Lab & pathology prices at Corewell Health Grand Rapids Hospitals Butterworth

Grand Rapids, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholinesterase Assay (82013) $81.48 $81.48 6.6×
Acth (82024) $70 $70 1.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $308 $308 9.4×
Acute hepatitis panel (80074) $117 $117 2.5×
Albumin Fluid (82042) $15 $15 1.9×
Albumin serum (82040) $15 $15 3.0×
Aldosterone urine (82088) $72 $72 1.8×
Alkaline phosphatase isoenzymes (84080) $31 $31 2.1×
Allergen specific ige (86003) $33 $33 6.3×
Allg Spec Ige Recomb Ea (86008) $58 $58 3.2×
Alpha-1-antitrypsin total (82103) $37 $37 2.8×
Alpha-Fetoprotein Amniotic Fluid (82106) $48.10 $48.10 2.8×
Alpha-Fetoprotein Serum (82105) $51 $51 3.0×
Alt (sgpt) (84460) $16 $16 3.0×
Amikacin trough (80150) $58 $58 3.8×
Ammonia (82140) $45 $45 3.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $202 $202 2.1×
Amylase urine (82150) $19 $19 2.9×
Ana Titer (86039) $77 $77 6.9×
Anca screen each antibody (86036) $69 $69 5.7×
Angiotensin converting enzyme csf (82164) $40 $40 2.7×
Antibody Cytomegalovirus Cmv Igm (86645) $136 $136 8.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $105 $105 8.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $125 $125 8.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $147 $147 8.1×
Antibody Herpes Smplx Type 1 (86695) $108 $108 8.2×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$47–$85 $47–$85 varies
Antibody Hla Class I High Definition Panel Qual (86832) $809 $809 2.5×
Antibody htlv/HIV antibody confirmatory test (86689) $182 $182 9.4×
Antibody Protozoa Nes (86753) $42 $42 3.4×
Antibody Titer (86886) $69.88 $69.88 13.5×
Antibody Treponema Pallidum (86780) $94 $94 7.1×
Antigen typing (86905)
range across 2 matching MRF lines
$40–$331 $40–$331 varies
Antinuclear antibodies (86038) $100 $100 8.3×
Antistreptolysin o titer (86060) $52 $52 7.1×
Antithrombin iii activity (85300) $35 $35 3.0×
Assay activated protein c (85307) $38 $38 2.5×
Assay Blood Carbon Dioxide (82374) $11 $11 2.3×
Assay of 5-hiaa (83497) $36 $36 2.8×
Assay of blood/uric acid (84550) $13 $13 2.9×
Assay of calcium in urine (82340) $18 $18 3.0×
Assay of g6pd enzyme (82955) $24 $24 2.5×
Assay of gammaglobulin igm (82784) $28 $28 3.0×
Assay of lactic acid (83605) $32 $32 2.8×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$19–$28 $19–$28 varies
Assay of urea nitrogen (84520) $12 $12 3.0×
Assay of urine vma (84585) $44 $44 2.8×
Assay of vitamin b-1 (84425) $48 $48 2.3×
Assay Ph Body Fluid Nos (83986) $10 $10 2.8×
Assay spec xcp ur&breath ia (82077) $59 $59 3.4×
Automated Leukocyte Count (85048) $8 $8 3.1×
B cells total count (86355) $210 $210 5.6×
Bcr/abl1 gene major bp (81206) $280 $280 1.7×
Bcr/abl1 gene minor bp (81207) $280 $280 1.9×
Beta 2 glycoprotein i antibody each (86146) $121 $121 4.8×
Beta hydroxybutyrate (82010) $25 $25 3.1×
Beta Lactamase (87185) $20 $20 4.2×
Beta-2 Microglobulin (82232) $34 $34 2.1×
Bilirubin direct (82248) $16 $16 3.2×
Bilirubin total (82247)
range across 2 matching MRF lines
$13–$16 $13–$16 varies
Bilirubin total transcutaneous (88720) $14 $14 2.8×
Bl Smear W/O Diff Wbc Count (85008) $16 $16 4.7×
Blastomyces antibody (86612) $6.73 $6.73 0.5×
