Lab & pathology prices at Gundersen Palmer Lutheran Hospital and Clinics

West Union, IA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $155.03 $261 6.8×
Acetylcholine receptor binding antibody (86041) $102.76 $173 5.6×
Acetylcholine receptor blocking antibody (86042) $125.33 $211 6.8×
Acetylcholn Rcptr Modlg Antb (86043) $81.97 $138 6.8×
Acth (82024) $262.55 $442 6.8×
Acute hepatitis panel (80074) $323.73 $545 6.8×
Adenovirus antibody (86603) $87.32 $147 6.8×
Agglutinins Febrile Each Antigen (86000) $47.52 $80 6.8×
Albumin Fluid (82042) $52.87 $89 6.8×
Albumin serum (82040) $33.86 $57 6.8×
Aldolase (82085) $65.93 $111 6.8×
Aldosterone urine (82088) $277.40 $467 6.8×
Alkaline phosphatase isoenzymes (84080) $100.39 $169 6.8×
Allergen specific ige (86003) $35.64 $60 6.8×
Allg Spec Ige Recomb Ea (86008) $121.77 $205 6.8×
Alpha-1-antitrypsin phenotype (82104) $98.60 $166 6.8×
Alpha-1-antitrypsin total (82103) $91.48 $154 6.8×
Alpha-Fetoprotein Serum (82105) $114.05 $192 6.8×
Alt (sgpt) (84460) $36.23 $61 6.8×
Amikacin trough (80150) $102.76 $173 6.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $114.64 $193 6.8×
Aminolevulinic acid (ala) (82135) $111.67 $188 6.8×
Ammonia (82140) $99.20 $167 6.8×
Amniotic fluid protein test on cervicovaginal fluid (84112) $667.06 $1,123 6.8×
Amylase urine (82150) $43.96 $74 6.8×
Ana Titer (86039) $76.03 $128 6.8×
Anca screen each antibody (86036) $81.97 $138 6.8×
Androstenedione (82157) $198.99 $335 6.8×
Angiotensin converting enzyme csf (82164) $99.20 $167 6.8×
Antibody aspergillus (86606) $102.17 $172 6.8×
Antibody Bacterium Not Elsewhere Specified (86609) $87.32 $147 6.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $105.14 $177 6.8×
Antibody Cytomegalovirus Cmv Igm (86645) $114.64 $193 6.8×
Antibody Encephalitis California La Crosse (86651) $89.69 $151 6.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $89.10 $150 6.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $103.95 $175 6.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $123.55 $208 6.8×
Antibody Fungus Not Elsewhere Specified (86671) $83.16 $140 6.8×
Antibody helicobacter pylori (86677) $114.64 $193 6.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $98.01 $165 6.8×
Antibody Herpes Smplx Type 1 (86695) $89.69 $151 6.8×
Antibody HIV-1&HIV-2 single result (86703) $93.26 $157 6.8×
Antibody HIV-2 (86702) $92.07 $155 6.8×
Antibody htlv/HIV antibody confirmatory test (86689) $131.87 $222 6.8×
Antibody john cunningham virus (86711) $114.64 $193 6.8×
Antibody Lymphocytic Choriomeningitis (86727) $87.32 $147 6.8×
Antibody Protozoa Nes (86753) $84.35 $142 6.8×
Antibody Titer (86886) $35.05 $59 6.8×
Antibody Treponema Pallidum (86780) $90.29 $152 6.8×
Antibody; campylobacter (86625) $89.10 $150 6.8×
Antibody; encephalitis, st. louis (86653) $89.69 $151 6.8×
Antigen typing (86905) $26.14 $44 6.8×
Antinuclear antibodies (86038) $81.97 $138 6.8×
Antistreptolysin O Screen (86063) $39.20 $66 6.8×
Antistreptolysin o titer (86060) $49.90 $84 6.8×
Antithrombin iii activity (85300) $80.78 $136 6.8×
Antithrombin iii antigen (85301) $73.66 $124 6.8×
Apolipoprotein a1 (82172) $143.15 $241 6.8×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $256.61 $432 6.8×
Aquaporin-4 Antb Cba Each (86052) $81.97 $138 6.8×
Arsenic (82175) $128.90 $217 6.8×
Aspergillus ag eia (87305) $81.38 $137 6.8×
Assay activated protein c (85307) $103.95 $175 6.8×
Assay Blood Carbon Dioxide (82374) $33.26 $56 6.8×
Assay Nephelometry Not Spec (83883) $92.66 $156 6.8×
Assay of 5-hiaa (83497) $87.91 $148 6.8×
Assay of anti-mullerian hormone (82166) $262.55 $442 6.8×
