Lab & pathology prices at Cleveland Area Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $273.72 $342.15 12.0×
Acth (82024) $275.20 $344 7.1×
Acute hepatitis panel (80074) $274.40 $343 5.8×
Afp-l3 fraction isoform & total afp w/ratio (82107) $119.20 $149 1.9×
Agglutinins Febrile Each Antigen (86000) $50.40 $63 7.2×
Albumin serum (82040) $38.40 $48 7.8×
Aldolase (82085) $16.80 $21 1.7×
Aldosterone urine (82088) $185.60 $232 4.6×
Alkaline phosphatase isoenzymes (84080) $194.40 $243 13.2×
Allergen specific ige (86003)
range across 27 matching MRF lines
$40–$61.68 $50–$77.10 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$40–$215.16 $50–$268.95 varies
Alpha-1-antitrypsin phenotype (82104) $176 $220 12.2×
Alpha-1-antitrypsin total (82103) $100 $125 7.4×
Alpha-Fetoprotein Serum (82105) $129.60 $162 7.7×
Alt (sgpt) (84460) $44 $55 8.3×
Amino Acids 1 Quantitative Each Specimen (82131) $244 $305 10.6×
Ammonia (82140) $108 $135 7.4×
Amylase urine (82150) $49.60 $62 7.7×
Ana Titer (86039) $85.60 $107 7.7×
Analysis skeletal muscle (88355) $134.40 $168 0.8×
Anca screen each antibody (86036)
range across 3 matching MRF lines
$291.20–$300 $364–$375 varies
Androsterone (hormone) level (82160) $452 $565 17.7×
Angiotensin converting enzyme csf (82164) $68.80 $86 4.7×
Antibody Bacterium Not Elsewhere Specified (86609) $43.20 $54 3.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $111.20 $139 7.2×
Antibody Cytomegalovirus Cmv Igm (86645) $83.20 $104 4.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $80.80 $101 6.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $183.48 $229.35 12.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $167.48 $209.35 9.2×
Antibody Fungus Not Elsewhere Specified (86671)
range across 5 matching MRF lines
$181.44–$200.64 $226.80–$250.80 varies
Antibody Herpes Smplx Type 1 (86695) $64 $80 4.9×
Antibody identification leukocyte antibodies (86021)
range across 7 matching MRF lines
$119.81–$124 $149.76–$155 varies
Antibody Titer (86886) $272 $340 52.5×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$165.23–$300 $206.54–$375 varies
Antigen typing (86905) $173.60 $217 45.3×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $285.60 $357 49.9×
Antinuclear antibodies (86038) $93.60 $117 7.7×
Antistreptolysin o titer (86060) $52.80 $66 7.2×
Antithrombin iii activity (85300) $91.20 $114 7.7×
Apolipoprotein a1 (82172) $152 $190 7.2×
Arsenic (82175) $140.80 $176 7.4×
Assay Nephelometry Not Spec (83883) $690.40 $863 50.8×
Assay of 5-hiaa (83497) $139.20 $174 10.8×
Assay of blood/uric acid (84550) $35.20 $44 7.8×
Assay of calcium in urine (82340) $46.40 $58 7.7×
Assay of cpk in blood (82552) $139.20 $174 10.4×
Assay of estrone (82679) $332.64 $415.80 13.3×
Assay of gammaglobulin igm (82784) $72 $90 7.7×
Assay of lactic acid (83605) $91.46 $114.33 7.9×
Assay of metanephrines (83835) $139.20 $174 8.2×
Assay of proinsulin (84206) $320.28 $400.35 12.0×
Assay of serum potassium (84132) $36.80 $46 7.7×
Assay of urea nitrogen (84520) $31.20 $39 7.9×
Assay of urine vma (84585) $222.40 $278 14.3×
Assay of vitamin b-1 (84425) $157.60 $197 7.4×
Assay Ph Body Fluid Nos (83986) $27.20 $34 7.6×
B cells total count (86355) $126.40 $158 3.4×
Bartonella antibody (86611) $49.60 $62 4.9×
Beta 2 glycoprotein i antibody each (86146) $128 $160 5.0×
