Lab & pathology prices at Gundersen St. Josephs Hospital and Clinics

Hillsboro, WI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $101.52 $193 5.5×
Acetylcholine receptor blocking antibody (86042) $101.52 $193 5.5×
Acetylcholn Rcptr Modlg Antb (86043) $66.80 $127 5.5×
Acth (82024) $213.56 $406 5.5×
Acute hepatitis panel (80074) $263 $500 5.5×
Acylcarnitines Quant (82017) $93.10 $177 5.5×
Agglutinins Febrile Each Antigen (86000) $38.40 $73 5.5×
Albumin Fluid (82042) $43.13 $82 5.5×
Albumin serum (82040) $27.35 $52 5.5×
Aldolase (82085) $53.65 $102 5.5×
Aldosterone urine (82088) $225.13 $428 5.5×
Alkaline phosphatase isoenzymes (84080) $81.53 $155 5.5×
Allergen specific ige (86003) $28.93 $55 5.5×
Allg Spec Ige Recomb Ea (86008) $98.89 $188 5.5×
Alpha-1-antitrypsin phenotype (82104) $79.95 $152 5.5×
Alpha-1-antitrypsin total (82103) $74.17 $141 5.5×
Alpha-Fetoprotein Serum (82105) $92.58 $176 5.5×
Alt (sgpt) (84460) $29.46 $56 5.6×
Aluminum (82108) $140.97 $268 5.5×
Ammonia (82140) $80.48 $153 5.5×
Amylase urine (82150) $35.77 $68 5.5×
Ana Titer (86039) $61.54 $117 5.5×
Anca screen each antibody (86036) $66.80 $127 5.5×
Androstenedione (82157) $161.48 $307 5.5×
Angiotensin converting enzyme csf (82164) $80.48 $153 5.5×
Antibody aspergillus (86606) $83.11 $158 5.5×
Antibody Bacterium Not Elsewhere Specified (86609) $71.01 $135 5.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $85.74 $163 5.5×
Antibody Cytomegalovirus Cmv Igm (86645) $93.10 $177 5.5×
Antibody Encephalitis California La Crosse (86651) $72.59 $138 5.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $72.59 $138 5.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $84.69 $161 5.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $99.94 $190 5.5×
Antibody Fungus Not Elsewhere Specified (86671) $67.85 $129 5.5×
Antibody helicobacter pylori (86677) $93.10 $177 5.5×
Antibody Herpes Smplx Non-Specific Type Test (86694) $79.43 $151 5.5×
Antibody Herpes Smplx Type 1 (86695) $72.59 $138 5.5×
Antibody HIV-1&HIV-2 single result (86703) $75.74 $144 5.5×
Antibody HIV-2 (86702) $74.69 $142 5.5×
Antibody identification leukocyte antibodies (86021) $83.11 $158 5.5×
Antibody john cunningham virus (86711) $93.10 $177 5.5×
Antibody Protozoa Nes (86753) $68.38 $130 5.5×
Antibody Titer (86886) $28.40 $54 5.5×
Antibody Treponema Pallidum (86780) $73.11 $139 5.5×
Antibody; encephalitis, st. louis (86653) $72.59 $138 5.5×
Antigen typing (86905) $21.04 $40 5.5×
Antinuclear antibodies (86038) $66.80 $127 5.5×
Antistreptolysin O Screen (86063) $32.09 $61 5.6×
Antistreptolysin o titer (86060) $40.50 $77 5.5×
Antithrombin iii activity (85300) $65.22 $124 5.5×
Apolipoprotein a1 (82172) $116.25 $221 5.5×
Aquaporin-4 Antb Cba Each (86052) $66.80 $127 5.5×
Arsenic (82175) $104.67 $199 5.5×
Aspergillus ag eia (87305) $66.28 $126 5.5×
Assay Blood Carbon Dioxide (82374) $26.83 $51 5.5×
Assay Nephelometry Not Spec (83883) $75.22 $143 5.5×
Assay of 5-hiaa (83497) $71.01 $135 5.5×
Assay of anti-mullerian hormone (82166) $213.56 $406 5.5×
Assay of blood/uric acid (84550) $20.51 $39 4.5×
Assay of calcium in urine (82340) $33.14 $63 5.5×
Assay of g6pd enzyme (82955) $53.65 $102 5.5×
Assay of gammaglobulin igm (82784) $51.55 $98 5.5×
Assay of lactic acid (83605) $63.65 $121 5.5×
Assay of metanephrines (83835) $93.63 $178 5.5×
Assay of proinsulin (84206) $147.28 $280 5.5×
Assay of pyruvate (84210) $79.95 $152 5.5×
Assay of serotonin (84260) $170.95 $325 5.5×