Bld Typing Serologic Rh Phnt (86906) $57 $57 7.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $16 $16 4.2×
Blood gas (82803)
range across 2 matching MRF lines
$54–$74 $54–$74 varies
Blood gases w/02 saturation (82805) $87 $87 1.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $37 $37 2.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $17 $17 3.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $306 $306 48.2×
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$16–$127 $16–$127 varies
Body fluid cell count (89050) $32 $32 6.8×
Bone marrow smear interpretation (85097) $583 $583 0.7×
Braf gene analysis (81210)
range across 2 matching MRF lines
$333–$800 $333–$800 varies
Breath Alcohol Test (82075) $34 $34 1.1×
C diff amplified probe (87493) $162 $162 4.3×
C-Peptide (84681) $57 $57 2.7×
C-reactive protein (86140) $34 $34 6.6×
Ca 19-9 (86301) $179 $179 8.6×
Calcium ionized (82330)
range across 2 matching MRF lines
$44–$53.33 $44–$53.33 varies
Calcium total (82310) $14 $14 2.7×
Calculus Spectroscopy (82365) $13.60 $13.60 1.1×
Calprotectin Fecal (83993) $46 $46 2.3×
Calr gene com variants (81219) $516 $516 4.2×
Cancer Antigen 125 (86304) $196 $196 9.4×
Cancer Antigen 27.29 (86300) $179 $179 8.6×
Carbamazepine total (80156) $98 $98 6.7×
Carboxyhemoglobin (82375) $97.46 $97.46 7.9×
Carcinoembryonic antigen (82378) $57 $57 3.0×
Cardiolipin ab iga (86147) $188 $188 7.4×
Ccnd1/Igh Translocation Alys (81168) $360 $360 1.7×
Ccp antibody (86200) $72 $72 5.6×
Cell count csf (89051) $37 $37 6.6×
Cellular Function Assay Stimul&Detect Biomarke (86352) $991 $991 7.3×
Ceruloplasmin (82390) $32 $32 3.0×
Chemiluminescent assay (82397) $29 $29 2.1×
Chimerism w/comp to baseline w/cell selection ea (81268) $1,005 $1,005 3.9×
Chimerism w/comp to baseline w/o cell selection (81267) $1,005 $1,005 4.8×
Chlmy trch&neisra gonor mult (87494) $175 $175 2.5×
Chloride other source (82438) $29 $29 5.8×
Chloride Serum (82435) $12 $12 2.6×
Chloride urine (82436) $15 $15 2.6×
Cholesterol total (82465) $13 $13 3.0×
Chorionic gonadotropin test (84702) $38 $38 2.5×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $585 $585 3.1×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $147 $147 5.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $147 $147 4.4×
Chromogranin a (86316) $52 $52 2.5×
Chromosome analys amniotic (88269) $466 $466 2.7×
Chromosome Analysis 15-20 (88262) $805 $805 6.4×
Chromosome Analysis 20-25 (88264) $799 $799 5.5×
Chromosome analysis, 5 (88261) $707 $707 2.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$127–$131 $127–$131 varies
Citric acid urine (82507) $70 $70 2.5×
Clostridium Difficile (87324) $59 $59 4.9×
Clotting factor xii hageman (85280) $46 $46 2.4×
Clotting Funct Activity (85397) $62 $62 2.0×
Cns DNA amp probe type 12-25 (87483) $1,232 $1,232 3.0×
Coagulation time activated (85347)
range across 2 matching MRF lines
$20–$25 $20–$25 varies
Cold agglutinin titer (86157) $52 $52 6.5×
Collagen crosslinks (82523) $69 $69 3.7×
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 2 matching MRF lines
$387–$1,980 $387–$1,980 varies
Compatibility test antiglob (86922) $169 $169 1.0×
Complement Antigen Each Component (86160) $81 $81 6.8×
Complement Total (Ch50) (86162) $42 $42 2.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $105 $105 2.0×
