Lab & pathology prices at Coffey County Hospital
Burlington, KS · every code in this section with a posted price and a Medicare benchmark.
417 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $22.20 | $74 | 1.2× |
| Acetylcholine receptor blocking antibody (86042) | $31.50 | $105 | 1.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $89.10 | $297 | 7.4× |
| Acth (82024) | $72.30 | $241 | 1.9× |
| Actin smooth muscle antibody each (86015) | $39.30 | $131 | 3.3× |
| Acute hepatitis panel (80074) | $90.30 | $301 | 1.9× |
| Acylcarnitines Quant (82017) | $86.70 | $289 | 5.1× |
| Albumin serum (82040) | $6.60 | $22 | 1.3× |
| Aldolase (82085) | $19.50 | $65 | 2.0× |
| Aldosterone urine (82088) | $75 | $250 | 1.8× |
| Alkaline phosphatase isoenzymes (84080) | $33.30 | $111 | 2.3× |
| Allergen specific ige (86003) | $15.33 | $51.11 | 2.9× |
| Allg Spec Ige Recomb Ea (86008) | $45 | $150 | 2.5× |
| Alpha-1-antitrypsin total (82103) | $16.50 | $55 | 1.2× |
| Alpha-Fetoprotein Serum (82105) | $33.90 | $113 | 2.0× |
| Alt (sgpt) (84460) | $7.50 | $25 | 1.4× |
| Amikacin trough (80150) | $21.90 | $73 | 1.5× |
| Ammonia (82140) | $17.70 | $59 | 1.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $48 | $160 | 0.5× |
| Amylase urine (82150) | $16.50 | $55 | 2.5× |
| Anca Titer Each Antibody (86037) | $12.30 | $41 | 1.0× |
| Androstenedione (82157) | $72.60 | $242 | 2.5× |
| Angiotensin converting enzyme csf (82164) | $30 | $100 | 2.1× |
| Anti-Phospholipid Antibody (86148) | $94.50 | $315 | 5.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $36.60 | $122 | 2.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $33.60 | $112 | 2.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $54.60 | $182 | 3.0× |
| Antibody helicobacter pylori (86677) | $26.10 | $87 | 1.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $46.80 | $156 | 3.3× |
| Antibody Herpes Smplx Type 1 (86695) | $38.40 | $128 | 2.9× |
| Antibody Treponema Pallidum (86780) | $32.40 | $108 | 2.4× |
| Antinuclear antibodies (86038) | $29.10 | $97 | 2.4× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$20.10–$21.90 | $67–$73 | varies |
| Antithrombin iii activity (85300) | $28.20 | $94 | 2.4× |
| Antithrombin iii antigen (85301) | — | $21 | — |
| Arsenic (82175) | $17.70 | $59 | 0.9× |
| Assay activated protein c (85307) | $151.80 | $506 | 9.9× |
| Assay Nephelometry Not Spec (83883) | $40.20 | $134 | 3.0× |
| Assay of 5-hiaa (83497) | $29.40 | $98 | 2.3× |
| Assay of blood/uric acid (84550) | $15.60 | $52 | 3.5× |
| Assay of calcium in urine (82340) | $7.80 | $26 | 1.3× |
| Assay of estrone (82679) | $37.80 | $126 | 1.5× |
| Assay of g6pd enzyme (82955) | $47.40 | $158 | 4.9× |
| Assay of gammaglobulin igm (82784) | $32.40 | $108 | 3.5× |
| Assay of lactic acid (83605) | $31.20 | $104 | 2.7× |
| Assay of metanephrines (83835) | $43.50 | $145 | 2.6× |
| Assay of proinsulin (84206) | $33 | $110 | 1.2× |
| Assay of serum potassium (84132) | $10.80 | $36 | 2.3× |
| Assay of urea nitrogen (84520) | $8.70 | $29 | 2.2× |
| Assay of urine vma (84585) | $37.20 | $124 | 2.4× |
| Assay of vasoactive intestinal peptide (84586) | $45.90 | $153 | 1.3× |
| Assay of vitamin b-1 (84425) | $46.20 | $154 | 2.2× |
| Automated Leukocyte Count (85048) | $6.90 | $23 | 2.7× |
| B cells total count (86355) | $40.20 | $134 | 1.1× |
| Bartonella antibody (86611) | $40.20 | $134 | 3.9× |
| Bcr/abl1 gene major bp (81206) | $146.40 | $488 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) | $37.20 | $124 | 1.5× |
