Lab & pathology prices at Greene County Medical Center
Jefferson, IA · every code in this section with a posted price and a Medicare benchmark.
449 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $145.04 | $259 | 3.8× |
| Acute hepatitis panel (80074) | $215.04 | $384 | 4.5× |
| Albumin serum (82040) | $33.60 | $60 | 6.8× |
| Aldolase (82085) | $28.56 | $51 | 2.9× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$53.76–$64.96 | $96–$116 | varies |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$15.68–$17.92 | $28–$32 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $81.76 | $146 | 5.7× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$81.76–$205.52 | $146–$367 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$53.20–$91.28 | $95–$163 | varies |
| Alt (sgpt) (84460) | $33.60 | $60 | 6.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $255.92 | $457 | 15.2× |
| Ammonia (82140) | $85.12 | $152 | 5.8× |
| Amylase urine (82150) range across 2 matching MRF lines |
$38.64–$45.92 | $69–$82 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$22.40–$56 | $40–$100 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$42.56–$198.80 | $76–$355 | varies |
| Angiotensin converting enzyme csf (82164) | $79.52 | $142 | 5.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $46.48 | $83 | 3.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$53.76–$63.28 | $96–$113 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$44.24–$46.48 | $79–$83 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 4 matching MRF lines |
$44.24–$99.68 | $79–$178 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 5 matching MRF lines |
$44.24–$48.72 | $79–$87 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $22.96 | $41 | 1.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $56 | $100 | 4.1× |
| Antibody HIV-2 (86702) | $67.20 | $120 | 5.0× |
| Antibody Titer (86886) range across 3 matching MRF lines |
$25.20–$175.84 | $45–$314 | varies |
| Antibody Treponema Pallidum (86780) | $57.68 | $103 | 4.4× |
| Antigen typing (86905) | $75.60 | $135 | 19.7× |
| Antinuclear antibodies (86038) | $107.52 | $192 | 8.9× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$26.32–$56 | $47–$100 | varies |
| Antithrombin iii activity (85300) | $94.08 | $168 | 7.9× |
| Antithrombin iii antigen (85301) | $52.08 | $93 | 4.8× |
| Apolipoprotein a1 (82172) | $37.52 | $67 | 1.8× |
| Assay Blood Carbon Dioxide (82374) | $33.60 | $60 | 6.9× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$308–$309.12 | $550–$552 | varies |
| Assay of 5-hiaa (83497) | $48.72 | $87 | 3.8× |
| Assay of blood/uric acid (84550) | $33.60 | $60 | 7.4× |
| Assay of calcium in urine (82340) | $35.28 | $63 | 5.9× |
| Assay of estrone (82679) | $49.28 | $88 | 2.0× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$34.16–$42.56 | $61–$76 | varies |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$29.68–$66.08 | $53–$118 | varies |
| Assay of lactic acid (83605) | $114.24 | $204 | 9.9× |
| Assay of manganese (83785) | $37.52 | $67 | 1.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$90.72–$299.04 | $162–$534 | varies |
| Assay of proinsulin (84206) | $148.40 | $265 | 5.6× |
| Assay of pyruvate (84210) | $54.32 | $97 | 3.8× |
| Assay of serotonin (84260) | $58.24 | $104 | 1.9× |
| Assay of serum potassium (84132) | $33.60 | $60 | 7.1× |
| Assay of urea nitrogen (84520) | $33.60 | $60 | 8.5× |
| Assay of urine vma (84585) | $70.56 | $126 | 4.6× |
| Assay of vitamin b-1 (84425) | $175.28 | $313 | 8.3× |
