Lab & pathology prices at Dayton General Hospital
Dayton, WA · every code in this section with a posted price and a Medicare benchmark.
432 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $356.40 | $396 | 15.6× |
| Acetylcholine receptor binding antibody (86041) | $33.30 | $37 | 1.8× |
| Acetylcholine receptor blocking antibody (86042) | $33.30 | $37 | 1.8× |
| Acth (82024) | $260.10 | $289 | 6.7× |
| Actin smooth muscle antibody each (86015) | $132.30 | $147 | 11.0× |
| Acute hepatitis panel (80074) | $612.90 | $681 | 12.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $313.20 | $348 | 4.9× |
| Albumin serum (82040) | $72.90 | $81 | 14.7× |
| Aldolase (82085) | $98.10 | $109 | 10.1× |
| Aldosterone urine (82088) | $222.30 | $247 | 5.5× |
| Alkaline phosphatase isoenzymes (84080) | $143.10 | $159 | 9.7× |
| Allergen spec ige qual multiallergen screen (86005) | $50.40 | $56 | 6.3× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$18–$74.70 | $20–$83 | varies |
| Allg Spec Ige Recomb Ea (86008) | $346.50 | $385 | 19.3× |
| Alpha-1-antitrypsin total (82103) | $184.50 | $205 | 13.7× |
| Alpha-Fetoprotein Serum (82105) | $191.70 | $213 | 11.4× |
| Alt (sgpt) (84460) | $77.40 | $86 | 14.6× |
| Aminolevulinic acid (ala) (82135) | $45.90 | $51 | 2.8× |
| Ammonia (82140) | $234.90 | $261 | 16.1× |
| Amylase urine (82150) | $154.80 | $172 | 23.9× |
| Ana Titer (86039) | $88.20 | $98 | 7.9× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$84.60–$251.10 | $94–$279 | varies |
| Androstanediol Glucuronide (82154) | $313.20 | $348 | 10.9× |
| Androstenedione (82157) | $191.70 | $213 | 6.5× |
| Angiotensin converting enzyme csf (82164) | $101.70 | $113 | 7.0× |
| Antibody aspergillus (86606) | $16.20 | $18 | 1.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$587.70–$957.60 | $653–$1,064 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $58.50 | $65 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $203.40 | $226 | 15.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $290.70 | $323 | 19.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $164.70 | $183 | 9.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $40.50 | $45 | 3.3× |
| Antibody helicobacter pylori (86677) | $235.80 | $262 | 14.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $180.90 | $201 | 12.6× |
| Antibody Herpes Smplx Type 1 (86695) | $112.50 | $125 | 8.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $195.30 | $217 | 14.2× |
| Antibody HIV-2 (86702) | $540.90 | $601 | 40.0× |
| Antibody Treponema Pallidum (86780) | $132.30 | $147 | 10.0× |
| Antinomyces antibody (86602) | $40.50 | $45 | 4.0× |
| Antinuclear antibodies (86038) | $162 | $180 | 13.4× |
| Antistreptolysin o titer (86060) | $158.40 | $176 | 21.7× |
| Antithrombin iii activity (85300) | $332.10 | $369 | 28.0× |
| Apolipoprotein a1 (82172) | $135 | $150 | 6.4× |
| Arsenic (82175) | $63 | $70 | 3.3× |
| Aspergillus ag eia (87305) | $612.90 | $681 | 51.2× |
| Assay myeloperoxidase (83876) | $105.30 | $117 | 2.1× |
| Assay Nephelometry Not Spec (83883) | $128.70 | $143 | 9.5× |
| Assay of 5-hiaa (83497) | $31.50 | $35 | 2.4× |
| Assay of blood/uric acid (84550) | $82.80 | $92 | 18.3× |
| Assay of calcium in urine (82340) | $18.90 | $21 | 3.1× |
