Lab & pathology prices at Dundy County Hospital
Benkelman, NE · every code in this section with a posted price and a Medicare benchmark.
537 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) | $148 | $164 | 8.0× |
| Acetylcholine receptor blocking antibody (86042) | $148 | $164 | 8.0× |
| Acth (82024) | $285 | $317 | 7.4× |
| Actin smooth muscle antibody each (86015) | $212 | $236 | 17.6× |
| Acute hepatitis panel (80074) | $348 | $387 | 7.3× |
| Acylcarnitines Quant (82017) | $605 | $672 | 35.9× |
| Albumin Fluid (82042) | $53 | $59 | 6.8× |
| Albumin serum (82040) | $53 | $59 | 10.7× |
| Aldolase (82085) | $95 | $106 | 9.8× |
| Aldosterone urine (82088) range across 12 matching MRF lines |
$278–$341 | $309–$379 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$146–$151 | $162–$168 | varies |
| Allergen specific ige (86003) range across 21 matching MRF lines |
$65–$196 | $72–$218 | varies |
| Allg Spec Ige Recomb Ea (86008) | $212 | $236 | 11.8× |
| Alpha-1-antitrypsin phenotype (82104) | $152 | $169 | 10.5× |
| Alpha-1-antitrypsin total (82103) | $122 | $135 | 9.1× |
| Alpha-Fetoprotein Serum (82105) | $153 | $170 | 9.1× |
| Alt (sgpt) (84460) | $70 | $78 | 13.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $279 | $310 | 12.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $347 | $386 | 20.6× |
| Ammonia (82140) | $175 | $194 | 12.0× |
| Amylase urine (82150) range across 2 matching MRF lines |
$100–$108 | $111–$120 | varies |
| Ana Titer (86039) | $84 | $93 | 7.5× |
| Anca screen each antibody (86036) | $212 | $236 | 17.6× |
| Androstenedione (82157) | $185 | $206 | 6.3× |
| Angiotensin converting enzyme csf (82164) | $167 | $186 | 11.4× |
| Anti-Phospholipid Antibody (86148) | $174 | $193 | 10.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $212 | $236 | 16.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $185 | $206 | 11.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $215 | $239 | 12.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$128–$134 | $142–$149 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $134 | $149 | 8.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$84–$134 | $93–$149 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $95 | $106 | 7.8× |
| Antibody helicobacter pylori (86677) | $190 | $211 | 11.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$165–$220 | $183–$244 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$131–$218 | $145–$242 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $17 | $19 | 1.2× |
| Antibody Protozoa Nes (86753) | $172 | $191 | 13.9× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$107–$113 | $119–$125 | varies |
| Antibody Treponema Pallidum (86780) | $215 | $239 | 16.2× |
| Antibody; influenza virus (86710) | $40 | $44 | 3.0× |
| Antigen typing (86905) range across 4 matching MRF lines |
$56–$152 | $62–$169 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $27 | $30 | 4.7× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$115–$149 | $128–$166 | varies |
| Antistreptolysin o titer (86060) | $117 | $130 | 16.0× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$62–$186 | $69–$207 | varies |
| Antithrombin iii antigen (85301) | $186 | $207 | 17.2× |
| Apolipoprotein a1 (82172) | $78 | $87 | 3.7× |
| Arsenic (82175) | $181 | $201 | 9.5× |
| Aspergillus ag eia (87305) | $194 | $215 | 16.2× |
| Assay activated protein c (85307) | $300 | $333 | 19.6× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$43–$53 | $48–$59 | varies |
| Assay of 5-hiaa (83497) | $149 | $166 | 11.6× |
| Assay of anti-mullerian hormone (82166) | $239 | $266 | 6.2× |
| Assay of blood/uric acid (84550) | $68 | $75 | 15.0× |
| Assay of calcium in urine (82340) | $79 | $88 | 13.1× |
| Assay of cpk in blood (82552) | $121 | $134 | 9.0× |
| Assay of estrone (82679) | $218 | $242 | 8.7× |
| Assay of g6pd enzyme (82955) | $181 | $201 | 18.7× |
| Assay of gammaglobulin igm (82784) | $102 | $113 | 11.0× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$118–$131 | $131–$145 | varies |
| Assay of manganese (83785) | $391 | $434 | 14.7× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$102–$161 | $113–$179 | varies |
| Assay of proinsulin (84206) | $214 | $238 | 8.0× |
| Assay of pyruvate (84210) | $239 | $266 | 16.5× |
