Lab & pathology prices at Gundersen Moundview Hospital and Clinics
Friendship, WI · every code in this section with a posted price and a Medicare benchmark.
537 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $220.47 | $434 | 5.7× |
| Acute hepatitis panel (80074) | $272.29 | $536 | 5.7× |
| Acylcarnitines Quant (82017) | $96.52 | $190 | 5.7× |
| Agglutinins Febrile Each Antigen (86000) | $40.13 | $79 | 5.7× |
| Albumin Fluid (82042) | $44.70 | $88 | 5.7× |
| Albumin serum (82040) | $28.45 | $56 | 5.7× |
| Aldolase (82085) | $55.37 | $109 | 5.7× |
| Aldosterone urine (82088) | $232.66 | $458 | 5.7× |
| Alkaline phosphatase isoenzymes (84080) | $84.33 | $166 | 5.7× |
| Allergen specific ige (86003) | $29.97 | $59 | 5.7× |
| Alpha-1-antitrypsin phenotype (82104) | $80.77 | $159 | 5.6× |
| Alpha-1-antitrypsin total (82103) | $76.71 | $151 | 5.7× |
| Alpha-Fetoprotein Serum (82105) | $96.01 | $189 | 5.7× |
| Alt (sgpt) (84460) | $30.48 | $60 | 5.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $131.57 | $259 | 5.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $96.52 | $190 | 5.7× |
| Ammonia (82140) | $83.31 | $164 | 5.7× |
| Amylase urine (82150) | $37.08 | $73 | 5.7× |
| Ana Titer (86039) | $64.01 | $126 | 5.7× |
| Anca screen each antibody (86036) | $69.09 | $136 | 5.7× |
| Androstenedione (82157) | $167.13 | $329 | 5.7× |
| Angiotensin converting enzyme csf (82164) | $83.31 | $164 | 5.7× |
| Antibody aspergillus (86606) | $85.85 | $169 | 5.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $73.66 | $145 | 5.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $88.39 | $174 | 5.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $96.52 | $190 | 5.7× |
| Antibody Encephalitis California La Crosse (86651) | $75.18 | $148 | 5.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $75.18 | $148 | 5.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $87.38 | $172 | 5.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $103.63 | $204 | 5.7× |
| Antibody helicobacter pylori (86677) | $96.52 | $190 | 5.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $82.30 | $162 | 5.7× |
| Antibody Herpes Smplx Type 1 (86695) | $75.18 | $148 | 5.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $78.23 | $154 | 5.7× |
| Antibody HIV-2 (86702) | $77.22 | $152 | 5.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $110.74 | $218 | 5.7× |
| Antibody identification leukocyte antibodies (86021) | $85.85 | $169 | 5.7× |
| Antibody john cunningham virus (86711) | $96.52 | $190 | 5.7× |
| Antibody Protozoa Nes (86753) | $70.61 | $139 | 5.7× |
| Antibody Treponema Pallidum (86780) | $75.69 | $149 | 5.7× |
| Antigen typing (86905) | $21.84 | $43 | 5.7× |
| Antinuclear antibodies (86038) | $69.09 | $136 | 5.7× |
| Antistreptolysin O Screen (86063) | $33.02 | $65 | 5.7× |
| Antistreptolysin o titer (86060) | $41.66 | $82 | 5.7× |
| Antithrombin iii activity (85300) | $67.56 | $133 | 5.7× |
| Apolipoprotein a1 (82172) | $120.40 | $237 | 5.7× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $215.39 | $424 | 5.7× |
| Aquaporin-4 Antb Cba Each (86052) | $69.09 | $136 | 5.7× |
| Arsenic (82175) | $108.20 | $213 | 5.7× |
| Aspergillus ag eia (87305) | $67.06 | $132 | 5.6× |
| Assay activated protein c (85307) | $87.38 | $172 | 5.7× |
| Assay Blood Carbon Dioxide (82374) | $27.94 | $55 | 5.7× |
| Assay Nephelometry Not Spec (83883) | $77.72 | $153 | 5.7× |
| Assay of 5-hiaa (83497) | $73.66 | $145 | 5.7× |
| Assay of anti-mullerian hormone (82166) | $220.47 | $434 | 5.7× |
| Assay of blood/uric acid (84550) | $25.91 | $51 | 5.7× |
| Assay of calcium in urine (82340) | $34.54 | $68 | 5.7× |
| Assay of estrone (82679) | $142.75 | $281 | 5.7× |
| Assay of g6pd enzyme (82955) | $55.37 | $109 | 5.7× |
| Assay of gammaglobulin igm (82784) | $53.34 | $105 | 5.7× |
| Assay of lactic acid (83605) | $66.04 | $130 | 5.7× |
| Assay of manganese (83785) | $152.40 | $300 | 5.7× |