Assay of blood/uric acid (84550) $30.89 $52 6.8×
Assay of calcium in urine (82340) $40.99 $69 6.8×
Assay of cpk in blood (82552) $90.88 $153 6.8×
Assay of estrone (82679) $169.88 $286 6.8×
Assay of g6pd enzyme (82955) $65.93 $111 6.8×
Assay of gammaglobulin igm (82784) $62.96 $106 6.8×
Assay of lactic acid (83605) $78.41 $132 6.8×
Assay of metanephrines (83835) $115.24 $194 6.8×
Assay of proinsulin (84206) $181.76 $306 6.8×
Assay of serotonin (84260) $210.87 $355 6.8×
Assay of serum potassium (84132) $32.67 $55 6.9×
Assay of urea nitrogen (84520) $26.73 $45 6.8×
Assay of urine vma (84585) $105.14 $177 6.8×
Assay of vasoactive intestinal peptide (84586) $240.57 $405 6.8×
Assay of vitamin b-1 (84425) $144.34 $243 6.8×
Assay Ph Body Fluid Nos (83986) $24.35 $41 6.8×
Assay spec xcp ur&breath ia (82077) $117.61 $198 6.8×
Automated Leukocyte Count (85048) $17.23 $29 6.8×
B cells total count (86355) $256.61 $432 6.8×
Babesia microti amp prb (87469) $238.79 $402 6.8×
Bartonella antibody (86611) $69.50 $117 6.8×
Bcr/abl1 gene major bp (81206) $1,114.94 $1,877 6.8×
Bcr/abl1 gene minor bp (81207) $984.85 $1,658 6.8×
Bcr/Abl1 Gene Other Bp (81208) $1,459.46 $2,457 6.8×
Beta 2 glycoprotein i antibody each (86146) $172.85 $291 6.8×
Beta hydroxybutyrate (82010) $55.84 $94 6.8×
Beta Lactamase (87185) $32.08 $54 6.8×
Beta-2 Microglobulin (82232) $109.89 $185 6.8×
Bile acids total (82239) $116.42 $196 6.8×
Bilirubin direct (82248) $33.86 $57 6.7×
Bilirubin total (82247) $33.86 $57 6.7×
Bilirubin total transcutaneous (88720) $33.86 $57 6.7×
Bl Smear W/O Diff Wbc Count (85008) $23.17 $39 6.8×
Blastomyces antibody (86612) $87.91 $148 6.8×
Bld Typing Serologic Rh Phnt (86906) $52.87 $89 6.8×
Blood count reticulocyte automated (85045) $27.32 $46 6.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $26.14 $44 6.9×
Blood gas (82803) $177.61 $299 6.8×
Blood gases w/02 saturation (82805) $535.79 $902 6.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $108.11 $182 6.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $29.70 $50 6.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $43.36 $73 6.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $111.08 $187 6.8×
Blood typing serologic abo (86900) $20.20 $34 6.8×
Body fluid cell count (89050) $32.08 $54 6.8×
Breath Alcohol Test (82075) $204.34 $344 6.8×
Brucella antibody (86622) $60.59 $102 6.8×
C diff amplified probe (87493) $253.64 $427 6.8×
C-Peptide (84681) $141.37 $238 6.8×
C-reactive protein (86140) $35.05 $59 6.8×
Ca 19-9 (86301) $141.37 $238 6.8×
Cadmium (82300) $160.97 $271 6.8×
Calcitonin (82308) $182.36 $307 6.8×
Calcium ionized (82330) $93.26 $157 6.8×
Calcium total (82310) $35.05 $59 6.8×
Calculus Spectroscopy (82365) $87.91 $148 6.8×
Calprotectin Fecal (83993) $133.65 $225 6.8×
Calr gene com variants (81219) $827.44 $1,393 6.8×
Cancer Antigen 125 (86304) $141.37 $238 6.8×
Cancer Antigen 27.29 (86300) $141.37 $238 6.8×
Candida antibody (86628) $81.97 $138 6.8×
Carbamazepine free (80157) $90.29 $152 6.8×
Carbamazepine total (80156) $99.20 $167 6.8×
Carbohydrate Deficient Transferrin (82373) $122.96 $207 6.8×
Carboxyhemoglobin (82375) $83.75 $141 6.8×
Carcinoembryonic antigen (82378) $128.90 $217 6.8×
Cardiolipin ab iga (86147) $172.85 $291 6.8×
Catecholamines fractionated (82384) $171.67 $289 6.8×
Ccp antibody (86200) $87.91 $148 6.8×
Cell count csf (89051) $38.02 $64 6.8×
Cell marker study (88182) $567.86 $956 11.3×
Ceruloplasmin (82390) $73.06 $123 6.8×
Cftr gene com variants (81220) $3,785.56 $6,373 6.8×
Chemiluminescent assay (82397) $96.23 $162 6.8×
Chlmy trch&neisra gonor mult (87494) $477.58 $804 6.8×
