Lab & pathology prices at Cibola General Hospital

Grants, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $255.44 $319.30 6.6×
Actin smooth muscle antibody each (86015) $69.22 $86.52 5.7×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$77.46–$468.03 $96.82–$585.04 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $172.22 $215.27 2.7×
Albumin Fluid (82042) $38.73 $48.41 5.0×
Albumin serum (82040)
range across 2 matching MRF lines
$32.14–$37.90 $40.17–$47.38 varies
Aldosterone urine (82088) $255.44 $319.30 6.3×
Alkaline phosphatase isoenzymes (84080) $83.22 $104.03 5.6×
Allergen specific ige (86003)
range across 47 matching MRF lines
$15.66–$114.54 $19.57–$143.17 varies
Allergen specific igg (86001)
range across 3 matching MRF lines
$32.14–$114.54 $40.17–$143.17 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$114.54–$195.29 $143.17–$244.11 varies
Alpha-1-antitrypsin total (82103) $62.62 $78.28 4.7×
Alpha-Fetoprotein Serum (82105) $116.18 $145.23 6.9×
Ammonia (82140) $135.14 $168.92 9.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $152.44 $190.55 1.6×
Amylase urine (82150)
range across 5 matching MRF lines
$77.46–$182.93 $96.82–$228.66 varies
Anca screen each antibody (86036) $127.72 $159.65 10.6×
Androstenedione (82157) $187.05 $233.81 6.4×
Angiotensin converting enzyme csf (82164) $205.18 $256.47 14.1×
Anti-Phospholipid Antibody (86148)
range across 3 matching MRF lines
$48.62–$169.74 $60.77–$212.18 varies
Antibody Cytomegalovirus Cmv Igm (86645) $98.88 $123.60 5.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $72.51 $90.64 4.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$99.70–$117.01 $124.63–$146.26 varies
Antibody Herpes Smplx Type 1 (86695)
range across 9 matching MRF lines
$63.45–$243.90 $79.31–$304.88 varies
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$88.17–$127.72 $110.21–$159.65 varies
Antibody Identification Platelet Immunogl Assay (86023) $77.46 $96.82 6.2×
Antibody Titer (86886) $231.54 $289.43 44.7×
Antibody Treponema Pallidum (86780) $78.28 $97.85 5.9×
Antigen typing (86905) $269.45 $336.81 70.4×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$74.98–$93.11 $93.73–$116.39 varies
Antistreptolysin o titer (86060) $33.78 $42.23 4.6×
Antithrombin iii activity (85300) $32.96 $41.20 2.8×
Assay Blood Carbon Dioxide (82374) $23.07 $28.84 4.7×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$84.87–$119.48 $106.09–$149.35 varies
Assay of blood/uric acid (84550) $60.98 $76.22 13.5×
Assay of calcium in urine (82340) $34.61 $43.26 5.7×
Assay of cpk in blood (82552) $116.18 $145.23 8.7×
Assay of estrone (82679) $93.11 $116.39 3.7×
Assay of gammaglobulin igm (82784)
range across 7 matching MRF lines
$32.14–$152.44 $40.17–$190.55 varies
Assay of lactic acid (83605) $187.87 $234.84 16.2×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$79.93–$191.17 $99.91–$238.96 varies
Assay of proinsulin (84206) $117.83 $147.29 4.4×
Assay of serum potassium (84132) $53.56 $66.95 11.3×
Assay of urea nitrogen (84520) $32.96 $41.20 8.3×
Assay of vitamin b-1 (84425) $89.82 $112.27 4.2×
Assay spec xcp ur&breath ia (82077) $187.87 $234.84 10.9×
B cells total count (86355) $356.79 $445.99 9.5×
Bcr/abl1 gene minor bp (81207) $406.23 $507.79 2.8×
Beta 2 glycoprotein i antibody each (86146)
range across 8 matching MRF lines
