Lab & pathology prices at Ely - Bloomenson Community Hospital
Ely, MN · every code in this section with a posted price and a Medicare benchmark.
433 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) | $105.30 | $130 | 5.7× |
| Acth (82024) | $219.51 | $271 | 5.7× |
| Actin smooth muscle antibody each (86015) | $35.64 | $44 | 3.0× |
| Acute hepatitis panel (80074) | $432.54 | $534 | 9.1× |
| Acylcarnitines Quant (82017) | $93.15 | $115 | 5.5× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$23.49–$47.79 | $29–$59 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$47.79–$48.60 | $59–$60 | varies |
| Aldolase (82085) | $75.33 | $93 | 7.8× |
| Aldosterone urine (82088) | $72.90 | $90 | 1.8× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$22.68–$29.16 | $28–$36 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$65.61–$68.04 | $81–$84 | varies |
| Alt (sgpt) (84460) | $48.60 | $60 | 9.2× |
| Ammonia (82140) | $161.19 | $199 | 11.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$157.14–$162 | $194–$200 | varies |
| Ana Titer (86039) | $43.74 | $54 | 3.9× |
| Anca screen each antibody (86036) | $69.66 | $86 | 5.8× |
| Androstenedione (82157) | $90.72 | $112 | 3.1× |
| Angiotensin converting enzyme csf (82164) | $69.66 | $86 | 4.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $16.20 | $20 | 1.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $80.19 | $99 | 5.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $106.11 | $131 | 6.3× |
| Antibody Encephalitis California La Crosse (86651) | $38.07 | $47 | 2.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $29.16 | $36 | 2.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$48.60–$60.75 | $60–$75 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$48.60–$72.90 | $60–$90 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $84.24 | $104 | 6.9× |
| Antibody helicobacter pylori (86677) | $189.54 | $234 | 11.2× |
| Antibody Protozoa Nes (86753) | $84.24 | $104 | 6.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$30.78–$33.21 | $38–$41 | varies |
| Antibody; encephalitis, st. louis (86653) | $38.07 | $47 | 2.9× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$8.10–$87.60 | $10–$108.15 | varies |
| Antithrombin iii activity (85300) | $133.65 | $165 | 11.3× |
| Antithrombin iii antigen (85301) | $98.01 | $121 | 9.1× |
| Aspergillus ag eia (87305) | $119.88 | $148 | 10.0× |
| Assay activated protein c (85307) | $331.29 | $409 | 21.6× |
| Assay Blood Carbon Dioxide (82374) | $80.19 | $99 | 16.4× |
| Assay Nephelometry Not Spec (83883) | $188.73 | $233 | 13.9× |
| Assay of 5-hiaa (83497) | $71.28 | $88 | 5.5× |
| Assay of blood/uric acid (84550) | $43.74 | $54 | 9.7× |
| Assay of calcium in urine (82340) | $20.25 | $25 | 3.4× |
| Assay of g6pd enzyme (82955) | $42.12 | $52 | 4.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$76.14–$267.30 | $94–$330 | varies |
| Assay of lactic acid (83605) | $127.17 | $157 | 11.0× |
| Assay of metanephrines (83835) | $29.16 | $36 | 1.7× |
| Assay of serum potassium (84132) | $49.41 | $61 | 10.4× |
| Assay of sweat sodium (84302) | $22.68 | $28 | 4.7× |
| Assay of urea nitrogen (84520) | $48.60 | $60 | 12.3× |
| Assay of vitamin b-1 (84425) | $110.16 | $136 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $124.74 | $154 | 34.8× |
| Assay spec xcp ur&breath ia (82077) | $25.11 | $31 | 1.5× |