| Assay of estrone (82679) | $89.10 | $99 | 3.6× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$11.70–$153 | $13–$170 | varies |
| Assay of lactic acid (83605) | $224.10 | $249 | 19.4× |
| Assay of manganese (83785) | $216.90 | $241 | 8.1× |
| Assay of metanephrines (83835) | $254.70 | $283 | 15.0× |
| Assay of proinsulin (84206) | $36.90 | $41 | 1.4× |
| Assay of serotonin (84260) | $91.80 | $102 | 3.0× |
| Assay of serum potassium (84132) | $90.90 | $101 | 19.1× |
| Assay of urea nitrogen (84520) | $81.90 | $91 | 20.7× |
| Assay of vitamin b-1 (84425) | $276.30 | $307 | 13.0× |
| Assay Ph Body Fluid Nos (83986) | $33.30 | $37 | 9.3× |
| Automated Leukocyte Count (85048) | $70.20 | $78 | 27.6× |
| Beta 2 glycoprotein i antibody each (86146) | $99 | $110 | 3.9× |
| Beta hydroxybutyrate (82010) | $11.70 | $13 | 1.4× |
| Beta-2 Microglobulin (82232) | $5.40 | $6 | 0.3× |
| Bilirubin direct (82248) | $89.10 | $99 | 17.7× |
| Bilirubin total (82247) | $86.40 | $96 | 17.2× |
| Blastomyces antibody (86612) | $353.70 | $393 | 27.4× |
| Blood count reticulocyte automated (85045) | $90.90 | $101 | 22.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $101.70 | $113 | 26.8× |
| Blood gas (82803) | $174.60 | $194 | 6.7× |
| Blood gases w/02 saturation (82805) | $386.10 | $429 | 4.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $83.70 | $93 | 5.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$16.20–$86.40 | $18–$96 | varies |
| Blood typing serologic abo (86900) | $86.40 | $96 | 28.9× |
| Brca1&2 gen full seq dup/del (81162) | $2,188.80 | $2,432 | 1.2× |
| C diff amplified probe (87493) | $205.20 | $228 | 5.5× |
| C-Peptide (84681) | $262.80 | $292 | 12.6× |
| C-reactive protein (86140) | $65.70 | $73 | 12.7× |
| Ca 19-9 (86301) | $305.10 | $339 | 14.7× |
| Cadmium (82300) | $63 | $70 | 2.7× |
| Calcitonin (82308) | $65.70 | $73 | 2.5× |
| Calcium ionized (82330) | $234.90 | $261 | 17.2× |
| Calcium total (82310) | $98.10 | $109 | 19.0× |
| Calculus assay quant (82360) | $45 | $50 | 3.5× |
| Calculus Spectroscopy (82365) | $115.20 | $128 | 8.9× |
| Calprotectin Fecal (83993) | $306.90 | $341 | 15.6× |
| Cancer Antigen 125 (86304) | $288 | $320 | 13.8× |
| Cancer Antigen 27.29 (86300) | $296.10 | $329 | 14.2× |
| Carbamazepine total (80156) | $230.40 | $256 | 15.8× |
| Carcinoembryonic antigen (82378) | $194.40 | $216 | 10.3× |
| Cardiolipin ab iga (86147) | $201.60 | $224 | 7.9× |
| Catecholamines fractionated (82384) | $184.50 | $205 | 7.3× |
| Ccp antibody (86200) | $182.70 | $203 | 14.1× |
| Cell count csf (89051) | $162 | $180 | 28.9× |
| Ceruloplasmin (82390) | $190.80 | $212 | 17.8× |
| Chemiluminescent assay (82397) | $234.90 | $261 | 16.6× |
| Chlamydia antibody (86631) | $20.70 | $23 | 1.8× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$20.70–$749.70 | $23–$833 | varies |
| Chloride Serum (82435) | $144.90 | $161 | 31.5× |
| Chloride urine (82436) | $18.90 | $21 | 3.3× |
| Cholesterol total (82465) | $90.90 | $101 | 20.9× |
| Chorionic gonadotropin test (84702) | $394.20 | $438 | 26.2× |
| Chromogranin a (86316) | $386.10 | $429 | 18.6× |
| Chromosome Analysis 15-20 (88262) | $346.50 | $385 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $198 | $220 | 5.6× |
| Ckmb (82553) | $243.90 | $271 | 21.1× |
| Clostridium Difficile (87324) | $150.30 | $167 | 12.5× |
