Lab & pathology prices at Gordon Memorial Hospital District
Gordon, NE · every code in this section with a posted price and a Medicare benchmark.
533 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) | $69 | $69 | 3.8× |
| Acth (82024) | $324 | $324 | 8.4× |
| Actin smooth muscle antibody each (86015) | $142 | $142 | 11.8× |
| Acute hepatitis panel (80074) | $384 | $384 | 8.1× |
| Acylcarnitines Quant (82017) | $169 | $169 | 10.0× |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$240–$265 | $240–$265 | varies |
| Albumin Fluid (82042) | $82 | $82 | 10.5× |
| Albumin serum (82040) | $64 | $64 | 12.9× |
| Aldolase (82085) | $125 | $125 | 12.9× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$319–$320 | $319–$320 | varies |
| Alkaline phosphatase isoenzymes (84080) | $195 | $195 | 13.2× |
| Allergen specific ige (86003) range across 78 matching MRF lines |
$48–$678 | $48–$678 | varies |
| Allergen specific igg (86001) range across 4 matching MRF lines |
$50–$653 | $50–$653 | varies |
| Allg Spec Ige Recomb Ea (86008) | $171 | $171 | 9.5× |
| Alpha-1-antitrypsin total (82103) | $183 | $183 | 13.6× |
| Alpha-Fetoprotein Serum (82105) | $148 | $148 | 8.8× |
| Alt (sgpt) (84460) | $89 | $89 | 16.8× |
| Amikacin trough (80150) | $116 | $116 | 7.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $339 | $339 | 14.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $465 | $465 | 27.6× |
| Amino Acids Quant 2-5 (82136) | $186 | $186 | 9.5× |
| Aminolevulinic acid (ala) (82135) | $288 | $288 | 17.5× |
| Ammonia (82140) | $162 | $162 | 11.1× |
| Amylase urine (82150) | $113 | $113 | 17.4× |
| Ana Titer (86039) | $142 | $142 | 12.7× |
| Anca screen each antibody (86036) | $203 | $203 | 16.8× |
| Androstenedione (82157) | $272 | $272 | 9.3× |
| Angiotensin converting enzyme csf (82164) | $177 | $177 | 12.1× |
| Anti-Phospholipid Antibody (86148) | $211 | $211 | 13.1× |
| Antibody aspergillus (86606) | $255 | $255 | 16.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $325 | $325 | 21.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $171 | $171 | 10.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $138 | $138 | 10.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $138 | $138 | 9.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $194 | $194 | 10.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $315 | $315 | 25.7× |
| Antibody Herpes Smplx Type 1 (86695) | $127 | $127 | 9.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $120 | $120 | 8.8× |
| Antibody john cunningham virus (86711) | $1,995 | $1,995 | 118.1× |
| Antibody Protozoa Nes (86753) | $183 | $183 | 14.8× |
| Antibody Treponema Pallidum (86780) | $106 | $106 | 8.0× |
| Antibody; campylobacter (86625) | $108 | $108 | 8.2× |
| Antigen typing (86905) | $255 | $255 | 66.6× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$152–$253 | $152–$253 | varies |
| Antistreptolysin o titer (86060) | $114 | $114 | 15.6× |
| Antithrombin iii activity (85300) | $191 | $191 | 16.1× |
| Apolipoprotein a1 (82172) | $481 | $481 | 22.8× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $333 | $333 | 8.8× |
| Arsenic (82175) | $174 | $174 | 9.2× |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$235–$240 | $235–$240 | varies |
| Assay Nephelometry Not Spec (83883) | $256 | $256 | 18.8× |
| Assay of 5-hiaa (83497) | $169 | $169 | 13.1× |
| Assay of blood/uric acid (84550) | $80 | $80 | 17.7× |
| Assay of calcium in urine (82340) | $93 | $93 | 15.4× |
| Assay of estrone (82679) | $237 | $237 | 9.5× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$197–$205 | $197–$205 | varies |
| Assay of lactic acid (83605) | $173 | $173 | 15.0× |
| Assay of manganese (83785) | $181 | $181 | 6.8× |
| Assay of metanephrines (83835) | $348 | $348 | 20.5× |
| Assay of proinsulin (84206) | $215 | $215 | 8.1× |
| Assay of pyruvate (84210) | $91 | $91 | 6.3× |
| Assay of serotonin (84260) | $321 | $321 | 10.4× |
