Lab & pathology prices at Crossing Rivers Health Medical Center

Prairie Du Chien, WI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $202 $202 8.9×
5 Nucleotidase (83915) $146 $146 13.1×
Acetylcholine receptor binding antibody (86041) $168 $168 9.1×
Acetylcholine receptor blocking antibody (86042) $126 $126 6.8×
Acetylcholn Rcptr Modlg Antb (86043) $77 $77 6.4×
Acth (82024) $437 $437 11.3×
Acute hepatitis panel (80074) $324 $324 6.8×
Acylcarnitines Quant (82017) $147 $147 8.7×
Agglutinins Febrile Each Antigen (86000) $169 $169 24.2×
Albumin Fluid (82042) $106 $106 13.6×
Albumin serum (82040)
range across 2 matching MRF lines
$63–$89 $63–$89 varies
Aldolase (82085) $117 $117 12.0×
Aldosterone urine (82088) $398 $398 9.8×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$224–$224.18 $224–$224.18 varies
Allergen specific ige (86003) $45 $45 8.6×
Allg Spec Ige Recomb Ea (86008) $124 $124 6.9×
Alpha-1-antitrypsin phenotype (82104) $213 $213 14.7×
Alpha-1-antitrypsin total (82103) $207.20 $207.20 15.4×
Alpha-Fetoprotein Serum (82105) $204 $204 12.2×
Alt (sgpt) (84460) $99 $99 18.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $387 $387 22.9×
Aminolevulinic acid (ala) (82135) $188 $188 11.4×
Ammonia (82140) $212 $212 14.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $399 $399 4.1×
Amylase urine (82150)
range across 2 matching MRF lines
$44–$123 $44–$123 varies
Ana Titer (86039) $246 $246 22.0×
Anca screen each antibody (86036) $139 $139 11.5×
Androstenedione (82157) $377 $377 12.9×
Angiotensin converting enzyme csf (82164) $187 $187 12.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $234 $234 15.1×
Antibody Cytomegalovirus Cmv Igm (86645) $184.80 $184.80 11.0×
Antibody Encephalitis California La Crosse (86651) $66 $66 5.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $104 $104 7.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $152 $152 9.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $182 $182 10.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $117.42 $117.42 8.2×
Antibody Herpes Smplx Type 1 (86695) $134.97 $134.97 10.2×
Antibody HIV-1&HIV-2 single result (86703) $199 $199 14.5×
Antibody HIV-2 (86702) $114 $114 8.4×
Antibody Protozoa Nes (86753) $175 $175 14.1×
Antibody Titer (86886) $211.15 $211.15 40.8×
Antibody Treponema Pallidum (86780) $105 $105 7.9×
Antibody; encephalitis, st. louis (86653) $66 $66 5.0×
Antigen typing (86905) $139.05 $139.05 36.3×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $130 $130 22.7×
Antinuclear antibodies (86038) $168 $168 13.9×
Antistreptolysin O Screen (86063) $105 $105 18.2×
Antistreptolysin o titer (86060) $88 $88 12.1×
Antithrombin iii activity (85300) $288 $288 24.3×
Antithrombin iii antigen (85301) $244 $244 22.6×
Apolipoprotein a1 (82172) $125 $125 5.9×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $206 $206 5.5×
Aquaporin-4 Antb Cba Each (86052) $330 $330 27.4×
Arsenic (82175) $187 $187 9.9×
Aspergillus ag eia (87305) $192 $192 16.0×
Assay activated protein c (85307) $272 $272 17.8×
Assay Blood Carbon Dioxide (82374) $81.38 $81.38 16.7×
Assay Nephelometry Not Spec (83883) $253 $253 18.6×
Assay of 5-hiaa (83497) $180.32 $180.32 14.0×
Assay of anti-mullerian hormone (82166) $121 $121 3.1×
Assay of blood/uric acid (84550) $84 $84 18.6×
Assay of calcium in urine (82340) $102 $102 16.9×
Assay of g6pd enzyme (82955) $1,115 $1,115 114.9×
Assay of gammaglobulin igm (82784) $207 $207 22.3×
Assay of lactic acid (83605) $160.65 $160.65 13.9×
Assay of manganese (83785) $178 $178 6.7×
Assay of metanephrines (83835) $343 $343 20.2×
Assay of proinsulin (84206) $254 $254 9.5×
Assay of serum potassium (84132) $91 $91 19.1×
Assay of Tyrosine (84510) $59 $59 5.6×
Assay of urea nitrogen (84520) $94 $94 23.8×
Assay of urine vma (84585) $142 $142 9.2×