Assay of serum potassium (84132) $26.30 $50 5.5×
Assay of sweat sodium (84302) $26.83 $51 5.5×
Assay of urea nitrogen (84520) $21.57 $41 5.5×
Assay of urine vma (84585) $85.74 $163 5.5×
Assay of vitamin b-1 (84425) $117.30 $223 5.5×
Assay Ph Body Fluid Nos (83986) $19.99 $38 5.6×
Assay spec xcp ur&breath ia (82077) $110.46 $210 6.4×
Automated Leukocyte Count (85048) $14.20 $27 5.6×
B cells total count (86355) $208.30 $396 5.5×
Babesia microti amp prb (87469) $193.57 $368 5.5×
Bartonella antibody (86611) $56.28 $107 5.5×
Bcr/abl1 gene major bp (81206) $905.77 $1,722 5.5×
Bcr/abl1 gene minor bp (81207) $800.05 $1,521 5.5×
Bcr/Abl1 Gene Other Bp (81208) $1,185.60 $2,254 5.5×
Beta 2 glycoprotein i antibody each (86146) $140.44 $267 5.5×
Beta hydroxybutyrate (82010) $45.24 $86 5.5×
Beta Lactamase (87185) $26.30 $50 5.5×
Beta-2 Microglobulin (82232) $89.42 $170 5.5×
Bile acids total (82239) $94.68 $180 5.5×
Bilirubin direct (82248) $27.88 $53 5.6×
Bilirubin total (82247) $27.88 $53 5.6×
Bl Smear W/O Diff Wbc Count (85008) $18.94 $36 5.5×
Blastomyces antibody (86612) $71.01 $135 5.5×
Bld Typing Serologic Rh Phnt (86906) $42.61 $81 5.5×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $27.88 $53 5.5×
Blood count reticulocyte automated (85045) $22.09 $42 5.5×
Blood gas (82803) $144.12 $274 5.5×
Blood gases w/02 saturation (82805) $435 $827 5.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $87.84 $167 5.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $24.20 $46 5.5×
Blood Type Antigen Donor Reagent Serum Each (86902) $35.24 $67 5.5×
Blood typing serologic abo (86900) $16.31 $31 5.5×
Braf gene analysis (81210) $968.89 $1,842 5.5×
Breath Alcohol Test (82075) $16.83 $32 0.6×
Brucella antibody (86622) $49.44 $94 5.5×
C diff amplified probe (87493) $205.67 $391 5.5×
C-Peptide (84681) $115.19 $219 5.5×
C-reactive protein (86140)
range across 2 matching MRF lines
$28.40–$31.56 $54–$60 varies
Ca 19-9 (86301) $115.19 $219 5.5×
Cadmium (82300) $130.45 $248 5.5×
Calcitonin (82308) $147.81 $281 5.5×
Calcium ionized (82330) $75.74 $144 5.5×
Calcium total (82310) $28.40 $54 5.5×
Calculus Spectroscopy (82365) $71.01 $135 5.5×
Calprotectin Fecal (83993) $108.36 $206 5.5×
Cancer Antigen 125 (86304) $115.19 $219 5.5×
Cancer Antigen 27.29 (86300) $115.19 $219 5.5×
Carbamazepine free (80157) $73.11 $139 5.5×
Carbamazepine total (80156) $80.48 $153 5.5×
Carboxyhemoglobin (82375) $67.85 $129 5.5×
Carcinoembryonic antigen (82378) $104.67 $199 5.5×
Cardiolipin ab iga (86147) $140.44 $267 5.5×
Carnitine Quantitative Each Specimen (82379) $93.10 $177 5.5×
Catecholamines fractionated (82384) $139.39 $265 5.5×
Ccp antibody (86200) $71.54 $136 5.5×
Cell count csf (89051) $31.03 $59 5.5×
Ceruloplasmin (82390) $59.44 $113 5.5×
Cftr gene com variants (81220) $3,073.94 $5,844 5.5×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$77.85–$85.21 $148–$162 varies
Chlmy trch&neisra gonor mult (87494) $387.66 $737 5.5×
Chloride Serum (82435) $25.25 $48 5.5×
Chloride urine (82436) $31.56 $60 5.5×
Cholesterol total (82465) $24.20 $46 5.6×
Chorionic gonadotropin test (84702) $83.11 $158 5.5×
Chromium serum (82495) $112.04 $213 5.5×
Chromogenic Substrate Assay (85130) $65.75 $125 5.5×
Chromogranin a (86316) $115.19 $219 5.5×
Chromosome Analysis 20-25 (88264) $798.47 $1,518 5.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $193.57 $368 5.5×
Citric acid urine (82507) $153.59 $292 5.5×
Clostridium Difficile (87324) $66.28 $126 5.5×
Clot Factor VIII Multimetric (85247) $126.77 $241 5.5×