| Assay of metanephrines (83835) | $97.03 | $191 | 5.7× |
| Assay of proinsulin (84206) | $152.40 | $300 | 5.7× |
| Assay of pyruvate (84210) | $82.80 | $163 | 5.7× |
| Assay of serotonin (84260) | $177.29 | $349 | 5.7× |
| Assay of serum potassium (84132) | $27.43 | $54 | 5.8× |
| Assay of sweat sodium (84302) | $27.94 | $55 | 5.7× |
| Assay of Tyrosine (84510) | $60.96 | $120 | 5.7× |
| Assay of urea nitrogen (84520) | $22.35 | $44 | 5.7× |
| Assay of vasoactive intestinal peptide (84586) | $201.68 | $397 | 5.7× |
| Assay of vitamin b-1 (84425) | $121.41 | $239 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $20.32 | $40 | 5.7× |
| Assay spec xcp ur&breath ia (82077) | $118.87 | $234 | 6.9× |
| Automated Leukocyte Count (85048) | $14.73 | $29 | 5.8× |
| B cells total count (86355) | $215.39 | $424 | 5.7× |
| Babesia microti amp prb (87469) | $200.66 | $395 | 5.7× |
| Bartonella antibody (86611) | $58.42 | $115 | 5.7× |
| Bcr/abl1 gene major bp (81206) | $937.26 | $1,845 | 5.7× |
| Beta 2 glycoprotein i antibody each (86146) | $145.29 | $286 | 5.7× |
| Beta hydroxybutyrate (82010) | $46.74 | $92 | 5.7× |
| Beta-2 Microglobulin (82232) | $92.46 | $182 | 5.7× |
| Bile acids total (82239) | $98.04 | $193 | 5.7× |
| Bilirubin direct (82248) | $28.45 | $56 | 5.7× |
| Bilirubin total (82247) | $28.45 | $56 | 5.7× |
| Blastomyces antibody (86612) | $73.66 | $145 | 5.7× |
| Bld Typing Serologic Rh Phnt (86906) | $44.20 | $87 | 5.7× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $28.96 | $57 | 5.7× |
| Blood count reticulocyte automated (85045) | $22.86 | $45 | 5.7× |
| Blood gas (82803) | $148.84 | $293 | 5.7× |
| Blood gases w/02 saturation (82805) | $450.09 | $886 | 5.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $90.93 | $179 | 5.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.89 | $49 | 5.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $36.07 | $71 | 5.7× |
| Blood typing serologic abo (86900) | $17.27 | $34 | 5.8× |
| Braf gene analysis (81210) | $1,002.28 | $1,973 | 5.7× |
| Breath Alcohol Test (82075) | $13.21 | $26 | 0.4× |
| Brucella antibody (86622) | $50.80 | $100 | 5.7× |
| C diff amplified probe (87493) | $212.85 | $419 | 5.7× |
| C-Peptide (84681) | $118.87 | $234 | 5.7× |
| C-reactive protein (86140) | $29.46 | $58 | 5.7× |
| Ca 19-9 (86301) | $118.87 | $234 | 5.7× |
| Cadmium (82300) | $135.13 | $266 | 5.7× |
| Calcitonin (82308) | $152.91 | $301 | 5.7× |
| Calcium ionized (82330) | $78.23 | $154 | 5.7× |
| Calcium total (82310) | $29.46 | $58 | 5.7× |
| Calculus Spectroscopy (82365) | $73.66 | $145 | 5.7× |
| Calprotectin Fecal (83993) | $112.27 | $221 | 5.7× |
| Cancer Antigen 125 (86304) | $118.87 | $234 | 5.7× |
| Cancer Antigen 27.29 (86300) | $118.87 | $234 | 5.7× |
| Candida antibody (86628) | $68.58 | $135 | 5.7× |
| Carbamazepine total (80156) | $83.31 | $164 | 5.7× |
| Carboxyhemoglobin (82375) | $70.61 | $139 | 5.7× |
| Carcinoembryonic antigen (82378) | $108.20 | $213 | 5.7× |
| Cardiolipin ab iga (86147) | $145.29 | $286 | 5.7× |
| Carnitine Quantitative Each Specimen (82379) | $96.52 | $190 | 5.7× |
| Catecholamines fractionated (82384) | $144.27 | $284 | 5.7× |
| Ccp antibody (86200) | $74.17 | $146 | 5.7× |
| Cell count csf (89051) | $32 | $63 | 5.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $776.22 | $1,528 | 5.7× |
| Ceruloplasmin (82390) | $61.47 | $121 | 5.7× |
| Cftr gene com variants (81220) | $3,181.10 | $6,262 | 5.7× |
| Chemiluminescent assay (82397) | $80.77 | $159 | 5.7× |
| Chlmy trch&neisra gonor mult (87494) | $401.32 | $790 | 5.7× |
| Chloride Serum (82435) | $26.42 | $52 | 5.7× |
| Chloride urine (82436) | $33.02 | $65 | 5.7× |
| Cholesterol total (82465) | $24.89 | $49 | 5.7× |
| Chorionic gonadotropin test (84702) | $85.85 | $169 | 5.7× |
| Chromium serum (82495) | $115.82 | $228 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $200.66 | $395 | 5.7× |
| Citric acid urine (82507) | $159 | $313 | 5.7× |
