Lab & pathology prices at Dallas County Hospital

Perry, IA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $168 $259 7.4×
Acth (82024) $191 $294 4.9×
Acth Stimulation Panel Adrenal Insufficiency (80400) $87 $134 2.7×
Actin smooth muscle antibody each (86015) $28 $43 2.3×
Acute hepatitis panel (80074) $260 $400 5.5×
Acylcarnitines Quant (82017) $125 $192 7.4×
Agglutinins Febrile Each Antigen (86000) $47 $73 6.7×
Albumin Fluid (82042) $12 $18 1.5×
Albumin ischemia modified (82045)
range across 2 matching MRF lines
$44–$59 $67–$91 varies
Albumin serum (82040) $45 $69 9.1×
Aldolase (82085) $64 $99 6.6×
Aldosterone urine (82088) $210 $323 5.2×
Alkaline phosphatase isoenzymes (84080) $121 $186 8.2×
Allergen specific ige (86003) $28 $43 5.4×
Allergen specific igg (86001)
range across 3 matching MRF lines
$38–$39 $58–$60 varies
Allg Spec Ige Recomb Ea (86008)
range across 4 matching MRF lines
$28–$44 $43–$68 varies
Alpha-1-antitrypsin phenotype (82104) $107 $165 7.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$90–$127 $139–$196 varies
Alpha-Fetoprotein Serum (82105) $105 $161 6.3×
Alt (sgpt) (84460) $47 $72 8.9×
Amikacin trough (80150) $40 $62 2.7×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines
$185–$211 $284–$325 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $376 $579 22.3×
Ammonia (82140)
range across 2 matching MRF lines
$51–$107 $78–$165 varies
Amylase urine (82150)
range across 5 matching MRF lines
$59–$69 $90–$106 varies
Ana Titer (86039) $72 $111 6.5×
Anca screen each antibody (86036) $105 $162 8.7×
Androstenedione (82157) $140 $216 4.8×
Angiotensin converting enzyme csf (82164) $140 $216 9.6×
Antibody aspergillus (86606) $51 $79 3.4×
Antibody Bacterium Not Elsewhere Specified (86609) $22 $34 1.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $169 $260 10.9×
Antibody Cytomegalovirus Cmv Igm (86645) $98 $151 5.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $68 $105 5.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$36–$99 $56–$152 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $107 $165 5.9×
Antibody Fungus Not Elsewhere Specified (86671) $128 $197 10.4×
Antibody helicobacter pylori (86677) $92 $141 5.5×
Antibody Herpes Smplx Non-Specific Type Test (86694) $68 $104 4.7×
Antibody Herpes Smplx Type 1 (86695) $83 $127 6.3×
Antibody HIV-1&HIV-2 single result (86703) $73 $113 5.3×
Antibody Hla Class I High Definition Panel Qual (86832) $254 $390 0.8×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $133 $204 1.4×
Antibody htlv/HIV antibody confirmatory test (86689) $86 $132 4.4×
Antibody neisseria meningitidis (86741) $53 $81 4.0×
Antibody Protozoa Nes (86753) $60 $93 4.8×
Antibody Treponema Pallidum (86780) $55 $85 4.2×
Antibody; influenza virus (86710) $25 $38 1.8×
Antigen typing (86905) $91 $140 23.8×
Antinuclear antibodies (86038) $82 $126 6.8×
Antistreptolysin O Screen (86063) $62 $96 10.7×
Antithrombin iii activity (85300) $130 $200 11.0×
Apolipoprotein a1 (82172) $97 $149 4.6×
Arsenic (82175) $98 $150 5.2×
Aspergillus ag eia (87305) $120 $185 10.0×
Assay Blood Carbon Dioxide (82374) $43 $66 8.8×
Assay Blood Catecholamines (82383) $157 $241 5.4×
Assay Nephelometry Not Spec (83883) $92 $141 6.8×
Assay of 5-hiaa (83497) $89 $137 6.9×
Assay of blood/uric acid (84550) $42 $65 9.3×
Assay of calcium in urine (82340) $51 $79 8.5×
Assay of cpk in blood (82552) $72 $111 5.4×
Assay of estrone (82679) $118 $181 4.7×
Assay of g6pd enzyme (82955) $68 $105 7.0×
Assay of gammaglobulin igm (82784) $67 $103 7.2×
Assay of lactic acid (83605) $83 $128 7.2×
Assay of manganese (83785) $25 $38 0.9×
Assay of metanephrines (83835) $149 $229 8.8×
