Lab & pathology prices at Community Memorial Hospital

Burke, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $143.12 $201 6.3×
Acth (82024) $300.47 $422 7.8×
Actin smooth muscle antibody each (86015) $54.83 $77 4.6×
Acute hepatitis panel (80074) $322.54 $453 6.8×
Albumin serum (82040) $66.22 $93 13.4×
Aldolase (82085) $69.78 $98 7.2×
Aldosterone urine (82088)
range across 4 matching MRF lines
$73.34–$311.86 $103–$438 varies
Alkaline phosphatase isoenzymes (84080) $131.72 $185 8.9×
Allergen specific ige (86003)
range across 3 matching MRF lines
$47.71–$69.78 $67–$98 varies
Alpha-1-antitrypsin phenotype (82104) $69.78 $98 4.8×
Alpha-1-antitrypsin total (82103) $91.85 $129 6.8×
Alpha-Fetoprotein Serum (82105) $172.31 $242 10.3×
Alt (sgpt) (84460) $54.83 $77 10.3×
Aluminum (82108) $121.04 $170 4.8×
Ammonia (82140) $172.31 $242 11.8×
Amylase urine (82150) $102.53 $144 15.8×
Ana Titer (86039) $146.68 $206 13.1×
Anca screen each antibody (86036) $73.34 $103 6.1×
Androstenedione (82157)
range across 2 matching MRF lines
$102.53–$113.92 $144–$160 varies
Angiotensin converting enzyme csf (82164) $98.97 $139 6.8×
Anti-Phospholipid Antibody (86148) $88.29 $124 5.5×
Antibody aspergillus (86606)
range across 2 matching MRF lines
$47.71–$73.34 $67–$103 varies
Antibody Bacterium Not Elsewhere Specified (86609) $356 $500 27.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $168.75 $237 10.9×
Antibody Cytomegalovirus Cmv Igm (86645) $91.85 $129 5.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $96.12 $135 6.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $128.16 $180 7.1×
Antibody haemophilus influenza (86684) $157.36 $221 9.9×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$161.63–$168.75 $227–$237 varies
Antibody Herpes Smplx Type 1 (86695) $117.48 $165 8.9×
Antibody HIV-1&HIV-2 single result (86703) $58.39 $82 4.3×
Antibody identification leukocyte antibodies (86021) $234.96 $330 15.6×
Antibody Protozoa Nes (86753) $91.14 $128 7.4×
Antibody Treponema Pallidum (86780) $73.34 $103 5.5×
Antigen typing (86905) $161.63 $227 42.2×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $98.97 $139 17.3×
Antinuclear antibodies (86038) $95.41 $134 7.9×
Antistreptolysin o titer (86060) $205.06 $288 28.1×
Antithrombin iii activity (85300) $197.94 $278 16.7×
Antithrombin iii antigen (85301) $118.91 $167 11.0×
Arsenic (82175)
range across 3 matching MRF lines
$81.88–$201.50 $115–$283 varies
Assay activated protein c (85307) $84.02 $118 5.5×
Assay Blood Carbon Dioxide (82374) $44.15 $62 9.0×
Assay Dir Meas Fr Estradiol (82681) $139.56 $196 5.0×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$51.27–$252.05 $72–$354 varies
Assay of 5-hiaa (83497) $66.22 $93 5.1×
Assay of anti-mullerian hormone (82166) $131.72 $185 3.4×
Assay of blood/uric acid (84550) $73.34 $103 16.2×
Assay of calcium in urine (82340) $73.34 $103 12.2×
Assay of cpk in blood (82552) $62.66 $88 4.7×
Assay of g6pd enzyme (82955) $79.04 $111 8.1×
Assay of gammaglobulin igm (82784) $69.78 $98 7.5×
Assay of lactic acid (83605) $100.40 $141 8.7×
Assay of metanephrines (83835) $405.13 $569 23.9×
Assay of proinsulin (84206) $128.16 $180 4.8×
Assay of serum potassium (84132) $44.15 $62 9.3×
Assay of sweat sodium (84302) $62.66 $88 12.9×
