Lab & pathology prices at Coteau Des Prairies Health Care System
Sisseton, SD · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $194 | $194 | 10.5× |
| Acth (82024) | $492 | $492 | 12.7× |
| Actin smooth muscle antibody each (86015) | $65 | $65 | 5.4× |
| Acute hepatitis panel (80074) | $597 | $597 | 12.5× |
| Acylcarnitines Quant (82017) | $459 | $459 | 27.2× |
| Albumin serum (82040) | $45 | $45 | 9.1× |
| Aldolase (82085) | $132 | $132 | 13.6× |
| Aldosterone urine (82088) range across 7 matching MRF lines |
$330–$331 | $330–$331 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 4 matching MRF lines |
$132–$174 | $132–$174 | varies |
| Allergen specific ige (86003) | $107 | $107 | 20.5× |
| Allergen specific igg (86001) | $56 | $56 | 7.2× |
| Alpha-1-antitrypsin phenotype (82104) | $315 | $315 | 21.8× |
| Alpha-1-antitrypsin total (82103) range across 6 matching MRF lines |
$108–$268 | $108–$268 | varies |
| Alpha-Fetoprotein Serum (82105) | $191 | $191 | 11.4× |
| Alt (sgpt) (84460) | $68 | $68 | 12.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $309 | $309 | 13.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $513 | $513 | 30.4× |
| Aminolevulinic acid (ala) (82135) | $339 | $339 | 20.6× |
| Ammonia (82140) | $219 | $219 | 15.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $238 | $238 | 2.4× |
| Amylase urine (82150) | $101 | $101 | 15.6× |
| Ana Titer (86039) | $99 | $99 | 8.9× |
| Anca screen each antibody (86036) | $48 | $48 | 4.0× |
| Anca Titer Each Antibody (86037) | $48 | $48 | 4.0× |
| Androstenedione (82157) | $83 | $83 | 2.8× |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
$74–$238 | $74–$238 | varies |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$63–$288 | $63–$288 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $315 | $315 | 20.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $115 | $115 | 6.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $130 | $130 | 8.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $155 | $155 | 8.5× |
| Antibody helicobacter pylori (86677) | $121 | $121 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) | $200 | $200 | 15.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $920 | $920 | 47.5× |
| Antibody Protozoa Nes (86753) | $288 | $288 | 23.2× |
| Antibody Titer (86886) | $487 | $487 | 94.0× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$245–$280 | $245–$280 | varies |
| Antinuclear antibodies (86038) | $113 | $113 | 9.3× |
| Antistreptolysin o titer (86060) | $97 | $97 | 13.3× |
| Antithrombin iii activity (85300) | $362 | $362 | 30.5× |
| Aspergillus ag eia (87305) | $476 | $476 | 39.7× |
| Assay Blood Carbon Dioxide (82374) | $48 | $48 | 9.8× |
| Assay Dir Meas Fr Estradiol (82681) | $509 | $509 | 18.2× |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
$60–$596 | $60–$596 | varies |
| Assay of 5-hiaa (83497) | $273 | $273 | 21.2× |
| Assay of anti-mullerian hormone (82166) | $114 | $114 | 3.0× |
| Assay of blood/uric acid (84550) | $71 | $71 | 15.7× |
| Assay of calcium in urine (82340) | $87 | $87 | 14.4× |
| Assay of estrone (82679) | $209 | $209 | 8.4× |
| Assay of gammaglobulin igm (82784) | $85 | $85 | 9.1× |
| Assay of lactic acid (83605) | $98 | $98 | 8.5× |
| Assay of manganese (83785) | $702 | $702 | 26.3× |
| Assay of metanephrines (83835) | $517 | $517 | 30.5× |
