Lab & pathology prices at CHI Health Good Samaritan

Kearney, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $82.96 $136 7.4×
Acetylcholine receptor binding antibody (86041) $129.93 $213 7.1×
Acetylcholine receptor blocking antibody (86042) $129.93 $213 7.1×
Acetylcholn Rcptr Modlg Antb (86043) $129.93 $213 10.8×
Acth (82024) $109.80 $180 2.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $34.77 $57 1.1×
Actin smooth muscle antibody each (86015) $73.81 $121 6.1×
Acute hepatitis panel (80074) $120.78 $198 2.5×
Agglutinins Febrile Each Antigen (86000) $107.97 $177 15.5×
Albumin Fluid (82042) $41.48 $68 5.3×
Albumin serum (82040) $17.69 $29 3.6×
Aldolase (82085) $23.18 $38 2.4×
Aldosterone urine (82088) $84.79 $139 2.1×
Alkaline phosphatase isoenzymes (84080) $85.40 $140 5.8×
Allergen specific ige (86003) $21.35 $35 4.1×
Alpha-1-antitrypsin phenotype (82104) $162.26 $266 11.2×
Alpha-1-antitrypsin total (82103) $57.34 $94 4.3×
Alpha-Fetoprotein Serum (82105) $75.03 $123 4.5×
Alt (sgpt) (84460) $29.89 $49 5.6×
Aluminum (82108) $84.79 $139 3.3×
Amikacin trough (80150) $75.03 $123 5.0×
Amino Acids 1 Quantitative Each Specimen (82131) $120.78 $198 5.3×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$276.33–$291.58 $453–$478 varies
Aminolevulinic acid (ala) (82135) $139.08 $228 8.5×
Ammonia (82140) $99.43 $163 6.8×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$102.48–$120.78 $168–$198 varies
Amylase urine (82150) $65.27 $107 10.1×
Ana Titer (86039) $20.13 $33 1.8×
Anca screen each antibody (86036) $89.67 $147 7.4×
Anca Titer Each Antibody (86037) $73.81 $121 6.1×
Androstenedione (82157) $137.86 $226 4.7×
Angiotensin converting enzyme csf (82164) $53.07 $87 3.6×
Antibody aspergillus (86606) $43.92 $72 2.9×
Antibody Bacterium Not Elsewhere Specified (86609) $110.41 $181 8.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $29.89 $49 1.9×
Antibody Cytomegalovirus Cmv Igm (86645) $22.57 $37 1.3×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $10.98 $18 0.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $28.67 $47 1.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $66.49 $109 3.7×
Antibody Fungus Not Elsewhere Specified (86671) $34.16 $56 2.8×
Antibody helicobacter pylori (86677) $70.76 $116 4.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $28.67 $47 2.0×
Antibody Herpes Smplx Type 1 (86695) $32.94 $54 2.5×
Antibody HIV-1&HIV-2 single result (86703) $73.20 $120 5.3×
Antibody HIV-2 (86702) $85.40 $140 6.3×
Antibody htlv/HIV antibody confirmatory test (86689) $96.99 $159 5.0×
Antibody identification leukocyte antibodies (86021) $147.62 $242 9.8×
Antibody Identification Platelet Immunogl Assay (86023) $35.38 $58 2.8×
Antibody Protozoa Nes (86753) $129.93 $213 10.5×
Antibody Titer (86886) $75.03 $123 14.5×
Antibody Treponema Pallidum (86780) $38.43 $63 2.9×
Antibody; influenza virus (86710) $28.67 $47 2.1×
Antigen typing (86905) $206.18 $338 53.8×
Antinuclear antibodies (86038) $80.52 $132 6.7×
Antistreptolysin o titer (86060) $34.16 $56 4.7×
Antithrombin iii activity (85300) $117.73 $193 9.9×
Antithrombin iii antigen (85301) $66.49 $109 6.2×
Apolipoprotein a1 (82172) $21.35 $35 1.0×
Aquaporin-4 Antb Elisa (86051) $59.17 $97 5.1×
Arsenic (82175) $22.57 $37 1.2×
Aspergillus ag eia (87305) $162.87 $267 13.6×
Assay activated protein c (85307) $42.09 $69 2.7×
Assay Blood Carbon Dioxide (82374) $12.20 $20 2.5×
Assay Blood Catecholamines (82383) $89.67 $147 3.1×
Assay Nephelometry Not Spec (83883) $73.20 $120 5.4×
Assay of 5-hiaa (83497) $61 $100 4.7×
Assay of anti-mullerian hormone (82166) $129.93 $213 3.4×
Assay of blood/uric acid (84550) $14.64 $24 3.2×
Assay of calcium in urine (82340) $42.70 $70 7.1×
Assay of cpk in blood (82552) $95.77 $157 7.2×
Assay of estrone (82679) $35.38 $58 1.4×
Assay of g6pd enzyme (82955) $26.84 $44 2.8×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$31.72–$35.38 $52–$58 varies
Assay of lactic acid (83605) $81.74 $134 7.1×
Assay of manganese (83785) $96.99 $159 3.6×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$56.73–$194.59 $93–$319 varies
Assay of proinsulin (84206) $59.17 $97 2.2×
Assay of serotonin (84260) $194.59 $319 6.3×
