Lab & pathology prices at Chase County Community Hospital
Imperial, NE · every code in this section with a posted price and a Medicare benchmark.
481 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $109 | $109 | 9.8× |
| Acth (82024) | $328 | $328 | 8.5× |
| Acute hepatitis panel (80074) | $200 | $200 | 4.2× |
| Acylcarnitines Quant (82017) | $357 | $357 | 21.2× |
| Albumin Fluid (82042) | $85 | $85 | 10.9× |
| Albumin serum (82040) range across 2 matching MRF lines |
$64–$68 | $64–$68 | varies |
| Aldolase (82085) | $138 | $138 | 14.2× |
| Aldosterone urine (82088) | $341 | $341 | 8.4× |
| Alkaline phosphatase isoenzymes (84080) | $204 | $204 | 13.8× |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$16–$30 | $16–$30 | varies |
| Allergen specific ige (86003) range across 73 matching MRF lines |
$12–$111 | $12–$111 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$45–$61 | $45–$61 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $231 | $231 | 16.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$177–$243 | $177–$243 | varies |
| Alpha-Fetoprotein Serum (82105) | $75 | $75 | 4.5× |
| Alt (sgpt) (84460) | $68 | $68 | 12.8× |
| Aluminum (82108) | $156 | $156 | 6.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $21 | $21 | 0.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$255–$768 | $255–$768 | varies |
| Ammonia (82140) | $65 | $65 | 4.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $231 | $231 | 2.4× |
| Amylase urine (82150) range across 2 matching MRF lines |
$22–$143 | $22–$143 | varies |
| Ana Titer (86039) | $91 | $91 | 8.2× |
| Androstenedione (82157) | $126 | $126 | 4.3× |
| Angiotensin converting enzyme csf (82164) | $214 | $214 | 14.7× |
| Antibody aspergillus (86606) | $16 | $16 | 1.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $321 | $321 | 20.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $323 | $323 | 19.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $58 | $58 | 4.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $58 | $58 | 3.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $58 | $58 | 3.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $41 | $41 | 3.3× |
| Antibody helicobacter pylori (86677) | $243 | $243 | 14.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $140 | $140 | 9.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$111–$124 | $111–$124 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $137 | $137 | 10.0× |
| Antibody Protozoa Nes (86753) | $233 | $233 | 18.8× |
| Antibody Titer (86886) | $65 | $65 | 12.5× |
| Antibody Treponema Pallidum (86780) | $41 | $41 | 3.1× |
| Antibody; influenza virus (86710) | $48 | $48 | 3.5× |
| Antigen typing (86905) range across 2 matching MRF lines |
$108–$255 | $108–$255 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $157 | $157 | 27.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$43–$157 | $43–$157 | varies |
| Antistreptolysin o titer (86060) | $146 | $146 | 20.0× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$75–$133 | $75–$133 | varies |
| Apolipoprotein a1 (82172) | $60 | $60 | 2.8× |
| Arsenic (82175) | $187 | $187 | 9.9× |
| Aspergillus ag eia (87305) | $223 | $223 | 18.6× |
| Assay Blood Carbon Dioxide (82374) | $32 | $32 | 6.6× |
| Assay Nephelometry Not Spec (83883) | $88 | $88 | 6.5× |
| Assay of 5-hiaa (83497) | $232 | $232 | 18.0× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$11–$91 | $11–$91 | varies |
| Assay of calcium in urine (82340) | $24 | $24 | 4.0× |
| Assay of cpk in blood (82552) | $234 | $234 | 17.5× |
| Assay of estrone (82679) | $385 | $385 | 15.4× |
| Assay of g6pd enzyme (82955) | $189 | $189 | 19.5× |
| Assay of gammaglobulin igm (82784) range across 11 matching MRF lines |