Beta hydroxybutyrate (82010) $201.60 $252 24.7×
Beta Lactamase (87185) $108.80 $136 22.9×
Bilirubin direct (82248) $38.40 $48 7.6×
Bilirubin total (82247) $38.40 $48 7.6×
Bld Typing Serologic Rh Phnt (86906) $173.60 $217 22.4×
Blood Count Automated Differential Wbc Count (85004) $28 $35 4.3×
Blood Count Red Blood Cell Automated (85041) $23.20 $29 7.7×
Blood count reticulocyte automated (85045) $32.45 $40.56 8.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $46.62 $58.28 12.3×
Blood gas (82803) $200.80 $251 7.7×
Blood gases w/02 saturation (82805) $216.80 $271 2.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines
$9.60–$68.80 $12–$86 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $60 $75 9.4×
Blood typing serologic abo (86900) $23.20 $29 7.8×
Brucella antibody (86622) $176.80 $221 19.8×
C diff amplified probe (87493) $180 $225 4.8×
C-Peptide (84681) $160 $200 7.7×
C-reactive protein (86140) $40 $50 7.7×
Ca 19-9 (86301) $125.60 $157 6.0×
Calcitonin (82308) $320.28 $400.35 12.0×
Calcium ionized (82330) $105.60 $132 7.7×
Calcium total (82310) $39.20 $49 7.6×
Calculus Spectroscopy (82365) $76 $95 5.9×
Calprotectin Fecal (83993)
range across 2 matching MRF lines
$235.20–$235.56 $294–$294.45 varies
Calr gene com variants (81219) $902.28 $1,127.85 7.4×
Cancer Antigen 125 (86304) $154.40 $193 7.4×
Cancer Antigen 27.29 (86300) $152.80 $191 7.3×
Carbamazepine total (80156) $138.40 $173 9.5×
Carboxyhemoglobin (82375) $91.20 $114 7.4×
Carcinoembryonic antigen (82378) $141.60 $177 7.5×
Cardiolipin ab iga (86147) $183.20 $229 7.2×
Carnitine Quantitative Each Specimen (82379) $358.40 $448 21.2×
Catecholamines fractionated (82384) $155.20 $194 6.1×
Catecholamines total urine (82382) $202.40 $253 7.4×
Ccp antibody (86200) $72 $90 5.6×
Cell count csf (89051) $67.20 $84 12.0×
Cell marker study (88182) $260.80 $326 5.2×
Ceruloplasmin (82390) $80 $100 7.4×
Chlamydia antibody (86631) $60.48 $75.60 5.1×
Chloride Serum (82435) $36.80 $46 8.0×
Chloride urine (82436)
range across 3 matching MRF lines
$56.80–$57.60 $71–$72 varies
Cholesterol total (82465) $33.60 $42 7.7×
Chorionic gonadotropin test (84702) $112 $140 7.4×
Chromogranin a (86316) $252.12 $315.15 12.1×
Chromosome Analysis 15-20 (88262) $640 $800 5.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $120 $150 3.4×
Citric acid urine (82507) $103.20 $129 3.7×
Ckmb (82553) $88.80 $111 7.7×
Column Chromotography Quant (82542) $232.80 $291 9.7×
Compatibility Each Unit Incubation (86921) $209.60 $262 1.3×
Compatibility test antiglob (86922) $227.20 $284 1.4×
Complement Antigen Each Component (86160) $88.80 $111 7.4×
Complement Total (Ch50) (86162) $146.40 $183 7.2×
Complement/Function Activity (86161) $83.20 $104 6.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $73.60 $92 1.5×
Coombs direct (86880) $285.60 $357 53.0×
Copper urine (82525) $96 $120 7.7×
Cortisol free (82530) $128.80 $161 7.7×
Cortisol saliva (82533) $120.80 $151 7.4×
Creatine kinase total (82550) $52.42 $65.52 8.1×
Creatinine blood (82565) $39.20 $49 7.7×
Creatinine clearance (82575) $113.60 $142 12.0×
Creatinine Urine (82570) $40 $50 7.7×
Crossmatch immediate spin (86920) $212 $265 1.3×
Crp High Sensitivity (86141) $93.60 $117 7.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $39.20 $49 4.9×
Culture Anaerobic (87075) $72.80 $91 7.7×
