Lab & pathology prices at Cottage Hospital
Woodsville, NH · every code in this section with a posted price and a Medicare benchmark.
430 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $566 | $1,132 | 1.9× |
| Acetylcholine receptor binding antibody (86041) | $57 | $114 | 3.1× |
| Acth (82024) | $200 | $400 | 5.2× |
| Actin smooth muscle antibody each (86015) | $104.50 | $209 | 8.7× |
| Acute hepatitis panel (80074) | $240 | $480 | 5.0× |
| Albumin Fluid (82042) | $37 | $74 | 4.8× |
| Albumin serum (82040) | $34.50 | $69 | 7.0× |
| Aldolase (82085) | $85.50 | $171 | 8.8× |
| Aldosterone urine (82088) | $192 | $384 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $115 | $230 | 7.8× |
| Allergen specific ige (86003) range across 24 matching MRF lines |
$31–$32 | $62–$64 | varies |
| Alpha-1-antitrypsin total (82103) | $88 | $176 | 6.5× |
| Alpha-Fetoprotein Serum (82105) | $133.50 | $267 | 8.0× |
| Alt (sgpt) (84460) | $37 | $74 | 7.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $159.50 | $319 | 6.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$123.50–$127.50 | $247–$255 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$52–$53.50 | $104–$107 | varies |
| Anca Titer Each Antibody (86037) | $13.50 | $27 | 1.1× |
| Androstenedione (82157) | $160 | $320 | 5.5× |
| Angiotensin converting enzyme csf (82164) | $101.50 | $203 | 7.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $142.50 | $285 | 9.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $88 | $176 | 5.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $80 | $160 | 5.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $80 | $160 | 4.4× |
| Antibody Herpes Smplx Type 1 (86695) | $45.50 | $91 | 3.4× |
| Antibody HIV-2 (86702) | $90.50 | $181 | 6.7× |
| Antibody Protozoa Nes (86753) | $74.50 | $149 | 6.0× |
| Antibody Treponema Pallidum (86780) | $74.50 | $149 | 5.6× |
| Antibody; influenza virus (86710) | $48 | $96 | 3.5× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$85.50–$88 | $171–$176 | varies |
| Antithrombin iii activity (85300) | $165.50 | $331 | 14.0× |
| Apolipoprotein a1 (82172) | $53.50 | $107 | 2.5× |
| Arsenic (82175) range across 2 matching MRF lines |
$64.50–$66.50 | $129–$133 | varies |
| Assay Blood Carbon Dioxide (82374) | $29.50 | $59 | 6.0× |
| Assay of 5-hiaa (83497) | $108.50 | $217 | 8.4× |
| Assay of anti-mullerian hormone (82166) | $56.50 | $113 | 1.5× |
| Assay of blood/uric acid (84550) | $34.50 | $69 | 7.6× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$33.50–$34.50 | $67–$69 | varies |
| Assay of estrone (82679) | $88 | $176 | 3.5× |
| Assay of g6pd enzyme (82955) | $112 | $224 | 11.5× |
| Assay of gammaglobulin igm (82784) range across 12 matching MRF lines |
$37.16–$115 | $74.33–$230 | varies |
| Assay of lactic acid (83605) | $85.50 | $171 | 7.4× |
| Assay of metanephrines (83835) | $207 | $414 | 12.2× |
| Assay of serum potassium (84132) | $29.50 | $59 | 6.2× |
| Assay of urea nitrogen (84520) | $29.50 | $59 | 7.5× |
| Assay of vitamin b-1 (84425) | $129.50 | $259 | 6.1× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$18–$18.50 | $36–$37 | varies |
| Automated Leukocyte Count (85048) | $66.50 | $133 | 26.2× |
| B cells total count (86355) | $186.50 | $373 | 4.9× |
| Babesia microti amp prb (87469) | $17.50 | $35 | 0.5× |
| Bartonella antibody (86611) | $133.50 | $267 | 13.1× |
| Beta 2 glycoprotein i antibody each (86146) | $56 | $112 | 2.2× |
| Beta hydroxybutyrate (82010) | $29.50 | $59 | 3.6× |
| Beta-2 Microglobulin (82232) | $133.50 | $267 | 8.3× |
| Bile acids total (82239) | $58.50 | $117 | 3.4× |
| Bilirubin direct (82248) | $34.50 | $69 | 6.9× |
| Bilirubin total (82247) | $34.50 | $69 | 6.9× |
| Bld Typing Serologic Rh Phnt (86906) | $29.50 | $59 | 3.8× |
| Blood count reticulocyte automated (85045) | $32 | $64 | 8.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$13.50–$15.50 | $27–$31 | varies |
