Lab & pathology prices at Corewell Health Pennock Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $92 $92 2.4×
Acth Stimulation Panel Adrenal Insufficiency (80400) $385 $385 11.8×
Acute hepatitis panel (80074) $148 $148 3.1×
Albumin Fluid (82042) $20 $20 2.6×
Albumin serum (82040) $20 $20 4.0×
Aldosterone urine (82088) $94 $94 2.3×
Alkaline phosphatase isoenzymes (84080) $39 $39 2.6×
Allergen specific ige (86003) $41 $41 7.9×
Allg Spec Ige Recomb Ea (86008) $74 $74 4.1×
Alpha-1-antitrypsin total (82103) $50 $50 3.7×
Alpha-Fetoprotein Serum (82105) $66 $66 3.9×
Alt (sgpt) (84460) $22 $22 4.2×
Amikacin trough (80150) $160 $160 10.6×
Ammonia (82140) $59 $59 4.0×
Amniotic fluid protein test on cervicovaginal fluid (84112) $263 $263 2.7×
Amylase urine (82150)
range across 4 matching MRF lines
$26–$27 $26–$27 varies
Ana Titer (86039) $97 $97 8.7×
Anca screen each antibody (86036) $86 $86 7.1×
Angiotensin converting enzyme csf (82164) $52 $52 3.6×
Antibody Cytomegalovirus Cmv Igm (86645) $171 $171 10.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $132 $132 10.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $156 $156 10.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $184 $184 10.1×
Antibody Herpes Smplx Type 1 (86695) $136 $136 10.3×
Antibody HIV-1&HIV-2 single result (86703) $107 $107 7.8×
Antibody Hla Class I High Definition Panel Qual (86832) $1,012 $1,012 3.1×
Antibody htlv/HIV antibody confirmatory test (86689) $229 $229 11.8×
Antibody Titer (86886) $87 $87 16.8×
Antibody Treponema Pallidum (86780) $118 $118 8.9×
Antigen typing (86905)
range across 2 matching MRF lines
$40–$414 $40–$414 varies
Antinuclear antibodies (86038) $125 $125 10.3×
Antistreptolysin o titer (86060) $67 $67 9.2×
Antithrombin iii activity (85300) $56 $56 4.7×
Assay activated protein c (85307) $48 $48 3.1×
Assay Blood Carbon Dioxide (82374) $45 $45 9.2×
Assay of 5-hiaa (83497) $48 $48 3.7×
Assay of blood/uric acid (84550) $18 $18 4.0×
Assay of calcium in urine (82340) $24 $24 4.0×
Assay of g6pd enzyme (82955) $30 $30 3.1×
Assay of gammaglobulin igm (82784) $37 $37 4.0×
Assay of lactic acid (83605) $42 $42 3.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$26–$37 $26–$37 varies
Assay of urea nitrogen (84520) $17 $17 4.3×
Assay of urine vma (84585) $57 $57 3.7×
Assay of vitamin b-1 (84425) $64 $64 3.0×
Assay Ph Body Fluid Nos (83986) $14 $14 3.9×
Assay spec xcp ur&breath ia (82077) $78 $78 4.5×
Automated Leukocyte Count (85048) $13 $13 5.1×
B cells total count (86355) $263 $263 7.0×
Bcr/abl1 gene major bp (81206) $315 $315 1.9×
Bcr/abl1 gene minor bp (81207) $315 $315 2.2×
Beta 2 glycoprotein i antibody each (86146) $153 $153 6.0×
Beta hydroxybutyrate (82010) $33 $33 4.0×
Beta Lactamase (87185) $22 $22 4.6×
Beta-2 Microglobulin (82232) $42 $42 2.6×
Bilirubin direct (82248) $22 $22 4.4×
Bilirubin total (82247)
range across 2 matching MRF lines
$16–$22 $16–$22 varies
Bilirubin total transcutaneous (88720) $19 $19 3.8×
Bl Smear W/O Diff Wbc Count (85008) $26 $26 7.6×
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) $26 $26 6.8×
Blood gas (82803)
range across 2 matching MRF lines
$70–$97 $70–$97 varies
Blood gases w/02 saturation (82805) $113 $113 1.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $50 $50 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $22 $22 5.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $383 $383 60.3×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$16–$160 $16–$160 varies
Body fluid cell count (89050) $40 $40 8.5×