| Assay of proinsulin (84206) | $535 | $535 | 20.0× |
| Assay of serum potassium (84132) | $46 | $46 | 9.7× |
| Assay of urea nitrogen (84520) | $47 | $47 | 11.9× |
| Assay of urine vma (84585) | $221 | $221 | 14.3× |
| Assay of vitamin b-1 (84425) | $54 | $54 | 2.5× |
| Assay Ph Body Fluid Nos (83986) | $49 | $49 | 13.7× |
| Assay spec xcp ur&breath ia (82077) | $106 | $106 | 6.1× |
| Asy carbamazepin 10,11-epxid (80161) | $228 | $228 | 12.2× |
| Automated Leukocyte Count (85048) | $73 | $73 | 28.7× |
| B cells total count (86355) | $124 | $124 | 3.3× |
| Bartonella antibody (86611) | $742 | $742 | 72.9× |
| Beta 2 glycoprotein i antibody each (86146) | $305 | $305 | 12.0× |
| Beta hydroxybutyrate (82010) | $131 | $131 | 16.0× |
| Beta Lactamase (87185) | $76 | $76 | 16.0× |
| Beta-2 Microglobulin (82232) | $157 | $157 | 9.7× |
| Bile acids total (82239) | $97 | $97 | 5.7× |
| Bilirubin direct (82248) | $47 | $47 | 9.4× |
| Bilirubin total (82247) | $70 | $70 | 13.9× |
| Biotinidase (82261) | $42 | $42 | 2.5× |
| Blastomyces antibody (86612) | $589 | $589 | 45.7× |
| Bld Typing Serologic Rh Phnt (86906) | $1,253 | $1,253 | 161.7× |
| Blood Count Automated Differential Wbc Count (85004) | $59 | $59 | 9.1× |
| Blood Count Red Blood Cell Automated (85041) | $47 | $47 | 15.6× |
| Blood count reticulocyte automated (85045) | $71 | $71 | 17.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $77 | $77 | 20.3× |
| Blood gas (82803) | $233 | $233 | 8.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $50 | $50 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $338 | $338 | 53.2× |
| Blood typing serologic abo (86900) | $198 | $198 | 66.2× |
| C diff amplified probe (87493) | $258 | $258 | 6.9× |
| C-Peptide (84681) | $300 | $300 | 14.4× |
| C-reactive protein (86140) | $96 | $96 | 18.5× |
| Ca 19-9 (86301) | $129 | $129 | 6.2× |
| Calcium ionized (82330) | $134 | $134 | 9.8× |
| Calcium total (82310) | $66 | $66 | 12.8× |
| Calculus Spectroscopy (82365) | $196 | $196 | 15.2× |
| Calprotectin Fecal (83993) | $215 | $215 | 11.0× |
| Cancer Antigen 125 (86304) | $291 | $291 | 14.0× |
| Cancer Antigen 27.29 (86300) | $83 | $83 | 4.0× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$95–$130 | $95–$130 | varies |
| Carboxyhemoglobin (82375) | $133 | $133 | 10.8× |
| Carcinoembryonic antigen (82378) | $176 | $176 | 9.3× |
| Cardiolipin ab iga (86147) | $147 | $147 | 5.8× |
| Carnitine Quantitative Each Specimen (82379) | $382 | $382 | 22.6× |
| Catecholamines fractionated (82384) | $397 | $397 | 15.7× |
| Ccp antibody (86200) | $249 | $249 | 19.2× |
| Cell count csf (89051) | $72 | $72 | 12.9× |
| Ceruloplasmin (82390) | $54 | $54 | 5.0× |
| Chemiluminescent assay (82397) | $311 | $311 | 22.0× |
| Chlmy trch&neisra gonor mult (87494) | $175 | $175 | 2.5× |
| Chloride Serum (82435) | $98 | $98 | 21.3× |
| Chloride urine (82436) | $49 | $49 | 8.5× |
| Cholesterol total (82465) | $71 | $71 | 16.3× |
| Chorionic gonadotropin test (84702) | $145 | $145 | 9.6× |
| Chromogranin a (86316) | $803 | $803 | 38.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $108 | $108 | 3.1× |
| Citric acid urine (82507) | $184 | $184 | 6.6× |
| Ckmb (82553) | $160 | $160 | 13.9× |
| Clostridium Difficile (87324) | $130 | $130 | 10.9× |
| Coccidioides antibody (86635) | $50 | $50 | 4.4× |