| Blood gas (82803) | $147 | $294 | 5.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $52 | $104 | 3.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $471.50 | $943 | 74.3× |
| Blood typing serologic abo (86900) | $34.50 | $69 | 11.5× |
| Borrelia miyamotoi amp prb (87478) | $17.50 | $35 | 0.5× |
| Braf gene analysis (81210) | $518 | $1,036 | 3.0× |
| C diff amplified probe (87493) | $115 | $230 | 3.1× |
| C-Peptide (84681) | $98.50 | $197 | 4.7× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$75–$77.50 | $150–$155 | varies |
| Ca 19-9 (86301) | $101.50 | $203 | 4.9× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$111.50–$115 | $223–$230 | varies |
| Calcium total (82310) | $34.50 | $69 | 6.7× |
| Calculus Spectroscopy (82365) | $96 | $192 | 7.4× |
| Calprotectin Fecal (83993) | $124 | $248 | 6.3× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$399.50–$401.50 | $799–$803 | varies |
| Cancer Antigen 125 (86304) | $147 | $294 | 7.1× |
| Cancer Antigen 27.29 (86300) | $106.50 | $213 | 5.1× |
| Candida antibody (86628) | $68.50 | $137 | 5.7× |
| Carbamazepine total (80156) | $66.50 | $133 | 4.6× |
| Carboxyhemoglobin (82375) | $41.50 | $83 | 3.4× |
| Carcinoembryonic antigen (82378) | $127.50 | $255 | 6.7× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$67.50–$69.50 | $135–$139 | varies |
| Carnitine Quantitative Each Specimen (82379) | $103.50 | $207 | 6.1× |
| Catecholamines fractionated (82384) | $160 | $320 | 6.3× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$80–$82.50 | $160–$165 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$46.50–$48 | $93–$96 | varies |
| Ceruloplasmin (82390) | $85.50 | $171 | 8.0× |
| Chemiluminescent assay (82397) | $77.50 | $155 | 5.5× |
| Chloride Serum (82435) | $29.50 | $59 | 6.4× |
| Chloride urine (82436) range across 4 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Cholesterol total (82465) | $29.50 | $59 | 6.8× |
| Chorionic gonadotropin test (84702) | $74.50 | $149 | 5.0× |
| Chromium serum (82495) | $64.50 | $129 | 3.2× |
| Chromogranin a (86316) | $69.50 | $139 | 3.3× |
| Chromosome Analysis 20-25 (88264) | $492.50 | $985 | 3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$134.50–$138.50 | $269–$277 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$187.50–$193 | $375–$386 | varies |
| Ckmb (82553) | $88 | $176 | 7.6× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$88–$90.50 | $176–$181 | varies |
| Cold agglutinin titer (86157) | $104 | $208 | 12.9× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$32.58–$95.50 | $65.16–$191 | varies |
| Column Chromotography Quant (82542) | $224 | $448 | 9.3× |
| Compatibility test antiglob (86922) | $90.50 | $181 | 0.5× |
| Complement Antigen Each Component (86160) | $104 | $208 | 8.7× |
| Complement Total (Ch50) (86162) | $129.50 | $259 | 6.4× |
| Coombs direct (86880) | $80 | $160 | 14.8× |
| Copper urine (82525) range across 2 matching MRF lines |
$57–$58.50 | $114–$117 | varies |
| Cortisol free (82530) | $129.50 | $259 | 7.7× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$116.50–$120 | $233–$240 | varies |
| Creatine kinase total (82550) | $40 | $80 | 6.1× |
| Creatinine blood (82565) | $29.50 | $59 | 5.8× |
| Creatinine clearance (82575) | $69.50 | $139 | 7.3× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Crossmatch immediate spin (86920) | $90.50 | $181 | 0.5× |
| Crp High Sensitivity (86141) | $119 | $238 | 9.2× |
| Cryptococcus ag titer (87899) | $37 | $74 | 2.3× |
| Cryptosporidium ag eia (87328) | $88 | $176 | 6.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$34.50–$104 | $69–$208 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $90.50 | $181 | 11.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $467 | $934 | 2.1× |
| Culture afb (87116) | $37 | $74 | 3.4× |