Assay of urea nitrogen (84520) $58.39 $82 14.8×
Assay of urine vma (84585)
range across 2 matching MRF lines
$66.22–$88.29 $93–$124 varies
Assay of vitamin b-1 (84425) $201.50 $283 9.5×
Assay spec xcp ur&breath ia (82077) $179.43 $252 10.4×
Automated Leukocyte Count (85048) $44.15 $62 17.4×
Bartonella antibody (86611) $66.93 $94 6.6×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$73.34–$113.92 $103–$160 varies
Beta hydroxybutyrate (82010) $73.34 $103 9.0×
Beta Lactamase (87185) $47.71 $67 10.0×
Beta-2 Microglobulin (82232) $131.72 $185 8.1×
Bilirubin direct (82248) $54.83 $77 10.9×
Bilirubin total (82247) $54.83 $77 10.9×
Biotinidase (82261)
range across 2 matching MRF lines
$32.76–$157.36 $46–$221 varies
Blastomyces antibody (86612) $47.71 $67 3.7×
Bld Typing Serologic Rh Phnt (86906) $121.04 $170 15.6×
Blood Count Automated Differential Wbc Count (85004) $54.83 $77 8.5×
Blood Count Red Blood Cell Automated (85041) $44.15 $62 14.6×
Blood count reticulocyte automated (85045) $66.22 $93 16.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $51.27 $72 13.5×
Blood gas (82803) $242.08 $340 9.3×
Blood gases w/02 saturation (82805) $242.08 $340 3.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $66.22 $93 4.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $40.59 $57 9.3×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $201.50 $283 12.3×
Blood typing serologic abo (86900) $73.34 $103 24.5×
Brucella antibody (86622) $252.76 $355 28.3×
C diff amplified probe (87493) $212.89 $299 5.7×
C-Peptide (84681) $271.28 $381 13.0×
C-reactive protein (86140) $106.09 $149 20.5×
Ca 19-9 (86301) $220.01 $309 10.6×
Cadmium (82300)
range across 2 matching MRF lines
$71.20–$150.24 $100–$211 varies
Calcium ionized (82330) $121.04 $170 8.8×
Calcium total (82310) $88.29 $124 17.1×
Calculus Spectroscopy (82365) $121.04 $170 9.4×
Calprotectin Fecal (83993) $300.47 $422 15.3×
Cancer Antigen 125 (86304) $209.33 $294 10.1×
Cancer Antigen 27.29 (86300) $205.06 $288 9.9×
Carbamazepine total (80156) $124.60 $175 8.6×
Carboxyhemoglobin (82375) $110.36 $155 9.0×
Carcinoembryonic antigen (82378) $183.70 $258 9.7×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$76.90–$117.48 $108–$165 varies
Catecholamines fractionated (82384) $143.12 $201 5.7×
Ccp antibody (86200) $175.87 $247 13.6×
Cell count csf (89051) $98.97 $139 17.7×
Ceruloplasmin (82390) $76.90 $108 7.2×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$88.29–$249.20 $124–$350 varies
Chloride Serum (82435) $47.71 $67 10.4×
Chloride urine (82436) $42.72 $60 7.4×
Cholesterol total (82465) $47.71 $67 11.0×
Chorionic gonadotropin test (84702) $121.04 $170 8.0×
Chromogranin a (86316) $121.04 $170 5.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$139.56–$146.68 $196–$206 varies
Citric acid urine (82507) $252.76 $355 9.1×
Ckmb (82553) $153.80 $216 13.3×
Clostridium Difficile (87324) $139.56 $196 11.6×
Clotting factor xii hageman (85280) $293.35 $412 15.2×
Clotting Funct Activity (85397) $205.06 $288 6.6×
Coccidioides antibody (86635) $80.46 $113 7.0×
Cold agglutinin titer (86157) $73.34 $103 9.1×
Collagen crosslinks (82523) $209.33 $294 11.2×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$47.71–$146.68 $67–$206 varies
Compatibility Each Unit Incubation (86921) $124.60 $175 0.7×
