Lab & pathology prices at Gritman Medical Center

Moscow, ID · every code in this section with a posted price and a Medicare benchmark.

654 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $34 $34 3.0×
Acetylcholine receptor binding antibody (86041) $36 $36 2.0×
Acetylcholine receptor blocking antibody (86042) $37 $37 2.0×
Acetylcholn Rcptr Modlg Antb (86043) $75 $75 6.2×
Acth (82024) $160 $160 4.1×
Acth Stimulation Panel Adrenal Insufficiency (80400) $90 $90 2.8×
Actin smooth muscle antibody each (86015) $32 $32 2.7×
Acute hepatitis panel (80074) $209 $209 4.4×
Acylcarnitines Quant (82017) $46 $46 2.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $196 $196 3.0×
Albumin Fluid (82042) $22 $22 2.8×
Albumin serum (82040) $28 $28 5.7×
Aldolase (82085) $54 $54 5.6×
Aldosterone urine (82088) $113 $113 2.8×
Alkaline phosphatase isoenzymes (84080) $45 $45 3.0×
Allergen spec ige qual multiallergen screen (86005) $22 $22 2.8×
Allergen specific ige (86003) $23 $23 4.4×
Allergen specific igg (86001) $22 $22 2.8×
Allg Spec Ige Recomb Ea (86008) $50 $50 2.8×
Alpha-1-antitrypsin phenotype (82104) $74 $74 5.1×
Alpha-1-antitrypsin total (82103) $74 $74 5.5×
Alpha-Fetoprotein Serum (82105) $92 $92 5.5×
Alt (sgpt) (84460) $30 $30 5.7×
Aluminum (82108) $71 $71 2.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $47 $47 2.8×
Aminolevulinic acid (ala) (82135) $48 $48 2.9×
Ammonia (82140) $77 $77 5.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $270 $270 2.8×
Amylase urine (82150) $36 $36 5.6×
Anca screen each antibody (86036) $33 $33 2.7×
Anca Titer Each Antibody (86037) $34 $34 2.8×
Androstenedione (82157) $86 $86 2.9×
Angiotensin converting enzyme csf (82164) $81 $81 5.5×
Anti-Phospholipid Antibody (86148) $45 $45 2.8×
Antibody aspergillus (86606) $42 $42 2.8×
Antibody Bacterium Not Elsewhere Specified (86609) $40 $40 3.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $85 $85 5.5×
Antibody Cytomegalovirus Cmv Igm (86645) $52 $52 3.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $72 $72 5.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $84 $84 5.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $97 $97 5.3×
Antibody Fungus Not Elsewhere Specified (86671) $38 $38 3.1×
Antibody helicobacter pylori (86677) $80 $80 4.7×
Antibody Herpes Smplx Type 1 (86695) $37 $37 2.8×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$15–$75 $15–$75 varies
Antibody HIV-2 (86702) $38 $38 2.8×
Antibody Hla Class I High Definition Panel Qual (86832) $890 $890 2.7×
Antibody identification leukocyte antibodies (86021) $22.62 $22.62 1.5×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines
$18.38–$47 $18.38–$47 varies
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines
$23.19–$36 $23.19–$36 varies
Antibody Titer (86886) $455 $455 87.8×
Antibody Treponema Pallidum (86780) $41 $41 3.1×
Antibody; campylobacter (86625) $40 $40 3.0×
Antigen typing (86905) $889 $889 232.1×
Antinomyces antibody (86602) $31 $31 3.0×
Antinuclear antibodies (86038) $55 $55 4.5×
Antistreptolysin o titer (86060) $41 $41 5.6×
Antithrombin iii activity (85300) $65 $65 5.5×
Antithrombin iii antigen (85301) $33 $33 3.1×
Apolipoprotein a1 (82172) $85 $85 4.0×
Aquaporin-4 Antb Cba Each (86052) $33 $33 2.7×
Aquaporin-4 Antb Elisa (86051) $37 $37 3.2×
Arsenic (82175) $58 $58 3.1×
Aspergillus ag eia (87305) $36 $36 3.0×
Assay activated protein c (85307) $47 $47 3.1×
Assay Blood Carbon Dioxide (82374) $15 $15 3.1×
Assay myeloperoxidase (83876) $140 $140 2.8×
Assay Nephelometry Not Spec (83883) $51 $51 3.8×
Assay of 5-hiaa (83497) $71 $71 5.5×
Assay of anti-mullerian hormone (82166) $78 $78 2.0×
Assay of blood/uric acid (84550) $25 $25 5.5×
Assay of calcium in urine (82340)
range across 4 matching MRF lines
$18–$19 $18–$19 varies
Assay of cpk in blood (82552) $41 $41 3.1×
Assay of estrone (82679) $76 $76 3.0×
Assay of g6pd enzyme (82955) $28 $28 2.9×
Assay of gammaglobulin igm (82784) $51 $51 5.5×
Assay of lactic acid (83605) $52 $52 4.5×