| Cold agglutinin titer (86157) | $185 | $185 | 23.0× |
| Collagen crosslinks (82523) | $22 | $22 | 1.2× |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$268–$768 | $268–$768 | varies |
| Compatibility test antiglob (86922) | $379 | $379 | 2.2× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$87–$178 | $87–$178 | varies |
| Coombs direct (86880) | $210 | $210 | 39.0× |
| Copper urine (82525) | $65 | $65 | 5.2× |
| Cortisol free (82530) | $88 | $88 | 5.3× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$106–$155 | $106–$155 | varies |
| Creatine kinase total (82550) | $94 | $94 | 14.4× |
| Creatinine blood (82565) | $70 | $70 | 13.7× |
| Creatinine clearance (82575) | $95 | $95 | 10.0× |
| Creatinine Urine (82570) | $76 | $76 | 14.7× |
| Crossmatch immediate spin (86920) | $379 | $379 | 2.2× |
| Crp High Sensitivity (86141) | $134 | $134 | 10.3× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$179–$185 | $179–$185 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$179–$185 | $179–$185 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$106–$182 | $106–$182 | varies |
| Cryptosporidium ag eia (87328) | $129 | $129 | 9.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$96–$412 | $96–$412 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$83–$536 | $83–$536 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $113 | $113 | 14.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,032 | $1,032 | 4.7× |
| Culture afb (87116) | $98 | $98 | 9.1× |
| Culture Anaerobic (87075) | $115 | $115 | 12.1× |
| Culture blood (87040) | $149 | $149 | 14.4× |
| Culture csf (87070) range across 4 matching MRF lines |
$80–$83 | $80–$83 | varies |
| Culture fungus (87102) | $113 | $113 | 13.4× |
| Culture fungus blood (87103) | $103 | $103 | 5.0× |
| Culture screen only (87081) | $83 | $83 | 12.5× |
| Culture stool (87045) | $116 | $116 | 12.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $152 | $152 | 29.3× |
| Culture urine (87086) | $108 | $108 | 13.4× |
| Cyclosporine (80158) | $71 | $71 | 3.9× |
| Cystatin C (82610) | $129 | $129 | 7.0× |
| Cytomegalovirus igg (86644) | $111 | $111 | 7.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $76 | $76 | 3.8× |
| Cytopath Cell Enhance Tech (88112) | $190 | $190 | 3.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $124 | $124 | 4.7× |
| Cytp Concentration Smears & Interpretation (88108) | $158 | $158 | 4.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,133 | $1,133 | 6.5× |
| Detect Agent Nos Dna Amp (87798) range across 16 matching MRF lines |
$206–$811 | $206–$811 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$626–$743 | $626–$743 | varies |
| Detect agnt mult DNA ampli (87801) | $1,561 | $1,561 | 22.2× |
| Dgp Antibody Each Ig Class (86258) | $212 | $212 | 17.6× |
| Dhea (82626) | $343 | $343 | 13.6× |
| Dhea-S (82627) | $155 | $155 | 7.0× |
| Digoxin (80162) | $160 | $160 | 12.0× |
| Dna Antibody Native/Double Stranded (86225) | $128 | $128 | 9.3× |
| Dna/Rna Amplified Probe (87150) | $628 | $628 | 17.9× |
| DNA/RNA direct probe (87149) | $110 | $110 | 5.5× |
| Drug assay acetaminophen (80143) | $149 | $149 | 8.0× |
| Drug Assay Amiodarone (80151) | $97 | $97 | 5.2× |
| Drug Assay Everolimus (80169) | $165 | $165 | 12.0× |
| Drug assay felbamate (80167) | $115 | $115 | 6.2× |