Coombs direct (86880)
range across 2 matching MRF lines
$29–$71 $29–$71 varies
Copper urine (82525) $25 $25 2.0×
Cortisol saliva (82533) $49 $49 3.0×
Creatine kinase total (82550) $20 $20 3.1×
Creatinine blood (82565)
range across 2 matching MRF lines
$15–$30 $15–$30 varies
Creatinine clearance (82575) $29 $29 3.1×
Creatinine Urine (82570) $15 $15 2.9×
Crossmatch electronic (86923) $169 $169 1.0×
Crossmatch immediate spin (86920) $169 $169 1.0×
Crp High Sensitivity (86141) $118 $118 9.1×
Cryoglobulin (82595) $15 $15 2.3×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $135 $135 10.3×
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$55–$62 $55–$62 varies
Cryptosporidium ag eia (87328) $59 $59 4.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $67 $67 8.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $79 $79 9.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $46 $46 6.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $480 $480 2.2×
Culture aerobic quant other (87071) $40 $40 4.0×
Culture afb (87116) $65 $65 6.0×
Culture Anaerobic (87075) $57 $57 6.0×
Culture blood (87040) $62 $62 6.0×
Culture csf (87070) $53 $53 6.1×
Culture fungus (87102) $51 $51 6.1×
Culture fungus blood (87103) $54 $54 2.6×
Culture screen only (87081)
range across 3 matching MRF lines
$18–$40 $18–$40 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $28 $28 5.4×
Culture urine (87086) $50 $50 6.2×
Cyclosporine (80158) $111 $111 6.1×
Cystatin C (82610) $43 $43 2.3×
Cytogenetics 10-30 (88273) $377 $377 10.8×
Cytogenetics 100-300 (88275) $310 $310 6.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$832–$1,881 $832–$1,881 varies
Cytogenomic neo microra alys (81277) $2,688 $2,688 2.3×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$49–$117 $49–$117 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $114 $114 5.6×
Cytopath Cell Enhance Tech (88112) $234 $234 4.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $114 $114 4.3×
Cytp Concentration Smears & Interpretation (88108) $118 $118 3.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $186 $186 3.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $148 $148 0.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $147 $147 5.1×
Cytp Urine 3-5 Probes Cmptr (88121) $1,074 $1,074 6.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$45–$116 $45–$116 varies
Detect Agent Nos Dna Quant (87799)
range across 4 matching MRF lines
$108–$283 $108–$283 varies
Detect agnt mult DNA ampli (87801) $480 $480 6.8×
Dgp Antibody Each Ig Class (86258) $89 $89 7.4×
Dhea-S (82627) $64 $64 2.9×
Digoxin (80162) $89 $89 6.7×
Dipropylacetic Acid Free (80165) $87 $87 6.4×
Dna Antibody Native/Double Stranded (86225) $112 $112 8.2×
Drug assay acetaminophen (80143) $112 $112 6.0×
Drug Assay Everolimus (80169) $94 $94 6.8×
Drug Assay Lacosamide (80235) $57 $57 2.1×
Drug Assay Posaconazole (80187) $72 $72 2.7×
Drug assay voriconazole (80285) $72 $72 2.7×
Drug Screen Quant Clozapine (80159) $80 $80 4.0×
Drug Screen Quant Zonisamide (80203) $33 $33 2.5×
Drug Screen Quantitative Gabapentin (80171) $40 $40 1.8×
Drug Screen Quantitative Lamotrigine (80175) $80 $80 6.0×
Drug Screen Quantitative Levetiracetam (80177) $89 $89 6.7×
