Lab & pathology prices at Floyd Valley Healthcare
Le Mars, IA · every code in this section with a posted price and a Medicare benchmark.
477 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) | $118 | $118 | 6.4× |
| Acetylcholine receptor blocking antibody (86042) | $84 | $84 | 4.6× |
| Acth (82024) | $102 | $102 | 2.6× |
| Actin smooth muscle antibody each (86015) | $84 | $84 | 7.0× |
| Acute hepatitis panel (80074) | $107 | $107 | 2.2× |
| Albumin Fluid (82042) | $61 | $61 | 7.8× |
| Albumin serum (82040) | $47 | $47 | 9.5× |
| Aldolase (82085) | $61 | $61 | 6.3× |
| Aldosterone urine (82088) | $102 | $102 | 2.5× |
| Alkaline phosphatase isoenzymes (84080) | $219 | $219 | 14.8× |
| Allergen specific ige (86003) | $84 | $84 | 16.1× |
| Allg Spec Ige Recomb Ea (86008) | $66 | $66 | 3.7× |
| Alpha-1-antitrypsin phenotype (82104) | $219 | $219 | 15.1× |
| Alpha-1-antitrypsin total (82103) | $219 | $219 | 16.3× |
| Alpha-Fetoprotein Serum (82105) | $219 | $219 | 13.1× |
| Alt (sgpt) (84460) | $47 | $47 | 8.9× |
| Ammonia (82140) | $61 | $61 | 4.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $219 | $219 | 2.2× |
| Amylase urine (82150) range across 3 matching MRF lines |
$58–$61 | $58–$61 | varies |
| Ana Titer (86039) | $22 | $22 | 2.0× |
| Anca screen each antibody (86036) | $108 | $108 | 9.0× |
| Androstenedione (82157) | $102 | $102 | 3.5× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$200–$219 | $200–$219 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $119 | $119 | 7.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $119 | $119 | 7.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $119 | $119 | 9.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $119 | $119 | 7.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $119 | $119 | 6.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $84 | $84 | 6.9× |
| Antibody haemophilus influenza (86684) | $108 | $108 | 6.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $119 | $119 | 8.3× |
| Antibody Herpes Smplx Type 1 (86695) | $38 | $38 | 2.9× |
| Antibody HIV-2 (86702) | $18 | $18 | 1.3× |
| Antibody identification leukocyte antibodies (86021) | $55 | $55 | 3.7× |
| Antibody john cunningham virus (86711) | $55 | $55 | 3.3× |
| Antibody Protozoa Nes (86753) | $41 | $41 | 3.3× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$108–$119 | $108–$119 | varies |
| Antigen typing (86905) | $179 | $179 | 46.7× |
| Antinuclear antibodies (86038) | $55 | $55 | 4.5× |
| Antistreptolysin o titer (86060) | $84 | $84 | 11.5× |
| Antithrombin iii activity (85300) | $94 | $94 | 7.9× |
| Antithrombin iii antigen (85301) | $94 | $94 | 8.7× |
| Apolipoprotein a1 (82172) | $219 | $219 | 10.4× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $119 | $119 | 3.2× |
| Arsenic (82175) | $71 | $71 | 3.7× |
| Aspergillus ag eia (87305) | $46 | $46 | 3.8× |
| Assay activated protein c (85307) | $219 | $219 | 14.3× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$34–$47 | $34–$47 | varies |
| Assay of 5-hiaa (83497) | $80 | $80 | 6.2× |
| Assay of anti-mullerian hormone (82166) | $84 | $84 | 2.2× |
| Assay of blood/uric acid (84550) | $47 | $47 | 10.4× |
| Assay of calcium in urine (82340) | $61 | $61 | 10.1× |
| Assay of estrone (82679) | $102 | $102 | 4.1× |
| Assay of g6pd enzyme (82955) | $219 | $219 | 22.6× |
| Assay of gammaglobulin igm (82784) | $219 | $219 | 23.5× |
