Lab & pathology prices at Franklin General Hospital
Hampton, IA · every code in this section with a posted price and a Medicare benchmark.
362 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) | $111.60 | $124 | 6.1× |
| Acth (82024) | $244.80 | $272 | 6.3× |
| Actin smooth muscle antibody each (86015) | $69.30 | $77 | 5.8× |
| Acute hepatitis panel (80074) | $360 | $400 | 7.6× |
| Albumin serum (82040) | $61.20 | $68 | 12.4× |
| Aldolase (82085) | $62.10 | $69 | 6.4× |
| Aldosterone urine (82088) | $264.60 | $294 | 6.5× |
| Alkaline phosphatase isoenzymes (84080) | $105.30 | $117 | 7.1× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$18.90–$250.20 | $21–$278 | varies |
| Alpha-1-antitrypsin total (82103) | $42.30 | $47 | 3.1× |
| Alpha-Fetoprotein Serum (82105) | $168.30 | $187 | 10.0× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$56.70–$61.20 | $63–$68 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$48.60–$61.20 | $54–$68 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$99.90–$108 | $111–$120 | varies |
| Ana Titer (86039) | $102.60 | $114 | 9.2× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$80.10–$165.60 | $89–$184 | varies |
| Angiotensin converting enzyme csf (82164) | $109.80 | $122 | 7.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$68.40–$103.50 | $76–$115 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $137.70 | $153 | 8.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $84.60 | $94 | 5.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $88.20 | $98 | 4.9× |
| Antibody helicobacter pylori (86677) | $126.90 | $141 | 7.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $96.30 | $107 | 6.7× |
| Antibody Herpes Smplx Type 1 (86695) | $100.80 | $112 | 7.6× |
| Antibody Titer (86886) | $363.60 | $404 | 70.2× |
| Antibody Treponema Pallidum (86780) | $78.30 | $87 | 5.9× |
| Antinuclear antibodies (86038) | $112.50 | $125 | 9.3× |
| Antistreptolysin o titer (86060) | $20.70 | $23 | 2.8× |
| Antithrombin iii activity (85300) | $66.60 | $74 | 5.6× |
| Arsenic (82175) | $25.20 | $28 | 1.3× |
| Assay Blood Carbon Dioxide (82374) | $57.60 | $64 | 11.8× |
| Assay of 5-hiaa (83497) | $119.70 | $133 | 9.3× |
| Assay of anti-mullerian hormone (82166) | $230.40 | $256 | 6.0× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$54.90–$59.40 | $61–$66 | varies |
| Assay of calcium in urine (82340) | $56.70 | $63 | 9.4× |
| Assay of g6pd enzyme (82955) | $78.30 | $87 | 8.1× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$82.80–$188.10 | $92–$209 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$102.60–$110.70 | $114–$123 | varies |
| Assay of manganese (83785) | $79.20 | $88 | 3.0× |
| Assay of metanephrines (83835) | $162 | $180 | 9.6× |
| Assay of serum potassium (84132) | $54.90 | $61 | 11.5× |
| Assay of urea nitrogen (84520) | $59.40 | $66 | 15.0× |
| Assay of urine vma (84585) | $129.60 | $144 | 8.4× |
| Assay of vitamin b-1 (84425) | $157.50 | $175 | 7.4× |
| Assay Ph Body Fluid Nos (83986) | $62.10 | $69 | 17.3× |
| Assay spec xcp ur&breath ia (82077) | $256.50 | $285 | 14.9× |
| Automated Leukocyte Count (85048) | $54.90 | $61 | 21.6× |
| Bartonella antibody (86611) | $109.80 | $122 | 10.8× |
| Bcr/abl1 gene major bp (81206) | $905.40 | $1,006 | 5.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$72.90–$218.70 | $81–$243 | varies |
| Beta hydroxybutyrate (82010) | $90.90 | $101 | 11.1× |
| Beta-2 Microglobulin (82232) | $53.10 | $59 | 3.3× |
| Bile acids total (82239) | $65.70 | $73 | 3.8× |
| Bilirubin direct (82248) | $62.10 | $69 | 12.4× |
| Bilirubin total (82247) | $62.10 | $69 | 12.4× |
| Bilirubin total transcutaneous (88720) | $27 | $30 | 5.4× |
| Blastomyces antibody (86612) | $101.70 | $113 | 7.9× |
