Lab & pathology prices at Faith Community Hospital

Jacksboro, TX · every code in this section with a posted price and a Medicare benchmark.

545 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $39.71 $56.73 3.6×
Abl1 gene analysis kinase domain variants (81170) $1,173.69 $1,676.70 3.9×
Acth (82024) $253.18 $361.68 6.6×
Actin smooth muscle antibody each (86015) $274.53 $392.18 22.8×
Acute hepatitis panel (80074) $299.79 $428.27 6.3×
Acylcarnitines Quant (82017) $439.47 $627.82 26.1×
Afp-l3 fraction isoform & total afp w/ratio (82107) $201.09 $287.27 3.1×
Albumin Fluid (82042) $16.34 $23.34 2.1×
Albumin serum (82040) $38.61 $55.16 7.8×
Aldolase (82085) $63.60 $90.85 6.5×
Aldosterone urine (82088) $218.03 $311.47 5.4×
Alkaline phosphatase isoenzymes (84080) $59.81 $85.44 4.0×
Allergen specific ige (86003)
range across 16 matching MRF lines
$16.13–$407.13 $23.04–$581.62 varies
Allg Spec Ige Recomb Ea (86008) $16.13 $23.04 0.9×
Alpha-1-antitrypsin phenotype (82104) $45.15 $64.50 3.1×
Alpha-1-antitrypsin total (82103) $202.13 $288.76 15.0×
Alpha-Fetoprotein Serum (82105) $280 $400 16.7×
Alt (sgpt) (84460) $38.61 $55.16 7.3×
Aluminum (82108) $83.28 $118.97 3.3×
Amikacin trough (80150) $88.58 $126.54 5.9×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 3 matching MRF lines
$143.84–$170.34 $205.49–$243.34 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $193.20 $276 11.5×
Amino Acids Quant 2-5 (82136) $154.44 $220.63 7.9×
Ammonia (82140)
range across 2 matching MRF lines
$7.14–$114.32 $10.20–$163.31 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $129.50 $185 1.3×
Amylase urine (82150)
range across 4 matching MRF lines
$20.44–$85.55 $29.20–$122.21 varies
Ana Titer (86039) $62.08 $88.68 5.6×
Androstenedione (82157) $191.53 $273.62 6.5×
Angiotensin converting enzyme csf (82164) $27.25 $38.93 1.9×
Anti-Phospholipid Antibody (86148) $180.84 $258.34 11.3×
Antibody aspergillus (86606) $52.15 $74.50 3.5×
Antibody Bacterium Not Elsewhere Specified (86609) $25.16 $35.94 2.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $88.58 $126.54 5.7×
Antibody Cytomegalovirus Cmv Igm (86645) $87.82 $125.45 5.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $67.38 $96.25 5.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $53.20 $76 3.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $102.20 $146 5.6×
Antibody Fungus Not Elsewhere Specified (86671) $121.13 $173.04 9.9×
Antibody Herpes Smplx Non-Specific Type Test (86694) $31.50 $45 2.2×
Antibody Herpes Smplx Type 1 (86695) $127.18 $181.69 9.6×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$41.82–$72.67 $59.74–$103.82 varies
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$82.52–$218.03 $117.88–$311.47 varies
Antibody Protozoa Nes (86753) $123.71 $176.73 10.0×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$34.31–$49.21 $49.02–$70.30 varies
Antigen typing (86905) $140.81 $201.16 36.8×
Antinomyces antibody (86602) $21.38 $30.54 2.1×
Antinuclear antibodies (86038) $72.67 $103.82 6.0×
Antistreptolysin o titer (86060) $56.78 $81.11 7.8×
Antithrombin iii activity (85300) $93.11 $133.02 7.9×
Antithrombin iii antigen (85301) $93.11 $133.02 8.6×
Apc gene dup/delet variants (81203) $399.04 $570.05 2.0×
Apc gene full sequence (81201) $524.87 $749.82 0.7×
Apolipoprotein a1 (82172) $113.67 $162.39 5.4×
Arsenic (82175)
range across 2 matching MRF lines
$59.05–$155.20 $84.36–$221.71 varies
Aspa gene analysis common variants (81200) $82.69 $118.13 1.8×
Assay activated protein c (85307) $63 $90 4.1×
Assay Blood Carbon Dioxide (82374) $38.61 $55.16 7.9×
Assay myeloperoxidase (83876) $350.60 $500.85 6.9×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$42.39–$84.90 $60.56–$121.28 varies
Assay of 5-hiaa (83497) $79.60 $113.72 6.2×
Assay of blood/uric acid (84550) $38.61 $55.16 8.5×
Assay of calcium in urine (82340) $42.85 $61.21 7.1×
Assay of cpk in blood (82552) $95.39 $136.27 7.1×
Assay of estrone (82679) $228.50 $326.43 9.2×
