Lab & pathology prices at Clay County Memorial Hospital
Henrietta, TX · every code in this section with a posted price and a Medicare benchmark.
458 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $90 | $129 | 3.9× |
| Acetylcholine receptor binding antibody (86041) | $192 | $274 | 10.4× |
| Acetylcholine receptor blocking antibody (86042) | $247 | $353 | 13.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $140 | $200 | 11.6× |
| Acth (82024) | $164 | $234 | 4.2× |
| Actin smooth muscle antibody each (86015) | $53 | $76 | 4.4× |
| Acute hepatitis panel (80074) | $308 | $440 | 6.5× |
| Acylcarnitines Quant (82017) | $198 | $283 | 11.7× |
| Adenovirus antibody (86603) | $61 | $87 | 4.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $207 | $296 | 3.2× |
| Agglutinins Febrile Each Antigen (86000) | $66 | $94 | 9.5× |
| Aldolase (82085) | $50 | $71 | 5.1× |
| Aldosterone urine (82088) | $135 | $193 | 3.3× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$67–$164 | $96–$234 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$71–$76 | $102–$109 | varies |
| Alt (sgpt) (84460) | $67 | $95 | 12.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $123 | $176 | 8.9× |
| Aminolevulinic acid (ala) (82135) | $70 | $100 | 4.3× |
| Ammonia (82140) range across 3 matching MRF lines |
$117–$406 | $167–$580 | varies |
| Amylase urine (82150) | $63 | $90 | 9.7× |
| Anca screen each antibody (86036) | $61 | $87 | 5.1× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$61–$115 | $87–$164 | varies |
| Androstenedione (82157) | $135 | $193 | 4.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $71 | $101 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $67 | $95 | 4.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $133 | $190 | 7.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $55 | $78 | 3.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $61 | $87 | 3.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $55 | $78 | 4.5× |
| Antibody haemophilus influenza (86684) | $70 | $100 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $100 | $143 | 6.9× |
| Antibody Herpes Smplx Type 1 (86695) | $55 | $78 | 4.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $143 | $204 | 7.4× |
| Antibody identification leukocyte antibodies (86021) range across 5 matching MRF lines |
$64–$71 | $91–$102 | varies |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$81–$217 | $115–$310 | varies |
| Antibody Treponema Pallidum (86780) | $55 | $78 | 4.2× |
| Antinuclear antibodies (86038) | $145 | $207 | 12.0× |
| Antithrombin iii activity (85300) | $54 | $77 | 4.6× |
| Apolipoprotein a1 (82172) | $92 | $131 | 4.4× |
| Aquaporin-4 Antb Elisa (86051) | $1,324 | $1,891 | 114.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$81–$90 | $115–$128 | varies |
| Aspergillus ag eia (87305) | $207 | $295 | 17.3× |
| Assay activated protein c (85307) | $61 | $87 | 4.0× |
| Assay Dir Meas Fr Estradiol (82681) | $303 | $433 | 10.8× |
| Assay Nephelometry Not Spec (83883) | $59 | $84 | 4.3× |
| Assay of 5-hiaa (83497) | $113 | $161 | 8.8× |
| Assay of corticosterone (82528) | $53 | $76 | 2.4× |
| Assay of cpk in blood (82552) | $122 | $175 | 9.1× |
| Assay of estrone (82679) | $106 | $151 | 4.2× |
| Assay of g6pd enzyme (82955) | $81 | $116 | 8.4× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$50–$66 | $71–$94 | varies |
| Assay of lactic acid (83605) | $66 | $94 | 5.7× |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