| Assay of lactic acid (83605) | $219 | $219 | 18.9× |
| Assay of metanephrines (83835) | $102 | $102 | 6.0× |
| Assay of proinsulin (84206) | $102 | $102 | 3.8× |
| Assay of serotonin (84260) | $102 | $102 | 3.3× |
| Assay of serum potassium (84132) | $47 | $47 | 9.9× |
| Assay of sweat sodium (84302) | $42 | $42 | 8.6× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$44–$47 | $44–$47 | varies |
| Assay of vitamin b-1 (84425) | $219 | $219 | 10.3× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$55–$61 | $55–$61 | varies |
| Assay spec xcp ur&breath ia (82077) | $116 | $116 | 6.7× |
| Automated Leukocyte Count (85048) | $57 | $57 | 22.4× |
| B cells total count (86355) | $119 | $119 | 3.2× |
| Beta 2 glycoprotein i antibody each (86146) | $90 | $90 | 3.5× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$35–$61 | $35–$61 | varies |
| Beta Lactamase (87185) | $41 | $41 | 8.6× |
| Beta-2 Microglobulin (82232) | $102 | $102 | 6.3× |
| Bile acids total (82239) | $219 | $219 | 12.8× |
| Bilirubin direct (82248) | $61 | $61 | 12.2× |
| Bilirubin total (82247) | $61 | $61 | 12.2× |
| Bilirubin total transcutaneous (88720) | $10 | $10 | 2.0× |
| Biotinidase (82261) | $219 | $219 | 13.0× |
| Blood Count Automated Differential Wbc Count (85004) | $57 | $57 | 8.8× |
| Blood count reticulocyte automated (85045) | $57 | $57 | 14.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $57 | $57 | 15.0× |
| Blood gas (82803) | $61 | $61 | 2.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $179 | $179 | 28.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $60 | $60 | 3.7× |
| Blood typing serologic abo (86900) | $179 | $179 | 59.9× |
| C diff amplified probe (87493) | $84 | $84 | 2.3× |
| C-Peptide (84681) | $219 | $219 | 10.5× |
| C-reactive protein (86140) | $84 | $84 | 16.2× |
| Ca 19-9 (86301) | $118 | $118 | 5.7× |
| Cadmium (82300) | $71 | $71 | 3.0× |
| Calcitonin (82308) | $102 | $102 | 3.8× |
| Calcium ionized (82330) | $47 | $47 | 3.4× |
| Calcium total (82310) | $47 | $47 | 9.1× |
| Calculus Spectroscopy (82365) | $66 | $66 | 5.1× |
| Calprotectin Fecal (83993) | $219 | $219 | 11.2× |
| Cancer Antigen 125 (86304) | $118 | $118 | 5.7× |
| Cancer Antigen 27.29 (86300) | $118 | $118 | 5.7× |
| Candida Dna Dir Probe (87480) | $84 | $84 | 4.2× |
| Carbamazepine total (80156) | $81 | $81 | 5.6× |
| Carboxyhemoglobin (82375) | $61 | $61 | 5.0× |
| Carcinoembryonic antigen (82378) | $61 | $61 | 3.2× |
| Cardiolipin ab iga (86147) | $119 | $119 | 4.7× |
| Catecholamines fractionated (82384) | $102 | $102 | 4.0× |
| Ccp antibody (86200) | $84 | $84 | 6.5× |
| Cell count csf (89051) | $155 | $155 | 27.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $119 | $119 | 0.9× |
| Ceruloplasmin (82390) | $219 | $219 | 20.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$161–$419 | $161–$419 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $175 | $175 | 0.7× |
| Chloride Serum (82435) | $47 | $47 | 10.2× |
| Chloride urine (82436) | $47 | $47 | 8.2× |
| Cholesterol total (82465) | $47 | $47 | 10.8× |
| Chorionic gonadotropin test (84702) | $80 | $80 | 5.3× |
| Chromium serum (82495) | $71 | $71 | 3.5× |
| Chromogranin a (86316) | $219 | $219 | 10.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $84 | $84 | 2.4× |
| Citric acid urine (82507) | $219 | $219 | 7.9× |
| Ckmb (82553) | $219 | $219 | 19.0× |
| Clostridium Difficile (87324) | $84 | $84 | 7.0× |
