Lab & pathology prices at Cheyenne County Hospital
St. Francis, KS · every code in this section with a posted price and a Medicare benchmark.
429 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $133.73 | $133.73 | 5.9× |
| Abl1 gene analysis kinase domain variants (81170) | $629.32 | $740.38 | 2.1× |
| Acth (82024) | $181.79 | $181.79 | 4.7× |
| Actin smooth muscle antibody each (86015) | $69.62 | $69.62 | 5.8× |
| Acute hepatitis panel (80074) | $180.12 | $211.90 | 3.8× |
| Albumin Fluid (82042) | $30.31 | $30.31 | 3.9× |
| Albumin serum (82040) | $15.78 | $15.78 | 3.2× |
| Aldolase (82085) | $44.46 | $44.46 | 4.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$173.73–$199.75 | $204.39–$235 | varies |
| Alkaline phosphatase isoenzymes (84080) | $109.44 | $109.44 | 7.4× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$23.04–$100 | $23.04–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $98.03 | $98.03 | 6.8× |
| Alpha-1-antitrypsin total (82103) | $60.36 | $60.36 | 4.5× |
| Alpha-Fetoprotein Serum (82105) | $85.43 | $85.43 | 5.1× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.87–$50.36 | $16.87–$50.36 | varies |
| Ammonia (82140) | $73.33 | $73.33 | 5.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $191 | $191 | 1.9× |
| Amylase urine (82150) | $37.20 | $37.20 | 5.7× |
| Anca screen each antibody (86036) | $34.36 | $34.36 | 2.9× |
| Androstenedione (82157) | $197.60 | $197.60 | 6.7× |
| Angiotensin converting enzyme csf (82164) | $62 | $62 | 4.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $85.75 | $85.75 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $91.97 | $91.97 | 7.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $96.12 | $96.12 | 6.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $99.62 | $99.62 | 5.5× |
| Antibody Herpes Smplx Type 1 (86695) | $106.92 | $106.92 | 8.1× |
| Antibody Treponema Pallidum (86780) | $63.09 | $63.09 | 4.8× |
| Antigen typing (86905) | $63.22 | $63.22 | 16.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $27.81 | $27.81 | 4.9× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$52.75–$68.03 | $52.75–$68.03 | varies |
| Antistreptolysin o titer (86060) | $41.56 | $41.56 | 5.7× |
| Antithrombin iii activity (85300) | $85.64 | $85.64 | 7.2× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$50.36–$62.99 | $50.36–$62.99 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $287.81 | $338.60 | 7.6× |
| Arsenic (82175) | $193.24 | $227.34 | 10.2× |
| Aspergillus ag eia (87305) | $150 | $150 | 12.5× |
| Assay Blood Carbon Dioxide (82374) | $15.60 | $15.60 | 3.2× |
| Assay Nephelometry Not Spec (83883) | $50.36 | $50.36 | 3.7× |
| Assay of 5-hiaa (83497) | $57.20 | $57.20 | 4.4× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$18–$21.85 | $18–$21.85 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$22.05–$52.27 | $22.05–$52.27 | varies |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$75.61–$121.93 | $75.61–$121.93 | varies |
| Assay of lactic acid (83605) | $70.32 | $70.32 | 6.1× |
| Assay of metanephrines (83835) | $135.21 | $135.21 | 8.0× |
| Assay of proinsulin (84206) | $50.55 | $50.55 | 1.9× |
| Assay of serotonin (84260) | $146.94 | $146.94 | 4.7× |
| Assay of serum potassium (84132) | $14.65 | $14.65 | 3.1× |
| Assay of urea nitrogen (84520) | $12.58 | $12.58 | 3.2× |
| Assay of vitamin b-1 (84425) | $111.44 | $111.44 | 5.2× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$23.83–$36.37 | $23.83–$36.37 | varies |
| Assay spec xcp ur&breath ia (82077) | $90.04 | $90.04 | 5.2× |
| Asy carbamazepin 10,11-epxid (80161) | $140.71 | $140.71 | 7.5× |
| Automated Leukocyte Count (85048) | $11.43 | $11.43 | 4.5× |
