Lab & pathology prices at California Pacific Medical Center- Van Ness Campus
San Francisco, CA · every code in this section with a posted price and a Medicare benchmark.
505 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $391 | $391 | 8.2× |
| Albumin Fluid (82042) | $132 | $132 | 17.0× |
| Albumin serum (82040) | $103 | $103 | 20.8× |
| Allergen specific ige (86003) | $78 | $78 | 14.9× |
| Allg Spec Ige Recomb Ea (86008) | $57 | $57 | 3.2× |
| Alpha-1-antitrypsin phenotype (82104) | $100 | $100 | 6.9× |
| Alpha-1-antitrypsin total (82103) | $111 | $111 | 8.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$170–$176 | $170–$176 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$112–$113 | $112–$113 | varies |
| Amikacin trough (80150) | $405 | $405 | 26.9× |
| Ammonia (82140) | $411 | $411 | 28.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $489 | $489 | 5.0× |
| Amylase urine (82150) | $220 | $220 | 34.0× |
| Ana Titer (86039) | $218 | $218 | 19.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$378–$386 | $378–$386 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $166 | $166 | 12.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $115 | $115 | 7.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $95 | $95 | 5.2× |
| Antibody helicobacter pylori (86677) | $147 | $147 | 8.7× |
| Antibody Herpes Smplx Type 1 (86695) | $25 | $25 | 1.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $172 | $172 | 12.5× |
| Antibody HIV-2 (86702) | $108 | $108 | 8.0× |
| Antibody Titer (86886) | $112 | $112 | 21.6× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$104–$106 | $104–$106 | varies |
| Antigen typing (86905) | $193 | $193 | 50.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$91–$98 | $91–$98 | varies |
| Antistreptolysin O Screen (86063) | $104 | $104 | 18.0× |
| Antistreptolysin o titer (86060) | $50 | $50 | 6.8× |
| Antithrombin iii activity (85300) | $106 | $106 | 8.9× |
| Antithrombin iii antigen (85301) | $306 | $306 | 28.3× |
| Apolipoprotein a1 (82172) | $224 | $224 | 10.6× |
| Assay activated protein c (85307) | $311 | $311 | 20.3× |
| Assay Blood Carbon Dioxide (82374) | $103 | $103 | 21.1× |
| Assay Nephelometry Not Spec (83883) | $91 | $91 | 6.7× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$125–$134 | $125–$134 | varies |
| Assay of calcium in urine (82340) | $123 | $123 | 20.4× |
| Assay of gammaglobulin igm (82784) | $75 | $75 | 8.1× |
| Assay of lactic acid (83605) | $333 | $333 | 28.8× |
| Assay of serum potassium (84132) | $155 | $155 | 32.6× |
| Assay of sweat sodium (84302) | $42 | $42 | 8.6× |
| Assay of urea nitrogen (84520) | $106 | $106 | 26.8× |
| Assay Ph Body Fluid Nos (83986) | $123 | $123 | 34.4× |
| Assay spec xcp ur&breath ia (82077) | $271 | $271 | 15.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $336 | $336 | 1.4× |
| Automated Leukocyte Count (85048) | $55 | $55 | 21.7× |
| Beta 2 glycoprotein i antibody each (86146) | $128 | $128 | 5.0× |
| Beta hydroxybutyrate (82010) | $245 | $245 | 30.0× |
| Beta Lactamase (87185) | $72 | $72 | 15.2× |
| Beta-2 Microglobulin (82232) | $182 | $182 | 11.2× |
| Bilirubin direct (82248) | $145 | $145 | 28.9× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$123–$127 | $123–$127 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $64 | $64 | 18.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $541 | $541 | 2.2× |
| Bld Typing Serologic Rh Phnt (86906) | $86 | $86 | 11.1× |
| Bleeding time test (85002) | $145 | $145 | 30.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$118–$126 | $118–$126 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $97 | $97 | 25.5× |
| Blood count spun microhematocrit (85013) | $86 | $86 | 12.3× |
| Blood gas (82803) | $802 | $802 | 30.8× |
| Blood gases w/02 saturation (82805) | $914 | $914 | 11.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $121 | $121 | 7.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $96 | $96 | 21.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$156–$159 | $156–$159 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $55 | $55 | 3.4× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$80–$103 | $80–$103 | varies |