Bone marrow smear interpretation (85097) $932 $932 1.2×
Braf gene analysis (81210)
range across 2 matching MRF lines
$374–$900 $374–$900 varies
Breath Alcohol Test (82075) $45 $45 1.5×
C diff amplified probe (87493) $178 $178 4.8×
C-Peptide (84681) $75 $75 3.6×
C-reactive protein (86140) $44 $44 8.5×
Ca 19-9 (86301) $224 $224 10.8×
Calcium ionized (82330)
range across 2 matching MRF lines
$57–$67 $57–$67 varies
Calcium total (82310) $19 $19 3.7×
Calculus Spectroscopy (82365) $13.60 $13.60 1.1×
Calprotectin Fecal (83993) $61 $61 3.1×
Calr gene com variants (81219) $580 $580 4.8×
Cancer Antigen 125 (86304) $246 $246 11.8×
Cancer Antigen 27.29 (86300) $224 $224 10.8×
Carbamazepine total (80156) $124 $124 8.5×
Carboxyhemoglobin (82375) $122 $122 9.9×
Carcinoembryonic antigen (82378) $75 $75 4.0×
Cardiolipin ab iga (86147) $236 $236 9.3×
Catecholamines fractionated (82384) $53 $53 2.1×
Ccnd1/Igh Translocation Alys (81168) $405 $405 2.0×
Ccp antibody (86200) $91 $91 7.0×
Cell count csf (89051) $47 $47 8.4×
Cellular Function Assay Stimul&Detect Biomarke (86352) $1,240 $1,240 9.1×
Ceruloplasmin (82390) $42 $42 3.9×
Chemiluminescent assay (82397) $36 $36 2.5×
Chimerism w/comp to baseline w/cell selection ea (81268) $1,130 $1,130 4.3×
Chimerism w/comp to baseline w/o cell selection (81267) $1,130 $1,130 5.4×
Chlmy trch&neisra gonor mult (87494) $219 $219 3.1×
Chloride Serum (82435) $17 $17 3.7×
Chloride urine (82436) $20 $20 3.5×
Cholesterol total (82465) $18 $18 4.1×
Chorionic gonadotropin test (84702) $48 $48 3.2×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $731 $731 3.9×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $184 $184 6.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $184 $184 5.5×
Chromogranin a (86316) $65 $65 3.1×
Chromosome Analysis 15-20 (88262) $1,006 $1,006 8.0×
Chromosome Analysis 20-25 (88264) $999 $999 6.9×
Chromosome analysis, 5 (88261) $884 $884 3.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$140–$144 $140–$144 varies
Citric acid urine (82507) $88 $88 3.2×
Clostridium Difficile (87324) $66 $66 5.5×
Clotting factor xii hageman (85280) $75 $75 3.9×
Clotting Funct Activity (85397) $99 $99 3.2×
Cns DNA amp probe type 12-25 (87483) $1,348 $1,348 3.2×
Cold agglutinin titer (86157) $65 $65 8.1×
Collagen crosslinks (82523) $90 $90 4.8×
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 2 matching MRF lines
$436–$2,228 $436–$2,228 varies
Compatibility test antiglob (86922) $212 $212 1.2×
Complement Antigen Each Component (86160) $102 $102 8.5×
Complement Total (Ch50) (86162) $53 $53 2.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $360 $360 6.9×
Coombs direct (86880)
range across 2 matching MRF lines
$29–$90 $29–$90 varies
Copper urine (82525) $39 $39 3.1×
Cortisol saliva (82533) $65 $65 4.0×
Creatine kinase total (82550) $27 $27 4.1×
Creatinine blood (82565)
range across 2 matching MRF lines
$20–$40 $20–$40 varies
Creatinine clearance (82575) $38 $38 4.0×
Creatinine Urine (82570) $20 $20 3.9×
Crossmatch electronic (86923) $212 $212 1.2×
Crossmatch immediate spin (86920) $212 $212 1.2×
Crp High Sensitivity (86141) $148 $148 11.4×
Cryoglobulin (82595) $54 $54 8.3×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $170 $170 13.0×
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$61–$68 $61–$68 varies
Cryptosporidium ag eia (87328) $66 $66 4.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $75 $75 9.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $86 $86 10.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $50 $50 6.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $526 $526 2.4×