| Drug Assay Lacosamide (80235) | $488 | $488 | 18.0× |
| Drug Assay Vedolizumab (80280) | $311 | $311 | 8.1× |
| Drug assay voriconazole (80285) | $456 | $456 | 16.8× |
| Drug Screen Quantitative Gabapentin (80171) | $228 | $228 | 10.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $236 | $236 | 17.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $93 | $93 | 7.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $175 | $175 | 13.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$89–$609 | $89–$609 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $22 | $22 | 1.7× |
| Drug Test Prsmv Instrmnt (80306) | $122 | $122 | 7.1× |
| Electrolyte panel (80051) | $59 | $59 | 8.4× |
| Electron Microscopy (88348) | $1,454 | $1,454 | 1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $99 | $99 | 8.2× |
| Enzyme histochemistry (88319) | $522 | $522 | 0.6× |
| Eosinophil Smear (89190) | $52 | $52 | 9.0× |
| Erythropoietin (82668) | $315 | $315 | 16.8× |
| Estradiol serum (82670) | $309 | $309 | 11.1× |
| Estrogen total (82672) | $374 | $374 | 17.2× |
| Ethosuximide (80168) | $128 | $128 | 7.8× |
| Ethylene Glycol (82693) | $219 | $219 | 14.7× |
| Exam Synovial Fluid Crystals (89060) | $74 | $74 | 10.1× |
| F2 Gene (81240) | $666 | $666 | 10.1× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$608–$820 | $608–$820 | varies |
| Fat stain feces urine/respir secretions (89125) | $102 | $102 | 17.3× |
| Fat/Lipids Feces Quantitative (82710) | $357 | $357 | 21.3× |
| Ferritin (82728) | $132 | $132 | 9.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $801 | $801 | 5.2× |
| Fetal Fibronectin (82731) | $497 | $497 | 7.7× |
| Fetal screen rosette (85461) | $99 | $99 | 10.6× |
| Fibrin Degradation Quant (85379) | $168 | $168 | 16.5× |
| Fibrinogen activity (85384) | $126 | $126 | 13.0× |
| Flow cytometry first marker (88184) | $335 | $335 | 0.9× |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$99–$449 | $99–$449 | varies |
| Folic acid rbc (82747) | $134 | $134 | 7.6× |
| Folic Acid Serum (82746) | $149 | $149 | 10.1× |
| Follicle Stimulating Hormone (83001) | $170 | $170 | 9.1× |
| Fungi Identification Yeast (87106) | $224 | $224 | 21.7× |
| Galactose transferase test (82776) | $37 | $37 | 3.2× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$289–$301 | $289–$301 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$1,423–$1,525 | $1,423–$1,525 | varies |
| Gentamicin (80170) | $147 | $147 | 9.0× |
| Ggt (82977) | $92 | $92 | 12.8× |
| Giardia antigen (87329) | $129 | $129 | 10.8× |
| Glucose 2 hr pp (82950) | $68 | $68 | 14.3× |
| Glucose Blood Test (82962) | $54 | $54 | 16.5× |
| Glucose body fluid (82945) | $74 | $74 | 18.8× |
| Glucose Serum (82947) | $54 | $54 | 13.7× |
| Glucose tolerance test (gtt) (82951) | $168 | $168 | 13.1× |
| Glycated Protein (82985) | $121 | $121 | 7.2× |
| Gonadotropin Chorionic Qualitative (84703) | $96 | $96 | 12.8× |
| Growth hormone (83003) | $52 | $52 | 3.1× |
| Gtt-added samples (82952) | $50 | $50 | 12.8× |
| H Pylori (C-13) Breath (83013) | $302 | $302 | 4.5× |
| Haptoglobin (83010) | $158 | $158 | 12.6× |
| Hdl Cholesterol (83718) | $83 | $83 | 10.1× |
| Helicobacter Pylori Stool (87338) | $410 | $410 | 28.5× |
| Helminth Antibody (86682) | $361 | $361 | 27.7× |
| Hematocrit (85014) | $29 | $29 | 12.2× |
