Lab & pathology prices at Franciscan Healthcare
West Point, NE · every code in this section with a posted price and a Medicare benchmark.
378 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $664 | $664 | 17.2× |
| Actin smooth muscle antibody each (86015) | $142 | $142 | 11.8× |
| Acute hepatitis panel (80074) | $456 | $456 | 9.6× |
| Albumin serum (82040) | $93 | $93 | 18.8× |
| Aldolase (82085) | $214 | $214 | 22.0× |
| Aldosterone urine (82088) | $167 | $167 | 4.1× |
| Alkaline phosphatase isoenzymes (84080) | $148 | $148 | 10.0× |
| Allergen specific ige (86003) range across 9 matching MRF lines |
$27–$192 | $27–$192 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$89–$240 | $89–$240 | varies |
| Alpha-1-antitrypsin total (82103) | $254 | $254 | 18.9× |
| Alpha-Fetoprotein Serum (82105) | $147 | $147 | 8.8× |
| Alt (sgpt) (84460) | $119 | $119 | 22.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $280 | $280 | 12.2× |
| Ammonia (82140) | $261 | $261 | 17.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $270 | $270 | 2.8× |
| Amylase urine (82150) | $147 | $147 | 22.7× |
| Ana Titer (86039) | $239 | $239 | 21.4× |
| Anca screen each antibody (86036) | $247 | $247 | 20.5× |
| Androstenedione (82157) | $190 | $190 | 6.5× |
| Angiotensin converting enzyme csf (82164) | $263 | $263 | 18.0× |
| Anti-Phospholipid Antibody (86148) | $90 | $90 | 5.6× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$48–$120 | $48–$120 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114 | $114 | 7.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $380 | $380 | 22.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $113 | $113 | 8.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113 | $113 | 7.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $113 | $113 | 6.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $132 | $132 | 10.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $226 | $226 | 15.7× |
| Antibody Herpes Smplx Type 1 (86695) | $118 | $118 | 8.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $176 | $176 | 12.8× |
| Antibody Titer (86886) | $188 | $188 | 36.3× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$58–$176 | $58–$176 | varies |
| Antigen typing (86905) range across 3 matching MRF lines |
$57–$110 | $57–$110 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $57 | $57 | 10.0× |
| Antinuclear antibodies (86038) | $275 | $275 | 22.7× |
| Antistreptolysin o titer (86060) | $185 | $185 | 25.3× |
| Antithrombin iii activity (85300) | $149 | $149 | 12.6× |
| Arsenic (82175) | $432 | $432 | 22.8× |
| Assay Blood Carbon Dioxide (82374) | $96 | $96 | 19.7× |
| Assay of blood/uric acid (84550) | $111 | $111 | 24.6× |
| Assay of calcium in urine (82340) | $118 | $118 | 19.6× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$152–$206 | $152–$206 | varies |
| Assay of g6pd enzyme (82955) | $114 | $114 | 11.8× |
| Assay of gammaglobulin igm (82784) | $166 | $166 | 17.8× |
| Assay of lactic acid (83605) | $236 | $236 | 20.4× |
| Assay of metanephrines (83835) | $525 | $525 | 31.0× |
| Assay of serum potassium (84132) | $100 | $100 | 21.0× |
| Assay of urea nitrogen (84520) | $98 | $98 | 24.8× |
| Assay of vitamin b-1 (84425) | $294 | $294 | 13.8× |
| Assay spec xcp ur&breath ia (82077) | $351 | $351 | 20.3× |
| Automated Leukocyte Count (85048) | $70 | $70 | 27.6× |
| B cells total count (86355) | $100 | $100 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $97 | $97 | 3.8× |
| Beta-2 Microglobulin (82232) | $247 | $247 | 15.3× |
| Bile acids total (82239) | $131 | $131 | 7.7× |
| Bilirubin direct (82248) | $86 | $86 | 17.1× |
| Bilirubin total (82247) | $114 | $114 | 22.7× |
| Biotinidase (82261) | $67 | $67 | 4.0× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$17–$250 | $17–$250 | varies |