| Clostridium Difficile (87324) | $68.58 | $135 | 5.7× |
| Clotting Funct Activity (85397) | $176.28 | $347 | 5.7× |
| Cns DNA amp probe type 12-25 (87483) | $2,382.01 | $4,689 | 5.7× |
| Cold agglutinin titer (86157) | $46.23 | $91 | 5.7× |
| Collagen crosslinks (82523) | $106.68 | $210 | 5.7× |
| Column Chromotography Quant (82542) | $137.67 | $271 | 5.7× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$177.80–$181.86 | $350–$358 | varies |
| Complement Antigen Each Component (86160) | $68.58 | $135 | 5.7× |
| Complement Total (Ch50) (86162) | $116.33 | $229 | 5.7× |
| Complement/Function Activity (86161) | $68.58 | $135 | 5.7× |
| Coombs direct (86880) | $30.99 | $61 | 5.7× |
| Copper urine (82525) | $71.12 | $140 | 5.7× |
| Cortisol free (82530) | $95.50 | $188 | 5.7× |
| Cortisol saliva (82533) | $92.96 | $183 | 5.7× |
| Creatine kinase total (82550) | $37.08 | $73 | 5.7× |
| Creatinine blood (82565) | $29.46 | $58 | 5.8× |
| Creatinine clearance (82575) | $53.85 | $106 | 5.7× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$5.08–$29.46 | $10–$58 | varies |
| Crossmatch immediate spin (86920) | $161.54 | $318 | 1.0× |
| Crp High Sensitivity (86141) | $74.17 | $146 | 5.7× |
| Cryofibrinogen (82585) | $80.77 | $159 | 5.7× |
| Cryoglobulin (82595) | $37.08 | $73 | 5.7× |
| Cryptosporidium ag eia (87328) | $78.74 | $155 | 5.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $46.23 | $91 | 5.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $46.23 | $91 | 5.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $44.20 | $87 | 5.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,246.12 | $2,453 | 5.7× |
| Culture afb (87116) | $61.98 | $122 | 5.7× |
| Culture Anaerobic (87075) | $54.36 | $107 | 5.7× |
| Culture blood (87040) | $58.93 | $116 | 5.7× |
| Culture chlamydia (87110) | $112.27 | $221 | 5.7× |
| Culture csf (87070) | $49.28 | $97 | 5.7× |
| Culture fungus (87102) | $48.26 | $95 | 5.7× |
| Culture fungus blood (87103) | $116.84 | $230 | 5.7× |
| Culture screen only (87081) | $38.10 | $75 | 5.7× |
| Culture stool (87045) | $53.85 | $106 | 5.7× |
| Culture typing other methods (87158) | $44.20 | $87 | 5.7× |
| Culture urine (87086) | $46.23 | $91 | 5.7× |
| Cyclosporine (80158) | $103.12 | $203 | 5.7× |
| Cyp2d6 gene com variants (81226) | $2,577.08 | $5,073 | 5.7× |
| Cystatin C (82610) | $105.66 | $208 | 5.7× |
| Cytomegalovirus igg (86644) | $82.30 | $162 | 5.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $115.82 | $228 | 5.7× |
| Cytopath Cell Enhance Tech (88112) | $234.19 | $461 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $151.89 | $299 | 5.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $249.43 | $491 | 4.9× |
| Deoxyribonuclease antibody (86215) | $75.69 | $149 | 5.7× |
| Detect Agent Nos Dna Amp (87798) | $200.66 | $395 | 5.7× |
| Detect Agent Nos Dna Quant (87799) | $244.86 | $482 | 5.7× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$106.68–$223.01 | $210–$439 | varies |
| Dgp Antibody Each Ig Class (86258) | $69.09 | $136 | 5.7× |
| Dhea (82626) | $144.27 | $284 | 5.7× |
| Dhea-S (82627) | $127 | $250 | 5.7× |
| Digoxin (80162) | $75.69 | $149 | 5.7× |
| Dihydrotestosterone (82642) | $167.13 | $329 | 5.7× |
| Dipropylacetic Acid Free (80165) | $77.22 | $152 | 5.7× |
| Dna Antibody Native/Double Stranded (86225) | $78.74 | $155 | 5.7× |
| DNA/RNA direct probe (87149) | $114.81 | $226 | 5.7× |
| Drug assay acetaminophen (80143) | $106.68 | $210 | 5.7× |
| Drug assay adalimumab (80145) | $220.47 | $434 | 5.7× |
| Drug Assay Amiodarone (80151) | $106.68 | $210 | 5.7× |
| Drug assay felbamate (80167) | $106.68 | $210 | 5.7× |
| Drug Assay Infliximab (80230) | $220.47 | $434 | 5.7× |
| Drug Assay Itraconazole (80189) | $154.94 | $305 | 5.7× |
| Drug Assay Lacosamide (80235) | $82.80 | $163 | 3.1× |
| Drug Assay Vedolizumab (80280) | $220.47 | $434 | 5.7× |
| Drug assay voriconazole (80285) | $154.94 | $305 | 5.7× |