| Hemoglobin (85018) | $44 | $44 | 18.6× |
| Hemoglobin a1c (83036) | $101 | $101 | 10.4× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$83–$87 | $83–$87 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$37–$254 | $37–$254 | varies |
| Hemoglobin plasma (83051) | $112 | $112 | 15.3× |
| Hemosiderin urine (83070) | $158 | $158 | 33.3× |
| Hep a ab igm (86709) | $97 | $97 | 8.6× |
| Hepatitis a antibody total (86708) | $176 | $176 | 14.2× |
| Hepatitis b core ab igm (86705) | $220 | $220 | 18.7× |
| Hepatitis b core ab total (86704) | $94 | $94 | 7.8× |
| Hepatitis B Surface Antibody (86706) | $95 | $95 | 8.8× |
| Hepatitis B Surface Antigen (87340) | $157 | $157 | 15.2× |
| Hepatitis C Antibody (86803) | $157 | $157 | 11.0× |
| Hepatitis C Genotype (87902) | $2,625 | $2,625 | 10.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $176 | $176 | 5.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $1,047 | $1,047 | 24.4× |
| Herpes simplex type 2 (86696) | $200 | $200 | 10.3× |
| Heterophile Antibody Screen (86308) | $73 | $73 | 14.1× |
| Hfe Gene (81256) | $1,164 | $1,164 | 17.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $210 | $210 | 27.2× |
| Histoplasma antibody (86698) | $167 | $167 | 12.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$67–$71 | $67–$71 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $521 | $521 | 6.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$2,464–$2,538 | $2,464–$2,538 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $837 | $837 | 11.3× |
| Hla I Typing 1 Allele Hr (81381) | $876 | $876 | 5.2× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$593–$611 | $593–$611 | varies |
| Hla-b27 (86812) | $690 | $690 | 26.7× |
| Homocysteine (83090) | $62 | $62 | 3.5× |
| Hpv High-Risk Types (87624) | $391 | $391 | 11.1× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $265 | $265 | 3.8× |
| Hsv Dna Amp Probe (87529) | $280 | $280 | 8.0× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$62–$339 | $62–$339 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $236 | $236 | 22.8× |
| Iaad ia shiga-like toxin (87427) | $258 | $258 | 21.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $357 | $357 | 10.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $244 | $244 | 7.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $1,059 | $1,059 | 30.2× |
| Iadna Cytomegalovirus Quantification (87497) | $361 | $361 | 8.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $125 | $125 | 1.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $399 | $399 | 9.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,381 | $1,381 | 39.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $257 | $257 | 6.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $244 | $244 | 7.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $108 | $108 | 3.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $764 | $764 | 2.9× |
| Ig Light Chains Free Each (83521) | $72 | $72 | 4.2× |
| Igg subclasses (82787) | $103 | $103 | 12.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $896 | $896 | 2.4× |
| Immunfix e-phorsis/urine/csf (86335) | $218 | $218 | 7.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$236–$855 | $236–$855 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$181–$284 | $181–$284 | varies |