Culture blood (87040) $80 $100 7.8×
Culture csf (87070) $66.40 $83 7.7×
Culture screen only (87081)
range across 2 matching MRF lines
$60.48–$318.40 $75.60–$398 varies
Culture stool (87045) $72.80 $91 7.7×
Culture Typing Gas/High Pres Liq Chromatography (87143) $33.60 $42 2.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $28.80 $36 5.6×
Culture urine (87086) $62.40 $78 7.7×
Cyclosporine (80158) $204.80 $256 11.3×
Cystatin C (82610) $189.60 $237 10.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,492 $4,365 3.0×
Cytomegalovirus igg (86644) $83.20 $104 5.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $240.80 $301 11.9×
Cytopath Cell Enhance Tech (88112) $106.40 $133 2.1×
Cytopath Fl Nongyn Filter (88106) $122.40 $153 4.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$120–$122.40 $150–$153 varies
Cytp Concentration Smears & Interpretation (88108) $103.20 $129 2.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $221.60 $277 4.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $53.60 $67 0.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $113.60 $142 3.2×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,485.60 $1,857 9.1×
Cytp smrs any oth src extnd std > 5 slides (88162) $155.20 $194 3.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $123.20 $154 4.4×
Cytp Urine 3-5 Probes Cmptr (88121) $1,184 $1,480 7.2×
Detect Agent Nos Dna Amp (87798)
range across 6 matching MRF lines
$176–$2,125.20 $220–$2,656.50 varies
Detect Agent Nos Dna Quant (87799) $637.60 $797 14.9×
Detect agnt mult DNA ampli (87801) $880 $1,100 12.5×
Dhea-S (82627) $300 $375 13.5×
Digoxin (80162) $100 $125 7.5×
Diphtheria antitoxoid (86648) $106.38 $132.98 7.0×
Dna Antibody Native/Double Stranded (86225) $81.60 $102 5.9×
DNA/RNA direct probe (87149) $39.48 $49.35 2.0×
Drug assay acetaminophen (80143) $159.20 $199 8.5×
Drug Assay Lacosamide (80235) $280 $350 10.3×
Drug Screen Quant Zonisamide (80203) $159 $198.75 12.0×
Drug Screen Quantitative Gabapentin (80171) $154.40 $193 7.1×
Drug Screen Quantitative Lamotrigine (80175) $99.20 $124 7.5×
Drug Test Prsmv Chem Anlyzr (80307) $165.60 $207 2.7×
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$48.80–$80 $61–$100 varies
Ehrlichia antibody (86666) $78.40 $98 7.7×
Electrolyte panel (80051) $67.20 $84 9.6×
Electron Microscopy (88348) $775.20 $969 1.0×
Enzyme histochemistry (88319) $192 $240 0.2×
Erythropoietin (82668) $144.80 $181 7.7×
Estradiol serum (82670) $145.60 $182 5.2×
Estrogen total (82672) $99.20 $124 4.6×
Ethosuximide (80168) $77.60 $97 4.7×
Exam Synovial Fluid Crystals (89060) $88 $110 12.0×
F2 Gene (81240) $348.80 $436 5.3×
Factor v activity (85220) $71.20 $89 4.0×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$348.80–$689.60 $436–$862 varies
Factor viii assay (85240) $352.86 $441.08 19.7×
Fecal Fat Qualitative (82705) $45.60 $57 8.9×
Ferritin (82728) $107.33 $134.16 7.9×
Fetal Congenital Abnor Assay Four Anal (81511) $808 $1,010 5.3×
Fibrin Degradation Quant (85379) $126.24 $157.80 12.4×
Fibrinogen activity (85384) $91.20 $114 9.4×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$142.80–$352 $178.50–$440 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $124.80 $156 10.4×
Folic Acid Serum (82746) $112.06 $140.08 7.6×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$127.20–$178.90 $159–$223.63 varies