$167–$249 | $238–$356 | varies |
| Assay of phosphatase acid total (84060) | $109 | $155 | 14.3× |
| Assay of proinsulin (84206) | $153 | $219 | 5.7× |
| Assay of serotonin (84260) | $216 | $309 | 7.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$52–$3,624 | $74–$5,177 | varies |
| Assay of transcortin (84449) | $562 | $803 | 31.2× |
| Assay of urea nitrogen (84520) | $50 | $71 | 12.7× |
| Assay of urine vma (84585) range across 5 matching MRF lines |
$163–$208 | $233–$297 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $206 | $294 | 1.2× |
| B cells total count (86355) | $76 | $108 | 2.0× |
| Bartonella antibody (86611) | $55 | $78 | 5.4× |
| Beta 2 glycoprotein i antibody each (86146) | $97 | $139 | 3.8× |
| Beta hydroxybutyrate (82010) | $138 | $197 | 16.9× |
| Beta Lactamase (87185) | $50 | $71 | 10.5× |
| Beta-2 Microglobulin (82232) | $72 | $103 | 4.4× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $441 | $630 | 3.4× |
| Bilirubin direct (82248) | $62 | $88 | 12.4× |
| Blastomyces antibody (86612) range across 3 matching MRF lines |
$66–$115 | $94–$165 | varies |
| Blood gases w/02 saturation (82805) | $265 | $378 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $53 | $75 | 3.3× |
| Blood typing serologic abo (86900) | $362 | $517 | 121.1× |
| Bordetella antibody (86615) | $71 | $101 | 5.4× |
| Brca1&2 gen full seq dup/del (81162) | $4,934 | $7,048 | 2.7× |
| Breath Alcohol Test (82075) | $71 | $101 | 2.4× |
| Brucella antibody (86622) | $53 | $76 | 5.9× |
| C diff amplified probe (87493) | $210 | $300 | 5.6× |
| C-Peptide (84681) | $98 | $140 | 4.7× |
| C-reactive protein (86140) | $65 | $93 | 12.5× |
| Ca 19-9 (86301) | $98 | $140 | 4.7× |
| Cadmium (82300) | $98 | $140 | 4.1× |
| Calcitonin (82308) | $111 | $158 | 4.1× |
| Calcium ionized (82330) | $109 | $155 | 8.0× |
| Calcium total (82310) | $50 | $71 | 9.7× |
| Calculus assay quant (82360) | $75 | $107 | 5.8× |
| Calculus Spectroscopy (82365) | $83 | $118 | 6.4× |
| Calprotectin Fecal (83993) | $292 | $417 | 14.9× |
| Cancer Antigen 125 (86304) | $167 | $238 | 8.0× |
| Cancer Antigen 27.29 (86300) | $92 | $132 | 4.4× |
| Candida Dna Dir Probe (87480) | $122 | $175 | 6.1× |
| Carbamazepine total (80156) | $83 | $118 | 5.7× |
| Carbohydrate Deficient Transferrin (82373) | $210 | $300 | 11.6× |
| Carboxyhemoglobin (82375) | $150 | $214 | 12.2× |
| Carcinoembryonic antigen (82378) | $169 | $242 | 8.9× |
| Cardiolipin ab iga (86147) | $59 | $85 | 2.3× |
| Carnitine Quantitative Each Specimen (82379) | $87 | $124 | 5.2× |
| Catecholamines fractionated (82384) range across 5 matching MRF lines |
$139–$163 | $198–$233 | varies |
| Ccnd1/Igh Translocation Alys (81168) | $382 | $546 | 1.8× |
| Ccp antibody (86200) | $52 | $74 | 4.0× |
| Cell count csf (89051) | $118 | $169 | 21.1× |
| Ceruloplasmin (82390) | $49 | $70 | 4.6× |
| Chemiluminescent assay (82397) | $245 | $350 | 17.4× |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$53–$65 | $76–$93 | varies |
| Chlamydia Igm Antibody (86632) | $53 | $76 | 4.2× |
| Chloride urine (82436) | $52 | $74 | 9.0× |
| Chorionic gonadotropin test (84702) | $67 | $95 | 4.5× |
| Chromium serum (82495) range across 3 matching MRF lines |
$81–$102 | $115–$145 | varies |
| Chromogranin a (86316) | $258 | $369 | 12.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $95 | $135 | 2.7× |
| Citric acid urine (82507) | $79 | $113 | 2.8× |
| Clostridium Difficile (87324) | $53 | $75 | 4.4× |
| Clot Factor VIII Multimetric (85247) | $148 | $212 | 6.5× |
