Lab & pathology prices at Grand Lake Health System
Saint Marys, OH · every code in this section with a posted price and a Medicare benchmark.
526 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $107.10 | $119 | 4.7× |
| Acth (82024) | $199.80 | $222 | 5.2× |
| Acute hepatitis panel (80074) | $117.90 | $131 | 2.5× |
| Albumin Fluid (82042) | $38.70 | $43 | 5.0× |
| Albumin serum (82040) | $38.70 | $43 | 7.8× |
| Aldolase (82085) | $117.90 | $131 | 12.1× |
| Aldosterone urine (82088) | $223.20 | $248 | 5.5× |
| Alkaline phosphatase isoenzymes (84080) | $165.60 | $184 | 11.2× |
| Allergen spec ige qual multiallergen screen (86005) | $37.80 | $42 | 4.7× |
| Allergen specific ige (86003) range across 82 matching MRF lines |
$22.50–$38.70 | $25–$43 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $177.30 | $197 | 12.3× |
| Alpha-1-antitrypsin total (82103) | $129.60 | $144 | 9.6× |
| Alpha-Fetoprotein Serum (82105) | $88.20 | $98 | 5.3× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$37.80–$52.20 | $42–$58 | varies |
| Aluminum (82108) | $102.60 | $114 | 4.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $149.40 | $166 | 6.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $556.20 | $618 | 33.0× |
| Ammonia (82140) | $198.90 | $221 | 13.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $159.30 | $177 | 1.6× |
| Amylase urine (82150) | $149.40 | $166 | 23.1× |
| Ana Titer (86039) | $164.70 | $183 | 14.8× |
| Androstenedione (82157) | $169.20 | $188 | 5.8× |
| Angiotensin converting enzyme csf (82164) | $54 | $60 | 3.7× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$24.30–$81.90 | $27–$91 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $68.40 | $76 | 4.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $139.50 | $155 | 8.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $110.70 | $123 | 8.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $110.70 | $123 | 7.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $117 | $130 | 6.4× |
| Antibody Herpes Smplx Type 1 (86695) | $63 | $70 | 4.8× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$136.80–$144 | $152–$160 | varies |
| Antibody HIV-2 (86702) | $113.40 | $126 | 8.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $166.50 | $185 | 8.6× |
| Antibody john cunningham virus (86711) | $59.40 | $66 | 3.5× |
| Antibody Titer (86886) | $275.40 | $306 | 53.2× |
| Antibody Treponema Pallidum (86780) | $73.80 | $82 | 5.6× |
| Antibody yersinia (86793) | $110.70 | $123 | 8.4× |
| Antibody; influenza virus (86710) | $100.80 | $112 | 7.4× |
| Antigen typing (86905) | $151.20 | $168 | 39.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $47.70 | $53 | 8.3× |
| Antinuclear antibodies (86038) | $107.10 | $119 | 8.9× |
| Antistreptolysin o titer (86060) | $154.80 | $172 | 21.2× |
| Antithrombin iii activity (85300) | $153 | $170 | 12.9× |
| Antithrombin iii antigen (85301) | $60.30 | $67 | 5.6× |
| Apolipoprotein a1 (82172) | $47.70 | $53 | 2.3× |
| Aquaporin-4 Antb Elisa (86051) | $616.50 | $685 | 53.5× |
| Arsenic (82175) range across 3 matching MRF lines |
$26.10–$45 | $29–$50 | varies |
| Assay activated protein c (85307) | $111.60 | $124 | 7.3× |
| Assay Blood Carbon Dioxide (82374) | $27 | $30 | 5.5× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$80.10–$147.60 | $89–$164 | varies |
| Assay of 5-hiaa (83497) | $106.20 | $118 | 8.2× |
| Assay of blood/uric acid (84550) | $102.60 | $114 | 22.7× |
| Assay of calcium in urine (82340) | $61.20 | $68 | 10.1× |
| Assay of cpk in blood (82552) | $157.50 | $175 | 11.8× |
| Assay of g6pd enzyme (82955) | $50.40 | $56 | 5.2× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$24.30–$90 | $27–$100 | varies |
| Assay of lactic acid (83605) | $106.20 | $118 | 9.2× |
| Assay of metanephrines (83835) | $132.30 | $147 | 7.8× |
| Assay of serotonin (84260) | $189 | $210 | 6.1× |
| Assay of serum potassium (84132) | $53.10 | $59 | 11.2× |
| Assay of urea nitrogen (84520) | $43.20 | $48 | 10.9× |
| Assay of urine vma (84585) | $137.70 | $153 | 8.9× |
| Assay of vitamin b-1 (84425) | $140.40 | $156 | 6.6× |