Assay of manganese (83785) $73 $73 2.7×
Assay of metanephrines (83835) $93 $93 5.5×
Assay of serum potassium (84132) $26 $26 5.5×
Assay of sweat sodium (84302) $15 $15 3.1×
Assay of transcortin (84449) $50 $50 2.8×
Assay of urea nitrogen (84520) $22 $22 5.6×
Assay of urine vma (84585) $48 $48 3.1×
Assay of vasoactive intestinal peptide (84586) $108 $108 3.1×
Assay of vitamin b-1 (84425) $65 $65 3.1×
Assay Ph Body Fluid Nos (83986) $11 $11 3.1×
Assay spec xcp ur&breath ia (82077) $48 $48 2.8×
Autol bld/component collj storage salvage (86891) $158 $158 0.2×
Automated Leukocyte Count (85048) $27 $27 10.6×
B cells total count (86355) $104 $104 2.8×
Bartonella antibody (86611) $31 $31 3.0×
Bcr/abl1 gene major bp (81206) $451 $451 2.8×
Bcr/abl1 gene minor bp (81207) $399 $399 2.8×
Beta 2 glycoprotein i antibody each (86146) $70 $70 2.8×
Beta hydroxybutyrate (82010) $23 $23 2.8×
Beta Lactamase (87185) $15 $15 3.2×
Beta-2 Microglobulin (82232) $89 $89 5.5×
Bile acids total (82239) $53 $53 3.1×
Bilirubin direct (82248) $28 $28 5.6×
Bilirubin total (82247) $28 $28 5.6×
Bilirubin total transcutaneous (88720) $28 $28 5.6×
Blastomyces antibody (86612) $39 $39 3.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $455 $455 2.7×
Blood Count Red Blood Cell Automated (85041) $9 $9 3.0×
Blood count reticulocyte automated (85045) $13 $13 3.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $11 $11 2.9×
Blood count spun microhematocrit (85013)
range across 2 matching MRF lines
$8–$19 $8–$19 varies
Blood gas (82803) $107 $107 4.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $49 $49 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $18 $18 4.1×
Blood Sulfhemoglobin Assay (83060) $24 $24 2.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $889 $889 140.0×
Blood typing serologic abo (86900) $344 $344 115.1×
Body fluid cell count (89050) $13 $13 2.8×
Bone marrow smear interpretation (85097) $37 $37 0.0×
Bordetella antibody (86615) $41 $41 3.1×
Brca1&2 gen full seq dup/del (81162)
range across 2 matching MRF lines
$2,934.75–$5,018 $2,934.75–$5,018 varies
Breath Alcohol Test (82075)
range across 2 matching MRF lines
$34–$83 $34–$83 varies
C diff amplified probe (87493) $158 $158 4.2×
C-Peptide (84681) $94 $94 4.5×
C-reactive protein (86140) $50 $50 9.7×
Ca 19-9 (86301) $64 $64 3.1×
Cadmium (82300) $71 $71 3.0×
Calcium ionized (82330) $69 $69 5.0×
Calcium total (82310) $29 $29 5.6×
Calculus Spectroscopy (82365) $71 $71 5.5×
Calprotectin Fecal (83993) $60 $60 3.1×
Calr gene com variants (81219) $335 $335 2.8×
Cancer Antigen 125 (86304) $115 $115 5.5×
Cancer Antigen 27.29 (86300) $115 $115 5.5×
Candida antibody (86628) $37 $37 3.1×
Candida Dna Dir Probe (87480) $61 $61 3.0×
Carbamazepine total (80156) $80 $80 5.5×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $39 $39 2.8×
Carboxyhemoglobin (82375) $38 $38 3.1×
Carcinoembryonic antigen (82378) $104 $104 5.5×
Cardiolipin ab iga (86147) $70 $70 2.8×
Carnitine Quantitative Each Specimen (82379) $76 $76 4.5×
Carotene (82380) $27 $27 2.9×
Catecholamines fractionated (82384) $77 $77 3.0×
Ccp antibody (86200) $71 $71 5.5×
Cell count csf (89051) $31 $31 5.5×
Ceruloplasmin (82390) $59 $59 5.5×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$423–$761.41 $423–$761.41 varies
Chemiluminescent assay (82397) $43 $43 3.0×
Chlamydia antibody (86631) $34 $34 2.9×
Chlamydia Igm Antibody (86632) $37 $37 2.9×
Chloride Serum (82435)
range across 2 matching MRF lines
$5–$14 $5–$14 varies
Chloride urine (82436) $16 $16 2.8×
Chlorinated Hydrocarbons Screen (82441) $19 $19 3.2×
Cholesterol total (82465) $24 $24 5.5×
Cholinesterase rbc (82482) $52.49 $52.49 5.4×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $104.64 $104.64 1.9×
Chorionic gonadotropin test (84702) $83 $83 5.5×
Chromium serum (82495) $62 $62 3.1×
Chromogenic Substrate Assay (85130) $37 $37 3.1×
Chromogranin a (86316) $115 $115 5.5×
Chromosome Analysis 15-20 (88262) $380 $380 3.0×
