Lab & pathology prices at Caribou Medical Center

Soda Springs, ID · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abl1 gene analysis kinase domain variants (81170) $829.27 $1,184.67 2.8×
Acth (82024) $186.90 $267 4.8×
Actin smooth muscle antibody each (86015) $37.10 $53 3.1×
Afp-l3 fraction isoform & total afp w/ratio (82107) $177.10 $253 2.7×
Albumin Fluid (82042) $56 $80 7.2×
Albumin serum (82040) $43.40 $62 8.8×
Aldolase (82085) $71.40 $102 7.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$136.50–$140 $195–$200 varies
Alkaline phosphatase isoenzymes (84080) $127.40 $182 8.6×
Allergen specific ige (86003) $30.10 $43 5.8×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$34.30–$46.20 $49–$66 varies
Alpha-1-antitrypsin total (82103) $114.10 $163 8.5×
Alpha-Fetoprotein Serum (82105) $136.50 $195 8.1×
Alt (sgpt) (84460) $45.50 $65 8.6×
Ammonia (82140) $122.50 $175 8.4×
Amylase urine (82150) $96.60 $138 14.9×
Angiotensin converting enzyme csf (82164) $115.50 $165 7.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $102.20 $146 6.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $99.58 $142.26 5.5×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$70–$118.92 $100–$169.89 varies
Antibody helicobacter pylori (86677) $116.45 $166.35 6.9×
Antibody Herpes Smplx Type 1 (86695) $121.22 $173.17 9.2×
Antibody HIV-2 (86702) $74.20 $106 5.5×
Antibody Protozoa Nes (86753) $94.50 $135 7.6×
Antibody Treponema Pallidum (86780) $70.46 $100.66 5.3×
Antigen typing (86905) $96.60 $138 25.2×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $371.70 $531 65.0×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$86.80–$88.90 $124–$127 varies
Antistreptolysin o titer (86060) $75.60 $108 10.4×
Antithrombin iii activity (85300) $182.70 $261 15.4×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$57.40–$77.70 $82–$111 varies
Arsenic (82175) $153.99 $219.98 8.1×
Assay Blood Carbon Dioxide (82374) $61.60 $88 12.6×
Assay of blood/uric acid (84550) $51.80 $74 11.5×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$67.20–$71.40 $96–$102 varies
Assay of cpk in blood (82552) $56 $80 4.2×
Assay of estrone (82679) $91 $130 3.6×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$78.40–$79.10 $112–$113 varies
Assay of lactic acid (83605) $93.10 $133 8.0×
Assay of metanephrines (83835) $150.50 $215 8.9×
Assay of serum potassium (84132) $49 $70 10.3×
Assay of sweat sodium (84302) $43.40 $62 8.9×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$45.50–$46.20 $65–$66 varies
Assay of vitamin b-1 (84425) $130.59 $186.55 6.2×
Assay Ph Body Fluid Nos (83986) $37.10 $53 10.4×
B cells total count (86355) $72.10 $103 1.9×
Bartonella antibody (86611) $71.40 $102 7.0×
Bcr/abl1 gene major bp (81206) $383.11 $547.30 2.3×
Bcr/abl1 gene minor bp (81207) $313.01 $447.15 2.2×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$96.78–$177.58 $138.25–$253.68 varies
Beta-2 Microglobulin (82232) $120.40 $172 7.4×
Bilirubin direct (82248) $51.80 $74 10.3×
Bilirubin total (82247)
range across 2 matching MRF lines
$43.40–$44.10 $62–$63 varies
Bleeding time test (85002) $46.07 $65.81 9.6×
Blood Count Automated Differential Wbc Count (85004) $46.94 $67.06 7.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $44.23 $63.18 11.6×