| Bone marrow smear interpretation (85097) | $672 | $672 | 0.6× |
| C diff amplified probe (87493) | $421 | $421 | 11.3× |
| C-Peptide (84681) range across 2 matching MRF lines |
$138–$162 | $138–$162 | varies |
| C-reactive protein (86140) | $177 | $177 | 34.2× |
| Ca 19-9 (86301) | $224 | $224 | 10.8× |
| Caffeine (80155) | $942 | $942 | 24.4× |
| Calcium ionized (82330) | $218 | $218 | 15.9× |
| Calcium total (82310) range across 3 matching MRF lines |
$108–$112 | $108–$112 | varies |
| Calculus Xray Diffraction (82370) | $99 | $99 | 7.9× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$256–$273 | $256–$273 | varies |
| Cancer Antigen 27.29 (86300) | $192 | $192 | 9.2× |
| Carbamazepine total (80156) | $361 | $361 | 24.8× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$247–$270 | $247–$270 | varies |
| Carcinoembryonic antigen (82378) | $286 | $286 | 15.1× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$22–$26 | $22–$26 | varies |
| Ccp antibody (86200) | $53 | $53 | 4.1× |
| Cell count csf (89051) | $280 | $280 | 50.0× |
| Cell marker study (88182) range across 3 matching MRF lines |
$60.50–$674 | $60.50–$674 | varies |
| Ceruloplasmin (82390) | $133 | $133 | 12.4× |
| Cftr gene com variants (81220) | $256 | $256 | 0.5× |
| Chlmy trch&neisra gonor mult (87494) | $595 | $595 | 8.5× |
| Chloride other source (82438) range across 3 matching MRF lines |
$127–$145 | $127–$145 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$103–$113 | $103–$113 | varies |
| Chloride urine (82436) | $176 | $176 | 30.6× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$118–$119 | $118–$119 | varies |
| Chorionic gonadotropin test (84702) | $395 | $395 | 26.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $29.19 | $29.19 | 1.1× |
| Chromogenic Substrate Assay (85130) | $488 | $488 | 41.0× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$192–$348 | $192–$348 | varies |
| Chromosome analysis, 5 (88261) | $271.62 | $271.62 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$247–$275 | $247–$275 | varies |
| Ckmb (82553) | $401 | $401 | 34.7× |
| Clostridium Difficile (87324) | $194 | $194 | 16.2× |
| Clotting factor xii hageman (85280) | $262 | $262 | 13.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,424 | $1,424 | 3.4× |
| Coagulation time activated (85347) | $230 | $230 | 53.7× |
| Coccidioides antibody (86635) | $119 | $119 | 10.4× |
| Cold agglutinin titer (86157) | $176 | $176 | 21.8× |
| Compatibility Each Unit Incubation (86921) | $589 | $589 | 2.4× |
| Compatibility test antiglob (86922) | $598 | $598 | 2.4× |
| Complement Antigen Each Component (86160) | $94 | $94 | 7.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $583 | $583 | 2.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$105–$232 | $105–$232 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$181–$349 | $181–$349 | varies |
| Coombs direct (86880) | $156 | $156 | 28.9× |
| Cortisol saliva (82533) | $283 | $283 | 17.4× |
| Creatine kinase total (82550) | $243 | $243 | 37.3× |
| Creatinine blood (82565) | $117 | $117 | 22.9× |
| Creatinine clearance (82575) | $239 | $239 | 25.3× |
| Creatinine Urine (82570) | $126 | $126 | 24.3× |
| Crossmatch electronic (86923) | $554 | $554 | 2.2× |
| Crossmatch immediate spin (86920) | $576 | $576 | 2.3× |
| Crp High Sensitivity (86141) | $227 | $227 | 17.5× |
| Cryofibrinogen (82585) | $186 | $186 | 13.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$118–$120 | $118–$120 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $54 | $54 | 4.1× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$208–$212 | $208–$212 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$122–$124 | $122–$124 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $185 | $185 | 22.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $189 | $189 | 23.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $63 | $63 | 8.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $835 | $835 | 3.8× |
