Lab & pathology prices at Champlain Valley Physicians Hospital

Plattsburgh, NY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $183 $183 8.0×
Acetylcholine receptor binding antibody (86041) $177 $177 9.6×
Acetylcholn Rcptr Modlg Antb (86043) $182 $182 15.1×
Acth (82024) $475 $475 12.3×
Acth Stimulation Panel Adrenal Insufficiency (80400) $233 $233 7.1×
Actin smooth muscle antibody each (86015) $57 $57 4.7×
Acute hepatitis panel (80074) $568 $568 11.9×
Acylcarnitines Quant (82017) $242 $242 14.3×
Albumin Fluid (82042)
range across 4 matching MRF lines
$25–$99 $25–$99 varies
Albumin serum (82040)
range across 3 matching MRF lines
$24–$57 $24–$57 varies
Aldolase (82085) $139 $139 14.3×
Aldosterone urine (82088) $449 $449 11.0×
Alkaline phosphatase isoenzymes (84080) $73 $73 4.9×
Allergen specific ige (86003)
range across 14 matching MRF lines
$30–$159 $30–$159 varies
Allg Spec Ige Recomb Ea (86008) $42 $42 2.3×
Alpha-1-antitrypsin phenotype (82104) $48 $48 3.3×
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines
$45–$149 $45–$149 varies
Alpha-Fetoprotein Serum (82105) $298 $298 17.8×
Alt (sgpt) (84460) $99 $99 18.7×
Aluminum (82108) $353 $353 13.9×
Amikacin trough (80150) $273 $273 18.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $236 $236 14.0×
Ammonia (82140) $305 $305 20.9×
Amniotic fluid protein test on cervicovaginal fluid (84112) $165 $165 1.7×
Amylase urine (82150) $101 $101 15.6×
Ana Titer (86039) $99 $99 8.9×
Anca screen each antibody (86036) $234 $234 19.4×
Anca Titer Each Antibody (86037) $36 $36 3.0×
Androstenedione (82157) $144 $144 4.9×
Angiotensin converting enzyme csf (82164) $153 $153 10.5×
Antibody aspergillus (86606) $51 $51 3.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $124 $124 8.0×
Antibody Cytomegalovirus Cmv Igm (86645) $50 $50 3.0×
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines
$25–$33 $25–$33 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $63 $63 4.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $70 $70 3.9×
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$30–$107 $30–$107 varies
Antibody HIV-1&HIV-2 single result (86703) $119 $119 8.7×
Antibody HIV-2 (86702) $120 $120 8.9×
Antibody htlv/HIV antibody confirmatory test (86689) $259 $259 13.4×
Antibody identification leukocyte antibodies (86021) $212 $212 14.1×
Antibody Titer (86886) $240 $240 46.3×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$85–$87 $85–$87 varies
Antibody; encephalitis, st. louis (86653)
range across 3 matching MRF lines
$25–$33 $25–$33 varies
Antigen typing (86905) $701 $701 183.0×
Antinuclear antibodies (86038) $107 $107 8.9×
Antistreptolysin o titer (86060) $120 $120 16.4×
Antithrombin iii activity (85300) $114 $114 9.6×
Apolipoprotein a1 (82172) $123 $123 5.8×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $410 $410 10.9×
Arsenic (82175) $94 $94 5.0×
Aspergillus ag eia (87305) $124 $124 10.4×
Assay activated protein c (85307) $564 $564 36.8×
Assay Blood Carbon Dioxide (82374) $57 $57 11.7×
Assay Dir Meas Fr Estradiol (82681) $83 $83 3.0×
Assay Nephelometry Not Spec (83883) $55 $55 4.0×
Assay of 5-hiaa (83497) $279 $279 21.6×
Assay of anti-mullerian hormone (82166) $170 $170 4.4×
Assay of b-hexosaminidase each assay (83080) $644 $644 38.2×
Assay of blood/uric acid (84550) $99 $99 21.9×
Assay of calcium in urine (82340) $131 $131 21.7×
Assay of estrone (82679) $206 $206 8.3×
Assay of g6pd enzyme (82955) $63 $63 6.5×
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines
$71–$313 $71–$313 varies
Assay of lactic acid (83605) $236 $236 20.4×
Assay of metanephrines (83835) $87 $87 5.1×
Assay of proinsulin (84206) $388 $388 14.5×
Assay of pyruvate (84210) $56 $56 3.9×
Assay of serotonin (84260) $349 $349 11.3×
Assay of serum potassium (84132) $99 $99 20.8×
Assay of Tyrosine (84510) $146 $146 13.7×
Assay of urea nitrogen (84520) $88 $88 22.3×