Blood gas (82803)
range across 2 matching MRF lines
$240.35–$271.47 $343.35–$387.82 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $70.70 $101 4.4×
Blood typing serologic abo (86900) $54.60 $78 18.3×
Body fluid cell count (89050) $74.90 $107 15.9×
Bordetella antibody (86615) $58.80 $84 4.5×
Braf gene analysis (81210) $427 $610 2.4×
Brca1&2 gen full seq dup/del (81162) $1,050 $1,500 0.6×
Breath Alcohol Test (82075) $49.83 $71.19 1.7×
C-Peptide (84681) $113.76 $162.52 5.5×
C-reactive protein (86140) $72.10 $103 13.9×
Ca 19-9 (86301) $98 $140 4.7×
Cadmium (82300) $194.44 $277.77 8.2×
Calcium ionized (82330) $94.50 $135 6.9×
Calcium total (82310) $50.40 $72 9.8×
Calculus Spectroscopy (82365) $65.80 $94 5.1×
Calprotectin Fecal (83993) $244.30 $349 12.4×
Calr gene com variants (81219) $502.60 $718 4.1×
Cancer Antigen 125 (86304) $123.20 $176 5.9×
Cancer Antigen 27.29 (86300) $107.10 $153 5.1×
Candida Dna Dir Probe (87480) $109.20 $156 5.4×
Carboxyhemoglobin (82375) $105 $150 8.5×
Carcinoembryonic antigen (82378) $144.20 $206 7.6×
Cardiolipin ab iga (86147) $112.69 $160.98 4.4×
Carnitine Quantitative Each Specimen (82379) $51.10 $73 3.0×
Catecholamines fractionated (82384) $163.10 $233 6.5×
Ccp antibody (86200) $100.10 $143 7.7×
Cell count csf (89051) $119.70 $171 21.4×
Ceruloplasmin (82390) $75.60 $108 7.0×
Cftr gene com variants (81220) $485.50 $693.57 0.9×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$72.80–$161.70 $104–$231 varies
Chlamydia antibody (86631) $61.60 $88 5.2×
Chlamydia Igm Antibody (86632)
range across 2 matching MRF lines
$61.60–$105.20 $88–$150.28 varies
Chloride Serum (82435) $60.90 $87 13.2×
Chloride urine (82436) $49.83 $71.19 8.7×
Cholesterol total (82465) $44.80 $64 10.3×
Chorionic gonadotropin test (84702) $101.50 $145 6.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $136.20 $194.57 4.1×
Chromium serum (82495) $81.80 $116.85 4.0×
Chromogranin a (86316) $182.70 $261 8.8×
Chromosome Analysis 15-20 (88262) $309.40 $442 2.5×
Chromosome Analysis 20-25 (88264) $597.10 $853 4.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $109.90 $157 3.1×
Ckmb (82553) $112 $160 9.7×
Clostridium Difficile (87324) $115.50 $165 9.6×
Coccidioides antibody (86635) $60.20 $86 5.2×
Cold agglutinin titer (86157) $98.62 $140.89 12.2×
Column Chromotography Quant (82542) $191.80 $274 8.0×
Complement Antigen Each Component (86160) $92.40 $132 7.7×
Consltj&Reprt Material Requiring Prepj Slides (88323) $135.10 $193 2.6×
Coombs direct (86880)
range across 2 matching MRF lines
$65.10–$72.80 $93–$104 varies
Copper urine (82525) $74.20 $106 6.0×
Cortisol free (82530) $155.03 $221.47 9.3×
Cortisol saliva (82533)
range across 2 matching MRF lines
$123.20–$136.50 $176–$195 varies
Creatine kinase total (82550) $85.40 $122 13.1×
Creatinine blood (82565)
range across 2 matching MRF lines
$58.10–$58.80 $83–$84 varies
Creatinine Urine (82570)
range across 3 matching MRF lines
$53.90–$57.40 $77–$82 varies
Crossmatch immediate spin (86920) $196 $280 1.2×
Crp High Sensitivity (86141) $89.73 $128.18 6.9×
Cryptococcus ag titer (87899) $87.50 $125 5.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$74.20–$75.60 $106–$108 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $93.10 $133 12.1×