Compatibility test antiglob (86922) $201.50 $283 1.2×
Complement Antigen Each Component (86160) $95.41 $134 8.0×
Complement Total (Ch50) (86162) $175.87 $247 8.7×
Coombs direct (86880) $62.66 $88 11.6×
Cortisol free (82530) $110.36 $155 6.6×
Cortisol saliva (82533)
range across 2 matching MRF lines
$80.46–$131.72 $113–$185 varies
Creatine (82540) $47.71 $67 10.3×
Creatine kinase total (82550) $76.90 $108 11.8×
Creatinine blood (82565) $54.83 $77 10.7×
Creatinine clearance (82575) $113.92 $160 12.0×
Creatinine Urine (82570)
range across 2 matching MRF lines
$47.71–$69.78 $67–$98 varies
Crossmatch immediate spin (86920) $124.60 $175 0.7×
Crp High Sensitivity (86141) $95.41 $134 7.4×
Cryptococcus ag titer (87899) $98.97 $139 6.2×
Cryptosporidium ag eia (87328) $76.90 $108 5.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$76.90–$84.02 $108–$118 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$66.22–$143.12 $93–$201 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $106.09 $149 13.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $40.59 $57 0.2×
Culture aerobic quant other (87071) $113.92 $160 11.5×
Culture afb (87116)
range across 2 matching MRF lines
$84.02–$131.72 $118–$185 varies
Culture Anaerobic (87075) $139.56 $196 14.7×
Culture blood (87040) $157.36 $221 15.2×
Culture csf (87070) $113.92 $160 13.2×
Culture fungus (87102) $150.24 $211 17.9×
Culture fungus blood (87103) $97.55 $137 4.8×
Culture screen only (87081) $54.83 $77 8.3×
Culture stool (87045) $91.85 $129 9.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$40.59–$47.71 $57–$67 varies
Culture urine (87086) $84.02 $118 10.4×
Cytomegalovirus igg (86644) $106.09 $149 7.4×
Cytopath Cell Enhance Tech (88112) $172.31 $242 3.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $110.36 $155 4.1×
Cytp Concentration Smears & Interpretation (88108) $209.33 $294 5.5×
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
$51.27–$337.49 $72–$474 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$350.31–$356 $492–$500 varies
Detect agnt mult DNA ampli (87801) $257.04 $361 3.7×
Dgp Antibody Each Ig Class (86258) $110.36 $155 9.2×
Dhea (82626) $139.56 $196 5.5×
Dhea-S (82627)
range across 2 matching MRF lines
$117.48–$197.94 $165–$278 varies
Digoxin (80162) $128.16 $180 9.7×
Diphtheria antitoxoid (86648) $175.87 $247 11.6×
Dna Antibody Native/Double Stranded (86225) $110.36 $155 8.0×
Dna Antibody Single Stranded (86226) $220.01 $309 18.2×
Dna/Rna Amplified Probe (87150) $165.19 $232 4.7×
DNA/RNA direct probe (87149) $58.39 $82 2.9×
Drug assay acetaminophen (80143) $136 $191 7.3×
Drug assay adalimumab (80145) $274.84 $386 7.1×
Drug Assay Amiodarone (80151) $69.78 $98 3.7×
Drug Assay Infliximab (80230) $260.60 $366 6.8×
Drug Assay Vedolizumab (80280) $223.57 $314 5.8×
Drug Screen Quant Clozapine (80159) $98.97 $139 4.9×
Drug Screen Quant Zonisamide (80203) $125.32 $176 9.5×
Drug Screen Quantitative Gabapentin (80171) $88.29 $124 4.1×
Drug Screen Quantitative Lamotrigine (80175) $183.70 $258 13.9×
Drug Screen Quantitative Levetiracetam (80177) $179.43 $252 13.5×
Drug Screen Quantitative Oxcarbazepine (80183) $113.92 $160 8.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 5 matching MRF lines