Assay of phosphatase alkaline heat stable (84078) $42 $64 5.1×
Assay of proinsulin (84206) $118 $181 4.4×
Assay of serotonin (84260) $153 $236 4.9×
Assay of serum potassium (84132) $44 $67 9.2×
Assay of sweat sodium (84302) $37 $57 7.6×
Assay of urea nitrogen (84520) $40 $62 10.1×
Assay of urine vma (84585) $100 $154 6.5×
Assay of vitamin b-1 (84425) $107 $164 5.0×
Assay Ph Body Fluid Nos (83986) $36 $55 10.1×
Automated Leukocyte Count (85048) $25 $38 9.8×
Bartonella antibody (86611)
range across 3 matching MRF lines
$57–$59 $88–$90 varies
Bcr/abl1 gene major bp (81206) $452 $695 2.8×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$92–$101 $142–$156 varies
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines
$25–$131 $38–$201 varies
Beta-2 Microglobulin (82232) $94 $144 5.8×
Bile acids total (82239) $70 $108 4.1×
Bilirubin direct (82248) $50 $77 10.0×
Bilirubin total (82247) $50 $77 10.0×
Biotinidase (82261) $151 $232 9.0×
Bl Smear W/O Diff Wbc Count (85008) $21 $32 6.1×
Blastomyces antibody (86612) $83 $127 6.4×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $137 $211 0.8×
Bld Typing Serologic Rh Phnt (86906) $60 $93 7.7×
Bleeding time test (85002) $28 $43 5.8×
Blood Count Automated Differential Wbc Count (85004) $29 $44 4.5×
Blood Count Red Blood Cell Automated (85041) $16 $25 5.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $36 $56 9.5×
Blood gas (82803) $174 $268 6.7×
Blood gases w/02 saturation (82805) $36 $56 0.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $83 $127 5.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $31 $47 7.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $107 $164 16.9×
Blood typing serologic abo (86900) $62 $96 20.7×
Bordetella antibody (86615) $105 $162 8.0×
Brucella antibody (86622) $57 $88 6.4×
C diff amplified probe (87493) $114 $176 3.1×
C-Peptide (84681) $116 $178 5.6×
C-reactive protein (86140) $67 $103 12.9×
Ca 19-9 (86301) $132 $203 6.3×
Caffeine (80155) $57 $88 1.5×
Calcium ionized (82330) $48 $74 3.5×
Calcium total (82310) $48 $74 9.3×
Calculus Spectroscopy (82365) $83 $127 6.4×
Calprotectin Fecal (83993) $235 $362 12.0×
Cancer Antigen 125 (86304) $122 $188 5.9×
Cancer Antigen 27.29 (86300) $157 $242 7.5×
Candida antibody (86628) $30 $46 2.5×
Candida Dna Dir Probe (87480) $52 $80 2.6×
Carbamazepine free (80157)
range across 2 matching MRF lines
$44–$98 $67–$151 varies
Carbamazepine total (80156) $98 $151 6.7×
Carboxyhemoglobin (82375) $94 $144 7.6×
Carcinoembryonic antigen (82378) $140 $216 7.4×
Cardiolipin ab iga (86147) $148 $228 5.8×
Carnitine Quantitative Each Specimen (82379) $138 $213 8.2×
Carotene (82380) $42 $65 4.6×
Catecholamines fractionated (82384) $146 $224 5.8×
Ccp antibody (86200) $88 $135 6.8×
Cell count csf (89051) $76 $117 13.6×
Ceruloplasmin (82390) $71 $109 6.6×
Chemiluminescent assay (82397) $120 $185 8.5×
Chloride other source (82438) $46 $70 9.2×
Chloride Serum (82435) $30 $46 6.5×
Chloride urine (82436) $43 $66 7.5×
Cholesterol total (82465) $35 $54 8.0×
Cholinesterase rbc (82482) $36 $56 3.7×
Cholinesterase Serum (82480) $54 $83 6.9×
Chorionic gonadotropin test (84702) $103 $158 6.8×
Chrmsm Analysis Addl Specialized Banding (88283) $516 $794 7.5×
Chromium serum (82495) $132 $203 6.5×
Chromogranin a (86316) $121 $186 5.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $116 $179 3.3×
Citric acid urine (82507) $164 $252 5.9×
Ckmb (82553) $105 $161 9.1×
Clostridium Difficile (87324) $79 $122 6.6×
Clot Factor VIII Multimetric (85247) $401 $617 17.5×
Clotting Funct Activity (85397) $130 $200 4.2×
Clotting prekallikrein assay fletcher fact assay (85292) $140 $215 7.4×
Coccidioides antibody (86635) $68 $104 5.9×
