Lab & pathology prices at Delta Health System – The Medical Center

Greenville, MS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) — $173 —
Abl1 gene analysis kinase domain variants (81170) — $4,568 —
Acth (82024) — $83 —
Actin smooth muscle antibody each (86015) — $28 —
Acute hepatitis panel (80074) — $441 —
Acylcarnitines Quant (82017) — $49 —
Albumin Fluid (82042) — $49 —
Albumin serum (82040) — $98 —
Aldolase (82085) — $26 —
Aldosterone urine (82088) — $28 —
Allergen specific ige (86003) — $32 —
Allergen specific igg (86001) — $37 —
Allg Spec Ige Recomb Ea (86008) — $67 —
Alpha-1-antitrypsin phenotype (82104) — $103 —
Alpha-1-antitrypsin total (82103) — $103 —
Alpha-Fetoprotein Serum (82105) — $43 —
Alt (sgpt) (84460)
range across 3 matching MRF lines
— $23–$48 —
Aluminum (82108) — $43 —
Amikacin trough (80150) — $287 —
Amino Acids 1 Quantitative Each Specimen (82131) — $162 —
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) — $216 —
Ammonia (82140) — $203 —
Amylase urine (82150) — $117 —
Ana Titer (86039) — $92 —
Anca screen each antibody (86036) — $274 —
Androstenedione (82157) — $88 —
Angiotensin converting enzyme csf (82164) — $80 —
Anti-Phospholipid Antibody (86148) — $68 —
Antibody aspergillus (86606) — $89 —
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) — $141 —
Antibody Cytomegalovirus Cmv Igm (86645) — $353 —
Antibody Encephalitis California La Crosse (86651) — $43 —
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) — $128 —
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) — $38 —
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) — $43 —
Antibody Fungus Not Elsewhere Specified (86671) — $88 —
Antibody helicobacter pylori (86677) — $34 —
Antibody Herpes Smplx Non-Specific Type Test (86694) — $56 —
Antibody Herpes Smplx Type 1 (86695) — $38 —
Antibody HIV-1&HIV-2 single result (86703) — $119 —
Antibody htlv/HIV antibody confirmatory test (86689) — $600.48 —
Antibody Lymphocytic Choriomeningitis (86727) — $98 —
Antibody Protozoa Nes (86753) — $49 —
Antibody rotavirus (86759) — $53 —
Antibody Titer (86886) — $580 —
Antibody Treponema Pallidum (86780) — $92 —
Antibody; campylobacter (86625) — $78 —
Antibody; encephalitis, st. louis (86653) — $68 —
Antigen typing (86905) — $40 —
Antinuclear antibodies (86038) — $46 —
Antistreptolysin o titer (86060) — $258 —
Antithrombin iii activity (85300) — $230 —
Apolipoprotein a1 (82172) — $106 —
Aquaporin-4 Antb Elisa (86051) — $56 —
Arsenic (82175) — $122 —
Aspergillus ag eia (87305) — $143 —
Assay activated protein c (85307) — $90 —
Assay Blood Carbon Dioxide (82374) — $127 —
Assay of 5-hiaa (83497) — $65 —
Assay of blood/uric acid (84550) — $48 —
Assay of calcium in urine (82340) — $38 —
Assay of cpk in blood (82552) — $88 —
Assay of estrone (82679) — $83 —
Assay of g6pd enzyme (82955) — $37 —
Assay of gammaglobulin igm (82784) — $34 —
Assay of lactic acid (83605) — $96 —
Assay of manganese (83785) — $77 —
Assay of metanephrines (83835) — $141 —
Assay of proinsulin (84206) — $78 —
Assay of pyruvate (84210) — $339 —
Assay of serotonin (84260) — $75 —
Assay of serum potassium (84132) — $50 —
Assay of sweat sodium (84302) — $62 —
Assay of urea nitrogen (84520) — $129 —
Assay of urine vma (84585) — $62 —
Assay of vasoactive intestinal peptide (84586) — $43 —
Assay of vitamin b-1 (84425) — $133 —
Assay Ph Body Fluid Nos (83986) — $108 —
Automated Leukocyte Count (85048) — $37 —
B cells total count (86355) — $403 —
Bartonella antibody (86611) — $58 —
