Lab & pathology prices at Davis County Hospital
Bloomfield, IA · every code in this section with a posted price and a Medicare benchmark.
417 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $122 | $122 | 6.6× |
| Acth (82024) | $216 | $216 | 5.6× |
| Actin smooth muscle antibody each (86015) | $116 | $116 | 9.6× |
| Acute hepatitis panel (80074) | $376 | $376 | 7.9× |
| Albumin Fluid (82042) | $41 | $41 | 5.3× |
| Albumin serum (82040) | $44 | $44 | 8.9× |
| Aldolase (82085) | $89 | $89 | 9.2× |
| Aldosterone urine (82088) | $348 | $348 | 8.5× |
| Alkaline phosphatase isoenzymes (84080) | $23 | $23 | 1.6× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$20–$46 | $20–$46 | varies |
| Alpha-1-antitrypsin total (82103) | $121 | $121 | 9.0× |
| Alpha-Fetoprotein Serum (82105) | $150 | $150 | 8.9× |
| Alt (sgpt) (84460) | $47 | $47 | 8.9× |
| Amino Acids Quant 2-5 (82136) | $80 | $80 | 4.1× |
| Ammonia (82140) | $132 | $132 | 9.1× |
| Amylase urine (82150) | $62 | $62 | 9.6× |
| Ana Titer (86039) | $100 | $100 | 9.0× |
| Anca screen each antibody (86036) | $135 | $135 | 11.2× |
| Androstenedione (82157) | $102 | $102 | 3.5× |
| Angiotensin converting enzyme csf (82164) | $95 | $95 | 6.5× |
| Antibody aspergillus (86606) | $136 | $136 | 9.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $139 | $139 | 9.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $152 | $152 | 9.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $138 | $138 | 9.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $160 | $160 | 8.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $124 | $124 | 8.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$63–$101 | $63–$101 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $78 | $78 | 5.7× |
| Antibody HIV-2 (86702) | $75 | $75 | 5.5× |
| Antibody john cunningham virus (86711) | $69 | $69 | 4.1× |
| Antibody Protozoa Nes (86753) | $53 | $53 | 4.3× |
| Antibody Treponema Pallidum (86780) | $107 | $107 | 8.1× |
| Antinuclear antibodies (86038) | $110 | $110 | 9.1× |
| Antistreptolysin O Screen (86063) | $66 | $66 | 11.4× |
| Antithrombin iii activity (85300) | $140 | $140 | 11.8× |
| Antithrombin iii antigen (85301) | $120 | $120 | 11.1× |
| Apolipoprotein a1 (82172) | $74 | $74 | 3.5× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $275 | $275 | 7.3× |
| Arsenic (82175) | $65 | $65 | 3.4× |
| Assay Blood Carbon Dioxide (82374) | $44 | $44 | 9.0× |
| Assay myeloperoxidase (83876) | $150 | $150 | 2.9× |
| Assay of 5-hiaa (83497) | $53 | $53 | 4.1× |
| Assay of anti-mullerian hormone (82166) | $145 | $145 | 3.8× |
| Assay of blood/uric acid (84550) | $41 | $41 | 9.1× |
| Assay of calcium in urine (82340) | $55 | $55 | 9.1× |
| Assay of estrone (82679) | $217 | $217 | 8.7× |
| Assay of g6pd enzyme (82955) | $173 | $173 | 17.8× |
| Assay of gammaglobulin igm (82784) | $80 | $80 | 8.6× |
| Assay of lactic acid (83605) | $96 | $96 | 8.3× |
| Assay of metanephrines (83835) | $71 | $71 | 4.2× |
| Assay of proinsulin (84206) | $94 | $94 | 3.5× |
| Assay of serotonin (84260) | $266 | $266 | 8.6× |
| Assay of serum potassium (84132) | $42 | $42 | 8.8× |
| Assay of urea nitrogen (84520) | $37 | $37 | 9.4× |
| Assay of vitamin b-1 (84425) | $191 | $191 | 9.0× |
| Assay Ph Body Fluid Nos (83986) | $33 | $33 | 9.2× |
| Assay spec xcp ur&breath ia (82077) | $96 | $96 | 5.6× |