| Clot factor xiii fibrin stab (85290) | $183 | $261 | 11.2× |
| Clotting factor viii related antigen (85244) | $438 | $625 | 21.4× |
| Clotting factor xii hageman (85280) | $86 | $123 | 4.4× |
| Coccidioides antibody (86635) | $66 | $94 | 5.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$62–$137 | $88–$196 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$57–$154 | $82–$220 | varies |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$51–$117 | $73–$167 | varies |
| Complement Total (Ch50) (86162) | $90 | $129 | 4.4× |
| Coombs direct (86880) | $98 | $140 | 18.2× |
| Copper urine (82525) | $53 | $75 | 4.3× |
| Cortisol free (82530) range across 4 matching MRF lines |
$54–$70 | $77–$100 | varies |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$53–$424 | $76–$605 | varies |
| Creatine kinase total (82550) | $71 | $101 | 10.9× |
| Creatinine blood (82565) | $51 | $73 | 10.0× |
| Creatinine clearance (82575) | $70 | $100 | 7.4× |
| Creatinine Urine (82570) | $49 | $70 | 9.5× |
| Crossmatch immediate spin (86920) | $479 | $684 | 2.8× |
| Crp High Sensitivity (86141) | $57 | $82 | 4.4× |
| Cryofibrinogen (82585) | $50 | $72 | 3.5× |
| Cryptococcus ab (86641) | $66 | $94 | 4.6× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$76–$262 | $109–$374 | varies |
| Cryptosporidium ag eia (87328) | $118 | $169 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $76 | $109 | 9.4× |
| Culture afb (87116) | $114 | $163 | 10.6× |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$62–$77 | $89–$110 | varies |
| Culture blood (87040) | $82 | $117 | 7.9× |
| Culture chlamydia (87110) | $125 | $179 | 6.4× |
| Culture csf (87070) range across 9 matching MRF lines |
$52–$99 | $74–$142 | varies |
| Culture screen only (87081) range across 5 matching MRF lines |
$49–$184 | $70–$263 | varies |
| Culture urine (87086) | $77 | $110 | 9.5× |
| Cyclosporine (80158) | $82 | $117 | 4.5× |
| Cystatin C (82610) | $284 | $405 | 15.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,678 | $3,825 | 2.3× |
| Cytomegalovirus igg (86644) | $133 | $190 | 9.2× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$151–$274 | $216–$392 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $85 | $122 | 3.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $104 | $148 | 3.6× |
| Deoxycortisol (82634) | $129 | $184 | 4.4× |
| Deoxyribonuclease antibody (86215) | $59 | $84 | 4.5× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$177–$698 | $253–$997 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$129–$305 | $184–$435 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$53–$413 | $76–$590 | varies |
| Dgp Antibody Each Ig Class (86258) | $86 | $123 | 7.1× |
| Dhea (82626) | $109 | $155 | 4.3× |
| Dhea-S (82627) | $118 | $169 | 5.3× |
| Digoxin (80162) | $86 | $123 | 6.5× |
| Diphtheria antitoxoid (86648) | $122 | $174 | 8.0× |
| Dipropylacetic Acid Free (80165) | $62 | $88 | 4.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $1,721 | $2,459 | 12.6× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$104–$229 | $149–$327 | varies |
| DNA/RNA direct probe (87149) | $76 | $109 | 3.8× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$406–$562 | $580–$803 | varies |
| Drug Assay Everolimus (80169) | $273 | $390 | 19.9× |
| Drug Assay Lacosamide (80235) | $319 | $455 | 11.8× |
| Drug Asy Hydroxychloroquine (80220) | $539 | $770 | 28.9× |
| Drug Screen Quant Clozapine (80159) | $80 | $114 | 4.0× |