Drug Screen Quantitative Oxcarbazepine (80183) $33 $33 2.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$72–$278 $72–$278 varies
Drug Test Prsmv Dir Opt Obs (80305) $34 $34 2.7×
Egfr Gene Analysis Common Variants (81235) $1,184 $1,184 3.6×
El-1 Fecal Quantitative (82653) $57 $57 2.5×
Electrolyte panel (80051) $22 $22 3.1×
Electron Microscopy (88348) $914 $914 1.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $116 $116 9.6×
Enterovirus PCR (87498) $162 $162 4.6×
Enzyme histochemistry (88319) $652 $652 0.8×
Erythropoietin (82668) $39 $39 2.1×
Estradiol serum (82670) $85 $85 3.0×
Estriol (82677) $60 $60 2.5×
Ethylene Glycol (82693) $41 $41 2.8×
Exam Synovial Fluid Crystals (89060) $82 $82 11.2×
F2 Gene (81240) $692 $692 10.5×
Factor ii activity (85210) $31 $31 2.4×
Factor ix activity (85250) $56 $56 2.9×
Factor v activity (85220) $52 $52 2.9×
Factor v leiden mutation (81241) $349 $349 4.8×
Factor vii assay (85230) $52 $52 2.9×
Factor viii assay (85240) $52 $52 2.9×
Factor X (85260) $52 $52 2.9×
Factor xi activity (85270) $47 $47 2.6×
Ferritin (82728) $41 $41 3.0×
Fetal Fibronectin (82731) $204 $204 3.2×
Fibrin degradation products (85362) $17 $17 2.5×
Fibrin Degradation Quant (85379) $29 $29 2.8×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$25–$47 $25–$47 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $32 $32 2.1×
Flecainide level (80181) $47 $47 2.5×
Flow cytometry first marker (88184) $289 $289 0.8×
Flt3 Gene (81245) $490 $490 3.0×
Flt3 gene analysis (81246) $246 $246 3.0×
Fluorescent antibody screen (86255) $69 $69 5.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $90 $90 7.5×
Folic Acid Serum (82746) $45 $45 3.1×
Follicle Stimulating Hormone (83001) $57 $57 3.1×
Frozen Section (88331) $148 $148 0.9×
Fungi Identification Mold (87107) $83 $83 8.0×
Fungi Identification Yeast (87106) $62 $62 6.0×
Gammaglobulin ige (82785) $50 $50 3.0×
Gases Blood O2 Saturation Only Direct Meas (82810) $45 $45 4.6×
Gases blood ph only (82800) $26 $26 2.4×
Gastric Analy W/Ph Ea Spec (82930) $11 $11 1.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,312 $3,312 4.4×
Gentamicin (80170) $101 $101 6.2×
Ggt (82977) $21 $21 2.9×
Giardia antigen (87329) $59 $59 4.9×
Glucose 2 hr pp (82950) $14 $14 2.9×
Glucose Blood Test (82962) $7 $7 2.1×
Glucose body fluid (82945)
range across 2 matching MRF lines
$10–$16 $10–$16 varies
Glucose Serum (82947) $24 $24 6.1×
Glucose tolerance test (gtt) (82951) $39 $39 3.0×
Gonadotropin Chorionic Qualitative (84703) $22 $22 2.9×
Growth hormone (83003) $49 $49 2.9×
Growth Hormone Stimulation Panel (80428) $389 $389 5.8×
Gtt-added samples (82952) $12 $12 3.1×
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines
$151–$168 $151–$168 varies
H Pylori Drug Admin (83014) $25 $25 3.2×
Haptoglobin (83010) $38 $38 3.0×
Hdl Cholesterol (83718) $25 $25 3.1×
Helicobacter Pylori Stool (87338) $75 $75 5.2×
Hematocrit (85014) $14 $14 5.9×
Hemoglobin (85018) $16 $16 6.8×
Hemoglobin a1c (83036) $19 $19 2.0×
Hemoglobin Chromotography (83021) $53 $53 2.9×
Hemoglobin electrophoresis (83020) $45 $45 3.5×
Hemoglobin Methemoglobin Quantitative (83050) $27 $27 3.3×
Hemoglobin plasma (83051) $22 $22 3.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $15 $15 1.6×
