Lab & pathology prices at Evans Memorial Hospital
Claxton, GA · every code in this section with a posted price and a Medicare benchmark.
531 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | — | $170 | — |
| Acth (82024) | — | $480 | — |
| Acute hepatitis panel (80074) | — | $595 | — |
| Albumin Fluid (82042) | — | $150 | — |
| Albumin serum (82040) | — | $150 | — |
| Aldolase (82085) | — | $250 | — |
| Aldosterone urine (82088) range across 3 matching MRF lines |
— | $185–$545 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $270 | — |
| Allergen specific ige (86003) range across 170 matching MRF lines |
— | $140–$170 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $310 | — |
| Alpha-1-antitrypsin total (82103) | — | $490 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $230 | — |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
— | $150–$330 | — |
| Alt (sgpt) (84460) | — | $185 | — |
| Aluminum (82108) | — | $250 | — |
| Amikacin trough (80150) | — | $285 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $1,125 | — |
| Aminolevulinic acid (ala) (82135) | — | $610 | — |
| Ammonia (82140) | — | $425 | — |
| Amylase urine (82150) range across 4 matching MRF lines |
— | $310–$335 | — |
| Ana Titer (86039) range across 2 matching MRF lines |
— | $115–$270 | — |
| Androstenedione (82157) | — | $90 | — |
| Angiotensin converting enzyme csf (82164) | — | $255 | — |
| Antibody aspergillus (86606) | — | $220 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
— | $65–$610 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
— | $105–$560 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $330 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $180 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $150 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $105–$185 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $225 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $380 | — |
| Antibody haemophilus influenza (86684) | — | $360 | — |
| Antibody helicobacter pylori (86677) | — | $270 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $205 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $140 | — |
| Antibody identification leukocyte antibodies (86021) | — | $115 | — |
| Antibody nocardia (86744) | — | $275 | — |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
— | $250–$310 | — |
| Antibody Titer (86886) | — | $230 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $225–$330 | — |
| Antibody; encephalitis, st. louis (86653) | — | $180 | — |
| Antibody; influenza virus (86710) | — | $360 | — |
| Antigen typing (86905) range across 2 matching MRF lines |
— | $75–$225 | — |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | — | $45 | — |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
— | $270–$435 | — |
| Antistreptolysin O Screen (86063) | — | $105 | — |
| Antistreptolysin o titer (86060) | — | $185 | — |
| Antithrombin iii activity (85300) | — | $390 | — |
| Antithrombin iii antigen (85301) | — | $310 | — |
| Arsenic (82175) range across 3 matching MRF lines |
— | $170–$630 | — |
| Assay Blood Carbon Dioxide (82374) range across 4 matching MRF lines |
— | $140–$380 | — |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
— | $115–$390 | — |
| Assay of 5-hiaa (83497) | — | $310 | — |
| Assay of blood/uric acid (84550) | — | $205 | — |
| Assay of cpk in blood (82552) | — | $330 | — |
| Assay of estrone (82679) | — | $430 | — |
| Assay of g6pd enzyme (82955) | — | $285 | — |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
— | $100–$330 | — |
| Assay of lactic acid (83605) | — | $305 | — |
| Assay of manganese (83785) | — | $330 | — |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
— | $380–$1,640 | — |
| Assay of proinsulin (84206) | — | $540 | — |
| Assay of pyruvate (84210) | — | $700 | — |
| Assay of semen fructose (82757) | — | $380 | — |
| Assay of serotonin (84260) | — | $655 | — |
| Assay of serum potassium (84132) | — | $150 | — |
| Assay of Sialic Acid (84275) | — | $500 | — |
| Assay of sweat sodium (84302) | — | $150 | — |
| Assay of urea nitrogen (84520) | — | $155 | — |