Culture Anaerobic (87075) $169.40 $242 17.9×
Culture blood (87040)
range across 2 matching MRF lines
$126.70–$127.40 $181–$182 varies
Culture csf (87070)
range across 2 matching MRF lines
$110.60–$112.70 $158–$161 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $44.80 $64 8.6×
Cyclosporine (80158) $113.40 $162 6.3×
Cystatin C (82610) $123.90 $177 6.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$49.70–$116.20 $71–$166 varies
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$64.89–$182 $92.70–$260 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $107.35 $153.36 4.0×
Cytp Concentration Smears & Interpretation (88108) $115.50 $165 3.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $219.76 $313.94 4.3×
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$100.80–$309.40 $144–$442 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$354.90–$432.60 $507–$618 varies
Dgp Antibody Each Ig Class (86258)
range across 3 matching MRF lines
$77.70–$130.20 $111–$186 varies
Dhea (82626) $111.30 $159 4.4×
Dhea-S (82627) $122.50 $175 5.5×
Digoxin (80162) $108.96 $155.65 8.2×
Dihydrotestosterone (82642) $148.37 $211.96 5.1×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$99.40–$104.30 $142–$149 varies
Dna/Rna Amplified Probe (87150) $54.60 $78 1.6×
Drug Assay Lacosamide (80235) $176.40 $252 6.5×
Drug Screen Quant Clozapine (80159) $81.20 $116 4.0×
Drug Screen Quant Zonisamide (80203) $132.30 $189 10.0×
Drug Screen Quantitative Lamotrigine (80175) $90.30 $129 6.8×
Drug Screen Quantitative Levetiracetam (80177) $162.40 $232 12.3×
Drug Screen Quantitative Oxcarbazepine (80183) $96.60 $138 7.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$98–$263.20 $140–$376 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 4 matching MRF lines
$51.10–$83.24 $73–$118.91 varies
Ehrlichia antibody (86666) $58.80 $84 5.8×
El-1 Fecal Quantitative (82653) $277.90 $397 12.1×
Electrolyte panel (80051) $70 $100 10.0×
Enterovirus Antibody (86658) $50.40 $72 3.9×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$106.40–$107.10 $152–$153 varies
Erythropoietin (82668) $130.20 $186 6.9×
Estradiol serum (82670) $137.90 $197 4.9×
Estriol (82677) $119.34 $170.48 4.9×
F2 Gene (81240) $316.40 $452 4.8×
Factor v leiden mutation (81241) $363.30 $519 5.0×
Factor viii assay (85240) $98.70 $141 5.5×
Fecal Fat Qualitative (82705) $65.80 $94 12.9×
Ferritin (82728) $102.90 $147 7.5×
Fetal Chrmoml Aneuploidy (81420) $1,128.74 $1,612.49 1.5×
Fetal screen rosette (85461) $248.03 $354.33 26.5×
Fibrin degradation products (85362) $74.31 $106.16 10.8×
Fibrin Degradation Quant (85379) $119 $170 11.7×
Fibrinogen activity (85384) $110.80 $158.29 11.4×
Flow cytometry first marker (88184) $306.60 $438 0.9×
Fluorescent antibody screen (86255) $90.30 $129 7.5×
Folic acid rbc (82747) $108.96 $155.65 6.2×
Folic Acid Serum (82746) $108.96 $155.65 7.4×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$127.40–$128.10 $182–$183 varies
Frozen Section (88331)
range across 2 matching MRF lines
$123.90–$126 $177–$180 varies
Gammaglobulin ige (82785) $125.30 $179 7.6×
Gardner vag DNA dir probe (87510) $108.50 $155 5.4×
Gastrin (82941) $133.70 $191 7.6×
Ggt (82977) $61.60 $88 8.6×
Giardia antigen (87329) $120.40 $172 10.1×
Glucose 2 hr pp (82950) $49.83 $71.19 10.5×
