Lab & pathology prices at Delta Memorial Hospital
Dumas, AR · every code in this section with a posted price and a Medicare benchmark.
451 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) | $120 | $150 | 6.5× |
| Acetylcholine receptor blocking antibody (86042) | $120 | $150 | 6.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $192 | $240 | 15.9× |
| Acth (82024) | $92.95 | $116.19 | 2.4× |
| Actin smooth muscle antibody each (86015) | $27.77 | $34.71 | 2.3× |
| Acute hepatitis panel (80074) | $202.40 | $253 | 4.2× |
| Acylcarnitines Quant (82017) | $129.76 | $162.20 | 7.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$15.56–$19.20 | $19.45–$24 | varies |
| Albumin serum (82040) | $38 | $47.50 | 7.7× |
| Aldolase (82085) | $61.50 | $76.88 | 6.3× |
| Aldosterone urine (82088) | $98.09 | $122.61 | 2.4× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$29.56–$148 | $36.95–$185 | varies |
| Allergen specific ige (86003) | $52.80 | $66 | 10.1× |
| Allg Spec Ige Recomb Ea (86008) | $45.80 | $57.25 | 2.6× |
| Alpha-1-antitrypsin phenotype (82104) | $48 | $60 | 3.3× |
| Alpha-1-antitrypsin total (82103) | $48 | $60 | 3.6× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$40.37–$138.64 | $50.46–$173.30 | varies |
| Alt (sgpt) (84460) | $54.48 | $68.10 | 10.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $86.40 | $108 | 5.1× |
| Ammonia (82140) | $76.88 | $96.10 | 5.3× |
| Amylase urine (82150) range across 2 matching MRF lines |
$58.40–$168 | $73–$210 | varies |
| Angiotensin converting enzyme csf (82164) | $110.22 | $137.78 | 7.5× |
| Anti-Phospholipid Antibody (86148) | $76 | $95 | 4.7× |
| Antibody aspergillus (86606) | $36.24 | $45.30 | 2.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $50.80 | $63.50 | 3.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $145.80 | $182.25 | 9.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $145.80 | $182.25 | 8.0× |
| Antibody helicobacter pylori (86677) | $86.40 | $108 | 5.1× |
| Antibody Herpes Smplx Type 1 (86695) | $50.91 | $63.64 | 3.9× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$104–$225.20 | $130–$281.50 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$92–$215.46 | $115–$269.32 | varies |
| Antibody Protozoa Nes (86753) | $63.72 | $79.65 | 5.1× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$60.92–$84 | $76.15–$105 | varies |
| Antibody; encephalitis, st. louis (86653) | $100.80 | $126 | 7.6× |
| Antibody; influenza virus (86710) | $32.62 | $40.77 | 2.4× |
| Antigen typing (86905) | $648.22 | $810.28 | 169.2× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$40.04–$47.43 | $50.05–$59.29 | varies |
| Antistreptolysin o titer (86060) | $14.60 | $18.25 | 2.0× |
| Antithrombin iii activity (85300) | $112.19 | $140.24 | 9.5× |
| Apolipoprotein a1 (82172) | $42.18 | $52.73 | 2.0× |
| Aquaporin-4 Antb Cba Each (86052) | $1,056 | $1,320 | 87.6× |
| Arsenic (82175) | $50.03 | $62.54 | 2.6× |
| Assay Blood Carbon Dioxide (82374) | $20.80 | $26 | 4.3× |
| Assay Nephelometry Not Spec (83883) | $32.71 | $40.89 | 2.4× |
| Assay of blood/uric acid (84550) | $38 | $47.50 | 8.4× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$37.36–$40.80 | $46.70–$51 | varies |
| Assay of cpk in blood (82552) | $32.23 | $40.29 | 2.4× |
| Assay of estrone (82679) | $60.74 | $75.93 | 2.4× |
| Assay of g6pd enzyme (82955) | $57.60 | $72 | 5.9× |
| Assay of gammaglobulin igm (82784) | $22.37 | $27.96 | 2.4× |
| Assay of lactic acid (83605) | $99.92 | $124.90 | 8.6× |
| Assay of manganese (83785) | $168.28 | $210.35 | 6.3× |
