Lab & pathology prices at Chi St. Luke's Health Brazosport

Lake Jackson, TX · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $22.68 $64.80 1.5×
Acth (82024) $126.35 $361 3.3×
Actin smooth muscle antibody each (86015) $16.39 $46.81 1.4×
Acute hepatitis panel (80074) $236.60 $676 5.0×
Acylcarnitines Quant (82017) $39.38 $112.50 2.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $33.25 $95 0.5×
Albumin Fluid (82042) $21 $60 2.7×
Albumin serum (82040) $33.81 $96.60 6.8×
Aldolase (82085) $22.50 $64.26 2.3×
Aldosterone urine (82088) $77.91 $222.60 1.9×
Alkaline phosphatase isoenzymes (84080) $24.26 $69.30 1.6×
Allergen specific ige (86003) $9.10 $26 1.7×
Allg Spec Ige Recomb Ea (86008) $25.48 $72.80 1.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$44.10–$79.80 $126–$228 varies
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$55.76–$74.03 $159.30–$211.50 varies
Alt (sgpt) (84460) $29.40 $84 5.5×
Amikacin trough (80150) $50.40 $144 3.3×
Amino Acids 1 Quantitative Each Specimen (82131) $27.72 $79.20 1.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $539.91 $1,542.60 32.0×
Amino Acids Multiple Qualitative Each Specimen (82128) $38.75 $110.70 2.8×
Ammonia (82140) $133.41 $381.15 9.2×
Amniotic fluid scan (82143) $3.15 $9 0.3×
Amylase urine (82150) $93.45 $267 14.4×
Ana Titer (86039) $15.86 $45.31 1.4×
Anca screen each antibody (86036) $17.98 $51.37 1.5×
Anca Titer Each Antibody (86037) $6.65 $19 0.6×
Androstenedione (82157) $105.68 $301.92 3.6×
Angiotensin converting enzyme csf (82164) $25.35 $72.42 1.7×
Anti-Phospholipid Antibody (86148) $23.29 $66.54 1.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $51.03 $145.80 3.3×
Antibody Cytomegalovirus Cmv Igm (86645) $170.10 $486 10.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $36.02 $102.90 2.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $43.37 $123.90 2.4×
Antibody Fungus Not Elsewhere Specified (86671) $47.25 $135 3.9×
Antibody haemophilus influenza (86684) $18.21 $52.02 1.1×
Antibody helicobacter pylori (86677) $74.97 $214.20 4.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $22.40 $64 1.6×
Antibody Herpes Smplx Type 1 (86695) $19.69 $56.23 1.5×
Antibody HIV-2 (86702) $21.70 $62 1.6×
Antibody htlv/HIV antibody confirmatory test (86689) $30.87 $88.20 1.6×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$46.20–$100.32 $132–$286.62 varies
Antibody Protozoa Nes (86753) $68.99 $197.10 5.6×
Antibody Titer (86886) $49.14 $140.40 9.5×
Antibody Treponema Pallidum (86780) $19.76 $56.44 1.5×
Antigen typing (86905) $451.15 $1,289 117.8×
Antinuclear antibodies (86038) $36.02 $102.90 3.0×
Antistreptolysin o titer (86060) $21.35 $61 2.9×
Antithrombin iii activity (85300) $38.50 $110 3.2×
Antithrombin iii antigen (85301) $15.37 $43.89 1.4×
Apc gene dup/delet variants (81203) $229.95 $657 1.1×
Apc gene full sequence (81201) $229.95 $657 0.3×
Apolipoprotein a1 (82172) $3.50 $10 0.2×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $444.11 $1,268.88 11.8×
Aquaporin-4 Antb Cba Each (86052) $241.62 $690.34 20.1×
Arsenic (82175) $54.30 $155.14 2.9×
Aspergillus ag eia (87305) $63.95 $182.70 5.3×
Assay activated protein c (85307) $147.35 $421 9.6×
Assay Blood Carbon Dioxide (82374) $17.64 $50.40 3.6×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$35.35–$37.10 $101–$106 varies
Assay of 5-hiaa (83497) $37.80 $108 2.9×
Assay of blood/uric acid (84550) $29.40 $84 6.5×
Assay of calcium in urine (82340) $63.58 $181.65 10.5×
Assay of cpk in blood (82552) $30.56 $87.30 2.3×
Assay of g6pd enzyme (82955) $25.55 $73 2.6×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$30.10–$44.80 $86–$128 varies
Assay of lactic acid (83605) $44.84 $128.10 3.9×
Assay of metanephrines (83835) $48.88 $139.65 2.9×
Assay of proinsulin (84206) $134.82 $385.20 5.1×
Assay of serotonin (84260) $58.91 $168.30 1.9×
Assay of serum potassium (84132) $30.51 $87.15 6.4×