| Coccidioides antibody (86635) | $136.80 | $152 | 11.9× |
| Collagen crosslinks (82523) | $340.20 | $378 | 18.2× |
| Column Chromotography Quant (82542) | $92.70 | $103 | 3.8× |
| Compatibility test antiglob (86922) | $354.60 | $394 | 1.9× |
| Complement Antigen Each Component (86160) | $216 | $240 | 18.0× |
| Complement Total (Ch50) (86162) | $45 | $50 | 2.2× |
| Complement/Function Activity (86161) | $216.90 | $241 | 18.1× |
| Coombs direct (86880) | $34.20 | $38 | 6.3× |
| Copper urine (82525) | $243.90 | $271 | 19.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$70.20–$213.30 | $78–$237 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$271.80–$279.90 | $302–$311 | varies |
| Creatine (82540) | $62.10 | $69 | 13.4× |
| Creatine kinase total (82550) | $125.10 | $139 | 19.2× |
| Creatinine blood (82565) | $92.70 | $103 | 18.1× |
| Creatinine clearance (82575) | $179.10 | $199 | 18.9× |
| Creatinine Urine (82570) | $88.20 | $98 | 17.0× |
| Crp High Sensitivity (86141) | $136.80 | $152 | 10.6× |
| Cryptococcus ab (86641) | $119.70 | $133 | 8.3× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$36.90–$45.90 | $41–$51 | varies |
| Cryptosporidium ag eia (87328) | $99 | $110 | 7.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $137.70 | $153 | 17.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$27–$236.70 | $30–$263 | varies |
| Culture afb (87116) | $153 | $170 | 14.2× |
| Culture Anaerobic (87075) | $184.50 | $205 | 19.5× |
| Culture blood (87040) | $261 | $290 | 25.3× |
| Culture chlamydia (87110) | $45.90 | $51 | 2.3× |
| Culture csf (87070) range across 7 matching MRF lines |
$176.40–$182.70 | $196–$203 | varies |
| Culture fungus (87102) | $249.30 | $277 | 29.6× |
| Culture screen only (87081) | $161.10 | $179 | 24.3× |
| Culture stool (87045) range across 2 matching MRF lines |
$116.10–$182.70 | $129–$203 | varies |
| Culture typing if ea antiserum (87140) | $45.90 | $51 | 8.2× |
| Culture urine (87086) | $173.70 | $193 | 21.5× |
| Cytomegalovirus igg (86644) | $58.50 | $65 | 4.1× |
| Cytopath Cell Enhance Tech (88112) | $171.90 | $191 | 3.0× |
| Deoxyribonuclease antibody (86215) | $53.10 | $59 | 4.0× |
| Detect Agent Nos Dna Amp (87798) | $822.60 | $914 | 23.4× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$391.50–$782.10 | $435–$869 | varies |
| Dgp Antibody Each Ig Class (86258) | $33.30 | $37 | 2.8× |
| Dhea (82626) | $387 | $430 | 15.3× |
| Dhea-S (82627) | $306.90 | $341 | 13.8× |
| Digoxin (80162) | $211.50 | $235 | 15.9× |
| Diphtheria antitoxoid (86648) | $300.60 | $334 | 19.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$70.20–$268.20 | $78–$298 | varies |
| Drug assay acetaminophen (80143) | $211.50 | $235 | 11.3× |
| Drug assay adalimumab (80145) | $485.10 | $539 | 12.6× |
| Drug Assay Infliximab (80230) | $444.60 | $494 | 11.5× |
| Drug Assay Lacosamide (80235) | $306 | $340 | 11.3× |
| Drug Screen Quant Clozapine (80159) | $256.50 | $285 | 12.7× |
| Drug Screen Quant Zonisamide (80203) | $256.50 | $285 | 19.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $256.50 | $285 | 19.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $256.50 | $285 | 19.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $30.60 | $34 | 2.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$156.60–$240.30 | $174–$267 | varies |
