Lab & pathology prices at Choctaw Memorial Hospital
Hugo, OK · every code in this section with a posted price and a Medicare benchmark.
529 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $87 | $174 | 2.3× |
| Acute hepatitis panel (80074) | $132 | $264 | 2.8× |
| Acylcarnitines Quant (82017) | $35 | $70 | 2.1× |
| Agglutinins Febrile Each Antigen (86000) | $49.50 | $99 | 7.1× |
| Albumin Fluid (82042) | $16.50 | $33 | 2.1× |
| Albumin serum (82040) | $23.50 | $47 | 4.7× |
| Aldolase (82085) | $22 | $44 | 2.3× |
| Aldosterone urine (82088) | $91.50 | $183 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $33 | $66 | 2.2× |
| Allergen spec ige qual multiallergen screen (86005) | $18 | $36 | 2.3× |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$16–$480 | $32–$960 | varies |
| Allg Spec Ige Recomb Ea (86008) | $30 | $60 | 1.7× |
| Alpha-1-antitrypsin phenotype (82104) | $34.50 | $69 | 2.4× |
| Alpha-1-antitrypsin total (82103) | $40.50 | $81 | 3.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $57.50 | $115 | 3.4× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$50.50–$147 | $101–$294 | varies |
| Alt (sgpt) (84460) | $26.50 | $53 | 5.0× |
| Amikacin trough (80150) | $56 | $112 | 3.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $38 | $76 | 1.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $41 | $82 | 2.4× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $71.50 | $143 | 5.0× |
| Aminolevulinic acid (ala) (82135) | $37 | $74 | 2.2× |
| Ammonia (82140) | $45 | $90 | 3.1× |
| Amylase urine (82150) | $41 | $82 | 6.3× |
| Anca Titer Each Antibody (86037) | $84 | $168 | 7.0× |
| Androstenedione (82157) | $53 | $106 | 1.8× |
| Angiotensin converting enzyme csf (82164) | $55 | $110 | 3.8× |
| Antibody aspergillus (86606) | $40 | $80 | 2.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $70 | $140 | 4.5× |
| Antibody Encephalitis California La Crosse (86651) | $98.50 | $197 | 7.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $52.50 | $105 | 4.0× |
| Antibody helicobacter pylori (86677) | $53.50 | $107 | 3.2× |
| Antibody Herpes Smplx Type 1 (86695) | $51.50 | $103 | 3.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $38.50 | $77 | 2.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $64 | $128 | 3.3× |
| Antibody Protozoa Nes (86753) range across 6 matching MRF lines |
$40–$80 | $80–$160 | varies |
| Antibody Titer (86886) | $156 | $312 | 30.1× |
| Antibody Treponema Pallidum (86780) | $41.50 | $83 | 3.1× |
| Antibody; encephalitis, st. louis (86653) | $29.50 | $59 | 2.2× |
| Antigen typing (86905) | $276.50 | $553 | 72.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $156 | $312 | 27.3× |
| Antinuclear antibodies (86038) | $25 | $50 | 2.1× |
| Antistreptolysin o titer (86060) | $33 | $66 | 4.5× |
| Antithrombin iii activity (85300) | $60 | $120 | 5.1× |
| Antithrombin iii antigen (85301) | $25.50 | $51 | 2.4× |
| Apolipoprotein a1 (82172) | $205.50 | $411 | 9.7× |
| Aquaporin-4 Antb Elisa (86051) | $22 | $44 | 1.9× |
| Arsenic (82175) | $183.50 | $367 | 9.7× |
| Assay activated protein c (85307) | $36 | $72 | 2.3× |
| Assay Blood Carbon Dioxide (82374) | $16.50 | $33 | 3.4× |
| Assay Dir Meas Fr Estradiol (82681) | $49.50 | $99 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $30.50 | $61 | 2.2× |
| Assay of 5-hiaa (83497) | $69 | $138 | 5.3× |
| Assay of blood/uric acid (84550) | $27 | $54 | 6.0× |
| Assay of calcium in urine (82340) | $32 | $64 | 5.3× |
| Assay of cpk in blood (82552) | $67 | $134 | 5.0× |
| Assay of g6pd enzyme (82955) | $22 | $44 | 2.3× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$18–$135.50 | $36–$271 | varies |
| Assay of lactic acid (83605) | $31.50 | $63 | 2.7× |
| Assay of manganese (83785) | $49.50 | $99 | 1.9× |
| Assay of metanephrines (83835) | $71.50 | $143 | 4.2× |
