Lab & pathology prices at Cimarron Memorial Hospital

Boise City, OK · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $73 $145 1.9×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$66–$93 $132–$185 varies
Adenovirus antibody (86603) $53 $105 4.1×
Albumin serum (82040) $18 $35 3.6×
Aldolase (82085) $34 $67 3.5×
Aldosterone urine (82088) $73 $145 1.8×
Alkaline phosphatase isoenzymes (84080) $34 $67 2.3×
Allergen specific ige (86003)
range across 18 matching MRF lines
$25–$1,031 $49–$2,061 varies
Allergen specific igg (86001) $31 $61 4.0×
Alpha-1-antitrypsin phenotype (82104) $15 $29 1.0×
Alpha-1-antitrypsin total (82103) $34 $67 2.5×
Alpha-Fetoprotein Serum (82105) $34 $67 2.0×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Amikacin trough (80150) $44 $88 2.9×
Amino Acids 1 Quantitative Each Specimen (82131) $58 $116 2.5×
Ammonia (82140) $34 $67 2.3×
Amylase urine (82150)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Ana Titer (86039) $25 $49 2.2×
Anca Titer Each Antibody (86037) $13 $25 1.1×
Anti-Phospholipid Antibody (86148) $88 $176 5.5×
Antibody Bacterium Not Elsewhere Specified (86609) $189 $378 14.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $49 $97 3.2×
Antibody Cytomegalovirus Cmv Igm (86645) $49 $97 2.9×
Antibody Encephalitis California La Crosse (86651) $49 $97 3.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $49 $97 3.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$49–$51 $97–$102 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$49–$59 $97–$118 varies
Antibody helicobacter pylori (86677)
range across 5 matching MRF lines
$41–$58 $81–$116 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $49 $97 3.4×
Antibody Herpes Smplx Type 1 (86695) $49 $97 3.7×
Antibody HIV-1&HIV-2 single result (86703) $30 $59 2.2×
Antibody Protozoa Nes (86753) $113 $225 9.1×
Antibody Treponema Pallidum (86780) $5 $10 0.4×
Antibody; encephalitis, st. louis (86653) $49 $97 3.7×
Antibody; influenza virus (86710) $126 $251 9.3×
Antigen typing (86905) $55 $110 14.4×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$25–$50 $49–$100 varies
Antistreptolysin o titer (86060) $30 $59 4.1×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$43–$55 $85–$110 varies
Antithrombin iii antigen (85301) $49 $97 4.5×
Apolipoprotein a1 (82172) $37 $74 1.8×
Assay Blood Carbon Dioxide (82374) $18 $35 3.7×
Assay of 5-hiaa (83497) $55 $109 4.3×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Assay of calcium in urine (82340) $34 $67 5.6×
Assay of cpk in blood (82552) $34 $67 2.5×
Assay of g6pd enzyme (82955) $34 $67 3.5×
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$34–$344 $67–$688 varies
Assay of lactic acid (83605) $34 $67 2.9×
Assay of metanephrines (83835) $73 $145 4.3×
Assay of procainamide (80190) $49 $98 0.8×
Assay of prostate specific antigen complexed (84152) $36 $72 2.0×
Assay of serotonin (84260) $73 $145 2.4×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$18–$47 $35–$94 varies
Assay of urea nitrogen (84520) $18 $35 4.6×
Assay of urine vma (84585) $73 $145 4.7×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$34–$42 $67–$83 varies
Automated Leukocyte Count (85048) $25 $49 9.8×
Bartonella antibody (86611) $49 $97 4.8×
Bcr/abl1 gene major bp (81206) $553 $1,106 3.4×
Beta 2 glycoprotein i antibody each (86146) $36 $71 1.4×
Beta Lactamase (87185) $26 $52 5.5×
Bile acids total (82239) $34 $67 2.0×
Bilirubin direct (82248)
range across 3 matching MRF lines
$15–$18 $29–$35 varies
Bilirubin total (82247) $18 $35 3.6×
Bleeding time test (85002) $13 $26 2.7×
Blood count reticulocyte automated (85045) $25 $49 6.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $25 $49 6.6×
Blood gas (82803)
range across 2 matching MRF lines
$34–$87 $67–$173 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $34 $67 2.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $95 $190 15.0×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $28 $56 1.7×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$9–$10 $17–$20 varies
