Lab & pathology prices at Chicot Memorial Medical Center
Lake Village, AR · every code in this section with a posted price and a Medicare benchmark.
494 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $114.30 | $114.30 | 7.4× |
| Acth (82024) | $279.90 | $279.90 | 7.2× |
| Acute hepatitis panel (80074) | $120 | $120 | 2.5× |
| Agglutinins Febrile Each Antigen (86000) range across 4 matching MRF lines |
$90.95–$134.25 | $90.95–$134.25 | varies |
| Albumin serum (82040) | $41.60 | $41.60 | 8.4× |
| Aldolase (82085) | $81.10 | $81.10 | 8.4× |
| Aldosterone Suppression Evaluation Panel (80408) | $346.30 | $346.30 | 2.8× |
| Aldosterone urine (82088) | $232.85 | $232.85 | 5.7× |
| Alkaline phosphatase isoenzymes (84080) | $35.20 | $35.20 | 2.4× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$14–$34.68 | $14–$34.68 | varies |
| Allg Spec Ige Recomb Ea (86008) | $45 | $45 | 2.5× |
| Alpha-1-antitrypsin total (82103) | $34 | $34 | 2.5× |
| Alpha-Fetoprotein Serum (82105) | $161.25 | $161.25 | 9.6× |
| Alt (sgpt) (84460) | $45.75 | $45.75 | 8.6× |
| Amikacin trough (80150) | $114.30 | $114.30 | 7.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $58 | $58 | 2.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $43 | $43 | 2.5× |
| Ammonia (82140) | $125.75 | $125.75 | 8.6× |
| Amylase urine (82150) | $50.20 | $50.20 | 7.7× |
| Analysis skeletal muscle (88355) | $240 | $240 | 1.5× |
| Androstenedione (82157) | $74 | $74 | 2.5× |
| Angiotensin converting enzyme csf (82164) | $53.40 | $53.40 | 3.7× |
| Anti-Phospholipid Antibody (86148) | $108.50 | $108.50 | 6.8× |
| Antibody aspergillus (86606) | $38 | $38 | 2.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $149.15 | $149.15 | 9.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $130.65 | $130.65 | 7.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $33 | $33 | 2.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $39 | $39 | 2.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$46–$361.35 | $46–$361.35 | varies |
| Antibody helicobacter pylori (86677) | $124.20 | $124.20 | 7.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$76.05–$214.35 | $76.05–$214.35 | varies |
| Antibody identification leukocyte antibodies (86021) | $171.85 | $171.85 | 11.4× |
| Antibody Titer (86886) | $75.75 | $75.75 | 14.6× |
| Antibody Treponema Pallidum (86780) | $70.75 | $70.75 | 5.3× |
| Antibody; influenza virus (86710) | $97.85 | $97.85 | 7.2× |
| Antinuclear antibodies (86038) | $97.50 | $97.50 | 8.1× |
| Antistreptolysin o titer (86060) | $98.20 | $98.20 | 13.5× |
| Antithrombin iii activity (85300) | $30 | $30 | 2.5× |
| Antithrombin iii antigen (85301) | $374.35 | $374.35 | 34.6× |
| Arsenic (82175) | $48 | $48 | 2.5× |
| Assay activated protein c (85307) | $115.25 | $115.25 | 7.5× |
| Assay Blood Carbon Dioxide (82374) | $39.15 | $39.15 | 8.0× |
| Assay Nephelometry Not Spec (83883) | $200 | $200 | 14.7× |
| Assay of 5-hiaa (83497) | $51.65 | $51.65 | 4.0× |
| Assay of blood/uric acid (84550) | $52.05 | $52.05 | 11.5× |
| Assay of calcium in urine (82340) | $52.05 | $52.05 | 8.6× |
| Assay of gammaglobulin igm (82784) | $26 | $26 | 2.8× |
| Assay of lactic acid (83605) | $40.15 | $40.15 | 3.5× |
| Assay of manganese (83785) | $17 | $17 | 0.6× |
| Assay of metanephrines (83835) | $43 | $43 | 2.5× |
| Assay of procainamide (80190) | $129.55 | $129.55 | 2.2× |
| Assay of proinsulin (84206) | $67 | $67 | 2.5× |
| Assay of serotonin (84260) | $95.70 | $95.70 | 3.1× |
| Assay of serum potassium (84132) | $35.60 | $35.60 | 7.5× |
| Assay of urea nitrogen (84520) | $35.60 | $35.60 | 9.0× |
| Assay of urine vma (84585) | $149.15 | $149.15 | 9.6× |
| Assay of vitamin b-1 (84425) | $155 | $155 | 7.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$11.65–$17.80 | $11.65–$17.80 | varies |