| Drug Screen Quant Zonisamide (80203) | $87 | $124 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $58 | $83 | 4.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $92 | $132 | 6.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $83 | $118 | 6.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$71–$125 | $102–$179 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$103–$382 | $147–$546 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $63 | $90 | 5.0× |
| Drug Test Prsmv Instrmnt (80306) | $86 | $123 | 5.0× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$61–$75 | $87–$107 | varies |
| El-1 Fecal Quantitative (82653) | $529 | $756 | 23.0× |
| Electrolyte panel (80051) | $50 | $71 | 7.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $111 | $158 | 1.8× |
| Encephaltis West Eqne Antbdy (86654) | $253 | $362 | 19.2× |
| Enzyme cell activity (82657) | $679 | $970 | 30.6× |
| Erythropoietin (82668) | $83 | $119 | 4.4× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$99–$156 | $142–$223 | varies |
| Estriol (82677) | $111 | $158 | 4.6× |
| Estrogen total (82672) | $89 | $127 | 4.1× |
| Ethosuximide (80168) | $52 | $74 | 3.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$164–$277 | $234–$396 | varies |
| Factor ii activity (85210) | $57 | $82 | 4.4× |
| Factor Inhibitor Test (85335) | $290 | $414 | 22.5× |
| Factor ix activity (85250) | $85 | $121 | 4.5× |
| Factor v activity (85220) | $214 | $306 | 12.1× |
| Factor v leiden mutation (81241) | $277 | $396 | 3.8× |
| Factor vii assay (85230) | $79 | $113 | 4.4× |
| Factor X (85260) | $81 | $115 | 4.5× |
| Factor xi activity (85270) | $79 | $113 | 4.4× |
| Fecal Fat Qualitative (82705) | $90 | $129 | 17.6× |
| Ferritin (82728) | $94 | $134 | 6.9× |
| Fibrin degradation products (85362) | $83 | $119 | 12.0× |
| Fibrin Degradation Quant (85379) | $169 | $242 | 16.6× |
| Fibrinogen antigen (85385) | $79 | $113 | 5.5× |
| Flow cytometry first marker (88184) | $53 | $76 | 0.1× |
| Fluorescent antibody screen (86255) range across 25 matching MRF lines |
$53–$1,157 | $75–$1,653 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $133 | $190 | 11.0× |
| Fmr1 gene detection (81243) | $340 | $485 | 6.0× |
| Folic acid rbc (82747) | $50 | $71 | 2.8× |
| Folic Acid Serum (82746) | $127 | $181 | 8.6× |
| Follicle Stimulating Hormone (83001) | $141 | $202 | 7.6× |
| Gammaglobulin ige (82785) | $73 | $104 | 4.4× |
| Gardner vag DNA dir probe (87510) | $125 | $179 | 6.2× |
| Gardner Vag Dna Quant (87512) | $125 | $179 | 3.0× |
| Gastrin (82941) | $92 | $132 | 5.2× |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$112–$113 | $160–$161 | varies |
| Gentamicin (80170) | $71 | $101 | 4.3× |
| Giardia antigen (87329) | $53 | $76 | 4.4× |
| Giardia lamblia antibody (86674) | $231 | $330 | 15.7× |
| Glucagon (82943) | $76 | $109 | 5.3× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$53–$56 | $75–$80 | varies |
| Glucose Serum (82947) | $49 | $70 | 12.5× |
| Glucose tolerance test (gtt) (82951) | $144 | $206 | 11.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$50–$53 | $72–$76 | varies |
| Growth hormone (83003) | $106 | $151 | 6.4× |
| Gtt-added samples (82952) | $49 | $70 | 12.5× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$232–$267 | $332–$382 | varies |
| H Pylori Drug Admin (83014) | $56 | $80 | 7.1× |
| Haptoglobin (83010) | $98 | $140 | 7.8× |
| Helicobacter Pylori Stool (87338) | $211 | $302 | 14.7× |
| Helminth Antibody (86682) | $167 | $239 | 12.8× |