| Assay of phosphatase acid total (84060) | $36.50 | $73 | 4.8× |
| Assay of proinsulin (84206) | $557 | $1,114 | 20.9× |
| Assay of prostate specific antigen complexed (84152) | $41.50 | $83 | 2.3× |
| Assay of pyruvate (84210) | $30 | $60 | 2.1× |
| Assay of serotonin (84260) | $46 | $92 | 1.5× |
| Assay of serum potassium (84132) | $25.50 | $51 | 5.4× |
| Assay of urea nitrogen (84520) | $25 | $50 | 6.3× |
| Assay of urine vma (84585) | $52.50 | $105 | 3.4× |
| Assay of vitamin b-1 (84425) | $78 | $156 | 3.7× |
| Assay Ph Body Fluid Nos (83986) | $14.50 | $29 | 4.1× |
| Automated Leukocyte Count (85048) | $12 | $24 | 4.7× |
| B cells total count (86355) | $69 | $138 | 1.8× |
| Bacterial antigens 87802 (87802) | $69 | $138 | 5.4× |
| Beta 2 glycoprotein i antibody each (86146) | $82 | $164 | 3.2× |
| Beta hydroxybutyrate (82010) | $39.50 | $79 | 4.8× |
| Beta Lactamase (87185) range across 3 matching MRF lines |
$5–$15 | $10–$30 | varies |
| Beta-2 Microglobulin (82232) | $69 | $138 | 4.3× |
| Bilirubin direct (82248) | $23.50 | $47 | 4.7× |
| Bilirubin total (82247) | $26.50 | $53 | 5.3× |
| Biotinidase (82261) | $43 | $86 | 2.5× |
| Bleeding time test (85002) | $12 | $24 | 2.5× |
| Blood Count Red Blood Cell Automated (85041) | $8 | $16 | 2.6× |
| Blood count reticulocyte automated (85045) | $26 | $52 | 6.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $11 | $22 | 2.9× |
| Blood gas (82803) | $64.50 | $129 | 2.5× |
| Blood gases w/02 saturation (82805) | $118.50 | $237 | 1.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $10 | $20 | 2.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $276.50 | $553 | 43.5× |
| Blood typing serologic abo (86900) | $82 | $164 | 27.4× |
| Bone marrow smear interpretation (85097) | $681.50 | $1,363 | 0.9× |
| Bordetella antibody (86615) | $31 | $62 | 2.4× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$32–$64 | $64–$128 | varies |
| C diff amplified probe (87493) | $107 | $214 | 2.9× |
| C-Peptide (84681) | $51.50 | $103 | 2.5× |
| C-reactive protein (86140) | $22 | $44 | 4.2× |
| Ca 19-9 (86301) | $106.50 | $213 | 5.1× |
| Cadmium (82300) | $52 | $104 | 2.2× |
| Calcium ionized (82330) | $38.50 | $77 | 2.8× |
| Calcium total (82310) | $27 | $54 | 5.2× |
| Calculus Spectroscopy (82365) | $53.50 | $107 | 4.1× |
| Calprotectin Fecal (83993) | $33 | $66 | 1.7× |
| Cancer Antigen 125 (86304) | $49 | $98 | 2.4× |
| Cancer Antigen 27.29 (86300) | $70 | $140 | 3.4× |
| Carbamazepine total (80156) | $55 | $110 | 3.8× |
| Carboxyhemoglobin (82375) | $56.50 | $113 | 4.6× |
| Carcinoembryonic antigen (82378) | $60.50 | $121 | 3.2× |
| Cardiolipin ab iga (86147) range across 7 matching MRF lines |
$57.50–$172.50 | $115–$345 | varies |
| Carotene (82380) | $65.50 | $131 | 7.1× |
| Catecholamines fractionated (82384) | $89.50 | $179 | 3.5× |
| Ccp antibody (86200) | $29 | $58 | 2.2× |
| Cell count csf (89051) | $27.50 | $55 | 4.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $276.50 | $553 | 2.0× |
| Ceruloplasmin (82390) | $24 | $48 | 2.2× |
| Chemiluminescent assay (82397) | $51 | $102 | 3.6× |
| Chlamydia Igm Antibody (86632) | $33 | $66 | 2.6× |
| Chloride Serum (82435) | $12.50 | $25 | 2.7× |
| Chloride urine (82436) | $15 | $30 | 2.6× |
| Cholesterol total (82465) | $27 | $54 | 6.2× |
| Cholinesterase Serum (82480) | $41.50 | $83 | 5.3× |
| Chorionic gonadotropin test (84702) | $49.50 | $99 | 3.3× |
| Chromium serum (82495) | $47.50 | $95 | 2.3× |
| Chromogenic Substrate Assay (85130) | $27.50 | $55 | 2.3× |
| Chromogranin a (86316) | $35 | $70 | 1.7× |
| Chromosome Analysis 15-20 (88262) | $335 | $670 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $94.50 | $189 | 2.7× |
| Citric acid urine (82507) | $62.50 | $125 | 2.2× |
| Ckmb (82553) | $43.50 | $87 | 3.8× |
