Lab & pathology prices at Coulee Medical Center
Grand Coulee, WA · every code in this section with a posted price and a Medicare benchmark.
351 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $286.34 | $318.15 | 7.4× |
| Acute hepatitis panel (80074) | $329.81 | $366.45 | 6.9× |
| Albumin Fluid (82042) | $149.31 | $165.90 | 19.2× |
| Albumin serum (82040) range across 2 matching MRF lines |
$130.41–$700.25 | $144.90–$778.05 | varies |
| Aldosterone urine (82088) | $221.13 | $245.70 | 5.4× |
| Alkaline phosphatase isoenzymes (84080) | $217.35 | $241.50 | 14.7× |
| Allergen specific ige (86003) range across 50 matching MRF lines |
$41.58–$347.76 | $46.20–$386.40 | varies |
| Alpha-1-antitrypsin total (82103) | $206.96 | $229.95 | 15.4× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$139.86–$158.76 | $155.40–$176.40 | varies |
| Alt (sgpt) (84460) | $121.91 | $135.45 | 23.0× |
| Ammonia (82140) | $195.62 | $217.35 | 13.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $396.90 | $441 | 4.0× |
| Amylase urine (82150) | $141.75 | $157.50 | 21.9× |
| Anca Titer Each Antibody (86037) | $19.85 | $22.05 | 1.6× |
| Angiotensin converting enzyme csf (82164) | $182.39 | $202.65 | 12.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $250.43 | $278.25 | 16.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$176.72–$185.22 | $196.35–$205.80 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $181.44 | $201.60 | 11.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$143.64–$172.94 | $159.60–$192.15 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $431.87 | $479.85 | 35.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $68.04 | $75.60 | 4.7× |
| Antibody Herpes Smplx Type 1 (86695) | $70.88 | $78.75 | 5.4× |
| Antibody Treponema Pallidum (86780) | $105.84 | $117.60 | 8.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $112.46 | $124.95 | 19.7× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$102.06–$181.44 | $113.40–$201.60 | varies |
| Antistreptolysin o titer (86060) | $124.74 | $138.60 | 17.1× |
| Apolipoprotein a1 (82172) | $209.79 | $233.10 | 9.9× |
| Arsenic (82175) range across 2 matching MRF lines |
$22.68–$179.55 | $25.20–$199.50 | varies |
| Assay Nephelometry Not Spec (83883) | $431.87 | $479.85 | 31.8× |
| Assay of 5-hiaa (83497) | $199.40 | $221.55 | 15.5× |
| Assay of blood/uric acid (84550) | $110.57 | $122.85 | 24.5× |
| Assay of calcium in urine (82340) | $76.55 | $85.05 | 12.7× |
| Assay of estrone (82679) | $134.19 | $149.10 | 5.4× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$148.37–$166.32 | $164.85–$184.80 | varies |
| Assay of lactic acid (83605) | $181.44 | $201.60 | 15.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$185.22–$489.51 | $205.80–$543.90 | varies |
| Assay of proinsulin (84206) | $354.38 | $393.75 | 13.3× |
| Assay of serum potassium (84132) | $110.57 | $122.85 | 23.2× |
| Assay of urea nitrogen (84520) | $105.84 | $117.60 | 26.8× |
| Assay of urine vma (84585) | $125.69 | $139.65 | 8.1× |
| Assay of vasoactive intestinal peptide (84586) | $457.38 | $508.20 | 12.9× |
| Assay of vitamin b-1 (84425) | $181.44 | $201.60 | 8.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$59.54–$88.83 | $66.15–$98.70 | varies |
| Automated Leukocyte Count (85048) | $67.10 | $74.55 | 26.4× |
| Bcr/abl1 gene major bp (81206) | $1,290.87 | $1,434.30 | 7.9× |
| Beta hydroxybutyrate (82010) | $151.20 | $168 | 18.5× |
| Beta-2 Microglobulin (82232) | $229.64 | $255.15 | 14.2× |
| Bile acids total (82239) | $113.40 | $126 | 6.6× |
