Lab & pathology prices at Cumberland Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $69.35 $69.35 6.2×
Acetylcholine receptor binding antibody (86041) $561 $561 30.5×
Acth (82024) $214.35 $214.35 5.6×
Acth Stimulation Panel Adrenal Insufficiency (80400) $99.30 $99.30 3.0×
Acute hepatitis panel (80074) $157.25 $157.25 3.3×
Acylcarnitines Quant (82017) $28.75 $28.75 1.7×
Adenovirus antibody (86603) $174.10 $174.10 13.5×
Albumin Fluid (82042) $30.10 $30.10 3.9×
Albumin serum (82040) $96.15 $96.15 19.4×
Aldolase (82085) $72.85 $72.85 7.5×
Aldosterone urine (82088) $190.75 $190.75 4.7×
Alkaline phosphatase isoenzymes (84080) $101.65 $101.65 6.9×
Allergen specific ige (86003) $96.90 $96.90 18.6×
Allg Spec Ige Recomb Ea (86008) $47.05 $47.05 2.6×
Alpha-1-antitrypsin total (82103) $137.15 $137.15 10.2×
Alpha-Fetoprotein Serum (82105) $159.65 $159.65 9.5×
Alt (sgpt) (84460) $64.75 $64.75 12.2×
Aluminum (82108) $203.10 $203.10 8.0×
Ammonia (82140)
range across 2 matching MRF lines
$150.90–$155.05 $150.90–$155.05 varies
Amylase urine (82150) $57.60 $57.60 8.9×
Ana Titer (86039) $60.95 $60.95 5.5×
Anca screen each antibody (86036)
range across 2 matching MRF lines
$100.95–$162.35 $100.95–$162.35 varies
Androstenedione (82157) $175.95 $175.95 6.0×
Angiotensin converting enzyme csf (82164) $90.05 $90.05 6.2×
Antibody aspergillus (86606) $109.60 $109.60 7.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $176.40 $176.40 11.4×
Antibody Cytomegalovirus Cmv Igm (86645) $163.05 $163.05 9.7×
Antibody Encephalitis California La Crosse (86651) $112.95 $112.95 8.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $153.15 $153.15 11.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $153.15 $153.15 10.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $171.30 $171.30 9.4×
Antibody Fungus Not Elsewhere Specified (86671) $156.55 $156.55 12.8×
Antibody haemophilus influenza (86684) $157.85 $157.85 10.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $140.85 $140.85 9.8×
Antibody Herpes Smplx Type 1 (86695) $117.85 $117.85 8.9×
Antibody HIV-2 (86702) $144.35 $144.35 10.7×
Antibody plasmodium malaria (86750) $81 $81 6.1×
Antibody Protozoa Nes (86753) $169.45 $169.45 13.7×
Antibody Treponema Pallidum (86780) $50.50 $50.50 3.8×
Antibody; encephalitis, st. louis (86653) $112.95 $112.95 8.6×
Antinuclear antibodies (86038) $79.35 $79.35 6.6×
Antistreptolysin o titer (86060) $83.15 $83.15 11.4×
Antithrombin iii activity (85300) $209.70 $209.70 17.7×
Arsenic (82175) $90.05 $90.05 4.7×
Assay activated protein c (85307) $185.65 $185.65 12.1×
Assay Blood Carbon Dioxide (82374) $90.25 $90.25 18.5×
Assay Blood Catecholamines (82383) $221.65 $221.65 7.6×
Assay myeloperoxidase (83876) $165.15 $165.15 3.2×
Assay Nephelometry Not Spec (83883) $209.70 $209.70 15.4×
Assay of 5-hiaa (83497) $110.75 $110.75 8.6×
Assay of blood/uric acid (84550) $96.15 $96.15 21.3×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$59.95–$65.30 $59.95–$65.30 varies
Assay of cpk in blood (82552) $124.85 $124.85 9.3×
Assay of gammaglobulin igm (82784) $90.35 $90.35 9.7×
Assay of lactic acid (83605) $109.70 $109.70 9.5×
Assay of metanephrines (83835) $158.40 $158.40 9.4×
Assay of serotonin (84260) $174.50 $174.50 5.6×
Assay of serum potassium (84132) $70.45 $70.45 14.8×
Assay of sweat sodium (84302) $39.40 $39.40 8.1×
Assay of urea nitrogen (84520) $96.15 $96.15 24.3×
Assay of urine vma (84585) $161.65 $161.65 10.4×
Assay of vasoactive intestinal peptide (84586) $241.20 $241.20 6.8×
Assay of vitamin b-1 (84425) $183.55 $183.55 8.6×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$28.35–$38.80 $28.35–$38.80 varies
Automated Leukocyte Count (85048) $59.95 $59.95 23.6×
B cells total count (86355) $156.45 $156.45 4.1×
Babesia microti amp prb (87469) $224.45 $224.45 6.4×