| Drug Screen Quant Clozapine (80159) | $115.32 | $227 | 5.7× |
| Drug Screen Quant Zonisamide (80203) | $75.69 | $149 | 5.7× |
| Drug Screen Quantitative Gabapentin (80171) | $123.95 | $244 | 5.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $75.69 | $149 | 5.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $75.69 | $149 | 5.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $75.69 | $149 | 5.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$18.80–$180.85 | $37–$356 | varies |
| Drug Test Prsmv Instrmnt (80306) | $98.04 | $193 | 5.7× |
| Ehrlichia antibody (86666) | $58.42 | $115 | 5.7× |
| El-1 Fecal Quantitative (82653) | $131.06 | $258 | 5.7× |
| Electrolyte panel (80051) | $40.13 | $79 | 5.7× |
| Enterovirus PCR (87498) | $200.66 | $395 | 5.7× |
| Enzyme cell activity (82657) | $126.49 | $249 | 5.7× |
| Erythropoietin (82668) | $107.19 | $211 | 5.7× |
| Estradiol serum (82670) | $159.51 | $314 | 5.7× |
| Estriol (82677) | $138.18 | $272 | 5.7× |
| Estrogen total (82672) | $123.95 | $244 | 5.7× |
| Exam Synovial Fluid Crystals (89060) | $41.66 | $82 | 5.7× |
| F2 Gene (81240) | $375.41 | $739 | 5.7× |
| Factor v activity (85220) | $101.09 | $199 | 5.7× |
| Factor v leiden mutation (81241) | $419.10 | $825 | 5.7× |
| Factor vii assay (85230) | $102.11 | $201 | 5.7× |
| Factor viii assay (85240) | $102.11 | $201 | 5.7× |
| Fat stain feces urine/respir secretions (89125) | $33.53 | $66 | 5.7× |
| Fat/Lipids Feces Quantitative (82710) | $96.01 | $189 | 5.7× |
| Fatty acids free (82725) | $107.19 | $211 | 5.7× |
| Fecal Fat Qualitative (82705) | $28.96 | $57 | 5.7× |
| Ferritin (82728) | $77.72 | $153 | 5.7× |
| Fibrin Degradation Quant (85379) | $58.42 | $115 | 5.7× |
| Fibrinogen activity (85384) | $55.37 | $109 | 5.7× |
| Flow cytometry first marker (88184) | $269.75 | $531 | 0.8× |
| Fluorescent antibody screen (86255) | $69.09 | $136 | 5.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $69.09 | $136 | 5.7× |
| Fmr1 gene detection (81243) | $326.14 | $642 | 5.7× |
| Folic acid rbc (82747) | $101.09 | $199 | 5.7× |
| Folic Acid Serum (82746) | $83.82 | $165 | 5.7× |
| Follicle Stimulating Hormone (83001) | $106.17 | $209 | 5.7× |
| Francisella tularensis (86668) | $43.18 | $85 | 3.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $131.06 | $258 | 0.8× |
| Fungi Identification Mold (87107) | $58.93 | $116 | 5.7× |
| Fungi Identification Yeast (87106) | $58.93 | $116 | 5.7× |
| Gammaglobulin ige (82785) | $93.98 | $185 | 5.7× |
| Gastrin (82941) | $100.58 | $198 | 5.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,382.01 | $4,689 | 5.7× |
| Gentamicin (80170) | $93.47 | $184 | 5.7× |
| Ggt (82977) | $41.15 | $81 | 5.7× |
| Giardia antigen (87329) | $68.58 | $135 | 5.7× |
| Glucagon (82943) | $81.79 | $161 | 5.7× |
| Glucose 2 hr pp (82950) | $26.92 | $53 | 5.7× |
| Glucose Blood Test (82962) | $18.80 | $37 | 5.7× |
| Glucose body fluid (82945) | $22.35 | $44 | 5.7× |
| Glucose Serum (82947) | $22.35 | $44 | 5.7× |
| Glucose tolerance test (gtt) (82951) | $73.66 | $145 | 5.7× |
| Glutathione (82978) | $88.39 | $174 | 5.7× |
| Gonadotropin Chorionic Qualitative (84703) | $43.18 | $85 | 5.7× |
| Growth hormone (83003) | $95.50 | $188 | 5.7× |
| Gtt-added samples (82952) | $22.35 | $44 | 5.7× |
| Haloperidol (80173) | $90.42 | $178 | 5.7× |
| Haptoglobin (83010) | $72.14 | $142 | 5.7× |
| Hdl Cholesterol (83718) | $46.74 | $92 | 5.7× |
| Helicobacter Pylori Stool (87338) | $82.30 | $162 | 5.7× |
| Hematocrit (85014) | $13.72 | $27 | 5.8× |
| Hemoglobin (85018) | $13.72 | $27 | 5.8× |
| Hemoglobin a1c (83036) | $55.37 | $109 | 5.7× |
| Hemoglobin Chromotography (83021) | $103.12 | $203 | 5.7× |
| Hemoglobin electrophoresis (83020) | $73.66 | $145 | 5.7× |
| Hep a ab igm (86709) | $64.52 | $127 | 5.7× |
| Heparin assay (85520) | $74.68 | $147 | 5.7× |
| Heparin Neutralization (85525) | $67.56 | $133 | 5.7× |
| Hepatitis a antibody total (86708) | $70.61 | $139 | 5.7× |