Assay of serum potassium (84132) $25.62 $42 5.4×
Assay of sweat sodium (84302) $78.69 $129 16.2×
Assay of Tyrosine (84510) $30.50 $50 2.9×
Assay of urea nitrogen (84520) $40.87 $67 10.3×
Assay of urine vma (84585) $45.14 $74 2.9×
Assay of vasoactive intestinal peptide (84586) $62.22 $102 1.8×
Assay of vitamin b-1 (84425) $142.74 $234 6.7×
Assay Ph Body Fluid Nos (83986) $20.13 $33 5.6×
Assay spec xcp ur&breath ia (82077) $73.20 $120 4.2×
Automated Leukocyte Count (85048) $37.21 $61 14.6×
B cells total count (86355) $171.41 $281 4.5×
Bartonella antibody (86611) $39.04 $64 3.8×
Beta 2 glycoprotein i antibody each (86146) $57.95 $95 2.3×
Beta hydroxybutyrate (82010) $40.87 $67 5.0×
Beta Lactamase (87185) $45.14 $74 9.5×
Beta-2 Microglobulin (82232) $67.10 $110 4.1×
Bile acids total (82239) $121.39 $199 7.1×
Bilirubin direct (82248) $17.08 $28 3.4×
Bilirubin total (82247) $26.23 $43 5.2×
Bilirubin total transcutaneous (88720) $23.18 $38 4.6×
Biotinidase (82261) $77.47 $127 4.6×
Blastomyces antibody (86612) $15.86 $26 1.2×
Bleeding time test (85002) $23.18 $38 4.8×
Blood Count Automated Differential Wbc Count (85004) $91.50 $150 14.1×
Blood Count Red Blood Cell Automated (85041) $13.42 $22 4.4×
Blood count reticulocyte automated (85045) $35.99 $59 9.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $46.36 $76 12.2×
Blood count spun microhematocrit (85013) $10.37 $17 1.5×
Blood gas (82803) $153.11 $251 5.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $48.80 $80 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $27.45 $45 6.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $175.68 $288 27.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $59.17 $97 3.6×
Blood typing serologic abo (86900) $50.63 $83 16.9×
Body fluid cell count (89050) $13.42 $22 2.8×
Bone marrow smear interpretation (85097) $530.09 $869 0.6×
Bordetella antibody (86615) $29.89 $49 2.3×
Braf gene analysis (81210) $403.82 $662 2.3×
Breath Alcohol Test (82075) $53.07 $87 1.8×
Brucella antibody (86622) $87.23 $143 9.8×
C diff amplified probe (87493) $170.80 $280 4.6×
C-Peptide (84681) $130.54 $214 6.3×
C-reactive protein (86140) $95.77 $157 18.5×
Ca 19-9 (86301) $64.05 $105 3.1×
Calcitonin (82308) $112.85 $185 4.2×
Calcium ionized (82330) $73.20 $120 5.4×
Calcium total (82310) $26.84 $44 5.2×
Calculus Spectroscopy (82365) $81.13 $133 6.3×
Calprotectin Fecal (83993) $303.17 $497 15.4×
Cancer Antigen 125 (86304) $78.69 $129 3.8×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$53.68–$55.51 $88–$91 varies
Candida Dna Dir Probe (87480) $79.30 $130 4.0×
Carbamazepine free (80157) $71.98 $118 5.4×
Carbamazepine total (80156) $31.11 $51 2.1×
Carboxyhemoglobin (82375) $96.38 $158 7.8×
Carcinoembryonic antigen (82378) $112.85 $185 6.0×
Cardiolipin ab iga (86147) $71.98 $118 2.8×
Carnitine Quantitative Each Specimen (82379) $54.90 $90 3.3×
Carotene (82380) $67.71 $111 7.3×
Catecholamines fractionated (82384) $240.95 $395 9.5×
Ccp antibody (86200) $111.63 $183 8.6×
Cell count csf (89051) $88.45 $145 15.8×
Cell marker study (88182) $189.10 $310 3.5×
Cellular Function Assay Stimul&Detect Biomarke (86352) $181.78 $298 1.3×
Ceruloplasmin (82390) $28.06 $46 2.6×
Cftr gene com variants (81220) $125.05 $205 0.2×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$55.51–$57.95 $91–$95 varies
Chlamydia antibody (86631) $7.32 $12 0.6×
Chlamydia Igm Antibody (86632) $51.85 $85 4.1×
Chloride other source (82438) $33.55 $55 6.7×
Chloride Serum (82435) $32.94 $54 7.2×
Chloride urine (82436) $59.17 $97 10.3×
Cholesterol total (82465) $45.14 $74 10.4×
Cholinesterase rbc (82482) $45.75 $75 4.7×
Cholinesterase Serum (82480) $50.02 $82 6.4×
Chorionic gonadotropin test (84702) $102.48 $168 6.8×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $93.33 $153 3.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $125.05 $205 3.7×
Chromium serum (82495) $50.02 $82 2.5×
Chromogranin a (86316) $104.31 $171 5.0×
Chromosome Analysis 15-20 (88262) $766.16 $1,256 6.1×
Chromosome Analysis 20-25 (88264) $512.40 $840 3.5×
Chromosome analysis, 5 (88261) $328.79 $539 1.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $49.41 $81 1.4×