Assay of vitamin b-1 (84425) $264 $264 12.4×
Assay Ph Body Fluid Nos (83986) $66 $66 18.4×
Assay spec xcp ur&breath ia (82077) $349 $349 20.2×
Automated Leukocyte Count (85048) $69 $69 27.2×
B cells total count (86355) $348 $348 9.2×
Babesia microti amp prb (87469) $303 $303 8.6×
Bartonella antibody (86611) $115 $115 11.3×
Bcr/abl1 gene major bp (81206) $1,291 $1,291 7.9×
Bcr/abl1 gene minor bp (81207) $911 $911 6.3×
Bcr/Abl1 Gene Other Bp (81208) $1,460 $1,460 6.8×
Beta 2 glycoprotein i antibody each (86146) $239 $239 9.4×
Beta hydroxybutyrate (82010) $122 $122 14.9×
Beta Lactamase (87185) $89 $89 18.7×
Beta-2 Microglobulin (82232) $214.24 $214.24 13.2×
Bile acids total (82239) $169 $169 9.9×
Bilirubin direct (82248) $107 $107 21.3×
Bilirubin total (82247) $105 $105 20.9×
Bilirubin total transcutaneous (88720) $64 $64 12.7×
Biotinidase (82261) $82 $82 4.9×
Bld Typing Serologic Rh Phnt (86906) $185 $185 23.9×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $81 $81 16.0×
Blood count reticulocyte automated (85045) $113 $113 28.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $164 $164 43.2×
Blood gas (82803) $269 $269 10.3×
Blood gases w/02 saturation (82805) $486 $486 6.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $147 $147 9.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $68 $68 15.5×
Blood Type Antigen Donor Reagent Serum Each (86902) $216 $216 34.0×
Blood typing serologic abo (86900) $106 $106 35.5×
Body fluid cell count (89050) $149 $149 31.6×
Brca1&2 gen full seq dup/del (81162) $5,158 $5,158 2.8×
Breath Alcohol Test (82075) $34 $34 1.1×
Brucella antibody (86622) $58 $58 6.5×
C diff amplified probe (87493) $366.45 $366.45 9.8×
C-Peptide (84681) $214 $214 10.3×
C-reactive protein (86140) $103 $103 19.9×
Ca 19-9 (86301) $246 $246 11.8×
Cadmium (82300) $171 $171 7.2×
Calcitonin (82308) $228 $228 8.5×
Calcium ionized (82330) $185.85 $185.85 13.6×
Calcium total (82310) $89 $89 17.2×
Calculus Spectroscopy (82365) $279 $279 21.6×
Calprotectin Fecal (83993) $451 $451 23.0×
Cancer Antigen 125 (86304) $223 $223 10.7×
Cancer Antigen 27.29 (86300) $230 $230 11.1×
Candida Dna Dir Probe (87480) $129 $129 6.4×
Carbamazepine free (80157) $146 $146 11.0×
Carbamazepine total (80156) $237.30 $237.30 16.3×
Carboxyhemoglobin (82375) $219 $219 17.8×
Carcinoembryonic antigen (82378) $274 $274 14.5×
Cardiolipin ab iga (86147) $177 $177 7.0×
Carnitine Quantitative Each Specimen (82379) $206 $206 12.2×
Catecholamines fractionated (82384) $272 $272 10.8×
Ccp antibody (86200) $210 $210 16.2×
Cell count csf (89051) $113 $113 20.2×
Ceruloplasmin (82390) $134.40 $134.40 12.5×
Cftr gene com variants (81220) $2,088 $2,088 3.8×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$199–$254 $199–$254 varies
Chlamydia antibody (86631) $81 $81 6.9×
Chlamydia Igm Antibody (86632) $118 $118 9.3×
Chlmy trch&neisra gonor mult (87494) $421 $421 6.0×
Chloride other source (82438) $130 $130 26.0×
Chloride Serum (82435) $76 $76 16.5×
Chloride urine (82436) $67 $67 11.7×
Cholesterol total (82465) $96 $96 22.1×
Chorionic gonadotropin test (84702) $230 $230 15.3×
Chromium serum (82495) $248 $248 12.2×
Chromogranin a (86316) $234 $234 11.2×
Chromosome Analysis 15-20 (88262) $1,200 $1,200 9.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $300 $300 8.5×
Citric acid urine (82507) $201 $201 7.2×
Ckmb (82553) $240 $240 20.8×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$133–$138 $133–$138 varies
Clot Factor VIII Multimetric (85247) $378 $378 16.5×
Clotting factor xii hageman (85280) $278.25 $278.25 14.4×
Clotting Funct Activity (85397) $288.40 $288.40 9.3×
Cns DNA amp probe type 12-25 (87483) $1,086 $1,086 2.6×
Collagen crosslinks (82523) $213 $213 11.4×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$220–$223 $220–$223 varies