| Automated Leukocyte Count (85048) | $11.05 | $11.05 | 4.4× |
| Beta 2 glycoprotein i antibody each (86146) | $83.40 | $83.40 | 3.3× |
| Beta hydroxybutyrate (82010) | $52.70 | $52.70 | 6.5× |
| Beta-2 Microglobulin (82232) | $41 | $41 | 2.5× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $55 | $55 | 0.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $55 | $55 | 0.4× |
| Bilirubin direct (82248) | $53.40 | $53.40 | 10.6× |
| Bilirubin total (82247) | $61.25 | $61.25 | 12.2× |
| Blastomyces antibody (86612) | $33 | $33 | 2.6× |
| Bld Typing Serologic Rh Phnt (86906) | $35.60 | $35.60 | 4.6× |
| Bleeding time test (85002) range across 2 matching MRF lines |
$15–$19.70 | $15–$19.70 | varies |
| Blood Count Manual Cell Count Each (85032) | $31.60 | $31.60 | 7.3× |
| Blood count reticulocyte automated (85045) | $30.95 | $30.95 | 7.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.40 | $13.40 | 3.5× |
| Blood count spun microhematocrit (85013) | $29 | $29 | 4.1× |
| Blood gases w/02 saturation (82805) | $197 | $197 | 2.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20 | $20 | 4.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $857 | $857 | 135.0× |
| Blood typing serologic abo (86900) | $305 | $305 | 102.0× |
| Body fluid cell count (89050) | $31.60 | $31.60 | 6.7× |
| Bone marrow smear interpretation (85097) | $1,674 | $1,674 | 2.3× |
| Bordetella antibody (86615) | $118.55 | $118.55 | 9.0× |
| Brucella antibody (86622) | $23 | $23 | 2.6× |
| C-Peptide (84681) | $53 | $53 | 2.5× |
| C-reactive protein (86140) | $120.50 | $120.50 | 23.3× |
| Ca 19-9 (86301) | $53 | $53 | 2.5× |
| Calcitonin (82308) | $58.45 | $58.45 | 2.2× |
| Calcium ionized (82330) | $36.95 | $36.95 | 2.7× |
| Calcium total (82310) | $40.15 | $40.15 | 7.8× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$50–$95.58 | $50–$95.58 | varies |
| Cancer Antigen 125 (86304) | $68.60 | $68.60 | 3.3× |
| Cancer Antigen 27.29 (86300) | $121.80 | $121.80 | 5.9× |
| Candida antibody (86628) | $31 | $31 | 2.6× |
| Carbamazepine total (80156) | $37.60 | $37.60 | 2.6× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $18.90 | $18.90 | 1.3× |
| Carboxyhemoglobin (82375) | $36.95 | $36.95 | 3.0× |
| Carcinoembryonic antigen (82378) range across 4 matching MRF lines |
$126–$134.25 | $126–$134.25 | varies |
| Cardiolipin ab iga (86147) | $100.70 | $100.70 | 4.0× |
| Carnitine Quantitative Each Specimen (82379) | $42.95 | $42.95 | 2.5× |
| Carotene (82380) | $17.65 | $17.65 | 1.9× |
| Catecholamines total urine (82382) | $114.30 | $114.30 | 4.2× |
| Ccp antibody (86200) | $120 | $120 | 9.3× |
| Cell count csf (89051) | $45 | $45 | 8.0× |
| Cell marker study (88182) | $150 | $150 | 3.2× |
| Ceruloplasmin (82390) | $59.95 | $59.95 | 5.6× |
| Cftr gene com variants (81220) | $1,392 | $1,392 | 2.5× |
| Chloride other source (82438) | $37.65 | $37.65 | 7.5× |
| Chloride Serum (82435) | $35.60 | $35.60 | 7.7× |
| Chloride urine (82436) range across 2 matching MRF lines |
$31.60–$46.65 | $31.60–$46.65 | varies |
| Cholesterol total (82465) | $38.50 | $38.50 | 8.9× |
| Cholinesterase rbc (82482) | $25.40 | $25.40 | 2.6× |
| Chorionic gonadotropin test (84702) | $56.50 | $56.50 | 3.8× |
| Chromium serum (82495) | $96.33 | $96.33 | 4.8× |
| Chromogranin a (86316) | $53 | $53 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $361.36 | $361.36 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $88 | $88 | 2.5× |
| Citric acid urine (82507) | $70 | $70 | 2.5× |
| Ckmb (82553) | $96.80 | $96.80 | 8.4× |
| Clostridium Difficile (87324) | $138.80 | $138.80 | 11.6× |
| Coagulation time; Lee and White Facility (85345) | $31.60 | $31.60 | 6.7× |
| Coccidioides antibody (86635) | $29 | $29 | 2.5× |
| Cold agglutinin titer (86157) | $35.60 | $35.60 | 4.4× |
| Collagen crosslinks (82523) | $133.30 | $133.30 | 7.1× |