| Blood count reticulocyte automated (85045) | $87.30 | $97 | 21.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$57.60–$62.10 | $64–$69 | varies |
| Blood gas (82803) | $277.20 | $308 | 10.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $44.10 | $49 | 10.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $81 | $90 | 12.8× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$55.80–$60.30 | $62–$67 | varies |
| C diff amplified probe (87493) | $196.20 | $218 | 5.3× |
| C-Peptide (84681) | $60.30 | $67 | 2.9× |
| C-reactive protein (86140) | $88.20 | $98 | 17.0× |
| Ca 19-9 (86301) | $176.40 | $196 | 8.5× |
| Cadmium (82300) | $24.30 | $27 | 1.0× |
| Calcium ionized (82330) | $101.70 | $113 | 7.4× |
| Calcium total (82310) range across 2 matching MRF lines |
$56.70–$61.20 | $63–$68 | varies |
| Calculus Spectroscopy (82365) | $110.70 | $123 | 8.6× |
| Calprotectin Fecal (83993) | $245.70 | $273 | 12.5× |
| Cancer Antigen 125 (86304) | $179.10 | $199 | 8.6× |
| Cancer Antigen 27.29 (86300) | $279 | $310 | 13.4× |
| Carbamazepine total (80156) | $150.30 | $167 | 10.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$324.90–$352.80 | $361–$392 | varies |
| Carcinoembryonic antigen (82378) | $208.80 | $232 | 11.0× |
| Cardiolipin ab iga (86147) | $134.10 | $149 | 5.3× |
| Catecholamines fractionated (82384) | $178.20 | $198 | 7.1× |
| Ccp antibody (86200) | $118.80 | $132 | 9.2× |
| Cell count csf (89051) range across 2 matching MRF lines |
$24.30–$97.20 | $27–$108 | varies |
| Ceruloplasmin (82390) | $42.30 | $47 | 3.9× |
| Chloride Serum (82435) | $51.30 | $57 | 11.2× |
| Cholesterol total (82465) | $58.50 | $65 | 13.4× |
| Cholinesterase Serum (82480) | $99.90 | $111 | 12.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$170.10–$185.40 | $189–$206 | varies |
| Chromogranin a (86316) | $280.80 | $312 | 13.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$174.60–$190.80 | $194–$212 | varies |
| Citric acid urine (82507) | $401.40 | $446 | 14.4× |
| Ckmb (82553) range across 2 matching MRF lines |
$194.40–$209.70 | $216–$233 | varies |
| Clostridium Difficile (87324) | $33.30 | $37 | 2.8× |
| Coccidioides antibody (86635) | $144.90 | $161 | 12.6× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$119.70–$130.50 | $133–$145 | varies |
| Compatibility test antiglob (86922) | $112.50 | $125 | 0.7× |
| Complement Antigen Each Component (86160) | $121.50 | $135 | 10.1× |
| Complement Total (Ch50) (86162) | $136.80 | $152 | 6.7× |
| Coombs direct (86880) | $81 | $90 | 15.0× |
| Copper urine (82525) | $50.40 | $56 | 4.1× |
| Cortisol free (82530) | $58.50 | $65 | 3.5× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$165.60–$318.60 | $184–$354 | varies |
| Creatine kinase total (82550) | $84.60 | $94 | 13.0× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$51.30–$55.80 | $57–$62 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$179.10–$196.20 | $199–$218 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$68.40–$74.70 | $76–$83 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$148.50–$149.40 | $165–$166 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$110.70–$119.70 | $123–$133 | varies |
| Cryofibrinogen (82585) | $36 | $40 | 2.5× |
| Cryoglobulin (82595) | $36 | $40 | 5.6× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$56.70–$110.70 | $63–$123 | varies |
| Cryptosporidium ag eia (87328) | $58.50 | $65 | 4.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $69.30 | $77 | 8.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $69.30 | $77 | 8.6× |
| Culture afb (87116) | $221.40 | $246 | 20.5× |
| Culture Anaerobic (87075) | $112.50 | $125 | 11.9× |
| Culture blood (87040) | $159.30 | $177 | 15.4× |
| Culture csf (87070) | $103.50 | $115 | 12.0× |