Chloride Serum (82435) $31.48 $53 6.8×
Chloride urine (82436) $39.20 $66 6.8×
Cholesterol total (82465) $29.70 $50 6.8×
Chorionic gonadotropin test (84702) $102.17 $172 6.8×
Chromium serum (82495) $137.81 $232 6.8×
Chromogranin a (86316) $141.37 $238 6.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $238.79 $402 6.8×
Citric acid urine (82507) $188.89 $318 6.8×
Ckmb (82553) $78.41 $132 6.8×
Clostridium Difficile (87324) $81.38 $137 6.8×
Clotting Funct Activity (85397) $209.68 $353 6.8×
Coccidioides antibody (86635) $77.81 $131 6.8×
Cold agglutinin titer (86157) $54.65 $92 6.8×
Collagen crosslinks (82523) $127.12 $214 6.8×
Column Chromotography Quant (82542) $163.94 $276 6.8×
Compatibility test antiglob (86922) $142.56 $240 0.9×
Complement Antigen Each Component (86160) $81.38 $137 6.8×
Complement Total (Ch50) (86162) $138.40 $233 6.8×
Complement/Function Activity (86161) $81.38 $137 6.8×
Coombs direct (86880) $36.83 $62 6.8×
Copper urine (82525) $84.35 $142 6.8×
Cortisol free (82530) $113.45 $191 6.8×
Cortisol saliva (82533) $111.08 $187 6.8×
Creatine kinase total (82550) $44.55 $75 6.8×
Creatinine blood (82565) $35.05 $59 6.8×
Creatinine clearance (82575) $64.15 $108 6.8×
Creatinine Urine (82570) $35.05 $59 6.8×
Crossmatch immediate spin (86920) $142.56 $240 0.9×
Crp High Sensitivity (86141) $87.91 $148 6.8×
Cryoglobulin (82595) $43.96 $74 6.8×
Cryptococcus ag titer (87899) $109.30 $184 6.8×
Cryptosporidium ag eia (87328) $93.85 $158 6.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $55.24 $93 6.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $55.24 $93 6.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $52.27 $88 6.8×
Culture afb (87116) $73.66 $124 6.8×
Culture Anaerobic (87075) $64.15 $108 6.8×
Culture blood (87040) $70.09 $118 6.8×
Culture csf (87070) $58.81 $99 6.8×
Culture fungus (87102) $57.02 $96 6.8×
Culture screen only (87081) $45.14 $76 6.8×
Culture stool (87045) $64.15 $108 6.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $35.05 $59 6.8×
Culture urine (87086) $54.65 $92 6.8×
Cyclosporine (80158) $122.96 $207 6.8×
Cystatin C (82610) $125.93 $212 6.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $7,889.51 $13,282 6.8×
Cytomegalovirus igg (86644) $98.01 $165 6.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $137.81 $232 6.8×
Cytopath Cell Enhance Tech (88112) $74.25 $125 1.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $181.17 $305 6.8×
Cytp Concentration Smears & Interpretation (88108) $139 $234 3.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $98.01 $165 2.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $178.20 $300 1.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $81.97 $138 2.9×
Deoxyribonuclease antibody (86215) $90.29 $152 6.8×
Desoxycorticosterone (82633) $210.87 $355 6.8×
Detect Agent Nos Dna Amp (87798) $238.79 $402 6.8×
Detect Agent Nos Dna Quant (87799) $291.65 $491 6.8×
Detect agnt mult DNA ampli (87801) $477.58 $804 6.8×
Dgp Antibody Each Ig Class (86258) $81.97 $138 6.8×
Dhea (82626) $171.67 $289 6.8×
Dhea-S (82627) $151.47 $255 6.8×
Digoxin (80162) $90.29 $152 6.8×
Dihydrotestosterone (82642) $198.99 $335 6.8×
Dipropylacetic Acid Free (80165) $92.07 $155 6.8×
Dna Antibody Native/Double Stranded (86225) $93.26 $157 6.8×
Dna Antibody Single Stranded (86226) $82.57 $139 6.8×
Dna/Rna Amplified Probe (87150) $196.02 $330 5.6×
Drug assay acetaminophen (80143) $126.52 $213 6.8×
Drug assay adalimumab (80145) $262.55 $442 6.8×
Drug Assay Everolimus (80169) $93.26 $157 6.8×
Drug Assay Infliximab (80230) $262.55 $442 6.8×
Drug Assay Itraconazole (80189) $184.14 $310 6.8×