Assay of urine vma (84585) $55 $55 3.5×
Assay of vasoactive intestinal peptide (84586) $108 $108 3.1×
Assay of vitamin b-1 (84425) $312 $312 14.7×
Assay Ph Body Fluid Nos (83986) $101 $101 28.2×
Assay spec xcp ur&breath ia (82077) $337 $337 19.5×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,103 $1,103 1.3×
Automated Leukocyte Count (85048) $73 $73 28.7×
B cells total count (86355) $302 $302 8.0×
Babesia microti amp prb (87469) $76 $76 2.2×
Bartonella antibody (86611) $84 $84 8.3×
Bcr/abl1 gene major bp (81206) $272 $272 1.7×
Bcr/abl1 gene minor bp (81207) $493 $493 3.4×
Bcr/Abl1 Gene Other Bp (81208) $266 $266 1.2×
Beta 2 glycoprotein i antibody each (86146) $83 $83 3.3×
Beta hydroxybutyrate (82010) $116 $116 14.2×
Beta-2 Microglobulin (82232) $88 $88 5.4×
Bile acids total (82239) $108 $108 6.3×
Bilirubin direct (82248) $101 $101 20.1×
Bilirubin total (82247) $181 $181 36.1×
Bilirubin total transcutaneous (88720) $20 $20 4.0×
Bld Typing Serologic Rh Phnt (86906) $124 $124 16.0×
Blood count reticulocyte automated (85045) $93 $93 23.3×
Blood gas (82803)
range across 5 matching MRF lines
$516–$1,557 $516–$1,557 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $31 $31 1.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $149 $149 23.5×
Blood typing serologic abo (86900) $208 $208 69.6×
Body fluid cell count (89050)
range across 2 matching MRF lines
$127–$240 $127–$240 varies
C diff amplified probe (87493) $349 $349 9.4×
C-Peptide (84681) $286 $286 13.7×
C-reactive protein (86140) $169 $169 32.6×
Ca 19-9 (86301) $263 $263 12.6×
Cadmium (82300) $341 $341 14.4×
Caffeine (80155) $38 $38 1.0×
Calcitonin (82308) $413 $413 15.4×
Calcium ionized (82330) $226 $226 16.5×
Calcium total (82310) $78 $78 15.1×
Calculus Spectroscopy (82365) $42 $42 3.3×
Calprotectin Fecal (83993) $418 $418 21.3×
Calr gene com variants (81219) $954 $954 7.8×
Cancer Antigen 125 (86304) $352 $352 16.9×
Cancer Antigen 27.29 (86300) $273 $273 13.1×
Carbamazepine free (80157) $36 $36 2.7×
Carbamazepine total (80156) $107 $107 7.3×
Carbohydrate Deficient Transferrin (82373) $87 $87 4.8×
Carboxyhemoglobin (82375) $190 $190 15.4×
Carcinoembryonic antigen (82378) $235 $235 12.4×
Cardiolipin ab iga (86147) $55 $55 2.2×
Carnitine Quantitative Each Specimen (82379) $71 $71 4.2×
Catecholamines fractionated (82384) $475 $475 18.8×
Ccp antibody (86200)
range across 3 matching MRF lines
$63–$181 $63–$181 varies
Cell count csf (89051) $228 $228 40.7×
Ceruloplasmin (82390) $177 $177 16.5×
Cftr gene com variants (81220) $2,154 $2,154 3.9×
Cftr gene dup/delet variants (81222) $860 $860 2.0×
Chemiluminescent assay (82397) $376 $376 26.6×
Chloride other source (82438) $99 $99 19.8×
Chloride Serum (82435) $57 $57 12.4×
Chloride urine (82436) $51 $51 8.9×
Cholesterol total (82465) $85 $85 19.5×
Chorionic gonadotropin test (84702) $361 $361 24.0×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $263 $263 9.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $263 $263 7.9×
Chromium serum (82495) $120 $120 5.9×
Chromogenic Substrate Assay (85130) $264 $264 22.2×
Chromogranin a (86316) $296 $296 14.2×
Chromosome Analysis 15-20 (88262) $3,364 $3,364 26.8×
Chromosome Analysis 20-25 (88264) $858 $858 5.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $304 $304 8.7×
Citric acid urine (82507) $137 $137 4.9×
Clot Factor VIII Multimetric (85247) $207 $207 9.0×
Clot factor xiii fibrin stab (85290) $104 $104 6.4×
Clotting factor xii hageman (85280) $106 $106 5.5×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$123–$236 $123–$236 varies
Cns DNA amp probe type 12-25 (87483) $654 $654 1.6×
Coagulation time activated (85347) $49 $49 11.4×
Cold agglutinin titer (86157) $50 $50 6.2×
Collagen crosslinks (82523) $118 $118 6.3×
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$202–$260 $202–$260 varies
Compatibility Each Unit Incubation (86921) $438 $438 2.1×
Compatibility test antiglob (86922) $439 $439 2.1×