Cold agglutinin screen (86156) $33 $50 4.1×
Cold agglutinin titer (86157) $36 $55 4.5×
Collagen crosslinks (82523) $102 $157 5.5×
Column Chromotography Quant (82542) $132 $203 5.5×
Compatibility test antiglob (86922) $87 $134 0.5×
Complement Antigen Each Component (86160) $80 $123 6.7×
Complement Total (Ch50) (86162) $74 $114 3.6×
Coombs direct (86880) $51 $79 9.5×
Copper urine (82525) $68 $104 5.5×
Cortisol free (82530) $123 $189 7.4×
Cortisol saliva (82533) $109 $168 6.7×
Creatine (82540) $28 $43 6.0×
Creatine kinase total (82550) $64 $98 9.8×
Creatinine blood (82565) $42 $64 8.2×
Creatinine clearance (82575) $60 $92 6.3×
Creatinine Urine (82570) $46 $71 8.9×
Crp High Sensitivity (86141) $80 $123 6.2×
Cryoglobulin (82595) $69 $106 10.7×
Cryptococcal Antigen (87327) $27 $42 2.0×
Cryptococcus ag titer (87899) $53 $81 3.3×
Cryptosporidium (87272) $80 $123 6.7×
Cryptosporidium ag eia (87328) $70 $108 5.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $55 $85 6.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $88 $135 0.4×
Culture aerobic quant other (87071) $66 $102 6.7×
Culture afb (87116) $133 $204 12.3×
Culture Anaerobic (87075) $94 $144 9.9×
Culture blood (87040) $121 $186 11.7×
Culture csf (87070) $83 $127 9.6×
Culture fungus (87102)
range across 4 matching MRF lines
$44–$92 $67–$142 varies
Culture fungus blood (87103) $93 $143 4.5×
Culture screen only (87081) $57 $87 8.6×
Culture stool (87045) $79 $121 8.4×
Culture typing if ea antiserum (87140) $154 $237 27.6×
Culture typing other methods (87158) $82 $126 10.6×
Culture urine (87086) $69 $106 8.6×
Cyclosporine (80158) $133 $205 7.4×
Cystatin C (82610) $128 $197 6.9×
Cytogenetics 100-300 (88275) $234 $360 4.6×
Cytomegalovirus igg (86644) $77 $118 5.4×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$143–$172 $220–$264 varies
Cytotoxic Antibody Screen Std (86807) $595 $915 7.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 3 matching MRF lines
$72–$80 $110–$123 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $213 $328 4.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $98 $150 2.7×
Cytp Slides C/V Mnl Scr Under Phys (88150) $21 $33 1.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $125 $192 4.5×
Deoxyribonuclease antibody (86215) $44 $67 3.3×
Detect Agent Nos Dna Amp (87798) $184 $283 5.2×
Detect Agent Nos Dna Quant (87799) $257 $395 6.0×
Dgp Antibody Each Ig Class (86258) $78 $120 6.5×
Dhea (82626) $125 $192 4.9×
Dhea-S (82627) $122 $188 5.5×
Digoxin (80162) $94 $144 7.1×
Dihydrotestosterone (82642) $118 $181 4.0×
Dna Antibody Native/Double Stranded (86225) $112 $173 8.2×
Dna Antibody Single Stranded (86226) $77 $119 6.4×
Dna/Rna Amplified Probe (87150) $73 $112 2.1×
DNA/RNA direct probe (87149) $54 $83 2.7×
Drug assay acetaminophen (80143) $136 $209 7.3×
Drug Assay Everolimus (80169) $148 $228 10.8×
Drug assay felbamate (80167) $68 $104 3.6×
Drug Assay Infliximab (80230) $236 $363 6.1×
Drug Assay Itraconazole (80189) $166 $256 6.1×
Drug Assay Lacosamide (80235) $193 $297 7.1×
Drug Screen Quant Clozapine (80159) $112 $172 5.6×
Drug Screen Quant Zonisamide (80203) $133 $205 10.0×
Drug Screen Quantitative Lamotrigine (80175)
range across 3 matching MRF lines
$89–$95 $137–$146 varies
Drug Screen Quantitative Levetiracetam (80177) $109 $167 8.2×
Drug Screen Quantitative Oxcarbazepine (80183) $94 $145 7.1×
Drug Screen Quantitative Procainamide Metabolite (80192) $40 $62 2.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$112–$263 $172–$404 varies
Drug Test Prsmv Dir Opt Obs (80305) $108 $166 8.6×
Drug Test Prsmv Instrmnt (80306) $102 $157 6.0×
El-1 Fecal Quantitative (82653) $293 $451 12.8×