| B cells total count (86355) | $80.13 | $80.13 | 2.1× |
| Bcr/abl1 gene major bp (81206) | $195.84 | $195.84 | 1.2× |
| Beta 2 glycoprotein i antibody each (86146) | $107.35 | $107.35 | 4.2× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$43.15–$54.45 | $43.15–$54.45 | varies |
| Beta Lactamase (87185) | $20.20 | $20.20 | 4.3× |
| Beta-2 Microglobulin (82232) | $65 | $65 | 4.0× |
| Bile acids total (82239) | $128.79 | $128.79 | 7.5× |
| Bilirubin direct (82248) | $29.97 | $29.97 | 6.0× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$31.63–$50.36 | $31.63–$50.36 | varies |
| Bilirubin total transcutaneous (88720) | $30 | $30 | 6.0× |
| Blastomyces antibody (86612) | $45 | $45 | 3.5× |
| Bld Typing Serologic Rh Phnt (86906) | $69.87 | $69.87 | 9.0× |
| Bleeding time test (85002) | $20.11 | $20.11 | 4.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $11.19 | $11.19 | 2.9× |
| Blood gas (82803) range across 2 matching MRF lines |
$101.07–$121.28 | $101.07–$121.28 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$41–$183 | $41–$183 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$18.43–$27 | $18.43–$27 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $107 | $107 | 16.9× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $94.20 | $94.20 | 5.8× |
| Blood typing serologic abo (86900) | $297.73 | $350.27 | 99.6× |
| Bordetella antibody (86615) | $58 | $58 | 4.4× |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$111.85–$173.88 | $111.85–$173.88 | varies |
| C-Peptide (84681) | $102.32 | $102.32 | 4.9× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$25.88–$31.06 | $25.88–$31.06 | varies |
| Ca 19-9 (86301) | $83.71 | $83.71 | 4.0× |
| Cadmium (82300) | $76.16 | $76.16 | 3.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$45.99–$68.98 | $45.99–$68.98 | varies |
| Calcium total (82310) | $16.42 | $16.42 | 3.2× |
| Calculus assay quant (82360) | $74.04 | $74.04 | 5.8× |
| Calculus Spectroscopy (82365) | $83.55 | $83.55 | 6.5× |
| Calprotectin Fecal (83993) | $218.45 | $257 | 11.1× |
| Cancer Antigen 125 (86304) | $84.11 | $84.11 | 4.0× |
| Cancer Antigen 27.29 (86300) | $84.22 | $84.22 | 4.0× |
| Candida antibody (86628) | $108.22 | $108.22 | 9.0× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$105.21–$108.79 | $105.21–$108.79 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$93.25–$124.72 | $93.25–$124.72 | varies |
| Catecholamines fractionated (82384) | $170.77 | $200.90 | 6.8× |
| Ccp antibody (86200) | $42.67 | $42.67 | 3.3× |
| Cell count csf (89051) | $61.56 | $61.56 | 11.0× |
| Ceruloplasmin (82390) | $44.35 | $44.35 | 4.1× |
| Chemiluminescent assay (82397) | $103 | $103 | 7.3× |
| Chlmy trch&neisra gonor mult (87494) | $50.02 | $50.02 | 0.7× |
| Chloride Serum (82435) | $14.65 | $14.65 | 3.2× |
| Chloride urine (82436) | $30.91 | $30.91 | 5.4× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$16.14–$50.36 | $16.14–$50.36 | varies |
| Chorionic gonadotropin test (84702) | $100.32 | $100.32 | 6.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $176.43 | $207.57 | 5.3× |
| Chromogranin a (86316) | $71.79 | $71.79 | 3.4× |
| Chromosome Analysis 15-20 (88262) | $441.45 | $519.35 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $89.48 | $89.48 | 2.6× |
| Ckmb (82553) | $80.23 | $80.23 | 6.9× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$65.16–$81.45 | $65.16–$81.45 | varies |
| Clotting factor viii related antigen (85244) range across 2 matching MRF lines |
$246.47–$246.89 | $289.96–$290.46 | varies |
| Cns DNA amp probe type 12-25 (87483) | $435.13 | $511.92 | 1.0× |
| Coccidioides antibody (86635) | $80 | $80 | 7.0× |
