Lab & pathology prices at Door County Medical Center
Sturgeon Bay, WI · every code in this section with a posted price and a Medicare benchmark.
370 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $75 | $100 | 6.7× |
| Acth (82024) | $219 | $292 | 5.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$239.25–$249.75 | $319–$333 | varies |
| Albumin Fluid (82042) | $60.75 | $81 | 7.8× |
| Albumin serum (82040) | $33 | $44 | 6.7× |
| Aldolase (82085) | $42 | $56 | 4.3× |
| Aldosterone urine (82088) | $189.75 | $253 | 4.7× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$29.25–$287.25 | $39–$383 | varies |
| Allergen specific igg (86001) | $35.25 | $47 | 4.5× |
| Alpha-1-antitrypsin total (82103) | $57 | $76 | 4.2× |
| Alpha-Fetoprotein Serum (82105) | $129 | $172 | 7.7× |
| Alt (sgpt) (84460) | $65.25 | $87 | 12.3× |
| Amikacin trough (80150) | $99 | $132 | 6.6× |
| Ammonia (82140) | $93.75 | $125 | 6.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $69.38 | $92.50 | 0.7× |
| Amylase urine (82150) | $85.50 | $114 | 13.2× |
| Ana Titer (86039) range across 2 matching MRF lines |
$70.50–$93 | $94–$124 | varies |
| Anca screen each antibody (86036) | $66 | $88 | 5.5× |
| Androstenedione (82157) | $37.50 | $50 | 1.3× |
| Angiotensin converting enzyme csf (82164) | $108.75 | $145 | 7.4× |
| Anti-Phospholipid Antibody (86148) | $286.50 | $382 | 17.8× |
| Antibody aspergillus (86606) | $66 | $88 | 4.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $64.50 | $86 | 5.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $84 | $112 | 5.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $138.75 | $185 | 8.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $114.75 | $153 | 8.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $133.50 | $178 | 8.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $132.75 | $177 | 7.3× |
| Antibody helicobacter pylori (86677) | $102.75 | $137 | 6.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $108.75 | $145 | 7.6× |
| Antibody HIV-2 (86702) | $111.75 | $149 | 8.3× |
| Antibody identification leukocyte antibodies (86021) | $177 | $236 | 11.8× |
| Antibody Protozoa Nes (86753) | $205.50 | $274 | 16.6× |
| Antibody Treponema Pallidum (86780) | $50.25 | $67 | 3.8× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$93–$96.75 | $124–$129 | varies |
| Antithrombin iii activity (85300) | $171 | $228 | 14.4× |
| Antithrombin iii antigen (85301) | $89.25 | $119 | 8.3× |
| Apolipoprotein a1 (82172) | $81.75 | $109 | 3.9× |
| Arsenic (82175) | $132 | $176 | 7.0× |
| Assay activated protein c (85307) | $109.50 | $146 | 7.1× |
| Assay Nephelometry Not Spec (83883) | $123 | $164 | 9.0× |
| Assay of 5-hiaa (83497) | $67.50 | $90 | 5.2× |
| Assay of blood/uric acid (84550) | $72 | $96 | 15.9× |
| Assay of calcium in urine (82340) | $75 | $100 | 12.4× |
| Assay of estrone (82679) | $99 | $132 | 4.0× |
| Assay of g6pd enzyme (82955) | $52.50 | $70 | 5.4× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$108.75–$326.25 | $145–$435 | varies |
| Assay of lactic acid (83605) | $126 | $168 | 10.9× |