| Automated Leukocyte Count (85048) | $48.60 | $60 | 19.1× |
| B cells total count (86355) | $46.98 | $58 | 1.2× |
| Babesia microti amp prb (87469) | $18.63 | $23 | 0.5× |
| Bcr/abl1 gene major bp (81206) | $973.62 | $1,202 | 5.9× |
| Bcr/abl1 gene minor bp (81207) | $946.89 | $1,169 | 6.5× |
| Bcr/Abl1 Gene Other Bp (81208) | $957.42 | $1,182 | 4.5× |
| Beta 2 glycoprotein i antibody each (86146) | $43.74 | $54 | 1.7× |
| Beta hydroxybutyrate (82010) | $136.89 | $169 | 16.8× |
| Beta Lactamase (87185) | $10.53 | $13 | 2.2× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$41.31–$115.02 | $51–$142 | varies |
| Bile acids total (82239) | $197.64 | $244 | 11.5× |
| Bilirubin direct (82248) | $127.17 | $157 | 25.3× |
| Bilirubin total (82247) | $127.17 | $157 | 25.3× |
| Blastomyces antibody (86612) | $81.81 | $101 | 6.3× |
| Bld Typing Serologic Rh Phnt (86906) | $97.20 | $120 | 12.5× |
| Blood Count Automated Differential Wbc Count (85004) | $33.21 | $41 | 5.1× |
| Blood count reticulocyte automated (85045) | $77.76 | $96 | 19.5× |
| Blood gas (82803) | $439.83 | $543 | 16.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $89.10 | $110 | 5.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $36.45 | $45 | 5.7× |
| Blood typing serologic abo (86900) | $77.76 | $96 | 26.0× |
| Body fluid cell count (89050) | $128.79 | $159 | 27.3× |
| Borrelia miyamotoi amp prb (87478) | $18.63 | $23 | 0.5× |
| Breath Alcohol Test (82075) | $42.12 | $52 | 1.4× |
| C diff amplified probe (87493) | $152.28 | $188 | 4.1× |
| C-Peptide (84681) | $153.09 | $189 | 7.4× |
| C-reactive protein (86140) | $162 | $200 | 31.3× |
| Ca 19-9 (86301) | $98.01 | $121 | 4.7× |
| Calcium ionized (82330) | $93.15 | $115 | 6.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$8.10–$47.79 | $10–$59 | varies |
| Calculus Spectroscopy (82365) | $123.12 | $152 | 9.5× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$76.95–$341.01 | $95–$421 | varies |
| Calr gene com variants (81219) | $454.41 | $561 | 3.7× |
| Cancer Antigen 125 (86304) | $161.19 | $199 | 7.7× |
| Cancer Antigen 27.29 (86300) | $104.49 | $129 | 5.0× |
| Candida Dna Dir Probe (87480) | $107.73 | $133 | 5.4× |
| Carbamazepine total (80156) | $123.12 | $152 | 8.5× |
| Carboxyhemoglobin (82375) | $132.03 | $163 | 10.7× |
| Carcinoembryonic antigen (82378) | $21.06 | $26 | 1.1× |
| Cardiolipin ab iga (86147) | $113.40 | $140 | 4.5× |
| Carnitine Quantitative Each Specimen (82379) | $88.29 | $109 | 5.2× |
| Catecholamines fractionated (82384) | $123.12 | $152 | 4.9× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$144.99–$149.85 | $179–$185 | varies |
| Cell count csf (89051) | $189.54 | $234 | 33.8× |
| Cell marker study (88182) range across 2 matching MRF lines |
$147.42–$191.16 | $182–$236 | varies |
| Ceruloplasmin (82390) | $66.42 | $82 | 6.2× |
| Chemiluminescent assay (82397) | $66.42 | $82 | 4.7× |
| Chlamydia antibody (86631) | $45.36 | $56 | 3.8× |
| Chlamydia Igm Antibody (86632) | $47.79 | $59 | 3.8× |
| Chlmy trch&neisra gonor mult (87494) | $28.35 | $35 | 0.4× |
| Chloride other source (82438) | $167.67 | $207 | 33.5× |
| Cholesterol total (82465) | $58.32 | $72 | 13.4× |
| Chorionic gonadotropin test (84702) | $178.20 | $220 | 11.8× |
| Chromogranin a (86316) | $97.20 | $120 | 4.7× |
| Chromosome Analysis 15-20 (88262) | $338.58 | $418 | 2.7× |