| Cold agglutinin titer (86157) | $39.66 | $39.66 | 4.9× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$182–$260.88 | $182–$306.92 | varies |
| Column Chromotography Quant (82542) | $314.50 | $370 | 13.1× |
| Compatibility test antiglob (86922) | $69.85 | $69.85 | 0.4× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$66.16–$90.37 | $66.16–$90.37 | varies |
| Complement Total (Ch50) (86162) | $94.32 | $94.32 | 4.6× |
| Complement/Function Activity (86161) | $92.19 | $92.19 | 7.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $163.28 | $163.28 | 3.4× |
| Coombs direct (86880) range across 4 matching MRF lines |
$34.51–$67.20 | $34.51–$67.20 | varies |
| Copper urine (82525) | $55.67 | $55.67 | 4.5× |
| Cortisol free (82530) range across 2 matching MRF lines |
$106.74–$173.46 | $106.74–$173.46 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$29.22–$71.93 | $29.22–$71.93 | varies |
| Creatine kinase total (82550) | $34.32 | $34.32 | 5.3× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$16.33–$24.50 | $16.33–$24.50 | varies |
| Creatinine clearance (82575) | $52.14 | $52.14 | 5.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$25.58–$31.98 | $25.58–$31.98 | varies |
| Crossmatch immediate spin (86920) | $57 | $57 | 0.4× |
| Crp High Sensitivity (86141) | $42.11 | $42.11 | 3.3× |
| Cryoglobulin (82595) | $28 | $28 | 4.3× |
| Cryptococcus ab (86641) | $154 | $154 | 10.7× |
| Cryptococcus ag titer (87899) | $88.04 | $88.04 | 5.5× |
| Cryptosporidium ag eia (87328) range across 4 matching MRF lines |
$75–$88.40 | $75–$88.40 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$33.40–$45.54 | $33.40–$45.54 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $31 | $31 | 4.0× |
| Culture afb (87116) | $47.42 | $47.42 | 4.4× |
| Culture Anaerobic (87075) | $37.08 | $37.08 | 3.9× |
| Culture blood (87040) | $58.40 | $58.40 | 5.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$37.87–$48.49 | $37.87–$48.49 | varies |
| Culture fungus (87102) | $42.85 | $42.85 | 5.1× |
| Culture screen only (87081) range across 5 matching MRF lines |
$28.46–$73.44 | $28.46–$73.44 | varies |
| Culture stool (87045) | $45.02 | $45.02 | 4.8× |
| Culture typing if ea antiserum (87140) | $36.73 | $36.73 | 6.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $30.61 | $30.61 | 5.9× |
| Culture urine (87086) range across 2 matching MRF lines |
$36.09–$46.20 | $36.09–$46.20 | varies |
| Cystatin C (82610) | $31.43 | $31.43 | 1.7× |
| Cytomegalovirus igg (86644) | $85.75 | $85.75 | 6.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $271.15 | $319 | 13.4× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$97.33–$105.73 | $97.33–$105.73 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $98.10 | $98.10 | 2.9× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$162–$355.30 | $162–$418 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$255–$485.59 | $300–$571.28 | varies |
| Dgp Antibody Each Ig Class (86258) | $35.84 | $35.84 | 3.0× |
| Dhea (82626) | $140.52 | $140.52 | 5.6× |
| Dhea-S (82627) | $123.48 | $123.48 | 5.6× |
| Digoxin (80162) range across 2 matching MRF lines |
$64.62–$80.77 | $64.62–$80.77 | varies |
| Dihydrotestosterone (82642) | $95.94 | $95.94 | 3.3× |
| Dna/Rna Amplified Probe (87150) | $10.82 | $10.82 | 0.3× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$67.74–$85.93 | $67.74–$85.93 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $82 | $82 | 6.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $81.36 | $81.36 | 6.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $124.90 | $124.90 | 9.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$178.30–$204.75 | $178.30–$240.88 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$41.80–$46.70 | $41.80–$46.70 | varies |