| Assay Ph Body Fluid Nos (83986) | $20.16 | $36 | 5.6× |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$61.04–$116.48 | $109–$208 | varies |
| Automated Leukocyte Count (85048) | $25.20 | $45 | 9.9× |
| B cells total count (86355) | $212.80 | $380 | 5.6× |
| Bckdhb Gene Analysis Common Variants (81205) | $47.04 | $84 | 0.5× |
| Bcr/abl1 gene major bp (81206) | $837.76 | $1,496 | 5.1× |
| Beta hydroxybutyrate (82010) | $40.18 | $71.76 | 4.9× |
| Beta Lactamase (87185) | $31.36 | $56 | 6.6× |
| Beta-2 Microglobulin (82232) | $25.20 | $45 | 1.6× |
| Bile acids total (82239) | $70.56 | $126 | 4.1× |
| Bilirubin direct (82248) | $33.60 | $60 | 6.7× |
| Bilirubin total (82247) | $33.60 | $60 | 6.7× |
| Bilirubin total transcutaneous (88720) | $7.84 | $14 | 1.6× |
| Biotinidase (82261) | $60.48 | $108 | 3.6× |
| Bleeding time test (85002) | $33.60 | $60 | 7.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$26.32–$29.68 | $47–$53 | varies |
| Blood gas (82803) range across 3 matching MRF lines |
$85.12–$98.56 | $152–$176 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$35.28–$75.60 | $63–$135 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$20.16–$28.56 | $36–$51 | varies |
| Breath Alcohol Test (82075) | $25.76 | $46 | 0.9× |
| C diff amplified probe (87493) | $76.72 | $137 | 2.1× |
| C-Peptide (84681) | $31.36 | $56 | 1.5× |
| C-reactive protein (86140) | $45.92 | $82 | 8.9× |
| Ca 19-9 (86301) | $89.60 | $160 | 4.3× |
| Caffeine (80155) | $146.72 | $262 | 3.8× |
| Calcium ionized (82330) | $50.96 | $91 | 3.7× |
| Calcium total (82310) | $33.60 | $60 | 6.5× |
| Calculus Spectroscopy (82365) | $429.52 | $767 | 33.3× |
| Calprotectin Fecal (83993) | $180.32 | $322 | 9.2× |
| Cancer Antigen 125 (86304) | $122.64 | $219 | 5.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$48.72–$89.04 | $87–$159 | varies |
| Candida Dna Dir Probe (87480) | $54.32 | $97 | 2.7× |
| Carbamazepine total (80156) | $76.72 | $137 | 5.3× |
| Carbohydrate Deficient Transferrin (82373) | $94.08 | $168 | 5.2× |
| Carboxyhemoglobin (82375) | $229.60 | $410 | 18.6× |
| Carcinoembryonic antigen (82378) | $105.84 | $189 | 5.6× |
| Cardiolipin ab iga (86147) | $89.60 | $160 | 3.5× |
| Carnitine Quantitative Each Specimen (82379) | $73.36 | $131 | 4.3× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$171.36–$182 | $306–$325 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$44.24–$75.60 | $79–$135 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$35.28–$43.68 | $63–$78 | varies |
| Ceruloplasmin (82390) | $49.28 | $88 | 4.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$35.26–$133.84 | $62.98–$239 | varies |
| Chloride Serum (82435) | $33.60 | $60 | 7.3× |
| Chloride urine (82436) | $33.60 | $60 | 5.8× |
| Cholesterol total (82465) | $33.60 | $60 | 7.7× |
| Cholinesterase Serum (82480) | $54.32 | $97 | 6.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$61.60–$76.16 | $110–$136 | varies |
| Chromium serum (82495) | $420.56 | $751 | 20.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$104.16–$122.08 | $186–$218 | varies |
| Chromosome Analysis 20-25 (88264) | $305.76 | $546 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 9 matching MRF lines |
$40.88–$123.76 | $73–$221 | varies |
| Ckmb (82553) | $61.04 | $109 | 5.3× |
| Clostridium Difficile (87324) | $90.16 | $161 | 7.5× |
| Clotting factor xii hageman (85280) | $77.28 | $138 | 4.0× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$189.28–$194.32 | $338–$347 | varies |
| Cns DNA amp probe type 12-25 (87483) | $314.16 | $561 | 0.8× |
| Cold agglutinin titer (86157) | $51.52 | $92 | 6.4× |