| Electrolyte panel (80051) | $121.50 | $135 | 17.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $132.30 | $147 | 10.9× |
| Erythropoietin (82668) | $223.20 | $248 | 11.9× |
| Estradiol serum (82670) | $235.80 | $262 | 8.4× |
| Estrogen total (82672) | $63 | $70 | 2.9× |
| Estrogens fractionated (82671) | $253.80 | $282 | 7.9× |
| Exam Synovial Fluid Crystals (89060) | $15.30 | $17 | 2.1× |
| F2 Gene (81240) | $488.70 | $543 | 7.4× |
| Factor v activity (85220) | $213.30 | $237 | 12.1× |
| Factor v leiden mutation (81241) | $410.40 | $456 | 5.6× |
| Factor viii assay (85240) | $165.60 | $184 | 9.3× |
| Fat stain feces urine/respir secretions (89125) | $162.90 | $181 | 27.7× |
| Fat/Lipids Feces Quantitative (82710) | $53.10 | $59 | 3.2× |
| Fatty acids free (82725) | $129.60 | $144 | 6.9× |
| Fecal Fat Qualitative (82705) | $22.50 | $25 | 4.4× |
| Ferritin (82728) | $162 | $180 | 11.9× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$198–$258.30 | $220–$287 | varies |
| Fibrinogen activity (85384) | $126 | $140 | 13.0× |
| Flow cytometry first marker (88184) | $425.70 | $473 | 1.1× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$162.90–$250.20 | $181–$278 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $20.70 | $23 | 1.7× |
| Folic Acid Serum (82746) | $201.60 | $224 | 13.7× |
| Follicle Stimulating Hormone (83001) | $175.50 | $195 | 9.4× |
| Fungi Identification Yeast (87106) | $69.30 | $77 | 6.7× |
| Gammaglobulin ige (82785) | $153 | $170 | 9.3× |
| Gastrin (82941) | $17.10 | $19 | 1.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $907.20 | $1,008 | 2.2× |
| Genet Virus Isolate Hsv (87255) | $25.20 | $28 | 0.7× |
| Ggt (82977) | $88.20 | $98 | 12.3× |
| Giardia antigen (87329) | $258.30 | $287 | 21.6× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$109.80–$200.70 | $122–$223 | varies |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$60.30–$71.10 | $67–$79 | varies |
| Glucose body fluid (82945) | $17.10 | $19 | 4.4× |
| Glucose Serum (82947) | $89.10 | $99 | 22.7× |
| Glucose tolerance test (gtt) (82951) | $241.20 | $268 | 18.7× |
| Glycated Protein (82985) | $26.10 | $29 | 1.6× |
| Gonadotropin Chorionic Qualitative (84703) | $185.40 | $206 | 24.7× |
| Growth hormone (83003) | $22.50 | $25 | 1.3× |
| Gtt-added samples (82952) | $325.80 | $362 | 83.1× |
| H Pylori (C-13) Breath (83013) | $611.10 | $679 | 9.1× |
| Haptoglobin (83010) | $32.40 | $36 | 2.6× |
| Hdl Cholesterol (83718) | $164.70 | $183 | 20.1× |
| Helicobacter Pylori Stool (87338) | $386.10 | $429 | 26.8× |
| Helminth Antibody (86682) | $129.60 | $144 | 10.0× |
| Hematocrit (85014) | $71.10 | $79 | 30.0× |
| Hemoglobin (85018) | $69.30 | $77 | 29.2× |
| Hemoglobin a1c (83036) | $142.20 | $158 | 14.6× |
| Hemoglobin Chromotography (83021) | $15.30 | $17 | 0.8× |
| Hemoglobin electrophoresis (83020) | $55.80 | $62 | 4.3× |
| Hep a ab igm (86709) | $193.50 | $215 | 17.2× |
| Hepatitis a antibody total (86708) | $153 | $170 | 12.3× |
| Hepatitis b core ab igm (86705) | $135 | $150 | 11.5× |
| Hepatitis b core ab total (86704) | $158.40 | $176 | 13.1× |
| Hepatitis b surface ag quan (87467) | $158.40 | $176 | 6.3× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$137.70–$203.40 | $153–$226 | varies |