| Culture afb (87116) | $168 | $168 | 15.6× |
| Culture Anaerobic (87075) | $269 | $269 | 28.4× |
| Culture bacteria anaerobic (87073) | $223 | $223 | 23.1× |
| Culture blood (87040) | $469 | $469 | 45.4× |
| Culture csf (87070) range across 21 matching MRF lines |
$266–$322 | $266–$322 | varies |
| Culture fungus (87102) | $175 | $175 | 20.8× |
| Culture fungus blood (87103) | $311 | $311 | 15.2× |
| Culture screen only (87081) range across 17 matching MRF lines |
$201–$212 | $201–$212 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$223–$247 | $223–$247 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$101–$103 | $101–$103 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $118 | $118 | 22.8× |
| Culture urine (87086) | $237 | $237 | 29.4× |
| Cyclosporine (80158) | $246 | $246 | 13.6× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$59–$172 | $59–$172 | varies |
| Cytomegalovirus igg (86644) | $120 | $120 | 8.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $95 | $95 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $215 | $215 | 2.9× |
| Cytp Concentration Smears & Interpretation (88108) | $189 | $189 | 3.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $282 | $282 | 3.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $284 | $284 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $229 | $229 | 4.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $302.50 | $302.50 | 1.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $71 | $71 | 3.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $170 | $170 | 9.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $203 | $203 | 2.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $174 | $174 | 4.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $302.50 | $302.50 | 1.2× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$437–$451 | $437–$451 | varies |
| Detect Agent Nos Dna Quant (87799) | $363 | $363 | 8.5× |
| Detect agnt mult DNA ampli (87801) | $483 | $483 | 6.9× |
| Dgp Antibody Each Ig Class (86258) | $69 | $69 | 5.7× |
| Dhea-S (82627) | $80 | $80 | 3.6× |
| Digoxin (80162) | $361 | $361 | 27.2× |
| Dna Antibody Native/Double Stranded (86225) | $116 | $116 | 8.4× |
| Dna/Rna Amplified Probe (87150) | $268 | $268 | 7.6× |
| DNA/RNA direct probe (87149) | $226 | $226 | 11.3× |
| Drug assay acetaminophen (80143) | $325 | $325 | 17.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $781 | $781 | 12.6× |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$210–$220 | $210–$220 | varies |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$1,177–$1,414 | $1,177–$1,414 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $26 | $26 | 2.2× |
| Enterovirus PCR (87498) | $403 | $403 | 11.5× |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$132–$415 | $132–$415 | varies |
| Eosinophil Smear (89190) | $146 | $146 | 25.2× |
| Erythropoietin (82668) | $251 | $251 | 13.4× |
| Estradiol serum (82670) | $272 | $272 | 9.7× |
| Exam Synovial Fluid Crystals (89060) | $207 | $207 | 28.2× |
| F2 Gene (81240) | $201 | $201 | 3.1× |
| Factor ii activity (85210) | $302 | $302 | 23.3× |
| Factor Inhibitor Test (85335) | $405 | $405 | 31.5× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$386–$394 | $386–$394 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$324–$334 | $324–$334 | varies |
| Factor v leiden mutation (81241) | $301 | $301 | 4.1× |
| Factor vii assay (85230) | $394 | $394 | 22.0× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$130–$143 | $130–$143 | varies |
| Factor X (85260) | $447 | $447 | 25.0× |
| Factor xi activity (85270) range across 2 matching MRF lines |
$313–$322 | $313–$322 | varies |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$345–$355 | $345–$355 | varies |
| Fat stain feces urine/respir secretions (89125) | $25 | $25 | 4.3× |
| Fat/Lipids Feces Quantitative (82710) | $324 | $324 | 19.3× |