| Column Chromotography Quant (82542) | $154 | $275 | 6.4× |
| Compatibility test antiglob (86922) | $112.56 | $201 | 0.7× |
| Complement Antigen Each Component (86160) | $44.80 | $80 | 3.7× |
| Complement Total (Ch50) (86162) | $81.20 | $145 | 4.0× |
| Coombs direct (86880) | $31.92 | $57 | 5.9× |
| Copper urine (82525) | $53.20 | $95 | 4.3× |
| Cortisol free (82530) | $90.72 | $162 | 5.4× |
| Cortisol saliva (82533) | $57.12 | $102 | 3.5× |
| Creatine kinase total (82550) | $42 | $75 | 6.5× |
| Creatinine blood (82565) | $33.60 | $60 | 6.6× |
| Creatinine clearance (82575) | $45.92 | $82 | 4.9× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$23.52–$38.64 | $42–$69 | varies |
| Crp High Sensitivity (86141) | $76.16 | $136 | 5.9× |
| Cryoglobulin (82595) | $15.12 | $27 | 2.3× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$57.12–$297.36 | $102–$531 | varies |
| Cryptosporidium ag eia (87328) | $42.56 | $76 | 3.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $31.36 | $56 | 3.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 5 matching MRF lines |
$25.20–$61.04 | $45–$109 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $36.16 | $64.58 | 0.2× |
| Culture afb (87116) | $38.64 | $69 | 3.6× |
| Culture Anaerobic (87075) | $63.84 | $114 | 6.7× |
| Culture blood (87040) | $61.04 | $109 | 5.9× |
| Culture csf (87070) range across 9 matching MRF lines |
$53.20–$66.08 | $95–$118 | varies |
| Culture fungus (87102) | $38.64 | $69 | 4.6× |
| Culture screen only (87081) | $33.04 | $59 | 5.0× |
| Culture stool (87045) | $33.04 | $59 | 3.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $15.68 | $28 | 3.0× |
| Culture urine (87086) | $33.04 | $59 | 4.1× |
| Cyclosporine (80158) | $93.52 | $167 | 5.2× |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$22.96–$53.76 | $41–$96 | varies |
| Cytopath Cell Enhance Tech (88112) | $113.68 | $203 | 2.3× |
| Cytotoxic Antibody Screen Std (86807) | $1,560.16 | $2,786 | 19.8× |
| Deoxyribonuclease antibody (86215) | $98.56 | $176 | 7.4× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$59.92–$969.92 | $107–$1,732 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$199.92–$345.52 | $357–$617 | varies |
| Detect agnt mult DNA ampli (87801) | $88.48 | $158 | 1.3× |
| Dhea-S (82627) | $129.36 | $231 | 5.8× |
| Digoxin (80162) | $73.92 | $132 | 5.6× |
| Dna/Rna Amplified Probe (87150) | $39.20 | $70 | 1.1× |
| DNA/RNA direct probe (87149) | $39.20 | $70 | 2.0× |
| Drug assay acetaminophen (80143) | $96.32 | $172 | 5.2× |
| Drug Assay Everolimus (80169) | $119.84 | $214 | 8.7× |
| Drug Assay Vedolizumab (80280) | $96.33 | $172.02 | 2.5× |
| Drug Screen Quant Clozapine (80159) | $49.28 | $88 | 2.4× |
| Drug Screen Quant Zonisamide (80203) | $101.36 | $181 | 7.6× |
| Drug Screen Quantitative Gabapentin (80171) | $62.72 | $112 | 2.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $138.32 | $247 | 10.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $184.24 | $329 | 13.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $76.72 | $137 | 5.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$22.40–$501.20 | $40–$895 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $66.08 | $118 | 5.2× |
| Drug Test Prsmv Instrmnt (80306) | $44.24 | $79 | 2.6× |
| Ehrlichia antibody (86666) | $88.48 | $158 | 8.7× |
| Electrolyte panel (80051) | $53.76 | $96 | 7.7× |
| Eosinophil Smear (89190) | $14 | $25 | 2.4× |
| Erythropoietin (82668) | $145.04 | $259 | 7.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$99.12–$351.12 | $177–$627 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$59.92–$73.92 | $107–$132 | varies |