| Hepatitis B Surface Antigen (87340) | $9.90 | $11 | 1.0× |
| Hepatitis Be Antigen (87350) | $176.40 | $196 | 15.3× |
| Hepatitis C Antibody (86803) | $203.40 | $226 | 14.3× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$657.90–$706.50 | $731–$785 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $531 | $590 | 15.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $773.10 | $859 | 18.0× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,724.40 | $1,916 | 1.3× |
| Herpes simplex type 2 (86696) | $180.90 | $201 | 9.3× |
| Heterophile Antibody Screen (86308) | $116.10 | $129 | 22.4× |
| Hfe Gene (81256) | $553.50 | $615 | 8.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $13.50 | $15 | 0.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$500.40–$566.10 | $556–$629 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $275.40 | $306 | 2.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $51.30 | $57 | 0.7× |
| Hla ii type 1 ag equiv lr (81377) | $248.40 | $276 | 2.6× |
| Hla ii typing 1 allele hr (81383) | $248.40 | $276 | 2.3× |
| Hla-b27 (86812) | $214.20 | $238 | 8.3× |
| Homocysteine (83090) | $325.80 | $362 | 18.2× |
| Hsv Dna Amp Probe (87529) | $70.20 | $78 | 2.0× |
| Htt Gene Detc Abnor Alleles (81271) | $425.70 | $473 | 3.1× |
| Hydroxyprogesterone 17-d (83498) | $150.30 | $167 | 5.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $135.90 | $151 | 9.8× |
| Iaad Ia Streptococcus Group A (87430) | $115.20 | $128 | 6.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $344.70 | $383 | 28.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $313.20 | $348 | 8.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $1,028.70 | $1,143 | 29.3× |
| Iadna Cytomegalovirus Quantification (87497) | $112.50 | $125 | 2.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $289.80 | $322 | 4.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $635.40 | $706 | 14.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $270.90 | $301 | 7.7× |
| Ig Light Chains Free Each (83521) | $55.80 | $62 | 3.2× |
| Igg subclasses (82787) | $434.70 | $483 | 54.2× |
| Immune Complex Assay (86332) | $166.50 | $185 | 6.8× |
| Immunfix e-phorsis/urine/csf (86335) | $127.80 | $142 | 4.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$250.20–$1,393.20 | $278–$1,548 | varies |
| Immunoassay infectious agent (86318) | $97.20 | $108 | 5.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$33.30–$98.10 | $37–$109 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$20.70–$203.40 | $23–$226 | varies |
| Immunodiffusion Ouchterlony (86331) | $35.10 | $39 | 2.9× |
| Immunofixation electrophoresis (86334) | $66.60 | $74 | 3.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $400.50 | $445 | 2.1× |
| Immunohistochemistry (88342) | $224.10 | $249 | 1.2× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$36.90–$203.40 | $41–$226 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$35.10–$174.60 | $39–$194 | varies |
| Influenza DNA amp probe (87502) | $320.40 | $356 | 3.3× |
| Inhibin b (83520) range across 4 matching MRF lines |
$126–$766.80 | $140–$852 | varies |
| Insulin antibodies (86337) | $206.10 | $229 | 9.6× |
| Insulin free (83527) | $43.20 | $48 | 3.3× |
| Insulin total (83525) | $153 | $170 | 13.4× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$36–$172.80 | $40–$192 | varies |
