Lab & pathology prices at Corewell Health Watervliet Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $90 $90 2.3×
Acth Stimulation Panel Adrenal Insufficiency (80400) $241 $241 7.4×
Acute hepatitis panel (80074) $376 $376 7.9×
Albumin Fluid (82042) $37 $37 4.8×
Albumin serum (82040) $51 $51 10.3×
Aldosterone urine (82088) $92 $92 2.3×
Alkaline phosphatase isoenzymes (84080) $30 $30 2.0×
Allergen specific ige (86003) $33 $33 6.3×
Allg Spec Ige Recomb Ea (86008) $66 $66 3.7×
Alpha-1-antitrypsin total (82103) $48 $48 3.6×
Alpha-Fetoprotein Serum (82105) $66 $66 3.9×
Alt (sgpt) (84460) $50 $50 9.4×
Amikacin trough (80150) $51 $51 3.4×
Ammonia (82140) $157 $157 10.8×
Amniotic fluid protein test on cervicovaginal fluid (84112) $259 $259 2.6×
Amylase urine (82150) $70 $70 10.8×
Ana Titer (86039) $77 $77 6.9×
Anca screen each antibody (86036) $60 $60 5.0×
Angiotensin converting enzyme csf (82164) $52 $52 3.6×
Antibody Cytomegalovirus Cmv Igm (86645) $137 $137 8.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $106 $106 8.1×
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) $83 $83 6.1×
Antibody Hla Class I High Definition Panel Qual (86832) $809 $809 2.5×
Antibody htlv/HIV antibody confirmatory test (86689) $183 $183 9.5×
Antibody Titer (86886) $42 $42 8.1×
Antibody Treponema Pallidum (86780) $94 $94 7.1×
Antigen typing (86905) $259 $259 67.6×
Antinuclear antibodies (86038) $100 $100 8.3×
Antistreptolysin o titer (86060) $53 $53 7.3×
Antithrombin iii activity (85300) $45 $45 3.8×
Apolipoprotein a1 (82172) $45 $45 2.1×
Assay activated protein c (85307) $38 $38 2.5×
Assay Blood Carbon Dioxide (82374) $53 $53 10.9×
Assay of 5-hiaa (83497) $47 $47 3.6×
Assay of blood/uric acid (84550) $44 $44 9.7×
Assay of calcium in urine (82340) $27 $27 4.5×
Assay of g6pd enzyme (82955) $24 $24 2.5×
Assay of gammaglobulin igm (82784) $91 $91 9.8×
Assay of lactic acid (83605) $63 $63 5.4×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$37–$50 $37–$50 varies
Assay of urea nitrogen (84520) $40 $40 10.1×
Assay of urine vma (84585) $39 $39 2.5×
Assay of vitamin b-1 (84425) $62 $62 2.9×
Assay Ph Body Fluid Nos (83986) $25 $25 7.0×
Assay spec xcp ur&breath ia (82077) $116 $116 6.7×
Automated Leukocyte Count (85048) $26 $26 10.2×
B cells total count (86355) $178 $178 4.7×
Bcr/abl1 gene major bp (81206) $473 $473 2.9×
Bcr/abl1 gene minor bp (81207) $473 $473 3.3×
Beta 2 glycoprotein i antibody each (86146) $122 $122 4.8×
Beta hydroxybutyrate (82010) $34 $34 4.2×
Beta Lactamase (87185) $42 $42 8.8×
Beta-2 Microglobulin (82232) $33 $33 2.0×
Bilirubin direct (82248) $50 $50 10.0×
Bilirubin total (82247) $44 $44 8.8×
Bilirubin total transcutaneous (88720) $18 $18 3.6×
Bl Smear W/O Diff Wbc Count (85008) $21 $21 6.1×
Blastomyces antibody (86612) $6.73 $6.73 0.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $28 $28 7.4×
Blood gas (82803)
range across 2 matching MRF lines
$69–$173 $69–$173 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $119 $119 7.5×
Blood typing serologic abo (86900) $29 $29 9.7×
Body fluid cell count (89050) $29 $29 6.1×