| Assay Ph Body Fluid Nos (83986) range across 6 matching MRF lines |
$36–$75.60 | $40–$84 | varies |
| Assay spec xcp ur&breath ia (82077) | $157.50 | $175 | 9.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $685.80 | $762 | 4.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$37.80–$79.20 | $42–$88 | varies |
| Bartonella antibody (86611) | $36.90 | $41 | 3.6× |
| Beta 2 glycoprotein i antibody each (86146) | $125.10 | $139 | 4.9× |
| Beta hydroxybutyrate (82010) | $30.60 | $34 | 3.7× |
| Beta Lactamase (87185) | $90 | $100 | 18.9× |
| Beta-2 Microglobulin (82232) | $130.50 | $145 | 8.1× |
| Bile acids total (82239) | $51.30 | $57 | 3.0× |
| Bilirubin direct (82248) | $75.60 | $84 | 15.1× |
| Bilirubin total (82247) | $57.60 | $64 | 11.5× |
| Bilirubin total transcutaneous (88720) | $59.40 | $66 | 11.8× |
| Blastomyces antibody (86612) | $82.80 | $92 | 6.4× |
| Bld Typing Serologic Rh Phnt (86906) | $285.30 | $317 | 36.8× |
| Blood Count Red Blood Cell Automated (85041) | $36 | $40 | 11.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $68.40 | $76 | 18.0× |
| Blood gases w/02 saturation (82805) | $277.20 | $308 | 3.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $53.10 | $59 | 3.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $206.10 | $229 | 32.5× |
| Blood typing serologic abo (86900) | $59.40 | $66 | 19.9× |
| Body fluid cell count (89050) | $123.30 | $137 | 26.1× |
| Bone marrow smear interpretation (85097) | $488.70 | $543 | 0.6× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$106.20–$107.10 | $118–$119 | varies |
| Brca1&2 gen full seq dup/del (81162) | $3,942 | $4,380 | 2.2× |
| C diff amplified probe (87493) | $219.60 | $244 | 5.9× |
| C-Peptide (84681) | $154.80 | $172 | 7.4× |
| C-reactive protein (86140) | $110.70 | $123 | 21.4× |
| Ca 19-9 (86301) | $135.90 | $151 | 6.5× |
| Cadmium (82300) | $54 | $60 | 2.3× |
| Calcitonin (82308) | $111.60 | $124 | 4.2× |
| Calcium ionized (82330) | $51.30 | $57 | 3.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$39.60–$47.70 | $44–$53 | varies |
| Calculus Spectroscopy (82365) | $164.70 | $183 | 12.8× |
| Calprotectin Fecal (83993) | $483.30 | $537 | 24.6× |
| Cancer Antigen 125 (86304) | $135.90 | $151 | 6.5× |
| Cancer Antigen 27.29 (86300) | $126 | $140 | 6.1× |
| Candida Dna Dir Probe (87480) | $36.90 | $41 | 1.8× |
| Carbamazepine free (80157) | $50.40 | $56 | 3.8× |
| Carbamazepine total (80156) | $126.90 | $141 | 8.7× |
| Carboxyhemoglobin (82375) | $124.20 | $138 | 10.1× |
| Carcinoembryonic antigen (82378) | $234.90 | $261 | 12.4× |
| Cardiolipin ab iga (86147) | $129.60 | $144 | 5.1× |
| Catecholamines fractionated (82384) | $87.30 | $97 | 3.5× |
| Ccp antibody (86200) | $140.40 | $156 | 10.8× |
| Cell count csf (89051) | $173.70 | $193 | 31.0× |
| Ceruloplasmin (82390) | $136.80 | $152 | 12.7× |
| Cftr gene com variants (81220) | $1,065.60 | $1,184 | 1.9× |
| Chloride Serum (82435) | $36.90 | $41 | 8.0× |
| Chloride urine (82436) | $66.60 | $74 | 11.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$63.90–$66.60 | $71–$74 | varies |
| Chorionic gonadotropin test (84702) | $144 | $160 | 9.6× |
| Chromium serum (82495) | $121.50 | $135 | 6.0× |
| Chromosome Analysis 15-20 (88262) | $575.10 | $639 | 4.6× |
| Chromosome Analysis 20-25 (88264) | $501.30 | $557 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $102.60 | $114 | 2.9× |
| Citric acid urine (82507) | $97.20 | $108 | 3.5× |
| Ckmb (82553) | $117.90 | $131 | 10.2× |
| Coccidioides antibody (86635) | $77.40 | $86 | 6.7× |
| Cold agglutinin titer (86157) | $94.50 | $105 | 11.7× |
| Collagen crosslinks (82523) | $81 | $90 | 4.3× |
| Column Chromotography Quant (82542) | $178.20 | $198 | 7.4× |
| Compatibility test antiglob (86922) | $125.10 | $139 | 0.7× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$40.50–$121.50 | $45–$135 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$165.60–$215.10 | $184–$239 | varies |
| Coombs direct (86880) | $95.40 | $106 | 17.7× |
| Copper urine (82525) | $105.30 | $117 | 8.5× |
| Cortisol free (82530) | $126 | $140 | 7.5× |