| Fecal Fat Qualitative (82705) | $109 | $109 | 21.4× |
| Ferritin (82728) | $256 | $256 | 18.8× |
| Fetal Fibronectin (82731) | $1,161 | $1,161 | 18.0× |
| Fetal hemoglobin assay qual (83033) | $216 | $216 | 27.0× |
| Fetal screen rosette (85461) | $248 | $248 | 26.5× |
| Fibrin degradation products (85362) | $208 | $208 | 30.2× |
| Fibrin Degradation Quant (85379) | $370 | $370 | 36.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $367 | $367 | 37.8× |
| Fibrinogen activity (85384) | $320 | $320 | 32.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $101 | $101 | 6.5× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$78–$285 | $78–$285 | varies |
| Fluorescent antibody screen (86255) | $197 | $197 | 16.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $101 | $101 | 8.4× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$69–$75 | $69–$75 | varies |
| Folic Acid Serum (82746) | $231 | $231 | 15.7× |
| Follicle Stimulating Hormone (83001) | $248 | $248 | 13.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $362 | $362 | 1.5× |
| Frozen Blood Each Unit Freezing (86930) | $788 | $788 | 3.2× |
| Frozen Blood Each Unit Thawing (86931) | $355 | $355 | 1.4× |
| Frozen Section (88331) | $287 | $287 | 1.2× |
| Fungi Identification Mold (87107) | $155 | $155 | 15.0× |
| Fungi Identification Yeast (87106) | $222 | $222 | 21.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$170–$185 | $170–$185 | varies |
| Gardner vag DNA dir probe (87510) | $479 | $479 | 23.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $296 | $296 | 30.3× |
| Gases blood ph only (82800) | $309 | $309 | 28.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$845–$1,008 | $845–$1,008 | varies |
| Genet Virus Isolate Hsv (87255) | $708 | $708 | 20.9× |
| Gentamicin (80170) | $425 | $425 | 25.9× |
| Ggt (82977) range across 2 matching MRF lines |
$143–$176 | $143–$176 | varies |
| Giardia antigen (87329) | $161 | $161 | 13.4× |
| Giardia lamblia antibody (86674) range across 2 matching MRF lines |
$211–$215 | $211–$215 | varies |
| Glucagon (82943) | $298 | $298 | 20.9× |
| Glucose 2 hr pp (82950) range across 6 matching MRF lines |
$106–$108 | $106–$108 | varies |
| Glucose body fluid (82945) range across 7 matching MRF lines |
$166–$180 | $166–$180 | varies |
| Glucose Serum (82947) | $114 | $114 | 29.0× |
| Glucose tolerance test (gtt) (82951) | $189 | $189 | 14.7× |
| Gonadotropin Chorionic Qualitative (84703) | $296 | $296 | 39.4× |
| Growth hormone (83003) | $90 | $90 | 5.4× |
| Gtt-added samples (82952) | $59 | $59 | 15.1× |
| H Pylori (C-13) Breath (83013) | $354 | $354 | 5.3× |
| H Pylori Drug Admin (83014) | $63 | $63 | 8.0× |
| Haptoglobin (83010) | $183 | $183 | 14.5× |
| Hdl Cholesterol (83718) | $136 | $136 | 16.6× |
| Heinz Bodies Direct (85441) | $138 | $138 | 32.9× |
| Helicobacter Pylori Stool (87338) | $225 | $225 | 15.6× |
| Hematocrit (85014) | $104 | $104 | 43.9× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$73–$75 | $73–$75 | varies |
| Hemoglobin a1c (83036) | $203 | $203 | 20.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $156 | $156 | 19.0× |
| Hemoglobin plasma (83051) | $51 | $51 | 7.0× |
| Hemolysin Acid (85475) | $234 | $234 | 26.4× |
| Hep a ab igm (86709) | $154 | $154 | 13.7× |
| Heparin assay (85520) range across 3 matching MRF lines |
$398–$478 | $398–$478 | varies |
| Heparin Neutralization (85525) | $23 | $23 | 1.9× |
| Hepatitis a antibody total (86708) | $132 | $132 | 10.7× |
| Hepatitis b core ab igm (86705) | $157 | $157 | 13.3× |
| Hepatitis b core ab total (86704) | $171 | $171 | 14.2× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$137–$139 | $137–$139 | varies |
| Hepatitis B Surface Antigen (87340) | $147 | $147 | 14.2× |
| Hepatitis C Antibody (86803) | $182 | $182 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $432 | $432 | 10.1× |
| Herpes simplex type 2 (86696) | $24 | $24 | 1.2× |
| Heterophile Antibody Screen (86308) | $217 | $217 | 41.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $181 | $181 | 23.4× |