| Automated Leukocyte Count (85048) | $23 | $23 | 9.1× |
| Bartonella antibody (86611) | $56 | $56 | 5.5× |
| Bcr/abl1 gene major bp (81206) | $550 | $550 | 3.4× |
| Bcr/abl1 gene minor bp (81207) | $483 | $483 | 3.3× |
| Beta 2 glycoprotein i antibody each (86146) | $89 | $89 | 3.5× |
| Beta hydroxybutyrate (82010) | $35 | $35 | 4.3× |
| Beta-2 Microglobulin (82232) | $122 | $122 | 7.5× |
| Bilirubin direct (82248) | $45 | $45 | 9.0× |
| Bilirubin total (82247) | $45 | $45 | 9.0× |
| Bld Typing Serologic Rh Phnt (86906) | $93 | $93 | 12.0× |
| Bleeding time test (85002) | $41 | $41 | 8.5× |
| Blood Count Automated Differential Wbc Count (85004) | $22 | $22 | 3.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $31 | $31 | 8.2× |
| Blood gas (82803) | $142 | $142 | 5.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $60 | $60 | 13.7× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $89 | $89 | 5.4× |
| Blood typing serologic abo (86900) | $48 | $48 | 16.1× |
| Body fluid cell count (89050) | $47 | $47 | 10.0× |
| Brucella antibody (86622) | $38 | $38 | 4.3× |
| C diff amplified probe (87493) | $206 | $206 | 5.5× |
| C-Peptide (84681) | $187 | $187 | 9.0× |
| C-reactive protein (86140) | $59 | $59 | 11.4× |
| Ca 19-9 (86301) | $187 | $187 | 9.0× |
| Calcitonin (82308) | $109 | $109 | 4.1× |
| Calcium ionized (82330) | $123 | $123 | 9.0× |
| Calcium total (82310) | $46 | $46 | 8.9× |
| Calculus Spectroscopy (82365) | $66 | $66 | 5.1× |
| Calprotectin Fecal (83993) | $204 | $204 | 10.4× |
| Cancer Antigen 125 (86304) | $187 | $187 | 9.0× |
| Cancer Antigen 27.29 (86300) | $180 | $180 | 8.6× |
| Carbamazepine total (80156) | $132 | $132 | 9.1× |
| Carboxyhemoglobin (82375) | $111 | $111 | 9.0× |
| Carcinoembryonic antigen (82378) | $171 | $171 | 9.0× |
| Cardiolipin ab iga (86147) | $89 | $89 | 3.5× |
| Catecholamines fractionated (82384) | $109 | $109 | 4.3× |
| Ccp antibody (86200) | $116 | $116 | 9.0× |
| Cell count csf (89051) range across 2 matching MRF lines |
$39–$48 | $39–$48 | varies |
| Ceruloplasmin (82390) | $96 | $96 | 8.9× |
| Chemiluminescent assay (82397) | $100 | $100 | 7.1× |
| Chloride Serum (82435) | $42 | $42 | 9.1× |
| Chloride urine (82436) range across 2 matching MRF lines |
$40–$45 | $40–$45 | varies |
| Cholesterol total (82465) | $39 | $39 | 9.0× |
| Chorionic gonadotropin test (84702) | $136 | $136 | 9.0× |
| Citric acid urine (82507) | $237 | $237 | 8.5× |
| Ckmb (82553) | $118 | $118 | 10.2× |
| Clostridium Difficile (87324) | $109 | $109 | 9.1× |
| Coccidioides antibody (86635) | $47 | $47 | 4.1× |
| Compatibility Each Unit Incubation (86921) | $309 | $309 | 1.9× |
| Compatibility test antiglob (86922) | $309 | $309 | 1.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$12–$109 | $12–$109 | varies |
| Complement Total (Ch50) (86162) | $184 | $184 | 9.1× |
| Coombs direct (86880) | $45 | $45 | 8.3× |
| Copper urine (82525) | $89 | $89 | 7.2× |
| Cortisol free (82530) | $150 | $150 | 9.0× |
| Cortisol saliva (82533) | $146 | $146 | 9.0× |
| Creatine kinase total (82550) | $64 | $64 | 9.8× |
| Creatinine blood (82565) | $46 | $46 | 9.0× |
| Creatinine clearance (82575) | $87 | $87 | 9.2× |
| Creatinine Urine (82570) | $46 | $46 | 8.9× |
| Crossmatch immediate spin (86920) | $309 | $309 | 1.9× |
| Crp High Sensitivity (86141) | $72 | $72 | 5.6× |
| Cryoglobulin (82595) | $59 | $59 | 9.1× |