| Chromosome Analysis 20-25 (88264) | $2,673 | $3,300 | 18.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $132.84 | $164 | 3.8× |
| Citric acid urine (82507) | $46.98 | $58 | 1.7× |
| Ckmb (82553) | $299.70 | $370 | 25.9× |
| Clostridium Difficile (87324) | $84.24 | $104 | 7.0× |
| Clotting Funct Activity (85397) | $284.31 | $351 | 9.2× |
| Cns DNA amp probe type 12-25 (87483) | $734.67 | $907 | 1.8× |
| Coccidioides antibody (86635) | $79.38 | $98 | 6.9× |
| Collagen crosslinks (82523) | $144.18 | $178 | 7.7× |
| Column Chromotography Quant (82542) | $473.85 | $585 | 19.7× |
| Compatibility test antiglob (86922) | $101.25 | $125 | 0.6× |
| Complement Antigen Each Component (86160) | $104.49 | $129 | 8.7× |
| Complement Total (Ch50) (86162) | $102.87 | $127 | 5.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$54.27–$64.80 | $67–$80 | varies |
| Copper urine (82525) | $79.38 | $98 | 6.4× |
| Cortisol free (82530) | $69.66 | $86 | 4.2× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$116.64–$132.03 | $144–$163 | varies |
| Creatine kinase total (82550) | $127.17 | $157 | 19.5× |
| Creatinine blood (82565) | $48.60 | $60 | 9.5× |
| Creatinine Urine (82570) | $100.44 | $124 | 19.4× |
| Crossmatch immediate spin (86920) | $341.82 | $422 | 1.9× |
| Crp High Sensitivity (86141) | $81.81 | $101 | 6.3× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$6.08–$63.99 | $7.50–$79 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$6.08–$63.99 | $7.50–$79 | varies |
| Cryptococcal Antigen (87327) | $38.07 | $47 | 2.8× |
| Cryptosporidium ag eia (87328) | $98.82 | $122 | 7.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $142.56 | $176 | 17.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$56.70–$80.19 | $70–$99 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$76.14–$141.75 | $94–$175 | varies |
| Culture Anaerobic (87075) | $229.23 | $283 | 24.2× |
| Culture blood (87040) | $243 | $300 | 23.5× |
| Culture csf (87070) | $243 | $300 | 28.2× |
| Culture fungus (87102) range across 2 matching MRF lines |
$132.84–$141.75 | $164–$175 | varies |
| Culture screen only (87081) | $234.90 | $290 | 35.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $35.64 | $44 | 6.9× |
| Culture urine (87086) | $243 | $300 | 30.1× |
| Cyclosporine (80158) | $80.19 | $99 | 4.4× |
| Cystatin C (82610) | $110.16 | $136 | 5.9× |
| Cytogenetics 100-300 (88275) | $87.48 | $108 | 1.7× |
| Cytogenomic neo microra alys (81277) | $3,275.64 | $4,044 | 2.8× |
| Cytomegalovirus igg (86644) | $88.29 | $109 | 6.1× |
| Cytopath Cell Enhance Tech (88112) | $315.90 | $390 | 5.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $322.38 | $398 | 6.0× |
| Deoxyribonuclease antibody (86215) | $84.24 | $104 | 6.4× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$149.85–$153.09 | $185–$189 | varies |
| Detect Agent Nos Dna Quant (87799) | $154.71 | $191 | 3.6× |
| Detect agnt mult DNA ampli (87801) | $536.22 | $662 | 7.6× |
| Dhea-S (82627) | $47.79 | $59 | 2.1× |
| Digoxin (80162) | $246.24 | $304 | 18.5× |
| Dipropylacetic Acid Free (80165) | $102.87 | $127 | 7.6× |
| Dna Antibody Native/Double Stranded (86225) | $41.31 | $51 | 3.0× |
| Dna Antibody Single Stranded (86226) | $84.24 | $104 | 7.0× |
| Dna/Rna Sequencing (87153) | $225.18 | $278 | 2.0× |
| Drug Assay Everolimus (80169) | $67.23 | $83 | 4.9× |
| Drug Assay Infliximab (80230) | $291.60 | $360 | 7.6× |