| Column Chromotography Quant (82542) | $151.45 | $151.45 | 6.3× |
| Compatibility test antiglob (86922) | $407 | $407 | 2.6× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$49–$155 | $49–$155 | varies |
| Complement Total (Ch50) (86162) | $51 | $51 | 2.5× |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$16.30–$68.60 | $16.30–$68.60 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $300 | $300 | 1.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $12 | $12 | 0.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $195 | $195 | 5.7× |
| Coombs direct (86880) | $146 | $146 | 27.1× |
| Copper urine (82525) | $56.95 | $56.95 | 4.6× |
| Cortisol free (82530) | $86.10 | $86.10 | 5.2× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$50.05–$93.25 | $50.05–$93.25 | varies |
| Creatine kinase total (82550) | $53.40 | $53.40 | 8.2× |
| Creatinine blood (82565) | $40.15 | $40.15 | 7.8× |
| Creatinine clearance (82575) | $103.25 | $103.25 | 10.9× |
| Creatinine Urine (82570) | $49.01 | $49.01 | 9.5× |
| Crossmatch immediate spin (86920) | $407 | $407 | 2.6× |
| Crp High Sensitivity (86141) | $79.50 | $79.50 | 6.1× |
| Cryoglobulin (82595) | $28.15 | $28.15 | 4.4× |
| Cryptococcus ab (86641) | $80.05 | $80.05 | 5.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$20.65–$96.35 | $20.65–$96.35 | varies |
| Culture afb (87116) | $97.50 | $97.50 | 9.0× |
| Culture Anaerobic (87075) | $97.90 | $97.90 | 10.3× |
| Culture blood (87040) | $97.50 | $97.50 | 9.4× |
| Culture csf (87070) | $100.65 | $100.65 | 11.7× |
| Culture fungus (87102) | $77.10 | $77.10 | 9.2× |
| Culture screen only (87081) | $148.72 | $148.72 | 22.4× |
| Culture stool (87045) | $100.20 | $100.20 | 10.6× |
| Culture urine (87086) | $100.65 | $100.65 | 12.5× |
| Cyclosporine (80158) | $46 | $46 | 2.5× |
| Cystatin C (82610) | $47 | $47 | 2.5× |
| Cytomegalovirus igg (86644) | $118.15 | $118.15 | 8.2× |
| Cytopath Cell Enhance Tech (88112) | $130 | $130 | 2.7× |
| Cytopath Fl Nongyn Filter (88106) | $120 | $120 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $67 | $67 | 2.5× |
| Cytp Concentration Smears & Interpretation (88108) | $105 | $105 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $150 | $150 | 3.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $45 | $45 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $90 | $90 | 2.6× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $105 | $105 | 2.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $69 | $69 | 2.6× |
| Deoxyribonuclease antibody (86215) | $62.50 | $62.50 | 4.7× |
| Detect Agent Nos Dna Amp (87798) | $97.48 | $97.48 | 2.8× |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$108–$119 | $108–$119 | varies |
| Dhea (82626) | $64 | $64 | 2.5× |
| Dhea-S (82627) | $61.25 | $61.25 | 2.8× |
| Digoxin (80162) | $202.90 | $202.90 | 15.3× |
| Dihydrotestosterone (82642) | $74 | $74 | 2.5× |
| Dna Antibody Native/Double Stranded (86225) | $124.10 | $124.10 | 9.0× |
| Drug Assay Amiodarone (80151) | $150 | $150 | 8.0× |
| Drug Assay Infliximab (80230) | $97 | $97 | 2.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $34 | $34 | 2.6× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $49.90 | $49.90 | 3.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $156 | $156 | 2.5× |
| Ehrlichia antibody (86666) | $196.35 | $196.35 | 19.3× |
| Electrolyte panel (80051) | $50.15 | $50.15 | 7.2× |
| Electron Microscopy (88348) | $1,395 | $1,395 | 1.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $184.45 | $184.45 | 3.0× |
| Enzyme cell activity (82657) | $56 | $56 | 2.5× |
| Enzyme histochemistry (88319) | $1,674 | $1,674 | 2.3× |
| Erythropoietin (82668) | $47 | $47 | 2.5× |
| Estradiol serum (82670) | $165 | $165 | 5.9× |
| Estriol (82677) | $61 | $61 | 2.5× |