| Assay of metanephrines (83835) | $61.64 | $77.05 | 3.6× |
| Assay of serotonin (84260) | $115.20 | $144 | 3.7× |
| Assay of serum potassium (84132) | $28 | $35 | 5.9× |
| Assay of sweat sodium (84302) | $64 | $80 | 13.2× |
| Assay of urea nitrogen (84520) | $40.40 | $50.50 | 10.2× |
| Assay of urine vma (84585) | $63.20 | $79 | 4.1× |
| Assay of vasoactive intestinal peptide (84586) | $273.60 | $342 | 7.7× |
| Assay of vitamin b-1 (84425) | $66.80 | $83.50 | 3.1× |
| Automated Leukocyte Count (85048) | $13.74 | $17.18 | 5.4× |
| B cells total count (86355) | $150.40 | $188 | 4.0× |
| Bacterial antigens 87802 (87802) | $85.60 | $107 | 6.7× |
| Bartonella antibody (86611) | $44.72 | $55.90 | 4.4× |
| Bcr/abl1 gene major bp (81206) | $394.61 | $493.26 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) | $80.65 | $100.81 | 3.2× |
| Beta-2 Microglobulin (82232) | $38.95 | $48.69 | 2.4× |
| Bile acids total (82239) | $67.20 | $84 | 3.9× |
| Bilirubin direct (82248) | $49.20 | $61.50 | 9.8× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$49.12–$74.07 | $61.40–$92.59 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $8.28 | $10.35 | 2.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $314.50 | $393.13 | 2.0× |
| Bld Typing Serologic Rh Phnt (86906) | $67.92 | $84.90 | 8.8× |
| Bleeding time test (85002) | $69.60 | $87 | 14.4× |
| Blood Count Red Blood Cell Automated (85041) | $23.20 | $29 | 7.7× |
| Blood count reticulocyte automated (85045) | $18.80 | $23.50 | 4.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $29.60 | $37 | 7.8× |
| Blood gas (82803) | $211.02 | $263.78 | 8.1× |
| Blood gases w/02 saturation (82805) | $157.54 | $196.93 | 2.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22 | $27.50 | 5.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $648.22 | $810.28 | 102.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $67.92 | $84.90 | 4.2× |
| Blood typing serologic abo (86900) | $232.22 | $290.28 | 77.7× |
| Bone marrow smear interpretation (85097) | $1,553.02 | $1,941.28 | 2.1× |
| Bordetella antibody (86615) | $75.20 | $94 | 5.7× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$3,649.76–$4,604.61 | $4,562.20–$5,755.76 | varies |
| Brucella antibody (86622) | $60 | $75 | 6.7× |
| C-Peptide (84681) | $50.09 | $62.61 | 2.4× |
| C-reactive protein (86140) | $39.56 | $49.45 | 7.6× |
| Ca 19-9 (86301) | $111.14 | $138.92 | 5.3× |
| Cadmium (82300) | $47.28 | $59.10 | 2.0× |
| Calcitonin (82308) | $164.40 | $205.50 | 6.1× |
| Calcium ionized (82330) | $38.68 | $48.35 | 2.8× |
| Calcium total (82310) | $31.20 | $39 | 6.0× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$47.23–$145.60 | $59.04–$182 | varies |
| Cancer Antigen 125 (86304) | $64.80 | $81 | 3.1× |
| Cancer Antigen 27.29 (86300) | $50.09 | $62.61 | 2.4× |
| Carbamazepine total (80156) | $86.77 | $108.46 | 6.0× |
| Carcinoembryonic antigen (82378) | $103.04 | $128.80 | 5.4× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$61.22–$120 | $76.53–$150 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$82.40–$380.40 | $103–$475.50 | varies |
| Catecholamines total urine (82382) | $82.40 | $103 | 3.0× |
| Ccp antibody (86200) | $109.79 | $137.24 | 8.5× |
| Cell count csf (89051) | $44.80 | $56 | 8.0× |
| Ceruloplasmin (82390) | $26.14 | $32.67 | 2.4× |
| Chloride urine (82436) | $26.40 | $33 | 4.6× |
| Cholesterol total (82465) | $36.43 | $45.54 | 8.4× |
| Chorionic gonadotropin test (84702) | $80.28 | $100.35 | 5.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $66.94 | $83.68 | 2.0× |