| Cortisol saliva (82533) | $80.10 | $89 | 4.9× |
| Creatine kinase total (82550) | $111.60 | $124 | 17.1× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$10.80–$43.20 | $12–$48 | varies |
| Creatinine clearance (82575) | $159.30 | $177 | 16.8× |
| Creatinine Urine (82570) | $43.20 | $48 | 8.3× |
| Crp High Sensitivity (86141) | $110.70 | $123 | 8.5× |
| Cryoglobulin (82595) | $53.10 | $59 | 8.2× |
| Cryptococcal Antigen (87327) | $132.30 | $147 | 9.9× |
| Cryptococcus ag titer (87899) | $225.90 | $251 | 14.1× |
| Cryptosporidium ag eia (87328) | $126.90 | $141 | 9.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 7 matching MRF lines |
$97.20–$199.80 | $108–$222 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $118.80 | $132 | 14.7× |
| Culture afb (87116) | $154.80 | $172 | 14.3× |
| Culture Anaerobic (87075) | $145.80 | $162 | 15.4× |
| Culture blood (87040) | $157.50 | $175 | 15.3× |
| Culture chlamydia (87110) | $132.30 | $147 | 6.8× |
| Culture csf (87070) | $117.90 | $131 | 13.7× |
| Culture fungus (87102) | $154.80 | $172 | 18.4× |
| Culture fungus blood (87103) | $39.60 | $44 | 1.9× |
| Culture screen only (87081) | $117.90 | $131 | 17.8× |
| Culture stool (87045) | $54 | $60 | 5.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 5 matching MRF lines |
$73.80–$121.50 | $82–$135 | varies |
| Culture urine (87086) | $120.60 | $134 | 14.9× |
| Cyclosporine (80158) | $174.60 | $194 | 9.7× |
| Cystatin C (82610) | $99 | $110 | 5.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,836 | $2,040 | 1.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$126–$139.50 | $140–$155 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$152.10–$220.50 | $169–$245 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $125.10 | $139 | 4.7× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$126–$149.40 | $140–$166 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $255.60 | $284 | 4.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $153 | $170 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $149.40 | $166 | 4.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $265.50 | $295 | 5.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $157.50 | $175 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$240.30–$1,055.70 | $267–$1,173 | varies |
| Detect Agent Nos Dna Quant (87799) | $191.70 | $213 | 4.5× |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$100.80–$288.90 | $112–$321 | varies |
| Dgp Antibody Each Ig Class (86258) | $136.80 | $152 | 11.4× |
| Dhea (82626) | $165.60 | $184 | 6.6× |
| Dhea-S (82627) | $147.60 | $164 | 6.6× |
| Digoxin (80162) | $161.10 | $179 | 12.1× |
| Dna Antibody Native/Double Stranded (86225) | $164.70 | $183 | 12.0× |
| Dna Antibody Single Stranded (86226) | $58.50 | $65 | 4.8× |
| Dna/Rna Amplified Probe (87150) | $220.50 | $245 | 6.3× |
| Drug assay acetaminophen (80143) | $126 | $140 | 6.8× |
| Drug assay adalimumab (80145) | $710.10 | $789 | 18.4× |
| Drug Assay Amiodarone (80151) | $178.20 | $198 | 9.6× |
| Drug Assay Everolimus (80169) | $220.50 | $245 | 16.1× |
| Drug Assay Itraconazole (80189) | $178.20 | $198 | 6.6× |
| Drug Assay Lacosamide (80235) | $215.10 | $239 | 7.9× |
| Drug Screen Quant Zonisamide (80203) | $144 | $160 | 10.9× |
| Drug Screen Quantitative Gabapentin (80171) | $140.40 | $156 | 6.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $136.80 | $152 | 10.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $167.40 | $186 | 12.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $88.20 | $98 | 6.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $126.90 | $141 | 7.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$60.30–$125.10 | $67–$139 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $124.20 | $138 | 9.9× |
| Egfr Gene Analysis Common Variants (81235) | $735.30 | $817 | 2.3× |
| Electrolyte panel (80051) | $145.80 | $162 | 20.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$136.80–$244.80 | $152–$272 | varies |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$63.90–$118.80 | $71–$132 | varies |
| Enterovirus PCR (87498) | $351 | $390 | 10.0× |