| Clot Factor VIII Multimetric (85247) | $94 | $94 | 4.1× |
| Cns DNA amp probe type 12-25 (87483) | $492 | $492 | 1.2× |
| Compatibility test antiglob (86922) | $179 | $179 | 1.1× |
| Complement Antigen Each Component (86160) | $84 | $84 | 7.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $147 | $147 | 2.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $155 | $155 | 4.3× |
| Coombs direct (86880) range across 3 matching MRF lines |
$76–$84 | $76–$84 | varies |
| Copper urine (82525) | $71 | $71 | 5.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$58–$61 | $58–$61 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$93–$102 | $93–$102 | varies |
| Creatine kinase total (82550) | $61 | $61 | 9.4× |
| Creatinine blood (82565) | $61 | $61 | 11.9× |
| Creatinine clearance (82575) | $61 | $61 | 6.4× |
| Creatinine Urine (82570) | $61 | $61 | 11.8× |
| Crossmatch immediate spin (86920) | $179 | $179 | 1.1× |
| Crp High Sensitivity (86141) | $61 | $61 | 4.7× |
| Cryoglobulin (82595) | $61 | $61 | 9.4× |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$79–$84 | $79–$84 | varies |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$46–$84 | $46–$84 | varies |
| Cryptosporidium ag eia (87328) | $84 | $84 | 6.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $46 | $46 | 5.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$41–$46 | $41–$46 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $46 | $46 | 6.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $328 | $328 | 1.5× |
| Culture afb (87116) | $118 | $118 | 10.9× |
| Culture Anaerobic (87075) | $46 | $46 | 4.9× |
| Culture blood (87040) | $118 | $118 | 11.4× |
| Culture csf (87070) | $46 | $46 | 5.3× |
| Culture fungus (87102) | $46 | $46 | 5.5× |
| Culture screen only (87081) | $46 | $46 | 6.9× |
| Culture stool (87045) | $46 | $46 | 4.9× |
| Culture typing if ea antiserum (87140) | $107 | $107 | 19.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $41 | $41 | 7.9× |
| Culture urine (87086) | $46 | $46 | 5.7× |
| Cyclosporine (80158) | $81 | $81 | 4.5× |
| Cyp2c19 gene analysis common variants (81225) | $158 | $158 | 0.5× |
| Cystatin C (82610) | $219 | $219 | 11.8× |
| Cytomegalovirus igg (86644) | $119 | $119 | 8.3× |
| Cytopath Cell Enhance Tech (88112) | $147 | $147 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $147 | $147 | 2.9× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$111–$118 | $111–$118 | varies |
| Detect Agent Nos Dna Quant (87799) | $118 | $118 | 2.8× |
| Dgp Antibody Each Ig Class (86258) | $84 | $84 | 7.0× |
| Dhea (82626) | $219 | $219 | 8.7× |
| Dhea-S (82627) | $102 | $102 | 4.6× |
| Digoxin (80162) | $81 | $81 | 6.1× |
| Dihydrotestosterone (82642) | $219 | $219 | 7.5× |
| Dipropylacetic Acid Free (80165) | $81 | $81 | 6.0× |
| Dna Antibody Native/Double Stranded (86225) | $84 | $84 | 6.1× |
| DNA/RNA direct probe (87149) | $122 | $122 | 6.1× |
| Dna/Rna Sequencing (87153) | $118 | $118 | 1.0× |
| Drug assay acetaminophen (80143) | $116 | $116 | 6.2× |
| Drug assay adalimumab (80145) | $300 | $300 | 7.8× |
| Drug Assay Infliximab (80230) | $58 | $58 | 1.5× |
| Drug Assay Vedolizumab (80280) | $320 | $320 | 8.3× |
| Drug assay voriconazole (80285) | $50 | $50 | 1.8× |
| Drug Screen Quant Clozapine (80159) | $81 | $81 | 4.0× |