| Estrogens fractionated (82671) | $49.84 | $89 | 1.5× |
| Ethosuximide (80168) | $25.20 | $45 | 1.5× |
| Exam Synovial Fluid Crystals (89060) | $51.52 | $92 | 7.0× |
| F2 Gene (81240) | $127.68 | $228 | 1.9× |
| Factor ii activity (85210) | $58.80 | $105 | 4.5× |
| Factor ix activity (85250) | $232.40 | $415 | 12.2× |
| Factor v activity (85220) | $58.80 | $105 | 3.3× |
| Factor v leiden mutation (81241) | $85.12 | $152 | 1.2× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$75.60–$76.16 | $135–$136 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$151.20–$217.84 | $270–$389 | varies |
| Fat stain feces urine/respir secretions (89125) | $29.68 | $53 | 5.0× |
| Fat/Lipids Feces Quantitative (82710) | $101.36 | $181 | 6.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$75.04–$78.96 | $134–$141 | varies |
| Fetal Fibronectin (82731) | $367.36 | $656 | 5.7× |
| Fibrin Degradation Quant (85379) | $50.96 | $91 | 5.0× |
| Fibrinogen activity (85384) | $53.76 | $96 | 5.5× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$68.88–$206.64 | $123–$369 | varies |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$54.88–$158.48 | $98–$283 | varies |
| Folic Acid Serum (82746) | $57.68 | $103 | 3.9× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$65.52–$68.88 | $117–$123 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $75.60 | $135 | 0.5× |
| Frozen Section (88331) | $123.76 | $221 | 0.8× |
| Galactose transferase test (82776) | $29.68 | $53 | 2.5× |
| Gammaglobulin ige (82785) | $58.80 | $105 | 3.6× |
| Gardner vag DNA dir probe (87510) | $54.32 | $97 | 2.7× |
| Gases blood ph only (82800) | $45.92 | $82 | 4.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $344.40 | $615 | 0.8× |
| Gentamicin (80170) | $100.24 | $179 | 6.1× |
| Ggt (82977) | $35.28 | $63 | 4.9× |
| Giardia antigen (87329) | $42.56 | $76 | 3.6× |
| Glucose 2 hr pp (82950) | $53.20 | $95 | 11.2× |
| Glucose Blood Test (82962) | $17.92 | $32 | 5.5× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$28–$33.60 | $50–$60 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$78.96–$91.28 | $141–$163 | varies |
| Glycated Protein (82985) | $72.24 | $129 | 4.3× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $61.04 | $109 | 4.0× |
| Gonadotropin Chorionic Qualitative (84703) | $47.04 | $84 | 6.3× |
| Growth hormone (83003) | $28 | $50 | 1.7× |
| Gtt-added samples (82952) | $105.84 | $189 | 27.0× |
| Haptoglobin (83010) | $77.84 | $139 | 6.2× |
| Hdl Cholesterol (83718) | $45.92 | $82 | 5.6× |
| Helicobacter Pylori Stool (87338) | $193.76 | $346 | 13.5× |
| Hematocrit (85014) | $16.24 | $29 | 6.9× |
| Hemoglobin (85018) | $16.24 | $29 | 6.9× |
| Hemoglobin a1c (83036) | $49.84 | $89 | 5.1× |
| Hemoglobin Chromotography (83021) | $28.56 | $51 | 1.6× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$17.92–$28.56 | $32–$51 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $36.40 | $65 | 4.4× |
| Hemoglobin plasma (83051) | $93.52 | $167 | 12.8× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $20.16 | $36 | 2.1× |
| Hemosiderin urine (83070) | $29.12 | $52 | 6.1× |
| Hep a ab igm (86709) | $63.84 | $114 | 5.7× |
| Heparin assay (85520) | $64.40 | $115 | 4.9× |
| Hepatitis a antibody total (86708) | $62.72 | $112 | 5.1× |
| Hepatitis b core ab igm (86705) | $70.56 | $126 | 6.0× |
| Hepatitis b core ab total (86704) | $42.56 | $76 | 3.5× |
| Hepatitis B Surface Antibody (86706) | $53.76 | $96 | 5.0× |
| Hepatitis B Surface Antigen (87340) | $45.92 | $82 | 4.4× |