Bartonella antibody (86611) $153 $153 15.0×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$360.05–$405.25 $360.05–$405.25 varies
Beta 2 glycoprotein i antibody each (86146) $146.75 $146.75 5.8×
Beta hydroxybutyrate (82010) $89.75 $89.75 11.0×
Beta-2 Microglobulin (82232) $102.95 $102.95 6.4×
Bile acids total (82239) $30.10 $30.10 1.8×
Bilirubin direct (82248) $89.30 $89.30 17.8×
Bilirubin total (82247) $89.30 $89.30 17.8×
Bl Smear W/O Diff Wbc Count (85008) $26.40 $26.40 7.7×
Blastomyces antibody (86612) $137.75 $137.75 10.7×
Blood Count Red Blood Cell Automated (85041) $60.20 $60.20 19.9×
Blood count reticulocyte automated (85045) $60.60 $60.60 15.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $60.20 $60.20 15.8×
Blood gas (82803) $293.10 $293.10 11.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $48.30 $48.30 11.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $76 $76 12.0×
Blood typing serologic abo (86900) $80.75 $80.75 27.0×
Body fluid cell count (89050) $119.75 $119.75 25.4×
Braf gene analysis (81210) $1,183.85 $1,183.85 6.7×
Brca1&2 gen full seq dup/del (81162) $4,725.20 $4,725.20 2.6×
C diff amplified probe (87493) $112.05 $112.05 3.0×
C-Peptide (84681) $174.10 $174.10 8.4×
C-reactive protein (86140) $128.05 $128.05 24.7×
Ca 19-9 (86301) $88.90 $88.90 4.3×
Calcitonin (82308) $252 $252 9.4×
Calcium ionized (82330) $213.30 $213.30 15.6×
Calcium total (82310) $96.15 $96.15 18.6×
Calculus Spectroscopy (82365) $100.95 $100.95 7.8×
Calprotectin Fecal (83993) $152.25 $152.25 7.8×
Cancer Antigen 125 (86304) $282.70 $282.70 13.6×
Cancer Antigen 27.29 (86300) $154.05 $154.05 7.4×
Carbamazepine total (80156) $134.65 $134.65 9.2×
Carboxyhemoglobin (82375) $99.85 $99.85 8.1×
Carcinoembryonic antigen (82378) $118.25 $118.25 6.2×
Cardiolipin ab iga (86147) $215.80 $215.80 8.5×
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$55.06–$57.44 $55.06–$57.44 varies
Catecholamines fractionated (82384) $258.20 $258.20 10.2×
Ccp antibody (86200) $139.45 $139.45 10.8×
Cell count csf (89051) $67.75 $67.75 12.1×
Ceruloplasmin (82390) $118.25 $118.25 11.0×
Cftr gene com variants (81220) $331.50 $331.50 0.6×
Chemiluminescent assay (82397) $103.75 $103.75 7.3×
Chlamydia antibody (86631) $99.30 $99.30 8.4×
Chlamydia Igm Antibody (86632) $110.85 $110.85 8.7×
Chlmy trch&neisra gonor mult (87494) $70.18 $70.18 1.0×
Chloride other source (82438) $69.55 $69.55 13.9×
Chloride Serum (82435) $90.25 $90.25 19.6×
Chloride urine (82436)
range across 2 matching MRF lines
$40.30–$61.20 $40.30–$61.20 varies
Cholesterol total (82465) $96.15 $96.15 22.1×
Chorionic gonadotropin test (84702) $140.35 $140.35 9.3×
Chrmsm Analysis Addl High Resolution Study (88289) $502.90 $502.90 14.6×
Chromium serum (82495) $116.15 $116.15 5.7×
Chromogranin a (86316) $164.10 $164.10 7.9×
Chromosome Analysis 15-20 (88262) $784.60 $784.60 6.3×
Chromosome Analysis 20-25 (88264) $608.45 $608.45 4.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $112.85 $112.85 3.2×
Citric acid urine (82507)
range across 2 matching MRF lines
$255.60–$295.80 $255.60–$295.80 varies
Ckmb (82553) $150.05 $150.05 13.0×
Clostridium Difficile (87324) $100.95 $100.95 8.4×
Clotting Funct Activity (85397) $201.05 $201.05 6.5×
Coccidioides antibody (86635) $142.55 $142.55 12.4×
Cold agglutinin titer (86157) $149.15 $149.15 18.5×
Collagen crosslinks (82523) $122.15 $122.15 6.5×
Column Chromotography Quant (82542) $248 $248 10.3×
Complement Antigen Each Component (86160) $125.75 $125.75 10.5×
Complement Total (Ch50) (86162) $155.55 $155.55 7.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $349.30 $349.30 9.6×
Coombs direct (86880) $93.05 $93.05 17.3×
Copper urine (82525) $76.50 $76.50 6.2×
Cortisol free (82530) $152.45 $152.45 9.1×
Cortisol saliva (82533) $97.10 $97.10 6.0×
Creatine (82540) $116 $116 25.0×