$42–$163 | $42–$163 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$165–$287 | $165–$287 | varies |
| Assay of metanephrines (83835) | $354 | $354 | 20.9× |
| Assay of serotonin (84260) | $187 | $187 | 6.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$83–$89 | $83–$89 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21–$82 | $21–$82 | varies |
| Assay of urine vma (84585) | $201 | $201 | 13.0× |
| Assay of vasoactive intestinal peptide (84586) | $168 | $168 | 4.8× |
| Assay of vitamin b-1 (84425) | $321 | $321 | 15.1× |
| Assay Ph Body Fluid Nos (83986) | $86 | $86 | 24.0× |
| B cells total count (86355) range across 3 matching MRF lines |
$96–$389 | $96–$389 | varies |
| Bartonella antibody (86611) | $211 | $211 | 20.7× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$291–$1,575 | $291–$1,575 | varies |
| Bcr/abl1 gene minor bp (81207) | $291 | $291 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $184 | $184 | 7.2× |
| Beta hydroxybutyrate (82010) | $79 | $79 | 9.7× |
| Beta Lactamase (87185) | $33 | $33 | 6.9× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$73–$75 | $73–$75 | varies |
| Bile acids total (82239) | $128 | $128 | 7.5× |
| Bilirubin direct (82248) | $96 | $96 | 19.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$11–$96 | $11–$96 | varies |
| Biotinidase (82261) | $12 | $12 | 0.7× |
| Blastomyces antibody (86612) | $80 | $80 | 6.2× |
| Bld Typing Serologic Rh Phnt (86906) | $166 | $166 | 21.4× |
| Bleeding time test (85002) | $132 | $132 | 27.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $87 | $87 | 22.9× |
| Blood gas (82803) | $347 | $347 | 13.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $79 | $79 | 5.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $64 | $64 | 14.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $154 | $154 | 24.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $111 | $111 | 6.8× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$13–$271 | $13–$271 | varies |
| Body fluid cell count (89050) | $87 | $87 | 18.4× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$71–$110 | $71–$110 | varies |
| Braf gene analysis (81210) | $804 | $804 | 4.6× |
| Brca1&2 gen full seq dup/del (81162) | $3,473 | $3,473 | 1.9× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$114–$121 | $114–$121 | varies |
| C-Peptide (84681) | $87 | $87 | 4.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$26–$167 | $26–$167 | varies |
| Ca 19-9 (86301) | $98 | $98 | 4.7× |
| Cadmium (82300) | $78 | $78 | 3.3× |
| Calcitonin (82308) | $143 | $143 | 5.3× |
| Calcium ionized (82330) | $61 | $61 | 4.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$21–$82 | $21–$82 | varies |
| Calculus assay quant (82360) | $238 | $238 | 18.5× |
| Calprotectin Fecal (83993) | $686 | $686 | 34.9× |
| Calr gene com variants (81219) | $539 | $539 | 4.4× |
| Cancer Antigen 125 (86304) | $211 | $211 | 10.1× |
| Cancer Antigen 27.29 (86300) | $94 | $94 | 4.5× |
| Candida Dna Dir Probe (87480) | $94 | $94 | 4.7× |
| Carbamazepine total (80156) | $48 | $48 | 3.3× |
| Carboxyhemoglobin (82375) | $76 | $76 | 6.2× |
| Carcinoembryonic antigen (82378) | $189 | $189 | 10.0× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$77–$240 | $77–$240 | varies |
| Carnitine Quantitative Each Specimen (82379) | $108 | $108 | 6.4× |
| Catecholamines fractionated (82384) | $303 | $303 | 12.0× |
| Catecholamines total urine (82382) | $87 | $87 | 3.2× |
| Ccp antibody (86200) | $71 | $71 | 5.5× |
| Cell count csf (89051) | $87 | $87 | 15.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $383 | $383 | 2.8× |
| Ceruloplasmin (82390) | $58 | $58 | 5.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$193–$417 | $193–$417 | varies |