| Hepatitis Be Antibody (86707) | $70 | $125 | 6.1× |
| Hepatitis Be Antigen (87350) | $70 | $125 | 6.1× |
| Hepatitis C Antibody (86803) | $72.24 | $129 | 5.1× |
| Hepatitis C Genotype (87902) | $904.40 | $1,615 | 3.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $250.32 | $447 | 5.8× |
| Herpes simplex type 2 (86696) | $22.96 | $41 | 1.2× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$26.32–$33.04 | $47–$59 | varies |
| Hfe Gene (81256) | $340.48 | $608 | 5.2× |
| Histamine urine (83088) | $58.80 | $105 | 2.0× |
| Histoplasma antibody (86698) | $77.28 | $138 | 5.6× |
| Histoplasma antigen urine (87385) | $190.40 | $340 | 14.4× |
| Hiv Antigen W/Hiv Antibodies (87806) | $64.14 | $114.54 | 2.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $33.04 | $59 | 1.4× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$67.20–$72.24 | $120–$129 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $299.60 | $535 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $314.49 | $561.60 | 4.2× |
| Hla-b27 (86812) | $99.12 | $177 | 3.8× |
| Homocysteine (83090) | $84 | $150 | 4.7× |
| Homogenization Tissue (87176) | $23.52 | $42 | 4.0× |
| Hpv High-Risk Types (87624) | $92.96 | $166 | 2.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $92.96 | $166 | 1.3× |
| Hsv Dna Amp Probe (87529) | $164.64 | $294 | 4.7× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$50.96–$197.68 | $91–$353 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $72.24 | $129 | 5.2× |
| Iaad ia shiga-like toxin (87427) | $42.56 | $76 | 3.6× |
| Iaad Ia Streptococcus Group A (87430) | $44.24 | $79 | 2.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $131.04 | $234 | 8.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $66.08 | $118 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$113.12–$288.40 | $202–$515 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$270.48–$271.26 | $483–$484.40 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $184.24 | $329 | 4.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $66.08 | $118 | 1.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 8 matching MRF lines |
$40.88–$123.76 | $73–$221 | varies |
| Igg subclasses (82787) | $66.08 | $118 | 8.2× |
| Immunfix e-phorsis/urine/csf (86335) | $84.56 | $151 | 2.9× |
| Immunoassay infectious agent (86318) | $72.80 | $130 | 4.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$6.72–$190.96 | $12–$341 | varies |
| Immunoassay nonantibody (83516) range across 11 matching MRF lines |
$39.20–$113.12 | $70–$202 | varies |
| Immunofixation electrophoresis (86334) | $93.52 | $167 | 4.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $229.60 | $410 | 1.4× |
| Immunohistochemistry (88342) | $236.88 | $423 | 1.4× |
| In situ hybridization 1st probe stain (88365) | $488.88 | $873 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $84 | $150 | 1.2× |
| Influenza a/b ag eia (87400) | $38.64 | $69 | 2.7× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$33.60–$38.08 | $60–$68 | varies |
| Inhibin A (86336) | $44.24 | $79 | 2.8× |
| Inhibin b (83520) range across 7 matching MRF lines |
$48.72–$347.76 | $87–$621 | varies |
| Insitu hybridization auto (88367) | $493.36 | $881 | 1.4× |
| Insulin antibodies (86337) | $82.32 | $147 | 3.8× |
| Insulin total (83525) | $72.80 | $130 | 6.4× |
| Interleukin-6 (83529) | $113.40 | $202.50 | 6.6× |
| Iron (83540) range across 4 matching MRF lines |
$33.60–$35.28 | $60–$63 | varies |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$39.76–$42 | $71–$75 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$54.32–$60.48 | $97–$108 | varies |