| Drug Screen Quant Zonisamide (80203) | $81 | $81 | 6.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $81 | $81 | 6.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $81 | $81 | 6.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $81 | $81 | 6.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$138–$169 | $138–$169 | varies |
| Drug Test Prsmv Instrmnt (80306) | $138 | $138 | 8.1× |
| El-1 Fecal Quantitative (82653) | $84 | $84 | 3.7× |
| Electrolyte panel (80051) | $61 | $61 | 8.7× |
| Enzyme cell activity (82657) | $208 | $208 | 9.4× |
| Erythropoietin (82668) | $219 | $219 | 11.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$93–$102 | $93–$102 | varies |
| Estrogens fractionated (82671) | $102 | $102 | 3.2× |
| Ethosuximide (80168) | $81 | $81 | 5.0× |
| Ethylene Glycol (82693) | $100 | $100 | 6.7× |
| Exam Synovial Fluid Crystals (89060) | $155 | $155 | 21.1× |
| F2 Gene (81240) | $119 | $119 | 1.8× |
| Factor ii activity (85210) | $42 | $42 | 3.2× |
| Factor v activity (85220) | $85 | $85 | 4.8× |
| Factor v leiden mutation (81241) | $119 | $119 | 1.6× |
| Factor viii assay (85240) | $94 | $94 | 5.3× |
| Fat/Lipids Feces Quantitative (82710) | $219 | $219 | 13.0× |
| Ferritin (82728) | $61 | $61 | 4.5× |
| Fetal Fibronectin (82731) | $219 | $219 | 3.4× |
| Fetal screen rosette (85461) | $57 | $57 | 6.1× |
| Fibrin degradation products (85362) | $42 | $42 | 6.1× |
| Fibrin Degradation Quant (85379) | $94 | $94 | 9.2× |
| Fibrinogen activity (85384) | $42 | $42 | 4.3× |
| Flow cytometry first marker (88184) | $165 | $165 | 0.5× |
| Fluorescent antibody screen (86255) range across 17 matching MRF lines |
$112–$119 | $112–$119 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$50–$52 | $50–$52 | varies |
| Folic acid rbc (82747) | $57 | $57 | 3.2× |
| Folic Acid Serum (82746) | $61 | $61 | 4.1× |
| Follicle Stimulating Hormone (83001) | $102 | $102 | 5.5× |
| Fungi Identification Mold (87107) | $118 | $118 | 11.4× |
| Fungi Identification Yeast (87106) | $41 | $41 | 4.0× |
| Galactose transferase test (82776) | $219 | $219 | 18.7× |
| Gammaglobulin ige (82785) | $219 | $219 | 13.3× |
| Gardner vag DNA dir probe (87510) | $118 | $118 | 5.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $686 | $686 | 1.6× |
| Genet Virus Isolate Hsv (87255) | $109 | $109 | 3.2× |
| Gentamicin (80170) | $81 | $81 | 4.9× |
| Ggt (82977) | $47 | $47 | 6.5× |
| Giardia antigen (87329) | $84 | $84 | 7.0× |
| Glucose 2 hr pp (82950) | $47 | $47 | 9.9× |
| Glucose Blood Test (82962) | $47 | $47 | 14.3× |
| Glucose body fluid (82945) | $61 | $61 | 15.5× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$47–$48 | $47–$48 | varies |
| Glucose tolerance test (gtt) (82951) | $61 | $61 | 4.7× |
| Gonadotropin Chorionic Qualitative (84703) | $61 | $61 | 8.1× |
| Gtt-added samples (82952) | $47 | $47 | 12.0× |
| Haptoglobin (83010) | $219 | $219 | 17.4× |
| Helicobacter Pylori Stool (87338) | $93 | $93 | 6.5× |
| Helminth Antibody (86682) | $90 | $90 | 6.9× |
| Hematocrit (85014) | $57 | $57 | 24.1× |
| Hemoglobin (85018) | $57 | $57 | 24.1× |
| Hemoglobin a1c (83036) | $61 | $61 | 6.3× |
| Hemoglobin electrophoresis (83020) | $219 | $219 | 17.0× |
| Hep a ab igm (86709) | $61 | $61 | 5.4× |
| Heparin assay (85520) | $33 | $33 | 2.5× |
| Hepatitis a antibody total (86708) | $61 | $61 | 4.9× |
| Hepatitis b core ab igm (86705) | $61 | $61 | 5.2× |
| Hepatitis b core ab total (86704) | $61 | $61 | 5.1× |
| Hepatitis B Surface Antibody (86706) | $108 | $108 | 10.1× |