$150.24–$179.43 $211–$252 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$95.41–$205.06 $134–$288 varies
Ehrlichia antibody (86666) $106.80 $150 10.5×
El-1 Fecal Quantitative (82653) $163.76 $230 7.1×
Electrolyte panel (80051) $98.97 $139 14.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $82.60 $116 6.8×
Eosinophil Smear (89190) $51.27 $72 8.9×
Erythropoietin (82668) $175.87 $247 9.4×
Estradiol serum (82670) $161.63 $227 5.8×
Estriol (82677) $230.69 $324 9.5×
Estrogen total (82672) $282.67 $397 13.0×
Exam Synovial Fluid Crystals (89060) $73.34 $103 10.0×
Factor ii activity (85210) $171.60 $241 13.2×
Factor Inhibitor Test (85335) $121.04 $170 9.4×
Factor ix activity (85250)
range across 2 matching MRF lines
$113.92–$201.50 $160–$283 varies
Factor v activity (85220) $395.88 $556 22.4×
Factor v leiden mutation (81241) $183.70 $258 2.5×
Factor vii assay (85230) $146.68 $206 8.2×
Factor viii assay (85240)
range across 2 matching MRF lines
$102.53–$190.82 $144–$268 varies
Factor xi activity (85270) $148.10 $208 8.3×
Factor xiii screen (85291) $110.36 $155 12.1×
Fat stain feces urine/respir secretions (89125) $51.27 $72 8.7×
Fecal Fat Qualitative (82705) $84.02 $118 16.5×
Ferritin (82728) $131.72 $185 9.7×
Fetal Congenital Abnor Assay Four Anal (81511) $568.18 $798 3.7×
Fetal Fibronectin (82731) $487.72 $685 7.6×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$161.63–$194.38 $227–$273 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$95.41–$124.60 $134–$175 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $88.29 $124 5.7×
Flow cytometry first marker (88184) $1,797.09 $2,524 4.9×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$69.78–$108.94 $98–$153 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $234.96 $330 19.5×
Folic Acid Serum (82746) $110.36 $155 7.5×
Follicle Stimulating Hormone (83001) $117.48 $165 6.3×
Francisella tularensis (86668) $100.40 $141 7.1×
Fungi Identification Mold (87107) $143.12 $201 13.9×
Fungi Identification Yeast (87106) $106.09 $149 10.3×
Galactose transferase test (82776) $10.68 $15 0.9×
Gammaglobulin ige (82785) $121.04 $170 7.4×
Gases blood ph only (82800) $32.76 $46 3.0×
Gastrin (82941) $136 $191 7.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $630.84 $886 1.5×
Gentamicin (80170) $136 $191 8.3×
Ggt (82977) $47.71 $67 6.6×
Giardia antigen (87329)
range across 2 matching MRF lines
$95.41–$110.36 $134–$155 varies
Glucose 2 hr pp (82950) $44.15 $62 9.3×
Glucose Blood Test (82962) $29.20 $41 8.9×
Glucose body fluid (82945) $51.27 $72 13.0×
Glucose Serum (82947) $62.66 $88 15.9×
Glucose tolerance test (gtt) (82951) $230.69 $324 17.9×
Glycated Protein (82985) $69.78 $98 4.2×
Gonadotropin Chorionic Qualitative (84703) $136 $191 18.1×
Growth hormone (83003) $128.16 $180 7.7×
Gtt-added samples (82952) $40.59 $57 10.4×
H Pylori (C-13) Breath (83013) $330.37 $464 4.9×
Haptoglobin (83010) $175.87 $247 14.0×
Hdl Cholesterol (83718) $77.61 $109 9.5×
Helicobacter Pylori Stool (87338) $209.33 $294 14.6×
Hematocrit (85014) $47.71 $67 20.1×
Hemoglobin (85018)
range across 2 matching MRF lines
$32.76–$51.27 $46–$72 varies
Hemoglobin a1c (83036) $80.46 $113 8.3×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$12.82–$187.26 $18–$263 varies