| Assay of metanephrines (83835) | $93.75 | $125 | 5.5× |
| Assay of proinsulin (84206) | $177 | $236 | 6.6× |
| Assay of serum potassium (84132) | $57.75 | $77 | 12.1× |
| Assay of urea nitrogen (84520) | $54.75 | $73 | 13.9× |
| Assay of vasoactive intestinal peptide (84586) | $248.25 | $331 | 7.0× |
| Assay of vitamin b-1 (84425) | $166.50 | $222 | 7.8× |
| Assay Ph Body Fluid Nos (83986) | $45 | $60 | 12.6× |
| Bartonella antibody (86611) | $162.75 | $217 | 16.0× |
| Bcr/abl1 gene major bp (81206) | $554.25 | $739 | 3.4× |
| Bcr/abl1 gene minor bp (81207) | $239.25 | $319 | 1.7× |
| Bcr/Abl1 Gene Other Bp (81208) | $291 | $388 | 1.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$77.25–$231.75 | $103–$309 | varies |
| Beta hydroxybutyrate (82010) | $35.25 | $47 | 4.3× |
| Beta-2 Microglobulin (82232) | $110.25 | $147 | 6.8× |
| Bilirubin direct (82248) | $61.50 | $82 | 12.3× |
| Bilirubin total (82247) | $61.50 | $82 | 12.3× |
| Bilirubin total transcutaneous (88720) | $60.75 | $81 | 12.1× |
| Blastomyces antibody (86612) | $33.75 | $45 | 2.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $42.75 | $57 | 11.3× |
| Blood gas (82803) | $235.50 | $314 | 9.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $46.50 | $62 | 2.9× |
| Blood typing serologic abo (86900) | $93 | $124 | 31.1× |
| Bone marrow smear interpretation (85097) | $367.50 | $490 | 0.5× |
| Borrelia Antibody (86619) | $213.75 | $285 | 16.0× |
| C diff amplified probe (87493) | $218.25 | $291 | 5.9× |
| C-Peptide (84681) | $88.50 | $118 | 4.3× |
| C-reactive protein (86140) | $90 | $120 | 17.4× |
| Ca 19-9 (86301) | $123 | $164 | 5.9× |
| Cadmium (82300) | $120.75 | $161 | 5.1× |
| Calcitonin (82308) | $40.50 | $54 | 1.5× |
| Calcium ionized (82330) | $96.75 | $129 | 7.1× |
| Calcium total (82310) | $65.25 | $87 | 12.6× |
| Calculus Spectroscopy (82365) | $75 | $100 | 5.8× |
| Calprotectin Fecal (83993) | $205.50 | $274 | 10.5× |
| Calr gene com variants (81219) | $476.25 | $635 | 3.9× |
| Cancer Antigen 125 (86304) | $123.75 | $165 | 5.9× |
| Cancer Antigen 27.29 (86300) | $123 | $164 | 5.9× |
| Candida antibody (86628) | $206.25 | $275 | 17.2× |
| Carbamazepine total (80156) | $179.25 | $239 | 12.3× |
| Carboxyhemoglobin (82375) | $151.50 | $202 | 12.3× |
| Carcinoembryonic antigen (82378) | $223.50 | $298 | 11.8× |
| Cardiolipin ab iga (86147) | $159.75 | $213 | 6.3× |
| Ccp antibody (86200) | $84.75 | $113 | 6.5× |
| Cell count csf (89051) | $75.75 | $101 | 13.5× |
| Ceruloplasmin (82390) | $111.75 | $149 | 10.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$158.25–$473.25 | $211–$631 | varies |
| Cholesterol total (82465) | $51 | $68 | 11.7× |
| Chorionic gonadotropin test (84702) | $209.25 | $279 | 13.9× |
| Chromogranin a (86316) | $128.25 | $171 | 6.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $204.75 | $273 | 5.8× |
| Clostridium Difficile (87324) | $77.25 | $103 | 6.4× |
| Cns DNA amp probe type 12-25 (87483) | $775.50 | $1,034 | 1.9× |
| Coccidioides antibody (86635) | $51.75 | $69 | 4.5× |
| Collagen crosslinks (82523) | $114.75 | $153 | 6.1× |