Electrolyte panel (80051) $75 $116 10.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $83 $128 6.9×
Enterovirus Antibody (86658) $134 $206 10.3×
Enzyme histochemistry (88319)
range across 2 matching MRF lines
$60–$356 $92–$548 varies
Eosinophil Smear (89190) $52 $80 9.0×
Erythropoietin (82668) $122 $188 6.5×
Estradiol serum (82670) $142 $219 5.1×
Estriol (82677) $103 $159 4.3×
Estrogen total (82672) $126 $194 5.8×
Estrogens fractionated (82671) $145 $223 4.5×
Ethosuximide (80168)
range across 2 matching MRF lines
$82–$106 $126–$163 varies
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$27–$50 $42–$77 varies
F2 Gene (81240) $261 $402 4.0×
Factor ix activity (85250) $148 $228 7.8×
Factor v leiden mutation (81241) $277 $426 3.8×
Factor vii assay (85230) $92 $142 5.1×
Factor viii assay (85240) $138 $212 7.7×
Factor xi activity (85270) $232 $357 13.0×
Fat/Lipids Feces Quantitative (82710) $103 $158 6.1×
Fecal Fat Qualitative (82705) $49 $76 9.6×
Ferritin (82728) $92 $142 6.7×
Fibrin Degradation Quant (85379)
range across 3 matching MRF lines
$101–$109 $155–$168 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $101 $155 10.4×
Fibrinogen activity (85384) $82 $126 8.4×
Flow cytometry first marker (88184) $137 $211 0.4×
Fluorescent antibody screen (86255) $86 $133 7.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $75 $116 6.2×
Folic acid rbc (82747) $62 $95 3.5×
Folic Acid Serum (82746) $96 $147 6.5×
Follicle Stimulating Hormone (83001) $117 $180 6.3×
Frozen Section (88331) $129 $198 0.8×
Fungi Identification Yeast (87106) $112 $172 10.9×
Galactose transferase test (82776) $36 $55 3.1×
Gammaglobulin ige (82785) $99 $153 6.0×
Gardner vag DNA dir probe (87510) $52 $80 2.6×
Gases Blood O2 Saturation Only Direct Meas (82810) $33 $50 3.4×
Gastrin (82941) $122 $188 6.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $551 $848 1.3×
Gentamicin (80170)
range across 3 matching MRF lines
$111–$128 $170–$197 varies
Ggt (82977) $49 $75 6.8×
Giardia antigen (87329) $79 $122 6.6×
Glucose 2 hr pp (82950) $52 $80 10.9×
Glucose Blood Test (82962) $24 $37 7.3×
Glucose body fluid (82945) $56 $86 14.2×
Glucose Serum (82947) $40 $62 10.2×
Glucose tolerance test (gtt) (82951) $92 $142 7.1×
Glycated Protein (82985) $81 $124 4.8×
Gonadotropin Chorionic Qualitative (84703) $76 $117 10.1×
Growth hormone (83003) $72 $111 4.3×
Gtt-added samples (82952) $36 $55 9.2×
H Pylori (C-13) Breath (83013) $33 $50 0.5×
Haloperidol (80173) $111 $170 7.0×
Haptoglobin (83010) $85 $130 6.8×
Hba1/Hba2 Gene (81257) $382 $587 3.7×
Hdl Cholesterol (83718) $57 $87 7.0×
Helicobacter Pylori Stool (87338) $104 $160 7.2×
Helminth Antibody (86682) $125 $193 9.6×
Hematocrit (85014) $27 $42 11.4×
Hemoglobin (85018) $30 $46 12.7×
Hemoglobin a1c (83036) $65 $100 6.7×
Hemoglobin Chromotography (83021) $153 $236 8.5×
Hemoglobin electrophoresis (83020) $69 $106 5.4×
Hemoglobin F Fetal Chemical (83030) $63 $97 5.9×
Hemoglobin plasma (83051) $50 $77 6.8×
Hemosiderin urine (83070) $54 $83 11.4×
Hep a ab igm (86709) $70 $107 6.2×
Heparin assay (85520) $82 $126 6.3×
Hepatitis a antibody total (86708) $75 $115 6.1×
Hepatitis b core ab igm (86705) $81 $125 6.9×
Hepatitis b core ab total (86704) $65 $100 5.4×
Hepatitis B Surface Antibody (86706) $83 $128 7.7×
Hepatitis B Surface Antigen (87340) $81 $124 7.8×
Hepatitis Be Antibody (86707) $44 $68 3.8×
Hepatitis Be Antigen (87350) $79 $122 6.9×
Hepatitis C Antibody (86803) $88 $135 6.2×
Hepatitis c antibody confirmatory test (86804) $94 $144 6.1×
Hepatitis C Genotype (87902) $475 $731 1.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $204 $314 5.8×
Hepatitis C Revrs Trnscrpj (87522) $437 $673 10.2×