| Immunofixation electrophoresis (86334) | $358 | $358 | 16.0× |
| Immunohistochemistry (88342) | $361 | $361 | 2.1× |
| Influenza DNA amp probe (87502) | $191 | $191 | 2.0× |
| Inhibin b (83520) range across 13 matching MRF lines |
$39–$483 | $39–$483 | varies |
| Insulin total (83525) | $153 | $153 | 13.4× |
| Iron (83540) | $83 | $83 | 12.8× |
| Iron Binding Capacity (83550) | $101 | $101 | 11.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $924 | $924 | 10.1× |
| Koh Prep (87220) | $39 | $39 | 9.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$31–$91 | $31–$91 | varies |
| Lactoferrin fecal qualitative (83630) | $359 | $359 | 18.2× |
| Ldh Isoenzymes (83625) | $62 | $62 | 4.8× |
| LDL direct (83721) | $111 | $111 | 10.6× |
| Lead (83655) | $137 | $137 | 11.3× |
| Legionella antigen urine (87449) | $130 | $130 | 10.9× |
| Leptospira antibody (86720) | $367 | $367 | 22.7× |
| Leukocyte Histamine Release (86343) | $406 | $406 | 32.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $63 | $63 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $122 | $122 | 3.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $739 | $739 | 2.0× |
| Lipase (83690) | $134 | $134 | 19.4× |
| Lipoprotein A (83695) | $67 | $67 | 4.7× |
| Lithium (80178) | $71 | $71 | 10.7× |
| Liver ds alys 3 bmrk srm alg (81517) | $1,673 | $1,673 | 9.5× |
| Luteinizing Hormone (Lh) (83002) | $166 | $166 | 9.0× |
| Lyme disease antibody (86618) | $210 | $210 | 12.3× |
| Lysozyme serum (85549) | $213 | $213 | 11.4× |
| M. Genitalium Amp Probe (87563) range across 4 matching MRF lines |
$412–$441 | $412–$441 | varies |
| Magnesium Urine (83735) | $96 | $96 | 14.3× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$48–$198 | $48–$198 | varies |
| Mercury urine (83825) | $208 | $208 | 12.8× |
| Metabolic panel ionized ca (80047) | $116 | $116 | 8.4× |
| Methotrexate (80204) | $464 | $464 | 12.0× |
| Methylmalonic acid serum (83921) | $388 | $388 | 18.3× |
| Microalbumin, quantitative (82043) | $57 | $57 | 9.9× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$100–$192 | $100–$192 | varies |
| Mitochondrial Antibody Each (86381) | $70 | $70 | 2.8× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$454–$472 | $454–$472 | varies |
| Muscle-Specific Kinase Antb (86366) | $2,143 | $2,143 | 116.5× |
| Mycoplasma antibody (86738) | $222 | $222 | 16.8× |
| Myoglobin urine (83874) | $291 | $291 | 22.5× |
| Natriuretic peptide (83880) | $276 | $276 | 7.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $1,030 | $1,030 | 3.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $1,055 | $1,055 | 14.6× |
| Nk cells total count (86357) | $124 | $124 | 3.3× |
| Nuclear antigen antibody (86235) | $176 | $176 | 9.8× |
| Obstetric panel (80081) | $1,028 | $1,028 | 13.7× |
| Organic Acids Qualitative Each Specimen (83919) | $433 | $433 | 26.3× |
| Osmolality serum (83930) | $77 | $77 | 11.6× |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$81–$83 | $81–$83 | varies |
| Ova and parasites smears (87177) | $199 | $199 | 22.4× |
| Ova1 (81503) | $2,571 | $2,571 | 2.9× |
| Oxalate urine (83945) | $185 | $185 | 12.8× |
| Ph urine (81003) | $67 | $67 | 29.8× |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$73–$130 | $73–$130 | varies |
| Phenytoin (Dilantin) (80185) | $130 | $130 | 9.8× |
| Phosphatase alkaline (84075) | $65 | $65 | 12.5× |