| Bilirubin direct (82248) | $130.41 | $144.90 | 26.0× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$124.74–$130.41 | $138.60–$144.90 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$82.22–$86 | $91.35–$95.55 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $95.45 | $106.05 | 25.1× |
| Blood gases w/02 saturation (82805) | $336.42 | $373.80 | 4.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $133.25 | $148.05 | 8.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $205.07 | $227.85 | 32.3× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$73.71–$108.68 | $81.90–$120.75 | varies |
| Bordetella antibody (86615) | $460.22 | $511.35 | 34.9× |
| C diff amplified probe (87493) | $304.29 | $338.10 | 8.2× |
| C-Peptide (84681) | $206.96 | $229.95 | 9.9× |
| C-reactive protein (86140) | $103.01 | $114.45 | 19.9× |
| Ca 19-9 (86301) | $173.88 | $193.20 | 8.4× |
| Cadmium (82300) | $22.68 | $25.20 | 1.0× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$97.34–$141.75 | $108.15–$157.50 | varies |
| Calcium total (82310) | $130.41 | $144.90 | 25.3× |
| Calculus Spectroscopy (82365) | $191.84 | $213.15 | 14.9× |
| Calprotectin Fecal (83993) | $413.91 | $459.90 | 21.1× |
| Candida Dna Dir Probe (87480) | $134.19 | $149.10 | 6.7× |
| Carbamazepine total (80156) | $68.04 | $75.60 | 4.7× |
| Carboxyhemoglobin (82375) | $141.75 | $157.50 | 11.5× |
| Carcinoembryonic antigen (82378) | $223.97 | $248.85 | 11.8× |
| Cardiolipin ab iga (86147) | $137.97 | $153.30 | 5.4× |
| Catecholamines fractionated (82384) | $222.08 | $246.75 | 8.8× |
| Ccp antibody (86200) | $155.93 | $173.25 | 12.0× |
| Cell count csf (89051) range across 3 matching MRF lines |
$131.36–$158.76 | $145.95–$176.40 | varies |
| Ceruloplasmin (82390) | $121.91 | $135.45 | 11.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$441.32–$499.91 | $490.35–$555.45 | varies |
| Chloride Serum (82435) | $110.57 | $122.85 | 24.0× |
| Cholesterol total (82465) | $130.41 | $144.90 | 30.0× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$149.31–$181.44 | $165.90–$201.60 | varies |
| Chromium serum (82495) | $229.64 | $255.15 | 11.3× |
| Chromogranin a (86316) | $286.34 | $318.15 | 13.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$173.88–$202.23 | $193.20–$224.70 | varies |
| Citric acid urine (82507) | $168.21 | $186.90 | 6.1× |
| Ckmb (82553) range across 2 matching MRF lines |
$251.37–$264.60 | $279.30–$294 | varies |
| Coccidioides antibody (86635) | $160.65 | $178.50 | 14.0× |
| Collagen crosslinks (82523) | $258.93 | $287.70 | 13.9× |
| Column Chromotography Quant (82542) | $91.67 | $101.85 | 3.8× |
| Complement Antigen Each Component (86160) | $131.36 | $145.95 | 10.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $144.59 | $160.65 | 2.5× |
| Coombs direct (86880) | $107.73 | $119.70 | 20.0× |
| Copper urine (82525) | $144.59 | $160.65 | 11.7× |
| Cortisol free (82530) | $133.25 | $148.05 | 8.0× |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$125.69–$212.63 | $139.65–$236.25 | varies |
| Creatine kinase total (82550) | $190.89 | $212.10 | 29.3× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$105.84–$130.41 | $117.60–$144.90 | varies |
| Creatinine clearance (82575) | $124.74 | $138.60 | 13.2× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$110.57–$211.68 | $122.85–$235.20 | varies |
| Crossmatch immediate spin (86920) | $131.36 | $145.95 | 0.7× |
| Crp High Sensitivity (86141) | $30.24 | $33.60 | 2.3× |
| Cryoglobulin (82595) | $67.10 | $74.55 | 10.4× |