Hepatitis Delta Agent Antibody (86692) $83 $127 4.8×
Herpes simplex type 2 (86696) $55 $84 2.8×
Heterophile Antibody Screen (86308) $51 $79 9.8×
Hfe Gene (81256) $218 $336 3.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $79 $122 10.2×
Histoplasma antibody (86698) $58 $89 4.2×
Histoplasma antigen urine (87385) $138 $213 10.4×
Hiv Genotype (87901) $322 $495 1.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $105 $161 4.4×
Hiv-1 Antibody (86701) $176 $270 19.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $432 $665 5.1×
Hla class i semiquant panel (86834) $586 $902 1.6×
Hla class ii high defin qual (86833) $254 $390 0.8×
Hla I Low Resolution One Antigen Equivalent Each (81374) $138 $213 1.9×
Hla-b27 (86812) $159 $245 6.2×
Homocysteine (83090) $114 $175 6.4×
Homogenization Tissue (87176) $30 $46 5.1×
Hpv High-Risk Types (87624) $43 $66 1.2×
Hpv Types 16 & 18 Only (87625) $65 $100 1.6×
Hsv Dna Amp Probe (87529)
range across 5 matching MRF lines
$160–$180 $246–$277 varies
Hydroxycorticosteroids 17 (83491) $98 $151 5.5×
Hydroxyprogesterone 17-d (83498) $163 $251 6.0×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $92 $141 8.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $107 $164 3.0×
Iaad Ia Streptococcus Group A (87430) $26 $40 1.5×
Iaadi giardia (87269) $131 $201 9.6×
Iaadi herpes smplx virus type 1 (87274) $46 $70 3.8×
Iaadi herpes smplx virus type 2 (87273) $42 $64 3.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $198 $304 5.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $116 $179 3.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $116 $179 5.1×
Iadna Cytomegalovirus Quantification (87497) $243 $374 5.7×
Iadna Hepatitis B Virus Quantification (87517) $246 $379 5.7×
Iadna Multiple Organisms Direct Probe Tq (87800) $93 $143 2.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $141 $217 3.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $140 $215 4.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $112 $173 3.2×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $309 $475 1.2×
Ig Light Chains Free Each (83521) $154 $237 8.9×
Igg subclasses (82787) $49 $75 6.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $567 $873 1.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $255 $393 0.7×
Immunfix e-phorsis/urine/csf (86335) $179 $276 6.1×
Immunoassay Analyte Quant Radioimmunoassay (83519) $324 $498 17.6×
Immunoassay infectious agent (86318) $76 $117 4.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $54 $83 3.6×
Immunoassay nonantibody (83516)
range across 9 matching MRF lines
$94 $144–$145 8.2×
Immunodiffusion Ouchterlony (86331) $49 $75 4.1×
Immunoelectrophoresis Other Fluids Concentration (86325) $76 $117 3.3×
Immunoelectrophoresis Serum (86320) $76 $117 2.5×
Immunofixation electrophoresis (86334) $121 $186 5.4×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$186–$196 $286–$301 varies
Immunohistochemistry (88342) $207 $319 1.3×
In situ hybridization 1st probe stain (88365) $372 $573 2.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $47 $73 1.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $27 $42.03 1.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $126 $194 2.9×
Influenza a/b ag eia (87400) $29 $44 2.1×
Influenza assay w/optic (87804) $60 $92 3.6×
Inhibin A (86336) $69 $106 4.4×
Inhibin b (83520)
range across 19 matching MRF lines
$94–$126 $145–$194 varies
Insitu hybridization manual (88368) $372 $573 1.1×
Insulin total (83525) $85 $130 7.4×
Intrinsic factor antibody (86340) $99 $153 6.6×
Iron (83540) $52 $80 8.0×
Iron Binding Capacity (83550) $57 $87 6.5×
Irradiation Blood Product Each Unit (86945) $53 $82 1.5×