| Assay of urine vma (84585) | — | $330 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $480 | — |
| Assay of vitamin b-1 (84425) | — | $330 | — |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
— | $65–$330 | — |
| Automated Leukocyte Count (85048) | — | $100 | — |
| Bartonella antibody (86611) | — | $385 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $130 | — |
| Beta hydroxybutyrate (82010) | — | $150 | — |
| Beta-2 Microglobulin (82232) | — | $285 | — |
| Bilirubin direct (82248) | — | $185 | — |
| Bilirubin total (82247) | — | $185 | — |
| Blastomyces antibody (86612) | — | $220 | — |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | — | $750 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $155 | — |
| Bleeding time test (85002) | — | $205 | — |
| Blood Count Automated Differential Wbc Count (85004) | — | $155 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $100 | — |
| Blood count reticulocyte automated (85045) | — | $155 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $90 | — |
| Blood gas (82803) | — | $490 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
— | $100–$140 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $750 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $115 | — |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
— | $65–$225 | — |
| Body fluid cell count (89050) range across 7 matching MRF lines |
— | $100–$140 | — |
| Bordetella antibody (86615) | — | $230 | — |
| Brucella antibody (86622) | — | $205 | — |
| C diff amplified probe (87493) range across 2 matching MRF lines |
— | $285–$545 | — |
| C-Peptide (84681) | — | $430 | — |
| C-reactive protein (86140) | — | $155 | — |
| Ca 19-9 (86301) | — | $380 | — |
| Cadmium (82300) | — | $90 | — |
| Calcitonin (82308) | — | $430 | — |
| Calcium ionized (82330) | — | $205 | — |
| Calcium total (82310) | — | $155 | — |
| Calculus Spectroscopy (82365) | — | $310 | — |
| Calprotectin Fecal (83993) | — | $130 | — |
| Cancer Antigen 125 (86304) | — | $380 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $360–$390 | — |
| Candida antibody (86628) | — | $140 | — |
| Carbamazepine total (80156) | — | $330 | — |
| Carbohydrate Deficient Transferrin (82373) | — | $220 | — |
| Carboxyhemoglobin (82375) | — | $250 | — |
| Carcinoembryonic antigen (82378) | — | $380 | — |
| Cardiolipin ab iga (86147) | — | $170 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $430 | — |
| Carotene (82380) | — | $270 | — |
| Catecholamines fractionated (82384) | — | $430 | — |
| Ccp antibody (86200) | — | $490 | — |
| Cell count csf (89051) | — | $140 | — |
| Cell marker study (88182) range across 2 matching MRF lines |
— | $155–$930 | — |
| Ceruloplasmin (82390) | — | $250 | — |
| Cftr gene full sequence (81223) range across 6 matching MRF lines |
— | $85–$760 | — |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
— | $100–$225 | — |
| Chlamydia antibody (86631) | — | $155 | — |
| Chlamydia Igm Antibody (86632) | — | $155 | — |
| Chloride other source (82438) | — | $150 | — |
| Chloride Serum (82435) | — | $150 | — |
| Chloride urine (82436) | — | $150 | — |
| Cholesterol total (82465) | — | $185 | — |
| Cholinesterase rbc (82482) | — | $330 | — |
| Cholinesterase Serum (82480) | — | $330 | — |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
— | $90–$330 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $700 | — |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | — | $1,560 | — |
| Chromium serum (82495) | — | $125 | — |
| Chromogranin a (86316) range across 3 matching MRF lines |
— | $275–$635 | — |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
— | $700–$1,080 | — |
| Chromosome Analysis 20-25 (88264) | — | $1,080 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
— | $230–$390 | — |
| Citric acid urine (82507) | — | $480 | — |
| Ckmb (82553) | — | $305 | — |
| Clostridium Difficile (87324) | — | $150 | — |
| Coagulation time; Lee and White Facility (85345) | — | $205 | — |
| Coccidioides antibody (86635) | — | $220 | — |
| Cold agglutinin titer (86157) | — | $225 | — |
| Collagen crosslinks (82523) | — | $745 | — |