Assay of g6pd enzyme (82955) $30.28 $43.25 3.1×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$51.48–$122.50 $73.54–$175 varies
Assay of lactic acid (83605) $71.16 $101.66 6.2×
Assay of manganese (83785) $87.58 $125.12 3.3×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$182.45–$299.03 $260.64–$427.19 varies
Assay of proinsulin (84206) $163.09 $232.99 6.1×
Assay of prostate specific antigen complexed (84152) $38.62 $55.17 2.1×
Assay of serotonin (84260) $180.94 $258.48 5.8×
Assay of serum potassium (84132) $37.86 $54.08 8.0×
Assay of transcortin (84449) $37.80 $54 2.1×
Assay of urea nitrogen (84520) $41.64 $59.48 10.5×
Assay of urine vma (84585) $118.86 $169.80 7.7×
Assay of vasoactive intestinal peptide (84586) $183.56 $262.23 5.2×
Assay of vitamin b-1 (84425) $100.69 $143.84 4.7×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$7.21–$25.74 $10.30–$36.77 varies
Automated Leukocyte Count (85048) $24.98 $35.69 9.8×
Bartonella antibody (86611) $72.67 $103.82 7.1×
Bcr/abl1 gene major bp (81206) $344.32 $491.88 2.1×
Bcr/abl1 gene minor bp (81207) $304.16 $434.52 2.1×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$185.86–$186.01 $265.51–$265.73 varies
Beta hydroxybutyrate (82010) $165.04 $235.77 20.2×
Beta-2 Microglobulin (82232) $139.30 $199 8.6×
Bile acids total (82239) $53 $75.71 3.1×
Bilirubin direct (82248) $51.48 $73.54 10.3×
Bilirubin total (82247) $31.42 $44.89 6.3×
Bl Smear W/O Diff Wbc Count (85008) $26.50 $37.85 7.7×
Blastomyces antibody (86612) $72.34 $103.34 5.6×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $277.20 $396 1.6×
Bld Typing Serologic Rh Phnt (86906) $172.61 $246.58 22.3×
Blm Gene (81209) $68.80 $98.28 1.8×
Blood Count Red Blood Cell Automated (85041) $20.44 $29.20 6.8×
Blood count reticulocyte automated (85045) $24.98 $35.69 6.3×
Blood gas (82803) $490 $700 18.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $50.15 $71.64 3.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $31.04 $44.34 7.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $170.34 $243.34 26.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $140.81 $201.16 8.6×
Blood typing serologic abo (86900) $102.20 $146 34.2×
Body fluid cell count (89050) $69.65 $99.50 14.8×
Bordetella antibody (86615) $227.12 $324.45 17.2×
Brca1&2 gen full seq dup/del (81162) $5,748.37 $8,211.96 3.1×
Brucella antibody (86622) $105.99 $151.41 11.9×
C diff amplified probe (87493) $227.12 $324.45 6.1×
C-Peptide (84681) $104.48 $149.25 5.0×
C-reactive protein (86140) $49.21 $70.30 9.5×
Ca 19-9 (86301) $149.90 $214.14 7.2×
Cadmium (82300) $49.64 $70.92 2.1×
Caffeine (80155) $108 $154.28 2.8×
Calcitonin (82308) $206.68 $295.25 7.7×
Calcium ionized (82330)
range across 2 matching MRF lines
$64.35–$124.01 $91.93–$177.15 varies
Calcium total (82310) $38.61 $55.16 7.5×
Calculus assay quant (82360) $32.55 $46.50 2.5×
Calprotectin Fecal (83993) $454.23 $648.90 23.1×
Cancer Antigen 125 (86304) $85.55 $122.21 4.1×
Cancer Antigen 27.29 (86300) $149.90 $214.14 7.2×
Carbamazepine free (80157) $45.81 $65.44 3.5×
Carbamazepine total (80156) $113.56 $162.23 7.8×
Carbohydrate Deficient Transferrin (82373) $55.87 $79.81 3.1×
Carboxyhemoglobin (82375) $66.62 $95.17 5.4×
Carcinoembryonic antigen (82378) $103.72 $148.17 5.5×
Cardiolipin ab iga (86147) $140.81 $201.16 5.5×
Carnitine Quantitative Each Specimen (82379) $60.35 $86.21 3.6×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$90.85–$169.58 $129.78–$242.26 varies
Ccp antibody (86200) $118.86 $169.80 9.2×
Cell count csf (89051)
range across 2 matching MRF lines
$17.41–$21.84 $24.87–$31.20 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $562.28 $803.25 4.1×
Ceruloplasmin (82390)
range across 2 matching MRF lines
$31.04–$82.52 $44.34–$117.88 varies
Cftr gene com variants (81220)
range across 2 matching MRF lines
$805.50–$974.05 $1,150.72–$1,391.50 varies
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$48.80–$59.96 $69.72–$85.65 varies
Chlamydia antibody (86631) $67.18 $95.97 5.7×
Chlamydia Igm Antibody (86632) $67.38 $96.25 5.3×