Clot factor xiii fibrin stab (85290) $90.47 $172 5.5×
Clotting Funct Activity (85397) $170.42 $324 5.5×
Cns DNA amp probe type 12-25 (87483) $2,301.78 $4,376 5.5×
Coccidioides antibody (86635) $63.12 $120 5.5×
Cold agglutinin titer (86157) $44.71 $85 5.5×
Collagen crosslinks (82523) $103.10 $196 5.5×
Column Chromotography Quant (82542) $133.08 $253 5.5×
Compatibility test antiglob (86922) $142.55 $271 0.9×
Complement Antigen Each Component (86160) $66.28 $126 5.5×
Complement Total (Ch50) (86162) $112.04 $213 5.5×
Complement/Function Activity (86161) $66.28 $126 5.5×
Consltj Compre Review Reprt Referred Matrl (88325) $509.17 $968 3.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $191.99 $365 3.8×
Coombs direct (86880) $29.98 $57 5.6×
Copper urine (82525) $68.38 $130 5.5×
Cortisol free (82530) $92.05 $175 5.5×
Cortisol saliva (82533) $89.95 $171 5.5×
Creatine kinase total (82550) $21.04 $40 3.2×
Creatinine blood (82565) $28.40 $54 5.5×
Creatinine clearance (82575) $52.07 $99 5.5×
Creatinine Urine (82570) $28.40 $54 5.5×
Crossmatch immediate spin (86920) $172 $327 1.0×
Crp High Sensitivity (86141) $71.54 $136 5.5×
Cryoglobulin (82595) $35.77 $68 5.5×
Cryptococcal Antigen (87327) $74.17 $141 5.5×
Cryptosporidium ag eia (87328) $76.27 $145 5.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $44.71 $85 5.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $44.71 $85 5.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $42.61 $81 5.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $1,319.21 $2,508 6.0×
Culture afb (87116) $59.44 $113 5.5×
Culture Anaerobic (87075) $52.07 $99 5.5×
Culture blood (87040) $56.81 $108 5.5×
Culture chlamydia (87110) $108.36 $206 5.5×
Culture csf (87070) $33.66 $64 3.9×
Culture fungus (87102) $46.29 $88 5.5×
Culture fungus blood (87103) $113.09 $215 5.5×
Culture screen only (87081) $36.82 $70 5.6×
Culture stool (87045) $52.07 $99 5.5×
Culture typing if ea antiserum (87140) $30.51 $58 5.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $28.40 $54 5.5×
Culture urine (87086) $44.71 $85 5.5×
Cyclosporine (80158) $99.94 $190 5.5×
Cyp2d6 gene com variants (81226) $2,490.61 $4,735 5.5×
Cystatin C (82610) $102.04 $194 5.5×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,893.60 $3,600 1.6×
Cytomegalovirus igg (86644) $79.43 $151 5.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $112.04 $213 5.5×
Cytopath Cell Enhance Tech (88112) $425.01 $808 8.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $146.75 $279 5.5×
Cytp Concentration Smears & Interpretation (88108) $238.28 $453 6.6×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $432.90 $823 8.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $142.55 $271 0.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $135.71 $258 4.8×
Deoxyribonuclease antibody (86215) $73.11 $139 5.5×
Detect Agent Nos Dna Amp (87798) $193.57 $368 5.5×
Detect Agent Nos Dna Quant (87799) $236.70 $450 5.5×
Detect agnt mult DNA ampli (87801) $387.66 $737 5.5×
Dgp Antibody Each Ig Class (86258) $66.80 $127 5.5×
Dhea (82626) $139.39 $265 5.5×
Dhea-S (82627) $122.56 $233 5.5×
Digoxin (80162) $73.11 $139 5.5×
Dipropylacetic Acid Free (80165) $74.69 $142 5.5×
Dna Antibody Native/Double Stranded (86225) $75.74 $144 5.5×
Dna/Rna Amplified Probe (87150) $193.57 $368 5.5×
Drug assay acetaminophen (80143) $103.10 $196 5.5×
Drug assay adalimumab (80145) $213.03 $405 5.5×
Drug Assay Amiodarone (80151) $103.10 $196 5.5×