| Assay of serotonin (84260) | $124 | $138 | 4.0× |
| Assay of serum potassium (84132) | $68 | $75 | 14.3× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$137–$219 | $152–$243 | varies |
| Assay of urea nitrogen (84520) | $67 | $74 | 17.0× |
| Assay of vasoactive intestinal peptide (84586) | $514 | $571 | 14.5× |
| Assay of vitamin b-1 (84425) | $272 | $302 | 12.8× |
| Assay Ph Body Fluid Nos (83986) | $93 | $103 | 26.0× |
| Assay spec xcp ur&breath ia (82077) | $197 | $219 | 11.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $778 | $864 | 4.4× |
| Automated Leukocyte Count (85048) | $71 | $79 | 28.0× |
| B cells total count (86355) | $176 | $195 | 4.7× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$221–$1,157 | $246–$1,285 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$221–$527 | $246–$585 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $404 | $449 | 1.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$94–$176 | $104–$195 | varies |
| Beta Lactamase (87185) | $45 | $50 | 9.5× |
| Beta-2 Microglobulin (82232) | $161 | $179 | 10.0× |
| Bile acids total (82239) | $472 | $524 | 27.6× |
| Bilirubin direct (82248) | $71 | $79 | 14.1× |
| Bilirubin total (82247) | $70 | $78 | 13.9× |
| Biotinidase (82261) | $120 | $133 | 7.1× |
| Blastomyces antibody (86612) | $147 | $163 | 11.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $130 | $144 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $191 | $212 | 24.6× |
| Blood count reticulocyte automated (85045) | $98 | $109 | 24.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$63–$122 | $70–$135 | varies |
| Blood count spun microhematocrit (85013) range across 2 matching MRF lines |
$14–$50 | $16–$55 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$220–$240 | $244–$267 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$18–$48 | $20–$53 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$122–$147 | $135–$163 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$118–$145 | $131–$161 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$51–$68 | $57–$75 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$59–$211 | $66–$234 | varies |
| Braf gene analysis (81210) | $430 | $478 | 2.5× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$205–$288 | $228–$320 | varies |
| C-Peptide (84681) | $176 | $196 | 8.5× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$110–$124 | $122–$138 | varies |
| Ca 19-9 (86301) | $224 | $249 | 10.8× |
| Cadmium (82300) | $200 | $222 | 8.5× |
| Calcitonin (82308) | $200 | $222 | 7.5× |
| Calcium ionized (82330) | $103 | $114 | 7.5× |
| Calcium total (82310) | $69 | $77 | 13.4× |
| Calculus assay quant (82360) | $95 | $106 | 7.4× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$103–$176 | $114–$195 | varies |
| Calculus Xray Diffraction (82370) | $151 | $168 | 12.1× |
| Calprotectin Fecal (83993) | $586 | $651 | 29.9× |
| Cancer Antigen 125 (86304) | $224 | $249 | 10.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$181–$211 | $201–$234 | varies |
| Candida Dna Dir Probe (87480) | $95 | $106 | 4.7× |
| Carbamazepine total (80156) | $168 | $187 | 11.5× |
| Carboxyhemoglobin (82375) | $124 | $138 | 10.1× |
| Carcinoembryonic antigen (82378) | $197 | $219 | 10.4× |
| Cardiolipin ab iga (86147) range across 7 matching MRF lines |
$98–$180 | $109–$200 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$172–$380 | $191–$422 | varies |
| Catecholamines fractionated (82384) | $269 | $299 | 10.7× |
| Ccp antibody (86200) | $218 | $242 | 16.8× |
| Cell count csf (89051) range across 3 matching MRF lines |
$149–$176 | $165–$195 | varies |
| Ceruloplasmin (82390) | $177 | $197 | 16.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$53–$211 | $59–$234 | varies |
| Chlamydia antibody (86631) | $25 | $28 | 2.1× |
| Chlamydia Igm Antibody (86632) | $25 | $28 | 2.0× |
| Chlmy trch&neisra gonor mult (87494) | $98 | $109 | 1.4× |
| Chloride Serum (82435) | $57 | $63 | 12.4× |
| Chloride urine (82436) range across 3 matching MRF lines |
$87–$91 | $97–$101 | varies |
| Cholesterol total (82465) | $69 | $77 | 15.9× |
| Chorionic gonadotropin test (84702) | $220 | $244 | 14.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $434 | $482 | 13.0× |
| Chromium serum (82495) | $190 | $211 | 9.4× |
| Chromogranin a (86316) | $237 | $263 | 11.4× |