Bcr/abl1 gene major bp (81206) — $805 —
Bcr/abl1 gene minor bp (81207) — $536 —
Beta 2 glycoprotein i antibody each (86146) — $54 —
Beta hydroxybutyrate (82010) — $18 —
Beta Lactamase (87185) — $59 —
Beta-2 Microglobulin (82232) — $59 —
Bile acids total (82239) — $43 —
Bilirubin direct (82248) — $23 —
Bilirubin total (82247) — $46 —
Bilirubin total transcutaneous (88720) — $50 —
Biotinidase (82261) — $46 —
Bl Smear W/O Diff Wbc Count (85008) — $59 —
Blastomyces antibody (86612) — $38 —
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) — $107 —
Bleeding time test (85002) — $22 —
Blood Count Manual Cell Count Each (85032) — $66 —
Blood Count Red Blood Cell Automated (85041) — $41 —
Blood count reticulocyte automated (85045) — $37 —
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) — $55 —
Blood gas (82803) — $72 —
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) — $33 —
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) — $43 —
Blood Type Antigen Donor Reagent Serum Each (86902) — $129 —
Blood typing serologic abo (86900) — $578 —
Bordetella antibody (86615) — $266 —
Brucella antibody (86622) — $75 —
C diff amplified probe (87493) — $93 —
C-Peptide (84681) — $33 —
C-reactive protein (86140) — $580 —
Ca 19-9 (86301) — $132 —
Cadmium (82300) — $183 —
Calcitonin (82308) — $112 —
Calcium ionized (82330) — $105 —
Calcium total (82310) — $68 —
Calculus Spectroscopy (82365) — $81 —
Calprotectin Fecal (83993) — $338 —
Calr gene com variants (81219) — $536 —
Cancer Antigen 125 (86304) — $53 —
Cancer Antigen 27.29 (86300) — $93 —
Candida Dna Dir Probe (87480) — $93 —
Carbamazepine free (80157) — $165 —
Carbamazepine total (80156) — $192 —
Carcinoembryonic antigen (82378) — $50 —
Cardiolipin ab iga (86147) — $73 —
Catecholamines fractionated (82384) — $208 —
Ccp antibody (86200) — $53 —
Cell count csf (89051) — $49 —
Cell marker study (88182) — $101 —
Cellular Function Assay Stimul&Detect Biomarke (86352) — $159 —
Ceruloplasmin (82390) — $68 —
Cftr gene com variants (81220) — $1,241 —
Chemiluminescent assay (82397) — $50 —
Chloride Serum (82435) — $378 —
Chloride urine (82436) — $62 —
Cholesterol total (82465) — $18 —
Cholinesterase Serum (82480) — $72 —
Chorionic gonadotropin test (84702) — $130 —
Chromium serum (82495) — $102 —
Chromogranin a (86316) — $503 —
Chromosome Analysis 15-20 (88262) — $381 —
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) — $103 —
Citric acid urine (82507) — $57 —
Ckmb (82553) — $38 —
Clostridium Difficile (87324) — $111 —
Clot Factor VIII Multimetric (85247) — $138 —
Clotting factor xii hageman (85280) — $78 —
Clotting Funct Activity (85397) — $219 —
Clotting hi molec weight kininogen assay (85293) — $416 —
Clotting prekallikrein assay fletcher fact assay (85292) — $82 —
Coccidioides antibody (86635) — $253 —
Cold agglutinin titer (86157) — $244 —
Collagen crosslinks (82523) — $73 —
Column Chromotography Quant (82542)
range across 2 matching MRF lines
— $406–$574 —
Compatibility Each Unit Incubation (86921) — $580 —
Compatibility test antiglob (86922) — $580 —
Complement Antigen Each Component (86160) — $58 —
Complement Total (Ch50) (86162) — $33 —
Consltj&Reprt Slides Prepared Elsewhere (88321) — $129 —
Coombs direct (86880) — $1,190 —
Copper urine (82525) — $91 —
Cortisol free (82530) — $33 —
Cortisol saliva (82533) — $47 —
Creatine kinase total (82550) — $803 —
Creatinine blood (82565) — $162 —
Creatinine clearance (82575) — $62 —
Creatinine Urine (82570) — $48 —
Crossmatch electronic (86923) — $580 —