| Blood count reticulocyte automated (85045) | $90 | $90 | 22.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $80 | $80 | 21.1× |
| Blood gas (82803) range across 6 matching MRF lines |
$246–$342 | $246–$342 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $63 | $63 | 14.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $195 | $195 | 30.7× |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$41–$84 | $41–$84 | varies |
| Bordetella antibody (86615) | $344 | $344 | 26.1× |
| C diff amplified probe (87493) | $359 | $359 | 9.6× |
| C-Peptide (84681) | $300 | $300 | 14.4× |
| C-reactive protein (86140) | $169 | $169 | 32.6× |
| Ca 19-9 (86301) | $334 | $334 | 16.0× |
| Calcium ionized (82330) | $172 | $172 | 12.6× |
| Calcium total (82310) | $86 | $86 | 16.7× |
| Calculus Spectroscopy (82365) | $208 | $208 | 16.1× |
| Calprotectin Fecal (83993) | $393 | $393 | 20.0× |
| Cancer Antigen 125 (86304) | $382 | $382 | 18.4× |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$271–$306 | $271–$306 | varies |
| Carbamazepine total (80156) | $259 | $259 | 17.8× |
| Carboxyhemoglobin (82375) | $194 | $194 | 15.7× |
| Carcinoembryonic antigen (82378) | $293 | $293 | 15.5× |
| Cardiolipin ab iga (86147) | $287 | $287 | 11.3× |
| Catecholamines fractionated (82384) | $361 | $361 | 14.3× |
| Ccp antibody (86200) | $211 | $211 | 16.3× |
| Cell count csf (89051) | $192 | $192 | 34.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $314 | $314 | 2.3× |
| Chemiluminescent assay (82397) | $200 | $200 | 14.2× |
| Chloride Serum (82435) | $103 | $103 | 22.4× |
| Chloride urine (82436) | $109 | $109 | 19.0× |
| Cholesterol total (82465) | $106 | $106 | 24.4× |
| Chorionic gonadotropin test (84702) | $214 | $214 | 14.2× |
| Chromium serum (82495) | $139 | $139 | 6.9× |
| Chromogranin a (86316) | $228 | $228 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $202 | $202 | 5.8× |
| Citric acid urine (82507) | $125 | $125 | 4.5× |
| Ckmb (82553) | $179 | $179 | 15.5× |
| Clostridium Difficile (87324) | $221 | $221 | 18.4× |
| Clotting factor xii hageman (85280) | $501 | $501 | 25.9× |
| Collagen crosslinks (82523) | $246 | $246 | 13.2× |
| Compatibility test antiglob (86922) | $287 | $287 | 1.6× |
| Complement Antigen Each Component (86160) | $239 | $239 | 19.9× |
| Complement Total (Ch50) (86162) | $485 | $485 | 23.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$58–$158 | $58–$158 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $166 | $166 | 4.3× |
| Coombs direct (86880) | $125 | $125 | 23.2× |
| Copper urine (82525) | $145 | $145 | 11.7× |
| Cortisol saliva (82533) | $235 | $235 | 14.4× |
| Creatine kinase total (82550) | $167 | $167 | 25.7× |
| Creatinine blood (82565) | $122 | $122 | 23.8× |
| Creatinine clearance (82575) | $249 | $249 | 26.3× |
| Creatinine Urine (82570) | $125 | $125 | 24.1× |
| Crossmatch electronic (86923) | $128 | $128 | 0.7× |
| Crossmatch immediate spin (86920) | $172 | $172 | 1.0× |
| Crp High Sensitivity (86141) | $258 | $258 | 19.9× |
| Cryptococcus ag titer (87899) | $126 | $126 | 7.8× |
| Cryptosporidium ag eia (87328) | $62 | $62 | 4.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$105–$110 | $105–$110 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $324 | $324 | 40.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $307 | $307 | 39.8× |
| Culture afb (87116) | $144 | $144 | 13.3× |
| Culture blood (87040) | $327 | $327 | 31.7× |
| Culture csf (87070) range across 14 matching MRF lines |
$132–$227 | $132–$227 | varies |
| Culture screen only (87081) | $146 | $146 | 22.0× |
| Culture stool (87045) | $147 | $147 | 15.6× |
| Cyclosporine (80158) | $110 | $110 | 6.1× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$67–$257 | $67–$257 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 4 matching MRF lines |