| Chromosome Analysis 15-20 (88262) | $598.66 | $748.33 | 4.8× |
| Chromosome Analysis 20-25 (88264) | $289.22 | $361.53 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$91.20–$100 | $114–$125 | varies |
| Citric acid urine (82507) | $109.60 | $137 | 3.9× |
| Ckmb (82553) | $91.20 | $114 | 7.9× |
| Clostridium Difficile (87324) | $53.60 | $67 | 4.5× |
| Collagen crosslinks (82523) | $105.76 | $132.20 | 5.7× |
| Column Chromotography Quant (82542) | $76 | $95 | 3.2× |
| Compatibility Each Unit Incubation (86921) | $314.50 | $393.13 | 2.0× |
| Compatibility test antiglob (86922) | $314.50 | $393.13 | 2.0× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$28.87–$90.64 | $36.09–$113.30 | varies |
| Complement Total (Ch50) (86162) | $61.60 | $77 | 3.0× |
| Coombs direct (86880) | $114.96 | $143.70 | 21.3× |
| Copper urine (82525) | $75.10 | $93.87 | 6.1× |
| Cortisol free (82530) range across 2 matching MRF lines |
$33.42–$40.22 | $41.78–$50.28 | varies |
| Cortisol saliva (82533) | $68.80 | $86 | 4.2× |
| Creatine kinase total (82550) | $62 | $77.50 | 9.5× |
| Creatinine blood (82565) | $34.41 | $43.01 | 6.7× |
| Creatinine clearance (82575) | $126.48 | $158.10 | 13.4× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$42.96–$109.60 | $53.70–$137 | varies |
| Crossmatch immediate spin (86920) | $314.50 | $393.13 | 2.0× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$25.90–$49.60 | $32.38–$62 | varies |
| Cryptococcus ag titer (87899) | $57.60 | $72 | 3.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$56.80–$109.89 | $71–$137.36 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $84 | $105 | 10.4× |
| Culture afb (87116) | $108.20 | $135.25 | 10.0× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$92–$126.40 | $115–$158 | varies |
| Culture blood (87040) | $66.16 | $82.70 | 6.4× |
| Culture chlamydia (87110) | $99.36 | $124.20 | 5.1× |
| Culture csf (87070) range across 8 matching MRF lines |
$20.74–$108.65 | $25.92–$135.81 | varies |
| Culture fungus (87102) | $82.80 | $103.50 | 9.8× |
| Culture fungus blood (87103) | $82.80 | $103.50 | 4.0× |
| Culture stool (87045) | $69.60 | $87 | 7.4× |
| Cyclosporine (80158) | $92.80 | $116 | 5.1× |
| Cytogenetics 100-300 (88275) | $529.60 | $662 | 10.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,320 | $2,900 | 2.0× |
| Cytomegalovirus igg (86644) | $101.24 | $126.55 | 7.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $65.30 | $81.63 | 3.2× |
| Cytopath Cell Enhance Tech (88112) | $100.28 | $125.35 | 2.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $53.22 | $66.53 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $100.28 | $125.35 | 2.1× |
| Deoxyribonuclease antibody (86215) | $96.80 | $121 | 7.3× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$82.68–$488.72 | $103.35–$610.90 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$182.40–$452 | $228–$565 | varies |
| Dhea-S (82627) | $66.40 | $83 | 3.0× |
| Digoxin (80162) | $67 | $83.75 | 5.0× |
| Diphtheria antitoxoid (86648) | $48.06 | $60.07 | 3.2× |
| Dna Antibody Native/Double Stranded (86225) | $77.60 | $97 | 5.6× |
| Drug assay acetaminophen (80143) | $100 | $125 | 5.4× |
| Drug Assay Itraconazole (80189) | $80 | $100 | 3.0× |
| Drug Screen Quant Zonisamide (80203) | $142.68 | $178.35 | 10.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $83.20 | $104 | 6.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $31.90 | $39.87 | 2.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $26.50 | $33.13 | 2.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $124.28 | $155.35 | 2.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $48 | $60 | 3.8× |