Chloride Serum (82435) $38.61 $55.16 8.4×
Chloride urine (82436) $94.63 $135.19 16.5×
Cholesterol total (82465) $38.61 $55.16 8.9×
Chorionic gonadotropin test (84702) $74.19 $105.99 4.9×
Chromium serum (82495) $149.90 $214.14 7.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$58.27–$363.38 $83.24–$519.12 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $121.32 $173.32 3.5×
Citric acid urine (82507) $186.24 $266.05 6.7×
Ckmb (82553) $81 $115.72 7.0×
Cold agglutinin screen (86156) $131.73 $188.18 16.3×
Cold agglutinin titer (86157) $163.52 $233.60 20.3×
Collagen crosslinks (82523) $269.51 $385.01 14.4×
Column Chromotography Quant (82542) $165.34 $236.20 6.9×
Compatibility test antiglob (86922) $131.73 $188.18 0.8×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$20.33–$77.22 $29.04–$110.31 varies
Complement Total (Ch50) (86162) $170.51 $243.58 8.4×
Complement/Function Activity (86161) $49.88 $71.25 4.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $119 $170 3.2×
Coombs direct (86880) $176.40 $252 32.7×
Copper urine (82525) $38.75 $55.35 3.1×
Cortisol free (82530) $124.16 $177.37 7.4×
Cortisol saliva (82533)
range across 2 matching MRF lines
$99.93–$106.74 $142.76–$152.49 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$3.19–$56.78 $4.56–$81.11 varies
Creatinine blood (82565) $51.48 $73.54 10.1×
Creatinine clearance (82575) $82.52 $117.88 8.7×
Creatinine Urine (82570) $46.18 $65.97 8.9×
Crossmatch immediate spin (86920) $102.20 $146 0.6×
Crp High Sensitivity (86141) $93.43 $133.47 7.2×
Cryofibrinogen (82585) $10.33 $14.76 0.7×
Cryoglobulin (82595) $89.33 $127.62 13.8×
Cryptosporidium ag eia (87328) $106.20 $151.72 7.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$29.53–$66.62 $42.18–$95.17 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$24.23–$56.78 $34.61–$81.11 varies
Culture afb (87116)
range across 2 matching MRF lines
$33.39–$87.82 $47.70–$125.45 varies
Culture Anaerobic (87075) $56.78 $81.11 6.0×
Culture blood (87040) $56.78 $81.11 5.5×
Culture csf (87070)
range across 6 matching MRF lines
$26.89–$79.49 $38.42–$113.56 varies
Culture screen only (87081)
range across 6 matching MRF lines
$23.10–$219.14 $33–$313.06 varies
Culture stool (87045) $72.67 $103.82 7.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $87.82 $125.45 17.0×
Culture urine (87086)
range across 2 matching MRF lines
$3.96–$51.48 $5.65–$73.54 varies
Cyclosporine (80158) $147.62 $210.89 8.2×
Cyp2c19 gene analysis common variants (81225)
range across 3 matching MRF lines
$28.77–$815.81 $41.10–$1,165.44 varies
Cyp2c9 gene com variants (81227) $1,174.94 $1,678.49 6.7×
Cystatin C (82610) $124.50 $177.86 6.7×
Cytomegalovirus igg (86644) $44.95 $64.21 3.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$77.18–$82.69 $110.25–$118.13 varies
Cytopath Cell Enhance Tech (88112) $89.69 $128.13 1.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $79.49 $113.56 3.0×
Cytp Concentration Smears & Interpretation (88108) $119 $170 3.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $840 $1,200 16.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $87.84 $125.48 2.3×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $33 $47.14 1.8×
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
$121.32–$842.28 $173.32–$1,203.26 varies
Detect Agent Nos Dna Quant (87799) $620.03 $885.75 14.5×
Detect agnt mult DNA ampli (87801) $242.65 $346.64 3.5×
Dgp Antibody Each Ig Class (86258) $404.99 $578.55 33.6×
Dhea (82626) $191.53 $273.62 7.6×
Digoxin (80162) $108.26 $154.65 8.2×
Digoxin free (80163) $354.59 $506.56 26.7×
Dipropylacetic Acid Free (80165)
range across 2 matching MRF lines
$37.98–$40.38 $54.25–$57.68 varies
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$28.85–$118.86 $41.22–$169.80 varies
DNA/RNA direct probe (87149) $249.07 $355.81 12.4×
Drug assay acetaminophen (80143) $211.97 $302.82 11.4×
Drug Assay Amiodarone (80151) $124.95 $178.50 6.7×
Drug Screen Quant Zonisamide (80203) $183.96 $262.80 13.9×
Drug Screen Quantitative Gabapentin (80171) $73.25 $104.64 3.4×