| Cryptosporidium ag eia (87328) | $176.72 | $196.35 | 12.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$142.70–$165.71 | $158.55–$184.12 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $166.32 | $184.80 | 20.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$68.04–$223.97 | $75.60–$248.85 | varies |
| Culture afb (87116) | $235.31 | $261.45 | 21.8× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$120.96–$174.83 | $134.40–$194.25 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$246.65–$257.99 | $274.05–$286.65 | varies |
| Culture csf (87070) range across 13 matching MRF lines |
$142.70–$197.51 | $158.55–$219.45 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$103.01–$172.94 | $114.45–$192.15 | varies |
| Culture stool (87045) | $148.37 | $164.85 | 15.7× |
| Culture urine (87086) range across 2 matching MRF lines |
$115.29–$149.31 | $128.10–$165.90 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$176.72–$185.22 | $196.35–$205.80 | varies |
| Cytopath Cell Enhance Tech (88112) | $133.25 | $148.05 | 2.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $161.60 | $179.55 | 6.1× |
| Cytp Concentration Smears & Interpretation (88108) | $43.47 | $48.30 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $90.72 | $100.80 | 1.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $21.74 | $24.15 | 0.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $43.47 | $48.30 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $352.49 | $391.65 | 1.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $133.25 | $148.05 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $151.20 | $168 | 4.7× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $103.01 | $114.45 | 0.5× |
| Detect Agent Nos Dna Amp (87798) | $657.72 | $730.80 | 18.7× |
| Dhea (82626) | $223.02 | $247.80 | 8.8× |
| Dhea-S (82627) | $275 | $305.55 | 12.4× |
| Digoxin (80162) | $245.70 | $273 | 18.5× |
| Dna Antibody Native/Double Stranded (86225) | $75.60 | $84 | 5.5× |
| Dna/Rna Amplified Probe (87150) | $204.12 | $226.80 | 5.8× |
| DNA/RNA direct probe (87149) | $257.99 | $286.65 | 12.9× |
| Drug Assay Lacosamide (80235) | $551.88 | $613.20 | 20.4× |
| Drug Screen Quant Zonisamide (80203) | $85.05 | $94.50 | 6.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $197.51 | $219.45 | 14.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $423.36 | $470.40 | 32.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 37 matching MRF lines |
$67.10–$421.47 | $74.55–$468.30 | varies |
| Drug Test Prsmv Instrmnt (80306) | $328.86 | $365.40 | 19.2× |
| Electrolyte panel (80051) | $133.25 | $148.05 | 19.0× |
| Erythropoietin (82668) | $182.39 | $202.65 | 9.7× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$173.88–$228.69 | $193.20–$254.10 | varies |
| Estriol (82677) | $108.68 | $120.75 | 4.5× |
| Exam Synovial Fluid Crystals (89060) | $111.51 | $123.90 | 15.2× |
| Factor v leiden mutation (81241) | $352.49 | $391.65 | 4.8× |
| Fecal Fat Qualitative (82705) | $103.01 | $114.45 | 20.2× |
| Ferritin (82728) range across 2 matching MRF lines |
$137.97–$183.33 | $153.30–$203.70 | varies |
| Fetal Fibronectin (82731) | $656.78 | $729.75 | 10.2× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$151.20–$159.71 | $168–$177.45 | varies |
| Fibrin Degradation Quant (85379) | $188.06 | $208.95 | 18.5× |
| Fibrinogen activity (85384) | $213.57 | $237.30 | 22.0× |
| Flow cytometry first marker (88184) | $183.33 | $203.70 | 0.5× |