| Column Chromotography Quant (82542) | $209.25 | $279 | 8.7× |
| Complement Antigen Each Component (86160) | $91.50 | $122 | 7.6× |
| Complement Total (Ch50) (86162) | $88.50 | $118 | 4.4× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $312.75 | $417 | 1.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $336 | $448 | 9.3× |
| Coombs direct (86880) | $87.75 | $117 | 16.3× |
| Copper urine (82525) | $44.25 | $59 | 3.6× |
| Cortisol free (82530) | $96.75 | $129 | 5.8× |
| Cortisol saliva (82533) | $106.50 | $142 | 6.5× |
| Creatine kinase total (82550) | $80.25 | $107 | 12.3× |
| Creatinine blood (82565) | $71.25 | $95 | 13.9× |
| Creatinine clearance (82575) | $117.75 | $157 | 12.4× |
| Creatinine Urine (82570) | $70.50 | $94 | 13.6× |
| Crossmatch immediate spin (86920) | $164.25 | $219 | 1.0× |
| Crp High Sensitivity (86141) | $72.75 | $97 | 5.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $80.25 | $107 | 9.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $426.75 | $569 | 2.0× |
| Culture afb (87116) | $127.50 | $170 | 11.8× |
| Culture Anaerobic (87075) | $129.75 | $173 | 13.7× |
| Culture blood (87040) | $147 | $196 | 14.2× |
| Culture csf (87070) | $92.25 | $123 | 10.7× |
| Culture fungus (87102) | $99.75 | $133 | 11.9× |
| Culture screen only (87081) | $103.50 | $138 | 15.6× |
| Culture urine (87086) | $69 | $92 | 8.6× |
| Cyclosporine (80158) | $162 | $216 | 9.0× |
| Cystatin C (82610) | $177.75 | $237 | 9.6× |
| Cytogenetics 100-300 (88275) | $62.25 | $83 | 1.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,901.25 | $2,535 | 1.6× |
| Cytomegalovirus igg (86644) | $173.25 | $231 | 12.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $127.50 | $170 | 6.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $296.25 | $395 | 5.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $182.25 | $243 | 5.0× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$222.75–$1,113.75 | $297–$1,485 | varies |
| Detect Agent Nos Dna Quant (87799) | $213.75 | $285 | 5.0× |
| Dhea (82626) | $23.25 | $31 | 0.9× |
| Dhea-S (82627) | $123 | $164 | 5.5× |
| Digoxin (80162) | $164.25 | $219 | 12.4× |
| Dihydrotestosterone (82642) | $171.75 | $229 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) | $60 | $80 | 4.4× |
| Drug Assay Everolimus (80169) | $138.75 | $185 | 10.1× |
| Drug Assay Infliximab (80230) | $91.50 | $122 | 2.4× |
| Drug Assay Lacosamide (80235) | $135 | $180 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $161.25 | $215 | 8.0× |
| Drug Screen Quant Zonisamide (80203) | $105.75 | $141 | 8.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $181.50 | $242 | 13.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $138.75 | $185 | 10.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $97.50 | $130 | 7.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$120.75–$181.50 | $161–$242 | varies |
| Drug Test Prsmv Instrmnt (80306) | $48.75 | $65 | 2.8× |
| Ehrlichia antibody (86666) | $195 | $260 | 19.2× |
| Electrolyte panel (80051) | $32.25 | $43 | 4.6× |