| Estrogens fractionated (82671) | $90 | $90 | 2.8× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$43.75–$94.80 | $43.75–$94.80 | varies |
| F2 Gene (81240) | $197.07 | $197.07 | 3.0× |
| Factor Inhibitor Test (85335) | $170 | $170 | 13.2× |
| Factor ix activity (85250) | $158.90 | $158.90 | 8.3× |
| Factor v activity (85220) | $163.75 | $163.75 | 9.3× |
| Factor v leiden mutation (81241) | $184 | $184 | 2.5× |
| Factor vii assay (85230) | $158.90 | $158.90 | 8.9× |
| Factor viii assay (85240) | $49.73 | $49.73 | 2.8× |
| Factor X (85260) | $158.90 | $158.90 | 8.9× |
| Fat/Lipids Feces Quantitative (82710) | $153.10 | $153.10 | 9.1× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$16.50–$32.15 | $16.50–$32.15 | varies |
| Ferritin (82728) | $107.25 | $107.25 | 7.9× |
| Fetal Chrmoml Aneuploidy (81420) | $1,898 | $1,898 | 2.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $384 | $384 | 2.5× |
| Fibrin degradation products (85362) | $90.35 | $90.35 | 13.1× |
| Fibrin Degradation Quant (85379) | $141 | $141 | 13.9× |
| Fibrinogen activity (85384) | $46.65 | $46.65 | 4.8× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$165–$857 | $165–$857 | varies |
| Fluorescent antibody screen (86255) | $31 | $31 | 2.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $70.75 | $70.75 | 5.9× |
| Folic acid rbc (82747) | $45 | $45 | 2.5× |
| Folic Acid Serum (82746) | $97.50 | $97.50 | 6.6× |
| Follicle Stimulating Hormone (83001) | $198.65 | $198.65 | 10.7× |
| Forensic Cytopathology (88125) | $18 | $18 | 0.4× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $149.15 | $149.15 | 5.2× |
| Francisella tularensis (86668) | $36 | $36 | 2.5× |
| Frozen Section (88331) | $407 | $407 | 2.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$42.65–$86.35 | $42.65–$86.35 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $48.67 | $48.67 | 2.3× |
| Gammaglobulin ige (82785) | $110 | $110 | 6.7× |
| Gastrin (82941) | $112.80 | $112.80 | 6.4× |
| Genet Virus Isolate Hsv (87255) | $130.48 | $130.48 | 3.9× |
| Gentamicin (80170) | $149.15 | $149.15 | 9.1× |
| Ggt (82977) | $58.75 | $58.75 | 8.2× |
| Giardia antigen (87329) | $33.30 | $33.30 | 2.8× |
| Glucagon (82943) | $39.70 | $39.70 | 2.8× |
| Glucose 2 hr pp (82950) | $47 | $47 | 9.9× |
| Glucose Blood Test (82962) | $38.45 | $38.45 | 11.7× |
| Glucose body fluid (82945) | $38.50 | $38.50 | 9.8× |
| Glucose Serum (82947) | $35.60 | $35.60 | 9.1× |
| Glucose tolerance test (gtt) (82951) | $69.90 | $69.90 | 5.4× |
| Gonadotropin Chorionic Qualitative (84703) | $31.20 | $31.20 | 4.1× |
| Growth hormone (83003) | $68.60 | $68.60 | 4.1× |
| Gtt-added samples (82952) | $14.75 | $14.75 | 3.8× |
| Haptoglobin (83010) | $125.75 | $125.75 | 10.0× |
| Hdl Cholesterol (83718) | $36.40 | $36.40 | 4.4× |
| Heavy metal qualitative any analytes (83015) | $112.45 | $112.45 | 5.4× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$36–$132 | $36–$132 | varies |
| Helminth Antibody (86682) | $139.60 | $139.60 | 10.7× |
| Hematocrit (85014) | $18.05 | $18.05 | 7.6× |
| Hemoglobin (85018) | $18.05 | $18.05 | 7.6× |
| Hemoglobin a1c (83036) | $26.10 | $26.10 | 2.7× |
| Hemoglobin electrophoresis (83020) | $78.30 | $78.30 | 6.1× |
| Hemoglobin F Fetal Chemical (83030) | $47.70 | $47.70 | 4.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $23.95 | $23.95 | 2.9× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $320.82 | $320.82 | 34.2× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $320.82 | $320.82 | 34.2× |
| Hep a ab igm (86709) | $34.20 | $34.20 | 3.0× |
| Hepatitis a antibody total (86708) | $31 | $31 | 2.5× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$38.50–$98.55 | $38.50–$98.55 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$33.50–$98.55 | $33.50–$98.55 | varies |
| Hepatitis B Surface Antibody (86706) | $29.55 | $29.55 | 2.8× |