| Koh Prep (87220) | $15.68 | $28 | 3.7× |
| Lactate (ld) (ldh) enzyme (83615) | $33.60 | $60 | 5.6× |
| Lactoferrin fecal qualitative (83630) | $68.88 | $123 | 3.5× |
| LDL direct (83721) | $53.76 | $96 | 5.1× |
| Lead (83655) range across 3 matching MRF lines |
$45.92–$52.08 | $82–$93 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $87.36 | $156 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $180.88 | $323 | 5.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $570.08 | $1,018 | 1.7× |
| Lipase (83690) range across 2 matching MRF lines |
$41.44–$50.96 | $74–$91 | varies |
| Lipoprotein A (83695) | $48.72 | $87 | 3.4× |
| Lithium (80178) | $61.04 | $109 | 9.2× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$65.52–$68.88 | $117–$123 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$39.20–$78.96 | $70–$141 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $575.68 | $1,028 | 3.5× |
| M/phmtrc alys ishquant/semiq (88374) | $649.60 | $1,160 | 4.0× |
| Magnesium Urine (83735) | $45.92 | $82 | 6.9× |
| Mass Spectrometry Quant (83789) | $63.84 | $114 | 2.6× |
| Mercury urine (83825) | $26.32 | $47 | 1.6× |
| Methylmalonic acid serum (83921) | $98.56 | $176 | 4.6× |
| Microalbumin, quantitative (82043) | $23.52 | $42 | 4.1× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$47.04–$89.60 | $84–$160 | varies |
| Mopath procedure level 4 (81403) | $838.32 | $1,497 | 4.5× |
| Mrsa Pcr (87641) | $123.76 | $221 | 3.5× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$43.68–$63.84 | $78–$114 | varies |
| Mycophenolic Acid (80180) | $131.04 | $234 | 7.3× |
| Myoglobin urine (83874) | $83.44 | $149 | 6.5× |
| Natriuretic peptide (83880) | $268.80 | $480 | 6.8× |
| Neutralization Test Viral (86382) | $242.48 | $433 | 14.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $270.48 | $483 | 2.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $100.80 | $180 | 0.4× |
| Nk cells total count (86357) | $212.80 | $380 | 5.6× |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$48.72–$146.72 | $87–$262 | varies |
| Occult blood feces (82272) | $19.04 | $34 | 4.5× |
| Occult Blood Other Sources (82271) | $35.28 | $63 | 6.6× |
| Organic Acids Qualitative Each Specimen (83919) | $258.72 | $462 | 15.7× |
| Osmolality serum (83930) | $45.92 | $82 | 6.9× |
| Osmolality Urine (83935) | $45.92 | $82 | 6.7× |
| Ova and parasites smears (87177) | $27.44 | $49 | 3.1× |
| Parvovirus antibody (86747) | $57.12 | $102 | 3.8× |
| Ph urine (81003) range across 6 matching MRF lines |
$12.88–$38.64 | $23–$69 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$34.72–$60.48 | $62–$108 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$53.20–$76.72 | $95–$137 | varies |
| Phenytoin free (80186) | $53.20 | $95 | 3.9× |
| Phosphatase alkaline (84075) | $33.60 | $60 | 6.5× |
| Phosphorus Serum (84100) | $33.60 | $60 | 7.1× |
| Pinworm exam (87172) | $36.96 | $66 | 8.7× |
| Platelet Antibodies (86022) | $110.88 | $198 | 6.0× |
| Platelet count automated (85049) | $31.36 | $56 | 7.0× |
| Porphyrins Feces Quantitative (84126) | $89.60 | $160 | 2.3× |
| Potassium Urine (84133) | $33.60 | $60 | 7.1× |
| Prealbumin (84134) | $76.16 | $136 | 5.2× |
| Primidone (80188) | $38.64 | $69 | 2.3× |
| Procalcitonin (Pct) (84145) | $154.56 | $276 | 5.7× |
| Progesterone (84144) | $91.28 | $163 | 4.4× |
| Prolactin (84146) | $105.84 | $189 | 5.5× |
| Protein body fluid (84157) | $33.60 | $60 | 8.4× |
| Protein C Activity (85303) | $86.80 | $155 | 6.3× |
| Protein c antigen (85302) | $78.96 | $141 | 6.6× |