| Erythropoietin (82668) | $110.25 | $147 | 5.9× |
| Estradiol serum (82670) | $168 | $224 | 6.0× |
| Estriol (82677) | $133.50 | $178 | 5.5× |
| Estrogen total (82672) | $49.50 | $66 | 2.3× |
| Ethosuximide (80168) | $79.50 | $106 | 4.9× |
| Exam Synovial Fluid Crystals (89060) | $100.50 | $134 | 13.7× |
| F2 Gene (81240) | $297 | $396 | 4.5× |
| Factor v leiden mutation (81241) | $573.75 | $765 | 7.8× |
| Factor viii assay (85240) | $204.75 | $273 | 11.4× |
| Fecal Fat Qualitative (82705) | $66.75 | $89 | 13.1× |
| Ferritin (82728) | $168 | $224 | 12.3× |
| Fetal Fibronectin (82731) | $534.75 | $713 | 8.3× |
| Fibrin Degradation Quant (85379) | $95.25 | $127 | 9.4× |
| Fibrinogen activity (85384) | $57.75 | $77 | 5.9× |
| Flecainide level (80181) | $36.75 | $49 | 2.0× |
| Flow cytometry first marker (88184) | $208.50 | $278 | 0.6× |
| Fluorescent antibody screen (86255) | $171 | $228 | 14.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 7 matching MRF lines |
$105–$210 | $140–$280 | varies |
| Folic acid rbc (82747) | $56.25 | $75 | 3.2× |
| Folic Acid Serum (82746) | $173.25 | $231 | 11.8× |
| Follicle Stimulating Hormone (83001) | $106.50 | $142 | 5.7× |
| Gammaglobulin ige (82785) | $122.25 | $163 | 7.4× |
| Gases blood ph only (82800) | $99.75 | $133 | 9.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $888 | $1,184 | 2.1× |
| Ggt (82977) | $90 | $120 | 12.5× |
| Glucose 2 hr pp (82950) | $69.75 | $93 | 14.7× |
| Glucose Blood Test (82962) | $31.50 | $42 | 9.6× |
| Glucose body fluid (82945) | $57 | $76 | 14.5× |
| Glucose Serum (82947) | $49.50 | $66 | 12.6× |
| Glucose tolerance test (gtt) (82951) | $162.75 | $217 | 12.6× |
| Gonadotropin Chorionic Qualitative (84703) | $96 | $128 | 12.8× |
| Growth hormone (83003) | $72 | $96 | 4.3× |
| Haptoglobin (83010) | $81.75 | $109 | 6.5× |
| Helicobacter Pylori Stool (87338) | $165.75 | $221 | 11.5× |
| Helminth Antibody (86682) | $119.25 | $159 | 9.2× |
| Hematocrit (85014) | $28.50 | $38 | 12.0× |
| Hemoglobin (85018) | $24.75 | $33 | 10.4× |
| Hemoglobin a1c (83036) | $96.75 | $129 | 10.0× |
| Hemoglobin Chromotography (83021) | $123 | $164 | 6.8× |
| Hemoglobin electrophoresis (83020) | $143.25 | $191 | 11.1× |
| Hep a ab igm (86709) | $75 | $100 | 6.7× |
| Hepatitis a antibody total (86708) | $81.75 | $109 | 6.6× |
| Hepatitis b core ab total (86704) | $93 | $124 | 7.7× |
| Hepatitis B Surface Antibody (86706) | $94.50 | $126 | 8.8× |
| Hepatitis B Surface Antigen (87340) | $95.25 | $127 | 9.2× |
| Hepatitis Be Antibody (86707) | $92.25 | $123 | 8.0× |
| Hepatitis Be Antigen (87350) | $97.50 | $130 | 8.5× |
| Hepatitis C Antibody (86803) | $124.50 | $166 | 8.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $228 | $304 | 5.3× |
| Heterophile Antibody Screen (86308) | $66 | $88 | 12.7× |
| Hfe Gene (81256) | $282 | $376 | 4.3× |
| Histamine urine (83088) | $143.25 | $191 | 4.9× |
| Histoplasma antibody (86698) | $76.50 | $102 | 5.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $142.50 | $190 | 5.9× |