Chromosome Analysis 20-25 (88264) $398 $398 2.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $97 $97 2.8×
Citric acid urine (82507) $52.07 $52.07 1.9×
Ckmb (82553) $64 $64 5.5×
Clostridium Difficile (87324) $64 $64 5.3×
Clot Factor VIII Multimetric (85247) $70 $70 3.1×
Cns DNA amp probe type 12-25 (87483) $1,147 $1,147 2.8×
Coccidioides antibody (86635) $59 $59 5.1×
Cold agglutinin screen (86156) $23 $23 2.9×
Cold agglutinin titer (86157) $23 $23 2.9×
Collagen crosslinks (82523) $52 $52 2.8×
Column Chromotography Quant (82542) $67 $67 2.8×
Compatibility Each Unit Incubation (86921) $455 $455 2.7×
Compatibility test antiglob (86922) $455 $455 2.7×
Complement Antigen Each Component (86160) $66 $66 5.5×
Complement Total (Ch50) (86162) $62 $62 3.1×
Complement/Function Activity (86161) $37 $37 3.1×
Coombs direct (86880) $170 $170 31.5×
Copper urine (82525) $69 $69 5.6×
Cortisol free (82530) $92 $92 5.5×
Cortisol saliva (82533) $80 $80 4.9×
Creatine (82540) $8.68 $8.68 1.9×
Creatine kinase total (82550) $36 $36 5.5×
Creatinine blood (82565) $29 $29 5.7×
Creatinine clearance (82575) $52 $52 5.5×
Creatinine Urine (82570) $29 $29 5.6×
Crossmatch electronic (86923) $455 $455 2.7×
Crossmatch immediate spin (86920) $455 $455 2.7×
Crp High Sensitivity (86141) $71 $71 5.5×
Cryoglobulin (82595) $20 $20 3.1×
Cryptococcus ag titer (87899) $53 $53 3.3×
Cryptosporidium ag eia (87328) $64 $64 4.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $45 $45 5.6×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $22 $22 2.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $43 $43 5.6×
Culture afb (87116) $60 $60 5.6×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$26–$27 $26–$27 varies
Culture bacteria anaerobic (87073) $52 $52 5.4×
Culture blood (87040) $57 $57 5.5×
Culture csf (87070) $48 $48 5.6×
Culture fungus (87102) $89.51 $89.51 10.6×
Culture screen only (87081) $28 $28 4.2×
Culture stool (87045) $52 $52 5.5×
Culture urine (87086)
range across 2 matching MRF lines
$31.65–$42 $31.65–$42 varies
Cyclosporine (80158) $55 $55 3.0×
Cystatin C (82610) $51 $51 2.8×
Cytogenetics 10-30 (88273) $96 $96 2.8×
Cytogenetics 100-300 (88275) $141 $141 2.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,190 $3,190 2.8×
Cytomegalovirus igg (86644) $52 $52 3.6×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $152 $152 7.5×
Cytopath Cell Enhance Tech (88112) $152 $152 3.0×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $80 $80 3.0×
Cytp Concentration Smears & Interpretation (88108) $104 $104 2.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $152 $152 3.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $47.05 $47.05 1.3×
Cytp Slides C/V Mnl Scr Under Phys (88150) $44 $44 2.4×
Cytp smrs any oth src extnd std > 5 slides (88162) $152 $152 3.0×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $76 $76 2.7×
Deoxyribonuclease antibody (86215) $41 $41 3.1×
Detect Agent Nos Dna Amp (87798) $181 $181 5.2×
Detect Agent Nos Dna Quant (87799) $131 $131 3.1×
Detect agnt mult DNA ampli (87801) $214 $214 3.0×
Dgp Antibody Each Ig Class (86258) $32 $32 2.7×
Dhea (82626) $100 $100 4.0×
Dhea-S (82627) $101 $101 4.5×
Digoxin (80162) $73 $73 5.5×
Dihydrotestosterone (82642) $81 $81 2.8×
Diphtheria antitoxoid (86648) $20.16 $20.16 1.3×
Dipropylacetic Acid Free (80165) $244 $244 18.0×
Dna Antibody Native/Double Stranded (86225) $55 $55 4.0×
Dna/Rna Sequencing (87153) $318 $318 2.8×
Dpyd gene common variants (81232) $481 $481 2.8×
Drug assay adalimumab (80145) $107 $107 2.8×
Drug Assay Infliximab (80230) $107 $107 2.8×
Drug Assay Lacosamide (80235) $75 $75 2.8×
Drug Assay Vedolizumab (80280) $106 $106 2.7×
Drug Asy Hydroxychloroquine (80220) $51 $51 2.7×
Drug Screen Quant Zonisamide (80203) $157 $157 11.8×
Drug Screen Quantitative Lamotrigine (80175) $131 $131 9.9×
Drug Screen Quantitative Levetiracetam (80177) $156 $156 11.8×
Drug Screen Quantitative Oxcarbazepine (80183) $37 $37 2.8×
Drug Test Prsmv Chem Anlyzr (80307) $171 $171 2.8×