| Culture fungus (87102) | $81.90 | $91 | 9.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$74.70–$144.90 | $83–$161 | varies |
| Culture stool (87045) | $108.90 | $121 | 11.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $261 | $290 | 50.4× |
| Culture urine (87086) | $99.90 | $111 | 12.4× |
| Cyclosporine (80158) | $150.30 | $167 | 8.3× |
| Cystatin C (82610) | $106.20 | $118 | 5.7× |
| Cytomegalovirus igg (86644) | $92.70 | $103 | 6.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $135.90 | $151 | 5.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $56.70 | $63 | 3.1× |
| Detect Agent Nos Dna Amp (87798) | $153 | $170 | 4.4× |
| Detect Agent Nos Dna Quant (87799) | $344.70 | $383 | 8.0× |
| Dhea-S (82627) | $184.50 | $205 | 8.3× |
| Digoxin (80162) | $196.20 | $218 | 14.8× |
| Dna Antibody Native/Double Stranded (86225) | $109.80 | $122 | 8.0× |
| Dna/Rna Amplified Probe (87150) | $285.30 | $317 | 8.1× |
| Drug assay acetaminophen (80143) | $63 | $70 | 3.4× |
| Drug Assay Amiodarone (80151) | $82.80 | $92 | 4.4× |
| Drug assay felbamate (80167) | $97.20 | $108 | 5.2× |
| Drug Assay Itraconazole (80189) | $116.10 | $129 | 4.3× |
| Drug Assay Lacosamide (80235) | $218.70 | $243 | 8.1× |
| Drug Screen Quant Clozapine (80159) | $117 | $130 | 5.8× |
| Drug Screen Quantitative Gabapentin (80171) | $63.90 | $71 | 2.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $238.50 | $265 | 18.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $156.60 | $174 | 11.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $303.30 | $337 | 22.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$89.10–$500.40 | $99–$556 | varies |
| El-1 Fecal Quantitative (82653) | $236.70 | $263 | 10.3× |
| Electrolyte panel (80051) | $122.40 | $136 | 17.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $160.20 | $178 | 13.3× |
| Erythropoietin (82668) | $162 | $180 | 8.6× |
| Estradiol serum (82670) | $232.20 | $258 | 8.3× |
| Ethosuximide (80168) | $171 | $190 | 10.5× |
| Exam Synovial Fluid Crystals (89060) | $63 | $70 | 8.6× |
| Factor Inhibitor Test (85335) | $218.70 | $243 | 17.0× |
| Factor ix activity (85250) | $218.70 | $243 | 11.5× |
| Factor v leiden mutation (81241) | $254.70 | $283 | 3.5× |
| Factor vii assay (85230) | $218.70 | $243 | 12.2× |
| Factor viii assay (85240) | $411.30 | $457 | 23.0× |
| Fat/Lipids Feces Quantitative (82710) | $99 | $110 | 5.9× |
| Ferritin (82728) range across 2 matching MRF lines |
$132.30–$144 | $147–$160 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $168.30 | $187 | 1.1× |
| Fibrin Degradation Quant (85379) | $225 | $250 | 22.1× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $225 | $250 | 22.1× |
| Fibrinogen activity (85384) | $209.70 | $233 | 21.6× |
| Flow cytometry first marker (88184) | $92.70 | $103 | 0.3× |
| Fluorescent antibody screen (86255) | $165.60 | $184 | 13.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $126.90 | $141 | 10.5× |
| Folic Acid Serum (82746) | $135 | $150 | 9.2× |
| Follicle Stimulating Hormone (83001) | $166.50 | $185 | 9.0× |
| Frozen Section (88331) | $578.70 | $643 | 3.5× |
| Fungi Identification Yeast (87106) | $146.70 | $163 | 14.2× |
| Gammaglobulin ige (82785) | $34.20 | $38 | 2.1× |
| Gases blood ph only (82800) | $62.10 | $69 | 5.6× |
| Gastrin (82941) | $96.30 | $107 | 5.5× |
| Gentamicin (80170) | $162.90 | $181 | 9.9× |
| Ggt (82977) range across 2 matching MRF lines |
$65.70–$70.20 | $73–$78 | varies |
| Giardia antigen (87329) | $58.50 | $65 | 4.9× |
| Glucose 2 hr pp (82950) | $116.10 | $129 | 24.4× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$14.40–$77.40 | $16–$86 | varies |
| Glucose Serum (82947) | $42.30 | $47 | 10.8× |
| Glucose tolerance test (gtt) (82951) | $150.30 | $167 | 11.7× |
| Glycated Protein (82985) | $95.40 | $106 | 5.7× |