| Chlamydia antibody (86631) | $255 | $255 | 21.6× |
| Chlamydia Igm Antibody (86632) | $175 | $175 | 13.8× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$21–$54 | $21–$54 | varies |
| Chloride urine (82436) | $24 | $24 | 4.2× |
| Cholesterol total (82465) | $92 | $92 | 21.1× |
| Cholinesterase rbc (82482) | $75 | $75 | 7.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$72–$229 | $72–$229 | varies |
| Chromogranin a (86316) | $458 | $458 | 22.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$34–$169 | $34–$169 | varies |
| Citric acid urine (82507) | $134 | $134 | 4.8× |
| Ckmb (82553) range across 2 matching MRF lines |
$75–$229 | $75–$229 | varies |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$56–$224 | $56–$224 | varies |
| Coccidioides antibody (86635) | $142 | $142 | 12.4× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$255–$325 | $255–$325 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$138–$760 | $138–$760 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$307–$314 | $307–$314 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$78–$86 | $78–$86 | varies |
| Complement Total (Ch50) (86162) | $196 | $196 | 9.6× |
| Complement/Function Activity (86161) | $260 | $260 | 21.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $88 | $88 | 1.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $309 | $309 | 8.0× |
| Coombs direct (86880) range across 4 matching MRF lines |
$33–$225 | $33–$225 | varies |
| Copper urine (82525) | $216 | $216 | 17.4× |
| Cortisol free (82530) range across 2 matching MRF lines |
$226–$227 | $226–$227 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$173–$184 | $173–$184 | varies |
| Creatine kinase total (82550) | $116 | $116 | 17.8× |
| Creatinine blood (82565) | $89 | $89 | 17.4× |
| Creatinine clearance (82575) | $34 | $34 | 3.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$119–$129 | $119–$129 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$215–$246 | $215–$246 | varies |
| Crp High Sensitivity (86141) | $60 | $60 | 4.6× |
| Cryoglobulin (82595) | $96 | $96 | 14.8× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$128–$151 | $128–$151 | varies |
| Cryptosporidium ag eia (87328) | $117 | $117 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $104 | $104 | 12.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $6 | $6 | 0.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $52 | $52 | 6.7× |
| Culture afb (87116) | $111 | $111 | 10.3× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$57–$196 | $57–$196 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$64–$317 | $64–$317 | varies |
| Culture csf (87070) range across 11 matching MRF lines |
$30–$213 | $30–$213 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$76–$114 | $76–$114 | varies |
| Culture screen only (87081) | $183 | $183 | 27.6× |
| Culture stool (87045) | $49 | $49 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $101 | $101 | 19.5× |
| Culture urine (87086) | $146 | $146 | 18.1× |
| Cyanide (82600) | $183 | $183 | 9.4× |
| Cyclosporine (80158) | $289 | $289 | 16.0× |
| Cystatin C (82610) | $366 | $366 | 19.8× |
| Cytogenetics 100-300 (88275) | $171 | $171 | 3.3× |
| Cytomegalovirus igg (86644) | $85 | $85 | 5.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $61 | $61 | 3.0× |
| Cytp Concentration Smears & Interpretation (88108) | $86 | $86 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $120 | $120 | 2.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $65 | $65 | 1.7× |
| Deoxyribonuclease antibody (86215) | $67 | $67 | 5.1× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$230–$933 | $230–$933 | varies |