| Hepatitis B Surface Antigen (87340) | $34.20 | $34.20 | 3.3× |
| Hepatitis Be Antibody (86707) | $63 | $63 | 5.4× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$40.65–$64.80 | $40.65–$64.80 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$74.45–$75.85 | $74.45–$75.85 | varies |
| Hepatitis C Genotype (87902) | $644 | $644 | 2.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $197.60 | $197.60 | 5.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $222.25 | $222.25 | 5.2× |
| Hepatitis Delta Agent Antibody (86692) | $26.90 | $26.90 | 1.6× |
| Herpes simplex type 2 (86696) | $214.35 | $214.35 | 11.1× |
| Heterophile Antibody Screen (86308) | $35.60 | $35.60 | 6.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $110 | $110 | 14.2× |
| Histoplasma antibody (86698) | $39 | $39 | 2.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $93.60 | $93.60 | 3.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $274 | $274 | 3.2× |
| Hla-b27 (86812) | $223.25 | $223.25 | 8.6× |
| Homocysteine (83090) range across 2 matching MRF lines |
$172.30–$191 | $172.30–$191 | varies |
| Hpv High-Risk Types (87624) | $134 | $134 | 3.8× |
| Hsv Dna Amp Probe (87529) | $167.10 | $167.10 | 4.8× |
| Hydroxycorticosteroids 17 (83491) | $114.30 | $114.30 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $75 | $75 | 2.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $65 | $65 | 6.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $90.85 | $90.85 | 6.5× |
| Iaad ia shiga-like toxin (87427) | $39.58 | $39.58 | 3.3× |
| Iaad Ia Streptococcus Group A (87430) | $43 | $43 | 2.6× |
| Iaadi giardia (87269) | $113.55 | $113.55 | 8.3× |
| Iaadi parainfluenza virus each type (87279) | $18.15 | $18.15 | 1.1× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $38.50 | $38.50 | 3.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $88 | $88 | 2.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $36.50 | $36.50 | 1.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $275 | $275 | 7.8× |
| Iadna Cytomegalovirus Quantification (87497) | $176.64 | $176.64 | 4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $176 | $176 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $88 | $88 | 2.5× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $394 | $394 | 13.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $90 | $90 | 0.3× |
| Immunfix e-phorsis/urine/csf (86335) | $127 | $127 | 4.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $46 | $46 | 2.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$61.83–$214.50 | $61.83–$214.50 | varies |
| Immunoassay nonantibody (83516) | $29 | $29 | 2.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $146 | $146 | 6.3× |
| Immunoelectrophoresis Serum (86320) | $151.30 | $151.30 | 5.1× |
| Immunofixation electrophoresis (86334) | $118.84 | $118.84 | 5.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $135 | $135 | 0.9× |
| Immunohistochemistry (88342) | $539 | $539 | 3.5× |
| In situ hybridization 1st probe stain (88365) | $407 | $407 | 2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) | $35.55 | $35.55 | 1.8× |
| Influenza DNA amp probe (87502) | $240 | $240 | 2.5× |
| Inhibin A (86336) | $82 | $82 | 5.3× |
| Inhibin b (83520) range across 9 matching MRF lines |
$44–$121.33 | $44–$121.33 | varies |
| Insitu hybridization auto (88367) | $450 | $450 | 1.4× |
| Insitu hybridization manual (88368) | $345 | $345 | 1.1× |
| Insulin antibodies (86337) | $137 | $137 | 6.4× |
| Insulin total (83525) | $129.55 | $129.55 | 11.3× |
| Intrinsic factor antibody (86340) | $38 | $38 | 2.5× |
| Iron (83540) | $150.90 | $150.90 | 23.3× |
| Iron Binding Capacity (83550) | $97.50 | $97.50 | 11.2× |
| Islet cell antibody (86341) | $59 | $59 | 2.5× |
| Lactate (ld) (ldh) enzyme (83615) | $57.25 | $57.25 | 9.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$80.33–$149.15 | $80.33–$149.15 | varies |