| Assay of serum potassium (84132) | $72 | $72 | 15.1× |
| Assay of sweat sodium (84302) | $103 | $103 | 21.2× |
| Assay of urea nitrogen (84520) | $69 | $69 | 17.5× |
| Assay of urine vma (84585) | $226 | $226 | 14.6× |
| Assay of vitamin b-1 (84425) | $251 | $251 | 11.8× |
| Assay Ph Body Fluid Nos (83986) | $106 | $106 | 29.6× |
| Assay spec xcp ur&breath ia (82077) | $233 | $233 | 13.5× |
| Automated Leukocyte Count (85048) | $62 | $62 | 24.4× |
| Bartonella antibody (86611) | $390 | $390 | 38.3× |
| Bcr/abl1 gene major bp (81206) | $1,208 | $1,208 | 7.4× |
| Bcr/abl1 gene minor bp (81207) | $691 | $691 | 4.8× |
| Bcr/Abl1 Gene Other Bp (81208) | $2,148 | $2,148 | 10.0× |
| Beta 2 glycoprotein i antibody each (86146) | $389 | $389 | 15.3× |
| Beta hydroxybutyrate (82010) | $205 | $205 | 25.1× |
| Beta Lactamase (87185) | $76 | $76 | 16.0× |
| Beta-2 Microglobulin (82232) | $168 | $168 | 10.4× |
| Bilirubin direct (82248) | $69 | $69 | 13.7× |
| Bilirubin total (82247) | $76 | $76 | 15.1× |
| Biotinidase (82261) | $69 | $69 | 4.1× |
| Blastomyces antibody (86612) | $129 | $129 | 10.0× |
| Blood count reticulocyte automated (85045) | $86 | $86 | 21.6× |
| Blood gas (82803) range across 4 matching MRF lines |
$287–$295 | $287–$295 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$43–$51 | $43–$51 | varies |
| Blood Sulfhemoglobin Assay (83060) | $156 | $156 | 17.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $88 | $88 | 13.9× |
| Blood typing serologic abo (86900) | $76 | $76 | 25.4× |
| Bordetella antibody (86615) | $450 | $450 | 34.1× |
| Brucella antibody (86622) | $163 | $163 | 18.3× |
| C diff amplified probe (87493) | $240 | $240 | 6.4× |
| C-Peptide (84681) | $184 | $184 | 8.8× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$114–$133 | $114–$133 | varies |
| Ca 19-9 (86301) | $262 | $262 | 12.6× |
| Cadmium (82300) | $174 | $174 | 7.4× |
| Calcitonin (82308) | $433 | $433 | 16.2× |
| Calcium ionized (82330) | $162 | $162 | 11.8× |
| Calcium total (82310) | $75 | $75 | 14.5× |
| Calculus Spectroscopy (82365) | $174 | $174 | 13.5× |
| Calprotectin Fecal (83993) | $535 | $535 | 27.3× |
| Calr gene com variants (81219) | $1,049 | $1,049 | 8.6× |
| Cancer Antigen 125 (86304) | $255 | $255 | 12.3× |
| Cancer Antigen 27.29 (86300) | $249 | $249 | 12.0× |
| Candida antibody (86628) | $89 | $89 | 7.4× |
| Carbamazepine free (80157) | $140 | $140 | 10.6× |
| Carbamazepine total (80156) range across 4 matching MRF lines |
$162–$328 | $162–$328 | varies |
| Carboxyhemoglobin (82375) | $177 | $177 | 14.4× |
| Carcinoembryonic antigen (82378) | $200 | $200 | 10.5× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$310–$313 | $310–$313 | varies |
| Carnitine Quantitative Each Specimen (82379) | $337 | $337 | 20.0× |
| Catecholamines fractionated (82384) | $278 | $278 | 11.0× |
| Ccp antibody (86200) | $193 | $193 | 14.9× |
| Cell count csf (89051) | $160 | $160 | 28.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $231 | $231 | 1.7× |
| Ceruloplasmin (82390) | $171 | $171 | 15.9× |
| Cftr gene com variants (81220) | $353 | $353 | 0.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$256–$272 | $256–$272 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $126 | $126 | 0.5× |
| Chloride other source (82438) | $218 | $218 | 43.6× |
| Chloride Serum (82435) | $74 | $74 | 16.1× |
| Chloride urine (82436) | $94 | $94 | 16.3× |
| Cholesterol total (82465) | $89 | $89 | 20.5× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$155–$163 | $155–$163 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $426 | $426 | 15.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $486 | $486 | 14.5× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $426 | $426 | 6.2× |
| Chromogranin a (86316) | $282 | $282 | 13.6× |
| Chromosome Analysis 15-20 (88262) | $1,471 | $1,471 | 11.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$160–$168 | $160–$168 | varies |
| Citric acid urine (82507) | $200 | $200 | 7.2× |