Complement Antigen Each Component (86160) $219 $219 18.3×
Complement Total (Ch50) (86162) $334 $334 16.4×
Complement/Function Activity (86161) $124 $124 10.3×
Coombs direct (86880)
range across 5 matching MRF lines
$130–$395 $130–$395 varies
Copper urine (82525) $183 $183 14.7×
Cortisol free (82530) $89 $89 5.3×
Cortisol saliva (82533) $226 $226 13.9×
Creatine kinase total (82550) $177 $177 27.2×
Creatinine blood (82565) $99 $99 19.3×
Creatinine clearance (82575) $287 $287 30.3×
Creatinine Urine (82570)
range across 3 matching MRF lines
$78–$98 $78–$98 varies
Crossmatch electronic (86923) $102 $102 0.5×
Crossmatch immediate spin (86920) $183 $183 0.9×
Crp High Sensitivity (86141) $153 $153 11.8×
Cryofibrinogen (82585) $40 $40 2.8×
Cryoglobulin (82595) $51 $51 7.9×
Cryptococcus ag titer (87899)
range across 6 matching MRF lines
$53–$188 $53–$188 varies
Cryptosporidium (87272) $206 $206 17.2×
Cryptosporidium ag eia (87328) $94 $94 6.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $149 $149 18.4×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $215 $215 26.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $100 $100 13.0×
Culture afb (87116) $102 $102 9.4×
Culture Anaerobic (87075) $375 $375 39.6×
Culture blood (87040) $262 $262 25.4×
Culture csf (87070) $208 $208 24.1×
Culture fungus (87102) $315 $315 37.5×
Culture screen only (87081)
range across 5 matching MRF lines
$123–$208 $123–$208 varies
Culture stool (87045) $247 $247 26.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $87 $87 16.8×
Culture urine (87086) $154 $154 19.1×
Cyclosporine (80158) $188 $188 10.4×
Cystatin C (82610) $125 $125 6.7×
Cytogenetics 10-30 (88273) $178 $178 5.1×
Cytogenetics 100-300 (88275) $278 $278 5.4×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$1,818–$1,909 $1,818–$1,909 varies
Cytomegalovirus igg (86644) $317 $317 22.0×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $205 $205 10.1×
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$266–$337 $266–$337 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $239 $239 9.0×
Cytp Concentration Smears & Interpretation (88108) $154 $154 3.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $475 $475 7.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $254 $254 1.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $237 $237 5.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $195 $195 5.4×
Deoxyribonuclease antibody (86215) $281 $281 21.2×
Detect Agent Nos Dna Amp (87798)
range across 15 matching MRF lines
$165–$746 $165–$746 varies
Detect Agent Nos Dna Quant (87799) $143 $143 3.3×
Detect agnt mult DNA ampli (87801) $487 $487 6.9×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$63–$234 $63–$234 varies
Dhea (82626) $427 $427 16.9×
Dhea-S (82627) $103 $103 4.6×
Digoxin (80162) $210 $210 15.8×
Dihydrotestosterone (82642) $92 $92 3.1×
Dipropylacetic Acid Free (80165) $287 $287 21.2×
Dna Antibody Native/Double Stranded (86225) $162 $162 11.8×
Dna/Rna Amplified Probe (87150) $215 $215 6.1×
DNA/RNA direct probe (87149) $262 $262 13.1×
Drug assay acetaminophen (80143) $416 $416 22.3×
Drug assay adalimumab (80145) $444 $444 11.5×
Drug Assay Everolimus (80169) $94 $94 6.8×
Drug assay felbamate (80167) $350 $350 18.8×
Drug Assay Infliximab (80230) $220 $220 5.7×
Drug Assay Itraconazole (80189) $63 $63 2.3×
Drug Assay Lacosamide (80235) $320 $320 11.8×
Drug Assay Leflunomide (80193) $63 $63 1.6×
Drug Assay Posaconazole (80187) $88 $88 3.2×
Drug Assay Vedolizumab (80280) $307 $307 8.0×
Drug assay voriconazole (80285) $320 $320 11.8×
Drug Screen Quant Clozapine (80159) $63 $63 3.1×
Drug Screen Quant Zonisamide (80203) $305 $305 23.0×
Drug Screen Quantitative Gabapentin (80171) $289 $289 13.3×
Drug Screen Quantitative Lamotrigine (80175) $254 $254 19.2×
Drug Screen Quantitative Levetiracetam (80177) $250 $250 18.9×