Drug Assay Lacosamide (80235) $184.14 $310 6.8×
Drug Assay Leflunomide (80193) $262.55 $442 6.8×
Drug Assay Posaconazole (80187) $184.14 $310 6.8×
Drug assay voriconazole (80285) $184.14 $310 6.8×
Drug Screen Quant Clozapine (80159) $137.21 $231 6.8×
Drug Screen Quant Zonisamide (80203) $90.29 $152 6.8×
Drug Screen Quantitative Gabapentin (80171) $147.31 $248 6.8×
Drug Screen Quantitative Lamotrigine (80175) $90.29 $152 6.8×
Drug Screen Quantitative Levetiracetam (80177) $90.29 $152 6.8×
Drug Screen Quantitative Oxcarbazepine (80183) $90.29 $152 6.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$22.57–$422.93 $38–$712 varies
Drug Test Prsmv Instrmnt (80306) $116.42 $196 6.8×
Ehrlichia antibody (86666) $69.50 $117 6.8×
El-1 Fecal Quantitative (82653) $156.22 $263 6.8×
Electrolyte panel (80051) $47.52 $80 6.8×
Encephaltis East Eqne Anbdy (86652) $89.69 $151 6.8×
Encephaltis West Eqne Antbdy (86654) $89.69 $151 6.8×
Endomysial Antibody Each Immunoglobulin Class (86231) $81.97 $138 6.8×
Enterovirus Antibody (86658) $88.51 $149 6.8×
Enterovirus PCR (87498) $238.79 $402 6.8×
Enzyme cell activity (82657) $150.88 $254 6.8×
Eosinophil Smear (89190) $39.20 $66 6.8×
Erythropoietin (82668) $127.71 $215 6.8×
Estradiol serum (82670) $190.08 $320 6.8×
Estriol (82677) $164.54 $277 6.8×
Estrogen total (82672) $147.31 $248 6.8×
Ethosuximide (80168) $111.08 $187 6.8×
Exam Synovial Fluid Crystals (89060) $49.90 $84 6.8×
F2 Gene (81240) $446.69 $752 6.8×
Factor ix activity (85250) $129.49 $218 6.8×
Factor v activity (85220) $119.99 $202 6.8×
Factor v leiden mutation (81241) $498.96 $840 6.8×
Factor vii assay (85230) $121.77 $205 6.8×
Factor viii assay (85240) $121.77 $205 6.8×
Fat stain feces urine/respir secretions (89125) $39.80 $67 6.8×
Fat/Lipids Feces Quantitative (82710) $114.05 $192 6.8×
Fecal Fat Qualitative (82705) $34.45 $58 6.8×
Ferritin (82728) $92.66 $156 6.8×
Fetal Chrmoml Aneuploidy (81420) $5,162.45 $8,691 6.8×
Fetal Fibronectin (82731) $437.78 $737 6.8×
Fetal screen rosette (85461) $63.56 $107 6.8×
Fibrin Degradation Quant (85379) $69.50 $117 6.8×
Fibrinogen activity (85384) $65.93 $111 6.8×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $105.14 $177 6.8×
Flow cytometry first marker (88184) $367.09 $618 1.1×
Fluorescent antibody screen (86255) $81.97 $138 6.8×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $81.97 $138 6.8×
Fmr1 gene detection (81243) $387.88 $653 6.8×
Folic acid rbc (82747) $119.99 $202 6.8×
Folic Acid Serum (82746) $99.79 $168 6.8×
Follicle Stimulating Hormone (83001) $126.52 $213 6.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $142.56 $240 0.9×
Frozen Section (88331) $178.20 $300 1.1×
Fungi Identification Mold (87107) $70.09 $118 6.8×
Fungi Identification Yeast (87106) $70.09 $118 6.8×
Gammaglobulin ige (82785) $111.67 $188 6.8×
Gases blood ph only (82800) $74.84 $126 6.8×
Gastrin (82941) $119.99 $202 6.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,834.57 $4,772 6.8×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $5,166.02 $8,697 6.8×
Gentamicin (80170) $111.67 $188 6.8×
Ggt (82977) $48.71 $82 6.8×
Giardia antigen (87329) $81.38 $137 6.8×
Glucose 2 hr pp (82950) $32.08 $54 6.8×
Glucose Blood Test (82962) $22.57 $38 6.9×
Glucose body fluid (82945) $26.73 $45 6.8×
Glucose Serum (82947) $26.73 $45 6.8×
Glucose tolerance test (gtt) (82951) $87.32 $147 6.8×
Glycated Protein (82985) $114.05 $192 6.8×
Gonadotropin Chorionic Qualitative (84703) $51.08 $86 6.8×
Growth hormone (83003) $113.45 $191 6.8×
Gtt-added samples (82952) $26.73 $45 6.8×
Haptoglobin (83010) $85.54 $144 6.8×
Hdl Cholesterol (83718) $55.84 $94 6.8×