| Growth hormone (83003) | $62.10 | $69 | 3.7× |
| Gtt-added samples (82952) | $57.60 | $64 | 14.7× |
| Haptoglobin (83010) | $95.40 | $106 | 7.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$73.80–$80.10 | $82–$89 | varies |
| Helicobacter Pylori Stool (87338) | $150.30 | $167 | 10.5× |
| Hematocrit (85014) | $52.20 | $58 | 22.0× |
| Hemoglobin (85018) | $32.40 | $36 | 13.7× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$88.20–$97.20 | $98–$108 | varies |
| Hemoglobin plasma (83051) | $89.10 | $99 | 12.2× |
| Hep a ab igm (86709) | $106.20 | $118 | 9.4× |
| Heparin assay (85520) | $218.70 | $243 | 16.7× |
| Hepatitis a antibody total (86708) | $99 | $110 | 8.0× |
| Hepatitis b core ab igm (86705) | $172.80 | $192 | 14.7× |
| Hepatitis b core ab total (86704) | $96.30 | $107 | 8.0× |
| Hepatitis B Surface Antibody (86706) | $78.30 | $87 | 7.3× |
| Hepatitis B Surface Antigen (87340) | $110.70 | $123 | 10.7× |
| Hepatitis C Antibody (86803) | $106.20 | $118 | 7.4× |
| Hepatitis C Genotype (87902) | $280.80 | $312 | 1.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $419.40 | $466 | 9.8× |
| Herpes simplex type 2 (86696) | $96.30 | $107 | 5.0× |
| Heterophile Antibody Screen (86308) | $88.20 | $98 | 17.0× |
| Hfe Gene (81256) | $350.10 | $389 | 5.4× |
| Histoplasma antibody (86698) | $27 | $30 | 2.0× |
| Histoplasma antigen urine (87385) | $188.10 | $209 | 14.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $104.40 | $116 | 4.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $574.20 | $638 | 6.7× |
| Hla-b27 (86812) | $211.50 | $235 | 8.2× |
| Homocysteine (83090) | $59.40 | $66 | 3.3× |
| Hpv High-Risk Types (87624) | $217.80 | $242 | 6.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$152.10–$220.50 | $169–$245 | varies |
| Hydroxyprogesterone 17-d (83498) | $144.90 | $161 | 5.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $220.50 | $245 | 6.2× |
| Iadna Cytomegalovirus Quantification (87497) | $732.60 | $814 | 17.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $200.70 | $223 | 4.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$174.60–$190.80 | $194–$212 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $288 | $320 | 1.1× |
| Ig Light Chains Free Each (83521) | $387.90 | $431 | 22.5× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$31.50–$124.20 | $35–$138 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $330.30 | $367 | 11.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$48.60–$150.30 | $54–$167 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$51.30–$130.50 | $57–$145 | varies |
| Immunofixation electrophoresis (86334) | $414 | $460 | 18.5× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$248.40–$494.10 | $276–$549 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $286.20 | $318 | 4.1× |
| Influenza assay w/optic (87804) | $66.60 | $74 | 4.0× |
| Inhibin b (83520) range across 2 matching MRF lines |
$137.70–$348.30 | $153–$387 | varies |
| Insulin total (83525) | $81.90 | $91 | 7.2× |
| Intrinsic factor antibody (86340) | $122.40 | $136 | 8.1× |
| Iron (83540) range across 2 matching MRF lines |
$59.40–$63.90 | $66–$71 | varies |
| Iron Binding Capacity (83550) | $79.20 | $88 | 9.1× |
| Irradiation Blood Product Each Unit (86945) | $104.40 | $116 | 2.9× |
| Islet cell antibody (86341) | $369.90 | $411 | 15.7× |
| Lactate (ld) (ldh) enzyme (83615) | $57.60 | $64 | 9.5× |
| Lactoferrin fecal qualitative (83630) | $90.90 | $101 | 4.6× |
| LDL direct (83721) range across 2 matching MRF lines |
$77.40–$83.70 | $86–$93 | varies |
| Lead (83655) range across 2 matching MRF lines |
$26.10–$61.20 | $29–$68 | varies |
| Legionella antigen urine (87449) | $110.70 | $123 | 9.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $175.50 | $195 | 6.3× |