Citric acid urine (82507) $742.98 $1,218 26.7×
Ckmb (82553) $123.83 $203 10.7×
Clostridium Difficile (87324) $32.33 $53 2.7×
Clot Factor VIII Multimetric (85247) $54.29 $89 2.4×
Clot factor xiii fibrin stab (85290) $155.55 $255 9.5×
Clotting factor xii hageman (85280) $89.67 $147 4.6×
Clotting Funct Activity (85397) $190.32 $312 6.2×
Cns DNA amp probe type 12-25 (87483) $511.79 $839 1.2×
Coagulation time activated (85347) $68.93 $113 16.1×
Coccidioides antibody (86635) $40.26 $66 3.5×
Cold agglutinin titer (86157) $23.18 $38 2.9×
Collagen crosslinks (82523) $178.73 $293 9.6×
Column Chromotography Quant (82542) $264.74 $434 11.0×
Compatibility test antiglob (86922) $125.05 $205 0.7×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$34.77–$157.99 $57–$259 varies
Complement Total (Ch50) (86162) $64.66 $106 3.2×
Complement/Function Activity (86161) $46.36 $76 3.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $225.70 $370 4.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $204.35 $335 5.3×
Coombs direct (86880) $40.87 $67 7.6×
Copper urine (82525) $49.41 $81 4.0×
Cortisol free (82530) $135.42 $222 8.1×
Cortisol saliva (82533) $92.72 $152 5.7×
Creatine kinase total (82550) $61.61 $101 9.5×
Creatinine blood (82565)
range across 2 matching MRF lines
$48.19–$70.76 $79–$116 varies
Creatinine clearance (82575) $81.74 $134 8.6×
Creatinine Urine (82570) $59.78 $98 11.5×
Crossmatch electronic (86923) $186.66 $306 1.1×
Crossmatch immediate spin (86920) $124.44 $204 0.7×
Crp High Sensitivity (86141) $95.16 $156 7.3×
Cryoglobulin (82595) $48.19 $79 7.4×
Cryptococcal Antigen (87327) $54.90 $90 4.1×
Cryptococcus ag titer (87899) $49.41 $81 3.1×
Cryptosporidium ag eia (87328) $21.96 $36 1.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $63.44 $104 7.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $42.70 $70 5.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $58.56 $96 7.6×
Culture aerobic quant other (87071) $76.25 $125 7.7×
Culture afb (87116)
range across 2 matching MRF lines
$104.92–$191.54 $172–$314 varies
Culture Anaerobic (87075) $120.78 $198 12.8×
Culture blood (87040) $212.28 $348 20.6×
Culture chlamydia (87110) $114.07 $187 5.8×
Culture csf (87070)
range across 2 matching MRF lines
$73.81–$86.62 $121–$142 varies
Culture fungus (87102) $84.79 $139 10.1×
Culture fungus blood (87103) $83.57 $137 4.1×
Culture screen only (87081) $35.38 $58 5.3×
Culture stool (87045) $82.96 $136 8.8×
Culture typing if ea antiserum (87140) $35.38 $58 6.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $23.79 $39 4.6×
Culture urine (87086) $67.10 $110 8.3×
Cyanide (82600) $54.29 $89 2.8×
Cyclosporine (80158) $61 $100 3.4×
Cystatin C (82610) $40.26 $66 2.2×
Cytogenetics 100-300 (88275) $511.18 $838 10.0×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$20.13–$88.45 $33–$145 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $35.99 $59 1.8×
Cytopath Cell Enhance Tech (88112) $65.27 $107 1.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $40.87 $67 1.5×
Cytp Concentration Smears & Interpretation (88108) $53.68 $88 1.4×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $89.67 $147 1.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $51.85 $85 1.3×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $34.16 $56 1.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $37.82 $62 1.3×
Deoxyribonuclease antibody (86215) $79.30 $130 6.0×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$35.99–$297.68 $59–$488 varies
Detect Agent Nos Dna Quant (87799) $251.32 $412 5.9×
Detect agnt mult DNA ampli (87801) $152.50 $250 2.2×
Dgp Antibody Each Ig Class (86258) $28.67 $47 2.4×
Dhea (82626) $32.94 $54 1.3×
Dhea-S (82627) $35.99 $59 1.6×
Digoxin (80162) $76.86 $126 5.8×
Dipropylacetic Acid Free (80165) $15.86 $26 1.2×
Dna Antibody Native/Double Stranded (86225) $195.20 $320 14.2×
Dna Antibody Single Stranded (86226) $14.03 $23 1.2×
Dna/Rna Amplified Probe (87150) $49.41 $81 1.4×
DNA/RNA direct probe (87149) $96.99 $159 4.8×
Dna/Rna Sequencing (87153) $425.17 $697 3.7×
Drug assay acetaminophen (80143) $300.73 $493 16.1×
Drug Assay Amiodarone (80151) $156.77 $257 8.4×
Drug Assay Everolimus (80169) $15.25 $25 1.1×