| Detect Agent Nos Dna Quant (87799) | $240 | $240 | 5.6× |
| Detect agnt mult DNA ampli (87801) | $571 | $571 | 8.1× |
| Dgp Antibody Each Ig Class (86258) | $34 | $34 | 2.8× |
| Dhea (82626) | $177 | $177 | 7.0× |
| Dhea-S (82627) | $119 | $119 | 5.4× |
| Digoxin (80162) | $157 | $157 | 11.8× |
| Dna Antibody Native/Double Stranded (86225) | $132 | $132 | 9.6× |
| Dna/Rna Amplified Probe (87150) | $404 | $404 | 11.5× |
| Drug Assay Infliximab (80230) | $334 | $334 | 8.7× |
| Drug Assay Vedolizumab (80280) | $255 | $255 | 6.6× |
| Drug Asy Hydroxychloroquine (80220) | $498 | $498 | 26.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $133 | $133 | 10.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $123 | $123 | 9.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $172 | $172 | 13.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$186–$253 | $186–$253 | varies |
| Drug Test Prsmv Instrmnt (80306) | $304 | $304 | 17.7× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$116–$185 | $116–$185 | varies |
| Electrolyte panel (80051) | $171 | $171 | 24.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $319 | $319 | 5.2× |
| Enterovirus PCR (87498) | $215 | $215 | 6.1× |
| Enzyme cell activity (82657) | $12 | $12 | 0.5× |
| Eosinophil Smear (89190) | $65 | $65 | 11.2× |
| Erythropoietin (82668) | $198 | $198 | 10.5× |
| Estradiol serum (82670) | $198 | $198 | 7.1× |
| Estriol (82677) | $109 | $109 | 4.5× |
| Estrogens fractionated (82671) | $110 | $110 | 3.4× |
| Ethosuximide (80168) | $108 | $108 | 6.6× |
| Exam Synovial Fluid Crystals (89060) | $45 | $45 | 6.1× |
| F2 Gene (81240) range across 2 matching MRF lines |
$303–$517 | $303–$517 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$454–$517 | $454–$517 | varies |
| Factor viii assay (85240) | $312 | $312 | 17.4× |
| Fatty acids free (82725) | $154 | $154 | 8.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $122 | $122 | 18.7× |
| Fecal Fat Qualitative (82705) | $116 | $116 | 22.7× |
| Ferritin (82728) | $234 | $234 | 17.2× |
| Fetal Fibronectin (82731) | $794 | $794 | 12.3× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$49–$263 | $49–$263 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$58–$109 | $58–$109 | varies |
| Flow cytometry first marker (88184) | $319 | $319 | 0.9× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$83–$1,087 | $83–$1,087 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$77–$1,639 | $77–$1,639 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$37–$184 | $37–$184 | varies |
| Follicle Stimulating Hormone (83001) | $163 | $163 | 8.8× |
| Galactose (82760) | $12 | $12 | 1.1× |
| Galactose transferase test (82776) | $12 | $12 | 1.0× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$52–$81 | $52–$81 | varies |
| Gardner vag DNA dir probe (87510) | $135 | $135 | 6.7× |
| Gastrin (82941) | $140 | $140 | 7.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $383 | $383 | 0.9× |
| Gentamicin (80170) | $232 | $232 | 14.2× |
| Ggt (82977) | $13 | $13 | 1.8× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$123–$143 | $123–$143 | varies |
| Glucose 2 hr pp (82950) | $113 | $113 | 23.8× |
| Glucose body fluid (82945) | $95 | $95 | 24.2× |
| Glucose Serum (82947) | $80 | $80 | 20.4× |
| Glucose tolerance test (gtt) (82951) | $210 | $210 | 16.3× |
| Glycated Protein (82985) | $157 | $157 | 9.4× |
| Gonadotropin Chorionic Qualitative (84703) | $219 | $219 | 29.1× |
| Growth hormone (83003) | $86 | $86 | 5.2× |
| Gtt-added samples (82952) | $76 | $76 | 19.4× |
| H Pylori (C-13) Breath (83013) | $212 | $212 | 3.1× |
| Haptoglobin (83010) | $173 | $173 | 13.8× |
| Helicobacter Pylori Stool (87338) | $263 | $263 | 18.3× |
| Hematocrit (85014) | $65 | $65 | 27.4× |