| Compatibility Each Unit Incubation (86921) | — | $225 | — |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
— | $155–$275 | — |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
— | $205–$385 | — |
| Complement Total (Ch50) (86162) | — | $330 | — |
| Complement/Function Activity (86161) | — | $330 | — |
| Coombs direct (86880) range across 2 matching MRF lines |
— | $90–$185 | — |
| Copper urine (82525) | — | $230 | — |
| Cortisol free (82530) range across 2 matching MRF lines |
— | $390–$940 | — |
| Cortisol saliva (82533) | — | $330 | — |
| Creatine (82540) | — | $330 | — |
| Creatine kinase total (82550) | — | $220 | — |
| Creatinine blood (82565) | — | $155 | — |
| Creatinine clearance (82575) | — | $225 | — |
| Creatinine Urine (82570) | — | $155 | — |
| Crossmatch immediate spin (86920) | — | $275 | — |
| Crp High Sensitivity (86141) | — | $480 | — |
| Cryofibrinogen (82585) | — | $480 | — |
| Cryoglobulin (82595) | — | $140 | — |
| Cryptococcus ab (86641) | — | $90 | — |
| Cryptococcus ag titer (87899) | — | $785 | — |
| Cryptosporidium ag eia (87328) | — | $140 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $70 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $70 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $320 | — |
| Culture afb (87116) | — | $250 | — |
| Culture Anaerobic (87075) | — | $320 | — |
| Culture blood (87040) | — | $310 | — |
| Culture csf (87070) range across 11 matching MRF lines |
— | $230–$320 | — |
| Culture fungus (87102) range across 2 matching MRF lines |
— | $70–$320 | — |
| Culture fungus blood (87103) | — | $320 | — |
| Culture screen only (87081) range across 4 matching MRF lines |
— | $140–$230 | — |
| Culture stool (87045) range across 2 matching MRF lines |
— | $80–$105 | — |
| Culture typing other methods (87158) | — | $55 | — |
| Culture urine (87086) | — | $230 | — |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | — | $200 | — |
| Cyclosporine (80158) | — | $480 | — |
| Cystatin C (82610) | — | $155 | — |
| Cytogenetics 100-300 (88275) | — | $200 | — |
| Cytomegalovirus igg (86644) | — | $285 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $105 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $90 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $180 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $90 | — |
| Deoxyribonuclease antibody (86215) | — | $270 | — |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
— | $105–$680 | — |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
— | $745–$1,155 | — |
| Dhea (82626) | — | $360 | — |
| Dhea-S (82627) | — | $360 | — |
| Digoxin (80162) | — | $380 | — |
| Diphtheria antitoxoid (86648) | — | $360 | — |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
— | $285–$360 | — |
| Dna Antibody Single Stranded (86226) | — | $285 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $360 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $595 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
— | $335–$380 | — |
| Drug Screen Quantitative Tiagabine (80199) | — | $480 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
— | $85–$745 | — |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
— | $165–$310 | — |
| Electrolyte panel (80051) | — | $360 | — |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
— | $360–$680 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $180 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $180 | — |
| Enterovirus Antibody (86658) | — | $140 | — |
| Enterovirus PCR (87498) | — | $1,180 | — |
| Eosinophil Smear (89190) | — | $155 | — |
| Erythropoietin (82668) | — | $380 | — |
| Estradiol serum (82670) | — | $465 | — |
| Estriol (82677) range across 2 matching MRF lines |
— | $250–$360 | — |
| Ethosuximide (80168) | — | $305 | — |
| Ethylene Glycol (82693) | — | $390 | — |
| Exam Synovial Fluid Crystals (89060) | — | $185 | — |
| F2 Gene (81240) | — | $310 | — |
| Factor Inhibitor Test (85335) | — | $560 | — |
| Factor v activity (85220) | — | $425 | — |