Drug Screen Quantitative Lamotrigine (80175) $73.25 $104.64 5.5×
Drug Screen Quantitative Levetiracetam (80177) $97.66 $139.51 7.4×
Drug Screen Quantitative Oxcarbazepine (80183) $84.04 $120.05 6.3×
Drug Screen Quantitative Procainamide Metabolite (80192) $129.46 $184.94 7.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 15 matching MRF lines
$15.14–$660.81 $21.63–$944.02 varies
Drug Test Prsmv Dir Opt Obs (80305) $13.63 $19.47 1.1×
El-1 Fecal Quantitative (82653) $336 $480 14.6×
Electrolyte panel (80051) $59.05 $84.36 8.4×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $314.50 $449.29 5.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $198.45 $283.50 16.4×
Enterovirus Antibody (86658) $32.54 $46.48 2.5×
Enzyme cell activity (82657) $315 $450 14.2×
Erythropoietin (82668) $149.90 $214.14 8.0×
Estradiol serum (82670) $144.60 $206.57 5.2×
Estriol (82677) $77.79 $111.13 3.2×
Estrogen total (82672) $127.18 $181.69 5.9×
Ethosuximide (80168) $124.16 $177.37 7.6×
Exam Synovial Fluid Crystals (89060) $81 $115.72 11.1×
F2 Gene (81240)
range across 2 matching MRF lines
$152.23–$450.51 $217.47–$643.59 varies
Factor v activity (85220) $51.91 $74.16 2.9×
Factor v leiden mutation (81241) $559.52 $799.32 7.6×
Factor viii assay (85240) $155.20 $221.71 8.7×
Fancc Gene (81242) $65.73 $93.90 1.8×
Fatty acids free (82725) $121.91 $174.15 6.5×
Fecal Fat Qualitative (82705) $19.87 $28.39 3.9×
Ferritin (82728)
range across 2 matching MRF lines
$6.68–$82.52 $9.54–$117.88 varies
Fetal Chrmoml Aneuploidy (81420) $2,052.28 $2,931.83 2.7×
Fetal Chrmoml Microdeltj (81422) $1,186.68 $1,695.26 1.6×
Fetal screen rosette (85461) $138.54 $197.91 14.8×
Fibrin Degradation Quant (85379) $92.36 $131.94 9.1×
Fibrinogen activity (85384) $28 $40 2.9×
Fibrinogen antigen (85385) $51.48 $73.54 3.6×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $32.51 $46.44 2.1×
Flow cytometry first marker (88184) $201.38 $287.68 0.6×
Fluorescent antibody screen (86255)
range across 6 matching MRF lines
$133.24–$140 $190.34–$200 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines
$37.25–$84 $53.21–$120 varies
Fmr1 gene detection (81243) $862.16 $1,231.65 15.1×
Folic acid rbc (82747) $158.59 $226.56 9.0×
Folic Acid Serum (82746) $88.58 $126.54 6.0×
Follicle Stimulating Hormone (83001) $134 $191.43 7.2×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $224.85 $321.21 7.9×
Fungi Identification Yeast (87106) $73.44 $104.91 7.1×
Galectin-3 (82777) $201.33 $287.62 4.5×
Gammaglobulin ige (82785) $208.74 $298.20 12.7×
Gardner vag DNA dir probe (87510) $59.12 $84.46 2.9×
Gastrin (82941) $149.90 $214.14 8.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $660.53 $943.61 1.6×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251)
range across 2 matching MRF lines
$82.69–$99.23 $118.13–$141.75 varies
Genet Virus Isolate Hsv (87255) $117.07 $167.24 3.5×
Gentamicin (80170) $104.48 $149.25 6.4×
Ggt (82977) $56.78 $81.11 7.9×
Giardia antigen (87329) $62.83 $89.76 5.2×
Glucose 2 hr pp (82950) $36.34 $51.91 7.7×
Glucose body fluid (82945) $25.74 $36.77 6.5×
Glucose Serum (82947) $36.34 $51.91 9.2×
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$38.61–$141.57 $55.16–$202.24 varies
Glucosidase beta (82963) $65.21 $93.15 3.0×
Glycated Protein (82985)
range across 3 matching MRF lines
$47.06–$155.65 $67.23–$222.36 varies
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$51.48–$106.74 $73.54–$152.49 varies
Growth hormone (83003) $124.16 $177.37 7.4×
Gtt-added samples (82952) $38.61 $55.16 9.8×
H Pylori (C-13) Breath (83013) $283.89 $405.56 4.2×
Haloperidol (80173) $102.96 $147.08 6.5×
Haptoglobin (83010) $87.82 $125.45 7.0×
Hba1/Hba2 Gene (81257) $772.65 $1,103.78 7.6×
Hbb Gene Com Variants (81361) $305.92 $437.03 1.8×
Hdl Cholesterol (83718) $45.42 $64.89 5.5×
Helicobacter Pylori Stool (87338) $98.42 $140.60 6.8×
Hematocrit (85014) $45.57 $65.10 19.2×
Hemoglobin (85018) $23.47 $33.53 9.9×