Glucose Blood Test (82962) $16.91 $24.15 5.2×
Glucose body fluid (82945) $49 $70 12.5×
Glucose Serum (82947) $46.20 $66 11.8×
Glycated Protein (82985) $50.40 $72 3.0×
Gonadotropin Chorionic Qualitative (84703) $66.70 $95.28 8.9×
Growth hormone (83003) $109.20 $156 6.6×
Haptoglobin (83010) $104.30 $149 8.3×
Hdl Cholesterol (83718) $48.30 $69 5.9×
Helicobacter Pylori Stool (87338) $122.50 $175 8.5×
Hematocrit (85014) $34.78 $49.68 14.7×
Hemoglobin (85018) $37.10 $53 15.7×
Hemoglobin a1c (83036) $86.41 $123.44 8.9×
Hemoglobin Chromotography (83021) $97.30 $139 5.4×
Hemoglobin electrophoresis (83020) $130.90 $187 10.2×
Hep a ab igm (86709) $53.90 $77 4.8×
Hepatitis a antibody total (86708) $70 $100 5.6×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$78.40–$83.79 $112–$119.70 varies
Hepatitis b core ab total (86704) $92.40 $132 7.7×
Hepatitis B Surface Antibody (86706) $54.60 $78 5.1×
Hepatitis B Surface Antigen (87340) $86.10 $123 8.3×
Hepatitis Be Antibody (86707) $69.30 $99 6.0×
Hepatitis C Antibody (86803) $120.25 $171.79 8.4×
Hepatitis C Genotype (87902) $287.70 $411 1.1×
Hepatitis C Revrs Trnscrpj (87522) $489.30 $699 11.4×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$41.30–$88.90 $59–$127 varies
Heterophile Antibody Screen (86308) $60.90 $87 11.8×
Hfe Gene (81256) $410.90 $587 6.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $78.67 $112.39 10.2×
Hiv Antigen W/Hiv Antibodies (87806) $70.70 $101 2.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $86.10 $123 3.6×
Hiv-1 Antibody (86701) $78.40 $112 8.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $532 $760 6.3×
HIV-2 probe&revrse trnscripj (87538) $219.95 $314.21 6.3×
Hla I Low Resolution One Antigen Equivalent Each (81374) $267.40 $382 3.6×
Homocysteine (83090) $143.50 $205 8.0×
Hpv High-Risk Types (87624) $182 $260 5.2×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$100.80–$237.30 $144–$339 varies
Htlv-I Antibody (86687) $66.15 $94.50 7.3×
Htlv-ii antibody (86688) $66.15 $94.50 4.7×
Human Epididymis Protein 4 (86305) $234.50 $335 11.3×
Hydroxyprogesterone 17-d (83498) $142.10 $203 5.2×
Iaad Ia Streptococcus Group A (87430) $65.77 $93.96 3.9×
Iaadi inffluenza a virus (87276) $52.50 $75 3.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $75.60 $108 2.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $100.80 $144 2.9×
Iadna Cytomegalovirus Quantification (87497) $214.20 $306 5.0×
Iadna Hepatitis B Virus Quantification (87517) $491.40 $702 11.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $95.90 $137 2.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $161.34 $230.48 4.6×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $151.20 $216 4.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $75.60 $108 2.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $109.90 $157 3.1×
Iadna Nos Direct Probe Tq Each Organism (87797) $75.60 $108 2.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $287 $410 2.0×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$105.70–$111.84 $151–$159.77 varies
Igg subclasses (82787) $100.80 $144 12.6×
Immunfix e-phorsis/urine/csf (86335) $184.10 $263 6.3×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$84.70–$809.17 $121–$1,155.95 varies
