Lab & pathology prices at Guadalupe County Hospital
Santa Rosa, NM · every code in this section with a posted price and a Medicare benchmark.
500 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $105 | $131 | 9.4× |
| Acth (82024) | $350 | $437 | 9.1× |
| Actin smooth muscle antibody each (86015) | $35 | $44 | 2.9× |
| Acute hepatitis panel (80074) | $734 | $917 | 15.4× |
| Albumin Fluid (82042) | $33 | $41 | 4.2× |
| Albumin serum (82040) | $45 | $56 | 9.1× |
| Aldolase (82085) | $163 | $204 | 16.8× |
| Aldosterone urine (82088) | $371 | $464 | 9.1× |
| Alkaline phosphatase isoenzymes (84080) | $147 | $184 | 9.9× |
| Allergen spec ige qual multiallergen screen (86005) | $67 | $84 | 8.4× |
| Allergen specific ige (86003) | $48 | $60 | 9.2× |
| Allergen specific igg (86001) | $23 | $29 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) | $196 | $245 | 13.6× |
| Alpha-1-antitrypsin total (82103) | $197 | $246 | 14.7× |
| Alpha-Fetoprotein Serum (82105) | $177 | $221 | 10.6× |
| Alt (sgpt) (84460) | $38 | $48 | 7.2× |
| Aluminum (82108) | $327 | $409 | 12.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $125 | $156 | 5.4× |
| Ammonia (82140) | $155 | $194 | 10.6× |
| Amylase urine (82150) | $79 | $99 | 12.2× |
| Ana Titer (86039) | $134 | $167 | 12.0× |
| Anca screen each antibody (86036) | $81 | $101 | 6.7× |
| Anca Titer Each Antibody (86037) | $90 | $112 | 7.5× |
| Androstenedione (82157) | $374 | $467 | 12.8× |
| Angiotensin converting enzyme csf (82164) | $228 | $285 | 15.6× |
| Anti-Phospholipid Antibody (86148) | $99 | $124 | 6.2× |
| Antibody aspergillus (86606) | $94 | $117 | 6.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $207 | $259 | 12.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $177 | $221 | 13.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $163 | $204 | 10.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $177 | $221 | 9.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $176 | $220 | 14.4× |
| Antibody helicobacter pylori (86677) | $129 | $161 | 7.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $336 | $420 | 23.3× |
| Antibody Herpes Smplx Type 1 (86695) | $208 | $260 | 15.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $239 | $299 | 12.4× |
| Antibody identification leukocyte antibodies (86021) | $271 | $339 | 18.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $143 | $179 | 11.5× |
| Antibody Treponema Pallidum (86780) | $105 | $131 | 7.9× |
| Antibody; influenza virus (86710) | $78 | $97 | 5.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $54 | $68 | 9.4× |
| Antinuclear antibodies (86038) | $154 | $192 | 12.7× |
| Antistreptolysin o titer (86060) | $102 | $127 | 14.0× |
| Antithrombin iii activity (85300) | $282 | $353 | 23.8× |
| Apolipoprotein a1 (82172) | $129 | $161 | 6.1× |
| Aquaporin-4 Antb Elisa (86051) | $813 | $1,016 | 70.5× |
| Arsenic (82175) | $250 | $312 | 13.2× |
| Assay Blood Carbon Dioxide (82374) | $46 | $58 | 9.4× |
| Assay Nephelometry Not Spec (83883) | $205 | $256 | 15.1× |
| Assay of 5-hiaa (83497) | $67 | $84 | 5.2× |
| Assay of anti-mullerian hormone (82166) | $113 | $141 | 2.9× |
| Assay of blood/uric acid (84550) | $43 | $54 | 9.5× |
| Assay of calcium in urine (82340) | $54 | $68 | 9.0× |
| Assay of estrone (82679) | $246 | $308 | 9.9× |
| Assay of gammaglobulin igm (82784) | $98 | $122 | 10.5× |
| Assay of lactic acid (83605) | $83 | $104 | 7.2× |
| Assay of manganese (83785) | $104 | $130 | 3.9× |
| Assay of metanephrines (83835) | $318 | $398 | 18.8× |