| Drug Test Prsmv Instrmnt (80306) | $69 | $69 | 4.0× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$31.17–$136 | $31.17–$136 | varies |
| El-1 Fecal Quantitative (82653) | $98.88 | $98.88 | 4.3× |
| Electrolyte panel (80051) | $28.37 | $28.37 | 4.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $76.81 | $76.81 | 6.4× |
| Enzyme cell activity (82657) | $222.84 | $262.17 | 10.1× |
| Eosinophil Smear (89190) | $32.35 | $32.35 | 5.6× |
| Erythropoietin (82668) | $109 | $109 | 5.8× |
| Estradiol serum (82670) | $192.95 | $192.95 | 6.9× |
| Estrogens fractionated (82671) | $141 | $141 | 4.4× |
| Ethosuximide (80168) | $61.24 | $61.24 | 3.7× |
| Exam Synovial Fluid Crystals (89060) | $88 | $88 | 12.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$268.18–$288.75 | $315.51–$339.71 | varies |
| Factor v activity (85220) | $110.40 | $110.40 | 6.3× |
| Factor v leiden mutation (81241) | $246.98 | $290.56 | 3.4× |
| Factor viii assay (85240) | $87.59 | $87.59 | 4.9× |
| Fecal Fat Qualitative (82705) | $44.14 | $44.14 | 8.7× |
| Ferritin (82728) | $88.47 | $88.47 | 6.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $281.04 | $330.64 | 1.8× |
| Fetal Fibronectin (82731) | $198.90 | $234 | 3.1× |
| Fetal screen rosette (85461) | $151.71 | $151.71 | 16.2× |
| Fibrin Degradation Quant (85379) | $109.34 | $109.34 | 10.7× |
| Fibrinogen activity (85384) | $38.10 | $38.10 | 3.9× |
| Flow cytometry first marker (88184) | $176.22 | $207.32 | 0.5× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$76.76–$163.08 | $76.76–$163.08 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$82–$206.41 | $82–$242.84 | varies |
| Folic acid rbc (82747) | $97.67 | $97.67 | 5.5× |
| Folic Acid Serum (82746) | $102.73 | $102.73 | 7.0× |
| Follicle Stimulating Hormone (83001) | $109.47 | $109.47 | 5.9× |
| Francisella tularensis (86668) | $92.55 | $92.55 | 6.5× |
| Fungi Identification Mold (87107) | $63.94 | $63.94 | 6.2× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$18.14–$104.96 | $18.14–$104.96 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $204 | $240 | 0.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $958.39 | $1,127.52 | 1.3× |
| Gentamicin (80170) | $69 | $69 | 4.2× |
| Ggt (82977) range across 2 matching MRF lines |
$22.95–$50.36 | $22.95–$50.36 | varies |
| Giardia antigen (87329) range across 3 matching MRF lines |
$75–$88.04 | $75–$88.04 | varies |
| Glucose 2 hr pp (82950) | $29.82 | $29.82 | 6.3× |
| Glucose Blood Test (82962) | $24.92 | $24.92 | 7.6× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$16.95–$21.19 | $16.95–$21.19 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$12.13–$50.36 | $12.13–$50.36 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$57.88–$74.82 | $57.88–$74.82 | varies |
| Glycated Protein (82985) | $68.90 | $68.90 | 4.1× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$14.43–$50.97 | $14.43–$50.97 | varies |
| Growth hormone (83003) | $58.37 | $58.37 | 3.5× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$17.32–$21.64 | $17.32–$21.64 | varies |
| Haptoglobin (83010) | $79.99 | $79.99 | 6.4× |
| Hdl Cholesterol (83718) | $26.10 | $26.10 | 3.2× |
| Helicobacter Pylori Stool (87338) | $112.22 | $112.22 | 7.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13.23–$16.56 | $13.23–$16.56 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$12–$14.47 | $12–$14.47 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$53.37–$57.68 | $53.37–$57.68 | varies |
| Hemoglobin Chromotography (83021) | $75 | $75 | 4.2× |