Compatibility test antiglob (86922) $298 $298 1.8×
Complement Antigen Each Component (86160) $179 $179 14.9×
Complement Total (Ch50) (86162) $233 $233 11.5×
Complement/Function Activity (86161) $346.08 $346.08 28.8×
Coombs direct (86880) $115 $115 21.3×
Copper urine (82525) $146 $146 11.8×
Cortisol free (82530) $217 $217 13.0×
Cortisol saliva (82533) $284 $284 17.4×
Creatine kinase total (82550) $117 $117 18.0×
Creatinine blood (82565) $97 $97 18.9×
Creatinine clearance (82575) $153 $153 16.2×
Creatinine Urine (82570)
range across 2 matching MRF lines
$112–$113 $112–$113 varies
Crossmatch immediate spin (86920) $236 $236 1.4×
Crp High Sensitivity (86141) $145 $145 11.2×
Cryoglobulin (82595) $133 $133 20.6×
Cryptococcus ag titer (87899) $186 $186 11.6×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$69–$162 $69–$162 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $114 $114 14.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $217 $217 26.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $118 $118 15.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $1,275 $1,275 5.8×
Culture afb (87116) $140 $140 13.0×
Culture Anaerobic (87075) $151 $151 15.9×
Culture blood (87040) $193 $193 18.7×
Culture csf (87070)
range across 2 matching MRF lines
$58–$145 $58–$145 varies
Culture fungus (87102) $156 $156 18.5×
Culture fungus blood (87103) $186 $186 9.1×
Culture screen only (87081)
range across 2 matching MRF lines
$33–$107.10 $33–$107.10 varies
Culture stool (87045) $129.92 $129.92 13.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $58 $58 11.2×
Culture urine (87086) $117 $117 14.5×
Cyclosporine (80158) $262 $262 14.5×
Cystatin C (82610) $176 $176 9.5×
Cytogenetics 100-300 (88275) $331 $331 6.5×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $4,444 $4,444 3.8×
Cytomegalovirus igg (86644) $180.32 $180.32 12.5×
Cytopath C/V Index Add-On (88155) $104 $104 7.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$122–$148 $122–$148 varies
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$156–$263 $156–$263 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $215 $215 8.1×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$127–$342 $127–$342 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$238–$396 $238–$396 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $177 $177 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines
$156–$185 $156–$185 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 2 matching MRF lines
$155–$457 $155–$457 varies
Deoxyribonuclease antibody (86215) $171 $171 12.9×
Detect Agent Nos Dna Amp (87798) $360 $360 10.3×
Detect Agent Nos Dna Quant (87799) $560 $560 13.1×
Detect agnt mult DNA ampli (87801) $561 $561 8.0×
Dgp Antibody Each Ig Class (86258) $122 $122 10.1×
Dhea (82626) $202 $202 8.0×
Dhea-S (82627) $244 $244 11.0×
Digoxin (80162) $483.75 $483.75 36.4×
Dipropylacetic Acid Free (80165) $144 $144 10.6×
Dmd Duplication/Deletion Analysis (81161) $443 $443 1.6×
Dna Antibody Native/Double Stranded (86225) $145 $145 10.6×
Dna/Rna Amplified Probe (87150) $513 $513 14.6×
Dna/Rna Sequencing (87153) $662 $662 5.7×
Drug assay acetaminophen (80143) $275 $275 14.8×
Drug assay adalimumab (80145) $306 $306 7.9×
Drug Assay Amiodarone (80151) $138 $138 7.4×
Drug Assay Infliximab (80230) $405 $405 10.5×
Drug Assay Lacosamide (80235) $375.20 $375.20 13.8×
Drug Assay Leflunomide (80193) $227 $227 5.9×
Drug Assay Posaconazole (80187) $282 $282 10.4×
Drug Assay Vedolizumab (80280) $261 $261 6.8×
Drug Screen Quant Clozapine (80159) $212.26 $212.26 10.5×
Drug Screen Quant Zonisamide (80203) $208 $208 15.7×
Drug Screen Quantitative Gabapentin (80171) $198 $198 9.1×
Drug Screen Quantitative Lamotrigine (80175) $191 $191 14.4×