Hemolysins&Agglutinins Incubated (86941) $54 $54 4.5×
Hep a ab igm (86709) $85 $85 7.5×
Heparin assay (85520)
range across 4 matching MRF lines
$35–$53 $35–$53 varies
Heparin Neutralization (85525) $27 $27 2.3×
Hepatitis a antibody total (86708) $72 $72 5.8×
Hepatitis b core ab igm (86705) $90 $90 7.6×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$41–$93 $41–$93 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$36–$82 $36–$82 varies
Hepatitis B Surface Antigen (87340) $87 $87 8.4×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$48–$108 $48–$108 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $45 $45 1.3×
Hepatitis C Revrs Trnscrpj (87522) $309 $309 7.2×
Herpes simplex type 2 (86696) $102 $102 5.3×
Heterophile Antibody Screen (86308) $50 $50 9.7×
Hfe Gene (81256) $308 $308 4.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $22 $22 2.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$166–$204 $166–$204 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $446 $446 5.2×
Hla Class I Typing Low Resolution One Locus Each (81373) $319 $319 2.5×
Hla class i&ii antibody qual (86828) $160 $160 2.5×
Hla class ii high defin qual (86833) $815 $815 2.5×
Hla ii typing 1 allele hr (81383) $273 $273 2.5×
Hla-b27 (86812) $143 $143 5.5×
Homocysteine (83090) $65 $65 3.6×
Homogenization Tissue (87176) $34 $34 5.8×
Homovanillic acid urine (83150) $50 $50 2.2×
Hpv High-Risk Types (87624) $184 $184 5.2×
Hpv sep hi-rsk typ&pool rslt (87626) $176 $176 2.5×
Hsv Dna Amp Probe (87529) $162 $162 4.6×
Htlv-I Antibody (86687) $12 $12 1.3×
Htlv-ii antibody (86688) $47 $47 3.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $50 $50 4.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $88 $88 2.5×
Iaadiadoo trichomonas vaginalis (87808) $59 $59 3.9×
Iadna Cytomegalovirus Quantification (87497) $351 $351 8.2×
Iadna hepatitis b virus amplified probe tq (87516) $45 $45 1.3×
Iadna Hepatitis B Virus Quantification (87517) $364 $364 8.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $45 $45 1.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $104 $104 1.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $131 $131 3.7×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $335 $335 1.3×
Idh1 common variants (81120) $590 $590 3.1×
Idh2 common variants (81121) $590 $590 2.0×
Ig Light Chains Free Each (83521) $65 $65 3.8×
Igg subclasses (82787) $15 $15 1.9×
Igh gene rearrange amp meth (81261) $581 $581 2.9×
Igh@ Variable Region Somatic Mutation Analysis (81263) $736 $736 2.5×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $324 $324 1.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $289 $289 0.8×
Immunfix e-phorsis/urine/csf (86335) $204 $204 7.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $15.42 $15.42 1.0×
Immunoassay nonantibody (83516) $47 $47 4.1×
Immunofixation electrophoresis (86334) $135 $135 6.0×
Immunofluorescence per spec 1st singl antb stain (88346) $336 $336 2.0×
Immunohistochemistry (88342) $177 $177 1.0×
In situ hybridization 1st probe stain (88365) $290 $290 1.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $99 $99 1.4×
Influenza assay w/optic (87804) $48 $48 2.9×
Influenza DNA amp probe (87502) $311 $311 3.2×
Inhibin A (86336) $39 $39 2.5×
Inhibin b (83520)
range across 3 matching MRF lines