Crossmatch immediate spin (86920) — $1,190 —
Crp High Sensitivity (86141) — $20 —
Cryoglobulin (82595) — $119 —
Cryptococcus ab (86641) — $90 —
Cryptococcus ag titer (87899) — $52 —
Cryptosporidium ag eia (87328) — $33 —
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) — $210 —
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) — $69 —
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) — $65 —
Culture aerobic quant other (87071) — $79 —
Culture afb (87116) — $63 —
Culture blood (87040) — $43 —
Culture chlamydia (87110) — $73 —
Culture csf (87070) — $111 —
Culture fungus blood (87103) — $53 —
Culture screen only (87081) — $74 —
Culture typing if ea antiserum (87140) — $31 —
Culture Typing Immunologic Oth/Thn Immunofluores (87147) — $63 —
Culture urine (87086) — $76 —
Cyclosporine (80158) — $88 —
Cyp2c19 gene analysis common variants (81225) — $1,393 —
Cyp2d6 gene com variants (81226) — $854 —
Cystatin C (82610) — $83 —
Cytogenom Const Microarray Copy Number&Snp Var (81229) — $1,128 —
Cytomegalovirus igg (86644) — $164 —
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) — $11 —
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) — $580 —
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) — $52 —
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) — $2,303 —
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) — $188 —
Cytp smrs any oth src extnd std > 5 slides (88162) — $103 —
Desoxycorticosterone (82633) — $58 —
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
— $93–$365 —
Detect Agent Nos Dna Quant (87799) — $1,103 —
Detect agnt mult DNA ampli (87801) — $183 —
Dgp Antibody Each Ig Class (86258) — $196 —
Dhea (82626) — $89 —
Dhea-S (82627) — $68 —
Digoxin (80162) — $63 —
Dihydrotestosterone (82642) — $80 —
Dna Antibody Native/Double Stranded (86225) — $47 —
Dna/Rna Sequencing (87153) — $54 —
Dpyd gene common variants (81232) — $2,903 —
Drug Assay Everolimus (80169) — $43 —
Drug Assay Infliximab (80230) — $93 —
Drug Assay Itraconazole (80189) — $43 —
Drug Assay Posaconazole (80187) — $38 —
Drug Screen Quant Clozapine (80159) — $48 —
Drug Screen Quant Zonisamide (80203) — $166 —
Drug Screen Quantitative Lamotrigine (80175) — $165 —
Drug Screen Quantitative Levetiracetam (80177) — $48 —
Drug Screen Quantitative Oxcarbazepine (80183) — $195 —
Drug Screen Quantitative Procainamide Metabolite (80192) — $195 —
Drug Test Prsmv Chem Anlyzr (80307) — $453 —
Drug Test Prsmv Dir Opt Obs (80305) — $100 —
Ehrlichia antibody (86666) — $48 —
El-1 Fecal Quantitative (82653) — $98 —
Electrolyte panel (80051) — $432 —
Electron Microscopy (88348) — $1,190 —
Encephaltis East Eqne Anbdy (86652) — $68 —
Encephaltis West Eqne Antbdy (86654) — $68 —
Endomysial Antibody Each Immunoglobulin Class (86231) — $83 —
Enterovirus Antibody (86658) — $68 —
Enzyme cell activity (82657) — $193 —
Erythropoietin (82668) — $438 —
Estradiol serum (82670) — $73 —
Estrogens fractionated (82671) — $291 —
Ethosuximide (80168) — $128 —
Exam Synovial Fluid Crystals (89060) — $77 —
F2 Gene (81240) — $968 —
Factor ii activity (85210) — $41 —
Factor Inhibitor Test (85335) — $222 —
Factor ix activity (85250) — $106 —
Factor v activity (85220) — $105 —
Factor v leiden mutation (81241) — $168 —
Factor vii assay (85230) — $78 —
Factor viii assay (85240) — $197 —
Factor X (85260) — $82 —
Factor xi activity (85270) — $87 —
Fat/Lipids Feces Quantitative (82710) — $63 —
Fatty acids free (82725) — $81 —
Ferritin (82728) — $78 —
Fetal Congenital Abnor Assay Four Anal (81511) — $3 —