| Ehrlichia antibody (86666) | $82.80 | $103.50 | 8.1× |
| El-1 Fecal Quantitative (82653) | $110 | $137.50 | 4.8× |
| Electrolyte panel (80051) | $72 | $90 | 10.3× |
| Encephaltis East Eqne Anbdy (86652) | $72 | $90 | 5.5× |
| Encephaltis West Eqne Antbdy (86654) | $72 | $90 | 5.5× |
| Eosinophil Smear (89190) | $11.58 | $14.48 | 2.0× |
| Erythropoietin (82668) | $128.80 | $161 | 6.9× |
| Estradiol serum (82670) | $117.60 | $147 | 4.2× |
| Estriol (82677) | $82.20 | $102.75 | 3.4× |
| Estrogen total (82672) | $52.22 | $65.28 | 2.4× |
| Estrogens fractionated (82671) | $187.20 | $234 | 5.8× |
| Exam Synovial Fluid Crystals (89060) | $39.60 | $49.50 | 5.4× |
| Factor ix activity (85250) | $192.58 | $240.72 | 10.1× |
| Factor v leiden mutation (81241) | $247.20 | $309 | 3.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$45.14–$140.56 | $56.43–$175.70 | varies |
| Fecal Fat Qualitative (82705) | $55.52 | $69.40 | 10.9× |
| Ferritin (82728) | $58.84 | $73.55 | 4.3× |
| Fetal Chrmoml Aneuploidy (81420) | $1,518.10 | $1,897.63 | 2.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $307 | $383.75 | 2.0× |
| Fetal lung maturity assessment; foam stability test Facility (83662) | $73.60 | $92 | 3.9× |
| Fibrin Degradation Quant (85379) | $61.94 | $77.43 | 6.1× |
| Fibrinogen activity (85384) | $90.40 | $113 | 9.3× |
| Flow cytometry first marker (88184) | $648.22 | $810.28 | 2.0× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$40.06–$75.62 | $50.08–$94.53 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $85.65 | $107.06 | 7.1× |
| Fmr1 gene detection (81243) | $114.08 | $142.60 | 2.0× |
| Folic acid rbc (82747) | $35.30 | $44.13 | 2.0× |
| Folic Acid Serum (82746) | $91.12 | $113.90 | 6.2× |
| Follicle Stimulating Hormone (83001) | $107.68 | $134.60 | 5.8× |
| Francisella tularensis (86668) | $273 | $341.25 | 19.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $314.50 | $393.13 | 2.0× |
| Galactokinase rbc (82759) | $243.20 | $304 | 11.3× |
| Gammaglobulin ige (82785) | $72 | $90 | 4.4× |
| Gardner Vag Dna Quant (87512) | $83.52 | $104.40 | 2.0× |
| Gases blood ph only (82800) | $80 | $100 | 7.3× |
| Gastrin (82941) | $126 | $157.50 | 7.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,070.40 | $1,338 | 2.6× |
| Genet Virus Isolate Hsv (87255) | $81.50 | $101.88 | 2.4× |
| Gentamicin (80170) | $39.43 | $49.29 | 2.4× |
| Ggt (82977) | $45.44 | $56.80 | 6.3× |
| Giardia antigen (87329) | $71.82 | $89.77 | 6.0× |
| Glucose Blood Test (82962) | $20.16 | $25.20 | 6.1× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$9.85–$38.40 | $12.31–$48 | varies |
| Glucose Serum (82947) | $49.94 | $62.43 | 12.7× |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$25.74–$30.98 | $32.18–$38.73 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $80.80 | $101 | 10.7× |
| Growth hormone (83003) | $41.60 | $52 | 2.5× |
| Gtt-added samples (82952) | $9.46 | $11.82 | 2.4× |
| H Pylori (C-13) Breath (83013) | $162.10 | $202.62 | 2.4× |
| Haptoglobin (83010) | $63.55 | $79.44 | 5.1× |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$447.58–$496.80 | $559.48–$621 | varies |
| Hbb Full Gene Sequence (81364) | $649.16 | $811.45 | 2.0× |
| Hdl Cholesterol (83718) | $54.24 | $67.80 | 6.6× |
| Heavy metal qualitative any analytes (83015) | $108 | $135 | 5.2× |
| Helicobacter Pylori Stool (87338) | $43.20 | $54 | 3.0× |
| Helminth Antibody (86682) | $172.78 | $215.98 | 13.3× |
| Hematocrit (85014) | $24.98 | $31.22 | 10.5× |
| Hemoglobin (85018) | $33.46 | $41.82 | 14.1× |