| Clostridium Difficile (87324) | $28 | $56 | 2.3× |
| Clot Factor VIII Multimetric (85247) | $51.50 | $103 | 2.2× |
| Clot factor xiii fibrin stab (85290) | $33 | $66 | 2.0× |
| Clotting factor viii related antigen (85244) | $121 | $242 | 5.9× |
| Coagulation time; Lee and White Facility (85345) | $13.50 | $27 | 2.9× |
| Coccidioides antibody (86635) | $40.50 | $81 | 3.5× |
| Cold agglutinin titer (86157) | $25.50 | $51 | 3.2× |
| Collagen crosslinks (82523) | $148 | $296 | 7.9× |
| Column Chromotography Quant (82542) | $88 | $176 | 3.7× |
| Compatibility test antiglob (86922) | $177.50 | $355 | 1.1× |
| Complement Antigen Each Component (86160) | $44 | $88 | 3.7× |
| Complement Total (Ch50) (86162) | $65 | $130 | 3.2× |
| Complement/Function Activity (86161) | $44 | $88 | 3.7× |
| Coombs direct (86880) | $76 | $152 | 14.1× |
| Copper urine (82525) | $36 | $72 | 2.9× |
| Cortisol free (82530) | $37.50 | $75 | 2.2× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$43–$162 | $86–$324 | varies |
| Creatine kinase total (82550) | $48.50 | $97 | 7.5× |
| Creatinine blood (82565) | $27 | $54 | 5.3× |
| Creatinine clearance (82575) | $46 | $92 | 4.9× |
| Creatinine Urine (82570) | $23.50 | $47 | 4.5× |
| Crossmatch immediate spin (86920) | $156 | $312 | 1.0× |
| Crp High Sensitivity (86141) | $40.50 | $81 | 3.1× |
| Cryoglobulin (82595) | $14.50 | $29 | 2.2× |
| Cryptococcus ab (86641) | $51 | $102 | 3.5× |
| Cryptococcus ag titer (87899) | $27 | $54 | 1.7× |
| Cryptosporidium ag eia (87328) | $27 | $54 | 2.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$18–$108 | $36–$216 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $19.50 | $39 | 2.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $39.50 | $79 | 5.1× |
| Culture afb (87116) | $73 | $146 | 6.8× |
| Culture Anaerobic (87075) | $21.50 | $43 | 2.3× |
| Culture blood (87040) | $47 | $94 | 4.6× |
| Culture csf (87070) | $39.50 | $79 | 4.6× |
| Culture fungus (87102) | $40 | $80 | 4.8× |
| Culture screen only (87081) | $39.50 | $79 | 6.0× |
| Culture stool (87045) | $21.50 | $43 | 2.3× |
| Culture urine (87086) | $47 | $94 | 5.8× |
| Cyanide (82600) | $69 | $138 | 3.6× |
| Cyclosporine (80158) | $40.50 | $81 | 2.2× |
| Cytomegalovirus igg (86644) | $34 | $68 | 2.4× |
| Cytopath Cell Enhance Tech (88112) | $155 | $310 | 3.1× |
| Cytp Concentration Smears & Interpretation (88108) | $116 | $232 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $206 | $412 | 4.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $31.50 | $63 | 1.7× |
| Deoxyribonuclease antibody (86215) | $63.50 | $127 | 4.8× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$79–$158 | $158–$316 | varies |
| Detect Agent Nos Dna Quant (87799) | $97 | $194 | 2.3× |
| Dhea (82626) | $87 | $174 | 3.4× |
| Dhea-S (82627) | $50 | $100 | 2.2× |
| Digoxin (80162) | $49.50 | $99 | 3.7× |
| Dipropylacetic Acid Free (80165) | $28 | $56 | 2.1× |
| Dna Antibody Native/Double Stranded (86225) | $31 | $62 | 2.3× |
| Dna Antibody Single Stranded (86226) | $27.50 | $55 | 2.3× |
| DNA/RNA direct probe (87149) | $45 | $90 | 2.2× |
| Dna/Rna Sequencing (87153) | $172.50 | $345 | 1.5× |
| Drug assay acetaminophen (80143) | $59.50 | $119 | 3.2× |
| Drug assay adalimumab (80145) | $60 | $120 | 1.6× |
| Drug Assay Everolimus (80169) | $32.50 | $65 | 2.4× |
| Drug Assay Infliximab (80230) | $64 | $128 | 1.7× |
| Drug Screen Quantitative Gabapentin (80171) | $86.50 | $173 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $86 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $86.50 | $173 | 6.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $73.50 | $147 | 5.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $59 | $118 | 3.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $120 | $240 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $36 | $72 | 2.9× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$53.50–$107 | $107–$214 | varies |