| Phospholipid Neutralization Hexagonal (85598) | $131 | $131 | 7.3× |
| Phosphorus Serum (84100) | $49 | $49 | 10.3× |
| Phosphorus urine (84105) | $49 | $49 | 8.5× |
| Pinworm exam (87172) | $68 | $68 | 15.9× |
| Platelet Antibodies (86022) | $729 | $729 | 39.7× |
| Platelet count automated (85049) | $38 | $38 | 8.5× |
| Potassium Urine (84133) | $68 | $68 | 14.4× |
| Prealbumin (84134) | $133 | $133 | 9.1× |
| Pregnenolone (84140) | $129 | $129 | 6.2× |
| Primidone (80188) | $98 | $98 | 5.9× |
| Procalcitonin (Pct) (84145) | $124 | $124 | 4.6× |
| Progesterone (84144) | $159 | $159 | 7.6× |
| Prolactin (84146) | $190 | $190 | 9.8× |
| Protein body fluid (84157) | $68 | $68 | 17.0× |
| Protein C Activity (85303) | $401 | $401 | 29.0× |
| Protein Electrophoresis Urine (84166) | $100 | $100 | 5.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $103 | $103 | 9.6× |
| Protein S Free (85306) | $451 | $451 | 29.4× |
| Protein total serum (84155) | $47 | $47 | 12.8× |
| Protein Total Urine (84156) | $76 | $76 | 20.7× |
| PSA free (84154) | $191 | $191 | 10.4× |
| Pth Intact (83970) | $270 | $270 | 6.5× |
| Quantiferon tb gold plus (86480) | $311 | $311 | 5.0× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$361–$536 | $361–$536 | varies |
| Rbc antibody elution (86860) | $349 | $349 | 2.0× |
| Rbc antibody identification (86870) | $766 | $766 | 2.1× |
| Rbc antibody screen (86850) | $128 | $128 | 13.1× |
| Renin activity plasma (84244) | $245 | $245 | 11.1× |
| Resp virus 12-25 targets (87633) | $451 | $451 | 1.1× |
| Reticulocyte Count (85046) | $71 | $71 | 12.7× |
| Rh (86901) | $115 | $115 | 38.5× |
| Rheumatoid Factor Qualitative (86430) | $68 | $68 | 11.1× |
| Rheumatoid factor quant (86431) | $59 | $59 | 10.4× |
| Ristocetin cofactor (85245) | $467 | $467 | 20.4× |
| Rpr qualitative (86592) | $56 | $56 | 13.1× |
| Rubella Antibody (86762) | $191 | $191 | 13.3× |
| Rubeola antibody (86765) | $286 | $286 | 22.2× |
| Russell Viper Venom Time Diluted (85613) | $87 | $87 | 9.1× |
| Rx metab gen seq alys pnl 6 (81418) | $330 | $330 | 0.4× |
| Salicylate Level (80179) | $89 | $89 | 4.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $184 | $184 | 3.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $79 | $79 | 1.9× |
| Sedimentation rate (85651) | $66 | $66 | 15.5× |
| Selenium (84255) | $39 | $39 | 1.5× |
| Semen Anal Sperm Detection (89321) | $68 | $68 | 5.6× |
| Sensitivity mic (87186) | $101 | $101 | 11.7× |
| Sirolimus (80195) | $360 | $360 | 26.2× |
| Skin test tuberculosis intradermal (86580) | $89 | $89 | 3.0× |
| Smear acid fast (87206) | $119 | $119 | 22.1× |
| Smear complex stain (87209) | $75 | $75 | 4.2× |
| Smear gram stain (87205) | $42 | $42 | 9.8× |
| Smear Special Stain (87207) | $98 | $98 | 16.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $75 | $75 | 12.9× |
| Sodium Serum (84295) | $47 | $47 | 9.8× |
| Sodium Urine (84300) | $89 | $89 | 17.6× |
| Soluble Transferrin Receptor (84238) | $71 | $71 | 1.9× |
| Somatomedin (84305) | $78 | $78 | 3.7× |
| Special Stains Group 1 (88312) | $412 | $412 | 7.7× |
| Special Stains Group 2 (88313) | $247 | $247 | 1.8× |
| Specimen infect agnt concntj (87015) | $62 | $62 | 9.3× |
| Spectrophotometry (84311) | $301 | $301 | 37.2× |
| Stool cultr aerobic bact ea (87046) | $94 | $94 | 10.0× |