| Ckmb (82553) | $203 | $203 | 17.6× |
| Clostridium Difficile (87324) | $189 | $189 | 15.8× |
| Clot Factor VIII Multimetric (85247) | $411 | $411 | 17.9× |
| Clotting factor xii hageman (85280) | $103 | $103 | 5.3× |
| Clotting Funct Activity (85397) | $85 | $85 | 2.8× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$108–$131 | $108–$131 | varies |
| Collagen crosslinks (82523) | $343 | $343 | 18.4× |
| Column Chromotography Quant (82542) | $542 | $542 | 22.5× |
| Compatibility test antiglob (86922) | $440 | $440 | 2.5× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$68–$252 | $68–$252 | varies |
| Complement Total (Ch50) (86162) | $198 | $198 | 9.7× |
| Complement/Function Activity (86161) | $325 | $325 | 27.1× |
| Coombs direct (86880) range across 3 matching MRF lines |
$110–$118 | $110–$118 | varies |
| Copper urine (82525) | $190 | $190 | 15.3× |
| Cortisol free (82530) | $260 | $260 | 15.6× |
| Cortisol saliva (82533) | $187 | $187 | 11.5× |
| Creatine kinase total (82550) | $111 | $111 | 17.1× |
| Creatinine blood (82565) | $77 | $77 | 15.0× |
| Creatinine clearance (82575) | $131 | $131 | 13.8× |
| Creatinine Urine (82570) | $91 | $91 | 17.6× |
| Crossmatch immediate spin (86920) | $264 | $264 | 1.5× |
| Crp High Sensitivity (86141) | $114 | $114 | 8.8× |
| Cryofibrinogen (82585) | $101 | $101 | 7.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$140–$148 | $140–$148 | varies |
| Cryptococcus ag titer (87899) | $192 | $192 | 11.9× |
| Cryptosporidium ag eia (87328) | $141 | $141 | 10.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$123–$128 | $123–$128 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $151 | $151 | 18.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $383 | $383 | 1.8× |
| Culture afb (87116) | $202 | $202 | 18.7× |
| Culture Anaerobic (87075) | $145 | $145 | 15.3× |
| Culture blood (87040) | $295 | $295 | 28.6× |
| Culture csf (87070) range across 16 matching MRF lines |
$140–$148 | $140–$148 | varies |
| Culture fungus (87102) | $169 | $169 | 20.1× |
| Culture fungus blood (87103) | $87 | $87 | 4.3× |
| Culture screen only (87081) | $97 | $97 | 14.6× |
| Culture stool (87045) | $138 | $138 | 14.6× |
| Culture urine (87086) | $113 | $113 | 14.0× |
| Cyanide (82600) | $226 | $226 | 11.6× |
| Cyclosporine (80158) | $192 | $192 | 10.6× |
| Cyp2c9 gene com variants (81227) | $1,292 | $1,292 | 7.4× |
| Cystatin C (82610) | $113 | $113 | 6.1× |
| Cytogenetics 100-300 (88275) | $385 | $385 | 7.5× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $574 | $574 | 0.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $4,920 | $4,920 | 4.2× |
| Cytomegalovirus igg (86644) | $188 | $188 | 13.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $147 | $147 | 7.3× |
| Cytopath Cell Enhance Tech (88112) | $155 | $155 | 2.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $82 | $82 | 2.7× |
| Detect Agent Nos Dna Amp (87798) | $358 | $358 | 10.2× |
| Detect Agent Nos Dna Quant (87799) | $640 | $640 | 14.9× |
| Detect agnt mult DNA ampli (87801) | $276 | $276 | 3.9× |
| Dgp Antibody Each Ig Class (86258) | $228 | $228 | 18.9× |
| Dhea (82626) | $235 | $235 | 9.3× |
| Dhea-S (82627) | $237 | $237 | 10.7× |
| Digoxin (80162) | $158 | $158 | 11.9× |
| Dipropylacetic Acid Free (80165) | $193 | $193 | 14.3× |
| Dna Antibody Native/Double Stranded (86225) | $121 | $121 | 8.8× |
| Dna/Rna Amplified Probe (87150) | $886 | $886 | 25.2× |
| Dna/Rna Sequencing (87153) | $232 | $232 | 2.0× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$333–$394 | $333–$394 | varies |
| Drug Assay Amiodarone (80151) | $328 | $328 | 17.6× |
| Drug Assay Everolimus (80169) | $150 | $150 | 10.9× |
| Drug Assay Infliximab (80230) | $434 | $434 | 11.3× |
| Drug Assay Lacosamide (80235) | $281 | $281 | 10.4× |
| Drug Asy Hydroxychloroquine (80220) | $448 | $448 | 24.0× |
| Drug Screen Quant Zonisamide (80203) | $353 | $353 | 26.6× |