| Hemoglobin a1c (83036) | $83.94 | $104.92 | 8.6× |
| Hemoglobin Chromotography (83021) | $92.80 | $116 | 5.1× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $18.74 | $23.43 | 2.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $17.54 | $21.93 | 2.0× |
| Heparin assay (85520) | $143.31 | $179.14 | 10.9× |
| Hepatitis a antibody total (86708) | $96.40 | $120.50 | 7.8× |
| Hepatitis b core ab igm (86705) | $114.28 | $142.85 | 9.7× |
| Hepatitis b core ab total (86704) | $78.04 | $97.55 | 6.5× |
| Hepatitis B Surface Antigen (87340) | $68.64 | $85.80 | 6.6× |
| Hepatitis C Antibody (86803) | $145.80 | $182.25 | 10.2× |
| Hepatitis C Genotype (87902) | $619.61 | $774.51 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$180–$231.20 | $225–$289 | varies |
| Herpes simplex type 2 (86696) | $50.91 | $63.64 | 2.6× |
| Heterophile Antibody Screen (86308) | $49.39 | $61.74 | 9.5× |
| Hfe Gene (81256) | $275.04 | $343.80 | 4.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $531.26 | $664.08 | 2.4× |
| Hla-b27 (86812) | $82.20 | $102.75 | 3.2× |
| Homocysteine (83090) | $66.91 | $83.64 | 3.7× |
| Hpv High-Risk Types (87624) | $91.20 | $114 | 2.6× |
| Hydroxyprogesterone 17-d (83498) | $65.38 | $81.72 | 2.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $28.87 | $36.09 | 2.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $108.55 | $135.69 | 3.1× |
| Iaad ia shiga-like toxin (87427) | $67.20 | $84 | 5.6× |
| Iaad Ia Streptococcus Group A (87430) | $49.60 | $62 | 3.0× |
| Iaadi herpes smplx virus type 1 (87274) | $220.80 | $276 | 18.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $180 | $225 | 5.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $101.24 | $126.55 | 2.9× |
| Iadna Cytomegalovirus Quantification (87497) | $107.98 | $134.97 | 2.5× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$85.68–$280 | $107.10–$350 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $132 | $165 | 3.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$91.20–$111.20 | $114–$139 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$70–$140 | $87.50–$175 | varies |
| Igg subclasses (82787) | $109.20 | $136.50 | 13.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $589.04 | $736.30 | 2.0× |
| Immunfix e-phorsis/urine/csf (86335) | $89.60 | $112 | 3.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $36.80 | $46 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$39.80–$59.60 | $49.75–$74.50 | varies |
| Immunoassay nonantibody (83516) | $55.20 | $69 | 4.8× |
| Immunoelectrophoresis Serum (86320) | $166.64 | $208.30 | 5.6× |
| Immunofixation electrophoresis (86334) | $53.78 | $67.23 | 2.4× |
| Immunohistochemistry (88342) | $314.50 | $393.13 | 2.0× |
| In situ hybridization 1st probe stain (88365) | $314.50 | $393.13 | 2.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $176.38 | $220.47 | 2.5× |
| Influenza assay w/optic (87804) range across 7 matching MRF lines |
$56–$58.40 | $70–$73 | varies |
| Inhibin A (86336) | $88.80 | $111 | 5.7× |
| Inhibin b (83520) range across 6 matching MRF lines |
$112.68–$290.31 | $140.85–$362.89 | varies |
| Insitu hybridization auto (88367) | $648.22 | $810.28 | 2.0× |
| Insitu hybridization manual (88368) | $648.22 | $810.28 | 2.0× |
| Insulin total (83525) | $61.60 | $77 | 5.4× |
| Intrinsic factor antibody (86340) | $90.40 | $113 | 6.0× |
| Iron (83540) | $33.36 | $41.70 | 5.2× |
| Iron Binding Capacity (83550) | $50.40 | $63 | 5.8× |
| Jak2 gene analysis p.val617phe variant (81270) | $272.64 | $340.80 | 3.0× |