Creatine kinase total (82550) $119.75 $119.75 18.4×
Creatinine blood (82565) $70.45 $70.45 13.8×
Creatinine clearance (82575) $187.85 $187.85 19.9×
Creatinine Urine (82570)
range across 2 matching MRF lines
$55.10–$89.30 $55.10–$89.30 varies
Crossmatch immediate spin (86920) $134.95 $134.95 0.8×
Crp High Sensitivity (86141) $86.50 $86.50 6.7×
Cryofibrinogen (82585) $71.10 $71.10 5.0×
Cryoglobulin (82595) $64.35 $64.35 9.9×
Cryptococcal Antigen (87327) $59.85 $59.85 4.5×
Cryptococcus ag titer (87899) $65.15 $65.15 4.1×
Cryptosporidium (87272) $73.70 $73.70 6.2×
Cryptosporidium ag eia (87328) $182.75 $182.75 13.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$117.40–$169.85 $117.40–$169.85 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $76.50 $76.50 9.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $76.30 $76.30 9.9×
Culture aerobic quant other (87071) $117.40 $117.40 11.9×
Culture afb (87116) $108.15 $108.15 10.0×
Culture Anaerobic (87075) $238.70 $238.70 25.2×
Culture blood (87040) $201.05 $201.05 19.5×
Culture csf (87070) $179.10 $179.10 20.8×
Culture fungus (87102) $85.55 $85.55 10.2×
Culture screen only (87081)
range across 2 matching MRF lines
$117.40–$175.95 $117.40–$175.95 varies
Culture stool (87045) $117.40 $117.40 12.4×
Culture urine (87086) $117.40 $117.40 14.5×
Cyclosporine (80158) $104.95 $104.95 5.8×
Cyp2c19 gene analysis common variants (81225) $920.05 $920.05 3.2×
Cyp2c9 gene com variants (81227) $641.35 $641.35 3.7×
Cyp2d6 gene com variants (81226) $1,756.35 $1,756.35 3.9×
Cyp3a4 gene common variants (81230) $945.65 $945.65 5.4×
Cyp3a5 gene common variants (81231) $338.05 $338.05 1.9×
Cystatin C (82610) $191.70 $191.70 10.4×
Cytogenetics 10-30 (88273) $104.60 $104.60 3.0×
Cytomegalovirus igg (86644) $146.65 $146.65 10.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $88.45 $88.45 4.4×
Cytopath Cell Enhance Tech (88112) $232.90 $232.90 4.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $88.45 $88.45 3.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $161.10 $161.10 3.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $188.55 $188.55 5.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $50.30 $50.30 2.7×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $263.90 $263.90 9.4×
Deoxyribonuclease antibody (86215) $177.95 $177.95 13.4×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$91.35–$246.60 $91.35–$246.60 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$114.15–$160.65 $114.15–$160.65 varies
Detect agnt mult DNA ampli (87801) $226.80 $226.80 3.2×
Dhea (82626) $205.60 $205.60 8.1×
Dhea-S (82627) $181.25 $181.25 8.2×
Digoxin (80162) $134.65 $134.65 10.1×
Dihydrotestosterone (82642) $172.85 $172.85 5.9×
Diphtheria antitoxoid (86648) $133.05 $133.05 8.7×
Dipropylacetic Acid Free (80165) $119.75 $119.75 8.8×
Dna Antibody Native/Double Stranded (86225) $64.75 $64.75 4.7×
Dna/Rna Amplified Probe (87150) $827.90 $827.90 23.6×
Dna/Rna Sequencing (87153) $598.15 $598.15 5.2×
Drug Assay Everolimus (80169) $236.60 $236.60 17.2×
Drug assay felbamate (80167) $174.85 $174.85 9.4×
Drug Assay Posaconazole (80187) $41.45 $41.45 1.5×
Drug assay voriconazole (80285) $20.30 $20.30 0.7×
Drug Screen Quant Clozapine (80159) $99.05 $99.05 4.9×
Drug Screen Quantitative Lamotrigine (80175) $129.35 $129.35 9.8×
Drug Screen Quantitative Levetiracetam (80177) $131.55 $131.55 9.9×
Drug Screen Quantitative Oxcarbazepine (80183) $72.95 $72.95 5.5×
Drug Screen Quantitative Procainamide Metabolite (80192) $112.95 $112.95 6.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 16 matching MRF lines
$30.95–$265.40 $30.95–$265.40 varies
Drug Test Prsmv Instrmnt (80306) $186.90 $186.90 10.9×
Ehrlichia antibody (86666) $269.70 $269.70 26.5×
El-1 Fecal Quantitative (82653) $51.51 $51.51 2.2×
Electrolyte panel (80051) $328.80 $328.80 46.9×