| Factor v leiden mutation (81241) | — | $310 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $140–$225 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | — | $450 | — |
| Fecal Fat Qualitative (82705) | — | $185 | — |
| Ferritin (82728) | — | $225 | — |
| Fetal Fibronectin (82731) | — | $1,560 | — |
| Fetal screen rosette (85461) | — | $140 | — |
| Fibrin degradation products (85362) | — | $250 | — |
| Fibrin Degradation Quant (85379) | — | $360 | — |
| Fibrinogen activity (85384) | — | $225 | — |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | — | $330 | — |
| Flow cytometry first marker (88184) | — | $390 | — |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
— | $130–$930 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | — | $185 | — |
| Folic acid rbc (82747) | — | $255 | — |
| Folic Acid Serum (82746) | — | $200 | — |
| Follicle Stimulating Hormone (83001) | — | $390 | — |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
— | $610–$820 | — |
| Gastric Analy W/Ph Ea Spec (82930) | — | $330 | — |
| Gastrin (82941) | — | $270 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $1,560 | — |
| Gentamicin (80170) | — | $330 | — |
| Ggt (82977) | — | $185 | — |
| Giardia antigen (87329) | — | $140 | — |
| Giardia lamblia antibody (86674) | — | $285 | — |
| Glucagon (82943) | — | $360 | — |
| Glucose 2 hr pp (82950) | — | $150 | — |
| Glucose body fluid (82945) | — | $150 | — |
| Glucose Serum (82947) | — | $150 | — |
| Glucose tolerance test (gtt) (82951) | — | $185 | — |
| Glycated Protein (82985) | — | $225 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $200 | — |
| Growth hormone (83003) | — | $330 | — |
| Gtt-added samples (82952) | — | $150 | — |
| H Pylori (C-13) Breath (83013) | — | $150 | — |
| Haloperidol (80173) | — | $385 | — |
| Haptoglobin (83010) | — | $270 | — |
| Hdl Cholesterol (83718) | — | $140 | — |
| Heavy metal qualitative any analytes (83015) | — | $205 | — |
| Helicobacter Pylori Stool (87338) | — | $585 | — |
| Helminth Antibody (86682) | — | $825 | — |
| Hematocrit (85014) range across 2 matching MRF lines |
— | $100–$320 | — |
| Hemoglobin (85018) | — | $100 | — |
| Hemoglobin a1c (83036) | — | $255 | — |
| Hemoglobin Chromotography (83021) | — | $330 | — |
| Hemolysins&Agglutinins Incubated (86941) | — | $390 | — |
| Hep a ab igm (86709) | — | $105 | — |
| Heparin assay (85520) | — | $410 | — |
| Hepatitis a antibody total (86708) | — | $380 | — |
| Hepatitis b core ab igm (86705) | — | $115 | — |
| Hepatitis b core ab total (86704) | — | $250 | — |
| Hepatitis B Surface Antibody (86706) | — | $250 | — |
| Hepatitis B Surface Antigen (87340) | — | $250 | — |
| Hepatitis Be Antibody (86707) | — | $250 | — |
| Hepatitis Be Antigen (87350) | — | $250 | — |
| Hepatitis C Antibody (86803) | — | $285 | — |
| Hepatitis C Genotype (87902) | — | $940 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
— | $200–$970 | — |
| Hepatitis Delta Agent Antibody (86692) | — | $820 | — |
| Herpes simplex type 2 (86696) | — | $205 | — |
| Heterophile Antibody Screen (86308) | — | $185 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $760 | — |
| Histamine urine (83088) | — | $515 | — |
| Histoplasma antibody (86698) | — | $220 | — |
| Hiv Genotype (87901) | — | $1,405 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $105 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $845 | — |
| Hla Class I Typing Low Resolution One Locus Each (81373) | — | $285 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $285 | — |
| Hla-b27 (86812) | — | $435 | — |
| Homocysteine (83090) | — | $530 | — |
| Hsv Dna Quant (87530) range across 2 matching MRF lines |
— | $500–$980 | — |
| Hydroxyprogesterone 17-d (83498) | — | $390 | — |
| Hydroxyproline free (83500) | — | $750 | — |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | — | $205 | — |
| Iaad Ia Entamoeba Histolytica Grp (87337) | — | $90 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $335 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $260 | — |
| Iaad ia shiga-like toxin (87427) | — | $80 | — |