| El-1 Fecal Quantitative (82653) | $35 | $70 | 1.5× |
| Electrolyte panel (80051) | $54.50 | $109 | 7.8× |
| Enterovirus Antibody (86658) | $54.50 | $109 | 4.2× |
| Enterovirus PCR (87498) | $79 | $158 | 2.3× |
| Erythropoietin (82668) | $50.50 | $101 | 2.7× |
| Estradiol serum (82670) | $68.50 | $137 | 2.5× |
| Estriol (82677) | $54.50 | $109 | 2.3× |
| Estrogen total (82672) | $85 | $170 | 3.9× |
| Ethosuximide (80168) | $97 | $194 | 5.9× |
| Ethylene Glycol (82693) | $33.50 | $67 | 2.2× |
| Exam Synovial Fluid Crystals (89060) | $21 | $42 | 2.9× |
| F2 Gene (81240) | $111 | $222 | 1.7× |
| Factor ii activity (85210) | $24.50 | $49 | 1.9× |
| Factor ix activity (85250) | $251 | $502 | 13.2× |
| Factor v leiden mutation (81241) | $137.50 | $275 | 1.9× |
| Factor vii assay (85230) | $114.50 | $229 | 6.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$33–$60.50 | $66–$121 | varies |
| Factor X (85260) | $65.50 | $131 | 3.7× |
| Fat/Lipids Feces Quantitative (82710) | $30 | $60 | 1.8× |
| Fecal Fat Qualitative (82705) | $12 | $24 | 2.4× |
| Ferritin (82728) | $46.50 | $93 | 3.4× |
| Fibrin degradation products (85362) | $46.50 | $93 | 6.7× |
| Fibrin Degradation Quant (85379) | $99 | $198 | 9.7× |
| Fibrinogen activity (85384) | $35.50 | $71 | 3.7× |
| Flecainide level (80181) | $31.50 | $63 | 1.7× |
| Flow cytometry first marker (88184) | $284 | $568 | 0.8× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$28–$112 | $56–$224 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$28–$336 | $56–$672 | varies |
| Fmr1 gene detection (81243) | $175 | $350 | 3.1× |
| Folic acid rbc (82747) | $69.50 | $139 | 3.9× |
| Folic Acid Serum (82746) | $44 | $88 | 3.0× |
| Follicle Stimulating Hormone (83001) | $54.50 | $109 | 2.9× |
| Francisella tularensis (86668) | $45 | $90 | 3.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $284 | $568 | 1.7× |
| Fungi Identification Mold (87107) | $22.50 | $45 | 2.2× |
| Fungi Identification Yeast (87106) | $33 | $66 | 3.2× |
| Galactose (82760) | $27.50 | $55 | 2.5× |
| Gammaglobulin ige (82785) | $47 | $94 | 2.9× |
| Gases blood ph only (82800) | $29.50 | $59 | 2.7× |
| Gastrin (82941) | $45 | $90 | 2.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $848.50 | $1,697 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $79 | $158 | 2.3× |
| Gentamicin (80170) | $41 | $82 | 2.5× |
| Ggt (82977) | $27 | $54 | 3.8× |
| Giardia antigen (87329) | $27 | $54 | 2.3× |
| Giardia lamblia antibody (86674) | $43.50 | $87 | 3.0× |
| Glucose 2 hr pp (82950) | $49.50 | $99 | 10.4× |
| Glucose body fluid (82945) | $25 | $50 | 6.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$29–$63 | $58–$126 | varies |
| Glucose tolerance test (gtt) (82951) | $63 | $126 | 4.9× |
| Glycated Protein (82985) | $34 | $68 | 2.0× |
| Gonadotropin Chorionic Qualitative (84703) | $29 | $58 | 3.9× |
| Gonadotropin releasing hormone (83727) | $295 | $590 | 17.2× |
| Growth hormone (83003) | $31 | $62 | 1.9× |
| Gtt-added samples (82952) | $21 | $42 | 5.4× |
| Haloperidol (80173) | $76.50 | $153 | 4.8× |
| Haptoglobin (83010) | $41 | $82 | 3.3× |
| Hdl Cholesterol (83718) | $25.50 | $51 | 3.1× |
| Heavy metal qualitative any analytes (83015) | $51 | $102 | 2.4× |
| Helicobacter Pylori Stool (87338) | $28 | $56 | 1.9× |
| Hematocrit (85014) | $10 | $20 | 4.2× |
| Hemoglobin (85018) | $10 | $20 | 4.2× |
| Hemoglobin a1c (83036) | $35.50 | $71 | 3.7× |
| Hemoglobin Chromotography (83021) | $40.50 | $81 | 2.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $84 | $168 | 10.2× |
| Hep a ab igm (86709) | $37 | $74 | 3.3× |
| Heparin assay (85520) | $22.50 | $45 | 1.7× |
| Hepatitis a antibody total (86708) | $37 | $74 | 3.0× |