Culture aerobic quant other (87071) $44 $44 4.4×
Culture afb (87116) $72 $72 6.7×
Culture Anaerobic (87075) $63 $63 6.7×
Culture blood (87040) $68 $68 6.6×
Culture csf (87070) $58 $58 6.7×
Culture fungus (87102) $57 $57 6.8×
Culture fungus blood (87103) $59 $59 2.9×
Culture screen only (87081)
range across 3 matching MRF lines
$44–$60 $44–$60 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $32 $32 6.2×
Culture urine (87086) $55 $55 6.8×
Cyclosporine (80158) $139 $139 7.7×
Cystatin C (82610) $56 $56 3.0×
Cytogenetics 10-30 (88273) $472 $472 13.6×
Cytogenetics 100-300 (88275) $389 $389 7.6×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$936–$2,116 $936–$2,116 varies
Cytogenomic neo microra alys (81277) $2,419 $2,419 2.1×
Cytomegalovirus igg (86644) $147 $147 10.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $143 $143 7.1×
Cytopath Cell Enhance Tech (88112) $292 $292 5.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $143 $143 5.4×
Cytp Concentration Smears & Interpretation (88108) $148 $148 4.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $233 $233 4.5×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $185 $185 1.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $184 $184 6.4×
Cytp Urine 3-5 Probes Cmptr (88121) $1,343 $1,343 7.9×
Detect Agent Nos Dna Amp (87798) $127 $127 3.6×
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$119–$310 $119–$310 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$526–$1,297 $526–$1,297 varies
Dgp Antibody Each Ig Class (86258) $113 $113 9.4×
Dhea-S (82627) $84 $84 3.8×
Digoxin (80162) $113 $113 8.5×
Dipropylacetic Acid Free (80165) $109 $109 8.1×
Dna Antibody Native/Double Stranded (86225) $141 $141 10.3×
Drug assay acetaminophen (80143) $141 $141 7.6×
Drug Assay Everolimus (80169) $118 $118 8.6×
Drug Assay Lacosamide (80235) $70 $70 2.6×
Drug Assay Posaconazole (80187) $91 $91 3.4×
Drug assay voriconazole (80285) $91 $91 3.4×
Drug Screen Quant Clozapine (80159) $101 $101 5.0×
Drug Screen Quant Zonisamide (80203) $41 $41 3.1×
Drug Screen Quantitative Gabapentin (80171) $51 $51 2.4×
Drug Screen Quantitative Lamotrigine (80175) $101 $101 7.6×
Drug Screen Quantitative Levetiracetam (80177) $113 $113 8.5×
Drug Screen Quantitative Oxcarbazepine (80183) $41 $41 3.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$77–$348 $77–$348 varies
Drug Test Prsmv Dir Opt Obs (80305) $44 $44 3.5×
Egfr Gene Analysis Common Variants (81235) $1,332 $1,332 4.1×
El-1 Fecal Quantitative (82653) $72 $72 3.1×
Electrolyte panel (80051) $28 $28 4.0×
Electron Microscopy (88348) $1,143 $1,143 1.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $145 $145 12.0×
Enterovirus PCR (87498) $178 $178 5.1×
Enzyme histochemistry (88319) $815 $815 1.0×
Erythropoietin (82668) $49 $49 2.6×
Estradiol serum (82670) $111 $111 4.0×
Estriol (82677) $75 $75 3.1×
Ethylene Glycol (82693) $54 $54 3.6×
Exam Synovial Fluid Crystals (89060) $104 $104 14.2×
F2 Gene (81240) $692 $692 10.5×
Factor ii activity (85210) $51 $51 3.9×
Factor ix activity (85250) $91 $91 4.8×
Factor v activity (85220) $84 $84 4.8×
Factor v leiden mutation (81241) $392 $392 5.3×
Factor vii assay (85230) $84 $84 4.7×
Factor viii assay (85240) $84 $84 4.7×
Factor X (85260) $84 $84 4.7×
Factor xi activity (85270) $76 $76 4.2×
Ferritin (82728) $54 $54 4.0×
Fetal Fibronectin (82731) $266 $266 4.1×
Fibrin degradation products (85362) $28 $28 4.1×
Fibrin Degradation Quant (85379) $47 $47 4.6×
