric acid other source (84560) | $77 | $81 | 15.2× |
| Urinalysis Microscopic Only (81015) | $42 | $44 | 13.8× |
| Urine Pregnancy Test (81025) | $105 | $110 | 12.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $71 | $75 | 22.4× |
| Valproic acid (80164) | $185 | $195 | 13.7× |
| Vancomycin (80202) | $193 | $203 | 14.3× |
| Varicella-zoster antibody (86787) | $182 | $192 | 14.1× |
| Very Long Chain Fatty Acids (82726) | $55 | $58 | 2.8× |
| Viral Culture (87252) | $205 | $216 | 7.9× |
| Virus inoculate tissue addl (87253) | $83 | $87 | 4.1× |
| Viscosity serum (85810) | $205 | $216 | 17.6× |
| Vit D 1 25-Dihydroxy (82652) | $399 | $420 | 10.4× |
| Vitamin A (84590) | $234 | $246 | 20.2× |
| Vitamin b-12 (82607) | $167 | $176 | 11.1× |
| Vitamin B2 (Riboflavin) (84252) | $295 | $311 | 14.6× |
| Vitamin B6 (84207) | $250 | $263 | 8.9× |
| Vitamin c (82180) | $105 | $111 | 10.6× |
| Vitamin D 25-Hydroxy (82306) | $229 | $241 | 7.7× |
| Vitamin E (84446) | $225 | $237 | 15.9× |
| Vitamin K (84597) | $423 | $445 | 30.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$86–$228 | $91–$240 | varies |
| West nile virus ab igm (86788) | $151 | $159 | 9.0× |
| West Nile Virus Antibody (86789) | $153 | $161 | 10.6× |
| Zinc (84630) | $147 | $155 | 12.9× |
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.