| Fluorescent antibody screen (86255) | $123.80 | $137.55 | 10.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $138.92 | $154.35 | 11.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$107.73–$157.82 | $119.70–$175.35 | varies |
| Follicle Stimulating Hormone (83001) | $133.25 | $148.05 | 7.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $80.33 | $89.25 | 0.4× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$141.75–$148.37 | $157.50–$164.85 | varies |
| Gardner vag DNA dir probe (87510) | $106.79 | $118.65 | 5.3× |
| Gastrin (82941) | $110.57 | $122.85 | 6.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $875.07 | $972.30 | 2.1× |
| Gentamicin (80170) | $130.41 | $144.90 | 8.0× |
| Ggt (82977) | $141.75 | $157.50 | 19.7× |
| Giardia antigen (87329) | $141.75 | $157.50 | 11.8× |
| Glucagon (82943) | $385.56 | $428.40 | 27.0× |
| Glucose 2 hr pp (82950) | $131.36 | $145.95 | 27.7× |
| Glucose Blood Test (82962) | $49.14 | $54.60 | 15.0× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$65.21–$68.04 | $72.45–$75.60 | varies |
| Glucose Serum (82947) | $130.41 | $144.90 | 33.2× |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$57.65–$155.93 | $64.05–$173.25 | varies |
| Glycated Protein (82985) | $232.47 | $258.30 | 13.9× |
| Gonadotropin Chorionic Qualitative (84703) | $148.37 | $164.85 | 19.7× |
| Gonadotropin releasing hormone (83727) | $835.38 | $928.20 | 48.6× |
| Growth hormone (83003) | $181.44 | $201.60 | 10.9× |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$77.49–$82.22 | $86.10–$91.35 | varies |
| H Pylori (C-13) Breath (83013) | $374.22 | $415.80 | 5.6× |
| Haptoglobin (83010) | $190.89 | $212.10 | 15.2× |
| Hdl Cholesterol (83718) | $89.78 | $99.75 | 11.0× |
| Helicobacter Pylori Stool (87338) | $221.13 | $245.70 | 15.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$77.49–$205.07 | $86.10–$227.85 | varies |
| Hemoglobin (85018) | $82.22 | $91.35 | 34.7× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$102.06–$107.73 | $113.40–$119.70 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $134.19 | $149.10 | 16.4× |
| Hep a ab igm (86709) | $85.05 | $94.50 | 7.6× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$97.34–$103.01 | $108.15–$114.45 | varies |
| Hepatitis b core ab igm (86705) | $328.86 | $365.40 | 27.9× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$88.83–$137.97 | $98.70–$153.30 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$110.57–$116.24 | $122.85–$129.15 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$83.16–$97.34 | $92.40–$108.15 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$125.69–$130.41 | $139.65–$144.90 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$927.05–$974.30 | $1,030.05–$1,082.55 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $839.16 | $932.40 | 19.6× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$78.44–$140.81 | $87.15–$156.45 | varies |
| Heterophile Antibody Screen (86308) | $125.69 | $139.65 | 24.3× |
| Hfe Gene (81256) | $424.31 | $471.45 | 6.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $117.18 | $130.20 | 4.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $700.25 | $778.05 | 8.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $206.96 | $229.95 | 2.8× |
| Homocysteine (83090) | $203.18 | $225.75 | 11.3× |
| Hpv High-Risk Types (87624) | $73.71 | $81.90 | 2.1× |
| Hpv Types 16 & 18 Only (87625) | $161.60 | $179.55 | 4.0× |
| Hydroxyprogesterone 17-d (83498) | $233.42 | $259.35 | 8.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $247.59 | $275.10 | 24.0× |
| Iaad ia shiga-like toxin (87427) | $86.94 | $96.60 | 7.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $510.30 | $567 | 14.5× |