| Lead (83655) | $159.15 | $159.15 | 13.1× |
| Legionella antibody (86713) | $343.80 | $343.80 | 22.5× |
| Legionella antigen urine (87449) | $110.54 | $110.54 | 9.2× |
| Leukocyte Assessment Fecal (89055) | $17.45 | $17.45 | 4.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $71 | $71 | 2.7× |
| Level ii surg pathology grossµscopic exam (88302) | $108 | $108 | 3.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $857 | $857 | 2.6× |
| Lidocaine (80176) | $95.35 | $95.35 | 6.5× |
| Lipase (83690) range across 3 matching MRF lines |
$45.50–$78.70 | $45.50–$78.70 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $94 | $94 | 2.8× |
| Listeria Monocytogenes (86723) | $105.85 | $105.85 | 8.0× |
| Lithium (80178) | $60.95 | $60.95 | 9.2× |
| Luteinizing Hormone (Lh) (83002) | $65.15 | $65.15 | 3.5× |
| Lyme disease antibody (86618) | $136.05 | $136.05 | 8.0× |
| Lysozyme serum (85549) | $47 | $47 | 2.5× |
| Magnesium Urine (83735) | $17 | $17 | 2.5× |
| Mass Spectrometry Quant (83789) | $91 | $91 | 3.8× |
| Mercury urine (83825) | $41 | $41 | 2.5× |
| Methemalbumin (83857) | $66.50 | $66.50 | 6.2× |
| Methylmalonic acid serum (83921) | $140 | $140 | 6.6× |
| Microalbumin, quantitative (82043) | $26.55 | $26.55 | 4.6× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$37–$90 | $37–$90 | varies |
| Morphometric analysis nerve (88356) | $315 | $315 | 6.6× |
| Morphometric Analysis Tumor (88358) | $75 | $75 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $164 | $164 | 2.5× |
| Mumps antibody (86735) | $150.95 | $150.95 | 11.6× |
| Muscle-Specific Kinase Antb (86366) | $46 | $46 | 2.5× |
| Mycoplasma antibody (86738) | $55.97 | $55.97 | 4.2× |
| Myoglobin urine (83874) | $33 | $33 | 2.6× |
| Natriuretic peptide (83880) | $134.80 | $134.80 | 3.4× |
| Neisseria Dir Na Probe (87590) range across 3 matching MRF lines |
$54.40–$177.50 | $54.40–$177.50 | varies |
| Nerve teasing preparations (88362) | $1,674 | $1,674 | 2.3× |
| Neutralization Test Viral (86382) | $148.03 | $148.03 | 8.8× |
| Nuclear antigen antibody (86235) | $45 | $45 | 2.5× |
| Occult blood feces (82272) | $37.24 | $37.24 | 8.8× |
| Occult Blood Other Sources (82271) | $35.32 | $35.32 | 6.6× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) | $650 | $650 | 1.3× |
| Osmolality serum (83930) | $83.30 | $83.30 | 12.6× |
| Osmolality Urine (83935) | $83.30 | $83.30 | 12.2× |
| Ova and parasites smears (87177) | $38.50 | $38.50 | 4.3× |
| Oxalate urine (83945) | $37 | $37 | 2.6× |
| Pancreatic Elastase Fecal (82656) | $32.03 | $32.03 | 2.8× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$29–$99.40 | $29–$99.40 | varies |
| Parvovirus antibody (86747) | $34.30 | $34.30 | 2.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,674 | $1,674 | 2.3× |
| Pathology Consultation During Surgery (88329) | $75 | $75 | 1.4× |
| Phenobarbital Level (80184) | $149.15 | $149.15 | 9.7× |
| Phenotype Infect Agent Drug (87900) | $460 | $460 | 3.5× |
| Phenylalanine (84030) | $89.85 | $89.85 | 16.3× |
| Phenytoin (Dilantin) (80185) | $97.50 | $97.50 | 7.4× |
| Phenytoin free (80186) | $67.50 | $67.50 | 4.9× |
| Phosphatase acid prostatic (84066) | $63.40 | $63.40 | 6.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$48.55–$184.45 | $48.55–$184.45 | varies |
| Phosphorus Serum (84100) | $40.65 | $40.65 | 8.6× |
| Phosphorus urine (84105) | $35.60 | $35.60 | 6.2× |
| Pinworm exam (87172) | $11.15 | $11.15 | 2.6× |
| Platelet count automated (85049) | $12 | $12 | 2.7× |
| Porphobilinogen Urine Qualitative (84106) | $114.30 | $114.30 | 19.6× |
| Porphyrins Feces Quantitative (84126) | $217.45 | $217.45 | 5.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $85.10 | $85.10 | 5.8× |
| Potassium Urine (84133) | $31.05 | $31.05 | 6.6× |