| Beta hydroxybutyrate (82010) | $17.70 | $59 | 2.2× |
| Bile acids total (82239) | $66 | $220 | 3.9× |
| Bilirubin direct (82248) | $13.50 | $45 | 2.7× |
| Bilirubin total (82247) | $15.60 | $52 | 3.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $48 | $160 | 14.0× |
| Blood count reticulocyte automated (85045) | $60 | $200 | 15.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $5.10 | $17 | 1.3× |
| Blood gas (82803) | $41.40 | $138 | 1.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$13.80 | $44.29–$46 | 3.2× |
| Blood typing serologic abo (86900) | $36.60 | $122 | 12.2× |
| Bordetella antibody (86615) | $21.60 | $72 | 1.6× |
| C diff amplified probe (87493) | $49.50 | $165 | 1.3× |
| C-Peptide (84681) | $40.50 | $135 | 1.9× |
| C-reactive protein (86140) | $17.10 | $57 | 3.3× |
| Ca 19-9 (86301) | $22.80 | $76 | 1.1× |
| Cadmium (82300) | $21.90 | $73 | 0.9× |
| Calcitonin (82308) | $62.40 | $208 | 2.3× |
| Calcium ionized (82330) | $28.20 | $94 | 2.1× |
| Calcium total (82310) | $14.40 | $48 | 2.8× |
| Calculus assay quant (82360) | $37.20 | $124 | 2.9× |
| Calprotectin Fecal (83993) | $71.40 | $238 | 3.6× |
| Cancer Antigen 125 (86304) | $33.30 | $111 | 1.6× |
| Cancer Antigen 27.29 (86300) | $27 | $90 | 1.3× |
| Carbamazepine total (80156) | $55.80 | $186 | 3.8× |
| Carboxyhemoglobin (82375) | $27.90 | $93 | 2.3× |
| Carcinoembryonic antigen (82378) | $46.50 | $155 | 2.5× |
| Cardiolipin ab iga (86147) | $47.70 | $159 | 1.9× |
| Carotene (82380) | $24.60 | $82 | 2.7× |
| Catecholamines fractionated (82384) | $70.80 | $236 | 2.8× |
| Catecholamines total urine (82382) | $48.30 | $161 | 1.8× |
| Ccp antibody (86200) | $43.50 | $145 | 3.4× |
| Cell count csf (89051) range across 2 matching MRF lines |
$11.40–$12.30 | $38–$41 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $114.30 | $381 | 0.8× |
| Ceruloplasmin (82390) | $22.80 | $76 | 2.1× |
| Cftr gene com variants (81220) | $102.60 | $342 | 0.2× |
| Chemiluminescent assay (82397) | $99.60 | $332 | 7.1× |
| Chloride urine (82436) | $7.50 | $25 | 1.3× |
| Cholesterol total (82465) | $14.40 | $48 | 3.3× |
| Chorionic gonadotropin test (84702) | $39.90 | $133 | 2.7× |
| Chromium serum (82495) | $22.50 | $75 | 1.1× |
| Chromogranin a (86316) | $20.40 | $68 | 1.0× |
| Chromosome Analysis 20-25 (88264) | $75.30 | $251 | 0.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $45.90 | $153 | 1.3× |
| Ckmb (82553) | $33 | $110 | 2.9× |
| Coccidioides antibody (86635) | $31.50 | $105 | 2.7× |
| Column Chromotography Quant (82542) | $73.50 | $245 | 3.1× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $141.90 | $473 | 0.6× |
| Compatibility test antiglob (86922) | $60.90 | $203 | 0.4× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$33.90–$48 | $113–$160 | varies |
| Coombs direct (86880) | $17.70 | $59 | 3.3× |
| Copper urine (82525) | $26.70 | $89 | 2.2× |
| Cortisol free (82530) | $40.50 | $135 | 2.4× |
| Cortisol saliva (82533) | $39.90 | $133 | 2.4× |
| Creatine kinase total (82550) | $21.90 | $73 | 3.4× |
| Creatinine blood (82565) | $8.70 | $29 | 1.7× |
| Creatinine clearance (82575) | $21.30 | $71 | 2.3× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$7.75–$29.70 | $25.84–$99 | varies |
| Crp High Sensitivity (86141) | $37.20 | $124 | 2.9× |
| Cryoglobulin (82595) | $31.20 | $104 | 4.8× |
| Cryptococcus ab (86641) | $28.94 | $96.45 | 2.0× |