| Hiv-1 Antibody (86701) | $111.75 | $149 | 12.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $457.50 | $610 | 5.4× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $639.75 | $853 | 2.9× |
| Hla ii typing 1 locus lr (81376) | $402.75 | $537 | 3.3× |
| Hla-b27 (86812) | $143.25 | $191 | 5.6× |
| Homocysteine (83090) | $94.50 | $126 | 5.3× |
| Hpv High-Risk Types (87624) | $209.25 | $279 | 6.0× |
| Hsv Dna Amp Probe (87529) | $202.50 | $270 | 5.8× |
| Hydroxyprogesterone 17-d (83498) | $118.50 | $158 | 4.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $336.75 | $449 | 9.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $141 | $188 | 4.0× |
| Iadna Cytomegalovirus Quantification (87497) | $230.25 | $307 | 5.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $195 | $260 | 4.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $204.75 | $273 | 5.8× |
| Igg subclasses (82787) | $50.25 | $67 | 6.3× |
| Immunfix e-phorsis/urine/csf (86335) | $113.25 | $151 | 3.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $241.50 | $322 | 13.1× |
| Immunoassay nonantibody (83516) | $131.25 | $175 | 11.4× |
| Immunofixation electrophoresis (86334) | $165 | $220 | 7.4× |
| Immunohistochemistry (88342) | $363 | $484 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $204 | $272 | 2.9× |
| Inhibin A (86336) | $141 | $188 | 9.0× |
| Inhibin b (83520) range across 14 matching MRF lines |
$185.25–$555.75 | $247–$741 | varies |
| Insulin antibodies (86337) | $49.50 | $66 | 2.3× |
| Insulin total (83525) | $54 | $72 | 4.7× |
| Iron (83540) | $60.75 | $81 | 9.4× |
| Iron Binding Capacity (83550) | $87.75 | $117 | 10.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $418.50 | $558 | 4.6× |
| Jak2 Gene Trgt Sequence Alys (81279) | $347.25 | $463 | 1.9× |
| Koh Prep (87220) | $53.25 | $71 | 12.5× |
| Lactate (ld) (ldh) enzyme (83615) | $83.25 | $111 | 13.8× |
| LDL direct (83721) | $57.75 | $77 | 5.5× |
| Lead (83655) | $79.50 | $106 | 6.6× |
| Legionella antigen urine (87449) | $185.25 | $247 | 15.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $124.50 | $166 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $216 | $288 | 6.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $760.50 | $1,014 | 2.2× |
| Lipase (83690) | $119.25 | $159 | 17.3× |
| Lipoprotein A (83695) | $68.25 | $91 | 4.8× |
| Lipoprotein Bld Quan Part (83704) | $74.25 | $99 | 2.2× |
| Lithium (80178) | $81.75 | $109 | 12.4× |
| Luteinizing Hormone (Lh) (83002) | $123.75 | $165 | 6.7× |
| Lyme disease antibody (86618) | $84 | $112 | 4.9× |
| Magnesium Urine (83735) | $83.25 | $111 | 12.4× |
| Mercury urine (83825) | $116.25 | $155 | 7.1× |
| Methylmalonic acid serum (83921) | $92.25 | $123 | 4.3× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$64.50–$67.50 | $86–$90 | varies |
| Microsomal Antibodies Each (86376) | $88.50 | $118 | 6.1× |
| Mlh1 Gene (81288) | $596.40 | $795.20 | 3.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $36.75 | $49 | 1.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $354 | $472 | 1.9× |
| Mrsa Pcr (87641) | $145.50 | $194 | 4.1× |
| Mycophenolic Acid (80180) | $90.75 | $121 | 5.0× |