Islet cell antibody (86341) $108 $166 4.6×
Jak2 gene analysis p.val617phe variant (81270) $447 $687 4.9×
Jak2 Gene Trgt Sequence Alys (81279) $306 $470 1.7×
Ketosteroids 17 total (83586) $72 $111 5.6×
Koh Prep (87220) $29 $45 6.8×
Lactate (ld) (ldh) enzyme (83615) $55 $84 9.1×
Lactoferrin fecal qualitative (83630) $94 $144 4.8×
Lactoferrin Fecal Quantitative (83631) $67 $103 3.4×
Ldh Isoenzymes (83625) $65 $100 5.1×
LDL direct (83721) $48 $74 4.6×
Lead (83655) $53 $82 4.4×
Legionella antibody (86713) $94 $144 6.1×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$47–$83 $73–$128 varies
Leptospira antibody (86720) $36 $56 2.2×
Leukocyte Assessment Fecal (89055) $25 $39 5.9×
Level I Surg Pathology Gross Examination Only (88300) $70 $108 2.5×
Level ii surg pathology gross&microscopic exam (88302) $142 $219 3.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $351 $540 1.0×
Lidocaine (80176) $36 $56 2.5×
Lipase (83690)
range across 4 matching MRF lines
$64–$118 $99–$182 varies
Lipoprotein Bld Quan Part (83704) $181 $278 5.3×
Lithium (80178) $55 $84 8.3×
Luteinizing Hormone (Lh) (83002) $107 $165 5.8×
Lyme disease antibody (86618) $93 $143 5.5×
Lysozyme serum (85549) $143 $220 7.6×
M/phmtrc alys ishquant/semiq (88374) $480 $738 2.9×
Macroscopic exam arthropod (87168) $44 $67 10.3×
Macroscopic Exam Parasite (87169) $34 $53 7.9×
Magnesium Urine (83735) $66 $102 9.9×
Mass Spectrometry Quant (83789) $125 $193 5.2×
Mercury urine (83825) $88 $135 5.4×
Metabolic panel ionized ca (80047) $91 $140 6.6×
Methylmalonic acid serum (83921) $203 $312 9.6×
Microalbumin, quantitative (82043) $59 $91 10.2×
Microsomal Antibodies Each (86376) $94 $145 6.5×
Mitochondrial Antibody Each (86381) $114 $175 4.5×
Molecular Cytogenetics Dna Probe Each (88271) $125 $192 5.8×
Mthfr Gene Analysis Common Variants (81291) $353 $543 5.4×
Mumps antibody (86735) $79 $121 6.1×
Mycobacteric Identification (87118) $224 $345 15.3×
Mycophenolic Acid (80180) $61 $94 3.4×
Mycoplasma antibody (86738) $73 $113 5.5×
Myoglobin urine (83874) $91 $140 7.0×
Natriuretic peptide (83880) $177 $273 4.5×
Neisseria Dir Na Probe (87590) $51 $79 1.9×
Neutralization Test Viral (86382) $53 $81 3.1×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $250 $385 1.9×
Nfct Agent Genotype Hepatitis B Virus (87912) $321 $494 1.2×
Nfct ds bv&vaginitis DNA alg (81515) $232 $357 0.9×
Nfct ds chrnc hcv 6 assays (81596) $376 $578 5.2×
Niacin (84591) $83 $127 4.9×
Nuclear antigen antibody (86235) $56 $86 3.1×
Nzym actv blood cells/tiss radact substrate ea (82658) $267 $411 6.1×
Occult blood feces (82272) $29 $45 6.9×
Occult Blood Other Sources (82271) $30 $46 5.6×
Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) $520 $800 1.0×
Osmolality serum (83930) $57 $88 8.6×
Osmolality Urine (83935) $55 $84 8.1×
Osmotic fragility rbc incubated (85557) $64 $99 4.8×
Ova and parasites smears (87177) $57 $87 6.4×
Oxalate urine (83945) $84 $129 5.8×
Particle Agglutination Screen Each Antibody (86403) $47 $73 4.1×
Parvovirus antibody (86747) $92 $141 6.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $96 $147 0.1×
Pathology Consultation During Surgery (88329) $168 $259 2.9×
Ph urine (81003)
range across 5 matching MRF lines
$10–$31 $16–$47 varies
Phenobarbital Level (80184)
range across 3 matching MRF lines
$79–$99 $122–$152 varies
Phenotype Infect Agent Drug (87900) $435 $669 3.3×
Phenylalanine (84030) $53 $81 9.6×
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines
$99–$100 $152–$154 varies
Phenytoin free (80186) $85 $131 6.2×
Phosphatase acid prostatic (84066) $36 $56 3.7×
Phosphatase alkaline (84075) $55 $84 10.6×
Phosphorus Serum (84100) $42 $65 8.9×
Phosphorus urine (84105) $33 $50 5.7×