| Chromosome Analysis 20-25 (88264) | $907 | $1,008 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $78 | $87 | 2.2× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$81–$257 | $90–$286 | varies |
| Ckmb (82553) | $98 | $109 | 8.5× |
| Clostridium Difficile (87324) | $118 | $131 | 9.8× |
| Clot Factor VIII Multimetric (85247) | $235 | $261 | 10.2× |
| Clotting factor viii related antigen (85244) | $308 | $342 | 15.1× |
| Cns DNA amp probe type 12-25 (87483) | $707 | $785 | 1.7× |
| Coccidioides antibody (86635) | $89 | $99 | 7.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$378–$447 | $420–$497 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$158–$464 | $175–$515 | varies |
| Compatibility Each Unit Incubation (86921) | $155 | $172 | 0.9× |
| Compatibility test antiglob (86922) | $265 | $294 | 1.5× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$131–$149 | $145–$165 | varies |
| Complement Total (Ch50) (86162) | $226 | $251 | 11.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $165 | $183 | 3.0× |
| Coombs direct (86880) range across 3 matching MRF lines |
$59–$79 | $66–$88 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$151–$176 | $168–$196 | varies |
| Cortisol free (82530) | $186 | $207 | 11.1× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$139–$162 | $154–$180 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$92–$149 | $102–$166 | varies |
| Creatinine blood (82565) | $71 | $79 | 13.9× |
| Creatinine clearance (82575) | $134 | $149 | 14.2× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$59–$83 | $66–$92 | varies |
| Crossmatch immediate spin (86920) | $48 | $53 | 0.3× |
| Crp High Sensitivity (86141) | $124 | $138 | 9.6× |
| Cryoglobulin (82595) | $145 | $161 | 22.4× |
| Cryptococcus ag titer (87899) | $181 | $201 | 11.3× |
| Cryptosporidium ag eia (87328) | $101 | $112 | 7.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$59–$94 | $66–$104 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $59 | $66 | 7.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $149 | $165 | 19.3× |
| Culture afb (87116) | $112 | $124 | 10.4× |
| Culture Anaerobic (87075) | $165 | $183 | 17.4× |
| Culture blood (87040) range across 5 matching MRF lines |
$212–$254 | $235–$282 | varies |
| Culture csf (87070) range across 3 matching MRF lines |
$138–$145 | $153–$161 | varies |
| Culture fungus (87102) | $149 | $166 | 17.7× |
| Culture screen only (87081) range across 5 matching MRF lines |
$89–$93 | $99–$103 | varies |
| Culture stool (87045) | $118 | $131 | 12.5× |
| Culture typing if ea antiserum (87140) | $103 | $114 | 18.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $181 | $201 | 34.9× |
| Culture urine (87086) | $106 | $118 | 13.1× |
| Cyclosporine (80158) | $237 | $263 | 13.1× |
| Cystatin C (82610) | $107 | $119 | 5.8× |
| Cytogenetics 100-300 (88275) | $409 | $454 | 8.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,760 | $1,955 | 2.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$105–$131 | $117–$145 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$113–$189 | $125–$210 | varies |
| Cytopath Cell Enhance Tech (88112) | $149 | $166 | 2.8× |
| Cytp Concentration Smears & Interpretation (88108) | $140 | $156 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $176 | $196 | 3.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $145 | $161 | 4.8× |
| Deoxyribonuclease antibody (86215) | $98 | $109 | 7.4× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$177–$529 | $197–$588 | varies |
| Detect Agent Nos Dna Quant (87799) | $279 | $310 | 6.5× |
| Detect agnt mult DNA ampli (87801) | $130 | $144 | 1.9× |
| Dgp Antibody Each Ig Class (86258) | $79 | $88 | 6.6× |
| Dhea (82626) | $247 | $274 | 9.8× |
| Dhea-S (82627) | $126 | $140 | 5.7× |
| Digoxin (80162) range across 2 matching MRF lines |
$153–$176 | $170–$195 | varies |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $388 | $431 | 2.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$108–$194 | $120–$215 | varies |
| Dna/Rna Amplified Probe (87150) | $43 | $48 | 1.2× |
| Dna/Rna Sequencing (87153) | $158 | $175 | 1.4× |
| Dpyd gene common variants (81232) | $416 | $462 | 2.4× |
| Drug assay acetaminophen (80143) | $284 | $315 | 15.2× |
| Drug assay adalimumab (80145) | $674 | $749 | 17.5× |