| Mycoplasma antibody (86738) | $117.75 | $157 | 8.9× |
| Natriuretic peptide (83880) | $163.50 | $218 | 4.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $279 | $372 | 1.1× |
| Niacin (84591) | $156.75 | $209 | 9.2× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$84.75–$169.50 | $113–$226 | varies |
| Obstetric panel (80081) | $375 | $500 | 5.0× |
| Occult blood feces (82272) | $36 | $48 | 8.5× |
| Occult Blood Other Sources (82271) | $39.75 | $53 | 7.5× |
| Osmolality serum (83930) | $55.50 | $74 | 8.4× |
| Osmolality Urine (83935) | $93.75 | $125 | 13.7× |
| Ova and parasites smears (87177) | $60.75 | $81 | 6.8× |
| Pancreatic Elastase Fecal (82656) | $171 | $228 | 14.8× |
| Ph urine (81003) range across 6 matching MRF lines |
$29.25–$47.25 | $39–$63 | varies |
| Phenobarbital Level (80184) | $59.25 | $79 | 3.9× |
| Phenytoin (Dilantin) (80185) | $156.75 | $209 | 11.8× |
| Phosphatase alkaline (84075) | $59.25 | $79 | 11.4× |
| Phosphorus Serum (84100) | $58.50 | $78 | 12.3× |
| Platelet count automated (85049) | $33.75 | $45 | 7.5× |
| Prealbumin (84134) | $88.50 | $118 | 6.1× |
| Pregnenolone (84140) | $120 | $160 | 5.8× |
| Procalcitonin (Pct) (84145) | $192 | $256 | 7.1× |
| Progesterone (84144) | $159 | $212 | 7.6× |
| Prolactin (84146) | $151.50 | $202 | 7.8× |
| Protein body fluid (84157) | $84 | $112 | 21.0× |
| Protein C Activity (85303) | $200.25 | $267 | 14.5× |
| Protein Electrophoresis Urine (84166) | $126 | $168 | 7.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $144.75 | $193 | 13.5× |
| Protein S Free (85306) | $153 | $204 | 10.0× |
| Protein s total (85305) | $172.50 | $230 | 14.9× |
| Protein total serum (84155) | $69.75 | $93 | 19.0× |
| Protein Total Urine (84156) | $68.25 | $91 | 18.6× |
| PSA free (84154) | $102 | $136 | 5.5× |
| Pth Intact (83970) | $246 | $328 | 6.0× |
| Quantiferon tb gold plus (86480) | $44.25 | $59 | 0.7× |
| Quantitative assay drug (80299) | $181.50 | $242 | 9.7× |
| Quantitative Screen Metals (83018) | $160.50 | $214 | 7.3× |
| Rbc antibody identification (86870) | $308.25 | $411 | 0.9× |
| Rbc antibody screen (86850) | $174 | $232 | 17.8× |
| Reagent Strip/Blood Glucose (82948) | $37.50 | $50 | 7.4× |
| Renin activity plasma (84244) | $94.50 | $126 | 4.3× |
| Resp virus 12-25 targets (87633) | $772.50 | $1,030 | 1.9× |
| Reticulocyte Count (85046) | $55.50 | $74 | 10.0× |
| Rh (86901) | $48.75 | $65 | 16.3× |
| Rheumatoid Factor Qualitative (86430) | $103.50 | $138 | 16.9× |
| Rheumatoid factor quant (86431) | $54 | $72 | 9.5× |
| Ristocetin cofactor (85245) | $158.25 | $211 | 6.9× |
| Rpr qualitative (86592) | $82.50 | $110 | 19.3× |
| Rubella Antibody (86762) | $126.75 | $169 | 8.8× |
| Rubeola antibody (86765) | $105 | $140 | 8.2× |
| Russell Viper Venom Time Diluted (85613) | $57.75 | $77 | 6.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $87 | $116 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $333 | $444 | 2.3× |
| Sedimentation rate (85651) | $52.50 | $70 | 12.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $117.75 | $157 | 12.0× |