Body fluid cell count (89050) $79 $157 16.7×
Bordetella antibody (86615) $49 $97 3.7×
Breath Alcohol Test (82075) $13 $26 0.4×
Brucella antibody (86622) $673 $1,345 75.4×
C diff amplified probe (87493) $157 $313 4.2×
C-Peptide (84681)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
C-reactive protein (86140) $30 $59 5.8×
Ca 19-9 (86301) $95 $190 4.6×
Calcium ionized (82330) $34 $67 2.5×
Calcium total (82310)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Calculus assay quant (82360) $34 $67 2.6×
Calculus Spectroscopy (82365) $53 $106 4.1×
Calprotectin Fecal (83993) $125 $250 6.4×
Cancer Antigen 125 (86304) $95 $190 4.6×
Cancer Antigen 27.29 (86300) $95 $190 4.6×
Candida antibody (86628)
range across 2 matching MRF lines
$26–$44 $52–$88 varies
Carbamazepine total (80156)
range across 2 matching MRF lines
$44–$59 $88–$117 varies
Carboxyhemoglobin (82375) $34 $67 2.8×
Carcinoembryonic antigen (82378)
range across 3 matching MRF lines
$34–$71 $67–$142 varies
Cardiolipin ab iga (86147) $49 $97 1.9×
Carnitine Quantitative Each Specimen (82379) $34 $67 2.0×
Catecholamines fractionated (82384) $73 $145 2.9×
Ccp antibody (86200)
range across 3 matching MRF lines
$25–$30 $50–$59 varies
Cell count csf (89051) $79 $157 14.1×
Ceruloplasmin (82390) $34 $67 3.2×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$696–$854 $1,391–$1,708 varies
Chemiluminescent assay (82397) $92 $183 6.5×
Chlamydia antibody (86631) $26 $52 2.2×
Chloride Serum (82435) $18 $35 3.9×
Chloride urine (82436) $18 $35 3.1×
Cholesterol total (82465)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$46–$62 $91–$123 varies
Chromium serum (82495) $50 $100 2.5×
Chromogranin a (86316)
range across 2 matching MRF lines
$60–$66 $119–$132 varies
Chromosome Analysis 15-20 (88262) $127 $253 1.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$30–$93 $59–$185 varies
Ckmb (82553) $34 $67 2.9×
Coagulation time other methods (85348) $13 $26 2.9×
Coagulation time; Lee and White Facility (85345) $13 $26 2.8×
Coccidioides antibody (86635) $49 $97 4.3×
Cold agglutinin titer (86157) $30 $59 3.7×
Collagen crosslinks (82523) $49 $97 2.6×
Column Chromotography Quant (82542)
range across 4 matching MRF lines
$34–$223 $67–$445 varies
Compatibility Each Unit Incubation (86921) $82 $164 0.5×
Compatibility test antiglob (86922) $155 $310 0.9×
Complement Antigen Each Component (86160) $30 $59 2.5×
Complement Total (Ch50) (86162) $30 $59 1.5×
Coombs direct (86880) $30 $59 5.6×
Copper urine (82525)
range across 2 matching MRF lines
$42–$50 $83–$100 varies
Cortisol free (82530)
range across 2 matching MRF lines
$33–$34 $65–$67 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Creatinine blood (82565) $18 $35 3.5×
Creatinine clearance (82575) $34 $67 3.6×
Creatinine Urine (82570)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Crossmatch immediate spin (86920) $82 $164 0.5×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$25–$30 $50–$59 varies
Cryoglobulin (82595) $34 $67 5.3×
Cryptosporidium (87272) $33 $66 2.8×
Cryptosporidium ag eia (87328) $98 $196 7.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $26 $52 3.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $26 $52 3.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $26 $52 3.4×
Culture afb (87116) $95 $190 8.8×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$26–$32 $52–$64 varies
Culture blood (87040) $95 $190 9.2×
Culture chlamydia (87110) $27 $54 1.4×
Culture csf (87070)
range across 4 matching MRF lines
$26–$47 $52–$93 varies
Culture fungus blood (87103) $95 $190 4.6×
Culture screen only (87081) $26 $52 3.9×
Culture stool (87045) $26 $52 2.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $26 $52 5.0×
Culture urine (87086)
range across 2 matching MRF lines
$22–$26 $44–$52 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $32 $64 1.2×