Bone marrow smear interpretation (85097) $828 $828 1.0×
Braf gene analysis (81210)
range across 2 matching MRF lines
$333–$439 $333–$439 varies
C diff amplified probe (87493) $244 $244 6.5×
C-Peptide (84681) $74 $74 3.6×
C-reactive protein (86140) $56 $56 10.8×
Ca 19-9 (86301) $171 $171 8.2×
Calcium ionized (82330)
range across 2 matching MRF lines
$37–$61 $37–$61 varies
Calcium total (82310)
range across 2 matching MRF lines
$20–$51 $20–$51 varies
Calculus Spectroscopy (82365) $13.60 $13.60 1.1×
Calprotectin Fecal (83993) $67 $67 3.4×
Calr gene com variants (81219) $1,574 $1,574 12.9×
Cancer Antigen 125 (86304) $155 $155 7.4×
Cancer Antigen 27.29 (86300) $224 $224 10.8×
Carbamazepine total (80156) $123 $123 8.4×
Carboxyhemoglobin (82375) $115 $115 9.3×
Carcinoembryonic antigen (82378) $99 $99 5.2×
Cardiolipin ab iga (86147) $189 $189 7.4×
Catecholamines fractionated (82384) $53 $53 2.1×
Ccnd1/Igh Translocation Alys (81168) $360 $360 1.7×
Ccp antibody (86200) $72 $72 5.6×
Cell count csf (89051) $46 $46 8.2×
Cellular Function Assay Stimul&Detect Biomarke (86352) $510 $510 3.8×
Ceruloplasmin (82390) $41 $41 3.8×
Chemiluminescent assay (82397) $29 $29 2.1×
Chimerism w/comp to baseline w/o cell selection (81267) $519 $519 2.5×
Chlmy trch&neisra gonor mult (87494) $175 $175 2.5×
Chloride Serum (82435) $44 $44 9.6×
Chloride urine (82436) $22 $22 3.8×
Cholesterol total (82465) $47 $47 10.8×
Chorionic gonadotropin test (84702) $38 $38 2.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $67 $67 2.5×
Chromosome Analysis 15-20 (88262) $548 $548 4.4×
Chromosome Analysis 20-25 (88264) $544 $544 3.8×
Chromosome analysis, 5 (88261) $661 $661 2.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$143–$219 $143–$219 varies
Clostridium Difficile (87324) $61 $61 5.1×
Clotting factor xii hageman (85280) $60 $60 3.1×
Clotting Funct Activity (85397) $89 $89 2.9×
Cns DNA amp probe type 12-25 (87483) $1,198 $1,198 2.9×
Coagulation time activated (85347) $32 $32 7.5×
Cold agglutinin titer (86157) $52 $52 6.5×
Collagen crosslinks (82523) $115 $115 6.2×
Compatibility test antiglob (86922) $48 $48 0.3×
Complement Antigen Each Component (86160) $110 $110 9.2×
Complement Total (Ch50) (86162) $41 $41 2.0×
Coombs direct (86880) $52 $52 9.6×
Copper urine (82525) $14 $14 1.1×
Cortisol saliva (82533) $176 $176 10.8×
Creatine kinase total (82550) $70 $70 10.8×
Creatinine blood (82565)
range across 2 matching MRF lines
$39–$52 $39–$52 varies
Creatinine clearance (82575) $94 $94 9.9×
Creatinine Urine (82570) $50 $50 9.7×
Crossmatch electronic (86923) $39 $39 0.2×
Crossmatch immediate spin (86920) $132 $132 0.8×
Crp High Sensitivity (86141) $129 $129 10.0×
Cryoglobulin (82595) $22 $22 3.4×
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$50–$90 $50–$90 varies
Cryptosporidium ag eia (87328) $85 $85 6.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $87 $87 10.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $139 $139 17.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $52 $52 6.7×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $494 $494 2.3×