$35–$69 $35–$69 varies
Insitu hybridization manual (88368) $432 $432 1.2×
Insulin total (83525) $35 $35 3.1×
Iron (83540) $19 $19 2.9×
Iron Binding Capacity (83550) $27 $27 3.1×
Irradiation Blood Product Each Unit (86945) $38.54 $38.54 1.0×
Islet cell antibody (86341) $37.16 $37.16 1.6×
Jak2 gene analysis p.val617phe variant (81270) $388 $388 4.2×
Jak2 Gene Trgt Sequence Alys (81279) $673 $673 3.6×
Kit Gene Analysis Targeted Sequence Analysis (81272) $945 $945 2.9×
Koh Prep (87220) $25 $25 5.9×
Kras Gene Analysis Additional Variant(S) (81276) $440 $440 2.3×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$366–$440 $366–$440 varies
Lactate (ld) (ldh) enzyme (83615) $18 $18 3.0×
Lactoferrin fecal qualitative (83630) $40 $40 2.0×
LDL direct (83721) $45 $45 4.3×
Lead (83655) $31 $31 2.6×
Legionella antigen urine (87449) $30 $30 2.5×
Legionella pneumophila dfa (87278) $53 $53 3.4×
Level I Surg Pathology Gross Examination Only (88300) $64 $64 2.2×
Level ii surg pathology gross&microscopic exam (88302) $121 $121 3.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $390 $390 1.1×
Lidocaine (80176) $82 $82 5.6×
Lipase (83690) $21 $21 3.0×
Lipoprotein A (83695)
range across 2 matching MRF lines
$32–$79.07 $32–$79.07 varies
Lithium (80178) $41 $41 6.2×
Luteinizing Hormone (Lh) (83002) $57 $57 3.1×
Lyme disease antibody (86618) $139 $139 8.2×
M. Genitalium Amp Probe (87563)
range across 2 matching MRF lines
$179–$184 $179–$184 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $366 $366 2.2×
Macroscopic exam arthropod (87168) $11 $11 2.6×
Macroscopic Exam Parasite (87169) $32 $32 7.4×
Magnesium Urine (83735) $20 $20 3.0×
Methotrexate (80204) $80 $80 2.1×
Methylmalonic acid serum (83921) $78 $78 3.7×
Mgmt methylation analysis (81287) $548 $548 4.4×
Microalbumin, quantitative (82043) $18 $18 3.1×
Microsatellite instability (81301) $619 $619 1.8×
Microsomal Antibodies Each (86376) $119 $119 8.2×
Mitochondrial Antibody Each (86381) $116 $116 4.6×
Mlh1 Gene (81288) $548 $548 2.8×
Molecular Cytogenetics Dna Probe Each (88271) $132 $132 6.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $369 $369 8.7×
Molecular Pathology Procedure Level 6 (81405) $642 $642 2.1×
Mononuclear cell antigen (86356) $195 $195 7.3×
Mpl gene common variants (81338) $621 $621 4.1×
Mrsa Pcr (87641) $125 $125 3.6×
Mumps antibody (86735) $105 $105 8.0×
Mycophenolic Acid (80180) $45 $45 2.5×
Mycoplasma antibody (86738) $108 $108 8.2×
Mycoplasma culture (87109) $85 $85 5.5×
Myd88 Gene P.Leu265pro Vrnt (81305) $775 $775 4.4×
Myoglobin urine (83874) $32 $32 2.5×
Natriuretic peptide (83880) $70 $70 1.8×
Nk cells total count (86357) $141 $141 3.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $563 $563 2.3×
Nras gene variants exon 2&3 (81311) $622 $622 2.1×
Ntrk translocation analysis (81194) $1,535 $1,535 3.0×
Nuclear antigen antibody (86235) $44 $44 2.5×
Occult blood feces (82272) $17 $17 4.0×
Occult Blood Other Sources (82271) $11 $11 2.1×
Oligoclonal bands (83916) $58 $58 2.1×
Osmolality serum (83930) $20 $20 3.0×
Osmolality Urine (83935) $21 $21 3.1×
Ova and parasites smears (87177) $54 $54 6.1×
Oxalate urine (83945) $36 $36 2.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $652 $652 0.8×