| Hepatitis B Surface Antigen (87340) | $84 | $84 | 8.1× |
| Hepatitis Be Antigen (87350) | $84 | $84 | 7.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$55–$61 | $55–$61 | varies |
| Hepatitis C Genotype (87902) | $118 | $118 | 0.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $111 | $111 | 3.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $118 | $118 | 2.8× |
| Herpes simplex type 2 (86696) | $36 | $36 | 1.9× |
| Hfe Gene (81256) | $119 | $119 | 1.8× |
| Histoplasma antigen urine (87385) | $84 | $84 | 6.3× |
| Hiv Genotype (87901) | $175 | $175 | 0.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $84 | $84 | 3.5× |
| Hiv-1 Antibody (86701) | $18 | $18 | 2.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $226 | $226 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $224 | $224 | 1.8× |
| Hla-b27 (86812) | $179 | $179 | 6.9× |
| Homocysteine (83090) | $102 | $102 | 5.7× |
| Homogenization Tissue (87176) | $46 | $46 | 7.8× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$118–$283 | $118–$283 | varies |
| Hydroxyprogesterone 17-d (83498) | $102 | $102 | 3.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $50 | $50 | 1.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $118 | $118 | 3.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $58 | $58 | 1.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $219 | $219 | 6.2× |
| Iadna Cytomegalovirus Quantification (87497) | $118 | $118 | 2.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $165 | $165 | 2.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $75 | $75 | 2.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $118 | $118 | 2.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $75 | $75 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $52 | $52 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $118 | $118 | 3.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $147 | $147 | 0.4× |
| Immune Complex Assay (86332) | $119 | $119 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$55–$119 | $55–$119 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$83–$118 | $83–$118 | varies |
| Immunoassay infectious agent (86318) | $84 | $84 | 4.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $119 | $119 | 7.9× |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$76–$219 | $76–$219 | varies |
| Immunofixation electrophoresis (86334) | $119 | $119 | 5.3× |
| Immunohistochemistry (88342) | $147 | $147 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $312 | $312 | 1.9× |
| Influenza DNA amp probe (87502) | $165 | $165 | 1.7× |
| Inhibin A (86336) | $81 | $81 | 5.2× |
| Inhibin b (83520) range across 7 matching MRF lines |
$75–$164 | $75–$164 | varies |
| Insulin free (83527) | $102 | $102 | 7.9× |
| Insulin total (83525) | $80 | $80 | 7.0× |
| Interleukin-6 (83529) | $158 | $158 | 9.1× |
| Iron (83540) | $61 | $61 | 9.4× |
| Iron Binding Capacity (83550) | $61 | $61 | 7.0× |
| Islet cell antibody (86341) | $345 | $345 | 14.6× |
| Koh Prep (87220) | $46 | $46 | 10.8× |
| Lactate (ld) (ldh) enzyme (83615) | $47 | $47 | 7.8× |
| Lactoferrin fecal qualitative (83630) | $219 | $219 | 11.1× |
| Ldh Isoenzymes (83625) | $219 | $219 | 17.1× |
| LDL direct (83721) | $61 | $61 | 5.8× |
| Lead (83655) | $71 | $71 | 5.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$76–$84 | $76–$84 | varies |