| Culture Anaerobic (87075) | $50.50 | $101 | 5.3× |
| Culture blood (87040) | $64 | $128 | 6.2× |
| Culture csf (87070) | $96 | $192 | 11.1× |
| Culture fungus (87102) | $80 | $160 | 9.5× |
| Culture screen only (87081) | $66.50 | $133 | 10.0× |
| Culture stool (87045) | $50.50 | $101 | 5.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$30–$32 | $60–$64 | varies |
| Culture urine (87086) | $27 | $54 | 3.3× |
| Cyclosporine (80158) | $213 | $426 | 11.8× |
| Cytogenetics 100-300 (88275) | $213 | $426 | 4.2× |
| Cytomegalovirus igg (86644) | $22 | $44 | 1.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $85 | $170 | 4.2× |
| Cytopath Cell Enhance Tech (88112) | $220 | $440 | 4.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $90.50 | $181 | 3.4× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $87.50 | $175 | 3.8× |
| Cytp Concentration Smears & Interpretation (88108) | $103.50 | $207 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $512.50 | $1,025 | 9.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $64.50 | $129 | 0.4× |
| Deoxyribonuclease antibody (86215) | $77.50 | $155 | 5.8× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$93.25–$192 | $186.50–$384 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$142.50–$147 | $285–$294 | varies |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$129–$133.50 | $258–$267 | varies |
| Dhea-S (82627) | $120 | $240 | 5.4× |
| Digoxin (80162) | $64 | $128 | 4.8× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$48–$101.50 | $96–$203 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$50.50–$88 | $101–$176 | varies |
| Dna/Rna Sequencing (87153) | $360 | $720 | 3.1× |
| Drug assay adalimumab (80145) | $116 | $232 | 3.0× |
| Drug Assay Infliximab (80230) | $507.50 | $1,015 | 13.2× |
| Drug Assay Lacosamide (80235) | $211 | $422 | 7.8× |
| Drug Screen Quant Clozapine (80159) | $64 | $128 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $93 | $186 | 7.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $44 | $88 | 3.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $90.50 | $181 | 6.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $46.50 | $93 | 3.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$194–$200 | $388–$400 | varies |
| Drug Test Prsmv Instrmnt (80306) | $50.50 | $101 | 2.9× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$58.50–$74.50 | $117–$149 | varies |
| El-1 Fecal Quantitative (82653) | $155.50 | $311 | 6.8× |
| Electrolyte panel (80051) | $37 | $74 | 5.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $141 | $282 | 11.7× |
| Enzyme histochemistry (88319) | $155.50 | $311 | 0.2× |
| Erythropoietin (82668) | $133.50 | $267 | 7.1× |
| Estradiol serum (82670) | $165.50 | $331 | 5.9× |
| Estrogen total (82672) | $142.50 | $285 | 6.6× |
| Exam Synovial Fluid Crystals (89060) | $96 | $192 | 13.1× |
| F2 Gene (81240) | $349.50 | $699 | 5.3× |
| Factor v leiden mutation (81241) | $267 | $534 | 3.6× |
| Fecal Fat Qualitative (82705) | $85.50 | $171 | 16.8× |
| Ferritin (82728) | $101.50 | $203 | 7.4× |
| Fetal Chrmoml Aneuploidy (81420) | $404.50 | $809 | 0.5× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$90–$93 | $180–$186 | varies |
| Fibrinogen activity (85384) | $69.50 | $139 | 7.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$165.50–$244.50 | $331–$489 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$88–$90.50 | $176–$181 | varies |
| Folic acid rbc (82747) | $147 | $294 | 8.3× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$72.50–$74.50 | $145–$149 | varies |
| Follicle Stimulating Hormone (83001) | $101.50 | $203 | 5.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $98.50 | $197 | 0.5× |
| Frozen Section (88331) | $83 | $166 | 0.5× |
| Fungi Identification Mold (87107) | $80 | $160 | 7.8× |
| Gastrin (82941) | $112 | $224 | 6.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $794.50 | $1,589 | 1.9× |