| Assay of proinsulin (84206) | $330 | $413 | 12.4× |
| Assay of pyruvate (84210) | $64 | $80 | 4.4× |
| Assay of serotonin (84260) | $372 | $465 | 12.0× |
| Assay of serum potassium (84132) | $40 | $50 | 8.4× |
| Assay of transcortin (84449) | $102 | $127 | 5.7× |
| Assay of urea nitrogen (84520) | $34 | $43 | 8.6× |
| Assay of urine vma (84585) | $85 | $106 | 5.5× |
| Assay of vitamin b-1 (84425) | $238 | $298 | 11.2× |
| Assay Ph Body Fluid Nos (83986) | $26 | $33 | 7.3× |
| Automated Leukocyte Count (85048) | $22 | $27 | 8.7× |
| B cells total count (86355) | $172 | $215 | 4.6× |
| Beta 2 glycoprotein i antibody each (86146) | $112 | $140 | 4.4× |
| Beta hydroxybutyrate (82010) | $59 | $74 | 7.2× |
| Beta-2 Microglobulin (82232) | $238 | $297 | 14.7× |
| Bile acids total (82239) | $192 | $240 | 11.2× |
| Bilirubin direct (82248) | $27 | $34 | 5.4× |
| Bilirubin total (82247) | $45 | $56 | 9.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $40 | $50 | 11.7× |
| Blastomyces antibody (86612) | $170 | $212 | 13.2× |
| Blood Count Red Blood Cell Automated (85041) | $20 | $25 | 6.6× |
| Blood count reticulocyte automated (85045) | $55 | $69 | 13.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28 | $35 | 7.4× |
| Blood count spun microhematocrit (85013) | $25 | $31 | 3.6× |
| Blood gas (82803) | $118 | $147 | 4.5× |
| Blood gases w/02 saturation (82805) | $157 | $196 | 2.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $110 | $137 | 6.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33 | $41 | 7.5× |
| Blood typing serologic abo (86900) | $34 | $42 | 11.4× |
| Body fluid cell count (89050) | $45 | $56 | 9.5× |
| Bordetella antibody (86615) | $153 | $191 | 11.6× |
| Brucella antibody (86622) | $91 | $114 | 10.2× |
| C diff amplified probe (87493) | $174 | $217 | 4.7× |
| C-Peptide (84681) | $182 | $228 | 8.7× |
| C-reactive protein (86140) | $82 | $102 | 15.8× |
| Ca 19-9 (86301) | $256 | $320 | 12.3× |
| Cadmium (82300) | $136 | $170 | 5.8× |
| Calcitonin (82308) | $323 | $404 | 12.1× |
| Calcium ionized (82330) | $130 | $162 | 9.5× |
| Calcium total (82310) | $52 | $65 | 10.1× |
| Calculus Spectroscopy (82365) | $154 | $193 | 11.9× |
| Calprotectin Fecal (83993) | $171 | $214 | 8.7× |
| Cancer Antigen 125 (86304) | $234 | $293 | 11.2× |
| Cancer Antigen 27.29 (86300) | $230 | $288 | 11.1× |
| Candida Dna Dir Probe (87480) | $132 | $165 | 6.6× |
| Carbamazepine total (80156) | $181 | $226 | 12.4× |
| Carboxyhemoglobin (82375) | $137 | $171 | 11.1× |
| Carcinoembryonic antigen (82378) | $230 | $288 | 12.1× |
| Cardiolipin ab iga (86147) | $150 | $187 | 5.9× |
| Catecholamines fractionated (82384) | $370 | $462 | 14.7× |
| Catecholamines total urine (82382) | $327 | $409 | 12.0× |
| Ccp antibody (86200) | $250 | $312 | 19.3× |
| Cell count csf (89051) | $50 | $63 | 8.9× |
| Ceruloplasmin (82390) | $160 | $200 | 14.9× |
| Chlamydia antibody (86631) | $70 | $88 | 5.9× |
| Chloride Serum (82435) | $33 | $41 | 7.2× |
| Chloride urine (82436) | $45 | $56 | 7.8× |
| Cholesterol total (82465) | $39 | $49 | 9.0× |
| Chorionic gonadotropin test (84702) | $163 | $204 | 10.8× |
| Chromium serum (82495) | $181 | $226 | 8.9× |
| Chromogenic Substrate Assay (85130) | $66 | $82 | 5.6× |
| Chromogranin a (86316) | $280 | $350 | 13.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $221 | $276 | 6.3× |
| Citric acid urine (82507) | $173 | $216 | 6.2× |
| Ckmb (82553) | $111 | $139 | 9.6× |
| Clostridium Difficile (87324) | $174 | $218 | 14.5× |