Hep a ab igm (86709) $88.29 $124 7.8×
Heparin assay (85520) $117.48 $165 9.0×
Hepatitis a antibody total (86708) $106.09 $149 8.6×
Hepatitis b core ab igm (86705) $102.53 $144 8.7×
Hepatitis b core ab total (86704) $121.04 $170 10.0×
Hepatitis B Surface Antibody (86706) $124.60 $175 11.6×
Hepatitis B Surface Antigen (87340) $102.53 $144 9.9×
Hepatitis C Antibody (86803) $128.16 $180 9.0×
Hepatitis C Genotype (87902) $850.84 $1,195 3.3×
Hepatitis C Revrs Trnscrpj (87522) $528.31 $742 12.3×
Hepatitis Delta Agent Antibody (86692) $304.03 $427 17.7×
Herpes simplex type 2 (86696) $117.48 $165 6.1×
Heterophile Antibody Screen (86308) $58.39 $82 11.3×
Hfe Gene (81256) $271.28 $381 4.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $117.48 $165 15.2×
Histoplasma antibody (86698) $47.71 $67 3.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $80.46 $113 3.3×
Hiv-1 Quant&Revrse Trnscrpj (87536) $194.38 $273 2.3×
Hla ii type 1 ag equiv lr (81377) $274.84 $386 2.9×
Hla-b27 (86812)
range across 2 matching MRF lines
$136–$212.89 $191–$299 varies
Homocysteine (83090) $209.33 $294 11.7×
Homogenization Tissue (87176) $51.27 $72 8.7×
Homovanillic acid urine (83150) $88.29 $124 3.9×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$163.76–$168.75 $230–$237 varies
Hpv sep hi-rsk typ&pool rslt (87626) $168.75 $237 2.4×
Hsv Dna Amp Probe (87529) $172.31 $242 4.9×
Hydroxyprogesterone 17-d (83498)
range across 3 matching MRF lines
$10.68–$110.36 $15–$155 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $54.83 $77 5.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $113.92 $160 3.2×
Iaad ia shiga-like toxin (87427) $201.50 $283 16.8×
Iaadi inffluenza a virus (87276) $95.41 $134 5.9×
Iaadi not otherwise specified each organism (87299) $88.29 $124 5.5×
Iaadi parainfluenza virus each type (87279) $54.83 $77 3.3×
Iaadi respiratory synctial virus (87280) $136 $191 10.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $293.35 $412 8.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $51.27 $72 1.5×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $73.34 $103 3.2×
Iadna Cytomegalovirus Quantification (87497) $343.19 $482 8.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $58.39 $82 0.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $51.27 $72 1.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$136–$143.12 $191–$201 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $187.26 $263 1.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $249.20 $350 0.9×
Ig Light Chains Free Each (83521) $133.86 $188 7.8×
Igg subclasses (82787) $69.78 $98 8.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $344.61 $484 0.9×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$102.53–$121.04 $144–$170 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$113.92–$365.97 $160–$514 varies
Immunoassay nonantibody (83516)
range across 9 matching MRF lines
$44.15–$140.98 $62–$198 varies
Immunofixation electrophoresis (86334) $161.63 $227 7.2×
Immunohistochemistry (88342) $274.84 $386 1.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $197.94 $278 2.8×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $102.53 $144 7.1×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $95.41 $134 7.8×
Influenza a/b ag eia (87400) $91.85 $129 6.5×