Drug Assay Infliximab (80230) $36.82 $70 1.0×
Drug Assay Itraconazole (80189) $149.91 $285 5.5×
Drug Assay Lacosamide (80235) $149.91 $285 5.5×
Drug Assay Posaconazole (80187) $149.91 $285 5.5×
Drug Assay Vedolizumab (80280) $213.03 $405 5.5×
Drug assay voriconazole (80285) $149.91 $285 5.5×
Drug Screen Quant Clozapine (80159) $111.51 $212 5.5×
Drug Screen Quant Zonisamide (80203) $73.11 $139 5.5×
Drug Screen Quantitative Lamotrigine (80175) $73.11 $139 5.5×
Drug Screen Quantitative Levetiracetam (80177) $73.11 $139 5.5×
Drug Screen Quantitative Oxcarbazepine (80183) $73.11 $139 5.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$19.46–$342.95 $37–$652 varies
Drug Test Prsmv Instrmnt (80306) $94.68 $180 5.5×
Ehrlichia antibody (86666) $56.28 $107 5.5×
El-1 Fecal Quantitative (82653) $126.77 $241 5.5×
Electrolyte panel (80051) $38.92 $74 5.6×
Encephaltis East Eqne Anbdy (86652) $72.59 $138 5.5×
Encephaltis West Eqne Antbdy (86654) $72.59 $138 5.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $66.80 $127 5.5×
Enterovirus PCR (87498) $193.57 $368 5.5×
Enzyme cell activity (82657) $122.56 $233 5.5×
Enzyme histochemistry (88319) $705.37 $1,341 0.9×
Erythropoietin (82668) $103.62 $197 5.5×
Estradiol serum (82670) $154.12 $293 5.5×
Estriol (82677) $133.60 $254 5.5×
Estrogen total (82672) $119.93 $228 5.5×
Ethosuximide (80168) $90.47 $172 5.5×
Exam Synovial Fluid Crystals (89060) $40.50 $77 5.5×
F2 Gene (81240) $362.94 $690 5.5×
Factor v activity (85220) $97.31 $185 5.5×
Factor v leiden mutation (81241) $405.02 $770 5.5×
Factor viii assay (85240) $98.89 $188 5.5×
Fat stain feces urine/respir secretions (89125) $32.61 $62 5.5×
Fat/Lipids Feces Quantitative (82710) $92.58 $176 5.5×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $36.29 $69 5.6×
Fecal Fat Qualitative (82705) $28.40 $54 5.6×
Ferritin (82728) $75.22 $143 5.5×
Fetal Aneuploidy Trisom Risk (81507) $4,391.05 $8,348 5.5×
Fetal screen rosette (85461) $51.55 $98 5.5×
Fibrin Degradation Quant (85379) $56.28 $107 5.5×
Fibrinogen activity (85384) $53.65 $102 5.5×
Flecainide level (80181) $103.10 $196 5.5×
Flow cytometry first marker (88184) $294.03 $559 0.8×
Fluorescent antibody screen (86255) $66.80 $127 5.5×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $66.80 $127 5.5×
Fmr1 gene detection (81243) $315.07 $599 5.5×
Folic acid rbc (82747) $97.31 $185 5.5×
Folic Acid Serum (82746) $81 $154 5.5×
Follicle Stimulating Hormone (83001) $102.57 $195 5.5×
Francisella tularensis (86668) $78.37 $149 5.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $142.55 $271 0.9×
Frozen Section (88331) $142.55 $271 0.9×
Fungi Identification Mold (87107) $56.81 $108 5.5×
Fungi Identification Yeast (87106) $56.81 $108 5.5×
Gammaglobulin ige (82785) $91 $173 5.5×
Gastrin (82941) $97.31 $185 5.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,301.78 $4,376 5.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $4,194.85 $7,975 5.5×
Gentamicin (80170) $90.47 $172 5.5×
Ggt (82977) $27.88 $53 3.9×
Giardia antigen (87329) $66.28 $126 5.5×
Glucose 2 hr pp (82950) $26.30 $50 5.5×
Glucose Blood Test (82962) $17.88 $34 5.5×
Glucose body fluid (82945) $21.57 $41 5.5×
Glucose Serum (82947)
range across 2 matching MRF lines
$21.57–$23.67 $41–$45 varies
Glucose tolerance test (gtt) (82951) $71.01 $135 5.5×
Glycated Protein (82985) $92.58 $176 5.5×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $84.69 $161 5.5×
Gonadotropin Chorionic Qualitative (84703) $41.55 $79 5.5×
Growth hormone (83003) $92.05 $175 5.5×