| Protein Electrophoresis Urine (84166) | $99.68 | $178 | 5.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$60.48–$61.04 | $108–$109 | varies |
| Protein S Free (85306) | $101.36 | $181 | 6.6× |
| Protein total serum (84155) | $33.60 | $60 | 9.2× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$46.48–$59.92 | $83–$107 | varies |
| PSA free (84154) | $78.96 | $141 | 4.3× |
| Pth Intact (83970) | $134.40 | $240 | 3.3× |
| Quantiferon tb gold plus (86480) | $220.64 | $394 | 3.6× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$85.68–$286.16 | $153–$511 | varies |
| Quantitative Screen Metals (83018) | $348.88 | $623 | 15.9× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$78.96–$441.28 | $141–$788 | varies |
| Rbc antibody screen (86850) | $45.92 | $82 | 4.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$49.28–$53.76 | $88–$96 | varies |
| Resp virus 12-25 targets (87633) | $66.08 | $118 | 0.2× |
| Reticulocyte Count (85046) | $25.20 | $45 | 4.5× |
| Rh (86901) range across 4 matching MRF lines |
$20.16–$28.56 | $36–$51 | varies |
| Rheumatoid Factor Qualitative (86430) | $39.76 | $71 | 6.5× |
| Rheumatoid factor quant (86431) | $33.60 | $60 | 5.9× |
| Rickettsia antibody (86757) | $41.44 | $74 | 2.1× |
| Rotavirus ag eia (87425) | $72.80 | $130 | 6.1× |
| Rpr qualitative (86592) | $28 | $50 | 6.6× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$25.20–$71.68 | $45–$128 | varies |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$20.72–$50.96 | $37–$91 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$43.68–$95.20 | $78–$170 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$33.60–$40.32 | $60–$72 | varies |
| Salicylate Level (80179) | $96.32 | $172 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$67.20–$91.84 | $120–$164 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $31.36 | $56 | 0.7× |
| Sarscov2 & inf a&b amp prb (87636) | $84 | $150 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $364 | $650 | 2.6× |
| Sedimentation rate (85651) | $31.36 | $56 | 7.3× |
| Selenium (84255) | $40.88 | $73 | 1.6× |
| Semen Anal Sperm Detection (89321) | $31.36 | $56 | 2.6× |
| Sensitivity mic (87186) | $42.56 | $76 | 4.9× |
| Sex Hormone Binding Globulin (84270) | $57.68 | $103 | 2.7× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$38.64–$42.56 | $69–$76 | varies |
| Sirolimus (80195) | $233.52 | $417 | 17.0× |
| Skin test tuberculosis intradermal (86580) | $3.92 | $7 | 0.1× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$38.64–$75.60 | $69–$135 | varies |
| Smear complex stain (87209) | $27.44 | $49 | 1.5× |
| Smear gram stain (87205) range across 9 matching MRF lines |
$11.76–$26.88 | $21–$48 | varies |
| Smear Special Stain (87207) | $57.68 | $103 | 9.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $15.68 | $28 | 2.7× |
| Sodium Serum (84295) | $33.60 | $60 | 7.0× |
| Sodium Urine (84300) | $33.60 | $60 | 6.6× |
| Soluble Transferrin Receptor (84238) | $141.12 | $252 | 3.9× |
| Somatomedin (84305) | $66.08 | $118 | 3.1× |
| Special Stains Group 1 (88312) | $248.64 | $444 | 5.0× |
| Special Stains Group 2 (88313) | $198.24 | $354 | 1.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$38.64–$64.96 | $69–$116 | varies |
| Spectrophotometry (84311) | $33.60 | $60 | 4.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $27.44 | $49 | 0.2× |
| Stool cultr aerobic bact ea (87046) | $16.24 | $29 | 1.7× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$43.68–$44.24 | $78–$79 | varies |
| Strep a DNA amp probe (87651) | $53.20 | $95 | 1.5× |