Drug Screen Quantitative Levetiracetam (80177) $225 $225 17.0×
Drug Screen Quantitative Oxcarbazepine (80183) $187 $187 14.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$50–$267 $50–$267 varies
Drug Test Prsmv Dir Opt Obs (80305) $98 $98 7.8×
Drug Test Prsmv Instrmnt (80306) $236 $236 13.8×
Egfr Gene Analysis Common Variants (81235) $1,114.46 $1,114.46 3.4×
Ehrlichia antibody (86666) $222 $222 21.8×
El-1 Fecal Quantitative (82653) $242 $242 10.5×
Electrolyte panel (80051) $174 $174 24.8×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $373 $373 6.1×
Encephaltis East Eqne Anbdy (86652) $66 $66 5.0×
Encephaltis West Eqne Antbdy (86654) $66 $66 5.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $124 $124 10.3×
Enterovirus PCR (87498) $255 $255 7.3×
Erythropoietin (82668) $353 $353 18.8×
Estradiol serum (82670) $272 $272 9.7×
Estriol (82677) $160 $160 6.6×
Estrogen total (82672) $218 $218 10.0×
Estrogens fractionated (82671) $191 $191 5.9×
Ethosuximide (80168) $105 $105 6.4×
Exam Synovial Fluid Crystals (89060) $116 $116 15.8×
F2 Gene (81240) $656 $656 10.0×
Factor ii activity (85210) $219 $219 16.9×
Factor ix activity (85250) $338 $338 17.8×
Factor v activity (85220) $143 $143 8.1×
Factor v leiden mutation (81241) $504 $504 6.9×
Factor vii assay (85230) $231 $231 12.9×
Factor viii assay (85240) $464 $464 25.9×
Factor X (85260) $144 $144 8.0×
Factor xi activity (85270) $179 $179 10.0×
Factor xiii screen (85291) $245 $245 26.9×
Fat/Lipids Feces Quantitative (82710) $273 $273 16.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $167 $167 25.6×
Ferritin (82728) $172.48 $172.48 12.7×
Fetal Chrmoml Aneuploidy (81420) $1,734 $1,734 2.3×
Fetal Fibronectin (82731) $500 $500 7.8×
Fetal screen rosette (85461) $174 $174 18.6×
Fibrin Degradation Quant (85379) $245 $245 24.1×
Fibrinogen activity (85384) $132 $132 13.6×
Fibrinogen antigen (85385) $107 $107 7.4×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $154 $154 9.9×
Flecainide level (80181) $131 $131 7.0×
Flow cytometry first marker (88184) $466 $466 1.3×
Fluorescent antibody screen (86255) $189 $189 15.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $133 $133 11.0×
Fmr1 gene detection (81243) $666 $666 11.7×
Folic acid rbc (82747) $147 $147 8.3×
Folic Acid Serum (82746) $180.32 $180.32 12.3×
Follicle Stimulating Hormone (83001) $256.48 $256.48 13.8×
Francisella tularensis (86668) $131 $131 9.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $276 $276 1.7×
Frozen Section (88331)
range across 2 matching MRF lines
$307–$350 $307–$350 varies
Fungi Identification Mold (87107) $135 $135 13.1×
Fungi Identification Yeast (87106) $110 $110 10.7×
Galactose (82760) $120 $120 10.7×
Gammaglobulin ige (82785) $176 $176 10.7×
Gardner vag DNA dir probe (87510) $127 $127 6.3×
Gases blood ph only (82800) $134 $134 12.2×
Gastrin (82941) $229 $229 13.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$2,084–$2,086 $2,084–$2,086 varies
Gentamicin (80170) $273 $273 16.7×
Ggt (82977) $111 $111 15.4×
Giardia antigen (87329) $155.93 $155.93 13.0×
Glucose 2 hr pp (82950) $90.72 $90.72 19.1×
Glucose Blood Test (82962) $55 $55 16.8×
Glucose body fluid (82945) $110.88 $110.88 28.2×
Glucose Serum (82947) $87.15 $87.15 22.2×
Glucose tolerance test (gtt) (82951) $223 $223 17.3×
Glycated Protein (82985) $139 $139 8.3×
Gonadotropin Chorionic Qualitative (84703) $109 $109 14.5×
Growth hormone (83003) $197 $197 11.8×
Gtt-added samples (82952) $89 $89 22.7×
H Pylori (C-13) Breath (83013) $350 $350 5.2×
Haptoglobin (83010) $191 $191 15.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $846 $846 4.2×
Hdl Cholesterol (83718) $102 $102 12.5×
Helicobacter Pylori Stool (87338) $163 $163 11.3×
Hematocrit (85014) $62 $62 26.2×
Hemoglobin (85018) $67 $67 28.3×
Hemoglobin a1c (83036) $133.35 $133.35 13.7×