| Hemoglobin electrophoresis (83020) | $77 | $77 | 6.0× |
| Hemoglobin F Fetal Chemical (83030) | $85 | $85 | 7.9× |
| Hep a ab igm (86709) | $59.35 | $59.35 | 5.3× |
| Heparin assay (85520) | $123.87 | $123.87 | 9.5× |
| Hepatitis a antibody total (86708) | $54.57 | $54.57 | 4.4× |
| Hepatitis b core ab igm (86705) | $58.08 | $58.08 | 4.9× |
| Hepatitis b core ab total (86704) | $67.93 | $67.93 | 5.6× |
| Hepatitis B Surface Antibody (86706) | $71.19 | $71.19 | 6.6× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$36.57–$37.81 | $36.57–$37.81 | varies |
| Hepatitis C Antibody (86803) | $69.24 | $69.24 | 4.9× |
| Hepatitis C Genotype (87902) | $557.90 | $656.35 | 2.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $185.30 | $218 | 4.3× |
| Hepatitis Delta Agent Antibody (86692) | $78 | $78 | 4.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$106.81–$112.85 | $106.81–$112.85 | varies |
| Heterophile Antibody Screen (86308) | $50.98 | $50.98 | 9.8× |
| Hfe Gene (81256) | $226.95 | $267 | 3.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $84.40 | $84.40 | 10.9× |
| Histoplasma antibody (86698) | $70 | $70 | 5.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $92.18 | $92.18 | 3.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $237.93 | $279.92 | 2.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $298.10 | $350.71 | 4.0× |
| Homocysteine (83090) | $230.49 | $271.16 | 12.9× |
| Homogenization Tissue (87176) | $37.08 | $37.08 | 6.3× |
| Hsv Dna Amp Probe (87529) | $162.30 | $162.30 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $86.75 | $86.75 | 3.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 3 matching MRF lines |
$81.45–$88.05 | $81.45–$88.05 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $88.04 | $88.04 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) | $84.22 | $84.22 | 5.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$158.80–$284.64 | $158.80–$334.87 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $182.38 | $182.38 | 4.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $222.17 | $261.38 | 3.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $290.55 | $341.82 | 6.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $89.48 | $89.48 | 2.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $470.34 | $553.34 | 1.8× |
| Igh gene rearrange amp meth (81261) | $554.97 | $652.90 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$95.40–$141.09 | $95.40–$141.09 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$55.96–$186.89 | $55.96–$186.89 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$5.83–$84 | $5.83–$84 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$69.62–$171.77 | $69.62–$171.77 | varies |
| Immunodiffusion Ouchterlony (86331) | $107 | $107 | 8.9× |
| Immunofixation electrophoresis (86334) | $115.50 | $115.50 | 5.2× |
| Immunohistochemistry (88342) | $290.70 | $342 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $280.68 | $330.21 | 1.8× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$81.45–$129 | $81.45–$129 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$111.85–$185.44 | $111.85–$185.44 | varies |
| Inhibin A (86336) | $119.40 | $119.40 | 7.7× |
| Inhibin b (83520) range across 7 matching MRF lines |
$74.04–$306.62 | $74.04–$360.73 | varies |
| Insulin antibodies (86337) | $83.30 | $83.30 | 3.9× |
| Insulin total (83525) | $77.89 | $77.89 | 6.8× |
| Intrinsic factor antibody (86340) | $87.40 | $87.40 | 5.8× |
| Iron (83540) | $38.05 | $38.05 | 5.9× |
| Iron Binding Capacity (83550) | $83.40 | $83.40 | 9.5× |