| Hemoglobin (85018) | $52 | $52 | 21.9× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$30–$128 | $30–$128 | varies |
| Hemoglobin Chromotography (83021) | $234 | $234 | 13.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$12–$154 | $12–$154 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $122 | $122 | 14.9× |
| Hemoglobin plasma (83051) | $112 | $112 | 15.3× |
| Heparin assay (85520) range across 2 matching MRF lines |
$27–$417 | $27–$417 | varies |
| Hepatitis a antibody total (86708) | $68 | $68 | 5.5× |
| Hepatitis b core ab igm (86705) | $162 | $162 | 13.8× |
| Hepatitis b core ab total (86704) | $88 | $88 | 7.3× |
| Hepatitis B Surface Antibody (86706) | $39 | $39 | 3.6× |
| Hepatitis B Surface Antigen (87340) | $37 | $37 | 3.6× |
| Hepatitis Be Antibody (86707) | $121 | $121 | 10.5× |
| Hepatitis Be Antigen (87350) | $142 | $142 | 12.3× |
| Hepatitis C Antibody (86803) | $149 | $149 | 10.4× |
| Hepatitis C Genotype (87902) | $1,273 | $1,273 | 4.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $346 | $346 | 8.1× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$111–$128 | $111–$128 | varies |
| Heterophile Antibody Screen (86308) | $132 | $132 | 25.5× |
| Hfe Gene (81256) | $442 | $442 | 6.8× |
| Histoplasma antibody (86698) | $151 | $151 | 10.9× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$147–$347 | $147–$347 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $60 | $60 | 2.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $364 | $364 | 4.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $555 | $555 | 7.5× |
| Hla ii typing 1 locus lr (81376) | $241 | $241 | 2.0× |
| Homocysteine (83090) range across 2 matching MRF lines |
$77–$342 | $77–$342 | varies |
| Hpv High-Risk Types (87624) | $113 | $113 | 3.2× |
| Hsv Dna Amp Probe (87529) | $270 | $270 | 7.7× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$12–$149 | $12–$149 | varies |
| Iaad ia shiga-like toxin (87427) | $49 | $49 | 4.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $554 | $554 | 15.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $305 | $305 | 8.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $215 | $215 | 6.1× |
| Iadna Cytomegalovirus Quantification (87497) | $630 | $630 | 14.7× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$494–$1,170 | $494–$1,170 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $215 | $215 | 6.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $305 | $305 | 8.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $167 | $167 | 4.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$142–$149 | $142–$149 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$107–$128 | $107–$128 | varies |
| Igg subclasses (82787) | $71 | $71 | 8.9× |
| Igh gene rearrange amp meth (81261) | $851 | $851 | 4.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $608 | $608 | 1.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$76–$282 | $76–$282 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$327–$523 | $327–$523 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $175 | $175 | 11.7× |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$12–$953 | $12–$953 | varies |
| Immunodiffusion Ouchterlony (86331) | $16 | $16 | 1.3× |
| Immunofixation electrophoresis (86334) | $221 | $221 | 9.9× |
| Immunohistochemistry (88342) | $167 | $167 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $117 | $117 | 0.7× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$115–$186 | $115–$186 | varies |
| Influenza DNA amp probe (87502) | $186 | $186 | 1.9× |
| Inhibin A (86336) | $100 | $100 | 6.4× |
| Inhibin b (83520) range across 8 matching MRF lines |
$108–$671 | $108–$671 | varies |
| Insulin antibodies (86337) | $341 | $341 | 15.9× |