Fibrinogen activity (85384) $40 $40 4.1×
Flecainide level (80181) $59 $59 3.2×
Flow cytometry first marker (88184) $363 $363 1.0×
Flt3 Gene (81245) $552 $552 3.3×
Flt3 gene analysis (81246) $277 $277 3.3×
Fluorescent antibody screen (86255) $86 $86 7.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $120 $120 10.0×
Folic Acid Serum (82746) $59 $59 4.0×
Follicle Stimulating Hormone (83001) $75 $75 4.0×
Frozen Section (88331) $185 $185 1.1×
Fungi Identification Mold (87107) $91 $91 8.8×
Fungi Identification Yeast (87106) $68 $68 6.6×
Gammaglobulin ige (82785) $66 $66 4.0×
Gases blood ph only (82800) $34 $34 3.1×
Gastric Analy W/Ph Ea Spec (82930) $15 $15 2.2×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,726 $3,726 4.9×
Gentamicin (80170) $126 $126 7.7×
Ggt (82977) $28 $28 3.9×
Giardia antigen (87329) $66 $66 5.5×
Glucose 2 hr pp (82950) $19 $19 4.0×
Glucose Blood Test (82962) $9 $9 2.7×
Glucose body fluid (82945)
range across 2 matching MRF lines
$13–$22 $13–$22 varies
Glucose Serum (82947) $32 $32 8.1×
Glucose tolerance test (gtt) (82951) $52 $52 4.0×
Gonadotropin Chorionic Qualitative (84703) $29 $29 3.9×
Growth hormone (83003) $65 $65 3.9×
Growth Hormone Stimulation Panel (80428) $488 $488 7.3×
Gtt-added samples (82952) $17 $17 4.3×
H Pylori (C-13) Breath (83013) $213 $213 3.2×
H Pylori Drug Admin (83014) $33 $33 4.2×
Haptoglobin (83010) $51 $51 4.1×
Hdl Cholesterol (83718) $33 $33 4.0×
Helicobacter Pylori Stool (87338) $82 $82 5.7×
Hematocrit (85014) $23 $23 9.7×
Hemoglobin (85018) $26 $26 11.0×
Hemoglobin a1c (83036) $26 $26 2.7×
Hemoglobin Chromotography (83021) $69 $69 3.8×
Hemoglobin electrophoresis (83020) $59 $59 4.6×
Hemoglobin Methemoglobin Quantitative (83050) $36 $36 4.4×
Hemoglobin plasma (83051) $29 $29 4.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $20 $20 2.1×
Hemolysins&Agglutinins Incubated (86941) $68 $68 5.6×
Hep a ab igm (86709) $107 $107 9.5×
Heparin assay (85520)
range across 4 matching MRF lines
$56–$85 $56–$85 varies
Heparin Neutralization (85525) $45 $45 3.8×
Hepatitis a antibody total (86708) $91 $91 7.3×
Hepatitis b core ab igm (86705) $114 $114 9.7×
Hepatitis b core ab total (86704) $116 $116 9.6×
Hepatitis B Surface Antibody (86706) $104 $104 9.7×
Hepatitis B Surface Antigen (87340) $95 $95 9.2×
Hepatitis C Antibody (86803) $136 $136 9.5×
Hepatitis C Revrs Trnscrpj (87522) $338 $338 7.9×
Herpes simplex type 2 (86696) $128 $128 6.6×
Heterophile Antibody Screen (86308) $63 $63 12.2×
Hfe Gene (81256) $346 $346 5.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $36 $36 4.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$188–$224 $188–$224 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $489 $489 5.7×
Hla Class I Typing Low Resolution One Locus Each (81373) $398 $398 3.1×
Hla class i&ii antibody qual (86828) $201 $201 3.1×
Hla class ii high defin qual (86833) $1,018 $1,018 3.1×
Hla ii typing 1 allele hr (81383) $341 $341 3.1×
Hla-b27 (86812) $179 $179 6.9×
Homocysteine (83090) $85 $85 4.7×
Homogenization Tissue (87176) $39 $39 6.6×
Homovanillic acid urine (83150) $66 $66 2.9×
Hpv High-Risk Types (87624) $202 $202 5.8×
Hpv sep hi-rsk typ&pool rslt (87626) $220 $220 3.1×
Hsv Dna Amp Probe (87529) $178 $178 5.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $55 $55 5.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $68 $68 1.9×
Iaadiadoo trichomonas vaginalis (87808) $66 $66 4.3×
Iadna Cytomegalovirus Quantification (87497) $385 $385 9.0×