Helicobacter Pylori Stool (87338) $98.01 $165 6.8×
Helminth Antibody (86682) $88.51 $149 6.8×
Hematocrit (85014) $16.04 $27 6.8×
Hemoglobin (85018) $16.04 $27 6.8×
Hemoglobin a1c (83036) $65.93 $111 6.8×
Hemoglobin Chromotography (83021) $122.96 $207 6.8×
Hemoglobin electrophoresis (83020) $87.32 $147 6.8×
Hemoglobin Methemoglobin Quantitative (83050) $55.84 $94 6.8×
Hep a ab igm (86709) $76.63 $129 6.8×
Heparin assay (85520) $89.10 $150 6.8×
Hepatitis a antibody total (86708) $84.35 $142 6.8×
Hepatitis b core ab igm (86705) $80.19 $135 6.8×
Hepatitis b core ab total (86704) $81.97 $138 6.8×
Hepatitis B Surface Antibody (86706) $73.06 $123 6.8×
Hepatitis B Surface Antigen (87340) $70.09 $118 6.8×
Hepatitis Be Antibody (86707) $78.41 $132 6.8×
Hepatitis Be Antigen (87350) $78.41 $132 6.8×
Hepatitis C Antibody (86803) $96.82 $163 6.8×
Hepatitis C Genotype (87902) $1,751.11 $2,948 6.8×
Hepatitis C Revrs Trnscrpj (87522) $291.65 $491 6.8×
Herpes simplex type 2 (86696) $131.87 $222 6.8×
Heterophile Antibody Screen (86308) $35.05 $59 6.8×
Hfe Gene (81256) $444.31 $748 6.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $52.87 $89 6.8×
Histamine urine (83088) $200.77 $338 6.8×
Histoplasma antibody (86698) $93.85 $158 6.8×
Histoplasma antigen urine (87385) $90.29 $152 6.8×
Hiv-1 Antibody (86701) $60.59 $102 6.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $578.56 $974 6.8×
Hla class ii typing high resolution one locus ea (81382) $841.10 $1,416 6.8×
Hla ii typing 1 locus lr (81376) $831.01 $1,399 6.8×
Hla-b27 (86812) $175.82 $296 6.8×
Homocysteine (83090) $121.77 $205 6.8×
Homogenization Tissue (87176) $39.80 $67 6.8×
Hpv High-Risk Types (87624) $238.79 $402 6.8×
Hpv sep hi-rsk typ&pool rslt (87626) $477.58 $804 6.8×
Hpv Types 16 & 18 Only (87625) $275.62 $464 6.8×
Hsv Dna Amp Probe (87529) $238.79 $402 6.8×
Hydroxyprogesterone 17-d (83498) $184.73 $311 6.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $70.09 $118 6.8×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $94.45 $159 6.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $238.79 $402 6.8×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $238.79 $402 6.8×
Iadna Candida Species Amplified Probe Tq (87481) $238.79 $402 6.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $238.79 $402 6.8×
Iadna Cytomegalovirus Quantification (87497) $291.65 $491 6.8×
Iadna Hepatitis B Virus Quantification (87517) $291.65 $491 6.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $238.79 $402 6.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $970 $1,633 6.8×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,788.53 $3,011 6.8×
Igg subclasses (82787) $54.65 $92 6.8×
Igh@ Variable Region Somatic Mutation Analysis (81263) $2,002.97 $3,372 6.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $367.09 $618 1.1×
Immunfix e-phorsis/urine/csf (86335) $199.58 $336 6.8×
Immunoassay Analyte Quant Radioimmunoassay (83519) $125.33 $211 6.8×
Immunoassay infectious agent (86318) $122.96 $207 6.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $102.17 $172 6.8×
Immunoassay nonantibody (83516) $78.41 $132 6.8×
Immunodiffusion Ouchterlony (86331) $81.38 $137 6.8×
Immunofixation electrophoresis (86334) $152.06 $256 6.8×
Immunofluorescence per spec 1st singl antb stain (88346) $172.85 $291 1.1×
Immunohistochemistry (88342) $178.20 $300 1.1×
In situ hybridization 1st probe stain (88365) $347.49 $585 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $108.70 $183 6.8×
Influenza DNA amp probe (87502) $178.20 $300 1.9×
Inhibin A (86336) $106.33 $179 6.8×
Inhibin b (83520) $117.61 $198 6.8×