| Insulin total (83525) range across 2 matching MRF lines |
$39–$66 | $39–$66 | varies |
| Interleukin-6 (83529) | $175 | $175 | 10.1× |
| Intrinsic factor antibody (86340) | $85 | $85 | 5.6× |
| Iron (83540) | $78 | $78 | 12.1× |
| Iron Binding Capacity (83550) | $98 | $98 | 11.2× |
| Islet cell antibody (86341) | $107 | $107 | 4.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,147 | $1,147 | 12.5× |
| Ketosteroids 17 total (83586) | $215 | $215 | 16.8× |
| Koh Prep (87220) | $32 | $32 | 7.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$13–$82 | $13–$82 | varies |
| Lactoferrin fecal qualitative (83630) | $103 | $103 | 5.2× |
| LDL direct (83721) | $121 | $121 | 11.5× |
| Lead (83655) | $122 | $122 | 10.1× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$242–$303 | $242–$303 | varies |
| Leukocyte Assessment Fecal (89055) | $127 | $127 | 29.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $33 | $33 | 1.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $284 | $284 | 0.8× |
| Lipase (83690) range across 2 matching MRF lines |
$41–$189 | $41–$189 | varies |
| Lipoprotein A (83695) | $232 | $232 | 16.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $93 | $93 | 2.7× |
| Lithium (80178) | $141 | $141 | 21.3× |
| Luteinizing Hormone (Lh) (83002) | $146 | $146 | 7.9× |
| Lyme disease antibody (86618) | $288 | $288 | 16.9× |
| Lymphocyte transformation (86353) | $208 | $208 | 4.2× |
| Lysozyme serum (85549) | $162 | $162 | 8.6× |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$57–$321 | $57–$321 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$40–$121 | $40–$121 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$12–$205 | $12–$205 | varies |
| Mercury urine (83825) | $268 | $268 | 16.5× |
| Methylmalonic acid serum (83921) | $128 | $128 | 6.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$132–$170 | $132–$170 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$64–$170 | $64–$170 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $103 | $103 | 4.8× |
| Molecular Pathology Procedure Level 3 (81402) | $539 | $539 | 3.6× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$96–$177 | $96–$177 | varies |
| Mopath procedure level 9 (81408) | $1,236 | $1,236 | 0.6× |
| Mrsa Pcr (87641) | $147 | $147 | 4.2× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$156–$367 | $156–$367 | varies |
| Mumps antibody (86735) | $162 | $162 | 12.4× |
| Myoglobin urine (83874) | $74 | $74 | 5.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$80–$394 | $80–$394 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $518 | $518 | 7.2× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$96–$259 | $96–$259 | varies |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$34–$257 | $34–$257 | varies |
| Occult Blood Other Sources (82271) | $72 | $72 | 13.5× |
| Oligoclonal bands (83916) | $306 | $306 | 11.2× |
| Oncology Prostate Prob Score (81539) | $635 | $635 | 0.8× |
| Organic acids urine (83918) | $437 | $437 | 18.5× |
| Osmolality serum (83930) | $39 | $39 | 5.9× |
| Osmolality Urine (83935) | $37 | $37 | 5.4× |
| Osteocalcin (83937) | $107 | $107 | 3.6× |
| Ova and parasites smears (87177) | $163 | $163 | 18.3× |
| Oxalate urine (83945) | $187 | $187 | 12.9× |
| Particle Agglutination Screen Each Antibody (86403) | $167 | $167 | 14.5× |
| Parvovirus antibody (86747) | $147 | $147 | 9.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$21–$75 | $21–$75 | varies |
| Phenobarbital Level (80184) | $218 | $218 | 14.2× |
| Phenytoin (Dilantin) (80185) | $211 | $211 | 15.9× |