Drug Screen Quantitative Oxcarbazepine (80183) $300 $300 22.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$212–$470 $212–$470 varies
Drug Test Prsmv Instrmnt (80306) $470 $470 27.4×
El-1 Fecal Quantitative (82653) $170 $170 7.4×
Electrolyte panel (80051) $212 $212 30.2×
Electron Microscopy (88348) $2,187 $2,187 2.2×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $166 $166 2.7×
Encephaltis East Eqne Anbdy (86652)
range across 5 matching MRF lines
$25–$39 $25–$39 varies
Encephaltis West Eqne Antbdy (86654)
range across 3 matching MRF lines
$25–$33 $25–$33 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $234 $234 19.4×
Enterovirus PCR (87498) $133 $133 3.8×
Enzyme cell activity (82657) $544 $544 24.5×
Eosinophil Smear (89190) $89 $89 15.4×
Erythropoietin (82668) $352 $352 18.7×
Estradiol serum (82670) $375 $375 13.4×
Estriol (82677) $102 $102 4.2×
Estrogens fractionated (82671) $375 $375 11.6×
Ethylene Glycol (82693) $124 $124 8.3×
Exam Synovial Fluid Crystals (89060) $165 $165 22.5×
F2 Gene (81240) $113 $113 1.7×
Factor ii activity (85210) $303 $303 23.3×
Factor Inhibitor Test (85335) $487 $487 37.8×
Factor ix activity (85250) $130 $130 6.8×
Factor v activity (85220) $125 $125 7.1×
Factor v leiden mutation (81241) $323 $323 4.4×
Factor vii assay (85230) $106 $106 5.9×
Factor viii assay (85240) $84 $84 4.7×
Factor X (85260) $106 $106 5.9×
Factor xi activity (85270) $106 $106 5.9×
Fat/Lipids Feces Quantitative (82710) $368 $368 21.9×
Fatty acids free (82725) $260 $260 13.9×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $547 $547 31.8×
Ferritin (82728) $266 $266 19.5×
Fetal Congenital Abnor Assay Four Anal (81511) $298 $298 1.9×
Fetal Fibronectin (82731) $956 $956 14.8×
Fetal screen rosette (85461) $102 $102 10.9×
Fibrin Degradation Quant (85379) $312 $312 30.6×
Fibrinogen activity (85384) $180 $180 18.5×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $76 $76 4.9×
Flecainide level (80181) $72 $72 3.9×
Flow cytometry first marker (88184) $57 $57 0.1×
Fluorescent antibody screen (86255)
range across 20 matching MRF lines
$57–$517 $57–$517 varies
Fmr1 Gene Charac Alleles (81244) $339 $339 7.6×
Fmr1 gene detection (81243) $340 $340 6.0×
Folic Acid Serum (82746) $240 $240 16.3×
Follicle Stimulating Hormone (83001) $210 $210 11.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $407 $407 1.9×
Frozen Section (88331) $447 $447 2.1×
Fungi Identification Mold (87107) $100 $100 9.7×
Fungi Identification Yeast (87106) $205 $205 19.9×
Gammaglobulin ige (82785) $129 $129 7.8×
Gastrin (82941) $289 $289 16.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $612 $612 1.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,387 $2,387 3.1×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,616 $3,616 1.2×
Gentamicin (80170) $368 $368 22.5×
Ggt (82977) $123 $123 17.1×
Giardia antigen (87329) $197 $197 16.4×
Glucagon (82943) $385 $385 26.9×
Glucose 2 hr pp (82950) $189 $189 39.8×
Glucose Blood Test (82962) $19 $19 5.8×
Glucose body fluid (82945) $141 $141 35.9×
Glucose Serum (82947) $84 $84 21.4×
Glucose tolerance test (gtt) (82951) $214 $214 16.6×
Glycated Protein (82985) $161 $161 9.6×
Growth hormone (83003) $250 $250 15.0×
Gtt-added samples (82952) $87 $87 22.2×
Haptoglobin (83010) $215 $215 17.1×
Hba1/hba2 full gene sequence (81259) $546 $546 0.9×
Hbb Full Gene Sequence (81364) $546 $546 1.7×
Hdl Cholesterol (83718) $113 $113 13.8×
Helicobacter Pylori Stool (87338) $180 $180 12.5×
Helminth Antibody (86682) $226 $226 17.4×
Hematocrit (85014) $234 $234 98.7×
Hemoglobin (85018) $85 $85 35.9×
Hemoglobin a1c (83036) $190 $190 19.6×
Hemoglobin Chromotography (83021) $70 $70 3.9×
Hemoglobin electrophoresis (83020) $181 $181 14.1×
Hemoglobin Methemoglobin Quantitative (83050) $171 $171 20.9×
Hemoglobin plasma (83051) $59 $59 8.1×
Hemoglobin stability screen (83068) $87 $87 9.2×
Hep a ab igm (86709) $247 $247 21.9×
Heparin assay (85520) $254 $254 19.4×