| Sensitivity mic (87186) | $103.50 | $138 | 12.0× |
| Sex Hormone Binding Globulin (84270) | $102.75 | $137 | 4.7× |
| Sickling of rbc reduction (85660) | $64.50 | $86 | 11.7× |
| Skin test tuberculosis intradermal (86580) | $44.25 | $59 | 1.6× |
| Smear complex stain (87209) | $75 | $100 | 4.2× |
| Smear gram stain (87205) | $45 | $60 | 10.5× |
| Smear Special Stain (87207) | $108 | $144 | 18.0× |
| Sodium Serum (84295) | $59.25 | $79 | 12.3× |
| Sodium Urine (84300) | $60 | $80 | 11.9× |
| Somatomedin (84305) | $174 | $232 | 8.2× |
| Special Stains Group 1 (88312) | $164.25 | $219 | 3.2× |
| Special Stains Group 2 (88313) | $158.25 | $211 | 1.2× |
| Staph a DNA amp probe (87640) | $173.25 | $231 | 4.9× |
| Strep a assay w/optic (87880) | $90.75 | $121 | 5.5× |
| Strep a DNA amp probe (87651) | $142.50 | $190 | 4.1× |
| Strep b DNA amp probe (87653) | $155.25 | $207 | 4.4× |
| Sugars Single Qual (84376) | $51 | $68 | 9.3× |
| Surg path level iii (88304) | $276.75 | $369 | 5.5× |
| Surgical pathology level IV (88305) | $389.25 | $519 | 7.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $197.25 | $263 | 41.5× |
| T3 Free (84481) | $99.75 | $133 | 5.9× |
| T3 reverse (84482) | $45 | $60 | 2.9× |
| T3 Total (84480) | $117.75 | $157 | 8.3× |
| T4 Free (84439) | $85.50 | $114 | 9.5× |
| T4 total (84436) | $82.50 | $110 | 12.0× |
| Tacrolimus (80197) | $129 | $172 | 9.4× |
| Test for acetone/ketones (82009) | $42 | $56 | 9.3× |
| Testosterone total (84403) | $147 | $196 | 5.7× |
| Testosterone, Free (84402) | $84 | $112 | 3.3× |
| Thyroglobulin (84432) | $62.25 | $83 | 3.9× |
| Thyroglobulin Antibody (86800) | $96 | $128 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $229.50 | $306 | 4.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $65.25 | $87 | 12.6× |
| Transferrin (84466) | $77.25 | $103 | 6.1× |
| Triglycerides (84478) | $54.75 | $73 | 9.5× |
| Troponin Quant (84484) | $137.25 | $183 | 11.0× |
| Tumor Immunohistochem/Manual (88360) | $354 | $472 | 2.1× |
| Ugt1a1 gene analysis common variants (81350) | $457.50 | $610 | 2.0× |
| Urinalysis Volume Measure (81050) | $17.25 | $23 | 4.7× |
| Urine Bacteria Culture (87088) | $57 | $76 | 7.0× |
| Urine Pregnancy Test (81025) | $88.50 | $118 | 10.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $61.50 | $82 | 19.4× |
| Valproic acid (80164) | $94.50 | $126 | 7.0× |
| Vancomycin (80202) | $157.50 | $210 | 11.6× |
| Varicella-zoster antibody (86787) | $68.25 | $91 | 5.3× |
| Vit D 1 25-Dihydroxy (82652) | $234 | $312 | 6.1× |
| Vitamin A (84590) | $59.25 | $79 | 5.1× |
| Vitamin b-12 (82607) | $113.25 | $151 | 7.5× |
| Vitamin B6 (84207) | $144 | $192 | 5.1× |
| Vitamin c (82180) | $71.25 | $95 | 7.2× |
| Vitamin D 25-Hydroxy (82306) | $161.25 | $215 | 5.4× |
| Vitamin E (84446) | $117.75 | $157 | 8.3× |
| Vitamin K (84597) | $239.25 | $319 | 17.4× |
| Von willebrand factor ag (85246) | $124.50 | $166 | 5.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $468.75 | $625 | 9.1× |
| Zinc (84630) | $60 | $80 | 5.3× |
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.