| Hiv Antigen W/Hiv Antibodies (87806) | $325 | $325 | 9.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $316 | $316 | 13.1× |
| Hiv-1 Antibody (86701) | $93 | $93 | 10.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $572 | $572 | 6.7× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,164 | $1,164 | 2.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $373 | $373 | 2.9× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $2,307 | $2,307 | 5.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $328 | $328 | 4.4× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $1,537 | $1,537 | 3.8× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,053 | $1,053 | 4.8× |
| Hla ii type 1 ag equiv lr (81377) | $329 | $329 | 3.5× |
| Hla ii typing 1 locus lr (81376) | $382 | $382 | 3.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $1,484 | $1,484 | 25.6× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,616 | $1,616 | 15.2× |
| Homocysteine (83090) | $318 | $318 | 17.7× |
| Homogenization Tissue (87176) | $132 | $132 | 22.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$568–$577 | $568–$577 | varies |
| Hpv low-risk types (87623) | $110 | $110 | 3.1× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $609 | $609 | 8.7× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$73–$76 | $73–$76 | varies |
| Hsv Dna Amp Probe (87529) | $258 | $258 | 7.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $43 | $43 | 4.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $357 | $357 | 25.7× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$107–$129 | $107–$129 | varies |
| Iaad Ia Streptococcus Group A (87430) | $228 | $228 | 13.6× |
| Iaadi herpes smplx virus type 1 (87274) | $27 | $27 | 2.3× |
| Iaadi herpes smplx virus type 2 (87273) | $57 | $57 | 4.8× |
| Iaadi inffluenza a virus (87276) | $146 | $146 | 9.1× |
| Iaadi parainfluenza virus each type (87279) | $118 | $118 | 7.2× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $156 | $156 | 13.0× |
| Iaadi respiratory synctial virus (87280) | $246 | $246 | 18.3× |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$272–$280 | $272–$280 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $115 | $115 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $306 | $306 | 8.7× |
| Iadna Cytomegalovirus Quantification (87497) | $380 | $380 | 8.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $349 | $349 | 5.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $388 | $388 | 9.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $425 | $425 | 10.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $323 | $323 | 9.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$247–$285 | $247–$285 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $101 | $101 | 2.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$446–$1,286 | $446–$1,286 | varies |
| Ig Light Chains Free Each (83521) | $102 | $102 | 5.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$370–$408 | $370–$408 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$296–$308 | $296–$308 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$347–$354 | $347–$354 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $112 | $112 | 7.5× |
| Immunoassay nonantibody (83516) | $65 | $65 | 5.6× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$159–$185 | $159–$185 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $215 | $215 | 0.9× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$246–$298 | $246–$298 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$72–$154 | $72–$154 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $500 | $500 | 2.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $89 | $89 | 5.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $184 | $184 | 12.8× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $160 | $160 | 13.1× |
| Influenza a/b ag eia (87400) | $162 | $162 | 11.5× |
| Influenza DNA amp probe (87502) | $640 | $640 | 6.7× |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$132–$248 | $132–$248 | varies |