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$4.76–$56.78 $6.80–$81.11 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$56.02–$124.16 $80.03–$177.37 varies
Hemoglobin electrophoresis (83020) $371.71 $531.02 28.9×
Hep a ab igm (86709) $93.11 $133.02 8.3×
Hepatitis a antibody total (86708) $63.60 $90.85 5.1×
Hepatitis b core ab igm (86705) $38.16 $54.51 3.2×
Hepatitis b core ab total (86704) $74.19 $105.99 6.2×
Hepatitis B Surface Antibody (86706) $77.22 $110.31 7.2×
Hepatitis B Surface Antigen (87340) $67.38 $96.25 6.5×
Hepatitis Be Antigen (87350) $35.98 $51.40 3.1×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$41.30–$77.22 $59–$110.31 varies
Hepatitis c antibody confirmatory test (86804) $296.80 $424 19.2×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$197.59–$1,005.40 $282.27–$1,436.28 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $286.17 $408.81 8.2×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$148.06–$354.30 $211.52–$506.14 varies
Herpes simplex type 2 (86696) $139.30 $199 7.2×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$84.04–$177.15 $120.05–$253.07 varies
Hexa gene analysis common variants (81255) $90.04 $128.63 1.8×
Hfe Gene (81256) $269.51 $385.01 4.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $355.60 $508 46.0×
Histoplasma antibody (86698) $130.20 $186 9.4×
Histoplasma antigen urine (87385) $70 $100 5.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $352.79 $503.98 14.7×
HIV-1 p24 antigen (87390) $35.30 $50.43 1.5×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$270.27–$385 $386.10–$550 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $43.16 $61.65 0.6×
Hla ii type 1 ag equiv lr (81377) $317.38 $453.40 3.4×
Hla ii typing 1 allele hr (81383) $377.24 $538.92 3.5×
Homocysteine (83090)
range across 2 matching MRF lines
$133.24–$137.78 $190.34–$196.83 varies
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$121.32–$143.84 $173.32–$205.49 varies
Hsv Dna Amp Probe (87529) $121.32 $173.32 3.5×
Hydroxyprogesterone 17-d (83498) $79.97 $114.24 2.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $32.25 $46.07 3.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $87.82 $125.45 6.3×
Iaad ia shiga-like toxin (87427) $72.34 $103.34 6.0×
Iadna Candida Species Amplified Probe Tq (87481)
range across 3 matching MRF lines
$121.32–$408.81 $173.32–$584.01 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $187.45 $267.78 5.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $174.13 $248.75 7.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $308.12 $440.17 8.8×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$148.06–$523.12 $211.52–$747.32 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $121.32 $173.32 3.5×
Iadna Multiple Organisms Direct Probe Tq (87800) $144.60 $206.57 3.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $187.45 $267.78 5.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$112.90–$121.32 $161.29–$173.32 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $254.68 $363.83 5.0×
Igg subclasses (82787) $27.72 $39.60 3.5×
Ikbkap Gene Analysis Common Variants (81260) $68.80 $98.28 1.8×
Immune Complex Assay (86332) $135.24 $193.20 5.5×
Immunfix e-phorsis/urine/csf (86335) $103.72 $148.17 3.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 8 matching MRF lines
$42.18–$522.37 $60.26–$746.24 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$46.33–$71.92 $66.19–$102.74 varies
Immunoassay nonantibody (83516)
range across 20 matching MRF lines
$32.73–$424.14 $46.76–$605.91 varies
Immunodiffusion Ouchterlony (86331) $24.82 $35.46 2.1×
Immunofixation electrophoresis (86334) $203.64 $290.92 9.1×
Immunohistochemistry (88342) $277.20 $396 1.6×
Influenza DNA amp probe (87502) $201.18 $287.40 2.1×
Inhibin A (86336) $336.13 $480.19 21.6×
Inhibin b (83520)
range across 21 matching MRF lines
$36.02–$347.49 $51.46–$496.41 varies
Insulin antibodies (86337) $133.24 $190.34 6.2×
Insulin total (83525) $84.04 $120.05 7.4×
Iron (83540) $67.38 $96.25 10.4×
Iron Binding Capacity (83550) $72.67 $103.82 8.3×