Drug Test Prsmv Dir Opt Obs (80305) $35 $35 2.8×
Drug Test Prsmv Instrmnt (80306) $53 $53 3.1×
Egfr Gene Analysis Common Variants (81235) $893 $893 2.8×
Ehrlichia antibody (86666) $30 $30 2.9×
El-1 Fecal Quantitative (82653) $64 $64 2.8×
Electrolyte panel (80051) $22 $22 3.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $34 $34 2.8×
Enterovirus Antibody (86658) $40 $40 3.1×
Enterovirus PCR (87498) $107 $107 3.0×
Eosinophil Smear (89190) $27 $27 4.7×
Erythropoietin (82668) $58 $58 3.1×
Estradiol serum (82670) $154 $154 5.5×
Estriol (82677) $88 $88 3.6×
Estrogen total (82672) $66 $66 3.0×
Estrogens fractionated (82671) $60.49 $60.49 1.9×
Ethosuximide (80168) $48 $48 2.9×
Exam Synovial Fluid Crystals (89060) $39 $39 5.3×
F2 Gene (81240) $234 $234 3.6×
F9 full gene sequence (81238) $1,650 $1,650 2.8×
Factor ii activity (85210) $40 $40 3.1×
Factor ix activity (85250) $55 $55 2.9×
Factor v activity (85220) $54 $54 3.1×
Factor v leiden mutation (81241) $233 $233 3.2×
Factor viii assay (85240) $50 $50 2.8×
Factor X (85260) $55 $55 3.1×
Factor xi activity (85270) $55 $55 3.1×
Factor xiii screen (85291) $25 $25 2.7×
Fat/Lipids Feces Quantitative (82710) $52 $52 3.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $53 $53 3.1×
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines
$9.54–$52 $9.54–$52 varies
Ferritin (82728) $61 $61 4.5×
Fetal Chrmoml Aneuploidy (81420) $2,088 $2,088 2.8×
Fetal Congenital Abnor Assay Four Anal (81511) $423 $423 2.8×
Fetal Fibronectin (82731) $354 $354 5.5×
Fetal screen rosette (85461) $26 $26 2.8×
Fibrin degradation products (85362) $21 $21 3.0×
Fibrin Degradation Quant (85379) $56 $56 5.5×
Fibrinogen activity (85384) $27 $27 2.8×
Flow cytometry first marker (88184) $889 $889 2.5×
Fluorescent antibody screen (86255) $67 $67 5.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $37 $37 3.1×
Fmr1 Gene Charac Alleles (81244) $124 $124 2.8×
Fmr1 gene detection (81243) $157 $157 2.8×
Folic acid rbc (82747) $91 $91 5.2×
Folic Acid Serum (82746) $81 $81 5.5×
Follicle Stimulating Hormone (83001) $102 $102 5.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $455 $455 2.7×
Frozen Section (88331) $455 $455 2.7×
Fungi Identification Mold (87107) $57 $57 5.5×
Fungi Identification Yeast (87106) $57 $57 5.5×
Galectin-3 (82777) $122 $122 2.8×
Gammaglobulin ige (82785) $91 $91 5.5×
Gardner vag DNA dir probe (87510) $61 $61 3.0×
Gastrin (82941) $97 $97 5.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,141 $2,141 5.1×
Genet Virus Isolate Hsv (87255) $94 $94 2.8×
Gentamicin (80170) $50 $50 3.1×
Ggt (82977) $40 $40 5.6×
Giardia antigen (87329) $36 $36 3.0×
Glucagon (82943) $44 $44 3.1×
Glucose 2 hr pp (82950) $27 $27 5.7×
Glucose Blood Test (82962) $13 $13 4.0×
Glucose body fluid (82945) $22 $22 5.6×
Glucose Serum (82947) $22 $22 5.6×
Glucose tolerance test (gtt) (82951) $71 $71 5.5×
Glycated Protein (82985) $46 $46 2.7×
Gonadotropin Chorionic Qualitative (84703) $20 $20 2.7×
Growth hormone (83003) $51 $51 3.1×
Gtt-added samples (82952) $22 $22 5.6×
H Pylori (C-13) Breath (83013) $186 $186 2.8×
H Pylori Drug Admin (83014)
range across 2 matching MRF lines
$9–$24 $9–$24 varies
Haptoglobin (83010) $39 $39 3.1×
Helicobacter Pylori Stool (87338) $44 $44 3.1×
Helminth Antibody (86682) $68 $68 5.2×
Hematocrit (85014)
range across 3 matching MRF lines
$3–$13 $3–$13 varies
Hemoglobin (85018) $13 $13 5.5×
Hemoglobin a1c (83036)
range across 6 matching MRF lines
$35–$39 $35–$39 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$95–$186.78 $95–$186.78 varies
Hemoglobin electrophoresis (83020) $40 $40 3.1×
Hemoglobin Methemoglobin Quantitative (83050) $23 $23 2.8×
Hep a ab igm (86709) $62 $62 5.5×
Heparin assay (85520) $40 $40 3.1×
Hepatitis a antibody total (86708) $68 $68 5.5×
Hepatitis b core ab igm (86705) $36 $36 3.1×
Hepatitis b core ab total (86704) $67 $67 5.6×
Hepatitis b surface ag quan (87467) $51 $51 2.0×
Hepatitis B Surface Antibody (86706) $59 $59 5.5×