Encephaltis East Eqne Anbdy (86652) $112.95 $112.95 8.6×
Encephaltis West Eqne Antbdy (86654) $112.95 $112.95 8.6×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$90.25–$191.05 $90.25–$191.05 varies
Enterovirus PCR (87498) $235.70 $235.70 6.7×
Enzyme cell activity (82657) $339.95 $339.95 15.3×
Eosinophil Smear (89190)
range across 2 matching MRF lines
$24.50–$61.75 $24.50–$61.75 varies
Erythropoietin (82668) $69.55 $69.55 3.7×
Estradiol serum (82670) $117.40 $117.40 4.2×
Estriol (82677) $150.90 $150.90 6.2×
Estrogen total (82672) $352.65 $352.65 16.3×
Estrogens fractionated (82671) $263.60 $263.60 8.2×
Ethylene Glycol (82693) $190.35 $190.35 12.8×
Exam Synovial Fluid Crystals (89060) $59.85 $59.85 8.2×
F2 Gene (81240) $352.85 $352.85 5.4×
Factor v activity (85220) $198.55 $198.55 11.2×
Factor v leiden mutation (81241) $205.20 $205.20 2.8×
Factor viii assay (85240) $302.10 $302.10 16.9×
Fat/Lipids Feces Quantitative (82710) $48.30 $48.30 2.9×
Fatty acids free (82725) $32.80 $32.80 1.7×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $146.75 $146.75 22.5×
Fecal Fat Qualitative (82705) $112.75 $112.75 22.1×
Ferritin (82728) $117.40 $117.40 8.6×
Fetal Fibronectin (82731) $556.65 $556.65 8.6×
Fetal screen rosette (85461) $81.30 $81.30 8.7×
Fibrin Degradation Quant (85379) $234.65 $234.65 23.1×
Fibrinogen activity (85384) $119.75 $119.75 12.3×
Flow cytometry first marker (88184) $359.30 $359.30 1.0×
Fluorescent antibody screen (86255) $293 $293 24.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $106.65 $106.65 8.9×
Fmr1 gene detection (81243) $668.60 $668.60 11.7×
Folic acid rbc (82747) $82.15 $82.15 4.7×
Folic Acid Serum (82746) $142.55 $142.55 9.7×
Follicle Stimulating Hormone (83001) $164.10 $164.10 8.8×
Francisella tularensis (86668) $117.30 $117.30 8.3×
Frozen Section (88331) $222.80 $222.80 1.3×
Fungi Identification Mold (87107) $98.95 $98.95 9.6×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$117.40–$120.35 $117.40–$120.35 varies
Gammaglobulin ige (82785) $69.55 $69.55 4.2×
Gases blood ph only (82800) $77.95 $77.95 7.1×
Gastrin (82941) $124.35 $124.35 7.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $853.25 $853.25 2.0×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $349.85 $349.85 0.5×
Genet Virus Isolate Hsv (87255) $82.95 $82.95 2.4×
Gentamicin (80170) $134.65 $134.65 8.2×
Ggt (82977) $96.15 $96.15 13.4×
Giardia antigen (87329) $117.40 $117.40 9.8×
Gluc-6-phosphate dehydrogenase screen (82960) $42.90 $42.90 7.1×
Glucose 2 hr pp (82950) $88.90 $88.90 18.7×
Glucose body fluid (82945) $84.65 $84.65 21.5×
Glucose Serum (82947) $59.35 $59.35 15.1×
Glucose tolerance test (gtt) (82951) $208.55 $208.55 16.2×
Glutathione (82978) $61.30 $61.30 4.0×
Glycated Protein (82985) $219.15 $219.15 13.1×
Growth hormone (83003) $129.65 $129.65 7.8×
Gtt-added samples (82952) $58.70 $58.70 15.0×
Haptoglobin (83010) $126.25 $126.25 10.0×
Hdl Cholesterol (83718) $107.75 $107.75 13.2×
Helicobacter Pylori Stool (87338) $99.85 $99.85 6.9×
Helminth Antibody (86682) $232.40 $232.40 17.9×
Hematocrit (85014) $35.30 $35.30 14.9×
Hemoglobin (85018) $35.30 $35.30 14.9×
Hemoglobin a1c (83036) $111.05 $111.05 11.4×
Hemoglobin Chromotography (83021) $150.90 $150.90 8.4×
Hemoglobin electrophoresis (83020) $137.35 $137.35 10.7×
Hep a ab igm (86709) $119.25 $119.25 10.6×
Heparin assay (85520) $278.90 $278.90 21.3×
Hepatitis a antibody total (86708) $119.25 $119.25 9.6×
Hepatitis b core ab igm (86705) $101.80 $101.80 8.6×
Hepatitis b core ab total (86704) $73.20 $73.20 6.1×
Hepatitis B Surface Antibody (86706) $99.30 $99.30 9.2×
Hepatitis B Surface Antigen (87340) $59.05 $59.05 5.7×
Hepatitis Be Antibody (86707) $119.25 $119.25 10.3×
Hepatitis Be Antigen (87350) $59.05 $59.05 5.1×
Hepatitis C Antibody (86803) $55.50 $55.50 3.9×