Influenza assay w/optic (87804) $91.85 $129 5.5×
Influenza DNA amp probe (87502) $121.04 $170 1.3×
Inhibin A (86336) $282.67 $397 18.1×
Inhibin b (83520)
range across 9 matching MRF lines
$76.19–$227.84 $107–$320 varies
Insulin total (83525) $107.52 $151 9.4×
Iron (83540) $60.52 $85 9.4×
Iron Binding Capacity (83550) $69.07 $97 7.9×
Islet cell antibody (86341) $91.85 $129 3.9×
Koh Prep (87220) $58.39 $82 13.7×
Lactate (ld) (ldh) enzyme (83615) $74.76 $105 12.4×
Ldh Isoenzymes (83625) $111.08 $156 8.7×
LDL direct (83721) $132.44 $186 12.6×
Lead (83655)
range across 5 matching MRF lines
$56.96–$94.70 $80–$133 varies
Legionella antigen urine (87449) $134.57 $189 11.2×
Legionella pneumophila dfa (87278) $150.24 $211 9.6×
Leptospira antibody (86720) $114.64 $161 7.1×
Leukocyte Assessment Fecal (89055) $66.22 $93 15.5×
Lipase (83690) $107.52 $151 15.6×
Lipoprotein A (83695) $70.49 $99 4.9×
Lipoprotein Bld Quan Part (83704) $99.68 $140 2.9×
Lithium (80178) $84.02 $118 12.7×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$117.48–$128.16 $165–$180 varies
Lyme disease antibody (86618)
range across 2 matching MRF lines
$124.60–$139.56 $175–$196 varies
Lysozyme serum (85549) $79.75 $112 4.3×
Magnesium Urine (83735) $83.31 $117 12.4×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$11.40–$112.50 $16–$158 varies
Mercury urine (83825)
range across 3 matching MRF lines
$73.34–$125.32 $103–$176 varies
Methylmalonic acid serum (83921) $98.97 $139 4.7×
Microalbumin, quantitative (82043) $106.09 $149 18.4×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$132.44–$139.56 $186–$196 varies
Mitochondrial Antibody Each (86381) $91.14 $128 3.6×
Mopath procedure level 1 (81400) $293.35 $412 4.6×
Mopath procedure level 2 (81401) $421.51 $592 3.1×
Mrsa Pcr (87641) $183.70 $258 5.2×
Mucin Clot Body Fluid (83872) $25.64 $36 4.4×
Mumps antibody (86735) $73.34 $103 5.6×
Mycobacteric Identification (87118) $172.31 $242 11.8×
Mycoplasma antibody (86738) $117.48 $165 8.9×
Mycoplasma culture (87109) $113.92 $160 7.4×
Myoglobin urine (83874) $170.88 $240 13.2×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$174.44–$207.20 $245–$291 varies
Neisseria Dir Na Probe (87590) $66.22 $93 2.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $462.09 $649 3.6×
Nuclear antigen antibody (86235)
range across 10 matching MRF lines
$54.83–$136 $77–$191 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$37.03–$54.83 $52–$77 varies
Organic Acids Qualitative Each Specimen (83919) $60.52 $85 3.7×
Osmolality serum (83930) $81.17 $114 12.3×
Osmolality Urine (83935) $83.31 $117 12.2×
Ova and parasites smears (87177) $128.16 $180 14.4×
Oxalate urine (83945) $165.19 $232 11.4×
Parvovirus antibody (86747) $179.43 $252 11.9×
Ph urine (81003)
range across 2 matching MRF lines
$37.03–$47.71 $52–$67 varies
Phenobarbital Level (80184) $102.53 $144 6.7×
Phenytoin (Dilantin) (80185) $124.60 $175 9.4×
Phenytoin free (80186)
range across 2 matching MRF lines
$98.97–$113.92 $139–$160 varies
Phosphatase acid prostatic (84066) $121.04 $170 12.5×
Phosphatase alkaline (84075) $54.83 $77 10.6×
Phospholipid Neutralization Hexagonal (85598) $110.36 $155 6.1×
Phosphorus Serum (84100) $58.39 $82 12.3×
Phosphorus urine (84105) $32.76 $46 5.7×