Assay of urea nitrogen (84520) $31.85 $91 8.1×
Assay of urine vma (84585) $32.85 $93.84 2.1×
Assay of vasoactive intestinal peptide (84586) $50.21 $143.44 1.4×
Assay of vitamin b-1 (84425) $30.42 $86.89 1.4×
Assay Ph Body Fluid Nos (83986)
range across 4 matching MRF lines
$10.26–$35.28 $29.30–$100.80 varies
Assay spec xcp ur&breath ia (82077) $14 $40 0.8×
Autol Bld/Component Collj Storage Predeposited (86890) $112.14 $320.40 0.7×
Automated Leukocyte Count (85048) $13.23 $37.80 5.2×
Bartonella antibody (86611) $44.63 $127.50 4.4×
Bcr/abl1 gene major bp (81206) $253.75 $725 1.5×
Bcr/abl1 gene minor bp (81207) $275.80 $788 1.9×
Beta 2 glycoprotein i antibody each (86146) $52.15 $149 2.0×
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$30.45–$77.70 $87–$222 varies
Beta Lactamase (87185) $11.90 $34 2.5×
Beta-2 Microglobulin (82232) $50.05 $143 3.1×
Bilirubin direct (82248) $35.70 $102 7.1×
Bilirubin total (82247) $34.30 $98 6.8×
Blood Count Red Blood Cell Automated (85041) $9.19 $26.25 3.0×
Blood gas (82803) $203.70 $582 7.8×
Blood gases w/02 saturation (82805) $280.25 $800.70 3.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $39.90 $114 2.5×
Blood Type Antigen Donor Reagent Serum Each (86902) $415.10 $1,186 65.4×
Blood typing serologic abo (86900) $163.10 $466 54.5×
Body fluid cell count (89050) $87.85 $251 18.6×
Braf gene analysis (81210) $182.39 $521.10 1.0×
C diff amplified probe (87493) $63.70 $182 1.7×
C-Peptide (84681) $63.70 $182 3.1×
C-reactive protein (86140)
range across 2 matching MRF lines
$31.98–$77.81 $91.35–$222.30 varies
Ca 19-9 (86301) $66.50 $190 3.2×
Calcitonin (82308) $42.74 $122.09 1.6×
Calcium ionized (82330)
range across 2 matching MRF lines
$38.59–$72.77 $110.25–$207.90 varies
Calcium total (82310) $38.85 $111 7.5×
Calculus assay quant (82360) $79.10 $226 6.1×
Calprotectin Fecal (83993) $32.90 $94 1.7×
Calr gene com variants (81219) $1,628.20 $4,652 13.4×
Cancer Antigen 125 (86304) $81.22 $232.05 3.9×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$56.98–$78.54 $162.80–$224.40 varies
Carbamazepine total (80156) $117.46 $335.58 8.1×
Carcinoembryonic antigen (82378) $133.70 $382 7.1×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$52.15–$73.50 $149–$210 varies
Carnitine Quantitative Each Specimen (82379) $39.38 $112.50 2.3×
Catecholamines fractionated (82384) $83.19 $237.66 3.3×
Ccp antibody (86200) $21.70 $62 1.7×
Cell marker study (88182) $91.04 $260.10 1.7×
Ceruloplasmin (82390) $35.35 $101 3.3×
Chlamydia trachomatis ag if (87270) $4.29 $12.24 0.4×
Chloride other source (82438) $40.01 $114.30 8.0×
Chloride Serum (82435) $22.05 $63 4.8×
Chloride urine (82436) $44.10 $126 7.7×
Cholesterol total (82465) $12.29 $35.10 2.8×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$56.70–$141.40 $162–$404 varies
Chromium serum (82495) $23.63 $67.50 1.2×
Chromogranin a (86316) $82.83 $236.64 4.0×
Chromosome Analysis 20-25 (88264) $160.02 $457.20 1.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $112.46 $321.30 3.2×
Citric acid urine (82507) $40.30 $115.13 1.4×
Ckmb (82553) $79.38 $226.80 6.9×
Clostridium Difficile (87324) $78.75 $225 6.6×
Clot Factor VIII Multimetric (85247) $190.40 $544 8.3×
Clot factor xiii fibrin stab (85290) $47.25 $135 2.9×
Clotting Funct Activity (85397) $147.42 $421.20 4.8×
Cns DNA amp probe type 12-25 (87483) $245.70 $702 0.6×
Coagulation time activated (85347)
range across 2 matching MRF lines
$55.13–$66.15 $157.50–$189 varies
Coccidioides antibody (86635) $41.27 $117.90 3.6×
Cold agglutinin titer (86157) $44.73 $127.80 5.5×
Collagen crosslinks (82523) $74.97 $214.20 4.0×
Column Chromotography Quant (82542) $114.45 $327 4.8×
Compatibility test antiglob (86922) $208 $594.26 1.2×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$51.09–$53.66 $145.95–$153.30 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$40.95–$57.65 $117–$164.70 varies
Complement/Function Activity (86161) $11.97 $34.20 1.0×