| Hepatitis b core ab igm (86705) | $27 | $54 | 2.3× |
| Hepatitis b core ab total (86704) | $46.50 | $93 | 3.9× |
| Hepatitis B Surface Antibody (86706) | $24.50 | $49 | 2.3× |
| Hepatitis B Surface Antigen (87340) | $46.50 | $93 | 4.5× |
| Hepatitis Be Antibody (86707) | $29.50 | $59 | 2.5× |
| Hepatitis Be Antigen (87350) | $29 | $58 | 2.5× |
| Hepatitis C Antibody (86803) | $134 | $268 | 9.4× |
| Hepatitis C Genotype (87902) | $579.50 | $1,159 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $87.50 | $175 | 2.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $210.50 | $421 | 4.9× |
| Herpes simplex type 2 (86696) | $51.50 | $103 | 2.7× |
| Heterophile antibodies titer (86309) | $30.50 | $61 | 4.7× |
| Heterophile Antibody Screen (86308) | $32 | $64 | 6.2× |
| Hexa gene analysis common variants (81255) | $122.50 | $245 | 2.4× |
| Histamine urine (83088) | $49.50 | $99 | 1.7× |
| Histoplasma antigen urine (87385) | $112.50 | $225 | 8.5× |
| Hiv Genotype (87901) | $121.50 | $243 | 0.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$40–$54.50 | $80–$109 | varies |
| Hiv-1 Antibody (86701) | $20 | $40 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $363.50 | $727 | 4.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $209.50 | $419 | 2.8× |
| Hla I Typing 1 Allele Hr (81381) | $280 | $560 | 1.6× |
| Homocysteine (83090) | $103.50 | $207 | 5.8× |
| Hsv Dna Amp Probe (87529) | $132 | $264 | 3.8× |
| Hydroxycorticosteroids 17 (83491) | $65.50 | $131 | 3.7× |
| Hydroxyprogesterone 17-d (83498) | $61 | $122 | 2.2× |
| Iaad Ia Cytomegalovirus (87332) | $195 | $390 | 16.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $50 | $100 | 1.4× |
| Iaad ia shiga-like toxin (87427) | $27 | $54 | 2.3× |
| Iaadi pneumocustis carinii (87281) | $27.50 | $55 | 2.3× |
| Iadna Cytomegalovirus Quantification (87497) | $175 | $350 | 4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $105.50 | $211 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $545.50 | $1,091 | 12.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $499 | $998 | 14.2× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $363.50 | $727 | 6.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $94.50 | $189 | 2.7× |
| Ig Light Chains Free Each (83521) | $60 | $120 | 3.5× |
| Igg subclasses (82787) | $18 | $36 | 2.2× |
| Immunfix e-phorsis/urine/csf (86335) | $66 | $132 | 2.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$33–$198 | $66–$396 | varies |
| Immunoassay infectious agent (86318) | $53.50 | $107 | 3.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $25 | $50 | 1.7× |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$27–$297 | $54–$594 | varies |
| Immunofixation electrophoresis (86334) | $50.50 | $101 | 2.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $284 | $568 | 1.7× |
| Immunohistochemistry (88342) | $284 | $568 | 1.7× |
| Influenza assay w/optic (87804) | $34.50 | $69 | 2.1× |
| Influenza DNA amp probe (87502) | $142.50 | $285 | 1.5× |
| Inhibin A (86336) | $32.50 | $65 | 2.1× |
| Inhibin b (83520) range across 7 matching MRF lines |
$28.50–$32.50 | $57–$65 | varies |
| Insitu hybridization manual (88368) | $307.50 | $615 | 0.9× |
| Insulin antibodies (86337) | $180.50 | $361 | 8.4× |
| Insulin total (83525) | $41 | $82 | 3.6× |
| Iron (83540) | $18.50 | $37 | 2.9× |
| Iron Binding Capacity (83550) | $54 | $108 | 6.2× |
| Irradiation Blood Product Each Unit (86945) | $87 | $174 | 2.4× |
| Islet cell antibody (86341) | $60.50 | $121 | 2.6× |
| Ketosteroids 17 total (83586) | $39.50 | $79 | 3.1× |
| Lactate (ld) (ldh) enzyme (83615) | $29 | $58 | 4.8× |
| Lactoferrin Fecal Quantitative (83631) | $34 | $68 | 1.7× |
| Ldh Isoenzymes (83625) | $49.50 | $99 | 3.9× |
| LDL direct (83721) | $21.50 | $43 | 2.0× |
| Lead (83655) | $38.50 | $77 | 3.2× |