| Hemoglobin a1c (83036) range across 5 matching MRF lines |
$95–$162 | $136–$231 | varies |
| Hemoglobin Chromotography (83021) | $59 | $84 | 3.3× |
| Hepatitis b core ab total (86704) | $69 | $99 | 5.7× |
| Hepatitis B Surface Antigen (87340) | $83 | $119 | 8.0× |
| Hepatitis Be Antibody (86707) | $110 | $157 | 9.5× |
| Hepatitis Be Antigen (87350) | $110 | $157 | 9.5× |
| Hepatitis c antibody confirmatory test (86804) | $541 | $773 | 34.9× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$541–$813 | $773–$1,161 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $155 | $222 | 4.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$179–$189 | $255–$270 | varies |
| Hepatitis Delta Agent Antibody (86692) | $63 | $90 | 3.7× |
| Heterophile antibodies titer (86309) | $62 | $89 | 9.6× |
| Hfe Gene (81256) | $295 | $422 | 4.5× |
| Histoplasma antigen urine (87385) | $208 | $297 | 15.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $144 | $205 | 6.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $216 | $309 | 2.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $441 | $630 | 3.5× |
| Hla class ii typing high resolution one locus ea (81382) | $246 | $352 | 2.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$141–$181 | $202–$258 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$344–$772 | $491–$1,103 | varies |
| Hla ii type 1 ag equiv lr (81377) | $246 | $352 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $270 | $386 | 2.2× |
| Hla-b27 (86812) | $141 | $202 | 5.5× |
| Homocysteine (83090) | $80 | $114 | 4.5× |
| Homovanillic acid urine (83150) | $58 | $83 | 2.6× |
| Hpv High-Risk Types (87624) | $165 | $236 | 4.7× |
| Hsv Dna Amp Probe (87529) | $109 | $156 | 3.1× |
| Human Epididymis Protein 4 (86305) | $441 | $630 | 21.2× |
| Hydroxycorticosteroids 17 (83491) | $113 | $161 | 6.3× |
| Hydroxyprogesterone 17-d (83498) | $115 | $165 | 4.2× |
| Hydroxyproline total (83505) | $264 | $377 | 10.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $95 | $136 | 7.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $76 | $109 | 2.2× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$52–$71 | $74–$101 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $241 | $345 | 6.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $323 | $462 | 9.2× |
| Iadna Cytomegalovirus Quantification (87497) | $232 | $331 | 5.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $214 | $305 | 5.0× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $1,126 | $1,609 | 32.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $542 | $774 | 15.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$85–$116 | $121–$166 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $765 | $1,093 | 2.9× |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$172–$191 | $246–$273 | varies |
| Immune Complex Assay (86332) | $108 | $154 | 4.4× |
| Immunfix e-phorsis/urine/csf (86335) | $69 | $99 | 2.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 9 matching MRF lines |
$103–$782 | $147–$1,117 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$52–$699 | $74–$998 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $99 | $142 | 4.3× |
| Immunoelectrophoresis Serum (86320) | $222 | $317 | 7.4× |
| Immunofixation electrophoresis (86334) | $72 | $103 | 3.2× |
| Immunohistochemistry (88342) | $153 | $218 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $371 | $530 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $191 | $273 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $126 | $180 | 3.0× |