| Drug Screen Quantitative Gabapentin (80171) | $221 | $221 | 10.2× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$205–$328 | $205–$328 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $328 | $328 | 24.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$257–$371 | $257–$371 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) | $324 | $324 | 5.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $238 | $238 | 18.9× |
| Ehrlichia antibody (86666) | $281 | $281 | 27.6× |
| Electrolyte panel (80051) | $177 | $177 | 25.2× |
| Eosinophil Smear (89190) | $54 | $54 | 9.3× |
| Erythropoietin (82668) | $227 | $227 | 12.1× |
| Estradiol serum (82670) | $212 | $212 | 7.6× |
| Estriol (82677) | $139 | $139 | 5.7× |
| Estrogen total (82672) | $304 | $304 | 14.0× |
| Estrogens fractionated (82671) | $265 | $265 | 8.2× |
| Exam Synovial Fluid Crystals (89060) | $95 | $95 | 13.0× |
| F2 Gene (81240) | $456 | $456 | 6.9× |
| Factor ii activity (85210) | $297 | $297 | 22.9× |
| Factor ix activity (85250) | $112 | $112 | 5.9× |
| Factor v activity (85220) | $272 | $272 | 15.4× |
| Factor v leiden mutation (81241) | $358 | $358 | 4.9× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$194–$257 | $194–$257 | varies |
| Factor viii assay (85240) | $401 | $401 | 22.4× |
| Factor X (85260) | $471 | $471 | 26.3× |
| Factor xi activity (85270) | $106 | $106 | 5.9× |
| Fecal Fat Qualitative (82705) | $236 | $236 | 46.3× |
| Ferritin (82728) | $163 | $163 | 12.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $469 | $469 | 3.1× |
| Fetal screen rosette (85461) | $272 | $272 | 29.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $198 | $198 | 20.4× |
| Fibrinogen activity (85384) | $145 | $145 | 14.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $142 | $142 | 9.2× |
| Flecainide level (80181) | $328 | $328 | 17.6× |
| Flow cytometry first marker (88184) | $428 | $428 | 1.1× |
| Fluorescent antibody screen (86255) | $226 | $226 | 18.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $214 | $214 | 17.8× |
| Folic Acid Serum (82746) | $159 | $159 | 10.8× |
| Follicle Stimulating Hormone (83001) | $167 | $167 | 9.0× |
| Francisella tularensis (86668) | $333 | $333 | 23.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $185 | $185 | 1.0× |
| Frozen Section (88331) | $346 | $346 | 2.0× |
| Fungi Identification Mold (87107) | $147 | $147 | 14.2× |
| Fungi Identification Yeast (87106) | $158 | $158 | 15.3× |
| G6pd gene analysis full gene sequence (81249) | $1,653 | $1,653 | 2.8× |
| Galactose (82760) | $54 | $54 | 4.8× |
| Galactose transferase test (82776) | $52 | $52 | 4.4× |
| Gammaglobulin ige (82785) | $184 | $184 | 11.2× |
| Gastrin (82941) | $186 | $186 | 10.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $745 | $745 | 1.8× |
| Gentamicin (80170) | $201 | $201 | 12.3× |
| Ggt (82977) | $96 | $96 | 13.3× |
| Giardia antigen (87329) | $147 | $147 | 12.3× |
| Glucose 2 hr pp (82950) | $76 | $76 | 16.0× |
| Glucose Blood Test (82962) | $68 | $68 | 20.7× |
| Glucose body fluid (82945) | $78 | $78 | 19.8× |
| Glucose Serum (82947) | $77 | $77 | 19.6× |
| Glucose tolerance test (gtt) (82951) | $194 | $194 | 15.1× |
| Glycated Protein (82985) | $162 | $162 | 9.7× |
| Gonadotropin Chorionic Qualitative (84703) | $148 | $148 | 19.7× |
| Growth hormone (83003) | $154 | $154 | 9.2× |
| Gtt-added samples (82952) | $93 | $93 | 23.7× |
| H Pylori (C-13) Breath (83013) | $312 | $312 | 4.6× |
| H pylri clrthmcn rst amp prb (87513) | $1,073 | $1,073 | 30.6× |
| Haptoglobin (83010) | $222 | $222 | 17.6× |
| Helicobacter Pylori Stool (87338) | $206 | $206 | 14.3× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$166–$175 | $166–$175 | varies |
| Hematocrit (85014) | $60 | $60 | 25.3× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$20–$55 | $20–$55 | varies |
| Hemoglobin a1c (83036) | $113 | $113 | 11.6× |
| Hemoglobin Chromotography (83021) | $153 | $153 | 8.5× |
| Hemoglobin electrophoresis (83020) | $95 | $95 | 7.4× |