| Legionella antibody (86713) | $53 | $106 | 3.5× |
| Legionella antigen urine (87449) | $103 | $206 | 8.6× |
| Legionella pneumophila dfa (87278) | $33 | $66 | 2.1× |
| Leptospira antibody (86720) | $29.50 | $59 | 1.8× |
| Leukocyte Assessment Fecal (89055) | $13.50 | $27 | 3.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $43 | $86 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $80 | $160 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $284 | $568 | 0.8× |
| Lipase (83690) | $41 | $82 | 6.0× |
| Lipoprotein A (83695) | $30 | $60 | 2.1× |
| Lithium (80178) | $31.50 | $63 | 4.8× |
| Luteinizing Hormone (Lh) (83002) | $53.50 | $107 | 2.9× |
| Lyme disease antibody (86618) | $75 | $150 | 4.4× |
| Lysozyme serum (85549) | $42 | $84 | 2.2× |
| M. Genitalium Amp Probe (87563) | $52.50 | $105 | 1.5× |
| Macroscopic Exam Parasite (87169) | $10 | $20 | 2.3× |
| Magnesium Urine (83735) | $31.50 | $63 | 4.7× |
| Mass Spectrometry Quant (83789) | $42 | $84 | 1.7× |
| Mecp2 gene dup/delet variant (81304) | $44.50 | $89 | 0.3× |
| Mercury urine (83825) | $36.50 | $73 | 2.2× |
| Methylmalonic acid serum (83921) | $62 | $124 | 2.9× |
| Microalbumin, quantitative (82043) | $46.50 | $93 | 8.0× |
| Microsomal Antibodies Each (86376) | $59.50 | $119 | 4.1× |
| Mog-Igg1 Antb Cba Each (86362) | $22 | $44 | 1.8× |
| Mthfr Gene Analysis Common Variants (81291) | $107.50 | $215 | 1.6× |
| Mucopolysaccharides acid quantitative (83864) | $43.50 | $87 | 1.5× |
| Mumps antibody (86735) | $35.50 | $71 | 2.7× |
| Mycobacteric Identification (87118) | $30 | $60 | 2.1× |
| Mycophenolic Acid (80180) | $33 | $66 | 1.8× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$60.50–$121 | $121–$242 | varies |
| Myelin basic protein csf (83873) | $69 | $138 | 4.0× |
| Myoglobin urine (83874) | $65.50 | $131 | 5.1× |
| Natriuretic peptide (83880) | $148 | $296 | 3.8× |
| Neisseria Dir Na Probe (87590) | $70 | $140 | 2.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $124 | $248 | 1.7× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $214 | $428 | 1.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $430.50 | $861 | 16.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $733.50 | $1,467 | 1.5× |
| Nk cells total count (86357) | $69 | $138 | 1.8× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$40.50–$202.50 | $81–$405 | varies |
| Occult Blood Other Sources (82271) | $10 | $20 | 1.9× |
| Organic Acids Qualitative Each Specimen (83919) | $40.50 | $81 | 2.5× |
| Osmolality serum (83930) | $29.50 | $59 | 4.5× |
| Osmolality Urine (83935) | $29.50 | $59 | 4.3× |
| Ova and parasites smears (87177) | $53.50 | $107 | 6.0× |
| Oxalate urine (83945) | $44 | $88 | 3.0× |
| Particle Agglutination Screen Each Antibody (86403) | $35 | $70 | 3.0× |
| Parvovirus antibody (86747) | $332 | $664 | 22.1× |
| Ph urine (81003) | $9 | $18 | 4.0× |
| Phenobarbital Level (80184) | $56 | $112 | 3.7× |
| Phenotype Infect Agent Drug (87900) | $214 | $428 | 1.6× |
| Phenylalanine (84030) | $15.50 | $31 | 2.8× |
| Phenytoin (Dilantin) (80185) | $46.50 | $93 | 3.5× |
| Phenytoin free (80186) | $31 | $62 | 2.3× |
| Phosphatase alkaline (84075) | $16.50 | $33 | 3.2× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $60 | 1.7× |
| Phosphorus Serum (84100) | $27 | $54 | 5.7× |
| Phosphorus urine (84105) | $24 | $48 | 4.2× |
| Pinworm exam (87172) | $13 | $26 | 3.0× |
| Platelet Antibodies (86022) | $125 | $250 | 6.8× |
| Platelet count automated (85049) | $16.50 | $33 | 3.7× |
| Porphobilinogen, urine; quantitative (84110) | $19 | $38 | 2.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $59 | $118 | 4.0× |
| Potassium Urine (84133) | $25 | $50 | 5.3× |
| Prealbumin (84134) | $33 | $66 | 2.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $186.50 | $373 | 3.3× |
| Primidone (80188) | $46.50 | $93 | 2.8× |