Fetal Fibronectin (82731) — $136 —
Fetal screen rosette (85461) — $127 —
Fibrin degradation products (85362) — $449 —
Fibrin Degradation Quant (85379) — $90 —
Fibrin dgradj products d-dimer qual/semiquan (85378) — $203 —
Fibrinogen activity (85384) — $114 —
Flecainide level (80181) — $73 —
Flow cytometry first marker (88184) — $188 —
Fluorescent antibody screen (86255) — $82 —
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) — $196 —
Fmr1 Gene Charac Alleles (81244) — $218 —
Fmr1 gene detection (81243) — $188 —
Folic Acid Serum (82746) — $379 —
Follicle Stimulating Hormone (83001) — $43 —
Francisella tularensis (86668) — $180 —
Frozen Section (88331) — $129 —
Fungi Identification Yeast (87106) — $112 —
Galactose (82760) — $120 —
Galactose transferase test (82776) — $39 —
Gammaglobulin ige (82785) — $28 —
Gardner vag DNA dir probe (87510) — $1,043 —
Gases Blood O2 Saturation Only Direct Meas (82810) — $157 —
Gases blood ph only (82800) — $23 —
Gastrin (82941) — $135 —
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) — $243 —
Genet Virus Isolate Hsv (87255) — $69 —
Gentamicin (80170) — $391 —
Ggt (82977)
range across 3 matching MRF lines
— $22–$23 —
Glucose 2 hr pp (82950) — $71 —
Glucose Blood Test (82962) — $35 —
Glucose body fluid (82945) — $48 —
Glucose Serum (82947) — $53 —
Glucose tolerance test (gtt) (82951) — $71 —
Glycated Protein (82985) — $92 —
Gonadotropin Chorionic Qualitative (84703) — $100 —
Gonadotropin releasing hormone (83727) — $83 —
Growth hormone (83003) — $48 —
Growth Stimulation Gene 2 (83006) — $43 —
Gtt-added samples (82952) — $114 —
Haptoglobin (83010) — $282 —
Hdl Cholesterol (83718) — $88 —
Helicobacter Pylori Stool (87338) — $93 —
Helminth Antibody (86682) — $130 —
Hematocrit (85014) — $20 —
Hemoglobin (85018) — $35 —
Hemoglobin a1c (83036) — $146 —
Hemoglobin Chromotography (83021) — $146 —
Hemoglobin electrophoresis (83020) — $358 —
Hemosiderin urine (83070) — $79 —
Hep a ab igm (86709) — $129 —
Heparin assay (85520) — $29 —
Hepatitis a antibody total (86708) — $33 —
Hepatitis b core ab igm (86705) — $33 —
Hepatitis b core ab total (86704) — $38 —
Hepatitis B Surface Antibody (86706) — $150 —
Hepatitis B Surface Antigen (87340) — $150 —
Hepatitis Be Antibody (86707) — $7 —
Hepatitis Be Antigen (87350) — $182 —
Hepatitis C Antibody (86803) — $43 —
Hepatitis C Genotype (87902) — $648 —
Hepatitis C Revrs Trnscrpj (87522) — $230 —
Hepatitis Delta Agent Antibody (86692) — $123 —
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) — $1,274 —
Herpes simplex type 2 (86696) — $38 —
Heterophile Antibody Screen (86308) — $130 —
Hfe Gene (81256) — $113 —
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) — $368 —
Histamine urine (83088) — $34 —
Histoplasma antibody (86698) — $53 —
Histoplasma antigen urine (87385) — $168 —
Hiv Genotype (87901) — $43 —
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) — $273 —
Hiv-1 Antibody (86701) — $291 —
Hiv-1 Quant&Revrse Trnscrpj (87536) — $93 —
Hla class ii typing high resolution one locus ea (81382) — $428 —
Hla I Typing 1 Allele Hr (81381) — $253 —
Hla ii type 1 ag equiv lr (81377) — $491 —
Hla ii typing 1 locus lr (81376) — $753 —
Hla-b27 (86812) — $150 —
Homocysteine (83090) — $184 —
Homogenization Tissue (87176) — $81 —
Hpv High-Risk Types (87624) — $303 —
Hsv Dna Amp Probe (87529) — $108 —
Htt Gene Detc Abnor Alleles (81271) — $325 —
Hydroxyprogesterone 17-d (83498) — $73 —
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) — $88 —