| Clot Factor VIII Multimetric (85247) | $366 | $457 | 16.0× |
| Clotting factor xii hageman (85280) | $367 | $459 | 19.0× |
| Coccidioides antibody (86635) | $112 | $140 | 9.8× |
| Cold agglutinin titer (86157) | $97 | $121 | 12.0× |
| Collagen crosslinks (82523) | $197 | $246 | 10.5× |
| Column Chromotography Quant (82542) | $141 | $176 | 5.9× |
| Complement Antigen Each Component (86160) | $162 | $202 | 13.5× |
| Complement Fixation Tests Each Antigen (86171) | $250 | $312 | 25.0× |
| Complement Total (Ch50) (86162) | $302 | $378 | 14.9× |
| Complement/Function Activity (86161) | $117 | $146 | 9.8× |
| Coombs direct (86880) | $82 | $103 | 15.2× |
| Copper urine (82525) | $178 | $222 | 14.3× |
| Cortisol free (82530) | $136 | $170 | 8.1× |
| Cortisol saliva (82533) | $253 | $316 | 15.5× |
| Creatine (82540) | $83 | $104 | 17.9× |
| Creatine kinase total (82550) | $66 | $82 | 10.1× |
| Creatinine blood (82565) | $46 | $58 | 9.0× |
| Creatinine clearance (82575) | $92 | $115 | 9.7× |
| Creatinine Urine (82570) | $49 | $61 | 9.5× |
| Crossmatch immediate spin (86920) | $168 | $210 | 1.0× |
| Crp High Sensitivity (86141) | $162 | $203 | 12.5× |
| Cryoglobulin (82595) | $114 | $142 | 17.6× |
| Cryptococcal Antigen (87327) | $282 | $353 | 21.0× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$50–$155 | $62–$194 | varies |
| Cryptosporidium ag eia (87328) | $54 | $68 | 3.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $51 | $64 | 6.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $70 | $88 | 9.1× |
| Culture afb (87116) | $117 | $146 | 10.8× |
| Culture Anaerobic (87075) | $77 | $96 | 8.1× |
| Culture blood (87040) | $149 | $186 | 14.4× |
| Culture chlamydia (87110) | $86 | $107 | 4.4× |
| Culture csf (87070) | $81 | $101 | 9.4× |
| Culture fungus (87102) | $70 | $88 | 8.3× |
| Culture screen only (87081) | $46 | $58 | 6.9× |
| Culture stool (87045) | $77 | $96 | 8.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $53 | $66 | 10.2× |
| Culture typing other methods (87158) | $18 | $23 | 2.3× |
| Culture urine (87086) | $81 | $101 | 10.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $158 | $198 | 11.0× |
| Cyclic amp (82030) | $230 | $288 | 8.9× |
| Cyclosporine (80158) | $396 | $495 | 21.9× |
| Cystatin C (82610) | $126 | $157 | 6.8× |
| Cytomegalovirus igg (86644) | $198 | $247 | 13.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $105 | $131 | 5.2× |
| Cytopath Cell Enhance Tech (88112) | $354 | $443 | 6.9× |
| Cytp Concentration Smears & Interpretation (88108) | $327 | $409 | 8.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $260 | $325 | 7.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $62 | $77 | 3.3× |
| Detect Agent Nos Dna Amp (87798) | $232 | $290 | 6.6× |
| Detect Agent Nos Dna Quant (87799) | $154 | $193 | 3.6× |
| Detect agnt mult DNA ampli (87801) | $275 | $344 | 3.9× |
| Dgp Antibody Each Ig Class (86258) | $30 | $37 | 2.5× |
| Dhea (82626) | $275 | $344 | 10.9× |
| Dhea-S (82627) | $222 | $277 | 10.0× |
| Digoxin (80162) | $157 | $196 | 11.8× |
| Dipropylacetic Acid Free (80165) | $242 | $302 | 17.9× |
| Dna Antibody Native/Double Stranded (86225) | $162 | $203 | 11.8× |
| DNA/RNA direct probe (87149) | $84 | $105 | 4.2× |
| Dna/Rna Sequencing (87153) | $698 | $873 | 6.1× |