Culture aerobic quant other (87071) $45 $45 4.6×
Culture afb (87116)
range across 2 matching MRF lines
$74–$112 $74–$112 varies
Culture Anaerobic (87075) $102 $102 10.8×
Culture blood (87040) $63 $63 6.1×
Culture csf (87070)
range across 4 matching MRF lines
$60–$93 $60–$93 varies
Culture fungus (87102) $63 $63 7.5×
Culture fungus blood (87103) $64 $64 3.1×
Culture screen only (87081)
range across 3 matching MRF lines
$21–$52 $21–$52 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $32 $32 6.2×
Culture urine (87086) $83 $83 10.3×
Cyclosporine (80158) $87 $87 4.8×
Cystatin C (82610) $62 $62 3.3×
Cytogenetics 10-30 (88273) $295 $295 8.5×
Cytogenetics 100-300 (88275) $212 $212 4.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,636 $1,636 1.4×
Cytomegalovirus igg (86644) $102 $102 7.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $151 $151 7.5×
Cytopath Cell Enhance Tech (88112) $308 $308 5.9×
Cytp Concentration Smears & Interpretation (88108) $157 $157 4.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $246 $246 4.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $45 $45 2.4×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $45 $45 4.2×
Detect Agent Nos Dna Amp (87798) $130 $130 3.7×
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$216–$317 $216–$317 varies
Detect agnt mult DNA ampli (87801) $111 $111 1.6×
Dgp Antibody Each Ig Class (86258) $76 $76 6.3×
Dhea-S (82627) $83 $83 3.7×
Digoxin (80162) $112 $112 8.4×
Dipropylacetic Acid Free (80165) $68 $68 5.0×
Dna Antibody Native/Double Stranded (86225) $113 $113 8.2×
Drug assay acetaminophen (80143) $59 $59 3.2×
Drug Assay Everolimus (80169) $74 $74 5.4×
Drug Assay Lacosamide (80235) $55 $55 2.0×
Drug Assay Posaconazole (80187) $57 $57 2.1×
Drug assay voriconazole (80285) $57 $57 2.1×
Drug Screen Quant Clozapine (80159) $63 $63 3.1×
Drug Screen Quant Zonisamide (80203) $33 $33 2.5×
Drug Screen Quantitative Gabapentin (80171) $40 $40 1.8×
Drug Screen Quantitative Lamotrigine (80175) $63 $63 4.8×
Drug Screen Quantitative Levetiracetam (80177) $51 $51 3.8×
Drug Screen Quantitative Oxcarbazepine (80183) $33 $33 2.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 5 matching MRF lines
$75–$218 $75–$218 varies
Drug Test Prsmv Dir Opt Obs (80305) $27 $27 2.1×
El-1 Fecal Quantitative (82653) $57 $57 2.5×
Electrolyte panel (80051) $46 $46 6.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $116 $116 9.6×
Erythropoietin (82668) $38 $38 2.0×
Estradiol serum (82670) $53 $53 1.9×
Ethylene Glycol (82693) $59 $59 4.0×
Exam Synovial Fluid Crystals (89060) $32 $32 4.4×
F2 Gene (81240) $205 $205 3.1×
Factor ii activity (85210) $40 $40 3.1×
Factor ix activity (85250) $72 $72 3.8×
Factor v activity (85220) $67 $67 3.8×
Factor v leiden mutation (81241) $181 $181 2.5×
Factor vii assay (85230) $67 $67 3.7×
Factor viii assay (85240) $67 $67 3.7×
Factor xi activity (85270) $61 $61 3.4×
Ferritin (82728) $147 $147 10.8×
Fetal Fibronectin (82731) $531 $531 8.2×
Fetal screen rosette (85461) $68 $68 7.3×
Fibrin degradation products (85362) $74 $74 10.7×