| Cryptococcus ag titer (87899) | $7.38 | $24.61 | 0.5× |
| Cryptosporidium ag eia (87328) | $33.30 | $111 | 2.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $14.70 | $49 | 1.9× |
| Culture afb (87116) | $31.50 | $105 | 2.9× |
| Culture Anaerobic (87075) | $20.40 | $68 | 2.2× |
| Culture blood (87040) | $49.20 | $164 | 4.8× |
| Culture csf (87070) | $21 | $70 | 2.4× |
| Culture fungus (87102) | $21.60 | $72 | 2.6× |
| Culture screen only (87081) | $15.90 | $53 | 2.4× |
| Culture stool (87045) | $19.50 | $65 | 2.1× |
| Culture urine (87086) | $32.40 | $108 | 4.0× |
| Cyclosporine (80158) | $43.50 | $145 | 2.4× |
| Cytomegalovirus igg (86644) | $44.10 | $147 | 3.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $39.60 | $132 | 2.0× |
| Cytopath Cell Enhance Tech (88112) | $53.70 | $179 | 1.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $22.20 | $74 | 0.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $137.40 | $458 | 2.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $50.40 | $168 | 1.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $50.10 | $167 | 1.9× |
| Deoxyribonuclease antibody (86215) | $38.40 | $128 | 2.9× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$66.30–$109.50 | $221–$365 | varies |
| Detect Agent Nos Dna Quant (87799) | $102 | $340 | 2.4× |
| Dgp Antibody Each Ig Class (86258) | $21.48 | $71.60 | 1.8× |
| Dhea (82626) | $55.80 | $186 | 2.2× |
| Dhea-S (82627) | $52.80 | $176 | 2.4× |
| Digoxin (80162) | $33.30 | $111 | 2.5× |
| Dihydrotestosterone (82642) | $64.80 | $216 | 2.2× |
| Dna Antibody Native/Double Stranded (86225) | $39.90 | $133 | 2.9× |
| DNA/RNA direct probe (87149) | $47.70 | $159 | 2.4× |
| Dna/Rna Sequencing (87153) | $153.90 | $513 | 1.3× |
| Drug assay acetaminophen (80143) | $7.80 | $26 | 0.4× |
| Drug assay adalimumab (80145) | $49.80 | $166 | 1.3× |
| Drug Assay Amiodarone (80151) | $26.10 | $87 | 1.4× |
| Drug Screen Quant Zonisamide (80203) | $40.20 | $134 | 3.0× |
| Drug Screen Quantitative Gabapentin (80171) | $31.80 | $106 | 1.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $43.50 | $145 | 3.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $40.20 | $134 | 3.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $42.90 | $143 | 3.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $57.90 | $193 | 0.9× |
| Ehrlichia antibody (86666) | $73.80 | $246 | 7.2× |
| El-1 Fecal Quantitative (82653) | $129 | $430 | 5.6× |
| Electrolyte panel (80051) | $17.70 | $59 | 2.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $9.60 | $32 | 0.8× |
| Enzyme cell activity (82657) | $92.70 | $309 | 4.2× |
| Erythropoietin (82668) | $43.20 | $144 | 2.3× |
| Estradiol serum (82670) | $76.20 | $254 | 2.7× |
| Estriol (82677) | $24.90 | $83 | 1.0× |
| Estrogen total (82672) | $55.50 | $185 | 2.6× |
| Ethosuximide (80168) | $30.30 | $101 | 1.9× |
| Exam Synovial Fluid Crystals (89060) | $44.70 | $149 | 6.1× |
| F2 Gene (81240) | $112.80 | $376 | 1.7× |
| Factor ii activity (85210) | — | $112.50 | — |
| Factor v leiden mutation (81241) | $61.20 | $204 | 0.8× |
| Factor vii assay (85230) | $39 | $130 | 2.2× |
| Factor viii assay (85240) | $54 | $180 | 3.0× |
| Fat/Lipids Feces Quantitative (82710) | $43.80 | $146 | 2.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $32.70 | $109 | 1.9× |
| Ferritin (82728) | $35.10 | $117 | 2.6× |
| Fetal Chrmoml Aneuploidy (81420) | $993.31 | $3,311.04 | 1.3× |
| Fibrin Degradation Quant (85379) | $45 | $150 | 4.4× |