Drug Assay Lacosamide (80235) $209.23 $343 7.7×
Drug assay voriconazole (80285) $216.55 $355 8.0×
Drug Screen Quant Clozapine (80159) $106.14 $174 5.3×
Drug Screen Quant Zonisamide (80203) $117.73 $193 8.9×
Drug Screen Quantitative Gabapentin (80171) $84.79 $139 3.9×
Drug Screen Quantitative Lamotrigine (80175) $20.13 $33 1.5×
Drug Screen Quantitative Levetiracetam (80177) $23.18 $38 1.7×
Drug Screen Quantitative Oxcarbazepine (80183) $16.47 $27 1.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$4.88–$456.89 $8–$749 varies
Drug Test Prsmv Dir Opt Obs (80305) $109.80 $180 8.7×
Egfr Gene Analysis Common Variants (81235) $456.89 $749 1.4×
Ehrlichia antibody (86666) $54.90 $90 5.4×
El-1 Fecal Quantitative (82653) $153.11 $251 6.7×
Electrolyte panel (80051) $56.12 $92 8.0×
Electron Microscopy (88348) $916.83 $1,503 1.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $143.96 $236 2.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $124.44 $204 10.3×
Enterovirus Antibody (86658) $191.54 $314 14.7×
Enterovirus PCR (87498) $135.42 $222 3.9×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$51.24–$479.46 $84–$786 varies
Eosinophil Smear (89190) $32.94 $54 5.7×
Erythropoietin (82668) $86.62 $142 4.6×
Estradiol serum (82670) $100.65 $165 3.6×
Estrogen total (82672) $59.17 $97 2.7×
Estrogens fractionated (82671) $176.29 $289 5.5×
Ethylene Glycol (82693) $126.27 $207 8.5×
Exam Synovial Fluid Crystals (89060) $32.94 $54 4.5×
F2 Gene (81240) $198.25 $325 3.0×
Factor ii activity (85210) $155.55 $255 12.0×
Factor Inhibitor Test (85335) $50.02 $82 3.9×
Factor ix activity (85250) $84.18 $138 4.4×
Factor v activity (85220) $217.77 $357 12.3×
Factor v leiden mutation (81241) $198.25 $325 2.7×
Factor vii assay (85230) $123.22 $202 6.9×
Factor viii assay (85240) $96.99 $159 5.4×
Factor X (85260) $288.53 $473 16.1×
Factor xi activity (85270) $121.39 $199 6.8×
Fat stain feces urine/respir secretions (89125) $48.80 $80 8.3×
Fat/Lipids Feces Quantitative (82710) $329.40 $540 19.6×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $73.81 $121 4.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $68.93 $113 10.6×
Fecal Fat Qualitative (82705) $11.59 $19 2.3×
Ferritin (82728) $71.98 $118 5.3×
Fetal Fibronectin (82731) $272.67 $447 4.2×
Fetal screen rosette (85461) $105.53 $173 11.3×
Fibrin degradation products (85362) $92.72 $152 13.5×
Fibrin Degradation Quant (85379) $187.27 $307 18.4×
Fibrinogen activity (85384) $100.04 $164 10.3×
Flow cytometry first marker (88184) $273.89 $449 0.7×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$29.28–$79.30 $48–$130 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $136.03 $223 11.3×
Folic acid rbc (82747) $44.53 $73 2.5×
Folic Acid Serum (82746) $101.87 $167 6.9×
Follicle Stimulating Hormone (83001) $87.23 $143 4.7×
Francisella tularensis (86668) $61 $100 4.3×
Frozen Section (88331) $129.93 $213 0.7×
Fungi Identification Mold (87107) $40.87 $67 4.0×
Fungi Identification Yeast (87106) $42.09 $69 4.1×
Galactose (82760) $40.26 $66 3.6×
Galactose transferase test (82776) $39.04 $64 3.3×
Gammaglobulin ige (82785) $70.15 $115 4.3×
Gardner vag DNA dir probe (87510) $88.45 $145 4.4×
Gases Blood O2 Saturation Only Direct Meas (82810) $68.32 $112 7.0×
Gases blood ph only (82800)
range across 2 matching MRF lines
$60.39–$100.65 $99–$165 varies
Gastrin (82941) $59.78 $98 3.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $505.69 $829 1.2×
Gentamicin (80170) $111.02 $182 6.8×
Ggt (82977) $26.23 $43 3.6×
Giardia antigen (87329) $52.46 $86 4.4×
Glucagon (82943) $42.09 $69 2.9×
Glucose 2 hr pp (82950) $39.04 $64 8.2×
Glucose Blood Test (82962) $39.65 $65 12.1×
Glucose body fluid (82945) $43.31 $71 11.0×
Glucose Serum (82947) $25.01 $41 6.4×
Glucose tolerance test (gtt) (82951) $61.61 $101 4.8×
Glycated Protein (82985) $104.31 $171 6.2×
Gonadotropin Chorionic Qualitative (84703) $105.53 $173 14.0×
Growth hormone (83003) $40.87 $67 2.5×
Gtt-added samples (82952) $14.64 $24 3.7×
Haptoglobin (83010) $42.70 $70 3.4×
Hdl Cholesterol (83718) $65.27 $107 8.0×
Helicobacter Pylori Stool (87338) $193.98 $318 13.5×
Helminth Antibody (86682) $40.26 $66 3.1×
Hematocrit (85014) $25.62 $42 10.8×