| Gentamicin (80170) | $58.50 | $117 | 3.6× |
| Ggt (82977) | $45.50 | $91 | 6.3× |
| Giardia antigen (87329) range across 3 matching MRF lines |
$85.50–$88 | $171–$176 | varies |
| Glucose 2 hr pp (82950) | $32 | $64 | 6.7× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$31–$32 | $62–$64 | varies |
| Glucose Serum (82947) | $32 | $64 | 8.1× |
| Glucose tolerance test (gtt) (82951) | $66.50 | $133 | 5.2× |
| Glycated Protein (82985) | $53.50 | $107 | 3.2× |
| Gonadotropin Chorionic Qualitative (84703) | $42.50 | $85 | 5.7× |
| Growth hormone (83003) | $104 | $208 | 6.2× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21–$32 | $42–$64 | varies |
| H Pylori (C-13) Breath (83013) | $240 | $480 | 3.6× |
| Haloperidol (80173) | $66.50 | $133 | 4.2× |
| Haptoglobin (83010) | $85.50 | $171 | 6.8× |
| Hba1/Hba2 Gene (81257) | $466.50 | $933 | 4.6× |
| Hdl Cholesterol (83718) | $45.50 | $91 | 5.6× |
| Helicobacter Pylori Stool (87338) | $111.50 | $223 | 7.8× |
| Hematocrit (85014) | $18.50 | $37 | 7.8× |
| Hemoglobin (85018) | $18.50 | $37 | 7.8× |
| Hemoglobin a1c (83036) | $80 | $160 | 8.2× |
| Hemoglobin electrophoresis (83020) | $66.50 | $133 | 5.2× |
| Heparin assay (85520) | $180.50 | $361 | 13.8× |
| Hepatitis a antibody total (86708) | $95.50 | $191 | 7.7× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$75–$77.50 | $150–$155 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$88–$90.50 | $176–$181 | varies |
| Hepatitis B Surface Antibody (86706) | $37 | $74 | 3.4× |
| Hepatitis B Surface Antigen (87340) | $80 | $160 | 7.7× |
| Hepatitis Be Antibody (86707) | $74.50 | $149 | 6.4× |
| Hepatitis Be Antigen (87350) | $74.50 | $149 | 6.5× |
| Hepatitis C Antibody (86803) | $37 | $74 | 2.6× |
| Hepatitis C Genotype (87902) | $533 | $1,066 | 2.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $284.50 | $569 | 6.6× |
| Herpes simplex type 2 (86696) | $66.50 | $133 | 3.4× |
| Heterophile Antibody Screen (86308) | $34.50 | $69 | 6.7× |
| Hfe Gene (81256) | $217.50 | $435 | 3.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $75 | $150 | 3.1× |
| Hiv-1 Antibody (86701) | $42.50 | $85 | 4.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$362.50–$373.50 | $725–$747 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $160 | $320 | 4.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $89 | $178 | 1.2× |
| Hla ii type 1 ag equiv lr (81377) | $587.50 | $1,175 | 6.2× |
| Homocysteine (83090) | $173 | $346 | 9.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $88 | $176 | 1.3× |
| Hsv Dna Amp Probe (87529) | $165.50 | $331 | 4.7× |
| Human Epididymis Protein 4 (86305) | $85.50 | $171 | 4.1× |
| Hydroxyprogesterone 17-d (83498) | $127.50 | $255 | 4.7× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $34.50 | $69 | 2.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $160 | $320 | 4.5× |
| Iaad ia shiga-like toxin (87427) | $80 | $160 | 6.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 3 matching MRF lines |
$17.50–$201.50 | $35–$403 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $216 | $432 | 6.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $17.80 | $35.60 | 0.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $267 | $534 | 7.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 3 matching MRF lines |
$17.50–$99 | $35–$198 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$271.50–$279.50 | $543–$559 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $399.50 | $799 | 11.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $17.80 | $35.60 | 0.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$124–$127.50 | $248–$255 | varies |
| Ig Light Chains Free Each (83521) | $215 | $430 | 12.4× |