$32.14–$113.71 $40.17–$142.14 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$66.74–$71.69 $83.43–$89.61 varies
Beta-2 Microglobulin (82232) $65.10 $81.37 4.0×
Bilirubin direct (82248)
range across 3 matching MRF lines
$53.56–$54.38 $66.95–$67.98 varies
Bilirubin total (82247) $104.65 $130.81 20.8×
Bilirubin total transcutaneous (88720)
range across 3 matching MRF lines
$14.01–$51.09 $17.51–$63.86 varies
Bld Typing Serologic Rh Phnt (86906) $80.75 $100.94 10.4×
Blood Count Manual Cell Count Each (85032) $60.98 $76.22 14.1×
Blood count reticulocyte automated (85045) $54.38 $67.98 13.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $47.79 $59.74 12.6×
Blood gas (82803)
range across 10 matching MRF lines
$197.76–$283.46 $247.20–$354.32 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 4 matching MRF lines
$43.67–$46.14 $54.59–$57.68 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $41.20 $51.50 9.4×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $80.75 $100.94 4.9×
Blood typing serologic abo (86900) $68.39 $85.49 22.9×
Body fluid cell count (89050) $24.72 $30.90 5.2×
Braf gene analysis (81210)
range across 2 matching MRF lines
$419.42–$983.86 $524.27–$1,229.82 varies
Breath Alcohol Test (82075) $81.58 $101.97 2.7×
C diff amplified probe (87493)
range across 3 matching MRF lines
$137.61–$168.92 $172.01–$211.15 varies
C-Peptide (84681) $117.01 $146.26 5.6×
C-reactive protein (86140) $63.45 $79.31 12.2×
Ca 19-9 (86301) $129.37 $161.71 6.2×
Calcium ionized (82330) $165.62 $207.03 12.1×
Calcium total (82310) $41.20 $51.50 8.0×
Calprotectin Fecal (83993) $215.89 $269.86 11.0×
Cancer Antigen 125 (86304) $132.66 $165.83 6.4×
Cancer Antigen 27.29 (86300) $114.54 $143.17 5.5×
Candida antibody (86628) $32.14 $40.17 2.7×
Candida Dna Dir Probe (87480) $90.64 $113.30 4.5×
Carbamazepine total (80156) $127.72 $159.65 8.8×
Carboxyhemoglobin (82375) $132.66 $165.83 10.8×
Carcinoembryonic antigen (82378) $113.71 $142.14 6.0×
Cardiolipin ab iga (86147)
range across 7 matching MRF lines
$63.45–$174.69 $79.31–$218.36 varies
Carotene (82380) $74.98 $93.73 8.1×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$71.69–$99.70 $89.61–$124.63 varies
Ccp antibody (86200) $66.74 $83.43 5.2×
Cell count csf (89051)
range across 3 matching MRF lines
$74.16–$91.46 $92.70–$114.33 varies
Ceruloplasmin (82390) $64.27 $80.34 6.0×
Chloride Serum (82435) $23.90 $29.87 5.2×
Chloride urine (82436) $32.96 $41.20 5.7×
Cholesterol total (82465) $100.53 $125.66 23.1×
Chorionic gonadotropin test (84702) $145.85 $182.31 9.7×
Chromogranin a (86316) $116.18 $145.23 5.6×
Chromosome Analysis 15-20 (88262) $908.87 $1,136.09 7.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$106.30–$171.39 $132.87–$214.24 varies
Ckmb (82553) $156.56 $195.70 13.6×
Clostridium Difficile (87324) $137.61 $172.01 11.5×
Column Chromotography Quant (82542) $103 $128.75 4.3×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$74.16–$74.98 $92.70–$93.73 varies
Complement Total (Ch50) (86162) $133.49 $166.86 6.6×
Coombs direct (86880) $172.22 $215.27 32.0×
Copper urine (82525)
range across 2 matching MRF lines
$77.46–$87.34 $96.82–$109.18 varies
Cortisol saliva (82533) $95.58 $119.48 5.9×
Creatine kinase total (82550) $56.86 $71.07 8.7×
Creatinine blood (82565) $27.19 $33.99 5.3×
Creatinine clearance (82575) $45.32 $56.65 4.8×
Creatinine Urine (82570)
range across 8 matching MRF lines