Gtt-added samples (82952) $21.57 $41 5.5×
Haloperidol (80173) $87.32 $166 5.5×
Haptoglobin (83010) $69.43 $132 5.5×
Hdl Cholesterol (83718) $45.24 $86 5.5×
Helicobacter Pylori Stool (87338) $79.43 $151 5.5×
Helminth Antibody (86682) $72.06 $137 5.5×
Hematocrit (85014) $13.15 $25 5.5×
Hemoglobin (85018) $13.15 $25 5.5×
Hemoglobin a1c (83036) $53.65 $102 5.5×
Hemoglobin Chromotography (83021) $99.94 $190 5.5×
Hemoglobin electrophoresis (83020) $71.01 $135 5.5×
Hemoglobin Methemoglobin Quantitative (83050) $45.24 $86 5.5×
Hep a ab igm (86709) $62.07 $118 5.5×
Heparin assay (85520) $72.06 $137 5.5×
Heparin Neutralization (85525) $65.22 $124 5.5×
Hepatitis a antibody total (86708) $68.38 $130 5.5×
Hepatitis b core ab igm (86705) $65.22 $124 5.5×
Hepatitis b core ab total (86704) $66.80 $127 5.5×
Hepatitis B Surface Antibody (86706) $59.44 $113 5.5×
Hepatitis B Surface Antigen (87340) $56.81 $108 5.5×
Hepatitis Be Antibody (86707) $63.65 $121 5.5×
Hepatitis Be Antigen (87350) $63.65 $121 5.5×
Hepatitis C Antibody (86803) $78.90 $150 5.5×
Hepatitis C Genotype (87902) $1,421.78 $2,703 5.5×
Hepatitis C Revrs Trnscrpj (87522) $236.70 $450 5.5×
Herpes simplex type 2 (86696) $106.78 $203 5.5×
Heterophile Antibody Screen (86308) $28.40 $54 5.5×
Hfe Gene (81256) $360.84 $686 5.5×
Histoplasma antibody (86698) $76.27 $145 5.5×
Histoplasma antigen urine (87385) $73.11 $139 5.5×
Hiv Genotype (87901) $1,421.78 $2,703 5.5×
Hiv-1 Antibody (86701) $48.92 $93 5.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $470.24 $894 5.5×
HIV-2 probe&revrse trnscripj (87538) $193.57 $368 5.5×
Hla class ii typing high resolution one locus ea (81382) $683.27 $1,299 5.5×
Hla I Typing 1 Allele Hr (81381) $938.38 $1,784 5.5×
Hla ii typing 1 allele hr (81383) $602.80 $1,146 5.5×
Hla ii typing 1 locus lr (81376) $674.86 $1,283 5.5×
Hla-b27 (86812) $142.55 $271 5.5×
Homocysteine (83090) $98.89 $188 5.5×
Homogenization Tissue (87176) $32.61 $62 5.5×
Homovanillic acid urine (83150) $123.61 $235 5.5×
Hpv High-Risk Types (87624) $193.57 $368 5.5×
Hpv sep hi-rsk typ&pool rslt (87626) $387.66 $737 5.5×
Hpv Types 16 & 18 Only (87625) $224.08 $426 5.5×
Hsv Dna Amp Probe (87529) $193.57 $368 5.5×
Hydroxyprogesterone 17-d (83498) $149.91 $285 5.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $76.80 $146 5.5×
Iaadi pneumocustis carinii (87281) $72.59 $138 6.1×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $193.57 $368 5.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $193.57 $368 5.5×
Iadna Candida Species Amplified Probe Tq (87481) $161.48 $307 4.6×
Iadna Cytomegalovirus Quantification (87497) $236.70 $450 5.5×
Iadna Hepatitis B Virus Quantification (87517) $236.70 $450 5.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $193.57 $368 5.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $193.57 $368 5.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $63.12 $120 1.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $787.95 $1,498 5.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,452.29 $2,761 5.5×
Igg subclasses (82787) $44.18 $84 5.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $294.03 $559 0.8×
Immunfix e-phorsis/urine/csf (86335) $162.01 $308 5.5×
Immunoassay analyte qual/semiqual single step (83518) $53.13 $101 5.5×
Immunoassay Analyte Quant Radioimmunoassay (83519) $101.52 $193 5.5×
Immunoassay infectious agent (86318) $99.94 $190 5.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $82.58 $157 5.5×