Heparin Neutralization (85525) $98 $98 8.3×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$33–$108 $33–$108 varies
Hepatitis b core ab igm (86705) $248 $248 21.1×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$57–$263 $57–$263 varies
Hepatitis B Surface Antibody (86706) $210 $210 19.6×
Hepatitis B Surface Antigen (87340) $211 $211 20.4×
Hepatitis Be Antibody (86707) $33 $33 2.9×
Hepatitis Be Antigen (87350) $33 $33 2.9×
Hepatitis C Antibody (86803) $305 $305 21.4×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$149–$946 $149–$946 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $376 $376 10.7×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$126–$665 $126–$665 varies
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$34–$107 $34–$107 varies
Heterophile Antibody Screen (86308) $172 $172 33.2×
Hfe Gene (81256) $251 $251 3.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $341 $341 44.1×
Histamine urine (83088) $206 $206 7.0×
Histoplasma antibody (86698) $210 $210 15.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $118 $118 4.9×
Hiv-1 Antibody (86701) $120 $120 13.5×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$124–$137 $124–$137 varies
Hla Class I Typing Low Resolution One Locus Each (81373) $241 $241 1.9×
Hla I Low Resolution One Antigen Equivalent Each (81374) $304 $304 4.1×
Hla ii typing 1 locus lr (81376) $247 $247 2.0×
Hla-b27 (86812) $120 $120 4.6×
Homocysteine (83090) $243 $243 13.6×
Homogenization Tissue (87176) $54 $54 9.2×
Homovanillic acid urine (83150) $89 $89 4.0×
Hpv sep hi-rsk typ&pool rslt (87626) $337 $337 4.8×
Hsv Dna Amp Probe (87529) $113 $113 3.2×
Hsv Dna Quant (87530) $255 $255 6.0×
Htlv-I Antibody (86687) $176 $176 19.4×
Htlv-ii antibody (86688) $176 $176 12.6×
Htt Gene Detc Abnor Alleles (81271) $410 $410 3.0×
Hydroxyprogesterone 17-d (83498) $376 $376 13.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $247 $247 23.9×
Iaad ia shiga-like toxin (87427) $188 $188 15.7×
Iaadi giardia (87269) $114 $114 8.4×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $88 $88 2.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $207 $207 5.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $165 $165 4.7×
Iadna Cytomegalovirus Quantification (87497) $137 $137 3.2×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $99 $99 2.8×
Iadna hepatitis b virus amplified probe tq (87516) $191 $191 5.4×
Iadna Hepatitis B Virus Quantification (87517) $635 $635 14.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $133 $133 3.8×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $192 $192 2.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $308 $308 7.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $304 $304 8.7×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines
$51–$92 $51–$92 varies
Igg subclasses (82787)
range across 2 matching MRF lines
$22–$182 $22–$182 varies
Igh gene rearrange amp meth (81261) $508 $508 2.6×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,356 $1,356 4.6×
Igk rearrangeabn clonal pop (81264) $334 $334 1.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $211 $211 0.5×
Immunfix e-phorsis/urine/csf (86335) $255 $255 8.7×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$177–$447 $177–$447 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $76 $76 5.1×
Immunoassay nonantibody (83516)
range across 13 matching MRF lines
$220–$234 $220–$234 varies
Immunofixation electrophoresis (86334) $155 $155 6.9×
Immunofluorescence per spec 1st singl antb stain (88346) $248 $248 1.2×
Immunohistochemistry (88342) $471 $471 2.2×
In situ hybridization 1st probe stain (88365) $567 $567 2.7×
In situ hybridization ea multiplex probe stain (88366) $428 $428 2.0×
Inhibin A (86336) $101 $101 6.5×
Inhibin b (83520)
range across 16 matching MRF lines
$63–$393 $63–$393 varies
Insulin antibodies (86337) $394 $394 18.4×
Insulin free (83527) $85 $85 6.6×