| Eosinophil Smear (89190) | $72 | $80 | 12.4× |
| Erythropoietin (82668) | $130.50 | $145 | 6.9× |
| Estradiol serum (82670) | $107.10 | $119 | 3.8× |
| Estriol (82677) | $130.50 | $145 | 5.4× |
| Estrogens fractionated (82671) | $193.50 | $215 | 6.0× |
| Ethosuximide (80168) | $86.40 | $96 | 5.3× |
| Exam Synovial Fluid Crystals (89060) | $132.30 | $147 | 18.0× |
| F2 Gene (81240) | $300.60 | $334 | 4.6× |
| Factor ix activity (85250) | $86.40 | $96 | 4.5× |
| Factor v activity (85220) | $83.70 | $93 | 4.7× |
| Factor v leiden mutation (81241) | $118.80 | $132 | 1.6× |
| Factor vii assay (85230) | $86.40 | $96 | 4.8× |
| Factor viii assay (85240) | $110.70 | $123 | 6.2× |
| Factor X (85260) | $83.70 | $93 | 4.7× |
| Factor xi activity (85270) | $115.20 | $128 | 6.4× |
| Fat/Lipids Feces Quantitative (82710) | $191.70 | $213 | 11.4× |
| Fatty acids free (82725) | $117.90 | $131 | 6.3× |
| Fecal Fat Qualitative (82705) | $96.30 | $107 | 18.9× |
| Ferritin (82728) range across 2 matching MRF lines |
$52.20–$124.20 | $58–$138 | varies |
| Fetal Fibronectin (82731) | $369.90 | $411 | 5.7× |
| Fetal screen rosette (85461) | $140.40 | $156 | 15.0× |
| Fibrin Degradation Quant (85379) | $201.60 | $224 | 19.8× |
| Fibrinogen activity (85384) | $147.60 | $164 | 15.2× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$67.50–$193.50 | $75–$215 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$244.80–$437.40 | $272–$486 | varies |
| Fluoride serum (82735) | $236.70 | $263 | 12.8× |
| Folic acid rbc (82747) | $166.50 | $185 | 9.4× |
| Folic Acid Serum (82746) | $124.20 | $138 | 8.4× |
| Follicle Stimulating Hormone (83001) | $132.30 | $147 | 7.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $270.90 | $301 | 1.6× |
| Frozen Section (88331) range across 2 matching MRF lines |
$137.70–$149.40 | $153–$166 | varies |
| Fungi Identification Mold (87107) | $270.90 | $301 | 26.2× |
| Fungi Identification Yeast (87106) | $118.80 | $132 | 11.5× |
| Gammaglobulin ige (82785) | $88.20 | $98 | 5.4× |
| Gardner vag DNA dir probe (87510) | $36 | $40 | 1.8× |
| Gases blood ph only (82800) | $132.30 | $147 | 12.0× |
| Gastrin (82941) | $45 | $50 | 2.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $618.30 | $687 | 1.5× |
| Gentamicin (80170) | $126.90 | $141 | 7.7× |
| Ggt (82977) | $90.90 | $101 | 12.6× |
| Giardia antigen (87329) | $158.40 | $176 | 13.2× |
| Glucose 2 hr pp (82950) | $87.30 | $97 | 18.4× |
| Glucose body fluid (82945) | $68.40 | $76 | 17.4× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$45–$66.60 | $50–$74 | varies |
| Glucose tolerance test (gtt) (82951) | $145.80 | $162 | 11.3× |
| Glycated Protein (82985) | $50.40 | $56 | 3.0× |
| Gonadotropin Chorionic Qualitative (84703) | $124.20 | $138 | 16.5× |
| Growth hormone (83003) | $177.30 | $197 | 10.6× |
| Gtt-added samples (82952) | $38.70 | $43 | 9.9× |
| H Pylori (C-13) Breath (83013) | $202.50 | $225 | 3.0× |
| Haptoglobin (83010) | $165.60 | $184 | 13.2× |
| Hdl Cholesterol (83718) | $82.80 | $92 | 10.1× |
| Helicobacter Pylori Stool (87338) | $293.40 | $326 | 20.4× |
| Helminth Antibody (86682) | $42.30 | $47 | 3.3× |
| Hematocrit (85014) | $35.10 | $39 | 14.8× |
| Hemoglobin (85018) | $35.10 | $39 | 14.8× |
| Hemoglobin a1c (83036) | $123.30 | $137 | 12.7× |
| Hemoglobin Chromotography (83021) | $139.50 | $155 | 7.7× |
| Hemoglobin electrophoresis (83020) | $51.30 | $57 | 4.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $106.20 | $118 | 13.0× |
| Hemoglobin plasma (83051) | $39.60 | $44 | 5.4× |
| Hep a ab igm (86709) | $126.90 | $141 | 11.3× |
| Heparin assay (85520) range across 2 matching MRF lines |
$78.30–$203.40 | $87–$226 | varies |
| Heparin Neutralization (85525) | $60.30 | $67 | 5.1× |
| Hepatitis a antibody total (86708) | $126 | $140 | 10.2× |
| Hepatitis b core ab igm (86705) | $140.40 | $156 | 11.9× |
| Hepatitis b core ab total (86704) | $130.50 | $145 | 10.8× |
| Hepatitis B Surface Antibody (86706) | $121.50 | $135 | 11.3× |
| Hepatitis B Surface Antigen (87340) | $135.90 | $151 | 13.2× |
| Hepatitis Be Antibody (86707) | $121.50 | $135 | 10.5× |