| Cryptococcus ag titer (87899) | $60 | $60 | 3.7× |
| Cryptosporidium (87272) | $81 | $81 | 6.8× |
| Cryptosporidium ag eia (87328) | $85 | $85 | 6.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $71 | $71 | 8.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $219 | $219 | 28.4× |
| Culture afb (87116) | $77 | $77 | 7.1× |
| Culture Anaerobic (87075) | $53 | $53 | 5.6× |
| Culture blood (87040) | $122 | $122 | 11.8× |
| Culture csf (87070) | $92 | $92 | 10.7× |
| Culture fungus (87102) | $68 | $68 | 8.1× |
| Culture screen only (87081) | $53 | $53 | 8.0× |
| Culture stool (87045) | $87 | $87 | 9.2× |
| Culture urine (87086) | $79 | $79 | 9.8× |
| Cyclosporine (80158) | $163 | $163 | 9.0× |
| Cystatin C (82610) | $112 | $112 | 6.0× |
| Cytomegalovirus igg (86644) | $130 | $130 | 9.0× |
| Cytopath Cell Enhance Tech (88112) | $213 | $213 | 4.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $78 | $78 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $213 | $213 | 4.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $101 | $101 | 2.8× |
| Deoxyribonuclease antibody (86215) | $75 | $75 | 5.7× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$144–$315 | $144–$315 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$323–$453 | $323–$453 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$281–$480 | $281–$480 | varies |
| Dgp Antibody Each Ig Class (86258) | $105 | $105 | 8.7× |
| Dhea-S (82627) | $199 | $199 | 9.0× |
| Digoxin (80162) | $119 | $119 | 9.0× |
| Dna Antibody Native/Double Stranded (86225) | $123 | $123 | 9.0× |
| DNA/RNA direct probe (87149) | $86 | $86 | 4.3× |
| Drug assay acetaminophen (80143) | $177 | $177 | 9.5× |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$56–$215 | $56–$215 | varies |
| Drug Assay Lacosamide (80235) | $130 | $130 | 4.8× |
| Drug Screen Quant Clozapine (80159) | $83 | $83 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $99 | $99 | 7.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $99 | $99 | 7.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $99 | $99 | 7.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $132 | $132 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $120 | $120 | 9.5× |
| Ehrlichia antibody (86666) | $59 | $59 | 5.8× |
| El-1 Fecal Quantitative (82653) | $185 | $185 | 8.1× |
| Electrolyte panel (80051) | $64 | $64 | 9.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $132 | $132 | 10.9× |
| Erythropoietin (82668) | $169 | $169 | 9.0× |
| Estradiol serum (82670) | $251 | $251 | 9.0× |
| Estrogens fractionated (82671) | $133 | $133 | 4.1× |
| Exam Synovial Fluid Crystals (89060) | $65 | $65 | 8.9× |
| F2 Gene (81240) | $249 | $249 | 3.8× |
| Factor ix activity (85250) | $79 | $79 | 4.1× |
| Factor v leiden mutation (81241) | $422 | $422 | 5.8× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$73–$249 | $73–$249 | varies |
| Fecal Fat Qualitative (82705) | $30 | $30 | 5.9× |
| Ferritin (82728) | $128 | $128 | 9.4× |
| Fibrin Degradation Quant (85379) | $72 | $72 | 7.1× |
| Fibrinogen activity (85384) | $77 | $77 | 7.9× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$89–$109 | $89–$109 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $106 | $106 | 8.8× |
| Folic Acid Serum (82746) | $133 | $133 | 9.0× |
| Follicle Stimulating Hormone (83001) | $167 | $167 | 9.0× |