Iadna Hepatitis B Virus Quantification (87517) $399 $399 9.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $130 $130 1.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $144 $144 4.1×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $367 $367 1.4×
Idh1 common variants (81120) $664 $664 3.4×
Idh2 common variants (81121) $664 $664 2.2×
Ig Light Chains Free Each (83521) $85 $85 4.9×
Igg subclasses (82787) $20 $20 2.5×
Igh gene rearrange amp meth (81261) $653 $653 3.3×
Igh@ Variable Region Somatic Mutation Analysis (81263) $663 $663 2.3×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $364 $364 1.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $363 $363 1.0×
Immunfix e-phorsis/urine/csf (86335) $256 $256 8.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $15.42 $15.42 1.0×
Immunoassay nonantibody (83516) $62 $62 5.4×
Immunofixation electrophoresis (86334) $170 $170 7.6×
Immunofluorescence per spec 1st singl antb stain (88346) $420 $420 2.5×
Immunohistochemistry (88342) $221 $221 1.3×
In situ hybridization 1st probe stain (88365) $364 $364 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $99 $99 1.4×
Influenza assay w/optic (87804) $53 $53 3.2×
Influenza DNA amp probe (87502) $341 $341 3.6×
Inhibin A (86336) $49 $49 3.1×
Inhibin b (83520)
range across 3 matching MRF lines
$46–$90 $46–$90 varies
Insitu hybridization manual (88368) $541 $541 1.5×
Insulin total (83525) $46 $46 4.0×
Iron (83540) $26 $26 4.0×
Iron Binding Capacity (83550) $36 $36 4.1×
Islet cell antibody (86341) $37.16 $37.16 1.6×
Jak2 gene analysis p.val617phe variant (81270) $436 $436 4.8×
Jak2 Gene Trgt Sequence Alys (81279) $757 $757 4.1×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,063 $1,063 3.2×
Koh Prep (87220) $28 $28 6.6×
Kras Gene Analysis Additional Variant(S) (81276) $495 $495 2.6×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$412–$495 $412–$495 varies
Lactate (ld) (ldh) enzyme (83615) $24 $24 4.0×
Lactoferrin fecal qualitative (83630) $52 $52 2.6×
LDL direct (83721) $60 $60 5.7×
Lead (83655) $41 $41 3.4×
Legionella antigen urine (87449) $54 $54 4.5×
Legionella pneumophila dfa (87278) $58 $58 3.7×
Level I Surg Pathology Gross Examination Only (88300) $81 $81 2.8×
Level ii surg pathology gross&microscopic exam (88302) $152 $152 4.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $489 $489 1.4×
Lidocaine (80176) $104 $104 7.1×
Lipase (83690) $28 $28 4.1×
Lipoprotein A (83695)
range across 2 matching MRF lines
$50–$79.07 $50–$79.07 varies
Lithium (80178) $52 $52 7.9×
Luteinizing Hormone (Lh) (83002) $75 $75 4.0×
Lyme disease antibody (86618) $174 $174 10.2×
M. Genitalium Amp Probe (87563)
range across 2 matching MRF lines
$196–$202 $196–$202 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $458 $458 2.7×
Macroscopic exam arthropod (87168) $33 $33 7.7×
Macroscopic Exam Parasite (87169) $76 $76 17.6×
Magnesium Urine (83735) $27 $27 4.0×
Methotrexate (80204) $101 $101 2.6×
Methylmalonic acid serum (83921) $102 $102 4.8×
Microalbumin, quantitative (82043) $23 $23 4.0×
Microsatellite instability (81301) $697 $697 2.0×
Microsomal Antibodies Each (86376) $150 $150 10.3×
Mitochondrial Antibody Each (86381) $145 $145 5.7×
Mlh1 Gene (81288) $616 $616 3.2×
Molecular Cytogenetics Dna Probe Each (88271) $166 $166 7.7×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $461 $461 10.9×
Molecular Pathology Procedure Level 6 (81405) $723 $723 2.4×
Mononuclear cell antigen (86356) $245 $245 9.1×
Mpl gene common variants (81338) $698 $698 4.6×
Mrsa Pcr (87641) $138 $138 3.9×