Hemoglobin (85018) $29.89 $49 12.6×
Hemoglobin a1c (83036) $56.73 $93 5.8×
Hemoglobin Chromotography (83021) $73.20 $120 4.1×
Hemoglobin electrophoresis (83020) $62.22 $102 4.8×
Hemoglobin Methemoglobin Quantitative (83050) $76.86 $126 9.4×
Hemoglobin plasma (83051) $54.29 $89 7.4×
Hemosiderin urine (83070) $78.69 $129 16.6×
Hep a ab igm (86709) $14.64 $24 1.3×
Heparin assay (85520) $62.83 $103 4.8×
Hepatitis a antibody total (86708) $90.28 $148 7.3×
Hepatitis b core ab igm (86705) $20.13 $33 1.7×
Hepatitis b core ab total (86704) $43.92 $72 3.6×
Hepatitis B Surface Antibody (86706) $94.55 $155 8.8×
Hepatitis B Surface Antigen (87340) $93.94 $154 9.1×
Hepatitis Be Antibody (86707) $36.60 $60 3.2×
Hepatitis Be Antigen (87350) $26.84 $44 2.3×
Hepatitis C Antibody (86803) $99.43 $163 7.0×
Hepatitis C Genotype (87902) $329.40 $540 1.3×
Hepatitis C Probe&Rvrs Trnsc (87521) $273.89 $449 7.8×
Hepatitis C Revrs Trnscrpj (87522) $325.74 $534 7.6×
Herpes simplex type 2 (86696) $37.21 $61 1.9×
Heterophile Antibody Screen (86308) $50.02 $82 9.7×
Hfe Gene (81256) $34.16 $56 0.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $188.49 $309 24.4×
Histoplasma antibody (86698) $31.11 $51 2.3×
Histoplasma antigen urine (87385) $81.13 $133 6.1×
Hiv Antigen W/Hiv Antibodies (87806) $57.95 $95 1.8×
Hiv Genotype (87901) $425.17 $697 1.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $54.29 $89 2.3×
Hiv-1 Antibody (86701) $85.40 $140 9.6×
HIV-1 p24 antigen (87390) $157.38 $258 6.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $489.22 $802 5.7×
Hla class ii typing high resolution one locus ea (81382) $294.63 $483 2.4×
Hla Typing Dr/Dq Multiple Antigens (86817) $56.73 $93 0.5×
Hla-b27 (86812) $100.04 $164 3.9×
Homocysteine (83090) $143.35 $235 8.0×
Homogenization Tissue (87176) $33.55 $55 5.7×
Homovanillic acid urine (83150) $76.25 $125 3.4×
Hpv High-Risk Types (87624) $108.58 $178 3.1×
Hsv Dna Amp Probe (87529) $145.79 $239 4.2×
Htlv-I Antibody (86687) $303.78 $498 33.4×
Htlv-ii antibody (86688) $303.78 $498 21.7×
Hydroxyprogesterone 17-d (83498) $114.07 $187 4.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $42.70 $70 4.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $61 $100 4.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $67.10 $110 1.9×
Iaad ia shiga-like toxin (87427) $65.88 $108 5.5×
Iaadi pneumocustis carinii (87281) $64.66 $106 5.4×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $61 $100 1.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $170.80 $280 4.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $194.59 $319 5.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $200.69 $329 5.7×
Iadna Cytomegalovirus Quantification (87497) $341.60 $560 8.0×
Iadna Hepatitis B Virus Quantification (87517) $384.91 $631 9.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $393.45 $645 11.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $61.61 $101 1.8×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $129.32 $212 3.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $124.44 $204 3.0×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $114.68 $188 3.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $49.41 $81 1.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $183.61 $301 1.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $459.33 $753 1.7×
Ig Light Chains Free Each (83521) $116.51 $191 6.7×
Igg subclasses (82787) $121.39 $199 15.1×
Igh gene rearrange amp meth (81261) $147.62 $242 0.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $226.92 $372 0.6×
Immune Complex Assay (86332) $106.14 $174 4.4×
Immunfix e-phorsis/urine/csf (86335) $133.59 $219 4.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $780.80 $1,280 42.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $146.40 $240 9.8×
Immunoassay nonantibody (83516) $233.63 $383 20.3×
Immunofixation electrophoresis (86334) $102.48 $168 4.6×
Immunofluorescence per spec 1st singl antb stain (88346) $159.21 $261 0.9×
Immunohistochemistry (88342) $237.29 $389 1.3×
In situ hybridization 1st probe stain (88365) $147.62 $242 0.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $256.20 $420 3.6×