| Igg subclasses (82787) | $18.50 | $37 | 2.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$188–$300 | $376–$600 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $194 | $388 | 6.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $50.50 | $101 | 3.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$129.50–$133.50 | $259–$267 | varies |
| Immunohistochemistry (88342) | $233 | $466 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $207.50 | $415 | 1.1× |
| Inhibin b (83520) range across 4 matching MRF lines |
$215–$221.50 | $430–$443 | varies |
| Insitu hybridization manual (88368) | $232 | $464 | 0.6× |
| Insulin antibodies (86337) | $112 | $224 | 5.2× |
| Insulin total (83525) | $106.50 | $213 | 9.3× |
| Intrinsic factor antibody (86340) | $123.50 | $247 | 8.2× |
| Iron (83540) range across 4 matching MRF lines |
$46.50–$51.50 | $93–$103 | varies |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$35–$37 | $70–$74 | varies |
| Islet cell antibody (86341) | $88 | $176 | 3.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $349.50 | $699 | 3.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,199.50 | $2,399 | 6.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$39–$40 | $78–$80 | varies |
| Lactoferrin fecal qualitative (83630) | $142.50 | $285 | 7.2× |
| Lactoferrin Fecal Quantitative (83631) | $99 | $198 | 5.0× |
| LDL direct (83721) | $50.50 | $101 | 4.8× |
| Lead (83655) | $57 | $114 | 4.7× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$37–$80 | $74–$160 | varies |
| Leukocyte Assessment Fecal (89055) | $16 | $32 | 3.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $48 | $96 | 1.6× |
| Level ii surg pathology grossµscopic exam (88302) | $106.50 | $213 | 2.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $634 | $1,268 | 1.7× |
| Lipase (83690) | $74.50 | $149 | 10.8× |
| Lipoprotein A (83695) | $80 | $160 | 5.6× |
| Lithium (80178) | $66.50 | $133 | 10.1× |
| Luteinizing Hormone (Lh) (83002) | $112 | $224 | 6.0× |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$64.50–$66.50 | $129–$133 | varies |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$26–$27 | $52–$54 | varies |
| Mercury urine (83825) | $58.50 | $117 | 3.6× |
| Metabolic panel ionized ca (80047) | $32 | $64 | 2.3× |
| Methylmalonic acid serum (83921) | $142.50 | $285 | 6.7× |
| Microalbumin, quantitative (82043) | $90.50 | $181 | 15.7× |
| Microbe Suscept Macrobroth (87188) | $80 | $160 | 12.0× |
| Microsomal Antibodies Each (86376) | $120 | $240 | 8.2× |
| Mitochondrial Antibody Each (86381) | $99.50 | $199 | 3.9× |
| Mlh1 Gene (81288) | $582 | $1,164 | 3.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $181 | $362 | 8.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $61.50 | $123 | 1.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $438 | $876 | 2.4× |
| Mpl gene common variants (81338) | $453 | $906 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $160 | $320 | 2.4× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$72.50–$74.50 | $145–$149 | varies |
| Myoglobin urine (83874) | $77.50 | $155 | 6.0× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$133.50–$152 | $267–$304 | varies |
| Neutralization Test Viral (86382) | $147 | $294 | 8.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $932.50 | $1,865 | 1.9× |
| Niacin (84591) | $48 | $96 | 2.8× |
| Nras gene variants exon 2&3 (81311) | $869.50 | $1,739 | 2.9× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$64.50–$66.50 | $129–$133 | varies |
| Occult blood feces (82272) | $18.50 | $37 | 4.4× |
| Osmolality serum (83930) | $112 | $224 | 16.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$49–$50.50 | $98–$101 | varies |
| Ova and parasites smears (87177) | $45.50 | $91 | 5.1× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$110.50–$115 | $221–$230 | varies |
| Parvovirus antibody (86747) | $59.50 | $119 | 4.0× |
| Ph urine (81003) range across 3 matching MRF lines |
$18.50–$32 | $37–$64 | varies |