| Leukocyte Assessment Fecal (89055) | $57 | $57 | 13.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $147 | $147 | 5.3× |
| Level ii surg pathology grossµscopic exam (88302) | $147 | $147 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $418 | $418 | 1.2× |
| Lipase (83690) | $61 | $61 | 8.9× |
| Lipoprotein A (83695) | $219 | $219 | 15.3× |
| Lipoprotein Bld Quan Part (83704) | $219 | $219 | 6.4× |
| Lithium (80178) | $81 | $81 | 12.3× |
| Liver ds alys 3 bmrk srm alg (81517) | $175 | $175 | 1.0× |
| Luteinizing Hormone (Lh) (83002) | $102 | $102 | 5.5× |
| Lyme disease antibody (86618) | $119 | $119 | 7.0× |
| Lysozyme serum (85549) | $219 | $219 | 11.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $141 | $141 | 0.9× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$57–$61 | $57–$61 | varies |
| Mass Spectrometry Quant (83789) | $219 | $219 | 9.1× |
| Mercury urine (83825) | $71 | $71 | 4.4× |
| Metabolic panel ionized ca (80047) | $61 | $61 | 4.4× |
| Methylmalonic acid serum (83921) | $219 | $219 | 10.3× |
| Microalbumin, quantitative (82043) | $41 | $41 | 7.1× |
| Microsomal Antibodies Each (86376) | $102 | $102 | 7.0× |
| Mitochondrial Antibody Each (86381) | $84 | $84 | 3.3× |
| Mog-Igg1 Antb Cba Each (86362) | $739 | $739 | 61.3× |
| Mononuclear cell antigen (86356) | $82 | $82 | 3.1× |
| Mrsa Pcr (87641) | $75 | $75 | 2.1× |
| Mthfr Gene Analysis Common Variants (81291) | $119 | $119 | 1.8× |
| Mumps antibody (86735) | $84 | $84 | 6.4× |
| Mycophenolic Acid (80180) | $81 | $81 | 4.5× |
| Mycoplasma culture (87109) | $118 | $118 | 7.7× |
| Myoglobin urine (83874) | $219 | $219 | 17.0× |
| Natriuretic peptide (83880) | $219 | $219 | 5.6× |
| Neutralization Test Viral (86382) | $122 | $122 | 7.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $300 | $300 | 2.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $450 | $450 | 6.2× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $150 | $150 | 1.2× |
| Nk cells total count (86357) | $119 | $119 | 3.2× |
| Nuclear antigen antibody (86235) | $119 | $119 | 6.6× |
| Obstetric panel (80081) | $190 | $190 | 2.5× |
| Occult blood feces (82272) | $47 | $47 | 11.1× |
| Occult Blood Other Sources (82271) | $47 | $47 | 8.8× |
| Oligoclonal bands (83916) | $219 | $219 | 8.0× |
| Osmolality serum (83930) | $61 | $61 | 9.2× |
| Osmolality Urine (83935) | $61 | $61 | 8.9× |
| Ova and parasites smears (87177) | $46 | $46 | 5.2× |
| Oxalate urine (83945) | $219 | $219 | 15.2× |
| Ph urine (81003) | $35 | $35 | 15.6× |
| Phenobarbital Level (80184) | $81 | $81 | 5.3× |
| Phenotype Infect Agent Drug (87900) | $150 | $150 | 1.2× |
| Phenytoin (Dilantin) (80185) | $81 | $81 | 6.1× |
| Phenytoin free (80186) | $81 | $81 | 5.9× |
| Phosphatase alkaline (84075) | $47 | $47 | 9.1× |
| Phosphorus Serum (84100) | $47 | $47 | 9.9× |
| Phosphorus urine (84105) | $61 | $61 | 10.6× |
| Pinworm exam (87172) | $46 | $46 | 10.8× |
| Platelet count automated (85049) | $57 | $57 | 12.7× |
| Porphobilinogen, urine; quantitative (84110) | $219 | $219 | 25.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $219 | $219 | 14.9× |
| Potassium Urine (84133) | $61 | $61 | 12.9× |
| Prealbumin (84134) | $61 | $61 | 4.2× |
| Primidone (80188) | $81 | $81 | 4.9× |
| Procalcitonin (Pct) (84145) | $336 | $336 | 12.3× |
| Progesterone (84144) | $80 | $80 | 3.8× |
| Prolactin (84146) | $102 | $102 | 5.3× |
| Protein body fluid (84157) | $61 | $61 | 15.3× |