Forensic Cytopathology (88125) $34.40 $43 0.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $247.20 $309 1.5×
Frozen Section (88331) $91.20 $114 0.6×
Fungi Identification Yeast (87106) $74.30 $92.88 7.2×
Gammaglobulin ige (82785) $92.80 $116 5.6×
Gases blood ph only (82800) $84.80 $106 7.7×
Gastrin (82941) $64.80 $81 3.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,667.12 $2,083.90 4.0×
Genet Virus Isolate Hsv (87255) $251.20 $314 7.4×
Ggt (82977) $56 $70 7.8×
Giardia antigen (87329) $51.20 $64 4.3×
Glucose Blood Test (82962) $12.80 $16 3.9×
Glucose body fluid (82945) $80 $100 20.4×
Glucose Serum (82947) $29.60 $37 7.5×
Glucose tolerance test (gtt) (82951) $84.80 $106 6.6×
Growth hormone (83003) $121.60 $152 7.3×
Gtt-added samples (82952) $28 $35 7.1×
H Pylori (C-13) Breath (83013) $340 $425 5.0×
Haptoglobin (83010) $95.20 $119 7.6×
Hdl Cholesterol (83718) $88 $110 10.7×
Helicobacter Pylori Stool (87338) $108.80 $136 7.6×
Hematocrit (85014) $18.40 $23 7.8×
Hemoglobin (85018) $18.40 $23 7.8×
Hemoglobin a1c (83036) $77.38 $96.72 8.0×
Hemoglobin Chromotography (83021) $91.20 $114 5.0×
Hemoglobin electrophoresis (83020) $92.66 $115.83 7.2×
Hep a ab igm (86709) $64 $80 5.7×
Hepatitis a antibody total (86708) $92 $115 7.4×
Hepatitis b core ab igm (86705) $76 $95 6.5×
Hepatitis b core ab total (86704) $88 $110 7.3×
Hepatitis B Surface Antigen (87340) $68.80 $86 6.7×
Hepatitis C Antibody (86803) $109.82 $137.28 7.7×
Hepatitis C Genotype (87902) $656 $820 2.5×
Hepatitis C Revrs Trnscrpj (87522) $301.60 $377 7.0×
Herpes simplex type 2 (86696) $53.60 $67 2.8×
Heterophile Antibody Screen (86308)
range across 4 matching MRF lines
$24–$40 $30–$50 varies
Hfe Gene (81256) $476.80 $596 7.3×
Histamine urine (83088) $80 $100 2.7×
Histoplasma antibody (86698) $99.29 $124.11 7.2×
Histoplasma antigen urine (87385) $240 $300 18.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $90.40 $113 3.8×
Hiv-1 Antibody (86701) $68 $85 7.6×
Hla ii typing 1 locus lr (81376) $97.44 $121.80 0.8×
Hla-b27 (86812) $101.60 $127 3.9×
Homocysteine (83090) $116 $145 6.5×
Hpv High-Risk Types (87624) $164 $205 4.7×
Hsv Dna Amp Probe (87529) $216 $270 6.2×
Hydroxyprogesterone 17-d (83498) $214.40 $268 7.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $103.20 $129 7.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $296.80 $371 8.4×
Iaad ia shiga-like toxin (87427) $88.99 $111.24 7.4×
Iaadi parainfluenza virus each type (87279) $48 $60 2.9×
Iaadi respiratory synctial virus (87280) $195.20 $244 14.5×
Iadna Candida Species Amplified Probe Tq (87481) $262.40 $328 7.5×
Iadna Hepatitis B Virus Quantification (87517) $320.18 $400.23 7.5×
Iadna Multiple Organisms Direct Probe Tq (87800) $326.40 $408 7.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $252.80 $316 7.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 4 matching MRF lines
$240–$252.80 $300–$316 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $280 $350 5.5×
Ig Light Chains Free Each (83521) $207.24 $259.05 12.0×
Igg subclasses (82787) $37.80 $47.25 4.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $363.20 $454 1.1×
Immunfix e-phorsis/urine/csf (86335) $219.20 $274 7.5×
Immunoassay Analyte Quant Radioimmunoassay (83519) $280 $350 15.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $115.20 $144 7.7×