Islet cell antibody (86341)
range across 3 matching MRF lines
$61.78–$210.46 $88.25–$300.66 varies
Jak2 gene analysis p.val617phe variant (81270) $492.09 $702.98 5.4×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$18.93–$51.48 $27.04–$73.54 varies
Lactoferrin fecal qualitative (83630) $80.26 $114.66 4.1×
Ldh Isoenzymes (83625) $82.52 $117.88 6.5×
LDL direct (83721) $43.16 $61.65 4.1×
Lead (83655)
range across 3 matching MRF lines
$37.86–$103.72 $54.08–$148.17 varies
Legionella antibody (86713) $53.20 $76 3.5×
Legionella antigen urine (87449) $173.25 $247.50 14.5×
Leukocyte Assessment Fecal (89055) $34.07 $48.67 8.0×
Level I Surg Pathology Gross Examination Only (88300) $49.21 $70.30 1.7×
Level ii surg pathology gross&microscopic exam (88302) $61.60 $88 1.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $525 $750 1.5×
Lidocaine (80176) $113.56 $162.23 7.7×
Lipase (83690) $56.78 $81.11 8.2×
Lipoprotein A (83695) $40.43 $57.75 2.8×
Lipoprotein Bld Quan Part (83704) $325.84 $465.48 9.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 2 matching MRF lines
$77.49–$95.43 $110.70–$136.33 varies
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $120.15 $171.64 9.4×
Lithium (80178) $51.48 $73.54 7.8×
Luteinizing Hormone (Lh) (83002) $139.30 $199 7.5×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$87.82–$93.11 $125.45–$133.02 varies
Lysozyme serum (85549) $57.40 $82 3.1×
M. Genitalium Amp Probe (87563) $274.59 $392.27 7.8×
Magnesium Urine (83735)
range across 2 matching MRF lines
$20.71–$46.18 $29.59–$65.97 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$74.95–$173.36 $107.07–$247.66 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $68.80 $98.28 1.8×
Mercury urine (83825)
range across 2 matching MRF lines
$50.72–$108.26 $72.46–$154.65 varies
Methylmalonic acid serum (83921) $177.87 $254.10 8.4×
Microalbumin, quantitative (82043) $55.27 $78.95 9.6×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$61.08–$93.11 $87.25–$133.02 varies
Molecular Pathology Procedure Level 6 (81405) $633.50 $905 2.1×
Mononuclear cell antigen (86356) $550.17 $785.96 20.5×
Mopath procedure level 1 (81400) $179.20 $256 2.8×
Mopath procedure level 2 (81401) $738.12 $1,054.46 5.4×
Mopath procedure level 4 (81403) $490 $700 2.6×
Mopath procedure level 5 (81404) $577.50 $825 2.1×
Mopath procedure level 7 (81406) $595 $850 2.1×
Mopath procedure level 8 (81407) $140 $200 0.2×
Mopath procedure level 9 (81408) $4,200 $6,000 2.1×
Mthfr Gene Analysis Common Variants (81291) $388.50 $555 5.9×
Mumps antibody (86735)
range across 2 matching MRF lines
$40.75–$67.38 $58.21–$96.25 varies
Mycoplasma antibody (86738) $40.97 $58.53 3.1×
Myelin basic protein csf (83873) $36.12 $51.60 2.1×
Myoglobin urine (83874) $109.77 $156.82 8.5×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$189.27–$292.98 $270.38–$418.54 varies
Neutralization Test Viral (86382) $149.90 $214.14 8.9×
Nfct ds chrnc hcv 6 assays (81596) $202.30 $289 2.8×
Niacin (84591) $470.13 $671.61 27.6×
Nickel level (83885) $87.53 $125.04 3.6×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$55.99–$985.68 $79.98–$1,408.11 varies
Occult blood feces (82272) $31.04 $44.34 7.3×
Occult Blood Other Sources (82271) $21.20 $30.28 4.0×
Organic Acids Qualitative Each Specimen (83919) $101.50 $145 6.2×
Organic acids urine (83918) $150.63 $215.19 6.4×
Osmolality serum (83930) $55.27 $78.95 8.4×
Osmolality Urine (83935) $56.78 $81.11 8.3×
Osteocalcin (83937) $205.56 $293.66 6.9×
Ova and parasites smears (87177) $56.83 $81.19 6.4×
Oxalate urine (83945) $46.94 $67.05 3.2×
Pancreatic Elastase Fecal (82656) $556.43 $794.90 48.3×
Parvovirus antibody (86747)
range across 2 matching MRF lines
$46.94–$77.22 $67.06–$110.31 varies
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $256.20 $366 1.5×
Pathology Consultation During Surgery (88329) $64.05 $91.50 1.1×
Ph urine (81003) $8.67 $12.38 3.9×
Phenobarbital Level (80184) $113.56 $162.23 7.4×
Phenylalanine (84030) $52.50 $75 9.5×