Insulin total (83525) $51 $51 4.5×
Intrinsic factor antibody (86340) $279 $279 18.5×
Iron (83540) $143 $143 22.1×
Iron Binding Capacity (83550) $143 $143 16.4×
Islet cell antibody (86341) $464 $464 19.7×
Jak2 gene analysis p.val617phe variant (81270) $430 $430 4.7×
Koh Prep (87220) $123 $123 28.8×
Lactate (ld) (ldh) enzyme (83615) $84 $84 13.9×
Lactoferrin fecal qualitative (83630) $139 $139 7.1×
Lactoferrin Fecal Quantitative (83631) $237 $237 12.1×
LDL direct (83721) $98 $98 9.3×
Lead (83655) $181 $181 14.9×
Legionella antigen urine (87449) $215 $215 17.9×
Leptospira antibody (86720) $177 $177 10.9×
Leukocyte Assessment Fecal (89055) $107 $107 25.1×
Leukocyte Histamine Release (86343) $288 $288 23.1×
Level I Surg Pathology Gross Examination Only (88300) $121 $121 3.4×
Level ii surg pathology gross&microscopic exam (88302) $303 $303 6.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $664 $664 1.5×
Lipase (83690)
range across 2 matching MRF lines
$102–$214 $102–$214 varies
Lipoprotein A (83695) $50 $50 3.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $55 $55 4.9×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $200 $200 5.9×
Lithium (80178) $173 $173 26.2×
Luteinizing Hormone (Lh) (83002) $210 $210 11.3×
Lyme disease antibody (86618) $266 $266 15.6×
M. Genitalium Amp Probe (87563) $247 $247 7.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$158–$688 $158–$688 varies
Macroscopic exam arthropod (87168) $66 $66 15.5×
Macroscopic Exam Parasite (87169) $212 $212 49.2×
Magnesium Urine (83735) $77 $77 11.5×
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$71–$196 $71–$196 varies
Mercury urine (83825) $80 $80 4.9×
Methotrexate (80204) $215 $215 5.6×
Methylmalonic acid serum (83921) $480 $480 22.6×
Microalbumin, quantitative (82043) $120 $120 20.8×
Microbe Suscept Macrobroth (87188) $126 $126 19.0×
Microsomal Antibodies Each (86376) $88 $88 6.0×
Mitochondrial Antibody Each (86381) $123 $123 4.8×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $707 $707 18.7×
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$121–$158 $121–$158 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $421 $421 9.9×
Mopath procedure level 4 (81403) $901 $901 4.9×
Mpl gene analysis sequence analysis exon 10 (81339) $389 $389 2.1×
Mrsa Pcr (87641) $215 $215 6.1×
Mumps antibody (86735)
range across 3 matching MRF lines
$59–$205 $59–$205 varies
Muscle-Specific Kinase Antb (86366) $506 $506 27.5×
Mycobacteric Identification (87118) $262 $262 17.9×
Mycophenolic Acid (80180) $48 $48 2.7×
Mycoplasma antibody (86738) $107 $107 8.1×
Myoglobin urine (83874) $328 $328 25.4×
Natriuretic peptide (83880) $375 $375 9.6×
Neutralization Test Viral (86382) $208 $208 12.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $188 $188 1.5×
Nfct ds bv&vaginitis DNA alg (81515) $340 $340 1.3×
Nfct ds chrnc hcv 6 assays (81596) $123 $123 1.7×
Nk cells total count (86357) $77 $77 2.0×
Nuclear antigen antibody (86235)
range across 14 matching MRF lines
$92–$189 $92–$189 varies
Obstetric panel (80081) $664 $664 8.9×
Occult blood feces (82272) $116 $116 27.4×
Occult Blood Other Sources (82271) $182 $182 34.2×
Oligoclonal bands (83916) $96 $96 3.5×
Organic Acids Qualitative Each Specimen (83919) $106 $106 6.4×
Osmolality serum (83930) $137 $137 20.7×
Osmolality Urine (83935) $131 $131 19.2×
Osmotic fragility rbc incubated (85557) $389 $389 29.1×
Ova and parasites smears (87177) $153 $153 17.2×
Oxalate urine (83945) $63 $63 4.4×
Parvovirus antibody (86747) $92 $92 6.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $202 $202 0.2×
Ph urine (81003) $143 $143 63.6×
Phenobarbital Level (80184) $226 $226 14.8×
Phenylalanine (84030) $129 $129 23.5×
Phenytoin (Dilantin) (80185) $266 $266 20.1×
Phenytoin free (80186) $89 $89 6.5×
Phosphatase acid prostatic (84066) $53 $53 5.5×
Phosphatase alkaline (84075) $83 $83 16.0×