Hepatitis B Surface Antigen (87340) $57 $57 5.5×
Hepatitis Be Antibody (86707) $36 $36 3.1×
Hepatitis Be Antigen (87350) $64 $64 5.6×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$74–$78 $74–$78 varies
Hepatitis C Genotype (87902) $708 $708 2.8×
Hepatitis C Revrs Trnscrpj (87522) $235 $235 5.5×
Herpes simplex type 2 (86696) $65 $65 3.4×
Heterophile antibodies titer (86309) $20 $20 3.1×
Heterophile Antibody Screen (86308) $29 $29 5.6×
Hfe Gene (81256) $180 $180 2.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $24 $24 3.1×
Histamine urine (83088) $90 $90 3.0×
Histoplasma antibody (86698) $39 $39 2.8×
Hiv Antigen W/Hiv Antibodies (87806) $96 $96 2.9×
Hiv Genotype (87901) $708 $708 2.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $67 $67 2.8×
Hiv-1 Antibody (86701) $28 $28 3.1×
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines
$27–$66 $27–$66 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $386 $386 4.5×
HIV-2 probe&revrse trnscripj (87538) $102 $102 2.9×
Hla Class I Typing Low Resolution One Locus Each (81373) $351 $351 2.8×
Hla class i&ii antibody qual (86828) $177 $177 2.8×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $1,106 $1,106 2.8×
Hla class ii high defin qual (86833) $896 $896 2.8×
Hla I Low Resolution One Antigen Equivalent Each (81374) $205 $205 2.8×
Hla I Typing 1 Allele Hr (81381) $468 $468 2.8×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $608 $608 2.8×
Hla ii type 1 ag equiv lr (81377) $261 $261 2.8×
Homocysteine (83090) $52 $52 2.9×
Hpv High-Risk Types (87624) $145 $145 4.1×
Hpv Types 16 & 18 Only (87625)
range across 3 matching MRF lines
$112–$215 $112–$215 varies
Hsv Dna Amp Probe (87529) $107 $107 3.0×
Htt Gene Detc Abnor Alleles (81271) $377 $377 2.8×
Human Epididymis Protein 4 (86305)
range across 2 matching MRF lines
$38.97–$58 $38.97–$58 varies
Hydroxyprogesterone 17-d (83498) $83 $83 3.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $46 $46 3.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $88 $88 2.5×
Iaad ia shiga-like toxin (87427) $36 $36 3.0×
Iaadi respiratory synctial virus (87280) $17.80 $17.80 1.3×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $107 $107 3.0×
Iadna Candida Species Amplified Probe Tq (87481) $107 $107 3.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $107 $107 3.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $107 $107 3.0×
Iadna Cytomegalovirus Quantification (87497) $131 $131 3.1×
Iadna Hepatitis B Virus Quantification (87517) $131 $131 3.1×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $107 $107 3.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $107 $107 3.0×
Iadna Multiple Organisms Direct Probe Tq (87800) $120 $120 2.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $115 $115 2.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $107 $107 3.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $105 $105 3.0×
Iadna Nos Direct Probe Tq Each Organism (87797) $83 $83 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $171.16 $171.16 1.2×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $740 $740 2.8×
Ig Light Chains Free Each (83521) $48 $48 2.8×
Igg subclasses (82787) $23 $23 2.9×
Igh gene rearrange amp meth (81261) $544 $544 2.7×
Igh@ Variable Region Somatic Mutation Analysis (81263) $810 $810 2.8×
Igk rearrangeabn clonal pop (81264) $475 $475 2.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $889 $889 2.5×
Immune Complex Assay (86332) $74 $74 3.0×
Immunfix e-phorsis/urine/csf (86335) $81 $81 2.8×
Immunoassay Analyte Quant Radioimmunoassay (83519) $75 $75 4.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $42 $42 2.8×
Immunoassay nonantibody (83516) $60 $60 5.2×
Immunodiffusion Ouchterlony (86331) $37 $37 3.1×
Immunofixation electrophoresis (86334) $70 $70 3.1×
Immunofluorescence per spec 1st singl antb stain (88346) $56.14 $56.14 0.3×
Immunohistochemistry (88342)
range across 3 matching MRF lines
$82–$455 $82–$455 varies