| Protein C Activity (85303) | $94 | $94 | 6.8× |
| Protein c antigen (85302) | $94 | $94 | 7.8× |
| Protein Electrophoresis Urine (84166) | $219 | $219 | 12.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $61 | $61 | 5.7× |
| Protein S Free (85306) | $94 | $94 | 6.1× |
| Protein s total (85305) | $94 | $94 | 8.1× |
| Protein total serum (84155) | $47 | $47 | 12.8× |
| Protein Total Urine (84156) | $61 | $61 | 16.6× |
| PSA free (84154) | $61 | $61 | 3.3× |
| Pth Intact (83970) | $102 | $102 | 2.5× |
| Q Fever Antibody (86638) | $119 | $119 | 9.8× |
| Quantiferon tb gold plus (86480) | $165 | $165 | 2.7× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$76–$121 | $76–$121 | varies |
| Quantitative Screen Metals (83018) | $219 | $219 | 10.0× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$84–$300 | $84–$300 | varies |
| Rbc antibody screen (86850) | $84 | $84 | 8.6× |
| Rbc pretx incubatj w/enzymes (86971) | $225 | $225 | 1.4× |
| Renin activity plasma (84244) | $102 | $102 | 4.6× |
| Resp Virus 6-11 Targets (87632) | $649 | $649 | 3.0× |
| Reticulocyte Count (85046) | $32 | $32 | 5.7× |
| Rh (86901) | $179 | $179 | 59.9× |
| Rheumatoid Factor Qualitative (86430) | $8 | $8 | 1.3× |
| Rheumatoid factor quant (86431) | $84 | $84 | 14.8× |
| Ristocetin cofactor (85245) | $94 | $94 | 4.1× |
| Rotavirus ag eia (87425) | $84 | $84 | 7.0× |
| Rpr qualitative (86592) | $84 | $84 | 19.7× |
| Rubella Antibody (86762) | $84 | $84 | 5.8× |
| Rubeola antibody (86765) | $84 | $84 | 6.5× |
| Russell Viper Venom Time Diluted (85613) | $94 | $94 | 9.8× |
| Rx metab gen seq alys pnl 6 (81418) | $179 | $179 | 0.2× |
| Salicylate Level (80179) | $116 | $116 | 6.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $192 | $192 | 3.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $66 | $66 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $437 | $437 | 3.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $437 | $437 | 3.1× |
| Sedimentation Rate, Automated (85652) | $57 | $57 | 21.1× |
| Selenium (84255) | $219 | $219 | 8.6× |
| Semen Anal Sperm Detection (89321) | $155 | $155 | 12.9× |
| Sensitivity mic (87186) | $46 | $46 | 5.3× |
| Sex Hormone Binding Globulin (84270) | $219 | $219 | 10.1× |
| Sickling of rbc reduction (85660) | $57 | $57 | 10.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$80–$84 | $80–$84 | varies |
| Smear acid fast (87206) | $46 | $46 | 8.5× |
| Smear complex stain (87209) | $61 | $61 | 3.4× |
| Smear gram stain (87205) | $46 | $46 | 10.8× |
| Smear Special Stain (87207) | $46 | $46 | 7.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $219 | $219 | 1.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $46 | $46 | 7.9× |
| Sodium Serum (84295) | $47 | $47 | 9.8× |
| Sodium Urine (84300) | $61 | $61 | 12.1× |
| Somatomedin (84305) | $102 | $102 | 4.8× |
| Special Stains Group 1 (88312) | $147 | $147 | 2.9× |
| Special Stains Group 2 (88313) | $147 | $147 | 1.1× |
| Specimen infect agnt concntj (87015) | $46 | $46 | 6.9× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$55–$57 | $55–$57 | varies |
| Stool cultr aerobic bact ea (87046) | $46 | $46 | 4.9× |
| Strep a assay w/optic (87880) | $46 | $46 | 2.8× |
| Strep a DNA amp probe (87651) | $86 | $86 | 2.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $119 | $119 | 1.3× |
| Sulfate urine (84392) | $41 | $41 | 7.5× |