Fibrin Degradation Quant (85379) $73 $73 7.2×
Fibrinogen activity (85384) $87 $87 9.0×
Flecainide level (80181) $47 $47 2.5×
Flow cytometry first marker (88184) $368 $368 1.0×
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) $91 $91 7.6×
Folic Acid Serum (82746) $159 $159 10.8×
Follicle Stimulating Hormone (83001) $200 $200 10.8×
Frozen Section (88331) $195 $195 1.1×
Fungi Identification Mold (87107) $81 $81 7.8×
Fungi Identification Yeast (87106) $111 $111 10.8×
Gammaglobulin ige (82785) $71 $71 4.3×
Gases Blood O2 Saturation Only Direct Meas (82810) $58 $58 5.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,078 $1,078 2.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,880 $2,880 3.8×
Gentamicin (80170) $80 $80 4.9×
Ggt (82977) $78 $78 10.8×
Giardia antigen (87329) $85 $85 7.1×
Glucose 2 hr pp (82950) $45 $45 9.5×
Glucose Blood Test (82962) $9 $9 2.7×
Glucose body fluid (82945) $40 $40 10.2×
Glucose Serum (82947) $40 $40 10.2×
Glucose tolerance test (gtt) (82951) $139 $139 10.8×
Growth hormone (83003) $63 $63 3.8×
Growth Hormone Stimulation Panel (80428) $305 $305 4.6×
Gtt-added samples (82952) $42 $42 10.7×
H Pylori (C-13) Breath (83013) $236 $236 3.5×
H Pylori Drug Admin (83014) $35 $35 4.5×
Haptoglobin (83010) $49 $49 3.9×
Hdl Cholesterol (83718) $88 $88 10.7×
Helicobacter Pylori Stool (87338) $73 $73 5.1×
Hematocrit (85014) $25 $25 10.5×
Hemoglobin (85018) $25 $25 10.5×
Hemoglobin a1c (83036) $63 $63 6.5×
Hemoglobin Chromotography (83021) $76 $76 4.2×
Hemoglobin electrophoresis (83020) $58 $58 4.5×
Hemoglobin Methemoglobin Quantitative (83050) $30 $30 3.7×
Hemoglobin plasma (83051) $29 $29 4.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $20 $20 2.1×
Hep a ab igm (86709) $72 $72 6.4×
Heparin assay (85520)
range across 4 matching MRF lines
$45–$98 $45–$98 varies
Heparin Neutralization (85525) $36 $36 3.0×
Hepatitis a antibody total (86708) $72 $72 5.8×
Hepatitis b core ab igm (86705) $113 $113 9.6×
Hepatitis b core ab total (86704) $99 $99 8.2×
Hepatitis B Surface Antibody (86706) $107 $107 10.0×
Hepatitis B Surface Antigen (87340) $103 $103 10.0×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$108–$130 $108–$130 varies
Hepatitis C Revrs Trnscrpj (87522) $301 $301 7.0×
Herpes simplex type 2 (86696) $102 $102 5.3×
Heterophile Antibody Screen (86308) $56 $56 10.8×
Hfe Gene (81256) $267 $267 4.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $79 $79 10.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $100 $100 4.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $434 $434 5.1×
Hla Class I Typing Low Resolution One Locus Each (81373) $265 $265 2.1×
Hla class i&ii antibody qual (86828) $160 $160 2.5×
Hla class ii high defin qual (86833) $815 $815 2.5×
Hla-b27 (86812) $144 $144 5.6×
Homocysteine (83090) $84 $84 4.7×
Homogenization Tissue (87176) $15 $15 2.6×
Homovanillic acid urine (83150) $56 $56 2.5×
Hpv High-Risk Types (87624) $217 $217 6.2×
Hpv sep hi-rsk typ&pool rslt (87626) $176 $176 2.5×
Hsv Dna Amp Probe (87529) $247 $247 7.0×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $56 $56 5.4×