| Irradiation Blood Product Each Unit (86945) | $272.34 | $320.40 | 7.9× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$79.08–$277.42 | $79.08–$326.38 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $440.64 | $518.40 | 4.8× |
| Koh Prep (87220) range across 2 matching MRF lines |
$26.82–$31.35 | $26.82–$31.35 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$34.98–$37.79 | $34.98–$37.79 | varies |
| Lead (83655) range across 2 matching MRF lines |
$52.89–$56.11 | $52.89–$56.11 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$65.16–$146 | $65.16–$146 | varies |
| Leukocyte Assessment Fecal (89055) | $22.36 | $22.36 | 5.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $37.80 | $37.80 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $95.72 | $95.72 | 2.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $274.50 | $322.94 | 0.8× |
| Lipase (83690) | $41.25 | $41.25 | 6.0× |
| Lithium (80178) | $40.61 | $40.61 | 6.1× |
| Luteinizing Hormone (Lh) (83002) | $106.82 | $106.82 | 5.8× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$91.10–$141.24 | $91.10–$141.24 | varies |
| M. Genitalium Amp Probe (87563) | $61.60 | $61.60 | 1.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$38.38–$136 | $38.38–$136 | varies |
| Mercury urine (83825) | $89.03 | $89.03 | 5.5× |
| Methylmalonic acid serum (83921) | $79.56 | $79.56 | 3.8× |
| Microalbumin, quantitative (82043) | $36.85 | $36.85 | 6.4× |
| Microbe Suscept Macrobroth (87188) | $34.62 | $34.62 | 5.2× |
| Microsomal Antibodies Each (86376) | $78.26 | $78.26 | 5.4× |
| Mitochondrial Antibody Each (86381) | $69.62 | $69.62 | 2.7× |
| Molecular Pathology Procedure Level 3 (81402) | $348.70 | $410.24 | 2.3× |
| Mononuclear cell antigen (86356) | $60.55 | $60.55 | 2.3× |
| Mopath procedure level 2 (81401) | $535.76 | $630.30 | 3.9× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$449.53–$466.40 | $528.86–$548.70 | varies |
| Mrsa Pcr (87641) | $209.10 | $246 | 6.0× |
| Mthfr Gene Analysis Common Variants (81291) | $96 | $96 | 1.5× |
| Mumps antibody (86735) | $99.74 | $99.74 | 7.6× |
| Mycophenolic Acid (80180) | $73.30 | $73.30 | 4.1× |
| Mycoplasma antibody (86738) | $70.38 | $70.38 | 5.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$56.62–$70.78 | $56.62–$70.78 | varies |
| Natriuretic peptide (83880) | $121.06 | $121.06 | 3.1× |
| Niacin (84591) range across 3 matching MRF lines |
$136.12–$171.91 | $136.12–$171.91 | varies |
| Nickel level (83885) | $66.24 | $66.24 | 2.7× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$80.13–$110.40 | $80.13–$110.40 | varies |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$11–$86.70 | $11–$86.70 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$10.36–$42.24 | $10.36–$42.24 | varies |
| Occult Blood Other Sources (82271) | $28.13 | $28.13 | 5.3× |
| Osmolality serum (83930) | $65.54 | $65.54 | 9.9× |
| Osmolality Urine (83935) | $37 | $37 | 5.4× |
| Osteocalcin (83937) | $110 | $110 | 3.7× |
| Ova and parasites smears (87177) | $52.11 | $52.11 | 5.9× |
| Particle Agglutination Screen Each Antibody (86403) | $55.44 | $55.44 | 4.8× |
| Parvovirus antibody (86747) | $110 | $110 | 7.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$10.93–$16.63 | $10.93–$16.63 | varies |
| Phenobarbital Level (80184) | $66.66 | $66.66 | 4.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$25.18–$27.22 | $25.18–$27.22 | varies |
| Phenytoin (Dilantin) (80185) | $65 | $65 | 4.9× |
| Phosphatase alkaline (84075) | $16.50 | $16.50 | 3.2× |
| Phosphorus Serum (84100) | $15.12 | $15.12 | 3.2× |
| Platelet Antibodies (86022) | $198.48 | $233.50 | 10.8× |
| Platelet count automated (85049) | $22.55 | $22.55 | 5.0× |