Mumps antibody (86735) $132 $132 10.1×
Mycophenolic Acid (80180) $56 $56 3.1×
Mycoplasma antibody (86738) $136 $136 10.3×
Mycoplasma culture (87109) $94 $94 6.1×
Myd88 Gene P.Leu265pro Vrnt (81305) $872 $872 5.0×
Myoglobin urine (83874) $40 $40 3.1×
Natriuretic peptide (83880) $92 $92 2.3×
Nk cells total count (86357) $177 $177 4.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $634 $634 2.6×
Nras gene variants exon 2&3 (81311) $700 $700 2.4×
Ntrk translocation analysis (81194) $1,727 $1,727 3.3×
Nuclear antigen antibody (86235) $56 $56 3.1×
Occult blood feces (82272) $22 $22 5.2×
Occult Blood Other Sources (82271) $15 $15 2.8×
Oligoclonal bands (83916) $76 $76 2.8×
Osmolality serum (83930) $27 $27 4.1×
Osmolality Urine (83935) $28 $28 4.1×
Ova and parasites smears (87177) $59 $59 6.6×
Oxalate urine (83945) $45 $45 3.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $815 $815 1.0×
Pathology Consultation During Surgery (88329) $89 $89 1.5×
Ph urine (81003)
range across 2 matching MRF lines
$13–$15 $13–$15 varies
Phenobarbital Level (80184) $97 $97 6.3×
Phenytoin (Dilantin) (80185) $113 $113 8.5×
Phenytoin free (80186) $116 $116 8.4×
Phosphatase alkaline (84075) $19 $19 3.7×
Phosphorus Serum (84100) $19 $19 4.0×
Phosphorus urine (84105) $20 $20 3.5×
Pinworm exam (87172) $40 $40 9.4×
Platelet Aggregation (85576)
range across 4 matching MRF lines
$95–$168 $95–$168 varies
Platelet Antibodies (86022) $283 $283 15.4×
Platelet count automated (85049) $30 $30 6.7×
Potassium Urine (84133) $18 $18 3.8×
Prealbumin (84134) $59 $59 4.0×
Primidone (80188) $51 $51 3.1×
Procalcitonin (Pct) (84145) $66 $66 2.4×
Progesterone (84144) $84 $84 4.0×
Prolactin (84146) $78 $78 4.0×
Protein body fluid (84157) $18 $18 4.5×
Protein C Activity (85303) $64 $64 4.6×
Protein Electrophoresis Urine (84166) $79 $79 4.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $57 $57 5.3×
Protein S Free (85306) $55 $55 3.6×
Protein total serum (84155) $15 $15 4.1×
Protein Total Urine (84156) $18 $18 4.9×
Prothrombin Time Substitution Plasma Frctj Each (85611) $17 $17 4.3×
PSA free (84154) $70 $70 3.8×
Pth Intact (83970) $165 $165 4.0×
Quantiferon tb gold plus (86480) $258 $258 4.2×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$59–$358 $59–$358 varies
Rbc antibody elution (86860)
range across 2 matching MRF lines
$44–$78 $44–$78 varies
Rbc antibody identification (86870)
range across 2 matching MRF lines
$107–$414 $107–$414 varies
Rbc antibody screen (86850) $70 $70 7.2×
Rbc pretreatment serum (86978) $133 $133 2.3×
Renin activity plasma (84244) $51 $51 2.3×
Resp virus 12-25 targets (87633) $1,196 $1,196 2.9×
Reticulated Platelet Assay (85055) $62 $62 1.7×
Reticulocyte Count (85046) $21 $21 3.8×
Rh (86901) $16 $16 5.4×
Rheumatoid factor quant (86431) $63 $63 11.1×
Rpr qualitative (86592)
range across 2 matching MRF lines
$11–$47 $11–$47 varies
Rsv Assay W/Optic (87807) $55 $55 4.2×
Rubella Antibody (86762) $126 $126 8.8×
Rubeola antibody (86765) $147 $147 11.4×
Russell Viper Venom Time Diluted (85613) $45 $45 4.7×
Salicylate Level (80179) $51 $51 2.7×
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) $26 $26 9.6×
Selenium (84255) $80 $80 3.1×
Semen analysis motility and count (89310) $28 $28 3.3×
Sensitivity mic (87186) $58 $58 6.7×
Sex Hormone Binding Globulin (84270) $70 $70 3.2×
Sickling of rbc reduction (85660) $52 $52 9.4×
Sirolimus (80195) $130 $130 9.5×
Skin test tuberculosis intradermal (86580) $136 $136 4.7×
Smear acid fast (87206) $35 $35 6.5×
Smear complex stain (87209) $112 $112 6.2×