| Hepatitis b core ab igm (86705) | $67.06 | $132 | 5.7× |
| Hepatitis b core ab total (86704) | $69.09 | $136 | 5.7× |
| Hepatitis B Surface Antibody (86706) | $61.47 | $121 | 5.7× |
| Hepatitis B Surface Antigen (87340) | $58.93 | $116 | 5.7× |
| Hepatitis Be Antibody (86707) | $66.04 | $130 | 5.7× |
| Hepatitis Be Antigen (87350) | $66.04 | $130 | 5.7× |
| Hepatitis C Antibody (86803) | $81.79 | $161 | 5.7× |
| Hepatitis C Genotype (87902) | $1,471.17 | $2,896 | 5.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $244.86 | $482 | 5.7× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,155.95 | $4,244 | 1.7× |
| Herpes simplex type 2 (86696) | $110.74 | $218 | 5.7× |
| Heterophile Antibody Screen (86308) | $29.46 | $58 | 5.7× |
| Hfe Gene (81256) | $373.38 | $735 | 5.7× |
| Histamine urine (83088) | $168.66 | $332 | 5.7× |
| Histoplasma antibody (86698) | $78.74 | $155 | 5.7× |
| Histoplasma antigen urine (87385) | $74.17 | $146 | 5.6× |
| Hiv Genotype (87901) | $1,471.17 | $2,896 | 5.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $137.67 | $271 | 5.7× |
| Hiv-1 Antibody (86701) | $50.80 | $100 | 5.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $486.16 | $957 | 5.7× |
| HIV-2 probe&revrse trnscripj (87538) | $200.66 | $395 | 5.7× |
| Hla class ii typing high resolution one locus ea (81382) | $706.63 | $1,391 | 5.7× |
| Hla I Typing 1 Allele Hr (81381) | $970.79 | $1,911 | 5.7× |
| Hla ii typing 1 allele hr (81383) | $623.82 | $1,228 | 5.7× |
| Hla ii typing 1 locus lr (81376) | $698.50 | $1,375 | 5.7× |
| Hla-b27 (86812) | $147.32 | $290 | 5.7× |
| Homocysteine (83090) | $102.62 | $202 | 5.7× |
| Homogenization Tissue (87176) | $33.53 | $66 | 5.7× |
| Hpv High-Risk Types (87624) | $200.66 | $395 | 5.7× |
| Hpv Types 16 & 18 Only (87625) | $231.65 | $456 | 5.7× |
| Hsv Dna Amp Probe (87529) | $200.66 | $395 | 5.7× |
| Htlv-I Antibody (86687) | $51.82 | $102 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $155.45 | $306 | 5.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $58.93 | $116 | 5.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $79.25 | $156 | 5.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $200.66 | $395 | 5.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $200.66 | $395 | 5.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $200.66 | $395 | 5.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $200.66 | $395 | 5.7× |
| Iadna Cytomegalovirus Quantification (87497) | $244.86 | $482 | 5.7× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $200.66 | $395 | 5.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $244.86 | $482 | 5.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $200.66 | $395 | 5.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $238.25 | $469 | 5.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $200.66 | $395 | 5.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $815.34 | $1,605 | 5.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,503.17 | $2,959 | 5.7× |
| Ig Light Chains Free Each (83521) | $98.55 | $194 | 5.7× |
| Igg subclasses (82787) | $45.72 | $90 | 5.7× |
| Immunfix e-phorsis/urine/csf (86335) | $167.64 | $330 | 5.7× |
| Immunoassay analyte qual/semiqual single step (83518) | $54.86 | $108 | 5.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $105.16 | $207 | 5.7× |
| Immunoassay infectious agent (86318) | $103.63 | $204 | 5.7× |
| Immunoassay nonantibody (83516) | $66.04 | $130 | 5.7× |
| Immunodiffusion Ouchterlony (86331) | $68.58 | $135 | 5.7× |
| Immunofixation electrophoresis (86334) | $127.51 | $251 | 5.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $269.75 | $531 | 1.6× |
| Immunohistochemistry (88342) | $181.86 | $358 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $91.44 | $180 | 5.7× |
| Influenza DNA amp probe (87502) | $152.40 | $300 | 1.6× |
| Inhibin A (86336) | $88.90 | $175 | 5.7× |
| Inhibin b (83520) | $98.55 | $194 | 5.7× |