| Hepatitis Be Antigen (87350) | $121.50 | $135 | 10.5× |
| Hepatitis C Antibody (86803) | $137.70 | $153 | 9.6× |
| Hepatitis C Genotype (87902) | $357.30 | $397 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $219.60 | $244 | 5.1× |
| Herpes simplex type 2 (86696) | $63 | $70 | 3.3× |
| Heterophile Antibody Screen (86308) | $61.20 | $68 | 11.8× |
| Hfe Gene (81256) | $147.60 | $164 | 2.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $123.30 | $137 | 16.0× |
| Histoplasma antibody (86698) | $105.30 | $117 | 7.6× |
| Histoplasma antigen urine (87385) | $198.90 | $221 | 15.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $86.40 | $96 | 3.6× |
| Hiv-1 Antibody (86701) | $113.40 | $126 | 12.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $464.40 | $516 | 5.5× |
| Hla-b27 (86812) | $244.80 | $272 | 9.5× |
| Homocysteine (83090) | $173.70 | $193 | 9.7× |
| Homogenization Tissue (87176) | $36.90 | $41 | 6.3× |
| Hpv High-Risk Types (87624) | $199.80 | $222 | 5.7× |
| Hpv Types 16 & 18 Only (87625) | $100.80 | $112 | 2.5× |
| Hsv Dna Amp Probe (87529) | $324.90 | $361 | 9.3× |
| Hydroxycorticosteroids 17 (83491) | $186.30 | $207 | 10.4× |
| Hydroxyprogesterone 17-d (83498) | $173.70 | $193 | 6.4× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $81.90 | $91 | 6.8× |
| Iaad Ia Escherichia Coli 0157 (87335) | $66.60 | $74 | 5.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $180.90 | $201 | 17.5× |
| Iaad ia shiga-like toxin (87427) | $47.70 | $53 | 4.0× |
| Iaadi herpes smplx virus type 1 (87274) | $217.80 | $242 | 18.2× |
| Iaadi herpes smplx virus type 2 (87273) | $59.40 | $66 | 5.0× |
| Iaadi inffluenza a virus (87276) | $81.90 | $91 | 5.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $628.20 | $698 | 17.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $106.20 | $118 | 3.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $196.20 | $218 | 5.6× |
| Iadna Cytomegalovirus Quantification (87497) | $420.30 | $467 | 9.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $173.70 | $193 | 2.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $147.60 | $164 | 3.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $224.10 | $249 | 6.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $102.60 | $114 | 2.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $277.20 | $308 | 1.9× |
| Igg subclasses (82787) | $97.20 | $108 | 12.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$158.40–$166.50 | $176–$185 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $139.50 | $155 | 4.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$62.10–$536.40 | $69–$596 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$4.50–$39.60 | $5–$44 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$64.80–$289.80 | $72–$322 | varies |
| Immunodiffusion Ouchterlony (86331) | $24.30 | $27 | 2.0× |
| Immunofixation electrophoresis (86334) | $149.40 | $166 | 6.7× |
| Immunohistochemistry (88342) range across 8 matching MRF lines |
$158.40–$183.60 | $176–$204 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$158.40–$166.50 | $176–$185 | varies |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $81.90 | $91 | 6.7× |
| Influenza assay w/optic (87804) | $61.20 | $68 | 3.7× |
| Influenza DNA amp probe (87502) | $189.90 | $211 | 2.0× |
| Inhibin A (86336) | $180.90 | $201 | 11.6× |
| Inhibin b (83520) range across 6 matching MRF lines |
$97.20–$380.70 | $108–$423 | varies |
| Insulin antibodies (86337) | $162 | $180 | 7.6× |
| Insulin total (83525) | $145.80 | $162 | 12.8× |
| Iron (83540) | $121.50 | $135 | 18.8× |
| Iron Binding Capacity (83550) | $121.50 | $135 | 13.9× |
| Irradiation Blood Product Each Unit (86945) | $206.10 | $229 | 5.6× |
| Islet cell antibody (86341) | $115.20 | $128 | 4.9× |
| Ketosteroids 17 total (83586) | $180.90 | $201 | 14.1× |
| Koh Prep (87220) | $67.50 | $75 | 15.8× |
| Lactate (ld) (ldh) enzyme (83615) | $110.70 | $123 | 18.3× |
| Lactoferrin fecal qualitative (83630) | $88.20 | $98 | 4.5× |
| Ldh Isoenzymes (83625) | $135.90 | $151 | 10.6× |
| LDL direct (83721) | $77.40 | $86 | 7.4× |