| Iron (83540) | $108 | $120 | 16.7× |
| Iron Binding Capacity (83550) | $125.10 | $139 | 14.3× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$162.90–$187.20 | $181–$208 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $432 | $480 | 4.7× |
| Lactate (ld) (ldh) enzyme (83615) | $96.30 | $107 | 15.9× |
| Lactoferrin fecal qualitative (83630) | $164.70 | $183 | 8.4× |
| Lactoferrin Fecal Quantitative (83631) | $182.70 | $203 | 9.3× |
| LDL direct (83721) | $113.40 | $126 | 10.8× |
| Lead (83655) | $289.80 | $322 | 23.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$99–$217.80 | $110–$242 | varies |
| Leukocyte Assessment Fecal (89055) | $97.20 | $108 | 22.8× |
| Lipase (83690) | $162.90 | $181 | 23.6× |
| Lipoprotein A (83695) | $33.30 | $37 | 2.3× |
| Lipoprotein Bld Quan Part (83704) | $193.50 | $215 | 5.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $234 | $260 | 5.1× |
| Lithium (80178) | $136.80 | $152 | 20.7× |
| Luteinizing Hormone (Lh) (83002) | $193.50 | $215 | 10.4× |
| Lyme disease antibody (86618) | $248.40 | $276 | 14.6× |
| Lysozyme serum (85549) | $22.50 | $25 | 1.2× |
| Macroscopic Exam Parasite (87169) | $27 | $30 | 6.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$136.80–$226.80 | $152–$252 | varies |
| Mass Spectrometry Quant (83789) | $82.80 | $92 | 3.4× |
| Mercury urine (83825) | $63 | $70 | 3.9× |
| Methylmalonic acid serum (83921) | $324 | $360 | 15.3× |
| Microalbumin, quantitative (82043) | $119.70 | $133 | 20.7× |
| Microsomal Antibodies Each (86376) | $211.50 | $235 | 14.5× |
| Mitochondrial Antibody Each (86381) | $132.30 | $147 | 5.2× |
| Molecular Pathology Procedure Level 6 (81405) | $666 | $740 | 2.2× |
| Mononuclear cell antigen (86356) | $302.40 | $336 | 11.3× |
| Mopath procedure level 7 (81406) | $1,438.20 | $1,598 | 5.1× |
| Mopath procedure level 9 (81408) | $2,729.70 | $3,033 | 1.4× |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$196.20–$333.90 | $218–$371 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $190.80 | $212 | 2.9× |
| Mumps antibody (86735) | $125.10 | $139 | 9.6× |
| Mycophenolic Acid (80180) | $12.60 | $14 | 0.7× |
| Mycoplasma antibody (86738) | $129.60 | $144 | 9.8× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$35.10–$224.10 | $39–$249 | varies |
| Natriuretic peptide (83880) | $404.10 | $449 | 10.3× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,336.50 | $1,485 | 5.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $305.10 | $339 | 4.2× |
| Nickel level (83885) | $138.60 | $154 | 5.7× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$31.50–$258.30 | $35–$287 | varies |
| Occult blood feces (82272) | $86.40 | $96 | 20.4× |
| Occult Blood Other Sources (82271) | $89.10 | $99 | 16.7× |
| Osmolality serum (83930) | $109.80 | $122 | 16.6× |
| Osmolality Urine (83935) | $136.80 | $152 | 20.1× |
| Ova and parasites smears (87177) | $144 | $160 | 16.2× |
| Pancreatic Elastase Fecal (82656) | $340.20 | $378 | 29.5× |
| Ph urine (81003) | $65.70 | $73 | 29.2× |
| Phenobarbital Level (80184) | $366.30 | $407 | 23.9× |
| Phenotype Infect Agent Drug (87900) | $796.50 | $885 | 6.1× |
| Phenylalanine (84030) | $77.40 | $86 | 14.1× |
| Phenytoin (Dilantin) (80185) | $261 | $290 | 19.7× |
| Phenytoin free (80186) | $37.80 | $42 | 2.7× |