Consltj&Reprt Material Requiring Prepj Slides (88323) $45.50 $130 0.9×
Coombs direct (86880) $56 $160 10.4×
Copper urine (82525) $32.85 $93.84 2.6×
Cortisol free (82530)
range across 2 matching MRF lines
$31.98–$41.90 $91.35–$119.70 varies
Cortisol saliva (82533)
range across 4 matching MRF lines
$59.50–$117.25 $170–$335 varies
Creatine kinase total (82550) $66.85 $191 10.3×
Creatinine blood (82565)
range across 2 matching MRF lines
$22.40–$36.40 $64–$104 varies
Creatinine clearance (82575) $92.75 $265 9.8×
Creatinine Urine (82570)
range across 2 matching MRF lines
$32.34–$50.35 $92.40–$143.85 varies
Crossmatch immediate spin (86920) $203.92 $582.61 1.2×
Crp High Sensitivity (86141) $69.83 $199.50 5.4×
Cryoglobulin (82595) $41.65 $119 6.4×
Cryptococcus ag titer (87899) $31.15 $89 1.9×
Cryptosporidium ag eia (87328) $31.50 $90 2.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$23.22–$58.80 $66.33–$168 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $141.44 $404.10 17.5×
Culture aerobic quant other (87071) $28.04 $80.10 2.8×
Culture afb (87116) $98.70 $282 9.1×
Culture Anaerobic (87075) $108.05 $308.70 11.4×
Culture blood (87040) $148.84 $425.25 14.4×
Culture chlamydia (87110) $57.96 $165.60 3.0×
Culture csf (87070)
range across 4 matching MRF lines
$56–$127.75 $160–$365 varies
Culture fungus (87102) $64.75 $185 7.7×
Culture fungus blood (87103) $28.35 $81 1.4×
Culture screen only (87081)
range across 6 matching MRF lines
$40.95–$112.70 $117–$322 varies
Culture stool (87045) $113.75 $325 12.0×
Culture Typing Gas/High Pres Liq Chromatography (87143) $141.44 $404.10 11.3×
Culture typing if ea antiserum (87140) $85.05 $243 15.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $50.72 $144.90 9.8×
Culture urine (87086) $94.85 $271 11.8×
Cyclosporine (80158) $31.19 $89.10 1.7×
Cystatin C (82610) $39.55 $113 2.1×
Cytogenetics 100-300 (88275) $72.77 $207.90 1.4×
Cytomegalovirus igg (86644) $36.02 $102.90 2.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $63.32 $180.90 3.1×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$47.51–$78.28 $135.73–$223.65 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $23.94 $68.40 0.1×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $27.65 $79 1.5×
Cytp smrs any oth src extnd std > 5 slides (88162) $113.05 $323 2.2×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $41.90 $119.70 1.4×
Cytp Urine 3-5 Probes Cmptr (88121) $175 $500 1.0×
Detect Agent Nos Dna Amp (87798) $102.38 $292.50 2.9×
Detect Agent Nos Dna Quant (87799) $237.20 $677.70 5.5×
Detect agnt mult DNA ampli (87801) $107.96 $308.45 1.5×
Dhea (82626) $45.50 $130 1.8×
Dhea-S (82627) $43.75 $125 2.0×
Digoxin (80162) $98.35 $281 7.4×
Dihydrotestosterone (82642) $20.48 $58.50 0.7×
Diphtheria antitoxoid (86648) $21.62 $61.75 1.4×
Dipropylacetic Acid Free (80165) $19.24 $54.97 1.4×
Dna Antibody Native/Double Stranded (86225) $135.45 $387 9.9×
DNA/RNA direct probe (87149) $43.47 $124.20 2.2×
Dna/Rna Sequencing (87153) $135.77 $387.90 1.2×
Drug assay acetaminophen (80143) $8.75 $25 0.5×
Drug assay adalimumab (80145) $185.50 $530 4.8×
Drug Assay Infliximab (80230) $164.15 $469 4.3×
Drug Assay Lacosamide (80235) $46.55 $133 1.7×
Drug assay voriconazole (80285) $104.30 $298 3.8×
Drug Screen Quant Zonisamide (80203) $19.25 $55 1.5×
Drug Screen Quantitative Lamotrigine (80175) $18.83 $53.80 1.4×
Drug Screen Quantitative Levetiracetam (80177)
range across 2 matching MRF lines
$27.30–$52.85 $78–$151 varies
Drug Screen Quantitative Oxcarbazepine (80183) $18.90 $54 1.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $30.56 $87.30 1.8×
Drug Test Prsmv Chem Anlyzr (80307) $133 $380 2.1×
Egfr Gene Analysis Common Variants (81235) $252.32 $720.90 0.8×
El-1 Fecal Quantitative (82653) $36.05 $103 1.6×
Electrolyte panel (80051) $78.28 $223.65 11.2×
Electron Microscopy (88348) $512.05 $1,463 0.6×