| Drug Assay Everolimus (80169) | $245 | $306 | 17.8× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$181–$191 | $226–$239 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $205 | $256 | 15.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $249 | $311 | 18.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$70–$199 | $87–$249 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$50–$97 | $63–$121 | varies |
| Ehrlichia antibody (86666) | $173 | $216 | 17.0× |
| El-1 Fecal Quantitative (82653) | $270 | $338 | 11.8× |
| Electrolyte panel (80051) | $68 | $85 | 9.7× |
| Enzyme cell activity (82657) | $142 | $177 | 6.4× |
| Eosinophil Smear (89190) | $34 | $42 | 5.9× |
| Erythropoietin (82668) | $251 | $314 | 13.4× |
| Estradiol serum (82670) | $227 | $284 | 8.1× |
| Estriol (82677) | $162 | $203 | 6.7× |
| Estrogen total (82672) | $270 | $338 | 12.4× |
| Estrogens fractionated (82671) | $229 | $286 | 7.1× |
| Ethosuximide (80168) | $258 | $322 | 15.8× |
| Exam Synovial Fluid Crystals (89060) | $57 | $71 | 7.8× |
| F2 Gene (81240) | $310 | $388 | 4.7× |
| Factor ii activity (85210) | $133 | $166 | 10.2× |
| Factor Inhibitor Test (85335) | $498 | $623 | 38.7× |
| Factor ix activity (85250) | $386 | $482 | 20.3× |
| Factor v activity (85220) | $400 | $500 | 22.7× |
| Factor v leiden mutation (81241) | $374 | $468 | 5.1× |
| Factor vii assay (85230) | $350 | $438 | 19.6× |
| Factor X (85260) | $401 | $501 | 22.4× |
| Factor xi activity (85270) | $366 | $457 | 20.4× |
| Factor xiii screen (85291) | $125 | $156 | 13.7× |
| Fat/Lipids Feces Quantitative (82710) | $230 | $288 | 13.7× |
| Fecal Fat Qualitative (82705) | $138 | $172 | 27.1× |
| Ferritin (82728) | $144 | $180 | 10.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $979 | $1,224 | 6.4× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $463 | $579 | 8.5× |
| Fibrin Degradation Quant (85379) | $120 | $150 | 11.8× |
| Fibrinogen activity (85384) | $117 | $146 | 12.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $210 | $263 | 13.6× |
| Flow cytometry first marker (88184) | $330 | $413 | 0.9× |
| Fluorescent antibody screen (86255) | $218 | $272 | 18.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $210 | $263 | 17.4× |
| Folic acid rbc (82747) | $98 | $123 | 5.6× |
| Folic Acid Serum (82746) | $158 | $198 | 10.7× |
| Follicle Stimulating Hormone (83001) | $191 | $239 | 10.3× |
| Fungi Identification Mold (87107) | $110 | $138 | 10.7× |
| Gammaglobulin ige (82785) | $134 | $168 | 8.1× |
| Gardner vag DNA dir probe (87510) | $138 | $172 | 6.9× |
| Gases blood ph only (82800) | $43 | $54 | 3.9× |
| Gastrin (82941) | $130 | $162 | 7.4× |
| Genet Virus Isolate Hsv (87255) | $206 | $258 | 6.1× |
| Ggt (82977) | $45 | $56 | 6.3× |
| Giardia antigen (87329) | $64 | $80 | 5.3× |
| Giardia lamblia antibody (86674) | $165 | $206 | 11.2× |
| Glucagon tolerance test Facility (82946) | $53 | $66 | 3.0× |
| Glucose 2 hr pp (82950) | $54 | $67 | 11.4× |
| Glucose Blood Test (82962) | $26 | $32 | 7.9× |
| Glucose body fluid (82945) | $95 | $119 | 24.2× |
| Glucose Serum (82947) | $35 | $44 | 8.9× |
| Glucose tolerance test (gtt) (82951) | $116 | $145 | 9.0× |
| Glutamate dehydrogenase Facility (82965) | $142 | $178 | 10.8× |
| Glycated Protein (82985) | $114 | $142 | 6.8× |
| Gonadotropin Chorionic Qualitative (84703) | $80 | $100 | 10.6× |
| Gtt-added samples (82952) | $34 | $42 | 8.7× |
| Haptoglobin (83010) | $154 | $192 | 12.2× |
| Hdl Cholesterol (83718) | $62 | $77 | 7.6× |
| Helicobacter Pylori Stool (87338) | $191 | $239 | 13.3× |
| Helminth Antibody (86682) | $289 | $361 | 22.2× |
| Hematocrit (85014) | $28 | $35 | 11.8× |
| Hemoglobin (85018) | $28 | $35 | 11.8× |