Influenza assay w/optic (87804) $67.10 $110 4.1×
Inhibin A (86336) $259.86 $426 16.7×
Inhibin b (83520)
range across 5 matching MRF lines
$85.40–$319.64 $140–$524 varies
Insitu hybridization manual (88368) $326.96 $536 0.9×
Insulin antibodies (86337) $103.70 $170 4.8×
Insulin free (83527) $35.99 $59 2.8×
Insulin total (83525) $18.30 $30 1.6×
Intrinsic factor antibody (86340) $45.75 $75 3.0×
Iron (83540) $40.87 $67 6.3×
Iron Binding Capacity (83550) $53.68 $88 6.1×
Islet cell antibody (86341) $140.30 $230 6.0×
Jak2 gene analysis p.val617phe variant (81270) $92.11 $151 1.0×
Koh Prep (87220) $86.01 $141 20.1×
Kras Gene Variants Exon 2 (81275) $390.40 $640 2.0×
Lactate (ld) (ldh) enzyme (83615) $42.70 $70 7.1×
Lactoferrin fecal qualitative (83630) $39.04 $64 2.0×
Ldh Isoenzymes (83625) $67.10 $110 5.2×
LDL direct (83721) $31.72 $52 3.0×
Lead (83655) $90.89 $149 7.5×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$194.59–$219.60 $319–$360 varies
Legionella pneumophila dfa (87278) $59.78 $98 3.8×
Leptospira antibody (86720) $123.22 $202 7.6×
Leukocyte Assessment Fecal (89055) $10.98 $18 2.6×
Level I Surg Pathology Gross Examination Only (88300) $73.20 $120 2.4×
Level ii surg pathology gross&microscopic exam (88302) $103.70 $170 2.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $858.88 $1,408 2.3×
Lipase (83690) $79.91 $131 11.6×
Lipoprotein A (83695) $20.13 $33 1.4×
Lipoprotein Bld Quan Part (83704) $145.18 $238 4.2×
Lithium (80178) $81.13 $133 12.3×
Luteinizing Hormone (Lh) (83002) $57.95 $95 3.1×
Lyme disease antibody (86618) $126.88 $208 7.5×
Lysozyme serum (85549) $217.16 $356 11.6×
M. Genitalium Amp Probe (87563) $124.44 $204 3.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$218.99–$512.40 $359–$840 varies
M/phmtrc alys ishquant/semiq (88374) $512.40 $840 2.9×
Macroscopic Exam Parasite (87169) $51.85 $85 12.0×
Magnesium Urine (83735) $57.95 $95 8.6×
Mass Spectrometry Quant (83789) $109.80 $180 4.6×
Mercury urine (83825) $46.36 $76 2.9×
Methotrexate (80204) $63.44 $104 1.6×
Methylmalonic acid serum (83921) $21.96 $36 1.0×
Microalbumin, quantitative (82043) $25.62 $42 4.4×
Microsatellite instability (81301) $578.89 $949 1.7×
Microsomal Antibodies Each (86376) $41.48 $68 2.9×
Mitochondrial Antibody Each (86381) $63.44 $104 2.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $488 $800 12.9×
Molecular Cytogenetics Dna Probe Each (88271) $102.48 $168 4.8×
Mononuclear cell antigen (86356) $103.70 $170 3.9×
Mopath procedure level 2 (81401) $423.95 $695 3.1×
Mopath procedure level 4 (81403) $186.05 $305 1.0×
Mrsa Pcr (87641) $115.90 $190 3.3×
Mthfr Gene Analysis Common Variants (81291) $129.93 $213 2.0×
Mucin Clot Body Fluid (83872) $20.74 $34 3.5×
Mumps antibody (86735) $31.11 $51 2.4×
Muscle-Specific Kinase Antb (86366) $129.93 $213 7.1×
Mycophenolic Acid (80180) $23.18 $38 1.3×
Mycoplasma antibody (86738) $67.71 $111 5.1×
Myelin basic protein csf (83873) $43.92 $72 2.6×
Myoglobin urine (83874) $129.93 $213 10.1×
Natriuretic peptide (83880) $196.42 $322 5.0×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $320.86 $526 1.2×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $629.52 $1,032 4.9×
Niacin (84591) $76.25 $125 4.5×
Nk cells total count (86357) $142.74 $234 3.8×
Nuclear antigen antibody (86235) $212.89 $349 11.9×
Obstetric panel (80081) $522.77 $857 7.0×
Occult blood feces (82272)
range across 2 matching MRF lines
$20.74–$36.60 $34–$60 varies
Occult Blood Other Sources (82271) $21.96 $36 4.1×
Oligoclonal bands (83916) $57.95 $95 2.1×
Organic acids urine (83918) $403.21 $661 17.1×
Osmolality serum (83930) $42.70 $70 6.5×
Osmolality Urine (83935) $45.14 $74 6.6×
Ova and parasites smears (87177) $77.47 $127 8.7×
Oxalate urine (83945) $51.24 $84 3.5×
Pancreatic Elastase Fecal (82656) $127.49 $209 11.1×
Parvovirus antibody (86747) $37.21 $61 2.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $71.37 $117 0.1×
Pathology Consultation During Surgery (88329) $32.33 $53 0.5×
Ph urine (81003)
range across 2 matching MRF lines
$23.18–$33.55 $38–$55 varies
Phenobarbital Level (80184) $88.45 $145 5.8×
Phenotype Infect Agent Drug (87900) $261.08 $428 2.0×
Phenylalanine (84030) $30.50 $50 5.5×