Encephaltis East Eqne Anbdy (86652) $54.60 $156 4.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $9.14 $26.10 0.8×
Enterovirus Antibody (86658) $94.50 $270 7.3×
Enzyme cell activity (82657) $32.13 $91.80 1.4×
Eosinophil Smear (89190) $12.92 $36.90 2.2×
Erythropoietin (82668) $54.25 $155 2.9×
Estradiol serum (82670) $67.55 $193 2.4×
Estrogen total (82672) $44.73 $127.80 2.1×
Ethosuximide (80168) $31.50 $90 1.9×
Ethylene Glycol (82693) $5.04 $14.40 0.3×
Euglobulin lysis (85360) $41.58 $118.80 4.9×
Exam Synovial Fluid Crystals (89060) $69.62 $198.90 9.5×
F2 Gene (81240) $103.60 $296 1.6×
Factor ix activity (85250) $168.21 $480.60 8.8×
Factor v leiden mutation (81241) $116.55 $333 1.6×
Factor viii assay (85240) $183.75 $525 10.3×
Factor X (85260) $125.06 $357.30 7.0×
Factor xi activity (85270) $111.20 $317.70 6.2×
Factor xiii screen (85291) $25.20 $72 2.8×
Fecal Fat Qualitative (82705) $12.95 $37 2.5×
Ferritin (82728) $77.35 $221 5.7×
Fetal Fibronectin (82731) $185.15 $529 2.9×
Fetal screen rosette (85461) $53.98 $154.22 5.8×
Fibrin degradation products (85362) $67.55 $193 9.8×
Fibrin Degradation Quant (85379) $91 $260 8.9×
Fibrinogen activity (85384) $85.63 $244.65 8.8×
Flow cytometry first marker (88184) $410.78 $1,173.65 1.1×
Fluorescent antibody screen (86255) $62.85 $179.55 5.2×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $28.35 $81 2.4×
Folic acid rbc (82747) $72.80 $208 4.1×
Folic Acid Serum (82746) $59.15 $169 4.0×
Follicle Stimulating Hormone (83001) $51.45 $147 2.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $53.20 $152 0.3×
Frozen Section (88331) $235.55 $673 1.4×
Fungi Identification Mold (87107) $76.47 $218.48 7.4×
Fungi Identification Yeast (87106) $50.09 $143.10 4.9×
Gammaglobulin ige (82785) $48.13 $137.50 2.9×
Gastrin (82941) $32.90 $94 1.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $707.90 $2,022.57 1.7×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,428.53 $4,081.50 1.9×
Genet Virus Isolate Hsv (87255) $137.55 $393 4.1×
Gentamicin (80170)
range across 2 matching MRF lines
$49–$80.33 $140–$229.50 varies
Ggt (82977) $51.45 $147 7.1×
Giardia antigen (87329) $38.12 $108.90 3.2×
Glucagon (82943) $48.51 $138.60 3.4×
Glucose 2 hr pp (82950) $51.35 $146.70 10.8×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$12.60–$24.26 $36–$69.30 varies
Glucose body fluid (82945) $68.25 $195 17.4×
Glucose Serum (82947)
range across 2 matching MRF lines
$26.10–$28.67 $74.55–$81.90 varies
Glucose tolerance test (gtt) (82951) $59.87 $171.05 4.7×
Gonadotropin Chorionic Qualitative (84703) $93.45 $267 12.4×
Growth hormone (83003) $33.25 $95 2.0×
Gtt-added samples (82952)
range across 3 matching MRF lines
$22.37–$31.19 $63.90–$89.10 varies
H Pylori (C-13) Breath (83013)
range across 3 matching MRF lines
$107.10–$140.35 $306–$401 varies
H Pylori Drug Admin (83014) $12.95 $37 1.6×
Haptoglobin (83010)
range across 2 matching MRF lines
$59.50–$97.65 $170–$279 varies
Hdl Cholesterol (83718) $27.41 $78.30 3.3×
Heavy metal qualitative any analytes (83015) $235.62 $673.20 11.3×
Helicobacter Pylori Stool (87338) $25.73 $73.50 1.8×
Helminth Antibody (86682) $59.85 $171 4.6×
Hematocrit (85014) $30.51 $87.15 12.9×
Hemoglobin (85018) $31.98 $91.35 13.5×
Hemoglobin a1c (83036) $44.10 $126 4.5×
Hemoglobin Chromotography (83021) $21.42 $61.20 1.2×
Hemoglobin electrophoresis (83020) $33.45 $95.55 2.6×
Hep a ab igm (86709) $20.30 $58 1.8×
Hepatitis a antibody total (86708) $20.65 $59 1.7×
Hepatitis b core ab igm (86705) $31.15 $89 2.6×
Hepatitis b core ab total (86704) $17.98 $51.37 1.5×
Hepatitis B Surface Antibody (86706) $54.39 $155.40 5.1×
Hepatitis B Surface Antigen (87340) $40.80 $116.55 3.9×
Hepatitis Be Antibody (86707) $56.55 $161.57 4.9×
Hepatitis Be Antigen (87350) $52.84 $150.96 4.6×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$55.44–$94.08 $158.40–$268.80 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$136.85–$244.02 $391–$697.20 varies