Hepatitis C Genotype (87902) $231.60 $231.60 0.9×
Hepatitis C Probe&Rvrs Trnsc (87521) $205.95 $205.95 5.9×
Hepatitis C Revrs Trnscrpj (87522) $473.20 $473.20 11.0×
Hepatitis Delta Agent Antibody (86692) $151.35 $151.35 8.8×
Herpes simplex type 2 (86696) $117.85 $117.85 6.1×
Heterophile Antibody Screen (86308) $89.30 $89.30 17.2×
Hfe Gene (81256) $716.05 $716.05 11.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $175.95 $175.95 22.8×
Histoplasma antibody (86698) $125.35 $125.35 9.1×
Histoplasma antigen urine (87385) $321.50 $321.50 24.3×
Hiv Genotype (87901) $866.80 $866.80 3.4×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $107.10 $107.10 4.4×
Hiv-1 Antibody (86701) $106.65 $106.65 12.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $262.60 $262.60 3.1×
Hla class ii typing high resolution one locus ea (81382) $409.55 $409.55 3.3×
Hla I Low Resolution One Antigen Equivalent Each (81374) $182 $182 2.4×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $147.40 $147.40 0.7×
Hla ii typing 1 locus lr (81376) $105.60 $105.60 0.9×
Homocysteine (83090) $129.75 $129.75 7.2×
Homogenization Tissue (87176) $50.90 $50.90 8.7×
Homovanillic acid urine (83150) $137.55 $137.55 6.1×
Hpv High-Risk Types (87624) $164.85 $164.85 4.7×
Hpv Types 16 & 18 Only (87625) $248 $248 6.1×
Hsv Dna Amp Probe (87529) $301.75 $301.75 8.6×
Hydroxyprogesterone 17-d (83498) $219.15 $219.15 8.1×
Iaad ia shiga-like toxin (87427) $125.85 $125.85 10.5×
Iaadi giardia (87269) $74.35 $74.35 5.5×
Iaadi herpes smplx virus type 1 (87274) $111.55 $111.55 9.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $110.60 $110.60 3.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $434.75 $434.75 12.4×
Iadna Candida Species Amplified Probe Tq (87481) $96.05 $96.05 2.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $151.65 $151.65 4.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $158.15 $158.15 4.5×
Iadna Cytomegalovirus Quantification (87497) $434.95 $434.95 10.2×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $337.15 $337.15 4.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $110.60 $110.60 3.2×
Iadna hepatitis b virus amplified probe tq (87516) $168.90 $168.90 4.8×
Iadna Hepatitis B Virus Quantification (87517) $574.05 $574.05 13.4×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $165.55 $165.55 4.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $170.45 $170.45 4.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $112.85 $112.85 3.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $408 $408 2.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $156.10 $156.10 0.6×
Ig Light Chains Free Each (83521) $149.45 $149.45 8.7×
Igg subclasses (82787) $233.60 $233.60 29.1×
Immune Complex Assay (86332) $128.95 $128.95 5.3×
Immunfix e-phorsis/urine/csf (86335) $120.75 $120.75 4.1×
Immunoassay analyte qual/semiqual single step (83518) $27.75 $27.75 2.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $170.25 $170.25 9.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$14.80–$53.70 $14.80–$53.70 varies
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$18.10–$177.10 $18.10–$177.10 varies
Immunofixation electrophoresis (86334) $120.75 $120.75 5.4×
Immunohistochemistry (88342) $198.35 $198.35 1.2×
In situ hybridization 1st probe stain (88365) $406 $406 2.5×
Influenza assay w/optic (87804) $65.90 $65.90 4.0×
Influenza DNA amp probe (87502) $213.40 $213.40 2.2×
Inhibin A (86336) $215 $215 13.8×
Inhibin b (83520) $111.59 $111.59 6.5×
Insitu hybridization manual (88368) $491.50 $491.50 1.4×
Insulin antibodies (86337) $289.40 $289.40 13.5×
Insulin total (83525) $129.75 $129.75 11.4×
Intrinsic factor antibody (86340) $127.35 $127.35 8.4×
Iron (83540) $70.45 $70.45 10.9×
Iron Binding Capacity (83550) $82.15 $82.15 9.4×
Islet cell antibody (86341) $90.15 $90.15 3.8×