| Drug Assay Itraconazole (80189) | $104.49 | $129 | 3.9× |
| Drug Assay Lacosamide (80235) | $170.10 | $210 | 6.3× |
| Drug Assay Vedolizumab (80280) | $397.71 | $491 | 10.3× |
| Drug assay voriconazole (80285) | $155.52 | $192 | 5.7× |
| Drug Screen Quant Clozapine (80159) | $54.27 | $67 | 2.7× |
| Drug Screen Quantitative Gabapentin (80171) | $59.94 | $74 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $91.53 | $113 | 6.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $91.53 | $113 | 6.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$277.83–$314.28 | $343–$388 | varies |
| Ehrlichia antibody (86666) | $137.70 | $170 | 13.5× |
| El-1 Fecal Quantitative (82653) | $325.62 | $402 | 14.2× |
| Electrolyte panel (80051) | $149.04 | $184 | 21.3× |
| Encephaltis West Eqne Antbdy (86654) | $38.07 | $47 | 2.9× |
| Enterovirus PCR (87498) | $202.50 | $250 | 5.8× |
| Enzyme cell activity (82657) | $476.28 | $588 | 21.5× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$26.73–$32.40 | $33–$40 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$91.53–$96.39 | $113–$119 | varies |
| Estradiol serum (82670) | $46.17 | $57 | 1.7× |
| Exam Synovial Fluid Crystals (89060) | $72.09 | $89 | 9.8× |
| F2 Gene (81240) | $145.80 | $180 | 2.2× |
| Factor v activity (85220) | $220.32 | $272 | 12.5× |
| Factor v leiden mutation (81241) | $94.77 | $117 | 1.3× |
| Factor vii assay (85230) | $106.11 | $131 | 5.9× |
| Factor viii assay (85240) | $848.07 | $1,047 | 47.4× |
| Fat/Lipids Feces Quantitative (82710) | $80.19 | $99 | 4.8× |
| Ferritin (82728) | $150.66 | $186 | 11.1× |
| Fibrin Degradation Quant (85379) | $150.66 | $186 | 14.8× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$37.26–$208.17 | $46–$257 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $99.63 | $123 | 6.4× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$81–$188.73 | $100–$233 | varies |
| Fluorescent antibody screen (86255) | $102.06 | $126 | 8.5× |
| Folic Acid Serum (82746) | $46.98 | $58 | 3.2× |
| Follicle Stimulating Hormone (83001) | $89.10 | $110 | 4.8× |
| Francisella tularensis (86668) | $250.29 | $309 | 17.7× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $21.06 | $26 | 1.0× |
| Gammaglobulin ige (82785) | $38.07 | $47 | 2.3× |
| Gardner vag DNA dir probe (87510) | $107.73 | $133 | 5.4× |
| Gases blood ph only (82800) | $124.74 | $154 | 11.3× |
| Gastrin (82941) | $54.27 | $67 | 3.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$177.39–$180.63 | $219–$223 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,498.04 | $3,084 | 3.3× |
| Ggt (82977) | $75.33 | $93 | 10.5× |
| Giardia antigen (87329) | $98.82 | $122 | 8.2× |
| Glucagon (82943) | $97.20 | $120 | 6.8× |
| Glucose 2 hr pp (82950) | $62.37 | $77 | 13.1× |
| Glucose Blood Test (82962) | $16.20 | $20 | 4.9× |
| Glucose body fluid (82945) | $133.65 | $165 | 34.0× |
| Glucose Serum (82947) | $48.60 | $60 | 12.4× |
| Glycated Protein (82985) | $41.31 | $51 | 2.5× |
| Gonadotropin Chorionic Qualitative (84703) | $149.04 | $184 | 19.8× |
| Haptoglobin (83010) | $225.18 | $278 | 17.9× |
| Helicobacter Pylori Stool (87338) | $359.64 | $444 | 25.0× |
| Hematocrit (85014) | $48.60 | $60 | 20.5× |
| Hemoglobin (85018) | $57.51 | $71 | 24.3× |
| Hemoglobin a1c (83036) | $93.15 | $115 | 9.6× |
| Hep a ab igm (86709) | $186.30 | $230 | 16.5× |