Pinworm exam (87172) $49 $75 11.5×
Platelet Aggregation (85576) $153 $236 6.1×
Platelet Antibodies (86022) $130 $200 7.1×
Platelet count automated (85049) $51 $78 11.4×
Porphyrins Urine Quantitation & Fractionation (84120) $105 $161 7.1×
Porphyrins, urine; qualitative (84119) $63 $97 4.7×
Potassium Urine (84133) $44 $67 9.3×
Prealbumin (84134) $44 $67 3.0×
Primidone (80188) $65 $100 3.9×
Procalcitonin (Pct) (84145) $134 $206 4.9×
Progesterone (84144) $111 $171 5.3×
Prolactin (84146) $120 $184 6.2×
Protein body fluid (84157) $54 $83 13.5×
Protein C Activity (85303) $111 $170 8.0×
Protein c antigen (85302) $170 $262 14.2×
Protein Electrophoresis Urine (84166) $112 $172 6.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $70 $108 6.5×
Protein S Free (85306) $99 $153 6.5×
Protein s total (85305) $95 $146 8.2×
Protein total serum (84155) $38 $58 10.4×
Protein Total Urine (84156) $46 $71 12.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $121 $186 30.7×
Protoporphyrin rbc quantitative (84202) $40 $62 2.8×
PSA free (84154)
range across 4 matching MRF lines
$106–$114 $163–$175 varies
Pth Intact (83970) $177 $272 4.3×
Q Fever Antibody (86638) $28 $43 2.3×
Quantitative assay drug (80299)
range across 14 matching MRF lines
$67–$336 $103–$517 varies
Quantitative Screen Metals (83018) $106 $163 4.8×
Quinidine (80194) $44 $67 3.0×
Rbc antibody elution (86860) $118 $182 0.7×
Rbc antibody identification (86870) $172 $264 0.5×
Rbc antibody screen (86850) $76 $117 7.8×
Rbc pretreatment serum (86978) $192 $295 3.4×
Rbc pretx incubatj w/enzymes (86971) $60 $92 0.4×
Renin activity plasma (84244) $133 $204 6.0×
Resp virus 12-25 targets (87633) $564 $868 1.4×
Reticulocyte Count (85046) $42 $65 7.5×
Reticulocyte Count Manual (85044) $40 $62 9.3×
Rh (86901) $49 $76 16.4×
Rheumatoid Factor Qualitative (86430) $55 $85 9.0×
Rheumatoid factor quant (86431) $49 $76 8.6×
Rickettsia antibody (86757) $58 $89 3.0×
Ristocetin cofactor (85245) $103 $158 4.5×
Rotavirus ag eia (87425)
range across 3 matching MRF lines
$85–$442 $130–$680 varies
Rpr qualitative (86592) $40 $62 9.4×
Rsv ab (86756) $120 $185 7.6×
Rsv Assay W/Optic (87807) $74 $114 5.6×
Rubella Antibody (86762) $64 $98 4.4×
Rubeola antibody (86765) $73 $113 5.7×
Rufinamide (80210) $175 $269 6.5×
Russell Viper Venom Time Diluted (85613) $118 $181 12.3×
Salicylate Level (80179) $103 $159 5.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $125 $193 2.4×
Sars-cov-2 COVID-19 antibody (86769)
range across 5 matching MRF lines
$65–$79 $100–$121 varies
Sarscov2&inf a&b&rsv amp prb (87637) $163 $250 1.1×
Sedimentation rate (85651) $39 $60 9.1×
Sedimentation Rate, Automated (85652) $44 $68 16.3×
Selenium (84255) $63 $97 2.5×
Semen Anal Sperm Detection (89321) $77 $119 6.4×
Semen analysis complete (89320) $40 $62 3.2×
Sensitivity mic (87186) $68 $105 7.9×
Sex Hormone Binding Globulin (84270) $110 $169 5.1×
Sickling of rbc reduction (85660) $51 $79 9.3×
Sirolimus (80195) $194 $299 14.1×
Skin test tuberculosis intradermal (86580) $26 $40 0.9×
Skin test; histoplasmosis (86510) $11 $17 0.3×
Smear acid fast (87206) $54 $83 10.0×
Smear complex stain (87209) $36 $55 2.0×
Smear gram stain (87205) $43 $66 10.1×
Smear Special Stain (87207) $70 $107 11.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $44 $67 7.6×
Sodium Serum (84295) $38 $58 7.9×
Sodium Urine (84300) $40 $61 7.9×
Soluble Transferrin Receptor (84238) $211 $325 5.8×
Somatomedin (84305) $132 $203 6.2×
Somatostatin (84307) $282 $434 15.4×
Special Stains Group 1 (88312) $162 $249 3.2×
Special Stains Group 2 (88313) $183 $281 1.4×
Specimen infect agnt concntj (87015) $42 $65 6.3×
Spectrophotometry (84311) $57 $88 7.0×