| Koh Prep (87220) | $22.40 | $28 | 5.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$14.52–$45.44 | $18.15–$56.80 | varies |
| Lactoferrin fecal qualitative (83630) | $88 | $110 | 4.5× |
| Ldh Isoenzymes (83625) | $123.20 | $154 | 9.6× |
| Lead (83655) | $34.22 | $42.78 | 2.8× |
| Legionella antibody (86713) | $36.82 | $46.02 | 2.4× |
| Legionella antigen urine (87449) | $91.20 | $114 | 7.6× |
| Legionella pneumophila dfa (87278) | $31.20 | $39 | 2.0× |
| Leukocyte Assessment Fecal (89055) | $29.60 | $37 | 6.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $49.92 | $62.40 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $49.92 | $62.40 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $648.22 | $810.28 | 2.0× |
| Lipase (83690) | $64.40 | $80.50 | 9.3× |
| Lipoprotein A (83695) | $29.44 | $36.80 | 2.1× |
| Lipoprotein Bld Quan Part (83704) | $68.38 | $85.48 | 2.0× |
| Listeria Monocytogenes (86723) | $117.60 | $147 | 8.9× |
| Lithium (80178) | $62.88 | $78.60 | 9.5× |
| Luteinizing Hormone (Lh) (83002) | $107.68 | $134.60 | 5.8× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$40.99–$95.40 | $51.24–$119.25 | varies |
| Lymphocyte transformation (86353) | $1,421.26 | $1,776.57 | 29.0× |
| Lysozyme serum (85549) | $45.14 | $56.43 | 2.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $314.50 | $393.13 | 2.0× |
| M/phmtrc alys ishquant/semiq (88374) | $314.50 | $393.13 | 2.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$16.10–$46.80 | $20.13–$58.50 | varies |
| Mass Spectrometry Quant (83789) | $48.22 | $60.28 | 2.0× |
| Mercury urine (83825) | $52.44 | $65.55 | 3.2× |
| Methylmalonic acid serum (83921) | $42.42 | $53.03 | 2.0× |
| Microalbumin, quantitative (82043) | $61.32 | $76.65 | 10.6× |
| Microsomal Antibodies Each (86376) | $35.02 | $43.77 | 2.4× |
| Mitochondrial Antibody Each (86381) | $50.90 | $63.63 | 2.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $550.40 | $688 | 25.7× |
| Mrsa Pcr (87641) | $84.46 | $105.57 | 2.4× |
| Mumps antibody (86735) | $36 | $45 | 2.8× |
| Muscle-Specific Kinase Antb (86366) | $2,079 | $2,598.75 | 113.0× |
| Myoglobin urine (83874) | $55.20 | $69 | 4.3× |
| Natriuretic peptide (83880) | $109.12 | $136.40 | 2.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $246.40 | $308 | 3.4× |
| Niacin (84591) range across 2 matching MRF lines |
$50.40–$87 | $63–$108.75 | varies |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$43.18–$48 | $53.97–$60 | varies |
| Obstetric panel (80081) | $320 | $400 | 4.3× |
| Occult blood feces (82272) | $22 | $27.50 | 5.2× |
| Organic acids urine (83918) | $490.40 | $613 | 20.8× |
| Osmolality serum (83930) | $46.64 | $58.30 | 7.1× |
| Osmolality Urine (83935) | $36.40 | $45.50 | 5.3× |
| Ova and parasites smears (87177) | $68.36 | $85.45 | 7.7× |
| Oxalate urine (83945) | $119.76 | $149.70 | 8.3× |
| Particle Agglutination Screen Each Antibody (86403) | $23.08 | $28.85 | 2.0× |
| Ph urine (81003) | $17.43 | $21.79 | 7.7× |
| Phenobarbital Level (80184) | $88.18 | $110.23 | 5.8× |
| Phenylalanine (84030) | $214.40 | $268 | 39.0× |
| Phenytoin (Dilantin) (80185) | $86.77 | $108.46 | 6.5× |
| Phenytoin free (80186) | $70.18 | $87.73 | 5.1× |
| Phosphatase acid prostatic (84066) | $34.40 | $43 | 3.6× |
| Phosphatase alkaline (84075) | $54.48 | $68.10 | 10.5× |
| Phosphorus Serum (84100) | $38 | $47.50 | 8.0× |
| Phosphorus urine (84105) | $26.40 | $33 | 4.6× |
| Platelet count automated (85049) | $31.20 | $39 | 7.0× |
| Porphobilinogen, urine; quantitative (84110) | $65.76 | $82.20 | 7.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $141.04 | $176.30 | 9.6× |