| Hemosiderin urine (83070) | $113 | $113 | 23.8× |
| Hep a ab igm (86709) | $145 | $145 | 12.9× |
| Heparin assay (85520) | $472 | $472 | 36.1× |
| Hepatitis a antibody total (86708) | $174 | $174 | 14.0× |
| Hepatitis b core ab igm (86705) | $160 | $160 | 13.6× |
| Hepatitis b core ab total (86704) | $155 | $155 | 12.9× |
| Hepatitis B Surface Antibody (86706) | $186 | $186 | 17.3× |
| Hepatitis B Surface Antigen (87340) | $123 | $123 | 11.9× |
| Hepatitis C Antibody (86803) | $137 | $137 | 9.6× |
| Hepatitis C Genotype (87902) | $750 | $750 | 2.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $544 | $544 | 15.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $625 | $625 | 14.6× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$127–$133 | $127–$133 | varies |
| Heterophile Antibody Screen (86308) | $97 | $97 | 18.7× |
| Hfe Gene (81256) | $556 | $556 | 8.5× |
| Histamine urine (83088) | $279 | $279 | 9.4× |
| Histoplasma antibody (86698) | $210 | $210 | 15.2× |
| Histoplasma antigen urine (87385) | $345 | $345 | 26.0× |
| Hiv-1 Antibody (86701) | $120 | $120 | 13.5× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $1,675 | $1,675 | 9.4× |
| Hla ii typing 1 locus lr (81376) | $326 | $326 | 2.7× |
| Hla-b27 (86812) | $260 | $260 | 10.1× |
| Homocysteine (83090) | $268 | $268 | 15.0× |
| Hpv High-Risk Types (87624) | $159 | $159 | 4.5× |
| Hpv low-risk types (87623) | $102 | $102 | 2.9× |
| Hsv Dna Amp Probe (87529) | $365 | $365 | 10.4× |
| Hydroxyprogesterone 17-d (83498) | $191 | $191 | 7.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 3 matching MRF lines |
$51–$179 | $51–$179 | varies |
| Iaad ia shiga-like toxin (87427) | $137 | $137 | 11.4× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$44–$102 | $44–$102 | varies |
| Iaadi not otherwise specified each organism (87299) | $38 | $38 | 2.4× |
| Iaadi parainfluenza virus each type (87279) | $38 | $38 | 2.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $180 | $180 | 5.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $389 | $389 | 11.1× |
| Iadna Cytomegalovirus Quantification (87497) | $482 | $482 | 11.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $211 | $211 | 3.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $189 | $189 | 5.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$151–$159 | $151–$159 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $328 | $328 | 2.3× |
| Ig Light Chains Free Each (83521) | $208 | $208 | 12.0× |
| Igg subclasses (82787) | $463 | $463 | 57.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,113 | $1,113 | 3.8× |
| Immunfix e-phorsis/urine/csf (86335) | $242 | $242 | 8.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $371 | $371 | 20.2× |
| Immunoassay infectious agent (86318) | $52 | $52 | 2.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $227 | $227 | 15.1× |
| Immunoassay nonantibody (83516) range across 21 matching MRF lines |
$191–$659 | $191–$659 | varies |
| Immunodiffusion Ouchterlony (86331) | $572 | $572 | 47.7× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$228–$356 | $228–$356 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $132 | $132 | 0.7× |
| Immunohistochemistry (88342) | $308 | $308 | 1.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $333 | $333 | 4.7× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $35 | $35 | 2.4× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$43–$153 | $43–$153 | varies |
| Influenza DNA amp probe (87502) | $275 | $275 | 2.9× |
| Inhibin A (86336) | $177 | $177 | 11.4× |
| Inhibin b (83520) range across 21 matching MRF lines |
$264–$328 | $264–$328 | varies |
| Insulin antibodies (86337) | $307 | $307 | 14.3× |
| Insulin free (83527) | $146 | $146 | 11.3× |
| Insulin total (83525) | $146 | $146 | 12.8× |
| Intrinsic factor antibody (86340) | $173 | $173 | 11.5× |
| Iron (83540) | $90 | $90 | 13.9× |
| Iron Binding Capacity (83550) | $104 | $104 | 11.9× |