| Drug Assay Lacosamide (80235) | $272 | $302 | 10.0× |
| Drug Asy Hydroxychloroquine (80220) | $435 | $483 | 23.3× |
| Drug Screen Quant Zonisamide (80203) | $288 | $320 | 21.7× |
| Drug Screen Quantitative Gabapentin (80171) | $240 | $267 | 11.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $240 | $267 | 18.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $184 | $204 | 13.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $234 | $260 | 17.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$113 | $125–$126 | 1.8× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 8 matching MRF lines |
$69–$297 | $77–$330 | varies |
| El-1 Fecal Quantitative (82653) | $166 | $184 | 7.2× |
| Electrolyte panel (80051) | $123 | $137 | 17.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $223 | $248 | 18.4× |
| Enterovirus PCR (87498) | $488 | $542 | 13.9× |
| Eosinophil Smear (89190) | $87 | $97 | 15.0× |
| Erythropoietin (82668) | $221 | $246 | 11.8× |
| Estradiol serum (82670) | $215 | $239 | 7.7× |
| Estriol (82677) range across 3 matching MRF lines |
$124–$131 | $138–$145 | varies |
| Estrogens fractionated (82671) range across 3 matching MRF lines |
$81–$195 | $90–$217 | varies |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$84–$96 | $93–$107 | varies |
| F2 Gene (81240) | $304 | $338 | 4.6× |
| Factor ii activity (85210) | $239 | $266 | 18.4× |
| Factor Inhibitor Test (85335) | $108 | $120 | 8.4× |
| Factor v activity (85220) range across 2 matching MRF lines |
$204–$427 | $227–$474 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$285–$295 | $317–$328 | varies |
| Factor viii assay (85240) | $291 | $323 | 16.3× |
| Factor X (85260) | $149 | $165 | 8.3× |
| Fat/Lipids Feces Quantitative (82710) | $163 | $181 | 9.7× |
| Fecal Fat Qualitative (82705) | $195 | $217 | 38.2× |
| Ferritin (82728) | $163 | $181 | 12.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $215 | $239 | 1.4× |
| Fetal screen rosette (85461) | $123 | $137 | 13.1× |
| Fibrin Degradation Quant (85379) | $163 | $181 | 16.0× |
| Fibrinogen activity (85384) | $129 | $143 | 13.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $137 | $152 | 8.9× |
| Flow cytometry first marker (88184) | $131 | $145 | 0.4× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$245–$1,812 | $272–$2,013 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $84 | $93 | 7.0× |
| Folic acid rbc (82747) | $185 | $206 | 10.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$149–$168 | $165–$187 | varies |
| Follicle Stimulating Hormone (83001) | $163 | $181 | 8.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $48 | $53 | 0.3× |
| Frozen Blood Each Unit Thawing (86931) range across 2 matching MRF lines |
$86–$103 | $95–$114 | varies |
| Fungi Identification Mold (87107) | $257 | $286 | 24.9× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$57–$134 | $63–$149 | varies |
| Galactose transferase test (82776) | $78 | $87 | 6.6× |
| Gammaglobulin ige (82785) | $161 | $179 | 9.8× |
| Gardner vag DNA dir probe (87510) | $95 | $106 | 4.7× |
| Gases blood ph only (82800) | $104 | $116 | 9.5× |
| Gastrin (82941) | $215 | $239 | 12.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$96–$464 | $107–$516 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,191 | $1,323 | 1.6× |
| Gentamicin (80170) | $207 | $230 | 12.6× |
| Ggt (82977) | $71 | $79 | 9.9× |
| Giardia antigen (87329) | $113 | $125 | 9.4× |
| Glucose 2 hr pp (82950) | $67 | $74 | 14.1× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$19–$50 | $21–$55 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$67–$79 | $74–$88 | varies |
| Glucose Serum (82947) range across 5 matching MRF lines |
$67–$189 | $74–$210 | varies |
| Glucose tolerance test (gtt) (82951) | $199 | $221 | 15.5× |
| Glycated Protein (82985) | $116 | $129 | 6.9× |
| Gonadotropin Chorionic Qualitative (84703) | $137 | $152 | 18.2× |
| Growth hormone (83003) | $153 | $170 | 9.2× |
| H Pylori (C-13) Breath (83013) | $215 | $239 | 3.2× |
| Haptoglobin (83010) | $95 | $105 | 7.6× |
| Hdl Cholesterol (83718) | $70 | $78 | 8.5× |
| Helicobacter Pylori Stool (87338) | $167 | $185 | 11.6× |
| Hematocrit (85014) | $48 | $53 | 20.3× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$45–$48 | $50–$53 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$94–$101 | $104–$112 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$91–$162 | $101–$180 | varies |