| Phosphatase alkaline (84075) | $83.70 | $93 | 16.2× |
| Phosphorus Serum (84100) | $96.30 | $107 | 20.3× |
| Phosphorus urine (84105) | $12.60 | $14 | 2.2× |
| Platelet count automated (85049) | $77.40 | $86 | 17.3× |
| Porphobilinogen, urine; quantitative (84110) | $20.70 | $23 | 2.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $137.70 | $153 | 9.4× |
| Potassium Urine (84133) | $22.50 | $25 | 4.8× |
| Prealbumin (84134) | $207.90 | $231 | 14.2× |
| Pregnenolone (84140) | $58.50 | $65 | 2.8× |
| Procalcitonin (Pct) (84145) | $421.20 | $468 | 15.5× |
| Progesterone (84144) | $79.20 | $88 | 3.8× |
| Prolactin (84146) | $195.30 | $217 | 10.1× |
| Protein body fluid (84157) | $18.90 | $21 | 4.7× |
| Protein C Activity (85303) | $283.50 | $315 | 20.5× |
| Protein c antigen (85302) | $300.60 | $334 | 25.0× |
| Protein Electrophoresis Urine (84166) | $174.60 | $194 | 9.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $158.40 | $176 | 14.7× |
| Protein S Free (85306) range across 2 matching MRF lines |
$352.80–$360.90 | $392–$401 | varies |
| Protein s total (85305) | $179.10 | $199 | 15.4× |
| Protein total serum (84155) | $144 | $160 | 39.2× |
| Protein Total Urine (84156) | $96.30 | $107 | 26.2× |
| PSA free (84154) | $145.80 | $162 | 7.9× |
| Pth Intact (83970) | $385.20 | $428 | 9.3× |
| Quantiferon tb gold plus (86480) | $241.20 | $268 | 3.9× |
| Quantitative assay drug (80299) | $249.30 | $277 | 13.4× |
| Rbc antibody screen (86850) | $153 | $170 | 15.7× |
| Renin activity plasma (84244) | $179.10 | $199 | 8.1× |
| Resp virus 12-25 targets (87633) | $888.30 | $987 | 2.1× |
| Rh (86901) | $96.30 | $107 | 32.2× |
| Rheumatoid factor quant (86431) | $126 | $140 | 22.2× |
| Ristocetin cofactor (85245) | $165.60 | $184 | 7.2× |
| Rpr qualitative (86592) | $80.10 | $89 | 18.8× |
| Rsv Assay W/Optic (87807) | $45.90 | $51 | 3.5× |
| Rubella Antibody (86762) | $144 | $160 | 10.0× |
| Rubeola antibody (86765) | $223.20 | $248 | 17.3× |
| Russell Viper Venom Time Diluted (85613) | $153 | $170 | 16.0× |
| Salicylate Level (80179) | $190.80 | $212 | 10.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$174.60–$289.80 | $194–$322 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $548.10 | $609 | 3.8× |
| Sedimentation Rate, Automated (85652) | $81.90 | $91 | 30.3× |
| Selenium (84255) | $159.30 | $177 | 6.2× |
| Sensitivity mic (87186) | $193.50 | $215 | 22.4× |
| Serpina 1 gene (81332) | $329.40 | $366 | 7.5× |
| Sex Hormone Binding Globulin (84270) | $131.40 | $146 | 6.0× |
| Sickling of rbc reduction (85660) | $53.10 | $59 | 9.6× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$69.30–$79.20 | $77–$88 | varies |
| Smear acid fast (87206) | $153 | $170 | 28.4× |
| Smear gram stain (87205) | $82.80 | $92 | 19.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$35.10–$83.70 | $39–$93 | varies |
| Sodium Serum (84295) | $56.70 | $63 | 11.8× |
| Sodium Urine (84300) | $107.10 | $119 | 21.2× |
| Somatomedin (84305) | $405 | $450 | 19.0× |
| Specimen infect agnt concntj (87015) | $90.90 | $101 | 13.6× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $108.90 | $121 | 0.6× |
| Stool cultr aerobic bact ea (87046) | $116.10 | $129 | 12.3× |
| Strep a assay w/optic (87880) | $36.90 | $41 | 2.2× |