| Phenobarbital Level (80184) | $104 | $208 | 6.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$59.50–$61.50 | $119–$123 | varies |
| Phenytoin free (80186) | $62 | $124 | 4.5× |
| Phosphatase alkaline (84075) | $40 | $80 | 7.7× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$126–$405.50 | $252–$811 | varies |
| Phosphorus Serum (84100) | $34.50 | $69 | 7.3× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$33.50–$34.50 | $67–$69 | varies |
| Platelet Antibodies (86022) | $200 | $400 | 10.9× |
| Platelet count automated (85049) | $66.50 | $133 | 14.8× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Prealbumin (84134) | $112 | $224 | 7.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $705.20 | $1,410.40 | 11.2× |
| Procalcitonin (Pct) (84145) | $90.50 | $181 | 3.3× |
| Progesterone (84144) | $90.50 | $181 | 4.3× |
| Prolactin (84146) | $138.50 | $277 | 7.1× |
| Protein body fluid (84157) | $45.50 | $91 | 11.4× |
| Protein C Activity (85303) | $74.50 | $149 | 5.4× |
| Protein Electrophoresis Urine (84166) | $93 | $186 | 5.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$90.50–$93 | $181–$186 | varies |
| Protein S Free (85306) | $240 | $480 | 15.7× |
| Protein s total (85305) | $165.50 | $331 | 14.3× |
| Protein total serum (84155) | $34.50 | $69 | 9.4× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$34.50–$160.50 | $69–$321 | varies |
| Protein Western Blot Test (84182) | $173 | $346 | 5.9× |
| PSA free (84154) range across 2 matching MRF lines |
$64.50–$66.50 | $129–$133 | varies |
| Pth Intact (83970) | $142.50 | $285 | 3.5× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$213–$239.50 | $426–$479 | varies |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$46.50–$48 | $93–$96 | varies |
| Quantitative Screen Metals (83018) | $77.50 | $155 | 3.5× |
| Rbc antibody elution (86860) | $82.50 | $165 | 0.5× |
| Rbc antibody identification (86870) | $192 | $384 | 0.5× |
| Rbc antibody screen (86850) | $101.50 | $203 | 10.4× |
| Reagent Strip/Blood Glucose (82948) | $20 | $40 | 4.0× |
| Renin activity plasma (84244) | $133.50 | $267 | 6.1× |
| Resp virus 12-25 targets (87633) | $440 | $880 | 1.1× |
| Reticulated Platelet Assay (85055) | $10.30 | $20.60 | 0.3× |
| Reticulocyte Count (85046) | $31 | $62 | 5.6× |
| Rh (86901) | $29.50 | $59 | 9.9× |
| Rheumatoid factor quant (86431) | $66.50 | $133 | 11.7× |
| Rickettsia antibody (86757) | $85.50 | $171 | 4.4× |
| Ristocetin cofactor (85245) | $186.50 | $373 | 8.1× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$72.50–$74.50 | $145–$149 | varies |
| Rubella Antibody (86762) | $49 | $98 | 3.4× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$83–$85.50 | $166–$171 | varies |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$69.50–$115 | $139–$230 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$118.50–$120 | $237–$240 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $116.50 | $233 | 2.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$10.50–$149.50 | $21–$299 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $538 | $1,076 | 3.8× |
| Sedimentation Rate, Automated (85652) | $29.50 | $59 | 10.9× |
| Selenium (84255) | $103.50 | $207 | 4.1× |
| Sensitivity mic (87186) | $58.50 | $117 | 6.8× |
| Sex Hormone Binding Globulin (84270) | $88 | $176 | 4.0× |
| Sickling of rbc reduction (85660) | $32 | $64 | 5.8× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Smear complex stain (87209) | $64 | $128 | 3.6× |
| Smear gram stain (87205) range across 7 matching MRF lines |
$16–$24 | $32–$48 | varies |
| Smear Special Stain (87207) | $48 | $96 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $24 | $48 | 4.1× |
| So neo gsap DNA/DNA&RNA (81459) | $1,733.50 | $3,467 | 0.6× |
| Sodium Serum (84295) | $29.50 | $59 | 6.1× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Somatomedin (84305) | $115 | $230 | 5.4× |