| Lead (83655) | $66.60 | $74 | 5.5× |
| Legionella antibody (86713) | $158.40 | $176 | 10.4× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$102.60–$149.40 | $114–$166 | varies |
| Leukocyte Assessment Fecal (89055) | $59.40 | $66 | 13.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $123.30 | $137 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) | $195.30 | $217 | 5.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$552.60–$653.40 | $614–$726 | varies |
| Lipase (83690) | $144 | $160 | 20.9× |
| Lipoprotein A (83695) | $111.60 | $124 | 7.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $82.80 | $92 | 7.4× |
| Lithium (80178) | $143.10 | $159 | 21.6× |
| Luteinizing Hormone (Lh) (83002) | $111.60 | $124 | 6.0× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$90.90–$117.90 | $101–$131 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$149.40–$420.30 | $166–$467 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$95.40–$102.60 | $106–$114 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$18.90–$39.60 | $21–$44 | varies |
| Metabolic panel ionized ca (80047) | $255.60 | $284 | 18.6× |
| Methotrexate (80204) | $106.20 | $118 | 2.8× |
| Methylmalonic acid serum (83921) | $121.50 | $135 | 5.7× |
| Microalbumin, quantitative (82043) | $116.10 | $129 | 20.1× |
| Microsomal Antibodies Each (86376) | $144 | $160 | 9.9× |
| Mog-Igg1 Antb Cba Each (86362) | $317.70 | $353 | 26.4× |
| Mopath procedure level 2 (81401) | $136.80 | $152 | 1.0× |
| Mrsa Pcr (87641) | $165.60 | $184 | 4.7× |
| Mthfr Gene Analysis Common Variants (81291) | $204.30 | $227 | 3.1× |
| Mucin Clot Body Fluid (83872) | $70.20 | $78 | 12.0× |
| Mumps antibody (86735) | $90 | $100 | 6.9× |
| Mycophenolic Acid (80180) | $111.60 | $124 | 6.2× |
| Mycoplasma antibody (86738) | $105.30 | $117 | 8.0× |
| Myelin basic protein csf (83873) | $77.40 | $86 | 4.5× |
| Myoglobin urine (83874) | $117.90 | $131 | 9.1× |
| Natriuretic peptide (83880) | $309.60 | $344 | 7.9× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $106.20 | $118 | 0.7× |
| Nickel level (83885) | $149.40 | $166 | 6.1× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$54–$124.20 | $60–$138 | varies |
| Occult blood feces (82272) | $38.70 | $43 | 9.1× |
| Occult Blood Other Sources (82271) | $59.40 | $66 | 11.2× |
| Oligoclonal bands (83916) | $53.10 | $59 | 1.9× |
| Osmolality serum (83930) | $111.60 | $124 | 16.9× |
| Osmolality Urine (83935) | $111.60 | $124 | 16.4× |
| Osmotic fragility rbc incubated (85557) | $129.60 | $144 | 9.7× |
| Ova and parasites smears (87177) | $85.50 | $95 | 9.6× |
| Oxalate urine (83945) | $121.50 | $135 | 8.4× |
| Parvovirus antibody (86747) | $117 | $130 | 7.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$137.70–$209.70 | $153–$233 | varies |
| Pathology Consultation During Surgery (88329) | $245.70 | $273 | 4.2× |
| Ph urine (81003) | $45 | $50 | 20.0× |
| Phenobarbital Level (80184) | $126.90 | $141 | 8.3× |
| Phenytoin (Dilantin) (80185) | $113.40 | $126 | 8.6× |
| Phenytoin free (80186) | $77.40 | $86 | 5.6× |
| Phosphatase alkaline (84075) | $37.80 | $42 | 7.3× |
| Phospholipid Neutralization Hexagonal (85598) | $154.80 | $172 | 8.6× |
| Phosphorus Serum (84100) | $97.20 | $108 | 20.5× |
| Phosphorus urine (84105) | $110.70 | $123 | 19.2× |
| Pinworm exam (87172) | $97.20 | $108 | 22.8× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$59.40–$131.40 | $66–$146 | varies |
| Platelet Antibodies (86022) | $414.90 | $461 | 22.6× |
| Platelet count automated (85049) | $37.80 | $42 | 8.4× |
| Platelet neutralization (85597) | $161.10 | $179 | 9.0× |
| Porphobilinogen, urine; quantitative (84110) | $149.40 | $166 | 17.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $135.90 | $151 | 9.2× |
| Potassium Urine (84133) | $63.90 | $71 | 13.5× |
| Prealbumin (84134) | $80.10 | $89 | 5.5× |
| Pregnenolone (84140) | $82.80 | $92 | 4.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $130.50 | $145 | 2.2× |
| Primidone (80188) | $126.90 | $141 | 7.6× |
| Procalcitonin (Pct) (84145) | $108 | $120 | 4.0× |