In situ hybridization 1st probe stain (88365) $455 $455 2.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $85 $85 1.2×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $97 $97 2.8×
Influenza assay w/optic (87804)
range across 4 matching MRF lines
$46–$86 $46–$86 varies
Inhibin A (86336) $83 $83 5.3×
Inhibin b (83520) $48 $48 2.8×
Insitu hybridization manual (88368) $134.27 $134.27 0.4×
Insulin antibodies (86337) $66 $66 3.1×
Insulin total (83525) $63 $63 5.5×
Interleukin-6 (83529) $47 $47 2.7×
Intrinsic factor antibody (86340) $46 $46 3.1×
Iron (83540) $36 $36 5.6×
Iron Binding Capacity (83550) $34.30 $34.30 3.9×
Islet cell antibody (86341) $65 $65 2.8×
Jak2 gene analysis p.val617phe variant (81270) $253 $253 2.8×
Jak2 Gene Trgt Sequence Alys (81279) $510 $510 2.8×
Kit Gene Analysis D816 Variant(S) (81273) $344 $344 2.8×
Koh Prep (87220) $24 $24 5.6×
Lactate (ld) (ldh) enzyme (83615) $34 $34 5.6×
Lactoferrin Fecal Quantitative (83631) $60 $60 3.1×
Ldh Isoenzymes (83625) $39 $39 3.0×
LDL direct (83721)
range across 2 matching MRF lines
$12–$54 $12–$54 varies
Lead (83655) $37 $37 3.1×
Legionella antigen urine (87449) $36 $36 3.0×
Leukocyte Assessment Fecal (89055) $12 $12 2.8×
Level I Surg Pathology Gross Examination Only (88300) $76 $76 2.7×
Level ii surg pathology gross&microscopic exam (88302) $76 $76 2.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $889 $889 2.5×
Lipase (83690) $38 $38 5.5×
Lipoprotein A (83695) $40 $40 2.8×
Lipoprotein Bld Quan Part (83704) $94 $94 2.7×
Lipoprotein-Associated Phospholipase A2 (83698) $128 $128 2.8×
Lithium (80178) $37 $37 5.6×
Luteinizing Hormone (Lh) (83002) $76 $76 4.1×
Lyme disease antibody (86618) $52 $52 3.1×
Lysozyme serum (85549) $58 $58 3.1×
M. Genitalium Amp Probe (87563) $97 $97 2.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $579 $579 3.4×
Macroscopic Exam Parasite (87169) $8 $8 1.9×
Magnesium Urine (83735) $37 $37 5.5×
Mass Spectrometry Quant (83789) $99 $99 4.1×
Mercury urine (83825) $90 $90 5.5×
Metabolic panel ionized ca (80047) $38 $38 2.8×
Methotrexate (80204) $107 $107 2.8×
Methylmalonic acid serum (83921) $91 $91 4.3×
Microalbumin, quantitative (82043) $32 $32 5.5×
Microsomal Antibodies Each (86376) $80 $80 5.5×
Mitochondrial Antibody Each (86381) $70 $70 2.8×
Mog-Igg1 Antb Cba Each (86362) $33 $33 2.7×
Molecular Cytogenetics Dna Probe Each (88271) $59 $59 2.8×
Molecular Pathology Procedure Level 3 (81402) $414 $414 2.8×
Mononuclear cell antigen (86356) $82 $82 3.1×
Mopath procedure level 1 (81400) $48.72 $48.72 0.8×
Mopath procedure level 2 (81401) $377 $377 2.8×
Mopath procedure level 4 (81403) $509 $509 2.7×
Mopath procedure level 7 (81406) $778 $778 2.8×
Mopath procedure level 8 (81407) $2,327 $2,327 2.7×
Mopath procedure level 9 (81408) $5,500 $5,500 2.8×
Mpl gene common variants (81338) $414 $414 2.8×
Mrsa Pcr (87641) $107 $107 3.0×
Mthfr Gene Analysis Common Variants (81291) $362 $362 5.5×
Mumps antibody (86735) $40 $40 3.1×
Muscle-Specific Kinase Antb (86366) $1,350 $1,350 73.4×
Mycobacteric Identification (87118) $40 $40 2.7×
Mycophenolic Acid (80180) $50 $50 2.8×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$19.40–$39 $19.40–$39 varies
Mycoplasma culture (87109) $42 $42 2.7×
Myelin basic protein csf (83873) $53 $53 3.1×
Myoglobin urine (83874) $71 $71 5.5×
Natriuretic peptide (83880) $187 $187 4.8×
Neutralization Test Viral (86382)
range across 3 matching MRF lines
$31.67–$49 $31.67–$49 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $450 $450 3.5×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $358.98 $358.98 1.4×
Nfct ds chrnc hcv 6 assays (81596) $199 $199 2.8×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $355 $355 2.8×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,344 $1,344 2.8×
Niacin (84591) $47 $47 2.8×
Nk cells total count (86357) $104 $104 2.8×
Nuclear antigen antibody (86235) $50 $50 2.8×
Obstetric panel (80081) $432 $432 5.8×
Occult blood feces (82272) $12 $12 2.8×
Occult Blood Other Sources (82271) $18 $18 3.4×