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) — $28 —
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) — $128 —
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) — $207 —
Iadna Candida Species Amplified Probe Tq (87481) — $53 —
Iadna chlamydia pneumoniae amplified probe tq (87486) — $93 —
Iadna Cytomegalovirus Amplified Probe Tq (87496) — $96 —
Iadna Cytomegalovirus Quantification (87497) — $184 —
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) — $1,043 —
Iadna Hepatitis B Virus Quantification (87517) — $53 —
Iadna HIV-1 amplified probe & reverse transcrpj (87535) — $110 —
Iadna Multiple Organisms Direct Probe Tq (87800) — $371 —
Iadna mycoplsm pneumoniae amplified probe tq (87581) — $218 —
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) — $103 —
Ig Light Chains Free Each (83521) — $149 —
Igg subclasses (82787) — $43 —
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) — $580 —
Immunfix e-phorsis/urine/csf (86335) — $216 —
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
— $394–$424 —
Immunoassay Infectious Agent Antibody Quan Nos (86317) — $239 —
Immunoassay nonantibody (83516) — $303 —
Immunofixation electrophoresis (86334) — $236 —
Immunofluorescence per spec 1st singl antb stain (88346) — $1,190 —
Immunohistochemistry (88342) — $66 —
In situ hybridization 1st probe stain (88365) — $134 —
Influenza DNA amp probe (87502) — $224 —
Inhibin A (86336) — $78 —
Inhibin b (83520)
range across 2 matching MRF lines
— $1,131–$1,403 —
Insitu hybridization auto (88367) — $580 —
Insitu hybridization manual (88368) — $1,190 —
Insulin antibodies (86337) — $48 —
Insulin total (83525) — $46 —
Interleukin-6 (83529) — $33 —
Intrinsic factor antibody (86340) — $93 —
Iron (83540) — $149 —
Iron Binding Capacity (83550) — $56 —
Islet cell antibody (86341) — $86 —
Jak2 gene analysis p.val617phe variant (81270) — $203 —
Kras Gene Variants Exon 2 (81275) — $771 —
Lactate (ld) (ldh) enzyme (83615) — $96 —
Lactoferrin fecal qualitative (83630) — $33 —
Ldh Isoenzymes (83625) — $72 —
LDL direct (83721) — $94 —
Lead (83655) — $53 —
Legionella antibody (86713) — $129 —
Legionella antigen urine (87449) — $153 —
Leptospira antibody (86720) — $83 —
Level I Surg Pathology Gross Examination Only (88300) — $453 —
Level ii surg pathology gross&microscopic exam (88302) — $96 —
Level V Surg Pathology Gross&Microscopic Exam (88307) — $188 —
Lidocaine (80176) — $52 —
Lipase (83690) — $33 —
Lipoprotein A (83695) — $93 —
Lipoprotein Bld Quan Part (83704) — $38 —
Lithium (80178) — $84 —
Luteinizing Hormone (Lh) (83002) — $48 —
Lyme disease antibody (86618) — $78 —
M/phmtrc alys ishquant/semiq (88374) — $269 —
Magnesium Urine (83735) — $606 —
Mass Spectrometry Quant (83789) — $173 —
Mercury urine (83825) — $225 —
Metabolic panel ionized ca (80047) — $918 —
Methylmalonic acid serum (83921) — $138 —
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) — $99 —
Microalbumin, quantitative (82043) — $46 —
Microsatellite instability (81301) — $224 —
Microsomal Antibodies Each (86376) — $68 —
Mitochondrial Antibody Each (86381) — $47 —
Molecular Pathology Procedure Level 3 (81402) — $348 —
Mononuclear cell antigen (86356) — $97 —
Mopath procedure level 2 (81401) — $312 —
Mopath procedure level 4 (81403) — $706 —
Mopath procedure level 5 (81404) — $189 —
Mopath procedure level 7 (81406) — $1,203 —
Mopath procedure level 9 (81408) — $427 —
Mpl gene common variants (81338) — $1,205 —
Mthfr Gene Analysis Common Variants (81291) — $224 —