$10.71–$77.46 $13.39–$96.82 varies
Crossmatch immediate spin (86920) $145.02 $181.28 0.9×
Cryptococcus ag titer (87899) $108.77 $135.96 6.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $129.37 $161.71 16.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $46.14 $57.68 5.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 3 matching MRF lines
$64.27–$145.85 $80.34–$182.31 varies
Culture aerobic quant other (87071) $64.27 $80.34 6.5×
Culture afb (87116)
range across 2 matching MRF lines
$104.65–$146.67 $130.81–$183.34 varies
Culture Anaerobic (87075) $27.19 $33.99 2.9×
Culture blood (87040)
range across 5 matching MRF lines
$53.56–$252.14 $66.95–$315.18 varies
Culture csf (87070)
range across 15 matching MRF lines
$27.19–$181.28 $33.99–$226.60 varies
Culture fungus (87102)
range across 6 matching MRF lines
$64.27–$124.42 $80.34–$155.53 varies
Culture fungus blood (87103) $145.85 $182.31 7.1×
Culture screen only (87081)
range across 4 matching MRF lines
$35.43–$142.55 $44.29–$178.19 varies
Culture stool (87045) $140.90 $176.13 14.9×
Culture urine (87086)
range across 2 matching MRF lines
$43.67–$74.16 $54.59–$92.70 varies
Cyclosporine (80158) $202.70 $253.38 11.2×
Cystatin C (82610) $136.78 $170.98 7.4×
Cytogenetics 10-30 (88273) $201.88 $252.35 5.8×
Cytomegalovirus igg (86644) $93.94 $117.42 6.5×
Cytopath Cell Enhance Tech (88112) $363.38 $454.23 7.0×
Cytotoxic Antibody Screen Std (86807) $543.84 $679.80 6.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $196.94 $246.17 7.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $297.46 $371.83 10.4×
Deoxyribonuclease antibody (86215) $153.26 $191.58 11.6×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$12.36–$156.56 $15.45–$195.70 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$28.84–$218.36 $36.05–$272.95 varies
Detect agnt mult DNA ampli (87801) $290.05 $362.56 4.1×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$63.45–$66.74 $79.31–$83.43 varies
Dhea-S (82627) $234.84 $293.55 10.6×
Digoxin (80162) $108.77 $135.96 8.2×
Dipropylacetic Acid Free (80165) $89.82 $112.27 6.6×
Dna Antibody Native/Double Stranded (86225) $145.02 $181.28 10.6×
Drug assay acetaminophen (80143) $187.87 $234.84 10.1×
Drug Screen Quant Zonisamide (80203) $153.26 $191.58 11.6×
Drug Screen Quantitative Lamotrigine (80175) $154.91 $193.64 11.7×
Drug Screen Quantitative Levetiracetam (80177) $120.30 $150.38 9.1×
Drug Screen Quantitative Oxcarbazepine (80183) $173.86 $217.33 13.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$28.84–$416.12 $36.05–$520.15 varies
Drug Test Prsmv Dir Opt Obs (80305) $32.96 $41.20 2.6×
Electrolyte panel (80051) $79.10 $98.88 11.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $99.70 $124.63 8.2×
Eosinophil Smear (89190) $42.02 $52.53 7.3×
Erythropoietin (82668) $188.70 $235.87 10.0×
Estradiol serum (82670) $157.38 $196.73 5.6×
Estriol (82677) $101.35 $126.69 4.2×
Estrogen total (82672) $204.35 $255.44 9.4×
Exam Synovial Fluid Crystals (89060) $56.86 $71.07 7.8×
F2 Gene (81240) $146.67 $183.34 2.2×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$56.03–$280.98 $70.04–$351.23 varies
Factor vii assay (85230) $98.88 $123.60 5.5×
Factor viii assay (85240) $111.24 $139.05 6.2×
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines
$41.20–$55.21 $51.50–$69.01 varies
Ferritin (82728) $82.40 $103 6.0×