Iaadiadoo trichomonas vaginalis (87808) $62 $62 4.1×
Iadna Cytomegalovirus Quantification (87497) $147 $147 3.4×
Iadna Hepatitis B Virus Quantification (87517) $354 $354 8.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $88 $88 1.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $147 $147 4.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $327 $327 2.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $335 $335 1.3×
Ig Light Chains Free Each (83521) $93 $93 5.4×
Igg subclasses (82787) $21 $21 2.6×
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) $381 $381 1.1×
Immunfix e-phorsis/urine/csf (86335) $205 $205 7.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $15.42 $15.42 1.0×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$61–$67 $61–$67 varies
Immunofixation electrophoresis (86334) $136 $136 6.1×
Immunohistochemistry (88342) $227 $227 1.3×
In situ hybridization 1st probe stain (88365) $369 $369 2.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $28 $28 2.3×
Influenza assay w/optic (87804) $48 $48 2.9×
Influenza DNA amp probe (87502) $217 $217 2.3×
Inhibin A (86336) $39 $39 2.5×
Inhibin b (83520)
range across 3 matching MRF lines
$43–$89 $43–$89 varies
Insitu hybridization manual (88368) $553 $553 1.5×
Insulin total (83525) $45 $45 3.9×
Iron (83540) $56 $56 8.7×
Iron Binding Capacity (83550) $93 $93 10.6×
Islet cell antibody (86341) $37.16 $37.16 1.6×
Jak2 gene analysis p.val617phe variant (81270) $283 $283 3.1×
Jak2 Gene Trgt Sequence Alys (81279) $1,574 $1,574 8.5×
Kit Gene Analysis Targeted Sequence Analysis (81272) $824 $824 2.5×
Koh Prep (87220) $11 $11 2.6×
Kras Gene Analysis Additional Variant(S) (81276) $440 $440 2.3×
Kras Gene Variants Exon 2 (81275) $440 $440 2.3×
Lactate (ld) (ldh) enzyme (83615) $63 $63 10.4×
Lactoferrin fecal qualitative (83630) $52 $52 2.6×
LDL direct (83721) $66 $66 6.3×
Lead (83655) $40 $40 3.3×
Legionella antigen urine (87449) $34 $34 2.8×
Legionella pneumophila dfa (87278) $52 $52 3.3×
Level I Surg Pathology Gross Examination Only (88300) $85 $85 2.9×
Level ii surg pathology gross&microscopic exam (88302) $160 $160 4.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $514 $514 1.4×
Lidocaine (80176) $65 $65 4.4×
Lipase (83690) $74 $74 10.7×
Lipoprotein A (83695)
range across 2 matching MRF lines
$36–$79.07 $36–$79.07 varies
Lithium (80178) $56 $56 8.5×
Luteinizing Hormone (Lh) (83002) $125 $125 6.7×
Lyme disease antibody (86618) $139 $139 8.2×
M. Genitalium Amp Probe (87563) $200 $200 5.7×
Macroscopic exam arthropod (87168) $24 $24 5.6×
Macroscopic Exam Parasite (87169) $11 $11 2.6×
Magnesium Urine (83735) $52 $52 7.8×
Methotrexate (80204) $80 $80 2.1×
Methylmalonic acid serum (83921) $111 $111 5.2×
Microalbumin, quantitative (82043) $88 $88 15.2×
Microsatellite instability (81301) $619 $619 1.8×
Microsomal Antibodies Each (86376) $110 $110 7.6×
Mitochondrial Antibody Each (86381) $116 $116 4.6×
Mlh1 Gene (81288) $548 $548 2.8×
Molecular Cytogenetics Dna Probe Each (88271) $90 $90 4.2×
Mononuclear cell antigen (86356) $196 $196 7.3×
Mpl gene common variants (81338) $1,574 $1,574 10.5×