| Heparin assay (85520) | $108.54 | $134 | 8.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$157.14–$170.91 | $194–$211 | varies |
| Hepatitis b core ab igm (86705) | $31.59 | $39 | 2.7× |
| Hepatitis b core ab total (86704) | $17.01 | $21 | 1.4× |
| Hepatitis B Surface Antibody (86706) | $170.91 | $211 | 15.9× |
| Hepatitis B Surface Antigen (87340) | $83.43 | $103 | 8.1× |
| Hepatitis Be Antibody (86707) | $162.81 | $201 | 14.1× |
| Hepatitis C Antibody (86803) | $122.31 | $151 | 8.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $157.14 | $194 | 3.7× |
| Heterophile Antibody Screen (86308) | $166.86 | $206 | 32.2× |
| Hfe Gene (81256) | $447.93 | $553 | 6.9× |
| Histoplasma antibody (86698) | $59.94 | $74 | 4.3× |
| Histoplasma antigen urine (87385) | $155.52 | $192 | 11.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $164.43 | $203 | 6.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $186.30 | $230 | 2.2× |
| Hla ii typing 1 locus lr (81376) | $237.33 | $293 | 1.9× |
| Hla-b27 (86812) | $75.33 | $93 | 2.9× |
| Homocysteine (83090) | $37.26 | $46 | 2.1× |
| Homogenization Tissue (87176) | $42.12 | $52 | 7.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$123.12–$127.17 | $152–$157 | varies |
| Hydroxyprogesterone 17-d (83498) | $56.70 | $70 | 2.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $134.46 | $166 | 3.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $34.83 | $43 | 1.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $60.75 | $75 | 1.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $35.24 | $43.50 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $124.74 | $154 | 3.6× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$161.19–$164.43 | $199–$203 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $34.83 | $43 | 1.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $202.50 | $250 | 5.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $132.84 | $164 | 3.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $390.42 | $482 | 2.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,454.76 | $1,796 | 5.5× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$7.29–$29.97 | $9–$37 | varies |
| Igg subclasses (82787) | $182.25 | $225 | 22.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,033.56 | $1,276 | 3.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $42.93 | $53 | 0.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$157.95–$181.44 | $195–$224 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $101.66 | $125.50 | 5.5× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$12.15–$84.24 | $15–$104 | varies |
| Immunofixation electrophoresis (86334) | $123.12 | $152 | 5.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$46.17–$263.92 | $57–$325.83 | varies |
| Immunohistochemistry (88342) | $154.71 | $191 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $98.82 | $122 | 0.6× |
| Influenza assay w/optic (87804) | $107.73 | $133 | 6.5× |
| Influenza DNA amp probe (87502) | $297.27 | $367 | 3.1× |
| Inhibin b (83520) | $186.30 | $230 | 10.8× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$77.76–$341.82 | $96–$422 | varies |
| Insulin antibodies (86337) | $54.27 | $67 | 2.5× |
| Interleukin-6 (83529) | $144.18 | $178 | 8.3× |
| Intrinsic factor antibody (86340) | $91.94 | $113.50 | 6.1× |
| Iron (83540) range across 2 matching MRF lines |