| Iaad Ia Streptococcus Group A (87430) | — | $100 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $105 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | — | $200 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $655 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $1,560 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $845 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
— | $230–$390 | — |
| Igg subclasses (82787) | — | $115 | — |
| Immune Complex Assay (86332) | — | $545 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 9 matching MRF lines |
— | $130–$915 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | — | $65 | — |
| Immunoassay nonantibody (83516) range across 15 matching MRF lines |
— | $115–$680 | — |
| Immunodiffusion Ouchterlony (86331) | — | $200 | — |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
— | $225–$390 | — |
| Immunohistochemistry (88342) | — | $180 | — |
| In situ hybridization 1st probe stain (88365) | — | $330 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | — | $250 | — |
| Influenza a/b ag eia (87400) | — | $140 | — |
| Inhibin A (86336) | — | $250 | — |
| Inhibin b (83520) range across 13 matching MRF lines |
— | $80–$905 | — |
| Insulin antibodies (86337) | — | $430 | — |
| Insulin total (83525) | — | $250 | — |
| Intrinsic factor antibody (86340) | — | $275 | — |
| Iron (83540) | — | $125 | — |
| Iron Binding Capacity (83550) | — | $275 | — |
| Islet cell antibody (86341) range across 2 matching MRF lines |
— | $390–$1,110 | — |
| Ketosteroids 17 total (83586) range across 3 matching MRF lines |
— | $285–$330 | — |
| Koh Prep (87220) | — | $105 | — |
| L/s ratio (83661) | — | $435 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $220 | — |
| Lactoferrin fecal qualitative (83630) | — | $115 | — |
| Ldh Isoenzymes (83625) | — | $330 | — |
| LDL direct (83721) | — | $150 | — |
| Lead (83655) | — | $250 | — |
| Legionella antibody (86713) | — | $530 | — |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
— | $80–$310 | — |
| Legionella pneumophila dfa (87278) | — | $275 | — |
| Leukocyte Histamine Release (86343) | — | $360 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $55 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $270 | — |
| Lipase (83690) | — | $310 | — |
| Lipoprotein A (83695) | — | $380 | — |
| Lipoprotein Bld Quan Part (83704) | — | $430 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $230 | — |
| Lithium (80178) | — | $205 | — |
| Luteinizing Hormone (Lh) (83002) | — | $380 | — |
| Lysozyme serum (85549) | — | $270 | — |
| Magnesium Urine (83735) range across 4 matching MRF lines |
— | $170–$785 | — |
| Mercury urine (83825) range across 2 matching MRF lines |
— | $200–$330 | — |
| Metabolic panel ionized ca (80047) | — | $155 | — |
| Methylmalonic acid serum (83921) | — | $545 | — |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
— | $155–$285 | — |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
— | $270–$360 | — |
| Molecular Cytogenetics Dna Probe Each (88271) | — | $350 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | — | $570 | — |
| Mononuclear cell antigen (86356) | — | $390 | — |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
— | $545–$2,050 | — |
| Mucopolysaccharides acid quantitative (83864) | — | $270 | — |
| Mumps antibody (86735) | — | $380 | — |
| Mycoplasma antibody (86738) | — | $250 | — |
| Myelin basic protein csf (83873) | — | $530 | — |
| Myoglobin urine (83874) | — | $330 | — |
| Natriuretic peptide (83880) | — | $435 | — |
| Neisseria Dir Na Probe (87590) | — | $200 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $380 | — |
| Niacin (84591) | — | $515 | — |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
— | $115–$335 | — |
| Occult blood feces (82272) | — | $140 | — |
| Occult Blood Other Sources (82271) | — | $140 | — |
| Oligoclonal bands (83916) | — | $430 | — |
| Organic acids urine (83918) | — | $1,125 | — |
| Osmolality serum (83930) | — | $205 | — |
| Osmolality Urine (83935) | — | $205 | — |
| Osteocalcin (83937) | — | $305 | — |
| Ova and parasites smears (87177) | — | $140 | — |
| Oxalate urine (83945) | — | $205 | — |