Kit Gene Analysis D816 Variant(S) (81273) $733.85 $733.85 5.9×
Koh Prep (87220) $40.20 $40.20 9.4×
Kras Gene Variants Exon 2 (81275) $337.75 $337.75 1.7×
Lactate (ld) (ldh) enzyme (83615) $63.10 $63.10 10.4×
Lactoferrin fecal qualitative (83630) $96.45 $96.45 4.9×
LDL direct (83721) $57.05 $57.05 5.4×
Lead (83655) $88.35 $88.35 7.3×
Legionella antibody (86713) $125.55 $125.55 8.2×
Leukocyte Assessment Fecal (89055) $53.70 $53.70 12.6×
Level I Surg Pathology Gross Examination Only (88300) $184.30 $184.30 6.6×
Level ii surg pathology gross&microscopic exam (88302) $128.75 $128.75 3.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $288.55 $288.55 0.8×
Lipase (83690) $111.05 $111.05 16.1×
Lipoprotein A (83695) $74.85 $74.85 5.2×
Lipoprotein Bld Quan Part (83704) $150.90 $150.90 4.4×
Lithium (80178) $134.65 $134.65 20.4×
Luteinizing Hormone (Lh) (83002) $164.10 $164.10 8.9×
Lyme disease antibody (86618) $146.65 $146.65 8.6×
Lysozyme serum (85549) $73.90 $73.90 3.9×
M. Genitalium Amp Probe (87563) $167.55 $167.55 4.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $881.75 $881.75 5.3×
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines
$30.25–$138.45 $30.25–$138.45 varies
Macroscopic Exam Parasite (87169) $53.70 $53.70 12.5×
Magnesium Urine (83735)
range across 2 matching MRF lines
$71.40–$116.55 $71.40–$116.55 varies
Mercury urine (83825) $83.15 $83.15 5.1×
Metabolic panel ionized ca (80047) $213.30 $213.30 15.5×
Methylmalonic acid serum (83921) $91.50 $91.50 4.3×
Microalbumin, quantitative (82043) $145.05 $145.05 25.1×
Microsomal Antibodies Each (86376) $142.45 $142.45 9.8×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $339.70 $339.70 1.7×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $681.40 $681.40 1.0×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$459–$589.20 $459–$589.20 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $339.70 $339.70 1.6×
Msh2 Gene Analysis Full Sequence Analysis (81295) $339.70 $339.70 0.9×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $680.35 $680.35 2.9×
Msh6 Gene Analysis Full Sequence Analysis (81298) $339.70 $339.70 0.5×
Mthfr Gene Analysis Common Variants (81291) $177.75 $177.75 2.7×
Mumps antibody (86735)
range across 2 matching MRF lines
$108.15–$132.25 $108.15–$132.25 varies
Mycophenolic Acid (80180) $96.05 $96.05 5.3×
Mycoplasma antibody (86738) $107.95 $107.95 8.2×
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines
$502.90–$548.75 $502.90–$548.75 varies
Myoglobin urine (83874) $106.75 $106.75 8.3×
Natriuretic peptide (83880) $260.60 $260.60 6.6×
Neutralization Test Viral (86382) $258 $258 15.3×
Nfct ds bv&vaginitis DNA alg (81515) $156.10 $156.10 0.6×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $80 $80 3.1×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $11,352.40 $11,352.40 23.2×
Nk cells total count (86357) $188.35 $188.35 5.0×
Nuclear antigen antibody (86235)
range across 4 matching MRF lines
$64.75–$114.25 $64.75–$114.25 varies
Occult blood feces (82272) $30.10 $30.10 7.1×
Occult Blood Other Sources (82271) $25 $25 4.7×
Oligoclonal bands (83916) $154.25 $154.25 5.6×
Osmolality serum (83930) $69.45 $69.45 10.5×
Osmolality Urine (83935)
range across 2 matching MRF lines
$73.45–$76.40 $73.45–$76.40 varies
Ova and parasites smears (87177) $45.60 $45.60 5.1×
Oxalate urine (83945)
range across 2 matching MRF lines
$84–$153 $84–$153 varies
Particle Agglutination Screen Each Antibody (86403) $56.75 $56.75 4.9×
Parvovirus antibody (86747) $148.85 $148.85 9.9×
Ph urine (81003) $58.70 $58.70 26.1×
Phenobarbital Level (80184) $80.25 $80.25 5.2×
Phenotype Infect Agent Drug (87900) $439.85 $439.85 3.4×
Phenylalanine (84030) $258.30 $258.30 47.0×
Phenytoin (Dilantin) (80185) $134.65 $134.65 10.2×
Phenytoin free (80186) $133.25 $133.25 9.7×