| Strep a DNA amp probe (87651) | $220.50 | $245 | 6.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $128.70 | $143 | 17.2× |
| Syphilis Test Non-Trep Quant (86593) | $60.30 | $67 | 13.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $310.50 | $345 | 6.6× |
| T3 Free (84481) | $230.40 | $256 | 13.6× |
| T3 reverse (84482) range across 3 matching MRF lines |
$254.70–$581.40 | $283–$646 | varies |
| T3 Total (84480) | $187.20 | $208 | 13.2× |
| T3 Uptake (84479) | $151.20 | $168 | 23.4× |
| T4 Free (84439) | $162 | $180 | 18.0× |
| T4 total (84436) | $123.30 | $137 | 17.9× |
| Tacrolimus (80197) | $304.20 | $338 | 22.2× |
| Test for acetone/ketones (82009) | $93.60 | $104 | 20.7× |
| Testosterone total (84403) | $261.90 | $291 | 10.1× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$151.20–$315 | $168–$350 | varies |
| Tetanus antibody (86774) | $185.40 | $206 | 12.5× |
| Thiopurine methyltransferase (84433) | $35.10 | $39 | 1.6× |
| Thrombin Time (85670) | $153 | $170 | 26.5× |
| Thromboplastin Inhibition Tissue (85705) | $153 | $170 | 15.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $153 | $170 | 23.6× |
| Thyroglobulin (84432) | $50.40 | $56 | 3.1× |
| Thyroglobulin Antibody (86800) | $167.40 | $186 | 10.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $216 | $240 | 4.2× |
| Thyroxine binding globulin (84442) | $128.70 | $143 | 8.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $18.90 | $21 | 1.6× |
| Tissue Culture Lymphocyte (88230) | $174.60 | $194 | 1.5× |
| Topiramate (80201) | $161.10 | $179 | 13.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $150.30 | $167 | 7.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $77.40 | $86 | 14.9× |
| Transferrin (84466) | $125.10 | $139 | 9.8× |
| Trichinella Antibody (86784) | $302.40 | $336 | 24.1× |
| Trichomonas Vaginalis Amplif (87661) | $99.90 | $111 | 2.8× |
| Triglycerides (84478) | $78.30 | $87 | 13.6× |
| Troponin Quant (84484) | $266.40 | $296 | 21.4× |
| Uric acid other source (84560) | $63 | $70 | 12.4× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $22.50 | $25 | 10.4× |
| Urine Bacteria Culture (87088) | $122.40 | $136 | 15.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$36.90–$167.40 | $41–$186 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $118.80 | $132 | 37.5× |
| Valproic acid (80164) | $256.50 | $285 | 18.9× |
| Vancomycin (80202) | $252.90 | $281 | 18.7× |
| Varicella-zoster antibody (86787) | $116.10 | $129 | 9.0× |
| Vasopressin (84588) | $261 | $290 | 7.7× |
| Viral Culture (87252) | $238.50 | $265 | 9.1× |
| Virus antibody nos (86790) | $144 | $160 | 11.2× |
| Virus inoculation, shell via (87254) | $153.90 | $171 | 7.9× |
| Vit D 1 25-Dihydroxy (82652) | $103.50 | $115 | 2.7× |
| Vitamin A (84590) | $103.50 | $115 | 8.9× |
| Vitamin b-12 (82607) | $217.80 | $242 | 14.4× |
| Vitamin B2 (Riboflavin) (84252) | $731.70 | $813 | 36.2× |
| Vitamin B6 (84207) | $289.80 | $322 | 10.3× |
| Vitamin c (82180) | $205.20 | $228 | 20.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$218.70–$288 | $243–$320 | varies |
| Vitamin E (84446) | $142.20 | $158 | 10.0× |
| Vitamin K (84597) | $519.30 | $577 | 37.8× |
| Von willebrand factor ag (85246) | $165.60 | $184 | 7.2× |
| Zinc (84630) | $197.10 | $219 | 17.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.