| Hemoglobin a1c (83036) | $112 | $140 | 11.5× |
| Hemoglobin Chromotography (83021) | $278 | $348 | 15.4× |
| Hemoglobin electrophoresis (83020) | $194 | $243 | 15.1× |
| Hep a ab igm (86709) | $142 | $177 | 12.6× |
| Hepatitis a antibody total (86708) | $175 | $219 | 14.1× |
| Hepatitis b core ab igm (86705) | $202 | $253 | 17.2× |
| Hepatitis b core ab total (86704) | $162 | $203 | 13.4× |
| Hepatitis B Surface Antibody (86706) | $147 | $184 | 13.7× |
| Hepatitis B Surface Antigen (87340) | $94 | $117 | 9.1× |
| Hepatitis Be Antibody (86707) | $114 | $142 | 9.9× |
| Hepatitis Be Antigen (87350) | $98 | $122 | 8.5× |
| Hepatitis C Antibody (86803) | $170 | $212 | 11.9× |
| Hepatitis c antibody confirmatory test (86804) | $318 | $398 | 20.5× |
| Hepatitis C Genotype (87902) | $1,175 | $1,469 | 4.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $537 | $671 | 15.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $751 | $939 | 17.5× |
| Hepatitis Delta Agent Antibody (86692) | $247 | $309 | 14.4× |
| Herpes simplex type 2 (86696) | $202 | $252 | 10.4× |
| Heterophile Antibody Screen (86308) | $52 | $65 | 10.0× |
| Hfe Gene (81256) | $969 | $1,211 | 14.8× |
| Histamine urine (83088) | $253 | $316 | 8.6× |
| Histoplasma antibody (86698) | $134 | $167 | 9.7× |
| Histoplasma antigen urine (87385) | $237 | $296 | 17.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $179 | $224 | 7.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $606 | $757 | 7.1× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $922 | $1,153 | 7.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $470 | $588 | 6.3× |
| Hla ii typing 1 locus lr (81376) | $374 | $467 | 3.1× |
| Hla-b27 (86812) | $339 | $424 | 13.1× |
| Homocysteine (83090) | $182 | $227 | 10.2× |
| Homogenization Tissue (87176) | $86 | $108 | 14.6× |
| Homovanillic acid urine (83150) | $97 | $121 | 4.3× |
| Hpv High-Risk Types (87624) | $259 | $324 | 7.4× |
| Hsv Dna Amp Probe (87529) | $265 | $331 | 7.6× |
| Hydroxyprogesterone 17-d (83498) | $122 | $153 | 4.5× |
| Hydroxyproline total (83505) | $250 | $312 | 10.3× |
| Iaad ia shiga-like toxin (87427) | $101 | $126 | 8.4× |
| Iaadi herpes smplx virus type 1 (87274) | $130 | $163 | 10.9× |
| Iaadi not otherwise specified each organism (87299) | $80 | $100 | 5.0× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $103 | $129 | 8.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $233 | $291 | 6.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $172 | $215 | 4.9× |
| Iadna Cytomegalovirus Quantification (87497) | $653 | $816 | 15.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $626 | $782 | 14.6× |
| Iadna Herpes Virus-6 Quantification (87533) | $534 | $667 | 12.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $690 | $862 | 19.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $220 | $275 | 6.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,084 | $1,355 | 7.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$1,074–$1,084 | $1,342–$1,355 | varies |
| Ig Light Chains Free Each (83521) | $86 | $107 | 5.0× |
| Igg subclasses (82787) | $142 | $178 | 17.7× |
| Immune Complex Assay (86332) | $296 | $370 | 12.1× |
| Immunfix e-phorsis/urine/csf (86335) | $238 | $298 | 8.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $300 | $375 | 16.3× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $98 | $123 | 3.8× |
| Immunoassay nonantibody (83516) | $168 | $210 | 14.6× |
| Immunofixation electrophoresis (86334) | $274 | $343 | 12.3× |