Phosphatase alkaline (84075) $116.55 $116.55 22.5×
Phosphorus Serum (84100) $104.05 $104.05 22.0×
Phosphorus urine (84105)
range across 2 matching MRF lines
$42–$45.20 $42–$45.20 varies
Pinworm exam (87172) $92.65 $92.65 21.7×
Platelet count automated (85049) $149.15 $149.15 33.3×
Platelet neutralization (85597) $141.85 $141.85 7.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $387.25 $387.25 1.9×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $339.70 $339.70 1.7×
Pms2 gene full seq analysis (81317) $681.40 $681.40 1.0×
Porphobilinogen, urine; quantitative (84110) $81.40 $81.40 9.6×
Porphyrins Urine Quantitation & Fractionation (84120) $166.95 $166.95 11.3×
Porphyrins, urine; qualitative (84119) $119.75 $119.75 9.0×
Potassium Urine (84133)
range across 3 matching MRF lines
$50.30–$53.70 $50.30–$53.70 varies
Prealbumin (84134) $87.95 $87.95 6.0×
Pregnenolone (84140) $59.20 $59.20 2.9×
Primidone (80188) $134.65 $134.65 8.1×
Procalcitonin (Pct) (84145) $187 $187 6.9×
Progesterone (84144) $152.15 $152.15 7.3×
Prolactin (84146) $152.15 $152.15 7.9×
Protein body fluid (84157) $66.75 $66.75 16.7×
Protein C Activity (85303) $134.95 $134.95 9.8×
Protein c antigen (85302) $172.25 $172.25 14.3×
Protein Electrophoresis Urine (84166) $95.55 $95.55 5.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $136.15 $136.15 12.7×
Protein S Free (85306) $134.95 $134.95 8.8×
Protein s total (85305) $197.30 $197.30 17.0×
Protein total serum (84155) $96.15 $96.15 26.2×
Protein Total Urine (84156) $41.55 $41.55 11.3×
PSA free (84154) $140.45 $140.45 7.6×
Pth Intact (83970) $240.50 $240.50 5.8×
Quantitative assay drug (80299) $135.85 $135.85 7.3×
Quantitative Screen Metals (83018) $68.20 $68.20 3.1×
Rbc antibody identification (86870) $117.40 $117.40 0.3×
Rbc antibody screen (86850) $94.40 $94.40 9.7×
Rbc pretreatment serum (86978) $131.65 $131.65 2.3×
Reagent Strip/Blood Glucose (82948)
range across 5 matching MRF lines
$30.10–$41.25 $30.10–$41.25 varies
Renin activity plasma (84244) $174.10 $174.10 7.9×
Resp virus 12-25 targets (87633) $855.95 $855.95 2.1×
Rh (86901) $65.05 $65.05 21.8×
Rheumatoid factor quant (86431) $99.50 $99.50 17.5×
Rickettsia antibody (86757) $132.65 $132.65 6.9×
Ristocetin cofactor (85245) $326 $326 14.2×
Rpr qualitative (86592) $101.90 $101.90 23.9×
Rsv ab (86756) $164.75 $164.75 10.4×
Rubella Antibody (86762) $72.35 $72.35 5.0×
Rubeola antibody (86765)
range across 2 matching MRF lines
$123.15–$129.65 $123.15–$129.65 varies
Russell Viper Venom Time Diluted (85613) $137.65 $137.65 14.4×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$208.10–$287.20 $208.10–$287.20 varies
Sars-cov-2 COVID-19 antibody (86769) $132.55 $132.55 3.1×
Sarscov2 & inf a&b amp prb (87636) $284.30 $284.30 2.0×
Sarscov2&inf a&b&rsv amp prb (87637) $251.50 $251.50 1.8×
Sedimentation Rate, Automated (85652) $64.75 $64.75 24.0×
Selenium (84255) $111.55 $111.55 4.4×
Semen Anal Sperm Detection (89321) $60.20 $60.20 5.0×
Semen analysis complete (89322) $194.50 $194.50 12.5×
Sensitivity mic (87186) $103.85 $103.85 12.0×
Sex Hormone Binding Globulin (84270) $165.75 $165.75 7.6×
Sickling of rbc reduction (85660) $51.10 $51.10 9.3×
Skin test tuberculosis intradermal (86580) $88.45 $88.45 3.1×
Smear acid fast (87206) $77.05 $77.05 14.3×
Smear complex stain (87209) $44.15 $44.15 2.5×
Smear gram stain (87205) $47.50 $47.50 11.1×
Smear Special Stain (87207) $76.70 $76.70 12.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $35.30 $35.30 6.1×
Sodium Serum (84295) $90.25 $90.25 18.8×
Sodium Urine (84300)
range across 2 matching MRF lines
$53.40–$55.10 $53.40–$55.10 varies
Somatomedin (84305) $201.45 $201.45 9.5×
Special Stains Group 1 (88312) $124.65 $124.65 2.5×
Special Stains Group 2 (88313) $134.95 $134.95 1.0×
Specific gravity body fluid (84315) $26.05 $26.05 7.9×