Fetal Fibronectin (82731) $410.35 $512.94 6.4×
Fetal screen rosette (85461)
range across 2 matching MRF lines
$46.14–$150.79 $57.68–$188.49 varies
Fibrin Degradation Quant (85379) $154.91 $193.64 15.2×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $111.24 $139.05 8.9×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$36.26–$124.42 $45.32–$155.53 varies
Flow cytometry first marker (88184) $196.11 $245.14 0.6×
Fluorescent antibody screen (86255) $79.10 $98.88 6.6×
Folic Acid Serum (82746) $93.11 $116.39 6.3×
Follicle Stimulating Hormone (83001) $97.23 $121.54 5.2×
Gammaglobulin ige (82785) $104.65 $130.81 6.4×
Genet Virus Isolate Hsv (87255) $181.28 $226.60 5.4×
Gentamicin (80170)
range across 3 matching MRF lines
$128.54–$135.14 $160.68–$168.92 varies
Ggt (82977) $55.21 $69.01 7.7×
Glucose 2 hr pp (82950)
range across 3 matching MRF lines
$20.60–$54.38 $25.75–$67.98 varies
Glucose Blood Test (82962) $5.77 $7.21 1.8×
Glucose body fluid (82945) $78.28 $97.85 19.9×
Glucose Serum (82947) $21.42 $26.78 5.5×
Glucose tolerance test (gtt) (82951) $54.38 $67.98 4.2×
Glycated Protein (82985) $66.74 $83.43 4.0×
Gonadotropin Chorionic Qualitative (84703) $140.90 $176.13 18.7×
Gtt-added samples (82952) $61.80 $77.25 15.8×
Haptoglobin (83010) $90.64 $113.30 7.2×
Hdl Cholesterol (83718) $65.10 $81.37 7.9×
Helicobacter Pylori Stool (87338) $64.27 $80.34 4.5×
Hematocrit (85014) $32.14 $40.17 13.6×
Hemoglobin (85018)
range across 2 matching MRF lines
$32.14–$37.08 $40.17–$46.35 varies
Hemoglobin a1c (83036) $75.81 $94.76 7.8×
Hep a ab igm (86709) $59.33 $74.16 5.3×
Heparin assay (85520) $95.58 $119.48 7.3×
Hepatitis a antibody total (86708) $56.86 $71.07 4.6×
Hepatitis b core ab igm (86705) $44.50 $55.62 3.8×
Hepatitis b core ab total (86704) $68.39 $85.49 5.7×
Hepatitis B Surface Antibody (86706) $74.16 $92.70 6.9×
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$70.86–$71.69 $88.58–$89.61 varies
Hepatitis Be Antibody (86707) $66.74 $83.43 5.8×
Hepatitis Be Antigen (87350) $84.05 $105.06 7.3×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$52.69–$263.68 $65.86–$329.60 varies
Hepatitis C Genotype (87902) $552.08 $690.10 2.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $196.94 $246.17 5.6×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$168.92–$196.94 $211.15–$246.17 varies
Herpes simplex type 2 (86696)
range across 5 matching MRF lines
$66.74–$98.88 $83.43–$123.60 varies
Heterophile Antibody Screen (86308) $63.45 $79.31 12.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 3 matching MRF lines
$95.58–$107.12 $119.48–$133.90 varies
Histamine urine (83088) $105.47 $131.84 3.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$62.62–$124.42 $78.28–$155.53 varies
Hla I Typing 1 Allele Hr (81381) $204.35 $255.44 1.2×
Hla-b27 (86812) $172.22 $215.27 6.7×
Homocysteine (83090) $107.12 $133.90 6.0×
Hpv High-Risk Types (87624) $173.66 $217.07 4.9×
Hsv Dna Amp Probe (87529) $143.38 $179.22 4.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $59.33 $74.16 1.7×
Iaad Ia Streptococcus Group A (87430)
range across 3 matching MRF lines
$113.71–$116.18 $142.14–$145.23 varies
Iaadi herpes smplx virus type 2 (87273)
range across 2 matching MRF lines
$93.11–$98.88 $116.39–$123.60 varies
Iadna Candida Species Amplified Probe Tq (87481) $32.14 $40.17 0.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $118.66 $148.32 3.4×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$81.58–$217.54 $101.97–$271.92 varies