Insulin antibodies (86337) $145.53 $245 6.8×
Insulin free (83527) $87.91 $148 6.8×
Insulin total (83525) $77.81 $131 6.8×
Intrinsic factor antibody (86340) $102.76 $173 6.8×
Iron (83540) $43.96 $74 6.8×
Iron Binding Capacity (83550) $59.40 $100 6.8×
Islet cell antibody (86341) $160.38 $270 6.8×
Jak2 gene analysis p.val617phe variant (81270) $623.70 $1,050 6.8×
Koh Prep (87220) $29.11 $49 6.8×
Lactate (ld) (ldh) enzyme (83615) $40.99 $69 6.8×
Lactoferrin fecal qualitative (83630) $134.24 $226 6.8×
Ldh Isoenzymes (83625) $86.72 $146 6.8×
LDL direct (83721) $71.28 $120 6.8×
Lead (83655) $82.57 $139 6.8×
Legionella antibody (86713) $103.95 $175 6.8×
Legionella antigen urine (87449) $81.38 $137 6.8×
Leptospira antibody (86720) $109.89 $185 6.8×
Leukocyte Assessment Fecal (89055) $29.11 $49 6.8×
Level I Surg Pathology Gross Examination Only (88300) $54.05 $91 1.9×
Level ii surg pathology gross&microscopic exam (88302) $76.63 $129 2.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $367.09 $618 1.1×
Lipase (83690) $46.93 $79 6.8×
Lipoprotein A (83695) $97.42 $164 6.8×
Lipoprotein Bld Quan Part (83704) $232.25 $391 6.8×
Lithium (80178) $45.14 $76 6.8×
Luteinizing Hormone (Lh) (83002) $125.93 $212 6.8×
Lyme disease antibody (86618) $115.83 $195 6.8×
Lysozyme serum (85549) $127.71 $215 6.8×
M. Genitalium Amp Probe (87563) $238.79 $402 6.8×
Macroscopic exam arthropod (87168) $29.11 $49 6.8×
Macroscopic Exam Parasite (87169) $29.11 $49 6.8×
Magnesium Urine (83735) $45.74 $77 6.8×
Mercury urine (83825) $110.48 $186 6.8×
Methylmalonic acid serum (83921) $144.34 $243 6.8×
Microalbumin, quantitative (82043) $39.20 $66 6.8×
Microsomal Antibodies Each (86376) $99.20 $167 6.8×
Mitochondrial Antibody Each (86381) $172.85 $291 6.8×
Mog-Igg1 Antb Cba Each (86362) $81.97 $138 6.8×
Mononuclear cell antigen (86356) $182.36 $307 6.8×
Mopath procedure level 4 (81403) $1,259.87 $2,121 6.8×
Mopath procedure level 5 (81404) $1,869.32 $3,147 6.8×
Mopath procedure level 7 (81406) $1,923.97 $3,239 6.8×
Mopath procedure level 8 (81407) $5,755.86 $9,690 6.8×
Mpl gene analysis sequence analysis exon 10 (81339) $1,259.87 $2,121 6.8×
Mrsa Pcr (87641) $238.79 $402 6.8×
Mthfr Gene Analysis Common Variants (81291) $444.31 $748 6.8×
Mumps antibody (86735) $88.51 $149 6.8×
Muscle-Specific Kinase Antb (86366) $125.33 $211 6.8×
Mycophenolic Acid (80180) $122.96 $207 6.8×
Mycoplasma antibody (86738) $90.29 $152 6.8×
Myoglobin urine (83874) $87.91 $148 6.8×
Natriuretic peptide (83880) $267.30 $450 6.8×
Neutralization Test Viral (86382) $115.24 $194 6.8×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $264.92 $446 3.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $872.59 $1,469 6.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $970 $1,633 6.8×
Nfct ds chrnc hcv 6 assays (81596) $491.24 $827 6.8×
Niacin (84591) $115.83 $195 6.8×
Nuclear antigen antibody (86235) $121.77 $205 6.8×
Occult blood feces (82272) $28.51 $48 6.7×
Occult Blood Other Sources (82271) $36.23 $61 6.8×
Organic acids urine (83918) $160.38 $270 6.8×
Osmolality serum (83930) $45.14 $76 6.8×
Osmolality Urine (83935) $46.33 $78 6.8×
Osmotic fragility rbc incubated (85557) $90.88 $153 6.8×
Ova and parasites smears (87177) $60.59 $102 6.8×
Oxalate urine (83945) $98.01 $165 6.8×
Particle Agglutination Screen Each Antibody (86403) $78.41 $132 6.8×
Parvovirus antibody (86747) $102.17 $172 6.8×
Ph urine (81003) $15.44 $26 6.9×
Phenobarbital Level (80184) $103.95 $175 6.8×
Phenylalanine (84030) $37.42 $63 6.8×
Phenytoin (Dilantin) (80185) $90.29 $152 6.8×
Phenytoin free (80186) $93.85 $158 6.8×
Phosphatase acid prostatic (84066) $65.93 $111 6.8×