| Francisella tularensis (86668) | $58 | $58 | 4.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $93 | $93 | 0.6× |
| Frozen Section (88331) | $213 | $213 | 1.3× |
| Gammaglobulin ige (82785) | $148 | $148 | 9.0× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$33–$45 | $33–$45 | varies |
| Gastrin (82941) | $76 | $76 | 4.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $618 | $618 | 1.5× |
| Gentamicin (80170) | $70 | $70 | 4.3× |
| Ggt (82977) | $66 | $66 | 9.2× |
| Giardia antigen (87329) | $109 | $109 | 9.1× |
| Glucose 2 hr pp (82950) | $92 | $92 | 19.4× |
| Glucose Blood Test (82962) | $7 | $7 | 2.1× |
| Glucose body fluid (82945) | $35 | $35 | 8.9× |
| Glucose Serum (82947) | $48 | $48 | 12.2× |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$85–$167 | $85–$167 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $84 | $84 | 11.2× |
| Gtt-added samples (82952) | $204 | $204 | 52.0× |
| H Pylori (C-13) Breath (83013) | $605 | $605 | 9.0× |
| H pylri clrthmcn rst amp prb (87513) | $123 | $123 | 3.5× |
| Haptoglobin (83010) | $113 | $113 | 9.0× |
| Hdl Cholesterol (83718) | $73 | $73 | 8.9× |
| Helicobacter Pylori Stool (87338) | $109 | $109 | 7.6× |
| Hematocrit (85014) range across 2 matching MRF lines |
$20–$40 | $20–$40 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$20–$40 | $20–$40 | varies |
| Hemoglobin a1c (83036) | $83 | $83 | 8.5× |
| Hemoglobin plasma (83051) | $46 | $46 | 6.3× |
| Hep a ab igm (86709) | $103 | $103 | 9.1× |
| Hepatitis a antibody total (86708) | $112 | $112 | 9.0× |
| Hepatitis b core ab igm (86705) | $62 | $62 | 5.3× |
| Hepatitis b core ab total (86704) | $109 | $109 | 9.0× |
| Hepatitis B Surface Antibody (86706) | $96 | $96 | 8.9× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$88–$157 | $88–$157 | varies |
| Hepatitis Be Antibody (86707) | $48 | $48 | 4.1× |
| Hepatitis Be Antigen (87350) | $48 | $48 | 4.2× |
| Hepatitis C Antibody (86803) | $129 | $129 | 9.0× |
| Hepatitis C Genotype (87902) | $2,095 | $2,095 | 8.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $385 | $385 | 9.0× |
| Herpes simplex type 2 (86696) | $63 | $63 | 3.3× |
| Heterophile Antibody Screen (86308) | $46 | $46 | 8.9× |
| Hfe Gene (81256) | $153 | $153 | 2.3× |
| Histoplasma antigen urine (87385) | $218 | $218 | 16.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $137 | $137 | 5.7× |
| Hiv-1 Antibody (86701) | $50 | $50 | 5.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $560 | $560 | 6.6× |
| Hla ii typing 1 locus lr (81376) | $428 | $428 | 3.5× |
| Hla-b27 (86812) | $233 | $233 | 9.0× |
| Homocysteine (83090) | $152 | $152 | 8.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $150 | $150 | 2.1× |
| Hsv Dna Amp Probe (87529) | $200 | $200 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $244 | $244 | 9.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $75 | $75 | 1.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $41 | $41 | 4.0× |
| Iaadi giardia (87269) | $109 | $109 | 8.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $145 | $145 | 4.1× |
| Iadna Cytomegalovirus Quantification (87497) | $356 | $356 | 8.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $220 | $220 | 3.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $385 | $385 | 9.0× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $269 | $269 | 3.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $145 | $145 | 4.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $195 | $195 | 5.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $550 | $550 | 3.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $920 | $920 | 3.5× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$60–$135 | $60–$135 | varies |