| Hemoglobin electrophoresis (83020) | $123 | $137 | 9.6× |
| Hep a ab igm (86709) | $175 | $194 | 15.5× |
| Heparin assay (85520) | $410 | $456 | 31.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$122–$186 | $135–$207 | varies |
| Hepatitis b core ab igm (86705) | $136 | $151 | 11.6× |
| Hepatitis b core ab total (86704) | $149 | $166 | 12.4× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$20–$140 | $22–$156 | varies |
| Hepatitis B Surface Antigen (87340) | $119 | $132 | 11.5× |
| Hepatitis Be Antibody (86707) | $149 | $166 | 12.9× |
| Hepatitis Be Antigen (87350) | $137 | $152 | 11.9× |
| Hepatitis C Antibody (86803) | $185 | $206 | 13.0× |
| Hepatitis c antibody confirmatory test (86804) | $355 | $394 | 22.9× |
| Hepatitis C Genotype (87902) | $616 | $684 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $432 | $480 | 10.1× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$131–$194 | $145–$216 | varies |
| Heterophile Antibody Screen (86308) | $94 | $104 | 18.1× |
| Hfe Gene (81256) | $656 | $729 | 10.0× |
| Histoplasma antibody (86698) | $152 | $169 | 11.0× |
| Histoplasma antigen urine (87385) | $244 | $271 | 18.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $149 | $166 | 6.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $461 | $512 | 5.4× |
| Hla I Typing 1 Allele Hr (81381) | $389 | $432 | 2.3× |
| Hla-b27 (86812) | $194 | $216 | 7.5× |
| Homocysteine (83090) range across 2 matching MRF lines |
$89–$229 | $99–$254 | varies |
| Hpv High-Risk Types (87624) | $183 | $203 | 5.2× |
| Hsv Dna Amp Probe (87529) | $266 | $296 | 7.6× |
| Htt Gene Detc Abnor Alleles (81271) | $739 | $821 | 5.4× |
| Hydroxyprogesterone 17-d (83498) | $171 | $190 | 6.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $167 | $186 | 12.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$38–$105 | $42–$117 | varies |
| Iaad ia shiga-like toxin (87427) | $88 | $98 | 7.3× |
| Iaadi herpes smplx virus type 1 (87274) | $140 | $155 | 11.7× |
| Iaadi herpes smplx virus type 2 (87273) | $140 | $155 | 11.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $68 | $75 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $325 | $361 | 9.3× |
| Iadna Cytomegalovirus Quantification (87497) | $531 | $590 | 12.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $751 | $834 | 17.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $370 | $411 | 10.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $223 | $248 | 5.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $68 | $75 | 1.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $78 | $87 | 2.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $183 | $203 | 1.3× |
| Ig Light Chains Free Each (83521) | $140 | $156 | 8.1× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$107–$435 | $119–$483 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $990 | $1,100 | 3.4× |
| Immunfix e-phorsis/urine/csf (86335) | $299 | $332 | 10.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$148–$486 | $164–$540 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$29–$95 | $32–$106 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$24–$464 | $27–$515 | varies |
| Immunodiffusion Ouchterlony (86331) | $454 | $504 | 37.9× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$58–$275 | $64–$305 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$169–$205 | $188–$228 | varies |
| In situ hybridization 1st probe stain (88365) | $248 | $276 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $101 | $112 | 6.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$101–$161 | $112–$179 | varies |
| Inhibin A (86336) | $147 | $163 | 9.4× |
| Inhibin b (83520) range across 10 matching MRF lines |
$41–$470 | $46–$522 | varies |
| Insulin total (83525) | $164 | $182 | 14.3× |
| Iron (83540) range across 2 matching MRF lines |
$75–$78 | $83–$87 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$75–$78 | $83–$87 | varies |
| Irradiation Blood Product Each Unit (86945) | $88 | $98 | 2.3× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$72–$145 | $80–$161 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$741–$869 | $823–$966 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$59–$99 | $65–$110 | varies |