Iadna Hepatitis B Virus Quantification (87517) $173.86 $217.33 4.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $190.34 $237.93 5.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$116.18–$137.61 $145.23–$172.01 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $12.36 $15.45 0.1×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $105.47 $131.84 0.4×
Ig Light Chains Free Each (83521)
range across 4 matching MRF lines
$62.62–$119.48 $78.28–$149.35 varies
Immunfix e-phorsis/urine/csf (86335) $101.35 $126.69 3.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $89.82 $112.27 6.0×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$63.45–$99.70 $79.31–$124.63 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$128.54–$191.99 $160.68–$239.99 varies
Immunofluorescence per spec 1st singl antb stain (88346) $69.22 $86.52 0.4×
Immunohistochemistry (88342) $693.81 $867.26 4.1×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$68.39–$123.60 $85.49–$154.50 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$12.36–$109.59 $15.45–$136.99 varies
Inhibin A (86336) $125.25 $156.56 8.0×
Inhibin b (83520)
range across 6 matching MRF lines
$62.62–$206.82 $78.28–$258.53 varies
Insulin antibodies (86337) $83.22 $104.03 3.9×
Insulin total (83525) $61.80 $77.25 5.4×
Intrinsic factor antibody (86340) $90.64 $113.30 6.0×
Iron (83540) $42.85 $53.56 6.6×
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$42.85–$65.10 $53.56–$81.37 varies
Islet cell antibody (86341) $560.32 $700.40 23.8×
Jak2 gene analysis p.val617phe variant (81270) $610.58 $763.23 6.7×
Koh Prep (87220)
range across 2 matching MRF lines
$56.86–$64.27 $71.07–$80.34 varies
Kras Gene Analysis Additional Variant(S) (81276) $462.26 $577.83 2.4×
Kras Gene Variants Exon 2 (81275) $462.26 $577.83 2.4×
Lactate (ld) (ldh) enzyme (83615)
range across 6 matching MRF lines
$65.10–$81.58 $81.37–$101.97 varies
Lactoferrin fecal qualitative (83630) $150.79 $188.49 7.7×
Lead (83655)
range across 2 matching MRF lines
$32.96–$77.46 $41.20–$96.82 varies
Legionella antibody (86713)
range across 2 matching MRF lines
$82.40–$99.70 $103–$124.63 varies
Legionella antigen urine (87449) $117.83 $147.29 9.8×
Level I Surg Pathology Gross Examination Only (88300) $111.24 $139.05 3.9×
Level ii surg pathology gross&microscopic exam (88302) $211.77 $264.71 5.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $763.02 $953.78 2.2×
Lipase (83690) $152.44 $190.55 22.1×
Lithium (80178)
range across 2 matching MRF lines
$6.59–$61.80 $8.24–$77.25 varies
Luteinizing Hormone (Lh) (83002) $93.94 $117.42 5.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $358.44 $448.05 2.1×
Magnesium Urine (83735) $64.27 $80.34 9.6×
Microalbumin, quantitative (82043) $36.26 $45.32 6.3×
Microsatellite instability (81301)
range across 2 matching MRF lines
$204.35–$781.15 $255.44–$976.44 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$70.86–$81.58 $88.58–$101.97 varies
Mitochondrial Antibody Each (86381) $74.98 $93.73 2.9×
Mopath procedure level 5 (81404) $656.73 $820.91 2.4×
Mrsa Pcr (87641) $116.18 $145.23 3.3×
Mumps antibody (86735)
range across 4 matching MRF lines
$73.34–$100.53 $91.67–$125.66 varies