| Level ii surg pathology grossµscopic exam (88302) | $219.60 | $244 | 6.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $856.80 | $952 | 2.5× |
| Lipase (83690) range across 2 matching MRF lines |
$146.70–$159.30 | $163–$177 | varies |
| Lithium (80178) | $87.30 | $97 | 13.2× |
| Luteinizing Hormone (Lh) (83002) | $167.40 | $186 | 9.0× |
| Lyme disease antibody (86618) | $68.40 | $76 | 4.0× |
| Magnesium Urine (83735) | $79.20 | $88 | 11.8× |
| Mercury urine (83825) | $31.50 | $35 | 1.9× |
| Methylmalonic acid serum (83921) | $165.60 | $184 | 7.8× |
| Microalbumin, quantitative (82043) | $123.30 | $137 | 21.3× |
| Microsomal Antibodies Each (86376) | $137.70 | $153 | 9.5× |
| Mrsa Pcr (87641) | $261 | $290 | 7.4× |
| Mumps antibody (86735) | $108.90 | $121 | 8.3× |
| Mycophenolic Acid (80180) | $405.90 | $451 | 22.5× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$121.50–$132.30 | $135–$147 | varies |
| Natriuretic peptide (83880) | $295.20 | $328 | 7.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $288 | $320 | 2.2× |
| Nuclear antigen antibody (86235) | $109.80 | $122 | 6.1× |
| Osmolality serum (83930) | $79.20 | $88 | 12.0× |
| Osmolality Urine (83935) | $72 | $80 | 10.6× |
| Ova and parasites smears (87177) | $84.60 | $94 | 9.5× |
| Oxalate urine (83945) | $81 | $90 | 5.6× |
| Parvovirus antibody (86747) | $58.50 | $65 | 3.9× |
| Ph urine (81003) | $35.10 | $39 | 15.6× |
| Phenobarbital Level (80184) | $154.80 | $172 | 10.1× |
| Phenytoin (Dilantin) (80185) | $179.10 | $199 | 13.5× |
| Phenytoin free (80186) | $83.70 | $93 | 6.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$62.10–$67.50 | $69–$75 | varies |
| Phosphorus Serum (84100) | $58.50 | $65 | 12.3× |
| Phosphorus urine (84105) | $34.20 | $38 | 5.9× |
| Platelet count automated (85049) | $54.90 | $61 | 12.3× |
| Potassium Urine (84133) | $72 | $80 | 15.2× |
| Prealbumin (84134) | $102.60 | $114 | 7.0× |
| Primidone (80188) | $136.80 | $152 | 8.2× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$136.80–$288 | $152–$320 | varies |
| Progesterone (84144) | $135 | $150 | 6.5× |
| Prolactin (84146) | $174.60 | $194 | 9.0× |
| Protein body fluid (84157) | $13.50 | $15 | 3.4× |
| Protein C Activity (85303) | $193.50 | $215 | 14.0× |
| Protein c antigen (85302) | $89.10 | $99 | 7.4× |
| Protein Electrophoresis Urine (84166) | $112.50 | $125 | 6.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $121.50 | $135 | 11.3× |
| Protein s total (85305) | $85.50 | $95 | 7.4× |
| Protein total serum (84155) range across 3 matching MRF lines |
$50.40–$55.80 | $56–$62 | varies |
| Protein Total Urine (84156) | $67.50 | $75 | 18.4× |
| PSA free (84154) | $158.40 | $176 | 8.6× |
| Pth Intact (83970) | $228.60 | $254 | 5.5× |
| Quantiferon tb gold plus (86480) | $481.50 | $535 | 7.8× |
| Rbc antibody identification (86870) | $153.90 | $171 | 0.4× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$117–$120.60 | $130–$134 | varies |
| Renin activity plasma (84244) | $162.90 | $181 | 7.4× |
| Resp virus 12-25 targets (87633) | $295.20 | $328 | 0.7× |
| Rh (86901) | $60.30 | $67 | 20.2× |
| Rheumatoid factor quant (86431) | $63.90 | $71 | 11.3× |
| Rotavirus ag eia (87425) | $147.60 | $164 | 12.3× |
| Rpr qualitative (86592) | $70.20 | $78 | 16.4× |
| Rsv Assay W/Optic (87807) | $230.40 | $256 | 17.6× |
| Rubella Antibody (86762) | $115.20 | $128 | 8.0× |
| Rubeola antibody (86765) | $78.30 | $87 | 6.1× |
| Salicylate Level (80179) | $63 | $70 | 3.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $220.50 | $245 | 4.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $131.40 | $146 | 3.1× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$67.50–$72.90 | $75–$81 | varies |
| Selenium (84255) | $81.90 | $91 | 3.2× |