Mrsa Pcr (87641) $238 $238 6.8×
Mumps antibody (86735) $106 $106 8.1×
Mycophenolic Acid (80180) $45 $45 2.5×
Mycoplasma antibody (86738) $27 $27 2.0×
Mycoplasma culture (87109) $95 $95 6.2×
Myd88 Gene P.Leu265pro Vrnt (81305) $775 $775 4.4×
Myoglobin urine (83874) $32 $32 2.5×
Natriuretic peptide (83880) $280 $280 7.1×
Nk cells total count (86357) $141 $141 3.7×
Nras gene variants exon 2&3 (81311) $435 $435 1.5×
Nuclear antigen antibody (86235) $45 $45 2.5×
Occult blood feces (82272) $21 $21 5.0×
Occult Blood Other Sources (82271) $28 $28 5.3×
Oligoclonal bands (83916) $75 $75 2.7×
Osmolality serum (83930) $67 $67 10.1×
Osmolality Urine (83935) $69 $69 10.1×
Ova and parasites smears (87177) $61 $61 6.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $859 $859 1.1×
Ph urine (81003)
range across 2 matching MRF lines
$15–$24 $15–$24 varies
Phenobarbital Level (80184) $97 $97 6.3×
Phenytoin (Dilantin) (80185) $110 $110 8.3×
Phenytoin free (80186) $73 $73 5.3×
Phosphatase alkaline (84075) $56 $56 10.8×
Phosphorus Serum (84100) $44 $44 9.3×
Phosphorus urine (84105) $20 $20 3.5×
Pinworm exam (87172) $58 $58 13.6×
Platelet Aggregation (85576) $63 $63 2.5×
Platelet Antibodies (86022) $227 $227 12.4×
Platelet count automated (85049) $46 $46 10.3×
Potassium Urine (84133) $46 $46 9.7×
Prealbumin (84134) $61 $61 4.2×
Procalcitonin (Pct) (84145) $120 $120 4.4×
Progesterone (84144) $157 $157 7.5×
Prolactin (84146) $157 $157 8.1×
Protein body fluid (84157) $39 $39 9.8×
Protein C Activity (85303) $52 $52 3.8×
Protein Electrophoresis Urine (84166) $77 $77 4.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $56 $56 5.2×
Protein S Free (85306) $44 $44 2.9×
Protein total serum (84155) $39 $39 10.6×
Protein Total Urine (84156) $39 $39 10.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $14 $14 3.6×
PSA free (84154) $69 $69 3.8×
Pth Intact (83970) $407 $407 9.9×
Quantiferon tb gold plus (86480) $206 $206 3.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$47–$286 $47–$286 varies
Rbc antibody identification (86870) $185 $185 0.5×
Rbc antibody screen (86850) $44 $44 4.5×
Renin activity plasma (84244) $49 $49 2.2×
Resp virus 12-25 targets (87633) $1,063 $1,063 2.6×
Reticulated Platelet Assay (85055) $56 $56 1.6×
Reticulocyte Count (85046) $16 $16 2.9×
Rh (86901) $41 $41 13.7×
Rheumatoid factor quant (86431) $61 $61 10.8×
Rpr qualitative (86592)
range across 2 matching MRF lines
$11–$40 $11–$40 varies
Rubella Antibody (86762) $101 $101 7.0×
Rubeola antibody (86765) $117 $117 9.1×
Russell Viper Venom Time Diluted (85613) $36 $36 3.8×
Salicylate Level (80179) $60 $60 3.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $217.50 $217.50 4.2×
Sarscov2&inf a&b&rsv amp prb (87637) $265 $265 1.9×
Sedimentation Rate, Automated (85652) $38 $38 14.1×
Selenium (84255) $64 $64 2.5×
Semen analysis complete (89320) $102 $102 8.3×
Semen analysis motility and count (89310) $53 $53 6.2×
Sensitivity mic (87186)
range across 2 matching MRF lines
$60–$92 $60–$92 varies
Sex Hormone Binding Globulin (84270) $77 $77 3.5×
Sickling of rbc reduction (85660) $54 $54 9.8×