Phospholipid Neutralization Hexagonal (85598) $195 $195 10.8×
Phosphorus Serum (84100) $102 $102 21.5×
Phosphorus urine (84105) $131 $131 22.7×
Pinworm exam (87172) $74 $74 17.3×
Platelet Aggregation (85576) $103 $103 4.1×
Platelet Antibodies (86022) $650 $650 35.4×
Platelet count automated (85049) $133 $133 29.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $721 $721 3.5×
Pneumcysts jirovecii amp prb (87594) $165 $165 4.7×
Pooling blood platelets (86965) $237 $237 1.1×
Porphobilinogen, urine; quantitative (84110) $40 $40 4.7×
Porphyrins Urine Quantitation & Fractionation (84120) $40 $40 2.7×
Potassium Urine (84133) $145 $145 30.7×
Prealbumin (84134) $153 $153 10.5×
Pregnenolone (84140) $231 $231 11.2×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $395 $395 1.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $108 $108 1.5×
Primidone (80188) $101 $101 6.1×
Procalcitonin (Pct) (84145) $165 $165 6.1×
Progesterone (84144) $275 $275 13.2×
Prolactin (84146) $315 $315 16.3×
Prostaglandin (84150) $104 $104 2.5×
Protein body fluid (84157) $154 $154 38.5×
Protein C Activity (85303) $259 $259 18.7×
Protein c antigen (85302) $507 $507 42.2×
Protein Electrophoresis Urine (84166) $71 $71 4.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $255 $255 23.7×
Protein S Free (85306) $259 $259 16.9×
Protein s total (85305) $29 $29 2.5×
Protein total serum (84155) $74 $74 20.2×
Protein Total Urine (84156) $109 $109 29.7×
Protein Western Blot Test (84182) $236 $236 8.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $92 $92 23.4×
PSA free (84154) $252 $252 13.7×
Pth Intact (83970) $551 $551 13.3×
Q Fever Antibody (86638) $53 $53 4.4×
Quantiferon tb gold plus (86480) $118 $118 1.9×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$153–$444 $153–$444 varies
Quantitative Screen Metals (83018) $162 $162 7.4×
Rbc antibody elution (86860) $395 $395 1.9×
Rbc antibody identification (86870) $376 $376 0.8×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$131–$219 $131–$219 varies
Rbc pretreatment serum (86978) $228 $228 3.1×
Rbc pretx incubatj w/enzymes (86971) $701 $701 3.3×
Reagent Strip/Blood Glucose (82948) $19 $19 3.8×
Renin activity plasma (84244) $330 $330 15.0×
Resp Virus 6-11 Targets (87632) $755 $755 3.5×
Reticulated Platelet Assay (85055) $100 $100 2.8×
Reticulocyte Count (85046) $94 $94 16.9×
Rh (86901) $108 $108 36.1×
Rheumatoid Factor Qualitative (86430) $120 $120 19.5×
Rheumatoid factor quant (86431) $165 $165 29.1×
Rickettsia antibody (86757) $114 $114 5.9×
Ristocetin cofactor (85245) $85 $85 3.7×
Rotavirus ag eia (87425) $296 $296 24.7×
Rpr qualitative (86592) $121 $121 28.3×
Rubella Antibody (86762) $96 $96 6.7×
Rubeola antibody (86765) $234 $234 18.2×
Russell Viper Venom Time Diluted (85613) $48 $48 5.0×
Salicylate Level (80179) $267 $267 14.3×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$125–$143 $125–$143 varies
Sarscov2&inf a&b&rsv amp prb (87637) $296 $296 2.1×
Sedimentation Rate, Automated (85652) $83 $83 30.7×
Selenium (84255) $178 $178 7.0×
Semen analysis complete (89320) $267 $267 21.7×
Semen analysis motility and count (89310) $89 $89 10.3×
Sensitivity mic (87186) $162 $162 18.7×
Sex Hormone Binding Globulin (84270) $231 $231 10.6×
Sickling of rbc reduction (85660) $52 $52 9.4×
Sirolimus (80195) $232 $232 16.9×
Skin test tuberculosis intradermal (86580) $38 $38 1.1×
Smear acid fast (87206)
range across 4 matching MRF lines
$70–$169 $70–$169 varies
Smear complex stain (87209) $174 $174 9.7×
Smear gram stain (87205) $107 $107 25.1×
Smear Special Stain (87207)
range across 2 matching MRF lines
$93–$215 $93–$215 varies
Smn1 Gene Dos/Deletion Alys (81329) $477 $477 3.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $83 $83 14.3×
So neo gsap DNA mcrstl ins (81457) $2,242 $2,242 2.5×
So neo gsap DNA/DNA&RNA (81459) $5,621 $5,621 1.9×
Sodium Serum (84295) $64 $64 13.3×
Sodium Urine (84300) $143 $143 28.3×