| Prealbumin (84134) | $37 | $37 | 2.5× |
| Pregnenolone (84140) | $57.43 | $57.43 | 2.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $82.20 | $82.20 | 1.5× |
| Procalcitonin (Pct) (84145) | $139 | $139 | 5.1× |
| Progesterone (84144) | $53 | $53 | 2.5× |
| Prolactin (84146) | $169.40 | $169.40 | 8.7× |
| Protein C Activity (85303) | $189.55 | $189.55 | 13.7× |
| Protein c antigen (85302) | $130 | $130 | 10.8× |
| Protein Electrophoresis Urine (84166) | $93 | $93 | 5.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$83.75–$114.30 | $83.75–$114.30 | varies |
| Protein S Free (85306) | $142 | $142 | 9.3× |
| Protein s total (85305) | $132.50 | $132.50 | 11.4× |
| Protein total serum (84155) range across 4 matching MRF lines |
$41.60–$46.65 | $41.60–$46.65 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$10–$46.65 | $10–$46.65 | varies |
| Protein Western Blot Test (84182) | $66.85 | $66.85 | 2.3× |
| PSA free (84154) | $46 | $46 | 2.5× |
| Pth Intact (83970) | $104 | $104 | 2.5× |
| Quantiferon tb gold plus (86480) | $155 | $155 | 2.5× |
| Quantitative assay drug (80299) range across 14 matching MRF lines |
$47–$312.15 | $47–$312.15 | varies |
| Quantitative Screen Metals (83018) | $122 | $122 | 5.6× |
| Quinidine (80194) | $149.15 | $149.15 | 10.2× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$78.90–$237.70 | $78.90–$237.70 | varies |
| Rbc antibody identification (86870) | $857 | $857 | 2.6× |
| Rbc antibody screen (86850) | $130 | $130 | 13.3× |
| Receptor assay progesterone (84234) | $160.90 | $160.90 | 2.5× |
| Renin activity plasma (84244) | $70.10 | $70.10 | 3.2× |
| Rh (86901) | $96 | $96 | 32.1× |
| Rheumatoid factor quant (86431) | $33.55 | $33.55 | 5.9× |
| Rickettsia antibody (86757) | $60.05 | $60.05 | 3.1× |
| Ristocetin cofactor (85245) | $58 | $58 | 2.5× |
| Rotavirus ag eia (87425) | $87.75 | $87.75 | 7.3× |
| Rpr qualitative (86592) | $26.35 | $26.35 | 6.2× |
| Rsv ab (86756) | $135.60 | $135.60 | 8.5× |
| Rubella Antibody (86762) | $86.55 | $86.55 | 6.0× |
| Rubeola antibody (86765) | $38.05 | $38.05 | 3.0× |
| Russell Viper Venom Time Diluted (85613) | $47.60 | $47.60 | 5.0× |
| Salmonella antibody (86768) | $122.05 | $122.05 | 9.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $129 | $129 | 2.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $106 | $106 | 2.5× |
| Sedimentation rate (85651) | $25.35 | $25.35 | 5.9× |
| Selenium (84255) | $122 | $122 | 4.8× |
| Sensitivity mic (87186) | $83.65 | $83.65 | 9.7× |
| Sept9 Methylation Analysis (81327) | $481 | $481 | 2.5× |
| Sex Hormone Binding Globulin (84270) | $55 | $55 | 2.5× |
| Shigella Antibody (86771) | $133.35 | $133.35 | 5.4× |
| Sickling of rbc reduction (85660) | $43.50 | $43.50 | 7.9× |
| Sirolimus (80195) | $121.60 | $121.60 | 8.9× |
| Skin test tuberculosis intradermal (86580) | $71 | $71 | 2.7× |
| Smear gram stain (87205) | $12.85 | $12.85 | 3.0× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$48.55–$52.05 | $48.55–$52.05 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$35.60–$36.40 | $35.60–$36.40 | varies |
| Sodium Serum (84295) | $35.60 | $35.60 | 7.4× |
| Sodium Urine (84300) | $28.15 | $28.15 | 5.6× |
| Somatomedin (84305) range across 3 matching MRF lines |
$35–$135 | $35–$135 | varies |
| Special Stains Group 1 (88312) | $150 | $150 | 3.2× |
| Special Stains Group 2 (88313) | $146 | $146 | 1.2× |
| Specimen infect agnt concntj (87015) | $80.05 | $80.05 | 12.0× |
| Spectrophotometry (84311) | $50.15 | $50.15 | 6.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $30 | $30 | 0.2× |
| Stone Analysis (82355) | $114.30 | $114.30 | 9.9× |
| Stool cultr aerobic bact ea (87046) | $50.10 | $50.10 | 5.3× |
| Strep a DNA amp probe (87651) | $88 | $88 | 2.5× |
| Sugars Single Qual (84376) | $14 | $14 | 2.5× |