| Lactoferrin fecal qualitative (83630) | $116 | $129 | 5.9× |
| Ldh Isoenzymes (83625) | $131 | $146 | 10.2× |
| Lead (83655) | $110 | $122 | 9.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$118–$415 | $131–$461 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $94 | $104 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$107–$129 | $119–$143 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $326 | $362 | 0.9× |
| Lipase (83690) range across 3 matching MRF lines |
$123–$125 | $137–$139 | varies |
| Lipoprotein A (83695) | $134 | $149 | 9.4× |
| Lipoprotein Bld Quan Part (83704) | $270 | $300 | 7.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $91 | $101 | 8.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $124 | $138 | 2.7× |
| Lithium (80178) | $110 | $122 | 16.6× |
| Luteinizing Hormone (Lh) (83002) | $167 | $186 | 9.0× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$185–$208 | $206–$231 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$453–$829 | $503–$921 | varies |
| Macroscopic Exam Parasite (87169) | $42 | $47 | 9.7× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$78–$79 | $87–$88 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$238–$664 | $264–$738 | varies |
| Mercury urine (83825) | $277 | $308 | 17.0× |
| Methylmalonic acid serum (83921) | $439 | $488 | 20.7× |
| Microalbumin, quantitative (82043) | $138 | $153 | 23.9× |
| Microbe Suscept Macrobroth (87188) | $50 | $55 | 7.5× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$124–$164 | $138–$182 | varies |
| Mitochondrial Antibody Each (86381) | $189 | $210 | 7.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $146 | $162 | 6.8× |
| Molecular Pathology Procedure Level 6 (81405) | $1,247 | $1,385 | 4.1× |
| Mononuclear cell antigen (86356) | $113 | $125 | 4.2× |
| Mopath procedure level 2 (81401) | $441 | $490 | 3.2× |
| Mrsa Pcr (87641) | $363 | $403 | 10.3× |
| Mthfr Gene Analysis Common Variants (81291) | $536 | $595 | 8.2× |
| Mucopolysaccharides acid quantitative (83864) | $195 | $217 | 6.8× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$74–$195 | $82–$217 | varies |
| Mycoplasma antibody (86738) | $95 | $106 | 7.2× |
| Myoglobin urine (83874) | $142 | $158 | 11.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$175–$299 | $194–$332 | varies |
| Neutralization Test Viral (86382) range across 4 matching MRF lines |
$158–$347 | $175–$386 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $231 | $257 | 0.9× |
| Niacin (84591) range across 3 matching MRF lines |
$195–$208 | $217–$231 | varies |
| Nk cells total count (86357) range across 2 matching MRF lines |
$59–$176 | $66–$195 | varies |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
$10–$112 | $11–$124 | varies |
| Occult blood feces (82272) | $48 | $53 | 11.3× |
| Occult Blood Other Sources (82271) | $50 | $55 | 9.4× |
| Oligoclonal bands (83916) | $126 | $140 | 4.6× |
| Organic acids urine (83918) | $676 | $751 | 28.6× |
| Osmolality serum (83930) | $120 | $133 | 18.2× |
| Osmolality Urine (83935) | $118 | $131 | 17.3× |
| Ova and parasites smears (87177) | $129 | $143 | 14.5× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$82–$156 | $91–$173 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $134 | $149 | 11.6× |
| Parvovirus antibody (86747) | $98 | $109 | 6.5× |
| Ph urine (81003) | $6 | $7 | 2.7× |
| Phenobarbital Level (80184) | $165 | $183 | 10.8× |
| Phenylalanine (84030) | $88 | $98 | 16.0× |
| Phenytoin (Dilantin) (80185) | $176 | $195 | 13.3× |
| Phenytoin free (80186) | $185 | $206 | 13.4× |
| Phosphatase alkaline (84075) | $62 | $69 | 12.0× |
| Phosphatidylglycerol (84081) | $225 | $250 | 13.6× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$108–$151 | $120–$168 | varies |
| Phosphorus Serum (84100) | $67 | $74 | 14.1× |
| Phosphorus urine (84105) | $94 | $104 | 16.3× |
| Pinworm exam (87172) | $81 | $90 | 19.0× |
| Platelet count automated (85049) | $75 | $83 | 16.7× |
| Platelet neutralization (85597) | $139 | $154 | 7.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $145 | $161 | 9.9× |
| Potassium Urine (84133) | $100 | $111 | 21.1× |
| Prealbumin (84134) | $142 | $158 | 9.7× |
| Pregnenolone (84140) | $257 | $285 | 12.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $131 | $145 | 2.1× |