| Insitu hybridization manual (88368) range across 3 matching MRF lines |
$132–$230 | $132–$230 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$134–$210 | $134–$210 | varies |
| Iron (83540) | $140 | $140 | 21.6× |
| Iron Binding Capacity (83550) | $143 | $143 | 16.4× |
| Iron stain peripheral blood (85536) | $131 | $131 | 19.0× |
| Irradiation Blood Product Each Unit (86945) | $71 | $71 | 1.3× |
| Koh Prep (87220) | $186 | $186 | 43.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$155–$157 | $155–$157 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$222–$226 | $222–$226 | varies |
| Lamellar Body Count (83664) | $534 | $534 | 27.6× |
| LDL direct (83721) | $129 | $129 | 12.3× |
| Legionella antigen urine (87449) | $185 | $185 | 15.4× |
| Legionella pneumophila dfa (87278) | $260 | $260 | 16.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $98 | $98 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $190 | $190 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $578 | $578 | 1.1× |
| Lidocaine (80176) | $395 | $395 | 26.9× |
| Lipase (83690) | $257 | $257 | 37.3× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$101–$103 | $101–$103 | varies |
| Lithium (80178) | $234 | $234 | 35.4× |
| Luteinizing Hormone (Lh) (83002) | $327 | $327 | 17.7× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) range across 2 matching MRF lines |
$633–$652 | $633–$652 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $281 | $281 | 1.1× |
| Macroscopic exam arthropod (87168) | $216 | $216 | 50.6× |
| Macroscopic Exam Parasite (87169) | $94 | $94 | 21.8× |
| Magnesium Urine (83735) | $219 | $219 | 32.7× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$134–$138 | $134–$138 | varies |
| Meat fibers, feces (89160) | $111 | $111 | 22.9× |
| Metabolic panel ionized ca (80047) | $446 | $446 | 32.5× |
| Methotrexate (80204) | $129 | $129 | 3.3× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$109–$113 | $109–$113 | varies |
| Microbe Suscept Macrobroth (87188) | $75 | $75 | 11.3× |
| Microsomal Antibodies Each (86376) | $110 | $110 | 7.6× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$35–$132 | $35–$132 | varies |
| Mrsa Pcr (87641) | $483 | $483 | 13.8× |
| Mthfr Gene Analysis Common Variants (81291) | $477 | $477 | 7.3× |
| Mumps antibody (86735) | $140 | $140 | 10.7× |
| Mycobacteric Identification (87118) | $107 | $107 | 7.3× |
| Mycoplasma culture (87109) | $275 | $275 | 17.9× |
| Natriuretic peptide (83880) | $601 | $601 | 15.3× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 2 matching MRF lines |
$81–$83 | $81–$83 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $78 | $78 | 0.5× |
| Nfct ds bv&vaginitis DNA alg (81515) | $581 | $581 | 2.2× |
| Nuclear antigen antibody (86235) | $139 | $139 | 7.8× |
| Obstetric panel (80081) | $1,009 | $1,009 | 13.5× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$66–$120 | $66–$120 | varies |
| Occult Blood Other Sources (82271) | $120 | $120 | 22.6× |
| Osmolality serum (83930) | $212 | $212 | 32.1× |
| Osmolality Urine (83935) | $224 | $224 | 32.8× |
| Ova and parasites smears (87177) | $46 | $46 | 5.2× |
| Particle Agglut Antbdy Titr (86406) | $112 | $112 | 10.5× |
| Particle Agglutination Screen Each Antibody (86403) | $234 | $234 | 20.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $278 | $278 | 0.2× |
| Ph urine (81003) | $102 | $102 | 45.3× |
| Phenobarbital Level (80184) | $314 | $314 | 20.5× |
| Phenylalanine (84030) | $212 | $212 | 38.5× |
| Phenytoin (Dilantin) (80185) | $384 | $384 | 29.0× |
| Phenytoin free (80186) | $488 | $488 | 35.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$94–$97 | $94–$97 | varies |
| Phosphorus Serum (84100) | $142 | $142 | 30.0× |
| Phosphorus urine (84105) | $104 | $104 | 18.0× |
| Pinworm exam (87172) | $58 | $58 | 13.6× |
| Platelet Aggregation (85576) | $292 | $292 | 11.7× |
| Platelet count automated (85049) | $148 | $148 | 33.0× |