$53–$161 | $53–$161 | varies |
| Cytopath Cell Enhance Tech (88112) | $170 | $170 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $180 | $180 | 3.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $146 | $146 | 3.8× |
| Detect Agent Nos Dna Amp (87798) | $282 | $282 | 8.0× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$198–$275 | $198–$275 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$296–$413 | $296–$413 | varies |
| Dgp Antibody Each Ig Class (86258) | $200 | $200 | 16.6× |
| Dhea-S (82627) | $413 | $413 | 18.6× |
| Digoxin (80162) | $144 | $144 | 10.8× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$141–$214 | $141–$214 | varies |
| Dna/Rna Amplified Probe (87150) | $252 | $252 | 7.2× |
| Drug Assay Amiodarone (80151) | $164 | $164 | 8.8× |
| Drug assay felbamate (80167) | $463 | $463 | 24.8× |
| Drug Assay Itraconazole (80189) | $229 | $229 | 8.4× |
| Drug Assay Lacosamide (80235) | $291 | $291 | 10.7× |
| Drug Assay Posaconazole (80187) | $140 | $140 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $95 | $95 | 4.7× |
| Drug Screen Quant Zonisamide (80203) | $197 | $197 | 14.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $333 | $333 | 25.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $333 | $333 | 25.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $146 | $146 | 11.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$339–$465 | $339–$465 | varies |
| Drug Test Prsmv Instrmnt (80306) | $319 | $319 | 18.6× |
| Electrolyte panel (80051) | $186 | $186 | 26.5× |
| Erythropoietin (82668) | $331 | $331 | 17.6× |
| Estradiol serum (82670) | $260 | $260 | 9.3× |
| Ethosuximide (80168) | $129 | $129 | 7.9× |
| Exam Synovial Fluid Crystals (89060) | $114 | $114 | 15.6× |
| F2 Gene (81240) | $289 | $289 | 4.4× |
| Factor v leiden mutation (81241) | $280 | $280 | 3.8× |
| Factor viii assay (85240) | $442 | $442 | 24.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $200 | $200 | 30.6× |
| Fecal Fat Qualitative (82705) | $95 | $95 | 18.6× |
| Ferritin (82728) | $228 | $228 | 16.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $855 | $855 | 5.6× |
| Fetal Fibronectin (82731) | $519 | $519 | 8.1× |
| Fetal screen rosette (85461) | $189 | $189 | 20.2× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $194 | $194 | 20.0× |
| Fibrinogen activity (85384) | $184 | $184 | 18.9× |
| Flow cytometry first marker (88184) | $119 | $119 | 0.3× |
| Fluorescent antibody screen (86255) | $181 | $181 | 15.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$137–$221 | $137–$221 | varies |
| Folic acid rbc (82747) | $649 | $649 | 36.8× |
| Folic Acid Serum (82746) | $258 | $258 | 17.6× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$235–$258 | $235–$258 | varies |
| Francisella tularensis (86668) | $207 | $207 | 14.6× |
| Frozen Section (88331) | $48 | $48 | 0.3× |
| Galactose (82760) | $64 | $64 | 5.7× |
| Galactose transferase test (82776) | $62 | $62 | 5.3× |
| Gammaglobulin ige (82785) | $207 | $207 | 12.6× |
| Gastrin (82941) | $131 | $131 | 7.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $200 | $200 | 0.5× |
| Gentamicin (80170) | $333 | $333 | 20.3× |
| Ggt (82977) | $149 | $149 | 20.7× |
| Giardia antigen (87329) range across 4 matching MRF lines |
$35–$62 | $35–$62 | varies |
| Glucose 2 hr pp (82950) | $109 | $109 | 22.9× |
| Glucose body fluid (82945) | $116 | $116 | 29.5× |
| Glucose Serum (82947) | $96 | $96 | 24.4× |
| Glucose tolerance test (gtt) (82951) | $257 | $257 | 20.0× |
| Gonadotropin Chorionic Qualitative (84703) | $110 | $110 | 14.6× |
| Gtt-added samples (82952) | $90 | $90 | 23.0× |
| H Pylori (C-13) Breath (83013) | $272 | $272 | 4.0× |
| Haptoglobin (83010) | $213 | $213 | 16.9× |