Phenytoin (Dilantin) (80185) $112.04 $160.06 8.5×
Phenytoin free (80186) $43.98 $62.83 3.2×
Phosphatase alkaline (84075) $38.61 $55.16 7.5×
Phospholipid Neutralization Hexagonal (85598) $63.99 $91.42 3.6×
Phosphorus Serum (84100) $38.61 $55.16 8.1×
Phosphorus urine (84105) $36.34 $51.91 6.3×
Platelet Antibodies (86022) $186.24 $266.05 10.1×
Platelet count automated (85049) $39.37 $56.24 8.8×
Platelet neutralization (85597) $264.97 $378.53 14.7×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$24.78–$72.67 $35.40–$103.82 varies
Potassium Urine (84133) $18.93 $27.04 4.0×
Prealbumin (84134) $82.52 $117.88 5.7×
Pregnancy-Associated Plasma Protein-A (84163) $25.96 $37.08 1.7×
Pregnenolone (84140) $72.70 $103.85 3.5×
Primidone (80188) $113.56 $162.23 6.8×
Procalcitonin (Pct) (84145) $592.77 $846.81 21.8×
Progesterone (84144) $109.77 $156.82 5.3×
Prolactin (84146) $170.34 $243.34 8.8×
Protein body fluid (84157) $24.98 $35.69 6.2×
Protein C Activity (85303) $87.82 $125.45 6.3×
Protein c antigen (85302) $41.30 $59 3.4×
Protein Electrophoresis Urine (84166) $103.34 $147.63 5.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $77.22 $110.31 7.2×
Protein S Free (85306) $134 $191.43 8.7×
Protein s total (85305)
range across 2 matching MRF lines
$49.21–$67.38 $70.30–$96.25 varies
Protein total serum (84155) $24.98 $35.69 6.8×
Protein Total Urine (84156) $49.21 $70.30 13.4×
Protoporphyrin rbc quantitative (84202) $56.78 $81.11 4.0×
PSA free (84154) $103.72 $148.17 5.6×
Pth Intact (83970) $186.24 $266.05 4.5×
Q Fever Antibody (86638) $41.64 $59.48 3.4×
Quantiferon tb gold plus (86480) $272.54 $389.34 4.4×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$52.19–$356.20 $74.56–$508.86 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$64.89–$78.21 $92.70–$111.73 varies
Quinidine (80194) $108.26 $154.65 7.4×
Rbc antibody identification (86870) $177.15 $253.07 0.5×
Reagent Strip/Blood Glucose (82948) $20.44 $29.20 4.1×
Renin activity plasma (84244)
range across 2 matching MRF lines
$108.26–$140 $154.65–$200 varies
Reptilase test (85635) $265.15 $378.78 26.9×
Resp Virus 6-11 Targets (87632) $42.79 $61.13 0.2×
Rh (86901)
range across 2 matching MRF lines
$102.20–$215.76 $146–$308.23 varies
Rheumatoid Factor Qualitative (86430) $272.54 $389.34 44.4×
Rheumatoid factor quant (86431)
range across 3 matching MRF lines
$17.72–$51.48 $25.31–$73.54 varies
Rickettsia antibody (86757)
range across 3 matching MRF lines
$80.92–$90.85 $115.60–$129.78 varies
Ristocetin cofactor (85245) $229.38 $327.69 10.0×
Rotavirus ag eia (87425) $87.82 $125.45 7.3×
Rpr qualitative (86592)
range across 2 matching MRF lines
$31.04–$34.07 $44.34–$48.67 varies
Rsv ab (86756) $109.02 $155.74 6.9×
Rsv Assay W/Optic (87807) $37.09 $52.99 2.8×
Rubella Antibody (86762) $90.85 $129.78 6.3×
Rubeola antibody (86765)
range across 2 matching MRF lines
$96.15–$127.76 $137.35–$182.52 varies
Rufinamide (80210) $283.08 $404.40 10.4×
Russell Viper Venom Time Diluted (85613) $130.94 $187.05 13.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $105 $150 2.0×
Sars-cov-2 COVID-19 antibody (86769) $88.47 $126.39 2.1×
Sedimentation rate (85651) $31.04 $44.34 7.3×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$1.32–$26.46 $1.89–$37.80 varies
Selenium (84255) $79 $112.85 3.1×
Semen Anal Sperm Detection (89321) $86.10 $123 7.1×
Sex Hormone Binding Globulin (84270) $90.85 $129.78 4.2×
Sickling of rbc reduction (85660) $31.04 $44.34 5.6×
Sirolimus (80195) $107.50 $153.57 7.8×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$21.63–$36.27 $30.90–$51.81 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$16.79–$283.89 $23.98–$405.56 varies
Smear complex stain (87209) $59.81 $85.44 3.3×
Smear gram stain (87205) $36.34 $51.91 8.5×
Smear Special Stain (87207) $38.61 $55.16 6.4×
Smn1 Gene Dos/Deletion Alys (81329) $239.75 $342.50 1.8×
Smpd1 Gene Analysis Common Variants (81330) $82.25 $117.50 1.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $31.04 $44.34 5.3×
Sodium Serum (84295) $38.61 $55.16 8.0×