| Iadna Cytomegalovirus Quantification (87497) | $464.94 | $516.60 | 10.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $464 | $515.55 | 6.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,492.16 | $1,657.95 | 34.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $469.67 | $521.85 | 13.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$192.78–$202.23 | $214.20–$224.70 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $232.47 | $258.30 | 0.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $505.58 | $561.75 | 27.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $413.91 | $459.90 | 27.6× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$182.39–$199.40 | $202.65–$221.55 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$237.20–$2,330.37 | $263.55–$2,589.30 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $223.97 | $248.85 | 1.2× |
| Immunohistochemistry (88342) | $458.33 | $509.25 | 2.4× |
| In situ hybridization 1st probe stain (88365) | $875.07 | $972.30 | 4.6× |
| In situ hybridization ea multiplex probe stain (88366) | $141.75 | $157.50 | 0.7× |
| Influenza DNA amp probe (87502) | $354.38 | $393.75 | 3.7× |
| Inhibin A (86336) | $122.85 | $136.50 | 7.9× |
| Inhibin b (83520) range across 4 matching MRF lines |
$101.12–$706.86 | $112.35–$785.40 | varies |
| Insitu hybridization auto (88367) | $106.79 | $118.65 | 0.3× |
| Insitu hybridization manual (88368) | $110.57 | $122.85 | 0.3× |
| Insulin free (83527) | $80.33 | $89.25 | 6.2× |
| Insulin total (83525) range across 2 matching MRF lines |
$127.58–$133.25 | $141.75–$148.05 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$103.95–$126.63 | $115.50–$140.70 | varies |
| Iron (83540) range across 2 matching MRF lines |
$82.22–$86 | $91.35–$95.55 | varies |
| Iron Binding Capacity (83550) | $86 | $95.55 | 9.8× |
| Islet cell antibody (86341) | $247.59 | $275.10 | 10.5× |
| Koh Prep (87220) range across 2 matching MRF lines |
$61.43–$77.49 | $68.25–$86.10 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$75.60–$141.75 | $84–$157.50 | varies |
| LDL direct (83721) | $124.74 | $138.60 | 11.9× |
| Lead (83655) range across 4 matching MRF lines |
$22.68–$211.68 | $25.20–$235.20 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $656.78 | $729.75 | 20.4× |
| Level ii surg pathology grossµscopic exam (88302) | $213.57 | $237.30 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $107.73 | $119.70 | 0.3× |
| Lipase (83690) | $169.16 | $187.95 | 24.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $605.75 | $673.05 | 13.1× |
| Lithium (80178) | $69.93 | $77.70 | 10.6× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$166.32–$167.27 | $184.80–$185.85 | varies |
| Lyme disease antibody (86618) | $159.71 | $177.45 | 9.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $141.75 | $157.50 | 0.7× |
| M/phmtrc alys ishquant/semiq (88374) | $131.36 | $145.95 | 0.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$65.21–$161.60 | $72.45–$179.55 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$22.68–$179.55 | $25.20–$199.50 | varies |
| Methylmalonic acid serum (83921) | $236.25 | $262.50 | 11.1× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$128.52–$174.83 | $142.80–$194.25 | varies |
| Mrsa Pcr (87641) | $103.01 | $114.45 | 2.9× |
| Mthfr Gene Analysis Common Variants (81291) | $451.71 | $501.90 | 6.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$144.59–$151.20 | $160.65–$168 | varies |
| Myoglobin urine (83874) | $206.96 | $229.95 | 16.0× |