Herpes simplex type 2 (86696) $69.09 $197.40 3.6×
Heterophile Antibody Screen (86308) $46.20 $132 8.9×
Hfe Gene (81256) $525.87 $1,502.46 8.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $48.83 $139.50 6.3×
Histamine urine (83088) $137.34 $392.40 4.7×
Histoplasma antibody (86698) $33.39 $95.40 2.4×
Histoplasma antigen urine (87385) $66.47 $189.90 5.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$56.56–$101.43 $161.60–$289.80 varies
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$25.83–$57.75 $73.80–$165 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $200.03 $571.50 2.4×
HIV-2 probe&revrse trnscripj (87538) $144.20 $412 4.1×
Hla class ii typing high resolution one locus ea (81382) $175.75 $502.14 1.4×
Hla ii typing 1 locus lr (81376) $173.68 $496.21 1.4×
Hla-b27 (86812) $41.65 $119 1.6×
Homocysteine (83090) $48.65 $139 2.7×
Homogenization Tissue (87176) $23.10 $66 3.9×
Hpv High-Risk Types (87624) $35.91 $102.60 1.0×
Hsv Dna Amp Probe (87529) $141.40 $404 4.0×
Hsv Dna Quant (87530) $132.65 $379 3.1×
Human Epididymis Protein 4 (86305) $137.55 $393 6.6×
Hydroxycorticosteroids 17 (83491) $27.41 $78.30 1.5×
Hydroxyprogesterone 17-d (83498) $59.15 $169 2.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $38.43 $109.80 3.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $101.15 $289 7.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $60.20 $172 1.7×
Iaad ia shiga-like toxin (87427) $26.67 $76.19 2.2×
Iaad Ia Streptococcus Group A (87430) $106.40 $304 6.3×
Iaadi pneumocustis carinii (87281) $72.45 $207 6.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $55.13 $157.50 1.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $40.35 $115.26 1.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $232.79 $665.10 6.6×
Iadna Cytomegalovirus Quantification (87497) $141.90 $405.41 3.3×
Iadna Hepatitis B Virus Quantification (87517) $237.78 $679.35 5.6×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $90.65 $259 2.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $133.56 $381.60 3.8×
Iadna Multiple Organisms Direct Probe Tq (87800) $60.17 $171.90 1.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $370.44 $1,058.40 10.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $99.80 $285.12 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $148.75 $425 1.0×
Igg subclasses (82787) $31.17 $89.05 3.9×
Igh@ Variable Region Somatic Mutation Analysis (81263) $258.30 $738 0.9×
Immunfix e-phorsis/urine/csf (86335) $75.71 $216.30 2.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $148.75 $425 8.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $23.49 $67.10 1.6×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$40.60–$77.35 $116–$221 varies
Immunofixation electrophoresis (86334) $142.10 $406 6.4×
Immunofluorescence per spec 1st singl antb stain (88346) $53.55 $153 0.3×
Immunohistochemistry (88342) $34.07 $97.34 0.2×
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$97.65–$123.80 $279–$353.70 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $60.20 $172 0.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520)
range across 3 matching MRF lines
$46.90–$49.63 $134–$141.78 varies
Influenza a/b ag eia (87400) $117.60 $336 8.3×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$28–$35.35 $80–$101 varies
Inhibin b (83520)
range across 2 matching MRF lines
$100.10–$119 $286–$340 varies
Insitu hybridization auto (88367) $57.33 $163.80 0.2×
Insulin antibodies (86337) $51.06 $145.86 2.4×
Insulin total (83525) $36.40 $104 3.2×
Interleukin-6 (83529) $57.65 $164.70 3.3×
Intrinsic factor antibody (86340) $28.98 $82.80 1.9×
Iron (83540) $36.05 $103 5.6×
Iron Binding Capacity (83550) $12.60 $36 1.4×
Irradiation Blood Product Each Unit (86945) $46.90 $134 1.2×
Islet cell antibody (86341) $40.89 $116.82 1.7×
Jak2 gene analysis p.val617phe variant (81270) $130.25 $372.14 1.4×