| Igg subclasses (82787) | $60 | $60 | 7.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$135–$256 | $135–$256 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$40–$105 | $40–$105 | varies |
| Immunofixation electrophoresis (86334) | $90 | $90 | 4.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$116–$213 | $116–$213 | varies |
| Immunohistochemistry (88342) | $224 | $224 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $91 | $91 | 5.7× |
| Influenza a/b ag eia (87400) | $100 | $100 | 7.1× |
| Influenza DNA amp probe (87502) | $237 | $237 | 2.5× |
| Inhibin A (86336) | $69 | $69 | 4.4× |
| Inhibin b (83520) range across 2 matching MRF lines |
$126–$145 | $126–$145 | varies |
| Insitu hybridization manual (88368) | $323 | $323 | 0.9× |
| Insulin antibodies (86337) | $74 | $74 | 3.5× |
| Insulin total (83525) | $104 | $104 | 9.1× |
| Intrinsic factor antibody (86340) | $136 | $136 | 9.0× |
| Iron (83540) | $59 | $59 | 9.1× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$68–$127 | $68–$127 | varies |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$104–$178 | $104–$178 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $409 | $409 | 4.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$55–$105 | $55–$105 | varies |
| Lactoferrin fecal qualitative (83630) | $100 | $100 | 5.1× |
| LDL direct (83721) | $43 | $43 | 4.1× |
| Lead (83655) | $110 | $110 | 9.1× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$73–$204 | $73–$204 | varies |
| Leptospira antibody (86720) | $66 | $66 | 4.1× |
| Leukocyte Assessment Fecal (89055) | $40 | $40 | 9.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $101 | $101 | 3.6× |
| Level ii surg pathology grossµscopic exam (88302) | $101 | $101 | 2.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $323 | $323 | 0.9× |
| Lipase (83690) | $76 | $76 | 11.0× |
| Lipoprotein A (83695) | $78 | $78 | 5.4× |
| Lithium (80178) | $61 | $61 | 9.2× |
| Luteinizing Hormone (Lh) (83002) | $167 | $167 | 9.0× |
| Lyme disease antibody (86618) | $105 | $105 | 6.2× |
| Magnesium Urine (83735) | $62 | $62 | 9.3× |
| Mercury urine (83825) | $56 | $56 | 3.4× |
| Methylmalonic acid serum (83921) | $148 | $148 | 7.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$52–$98 | $52–$98 | varies |
| Microsomal Antibodies Each (86376) | $132 | $132 | 9.1× |
| Mitochondrial Antibody Each (86381) | $105 | $105 | 4.1× |
| Mrsa Pcr (87641) | $140 | $140 | 4.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$96–$116 | $96–$116 | varies |
| Muscle-Specific Kinase Antb (86366) | $547 | $547 | 29.7× |
| Mycobacteric Identification (87118) | $59 | $59 | 4.0× |
| Mycophenolic Acid (80180) | $98 | $98 | 5.4× |
| Mycoplasma antibody (86738) | $113 | $113 | 8.5× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$53–$85 | $53–$85 | varies |
| Natriuretic peptide (83880) | $233 | $233 | 5.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$449–$618 | $449–$618 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $571 | $571 | 2.2× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$42–$774 | $42–$774 | varies |