| Pretx serum rbc antibody identification dilution (86976) | $65 | $72 | 2.2× |
| Primidone (80188) | $134 | $149 | 8.1× |
| Procalcitonin (Pct) (84145) | $257 | $285 | 9.4× |
| Progesterone (84144) range across 2 matching MRF lines |
$107–$116 | $119–$129 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$103–$177 | $114–$197 | varies |
| Prostaglandin (84150) | $158 | $175 | 3.8× |
| Protein body fluid (84157) | $79 | $88 | 19.8× |
| Protein C Activity (85303) | $327 | $363 | 23.6× |
| Protein Electrophoresis Urine (84166) | $146 | $162 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $107 | $119 | 10.0× |
| Protein S Free (85306) range across 2 matching MRF lines |
$93–$347 | $103–$386 | varies |
| Protein s total (85305) | $94 | $104 | 8.1× |
| Protein total serum (84155) range across 2 matching MRF lines |
$79–$81 | $88–$90 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$75–$99 | $83–$110 | varies |
| PSA free (84154) | $116 | $129 | 6.3× |
| Pth Intact (83970) | $248 | $276 | 6.0× |
| Q Fever Antibody (86638) | $220 | $244 | 18.2× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$85–$288 | $94–$320 | varies |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$100–$338 | $111–$375 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$199–$333 | $221–$370 | varies |
| Rbc antibody elution (86860) | $129 | $143 | 0.7× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$22–$161 | $24–$179 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$90–$116 | $100–$129 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$134–$164 | $149–$182 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$109–$130 | $121–$144 | varies |
| Renin activity plasma (84244) | $202 | $224 | 9.2× |
| Resp virus 12-25 targets (87633) | $248 | $276 | 0.6× |
| Reticulocyte separation (86972) | $145 | $161 | 0.8× |
| Rh (86901) range across 3 matching MRF lines |
$49–$62 | $54–$69 | varies |
| Rheumatoid factor quant (86431) | $81 | $90 | 14.3× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$118–$151 | $131–$168 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$282–$384 | $313–$427 | varies |
| Rotavirus ag eia (87425) | $167 | $186 | 13.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$65–$137 | $72–$152 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$24–$186 | $27–$207 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$40–$103 | $44–$114 | varies |
| Russell Viper Venom Time Diluted (85613) | $119 | $132 | 12.4× |
| Salicylate Level (80179) | $131 | $145 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $105 | $117 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$99–$110 | $110–$122 | varies |
| Sedimentation rate (85651) | $59 | $65 | 13.8× |
| Selenium (84255) | $172 | $191 | 6.7× |
| Semen Anal Sperm Detection (89321) | $118 | $131 | 9.8× |
| Sensitivity mic (87186) | $130 | $144 | 15.0× |
| Sex Hormone Binding Globulin (84270) | $136 | $151 | 6.3× |
| Sickling of rbc reduction (85660) | $101 | $112 | 18.3× |
| Sirolimus (80195) | $134 | $149 | 9.8× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$15–$41 | $17–$46 | varies |
| Smear acid fast (87206) | $108 | $120 | 20.0× |
| Smear complex stain (87209) | $96 | $107 | 5.3× |
| Smear gram stain (87205) | $67 | $74 | 15.7× |
| Smear Special Stain (87207) | $129 | $143 | 21.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $81 | $90 | 13.9× |
| Sodium Serum (84295) | $67 | $74 | 13.9× |
| Sodium Urine (84300) | $71 | $79 | 14.0× |
| Soluble Transferrin Receptor (84238) | $239 | $266 | 6.5× |
| Somatomedin (84305) | $211 | $234 | 9.9× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$123–$149 | $137–$166 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$100–$120 | $111–$133 | varies |
| Specific gravity body fluid (84315) | $45 | $50 | 13.7× |
| Specimen infect agnt concntj (87015) | $108 | $120 | 16.2× |
| Stool cultr aerobic bact ea (87046) | $88 | $98 | 9.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$32–$95 | $35–$105 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$61–$142 | $68–$158 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$137–$165 | $152–$183 | varies |
| Surgical pathology level IV (88305) range across 8 matching MRF lines |
$172–$208 | $191–$231 | varies |