| Potassium Urine (84133) | $31.84 | $39.80 | 6.7× |
| Prealbumin (84134) | $82.40 | $103 | 5.6× |
| Procalcitonin (Pct) (84145) | $240 | $300 | 8.8× |
| Progesterone (84144) | $78.40 | $98 | 3.8× |
| Prolactin (84146) | $86.40 | $108 | 4.5× |
| Protein body fluid (84157) | $37.60 | $47 | 9.4× |
| Protein C Activity (85303) | $33.60 | $42 | 2.4× |
| Protein Electrophoresis Urine (84166) | $67.16 | $83.95 | 3.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $44.84 | $56.05 | 4.2× |
| Protein S Free (85306) | $36.86 | $46.08 | 2.4× |
| Protein total serum (84155) | $39.04 | $48.80 | 10.6× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$45.44–$51.98 | $56.80–$64.97 | varies |
| PSA free (84154) | $36.78 | $45.98 | 2.0× |
| Pth Intact (83970) | $215.52 | $269.40 | 5.2× |
| Quantiferon tb gold plus (86480) | $149.18 | $186.48 | 2.4× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$37.28–$123.60 | $46.60–$154.50 | varies |
| Rbc antibody elution (86860) | $314.50 | $393.13 | 2.0× |
| Rbc antibody identification (86870) | $648.22 | $810.28 | 2.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$100.28–$314.50 | $125.35–$393.13 | varies |
| Receptor assay progesterone (84234) | $409.03 | $511.29 | 6.3× |
| Renin activity plasma (84244) | $84.80 | $106 | 3.9× |
| Resp virus 12-25 targets (87633) | $833.56 | $1,041.95 | 2.0× |
| Rh (86901) | $67.92 | $84.90 | 22.7× |
| Rheumatoid factor quant (86431) | $36.96 | $46.20 | 6.5× |
| Rickettsia antibody (86757) | $62.64 | $78.30 | 3.2× |
| Ristocetin cofactor (85245) | $57.84 | $72.30 | 2.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$8.54–$22.44 | $10.68–$28.05 | varies |
| Rsv Assay W/Optic (87807) | $26.20 | $32.75 | 2.0× |
| Rubella Antibody (86762) | $126.20 | $157.75 | 8.8× |
| Rubeola antibody (86765) | $102.80 | $128.50 | 8.0× |
| Russell Viper Venom Time Diluted (85613) | $56 | $70 | 5.8× |
| Salicylate Level (80179) | $69.92 | $87.40 | 3.8× |
| Salmonella antibody (86768) range across 6 matching MRF lines |
$31.75–$312 | $39.69–$390 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $84.26 | $105.33 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $285.26 | $356.58 | 2.0× |
| Sedimentation Rate, Automated (85652) | $46 | $57.50 | 17.0× |
| Semen Anal Sperm Detection (89321) | $32 | $40 | 2.7× |
| Sensitivity mic (87186) | $54.40 | $68 | 6.3× |
| Sex Hormone Binding Globulin (84270) | $85.60 | $107 | 3.9× |
| Sickling of rbc reduction (85660) | $28 | $35 | 5.1× |
| Skin test tuberculosis intradermal (86580) | $22.30 | $27.87 | 0.8× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$12.96–$24.63 | $16.20–$30.79 | varies |
| Smear complex stain (87209) | $43.25 | $54.06 | 2.4× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$10.27–$40 | $12.84–$50 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $43.60 | $54.50 | 7.5× |
| Sodium Serum (84295) | $37.60 | $47 | 7.8× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$34.96–$43.51 | $43.70–$54.39 | varies |
| Soluble Transferrin Receptor (84238) | $260 | $325 | 7.1× |
| Somatomedin (84305) | $42.52 | $53.15 | 2.0× |
| Somatostatin (84307) | $181.60 | $227 | 9.9× |
| Special Stains Group 1 (88312) | $100.28 | $125.35 | 2.1× |
| Special Stains Group 2 (88313) | $67.92 | $84.90 | 0.6× |
| Spectrophotometry (84311) | $61.60 | $77 | 7.6× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $314.50 | $393.13 | 2.0× |
| Stool cultr aerobic bact ea (87046) | $22.73 | $28.41 | 2.4× |
| Strep a assay w/optic (87880) | $33.06 | $41.33 | 2.0× |