| Immunohistochemistry (88342) | $460 | $575 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $121 | $151 | 6.0× |
| Influenza assay w/optic (87804) | $61 | $76 | 3.7× |
| Influenza DNA amp probe (87502) | $284 | $355 | 3.0× |
| Inhibin A (86336) | $157 | $196 | 10.1× |
| Inhibin b (83520) | $327 | $409 | 18.9× |
| Insulin antibodies (86337) | $298 | $373 | 13.9× |
| Insulin total (83525) | $191 | $239 | 16.7× |
| Intrinsic factor antibody (86340) | $222 | $278 | 14.7× |
| Iron (83540) | $57 | $71 | 8.8× |
| Iron Binding Capacity (83550) | $90 | $112 | 10.3× |
| Islet cell antibody (86341) | $179 | $224 | 7.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $438 | $548 | 4.8× |
| Koh Prep (87220) | $36 | $45 | 8.4× |
| Lactate (ld) (ldh) enzyme (83615) | $53 | $66 | 8.8× |
| Lactoferrin fecal qualitative (83630) | $144 | $180 | 7.3× |
| LDL direct (83721) | $94 | $118 | 9.0× |
| Lead (83655) | $85 | $106 | 7.0× |
| Legionella antigen urine (87449) | $78 | $97 | 6.5× |
| Leucine Aminopeptidase Lap (83670) | $83 | $104 | 8.5× |
| Lipase (83690) | $83 | $104 | 12.0× |
| Lipoprotein A (83695) | $154 | $193 | 10.8× |
| Lipoprotein Bld Quan Part (83704) | $326 | $408 | 9.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $203 | $254 | 4.4× |
| Lithium (80178) | $130 | $163 | 19.7× |
| Luteinizing Hormone (Lh) (83002) | $182 | $228 | 9.8× |
| Lyme disease antibody (86618) | $234 | $293 | 13.7× |
| Lysozyme serum (85549) | $171 | $214 | 9.1× |
| Macroscopic exam arthropod (87168) | $120 | $150 | 28.1× |
| Macroscopic Exam Parasite (87169) | $36 | $45 | 8.4× |
| Magnesium Urine (83735) | $62 | $77 | 9.3× |
| Malate dehydrogenase Facility (83775) | $66 | $82 | 9.0× |
| Mass Spectrometry Quant (83789) | $152 | $190 | 6.3× |
| Mercury urine (83825) | $264 | $330 | 16.2× |
| Metabolic panel ionized ca (80047) | $84 | $105 | 6.1× |
| Methylmalonic acid serum (83921) | $98 | $123 | 4.6× |
| Microalbumin, quantitative (82043) | $138 | $173 | 23.9× |
| Microsomal Antibodies Each (86376) | $226 | $282 | 15.5× |
| Mitochondrial Antibody Each (86381) | $45 | $56 | 1.8× |
| Mononuclear cell antigen (86356) | $142 | $177 | 5.3× |
| Mopath procedure level 2 (81401) | $3,493 | $4,366 | 25.5× |
| Mopath procedure level 8 (81407) | $2,817 | $3,521 | 3.3× |
| Mrsa Pcr (87641) | $173 | $216 | 4.9× |
| Mumps antibody (86735) | $222 | $278 | 17.0× |
| Mycophenolic Acid (80180) | $220 | $275 | 12.2× |
| Mycoplasma antibody (86738) | $115 | $144 | 8.7× |
| Mycoplasma culture (87109) | $142 | $177 | 9.2× |
| Myoglobin urine (83874) | $143 | $179 | 11.1× |
| Natriuretic peptide (83880) | $312 | $390 | 7.9× |
| Neisseria Dir Na Probe (87590) | $98 | $122 | 3.6× |
| Neutralization Test Viral (86382) | $274 | $342 | 16.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $413 | $516 | 3.2× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $154 | $192 | 1.1× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $293 | $366 | 1.1× |
| Nitroblue Tetrazolium Dye (86384) | $102 | $127 | 7.5× |
| Nk cells total count (86357) | $172 | $215 | 4.6× |
| Nuclear antigen antibody (86235) | $160 | $200 | 8.9× |
| Organic Acids Qualitative Each Specimen (83919) | $504 | $630 | 30.6× |
| Osmolality serum (83930) | $121 | $151 | 18.3× |
| Osmolality Urine (83935) | $100 | $125 | 14.7× |
| Ova and parasites smears (87177) | $70 | $87 | 7.9× |
| Oxalate urine (83945) | $104 | $130 | 7.2× |
| Particle Agglut Antbdy Titr (86406) | $192 | $240 | 18.0× |
| Particle Agglutination Screen Each Antibody (86403) | $54 | $67 | 4.7× |