| Pancreatic Elastase Fecal (82656) | — | $915 | — |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
— | $155–$250 | — |
| Ph urine (81003) range across 2 matching MRF lines |
— | $100–$130 | — |
| Phenobarbital Level (80184) | — | $330 | — |
| Phenylalanine (84030) | — | $270 | — |
| Phenytoin (Dilantin) (80185) | — | $330 | — |
| Phenytoin free (80186) | — | $275 | — |
| Phosphatase acid prostatic (84066) | — | $480 | — |
| Phosphatase alkaline (84075) | — | $155 | — |
| Phosphorus Serum (84100) | — | $155 | — |
| Phosphorus urine (84105) | — | $155 | — |
| Pinworm exam (87172) | — | $140 | — |
| Platelet Aggregation (85576) | — | $225 | — |
| Platelet Antibodies (86022) | — | $380 | — |
| Platelet count automated (85049) | — | $115 | — |
| Porphobilinogen Urine Qualitative (84106) | — | $305 | — |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
— | $380–$450 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
— | $270–$305 | — |
| Potassium Urine (84133) | — | $150 | — |
| Prealbumin (84134) | — | $285 | — |
| Pregnenolone (84140) | — | $225 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $165 | — |
| Primidone (80188) | — | $390 | — |
| Procalcitonin (Pct) (84145) | — | $430 | — |
| Progesterone (84144) | — | $380 | — |
| Prolactin (84146) | — | $425 | — |
| Protein body fluid (84157) | — | $140 | — |
| Protein C Activity (85303) | — | $360 | — |
| Protein c antigen (85302) | — | $360 | — |
| Protein Electrophoresis Urine (84166) | — | $390 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
— | $140–$310 | — |
| Protein S Free (85306) range across 2 matching MRF lines |
— | $150–$360 | — |
| Protein s total (85305) | — | $360 | — |
| Protein total serum (84155) range across 4 matching MRF lines |
— | $55–$390 | — |
| Protein Total Urine (84156) | — | $155 | — |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
— | $1,100–$1,180 | — |
| Protoporphyrin rbc quantitative (84202) | — | $270 | — |
| PSA free (84154) | — | $220 | — |
| Pth Intact (83970) range across 2 matching MRF lines |
— | $545–$610 | — |
| Q Fever Antibody (86638) | — | $545 | — |
| Quantiferon tb gold plus (86480) | — | $380 | — |
| Quantitative assay drug (80299) range across 20 matching MRF lines |
— | $185–$785 | — |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
— | $150–$205 | — |
| Quinidine (80194) | — | $285 | — |
| Rbc antibody elution (86860) | — | $205 | — |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
— | $165–$170 | — |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
— | $95–$230 | — |
| Rbc pretreatment serum (86978) | — | $130 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $45 | — |
| Reagent Strip/Blood Glucose (82948) range across 7 matching MRF lines |
— | $120–$170 | — |
| Receptor assay estrogen (84233) | — | $565 | — |
| Renin activity plasma (84244) range across 2 matching MRF lines |
— | $115–$425 | — |
| Reticulocyte separation (86972) | — | $865 | — |
| Rh (86901) range across 3 matching MRF lines |
— | $75–$90 | — |
| Rheumatoid Factor Qualitative (86430) range across 3 matching MRF lines |
— | $90–$200 | — |
| Rheumatoid factor quant (86431) | — | $200 | — |
| Rickettsia antibody (86757) | — | $180 | — |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
— | $225–$530 | — |
| Rotavirus ag eia (87425) | — | $380 | — |
| Rpr qualitative (86592) | — | $150 | — |
| Rsv ab (86756) | — | $180 | — |
| Rubella Antibody (86762) | — | $205 | — |
| Rubeola antibody (86765) | — | $270 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $260 | — |
| Sedimentation rate (85651) | — | $170 | — |
| Selenium (84255) | — | $150 | — |
| Semen Anal Sperm Detection (89321) | — | $115 | — |
| Semen analysis complete (89320) | — | $330 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $130–$200 | — |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
— | $140–$170 | — |
| Sickling of rbc reduction (85660) | — | $220 | — |
| Sirolimus (80195) | — | $585 | — |
| Skin test tuberculosis intradermal (86580) | — | $100 | — |
| Smear acid fast (87206) | — | $140 | — |
| Smear complex stain (87209) | — | $185 | — |
| Smear gram stain (87205) | — | $150 | — |