Cystatin C (82610) $161 $321 8.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $52 $104 2.6×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $52 $104 2.0×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $52 $104 2.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 3 matching MRF lines
$52–$57 $104–$113 varies
Cytp Slides C/V Mnl Scr Under Phys (88150) $52 $104 2.8×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $52 $104 2.8×
Deoxyribonuclease antibody (86215) $30 $59 2.3×
Detect Agent Nos Dna Amp (87798)
range across 6 matching MRF lines
$107–$293 $214–$585 varies
Detect Agent Nos Dna Quant (87799) $265 $529 6.2×
Detect agnt mult DNA ampli (87801) $30 $59 0.4×
Dhea (82626) $115 $229 4.6×
Dhea-S (82627)
range across 2 matching MRF lines
$73–$122 $145–$244 varies
Digoxin (80162)
range across 2 matching MRF lines
$44–$53 $88–$105 varies
Dihydrotestosterone (82642) $73 $145 2.5×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$27–$43 $53–$85 varies
Drug assay adalimumab (80145) $208 $416 5.4×
Drug Screen Quant Zonisamide (80203) $62 $123 4.7×
Drug Screen Quantitative Lamotrigine (80175) $44 $88 3.3×
Drug Screen Quantitative Levetiracetam (80177) $44 $88 3.3×
Drug Screen Quantitative Oxcarbazepine (80183) $44 $88 3.3×
Drug Screen Quantitative Procainamide Metabolite (80192) $44 $88 2.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 9 matching MRF lines
$102–$235 $204–$470 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 6 matching MRF lines
$15–$34 $30–$67 varies
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$34–$3,045 $67–$6,090 varies
Ehrlichia antibody (86666) $99 $198 9.7×
Electrolyte panel (80051) $37 $73 5.3×
Encephaltis East Eqne Anbdy (86652) $49 $97 3.7×
Encephaltis West Eqne Antbdy (86654) $49 $97 3.7×
Enzyme cell activity (82657) $70 $139 3.2×
Estradiol serum (82670)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Estrogen total (82672) $73 $145 3.4×
Ethosuximide (80168) $65 $130 4.0×
Exam Synovial Fluid Crystals (89060) $79 $157 10.8×
F2 Gene (81240) $311 $622 4.7×
Factor v activity (85220) $82 $164 4.6×
Factor v leiden mutation (81241) $311 $622 4.2×
Factor xiii screen (85291) $34 $68 3.7×
Fecal Fat Qualitative (82705) $18 $35 3.5×
Ferritin (82728)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Fibrin degradation products (85362) $25 $49 3.6×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$43–$56 $85–$112 varies
Fibrinogen activity (85384) $13 $26 1.3×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$49–$844 $97–$1,688 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $49 $97 4.1×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$29–$34 $57–$67 varies
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Francisella tularensis (86668) $99 $198 7.0×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$34–$86 $67–$171 varies
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$34–$54 $67–$107 varies
Gases blood ph only (82800) $34 $67 3.1×
Gastrin (82941) $73 $145 4.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $191 $382 0.5×
Genet Virus Isolate Hsv (87255) $95 $190 2.8×
Gentamicin (80170)
range across 2 matching MRF lines
$44–$70 $88–$139 varies
Ggt (82977) $18 $35 2.5×
Giardia antigen (87329)
range across 2 matching MRF lines
$17–$30 $34–$59 varies
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Glucose body fluid (82945) $18 $35 4.6×
Glucose Serum (82947)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Gonadotropin Chorionic Qualitative (84703) $34 $67 4.5×
Growth hormone (83003) $61 $121 3.7×
Gtt-added samples (82952) $34 $67 8.7×
H Pylori (C-13) Breath (83013) $250 $500 3.7×
Haloperidol (80173) $83 $165 5.3×
Haptoglobin; phenotypes Facility (83012) $2 $3 0.1×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Helicobacter Pylori Stool (87338) $42 $83 2.9×
Hematocrit (85014) $25 $49 10.5×
Hemoglobin (85018) $25 $49 10.5×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$34–$49 $67–$97 varies
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$56–$57 $112–$114 varies
Hemoglobin electrophoresis (83020) $28 $56 2.2×