| Natriuretic peptide (83880) | $581.18 | $645.75 | 14.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $495.18 | $550.20 | 6.9× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$152.15–$261.77 | $169.05–$290.85 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$58.59–$68.04 | $65.10–$75.60 | varies |
| Osmolality serum (83930) | $67.10 | $74.55 | 10.2× |
| Osmolality Urine (83935) | $95.45 | $106.05 | 14.0× |
| Ova and parasites smears (87177) | $138.92 | $154.35 | 15.6× |
| Parvovirus antibody (86747) | $356.27 | $395.85 | 23.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$44.19–$65.21 | $49.10–$72.45 | varies |
| Phenylalanine (84030) | $213.57 | $237.30 | 38.8× |
| Phenytoin (Dilantin) (80185) | $223.02 | $247.80 | 16.8× |
| Phosphatase alkaline (84075) | $141.75 | $157.50 | 27.4× |
| Phosphorus Serum (84100) | $110.57 | $122.85 | 23.3× |
| Phosphorus urine (84105) | $92.61 | $102.90 | 16.0× |
| Pinworm exam (87172) | $69.93 | $77.70 | 16.4× |
| Platelet count automated (85049) | $105.84 | $117.60 | 23.6× |
| Prealbumin (84134) | $163.49 | $181.65 | 11.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $233.42 | $259.35 | 3.6× |
| Procalcitonin (Pct) (84145) | $648.27 | $720.30 | 23.8× |
| Progesterone (84144) | $173.88 | $193.20 | 8.3× |
| Prolactin (84146) range across 2 matching MRF lines |
$92.61–$147.42 | $102.90–$163.80 | varies |
| Protein body fluid (84157) | $70.88 | $78.75 | 17.7× |
| Protein C Activity (85303) | $277.83 | $308.70 | 20.1× |
| Protein Electrophoresis Urine (84166) | $80.79 | $89.77 | 4.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$51.03–$111.51 | $56.70–$123.90 | varies |
| Protein S Free (85306) | $261.77 | $290.85 | 17.1× |
| Protein total serum (84155) range across 5 matching MRF lines |
$68.04–$130.41 | $75.60–$144.90 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$124.74–$292.01 | $138.60–$324.45 | varies |
| PSA free (84154) | $133.25 | $148.05 | 7.2× |
| Pth Intact (83970) range across 2 matching MRF lines |
$273.11–$305.24 | $303.45–$339.15 | varies |
| Quantiferon tb gold plus (86480) | $281.61 | $312.90 | 4.5× |
| Quantitative assay drug (80299) | $659.61 | $732.90 | 35.4× |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$299.57–$495.18 | $332.85–$550.20 | varies |
| Rbc antibody screen (86850) | $56.70 | $63 | 5.8× |
| Renin activity plasma (84244) | $130.41 | $144.90 | 5.9× |
| Resp virus 12-25 targets (87633) | $875.07 | $972.30 | 2.1× |
| Rh (86901) | $66.15 | $73.50 | 22.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$99.23–$112.46 | $110.25–$124.95 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$119.07–$146.48 | $132.30–$162.75 | varies |
| Rubella Antibody (86762) | $95.45 | $106.05 | 6.6× |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$97.34–$132.30 | $108.15–$147 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$275–$2,330.37 | $305.55–$2,589.30 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$209.79–$220.19 | $233.10–$244.65 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$220.19–$323.19 | $244.65–$359.10 | varies |
| Sedimentation Rate, Automated (85652) | $70.88 | $78.75 | 26.3× |
| Semen Anal Sperm Detection (89321) | $51.03 | $56.70 | 4.2× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$137.03–$151.20 | $152.25–$168 | varies |
| Sex Hormone Binding Globulin (84270) | $122.85 | $136.50 | 5.7× |
| Sickling of rbc reduction (85660) | $34.97 | $38.85 | 6.3× |
| Smear acid fast (87206) | $257.99 | $286.65 | 47.9× |