| Semen Anal Sperm Detection (89321) | $63 | $70 | 5.2× |
| Sensitivity mic (87186) | $101.70 | $113 | 11.8× |
| Sex Hormone Binding Globulin (84270) | $63.90 | $71 | 2.9× |
| Sickling of rbc reduction (85660) | $45.90 | $51 | 8.3× |
| Sirolimus (80195) | $173.70 | $193 | 12.7× |
| Skin test tuberculosis intradermal (86580) | $37.80 | $42 | 1.4× |
| Smear acid fast (87206) | $136.80 | $152 | 25.4× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$194.40–$195.30 | $216–$217 | varies |
| Smear gram stain (87205) range across 5 matching MRF lines |
$60.30–$112.50 | $67–$125 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $88.20 | $98 | 15.2× |
| Sodium Serum (84295) | $52.20 | $58 | 10.9× |
| Sodium Urine (84300) | $54 | $60 | 10.7× |
| Somatomedin (84305) | $366.30 | $407 | 17.2× |
| Special Stains Group 1 (88312) | $504.90 | $561 | 10.1× |
| Special Stains Group 2 (88313) | $374.40 | $416 | 2.9× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$67.50–$93.60 | $75–$104 | varies |
| Strep a assay w/optic (87880) | $57.60 | $64 | 3.5× |
| Surg path level iii (88304) | $250.20 | $278 | 5.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$282.60–$353.70 | $314–$393 | varies |
| Surgical pathology level vi (88309) | $1,026 | $1,140 | 1.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $117.90 | $131 | 2.5× |
| T cells total count (86359) | $103.50 | $115 | 2.7× |
| T3 Free (84481) | $153 | $170 | 9.0× |
| T3 reverse (84482) | $105.30 | $117 | 6.7× |
| T3 Total (84480) | $105.30 | $117 | 7.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$99–$107.10 | $110–$119 | varies |
| T4 total (84436) | $63 | $70 | 9.2× |
| Tacrolimus (80197) | $285.30 | $317 | 20.8× |
| Testosterone total (84403) | $198.90 | $221 | 7.7× |
| Testosterone, Free (84402) | $142.20 | $158 | 5.6× |
| Theophylline (80198) | $179.10 | $199 | 12.7× |
| Thyroglobulin (84432) | $111.60 | $124 | 6.9× |
| Thyroglobulin Antibody (86800) | $105.30 | $117 | 6.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $297.90 | $331 | 5.9× |
| Thyroxine binding globulin (84442) | $99 | $110 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $130.50 | $145 | 11.3× |
| Tobramycin peak (80200) | $139.50 | $155 | 8.6× |
| Topiramate (80201) | $126.90 | $141 | 10.6× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$56.70–$61.20 | $63–$68 | varies |
| Transferrin (84466) | $80.10 | $89 | 6.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$55.80–$60.30 | $62–$67 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$166.50–$180 | $185–$200 | varies |
| Urea nitrogen urine (84540) | $17.10 | $19 | 3.1× |
| Uric acid other source (84560) | $53.10 | $59 | 10.5× |
| Urinalysis Microscopic Only (81015) | $62.10 | $69 | 20.4× |
| Urinalysis Volume Measure (81050) | $67.50 | $75 | 18.5× |
| Urine Bacteria Culture (87088) | $72.90 | $81 | 9.0× |
| Urine Pregnancy Test (81025) | $58.50 | $65 | 6.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $97.20 | $108 | 30.7× |
| Valproic acid (80164) range across 2 matching MRF lines |
$158.40–$171.90 | $176–$191 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$162.90–$175.50 | $181–$195 | varies |
| Varicella-zoster antibody (86787) | $97.20 | $108 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) | $179.10 | $199 | 4.7× |
| Vitamin A (84590) | $225 | $250 | 19.4× |
| Vitamin b-12 (82607) | $126.90 | $141 | 8.4× |
| Vitamin B6 (84207) | $142.20 | $158 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $179.10 | $199 | 6.1× |
| Vitamin E (84446) | $71.10 | $79 | 5.0× |
| West nile virus ab igm (86788) | $288 | $320 | 17.1× |
| West Nile Virus Antibody (86789) | $288 | $320 | 20.0× |
| Zinc (84630) | $66.60 | $74 | 5.8× |
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.