| Procalcitonin (Pct) (84145) | $49.50 | $99 | 1.8× |
| Progesterone (84144) | $53 | $106 | 2.5× |
| Prolactin (84146) | $64 | $128 | 3.3× |
| Prostaglandin (84150) | $67.50 | $135 | 1.6× |
| Protein body fluid (84157) | $25 | $50 | 6.3× |
| Protein C Activity (85303) | $78.50 | $157 | 5.7× |
| Protein Electrophoresis Urine (84166) | $40 | $80 | 2.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $40.50 | $81 | 3.8× |
| Protein S Free (85306) | $78.50 | $157 | 5.1× |
| Protein total serum (84155) | $27 | $54 | 7.4× |
| Protein Total Urine (84156) | $12 | $24 | 3.3× |
| Protein Western Blot Test (84182) | $121 | $242 | 4.1× |
| Protoporphyrin rbc quantitative (84202) | $34 | $68 | 2.4× |
| PSA free (84154) | $183 | $366 | 10.0× |
| Pth Intact (83970) | $104 | $208 | 2.5× |
| Quantiferon tb gold plus (86480) | $139.50 | $279 | 2.3× |
| Quinidine (80194) | $46.50 | $93 | 3.2× |
| Rbc antibody identification (86870) | $284 | $568 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$197.50–$224 | $395–$448 | varies |
| Rbc serum pretx incubj drugs (86975) | $186.50 | $373 | 0.4× |
| Reagent Strip/Blood Glucose (82948) | $14 | $28 | 2.8× |
| Renin activity plasma (84244) | $70.50 | $141 | 3.2× |
| Resp virus 12-25 targets (87633) | $938 | $1,876 | 2.3× |
| Rh (86901) | $43 | $86 | 14.4× |
| Rheumatoid factor quant (86431) | $16 | $32 | 2.8× |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$62.50–$250 | $125–$500 | varies |
| Ristocetin cofactor (85245) | $51.50 | $103 | 2.2× |
| Rotavirus ag eia (87425) | $58 | $116 | 4.8× |
| Rpr qualitative (86592) | $26.50 | $53 | 6.2× |
| Rsv ab (86756) | $54 | $108 | 3.4× |
| Rsv Assay W/Optic (87807) | $32 | $64 | 2.4× |
| Rubella Antibody (86762) | $35.50 | $71 | 2.5× |
| Rubeola antibody (86765) | $32 | $64 | 2.5× |
| Russell Viper Venom Time Diluted (85613) | $23 | $46 | 2.4× |
| Salicylate Level (80179) | $59.50 | $119 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$37.50–$102.50 | $75–$205 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $102.50 | $205 | 2.4× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $62.50 | $125 | 1.5× |
| Sedimentation rate (85651) | $16.50 | $33 | 3.9× |
| Selenium (84255) | $59.50 | $119 | 2.3× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$19.50–$117 | $39–$234 | varies |
| Serpina 1 gene (81332) | $90 | $180 | 2.1× |
| Sex Hormone Binding Globulin (84270) | $49 | $98 | 2.3× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$66–$68.50 | $132–$137 | varies |
| Sirolimus (80195) | $234 | $468 | 17.0× |
| Skin test tuberculosis intradermal (86580) | $19 | $38 | 0.7× |
| Skin test; histoplasmosis (86510) | $60 | $120 | 1.7× |
| Smear acid fast (87206) | $23.50 | $47 | 4.4× |
| Smear complex stain (87209) | $41.50 | $83 | 2.3× |
| Smear gram stain (87205) | $19 | $38 | 4.4× |
| Smear Special Stain (87207) | $60.50 | $121 | 10.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $96 | $192 | 16.5× |
| Sodium Serum (84295) | $16.50 | $33 | 3.4× |
| Sodium Urine (84300) | $29.50 | $59 | 5.8× |
| Somatomedin (84305) | $48 | $96 | 2.3× |
| Special Stains Group 1 (88312) | $111.50 | $223 | 2.2× |
| Special Stains Group 2 (88313) | $93 | $186 | 0.7× |
| Specific gravity body fluid (84315) | $5.50 | $11 | 1.7× |
| Specimen infect agnt concntj (87015) | $16.50 | $33 | 2.5× |
| Spectrophotometry (84311) | $16.50 | $33 | 2.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $156 | $312 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $21.50 | $43 | 2.3× |
| Strep a assay w/optic (87880) | $27 | $54 | 1.6× |
| Strep a DNA amp probe (87651) | $55 | $110 | 1.6× |
| Streptokinase, antibody Facility (86590) | $74.50 | $149 | 5.9× |
| Sulfate urine (84392) | $43.50 | $87 | 7.9× |
| Surg path level iii (88304) | $77 | $154 | 1.5× |