Mumps antibody (86735) — $68 —
Mycophenolic Acid (80180) — $64 —
Mycoplasma antibody (86738) — $38 —
Myoglobin urine (83874) — $68 —
Natriuretic peptide (83880) — $42 —
Neutralization Test Viral (86382) — $33 —
Nfct Agent Genotype Hepatitis B Virus (87912) — $604 —
Nfct Ds Bv&Vaginitis Dna Alg (81514) — $388 —
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) — $1,103 —
Niacin (84591) — $41 —
Nk cells total count (86357) — $203 —
Nuclear antigen antibody (86235) — $274 —
Occult Blood Other Sources (82271) — $27 —
Oligoclonal bands (83916) — $230 —
Organic Acids Qualitative Each Specimen (83919) — $73 —
Osmolality serum (83930) — $58 —
Osmolality Urine (83935) — $88 —
Ova and parasites smears (87177) — $56 —
Oxalate urine (83945) — $92 —
Particle Agglutination Screen Each Antibody (86403) — $145 —
Parvovirus antibody (86747) — $216 —
Ph urine (81003) — $32 —
Phenobarbital Level (80184) — $148 —
Phenytoin (Dilantin) (80185) — $43 —
Phenytoin free (80186) — $140 —
Phosphatase acid prostatic (84066) — $314 —
Phosphatase alkaline (84075) — $28 —
Phospholipid Neutralization Hexagonal (85598) — $114 —
Phosphorus Serum (84100) — $48 —
Phosphorus urine (84105) — $62 —
Pinworm exam (87172) — $628 —
Platelet Antibodies (86022) — $106 —
Platelet count automated (85049) — $37 —
Platelet neutralization (85597) — $103 —
Pooling blood platelets (86965) — $580 —
Porphobilinogen, urine; quantitative (84110) — $44 —
Porphyrins Urine Quantitation & Fractionation (84120) — $109 —
Potassium Urine (84133) — $72 —
Prealbumin (84134) — $62 —
Pregnenolone (84140) — $67 —
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) — $580 —
Primidone (80188) — $791 —
Procalcitonin (Pct) (84145) — $62 —
Progesterone (84144) — $103 —
Prolactin (84146) — $292 —
Prostaglandin (84150) — $53 —
Protein body fluid (84157) — $13 —
Protein C Activity (85303) — $63 —
Protein c antigen (85302) — $84 —
Protein Electrophoresis Urine (84166) — $125 —
Protein Electrophoretic Fractj&Quantj Serum (84165) — $33 —
Protein S Free (85306) — $89 —
Protein s total (85305) — $77 —
Protein Total Refractometry Any Src (84160) — $41 —
Protein total serum (84155) — $83 —
Protein Total Urine (84156) — $41 —
Protein Western Blot Test (84182) — $48 —
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 3 matching MRF lines
— $31–$97 —
PSA free (84154) — $150 —
Pth Intact (83970) — $143 —
Q Fever Antibody (86638) — $33 —
Quantiferon tb gold plus (86480) — $63 —
Quantitative assay drug (80299) — $503 —
Quantitative Screen Metals (83018) — $99 —
Rbc antibody elution (86860) — $188 —
Rbc antibody identification (86870) — $1,190 —
Rbc antibody screen (86850) — $188 —
Renin activity plasma (84244) — $123 —
Reptilase test (85635) — $130 —
Resp virus 12-25 targets (87633) — $93 —
Reticulocyte Count Manual (85044) — $36 —
Rh (86901) — $430 —
Rheumatoid Factor Qualitative (86430) — $63 —
Rheumatoid factor quant (86431) — $65 —
Rickettsia antibody (86757) — $291 —
Ristocetin cofactor (85245) — $88 —
Rpr qualitative (86592) — $158 —
Rubella Antibody (86762) — $146 —
Rubeola antibody (86765) — $33 —
Russell Viper Venom Time Diluted (85613) — $126 —
Sars-Cov-2 Covid-19 Amp Prb (87635) — $179 —
Sars-cov-2 COVID-19 antibody (86769) — $33 —
Sarscov2&inf a&b&rsv amp prb (87637) — $153 —
Sedimentation rate (85651) — $82 —
Selenium (84255) — $109 —
Semen analysis complete (89320) — $76 —
Sensitivity mic (87186) — $316 —
Sex Hormone Binding Globulin (84270) — $78 —
Sickling of rbc reduction (85660) — $43 —
Sirolimus (80195) — $45 —