Hep a ab igm (86709)
range across 2 matching MRF lines
$30–$41 $59–$82 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$30–$42 $59–$84 varies
Hepatitis b core ab total (86704) $30 $59 2.5×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$25–$30 $49–$59 varies
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$30–$57 $59–$113 varies
Hepatitis Be Antibody (86707) $30 $59 2.6×
Hepatitis Be Antigen (87350) $30 $59 2.6×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$41–$54 $81–$107 varies
Hepatitis c antibody confirmatory test (86804) $34 $67 2.2×
Hepatitis C Genotype (87902) $668 $1,336 2.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $146 $292 4.2×
Hepatitis C Revrs Trnscrpj (87522) $215 $430 5.0×
Herpes simplex type 2 (86696) $30 $59 1.6×
Heterophile Antibody Screen (86308) $30 $59 5.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $47 $94 2.0×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$25–$45 $49–$89 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $311 $622 4.2×
Hla ii type 1 ag equiv lr (81377) $436 $872 4.6×
Hla ii typing 1 allele hr (81383) $436 $872 4.0×
Hla-b27 (86812) $130 $259 5.0×
Homocysteine (83090)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Hpv High-Risk Types (87624) $95 $190 2.7×
Hydroxyprogesterone 17-d (83498) $73 $145 2.7×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $57 $113 1.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $30 $59 0.8×
Iaad ia shiga-like toxin (87427) $30 $59 2.5×
Iaadi not otherwise specified each organism (87299) $36 $72 2.2×
Iaadi parainfluenza virus each type (87279) $34 $68 2.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $143 $285 4.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $80 $159 2.3×
Iadna Multiple Organisms Direct Probe Tq (87800) $106 $212 2.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $80 $159 2.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $95 $190 2.7×
Immune Complex Assay (86332)
range across 2 matching MRF lines
$49–$74 $97–$147 varies
Immunfix e-phorsis/urine/csf (86335) $49 $97 1.7×
Immunoassay Analyte Quant Radioimmunoassay (83519) $74 $148 4.0×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$30–$93 $59–$186 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$49–$88 $97–$175 varies
Immunohistochemistry (88342) $145 $290 0.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $26 $52 1.6×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $32 $64 2.2×
Influenza a/b ag eia (87400) $42 $83 3.0×
Inhibin b (83520)
range across 17 matching MRF lines
$27–$844 $54–$1,688 varies
Insulin antibodies (86337) $73 $145 3.4×
Insulin free (83527) $73 $145 5.6×
Insulin total (83525)
range across 3 matching MRF lines
$46–$55 $91–$109 varies
Iron (83540)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Islet cell antibody (86341)
range across 4 matching MRF lines
$41–$357 $81–$714 varies
Kit Gene Analysis D816 Variant(S) (81273) $284 $567 2.3×
Koh Prep (87220) $26 $52 6.1×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$15–$18 $29–$35 varies
Lactoferrin Fecal Quantitative (83631) $67 $133 3.4×
LDL direct (83721)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Lead (83655) $50 $100 4.1×
Legionella antibody (86713)
range across 3 matching MRF lines
$49–$71 $97–$142 varies
Leukocyte Assessment Fecal (89055) $25 $49 5.9×
Level ii surg pathology gross&microscopic exam (88302) $110 $219 3.1×
Lidocaine (80176) $44 $88 3.0×
Lipase (83690)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Lipoprotein A (83695)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $28 $56 2.2×
Lithium (80178)
range across 3 matching MRF lines
$37–$44 $73–$88 varies
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Lyme disease antibody (86618) $49 $97 2.9×
Magnesium Urine (83735)
range across 3 matching MRF lines
$15–$47 $29–$94 varies
Mass Spectrometry Quant (83789) $57 $113 2.4×
Metabolic panel ionized ca (80047) $37 $73 2.7×