| Smear complex stain (87209) | $130.41 | $144.90 | 7.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$86.94–$94.50 | $96.60–$105 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $77.49 | $86.10 | 13.3× |
| Sodium Serum (84295) | $130.41 | $144.90 | 27.1× |
| Sodium Urine (84300) | $130.41 | $144.90 | 25.8× |
| Somatomedin (84305) | $166.32 | $184.80 | 7.8× |
| Special Stains Group 1 (88312) | $80.33 | $89.25 | 1.4× |
| Special Stains Group 2 (88313) | $431.87 | $479.85 | 2.9× |
| Stool cultr aerobic bact ea (87046) | $75.60 | $84 | 8.0× |
| Strep a assay w/optic (87880) | $134.87 | $149.85 | 8.2× |
| Strep a DNA amp probe (87651) | $259.88 | $288.75 | 7.4× |
| Surg path level iii (88304) | $187.11 | $207.90 | 3.2× |
| Surgical pathology level IV (88305) | $157.82 | $175.35 | 2.7× |
| Surgical pathology level vi (88309) | $205.07 | $227.85 | 0.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $144.59 | $160.65 | 19.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $137.03 | $152.25 | 18.7× |
| Syphilis Test Non-Trep Quant (86593) | $92.61 | $102.90 | 21.0× |
| T3 Free (84481) range across 2 matching MRF lines |
$134.19–$164.43 | $149.10–$182.70 | varies |
| T3 reverse (84482) | $223.97 | $248.85 | 14.2× |
| T3 Total (84480) | $124.74 | $138.60 | 8.8× |
| T4 Free (84439) range across 2 matching MRF lines |
$137.97–$144.59 | $153.30–$160.65 | varies |
| T4 total (84436) | $109.62 | $121.80 | 16.0× |
| Tacrolimus (80197) | $208.85 | $232.05 | 15.2× |
| Testosterone total (84403) range across 4 matching MRF lines |
$30.24–$180.50 | $33.60–$200.55 | varies |
| Testosterone, Free (84402) | $8.51 | $9.45 | 0.3× |
| Theophylline (80198) | $192.78 | $214.20 | 13.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $59.54 | $66.15 | 9.2× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$128.52–$236.25 | $142.80–$262.50 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $548.10 | $609 | 10.8× |
| Topiramate (80201) | $286.34 | $318.15 | 24.0× |
| Toxoplasma antibody (86777) | $149.31 | $165.90 | 10.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $110.57 | $122.85 | 21.3× |
| Transferrin (84466) range across 2 matching MRF lines |
$144.59–$151.20 | $160.65–$168 | varies |
| Trichomonas Vaginalis Amplif (87661) | $127.58 | $141.75 | 3.6× |
| Triglycerides (84478) | $127.58 | $141.75 | 22.2× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$206.96–$223.97 | $229.95–$248.85 | varies |
| Tumor immunohistochem/comput (88361) | $46.31 | $51.45 | 0.1× |
| Tumor Immunohistochem/Manual (88360) | $235.31 | $261.45 | 1.2× |
| Urinalysis Microscopic Only (81015) | $50.09 | $55.65 | 16.4× |
| Urinalysis Volume Measure (81050) | $55.76 | $61.95 | 15.3× |
| Urine Bacteria Culture (87088) | $68.04 | $75.60 | 8.4× |
| Urine Pregnancy Test (81025) | $79.38 | $88.20 | 9.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $83.16 | $92.40 | 26.2× |
| Valproic acid (80164) | $176.72 | $196.35 | 13.1× |
| Vancomycin (80202) | $308.07 | $342.30 | 22.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$148.37–$166.32 | $164.85–$184.80 | varies |
| Viral Culture (87252) | $254.21 | $282.45 | 9.8× |
| Vit D 1 25-Dihydroxy (82652) | $185.22 | $205.80 | 4.8× |
| Vitamin A (84590) range across 2 matching MRF lines |
$172.94–$181.44 | $192.15–$201.60 | varies |
| Vitamin b-12 (82607) | $153.09 | $170.10 | 10.2× |
| Vitamin E (84446) | $184.28 | $204.75 | 13.0× |
| Vitamin K (84597) | $281.61 | $312.90 | 20.5× |
| Zinc (84630) | $173.88 | $193.20 | 15.3× |
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.