| Surgical pathology level IV (88305) | $101 | $202 | 2.0× |
| Surgical pathology level vi (88309) | $681.50 | $1,363 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $7 | $14 | 1.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 6 matching MRF lines |
$15.50–$93 | $31–$186 | varies |
| Syphilis Test Non-Trep Quant (86593) | $26.50 | $53 | 6.0× |
| T cells absolute cd4 count (86361) | $64 | $128 | 2.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $150 | $300 | 3.2× |
| T cells total count (86359) | $69 | $138 | 1.8× |
| T3 Free (84481) | $68.50 | $137 | 4.0× |
| T3 reverse (84482) | $115.50 | $231 | 7.3× |
| T3 Total (84480) | $33 | $66 | 2.3× |
| T3 Uptake (84479) | $25.50 | $51 | 3.9× |
| T4 Free (84439) | $41 | $82 | 4.5× |
| T4 total (84436) | $30.50 | $61 | 4.4× |
| Tacrolimus (80197) | $193.50 | $387 | 14.1× |
| Testosterone total (84403) | $74.50 | $149 | 2.9× |
| Testosterone, Free (84402) | $85.50 | $171 | 3.4× |
| Theophylline (80198) | $41 | $82 | 2.9× |
| Thiocyanate (84430) | $53 | $106 | 4.6× |
| Thiopurine methyltransferase (84433) | $37.50 | $75 | 1.7× |
| Thrombin Time (85670) | $7 | $14 | 1.2× |
| Thromboplastin Inhibition Tissue (85705) | $23 | $46 | 2.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $15.50 | $31 | 2.4× |
| Thyroglobulin Antibody (86800) | $87 | $174 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $82.50 | $165 | 1.6× |
| Thyroxine binding globulin (84442) | $57.50 | $115 | 3.9× |
| Tissue Culture (88233) | $378 | $756 | 2.7× |
| Tissue culture bone marrow (88237) | $284.50 | $569 | 2.0× |
| Tissue Culture Lymphocyte (88230) | $312.50 | $625 | 2.7× |
| Tobramycin peak (80200) | $53 | $106 | 3.3× |
| Topiramate (80201) | $55 | $110 | 4.6× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $60 | $120 | 3.0× |
| Toxoplasma ab igm (86778) | $33 | $66 | 2.3× |
| Toxoplasma antibody (86777) | $33 | $66 | 2.3× |
| Tpmt gene com variants (81335) | $288 | $576 | 1.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $26.50 | $53 | 5.1× |
| Transferrin (84466) | $41.50 | $83 | 3.3× |
| Trichomonas Vaginalis Amplif (87661) | $60 | $120 | 1.7× |
| Triglycerides (84478) | $23.50 | $47 | 4.1× |
| Troponin Quant (84484) | $60.50 | $121 | 4.9× |
| Tumor Immunohistochem/Manual (88360) | $284 | $568 | 1.7× |
| Urea nitrogen urine (84540) | $21.50 | $43 | 3.9× |
| Uric acid other source (84560) | $32 | $64 | 6.3× |
| Urinalysis Microscopic Only (81015) | $9 | $18 | 3.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$6–$6.50 | $12–$13 | varies |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$15–$45 | $30–$90 | varies |
| Urine Pregnancy Test (81025) | $29 | $58 | 3.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $21 | $42 | 6.6× |
| Valproic acid (80164) | $50.50 | $101 | 3.7× |
| Vancomycin (80202) | $51 | $102 | 3.8× |
| Varicella-zoster antibody (86787) | $39.50 | $79 | 3.1× |
| Vasopressin (84588) | $100 | $200 | 2.9× |
| Viral Culture (87252) | $64 | $128 | 2.5× |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$45–$315 | $90–$630 | varies |
| Vit D 1 25-Dihydroxy (82652) | $99 | $198 | 2.6× |
| Vitamin A (84590) | $27 | $54 | 2.3× |
| Vitamin b-12 (82607) | $43 | $86 | 2.9× |
| Vitamin B6 (84207) | $104.50 | $209 | 3.7× |
| Vitamin c (82180) | $40.50 | $81 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $66.50 | $133 | 2.2× |
| Vitamin E (84446) | $35 | $70 | 2.5× |
| Vitamin K (84597) | $194 | $388 | 14.1× |
| Von willebrand factor ag (85246) | $51.50 | $103 | 2.2× |
| Wbc Alkaline Phosphatase Count (85540) | $43.50 | $87 | 5.1× |
| West nile virus ab igm (86788) | $102.50 | $205 | 6.1× |
| West Nile Virus Antibody (86789) | $102.50 | $205 | 7.1× |
| Xylose Absorption Test (84620) | $43 | $86 | 3.3× |
| Zinc (84630) | $25.50 | $51 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.