Phosphatase alkaline (84075) $35.05 $59 6.8×
Phosphorus Serum (84100) $32.08 $54 6.8×
Phosphorus urine (84105) $39.20 $66 6.8×
Pinworm exam (87172) $29.11 $49 6.8×
Platelet Aggregation (85576) $169.29 $285 6.8×
Platelet Antibodies (86022) $124.74 $210 6.8×
Platelet count automated (85049) $30.29 $51 6.8×
Porphobilinogen, urine; quantitative (84110) $57.62 $97 6.8×
Porphyrins Urine Quantitation & Fractionation (84120) $99.79 $168 6.8×
Potassium Urine (84133) $32.08 $54 6.8×
Prealbumin (84134) $99.20 $167 6.8×
Pregnancy-Associated Plasma Protein-A (84163) $102.17 $172 6.8×
Pregnenolone (84140) $140.78 $237 6.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $325.51 $548 5.7×
Primidone (80188) $112.86 $190 6.8×
Procalcitonin (Pct) (84145) $185.33 $312 6.8×
Progesterone (84144) $141.97 $239 6.8×
Prolactin (84146) $131.87 $222 6.8×
Protein body fluid (84157) $27.32 $46 6.8×
Protein C Activity (85303) $93.85 $158 6.8×
Protein c antigen (85302) $81.97 $138 6.8×
Protein Electrophoresis Urine (84166) $121.18 $204 6.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $73.06 $123 6.8×
Protein S Free (85306) $103.95 $175 6.8×
Protein s total (85305) $79 $133 6.8×
Protein total serum (84155) $24.95 $42 6.8×
Protein Total Urine (84156) $24.95 $42 6.8×
Protein Western Blot Test (84182) $198.40 $334 6.8×
Protoporphyrin rbc quantitative (84202) $97.42 $164 6.8×
PSA free (84154) $125.33 $211 6.8×
Pth Intact (83970) $280.96 $473 6.8×
Pyruvate kinase (84220) $64.15 $108 6.8×
Quantiferon tb gold plus (86480) $421.74 $710 6.8×
Quantitative assay drug (80299) $126.52 $213 6.8×
Quantitative Screen Metals (83018) $149.09 $251 6.8×
Rbc antibody elution (86860) $142.56 $240 0.9×
Rbc antibody identification (86870) $293.44 $494 0.9×
Rbc antibody screen (86850) $66.53 $112 6.8×
Rbc pretreatment serum (86978) $108.70 $183 1.9×
Renin activity plasma (84244) $149.69 $252 6.8×
Resp Virus 6-11 Targets (87632) $1,483.22 $2,497 6.8×
Reticulated Platelet Assay (85055) $242.95 $409 6.8×
Reticulocyte Count (85046) $38.02 $64 6.8×
Rh (86901) $20.20 $34 6.8×
Rheumatoid factor quant (86431) $38.61 $65 6.8×
Ristocetin cofactor (85245) $156.22 $263 6.8×
Rotavirus ag eia (87425) $81.38 $137 6.8×
Rpr qualitative (86592) $29.11 $49 6.8×
Rsv ab (86756) $108.11 $182 6.8×
Rubella Antibody (86762) $98.01 $165 6.8×
Rubeola antibody (86765) $87.32 $147 6.8×
Russell Viper Venom Time Diluted (85613) $65.34 $110 6.8×
Salicylate Level (80179) $126.52 $213 6.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $190.67 $321 3.7×
Sars-cov-2 COVID-19 antibody (86769)
range across 3 matching MRF lines
$156.22–$286.31 $263–$482 varies
Sars-Cov-2 Covid19 W/Optic (87811) $153.85 $259 3.7×
Sarscov2&inf a&b&rsv amp prb (87637) $529.25 $891 3.7×
Sedimentation rate (85651) $29.11 $49 6.8×
Sedimentation Rate, Automated (85652) $18.41 $31 6.8×
Selenium (84255) $173.45 $292 6.8×
Semen Anal Sperm Detection (89321) $81.97 $138 6.8×
Sensitivity mic (87186) $58.81 $99 6.8×
Sex Hormone Binding Globulin (84270) $147.91 $249 6.8×
Sickling of rbc reduction (85660) $37.42 $63 6.8×
Sirolimus (80195) $93.26 $157 6.8×
Skin test tuberculosis intradermal (86580) $22.57 $38 0.8×
Smear acid fast (87206) $36.83 $62 6.8×
Smear complex stain (87209) $122.36 $206 6.8×
Smear gram stain (87205) $29.11 $49 6.8×
Smear Special Stain (87207) $40.99 $69 6.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $39.80 $67 6.8×
Sodium Serum (84295) $32.67 $55 6.8×
Sodium Urine (84300) $34.45 $58 6.8×
Soluble Transferrin Receptor (84238) $248.89 $419 6.8×
Somatomedin (84305) $144.34 $243 6.8×
Special Stains Group 1 (88312) $95.04 $160 1.9×