| Surgical pathology level vi (88309) | $317 | $352 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $482 | $536 | 101.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $124 | $138 | 16.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $110 | $122 | 2.3× |
| T cells total count (86359) range across 4 matching MRF lines |
$62–$176 | $69–$195 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$116–$257 | $129–$286 | varies |
| T3 reverse (84482) | $184 | $204 | 11.7× |
| T3 Total (84480) | $137 | $152 | 9.7× |
| T3 Uptake (84479) | $100 | $111 | 15.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$93–$103 | $103–$114 | varies |
| T4 total (84436) | $100 | $111 | 14.6× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$207–$269 | $230–$299 | varies |
| Tau phosphorylated each (84393) | $473 | $525 | 3.7× |
| Test for acetone/ketones (82009) | $75 | $83 | 16.6× |
| Testosterone total (84403) range across 3 matching MRF lines |
$130–$318 | $144–$353 | varies |
| Testosterone, Free (84402) | $184 | $204 | 7.2× |
| Theophylline (80198) | $175 | $194 | 12.4× |
| Thiopurine methyltransferase (84433) | $664 | $738 | 30.0× |
| Thrombin Time (85670) | $102 | $113 | 17.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $77 | $86 | 11.9× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$145–$215 | $161–$239 | varies |
| Thyroglobulin Antibody (86800) | $260 | $289 | 16.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $407 | $452 | 8.0× |
| Thyroxine binding globulin (84442) | $145 | $161 | 9.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$122–$132 | $135–$147 | varies |
| Tissue culture bone marrow (88237) | $917 | $1,019 | 6.4× |
| Tobramycin peak (80200) | $87 | $97 | 5.4× |
| Topiramate (80201) | $257 | $285 | 21.6× |
| Touch prep (88161) | $224 | $249 | 7.5× |
| Toxoplasma ab igm (86778) | $110 | $122 | 7.6× |
| Toxoplasma antibody (86777) | $125 | $139 | 8.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $70 | $78 | 13.5× |
| Transferrin (84466) | $142 | $158 | 11.1× |
| Trichomonas vagin dir probe (87660) | $95 | $106 | 4.7× |
| Trichomonas Vaginalis Amplif (87661) | $95 | $106 | 2.7× |
| Triglycerides (84478) range across 3 matching MRF lines |
$57–$70 | $63–$78 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$224–$228 | $249–$253 | varies |
| Tumor Immunohistochem/Manual (88360) | $223 | $248 | 1.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $54 | $60 | 1.8× |
| Urea Nitrogen Clearance (84545) | $98 | $109 | 13.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$74–$103 | $82–$114 | varies |
| Uric acid other source (84560) | $93 | $103 | 18.3× |
| Urinalysis Volume Measure (81050) | $35 | $39 | 9.6× |
| Urine Bacteria Culture (87088) range across 6 matching MRF lines |
$57–$95 | $63–$106 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$23–$42 | $26–$47 | varies |
| Valproic acid (80164) range across 3 matching MRF lines |
$139–$177 | $154–$197 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$45–$200 | $50–$222 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$39–$167 | $43–$186 | varies |
| Vasopressin (84588) | $269 | $299 | 7.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$100–$359 | $111–$399 | varies |
| Virus antibody nos (86790) | $142 | $158 | 11.0× |
| Virus inoculate tissue addl (87253) | $54 | $60 | 2.7× |
| Virus inoculation, shell via (87254) | $221 | $246 | 11.3× |
| Vit D 1 25-Dihydroxy (82652) | $317 | $352 | 8.2× |
| Vitamin A (84590) | $168 | $187 | 14.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$151–$239 | $168–$265 | varies |
| Vitamin B2 (Riboflavin) (84252) | $175 | $194 | 8.6× |
| Vitamin B6 (84207) | $178 | $198 | 6.3× |
| Vitamin c (82180) | $95 | $106 | 9.6× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$237–$239 | $263–$265 | varies |
| Vitamin E (84446) | $207 | $230 | 14.6× |
| Vitamin K (84597) | $346 | $384 | 25.2× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$151–$374 | $168–$415 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $136 | $151 | 15.8× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$147–$178 | $163–$198 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$134–$181 | $149–$201 | varies |
| Zinc (84630) | $180 | $200 | 15.8× |
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.