| Insulin antibodies (86337) | $122.43 | $241 | 5.7× |
| Insulin total (83525) | $65.53 | $129 | 5.7× |
| Intrinsic factor antibody (86340) | $86.36 | $170 | 5.7× |
| Iron (83540) | $37.08 | $73 | 5.7× |
| Iron Binding Capacity (83550) | $49.78 | $98 | 5.7× |
| Islet cell antibody (86341) | $134.62 | $265 | 5.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $523.75 | $1,031 | 5.7× |
| Koh Prep (87220) | $24.38 | $48 | 5.7× |
| Lactate (ld) (ldh) enzyme (83615) | $34.54 | $68 | 5.7× |
| Lactoferrin fecal qualitative (83630) | $112.78 | $222 | 5.7× |
| LDL direct (83721) | $59.94 | $118 | 5.7× |
| Lead (83655) | $69.09 | $136 | 5.7× |
| Legionella antigen urine (87449) | $68.58 | $135 | 5.7× |
| Leptospira antibody (86720) | $92.46 | $182 | 5.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $56.90 | $112 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $127.51 | $251 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $360.17 | $709 | 1.0× |
| Lipase (83690) | $39.62 | $78 | 5.8× |
| Lipoprotein A (83695) | $81.79 | $161 | 5.7× |
| Lipoprotein Bld Quan Part (83704) | $195.58 | $385 | 5.7× |
| Lithium (80178) | $37.59 | $74 | 5.7× |
| Luteinizing Hormone (Lh) (83002) | $105.66 | $208 | 5.7× |
| Lyme disease antibody (86618) | $97.54 | $192 | 5.7× |
| M. Genitalium Amp Probe (87563) | $200.66 | $395 | 5.7× |
| Macroscopic Exam Parasite (87169) | $24.38 | $48 | 5.7× |
| Magnesium Urine (83735) | $38.10 | $75 | 5.7× |
| Mass Spectrometry Quant (83789) | $137.67 | $271 | 5.7× |
| Mercury urine (83825) | $92.96 | $183 | 5.7× |
| Methylmalonic acid serum (83921) | $121.41 | $239 | 5.7× |
| Microalbumin, quantitative (82043) | $33.02 | $65 | 5.7× |
| Microsomal Antibodies Each (86376) | $83.31 | $164 | 5.7× |
| Mitochondrial Antibody Each (86381) | $145.29 | $286 | 5.7× |
| Mog-Igg1 Antb Cba Each (86362) | $69.09 | $136 | 5.7× |
| Molecular Cytogenetics Dna Probe Each (88271) | $65.02 | $128 | 3.0× |
| Mononuclear cell antigen (86356) | $152.91 | $301 | 5.7× |
| Morphometric analysis nerve (88356) | $119.89 | $236 | 2.4× |
| Mthfr Gene Analysis Common Variants (81291) | $373.38 | $735 | 5.7× |
| Mumps antibody (86735) | $74.68 | $147 | 5.7× |
| Mycoplasma antibody (86738) | $75.69 | $149 | 5.7× |
| Myoglobin urine (83874) | $73.66 | $145 | 5.7× |
| Natriuretic peptide (83880) | $224.54 | $442 | 5.7× |
| Neutralization Test Viral (86382) | $96.52 | $190 | 5.7× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) | $226.57 | $446 | 2.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $733.04 | $1,443 | 5.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $815.34 | $1,605 | 5.7× |
| Niacin (84591) | $97.54 | $192 | 5.7× |
| Nickel level (83885) | $136.14 | $268 | 5.6× |
| Nk cells total count (86357) | $215.39 | $424 | 5.7× |
| Nuclear antigen antibody (86235) | $102.62 | $202 | 5.7× |
| Occult blood feces (82272) | $24.38 | $48 | 5.8× |
| Occult Blood Other Sources (82271) | $30.48 | $60 | 5.7× |
| Organic Acids Qualitative Each Specimen (83919) | $93.98 | $185 | 5.7× |
| Osmolality serum (83930) | $37.59 | $74 | 5.7× |
| Osmolality Urine (83935) | $39.12 | $77 | 5.7× |
| Ova and parasites smears (87177) | $50.80 | $100 | 5.7× |
| Oxalate urine (83945) | $82.80 | $163 | 5.7× |
| Pancreatic Elastase Fecal (82656) | $66.04 | $130 | 5.7× |
| Particle Agglutination Screen Each Antibody (86403) | $66.04 | $130 | 5.7× |
| Parvovirus antibody (86747) | $85.85 | $169 | 5.7× |
| Ph urine (81003) | $7.11 | $14 | 3.2× |
| Phenobarbital Level (80184) | $87.38 | $172 | 5.7× |
| Phenytoin (Dilantin) (80185) | $75.69 | $149 | 5.7× |
| Phenytoin free (80186) | $78.74 | $155 | 5.7× |
| Phosphatase alkaline (84075) | $29.46 | $58 | 5.7× |
| Phospholipid Neutralization Hexagonal (85598) | $102.62 | $202 | 5.7× |
| Phosphorus Serum (84100) | $26.92 | $53 | 5.7× |
| Phosphorus urine (84105) | $33.02 | $65 | 5.7× |
| Pinworm exam (87172) | $24.38 | $48 | 5.7× |
| Platelet Antibodies (86022) | $105.16 | $207 | 5.7× |