Soluble Transferrin Receptor (84238) $92 $92 2.5×
Somatomedin (84305) $377 $377 17.7×
Special Stains Group 1 (88312) $229 $229 3.5×
Special Stains Group 2 (88313) $174 $174 1.0×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$125–$129 $125–$129 varies
Spectrophotometry (84311) $216 $216 26.7×
Splitting Blood/Blood Products Each Unit (86985) $237 $237 1.1×
Stool cultr aerobic bact ea (87046) $77 $77 8.2×
Strep a DNA amp probe (87651) $247 $247 7.0×
Strep b DNA amp probe (87653) $230 $230 6.6×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $350 $350 3.8×
Sulfate urine (84392) $51 $51 9.3×
Surg path level iii (88304) $370 $370 5.7×
Surgical pathology level IV (88305) $475 $475 7.3×
Surgical pathology level vi (88309) $817 $817 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $102 $102 21.5×
Susceptibility Study Antimicrobial Disk Method (87184) $172 $172 23.0×
Syphilis Test Non-Trep Quant (86593) $101 $101 23.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $120 $120 2.6×
T cells total count (86359) $121 $121 3.2×
T3 Free (84481) $278 $278 16.4×
T3 reverse (84482) $57 $57 3.6×
T3 Total (84480) $205 $205 14.5×
T3 Uptake (84479) $71 $71 11.0×
T4 Free (84439) $173 $173 19.2×
T4 total (84436) $74 $74 10.8×
Tacrolimus (80197) $243 $243 17.7×
Testosterone Bioavailable (84410) $106 $106 2.1×
Testosterone total (84403) $383 $383 14.8×
Testosterone, Free (84402) $125 $125 4.9×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $3,332 $3,332 5.6×
Theophylline (80198) $103 $103 7.3×
Thiopurine methyltransferase (84433) $385 $385 17.4×
Thrombin Time (85670) $85 $85 14.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $45 $45 7.0×
Thyroglobulin (84432) $404 $404 25.2×
Thyroglobulin Antibody (86800) $103 $103 6.5×
Thyroid Stimulating Immunoglobulin (84445) $766 $766 15.1×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$234–$240 $234–$240 varies
Tissue Culture (88233) $649 $649 4.6×
Tissue culture bone marrow (88237) $876 $876 6.1×
Tissue Culture Lymphocyte (88230) $295 $295 2.5×
Tobramycin peak (80200) $385 $385 23.9×
Topiramate (80201) $292 $292 24.5×
Toxoplasma ab igm (86778) $101 $101 7.0×
Toxoplasma antibody (86777) $261 $261 18.1×
Transferase Aspartate Amino Ast Sgot (84450) $96 $96 18.5×
Transferrin (84466) $223 $223 17.5×
Trb@ Rearrangement Anal Amplification Method (81340) $394 $394 1.9×
Trg gene rearrangement anal (81342) $394 $394 2.0×
Trichomonas Vaginalis Amplif (87661) $120 $120 3.4×
Triglycerides (84478) $118 $118 20.6×
Troponin Quant (84484) $347 $347 27.8×
Tumor Immunohistochem/Manual (88360) $498 $498 2.3×
Urea Nitrogen Clearance (84545) $94 $94 13.1×
Urea nitrogen urine (84540) $125 $125 22.5×
Uric acid other source (84560) $137 $137 27.0×
Urinalysis Microscopic Only (81015) $53 $53 17.4×
Urinalysis Volume Measure (81050) $55 $55 15.1×
Urine Bacteria Culture (87088) $180 $180 22.2×
Urine Pregnancy Test (81025) $123 $123 14.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $131 $131 41.3×
Valproic acid (80164) $287 $287 21.2×
Vancomycin (80202) $273 $273 20.2×
Varicella-zoster antibody (86787) $260 $260 20.2×
Vasopressin (84588) $277 $277 8.2×
Very Long Chain Fatty Acids (82726) $153 $153 7.7×
Virus antibody nos (86790) $195 $195 15.1×
Viscosity serum (85810) $123 $123 10.5×
Vit D 1 25-Dihydroxy (82652) $463 $463 12.0×
Vitamin A (84590) $286 $286 24.6×
Vitamin b-12 (82607) $261 $261 17.3×
Vitamin B2 (Riboflavin) (84252) $84 $84 4.2×
Vitamin B6 (84207) $393 $393 14.0×
Vitamin c (82180) $393 $393 39.7×
Vitamin D 25-Hydroxy (82306) $376 $376 12.7×
Vitamin E (84446) $278 $278 19.6×
Vitamin K (84597) $181 $181 13.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $54 $54 4.5×
Von willebrand factor ag (85246) $98 $98 4.3×
West nile virus ab igm (86788) $223 $223 13.2×
West Nile Virus Antibody (86789) $192 $192 13.3×
Zinc (84630) $78 $78 6.8×

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.