| Phenytoin free (80186) | $147 | $147 | 10.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$64–$81 | $64–$81 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $235 | $235 | 13.1× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$65–$72 | $65–$72 | varies |
| Phosphorus urine (84105) | $119 | $119 | 20.6× |
| Pinworm exam (87172) | $66 | $66 | 15.5× |
| Platelet count automated (85049) | $91 | $91 | 20.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $341 | $341 | 23.2× |
| Potassium Urine (84133) | $24 | $24 | 5.1× |
| Prealbumin (84134) | $80 | $80 | 5.5× |
| Pregnenolone (84140) | $309 | $309 | 14.9× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$144–$153 | $144–$153 | varies |
| Progesterone (84144) | $78 | $78 | 3.7× |
| Prolactin (84146) | $202 | $202 | 10.4× |
| Protein body fluid (84157) | $95 | $95 | 23.8× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$80–$161 | $80–$161 | varies |
| Protein c antigen (85302) | $294 | $294 | 24.5× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$64–$207 | $64–$207 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $166 | $166 | 15.5× |
| Protein S Free (85306) range across 2 matching MRF lines |
$80–$261 | $80–$261 | varies |
| Protein s total (85305) | $81 | $81 | 7.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$64–$88 | $64–$88 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$30–$166 | $30–$166 | varies |
| PSA free (84154) | $194 | $194 | 10.5× |
| Pth Intact (83970) | $302 | $302 | 7.3× |
| Pyruvate kinase (84220) | $364 | $364 | 38.6× |
| Q Fever Antibody (86638) | $105 | $105 | 8.7× |
| Quantiferon tb gold plus (86480) | $266 | $266 | 4.3× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$271–$422 | $271–$422 | varies |
| Quantitative Screen Metals (83018) | $291 | $291 | 13.3× |
| Rbc antibody identification (86870) | $163 | $163 | 0.4× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$156–$164 | $156–$164 | varies |
| Renin activity plasma (84244) | $256 | $256 | 11.6× |
| Resp virus 12-25 targets (87633) | $596 | $596 | 1.4× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$72–$76 | $72–$76 | varies |
| Rh (86901) range across 5 matching MRF lines |
$13–$94 | $13–$94 | varies |
| Rheumatoid factor quant (86431) | $114 | $114 | 20.1× |
| Rickettsia antibody (86757) | $173 | $173 | 8.9× |
| Ristocetin cofactor (85245) | $285 | $285 | 12.4× |
| Rotavirus ag eia (87425) | $49 | $49 | 4.1× |
| Rpr qualitative (86592) | $96 | $96 | 22.5× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$153–$231 | $153–$231 | varies |
| Rubella Antibody (86762) | $50 | $50 | 3.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$41–$81 | $41–$81 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$27–$56 | $27–$56 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $142 | $142 | 2.8× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$134–$142 | $134–$142 | varies |
| Sedimentation Rate, Automated (85652) | $90 | $90 | 33.3× |
| Selenium (84255) | $261 | $261 | 10.2× |
| Semen analysis motility and count (89310) | $272 | $272 | 31.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$27–$180 | $27–$180 | varies |
| Sex Hormone Binding Globulin (84270) | $154 | $154 | 7.1× |
| Sickling of rbc reduction (85660) | $44 | $44 | 8.0× |
| Sirolimus (80195) | $406 | $406 | 29.6× |
| Skin test tuberculosis intradermal (86580) | $32 | $32 | 1.1× |
| Smear acid fast (87206) | $43 | $43 | 8.0× |
| Smear complex stain (87209) | $162 | $162 | 9.0× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$22–$85 | $22–$85 | varies |
| Smear Special Stain (87207) | $121 | $121 | 20.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $110 | $110 | 18.9× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$21–$60 | $21–$60 | varies |
| Sodium Urine (84300) | $79 | $79 | 15.6× |
| Somatomedin (84305) | $215 | $215 | 10.1× |