Immunoassay infectious agent (86318) $76.30 $109 4.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $80.50 $115 5.4×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$77.70–$119.34 $111–$170.48 varies
Immunofixation electrophoresis (86334) $126.83 $181.18 5.7×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$72.43–$277.20 $103.47–$396 varies
In situ hybridization 1st probe stain (88365) $421.40 $602 2.5×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $51.10 $73 4.2×
Influenza assay w/optic (87804) $31.96 $45.66 1.9×
Inhibin A (86336) $122.50 $175 7.9×
Inhibin b (83520)
range across 2 matching MRF lines
$164.44–$165.20 $234.91–$236 varies
Insitu hybridization manual (88368) $409.50 $585 1.2×
Insulin antibodies (86337) $176.40 $252 8.2×
Insulin total (83525) $78.40 $112 6.9×
Intrinsic factor antibody (86340) $85.40 $122 5.7×
Iron (83540) $65.10 $93 10.1×
Iron Binding Capacity (83550) $68.60 $98 7.8×
Irradiation Blood Product Each Unit (86945) $458.50 $655 12.4×
Islet cell antibody (86341)
range across 2 matching MRF lines
$165.90–$184.10 $237–$263 varies
Jak2 gene analysis p.val617phe variant (81270) $338.80 $484 3.7×
Jak2 Gene Trgt Sequence Alys (81279) $392.70 $561 2.1×
Koh Prep (87220) $40.60 $58 9.5×
Lactate (ld) (ldh) enzyme (83615) $56.70 $81 9.4×
Lactoferrin Fecal Quantitative (83631) $64.40 $92 3.3×
LDL direct (83721) $56 $80 5.3×
Lead (83655) $77.70 $111 6.4×
Legionella antigen urine (87449) $107.10 $153 8.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$16.27–$103.60 $23.24–$148 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$33.08–$163.10 $47.25–$233 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$170.37–$385 $243.38–$550 varies
Lipase (83690) $70.70 $101 10.3×
Lipoprotein A (83695) $75.60 $108 5.3×
Lipoprotein Bld Quan Part (83704) $107.11 $153.02 3.1×
Lithium (80178) $63.70 $91 9.6×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$80.50–$122.50 $115–$175 varies
Lyme disease antibody (86618) $109.20 $156 6.4×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $480.20 $686 2.9×
M/phmtrc alys ishquant/semiq (88374) $424.90 $607 2.5×
Magnesium Urine (83735) $73.26 $104.66 10.9×
Mass Spectrometry Quant (83789) $169.40 $242 7.0×
Mercury urine (83825) $99.40 $142 6.1×
Methylmalonic acid serum (83921) $135.10 $193 6.4×
Microalbumin, quantitative (82043) $74.31 $106.16 12.9×
Microsatellite instability (81301) $251.30 $359 0.7×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$84–$112.70 $120–$161 varies
Mitochondrial Antibody Each (86381) $98 $140 3.9×
Mrsa Pcr (87641) $148.40 $212 4.2×
Mumps antibody (86735) $111.30 $159 8.5×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$107.10–$107.80 $153–$154 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$117.60–$120.40 $168–$172 varies
Natriuretic peptide (83880) $193.90 $277 4.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $402.50 $575 3.1×
Nfct ds bv&vaginitis DNA alg (81515) $189.70 $271 0.7×
Nk cells total count (86357) $68.60 $98 1.8×
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$92.40–$128.80 $132–$184 varies
Occult blood feces (82272) $33.08 $47.25 7.8×
Oncoprotein dcp (83951) $257.60 $368 4.0×
Osmolality serum (83930) $79.10 $113 12.0×
Osmolality Urine (83935) $80.50 $115 11.8×