$43.74–$102.87 | $54–$127 | varies |
| Islet cell antibody (86341) | $123.93 | $153 | 5.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $624.51 | $771 | 6.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $248.67 | $307 | 2.0× |
| Koh Prep (87220) | $79.38 | $98 | 18.6× |
| Lactate (ld) (ldh) enzyme (83615) | $132.84 | $164 | 22.0× |
| Lactoferrin fecal qualitative (83630) | $87.48 | $108 | 4.4× |
| LDL direct (83721) | $64.80 | $80 | 6.2× |
| Legionella antibody (86713) | $59.94 | $74 | 3.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$158.76–$163.62 | $196–$202 | varies |
| Leptospira antibody (86720) | $186.30 | $230 | 11.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $154.71 | $191 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$55.89–$127.17 | $69–$157 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$213.84–$560.52 | $264–$692 | varies |
| Lipase (83690) | $112.59 | $139 | 16.3× |
| Lipoprotein A (83695) | $46.17 | $57 | 3.2× |
| Lithium (80178) | $104.49 | $129 | 15.8× |
| Luteinizing Hormone (Lh) (83002) | $23.49 | $29 | 1.3× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$153.90–$168.48 | $190–$208 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$457.65–$527.31 | $565–$651 | varies |
| Magnesium Urine (83735) | $127.17 | $157 | 19.0× |
| Metabolic panel ionized ca (80047) | $13.77 | $17 | 1.0× |
| Methylmalonic acid serum (83921) | $177.39 | $219 | 8.4× |
| Microalbumin, quantitative (82043) | $141.75 | $175 | 24.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$33.21–$97.20 | $41–$120 | varies |
| Mitochondrial Antibody Each (86381) | $32.40 | $40 | 1.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $235.71 | $291 | 11.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $75.33 | $93 | 1.8× |
| Mopath procedure level 2 (81401) | $571.05 | $705 | 4.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $314.28 | $388 | 1.7× |
| Mrsa Pcr (87641) | $153.09 | $189 | 4.4× |
| Mumps antibody (86735) | $125.55 | $155 | 9.6× |
| Muscle-Specific Kinase Antb (86366) | $611.55 | $755 | 33.2× |
| Mycophenolic Acid (80180) | $46.98 | $58 | 2.6× |
| Myoglobin urine (83874) | $17.82 | $22 | 1.4× |
| Natriuretic peptide (83880) | $246.24 | $304 | 6.3× |
| Neurofilament light chain (83884) | $992.25 | $1,225 | 8.5× |
| Neutralization Test Viral (86382) | $23.49 | $29 | 1.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $49.82 | $61.50 | 0.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $68.95 | $85.13 | 0.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $517.59 | $639 | 7.2× |
| Nk cells total count (86357) | $113.40 | $140 | 3.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$38.07–$84.24 | $47–$104 | varies |
| Occult blood feces (82272) | $53.46 | $66 | 12.6× |
| Occult Blood Other Sources (82271) | $60.75 | $75 | 11.4× |
| Oligoclonal bands (83916) | $104.49 | $129 | 3.8× |
| Osmolality serum (83930) | $7.29 | $9 | 1.1× |
| Osmolality Urine (83935) | $94.77 | $117 | 13.9× |
| Ova and parasites smears (87177) | $37.67 | $46.50 | 4.2× |
| Parvovirus antibody (86747) | $77.76 | $96 | 5.2× |
| Ph urine (81003) | $126.36 | $156 | 56.2× |
| Phenobarbital Level (80184) | $16.20 | $20 | 1.1× |
| Phenytoin (Dilantin) (80185) | $285.93 | $353 | 21.6× |
| Phosphatase alkaline (84075) | $47.79 | $59 | 9.2× |
| Phosphorus Serum (84100) | $127.17 | $157 | 26.8× |