| Pooling blood platelets (86965) | $171 | $171 | 0.7× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$139–$142 | $139–$142 | varies |
| Prealbumin (84134) | $230 | $230 | 15.8× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $435 | $435 | 1.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $110 | $110 | 1.3× |
| Procalcitonin (Pct) (84145) | $625 | $625 | 23.0× |
| Progesterone (84144) | $292 | $292 | 14.0× |
| Prolactin (84146) | $262 | $262 | 13.5× |
| Protein body fluid (84157) | $233 | $233 | 58.3× |
| Protein C Activity (85303) | $111 | $111 | 8.0× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$107–$129 | $107–$129 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$67–$101 | $67–$101 | varies |
| Protein S Free (85306) | $122 | $122 | 8.0× |
| Protein total serum (84155) | $56 | $56 | 15.3× |
| Protein Total Urine (84156) | $117 | $117 | 31.9× |
| PSA free (84154) | $252 | $252 | 13.7× |
| Pth Intact (83970) | $400 | $400 | 9.7× |
| Quantiferon tb gold plus (86480) | $832 | $832 | 13.4× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$255–$260 | $255–$260 | varies |
| Quinidine (80194) | $306 | $306 | 21.0× |
| Rbc antibody elution (86860) | $236 | $236 | 1.0× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$642–$669 | $642–$669 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$242–$255 | $242–$255 | varies |
| Rbc pretreatment serum (86978) | $137 | $137 | 1.6× |
| Rbc pretx incubatj w/enzymes (86971) | $153 | $153 | 0.6× |
| Reagent Strip/Blood Glucose (82948) | $86 | $86 | 17.1× |
| Receptor assay estrogen (84233) | $659 | $659 | 7.5× |
| Receptor assay progesterone (84234) | $349 | $349 | 5.4× |
| Reptilase test (85635) | $227 | $227 | 23.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$1,324–$1,350 | $1,324–$1,350 | varies |
| Resp Virus 6-11 Targets (87632) | $920 | $920 | 4.2× |
| Reticulocyte Count (85046) | $51 | $51 | 9.2× |
| Rh (86901) | $161 | $161 | 53.8× |
| Rheumatoid Factor Qualitative (86430) | $126 | $126 | 20.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$78–$79 | $78–$79 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$211–$226 | $211–$226 | varies |
| Rpr qualitative (86592) | $101 | $101 | 23.7× |
| Rubella Antibody (86762) | $123 | $123 | 8.5× |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$90–$105 | $90–$105 | varies |
| Russell Viper Venom Time Diluted (85613) | $68 | $68 | 7.1× |
| Salicylate Level (80179) | $226 | $226 | 12.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $382 | $382 | 7.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $81 | $81 | 1.9× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $132 | $132 | 3.2× |
| Sarscov2 & inf a&b amp prb (87636) | $532 | $532 | 3.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $605 | $605 | 4.2× |
| Sedimentation rate (85651) | $148 | $148 | 34.7× |
| Sedimentation Rate, Automated (85652) | $101 | $101 | 37.4× |
| Semen analysis complete (89320) | $253 | $253 | 20.6× |
| Semen analysis motility and count (89310) | $150 | $150 | 17.4× |
| Sensitivity mic (87186) | $301 | $301 | 34.8× |
| Serum Bactericidal Titer (87197) | $320 | $320 | 21.3× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$180–$184 | $180–$184 | varies |
| Sickling of rbc reduction (85660) | $46 | $46 | 8.3× |
| Sirolimus (80195) | $164 | $164 | 11.9× |
| Skin test tuberculosis intradermal (86580) | $71 | $71 | 1.7× |
| Smear acid fast (87206) range across 6 matching MRF lines |
$142–$157 | $142–$157 | varies |
| Smear complex stain (87209) | $22 | $22 | 1.2× |
| Smear gram stain (87205) | $154 | $154 | 36.1× |
| Smear Special Stain (87207) | $215 | $215 | 35.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $243 | $243 | 41.8× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$119–$132 | $119–$132 | varies |
| Sodium Urine (84300) | $171 | $171 | 33.8× |
| Somatomedin (84305) | $161 | $161 | 7.6× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$173–$177 | $173–$177 | varies |
| Special Stains Group 2 (88313) | $127 | $127 | 0.7× |