| Islet cell antibody (86341) | $328 | $328 | 13.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $851 | $851 | 9.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $853 | $853 | 6.8× |
| Koh Prep (87220) | $78 | $78 | 18.3× |
| Lactate (ld) (ldh) enzyme (83615) | $95 | $95 | 15.7× |
| Lactoferrin fecal qualitative (83630) | $131 | $131 | 6.6× |
| Ldh Isoenzymes (83625) | $204 | $204 | 15.9× |
| Lead (83655) | $107 | $107 | 8.8× |
| Legionella antibody (86713) | $126 | $126 | 8.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $125 | $125 | 4.2× |
| Level ii surg pathology grossµscopic exam (88302) | $172 | $172 | 4.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $483 | $483 | 1.3× |
| Lipase (83690) range across 2 matching MRF lines |
$175–$178 | $175–$178 | varies |
| Lipoprotein A (83695) | $448 | $448 | 31.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $114 | $114 | 3.4× |
| Lithium (80178) | $122 | $122 | 18.5× |
| Luteinizing Hormone (Lh) (83002) | $182 | $182 | 9.8× |
| Lyme disease antibody (86618) | $244 | $244 | 14.3× |
| Lysozyme serum (85549) | $147 | $147 | 7.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$283–$688 | $283–$688 | varies |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$108–$563 | $108–$563 | varies |
| Mass Spectrometry Quant (83789) | $161 | $161 | 6.7× |
| Mercury urine (83825) | $175 | $175 | 10.8× |
| Methylmalonic acid serum (83921) | $366 | $366 | 17.3× |
| Microalbumin, quantitative (82043) | $138 | $138 | 23.9× |
| Microsomal Antibodies Each (86376) | $142 | $142 | 9.8× |
| Mitochondrial Antibody Each (86381) | $151 | $151 | 5.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $345 | $345 | 0.5× |
| Mog-Igg1 Antb Cba Each (86362) | $308 | $308 | 25.6× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $633 | $633 | 16.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $2,028 | $2,028 | 94.7× |
| Molecular Pathology Procedure Level 3 (81402) | $912 | $912 | 6.1× |
| Mononuclear cell antigen (86356) | $278 | $278 | 10.4× |
| Mopath procedure level 4 (81403) | $125 | $125 | 0.7× |
| Mopath procedure level 5 (81404) | $1,675 | $1,675 | 6.1× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$101–$183 | $101–$183 | varies |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $249 | $249 | 0.7× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $411 | $411 | 0.6× |
| Mthfr Gene Analysis Common Variants (81291) | $499 | $499 | 7.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$79–$141 | $79–$141 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,823 | $1,823 | 99.1× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$164–$268 | $164–$268 | varies |
| Mycoplasma antibody (86738) | $276 | $276 | 20.8× |
| Myoglobin urine (83874) | $163 | $163 | 12.6× |
| Natriuretic peptide (83880) | $428 | $428 | 10.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $633 | $633 | 8.8× |
| Niacin (84591) | $316 | $316 | 18.5× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$103–$268 | $103–$268 | varies |
| Occult blood feces (82272) | $50 | $50 | 11.8× |
| Organic Acids Qualitative Each Specimen (83919) | $175 | $175 | 10.6× |
| Osmolality serum (83930) | $132 | $132 | 20.0× |
| Osmolality Urine (83935) | $119 | $119 | 17.4× |
| Ova and parasites smears (87177) | $122 | $122 | 13.7× |
| Oxalate urine (83945) | $160 | $160 | 11.1× |
| Pancreatic Elastase Fecal (82656) | $451 | $451 | 39.1× |
| Parvovirus antibody (86747) | $143 | $143 | 9.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$59–$63 | $59–$63 | varies |
| Phenobarbital Level (80184) | $181 | $181 | 11.8× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$106–$107 | $106–$107 | varies |
| Phenytoin (Dilantin) (80185) | $177 | $177 | 13.4× |
| Phosphatase alkaline (84075) | $64 | $64 | 12.4× |
| Phospholipid Neutralization Hexagonal (85598) | $255 | $255 | 14.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$75–$303 | $75–$303 | varies |
| Phosphorus urine (84105) | $78 | $78 | 13.5× |