| Helicobacter Pylori Stool (87338) | $210 | $210 | 14.6× |
| Hematocrit (85014) | $69 | $69 | 29.1× |
| Hemoglobin (85018) | $63 | $63 | 26.6× |
| Hemoglobin a1c (83036) | $147 | $147 | 15.1× |
| Hemoglobin Chromotography (83021) | $171 | $171 | 9.5× |
| Hemoglobin electrophoresis (83020) | $102 | $102 | 7.9× |
| Hemoglobin F Fetal Chemical (83030) | $152 | $152 | 14.2× |
| Heparin assay (85520) range across 2 matching MRF lines |
$146–$510 | $146–$510 | varies |
| Hepatitis a antibody total (86708) | $202 | $202 | 16.3× |
| Hepatitis b core ab igm (86705) | $228 | $228 | 19.4× |
| Hepatitis b core ab total (86704) | $200 | $200 | 16.6× |
| Hepatitis B Surface Antibody (86706) | $217 | $217 | 20.2× |
| Hepatitis B Surface Antigen (87340) | $161 | $161 | 15.6× |
| Hepatitis C Antibody (86803) | $221 | $221 | 15.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $310 | $310 | 7.2× |
| Herpes simplex type 2 (86696) | $118 | $118 | 6.1× |
| Heterophile Antibody Screen (86308) | $110 | $110 | 21.2× |
| Hfe Gene (81256) | $285 | $285 | 4.4× |
| Histoplasma antibody (86698) | $204 | $204 | 14.8× |
| Histoplasma antigen urine (87385) | $353 | $353 | 26.6× |
| Hiv Antigen W/Hiv Antibodies (87806) | $184 | $184 | 5.6× |
| Hla-b27 (86812) | $446 | $446 | 17.3× |
| Homocysteine (83090) | $419 | $419 | 23.4× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$183–$201 | $183–$201 | varies |
| Hpv Types 16 & 18 Only (87625) | $167 | $167 | 4.1× |
| Hsv Dna Amp Probe (87529) | $317 | $317 | 9.0× |
| Hydroxyprogesterone 17-d (83498) | $64 | $64 | 2.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $105 | $105 | 10.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $211 | $211 | 6.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$177–$294 | $177–$294 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$45–$250 | $45–$250 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$144–$320 | $144–$320 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $255 | $255 | 10.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$19–$192 | $19–$192 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$66–$323 | $66–$323 | varies |
| Immunodiffusion Ouchterlony (86331) | $44 | $44 | 3.7× |
| Immunofixation electrophoresis (86334) | $336 | $336 | 15.0× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$117–$158 | $117–$158 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $125 | $125 | 7.8× |
| Influenza DNA amp probe (87502) | $226 | $226 | 2.4× |
| Inhibin b (83520) range across 6 matching MRF lines |
$161–$382 | $161–$382 | varies |
| Insitu hybridization auto (88367) | $417 | $417 | 1.1× |
| Insulin total (83525) | $282 | $282 | 24.7× |
| Intrinsic factor antibody (86340) | $217 | $217 | 14.4× |
| Iron (83540) | $129 | $129 | 19.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $339 | $339 | 3.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$97–$139 | $97–$139 | varies |
| Lactoferrin fecal qualitative (83630) | $158 | $158 | 8.0× |
| Ldh Isoenzymes (83625) | $261 | $261 | 20.4× |
| LDL direct (83721) | $112 | $112 | 10.7× |
| Lead (83655) range across 4 matching MRF lines |
$110–$208 | $110–$208 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$95–$232 | $95–$232 | varies |
| Leukocyte Assessment Fecal (89055) | $101 | $101 | 23.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $440 | $440 | 1.2× |
| Lipase (83690) | $202 | $202 | 29.3× |
| Lithium (80178) | $171 | $171 | 25.9× |
| Luteinizing Hormone (Lh) (83002) | $235 | $235 | 12.7× |
| Lyme disease antibody (86618) | $314 | $314 | 18.4× |
| Lysozyme serum (85549) | $116 | $116 | 6.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$134–$141 | $134–$141 | varies |
| Mass Spectrometry Quant (83789) | $69 | $69 | 2.9× |
| Mercury urine (83825) | $347 | $347 | 21.3× |