Ova and parasites smears (87177) $158.20 $226 17.8×
Phenobarbital Level (80184) $99.58 $142.26 6.5×
Phenylalanine (84030) $163.35 $233.36 29.7×
Phenytoin (Dilantin) (80185) $119.34 $170.48 9.0×
Phosphatase alkaline (84075) $43.40 $62 8.4×
Phospholipid Neutralization Hexagonal (85598) $105.70 $151 5.9×
Phosphorus Serum (84100) $46.90 $67 9.9×
Pinworm exam (87172) $30.12 $43.03 7.1×
Platelet count automated (85049) $50.40 $72 11.2×
Platelet neutralization (85597) $139.04 $198.63 7.7×
Potassium Urine (84133) $49.83 $71.19 10.5×
Prealbumin (84134) $90.13 $128.76 6.2×
Pregnenolone (84140) $103.35 $147.64 5.0×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$186.20–$226.17 $266–$323.10 varies
Progesterone (84144) $122.50 $175 5.9×
Prolactin (84146) $116.90 $167 6.0×
Protein body fluid (84157) $41.30 $59 10.3×
Protein C Activity (85303) $162.55 $232.22 11.7×
Protein c antigen (85302) $307.17 $438.81 25.6×
Protein Electrophoresis Urine (84166) $99.40 $142 5.6×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$92.40–$93.10 $132–$133 varies
Protein S Free (85306) $132.47 $189.24 8.6×
Protein s total (85305) $91.70 $131 7.9×
Protein total serum (84155)
range across 2 matching MRF lines
$34.30–$45.07 $49–$64.38 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$55.30–$56 $79–$80 varies
PSA free (84154) $128.80 $184 7.0×
Pth Intact (83970) $212.30 $303.29 5.1×
Q Fever Antibody (86638) $74.90 $107 6.2×
Quantiferon tb gold plus (86480) $242.23 $346.04 3.9×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$76.30–$355.95 $109–$508.50 varies
Rbc antibody identification (86870) $259.70 $371 0.7×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$26.92–$93.80 $38.45–$134 varies
Rbc pretreatment serum (86978) $130.20 $186 2.2×
Renin activity plasma (84244)
range across 2 matching MRF lines
$138.60–$141.40 $198–$202 varies
Reticulocyte Count (85046) $48.30 $69 8.7×
Reticulocyte Count Manual (85044) $45.50 $65 10.6×
Rh (86901) $45.50 $65 15.2×
Rheumatoid factor quant (86431) $65.10 $93 11.5×
Rickettsia antibody (86757) $164.44 $234.91 8.5×
Ristocetin cofactor (85245) $110.60 $158 4.8×
Rpr qualitative (86592) $61.60 $88 14.4×
Rubella Antibody (86762)
range across 3 matching MRF lines
$79.10–$81.20 $113–$116 varies
Rubeola antibody (86765) $119 $170 9.2×
Russell Viper Venom Time Diluted (85613) $99.58 $142.26 10.4×
Sars-cov-2 COVID-19 antibody (86769) $58.80 $84 1.4×
Sarscov2&inf a&b&rsv amp prb (87637) $203 $290 1.4×
Sedimentation Rate, Automated (85652) $45.07 $64.38 16.7×
Selenium (84255) $120.40 $172 4.7×
Semen Anal Sperm Detection (89321) $93.80 $134 7.8×
Semen analysis complete (89322) $172.90 $247 11.2×
Sensitivity mic (87186) $65.10 $93 7.5×
Sex Hormone Binding Globulin (84270) $88.90 $127 4.1×
Sickling of rbc reduction (85660) $44.74 $63.92 8.1×
Sirolimus (80195) $107.10 $153 7.8×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$16.91–$26.92 $24.15–$38.45 varies
Smear acid fast (87206) $95.20 $136 17.7×
Smear complex stain (87209) $93.80 $134 5.2×
Smear gram stain (87205) $52.50 $75 12.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $61.60 $88 10.6×
Sodium Serum (84295) $44.80 $64 9.3×
Sodium Urine (84300) $53.90 $77 10.7×
Soluble Transferrin Receptor (84238) $162.24 $231.77 4.4×