| Special Stains Group 1 (88312) | $301 | $602 | 5.4× |
| Special Stains Group 2 (88313) | $207 | $414 | 1.5× |
| Specimen infect agnt concntj (87015) | $24 | $48 | 3.6× |
| Stool cultr aerobic bact ea (87046) | $82.50 | $165 | 8.7× |
| Strep a DNA amp probe (87651) | $108 | $216 | 3.1× |
| Sulfate urine (84392) | $12 | $24 | 2.2× |
| Surg path level iii (88304) | $133.50 | $267 | 2.4× |
| Surgical pathology level IV (88305) | $315 | $630 | 5.7× |
| Surgical pathology level vi (88309) | $666.50 | $1,333 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $26 | $52 | 5.5× |
| Syphilis Test Non-Trep Quant (86593) range across 5 matching MRF lines |
$15.50–$16 | $31–$32 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $192 | $384 | 4.1× |
| T3 Free (84481) | $120 | $240 | 7.1× |
| T3 reverse (84482) | $120 | $240 | 7.6× |
| T3 Total (84480) | $101.50 | $203 | 7.2× |
| T3 Uptake (84479) | $29.50 | $59 | 4.6× |
| T4 Free (84439) range across 5 matching MRF lines |
$59.50–$61.50 | $119–$123 | varies |
| T4 total (84436) | $29.50 | $59 | 4.3× |
| Tacrolimus (80197) | $103.50 | $207 | 7.5× |
| Test for acetone/ketones (82009) | $18.50 | $37 | 4.1× |
| Test for urine cystines (82615) | $35 | $70 | 3.7× |
| Testosterone Bioavailable (84410) | $880 | $1,760 | 17.2× |
| Testosterone total (84403) | $160 | $320 | 6.2× |
| Testosterone, Free (84402) | $147 | $294 | 5.8× |
| Theophylline (80198) | $64 | $128 | 4.5× |
| Thrombin Time (85670) | $90.50 | $181 | 15.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $69.50 | $139 | 10.7× |
| Thyroglobulin (84432) | $85.50 | $171 | 5.3× |
| Thyroglobulin Antibody (86800) | $85.50 | $171 | 5.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $279.50 | $559 | 5.5× |
| Thyroxine binding globulin (84442) | $173 | $346 | 11.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$77.50–$154.50 | $155–$309 | varies |
| Tissue culture bone marrow (88237) | $133.50 | $267 | 0.9× |
| Topiramate (80201) | $93 | $186 | 7.8× |
| Touch prep (88161) | $103.50 | $207 | 3.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $37 | $74 | 7.1× |
| Transferrin (84466) | $101.50 | $203 | 8.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$181–$723 | $362–$1,446 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$170–$680.50 | $340–$1,361 | varies |
| Trichomonas vagin dir probe (87660) | $66.50 | $133 | 3.3× |
| Trichomonas Vaginalis Amplif (87661) | $127.50 | $255 | 3.6× |
| Triglycerides (84478) | $34.50 | $69 | 6.0× |
| Troponin Quant (84484) | $101.50 | $203 | 8.1× |
| Tumor Immunohistochem/Manual (88360) | $221.50 | $443 | 1.2× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$54–$56 | $108–$112 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$33.50–$34.50 | $67–$69 | varies |
| Urinalysis Microscopic Only (81015) | $18.50 | $37 | 6.1× |
| Urinalysis Volume Measure (81050) range across 6 matching MRF lines |
$12.50–$13.50 | $25–$27 | varies |
| Urine Bacteria Culture (87088) | $32 | $64 | 4.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $50.50 | $101 | 15.9× |
| Valproic acid (80164) range across 2 matching MRF lines |
$98–$101.50 | $196–$203 | varies |
| Vancomycin (80202) | $133.50 | $267 | 9.9× |
| Varicella-zoster antibody (86787) | $129.50 | $259 | 10.1× |
| Vasopressin (84588) | $160 | $320 | 4.7× |
| Vit D 1 25-Dihydroxy (82652) | $168 | $336 | 4.4× |
| Vitamin A (84590) | $127.50 | $255 | 11.0× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$72.50–$74.50 | $145–$149 | varies |
| Vitamin B6 (84207) | $194 | $388 | 6.9× |
| Vitamin D 25-Hydroxy (82306) | $133.50 | $267 | 4.5× |
| Vitamin E (84446) | $127.50 | $255 | 9.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $989 | $1,978 | 82.1× |
| West Nile Virus Antibody (86789) | $57 | $114 | 4.0× |
| Zinc (84630) | $83 | $166 | 7.3× |
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.