| Fibrinogen activity (85384) | $15.60 | $52 | 1.6× |
| Flow cytometry first marker (88184) | $111.60 | $372 | 0.3× |
| Fluorescent antibody screen (86255) | $7.80 | $26 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $20.40 | $68 | 1.7× |
| Folic acid rbc (82747) | $38.70 | $129 | 2.2× |
| Folic Acid Serum (82746) | $37.80 | $126 | 2.6× |
| Follicle Stimulating Hormone (83001) | $46.80 | $156 | 2.5× |
| Francisella tularensis (86668) | $30.90 | $103 | 2.2× |
| Fungi Identification Yeast (87106) | $23.40 | $78 | 2.3× |
| Gammaglobulin ige (82785) | $38.70 | $129 | 2.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $324.30 | $1,081 | 0.8× |
| Ggt (82977) | $22.20 | $74 | 3.1× |
| Giardia antigen (87329) | $36 | $120 | 3.0× |
| Glucose 2 hr pp (82950) | $12.90 | $43 | 2.7× |
| Glucose Blood Test (82962) | $11.40 | $38 | 3.5× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$8.70–$12.90 | $29–$43 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$11.10 | $25.75–$37 | 2.8× |
| Glucose tolerance test (gtt) (82951) | $32.10 | $107 | 2.5× |
| Glycated Protein (82985) | $25.20 | $84 | 1.5× |
| Gonadotropin Chorionic Qualitative (84703) | $22.80 | $76 | 3.0× |
| Gtt-added samples (82952) | $9.90 | $33 | 2.5× |
| Haptoglobin (83010) | $31.80 | $106 | 2.5× |
| Helicobacter Pylori Stool (87338) | $18.90 | $63 | 1.3× |
| Hematocrit (85014) | $6.90 | $23 | 2.9× |
| Hemoglobin (85018) | $6.90 | $23 | 2.9× |
| Hemoglobin a1c (83036) | $24.90 | $83 | 2.6× |
| Hemoglobin electrophoresis (83020) | $31.80 | $106 | 2.5× |
| Hep a ab igm (86709) | $4.24 | $14.14 | 0.4× |
| Hepatitis b core ab igm (86705) | $29.40 | $98 | 2.5× |
| Hepatitis b core ab total (86704) | $27 | $90 | 2.2× |
| Hepatitis B Surface Antibody (86706) | $3.09 | $10.29 | 0.3× |
| Hepatitis B Surface Antigen (87340) | $25.20 | $84 | 2.4× |
| Hepatitis C Antibody (86803) | $31.80 | $106 | 2.2× |
| Hepatitis C Genotype (87902) | $216 | $720 | 0.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $65.70 | $219 | 1.5× |
| Herpes simplex type 2 (86696) | $44.10 | $147 | 2.3× |
| Heterophile Antibody Screen (86308) | $15.60 | $52 | 3.0× |
| Hfe Gene (81256) | $141.90 | $473 | 2.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $18.60 | $62 | 2.4× |
| Histoplasma antibody (86698) | $35.70 | $119 | 2.6× |
| Histoplasma antigen urine (87385) | $55.65 | $185.51 | 4.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $40.50 | $135 | 1.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $111.30 | $371 | 1.3× |
| HIV-2 probe&revrse trnscripj (87538) | $35.40 | $118 | 1.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $66.90 | $223 | 0.9× |
| Homocysteine (83090) | $107.70 | $359 | 6.0× |
| Hpv High-Risk Types (87624) | $45.90 | $153 | 1.3× |
| Hpv Types 16 & 18 Only (87625) | $32.40 | $108 | 0.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $33.30 | $111 | 2.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $22.80 | $76 | 0.6× |
| Iaad ia shiga-like toxin (87427) | $33.30 | $111 | 2.8× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$36 | $110.21–$120 | 2.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $11.70 | $39 | 0.3× |
| Iadna Cytomegalovirus Quantification (87497) | $59.70 | $199 | 1.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $35.40 | $118 | 1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $26.70 | $89 | 0.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $45.90 | $153 | 1.3× |