Jak2 Gene Trgt Sequence Alys (81279) $266.72 $762.05 1.4×
Ketosteroids 17 total (83586) $20.79 $59.40 1.6×
Kras Gene Variants Exon 2 (81275) $248.85 $711 1.3×
Lactate (ld) (ldh) enzyme (83615) $40.25 $115 6.7×
Lactoferrin Fecal Quantitative (83631) $129.15 $369 6.6×
Ldh Isoenzymes (83625) $27.09 $77.40 2.1×
LDL direct (83721) $32.55 $93 3.1×
Lead (83655) $32.55 $93 2.7×
Legionella antibody (86713) $27.72 $79.20 1.8×
Legionella antigen urine (87449) $64.05 $183 5.3×
Leukocyte Assessment Fecal (89055) $63.70 $182 14.9×
Level I Surg Pathology Gross Examination Only (88300) $33.95 $97 1.2×
Level ii surg pathology gross&microscopic exam (88302) $129.15 $369 3.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $403.20 $1,152 1.1×
Lipase (83690)
range across 2 matching MRF lines
$14–$39.90 $40–$114 varies
Lipoprotein A (83695) $44.45 $127 3.1×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $123.48 $352.80 3.6×
Lithium (80178) $110.95 $317 16.8×
Luteinizing Hormone (Lh) (83002) $64.75 $185 3.5×
Lyme disease antibody (86618) $42.13 $120.36 2.5×
Lysozyme serum (85549) $27.18 $77.65 1.4×
M. Genitalium Amp Probe (87563) $102.55 $293 2.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $155.40 $444 0.9×
M/phmtrc alys ishquant/semiq (88374) $267.75 $765 1.6×
Magnesium Urine (83735) $105.48 $301.35 15.7×
Mercury urine (83825) $57.84 $165.24 3.6×
Methylmalonic acid serum (83921) $56.35 $161 2.7×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$7.25–$36.75 $20.70–$105 varies
Microsatellite instability (81301) $292.95 $837 0.8×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$55.65–$64.75 $159–$185 varies
Mog-Igg1 Antb Cba Each (86362) $275.36 $786.73 22.9×
Molecular Cytogenetics Dna Probe Each (88271) $286.65 $819 13.4×
Mopath procedure level 2 (81401) $251.26 $717.88 1.8×
Mpl gene analysis sequence analysis exon 10 (81339) $266.72 $762.05 1.4×
Mumps antibody (86735) $47.25 $135 3.6×
Mycoplasma antibody (86738) $33.95 $97 2.6×
Myd88 Gene P.Leu265pro Vrnt (81305) $263.03 $751.50 1.5×
Myelin basic protein csf (83873) $78.08 $223.07 4.5×
Myoglobin urine (83874) $37.80 $108 2.9×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$57.75–$91.70 $165–$262 varies
Neisseria Dir Na Probe (87590) $40.84 $116.66 1.5×
Nfct Agent Genotype Hepatitis B Virus (87912) $647.15 $1,849 2.5×
Nfct ds chrnc hcv 6 assays (81596) $379.50 $1,084.26 5.3×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $131.60 $376 1.0×
Niacin (84591) $88.52 $252.90 5.2×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$102.20–$107.80 $292–$308 varies
Occult blood feces (82272) $40.06 $114.45 9.5×
Occult Blood Other Sources (82271) $25.35 $72.42 4.8×
Oligoclonal bands (83916) $135.10 $386 4.9×
Organic acids urine (83918) $95.13 $271.80 4.0×
Osmolality serum (83930) $62.85 $179.55 9.5×
Osmolality Urine (83935) $60.27 $172.20 8.8×
Ova and parasites smears (87177) $74.20 $212 8.3×
Oxalate urine (83945) $34.31 $98.01 2.4×
Particle Agglutination Screen Each Antibody (86403)
range across 4 matching MRF lines
$23.94–$84.32 $68.40–$240.90 varies
Parvovirus antibody (86747) $36.86 $105.30 2.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $910.53 $2,601.50 1.1×
Pathology Consultation During Surgery (88329) $48.46 $138.44 0.8×
Ph urine (81003) $31.15 $89 13.8×
Phenobarbital Level (80184) $65.52 $187.20 4.3×
Phenylalanine (84030) $88.20 $252 16.0×
Phenytoin (Dilantin) (80185) $127.75 $365 9.6×
Phosphatase acid prostatic (84066) $21.11 $60.30 2.2×
Phosphatase alkaline (84075) $28.35 $81 5.5×
Phospholipid Neutralization Hexagonal (85598) $50.70 $144.84 2.8×
Phosphorus Serum (84100) $32.34 $92.40 6.8×
Phosphorus urine (84105) $59.62 $170.34 10.3×
Pinworm exam (87172) $19.53 $55.80 4.6×
Platelet Aggregation (85576)
range across 2 matching MRF lines
$64.75–$68.25 $185–$195 varies
Platelet Antibodies (86022)
range across 2 matching MRF lines
$126–$133.88 $360–$382.50 varies