Immunoassay nonantibody (83516) $88.80 $111 7.7×
Immunodiffusion not elsewhere specified (86329) $185.37 $231.71 13.2×
Immunofixation electrophoresis (86334) $160.80 $201 7.2×
Immunofluorescence per spec 1st singl antb stain (88346) $200.80 $251 1.2×
Immunohistochemistry (88342) $193.60 $242 1.2×
In situ hybridization 1st probe stain (88365) $363.20 $454 2.2×
In situ hybridization ea multiplex probe stain (88366) $550.40 $688 3.4×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $45.60 $57 3.2×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $33.60 $42 0.8×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $270.40 $338 7.7×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$40–$109.60 $50–$137 varies
Inhibin A (86336) $48 $60 3.1×
Inhibin b (83520)
range across 12 matching MRF lines
$132.80–$504 $166–$630 varies
Insitu hybridization auto (88367) $203.20 $254 0.6×
Insitu hybridization manual (88368) $232.80 $291 0.7×
Insulin total (83525) $85.60 $107 7.5×
Intrinsic factor antibody (86340) $108.80 $136 7.2×
Iron (83540) $54.08 $67.60 8.4×
Iron Binding Capacity (83550) $66.40 $83 7.6×
Irradiation Blood Product Each Unit (86945) $207.20 $259 5.8×
Islet cell antibody (86341)
range across 4 matching MRF lines
$169.60–$480 $212–$600 varies
Jak2 gene analysis p.val617phe variant (81270) $660 $825 7.2×
Lactate (ld) (ldh) enzyme (83615) $46.40 $58 7.7×
Lactoferrin Fecal Quantitative (83631) $333.60 $417 17.0×
Ldh Isoenzymes (83625) $122.40 $153 9.6×
LDL direct (83721) $76 $95 7.2×
Lead (83655)
range across 6 matching MRF lines
$28.80–$128 $36–$160 varies
Legionella antigen urine (87449) $143.60 $179.50 12.0×
Leukocyte Assessment Fecal (89055) $28 $35 6.6×
Level I Surg Pathology Gross Examination Only (88300) $95.20 $119 3.4×
Level ii surg pathology gross&microscopic exam (88302) $65.60 $82 1.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $505.60 $632 1.5×
Lipase (83690) $54.91 $68.64 8.0×
Lipoprotein A (83695) $174.24 $217.80 12.2×
Lipoprotein-Associated Phospholipase A2 (83698) $121.60 $152 2.6×
Lithium (80178) $50.40 $63 7.6×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$137.60–$208 $172–$260 varies
Lyme disease antibody (86618) $130.82 $163.53 7.7×
M. Genitalium Amp Probe (87563) $148 $185 4.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $885.60 $1,107 5.4×
M/phmtrc alys ishquant/semiq (88374) $771.20 $964 4.7×
Magnesium Urine (83735) $53.25 $66.56 7.9×
Mercury urine (83825)
range across 3 matching MRF lines
$124.80–$141.60 $156–$177 varies
Methylmalonic acid serum (83921) $152.80 $191 7.2×
Microalbumin, quantitative (82043) $41.60 $52 7.2×
Microsomal Antibodies Each (86376) $112 $140 7.7×
Mopath procedure level 4 (81403) $1,333.60 $1,667 7.2×
Morphometric analysis nerve (88356) $264.80 $331 5.3×
Morphometric Analysis Tumor (88358) $211.20 $264 1.3×
Mumps antibody (86735) $74.40 $93 5.7×
Mycobacteric Identification (87118) $104.80 $131 7.2×
Mycoplasma antibody (86738) $80 $100 6.0×
Myoglobin urine (83874) $266.40 $333 20.6×
Natriuretic peptide (83880) $290.87 $363.59 7.4×
Nerve teasing preparations (88362) $264 $330 0.3×
Nfct ds chrnc hcv 6 assays (81596) $875.76 $1,094.70 12.1×
Niacin (84591) $107.18 $133.98 6.3×
Nk cells total count (86357) $128 $160 3.4×