| Pinworm exam (87172) | $38.88 | $48 | 9.1× |
| Platelet Antibodies (86022) | $208.17 | $257 | 11.3× |
| Platelet count automated (85049) | $46.98 | $58 | 10.5× |
| Potassium Urine (84133) | $42.12 | $52 | 8.9× |
| Prealbumin (84134) | $68.04 | $84 | 4.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $98.82 | $122 | 1.6× |
| Primidone (80188) | $16.20 | $20 | 1.0× |
| Procalcitonin (Pct) (84145) | $183.87 | $227 | 6.8× |
| Progesterone (84144) | $46.98 | $58 | 2.3× |
| Prolactin (84146) | $94.77 | $117 | 4.9× |
| Prostaglandin (84150) | $135.33 | $167.08 | 3.2× |
| Protein body fluid (84157) | $129.60 | $160 | 32.4× |
| Protein C Activity (85303) | $133.65 | $165 | 9.7× |
| Protein Electrophoresis Urine (84166) | $153.09 | $189 | 8.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $149.04 | $184 | 13.9× |
| Protein S Free (85306) | $39.69 | $49 | 2.6× |
| Protein total serum (84155) | $144.18 | $178 | 39.3× |
| Protein Total Urine (84156) | $161.19 | $199 | 43.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $120.69 | $149 | 30.6× |
| Protoporphyrin rbc quantitative (84202) | $51.03 | $63 | 3.6× |
| PSA free (84154) | $32.40 | $40 | 1.8× |
| Pth Intact (83970) | $108.54 | $134 | 2.6× |
| Quantiferon tb gold plus (86480) | $157.95 | $195 | 2.5× |
| Quantitative assay drug (80299) | $94.77 | $117 | 5.1× |
| Rbc antibody elution (86860) | $306.18 | $378 | 1.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$131.22–$348.30 | $162–$430 | varies |
| Rbc antibody screen (86850) | $146.61 | $181 | 15.0× |
| Renin activity plasma (84244) | $44.55 | $55 | 2.0× |
| Reptilase test (85635) | $86.67 | $107 | 8.8× |
| Resp Virus 6-11 Targets (87632) | $364.50 | $450 | 1.7× |
| Reticulocyte Count (85046) | $39.69 | $49 | 7.1× |
| Rh (86901) | $77.76 | $96 | 26.0× |
| Rheumatoid factor quant (86431) | $81.81 | $101 | 14.4× |
| Rickettsia antibody (86757) | $43.74 | $54 | 2.3× |
| Rpr qualitative (86592) | $20.25 | $25 | 4.7× |
| Rubella Antibody (86762) | $25.92 | $32 | 1.8× |
| Rubeola antibody (86765) | $62.37 | $77 | 4.8× |
| Russell Viper Venom Time Diluted (85613) | $78.57 | $97 | 8.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$113.40–$310.23 | $140–$383 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$85.05–$289.17 | $105–$357 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $162.81 | $201 | 3.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $377.46 | $466 | 2.6× |
| Sedimentation Rate, Automated (85652) | $92.34 | $114 | 34.2× |
| Sensitivity mic (87186) | $104.49 | $129 | 12.1× |
| Sex Hormone Binding Globulin (84270) | $45.36 | $56 | 2.1× |
| Sickling of rbc reduction (85660) | $90.72 | $112 | 16.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$57.51–$131.22 | $71–$162 | varies |
| Smear complex stain (87209) | $37.67 | $46.50 | 2.1× |
| Smear gram stain (87205) | $92.34 | $114 | 21.6× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$68.85–$192.78 | $85–$238 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $92.34 | $114 | 15.9× |
| Sodium Serum (84295) | $48.60 | $60 | 10.1× |
| Sodium Urine (84300) | $100.44 | $124 | 19.8× |
| Soluble fibrin monomer (85366) | $152.28 | $188 | 1.9× |
| Somatostatin (84307) | $276.21 | $341 | 15.1× |
| Special Stains Group 1 (88312) | $90.72 | $112 | 1.7× |
| Special Stains Group 2 (88313) | $90.72 | $112 | 0.7× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$25.92–$89.10 | $32–$110 | varies |