| Pinworm exam (87172) | $66 | $66 | 15.5× |
| Platelet count automated (85049) | $82 | $82 | 18.3× |
| Platelet neutralization (85597) | $244 | $244 | 13.6× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $136 | $136 | 0.7× |
| Pms2 gene full seq analysis (81317) | $453 | $453 | 0.7× |
| Porphobilinogen, urine; quantitative (84110) | $143 | $143 | 16.9× |
| Potassium Urine (84133) | $76 | $76 | 16.1× |
| Prealbumin (84134) | $168 | $168 | 11.5× |
| Pregnenolone (84140) | $377 | $377 | 18.2× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$283–$303 | $283–$303 | varies |
| Progesterone (84144) | $180 | $180 | 8.6× |
| Prolactin (84146) | $222 | $222 | 11.5× |
| Prostaglandin (84150) | $207 | $207 | 5.0× |
| Protein body fluid (84157) | $76 | $76 | 19.0× |
| Protein C Activity (85303) | $247 | $247 | 17.8× |
| Protein c antigen (85302) | $298 | $298 | 24.8× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$155–$161 | $155–$161 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $143 | $143 | 13.3× |
| Protein S Free (85306) | $311 | $311 | 20.3× |
| Protein total serum (84155) | $76 | $76 | 20.7× |
| Protein Total Urine (84156) | $91 | $91 | 24.8× |
| Protein Western Blot Test (84182) | $2,211 | $2,211 | 75.7× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $84 | $84 | 21.3× |
| PSA free (84154) | $166 | $166 | 9.0× |
| Pth Intact (83970) | $320 | $320 | 7.8× |
| Q Fever Antibody (86638) | $387 | $387 | 31.9× |
| Quantiferon tb gold plus (86480) | $280 | $280 | 4.5× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$326–$783 | $326–$783 | varies |
| Rbc antibody identification (86870) | $511 | $511 | 1.4× |
| Rbc antibody screen (86850) | $128 | $128 | 13.1× |
| Rbc pretreatment serum (86978) | $177 | $177 | 2.9× |
| Renin activity plasma (84244) | $262 | $262 | 11.9× |
| Reptilase test (85635) | $276 | $276 | 28.0× |
| Resp virus 12-25 targets (87633) | $807 | $807 | 1.9× |
| Rh (86901) | $87 | $87 | 29.1× |
| Rheumatoid factor quant (86431) | $91 | $91 | 16.0× |
| Rickettsia antibody (86757) | $210 | $210 | 10.9× |
| Ristocetin cofactor (85245) | $223 | $223 | 9.7× |
| Rotavirus ag eia (87425) | $151 | $151 | 12.6× |
| Rpr qualitative (86592) | $74 | $74 | 17.3× |
| Rubella Antibody (86762) | $122 | $122 | 8.5× |
| Rubeola antibody (86765) | $144 | $144 | 11.2× |
| Russell Viper Venom Time Diluted (85613) | $196 | $196 | 20.5× |
| Salmonella antibody (86768) | $108 | $108 | 8.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $194 | $194 | 3.8× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$120–$128 | $120–$128 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $264 | $264 | 6.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $566 | $566 | 4.0× |
| Sedimentation rate (85651) range across 3 matching MRF lines |
$65–$78 | $65–$78 | varies |
| Selenium (84255) | $170 | $170 | 6.7× |
| Semen Anal Sperm Detection (89321) | $118 | $118 | 9.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$143–$248 | $143–$248 | varies |
| Sex Hormone Binding Globulin (84270) | $179 | $179 | 8.2× |
| Sickling of rbc reduction (85660) | $106 | $106 | 19.2× |
| Sirolimus (80195) | $370 | $370 | 26.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$22–$25 | $22–$25 | varies |
| Smear acid fast (87206) | $96 | $96 | 17.8× |
| Smear complex stain (87209) | $113 | $113 | 6.3× |
| Smear gram stain (87205) | $73 | $73 | 17.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $80 | $80 | 13.7× |
| Snrpn/Ube3a Methylation Analysis (81331) | $488 | $488 | 9.6× |
| Sodium Serum (84295) | $75 | $75 | 15.6× |
| Sodium Urine (84300) | $76 | $76 | 15.0× |
| Soluble fibrin monomer (85366) | $149 | $149 | 1.9× |
| Somatomedin (84305) | $293 | $293 | 13.8× |
| Special Stains Group 1 (88312) | $178 | $178 | 3.3× |
| Special Stains Group 2 (88313) | $261 | $261 | 1.9× |
| Specific gravity body fluid (84315) | $55 | $55 | 16.8× |
| Spectrophotometry (84311) | $345 | $345 | 42.6× |