Phenytoin (Dilantin) (80185) $90.89 $149 6.9×
Phenytoin free (80186) $52.46 $86 3.8×
Phosphatase alkaline (84075) $20.13 $33 3.9×
Phospholipid Neutralization Hexagonal (85598) $64.05 $105 3.6×
Phosphorus Serum (84100) $91.50 $150 19.3×
Phosphorus urine (84105) $23.79 $39 4.1×
Pinworm exam (87172) $29.28 $48 6.9×
Platelet Antibodies (86022) $31.11 $51 1.7×
Platelet count automated (85049) $17.08 $28 3.8×
Platelet neutralization (85597) $42.09 $69 2.3×
Pooling blood platelets (86965) $79.30 $130 0.4×
Porphobilinogen, urine; quantitative (84110) $35.99 $59 4.3×
Porphyrins Urine Quantitation & Fractionation (84120) $51.24 $84 3.5×
Potassium Urine (84133) $56.73 $93 12.0×
Prealbumin (84134) $39.04 $64 2.7×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $124.44 $204 2.0×
Primidone (80188) $39.04 $64 2.4×
Procalcitonin (Pct) (84145) $164.09 $269 6.0×
Progesterone (84144) $101.26 $166 4.9×
Prolactin (84146) $80.52 $132 4.2×
Protein body fluid (84157) $61 $100 15.3×
Protein C Activity (85303) $176.90 $290 12.8×
Protein c antigen (85302) $120.78 $198 10.1×
Protein Electrophoresis Urine (84166) $64.66 $106 3.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $98.82 $162 9.2×
Protein S Free (85306) $176.90 $290 11.5×
Protein s total (85305) $106.14 $174 9.1×
Protein total serum (84155) $9.15 $15 2.5×
Protein Total Urine (84156) $52.46 $86 14.3×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$62.22–$91.50 $102–$150 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $59.17 $97 15.0×
Protoporphyrin rbc quantitative (84202) $82.96 $136 5.8×
Protoporphyrin, RBC; screen Facility (84203) $14.64 $24 1.5×
PSA free (84154) $68.93 $113 3.7×
Pth Intact (83970) $134.81 $221 3.3×
Q Fever Antibody (86638) $35.38 $58 2.9×
Quantiferon tb gold plus (86480) $179.95 $295 2.9×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$112.85–$223.26 $185–$366 varies
Quantitative Screen Metals (83018) $118.34 $194 5.4×
Rbc antibody elution (86860)
range across 3 matching MRF lines
$115.29–$172.02 $189–$282 varies
Rbc antibody identification (86870) $123.83 $203 0.3×
Rbc antibody screen (86850) $85.40 $140 8.7×
Rbc pretreatment serum (86978) $149.45 $245 2.4×
Rbc pretx incubatj w/enzymes (86971) $180.56 $296 1.0×
Renin activity plasma (84244) $59.17 $97 2.7×
Resp virus 12-25 targets (87633) $505.69 $829 1.2×
Resp Virus 6-11 Targets (87632) $305.61 $501 1.4×
Reticulocyte Count (85046) $93.94 $154 16.9×
Rh (86901) $30.50 $50 10.2×
Rheumatoid Factor Qualitative (86430) $42.09 $69 6.9×
Rheumatoid factor quant (86431) $42.70 $70 7.5×
Rickettsia antibody (86757) $21.35 $35 1.1×
Ristocetin cofactor (85245) $178.73 $293 7.8×
Rotavirus ag eia (87425) $104.92 $172 8.8×
Rpr qualitative (86592) $27.45 $45 6.4×
Rubella Antibody (86762) $60.39 $99 4.2×
Rubeola antibody (86765) $50.63 $83 3.9×
Russell Viper Venom Time Diluted (85613) $71.98 $118 7.5×
Salicylate Level (80179) $63.44 $104 3.4×
Salmonella antibody (86768) $35.99 $59 2.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $93.33 $153 1.8×
Sars-cov-2 COVID-19 antibody (86769) $59.78 $98 1.4×
Sarscov2&inf a&b&rsv amp prb (87637) $228.14 $374 1.6×
Sedimentation Rate, Automated (85652) $40.87 $67 15.1×
Selenium (84255) $83.57 $137 3.3×
Semen Anal Sperm Detection (89321) $231.80 $380 19.2×
Sensitivity mic (87186) $108.58 $178 12.6×
Sex Hormone Binding Globulin (84270) $176.29 $289 8.1×
Sickling of rbc reduction (85660) $15.86 $26 2.9×
Sirolimus (80195) $21.96 $36 1.6×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$35.99–$64.82 $59–$106.25 varies
Smear acid fast (87206) $48.80 $80 9.1×
Smear complex stain (87209) $70.76 $116 3.9×
Smear gram stain (87205) $32.33 $53 7.6×
Smear Special Stain (87207) $82.96 $136 13.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $24.40 $40 4.2×
Sodium Serum (84295) $17.69 $29 3.7×
Sodium Urine (84300) $45.75 $75 9.0×
Soluble Transferrin Receptor (84238) $222.04 $364 6.1×
Somatomedin (84305) $59.17 $97 2.8×
Special Stains Group 1 (88312) $61.61 $101 1.1×
Special Stains Group 2 (88313) $76.86 $126 0.6×
Specific gravity body fluid (84315) $16.47 $27 5.0×
Specimen infect agnt concntj (87015) $15.25 $25 2.3×
Spectrophotometry (84311) $79.91 $131 9.9×