Platelet count automated (85049) $55.65 $159 12.4×
Platelet neutralization (85597) $18.27 $52.20 1.0×
Porphyrins Urine Quantitation & Fractionation (84120) $56.88 $162.49 3.9×
Potassium Urine (84133) $48.29 $137.97 10.2×
Prealbumin (84134) $42.35 $121 2.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $45.36 $129.60 0.8×
Primidone (80188) $30.24 $86.40 1.8×
Procalcitonin (Pct) (84145) $69.83 $199.50 2.6×
Progesterone (84144) $41.97 $119.90 2.0×
Prolactin (84146) $73.14 $208.95 3.8×
Protein body fluid (84157) $67.55 $193 16.9×
Protein C Activity (85303) $131.20 $374.85 9.5×
Protein c antigen (85302) $33.95 $97 2.8×
Protein Electrophoresis Urine (84166) $26.61 $76.01 1.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $46.68 $133.35 4.3×
Protein S Free (85306) $44.10 $126 2.9×
Protein s total (85305) $23.21 $66.30 2.0×
Protein total serum (84155) $23.52 $67.20 6.4×
Protein Total Urine (84156) $34.55 $98.70 9.4×
Protein Western Blot Test (84182) $31.85 $91 1.1×
PSA free (84154) $54.60 $156 3.0×
Pth Intact (83970)
range across 2 matching MRF lines
$70.25–$119.44 $200.70–$341.25 varies
Quantiferon tb gold plus (86480) $152.60 $436 2.5×
Quantitative assay drug (80299) $105.84 $302.40 5.7×
Quinidine (80194) $21.42 $61.20 1.5×
Rbc antibody elution (86860) $126.63 $361.80 0.7×
Rbc antibody identification (86870) $423.15 $1,209 1.2×
Rbc antibody screen (86850) $78.75 $225 8.1×
Rbc pretreatment serum (86978) $96.39 $275.40 1.6×
Rbc pretx incubatj w/enzymes (86971) $226.80 $648 1.3×
Rbc serum pretx incubj drugs (86975) $170.10 $486 0.4×
Renin activity plasma (84244) $36.02 $102.90 1.6×
Resp virus 12-25 targets (87633) $567.32 $1,620.90 1.4×
Reticulocyte Count Manual (85044) $54.27 $155.04 12.6×
Reticulocyte separation (86972) $61.43 $175.50 0.4×
Rh (86901)
range across 2 matching MRF lines
$45.85–$69.30 $131–$198 varies
Rheumatoid Factor Qualitative (86430) $52.56 $150.15 8.6×
Rickettsia antibody (86757) $41.30 $118 2.1×
Ristocetin cofactor (85245) $118.30 $338 5.2×
Rotavirus ag eia (87425) $75.25 $215 6.3×
Rpr qualitative (86592)
range across 2 matching MRF lines
$20.84–$53.66 $59.54–$153.30 varies
Rsv Assay W/Optic (87807) $46.20 $132 3.5×
Rubella Antibody (86762) $55.86 $159.60 3.9×
Rubeola antibody (86765) $33.25 $95 2.6×
Russell Viper Venom Time Diluted (85613) $56.97 $162.75 5.9×
Salicylate Level (80179) $44.80 $128 2.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $92.05 $263 1.8×
Sars-cov-2 COVID-19 antibody (86769) $59.87 $171.05 1.4×
Sars-Cov-2 Covid19 W/Optic (87811) $59.98 $171.36 1.4×
Sarscov2 & inf a&b amp prb (87636) $101.50 $290 0.7×
Sedimentation rate (85651) $34.34 $98.10 8.0×
Sedimentation Rate, Automated (85652) $37.86 $108.15 14.0×
Selenium (84255) $25.20 $72 1.0×
Semen analysis complete (89320) $45.68 $130.50 3.7×
Semen analysis motility and count (89310) $35.35 $101 4.1×
Sensitivity mic (87186)
range across 2 matching MRF lines
$80.12–$93.24 $228.90–$266.40 varies
Sex Hormone Binding Globulin (84270) $31.50 $89.98 1.4×
Sickling of rbc reduction (85660) $9.45 $27 1.7×
Sirolimus (80195) $89.78 $256.50 6.5×
Skin test tuberculosis intradermal (86580) $25.20 $72 0.9×
Smear acid fast (87206) $19.25 $55 3.6×
Smear complex stain (87209) $51.45 $147 2.9×
Smear gram stain (87205) $54.03 $154.35 12.7×
Smear Special Stain (87207) $94.19 $269.10 15.7×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$47.88–$60.27 $136.80–$172.20 varies
Sodium Serum (84295) $23.10 $66 4.8×
Sodium Urine (84300) $81.04 $231.54 16.0×
Soluble Transferrin Receptor (84238) $90.30 $258 2.5×
Somatomedin (84305) $46.90 $134 2.2×
Special Stains Group 1 (88312) $129.61 $370.30 2.5×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$54.95–$172.55 $157–$493 varies
Specific gravity body fluid (84315) $5.67 $16.20 1.7×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$18.90–$32.20 $54–$92 varies
Spectrophotometry (84311) $46.31 $132.30 5.7×