| Stool cultr aerobic bact ea (87046) | $148 | $148 | 15.7× |
| Sugars Single Qual (84376) | $265 | $265 | 48.2× |
| Sulfate urine (84392) | $120 | $120 | 21.9× |
| Surg path level iii (88304) | $193 | $193 | 3.6× |
| Surgical pathology level IV (88305) | $258 | $258 | 4.8× |
| Surgical pathology level vi (88309) | $602 | $602 | 0.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $173 | $173 | 23.1× |
| T cells absolute cd4 count (86361) | $278 | $278 | 10.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $120 | $120 | 2.6× |
| T cells total count (86359) | $125 | $125 | 3.3× |
| T3 Free (84481) | $223 | $223 | 13.2× |
| T3 reverse (84482) | $288 | $288 | 18.3× |
| T3 Total (84480) | $144 | $144 | 10.2× |
| T3 Uptake (84479) | $109 | $109 | 16.8× |
| T4 Free (84439) | $148 | $148 | 16.4× |
| T4 total (84436) | $97 | $97 | 14.1× |
| T4-neonatal (84437) | $51 | $51 | 7.9× |
| Tacrolimus (80197) | $253 | $253 | 18.4× |
| Tau phosphorylated each (84393) | $525 | $525 | 4.1× |
| Testosterone total (84403) | $196 | $196 | 7.6× |
| Testosterone, Free (84402) | $218 | $218 | 8.6× |
| Tetanus antibody (86774) | $253 | $253 | 17.1× |
| Theophylline (80198) | $172 | $172 | 12.2× |
| Thrombin Time (85670) | $153 | $153 | 26.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $133 | $133 | 20.6× |
| Thyroglobulin (84432) | $203 | $203 | 12.6× |
| Thyroglobulin Antibody (86800) | $148 | $148 | 9.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $468 | $468 | 9.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$182–$188 | $182–$188 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$542–$612 | $542–$612 | varies |
| Tobramycin peak (80200) | $156 | $156 | 9.7× |
| Topiramate (80201) | $291 | $291 | 24.4× |
| Toxoplasma ab igm (86778) | $139 | $139 | 9.6× |
| Toxoplasma antibody (86777) | $153 | $153 | 10.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $247 | $247 | 0.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $86 | $86 | 16.6× |
| Transferrin (84466) | $156 | $156 | 12.2× |
| Trichomonas Vaginalis Amplif (87661) | $119 | $119 | 3.4× |
| Triglycerides (84478) | $85 | $85 | 14.8× |
| Troponin Quant (84484) range across 5 matching MRF lines |
$274–$293 | $274–$293 | varies |
| Tumor Immunohistochem/Manual (88360) | $844 | $844 | 4.8× |
| Urea nitrogen urine (84540) | $66 | $66 | 11.9× |
| Uric acid other source (84560) | $74 | $74 | 14.6× |
| Urinalysis Microscopic Only (81015) | $53 | $53 | 17.4× |
| Urine Bacteria Culture (87088) | $130 | $130 | 16.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$23–$105 | $23–$105 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$69–$73 | $69–$73 | varies |
| Valproic acid (80164) | $189 | $189 | 14.0× |
| Vancomycin (80202) | $227 | $227 | 16.8× |
| Varicella-zoster antibody (86787) | $191 | $191 | 14.8× |
| Vasopressin (84588) | $320 | $320 | 9.4× |
| Viral Culture (87252) | $214 | $214 | 8.2× |
| Virus antibody nos (86790) | $330 | $330 | 25.6× |
| Virus inoculate tissue addl (87253) | $90 | $90 | 4.5× |
| Vit D 1 25-Dihydroxy (82652) | $385 | $385 | 10.0× |
| Vitamin A (84590) | $200 | $200 | 17.2× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$178–$188 | $178–$188 | varies |
| Vitamin B2 (Riboflavin) (84252) | $304 | $304 | 15.0× |
| Vitamin B6 (84207) | $239 | $239 | 8.5× |
| Vitamin c (82180) | $218 | $218 | 22.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$205–$228 | $205–$228 | varies |
| Vitamin E (84446) | $228 | $228 | 16.1× |
| Vitamin K (84597) | $296 | $296 | 21.6× |
| Volatiles (84600) | $121 | $121 | 7.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $1,651 | $1,651 | 137.0× |
| Von willebrand factor ag (85246) | $310 | $310 | 13.5× |
| West nile virus ab igm (86788) | $195 | $195 | 11.6× |
| West Nile Virus Antibody (86789) | $195 | $195 | 13.6× |
| Whole Mitochondrial Genome (81460) | $2,948 | $2,948 | 2.3× |
| Zinc (84630) | $130 | $130 | 11.4× |
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.