| Potassium Urine (84133) | $29.64 | $29.64 | 6.3× |
| Prealbumin (84134) | $58 | $58 | 4.0× |
| Pregnenolone (84140) | $283.90 | $334 | 13.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $75.60 | $75.60 | 1.4× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$109.23–$109.24 | $109.23–$109.24 | varies |
| Progesterone (84144) | $110.14 | $110.14 | 5.3× |
| Prolactin (84146) | $94.50 | $94.50 | 4.9× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$22.35–$27.94 | $22.35–$27.94 | varies |
| Protein C Activity (85303) | $131.59 | $131.59 | 9.5× |
| Protein c antigen (85302) | $176.95 | $176.95 | 14.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$61.78–$69.28 | $61.78–$69.28 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $70.78 | $70.78 | 6.6× |
| Protein S Free (85306) range across 3 matching MRF lines |
$128.62–$175.95 | $128.62–$207 | varies |
| Protein s total (85305) | $48.72 | $48.72 | 4.2× |
| Protein total serum (84155) range across 2 matching MRF lines |
$12.82–$37.50 | $12.82–$37.50 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$18.63–$141.09 | $18.63–$141.09 | varies |
| PSA free (84154) | $63 | $63 | 3.4× |
| Pth Intact (83970) | $185.50 | $185.50 | 4.5× |
| Q Fever Antibody (86638) | $23.66 | $23.66 | 2.0× |
| Quantiferon tb gold plus (86480) | $173.60 | $204.24 | 2.8× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$100.59–$129.88 | $100.59–$129.88 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$105.12–$180.54 | $105.12–$212.40 | varies |
| Rbc antibody elution (86860) | $30.40 | $30.40 | 0.2× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$105–$149.72 | $105–$149.72 | varies |
| Rbc antibody screen (86850) | $151.71 | $151.71 | 15.5× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$123.43–$136.12 | $123.43–$136.12 | varies |
| Reticulocyte Count Manual (85044) | $18.22 | $18.22 | 4.2× |
| Rh (86901) | $102.45 | $102.45 | 34.3× |
| Rheumatoid factor quant (86431) | $39.53 | $39.53 | 7.0× |
| Rickettsia antibody (86757) | $150.33 | $150.33 | 7.8× |
| Ristocetin cofactor (85245) | $75.48 | $75.48 | 3.3× |
| Rotavirus ag eia (87425) | $88.04 | $88.04 | 7.3× |
| Rubella Antibody (86762) | $47.45 | $47.45 | 3.3× |
| Rubeola antibody (86765) | $104.83 | $104.83 | 8.1× |
| Russell Viper Venom Time Diluted (85613) | $105.25 | $105.25 | 11.0× |
| Salicylate Level (80179) range across 2 matching MRF lines |
$67.74–$85.93 | $67.74–$85.93 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$73.57–$193.21 | $73.57–$227.30 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$52.80–$100.80 | $52.80–$100.80 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $146 | $146 | 1.0× |
| Sedimentation Rate, Automated (85652) | $21.27 | $21.27 | 7.9× |
| Selenium (84255) | $179.01 | $179.01 | 7.0× |
| Semen Anal Sperm Detection (89321) | $68.67 | $68.67 | 5.7× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$39.13–$71.54 | $39.13–$71.54 | varies |
| Sex Hormone Binding Globulin (84270) | $181.71 | $213.78 | 8.4× |
| Sirolimus (80195) | $176.95 | $176.95 | 12.9× |
| Skin test tuberculosis intradermal (86580) | $30 | $30 | 1.1× |
| Smear acid fast (87206) | $30.41 | $30.41 | 5.6× |
| Smear complex stain (87209) | $63.99 | $63.99 | 3.6× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$17.28–$22.12 | $17.28–$22.12 | varies |
| Smear Special Stain (87207) | $35.87 | $35.87 | 6.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$24.33–$24.70 | $24.33–$24.70 | varies |
| Sodium Serum (84295) | $15.34 | $15.34 | 3.2× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$29.01–$31.35 | $29.01–$31.35 | varies |
| Somatomedin (84305) | $185.41 | $185.41 | 8.7× |