| Occult blood feces (82272) | $29 | $29 | 6.9× |
| Occult Blood Other Sources (82271) | $29 | $29 | 5.5× |
| Organic Acids Qualitative Each Specimen (83919) | $148 | $148 | 9.0× |
| Osmolality serum (83930) | $61 | $61 | 9.2× |
| Osmolality Urine (83935) | $63 | $63 | 9.2× |
| Oxalate urine (83945) | $115 | $115 | 8.0× |
| Parvovirus antibody (86747) | $136 | $136 | 9.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $101 | $101 | 0.1× |
| Ph urine (81003) | $33 | $33 | 14.7× |
| Phenobarbital Level (80184) | $104 | $104 | 6.8× |
| Phenytoin (Dilantin) (80185) | $119 | $119 | 9.0× |
| Phosphatase alkaline (84075) | $46 | $46 | 8.9× |
| Phosphorus Serum (84100) | $43 | $43 | 9.1× |
| Phosphorus urine (84105) | $25 | $25 | 4.3× |
| Pinworm exam (87172) | $40 | $40 | 9.4× |
| Platelet count automated (85049) | $41 | $41 | 9.2× |
| Platelet neutralization (85597) | $63 | $63 | 3.5× |
| Potassium Urine (84133) | $40 | $40 | 8.5× |
| Prealbumin (84134) | $132 | $132 | 9.0× |
| Procalcitonin (Pct) (84145) | $180 | $180 | 6.6× |
| Progesterone (84144) | $187 | $187 | 9.0× |
| Prolactin (84146) | $174 | $174 | 9.0× |
| Protein body fluid (84157) | $33 | $33 | 8.3× |
| Protein C Activity (85303) | $116 | $116 | 8.4× |
| Protein c antigen (85302) | $51 | $51 | 4.2× |
| Protein Electrophoresis Urine (84166) | $161 | $161 | 9.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $110 | $110 | 10.2× |
| Protein S Free (85306) | $66 | $66 | 4.3× |
| Protein s total (85305) | $105 | $105 | 9.0× |
| Protein total serum (84155) | $33 | $33 | 9.0× |
| Protein Total Urine (84156) | $48 | $48 | 13.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $14 | $14 | 3.6× |
| PSA free (84154) | $166 | $166 | 9.0× |
| Pth Intact (83970) | $371 | $371 | 9.0× |
| Quantiferon tb gold plus (86480) | $216 | $216 | 3.5× |
| Quantitative assay drug (80299) | $130 | $130 | 7.0× |
| Rbc antibody elution (86860) | $159 | $159 | 1.0× |
| Rbc antibody identification (86870) | $159 | $159 | 0.5× |
| Rbc antibody screen (86850) | $130 | $130 | 13.3× |
| Renin activity plasma (84244) | $188 | $188 | 8.5× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$800–$1,148 | $800–$1,148 | varies |
| Resp Virus 6-11 Targets (87632) | $675 | $675 | 3.1× |
| Reticulocyte Count (85046) | $49 | $49 | 8.8× |
| Rh (86901) | $48 | $48 | 16.1× |
| Rheumatoid factor quant (86431) | $52 | $52 | 9.2× |
| Rickettsia antibody (86757) | $63 | $63 | 3.3× |
| Ristocetin cofactor (85245) | $81 | $81 | 3.5× |
| Rotavirus ag eia (87425) | $109 | $109 | 9.1× |
| Rpr qualitative (86592) | $40 | $40 | 9.4× |
| Rubella Antibody (86762) | $130 | $130 | 9.0× |
| Rubeola antibody (86765) | $115 | $115 | 8.9× |
| Russell Viper Venom Time Diluted (85613) | $63 | $63 | 6.6× |
| Salicylate Level (80179) | $95 | $95 | 5.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $250 | $250 | 4.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $135 | $135 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $429 | $429 | 3.0× |
| Sedimentation Rate, Automated (85652) | $24 | $24 | 8.9× |
| Selenium (84255) | $143 | $143 | 5.6× |
| Sensitivity mic (87186) | $85 | $85 | 9.8× |
| Sex Hormone Binding Globulin (84270) | $196 | $196 | 9.0× |
| Sickling of rbc reduction (85660) | $49 | $49 | 8.9× |
| Sirolimus (80195) | $67 | $67 | 4.9× |
| Skin test tuberculosis intradermal (86580) | $24 | $24 | 0.9× |