Oligoclonal bands (83916) $76 $76 2.8×
Oncoprotein dcp (83951) $177 $177 2.7×
Osmolality serum (83930) $21 $21 3.2×
Osmolality Urine (83935) $21 $21 3.1×
Ova and parasites smears (87177) $49 $49 5.5×
Oxalate urine (83945) $40 $40 2.8×
Pancreatic Elastase Fecal (82656) $33 $33 2.9×
Parvovirus antibody (86747) $53 $53 3.5×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $152 $152 3.0×
Ph urine (81003) $7 $7 3.1×
Phenobarbital Level (80184) $63 $63 4.1×
Phenotype Infect Agent Drug (87900) $358 $358 2.7×
Phenytoin (Dilantin) (80185) $73 $73 5.5×
Phenytoin free (80186) $42 $42 3.1×
Phosphatase alkaline (84075) $16 $16 3.1×
Phospholipid Neutralization Hexagonal (85598) $50 $50 2.8×
Phosphorus Serum (84100) $27 $27 5.7×
Phosphorus urine (84105) $16 $16 2.8×
Platelet Antibodies (86022) $56 $56 3.0×
Platelet count automated (85049) $25 $25 5.6×
Porphobilinogen Urine Qualitative (84106) $8.02 $8.02 1.4×
Porphobilinogen, urine; quantitative (84110) $26 $26 3.1×
Porphyrins Urine Quantitation & Fractionation (84120) $45 $45 3.1×
Potassium Urine (84133) $14 $14 3.0×
Prealbumin (84134) $42 $42 2.9×
Pregnenolone (84140) $63 $63 3.0×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $103 $103 1.8×
Pretx serum rbc antibody identification dilution (86976) $75 $75 2.6×
Procalcitonin (Pct) (84145) $75 $75 2.8×
Progesterone (84144) $86 $86 4.1×
Prolactin (84146) $59 $59 3.0×
Protein body fluid (84157) $21 $21 5.3×
Protein C Activity (85303) $76 $76 5.5×
Protein c antigen (85302) $37 $37 3.1×
Protein Electrophoresis Urine (84166) $98 $98 5.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $59 $59 5.5×
Protein S Free (85306) $84 $84 5.5×
Protein s total (85305) $36 $36 3.1×
Protein total serum (84155) $12 $12 3.3×
Protein Total Urine (84156) $21 $21 5.7×
Prothrombin Time Substitution Plasma Frctj Each (85611) $12 $12 3.0×
PSA free (84154) $56 $56 3.0×
Pth Intact (83970) $227 $227 5.5×
Quantiferon tb gold plus (86480) $171 $171 2.8×
Quantitative assay drug (80299) $76 $76 4.1×
Quantitative Screen Metals (83018) $61 $61 2.8×
Rbc antibody identification (86870) $889 $889 2.5×
Rbc antibody screen (86850) $152 $152 15.6×
Reagent Strip/Blood Glucose (82948) $15 $15 3.0×
Renin activity plasma (84244) $87 $87 4.0×
Resp virus 12-25 targets (87633) $1,147 $1,147 2.8×
Rh (86901) $104 $104 34.8×
Rheumatoid Factor Qualitative (86430) $32 $32 5.2×
Rheumatoid factor quant (86431) $18 $18 3.2×
Rickettsia antibody (86757) $59 $59 3.0×
Ristocetin cofactor (85245) $70 $70 3.1×
Rpr qualitative (86592) $24 $24 5.6×
Rsv Assay W/Optic (87807) $36 $36 2.7×
Rubella Antibody (86762) $54 $54 3.8×
Rubeola antibody (86765) $36 $36 2.8×
Russell Viper Venom Time Diluted (85613) $39 $39 4.1×
Rx metab gen seq alys pnl 6 (81418) $5,500 $5,500 6.0×
Salicylate Level (80179) $51 $51 2.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $142 $142 2.8×
Sars-cov-2 COVID-19 antibody (86769) $116 $116 2.8×
Sars-Cov-2 Covid19 W/Optic (87811) $80 $80 1.9×
Sarscov2 & inf a&b amp prb (87636) $393 $393 2.8×
Sedimentation rate (85651)
range across 2 matching MRF lines
$5–$12 $5–$12 varies
Sedimentation Rate, Automated (85652) $15 $15 5.6×
Selenium (84255) $78 $78 3.1×
Semen Anal Sperm Detection (89321) $34 $34 2.8×
Semen analysis complete (89320) $64 $64 5.2×
Semen analysis motility and count (89310) $24 $24 2.8×
Sensitivity mic (87186) $48 $48 5.5×
Serpina 1 gene (81332) $121 $121 2.8×
Sex Hormone Binding Globulin (84270) $97 $97 4.5×
Sickling of rbc reduction (85660) $17 $17 3.1×
Sirolimus (80195) $42 $42 3.1×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$8–$75 $8–$75 varies
Smear acid fast (87206) $30 $30 5.6×
Smear complex stain (87209) $59 $59 3.3×
Smear gram stain (87205) $24 $24 5.6×
Smear Special Stain (87207) $33 $33 5.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$23–$24 $23–$24 varies
Sodium Serum (84295) $27 $27 5.6×
Sodium Urine (84300) $15 $15 3.0×
Somatomedin (84305) $103 $103 4.8×
Special Stains Group 1 (88312) $152 $152 3.0×