| Influenza assay w/optic (87804) | $57 | $81 | 3.4× |
| Influenza DNA amp probe (87502) | $270 | $385 | 2.8× |
| Inhibin A (86336) | $62 | $88 | 4.0× |
| Inhibin b (83520) range across 27 matching MRF lines |
$53–$698 | $75–$997 | varies |
| Insulin antibodies (86337) | $77 | $110 | 3.6× |
| Insulin total (83525) | $50 | $72 | 4.4× |
| Intrinsic factor antibody (86340) | $65 | $93 | 4.3× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$144–$397 | $205–$567 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $752 | $1,074 | 8.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $752 | $1,074 | 4.1× |
| Ketosteroids 17 total (83586) | $113 | $161 | 8.8× |
| Koh Prep (87220) | $56 | $80 | 13.1× |
| Lactate (ld) (ldh) enzyme (83615) | $62 | $89 | 10.3× |
| Lactoferrin fecal qualitative (83630) | $158 | $226 | 8.0× |
| Lactoferrin Fecal Quantitative (83631) | $158 | $226 | 8.0× |
| LDL direct (83721) | $62 | $89 | 5.9× |
| Lead (83655) | $91 | $130 | 7.5× |
| Legionella antibody (86713) range across 3 matching MRF lines |
$62–$73 | $89–$104 | varies |
| Legionella antigen urine (87449) range across 8 matching MRF lines |
$53–$479 | $75–$685 | varies |
| Leptospira antibody (86720) | $114 | $163 | 7.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $755 | $1,079 | 2.1× |
| Lidocaine (80176) | $104 | $149 | 7.1× |
| Lipase (83690) | $76 | $108 | 11.0× |
| Lipoprotein A (83695) | $60 | $86 | 4.2× |
| Lipoprotein Bld Quan Part (83704) | $120 | $171 | 3.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $111 | $159 | 3.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $187 | $267 | 4.0× |
| Lithium (80178) | $78 | $112 | 11.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $714 | $1,020 | 4.1× |
| Luteinizing Hormone (Lh) (83002) | $82 | $117 | 4.4× |
| Lyme disease antibody (86618) | $57 | $82 | 3.3× |
| Lysozyme serum (85549) | $49 | $70 | 2.6× |
| M. Genitalium Amp Probe (87563) | $574 | $820 | 16.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $480 | $686 | 13.7× |
| Magnesium Urine (83735) | $91 | $130 | 13.6× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$73–$539 | $104–$770 | varies |
| Mercury urine (83825) | $291 | $416 | 17.9× |
| Methylmalonic acid serum (83921) | $88 | $125 | 4.1× |
| Microalbumin, quantitative (82043) range across 5 matching MRF lines |
$57–$107 | $82–$153 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$55–$65 | $79–$93 | varies |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$351–$1,225 | $501–$1,750 | varies |
| Mopath procedure level 5 (81404) | $1,434 | $2,048 | 5.2× |
| Mrsa Pcr (87641) | $217 | $310 | 6.2× |
| Mthfr Gene Analysis Common Variants (81291) | $505 | $721 | 7.7× |
| Mumps antibody (86735) | $102 | $146 | 7.8× |
| Muscle-Specific Kinase Antb (86366) | $2,206 | $3,152 | 119.9× |
| Mycobacteric Identification (87118) | $76 | $109 | 5.2× |
| Mycophenolic Acid (80180) | $83 | $118 | 4.6× |
| Mycoplasma culture (87109) | $76 | $109 | 4.9× |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$55–$174 | $78–$249 | varies |
| Natriuretic peptide (83880) range across 7 matching MRF lines |
$165–$248 | $235–$354 | varies |
| Neutralization Test Viral (86382) | $218 | $311 | 12.9× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $210 | $300 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $683 | $975 | 9.5× |
| Niacin (84591) | $237 | $338 | 13.9× |
| Nuclear antigen antibody (86235) range across 18 matching MRF lines |