| Spectrophotometry (84311) | $17.01 | $21 | 2.1× |
| Strep a assay w/optic (87880) | $80.19 | $99 | 4.9× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$95.58–$377.46 | $118–$466 | varies |
| Sugars Single Qual (84376) | $38.07 | $47 | 6.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$55.89–$164.43 | $69–$203 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$157.14–$274.59 | $194–$339 | varies |
| Surgical pathology level vi (88309) | $845.64 | $1,044 | 1.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $162 | $200 | 3.4× |
| T cells total count (86359) | $157.95 | $195 | 4.2× |
| T3 Free (84481) | $116.64 | $144 | 6.9× |
| T3 Total (84480) | $133.65 | $165 | 9.4× |
| T4 Free (84439) | $146.61 | $181 | 16.3× |
| T4 total (84436) | $80.19 | $99 | 11.7× |
| Tacrolimus (80197) | $68.85 | $85 | 5.0× |
| Tau phosphorylated each (84393) | $668.25 | $825 | 5.2× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$127.17–$131.22 | $157–$162 | varies |
| Testosterone Bioavailable (84410) | $43.74 | $54 | 0.9× |
| Testosterone total (84403) | $36.45 | $45 | 1.4× |
| Testosterone, Free (84402) | $21.06 | $26 | 0.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$17.01–$106.92 | $21–$132 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $128.79 | $159 | 19.9× |
| Thyroglobulin (84432) | $57.51 | $71 | 3.6× |
| Thyroglobulin Antibody (86800) | $57.51 | $71 | 3.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $215.46 | $266 | 4.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $47.79 | $59 | 4.1× |
| Tissue culture bone marrow (88237) | $2,673 | $3,300 | 18.6× |
| Tissue Culture Lymphocyte (88230) | $87.48 | $108 | 0.8× |
| Topiramate (80201) | $165.24 | $204 | 13.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48.60 | $60 | 9.4× |
| Transferrin (84466) | $87.48 | $108 | 6.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $427.68 | $528 | 2.0× |
| Trg gene rearrangement anal (81342) | $438.21 | $541 | 2.2× |
| Trichomonas vagin dir probe (87660) | $107.73 | $133 | 5.4× |
| Trichomonas Vaginalis Amplif (87661) | $35.24 | $43.50 | 1.0× |
| Triglycerides (84478) | $97.20 | $120 | 16.9× |
| Troponin Quant (84484) | $245.43 | $303 | 19.7× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$100.44–$296.46 | $124–$366 | varies |
| Urea nitrogen urine (84540) | $11.34 | $14 | 2.0× |
| Urinalysis Microscopic Only (81015) | $24.30 | $30 | 8.0× |
| Urine Pregnancy Test (81025) | $162 | $200 | 18.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $216.27 | $267 | 68.2× |
| Valproic acid (80164) | $112.59 | $139 | 8.3× |
| Vancomycin (80202) | $266.49 | $329 | 19.7× |
| Varicella-zoster antibody (86787) | $80.19 | $99 | 6.2× |
| Virus antibody nos (86790) | $76.14 | $94 | 5.9× |
| Viscosity serum (85810) | $80.19 | $99 | 6.9× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$130.41–$140.13 | $161–$173 | varies |
| Vitamin A (84590) | $52.65 | $65 | 4.5× |
| Vitamin b-12 (82607) | $102.87 | $127 | 6.8× |
| Vitamin B6 (84207) | $35.64 | $44 | 1.3× |
| Vitamin D 25-Hydroxy (82306) | $200.07 | $247 | 6.8× |
| Von willebrand factor ag (85246) | $848.07 | $1,047 | 37.0× |
| West nile virus ab igm (86788) | $92.34 | $114 | 5.5× |
| West Nile Virus Antibody (86789) | $210.60 | $260 | 14.6× |
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.