Nuclear antigen antibody (86235) $112.80 $141 6.3×
Occult Blood Other Sources (82271) $30.40 $38 5.7×
Organic acids urine (83918) $488 $610 20.7×
Osmolality serum (83930) $80 $100 12.1×
Osmolality Urine (83935) $52 $65 7.6×
Ova and parasites smears (87177) $107.20 $134 12.0×
Oxalate urine (83945) $129.60 $162 9.0×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$64–$144.52 $80–$180.65 varies
Parvovirus antibody (86747) $179.20 $224 11.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $69.60 $87 0.1×
Ph urine (81003)
range across 3 matching MRF lines
$12–$24 $15–$30 varies
Phenobarbital Level (80184) $113.60 $142 7.4×
Phenytoin (Dilantin) (80185) $99.20 $124 7.5×
Phenytoin free (80186) $287.20 $359 20.9×
Phosphatase acid prostatic (84066) $204 $255 21.1×
Phosphatase alkaline (84075) $40.80 $51 7.9×
Phosphorus Serum (84100) $36.80 $46 7.8×
Phosphorus urine (84105) $57.60 $72 10.0×
Pinworm exam (87172) $48 $60 11.2×
Platelet neutralization (85597) $180 $225 10.0×
Porphobilinogen, urine; quantitative (84110) $215.60 $269.50 25.5×
Porphyrins Urine Quantitation & Fractionation (84120) $188 $235 12.8×
Potassium Urine (84133) $56.80 $71 12.0×
Prealbumin (84134) $112 $140 7.7×
Progesterone (84144) $120 $150 5.8×
Prolactin (84146) $142.40 $178 7.3×
Protein body fluid (84157) $48 $60 12.0×
Protein C Activity (85303) $107.20 $134 7.7×
Protein Electrophoresis Urine (84166) $72.80 $91 4.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $83.20 $104 7.7×
Protein S Free (85306) $118.40 $148 7.7×
Protein total serum (84155) $27.20 $34 7.4×
Protein Total Urine (84156) $28 $35 7.6×
PSA free (84154) $92.80 $116 5.0×
Pth Intact (83970) $210.40 $263 5.1×
Quantiferon tb gold plus (86480) $272 $340 4.4×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$216–$319.20 $270–$399 varies
Rbc antibody identification (86870) $288 $360 0.8×
Rbc antibody screen (86850) $75.20 $94 7.7×
Renin activity plasma (84244) $85.60 $107 3.9×
Resp virus 12-25 targets (87633) $780 $975 1.9×
Rh (86901) $23.20 $29 7.8×
Rheumatoid Factor Qualitative (86430) $67.70 $84.62 11.0×
Rheumatoid factor quant (86431) $62.40 $78 11.0×
Rickettsia antibody (86757)
range across 5 matching MRF lines
$107.12–$143.38 $133.90–$179.22 varies
Ristocetin cofactor (85245) $246.40 $308 10.7×
Rotavirus ag eia (87425) $86.40 $108 7.2×
Rpr qualitative (86592) $32.80 $41 7.7×
Rsv Assay W/Optic (87807) $31.20 $39 2.4×
Rubella Antibody (86762) $95.20 $119 6.6×
Rubeola antibody (86765) $82.40 $103 6.4×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$76–$96 $95–$120 varies
Salicylate Level (80179) $144 $180 7.7×
Salmonella antibody (86768) $37.08 $46.35 2.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $369.60 $462 7.2×
Sars-cov-2 COVID-19 antibody (86769) $156 $195 3.7×
Sedimentation Rate, Automated (85652) $20.80 $26 7.7×
Selenium (84255) $55.20 $69 2.2×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $38.40 $48 3.9×
Sensitivity mic (87186) $64 $80 7.4×
Sex Hormone Binding Globulin (84270) $114.40 $143 5.3×
Sirolimus (80195) $161.60 $202 11.8×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$60–$64.20 $75–$80.25 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$42.02–$281.40 $52.53–$351.75 varies
Smear complex stain (87209) $60 $75 3.3×
Smear gram stain (87205)
range across 2 matching MRF lines