Immunoassay nonantibody (83516) $63.65 $121 5.5×
Immunodiffusion Ouchterlony (86331) $66.28 $126 5.5×
Immunofixation electrophoresis (86334) $123.61 $235 5.5×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$278.78–$294.03 $530–$559 varies
Immunohistochemistry (88342) $274.57 $522 1.7×
In situ hybridization 1st probe stain (88365) $214.08 $407 1.3×
Influenza DNA amp probe (87502) $157.80 $300 1.6×
Inhibin A (86336) $86.26 $164 5.5×
Inhibin b (83520)
range across 13 matching MRF lines
$95.21–$104.67 $181–$199 varies
Insulin antibodies (86337) $118.35 $225 5.5×
Insulin total (83525) $63.12 $120 5.5×
Intrinsic factor antibody (86340) $83.11 $158 5.5×
Iron (83540) $35.77 $68 5.5×
Iron Binding Capacity (83550) $48.39 $92 5.5×
Islet cell antibody (86341) $129.92 $247 5.5×
Jak2 gene analysis p.val617phe variant (81270) $506.01 $962 5.5×
Koh Prep (87220) $23.67 $45 5.5×
Lactate (ld) (ldh) enzyme (83615) $33.14 $63 5.5×
Lactoferrin fecal qualitative (83630) $108.88 $207 5.5×
LDL direct (83721) $57.86 $110 5.5×
Lead (83655) $66.80 $127 5.5×
Legionella antigen urine (87449) $66.28 $126 5.5×
Leptospira antibody (86720) $89.42 $170 5.5×
Level I Surg Pathology Gross Examination Only (88300) $64.17 $122 2.3×
Level ii surg pathology gross&microscopic exam (88302) $79.95 $152 2.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $368.73 $701 1.1×
Lidocaine (80176) $81 $154 5.5×
Lipase (83690) $37.87 $72 5.5×
Lipoprotein A (83695) $78.90 $150 5.5×
Lipoprotein Bld Quan Part (83704) $188.83 $359 5.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $187.26 $356 5.5×
Lithium (80178) $36.29 $69 5.5×
Luteinizing Hormone (Lh) (83002) $102.04 $194 5.5×
Lyme disease antibody (86618) $94.15 $179 5.5×
Lysozyme serum (85549) $103.62 $197 5.5×
M. Genitalium Amp Probe (87563) $193.57 $368 5.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $166.74 $317 1.0×
Macroscopic exam arthropod (87168) $23.67 $45 5.5×
Macroscopic Exam Parasite (87169) $23.67 $45 5.5×
Magnesium Urine (83735) $25.77 $49 3.8×
Mass Spectrometry Quant (83789) $133.08 $253 5.5×
Mercury urine (83825) $89.95 $171 5.5×
Methylmalonic acid serum (83921) $117.30 $223 5.5×
Microalbumin, quantitative (82043) $32.09 $61 5.6×
Microsomal Antibodies Each (86376) $80.48 $153 5.5×
Mitochondrial Antibody Each (86381) $140.44 $267 5.5×
Mlh1 Gene (81288) $1,061.99 $2,019 5.5×
Mog-Igg1 Antb Cba Each (86362) $66.80 $127 5.5×
Mononuclear cell antigen (86356) $147.81 $281 5.5×
Mrsa Pcr (87641) $193.57 $368 5.5×
Mthfr Gene Analysis Common Variants (81291) $360.84 $686 5.5×
Mumps antibody (86735) $72.06 $137 5.5×
Mycophenolic Acid (80180) $99.94 $190 5.5×
Mycoplasma antibody (86738) $61.02 $116 4.6×
Myoglobin urine (83874) $71.54 $136 5.5×
Natriuretic peptide (83880) $216.71 $412 5.5×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $234.60 $446 2.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $657.50 $1,250 5.1×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $656.45 $1,248 4.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $711.15 $1,352 5.5×
Niacin (84591) $94.15 $179 5.5×
Nk cells total count (86357) $208.30 $396 5.5×
Nuclear antigen antibody (86235) $98.89 $188 5.5×
Occult blood feces (82272) $23.14 $44 5.5×
Occult Blood Other Sources (82271) $29.46 $56 5.5×
Oligoclonal bands (83916) $151.49 $288 5.5×
Organic acids urine (83918) $130.45 $248 5.5×
Osmolality serum (83930) $36.29 $69 5.5×
Osmolality Urine (83935) $37.87 $72 5.6×
Osteocalcin (83937) $164.64 $313 5.5×