Pathology Consultation During Surgery (88329) $71 $71 1.2×
Ph urine (81003)
range across 3 matching MRF lines
$10–$11 $10–$11 varies
Phenobarbital Level (80184) $77 $77 5.0×
Phenytoin (Dilantin) (80185) $89 $89 6.7×
Phenytoin free (80186) $93 $93 6.8×
Phosphatase alkaline (84075) $14 $14 2.7×
Phosphorus Serum (84100) $14 $14 3.0×
Phosphorus urine (84105) $15 $15 2.6×
Pinworm exam (87172) $36 $36 8.4×
Platelet Aggregation (85576)
range across 5 matching MRF lines
$59–$121 $59–$121 varies
Platelet Antibodies (86022) $226 $226 12.3×
Platelet count automated (85049) $18 $18 4.0×
Potassium Urine (84133) $13 $13 2.7×
Prealbumin (84134) $45 $45 3.1×
Primidone (80188) $41 $41 2.5×
Procalcitonin (Pct) (84145) $50 $50 1.8×
Progesterone (84144) $64 $64 3.1×
Prolactin (84146) $59 $59 3.0×
Protein body fluid (84157) $13 $13 3.3×
Protein C Activity (85303) $40 $40 2.9×
Protein Electrophoresis Urine (84166) $60 $60 3.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $44 $44 4.1×
Protein S Free (85306) $34 $34 2.2×
Protein total serum (84155) $11 $11 3.0×
Protein Total Urine (84156) $13 $13 3.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $10 $10 2.5×
PSA free (84154) $54 $54 2.9×
Pth Intact (83970) $126 $126 3.1×
Quantiferon tb gold plus (86480) $205 $205 3.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$47–$286 $47–$286 varies
Rbc antibody elution (86860)
range across 2 matching MRF lines
$44–$62.23 $44–$62.23 varies
Rbc antibody identification (86870)
range across 2 matching MRF lines
$107–$331 $107–$331 varies
Rbc antibody screen (86850) $56 $56 5.7×
Rbc pretreatment serum (86978) $133 $133 2.3×
Renin activity plasma (84244) $38 $38 1.7×
Resp virus 12-25 targets (87633) $1,093 $1,093 2.6×
Reticulated Platelet Assay (85055) $38 $38 1.1×
Reticulocyte Count (85046) $12 $12 2.2×
Rh (86901)
range across 2 matching MRF lines
$16–$37 $16–$37 varies
Rheumatoid factor quant (86431) $50 $50 8.8×
Rpr qualitative (86592)
range across 3 matching MRF lines
$13–$37 $13–$37 varies
Rubella Antibody (86762) $101 $101 7.0×
Rubeola antibody (86765) $117 $117 9.1×
Russell Viper Venom Time Diluted (85613) $27 $27 2.8×
Salicylate Level (80179) $40 $40 2.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $217.50 $217.50 4.2×
Sars-cov-2 COVID-19 antibody (86769) $60 $60 1.4×
Sarscov2&inf a&b&rsv amp prb (87637) $294.29 $294.29 2.1×
Sedimentation Rate, Automated (85652) $16 $16 5.9×
Selenium (84255) $64 $64 2.5×
Sensitivity mic (87186) $53 $53 6.1×
Sex Hormone Binding Globulin (84270) $54 $54 2.5×
Sickling of rbc reduction (85660) $32 $32 5.8×
Sirolimus (80195) $103 $103 7.5×
Skin test tuberculosis intradermal (86580) $108 $108 3.7×
Smear acid fast (87206) $31 $31 5.8×
Smear complex stain (87209) $101 $101 5.6×
Smear gram stain (87205) $25 $25 5.9×
Smear Special Stain (87207) $28 $28 4.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $68 $68 11.7×
Snrpn/Ube3a Methylation Analysis (81331) $200 $200 3.9×
Sodium Serum (84295) $13 $13 2.7×
Sodium Urine (84300) $14 $14 2.8×
Somatomedin (84305) $36 $36 1.7×
Special Stains Group 1 (88312) $218 $218 4.2×
Special Stains Group 2 (88313) $195 $195 1.5×
Specimen infect agnt concntj (87015) $14 $14 2.1×
Spectrophotometry (84311) $20 $20 2.5×
Splitting Blood/Blood Products Each Unit (86985) $67.51 $67.51 0.4×