| Surg path level iii (88304) | $147 | $147 | 2.9× |
| Surgical pathology level IV (88305) | $147 | $147 | 2.9× |
| Surgical pathology level vi (88309) | $418 | $418 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $46 | $46 | 9.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $46 | $46 | 6.1× |
| Syphilis Test Non-Trep Quant (86593) | $55 | $55 | 12.5× |
| T cells absolute cd4 count (86361) | $359 | $359 | 13.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$109–$119 | $109–$119 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$109–$119 | $109–$119 | varies |
| T3 Free (84481) | $80 | $80 | 4.7× |
| T3 reverse (84482) | $80 | $80 | 5.1× |
| T3 Total (84480) | $80 | $80 | 5.6× |
| T4 Free (84439) | $80 | $80 | 8.9× |
| T4 total (84436) | $80 | $80 | 11.6× |
| Tacrolimus (80197) | $81 | $81 | 5.9× |
| Testosterone total (84403) range across 3 matching MRF lines |
$93–$127 | $93–$127 | varies |
| Testosterone, Free (84402) | $102 | $102 | 4.0× |
| Thromboplastin Inhibition Tissue (85705) | $94 | $94 | 9.8× |
| Thyroglobulin (84432) | $102 | $102 | 6.4× |
| Thyroglobulin Antibody (86800) | $102 | $102 | 6.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $102 | $102 | 2.0× |
| Thyroxine binding globulin (84442) | $80 | $80 | 5.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $84 | $84 | 7.3× |
| Topiramate (80201) | $81 | $81 | 6.8× |
| Toxoplasma ab igm (86778) | $119 | $119 | 8.3× |
| Toxoplasma antibody (86777) | $119 | $119 | 8.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $200 | $200 | 0.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $47 | $47 | 9.1× |
| Transferrin (84466) | $61 | $61 | 4.8× |
| Trichomonas vagin dir probe (87660) | $118 | $118 | 5.9× |
| Trichomonas Vaginalis Amplif (87661) | $110 | $110 | 3.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$42–$47 | $42–$47 | varies |
| Troponin Quant (84484) | $219 | $219 | 17.6× |
| Tumor immunohistochem/comput (88361) | $147 | $147 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $260 | $260 | 1.6× |
| Urea nitrogen urine (84540) | $61 | $61 | 11.0× |
| Uric acid other source (84560) | $61 | $61 | 12.0× |
| Urinalysis Microscopic Only (81015) | $41 | $41 | 13.4× |
| Urine Pregnancy Test (81025) | $41 | $41 | 4.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $41 | $41 | 12.9× |
| Valproic acid (80164) | $81 | $81 | 6.0× |
| Vancomycin (80202) | $81 | $81 | 6.0× |
| Varicella-zoster antibody (86787) | $84 | $84 | 6.5× |
| Vasopressin (84588) | $102 | $102 | 3.0× |
| Viral Culture (87252) | $118 | $118 | 4.5× |
| Virus inoculate tissue addl (87253) | $107 | $107 | 5.3× |
| Viscosity serum (85810) | $106 | $106 | 9.1× |
| Vit D 1 25-Dihydroxy (82652) | $219 | $219 | 5.7× |
| Vitamin A (84590) | $219 | $219 | 18.9× |
| Vitamin b-12 (82607) | $80 | $80 | 5.3× |
| Vitamin B2 (Riboflavin) (84252) | $219 | $219 | 10.8× |
| Vitamin B6 (84207) | $219 | $219 | 7.8× |
| Vitamin c (82180) | $61 | $61 | 6.2× |
| Vitamin D 25-Hydroxy (82306) | $219 | $219 | 7.4× |
| Vitamin E (84446) | $219 | $219 | 15.4× |
| Vitamin K (84597) | $115 | $115 | 8.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $118 | $118 | 9.8× |
| Von willebrand factor ag (85246) | $94 | $94 | 4.1× |
| West nile virus ab igm (86788) | $119 | $119 | 7.1× |
| West Nile Virus Antibody (86789) | $119 | $119 | 8.3× |
| Zinc (84630) | $71 | $71 | 6.2× |
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.