| Strep b DNA amp probe (87653) | $147.50 | $184.37 | 4.2× |
| Sugars Single Qual (84376) | $87.20 | $109 | 15.9× |
| Sulfate urine (84392) | $123.65 | $154.56 | 22.5× |
| Surg path level iii (88304) | $100.28 | $125.35 | 2.1× |
| Surgical pathology level IV (88305) | $100.28 | $125.35 | 2.1× |
| Surgical pathology level vi (88309) | $1,553.02 | $1,941.28 | 2.1× |
| T cells absolute cd4 count (86361) | $130.48 | $163.10 | 4.9× |
| T3 Free (84481) | $40.78 | $50.97 | 2.4× |
| T3 reverse (84482) | $37.94 | $47.43 | 2.4× |
| T3 Total (84480) | $54.84 | $68.55 | 3.9× |
| T3 Uptake (84479) | $29.60 | $37 | 4.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$21.70–$68 | $27.12–$85 | varies |
| T4 total (84436) | $55.56 | $69.45 | 8.1× |
| Tacrolimus (80197) | $90.24 | $112.80 | 6.6× |
| Tb ag response t-cell susp (86481) | $200 | $250 | 2.0× |
| Test for acetone/ketones (82009) | $22 | $27.50 | 4.9× |
| Testosterone total (84403) | $139.20 | $174 | 5.4× |
| Testosterone, Free (84402) | $61.27 | $76.59 | 2.4× |
| Tetanus antibody (86774) | $84.26 | $105.33 | 5.7× |
| Theophylline (80198) | $89.60 | $112 | 6.3× |
| Thyroglobulin (84432) | $85.60 | $107 | 5.3× |
| Thyroglobulin Antibody (86800) | $53.33 | $66.66 | 3.4× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$122.38–$122.81 | $152.97–$153.51 | varies |
| Thyroxine binding globulin (84442) | $17.36 | $21.70 | 1.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $1,519.06 | $1,898.83 | 131.7× |
| Tissue culture bone marrow (88237) | $428 | $535 | 3.0× |
| Tissue Culture Lymphocyte (88230) | $333.60 | $417 | 2.9× |
| Topiramate (80201) | $64.40 | $80.50 | 5.4× |
| Toxoplasma antibody (86777) | $130.40 | $163 | 9.1× |
| Tpmt gene com variants (81335) | $349.62 | $437.03 | 2.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $54.48 | $68.10 | 10.5× |
| Transferrin (84466) | $42.60 | $53.25 | 3.3× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$88–$193.90 | $110–$242.37 | varies |
| Triglycerides (84478) | $36.80 | $46 | 6.4× |
| Troponin Quant (84484) | $100 | $125 | 8.0× |
| Tumor immunohistochem/comput (88361) | $648.22 | $810.28 | 2.0× |
| Tumor Immunohistochem/Manual (88360) | $314.50 | $393.13 | 2.0× |
| Urea nitrogen urine (84540) | $24 | $30 | 4.3× |
| Uric acid other source (84560) | $27.20 | $34 | 5.4× |
| Urinalysis Volume Measure (81050) | $7.28 | $9.10 | 2.0× |
| Urine Bacteria Culture (87088) | $68 | $85 | 8.4× |
| Urine Pregnancy Test (81025) | $47.20 | $59 | 5.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $38 | $47.50 | 12.0× |
| Valproic acid (80164) | $109.60 | $137 | 8.1× |
| Vancomycin (80202) | $32.62 | $40.77 | 2.4× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$31.01–$92 | $38.76–$115 | varies |
| Vasopressin (84588) | $81.70 | $102.12 | 2.4× |
| Viral Culture (87252) | $67.72 | $84.65 | 2.6× |
| Virus antibody nos (86790) | $350.40 | $438 | 27.2× |
| Vit D 1 25-Dihydroxy (82652) | $92.66 | $115.83 | 2.4× |
| Vitamin b-12 (82607) | $90.52 | $113.15 | 6.0× |
| Vitamin B6 (84207) | $67.63 | $84.54 | 2.4× |
| Vitamin D 25-Hydroxy (82306) | $126.14 | $157.68 | 4.3× |
| Von willebrand factor ag (85246) | $57.84 | $72.30 | 2.5× |
| Wbc Alkaline Phosphatase Count (85540) | $81.60 | $102 | 9.5× |
| West nile virus ab igm (86788) | $86.40 | $108 | 5.1× |
| West Nile Virus Antibody (86789) | $43.20 | $54 | 3.0× |
| Western Blot Test (84181) | $132 | $165 | 7.8× |
| Xm Archive Tissue Molec Anal (88363) | $49.92 | $62.40 | 1.9× |
| Zinc (84630) | $27.41 | $34.26 | 2.4× |
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.