| Methylmalonic acid serum (83921) | $532 | $532 | 25.1× |
| Microalbumin, quantitative (82043) | $179 | $179 | 31.0× |
| Microsomal Antibodies Each (86376) | $264 | $264 | 18.1× |
| Mitochondrial Antibody Each (86381) | $264 | $264 | 10.4× |
| Mrsa Pcr (87641) | $227 | $227 | 6.5× |
| Mthfr Gene Analysis Common Variants (81291) | $315 | $315 | 4.8× |
| Mumps antibody (86735) | $163 | $163 | 12.5× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$155–$216 | $155–$216 | varies |
| Natriuretic peptide (83880) | $356 | $356 | 9.1× |
| Nk cells total count (86357) | $100 | $100 | 2.7× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$58–$324 | $58–$324 | varies |
| Occult blood feces (82272) | $63 | $63 | 14.9× |
| Osmolality serum (83930) | $166 | $166 | 25.1× |
| Osmolality Urine (83935) | $175 | $175 | 25.7× |
| Ova and parasites smears (87177) | $136 | $136 | 15.3× |
| Oxalate urine (83945) | $128 | $128 | 8.9× |
| Parvovirus antibody (86747) | $204 | $204 | 13.6× |
| Ph urine (81003) | $63 | $63 | 28.0× |
| Phenobarbital Level (80184) | $272 | $272 | 17.8× |
| Phenytoin (Dilantin) (80185) | $207 | $207 | 15.6× |
| Phosphatase alkaline (84075) | $82 | $82 | 15.8× |
| Phosphorus Serum (84100) | $116 | $116 | 24.5× |
| Phosphorus urine (84105) | $134 | $134 | 23.2× |
| Platelet count automated (85049) | $113 | $113 | 25.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $140 | $140 | 9.5× |
| Potassium Urine (84133) | $110 | $110 | 23.3× |
| Prealbumin (84134) | $195 | $195 | 13.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $203 | $203 | 3.3× |
| Pretx serum rbc antibody identification dilution (86976) | $86 | $86 | 2.9× |
| Procalcitonin (Pct) (84145) | $321 | $321 | 11.8× |
| Progesterone (84144) | $248 | $248 | 11.9× |
| Prolactin (84146) | $326 | $326 | 16.8× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$109–$119 | $109–$119 | varies |
| Protein C Activity (85303) | $637 | $637 | 46.0× |
| Protein c antigen (85302) | $435 | $435 | 36.2× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$62–$130 | $62–$130 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $128 | $128 | 11.9× |
| Protein S Free (85306) range across 3 matching MRF lines |
$221–$506 | $221–$506 | varies |
| Protein total serum (84155) | $117 | $117 | 31.9× |
| Protein Total Urine (84156) range across 7 matching MRF lines |
$96–$194 | $96–$194 | varies |
| PSA free (84154) | $334 | $334 | 18.2× |
| Pth Intact (83970) | $404 | $404 | 9.8× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$126–$363 | $126–$363 | varies |
| Quantitative Screen Metals (83018) | $122 | $122 | 5.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$192–$228 | $192–$228 | varies |
| Rbc antibody identification (86870) | $232 | $232 | 0.6× |
| Rbc antibody screen (86850) | $149 | $149 | 15.3× |
| Rbc pretreatment serum (86978) | $248 | $248 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $116 | $116 | 0.7× |
| Renin activity plasma (84244) | $334 | $334 | 15.2× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$163–$239 | $163–$239 | varies |
| Rh (86901) | $98 | $98 | 32.8× |
| Rheumatoid factor quant (86431) | $138 | $138 | 24.3× |
| Rickettsia antibody (86757) | $501 | $501 | 25.9× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$282–$296 | $282–$296 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$138–$174 | $138–$174 | varies |
| Rubeola antibody (86765) | $225 | $225 | 17.5× |
| Russell Viper Venom Time Diluted (85613) | $296 | $296 | 30.9× |
| Salicylate Level (80179) | $286 | $286 | 15.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$191–$200 | $191–$200 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $141 | $141 | 3.3× |
| Sarscov2 & inf a&b amp prb (87636) | $417 | $417 | 2.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $292 | $292 | 2.0× |