$32–$38.40 $40–$48 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $28 $35 4.8×
Sodium Serum (84295) $30.40 $38 6.3×
Sodium Urine (84300)
range across 5 matching MRF lines
$18.40–$57.60 $23–$72 varies
Somatomedin (84305) $157.60 $197 7.4×
Special Stains Group 1 (88312) $200.80 $251 4.0×
Special Stains Group 2 (88313) $166.40 $208 1.3×
Specimen infect agnt concntj (87015) $30.40 $38 4.6×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $89.88 $112.35 0.5×
Stool cultr aerobic bact ea (87046)
range across 4 matching MRF lines
$57.60–$58.40 $72–$73 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$40–$92 $50–$115 varies
Sugars Single Qual (84376) $43.20 $54 7.9×
Sulfate urine (84392) $55.20 $69 10.1×
Surg path level iii (88304) $79.20 $99 1.6×
Surgical pathology level IV (88305) $160 $200 3.2×
Surgical pathology level vi (88309) $709.60 $887 0.9×
Syphilis Test Non-Trep Quant (86593) $38.40 $48 8.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $195.20 $244 4.2×
T cells total count (86359) $143.20 $179 3.8×
T3 Free (84481) $131.84 $164.80 7.8×
T3 reverse (84482) $121.60 $152 7.7×
T3 Total (84480) $109.60 $137 7.7×
T3 Uptake (84479) $49.60 $62 7.7×
T4 Free (84439) $71.69 $89.61 7.9×
T4 total (84436) $54.32 $67.90 7.9×
Tacrolimus (80197) $106.40 $133 7.7×
Testosterone total (84403) $146.43 $183.04 5.7×
Testosterone, Free (84402) $172.80 $216 6.8×
Tetanus antibody (86774) $98.40 $123 6.6×
Theophylline (80198) $88.80 $111 6.3×
Thyroglobulin (84432) $192.72 $240.90 12.0×
Thyroglobulin Antibody (86800) $117.60 $147 7.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $138.36 $172.95 12.0×
Tobramycin peak (80200) $192 $240 11.9×
Topiramate (80201) $104 $130 8.7×
Touch prep (88161) $111.20 $139 4.0×
Transferase Aspartate Amino Ast Sgot (84450) $40 $50 7.7×
Transferrin (84466) $97.60 $122 7.6×
Trichomonas Vaginalis Amplif (87661) $240 $300 6.8×
Triglycerides (84478) $64 $80 11.1×
Troponin Quant (84484) $100.67 $125.84 8.1×
Tumor immunohistochem/comput (88361) $234.40 $293 0.7×
Tumor Immunohistochem/Manual (88360) $231.20 $289 1.4×
Urea nitrogen urine (84540) $45.60 $57 8.2×
Uric acid other source (84560)
range across 3 matching MRF lines
$55.20–$61.60 $69–$77 varies
Urinalysis Volume Measure (81050) $28 $35 7.7×
Urine Bacteria Culture (87088) $30.40 $38 3.8×
Urine Pregnancy Test (81025) $64.80 $81 7.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25.60 $32 8.1×
Valproic acid (80164) $100.80 $126 7.4×
Vancomycin (80202) $100.80 $126 7.4×
Varicella-zoster antibody (86787) $99.20 $124 7.7×
Vasopressin (84588) $94.40 $118 2.8×
Viral Culture (87252) $169.60 $212 6.5×
Virus antibody nos (86790) $207.72 $259.65 16.1×
Virus inoculation, shell via (87254) $34.57 $43.21 1.8×
Viscosity serum (85810) $433.60 $542 37.2×
Vit D 1 25-Dihydroxy (82652) $213.60 $267 5.5×
Vitamin A (84590) $38.40 $48 3.3×
Vitamin b-12 (82607) $116.48 $145.60 7.7×
Vitamin B6 (84207) $210.40 $263 7.5×
Vitamin c (82180) $16.98 $21.22 1.7×
Vitamin D 25-Hydroxy (82306) $206.34 $257.92 7.0×
Vitamin E (84446) $106.40 $133 7.5×
Vitamin K (84597) $164.64 $205.80 12.0×
Von willebrand factor ag (85246) $246.40 $308 10.7×
West nile virus ab igm (86788) $123.20 $154 7.3×
West Nile Virus Antibody (86789) $111.20 $139 7.7×
Zinc (84630) $86.40 $108 7.6×

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.