| Platelet count automated (85049) | $25.40 | $50 | 5.7× |
| Pneumcysts jirovecii amp prb (87594) | $200.66 | $395 | 5.7× |
| Potassium Urine (84133) | $26.92 | $53 | 5.7× |
| Prealbumin (84134) | $83.31 | $164 | 5.7× |
| Pregnenolone (84140) | $118.36 | $233 | 5.7× |
| Primidone (80188) | $95 | $187 | 5.7× |
| Procalcitonin (Pct) (84145) | $155.45 | $306 | 5.7× |
| Progesterone (84144) | $119.38 | $235 | 5.7× |
| Prolactin (84146) | $110.74 | $218 | 5.7× |
| Prostaglandin (84150) | $238.76 | $470 | 5.7× |
| Protein body fluid (84157) | $22.86 | $45 | 5.7× |
| Protein C Activity (85303) | $79.25 | $156 | 5.7× |
| Protein c antigen (85302) | $68.58 | $135 | 5.7× |
| Protein Electrophoresis Urine (84166) | $102.11 | $201 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $61.47 | $121 | 5.7× |
| Protein S Free (85306) | $87.38 | $172 | 5.7× |
| Protein s total (85305) | $66.55 | $131 | 5.7× |
| Protein total serum (84155) | $20.83 | $41 | 5.7× |
| Protein Total Urine (84156) | $20.83 | $41 | 5.7× |
| Protein Western Blot Test (84182) | $167.13 | $329 | 5.7× |
| PSA free (84154) | $105.16 | $207 | 5.7× |
| Pth Intact (83970) | $235.71 | $464 | 5.7× |
| Q Fever Antibody (86638) | $69.09 | $136 | 5.7× |
| Quantiferon tb gold plus (86480) | $354.08 | $697 | 5.7× |
| Quantitative assay drug (80299) | $106.68 | $210 | 5.7× |
| Quantitative Screen Metals (83018) | $125.48 | $247 | 5.7× |
| Rbc antibody elution (86860) | $170.18 | $335 | 1.0× |
| Rbc antibody identification (86870) | $269.75 | $531 | 0.8× |
| Rbc antibody screen (86850) | $55.88 | $110 | 5.7× |
| Rbc pretreatment serum (86978) | $138.18 | $272 | 2.4× |
| Renin activity plasma (84244) | $125.48 | $247 | 5.7× |
| Reptilase test (85635) | $56.39 | $111 | 5.7× |
| Resp Virus 6-11 Targets (87632) | $1,246.12 | $2,453 | 5.7× |
| Reticulated Platelet Assay (85055) | $204.22 | $402 | 5.7× |
| Reticulocyte Count (85046) | $32 | $63 | 5.7× |
| Rh (86901) | $17.27 | $34 | 5.8× |
| Rheumatoid factor quant (86431) | $32.51 | $64 | 5.7× |
| Rickettsia antibody (86757) | $110.74 | $218 | 5.7× |
| Ristocetin cofactor (85245) | $131.06 | $258 | 5.7× |
| Rotavirus ag eia (87425) | $68.58 | $135 | 5.7× |
| Rpr qualitative (86592) | $24.38 | $48 | 5.7× |
| Rubella Antibody (86762) | $82.30 | $162 | 5.7× |
| Rubeola antibody (86765) | $73.66 | $145 | 5.7× |
| Rufinamide (80210) | $154.94 | $305 | 5.7× |
| Russell Viper Venom Time Diluted (85613) | $54.86 | $108 | 5.7× |
| Salicylate Level (80179) | $106.68 | $210 | 5.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $159 | $313 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$130.56–$133.60 | $257–$263 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $131.57 | $259 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $441.96 | $870 | 3.1× |
| Sedimentation Rate, Automated (85652) | $15.24 | $30 | 5.6× |
| Selenium (84255) | $145.80 | $287 | 5.7× |
| Semen Anal Sperm Detection (89321) | $69.09 | $136 | 5.7× |
| Sensitivity mic (87186) | $49.28 | $97 | 5.7× |
| Sex Hormone Binding Globulin (84270) | $123.95 | $244 | 5.7× |
| Sirolimus (80195) | $78.23 | $154 | 5.7× |
| Skin test tuberculosis intradermal (86580) | $32.51 | $64 | 1.2× |
| Smear acid fast (87206) | $30.99 | $61 | 5.7× |
| Smear complex stain (87209) | $102.62 | $202 | 5.7× |
| Smear gram stain (87205) | $24.38 | $48 | 5.7× |
| Smear Special Stain (87207) | $34.04 | $67 | 5.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $33.02 | $65 | 5.7× |
| Sodium Serum (84295) | $27.43 | $54 | 5.7× |
| Sodium Urine (84300) | $28.96 | $57 | 5.7× |
| Soluble Transferrin Receptor (84238) | $208.79 | $411 | 5.7× |
| Somatomedin (84305) | $121.41 | $239 | 5.7× |
| Special Stains Group 1 (88312) | $110.74 | $218 | 2.2× |
| Special Stains Group 2 (88313) | $96.52 | $190 | 0.7× |
| Spectrophotometry (84311) | $46.23 | $91 | 5.7× |
| Stool cultr aerobic bact ea (87046) | $53.85 | $106 | 5.7× |