| Sedimentation Rate, Automated (85652) | $86 | $86 | 31.9× |
| Semen Anal Sperm Detection (89321) | $196 | $196 | 16.3× |
| Sensitivity mic (87186) | $137 | $137 | 15.8× |
| Sex Hormone Binding Globulin (84270) | $164 | $164 | 7.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$166–$239 | $166–$239 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$61–$161 | $61–$161 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$87–$101 | $87–$101 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $75 | $75 | 12.9× |
| Sodium Serum (84295) | $107 | $107 | 22.2× |
| Sodium Urine (84300) | $107 | $107 | 21.1× |
| Soluble Transferrin Receptor (84238) | $159 | $159 | 4.3× |
| Somatomedin (84305) | $139 | $139 | 6.5× |
| Special Stains Group 1 (88312) | $163 | $163 | 3.0× |
| Special Stains Group 2 (88313) | $134 | $134 | 1.0× |
| Spectrophotometry (84311) | $305 | $305 | 37.7× |
| Strep a assay w/optic (87880) | $100 | $100 | 6.0× |
| Sugars Single Qual (84376) | $80 | $80 | 14.5× |
| Surgical pathology level IV (88305) | $274 | $274 | 5.1× |
| T cells total count (86359) range across 2 matching MRF lines |
$100–$234 | $100–$234 | varies |
| T3 Free (84481) | $423 | $423 | 25.0× |
| T3 reverse (84482) | $322 | $322 | 20.4× |
| T3 Total (84480) | $228 | $228 | 16.1× |
| T4 Free (84439) | $169 | $169 | 18.7× |
| T4 total (84436) | $153 | $153 | 22.3× |
| T4-neonatal (84437) | $60 | $60 | 9.3× |
| Tacrolimus (80197) | $169 | $169 | 12.3× |
| Tb ag response t-cell susp (86481) | $247 | $247 | 2.5× |
| Test for acetone/ketones (82009) | $134 | $134 | 29.6× |
| Testosterone total (84403) range across 5 matching MRF lines |
$160–$162 | $160–$162 | varies |
| Thiopurine methyltransferase (84433) | $629 | $629 | 28.4× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$59–$75 | $59–$75 | varies |
| Thyroglobulin Antibody (86800) | $197 | $197 | 12.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $684 | $684 | 13.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $200 | $200 | 17.3× |
| Tobramycin peak (80200) | $150 | $150 | 9.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $119 | $119 | 23.0× |
| Transferrin (84466) | $171 | $171 | 13.4× |
| Trichomonas Vaginalis Amplif (87661) | $114 | $114 | 3.2× |
| Triglycerides (84478) | $126 | $126 | 22.0× |
| Troponin Quant (84484) | $298 | $298 | 23.9× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$70–$257 | $70–$257 | varies |
| Tumor Immunohistochem/Manual (88360) | $174 | $174 | 1.0× |
| Uric acid other source (84560) | $134 | $134 | 26.4× |
| Urinalysis Microscopic Only (81015) | $37 | $37 | 12.1× |
| Urine Bacteria Culture (87088) | $156 | $156 | 19.3× |
| Urine Pregnancy Test (81025) | $110 | $110 | 12.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $100 | $100 | 31.5× |
| Valproic acid (80164) | $281 | $281 | 20.8× |
| Vancomycin (80202) | $271 | $271 | 20.0× |
| Varicella-zoster antibody (86787) | $226 | $226 | 17.5× |
| Very Long Chain Fatty Acids (82726) | $83 | $83 | 4.2× |
| Viral Culture (87252) range across 2 matching MRF lines |
$248–$382 | $248–$382 | varies |
| Virus antibody nos (86790) | $182 | $182 | 14.1× |
| Vit D 1 25-Dihydroxy (82652) | $401 | $401 | 10.4× |
| Vitamin A (84590) | $206 | $206 | 17.7× |
| Vitamin b-12 (82607) | $252 | $252 | 16.7× |
| Vitamin B6 (84207) | $405 | $405 | 14.4× |
| Vitamin D 25-Hydroxy (82306) | $251 | $251 | 8.5× |
| Vitamin E (84446) | $315 | $315 | 22.2× |
| Vitamin K (84597) | $200 | $200 | 14.6× |
| West nile virus ab igm (86788) | $107 | $107 | 6.4× |
| West Nile Virus Antibody (86789) | $107 | $107 | 7.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $305 | $305 | 5.9× |
| Zinc (84630) | $137 | $137 | 12.0× |
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.