| Specific gravity body fluid (84315) | $53 | $53 | 16.2× |
| Specimen infect agnt concntj (87015) | $133 | $133 | 19.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $525 | $525 | 2.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $837 | $837 | 3.4× |
| Stool cultr aerobic bact ea (87046) | $147 | $147 | 15.6× |
| Strep a DNA amp probe (87651) | $266 | $266 | 7.6× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$109–$113 | $109–$113 | varies |
| Surg path level iii (88304) | $222 | $222 | 2.9× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$130–$337 | $130–$337 | varies |
| Surgical pathology level vi (88309) | $1,063 | $1,063 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $105 | $105 | 22.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $107 | $107 | 14.3× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$18–$19 | $18–$19 | varies |
| T cells absolute cd4 count (86361) | $842 | $842 | 31.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $336 | $336 | 7.2× |
| T cells total count (86359) | $192 | $192 | 5.1× |
| T3 Free (84481) | $226 | $226 | 13.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$176–$191 | $176–$191 | varies |
| T3 Uptake (84479) | $84 | $84 | 13.0× |
| T4 Free (84439) | $231 | $231 | 25.6× |
| T4 total (84436) range across 2 matching MRF lines |
$118–$123 | $118–$123 | varies |
| Tacrolimus (80197) | $152 | $152 | 11.1× |
| Tb ag response t-cell susp (86481) | $500 | $500 | 5.0× |
| Test for acetone/ketones (82009) | $158 | $158 | 35.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$136–$141 | $136–$141 | varies |
| Theophylline (80198) | $286 | $286 | 20.2× |
| Thrombin Time (85670) | $58 | $58 | 10.1× |
| Thyroglobulin (84432) | $166 | $166 | 10.3× |
| Thyroglobulin Antibody (86800) | $115 | $115 | 7.2× |
| Tiss cul neo disorders solid tumor (88239) | $226.73 | $226.73 | 1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $68 | $68 | 5.9× |
| Tissue Culture (88233) | $1,481 | $1,481 | 10.5× |
| Tissue culture bone marrow (88237) | $275 | $275 | 1.9× |
| Tissue Culture Lymphocyte (88230) | $128.80 | $128.80 | 1.1× |
| Tobramycin peak (80200) | $323 | $323 | 20.0× |
| Touch prep (88161) | $207 | $207 | 5.0× |
| Toxoplasma ab igm (86778) | $287 | $287 | 19.9× |
| Toxoplasma antibody (86777) | $119 | $119 | 8.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $114 | $114 | 22.0× |
| Transferrin (84466) | $198 | $198 | 15.5× |
| Trichomonas vagin dir probe (87660) | $152 | $152 | 7.6× |
| Trichomonas Vaginalis Amplif (87661) | $123 | $123 | 3.5× |
| Triglycerides (84478) range across 3 matching MRF lines |
$149–$162 | $149–$162 | varies |
| Troponin Quant (84484) | $492 | $492 | 39.5× |
| Tumor immunohistochem/comput (88361) | $77 | $77 | 0.1× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$60.50–$293 | $60.50–$293 | varies |
| Urea Nitrogen Clearance (84545) | $54 | $54 | 7.5× |
| Urea nitrogen urine (84540) | $182 | $182 | 32.7× |
| Uric acid other source (84560) | $131 | $131 | 25.8× |
| Urinalysis Microscopic Only (81015) | $94 | $94 | 30.8× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $83 | $83 | 38.2× |
| Urine Bacteria Culture (87088) | $160 | $160 | 19.8× |
| Urine Pregnancy Test (81025) | $190 | $190 | 22.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $125 | $125 | 39.4× |
| Valproic acid (80164) | $406 | $406 | 30.0× |
| Vancomycin (80202) | $457 | $457 | 33.8× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$106–$115 | $106–$115 | varies |
| Viral Culture (87252) range across 6 matching MRF lines |
$207–$225 | $207–$225 | varies |
| Viscosity serum (85810) | $193 | $193 | 16.5× |
| Vit D 1 25-Dihydroxy (82652) | $208 | $208 | 5.4× |
| Vitamin b-12 (82607) | $228 | $228 | 15.1× |
| Vitamin D 25-Hydroxy (82306) | $277 | $277 | 9.4× |
| Wbc Alkaline Phosphatase Count (85540) | $14 | $14 | 1.6× |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$22.79–$106 | $22.79–$106 | varies |
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.