| Special Stains Group 1 (88312) | $114 | $114 | 2.1× |
| Special Stains Group 2 (88313) | $94 | $94 | 0.7× |
| Specimen infect agnt concntj (87015) | $64 | $64 | 9.6× |
| Stool cultr aerobic bact ea (87046) | $49 | $49 | 5.2× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$26–$139 | $26–$139 | varies |
| Strep a DNA amp probe (87651) | $132 | $132 | 3.8× |
| Strep b DNA amp probe (87653) | $215 | $215 | 6.1× |
| Sulfate urine (84392) | $24 | $24 | 4.4× |
| Surg path level iii (88304) | $93 | $93 | 1.7× |
| Surgical pathology level IV (88305) | $127 | $127 | 2.3× |
| Syphilis Test Non-Trep Quant (86593) | $55 | $55 | 12.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$96–$259 | $96–$259 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$96–$259 | $96–$259 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$106–$257 | $106–$257 | varies |
| T3 reverse (84482) | $95 | $95 | 6.0× |
| T3 Total (84480) | $37 | $37 | 2.6× |
| T3 Uptake (84479) | $117 | $117 | 18.1× |
| T4 Free (84439) range across 2 matching MRF lines |
$122–$132 | $122–$132 | varies |
| T4 total (84436) | $120 | $120 | 17.5× |
| T4-neonatal (84437) | $12 | $12 | 1.9× |
| Tacrolimus (80197) | $263 | $263 | 19.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$98–$168 | $98–$168 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$212–$287 | $212–$287 | varies |
| Theophylline (80198) | $196 | $196 | 13.9× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$27–$58 | $27–$58 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $140 | $140 | 21.6× |
| Thyroglobulin (84432) | $184 | $184 | 11.5× |
| Thyroglobulin Antibody (86800) | $162 | $162 | 10.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $530 | $530 | 10.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $42 | $42 | 3.6× |
| Tobramycin peak (80200) | $257 | $257 | 15.9× |
| Topiramate (80201) | $271 | $271 | 22.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$11–$92 | $11–$92 | varies |
| Transferrin (84466) | $65 | $65 | 5.1× |
| Trg gene rearrangement anal (81342) | $808 | $808 | 4.0× |
| Trichomonas vagin dir probe (87660) | $37 | $37 | 1.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$79–$81 | $79–$81 | varies |
| Troponin Quant (84484) | $324 | $324 | 26.0× |
| Tumor Immunohistochem/Manual (88360) | $213 | $213 | 1.2× |
| Uric acid other source (84560) | $36 | $36 | 7.1× |
| Urinalysis Microscopic Only (81015) | $35 | $35 | 11.5× |
| Urinalysis Volume Measure (81050) | $41 | $41 | 11.3× |
| Urine Bacteria Culture (87088) | $142 | $142 | 17.6× |
| Urine Pregnancy Test (81025) | $121 | $121 | 14.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $96 | $96 | 30.3× |
| Valproic acid (80164) | $189 | $189 | 14.0× |
| Vancomycin (80202) range across 2 matching MRF lines |
$202–$238 | $202–$238 | varies |
| Varicella-zoster antibody (86787) | $78 | $78 | 6.1× |
| Vasopressin (84588) | $289 | $289 | 8.5× |
| Very Long Chain Fatty Acids (82726) | $12 | $12 | 0.6× |
| Viral Culture (87252) | $294 | $294 | 11.3× |
| Virus antibody nos (86790) | $227 | $227 | 17.6× |
| Vit D 1 25-Dihydroxy (82652) | $421 | $421 | 10.9× |
| Vitamin A (84590) | $75 | $75 | 6.5× |
| Vitamin b-12 (82607) | $37 | $37 | 2.5× |
| Vitamin B6 (84207) | $94 | $94 | 3.3× |
| Vitamin c (82180) | $95 | $95 | 9.6× |
| Vitamin D 25-Hydroxy (82306) | $107 | $107 | 3.6× |
| Vitamin E (84446) | $185 | $185 | 13.0× |
| Vitamin K (84597) | $605 | $605 | 44.1× |
| Von willebrand factor ag (85246) | $285 | $285 | 12.4× |
| West nile virus ab igm (86788) | $93 | $93 | 5.5× |
| West Nile Virus Antibody (86789) | $93 | $93 | 6.5× |
| Zinc (84630) | $71 | $71 | 6.2× |
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.