| Special Stains Group 1 (88312) | $92.29 | $92.29 | 1.9× |
| Special Stains Group 2 (88313) | $71.75 | $71.75 | 0.6× |
| Specimen infect agnt concntj (87015) | $35.40 | $35.40 | 5.3× |
| Stool cultr aerobic bact ea (87046) | $45.02 | $45.02 | 4.8× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$81.45–$92.22 | $81.45–$92.22 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$124.96–$149.95 | $124.96–$149.95 | varies |
| Strep b DNA amp probe (87653) | $120.87 | $120.87 | 3.4× |
| Surg path level iii (88304) | $138.15 | $138.15 | 2.9× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$197.54–$202.90 | $232.40–$238.71 | varies |
| Surgical pathology level vi (88309) | $370.47 | $435.85 | 0.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $134.76 | $134.76 | 2.9× |
| T cells total count (86359) | $81.77 | $81.77 | 2.2× |
| T3 Free (84481) | $140.02 | $140.02 | 8.3× |
| T3 reverse (84482) | $99 | $99 | 6.3× |
| T3 Total (84480) | $72.48 | $72.48 | 5.1× |
| T3 Uptake (84479) | $35.90 | $35.90 | 5.5× |
| T4 Free (84439) | $51.14 | $51.14 | 5.7× |
| T4 total (84436) | $27.58 | $27.58 | 4.0× |
| Tacrolimus (80197) | $103.42 | $103.42 | 7.5× |
| Testosterone total (84403) range across 2 matching MRF lines |
$161.02–$168.30 | $161.02–$168.30 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$129.25–$174.38 | $129.25–$174.38 | varies |
| Theophylline (80198) | $67.12 | $67.12 | 4.7× |
| Thrombin Time (85670) | $36.06 | $36.06 | 6.2× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$105.61–$147.47 | $105.61–$147.47 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$106.07–$208.79 | $106.07–$245.64 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $474.51 | $558.25 | 9.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$37.20–$94 | $37.20–$94 | varies |
| Tissue Culture Lymphocyte (88230) | $247.69 | $291.40 | 2.1× |
| Topiramate (80201) | $83.15 | $83.15 | 7.0× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$16.50–$50.36 | $16.50–$50.36 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$18.34–$50.36 | $18.34–$50.36 | varies |
| Troponin Quant (84484) | $114 | $114 | 9.1× |
| Tumor Immunohistochem/Manual (88360) | $197.76 | $197.76 | 1.3× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$21.45–$26.82 | $21.45–$26.82 | varies |
| Urine Albumin Semiquantitative (82044) | $36.99 | $36.99 | 5.9× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$14.43–$43.55 | $14.43–$43.55 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$14.43–$27.76 | $14.43–$27.76 | varies |
| Valproic acid (80164) | $77.82 | $77.82 | 5.7× |
| Vancomycin (80202) | $87.57 | $87.57 | 6.5× |
| Varicella-zoster antibody (86787) | $101.65 | $101.65 | 7.9× |
| Vasopressin (84588) range across 2 matching MRF lines |
$152.67–$181.20 | $152.67–$213.18 | varies |
| Viral Culture (87252) | $110.50 | $110.50 | 4.2× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$49.94–$100 | $49.94–$100 | varies |
| Virus inoculate tissue addl (87253) | $39.22 | $39.22 | 1.9× |
| Vit D 1 25-Dihydroxy (82652) | $141.96 | $141.96 | 3.7× |
| Vitamin A (84590) | $55.71 | $55.71 | 4.8× |
| Vitamin b-12 (82607) | $95.42 | $95.42 | 6.3× |
| Vitamin B6 (84207) | $166.95 | $166.95 | 5.9× |
| Vitamin D 25-Hydroxy (82306) | $285.12 | $335.43 | 9.6× |
| Vitamin E (84446) | $66.80 | $66.80 | 4.7× |
| Von willebrand factor ag (85246) | $76 | $76 | 3.3× |
| West nile virus ab igm (86788) | $55.51 | $55.51 | 3.3× |
| West Nile Virus Antibody (86789) | $47.43 | $47.43 | 3.3× |
| Western Blot Test (84181) | $189.16 | $222.54 | 11.1× |
| Zinc (84630) | $50.15 | $50.15 | 4.4× |
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.