Smear acid fast (87206) — $93 —
Smear complex stain (87209) — $60 —
Smear gram stain (87205) — $69 —
Smear Special Stain (87207) — $48 —
Smr Prim Src Wet Mount Nfct Agt (87210) — $48 —
Sodium Serum (84295) — $58 —
Sodium Urine (84300) — $72 —
Soluble fibrin monomer (85366) — $70 —
Somatomedin (84305) — $162 —
Special Stains Group 1 (88312) — $51 —
Special Stains Group 2 (88313) — $188 —
Specific gravity body fluid (84315) — $252 —
Specimen infect agnt concntj (87015) — $580 —
Spectrophotometry (84311) — $110 —
Strep a assay w/optic (87880) — $178 —
Strep a DNA amp probe (87651) — $360 —
Strep b DNA amp probe (87653) — $105 —
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) — $78 —
Sugars Single Qual (84376) — $27 —
Surg path level iii (88304) — $96 —
Surgical pathology level IV (88305) — $188 —
Surgical pathology level vi (88309) — $1,190 —
Susceptibility Study Antimicrobial Disk Method (87184) — $23 —
Syphilis Test Non-Trep Quant (86593) — $90 —
T Cells Absolute Cd4&Cd8 Count Ratio (86360) — $98 —
T cells total count (86359) — $203 —
T3 Free (84481) — $38 —
T3 reverse (84482) — $128 —
T3 Total (84480) — $73 —
T3 Uptake (84479) — $81 —
T4 Free (84439) — $62 —
T4 total (84436) — $58 —
Tacrolimus (80197) — $91 —
Test for acetone/ketones (82009) — $210 —
Testosterone Bioavailable (84410) — $68 —
Testosterone total (84403) — $68 —
Testosterone, Free (84402) — $520 —
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) — $1,653 —
Theophylline (80198) — $54 —
Thrombin Time (85670) — $56 —
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) — $105 —
Thyroglobulin Antibody (86800) — $73 —
Thyroid Stimulating Immunoglobulin (84445) — $78 —
Thyroxine binding globulin (84442) — $74 —
Tiss cul neo disorders solid tumor (88239) — $506 —
Tiss Trnsgltmnase Ea Ig Clas (86364) — $118 —
Tissue culture bone marrow (88237) — $293 —
Tissue Culture Lymphocyte (88230) — $66 —
Tobramycin peak (80200) — $165 —
Topiramate (80201) — $139 —
Toxoplasma ab igm (86778) — $38 —
Toxoplasma antibody (86777) — $108 —
Transferase Aspartate Amino Ast Sgot (84450) — $41 —
Transferrin (84466) — $48 —
Trg gene rearrangement anal (81342) — $1,353 —
Trichomonas vagin dir probe (87660) — $147 —
Trichomonas Vaginalis Amplif (87661) — $53 —
Triglycerides (84478) — $33 —
Troponin Quant (84484) — $42 —
Tumor immunohistochem/comput (88361) — $580 —
Tumor Immunohistochem/Manual (88360) — $202 —
Ugt1a1 gene analysis common variants (81350) — $350 —
Urea nitrogen urine (84540) — $62 —
Uric acid other source (84560) — $72 —
Urinalysis Microscopic Only (81015) — $37 —
Urinalysis Volume Measure (81050) — $65 —
Urine Bacteria Culture (87088) — $90 —
Urine Pregnancy Test (81025) — $31 —
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) — $233 —
Valproic acid (80164) — $105 —
Vancomycin (80202) — $203 —
Varicella-zoster antibody (86787) — $85 —
Vasopressin (84588) — $93 —
Viral Culture (87252) — $54 —
Virus antibody nos (86790) — $83 —
Virus inoculation, shell via (87254) — $107 —
Viscosity serum (85810) — $38 —
Vit D 1 25-Dihydroxy (82652) — $78 —
Vitamin A (84590) — $153 —
Vitamin b-12 (82607) — $34 —
Vitamin B2 (Riboflavin) (84252) — $58 —
Vitamin B6 (84207) — $131 —
Vitamin c (82180) — $48 —
Vitamin D 25-Hydroxy (82306) — $63 —
Vitamin E (84446) — $128 —
Vitamin K (84597) — $521 —
Von willebrand factor ag (85246) — $110 —
West nile virus ab igm (86788) — $33 —
West Nile Virus Antibody (86789) — $48 —
Zinc (84630) — $180 —

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.