| Strep b DNA amp probe (87653) | $44.24 | $79 | 1.3× |
| Sugars Single Qual (84376) | $27.44 | $49 | 5.0× |
| Surg path level iii (88304) | $186.48 | $333 | 3.7× |
| Surgical pathology level IV (88305) | $255.92 | $457 | 5.1× |
| Surgical pathology level vi (88309) | $792.40 | $1,415 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $9.88 | $17.66 | 2.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $42.56 | $76 | 5.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$212.80–$478.24 | $380–$854 | varies |
| T cells total count (86359) | $212.80 | $380 | 5.6× |
| T3 Free (84481) | $60.48 | $108 | 3.6× |
| T3 reverse (84482) | $86.24 | $154 | 5.5× |
| T3 Total (84480) | $76.72 | $137 | 5.4× |
| T4 Free (84439) | $47.04 | $84 | 5.2× |
| T4 total (84436) | $38.64 | $69 | 5.6× |
| Tacrolimus (80197) | $114.24 | $204 | 8.3× |
| Test for acetone/ketones (82009) | $20.16 | $36 | 4.5× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$37.52–$58.80 | $67–$105 | varies |
| Testosterone total (84403) range across 8 matching MRF lines |
$17.92–$344.40 | $32–$615 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$17.36–$157.36 | $31–$281 | varies |
| Theophylline (80198) | $76.72 | $137 | 5.4× |
| Thiopurine methyltransferase (84433) | $261.52 | $467 | 11.8× |
| Thrombin Time (85670) | $26.88 | $48 | 4.7× |
| Thyroglobulin (84432) | $41.44 | $74 | 2.6× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$41.44–$94.08 | $74–$168 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $169.68 | $303 | 3.3× |
| Thyroxine binding globulin (84442) | $38.64 | $69 | 2.6× |
| Tissue culture bone marrow (88237) | $305.76 | $546 | 2.1× |
| Topiramate (80201) | $100.24 | $179 | 8.4× |
| Toxoplasma ab igm (86778) | $53.20 | $95 | 3.7× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$22.96–$68.32 | $41–$122 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $33.60 | $60 | 6.5× |
| Transferrin (84466) | $72.80 | $130 | 5.7× |
| Trichomonas vagin dir probe (87660) | $54.32 | $97 | 2.7× |
| Trichomonas Vaginalis Amplif (87661) | $87.36 | $156 | 2.5× |
| Triglycerides (84478) | $33.60 | $60 | 5.9× |
| Troponin Quant (84484) range across 4 matching MRF lines |
$67.20–$84 | $120–$150 | varies |
| Tumor Immunohistochem/Manual (88360) | $254.80 | $455 | 1.6× |
| Uric acid other source (84560) | $38.64 | $69 | 7.6× |
| Urinalysis Microscopic Only (81015) | $15.12 | $27 | 5.0× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$28.56–$29.68 | $51–$53 | varies |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$22.96–$47.04 | $41–$84 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$31.36–$32.48 | $56–$58 | varies |
| Valproic acid (80164) | $76.72 | $137 | 5.7× |
| Vancomycin (80202) | $100.24 | $179 | 7.4× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$22.40–$112 | $40–$200 | varies |
| Virus inoculation, shell via (87254) | $36.96 | $66 | 1.9× |
| Vit D 1 25-Dihydroxy (82652) | $233.52 | $417 | 6.1× |
| Vitamin A (84590) | $91.28 | $163 | 7.9× |
| Vitamin b-12 (82607) | $72.80 | $130 | 4.8× |
| Vitamin B6 (84207) | $154 | $275 | 5.5× |
| Vitamin c (82180) | $31.92 | $57 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $104.16 | $186 | 3.5× |
| Vitamin E (84446) | $117.60 | $210 | 8.3× |
| Vitamin K (84597) | $87.92 | $157 | 6.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$182–$194.32 | $325–$347 | varies |
| West nile virus ab igm (86788) | $60.48 | $108 | 3.6× |
| West Nile Virus Antibody (86789) | $60.48 | $108 | 4.2× |
| Zinc (84630) | $57.12 | $102 | 5.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.