Specimen infect agnt concntj (87015) $85.65 $85.65 12.8×
Spectrophotometry (84311) $40.80 $40.80 5.0×
Staph a DNA amp probe (87640) $166.70 $166.70 4.8×
Stool cultr aerobic bact ea (87046) $105.15 $105.15 11.1×
Strep a DNA amp probe (87651) $116.65 $116.65 3.3×
Strep b DNA amp probe (87653) $148.50 $148.50 4.2×
Sulfate urine (84392) $59.20 $59.20 10.8×
Surg path level iii (88304) $199.40 $199.40 3.9×
Surgical pathology level IV (88305) $211.05 $211.05 4.2×
Surgical pathology level vi (88309) $288.55 $288.55 0.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $31.85 $31.85 6.7×
Syphilis Test Non-Trep Quant (86593) $36.55 $36.55 8.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $295.90 $295.90 6.3×
T cells total count (86359) $194.40 $194.40 5.2×
T3 Free (84481) $149.15 $149.15 8.8×
T3 reverse (84482) $190.75 $190.75 12.1×
T3 Total (84480) $147.75 $147.75 10.4×
T3 Uptake (84479) $12 $12 1.9×
T4 Free (84439) $170.15 $170.15 18.9×
T4 total (84436) $138.25 $138.25 20.1×
Tacrolimus (80197) $108.25 $108.25 7.9×
Tau phosphorylated each (84393) $371 $371 2.9×
Tb ag response t-cell susp (86481) $119.65 $119.65 1.2×
Test for acetone/ketones (82009) $32.50 $32.50 7.2×
Testosterone total (84403) $173.45 $173.45 6.7×
Testosterone, Free (84402) $212.80 $212.80 8.4×
Tetanus antibody (86774) $142.05 $142.05 9.6×
Theophylline (80198) $134.65 $134.65 9.5×
Thrombin Time (85670) $69.65 $69.65 12.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $71.75 $71.75 11.1×
Thyroglobulin (84432) $165.55 $165.55 10.3×
Thyroglobulin Antibody (86800) $119.75 $119.75 7.5×
Thyroid Stimulating Immunoglobulin (84445) $320.80 $320.80 6.3×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $381.15 $381.15 7.6×
Thyroxine binding globulin (84442) $29.90 $29.90 2.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $66.30 $66.30 5.8×
Tissue Culture (88233) $657.05 $657.05 4.7×
Tissue culture bone marrow (88237) $510.80 $510.80 3.6×
Tissue Culture Lymphocyte (88230) $488.50 $488.50 4.2×
Tobramycin peak (80200) $68.90 $68.90 4.3×
Topiramate (80201) $320.30 $320.30 26.9×
Toxoplasma ab igm (86778) $134.85 $134.85 9.4×
Toxoplasma antibody (86777) $97.35 $97.35 6.8×
Transferase Aspartate Amino Ast Sgot (84450) $64.75 $64.75 12.5×
Transferrin (84466) $136.65 $136.65 10.7×
Trichomonas Vaginalis Amplif (87661) $141.75 $141.75 4.0×
Triglycerides (84478) $96.15 $96.15 16.8×
Troponin Quant (84484) $275.40 $275.40 22.1×
Tumor Immunohistochem/Manual (88360) $380.10 $380.10 2.3×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$29.80–$59.20 $29.80–$59.20 varies
Uric acid other source (84560)
range across 2 matching MRF lines
$50.90–$55.10 $50.90–$55.10 varies
Urinalysis Microscopic Only (81015) $58.70 $58.70 19.2×
Urine Pregnancy Test (81025) $82.15 $82.15 9.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $58.20 $58.20 18.4×
Valproic acid (80164) $134.65 $134.65 9.9×
Vancomycin (80202)
range across 2 matching MRF lines
$134.65–$159.85 $134.65–$159.85 varies
Varicella-zoster antibody (86787) $117.85 $117.85 9.1×
Vasopressin (84588) $384.85 $384.85 11.3×
Viral Culture (87252) $149.45 $149.45 5.7×
Virus antibody nos (86790) $145.45 $145.45 11.3×
Viscosity serum (85810) $103.95 $103.95 8.9×
Vit D 1 25-Dihydroxy (82652) $291.35 $291.35 7.6×
Vitamin A (84590) $182.85 $182.85 15.7×
Vitamin b-12 (82607) $140.70 $140.70 9.3×
Vitamin B6 (84207) $193.55 $193.55 6.9×
Vitamin c (82180) $84.75 $84.75 8.6×
Vitamin D 25-Hydroxy (82306) $152.45 $152.45 5.2×
Vitamin E (84446) $140.35 $140.35 9.9×
Vitamin K (84597) $431.30 $431.30 31.4×
Von willebrand factor ag (85246) $339.55 $339.55 14.8×
West nile virus ab igm (86788) $143.20 $143.20 8.5×
West Nile Virus Antibody (86789) $143.20 $143.20 10.0×
Zinc (84630) $70.05 $70.05 6.2×

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.