$59–$641 | $85–$916 | varies |
| Occult blood feces (82272) | $56 | $80 | 13.2× |
| Oncoprotein dcp (83951) | $361 | $516 | 5.6× |
| Osmolality serum (83930) | $52 | $74 | 7.9× |
| Osmolality Urine (83935) | $89 | $127 | 13.0× |
| Ova and parasites smears (87177) | $62 | $89 | 7.0× |
| Phenobarbital Level (80184) | $131 | $187 | 8.6× |
| Phenytoin (Dilantin) (80185) | $133 | $190 | 10.0× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$52–$54 | $74–$77 | varies |
| Platelet neutralization (85597) | $64 | $92 | 3.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $92 | $132 | 6.3× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$52–$59 | $74–$85 | varies |
| Pregnenolone (84140) | $142 | $203 | 6.9× |
| Procalcitonin (Pct) (84145) | $430 | $614 | 15.8× |
| Progesterone (84144) range across 3 matching MRF lines |
$92–$577 | $132–$824 | varies |
| Prolactin (84146) | $141 | $202 | 7.3× |
| Prostaglandin (84150) | $437 | $624 | 10.5× |
| Protein C Activity (85303) | $98 | $140 | 7.1× |
| Protein c antigen (85302) | $53 | $76 | 4.4× |
| Protein Electrophoresis Urine (84166) | $63 | $90 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$49–$255 | $70–$365 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$61–$69 | $87–$99 | varies |
| Protein s total (85305) | $51 | $73 | 4.4× |
| Protein total serum (84155) | $68 | $97 | 18.5× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$71–$182 | $101–$260 | varies |
| PSA free (84154) | $77 | $110 | 4.2× |
| Pth Intact (83970) | $221 | $315 | 5.4× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$207–$234 | $296–$335 | varies |
| Quantitative assay drug (80299) range across 14 matching MRF lines |
$55–$406 | $79–$580 | varies |
| Quantitative Screen Metals (83018) | $158 | $225 | 7.2× |
| Quinidine (80194) | $62 | $88 | 4.2× |
| Rbc antibody identification (86870) | $291 | $415 | 0.8× |
| Renin activity plasma (84244) | $73 | $104 | 3.3× |
| Reptilase test (85635) | $148 | $212 | 15.0× |
| Resp virus 12-25 targets (87633) | $853 | $1,218 | 2.0× |
| Resp Virus 6-11 Targets (87632) | $853 | $1,218 | 3.9× |
| Rh (86901) | $362 | $517 | 121.1× |
| Rheumatoid Factor Qualitative (86430) | $74 | $106 | 12.1× |
| Rheumatoid factor quant (86431) | $114 | $163 | 20.1× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$63–$64 | $90–$92 | varies |
| Rotavirus ag eia (87425) | $68 | $97 | 5.7× |
| Rsv Assay W/Optic (87807) | $52 | $74 | 4.0× |
| Rubella Antibody (86762) | $117 | $167 | 8.1× |
| Rubeola antibody (86765) | $83 | $119 | 6.4× |
| Rx metab gen seq alys pnl 6 (81418) | $1,485 | $2,122 | 1.6× |
| Salicylate Level (80179) | $562 | $803 | 30.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $237 | $338 | 4.6× |
| Sars-cov-2 COVID-19 antibody (86769) range across 5 matching MRF lines |
$106–$177 | $152–$253 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $421 | $601 | 3.0× |
| Selenium (84255) | $95 | $135 | 3.7× |
| Semen Anal Sperm Detection (89321) | $88 | $125 | 7.3× |
| Semen analysis motility and count (89310) | $107 | $153 | 12.4× |
| Sensitivity mic (87186) | $50 | $71 | 5.8× |
| Sex Hormone Binding Globulin (84270) | $73 | $104 | 3.4× |
| Sirolimus (80195) | $105 | $150 | 7.6× |
| Smear acid fast (87206) | $88 | $125 | 16.3× |
| Smear Special Stain (87207) | $67 | $96 | 11.2× |
| Sodium Serum (84295) | $52 | $74 | 10.8× |
| Sodium Urine (84300) range across 5 matching MRF lines |
$52–$59 | $74–$85 | varies |
| Somatomedin (84305) | $64 | $92 | 3.0× |