| Igg subclasses (82787) | $36 | $120 | 4.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $102.90 | $343 | 0.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$27.30–$52.50 | $91–$175 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $42 | $140 | 2.8× |
| Immunoassay nonantibody (83516) | $39.58 | $131.95 | 3.4× |
| Immunofixation electrophoresis (86334) | $59.10 | $197 | 2.6× |
| Immunohistochemistry (88342) | $108.90 | $363 | 0.7× |
| In situ hybridization 1st probe stain (88365) | $209.40 | $698 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $33.30 | $111 | 2.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $57.90 | $193 | 0.8× |
| Influenza a/b ag eia (87400) | $33.30 | $111 | 2.4× |
| Influenza assay w/optic (87804) | — | $55.62 | — |
| Inhibin A (86336) | $35.70 | $119 | 2.3× |
| Inhibin b (83520) | $38.40 | $128 | 2.2× |
| Insulin antibodies (86337) | $51.30 | $171 | 2.4× |
| Insulin total (83525) | $33.30 | $111 | 2.9× |
| Iron (83540) | $15.60 | $52 | 2.4× |
| Iron Binding Capacity (83550) | $29.40 | $98 | 3.4× |
| Irradiation Blood Product Each Unit (86945) | $30.38 | $101.25 | 0.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $166.75 | $555.83 | 1.8× |
| Lactate (ld) (ldh) enzyme (83615) | $13.80 | $46 | 2.3× |
| Lactoferrin Fecal Quantitative (83631) | $59.70 | $199 | 3.0× |
| LDL direct (83721) | $27.60 | $92 | 2.6× |
| Lead (83655) | $15.90 | $53 | 1.3× |
| Leukocyte Assessment Fecal (89055) | $12.30 | $41 | 2.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $21 | $70 | 0.8× |
| Level ii surg pathology grossµscopic exam (88302) | $49.20 | $164 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $165.60 | $552 | 0.5× |
| Lipase (83690) | $18.30 | $61 | 2.7× |
| Lipoprotein A (83695) | $19.35 | $64.50 | 1.4× |
| Lipoprotein Bld Quan Part (83704) | $14.70 | $49 | 0.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $56.40 | $188 | 1.2× |
| Lithium (80178) | $16.20 | $54 | 2.5× |
| Luteinizing Hormone (Lh) (83002) | $45.60 | $152 | 2.5× |
| Lyme disease antibody (86618) | $46.80 | $156 | 2.7× |
| Macroscopic Exam Parasite (87169) | $24 | $80 | 5.6× |
| Magnesium Urine (83735) | $10.20 | $34 | 1.5× |
| Mass Spectrometry Quant (83789) | $24.60 | $82 | 1.0× |
| Mercury urine (83825) | $22.80 | $76 | 1.4× |
| Methylmalonic acid serum (83921) | $34.80 | $116 | 1.6× |
| Microalbumin, quantitative (82043) | $23.40 | $78 | 4.0× |
| Microsomal Antibodies Each (86376) | $33.60 | $112 | 2.3× |
| Mitochondrial Antibody Each (86381) | $23.10 | $77 | 0.9× |
| Mopath procedure level 2 (81401) | $75.15 | $250.50 | 0.5× |
| Mrsa Pcr (87641) | $53.25 | $177.50 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $78.60 | $262 | 1.2× |
| Mumps antibody (86735) | $39.60 | $132 | 3.0× |
| Muscle-Specific Kinase Antb (86366) | $425.40 | $1,418 | 23.1× |
| Mycoplasma antibody (86738) | $43.20 | $144 | 3.3× |
| Myoglobin urine (83874) | $29.10 | $97 | 2.3× |
| Natriuretic peptide (83880) | $70.80 | $236 | 1.8× |
| Neutralization Test Viral (86382) | $36.03 | $120.10 | 2.1× |
| Niacin (84591) | $139.50 | $465 | 8.2× |
| Nuclear antigen antibody (86235) | $31.80 | $106 | 1.8× |
| Obstetric panel (80081) | $87 | $290 | 1.2× |
| Occult blood feces (82272) | — | $32.96 | — |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$8.70–$12.60 | $29–$42 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $40.50 | $135 | 2.5× |
| Osmolality serum (83930) | $17.40 | $58 | 2.6× |