Natriuretic peptide (83880) $207.65 $259.56 5.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $105.47 $131.84 0.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)
range across 3 matching MRF lines
$32.14–$90.64 $40.17–$113.30 varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $676.50 $845.63 5.3×
Nras gene variants exon 2&3 (81311) $706.99 $883.74 2.4×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$9.06–$83.22 $11.33–$104.03 varies
Osmolality serum (83930)
range across 2 matching MRF lines
$59.33–$161.50 $74.16–$201.88 varies
Osmolality Urine (83935)
range across 2 matching MRF lines
$60.15–$188.70 $75.19–$235.87 varies
Ova and parasites smears (87177) $173.86 $217.33 19.5×
Ph urine (81003)
range across 2 matching MRF lines
$29.66–$63.45 $37.08–$79.31 varies
Phenobarbital Level (80184) $116.18 $145.23 7.6×
Phenytoin (Dilantin) (80185) $129.37 $161.71 9.8×
Phosphatase alkaline (84075) $99.70 $124.63 19.2×
Phospholipid Neutralization Hexagonal (85598) $56.03 $70.04 3.1×
Phosphorus Serum (84100) $109.59 $136.99 23.1×
Pinworm exam (87172) $75.81 $94.76 17.8×
Platelet Antibodies (86022) $214.24 $267.80 11.7×
Platelet count automated (85049) $38.73 $48.41 8.6×
Potassium Urine (84133) $36.26 $45.32 7.7×
Prealbumin (84134) $59.33 $74.16 4.1×
Pregnancy-Associated Plasma Protein-A (84163) $249.67 $312.09 16.6×
Procalcitonin (Pct) (84145) $200.23 $250.29 7.4×
Progesterone (84144) $126.07 $157.59 6.0×
Prolactin (84146) $199.41 $249.26 10.3×
Protein body fluid (84157) $88.17 $110.21 22.0×
Protein C Activity (85303) $56.03 $70.04 4.0×
Protein Electrophoresis Urine (84166)
range across 8 matching MRF lines
$32.14–$108.77 $40.17–$135.96 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $61.80 $77.25 5.8×
Protein S Free (85306) $56.03 $70.04 3.7×
Protein total serum (84155)
range across 2 matching MRF lines
$34.61–$619.65 $43.26–$774.56 varies
Protein Total Urine (84156)
range across 5 matching MRF lines
$24.72–$79.93 $30.90–$99.91 varies
Protein Western Blot Test (84182) $870.97 $1,088.71 29.8×
PSA free (84154) $98.06 $122.57 5.3×
Pth Intact (83970) $56.03 $70.04 1.4×
Q Fever Antibody (86638) $98.88 $123.60 8.2×
Quantiferon tb gold plus (86480)
range across 3 matching MRF lines
$92.29–$519.94 $115.36–$649.93 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines
$35.43–$510.88 $44.29–$638.60 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$162.33–$182.10 $202.91–$227.63 varies
Rbc pretx incubatj w/enzymes (86971) $69.22 $86.52 0.4×
Renin activity plasma (84244) $105.47 $131.84 4.8×
Resp Virus 6-11 Targets (87632) $93.11 $116.39 0.4×
Rheumatoid factor quant (86431) $27.19 $33.99 4.8×
Rpr qualitative (86592)
range across 3 matching MRF lines
$41.20–$77.46 $51.50–$96.82 varies
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$57.68–$108.77 $72.10–$135.96 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$63.45–$70.86 $79.31–$88.58 varies
Rubeola antibody (86765)
range across 6 matching MRF lines
$86.52–$196.94 $108.15–$246.17 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$63.45–$187.05 $79.31–$233.81 varies
Salicylate Level (80179) $187.87 $234.84 10.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $181.28 $226.60 3.5×
Sars-cov-2 COVID-19 antibody (86769) $59.33 $74.16 1.4×
Sarscov2 & inf a&b amp prb (87636) $249.67 $312.09 1.8×
Sarscov2&inf a&b&rsv amp prb (87637) $271.92 $339.90 1.9×
Sedimentation rate (85651) $47.20 $59 11.1×