Sirolimus (80195) $81 $81 5.9×
Smear acid fast (87206) $36 $36 6.7×
Smear complex stain (87209) $114 $114 6.3×
Smear gram stain (87205) $46 $46 10.8×
Smear Special Stain (87207) $34 $34 5.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $46 $46 7.9×
Snrpn/Ube3a Methylation Analysis (81331) $128 $128 2.5×
Sodium Serum (84295)
range across 2 matching MRF lines
$17–$50 $17–$50 varies
Sodium Urine (84300) $50 $50 9.9×
Somatomedin (84305) $47 $47 2.2×
Special Stains Group 1 (88312) $288 $288 5.5×
Special Stains Group 2 (88313) $254 $254 1.9×
Specimen infect agnt concntj (87015) $50 $50 7.5×
Spectrophotometry (84311) $20 $20 2.5×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $196 $196 1.1×
Strep a assay w/optic (87880) $129 $129 7.8×
Strep a DNA amp probe (87651) $120 $120 3.4×
Strep b DNA amp probe (87653) $262 $262 7.5×
Surg path level iii (88304) $191 $191 3.6×
Surgical pathology level IV (88305) $306 $306 5.8×
Surgical pathology level vi (88309) $859 $859 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $21 $21 4.4×
Susceptibility Study Antimicrobial Disk Method (87184) $59 $59 7.9×
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) $244 $244 6.5×
T3 Free (84481) $157 $157 9.3×
T3 Total (84480) $141 $141 9.9×
T4 Free (84439) $97 $97 10.8×
T4 total (84436) $74 $74 10.8×
Tacrolimus (80197) $53 $53 3.9×
Testosterone total (84403)
range across 2 matching MRF lines
$8–$93 $8–$93 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$10.57–$71 $10.57–$71 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$1,794–$3,578 $1,794–$3,578 varies
Theophylline (80198) $80 $80 5.7×
Thrombin Time (85670) $14 $14 2.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $27 $27 4.2×
Thyroglobulin (84432) $40 $40 2.5×
Thyroglobulin Antibody (86800) $75 $75 4.7×
Thyroid Stimulating Immunoglobulin (84445) $102 $102 2.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $87 $87 7.5×
Tissue Culture (88233) $484 $484 3.4×
Tissue culture bone marrow (88237) $387 $387 2.7×
Tissue Culture Lymphocyte (88230) $352 $352 3.0×
Tobramycin peak (80200) $80 $80 5.0×
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) $50 $50 9.7×
Transferrin (84466) $126 $126 9.9×
Trichomonas Vaginalis Amplif (87661) $200 $200 5.7×
Triglycerides (84478) $62 $62 10.8×
Troponin Quant (84484) $106 $106 8.5×
Tumor Immunohistochem/Manual (88360) $240 $240 1.4×
Urea nitrogen urine (84540) $19 $19 3.4×
Uric acid other source (84560)
range across 2 matching MRF lines
$10–$18 $10–$18 varies
Urine Pregnancy Test (81025) $60 $60 7.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $34 $34 10.7×
Valproic acid (80164) $114 $114 8.4×
Vancomycin (80202) $114 $114 8.4×
Varicella-zoster antibody (86787) $109 $109 8.5×
Viscosity serum (85810) $49 $49 4.2×
Vit D 1 25-Dihydroxy (82652) $77 $77 2.0×
Vitamin A (84590) $40 $40 3.4×
Vitamin b-12 (82607) $125 $125 8.3×
Vitamin D 25-Hydroxy (82306) $182 $182 6.1×
Vitamin E (84446) $48 $48 3.4×
Von willebrand factor ag (85246) $77 $77 3.4×
Zinc (84630) $41 $41 3.6×

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