| Strep a assay w/optic (87880) | $94.49 | $186 | 5.7× |
| Strep a DNA amp probe (87651) | $200.66 | $395 | 5.7× |
| Sulfate urine (84392) | $31.50 | $62 | 5.7× |
| Surg path level iii (88304) | $187.96 | $370 | 3.7× |
| Surgical pathology level IV (88305) | $242.32 | $477 | 4.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $26.92 | $53 | 5.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $42.67 | $84 | 5.7× |
| Syphilis Test Non-Trep Quant (86593) | $25.40 | $50 | 5.8× |
| T cells absolute cd4 count (86361) | $152.91 | $301 | 5.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $268.73 | $529 | 5.7× |
| T cells total count (86359) | $215.39 | $424 | 5.7× |
| T3 Free (84481) | $97.03 | $191 | 5.7× |
| T3 reverse (84482) | $89.92 | $177 | 5.7× |
| T3 Total (84480) | $81.28 | $160 | 5.7× |
| T4 Free (84439) | $51.31 | $101 | 5.7× |
| T4 total (84436) | $39.12 | $77 | 5.7× |
| Tacrolimus (80197) | $78.23 | $154 | 5.7× |
| Tau phosphorylated each (84393) | $736.60 | $1,450 | 5.7× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$171.70–$571.50 | $338–$1,125 | varies |
| Test for acetone/ketones (82009) | $25.91 | $51 | 5.7× |
| Testosterone Bioavailable (84410) | $293.12 | $577 | 5.7× |
| Testosterone total (84403) | $147.32 | $290 | 5.7× |
| Testosterone, Free (84402) | $145.80 | $287 | 5.7× |
| Theophylline (80198) | $80.77 | $159 | 5.7× |
| Thiopurine methyltransferase (84433) | $126.49 | $249 | 5.7× |
| Thrombin Time (85670) | $33.02 | $65 | 5.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $37.08 | $73 | 5.7× |
| Thyroglobulin (84432) | $91.95 | $181 | 5.7× |
| Thyroglobulin Antibody (86800) | $90.93 | $179 | 5.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $290.58 | $572 | 5.7× |
| Thyroxine binding globulin (84442) | $84.33 | $166 | 5.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $66.04 | $130 | 5.7× |
| Tissue Culture Lymphocyte (88230) | $665.99 | $1,311 | 5.7× |
| Tobramycin peak (80200) | $91.95 | $181 | 5.7× |
| Topiramate (80201) | $68.07 | $134 | 5.7× |
| Toxoplasma antibody (86777) | $82.30 | $162 | 5.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $29.46 | $58 | 5.7× |
| Transferrin (84466) | $73.15 | $144 | 5.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,193.80 | $2,350 | 5.7× |
| Trg gene rearrangement anal (81342) | $1,151.64 | $2,267 | 5.7× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$159–$200.66 | $313–$395 | varies |
| Triglycerides (84478) | $33.02 | $65 | 5.8× |
| Troponin Quant (84484) | $71.12 | $140 | 5.7× |
| Tumor Immunohistochem/Manual (88360) | $200.66 | $395 | 1.2× |
| Urea nitrogen urine (84540) | $32 | $63 | 5.8× |
| Uric acid other source (84560) | $28.96 | $57 | 5.7× |
| Urinalysis Microscopic Only (81015) | $17.27 | $34 | 5.7× |
| Urine Pregnancy Test (81025) | $49.28 | $97 | 5.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18.29 | $36 | 5.8× |
| Valproic acid (80164) | $77.22 | $152 | 5.7× |
| Vancomycin (80202) | $77.22 | $152 | 5.7× |
| Varicella-zoster antibody (86787) | $73.66 | $145 | 5.7× |
| Vasopressin (84588) | $194.06 | $382 | 5.7× |
| Viral Culture (87252) | $148.84 | $293 | 5.7× |
| Virus antibody nos (86790) | $73.66 | $145 | 5.7× |
| Vit D 1 25-Dihydroxy (82652) | $219.96 | $433 | 5.7× |
| Vitamin A (84590) | $66.55 | $131 | 5.7× |
| Vitamin b-12 (82607) | $86.36 | $170 | 5.7× |
| Vitamin B2 (Riboflavin) (84252) | $115.82 | $228 | 5.7× |
| Vitamin B6 (84207) | $160.53 | $316 | 5.7× |
| Vitamin c (82180) | $56.39 | $111 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $169.16 | $333 | 5.7× |
| Vitamin E (84446) | $81.28 | $160 | 5.7× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $69.09 | $136 | 5.7× |
| Von willebrand factor ag (85246) | $131.06 | $258 | 5.7× |
| West nile virus ab igm (86788) | $96.52 | $190 | 5.7× |
| West Nile Virus Antibody (86789) | $82.30 | $162 | 5.7× |
| Zinc (84630) | $65.02 | $128 | 5.7× |
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.