Stem cells total count (86367)
range across 3 matching MRF lines
$284.90–$491 $284.90–$491 varies
Strep a assay w/optic (87880) $59 $59 3.6×
Strep a DNA amp probe (87651) $74 $74 2.1×
Strep b DNA amp probe (87653) $162 $162 4.6×
Surg path level iii (88304) $144 $144 2.8×
Surgical pathology level IV (88305) $234 $234 4.5×
Surgical pathology level vi (88309) $652 $652 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $15 $15 3.2×
Susceptibility Study Antimicrobial Disk Method (87184) $42 $42 5.6×
Sweat Collection Iontophoresis (89230) $135 $135 2.6×
Syphilis Test Non-Trep Quant (86593) $40 $40 9.1×
T cells absolute cd4 count (86361) $140 $140 5.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $262 $262 5.6×
T cells total count (86359)
range across 2 matching MRF lines
$243–$318 $243–$318 varies
T3 Free (84481) $52 $52 3.1×
T3 Total (84480) $43 $43 3.0×
T4 Free (84439) $27 $27 3.0×
T4 total (84436) $17 $17 2.5×
Tacrolimus (80197) $77 $77 5.6×
Testosterone total (84403)
range across 3 matching MRF lines
$8–$72 $8–$72 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$10.57–$55 $10.57–$55 varies
Tgsap so/hl 51/< RNA alys (81456) $4,198 $4,198 1.4×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$2,981–$3,578 $2,981–$3,578 varies
Theophylline (80198) $86 $86 6.1×
Thiocyanate (84430) $33 $33 2.8×
Thrombin Time (85670) $9 $9 1.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $18 $18 2.8×
Thyroglobulin (84432) $40 $40 2.5×
Thyroglobulin Antibody (86800) $74 $74 4.7×
Thyroid Stimulating Immunoglobulin (84445) $105 $105 2.1×
Tiss cul neo disorders solid tumor (88239) $711 $711 4.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $87 $87 7.5×
Tissue Culture (88233) $711 $711 5.1×
Tissue Culture Amniotic Fluid (88235) $647 $647 4.3×
Tissue culture bone marrow (88237) $569 $569 4.0×
Tissue Culture Lymphocyte (88230) $517 $517 4.4×
Tobramycin peak (80200) $100 $100 6.2×
Topiramate (80201) $30 $30 2.5×
Toxoplasma ab igm (86778) $117 $117 8.1×
Toxoplasma antibody (86777) $117 $117 8.1×
Transferase Aspartate Amino Ast Sgot (84450) $15 $15 2.9×
Transferrin (84466) $36 $36 2.8×
Trg gene rearrangement anal (81342) $591 $591 2.9×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$179–$184 $179–$184 varies
Triglycerides (84478) $18 $18 3.1×
Troponin Quant (84484) $30 $30 2.4×
Tumor Immunohistochem/Manual (88360) $188 $188 1.1×
Urea Nitrogen Clearance (84545) $17 $17 2.4×
Urea nitrogen urine (84540) $13 $13 2.3×
Uric acid other source (84560) $14 $14 2.8×
Urine Pregnancy Test (81025) $18 $18 2.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $17 $17 5.4×
Valproic acid (80164) $92 $92 6.8×
Vancomycin (80202) $92 $92 6.8×
Varicella-zoster antibody (86787) $109 $109 8.5×
Viral Culture (87252) $144 $144 5.5×
Virus inoculation, shell via (87254) $111 $111 5.7×
Viscosity serum (85810) $34 $34 2.9×
Vit D 1 25-Dihydroxy (82652) $79 $79 2.1×
Vitamin A (84590) $31 $31 2.7×
Vitamin b-12 (82607) $46 $46 3.1×
Vitamin D 25-Hydroxy (82306) $91 $91 3.1×
Vitamin E (84446) $37 $37 2.6×
Volume Reduction Blood/Blood Product Each Unit (86960) $35.76 $35.76 0.2×
Von willebrand factor ag (85246) $60 $60 2.6×
Zinc (84630) $32 $32 2.8×

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.