Platelet count automated (85049) $47.71 $67 10.6×
Porphyrins Feces Quantitative (84126) $205.06 $288 5.2×
Potassium Urine (84133) $73.34 $103 15.5×
Prealbumin (84134) $88.29 $124 6.1×
Pregnenolone (84140) $101.11 $142 4.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $95.41 $134 1.6×
Procalcitonin (Pct) (84145) $201.50 $283 7.4×
Progesterone (84144) $98.97 $139 4.7×
Prolactin (84146)
range across 2 matching MRF lines
$139.56–$187.26 $196–$263 varies
Protein C Activity (85303) $264.16 $371 19.1×
Protein c antigen (85302) $143.83 $202 12.0×
Protein Electrophoresis Urine (84166) $106.09 $149 6.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $139.56 $196 13.0×
Protein S Free (85306) $341.05 $479 22.3×
Protein s total (85305) $264.16 $371 22.8×
Protein total serum (84155) $80.46 $113 21.9×
Protein Total Urine (84156)
range across 3 matching MRF lines
$40.59–$62.66 $57–$88 varies
PSA free (84154) $168.75 $237 9.2×
Pth Intact (83970) $245.64 $345 6.0×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$74.05–$95.41 $104–$134 varies
Quantiferon tb gold plus (86480) $274.84 $386 4.4×
Quantitative assay drug (80299)
range across 6 matching MRF lines
$98.97–$242.08 $139–$340 varies
Rbc antibody elution (86860) $131.72 $185 0.8×
Rbc antibody identification (86870) $179.43 $252 0.5×
Rbc antibody screen (86850) $91.85 $129 9.4×
Renin activity plasma (84244) $238.52 $335 10.8×
Resp virus 12-25 targets (87633) $51.27 $72 0.1×
Reticulocyte Count (85046) $54.83 $77 9.8×
Reticulocyte Count Manual (85044) $110.36 $155 25.6×
Rh (86901) $80.46 $113 26.9×
Rheumatoid Factor Qualitative (86430) $62.66 $88 10.2×
Rheumatoid factor quant (86431) $69.78 $98 12.3×
Rickettsia antibody (86757) $165.19 $232 8.5×
Rotavirus ag eia (87425) $131.72 $185 11.0×
Rpr qualitative (86592) $58.39 $82 13.7×
Rsv Assay W/Optic (87807) $136 $191 10.4×
Rubella Antibody (86762) $76.90 $108 5.3×
Rubeola antibody (86765) $32.76 $46 2.5×
Russell Viper Venom Time Diluted (85613) $84.02 $118 8.8×
Rx metab gen seq alys pnl 6 (81418) $201.50 $283 0.2×
Salicylate Level (80179) $153.80 $216 8.3×
Sars-Cov-2 Covid-19 Amp Prb (87635) $113.92 $160 2.2×
Sars-cov-2 COVID-19 antibody (86769) $58.39 $82 1.4×
Sarscov2 & inf a&b amp prb (87636) $197.94 $278 1.4×
Sarscov2&inf a&b&rsv amp prb (87637) $341.05 $479 2.4×
Sedimentation rate (85651) $66.22 $93 15.5×
Sedimentation Rate, Automated (85652) $32.76 $46 12.1×
Semen Anal Sperm Detection (89321) $76.90 $108 6.4×
Sensitivity mic (87186)
range across 2 matching MRF lines
$106.09–$318.98 $149–$448 varies
Sex Hormone Binding Globulin (84270) $86.87 $122 4.0×
Sickling of rbc reduction (85660) $73.34 $103 13.3×
Skin test tuberculosis intradermal (86580) $40.59 $57 1.4×
Smear acid fast (87206) $84.02 $118 15.6×
Smear complex stain (87209) $73.34 $103 4.1×
Smear gram stain (87205) $58.39 $82 13.7×
Smear Special Stain (87207) $89.72 $126 15.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $51.27 $72 8.8×
Sodium Serum (84295) $47.71 $67 9.9×
Sodium Urine (84300) $58.39 $82 11.5×
Somatomedin (84305)
range across 2 matching MRF lines
$113.92–$139.56 $160–$196 varies
Special Stains Group 1 (88312) $157.36 $221 3.0×
Special Stains Group 2 (88313) $153.80 $216 1.1×
Specific gravity body fluid (84315) $25.64 $36 7.8×