Stool cultr aerobic bact ea (87046) $53 $82 5.6×
Strep a assay w/optic (87880) $55 $84 3.3×
Strep a DNA amp probe (87651) $101 $155 2.9×
Sugars Single Qual (84376) $116 $178 21.1×
Sulfate urine (84392) $34 $52 6.2×
Surg path level iii (88304) $165 $254 3.3×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$122–$233 $188–$359 varies
Surgical pathology level vi (88309) $427 $657 0.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $18 $28 3.8×
Susceptibility Study Antimicrobial Disk Method (87184) $53 $81 7.1×
Syphilis Test Non-Trep Quant (86593) $53 $81 12.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $399 $614 8.5×
T cells total count (86359) $114 $176 3.0×
T3 Free (84481) $107 $164 6.3×
T3 reverse (84482) $148 $228 9.4×
T3 Total (84480) $72 $110 5.1×
T3 Uptake (84479) $48 $74 7.4×
T4 Free (84439)
range across 4 matching MRF lines
$73–$103 $112–$159 varies
T4 total (84436) $54 $83 7.9×
Tacrolimus (80197) $144 $222 10.5×
Tb ag response t-cell susp (86481) $211 $325 2.1×
Test for acetone/ketones (82009) $47 $73 10.4×
Testosterone total (84403) $121 $186 4.7×
Testosterone, Free (84402) $114 $175 4.5×
Theophylline (80198) $79 $121 5.6×
Thiopurine methyltransferase (84433) $166 $256 7.5×
Thrombin Time (85670) $34 $52 5.9×
Thromboplastin Inhibition Tissue (85705) $53 $81 5.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $33 $51 5.1×
Thyroglobulin (84432) $80 $123 5.0×
Thyroglobulin Antibody (86800) $86 $133 5.4×
Thyroid Stimulating Immunoglobulin (84445) $220 $338 4.3×
Thyroxine binding globulin (84442) $33 $50 2.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $96 $147 8.3×
Tobramycin peak (80200) $83 $128 5.1×
Topiramate (80201) $105 $161 8.8×
Toxoplasma ab igm (86778) $107 $165 7.4×
Toxoplasma antibody (86777) $97 $149 6.7×
Transferase Aspartate Amino Ast Sgot (84450) $47 $72 9.1×
Transferrin (84466) $66 $102 5.2×
Trichinella Antibody (86784) $36 $56 2.9×
Trichomonas vagin dir probe (87660) $79 $122 3.9×
Triglycerides (84478) $42 $64 7.3×
Troponin Quant (84484)
range across 4 matching MRF lines
$125–$126 $193–$194 varies
Tumor immunohistochem/comput (88361) $332 $511 1.0×
Tumor Immunohistochem/Manual (88360) $224 $344 1.4×
Urea nitrogen urine (84540) $51 $79 9.2×
Uric acid other source (84560)
range across 2 matching MRF lines
$41–$52 $63–$80 varies
Urinalysis Microscopic Only (81015) $25 $39 8.2×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $8 $12 3.7×
Urinalysis Volume Measure (81050) $18 $28 4.9×
Urine Albumin Semiquantitative (82044) $59 $91 9.5×
Urine Bacteria Culture (87088) $56 $86 6.9×
Urine Pregnancy Test (81025) $57 $88 6.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $39 $60 12.3×
Valproic acid (80164) $90 $139 6.6×
Vancomycin (80202) $120 $184 8.9×
Varicella-zoster antibody (86787) $67 $103 5.2×
Vasopressin (84588) $127 $196 3.7×
Viral Culture (87252) $162 $249 6.2×
Virus antibody nos (86790) $150 $231 11.6×
Virus inoculation, shell via (87254) $103 $158 5.3×
Viscosity serum (85810) $57 $88 4.9×
Vit D 1 25-Dihydroxy (82652) $205 $316 5.3×
Vitamin A (84590) $76 $117 6.5×
Vitamin b-12 (82607) $94 $145 6.2×
Vitamin B6 (84207) $168 $259 6.0×
Vitamin c (82180) $67 $103 6.8×
Vitamin D 25-Hydroxy (82306)
range across 5 matching MRF lines
$27–$131 $42–$202 varies
Vitamin E (84446) $98 $150 6.9×
Vitamin K (84597) $93 $143 6.8×
Von willebrand factor ag (85246) $179 $275 7.8×
Wbc Alkaline Phosphatase Count (85540) $33 $50 3.8×
West nile virus ab igm (86788) $75 $115 4.5×
West Nile Virus Antibody (86789) $73 $113 5.1×
Xylose Absorption Test (84620) $96 $147 7.4×
Zinc (84630) $52 $80 4.6×

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.