| Progesterone (84144) | $116.10 | $129 | 5.6× |
| Prolactin (84146) | $111.60 | $124 | 5.8× |
| Protein body fluid (84157) | $61.20 | $68 | 15.3× |
| Protein C Activity (85303) | $164.70 | $183 | 11.9× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$149.40–$315.90 | $166–$351 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $149.40 | $166 | 13.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$96.30–$210.60 | $107–$234 | varies |
| Protein total serum (84155) | $30.60 | $34 | 8.3× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$57.60–$126 | $64–$140 | varies |
| Protoporphyrin rbc quantitative (84202) | $73.80 | $82 | 5.1× |
| PSA free (84154) | $130.50 | $145 | 7.1× |
| Pth Intact (83970) range across 2 matching MRF lines |
$145.80–$234.90 | $162–$261 | varies |
| Quantiferon tb gold plus (86480) | $191.70 | $213 | 3.1× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$79.20–$178.20 | $88–$198 | varies |
| Quantitative Screen Metals (83018) | $64.80 | $72 | 3.0× |
| Quinidine (80194) | $83.70 | $93 | 5.7× |
| Rbc antibody elution (86860) | $232.20 | $258 | 1.4× |
| Rbc antibody identification (86870) | $243 | $270 | 0.7× |
| Rbc antibody screen (86850) | $189.90 | $211 | 19.4× |
| Rbc pretreatment serum (86978) | $210.60 | $234 | 3.6× |
| Rbc pretx incubatj w/enzymes (86971) | $47.70 | $53 | 0.3× |
| Rbc serum pretx incubj drugs (86975) | $410.40 | $456 | 0.9× |
| Reagent Strip/Blood Glucose (82948) | $43.20 | $48 | 8.6× |
| Renin activity plasma (84244) | $88.20 | $98 | 4.0× |
| Reptilase test (85635) | $95.40 | $106 | 9.7× |
| Resp virus 12-25 targets (87633) | $943.20 | $1,048 | 2.3× |
| Reticulocyte Count (85046) | $70.20 | $78 | 12.6× |
| Reticulocyte separation (86972) | $314.10 | $349 | 1.9× |
| Rh (86901) | $57.60 | $64 | 19.3× |
| Rheumatoid factor quant (86431) | $215.10 | $239 | 37.9× |
| Rickettsia antibody (86757) | $110.70 | $123 | 5.7× |
| Ristocetin cofactor (85245) | $243 | $270 | 10.6× |
| Rotavirus ag eia (87425) | $204.30 | $227 | 17.1× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$73.80–$90 | $82–$100 | varies |
| Rsv Assay W/Optic (87807) | $162 | $180 | 12.4× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$62.10–$110.70 | $69–$123 | varies |
| Rubeola antibody (86765) | $82.80 | $92 | 6.4× |
| Russell Viper Venom Time Diluted (85613) | $120.60 | $134 | 12.6× |
| Salicylate Level (80179) | $126 | $140 | 6.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $182.70 | $203 | 3.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $70.20 | $78 | 1.7× |
| Sarscov2 & inf a&b amp prb (87636) | $277.20 | $308 | 1.9× |
| Sedimentation Rate, Automated (85652) | $70.20 | $78 | 26.0× |
| Selenium (84255) | $153 | $170 | 6.0× |
| Semen Anal Sperm Detection (89321) | $100.80 | $112 | 8.4× |
| Sensitivity mic (87186) range across 12 matching MRF lines |
$88.20–$237.60 | $98–$264 | varies |
| Sex Hormone Binding Globulin (84270) | $81.90 | $91 | 3.8× |
| Sickling of rbc reduction (85660) | $79.20 | $88 | 14.4× |
| Sirolimus (80195) | $252.90 | $281 | 18.4× |
| Skin test tuberculosis intradermal (86580) | $18.90 | $21 | 0.7× |
| Smear acid fast (87206) | $75.60 | $84 | 14.0× |
| Smear complex stain (87209) | $111.60 | $124 | 6.2× |
| Smear gram stain (87205) range across 10 matching MRF lines |
$63.90–$75.60 | $71–$84 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$70.20–$75.60 | $78–$84 | varies |
| Sodium Serum (84295) | $40.50 | $45 | 8.4× |
| Sodium Urine (84300) | $73.80 | $82 | 14.6× |
| Soluble Transferrin Receptor (84238) | $47.70 | $53 | 1.3× |
| Somatomedin (84305) | $126.90 | $141 | 6.0× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$123.30–$149.40 | $137–$166 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$129.60–$144 | $144–$160 | varies |
| Specific gravity body fluid (84315) | $68.40 | $76 | 20.9× |
| Specimen infect agnt concntj (87015) | $38.70 | $43 | 5.8× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$18.90–$149.40 | $21–$166 | varies |
| Strep a assay w/optic (87880) | $61.20 | $68 | 3.7× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$111.60–$113.40 | $124–$126 | varies |