Splitting Blood/Blood Products Each Unit (86985) $19.53 $55.80 0.1×
Stool cultr aerobic bact ea (87046) $43.05 $123 4.6×
Strep b DNA amp probe (87653) $413.35 $1,181 11.8×
Sulfate urine (84392) $7.81 $22.29 1.4×
Surg path level iii (88304) $123.48 $352.80 2.4×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$146.64–$253.75 $418.95–$725 varies
Surgical pathology level vi (88309) $910.53 $2,601.50 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $25.83 $73.80 5.4×
Susceptibility Study Antimicrobial Disk Method (87184) $37.10 $106 5.0×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$36.54–$39.55 $104.40–$113 varies
T cells absolute cd4 count (86361) $214.20 $612 8.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $254.80 $728 5.4×
T3 Free (84481) $41.90 $119.70 2.5×
T3 reverse (84482) $24.99 $71.40 1.6×
T3 Total (84480)
range across 2 matching MRF lines
$64.26–$69.83 $183.60–$199.50 varies
T3 Uptake (84479) $45.94 $131.25 7.1×
T4 Free (84439) $62.85 $179.55 7.0×
T4 total (84436) $70.56 $201.60 10.3×
Tacrolimus (80197) $84 $240 6.1×
Testosterone total (84403) $38.52 $110.03 1.5×
Testosterone, Free (84402) $84.70 $242 3.3×
Tetanus antibody (86774) $12.53 $35.80 0.8×
Theophylline (80198) $67.73 $193.50 4.8×
Thrombin Time (85670) $47.25 $135 8.2×
Thyroglobulin (84432) $41.42 $118.32 2.6×
Thyroglobulin Antibody (86800) $56.97 $162.75 3.6×
Thyroid Stimulating Immunoglobulin (84445) $154.70 $442 3.0×
Thyroxine binding globulin (84442) $9.45 $27 0.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $16.39 $46.81 1.4×
Tissue culture bone marrow (88237) $562.59 $1,607.40 3.9×
Tobramycin peak (80200)
range across 2 matching MRF lines
$54.50–$81.59 $155.70–$233.10 varies
Touch prep (88161) $44.45 $127 1.5×
Toxoplasma ab igm (86778) $86.24 $246.40 6.0×
Toxoplasma antibody (86777) $79.70 $227.70 5.5×
Tpmt gene com variants (81335) $128.21 $366.30 0.7×
Transferase Aspartate Amino Ast Sgot (84450) $25.90 $74 5.0×
Transferrin (84466) $33.60 $96 2.6×
Trichomonas Vaginalis Amplif (87661) $54.86 $156.72 1.6×
Triglycerides (84478)
range across 2 matching MRF lines
$39.55–$61.25 $113–$175 varies
Troponin Quant (84484) $71.40 $204 5.7×
Tumor immunohistochem/comput (88361) $45.68 $130.50 0.1×
Tumor Immunohistochem/Manual (88360) $237.51 $678.60 1.4×
Urea nitrogen urine (84540) $43.47 $124.20 7.8×
Uric acid other source (84560)
range across 2 matching MRF lines
$7.35–$63.58 $21–$181.65 varies
Urinalysis Microscopic Only (81015) $12.25 $35 4.0×
Urinalysis Volume Measure (81050) $10.15 $29 2.8×
Urine Bacteria Culture (87088) $93.80 $268 11.6×
Urine Pregnancy Test (81025) $85.05 $243 9.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $48.65 $139 15.3×
Valproic acid (80164)
range across 2 matching MRF lines
$102.55–$136.71 $293–$390.60 varies
Vancomycin (80202)
range across 2 matching MRF lines
$34.18–$51.09 $97.65–$145.95 varies
Varicella-zoster antibody (86787) $65.45 $187 5.1×
Vasopressin (84588) $62.65 $179 1.8×
Very Long Chain Fatty Acids (82726) $71.75 $205 3.6×
Viral Culture (87252) $46.62 $133.20 1.8×
Virus antibody nos (86790) $88.55 $253 6.9×
Viscosity serum (85810) $23.63 $67.50 2.0×
Vit D 1 25-Dihydroxy (82652) $100.70 $287.70 2.6×
Vitamin A (84590) $52.50 $150 4.5×
Vitamin b-12 (82607) $51.09 $145.95 3.4×
Vitamin B6 (84207) $46.20 $132 1.6×
Vitamin c (82180) $68.99 $197.10 7.0×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$76.23–$77.18 $217.80–$220.50 varies
Vitamin E (84446) $24.15 $69 1.7×
Vitamin K (84597) $157.50 $450 11.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $48.83 $139.50 4.1×
Von willebrand factor ag (85246) $88.55 $253 3.9×
Wbc Alkaline Phosphatase Count (85540) $25.83 $73.80 3.0×
West nile virus ab igm (86788) $22.68 $64.80 1.3×
West Nile Virus Antibody (86789) $59.85 $171 4.2×
Western Blot Test (84181) $67.55 $193 4.0×
Zinc (84630) $17 $48.55 1.5×

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.