Hemoglobin Chromotography (83021) $297 $297 16.4×
Hemoglobin electrophoresis (83020) $84 $84 6.5×
Hemoglobin Methemoglobin Quantitative (83050) $71 $71 8.7×
Hep a ab igm (86709) $165 $165 14.7×
Heparin assay (85520)
range across 2 matching MRF lines
$176–$198 $176–$198 varies
Heparin Neutralization (85525) $90 $90 7.6×
Hepatitis a antibody total (86708) $169 $169 13.6×
Hepatitis b core ab igm (86705) $143.36 $143.36 12.2×
Hepatitis b core ab total (86704) $150.08 $150.08 12.5×
Hepatitis B Surface Antibody (86706) $148.96 $148.96 13.9×
Hepatitis B Surface Antigen (87340) $146 $146 14.1×
Hepatitis Be Antibody (86707) $136 $136 11.8×
Hepatitis Be Antigen (87350) $98 $98 8.5×
Hepatitis C Antibody (86803) $231 $231 16.2×
Hepatitis c antibody confirmatory test (86804) $221.45 $221.45 14.3×
Hepatitis C Genotype (87902) $1,689 $1,689 6.6×
Hepatitis C Revrs Trnscrpj (87522) $427.45 $427.45 10.0×
Herpes simplex type 2 (86696) $137 $137 7.1×
Heterophile Antibody Screen (86308) $95 $95 18.3×
Hfe Gene (81256) $481 $481 7.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $174 $174 22.5×
Histoplasma antibody (86698) $118 $118 8.6×
Histoplasma antigen urine (87385) $261 $261 19.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $208 $208 8.6×
Hiv-1 Antibody (86701) $114 $114 12.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $720 $720 8.5×
HIV-2 probe&revrse trnscripj (87538) $164 $164 4.7×
Hla class ii typing high resolution one locus ea (81382) $792 $792 6.4×
Hla ii typing 1 locus lr (81376) $678 $678 5.5×
Hla-b27 (86812) $253 $253 9.8×
Homocysteine (83090) $335 $335 18.7×
Homogenization Tissue (87176) $88 $88 15.0×
Homovanillic acid urine (83150) $166.86 $166.86 7.4×
Hpv High-Risk Types (87624) $256 $256 7.3×
Hpv sep hi-rsk typ&pool rslt (87626) $231 $231 3.3×
Hpv Types 16 & 18 Only (87625) $369 $369 9.1×
Hsv Dna Amp Probe (87529) $460 $460 13.1×
Htlv-I Antibody (86687) $97 $97 10.7×
Hydroxyprogesterone 17-d (83498) $253 $253 9.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $280 $280 8.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $278 $278 7.9×
Iadna Candida Species Amplified Probe Tq (87481) $159 $159 4.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $51 $51 1.5×
Iadna Cytomegalovirus Quantification (87497) $575 $575 13.4×
Iadna Hepatitis B Virus Quantification (87517) $506 $506 11.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $164 $164 4.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $463 $463 11.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $290.85 $290.85 8.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $301 $301 8.6×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $250 $250 4.9×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $878 $878 6.2×
Igg subclasses (82787) $311.36 $311.36 38.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$218–$509 $218–$509 varies
Immunfix e-phorsis/urine/csf (86335) $291 $291 9.9×
Immunoassay analyte qual/semiqual single step (83518) $78 $78 8.1×
Immunoassay Analyte Quant Radioimmunoassay (83519) $273 $273 14.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $99 $99 6.6×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$162–$218 $162–$218 varies
Immunofixation electrophoresis (86334) $248 $248 11.1×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$198–$370 $198–$370 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$243–$650 $243–$650 varies
Influenza DNA amp probe (87502) $447 $447 4.7×
Inherited Cardmypthy 5 Gns (81439) $2,527.35 $2,527.35 4.3×
Inhibin A (86336) $194 $194 12.4×
Inhibin b (83520)
range across 2 matching MRF lines
$221–$238 $221–$238 varies
Insulin antibodies (86337) $253 $253 11.8×
Insulin total (83525) $125 $125 10.9×
Interleukin-6 (83529) $199 $199 11.5×