| Smear acid fast (87206) | $22 | $22 | 4.1× |
| Smear complex stain (87209) | $63 | $63 | 3.5× |
| Smear gram stain (87205) | $10 | $10 | 2.3× |
| Smear Special Stain (87207) | $31 | $31 | 5.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $40 | $40 | 6.9× |
| Sodium Serum (84295) | $43 | $43 | 8.9× |
| Sodium Urine (84300) | $22 | $22 | 4.3× |
| Soluble Transferrin Receptor (84238) | $223 | $223 | 6.1× |
| Somatomedin (84305) | $191 | $191 | 9.0× |
| Special Stains Group 2 (88313) | $101 | $101 | 0.8× |
| Specific gravity body fluid (84315) | $36 | $36 | 11.0× |
| Specimen infect agnt concntj (87015) | $62 | $62 | 9.3× |
| Strep a DNA amp probe (87651) | $103 | $103 | 2.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $256 | $256 | 2.8× |
| Surg path level iii (88304) | $213 | $213 | 4.3× |
| Surgical pathology level IV (88305) | $228 | $228 | 4.6× |
| Surgical pathology level vi (88309) | $63 | $63 | 0.1× |
| Syphilis Test Non-Trep Quant (86593) | $25 | $25 | 5.7× |
| T cells total count (86359) | $132 | $132 | 3.5× |
| T3 Free (84481) | $152 | $152 | 9.0× |
| T3 reverse (84482) | $142 | $142 | 9.0× |
| T3 Total (84480) | $114 | $114 | 8.0× |
| T4 Free (84439) | $77 | $77 | 8.5× |
| T4 total (84436) | $63 | $63 | 9.2× |
| Tacrolimus (80197) | $216 | $216 | 15.7× |
| Test for acetone/ketones (82009) | $41 | $41 | 9.1× |
| Testosterone total (84403) | $221 | $221 | 8.6× |
| Testosterone, Free (84402) | $230 | $230 | 9.0× |
| Theophylline (80198) | $128 | $128 | 9.1× |
| Thrombin Time (85670) | $72 | $72 | 12.5× |
| Thyroglobulin (84432) | $68 | $68 | 4.2× |
| Thyroglobulin Antibody (86800) | $143 | $143 | 9.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $241.04 | $241.04 | 4.7× |
| Thyroxine binding globulin (84442) | $92 | $92 | 6.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $105 | $105 | 9.1× |
| Toxoplasma ab igm (86778) | $62 | $62 | 4.3× |
| Toxoplasma antibody (86777) | $62 | $62 | 4.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $46 | $46 | 8.9× |
| Transferrin (84466) | $114 | $114 | 8.9× |
| Trichomonas Vaginalis Amplif (87661) | $158 | $158 | 4.5× |
| Triglycerides (84478) | $52 | $52 | 9.1× |
| Troponin Quant (84484) | $119 | $119 | 9.5× |
| Tumor immunohistochem/comput (88361) | $323 | $323 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $213 | $213 | 1.3× |
| Uric acid other source (84560) | $43 | $43 | 8.5× |
| Urinalysis Microscopic Only (81015) | $15 | $15 | 4.9× |
| Urine Pregnancy Test (81025) | $57 | $57 | 6.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $48 | $48 | 15.1× |
| Valproic acid (80164) | $122 | $122 | 9.0× |
| Vancomycin (80202) | $122 | $122 | 9.0× |
| Varicella-zoster antibody (86787) | $115 | $115 | 8.9× |
| Viscosity serum (85810) | $55 | $55 | 4.7× |
| Vit D 1 25-Dihydroxy (82652) | $157 | $157 | 4.1× |
| Vitamin A (84590) | $105 | $105 | 9.0× |
| Vitamin b-12 (82607) | $136 | $136 | 9.0× |
| Vitamin B6 (84207) | $253 | $253 | 9.0× |
| Vitamin c (82180) | $80 | $80 | 8.1× |
| Vitamin D 25-Hydroxy (82306) | $266 | $266 | 9.0× |
| Vitamin E (84446) | $129 | $129 | 9.1× |
| Von willebrand factor ag (85246) | $81 | $81 | 3.5× |
| West nile virus ab igm (86788) | $118 | $118 | 7.0× |
| West Nile Virus Antibody (86789) | $118 | $118 | 8.2× |
| Zinc (84630) | $104 | $104 | 9.1× |
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.