| Special Stains Group 1 (88312) | $334 | $477 | 6.4× |
| Special Stains Group 2 (88313) | $271 | $387 | 2.0× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$100–$114 | $143–$163 | varies |
| Staph a DNA amp probe (87640) | $212 | $303 | 6.0× |
| Stool cultr aerobic bact ea (87046) | $113 | $161 | 12.0× |
| Strep a assay w/optic (87880) | $51 | $73 | 3.1× |
| Strep a DNA amp probe (87651) | $74 | $106 | 2.1× |
| Surg path level iii (88304) | $174 | $249 | 3.3× |
| Surgical pathology level IV (88305) | $174 | $249 | 3.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $76 | $108 | 10.2× |
| Syphilis Test Non-Trep Quant (86593) | $50 | $72 | 11.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $90 | $129 | 1.9× |
| T3 Free (84481) | $75 | $107 | 4.4× |
| T3 reverse (84482) | $67 | $96 | 4.3× |
| T3 Total (84480) | $63 | $90 | 4.4× |
| T3 Uptake (84479) | $64 | $92 | 9.9× |
| T4 Free (84439) | $59 | $85 | 6.5× |
| T4 total (84436) range across 3 matching MRF lines |
$56–$60 | $80–$86 | varies |
| Tacrolimus (80197) | $61 | $87 | 4.4× |
| Tau phosphorylated each (84393) | $477 | $681 | 3.7× |
| Testosterone total (84403) range across 4 matching MRF lines |
$78–$86 | $111–$123 | varies |
| Testosterone, Free (84402) | $106 | $152 | 4.2× |
| Theophylline (80198) | $146 | $208 | 10.3× |
| Thiopurine methyltransferase (84433) | $409 | $584 | 18.4× |
| Thyroglobulin (84432) | $355 | $507 | 22.1× |
| Thyroglobulin Antibody (86800) | $74 | $105 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $132 | $188 | 2.6× |
| Thyroxine binding globulin (84442) | $142 | $203 | 9.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $77 | $110 | 6.7× |
| Tissue Culture Lymphocyte (88230) | $692 | $989 | 5.9× |
| Tobramycin peak (80200) | $124 | $177 | 7.7× |
| Topiramate (80201) | $90 | $128 | 7.6× |
| Tp53 gene analysis full gene sequence (81351) | $1,506 | $2,151 | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $64 | $91 | 12.4× |
| Transferrin (84466) | $113 | $162 | 8.9× |
| Trichomonas vagin dir probe (87660) | $122 | $175 | 6.1× |
| Trichomonas Vaginalis Amplif (87661) | $221 | $315 | 6.3× |
| Triglycerides (84478) | $78 | $112 | 13.6× |
| Troponin Quant (84484) range across 4 matching MRF lines |
$66–$151 | $94–$216 | varies |
| Urine Bacteria Culture (87088) | $55 | $78 | 6.8× |
| Valproic acid (80164) | $62 | $88 | 4.6× |
| Vancomycin (80202) range across 6 matching MRF lines |
$66–$112 | $94–$160 | varies |
| Vasopressin (84588) | $83 | $118 | 2.4× |
| Viral Culture (87252) | $110 | $157 | 4.2× |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$71–$131 | $101–$187 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$65–$76 | $93–$108 | varies |
| Vit D 1 25-Dihydroxy (82652) | $120 | $172 | 3.1× |
| Vitamin A (84590) | $67 | $95 | 5.8× |
| Vitamin b-12 (82607) | $53 | $75 | 3.5× |
| Vitamin B6 (84207) | $94 | $134 | 3.3× |
| Vitamin c (82180) | $158 | $225 | 16.0× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$63–$90 | $90–$129 | varies |
| Vitamin K (84597) | $231 | $330 | 16.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$399–$404 | $570–$577 | varies |
| Von willebrand factor ag (85246) | $282 | $403 | 12.3× |
| West nile virus ab igm (86788) | $61 | $87 | 3.6× |
| West Nile Virus Antibody (86789) | $61 | $87 | 4.2× |
| Western Blot Test (84181) | $177 | $253 | 10.4× |
| Zika Virus Igm Antibody (86794) | $608 | $869 | 36.1× |
| Zinc (84630) | $76 | $108 | 6.7× |
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.