Intrinsic factor antibody (86340) $198 $198 13.1×
Iron (83540) $108 $108 16.7×
Iron Binding Capacity (83550) $122.59 $122.59 14.0×
Iron stain peripheral blood (85536) $150 $150 21.8×
Islet cell antibody (86341) $252 $252 10.7×
Jak2 gene analysis p.val617phe variant (81270) $666 $666 7.3×
Koh Prep (87220) $80 $80 18.7×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$82–$103 $82–$103 varies
Lactoferrin fecal qualitative (83630) $157 $157 8.0×
Ldh Isoenzymes (83625) $127 $127 9.9×
LDL direct (83721) $14 $14 1.3×
Lead (83655) $110.78 $110.78 9.1×
Legionella antibody (86713) $158 $158 10.3×
Legionella antigen urine (87449) $176 $176 14.7×
Leptospira antibody (86720) $169 $169 10.4×
Leukocyte Assessment Fecal (89055) $126 $126 29.5×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$24–$114 $24–$114 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$190–$203 $190–$203 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$660–$950 $660–$950 varies
Lipase (83690) $115 $115 16.7×
Lipoprotein A (83695) $145 $145 10.1×
Lipoprotein Bld Quan Part (83704) $200 $200 5.8×
Lithium (80178) $118 $118 17.9×
Luteinizing Hormone (Lh) (83002) $228.48 $228.48 12.3×
Lyme disease antibody (86618) $255.36 $255.36 15.0×
M. Genitalium Amp Probe (87563) $290 $290 8.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $1,540 $1,540 9.3×
Macroscopic exam arthropod (87168) $48 $48 11.2×
Macroscopic Exam Parasite (87169) $34 $34 7.9×
Magnesium Urine (83735) $108 $108 16.1×
Mercury urine (83825) $199 $199 12.2×
Metabolic panel ionized ca (80047) $251 $251 18.3×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$259–$295.05 $259–$295.05 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$29–$140 $29–$140 varies
Microsomal Antibodies Each (86376) $151 $151 10.4×
Mitochondrial Antibody Each (86381) $198 $198 7.8×
Mog-Igg1 Antb Cba Each (86362) $112 $112 9.3×
Molecular Cytogenetics Dna Probe Each (88271) $171.82 $171.82 8.0×
Mononuclear cell antigen (86356) $232 $232 8.7×
Mopath procedure level 4 (81403) $1,199 $1,199 6.5×
Mrsa Pcr (87641) $234 $234 6.7×
Mthfr Gene Analysis Common Variants (81291) $467.62 $467.62 7.2×
Mumps antibody (86735) $349 $349 26.7×
Mycobacteric Identification (87118) $136 $136 9.3×
Mycophenolic Acid (80180) $316 $316 17.5×
Mycoplasma antibody (86738) $152 $152 11.5×
Myoglobin urine (83874) $273 $273 21.1×
Natriuretic peptide (83880) $368 $368 9.4×
Neutralization Test Viral (86382) $267.80 $267.80 15.8×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $872 $872 6.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $619 $619 4.3×
Niacin (84591) $179 $179 10.5×
Nk cells total count (86357) $293 $293 7.8×
Nuclear antigen antibody (86235) $203 $203 11.3×
Occult blood feces (82272) $67 $67 15.8×
Occult Blood Other Sources (82271) $69 $69 13.0×
Oligoclonal bands (83916) $270.89 $270.89 9.9×
Organic Acids Qualitative Each Specimen (83919) $337 $337 20.5×
Osmolality serum (83930) $114 $114 17.2×
Osmolality Urine (83935) $114 $114 16.7×
Osmotic Fragility RBC Unincubated (85555) $187 $187 25.0×
Ova and parasites smears (87177) $145 $145 16.3×
Oxalate urine (83945) $152 $152 10.5×
Parvovirus antibody (86747) $193 $193 12.8×
Pathology Consultation During Surgery (88329) $198 $198 3.5×
Ph urine (81003)
range across 2 matching MRF lines
$15–$49 $15–$49 varies
Phenobarbital Level (80184) $185.59 $185.59 12.1×
Phenylalanine (84030) $33 $33 6.0×
Phenytoin (Dilantin) (80185) $224 $224 16.9×
Phenytoin free (80186) $148 $148 10.8×
Phosphatase alkaline (84075) $91 $91 17.6×
Phospholipid Neutralization Hexagonal (85598) $295 $295 16.4×
Phosphorus Serum (84100) $89 $89 18.8×
Phosphorus urine (84105) $70 $70 12.1×
Pinworm exam (87172) $49 $49 11.5×
Platelet Antibodies (86022) $422 $422 23.0×
Platelet count automated (85049) $96 $96 21.4×