Semen Anal Sperm Detection (89321) $95.58 $119.48 7.9×
Sensitivity mic (87186)
range across 2 matching MRF lines
$84.87–$139.26 $106.09–$174.07 varies
Sex Hormone Binding Globulin (84270) $91.46 $114.33 4.2×
Sickling of rbc reduction (85660) $45.32 $56.65 8.2×
Sirolimus (80195) $92.29 $115.36 6.7×
Skin Test Candida (86485) $235.34 $294.17 8.2×
Skin test tuberculosis intradermal (86580) $54.38 $67.98 1.9×
Smear acid fast (87206) $146.67 $183.34 27.2×
Smear gram stain (87205)
range across 3 matching MRF lines
$27.19–$82.40 $33.99–$103 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$46.97–$54.38 $58.71–$67.98 varies
Sodium Serum (84295) $37.08 $46.35 7.7×
Sodium Urine (84300) $39.55 $49.44 7.8×
Somatomedin (84305) $197.76 $247.20 9.3×
Special Stains Group 1 (88312) $385.63 $482.04 7.5×
Special Stains Group 2 (88313) $372.45 $465.56 2.8×
Strep a assay w/optic (87880) $9.06 $11.33 0.5×
Strep b DNA amp probe (87653) $116.18 $145.23 3.3×
Surg path level iii (88304) $243.90 $304.88 4.7×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$435.07–$1,028.35 $543.84–$1,285.44 varies
Surgical pathology level vi (88309) $1,230.23 $1,537.79 1.5×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 3 matching MRF lines
$84.87–$87.34 $106.09–$109.18 varies
T cells absolute cd4 count (86361) $373.27 $466.59 13.9×
T3 Free (84481) $130.19 $162.74 7.7×
T3 reverse (84482) $80.75 $100.94 5.1×
T3 Total (84480) $81.58 $101.97 5.8×
T3 Uptake (84479) $57.68 $72.10 8.9×
T4 Free (84439)
range across 2 matching MRF lines
$55.21–$137.61 $69.01–$172.01 varies
T4 total (84436) $43.67 $54.59 6.4×
Tacrolimus (80197)
range across 2 matching MRF lines
$39.55–$108.77 $49.44–$135.96 varies
Testosterone total (84403)
range across 2 matching MRF lines
$65.92–$84.05 $82.40–$105.06 varies
Theophylline (80198) $83.22 $104.03 5.9×
Thyroglobulin (84432) $86.52 $108.15 5.4×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$28.84–$79.10 $36.05–$98.88 varies
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 6 matching MRF lines
$71.69–$152.44 $89.61–$190.55 varies
Topiramate (80201) $334.54 $418.18 28.1×
Toxoplasma antibody (86777) $93.94 $117.42 6.5×
Transferrin (84466) $116.18 $145.23 9.1×
Trichomonas vagin dir probe (87660) $32.14 $40.17 1.6×
Trichomonas Vaginalis Amplif (87661) $90.64 $113.30 2.6×
Triglycerides (84478)
range across 4 matching MRF lines
$81.58–$162.33 $101.97–$202.91 varies
Troponin Quant (84484) $172.22 $215.27 13.8×
Uric acid other source (84560) $75.81 $94.76 14.9×
Urinalysis Microscopic Only (81015) $25.54 $31.93 8.4×
Urine Pregnancy Test (81025)
range across 5 matching MRF lines
$41.20–$64.27 $51.50–$80.34 varies
Valproic acid (80164) $104.65 $130.81 7.7×
Vancomycin (80202)
range across 3 matching MRF lines
$154.09–$191.99 $192.61–$239.99 varies
Varicella-zoster antibody (86787)
range across 6 matching MRF lines
$62.62–$152.44 $78.28–$190.55 varies
Viral Culture (87252) $116.18 $145.23 4.5×
Virus antibody nos (86790) $116.18 $145.23 9.0×
Vit D 1 25-Dihydroxy (82652) $297.46 $371.83 7.7×
Vitamin b-12 (82607) $88.99 $111.24 5.9×
Vitamin B6 (84207) $107.94 $134.93 3.8×
Vitamin D 25-Hydroxy (82306)
range across 5 matching MRF lines
$8.24–$161.50 $10.30–$201.88 varies
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$93.94–$111.24 $117.42–$139.05 varies

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.