| Osmolality Urine (83935) | $12 | $40 | 1.8× |
| Ova and parasites smears (87177) | $18 | $60 | 2.0× |
| Pancreatic Elastase Fecal (82656) | $73.50 | $245 | 6.4× |
| Ph urine (81003) range across 2 matching MRF lines |
$3.60 | $12–$15 | 1.6× |
| Phenobarbital Level (80184) | $33 | $110 | 2.2× |
| Phenylalanine (84030) | $11.10 | $37 | 2.0× |
| Phenytoin (Dilantin) (80185) | $33.30 | $111 | 2.5× |
| Phosphatase alkaline (84075) | $6.90 | $23 | 1.3× |
| Phospholipid Neutralization Hexagonal (85598) | $53.70 | $179 | 3.0× |
| Phosphorus Serum (84100) | $15.60 | $52 | 3.3× |
| Platelet count automated (85049) | $9.30 | $31 | 2.1× |
| Platelet neutralization (85597) | $53.70 | $179 | 3.0× |
| Porphobilinogen, urine; quantitative (84110) | $11.40 | $38 | 1.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $36.90 | $123 | 2.5× |
| Potassium Urine (84133) | $7.80 | $26 | 1.6× |
| Prealbumin (84134) | $29.70 | $99 | 2.0× |
| Pregnenolone (84140) | $62.10 | $207 | 3.0× |
| Primidone (80188) | $32.70 | $109 | 2.0× |
| Procalcitonin (Pct) (84145) | $32.70 | $109 | 1.2× |
| Progesterone (84144) | $47.10 | $157 | 2.3× |
| Prolactin (84146) | $48.30 | $161 | 2.5× |
| Protein body fluid (84157) | $11.40 | $38 | 2.9× |
| Protein C Activity (85303) | $56.40 | $188 | 4.1× |
| Protein c antigen (85302) | $18 | $60 | 1.5× |
| Protein Electrophoresis Urine (84166) | $22.50 | $75 | 1.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $26.70 | $89 | 2.5× |
| Protein S Free (85306) | $49.20 | $164 | 3.2× |
| Protein s total (85305) | $32.80 | $109.32 | 2.8× |
| Protein total serum (84155) | $6 | $20 | 1.6× |
| Protein Total Urine (84156) | $11.40 | $38 | 3.1× |
| Pth Intact (83970) | $94.50 | $315 | 2.3× |
| Quantiferon tb gold plus (86480) | $51 | $170 | 0.8× |
| Quantitative assay drug (80299) | $33 | $110 | 1.8× |
| Quantitative Screen Metals (83018) | $30.15 | $100.50 | 1.4× |
| Rbc antibody identification (86870) | $105 | $350 | 0.3× |
| Rbc antibody screen (86850) | $16.50 | $55 | 1.7× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$5.70 | $19–$39.14 | 1.1× |
| Renin activity plasma (84244) | $48.90 | $163 | 2.2× |
| Resp virus 12-25 targets (87633) | $170.40 | $568 | 0.4× |
| Reticulocyte Count Manual (85044) | $7.50 | $25 | 1.7× |
| Rh (86901) | $11.70 | $39 | 3.9× |
| Rheumatoid factor quant (86431) | $16.80 | $56 | 3.0× |
| Rickettsia antibody (86757) | $77.10 | $257 | 4.0× |
| Ristocetin cofactor (85245) | $13.20 | $44 | 0.6× |
| Rotavirus ag eia (87425) | $33.30 | $111 | 2.8× |
| Rpr qualitative (86592) | $13.80 | $46 | 3.2× |
| Rsv Assay W/Optic (87807) | — | $58.65 | — |
| Rubella Antibody (86762) | $29.40 | $98 | 2.0× |
| Rubeola antibody (86765) | $41.70 | $139 | 3.2× |
| Russell Viper Venom Time Diluted (85613) | $37.50 | $125 | 3.9× |
| Salicylate Level (80179) | $16.80 | $56 | 0.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $27.60 | $92 | 0.7× |
| Sedimentation Rate, Automated (85652) | $13.80 | $46 | 5.1× |
| Selenium (84255) | $48.90 | $163 | 1.9× |
| Semen Anal Sperm Detection (89321) | $28.20 | $94 | 2.3× |
| Semen analysis motility and count (89310) | $19.65 | $65.49 | 2.3× |
| Sensitivity mic (87186) | $41.10 | $137 | 4.8× |
| Sex Hormone Binding Globulin (84270) | $78.60 | $262 | 3.6× |
| Sickling of rbc reduction (85660) | $9.60 | $32 | 1.7× |
| Skin test tuberculosis intradermal (86580) | — | $30 | — |
| Smear acid fast (87206) | $18.60 | $62 | 3.5× |