Specimen infect agnt concntj (87015) $98.97 $139 14.8×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$40.59–$51.27 $57–$72 varies
Strep a assay w/optic (87880) $73.34 $103 4.4×
Strep a DNA amp probe (87651) $110.36 $155 3.1×
Strep b DNA amp probe (87653) $139.56 $196 4.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$66.22–$131.72 $93–$185 varies
Surg path level iii (88304) $209.33 $294 3.9×
Surgical pathology level IV (88305) $234.96 $330 4.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$37.03–$58.39 $52–$82 varies
Susceptibility Study Antimicrobial Disk Method (87184) $54.83 $77 7.3×
Syphilis Test Non-Trep Quant (86593) $38.45 $54 8.7×
T3 Free (84481) $242.08 $340 14.3×
T3 reverse (84482) $102.53 $144 6.5×
T3 Total (84480) $84.02 $118 5.9×
T3 Uptake (84479) $80.46 $113 12.4×
T4 Free (84439) $117.48 $165 13.0×
T4 total (84436) $117.48 $165 17.1×
Tacrolimus (80197) $252.76 $355 18.4×
Tau phosphorylated each (84393) $506.24 $711 3.9×
Tb ag response t-cell susp (86481) $88.29 $124 0.9×
Testosterone Bioavailable (84410)
range across 2 matching MRF lines
$37.03–$106.09 $52–$149 varies
Testosterone total (84403)
range across 3 matching MRF lines
$47.71–$289.79 $67–$407 varies
Testosterone, Free (84402) $175.87 $247 6.9×
Tetanus antibody (86774) $175.87 $247 11.9×
Theophylline (80198) $106.09 $149 7.5×
Thrombin Time (85670) $69.78 $98 12.1×
Thyroglobulin (84432)
range across 3 matching MRF lines
$84.02–$216.45 $118–$304 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines
$66.22–$121.04 $93–$170 varies
Thyroid Stimulating Immunoglobulin (84445) $216.45 $304 4.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $58.39 $82 5.1×
Tobramycin peak (80200) $143.12 $201 8.9×
Topiramate (80201) $157.36 $221 13.2×
Toxoplasma ab igm (86778) $227.13 $319 15.8×
Toxoplasma antibody (86777) $220.72 $310 15.3×
Transferase Aspartate Amino Ast Sgot (84450) $80.46 $113 15.5×
Transferrin (84466) $113.92 $160 8.9×
Triglycerides (84478) $58.39 $82 10.2×
Troponin Quant (84484) $157.36 $221 12.6×
Urea nitrogen urine (84540) $58.39 $82 10.5×
Uric acid other source (84560) $51.27 $72 10.1×
Urinalysis Microscopic Only (81015) $47.71 $67 15.6×
Urinalysis Volume Measure (81050) $37.03 $52 10.2×
Urine Albumin Semiquantitative (82044) $62.66 $88 10.1×
Urine Bacteria Culture (87088) $73.34 $103 9.1×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$25.64–$73.34 $36–$103 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $66.22 $93 20.9×
Valproic acid (80164) $121.04 $170 8.9×
Vancomycin (80202) $157.36 $221 11.6×
Varicella-zoster antibody (86787) $136 $191 10.6×
Vasopressin (84588) $429.34 $603 12.6×
Viral Culture (87252) $194.38 $273 7.5×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
$168.75–$326.10 $237–$458 varies
Vitamin A (84590) $80.46 $113 6.9×
Vitamin b-12 (82607) $121.04 $170 8.0×
Vitamin B6 (84207) $300.47 $422 10.7×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$110.36–$257.04 $155–$361 varies
Von willebrand factor ag (85246) $183.70 $258 8.0×
Wbc Alkaline Phosphatase Count (85540) $76.90 $108 8.9×
West nile virus ab igm (86788) $121.04 $170 7.2×
West Nile Virus Antibody (86789) $121.04 $170 8.4×
Zinc (84630) $76.90 $108 6.8×

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.