Special Stains Group 2 (88313) $104 $104 0.8×
Specimen infect agnt concntj (87015) $21 $21 3.1×
Spectrophotometry (84311) $23 $23 2.8×
Stone Analysis (82355) $32 $32 2.8×
Stool cultr aerobic bact ea (87046) $29 $29 3.1×
Strep a assay w/optic (87880) $64 $64 3.9×
Strep a DNA amp probe (87651) $137.63 $137.63 3.9×
Strep b DNA amp probe (87653) $137.63 $137.63 3.9×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $49 $49 0.5×
Surg path level iii (88304) $152 $152 3.0×
Surgical pathology level IV (88305) $152 $152 3.0×
Surgical pathology level vi (88309) $1,999 $1,999 2.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $9.90 $9.90 2.1×
Susceptibility Study Antimicrobial Disk Method (87184) $21 $21 2.8×
Syphilis Test Non-Trep Quant (86593) $14 $14 3.2×
T cells absolute cd4 count (86361) $101 $101 3.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $130 $130 2.8×
T cells total count (86359) $104 $104 2.8×
T3 Free (84481) $86 $86 5.1×
T3 reverse (84482) $87 $87 5.5×
T3 Total (84480) $78 $78 5.5×
T3 Uptake (84479) $20 $20 3.1×
T4 Free (84439) $49 $49 5.4×
T4 total (84436) $38 $38 5.5×
Tacrolimus (80197) $76 $76 5.5×
Tb ag response t-cell susp (86481) $275 $275 2.8×
Test for acetone/ketones (82009) $14 $14 3.1×
Testosterone Bioavailable (84410) $142 $142 2.8×
Testosterone total (84403) $129 $129 5.0×
Testosterone, Free (84402) $101 $101 4.0×
Tetanus antibody (86774) $27.72 $27.72 1.9×
Theophylline (80198) $44 $44 3.1×
Thiopurine methyltransferase (84433) $295 $295 13.3×
Thrombin Time (85670) $32 $32 5.5×
Thromboplastin Inhibition Tissue (85705) $30 $30 3.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $20 $20 3.1×
Thyroglobulin (84432) $45 $45 2.8×
Thyroglobulin Antibody (86800) $88 $88 5.5×
Thyroid Stimulating Immunoglobulin (84445) $155 $155 3.0×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$32–$60 $32–$60 varies
Tissue culture bone marrow (88237) $396 $396 2.8×
Tissue Culture Lymphocyte (88230) $355 $355 3.0×
Topiramate (80201) $37 $37 3.1×
Toxin/Antitoxin Assay Tissue Culture (87230) $64 $64 3.2×
Toxoplasma ab igm (86778) $40 $40 2.8×
Toxoplasma antibody (86777) $40 $40 2.8×
Transferase Aspartate Amino Ast Sgot (84450) $29 $29 5.6×
Transferrin (84466) $71 $71 5.6×
Trb@ Rearrangement Anal Amplification Method (81340) $575 $575 2.8×
Trg gene rearrangement anal (81342) $554 $554 2.7×
Trichomonas vagin dir probe (87660) $61 $61 3.0×
Trichomonas Vaginalis Amplif (87661) $140 $140 4.0×
Triglycerides (84478) $32 $32 5.6×
Troponin Quant (84484) $100 $100 8.0×
Tumor Immunohistochem/Manual (88360) $455 $455 2.7×
Ugt1a1 gene analysis common variants (81350) $644 $644 2.8×
Unlisted Transfusion Medicine Procedure (86999) $76 $76 2.7×
Urea nitrogen urine (84540) $15 $15 2.7×
Uric acid other source (84560) $15 $15 3.0×
Urinalysis Microscopic Only (81015) $17 $17 5.6×
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines
$10–$11.76 $10–$11.76 varies
Urine Bacteria Culture (87088) $45 $45 5.6×
Urine Pregnancy Test (81025) $35 $35 4.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $18 $18 5.7×
Valproic acid (80164) $75 $75 5.5×
Vancomycin (80202) $75 $75 5.5×
Varicella-zoster antibody (86787) $71 $71 5.5×
Vasopressin (84588) $104 $104 3.1×
Very Long Chain Fatty Acids (82726) $54 $54 2.7×
Viral Culture (87252) $88 $88 3.4×
Virus antibody nos (86790) $71 $71 5.5×
Viscosity serum (85810) $36 $36 3.1×
Vit D 1 25-Dihydroxy (82652) $106 $106 2.8×
Vitamin A (84590) $64 $64 5.5×
Vitamin b-12 (82607) $83 $83 5.5×
Vitamin B2 (Riboflavin) (84252) $37.90 $37.90 1.9×
Vitamin B6 (84207) $129 $129 4.6×
Vitamin c (82180) $31 $31 3.1×
Vitamin D 25-Hydroxy (82306) $132 $132 4.5×
Vitamin E (84446) $44 $44 3.1×
Vitamin K (84597) $42 $42 3.1×
Voltage-Gated Calcium Channel Antibody Each (86596) $51 $51 4.2×
Von willebrand factor ag (85246) $70 $70 3.1×
West nile virus ab igm (86788) $63 $63 3.7×
West Nile Virus Antibody (86789) $54 $54 3.8×
Zinc (84630) $63 $63 5.5×

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.