Special Stains Group 2 (88313) $81.97 $138 0.6×
Specimen infect agnt concntj (87015) $45.14 $76 6.8×
Stool cultr aerobic bact ea (87046) $64.15 $108 6.8×
Strep a assay w/optic (87880) $112.27 $189 6.8×
Sugars Single Qual (84376) $37.42 $63 6.8×
Sulfate urine (84392) $37.42 $63 6.8×
Surg path level iii (88304) $79 $133 1.6×
Surgical pathology level IV (88305) $136.62 $230 2.7×
Surgical pathology level vi (88309) $879.71 $1,481 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $32.08 $54 6.8×
Susceptibility Study Antimicrobial Disk Method (87184) $51.08 $86 6.8×
Syphilis Test Non-Trep Quant (86593) $29.70 $50 6.7×
T cells absolute cd4 count (86361) $182.36 $307 6.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $319.57 $538 6.8×
T3 Free (84481) $115.24 $194 6.8×
T3 reverse (84482) $106.92 $180 6.8×
T3 Total (84480) $96.23 $162 6.8×
T4 Free (84439) $61.18 $103 6.8×
T4 total (84436) $46.93 $79 6.8×
Tacrolimus (80197) $93.26 $157 6.8×
Tb ag response t-cell susp (86481) $680.13 $1,145 6.8×
Test for acetone/ketones (82009) $30.89 $52 6.8×
Testosterone Bioavailable (84410) $348.68 $587 6.8×
Testosterone total (84403) $175.82 $296 6.8×
Testosterone, Free (84402) $173.45 $292 6.8×
Theophylline (80198) $96.23 $162 6.8×
Thiocyanate (84430) $79 $133 6.8×
Thiopurine methyltransferase (84433) $150.88 $254 6.8×
Thrombin Time (85670) $39.20 $66 6.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $43.96 $74 6.8×
Thyroglobulin (84432) $109.30 $184 6.8×
Thyroglobulin Antibody (86800) $108.11 $182 6.8×
Thyroid Stimulating Immunoglobulin (84445) $345.71 $582 6.8×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $457.38 $770 6.8×
Thyroxine binding globulin (84442) $100.39 $169 6.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $78.41 $132 6.8×
Tissue Culture Lymphocyte (88230) $792.40 $1,334 6.8×
Tobramycin peak (80200) $109.89 $185 6.8×
Topiramate (80201) $80.78 $136 6.8×
Toxoplasma ab igm (86778) $98.01 $165 6.8×
Toxoplasma antibody (86777) $98.01 $165 6.8×
Transferase Aspartate Amino Ast Sgot (84450) $35.05 $59 6.8×
Transferrin (84466) $86.72 $146 6.8×
Trg gene rearrangement anal (81342) $1,370.36 $2,307 6.8×
Trichomonas Vaginalis Amplif (87661) $238.79 $402 6.8×
Triglycerides (84478) $39.20 $66 6.8×
Troponin Quant (84484) $84.94 $143 6.8×
Tumor Immunohistochem/Manual (88360) $225.72 $380 1.4×
Unlisted Cytogenetic Study (88299) $65.93 $111 1.3×
Urea nitrogen urine (84540) $38.02 $64 6.8×
Uric acid other source (84560) $34.45 $58 6.8×
Urinalysis Microscopic Only (81015) $20.79 $35 6.8×
Urine Bacteria Culture (87088) $55.24 $93 6.8×
Urine Pregnancy Test (81025) $58.81 $99 6.8×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $21.38 $36 6.7×
Valproic acid (80164) $92.07 $155 6.8×
Vancomycin (80202) $92.07 $155 6.8×
Varicella-zoster antibody (86787) $87.32 $147 6.8×
Vasopressin (84588) $231.07 $389 6.8×
Virus antibody nos (86790) $87.32 $147 6.8×
Viscosity serum (85810) $79.60 $134 6.8×
Vit D 1 25-Dihydroxy (82652) $261.95 $441 6.8×
Vitamin A (84590) $79 $133 6.8×
Vitamin b-12 (82607) $102.76 $173 6.8×
Vitamin B2 (Riboflavin) (84252) $137.81 $232 6.8×
Vitamin B6 (84207) $191.27 $322 6.8×
Vitamin c (82180) $67.12 $113 6.8×
Vitamin D 25-Hydroxy (82306) $201.37 $339 6.8×
Vitamin E (84446) $96.23 $162 6.8×
Vitamin K (84597) $93.26 $157 6.8×
Voltage-Gated Calcium Channel Antibody Each (86596) $81.97 $138 6.8×
Von willebrand factor ag (85246) $156.22 $263 6.8×
West nile virus ab igm (86788) $114.64 $193 6.8×
West Nile Virus Antibody (86789) $98.01 $165 6.8×
Zinc (84630) $77.22 $130 6.8×

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.