Platelet neutralization (85597) $170 $170 9.5×
Porphobilinogen, urine; quantitative (84110) $114 $114 13.5×
Porphyrins Urine Quantitation & Fractionation (84120) $192 $192 13.1×
Potassium Urine (84133) $90 $90 19.0×
Prealbumin (84134) $151 $151 10.3×
Pregnenolone (84140) $204 $204 9.9×
Pretx serum rbc antibody identification dilution (86976) $85 $85 3.0×
Primidone (80188) $168 $168 10.1×
Procalcitonin (Pct) (84145) $403.70 $403.70 14.8×
Progesterone (84144) $177 $177 8.5×
Prolactin (84146) $253.12 $253.12 13.1×
Prostaglandin (84150) $301 $301 7.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$97–$123 $97–$123 varies
Protein C Activity (85303) $242 $242 17.5×
Protein c antigen (85302) $176 $176 14.7×
Protein Electrophoresis Urine (84166) $211 $211 11.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$73–$180 $73–$180 varies
Protein S Free (85306) $332 $332 21.7×
Protein s total (85305) $176 $176 15.2×
Protein total serum (84155) $84 $84 22.9×
Protein Total Urine (84156) $91 $91 24.8×
Protein Western Blot Test (84182) $309 $309 10.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $115 $115 29.2×
Protoporphyrin rbc quantitative (84202) $185 $185 12.9×
PSA free (84154) $181 $181 9.8×
Pth Intact (83970) $422 $422 10.2×
Q Fever Antibody (86638) $139 $139 11.5×
Quantiferon tb gold plus (86480) $412 $412 6.6×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$247–$312 $247–$312 varies
Quantitative Screen Metals (83018) $217 $217 9.9×
Rbc antibody elution (86860) $234 $234 1.4×
Rbc antibody identification (86870) $549 $549 1.6×
Rbc antibody screen (86850) $205 $205 21.0×
Rbc pretreatment serum (86978) $186 $186 3.2×
Rbc pretx incubatj w/enzymes (86971) $182 $182 1.1×
Renin activity plasma (84244) $271 $271 12.3×
Reptilase test (85635) $158 $158 16.0×
Resp virus 12-25 targets (87633) $1,240 $1,240 3.0×
Resp Virus 6-11 Targets (87632) $1,992 $1,992 9.1×
Reticulated Platelet Assay (85055) $254 $254 7.1×
Reticulocyte Count (85046) $43 $43 7.7×
Reticulocyte Count Manual (85044) $38 $38 8.8×
Reticulocyte separation (86972) $239 $239 1.4×
Rh (86901) $91 $91 30.4×
Rheumatoid factor quant (86431) $115 $115 20.3×
Rickettsia antibody (86757) $140 $140 7.2×
Ristocetin cofactor (85245) $251 $251 10.9×
Rotavirus ag eia (87425) $174 $174 14.5×
Rpr qualitative (86592)
range across 2 matching MRF lines
$103–$103.04 $103–$103.04 varies
Rubella Antibody (86762) $139 $139 9.7×
Rubeola antibody (86765) $180 $180 14.0×
Russell Viper Venom Time Diluted (85613) $259 $259 27.0×
Salicylate Level (80179) $216 $216 11.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$169–$245 $169–$245 varies
Sars-cov-2 COVID-19 antibody (86769) $183 $183 4.3×
Sedimentation Rate, Automated (85652) $79 $79 29.3×
Selenium (84255) $196 $196 7.7×
Semen Anal Sperm Detection (89321) $125 $125 10.4×
Semen analysis complete (89322) $354 $354 22.8×
Semen analysis motility and count (89310) $105 $105 12.2×
Sensitivity mic (87186) $117 $117 13.5×
Sex Chromatin Identification Barr Bodies (88130) $176 $176 9.8×
Sex Hormone Binding Globulin (84270) $205 $205 9.4×
Sickling of rbc reduction (85660) $101.97 $101.97 18.5×
Skin test tuberculosis intradermal (86580) $53 $53 1.9×
Smear acid fast (87206) $89.49 $89.49 16.6×
Smear complex stain (87209) $149 $149 8.3×
Smear gram stain (87205) $75 $75 17.6×
Smear Special Stain (87207) $108 $108 18.0×
Smn1 Gene Dos/Deletion Alys (81329) $477 $477 3.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$39–$67 $39–$67 varies
Sodium Serum (84295) $80 $80 16.6×
Sodium Urine (84300) $94 $94 18.6×
Soluble Transferrin Receptor (84238) $294 $294 8.0×
Somatomedin (84305) $288 $288 13.5×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$151–$309 $151–$309 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$68–$263 $68–$263 varies