| Smear complex stain (87209) | $38.40 | $128 | 2.1× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$9.90–$10.80 | $33–$36 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $15.60 | $52 | 2.7× |
| Sodium Serum (84295) | $9.60 | $32 | 2.0× |
| Sodium Urine (84300) | $7.50 | $25 | 1.5× |
| Somatomedin (84305) | $73.50 | $245 | 3.5× |
| Special Stains Group 1 (88312) | $51 | $170 | 1.1× |
| Special Stains Group 2 (88313) | $36.90 | $123 | 0.3× |
| Specimen infect agnt concntj (87015) | $21.90 | $73 | 3.3× |
| Surg path level iii (88304) | $70.80 | $236 | 1.5× |
| Surgical pathology level IV (88305) | $119.10 | $397 | 2.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $52.50 | $175 | 1.1× |
| T cells total count (86359) | $31.80 | $106 | 0.8× |
| T3 Free (84481) | $51.30 | $171 | 3.0× |
| T3 reverse (84482) | $55.80 | $186 | 3.5× |
| T3 Total (84480) | $31.20 | $104 | 2.2× |
| T3 Uptake (84479) | $18.30 | $61 | 2.8× |
| T4 Free (84439) | $33.30 | $111 | 3.7× |
| T4 total (84436) | $11.70 | $39 | 1.7× |
| Tacrolimus (80197) | $50.10 | $167 | 3.6× |
| Testosterone total (84403) | $63.90 | $213 | 2.5× |
| Testosterone, Free (84402) | $64.50 | $215 | 2.5× |
| Theophylline (80198) | $7.80 | $26 | 0.6× |
| Thiopurine methyltransferase (84433) | $84 | $280 | 3.8× |
| Thrombin Time (85670) | $36.30 | $121 | 6.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $15.30 | $51 | 2.4× |
| Thyroglobulin (84432) | $32.10 | $107 | 2.0× |
| Thyroglobulin Antibody (86800) | $45.30 | $151 | 2.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $286.50 | $955 | 5.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $66 | $220 | 5.7× |
| Tissue culture bone marrow (88237) | $77.10 | $257 | 0.5× |
| Tissue Culture Lymphocyte (88230) | $263.70 | $879 | 2.3× |
| Toxoplasma ab igm (86778) | $44.40 | $148 | 3.1× |
| Toxoplasma antibody (86777) | $18 | $60 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $6.90 | $23 | 1.3× |
| Transferrin (84466) | $47.40 | $158 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) | $37.22 | $124.05 | 1.1× |
| Triglycerides (84478) | $15.60 | $52 | 2.7× |
| Troponin Quant (84484) | $57.30 | $191 | 4.6× |
| Tumor Immunohistochem/Manual (88360) | $67.50 | $225 | 0.4× |
| Uric acid other source (84560) | $7.20 | $24 | 1.4× |
| Urinalysis Volume Measure (81050) | $5.10 | $17 | 1.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$18 | $54.59–$60 | 2.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $22.80 | $76 | 7.2× |
| Valproic acid (80164) | $39.90 | $133 | 2.9× |
| Vancomycin (80202) | $36 | $120 | 2.7× |
| Varicella-zoster antibody (86787) | $40.20 | $134 | 3.1× |
| Vasopressin (84588) | $78.30 | $261 | 2.3× |
| Viral Culture (87252) | $56.70 | $189 | 2.2× |
| Virus antibody nos (86790) | $20.40 | $68 | 1.6× |
| Vit D 1 25-Dihydroxy (82652) | $54.90 | $183 | 1.4× |
| Vitamin A (84590) | $30.90 | $103 | 2.7× |
| Vitamin b-12 (82607) | $41.40 | $138 | 2.7× |
| Vitamin B6 (84207) | $85.50 | $285 | 3.0× |
| Vitamin c (82180) | $29.40 | $98 | 3.0× |
| Vitamin D 25-Hydroxy (82306) | $72.90 | $243 | 2.5× |
| Vitamin E (84446) | $36.90 | $123 | 2.6× |
| Vitamin K (84597) | $33 | $110 | 2.4× |
| Von willebrand factor ag (85246) | $13.20 | $44 | 0.6× |
| West nile virus ab igm (86788) | $15.60 | $52 | 0.9× |
| West Nile Virus Antibody (86789) | $15.60 | $52 | 1.1× |
| Zika Virus Igm Antibody (86794) | $31.80 | $106 | 1.9× |
| Zinc (84630) | $36.60 | $122 | 3.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.