| Sulfate urine (84392) | $14 | $14 | 2.6× |
| Surg path level iii (88304) | $130 | $130 | 2.7× |
| Surgical pathology level IV (88305) | $150 | $150 | 3.2× |
| Surgical pathology level vi (88309) | $2,049 | $2,049 | 2.8× |
| Sweat Collection Iontophoresis (89230) | $3 | $3 | 0.1× |
| Syphilis Test Non-Trep Quant (86593) | $27.35 | $27.35 | 6.2× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$67–$71.88 | $67–$71.88 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $87.85 | $87.85 | 1.9× |
| T3 Free (84481) | $43 | $43 | 2.5× |
| T3 reverse (84482) | $40 | $40 | 2.5× |
| T3 Total (84480) | $90 | $90 | 6.3× |
| T3 Uptake (84479) | $60.95 | $60.95 | 9.4× |
| T4 Free (84439) | $81.50 | $81.50 | 9.0× |
| T4 total (84436) | $53.40 | $53.40 | 7.8× |
| Tacrolimus (80197) | $149.65 | $149.65 | 10.9× |
| Test for acetone/ketones (82009) | $52.70 | $52.70 | 11.7× |
| Testosterone total (84403) | $82.70 | $82.70 | 3.2× |
| Testosterone, Free (84402) | $169.40 | $169.40 | 6.7× |
| Theophylline (80198) | $44.85 | $44.85 | 3.2× |
| Thrombin Time (85670) | $26 | $26 | 4.5× |
| Thyroglobulin (84432) | $41 | $41 | 2.6× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$40–$64.60 | $40–$64.60 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $128 | $128 | 2.5× |
| Thyroxine binding globulin (84442) | $130.20 | $130.20 | 8.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $29 | $29 | 2.5× |
| Tissue Culture Lymphocyte (88230) | $361.36 | $361.36 | 3.1× |
| Tobramycin peak (80200) | $116.25 | $116.25 | 7.2× |
| Topiramate (80201) | $111.38 | $111.38 | 9.3× |
| Touch prep (88161) | $75 | $75 | 2.8× |
| Toxoplasma ab igm (86778) | $93.50 | $93.50 | 6.5× |
| Toxoplasma antibody (86777) | $96 | $96 | 6.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41.60 | $41.60 | 8.0× |
| Transferrin (84466) | $112.80 | $112.80 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) | $88 | $88 | 2.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$60.95–$94 | $60.95–$94 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$32–$142.40 | $32–$142.40 | varies |
| Tumor immunohistochem/comput (88361) | $857 | $857 | 2.6× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$429–$707.90 | $429–$707.90 | varies |
| Uric acid other source (84560) | $73.90 | $73.90 | 14.5× |
| Urinalysis Microscopic Only (81015) | $9.25 | $9.25 | 3.0× |
| Urinalysis Volume Measure (81050) | $23.95 | $23.95 | 6.6× |
| Urine Bacteria Culture (87088) | $17.40 | $17.40 | 2.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34.35 | $34.35 | 10.8× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $52.05 | $52.05 | 5.5× |
| Valproic acid (80164) | $81.50 | $81.50 | 6.0× |
| Vancomycin (80202) | $122.45 | $122.45 | 9.0× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$23.85–$53.85 | $23.85–$53.85 | varies |
| Viral Culture (87252) | $236.25 | $236.25 | 9.1× |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$33–$124 | $33–$124 | varies |
| Virus inoculation, shell via (87254) | $113.50 | $113.50 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) | $192.86 | $192.86 | 5.0× |
| Vitamin A (84590) | $126.50 | $126.50 | 10.9× |
| Vitamin b-12 (82607) | $110.40 | $110.40 | 7.3× |
| Vitamin B2 (Riboflavin) (84252) | $51 | $51 | 2.5× |
| Vitamin B6 (84207) | $151.21 | $151.21 | 5.4× |
| Vitamin c (82180) | $25 | $25 | 2.5× |
| Vitamin D 25-Hydroxy (82306) | $74 | $74 | 2.5× |
| Vitamin E (84446) | $103.95 | $103.95 | 7.3× |
| Von willebrand factor ag (85246) | $172.80 | $172.80 | 7.5× |
| Wbc Alkaline Phosphatase Count (85540) | $120.30 | $120.30 | 14.0× |
| Western Blot Test (84181) | $61.25 | $61.25 | 3.6× |
| Xm Archive Tissue Molec Anal (88363) | $45 | $45 | 1.7× |
| Zika Virus Igm Antibody (86794) | $43 | $43 | 2.6× |
| Zinc (84630) | $29 | $29 | 2.5× |
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.