Specimen infect agnt concntj (87015) $89 $89 13.3×
Spectrophotometry (84311) $123 $123 15.2×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$64–$120 $64–$120 varies
Strep a assay w/optic (87880) $124 $124 7.5×
Strep a DNA amp probe (87651) $234 $234 6.7×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $276 $276 3.0×
Sulfate urine (84392) $82 $82 14.9×
Surg path level iii (88304)
range across 2 matching MRF lines
$227–$291 $227–$291 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$212–$345 $212–$345 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$1,208–$2,494 $1,208–$2,494 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $72 $72 15.2×
Susceptibility Study Antimicrobial Disk Method (87184) $118 $118 15.8×
Syphilis Test Non-Trep Quant (86593) $71 $71 16.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $312 $312 6.6×
T cells total count (86359) $266 $266 7.1×
T3 Free (84481)
range across 2 matching MRF lines
$209–$234.08 $209–$234.08 varies
T3 reverse (84482) $242 $242 15.4×
T3 Total (84480) $182 $182 12.8×
T4 Free (84439) $166 $166 18.4×
T4 total (84436) $144 $144 21.0×
Tacrolimus (80197) $288 $288 21.0×
Tau phosphorylated each (84393) $645 $645 5.0×
Test for acetone/ketones (82009) $57 $57 12.6×
Testosterone total (84403) $248 $248 9.6×
Testosterone, Free (84402) $204 $204 8.0×
Theophylline (80198) $238 $238 16.8×
Thiopurine methyltransferase (84433) $238 $238 10.7×
Thrombin Time (85670) $150 $150 26.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $168 $168 26.0×
Thyroglobulin (84432) $194 $194 12.1×
Thyroglobulin Antibody (86800) $187 $187 11.8×
Thyroid Stimulating Immunoglobulin (84445) $420 $420 8.3×
Thyroxine binding globulin (84442) $121.54 $121.54 8.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $130 $130 11.3×
Tissue Culture Lymphocyte (88230) $782 $782 6.7×
Tobramycin peak (80200) $170 $170 10.5×
Topiramate (80201) $194 $194 16.3×
Touch prep (88161) $158.62 $158.62 5.6×
Toxoplasma ab igm (86778) $195 $195 13.5×
Toxoplasma antibody (86777) $164 $164 11.4×
Transferase Aspartate Amino Ast Sgot (84450) $97 $97 18.7×
Transferrin (84466) $166.43 $166.43 13.0×
Trichomonas vagin dir probe (87660) $127 $127 6.3×
Trichomonas Vaginalis Amplif (87661) $273 $273 7.8×
Triglycerides (84478) $101 $101 17.6×
Troponin Quant (84484) $276 $276 22.1×
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines
$248–$504 $248–$504 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$235–$482 $235–$482 varies
Urea nitrogen urine (84540) $90.72 $90.72 16.3×
Uric acid other source (84560) $89 $89 17.5×
Urinalysis Microscopic Only (81015) $42 $42 13.8×
Urine Bacteria Culture (87088) $81 $81 10.0×
Urine Pregnancy Test (81025) $116 $116 13.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $101 $101 31.9×
Valproic acid (80164) $172.20 $172.20 12.7×
Vancomycin (80202) $227 $227 16.8×
Varicella-zoster antibody (86787) $152 $152 11.8×
Vasopressin (84588) $400 $400 11.8×
Viral Culture (87252) $250 $250 9.6×
Virus antibody nos (86790) $179 $179 13.9×
Virus inoculate tissue addl (87253) $110.21 $110.21 5.5×
Vit D 1 25-Dihydroxy (82652) $466 $466 12.1×
Vitamin A (84590) $181 $181 15.6×
Vitamin b-12 (82607) $190.40 $190.40 12.6×
Vitamin B2 (Riboflavin) (84252) $310 $310 15.3×
Vitamin B6 (84207) $305 $305 10.9×
Vitamin c (82180) $143 $143 14.5×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$352.50–$352.80 $352.50–$352.80 varies
Vitamin E (84446) $161 $161 11.4×
Vitamin K (84597) $280 $280 20.4×
Voltage-Gated Calcium Channel Antibody Each (86596) $209 $209 17.3×
Von willebrand factor ag (85246) $316 $316 13.8×
West nile virus ab igm (86788) $149 $149 8.8×
West Nile Virus Antibody (86789) $148 $148 10.3×
Zinc (84630) $148.05 $148.05 13.0×

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.