| Parvovirus antibody (86747) | $175 | $219 | 11.6× |
| Ph urine (81003) | $28 | $35 | 12.4× |
| Phenobarbital Level (80184) | $91 | $114 | 5.9× |
| Phenotype Infect Agent Drug (87900) | $428 | $535 | 3.3× |
| Phenylalanine (84030) | $40 | $50 | 7.3× |
| Phenylketones qual (84035) | $267 | $334 | 67.1× |
| Phenytoin (Dilantin) (80185) | $169 | $211 | 12.8× |
| Phenytoin free (80186) | $178 | $222 | 12.9× |
| Phosphatase alkaline (84075) | $35 | $44 | 6.8× |
| Phosphorus Serum (84100) | $38 | $48 | 8.0× |
| Phosphorus urine (84105) | $43 | $54 | 7.4× |
| Platelet Antibodies (86022) | $300 | $375 | 16.3× |
| Platelet count automated (85049) | $30 | $38 | 6.7× |
| Platelet neutralization (85597) | $226 | $282 | 12.6× |
| Potassium Urine (84133) | $34 | $43 | 7.2× |
| Prealbumin (84134) | $134 | $168 | 9.2× |
| Pregnenolone (84140) | $213 | $266 | 10.3× |
| Primidone (80188) | $158 | $198 | 9.5× |
| Procalcitonin (Pct) (84145) | $566 | $707 | 20.8× |
| Progesterone (84144) | $194 | $243 | 9.3× |
| Prolactin (84146) | $270 | $338 | 13.9× |
| Protein body fluid (84157) | $80 | $100 | 20.0× |
| Protein C Activity (85303) | $389 | $486 | 28.1× |
| Protein c antigen (85302) | $396 | $495 | 33.0× |
| Protein Electrophoresis Urine (84166) | $166 | $208 | 9.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $130 | $162 | 12.1× |
| Protein S Free (85306) | $422 | $527 | 27.5× |
| Protein Total Refractometry Any Src (84160) | $35 | $44 | 6.2× |
| Protein total serum (84155) | $31 | $39 | 8.4× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$67–$70 | $84–$87 | varies |
| Protein Western Blot Test (84182) | $564 | $705 | 19.3× |
| Protoporphyrin rbc quantitative (84202) | $130 | $163 | 9.1× |
| PSA free (84154) | $162 | $203 | 8.8× |
| Pth Intact (83970) | $357 | $446 | 8.6× |
| Quantitative assay drug (80299) | $132 | $165 | 7.1× |
| Quantitative Screen Metals (83018) | $250 | $313 | 11.4× |
| Rbc antibody screen (86850) | $83 | $104 | 8.5× |
| Reagent Strip/Blood Glucose (82948) | $27 | $34 | 5.4× |
| Renin activity plasma (84244) | $249 | $311 | 11.3× |
| Reticulocyte Count Manual (85044) | $56 | $70 | 13.0× |
| Rh (86901) | $57 | $71 | 19.1× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$88–$256 | $110–$320 | varies |
| Rheumatoid factor quant (86431) | $83 | $104 | 14.6× |
| Ristocetin cofactor (85245) | $376 | $470 | 16.4× |
| Rpr qualitative (86592) | $63 | $79 | 14.8× |
| Rubella Antibody (86762) | $91 | $114 | 6.3× |
| Rubeola antibody (86765) | $236 | $295 | 18.3× |
| Russell Viper Venom Time Diluted (85613) | $134 | $167 | 14.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $91 | $114 | 2.2× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $106 | $132 | 2.6× |
| Sedimentation rate (85651) | $51 | $64 | 11.9× |
| Sedimentation Rate, Automated (85652) | $63 | $79 | 23.3× |
| Selenium (84255) | $218 | $273 | 8.5× |
| Sensitivity mic (87186) | $60 | $75 | 6.9× |
| Sex Hormone Binding Globulin (84270) | $198 | $248 | 9.1× |
| Sickling of rbc reduction (85660) | $81 | $101 | 14.7× |
| Sirolimus (80195) | $292 | $365 | 21.3× |
| Skin test tuberculosis intradermal (86580) | $50 | $63 | 1.7× |
| Smear acid fast (87206) | $75 | $94 | 13.9× |
| Smear complex stain (87209) | $102 | $127 | 5.7× |
| Smear gram stain (87205) | $42 | $52 | 9.8× |
| Smear Special Stain (87207) | $84 | $105 | 14.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $34 | $43 | 5.8× |
| Sodium Serum (84295) | $36 | $45 | 7.5× |