| Strep a DNA amp probe (87651) range across 4 matching MRF lines |
$101–$105 | $101–$105 | varies |
| Strep b DNA amp probe (87653) | $628 | $628 | 17.9× |
| Sulfate urine (84392) | $184 | $184 | 33.5× |
| Surg path level iii (88304) | $145 | $145 | 2.7× |
| Surgical pathology level IV (88305) | $303 | $303 | 5.7× |
| Surgical pathology level vi (88309) | $4,069 | $4,069 | 4.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 6 matching MRF lines |
$44–$161 | $44–$161 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$78–$81 | $78–$81 | varies |
| Syphilis Test Non-Trep Quant (86593) | $52 | $52 | 11.8× |
| T cells absolute cd4 count (86361) | $266 | $266 | 9.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $124 | $124 | 2.6× |
| T cells total count (86359) | $124 | $124 | 3.3× |
| T3 Free (84481) | $249 | $249 | 14.7× |
| T3 reverse (84482) | $482 | $482 | 30.6× |
| T3 Total (84480) | $145 | $145 | 10.2× |
| T4 Free (84439) | $101 | $101 | 11.2× |
| T4 total (84436) | $68 | $68 | 9.9× |
| Tacrolimus (80197) | $371 | $371 | 27.0× |
| Tau phosphorylated each (84393) | $2,060 | $2,060 | 16.0× |
| Tb ag response t-cell susp (86481) | $311 | $311 | 3.1× |
| Testosterone Bioavailable (84410) | $222 | $222 | 4.3× |
| Testosterone total (84403) | $129 | $129 | 5.0× |
| Testosterone, Free (84402) | $493 | $493 | 19.4× |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$293–$700 | $293–$700 | varies |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$55–$57 | $55–$57 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $880 | $880 | 17.3× |
| Thyroxine binding globulin (84442) | $286 | $286 | 19.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $284 | $284 | 24.6× |
| Topiramate (80201) | $221 | $221 | 18.5× |
| Toxoplasma ab igm (86778) | $266 | $266 | 18.5× |
| Toxoplasma antibody (86777) | $266 | $266 | 18.5× |
| Tpmt gene com variants (81335) | $566 | $566 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $68 | $68 | 13.1× |
| Transferrin (84466) | $130 | $130 | 10.2× |
| Triglycerides (84478) | $73 | $73 | 12.7× |
| Troponin Quant (84484) | $233 | $233 | 18.7× |
| Urea nitrogen urine (84540) | $49 | $49 | 8.8× |
| Uric acid other source (84560) | $46 | $46 | 9.1× |
| Urinalysis Microscopic Only (81015) | $39 | $39 | 12.8× |
| Urine Albumin Semiquantitative (82044) | $73 | $73 | 11.7× |
| Urine Pregnancy Test (81025) | $66 | $66 | 7.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $68 | $68 | 21.5× |
| Valproic acid (80164) | $130 | $130 | 9.6× |
| Vancomycin (80202) | $145 | $145 | 10.7× |
| Varicella-zoster antibody (86787) | $124 | $124 | 9.6× |
| Viral Culture (87252) | $246 | $246 | 9.4× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$78–$618 | $78–$618 | varies |
| Vitamin A (84590) | $262 | $262 | 22.6× |
| Vitamin b-12 (82607) | $160 | $160 | 10.6× |
| Vitamin B6 (84207) | $492 | $492 | 17.5× |
| Vitamin c (82180) | $66 | $66 | 6.7× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$39–$245 | $39–$245 | varies |
| Vitamin E (84446) | $113 | $113 | 8.0× |
| Von willebrand factor ag (85246) | $352 | $352 | 15.3× |
| West nile virus ab igm (86788) | $195 | $195 | 11.6× |
| West Nile Virus Antibody (86789) | $264 | $264 | 18.3× |
| Zinc (84630) | $202 | $202 | 17.7× |
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.