Splitting Blood/Blood Products Each Unit (86985) $150.67 $247 0.9×
Stool cultr aerobic bact ea (87046) $59.78 $98 6.3×
Strep a assay w/optic (87880) $34.77 $57 2.1×
Strep a DNA amp probe (87651) $35.99 $59 1.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $113.46 $186 1.2×
Sulfate urine (84392) $150.06 $246 27.3×
Surg path level iii (88304) $121.39 $199 2.2×
Surgical pathology level IV (88305) $234.24 $384 4.3×
Surgical pathology level vi (88309) $327.57 $537 0.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $10.98 $18 2.3×
Susceptibility Study Antimicrobial Disk Method (87184) $35.99 $59 4.8×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $102.48 $168 14.0×
Syphilis Test Non-Trep Quant (86593) $39.65 $65 9.0×
T cells absolute cd4 count (86361) $19.52 $32 0.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $141.52 $232 3.0×
T cells total count (86359) $85.40 $140 2.3×
T3 Free (84481) $112.24 $184 6.6×
T3 reverse (84482) $58.56 $96 3.7×
T3 Total (84480) $22.57 $37 1.6×
T3 Uptake (84479) $62.22 $102 9.6×
T4 Free (84439) $73.20 $120 8.1×
T4 total (84436) $57.34 $94 8.3×
T4-neonatal (84437) $31.72 $52 4.9×
Tacrolimus (80197) $84.79 $139 6.2×
Test for acetone/ketones (82009) $61.61 $101 13.6×
Testosterone total (84403) $74.42 $122 2.9×
Testosterone, Free (84402) $271.45 $445 10.7×
Theophylline (80198) $95.16 $156 6.7×
Thrombin Time (85670) $23.79 $39 4.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $92.72 $152 14.3×
Thyroglobulin (84432) $48.19 $79 3.0×
Thyroglobulin Antibody (86800) $24.40 $40 1.5×
Thyroid Stimulating Immunoglobulin (84445) $92.72 $152 1.8×
Thyroxine binding globulin (84442) $136.03 $223 9.2×
Tiss cul neo disorders solid tumor (88239) $274.50 $450 1.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $59.17 $97 5.1×
Tissue Culture (88233) $471.53 $773 3.4×
Tissue culture bone marrow (88237) $489.83 $803 3.4×
Tissue Culture Lymphocyte (88230) $358.07 $587 3.1×
Tobramycin peak (80200) $126.88 $208 7.9×
Topiramate (80201) $95.77 $157 8.0×
Touch prep (88161) $67.10 $110 2.2×
Toxoplasma ab igm (86778) $62.83 $103 4.4×
Toxoplasma antibody (86777) $60.39 $99 4.2×
Transferase Aspartate Amino Ast Sgot (84450) $25.62 $42 4.9×
Transferrin (84466) $64.66 $106 5.1×
Trichinella Antibody (86784) $72.59 $119 5.8×
Trichomonas vagin dir probe (87660) $167.75 $275 8.4×
Trichomonas Vaginalis Amplif (87661) $124.44 $204 3.5×
Triglycerides (84478) $48.19 $79 8.4×
Troponin Quant (84484) $166.53 $273 13.4×
Tumor immunohistochem/comput (88361) $106.14 $174 0.3×
Tumor Immunohistochem/Manual (88360) $212.89 $349 1.2×
Unlisted Transfusion Medicine Procedure (86999) $73.81 $121 2.5×
Urea nitrogen urine (84540) $47.58 $78 8.6×
Uric acid other source (84560) $35.38 $58 7.0×
Urinalysis Microscopic Only (81015) $6.71 $11 2.2×
Urinalysis Volume Measure (81050) $17.69 $29 4.9×
Urine Bacteria Culture (87088) $24.40 $40 3.0×
Urine Pregnancy Test (81025) $74.42 $122 8.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$45.75–$51.24 $75–$84 varies
Valproic acid (80164) $95.77 $157 7.1×
Vancomycin (80202) $120.17 $197 8.9×
Varicella-zoster antibody (86787) $81.13 $133 6.3×
Vasopressin (84588) $102.48 $168 3.0×
Very Long Chain Fatty Acids (82726) $50.63 $83 2.6×
Viral Culture (87252) $117.73 $193 4.5×
Virus antibody nos (86790) $57.34 $94 4.5×
Virus inoculation, shell via (87254) $34.16 $56 1.7×
Viscosity serum (85810) $48.19 $79 4.1×
Vit D 1 25-Dihydroxy (82652) $88.45 $145 2.3×
Vitamin A (84590) $35.38 $58 3.0×
Vitamin b-12 (82607) $94.55 $155 6.3×
Vitamin B6 (84207) $176.90 $290 6.3×
Vitamin c (82180) $28.67 $47 2.9×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$41.48–$51.85 $68–$85 varies
Vitamin E (84446) $36.60 $60 2.6×
Vitamin K (84597) $78.69 $129 5.7×
Volatiles (84600) $134.81 $221 7.9×
Von willebrand factor ag (85246) $175.68 $288 7.7×
Wbc Alkaline Phosphatase Count (85540) $69.54 $114 8.1×
West nile virus ab igm (86788) $84.79 $139 5.0×
West Nile Virus Antibody (86789) $86.01 $141 6.0×
Western Blot Test (84181) $149.45 $245 8.8×
Xm Archive Tissue Molec Anal (88363) $28.06 $46 0.9×
Zinc (84630) $17.69 $29 1.6×

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.