| Sodium Urine (84300) | $36 | $45 | 7.1× |
| Soluble Transferrin Receptor (84238) | $309 | $386 | 8.4× |
| Somatomedin (84305) | $330 | $412 | 15.5× |
| Specimen infect agnt concntj (87015) | $48 | $60 | 7.2× |
| Spectrophotometry (84311) | $50 | $63 | 6.2× |
| Stone Analysis (82355) | $100 | $125 | 8.6× |
| Stool cultr aerobic bact ea (87046) | $73 | $91 | 7.7× |
| Strep a assay w/optic (87880) | $61 | $76 | 3.7× |
| Strep a DNA amp probe (87651) | $126 | $157 | 3.6× |
| Sulfate urine (84392) | $35 | $44 | 6.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $48 | $60 | 6.4× |
| T cells absolute cd4 count (86361) | $284 | $355 | 10.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $258 | $323 | 5.5× |
| T cells total count (86359) | $136 | $170 | 3.6× |
| T3 Free (84481) | $315 | $394 | 18.6× |
| T3 reverse (84482) | $286 | $358 | 18.1× |
| T3 Total (84480) | $171 | $214 | 12.1× |
| T3 Uptake (84479) | $75 | $94 | 11.6× |
| T4 Free (84439) | $129 | $161 | 14.3× |
| T4 total (84436) | $78 | $97 | 11.4× |
| Tacrolimus (80197) | $306 | $383 | 22.3× |
| Testosterone total (84403) | $246 | $307 | 9.5× |
| Theophylline (80198) | $137 | $171 | 9.7× |
| Thiocyanate (84430) | $83 | $104 | 7.1× |
| Thyroglobulin (84432) | $194 | $243 | 12.1× |
| Thyroglobulin Antibody (86800) | $202 | $252 | 12.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $589 | $736 | 11.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $104 | $130 | 9.0× |
| Tissue Culture Lymphocyte (88230) | $547 | $684 | 4.7× |
| Topiramate (80201) | $242 | $303 | 20.3× |
| Toxoplasma ab igm (86778) | $182 | $228 | 12.6× |
| Toxoplasma antibody (86777) | $187 | $234 | 13.0× |
| Tpmt gene com variants (81335) | $250 | $312 | 1.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $36 | $45 | 6.9× |
| Transferrin (84466) | $189 | $236 | 14.8× |
| Trichomonas vagin dir probe (87660) | $134 | $168 | 6.7× |
| Trichomonas Vaginalis Amplif (87661) | $240 | $300 | 6.8× |
| Triglycerides (84478) | $59 | $74 | 10.3× |
| Troponin Quant (84484) | $242 | $302 | 19.4× |
| Urea nitrogen urine (84540) | $45 | $56 | 8.1× |
| Uric acid other source (84560) | $36 | $45 | 7.1× |
| Urinalysis Microscopic Only (81015) | $35 | $44 | 11.5× |
| Urinalysis Volume Measure (81050) | $26 | $32 | 7.1× |
| Urine Pregnancy Test (81025) | $51 | $64 | 5.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $52 | $65 | 16.4× |
| Valproic acid (80164) | $169 | $211 | 12.5× |
| Vancomycin (80202) | $254 | $317 | 18.8× |
| Varicella-zoster antibody (86787) | $149 | $186 | 11.6× |
| Vasopressin (84588) | $530 | $663 | 15.6× |
| Virus antibody nos (86790) | $299 | $374 | 23.2× |
| Virus inoculation, shell via (87254) | $141 | $176 | 7.2× |
| Vit D 1 25-Dihydroxy (82652) | $378 | $473 | 9.8× |
| Vitamin A (84590) | $189 | $236 | 16.3× |
| Vitamin b-12 (82607) | $189 | $236 | 12.5× |
| Vitamin B2 (Riboflavin) (84252) | $276 | $345 | 13.6× |
| Vitamin B6 (84207) | $315 | $394 | 11.2× |
| Vitamin c (82180) | $143 | $179 | 14.5× |
| Vitamin D 25-Hydroxy (82306) | $421 | $526 | 14.2× |
| Vitamin E (84446) | $157 | $196 | 11.1× |
| Vitamin K (84597) | $160 | $200 | 11.7× |
| Volatiles (84600) | $90 | $113 | 5.3× |
| Von willebrand factor ag (85246) | $386 | $482 | 16.8× |
| West nile virus ab igm (86788) | $148 | $185 | 8.8× |
| West Nile Virus Antibody (86789) | $172 | $215 | 12.0× |
| Western Blot Test (84181) | $79 | $99 | 4.6× |
| Zinc (84630) | $115 | $144 | 10.1× |
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.