Sodium Urine (84300)
range across 2 matching MRF lines
$25.74–$94.63 $36.77–$135.19 varies
Soluble Transferrin Receptor (84238) $211.97 $302.82 5.8×
Somatomedin (84305) $146.87 $209.81 6.9×
Special Stains Group 1 (88312) $98 $140 1.9×
Special Stains Group 2 (88313) $63 $90 0.5×
Specimen infect agnt concntj (87015) $28 $40 4.2×
Spectrophotometry (84311)
range across 3 matching MRF lines
$21.02–$64.02 $30.03–$91.46 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $501.20 $716 2.9×
Stool cultr aerobic bact ea (87046) $87.84 $125.48 9.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $105.55 $150.79 9.2×
Sugars Single Qual (84376) $45.50 $65 8.3×
Sulfate urine (84392) $25.74 $36.77 4.7×
Surg path level iii (88304) $98 $140 1.9×
Surgical pathology level IV (88305) $98 $140 1.9×
Susceptibility Study Antimicrobial Disk Method (87184) $56.78 $81.11 7.6×
Syphilis Test Non-Trep Quant (86593) $13.74 $19.63 3.1×
T cells absolute cd4 count (86361) $59.50 $85 2.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $37.98 $54.25 0.8×
T cells total count (86359) $296.77 $423.95 7.9×
T3 Free (84481) $140.06 $200.08 8.3×
T3 reverse (84482) $144.60 $206.57 9.2×
T3 Total (84480)
range across 2 matching MRF lines
$40.85–$283.14 $58.35–$404.48 varies
T3 Uptake (84479) $46.18 $65.97 7.1×
T4 Free (84439) $84.04 $120.05 9.3×
T4 total (84436) $51.48 $73.54 7.5×
Tacrolimus (80197) $145.36 $207.65 10.6×
Testosterone Bioavailable (84410) $79.49 $113.56 1.6×
Testosterone total (84403)
range across 2 matching MRF lines
$51.67–$232.41 $73.81–$332.02 varies
Testosterone, Free (84402) $208.87 $298.39 8.2×
Theophylline (80198) $78.74 $112.48 5.6×
Thrombin Time (85670) $17.30 $24.72 3.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $68.14 $97.34 10.5×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $153.83 $219.76 4.4×
Thyroglobulin (84432) $412.89 $589.84 25.7×
Thyroglobulin Antibody (86800) $51.17 $73.10 3.2×
Thyroid Stimulating Immunoglobulin (84445) $158.76 $226.80 3.1×
Thyroxine binding globulin (84442) $105.99 $151.41 7.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $175 $250 15.2×
Tobramycin peak (80200) $122.64 $175.20 7.6×
Topiramate (80201) $35.33 $50.47 3.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $68.24 $97.48 3.5×
Toxoplasma ab igm (86778) $72.67 $103.82 5.0×
Transferase Aspartate Amino Ast Sgot (84450) $38.61 $55.16 7.5×
Transferrin (84466) $72.67 $103.82 5.7×
Trichomonas Vaginalis Amplif (87661) $121.32 $173.32 3.5×
Triglycerides (84478) $38.61 $55.16 6.7×
Troponin Quant (84484) $93.88 $134.11 7.5×
Urea nitrogen urine (84540) $41.64 $59.48 7.5×
Uric acid other source (84560) $41.64 $59.48 8.2×
Urine Bacteria Culture (87088) $25.28 $36.11 3.1×
Urine Pregnancy Test (81025) $49.21 $70.30 5.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$1.55–$49.21 $2.22–$70.30 varies
Valproic acid (80164)
range across 2 matching MRF lines
$6.64–$112.80 $9.48–$161.14 varies
Vancomycin (80202)
range across 2 matching MRF lines
$124.07–$134 $177.24–$191.43 varies
Varicella-zoster antibody (86787) $67.38 $96.25 5.2×
Vasopressin (84588) $105.99 $151.41 3.1×
Viral Culture (87252) $101.50 $145 3.9×
Virus antibody nos (86790) $13.55 $19.35 1.1×
Vit D 1 25-Dihydroxy (82652) $199.86 $285.52 5.2×
Vitamin A (84590) $103.72 $148.17 8.9×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$7.39–$102.20 $10.56–$146 varies
Vitamin B2 (Riboflavin) (84252) $69.94 $99.92 3.5×
Vitamin B6 (84207) $180.94 $258.48 6.4×
Vitamin c (82180) $28.84 $41.20 2.9×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$14.50–$227.12 $20.72–$324.45 varies
Vitamin E (84446) $129.78 $185.40 9.2×
Vitamin K (84597) $356.57 $509.39 26.0×
Vkorc1 gene (81355) $173.04 $247.20 2.0×
Von willebrand factor ag (85246) $214.12 $305.88 9.3×
West nile virus ab igm (86788) $87.82 $125.45 5.2×
West Nile Virus Antibody (86789) $84.04 $120.05 5.8×
Western Blot Test (84181) $246.80 $352.57 14.5×
Zinc (84630) $87.82 $125.45 7.7×

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.