Methylmalonic acid serum (83921) $13 $25 0.6×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$11 $21–$22 1.9×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$61–$149 $121–$298 varies
Mumps antibody (86735) $30 $59 2.3×
Mycobacteric Identification (87118) $95 $190 6.5×
Mycoplasma antibody (86738) $49 $97 3.7×
Mycoplasma culture (87109) $95 $190 6.2×
Myoglobin urine (83874) $34 $67 2.6×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$85–$102 $170–$204 varies
Niacin (84591)
range across 3 matching MRF lines
$90–$104 $180–$207 varies
Nuclear antigen antibody (86235) $49 $97 2.7×
Obstetric panel (80081) $87 $174 1.2×
Osmolality serum (83930) $18 $35 2.7×
Osmolality Urine (83935) $18 $35 2.6×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$26–$30 $52–$60 varies
Pancreatic Elastase Fecal (82656) $225 $450 19.5×
Ph urine (81003) $8 $15 3.6×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$44–$67 $88–$134 varies
Phenylalanine (84030) $18 $35 3.3×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$44–$54 $88–$108 varies
Phenytoin free (80186) $63 $126 4.6×
Phosphatase acid prostatic (84066) $34 $67 3.5×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Phospholipid Neutralization Hexagonal (85598) $50 $100 2.8×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Platelet Antibodies (86022) $80 $159 4.4×
Potassium Urine (84133) $18 $35 3.8×
Prealbumin (84134) $34 $67 2.3×
Pregnenolone (84140)
range across 2 matching MRF lines
$61–$85 $121–$170 varies
Primidone (80188) $65 $130 3.9×
Procalcitonin (Pct) (84145) $225 $450 8.3×
Progesterone (84144)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
Prolactin (84146)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Protein body fluid (84157) $18 $35 4.5×
Protein C Activity (85303)
range across 2 matching MRF lines
$35–$45 $70–$89 varies
Protein Electrophoresis Urine (84166) $34 $67 1.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $34 $67 3.2×
Protein s total (85305) $43 $85 3.7×
Protein total serum (84155)
range across 3 matching MRF lines
$15–$18 $29–$35 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$18–$23 $35–$46 varies
PSA free (84154) $34 $67 1.8×
Pth Intact (83970)
range across 2 matching MRF lines
$73–$81 $145–$161 varies
Q Fever Antibody (86638) $49 $97 4.0×
Quantiferon tb gold plus (86480) $86 $172 1.4×
Quantitative assay drug (80299) $83 $166 4.5×
Quantitative Screen Metals (83018) $50 $100 2.3×
Quinidine (80194)
range across 2 matching MRF lines
$44–$62 $88–$124 varies
Rbc antibody identification (86870) $74 $148 0.2×
Rbc antibody screen (86850) $30 $59 3.1×
Reagent Strip/Blood Glucose (82948) $12 $24 2.4×
Renin activity plasma (84244) $73 $145 3.3×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$710–$811 $1,419–$1,621 varies
Reticulocyte Count Manual (85044) $25 $49 5.8×
Rh (86901)
range across 3 matching MRF lines
$9–$10 $17–$20 varies
Rheumatoid Factor Qualitative (86430) $25 $49 4.1×
Rheumatoid factor quant (86431)
range across 3 matching MRF lines
$25–$30 $49–$59 varies
Rickettsia antibody (86757) $49 $97 2.5×
Ristocetin cofactor (85245) $34 $68 1.5×
Rotavirus ag eia (87425) $30 $59 2.5×
Rpr qualitative (86592)
range across 3 matching MRF lines
$25–$30 $49–$59 varies
Rsv ab (86756) $49 $97 3.1×
Rubella Antibody (86762)
range across 3 matching MRF lines
$28–$48 $56–$96 varies
Rubeola antibody (86765) $30 $59 2.3×
Russell Viper Venom Time Diluted (85613) $43 $85 4.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $95 $190 1.9×
Sedimentation rate (85651)
range across 2 matching MRF lines
$21–$25 $41–$49 varies
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$28–$525 $55–$1,050 varies
Selenium (84255) $47 $94 1.8×
Semen Anal Sperm Detection (89321) $79 $157 6.6×
Semen analysis motility and count (89310) $79 $157 9.2×
Sensitivity mic (87186)
range across 2 matching MRF lines
$26–$163 $52–$325 varies
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$34–$43 $67–$85 varies
Sickling of rbc reduction (85660) $25 $49 4.5×