Ova and parasites smears (87177) $48.92 $93 5.5×
Oxalate urine (83945) $79.95 $152 5.5×
Pancreatic Elastase Fecal (82656) $63.65 $121 5.5×
Particle Agglutination Screen Each Antibody (86403) $63.65 $121 5.5×
Parvovirus antibody (86747) $83.11 $158 5.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $705.37 $1,341 0.9×
Ph urine (81003) $12.62 $24 5.6×
Phenobarbital Level (80184) $84.69 $161 5.5×
Phenotype Infect Agent Drug (87900) $720.09 $1,369 5.5×
Phenytoin (Dilantin) (80185) $73.11 $139 5.5×
Phenytoin free (80186) $75.74 $144 5.5×
Phosphatase alkaline (84075) $28.40 $54 5.5×
Phospholipid Neutralization Hexagonal (85598) $99.41 $189 5.5×
Phosphorus Serum (84100) $26.30 $50 5.5×
Phosphorus urine (84105) $32.09 $61 5.6×
Pinworm exam (87172) $23.67 $45 5.5×
Platelet count automated (85049) $24.72 $47 5.5×
Platelet neutralization (85597) $99.41 $189 5.5×
Porphyrins Urine Quantitation & Fractionation (84120) $81 $154 5.5×
Potassium Urine (84133) $26.30 $50 5.6×
Prealbumin (84134) $80.48 $153 5.5×
Pregnancy-Associated Plasma Protein-A (84163) $83.11 $158 5.5×
Pregnenolone (84140) $114.14 $217 5.5×
Primidone (80188) $91.52 $174 5.5×
Procalcitonin (Pct) (84145) $150.44 $286 5.5×
Progesterone (84144) $115.19 $219 5.5×
Prolactin (84146) $106.78 $203 5.5×
Protein body fluid (84157) $22.09 $42 5.5×
Protein C Activity (85303) $76.27 $145 5.5×
Protein c antigen (85302) $66.28 $126 5.5×
Protein Electrophoresis Urine (84166) $98.36 $187 5.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $59.44 $113 5.5×
Protein S Free (85306) $84.69 $161 5.5×
Protein s total (85305) $64.17 $122 5.5×
Protein total serum (84155) $20.51 $39 5.6×
Protein Total Urine (84156) $20.51 $39 5.6×
Protein Western Blot Test (84182) $161.48 $307 5.5×
Protoporphyrin rbc quantitative (84202) $79.43 $151 5.5×
PSA free (84154) $101.52 $193 5.5×
Pth Intact (83970) $227.76 $433 5.5×
Pyruvate kinase (84220) $52.07 $99 5.5×
Q Fever Antibody (86638) $66.80 $127 5.5×
Quantiferon tb gold plus (86480) $342.43 $651 5.5×
Quantitative assay drug (80299) $103.10 $196 5.5×
Quantitative Screen Metals (83018) $121.51 $231 5.5×
Rbc antibody elution (86860) $187.26 $356 1.1×
Rbc antibody identification (86870) $294.03 $559 0.8×
Rbc antibody screen (86850) $54.18 $103 5.5×
Rbc pretreatment serum (86978) $288.25 $548 5.0×
Renin activity plasma (84244) $121.51 $231 5.5×
Resp Virus 6-11 Targets (87632) $1,204.54 $2,290 5.5×
Reticulated Platelet Assay (85055) $197.25 $375 5.5×
Reticulocyte Count (85046) $30.51 $58 5.5×
Rh (86901) $16.31 $31 5.5×
Rheumatoid factor quant (86431) $31.56 $60 5.6×
Rickettsia antibody (86757) $106.78 $203 5.5×
Ristocetin cofactor (85245) $126.77 $241 5.5×
Rotavirus ag eia (87425) $66.28 $126 5.5×
Rpr qualitative (86592) $23.67 $45 5.5×
Rubella Antibody (86762) $79.43 $151 5.5×
Rubeola antibody (86765) $71.01 $135 5.5×
Russell Viper Venom Time Diluted (85613) $53.13 $101 5.5×
Salicylate Level (80179) $103.10 $196 5.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $164.64 $313 3.2×
Sars-cov-2 COVID-19 antibody (86769) $135.18 $257 3.2×
Sars-Cov-2 Covid19 W/Optic (87811) $136.23 $259 3.3×
Sarscov2&inf a&b&rsv amp prb (87637) $457.62 $870 3.2×
Sedimentation rate (85651) $23.67 $45 5.5×
Sedimentation Rate, Automated (85652) $14.73 $28 5.5×
Selenium (84255) $140.97 $268 5.5×
Semen Anal Sperm Detection (89321) $66.80 $127 5.5×
Sensitivity mic (87186) $47.87 $91 5.5×
Sex Hormone Binding Globulin (84270) $119.93 $228 5.5×
Sickling of rbc reduction (85660) $30.51 $58 5.5×