Somatomedin (84305) $230.30 $329 10.8×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$55.44–$182 $79.20–$260 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$38.37–$165.20 $54.82–$236 varies
Specific gravity body fluid (84315) $24.48 $34.97 7.5×
Strep a assay w/optic (87880) $33.81 $48.30 2.0×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$88.90–$107.10 $127–$153 varies
Sugars Single Qual (84376) $25.40 $36.28 4.6×
Surg path level iii (88304)
range across 2 matching MRF lines
$38.37–$207.90 $54.82–$297 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$63.93–$241.50 $91.33–$345 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$283.93–$597.10 $405.62–$853 varies
Syphilis Test Non-Trep Quant (86593) $39.20 $56 8.9×
T cells absolute cd4 count (86361) $196 $280 7.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $210.70 $301 4.5×
T cells total count (86359) $68.60 $98 1.8×
T3 Free (84481)
range across 2 matching MRF lines
$100.10–$100.80 $143–$144 varies
T3 reverse (84482) $107.10 $153 6.8×
T3 Total (84480) $103.60 $148 7.3×
T3 Uptake (84479) $53.90 $77 8.3×
T4 Free (84439) $89.60 $128 9.9×
T4 total (84436) $68.60 $98 10.0×
Tacrolimus (80197) $137.20 $196 10.0×
Test for acetone/ketones (82009) $35.73 $51.04 7.9×
Testosterone Bioavailable (84410) $157.77 $225.38 3.1×
Testosterone total (84403)
range across 2 matching MRF lines
$129.50–$130.20 $185–$186 varies
Testosterone, Free (84402) $119.70 $171 4.7×
Thrombin Time (85670) $45.07 $64.38 7.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $103.60 $148 16.0×
Thyroglobulin (84432) $110.60 $158 6.9×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$81.90–$108.50 $117–$155 varies
Thyroid Stimulating Immunoglobulin (84445) $184.80 $264 3.6×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$70–$79.92 $100–$114.17 varies
Tissue culture bone marrow (88237) $526.40 $752 3.7×
Tissue Culture Lymphocyte (88230) $324.80 $464 2.8×
Tpmt gene com variants (81335) $447.20 $638.86 2.6×
Transferase Aspartate Amino Ast Sgot (84450) $47.60 $68 9.2×
Transferrin (84466) $96.60 $138 7.6×
Trichomonas vagin dir probe (87660) $108.50 $155 5.4×
Trichomonas Vaginalis Amplif (87661) $100.80 $144 2.9×
Triglycerides (84478) $37.10 $53 6.5×
Troponin Quant (84484) $150.06 $214.37 12.0×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$89.49–$255.50 $127.84–$365 varies
Uric acid other source (84560) $74.90 $107 14.7×
Urinalysis Volume Measure (81050) $22.60 $32.28 6.2×
Urine Pregnancy Test (81025) $41.34 $59.05 4.8×
Valproic acid (80164) $116.20 $166 8.6×
Vancomycin (80202) $112.70 $161 8.3×
Varicella-zoster antibody (86787) $73.50 $105 5.7×
Virus antibody nos (86790)
range across 2 matching MRF lines
$112–$116.90 $160–$167 varies
Vit D 1 25-Dihydroxy (82652) $168 $240 4.4×
Vitamin A (84590) $101.50 $145 8.7×
Vitamin b-12 (82607) $119 $170 7.9×
Vitamin B6 (84207) $151.90 $217 5.4×
Vitamin D 25-Hydroxy (82306) $158.90 $227 5.4×
Vitamin E (84446) $104.30 $149 7.4×
Vitamin K (84597) $170.10 $243 12.4×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$131.60–$135.10 $188–$193 varies
Xm Archive Tissue Molec Anal (88363)
range across 2 matching MRF lines
$60.85–$72.80 $86.93–$104 varies
Zinc (84630) $107.10 $153 9.4×

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.