| Strep b DNA amp probe (87653) | $63 | $70 | 1.8× |
| Sugars Single Qual (84376) | $38.70 | $43 | 7.0× |
| Surg path level iii (88304) | $279 | $310 | 5.4× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$149.40–$518.40 | $166–$576 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$910.80–$949.50 | $1,012–$1,055 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$37.80–$73.80 | $42–$82 | varies |
| Syphilis Test Non-Trep Quant (86593) | $73.80 | $82 | 16.8× |
| T cells absolute cd4 count (86361) | $147.60 | $164 | 5.5× |
| T3 Free (84481) | $126 | $140 | 7.4× |
| T3 reverse (84482) | $99 | $110 | 6.3× |
| T3 Total (84480) | $118.80 | $132 | 8.4× |
| T3 Uptake (84479) | $91.80 | $102 | 14.2× |
| T4 Free (84439) | $149.40 | $166 | 16.6× |
| T4 total (84436) | $81.90 | $91 | 11.9× |
| Tacrolimus (80197) | $220.50 | $245 | 16.1× |
| Testosterone total (84403) range across 2 matching MRF lines |
$99–$250.20 | $110–$278 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$121.50–$257.40 | $135–$286 | varies |
| Theophylline (80198) | $161.10 | $179 | 11.4× |
| Thiocyanate (84430) | $126.90 | $141 | 10.9× |
| Thrombin Time (85670) | $105.30 | $117 | 18.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $118.80 | $132 | 18.4× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$59.40–$135.90 | $66–$151 | varies |
| Thyroglobulin Antibody (86800) | $135.90 | $151 | 8.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $171 | $190 | 3.4× |
| Thyroxine binding globulin (84442) | $106.20 | $118 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$85.50–$132.30 | $95–$147 | varies |
| Tissue culture bone marrow (88237) | $1,900.80 | $2,112 | 13.2× |
| Tissue Culture Lymphocyte (88230) | $1,431.90 | $1,591 | 12.3× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$135.90–$159.30 | $151–$177 | varies |
| Topiramate (80201) | $158.40 | $176 | 13.3× |
| Toxoplasma ab igm (86778) | $126.90 | $141 | 8.8× |
| Toxoplasma antibody (86777) | $111.60 | $124 | 7.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$37.80–$52.20 | $42–$58 | varies |
| Transferrin (84466) | $130.50 | $145 | 10.2× |
| Trichomonas vagin dir probe (87660) | $36 | $40 | 1.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$102.60–$106.20 | $114–$118 | varies |
| Triglycerides (84478) | $51.30 | $57 | 8.9× |
| Troponin Quant (84484) | $159.30 | $177 | 12.8× |
| Tumor Immunohistochem/Manual (88360) range across 11 matching MRF lines |
$144–$288.90 | $160–$321 | varies |
| Urea nitrogen urine (84540) | $68.40 | $76 | 12.3× |
| Uric acid other source (84560) | $106.20 | $118 | 20.9× |
| Urinalysis Microscopic Only (81015) | $35.10 | $39 | 11.5× |
| Urine Bacteria Culture (87088) | $47.70 | $53 | 5.9× |
| Urine Pregnancy Test (81025) | $56.70 | $63 | 6.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $80.10 | $89 | 25.3× |
| Valproic acid (80164) | $158.40 | $176 | 11.7× |
| Vancomycin (80202) | $111.60 | $124 | 8.2× |
| Varicella-zoster antibody (86787) | $94.50 | $105 | 7.3× |
| Viral Culture (87252) range across 4 matching MRF lines |
$165.60–$232.20 | $184–$258 | varies |
| Virus antibody nos (86790) | $341.10 | $379 | 26.5× |
| Virus inoculate tissue addl (87253) | $150.30 | $167 | 7.4× |
| Vit D 1 25-Dihydroxy (82652) | $165.60 | $184 | 4.3× |
| Vitamin A (84590) | $135.90 | $151 | 11.7× |
| Vitamin b-12 (82607) | $135.90 | $151 | 9.0× |
| Vitamin B6 (84207) | $126.90 | $141 | 4.5× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$154.80–$181.80 | $172–$202 | varies |
| Vitamin E (84446) | $63.90 | $71 | 4.5× |
| Vitamin K (84597) | $132.30 | $147 | 9.6× |
| Von willebrand factor ag (85246) | $331.20 | $368 | 14.4× |
| Wbc Alkaline Phosphatase Count (85540) | $224.10 | $249 | 26.1× |
| West nile virus ab igm (86788) | $154.80 | $172 | 9.2× |
| West Nile Virus Antibody (86789) | $154.80 | $172 | 10.8× |
| Xm Archive Tissue Molec Anal (88363) | $78.30 | $87 | 2.7× |
| Xylose Absorption Test (84620) | $201.60 | $224 | 15.6× |
| Zinc (84630) | $96.30 | $107 | 8.5× |
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.