Smear gram stain (87205) $28 $28 6.6×
Smear Special Stain (87207) $32 $32 5.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $76 $76 13.1×
Snrpn/Ube3a Methylation Analysis (81331) $225 $225 4.4×
Sodium Serum (84295) $18 $18 3.7×
Sodium Urine (84300) $19 $19 3.8×
Somatomedin (84305) $48 $48 2.3×
Special Stains Group 1 (88312) $274 $274 5.3×
Special Stains Group 2 (88313) $244 $244 1.8×
Specimen infect agnt concntj (87015) $16 $16 2.4×
Spectrophotometry (84311) $25 $25 3.1×
Strep a assay w/optic (87880) $66 $66 4.0×
Strep a DNA amp probe (87651) $110 $110 3.1×
Strep b DNA amp probe (87653) $178 $178 5.1×
Surg path level iii (88304) $181 $181 3.5×
Surgical pathology level IV (88305) $292 $292 5.6×
Surgical pathology level vi (88309) $815 $815 1.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $17 $17 3.6×
Susceptibility Study Antimicrobial Disk Method (87184) $46 $46 6.1×
Syphilis Test Non-Trep Quant (86593) $51 $51 11.6×
T cells absolute cd4 count (86361) $176 $176 6.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $328 $328 7.0×
T cells total count (86359) $305 $305 8.1×
T3 Free (84481) $68 $68 4.0×
T3 Total (84480) $56 $56 3.9×
T4 Free (84439) $37 $37 4.1×
T4 total (84436) $22 $22 3.2×
Tacrolimus (80197) $97 $97 7.1×
Testosterone total (84403)
range across 3 matching MRF lines
$8–$95 $8–$95 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$10.57–$73 $10.57–$73 varies
Tgsap so/hl 51/< RNA alys (81456) $4,723 $4,723 1.6×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$3,353–$4,026 $3,353–$4,026 varies
Theophylline (80198) $108 $108 7.6×
Thiocyanate (84430) $43 $43 3.7×
Thrombin Time (85670) $16 $16 2.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $30 $30 4.6×
Thyroglobulin (84432) $50 $50 3.1×
Thyroglobulin Antibody (86800) $93 $93 5.8×
Thyroid Stimulating Immunoglobulin (84445) $132 $132 2.6×
Tiss cul neo disorders solid tumor (88239) $890 $890 6.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $109 $109 9.5×
Tissue Culture (88233) $890 $890 6.3×
Tissue Culture Amniotic Fluid (88235) $810 $810 5.4×
Tissue culture bone marrow (88237) $712 $712 5.0×
Tissue Culture Lymphocyte (88230) $647 $647 5.6×
Tobramycin peak (80200) $125 $125 7.7×
Topiramate (80201) $38 $38 3.2×
Toxoplasma ab igm (86778) $147 $147 10.2×
Toxoplasma antibody (86777) $147 $147 10.2×
Transferase Aspartate Amino Ast Sgot (84450) $20 $20 3.9×
Transferrin (84466) $47 $47 3.7×
Trg gene rearrangement anal (81342) $665 $665 3.3×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$196–$202 $196–$202 varies
Triglycerides (84478) $23 $23 4.0×
Troponin Quant (84484) $40 $40 3.2×
Tumor Immunohistochem/Manual (88360) $235 $235 1.4×
Urea Nitrogen Clearance (84545) $22 $22 3.1×
Urea nitrogen urine (84540) $18 $18 3.2×
Uric acid other source (84560) $19 $19 3.7×
Urine Albumin Semiquantitative (82044) $12 $12 1.9×
Urine Pregnancy Test (81025) $23 $23 2.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $22 $22 6.9×
Valproic acid (80164) $115 $115 8.5×
Vancomycin (80202) $115 $115 8.5×
Varicella-zoster antibody (86787) $137 $137 10.6×
Viral Culture (87252) $158 $158 6.1×
Virus inoculation, shell via (87254) $122 $122 6.2×
Viscosity serum (85810) $55 $55 4.7×
Vit D 1 25-Dihydroxy (82652) $99 $99 2.6×
Vitamin A (84590) $41 $41 3.5×
Vitamin b-12 (82607) $61 $61 4.0×
Vitamin D 25-Hydroxy (82306) $120 $120 4.1×
Vitamin E (84446) $50 $50 3.5×
Von willebrand factor ag (85246) $97 $97 4.2×
Zinc (84630) $42 $42 3.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.