Sirolimus (80195) $62 $123 4.5×
Skin test tuberculosis intradermal (86580) $30 $59 1.1×
Smear acid fast (87206) $26 $52 4.8×
Smear complex stain (87209) $95 $190 5.3×
Smear gram stain (87205) $26 $52 6.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $26 $52 4.5×
Sodium Urine (84300) $18 $35 3.6×
Special Stains Group 1 (88312) $95 $190 1.9×
Special Stains Group 2 (88313) $79 $157 0.6×
Specimen infect agnt concntj (87015) $26 $52 3.9×
Stool cultr aerobic bact ea (87046) $26 $52 2.8×
Strep a assay w/optic (87880) $26 $52 1.6×
Surg path level iii (88304)
range across 2 matching MRF lines
$79–$99 $157–$198 varies
Surgical pathology level IV (88305) $79 $157 1.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $26 $52 5.5×
Susceptibility Study Antimicrobial Disk Method (87184) $26 $52 3.5×
T cells total count (86359)
range across 2 matching MRF lines
$56–$200 $111–$399 varies
T3 Free (84481)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
T3 reverse (84482)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
T3 Total (84480)
range across 3 matching MRF lines
$46–$60 $91–$120 varies
T3 Uptake (84479)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
T4 Free (84439)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
T4 total (84436)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
Tacrolimus (80197) $67 $133 4.9×
Test for acetone/ketones (82009)
range across 2 matching MRF lines
$4–$18 $7–$35 varies
Testosterone total (84403)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Testosterone, Free (84402)
range across 3 matching MRF lines
$61–$86 $121–$171 varies
Theophylline (80198)
range across 2 matching MRF lines
$44–$60 $88–$120 varies
Thrombin Time (85670) $18 $36 3.1×
Thromboplastin Inhibition Tissue (85705) $132 $263 13.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 3 matching MRF lines
$21–$116 $42–$232 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$61–$73 $121–$145 varies
Tissue Culture Lymphocyte (88230) $133 $266 1.1×
Tobramycin peak (80200) $44 $88 2.7×
Topiramate (80201) $44 $88 3.7×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Transferrin (84466)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Trichomonas Vaginalis Amplif (87661) $95 $190 2.7×
Triglycerides (84478)
range across 2 matching MRF lines
$15–$18 $29–$35 varies
Troponin Quant (84484) $34 $67 2.7×
Troponin, qualitative (84512) $38 $75 3.8×
Unlisted miscellaneous pathology test (89240) $79 $157 1.6×
Unlisted reproductive medicine lab procedure (89398) $175 $350 3.5×
Uric acid other source (84560) $18 $35 3.5×
Urinalysis Microscopic Only (81015) $11 $21 3.6×
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines
$9–$97 $18–$194 varies
Urinalysis Volume Measure (81050) $11 $21 3.0×
Urine Bacteria Culture (87088) $26 $52 3.2×
Urine Pregnancy Test (81025) $11 $22 1.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$11–$18 $21–$35 varies
Valproic acid (80164)
range across 3 matching MRF lines
$37–$44 $73–$88 varies
Vancomycin (80202)
range across 3 matching MRF lines
$44–$67 $88–$134 varies
Varicella-zoster antibody (86787) $30 $59 2.3×
Vasopressin (84588) $73 $145 2.2×
Virus antibody nos (86790) $103 $205 8.0×
Virus inoculation, shell via (87254) $95 $190 4.9×
Vit D 1 25-Dihydroxy (82652) $267 $534 6.9×
Vitamin A (84590)
range across 2 matching MRF lines
$28–$34 $56–$67 varies
Vitamin b-12 (82607)
range across 2 matching MRF lines
$46–$55 $91–$109 varies
Vitamin B2 (Riboflavin) (84252) $40 $80 2.0×
Vitamin B6 (84207) $39 $78 1.4×
Vitamin c (82180) $36 $71 3.6×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$85–$117 $170–$234 varies
Vitamin E (84446)
range across 3 matching MRF lines
$28–$112 $56–$224 varies
Vitamin K (84597) $117 $234 8.5×
Von willebrand factor ag (85246) $84 $167 3.7×
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$82–$89 $163–$177 varies
Zinc (84630)
range across 2 matching MRF lines
$42–$116 $83–$231 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.