| Smear Special Stain (87207) range across 4 matching MRF lines |
— | $140–$310 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
— | $105–$140 | — |
| Sodium Serum (84295) | — | $150 | — |
| Sodium Urine (84300) | — | $150 | — |
| Soluble Transferrin Receptor (84238) | — | $185 | — |
| Somatomedin (84305) | — | $435 | — |
| Somatostatin (84307) | — | $895 | — |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
— | $90–$390 | — |
| Special Stains Group 2 (88313) | — | $90 | — |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
— | $155–$250 | — |
| Spectrophotometry (84311) | — | $100 | — |
| Staph a DNA amp probe (87640) | — | $105 | — |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
— | $140–$425 | — |
| Strep b DNA amp probe (87653) | — | $105 | — |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | — | $760 | — |
| Surg path level iii (88304) | — | $180 | — |
| Surgical pathology level IV (88305) | — | $180 | — |
| Surgical pathology level vi (88309) | — | $270 | — |
| T cells absolute cd4 count (86361) | — | $500 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | — | $500 | — |
| T cells total count (86359) | — | $330 | — |
| T3 Free (84481) | — | $255 | — |
| T3 reverse (84482) | — | $125 | — |
| T3 Total (84480) | — | $250 | — |
| T3 Uptake (84479) | — | $155 | — |
| T4 Free (84439) | — | $225 | — |
| T4 total (84436) | — | $130 | — |
| Tacrolimus (80197) | — | $430 | — |
| Test for acetone/ketones (82009) | — | $65 | — |
| Testosterone total (84403) range across 2 matching MRF lines |
— | $330–$365 | — |
| Testosterone, Free (84402) | — | $170 | — |
| Tetanus antibody (86774) | — | $330 | — |
| Theophylline (80198) | — | $310 | — |
| Thrombin Time (85670) | — | $360 | — |
| Thyroglobulin (84432) | — | $225 | — |
| Thyroglobulin Antibody (86800) | — | $225 | — |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
— | $250–$410 | — |
| Thyroxine binding globulin (84442) | — | $55 | — |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
— | $870–$3,400 | — |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
— | $1,080–$1,260 | — |
| Tobramycin peak (80200) | — | $330 | — |
| Topiramate (80201) | — | $430 | — |
| Toxoplasma ab igm (86778) | — | $360 | — |
| Toxoplasma antibody (86777) | — | $270 | — |
| Tpmt gene com variants (81335) | — | $140 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $185 | — |
| Transferrin (84466) | — | $220 | — |
| Trichomonas Vaginalis Amplif (87661) | — | $230 | — |
| Triglycerides (84478) range across 3 matching MRF lines |
— | $185–$295 | — |
| Troponin Quant (84484) | — | $305 | — |
| Urea Nitrogen Clearance (84545) | — | $225 | — |
| Urea nitrogen urine (84540) | — | $155 | — |
| Uric acid other source (84560) | — | $155 | — |
| Urinalysis Microscopic Only (81015) | — | $100 | — |
| Urinalysis Volume Measure (81050) | — | $55 | — |
| Urine Bacteria Culture (87088) | — | $285 | — |
| Urine Pregnancy Test (81025) | — | $200 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
— | $55–$185 | — |
| Valproic acid (80164) | — | $330 | — |
| Vancomycin (80202) | — | $380 | — |
| Varicella-zoster antibody (86787) | — | $285 | — |
| Vasopressin (84588) | — | $235 | — |
| Viral Culture (87252) range across 4 matching MRF lines |
— | $310–$360 | — |
| Virus antibody nos (86790) range across 7 matching MRF lines |
— | $205–$545 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $480 | — |
| Vitamin A (84590) | — | $410 | — |
| Vitamin b-12 (82607) | — | $200 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $670 | — |
| Vitamin B6 (84207) | — | $230 | — |
| Vitamin c (82180) | — | $225 | — |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
— | $200–$515 | — |
| Vitamin E (84446) | — | $285 | — |
| Vitamin K (84597) | — | $275 | — |
| Vkorc1 gene (81355) | — | $25 | — |
| Von willebrand factor ag (85246) | — | $255 | — |
| Wbc Alkaline Phosphatase Count (85540) | — | $270 | — |
| West Nile Virus Antibody (86789) | — | $500 | — |
| Western Blot Test (84181) | — | $180 | — |
| Zinc (84630) | — | $225 | — |
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.