Sirolimus (80195) $75.74 $144 5.5×
Skin test tuberculosis intradermal (86580) $33.14 $63 1.2×
Smear acid fast (87206) $29.98 $57 5.6×
Smear complex stain (87209) $99.41 $189 5.5×
Smear gram stain (87205) $23.67 $45 5.5×
Smear Special Stain (87207) $33.14 $63 5.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $32.09 $61 5.5×
Sodium Serum (84295) $26.83 $51 5.6×
Sodium Urine (84300) $27.88 $53 5.5×
Soluble Transferrin Receptor (84238) $201.98 $384 5.5×
Somatomedin (84305) $117.30 $223 5.5×
Special Stains Group 1 (88312) $262.47 $499 5.2×
Special Stains Group 2 (88313) $118.35 $225 0.9×
Specimen infect agnt concntj (87015) $36.82 $70 5.5×
Spectrophotometry (84311) $44.71 $85 5.5×
Stool cultr aerobic bact ea (87046) $52.07 $99 5.5×
Strep a assay w/optic (87880) $91.52 $174 5.5×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $92.58 $176 1.0×
Sulfate urine (84392) $30.51 $58 5.6×
Surg path level iii (88304) $45.76 $87 0.9×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$106.78–$377.67 $203–$718 varies
Surgical pathology level vi (88309) $881.05 $1,675 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $26.30 $50 5.5×
Susceptibility Study Antimicrobial Disk Method (87184) $41.55 $79 5.6×
Syphilis Test Non-Trep Quant (86593) $24.20 $46 5.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $259.32 $493 5.5×
T cells total count (86359) $208.30 $396 5.5×
T3 Free (84481) $93.63 $178 5.5×
T3 reverse (84482) $86.79 $165 5.5×
T3 Total (84480) $78.37 $149 5.5×
T4 Free (84439) $49.97 $95 5.5×
T4 total (84436) $37.87 $72 5.5×
Tacrolimus (80197) $75.74 $144 5.5×
Tb ag response t-cell susp (86481) $552.30 $1,050 5.5×
Test for acetone/ketones (82009) $24.72 $47 5.5×
Testosterone Bioavailable (84410) $282.99 $538 5.5×
Testosterone total (84403) $142.55 $271 5.5×
Testosterone, Free (84402) $140.44 $267 5.5×
Theophylline (80198) $77.85 $148 5.5×
Thiopurine methyltransferase (84433) $122.56 $233 5.5×
Thrombin Time (85670) $32.09 $61 5.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $35.77 $68 5.5×
Thyroglobulin (84432) $88.89 $169 5.5×
Thyroglobulin Antibody (86800) $87.84 $167 5.5×
Thyroid Stimulating Immunoglobulin (84445) $280.88 $534 5.5×
Thyroxine binding globulin (84442) $81.53 $155 5.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $63.65 $121 5.5×
Tissue Culture Lymphocyte (88230) $643.30 $1,223 5.5×
Topiramate (80201) $65.75 $125 5.5×
Toxoplasma ab igm (86778) $79.43 $151 5.5×
Toxoplasma antibody (86777) $79.43 $151 5.5×
Tp53 gene analysis targeted sequence analysis (81352) $1,819.96 $3,460 5.5×
Transferase Aspartate Amino Ast Sgot (84450) $28.40 $54 5.5×
Transferrin (84466) $70.48 $134 5.5×
Trb@ Rearrangement Anal Amplification Method (81340) $1,154.04 $2,194 5.5×
Trg gene rearrangement anal (81342) $1,113.02 $2,116 5.5×
Trichomonas Vaginalis Amplif (87661) $193.57 $368 5.5×
Triglycerides (84478) $31.56 $60 5.5×
Troponin Quant (84484) $47.87 $91 3.8×
Tumor Immunohistochem/Manual (88360) $191.99 $365 1.2×
Urea nitrogen urine (84540) $30.51 $58 5.5×
Uric acid other source (84560) $27.88 $53 5.5×
Urinalysis Microscopic Only (81015) $16.83 $32 5.5×
Urine Pregnancy Test (81025) $47.34 $90 5.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $17.36 $33 5.5×
Valproic acid (80164) $74.69 $142 5.5×
Vancomycin (80202) $74.69 $142 5.5×
Varicella-zoster antibody (86787) $71.01 $135 5.5×
Vasopressin (84588) $187.26 $356 5.5×
Very Long Chain Fatty Acids (82726) $108.88 $207 5.5×
Viral Culture (87252) $144.12 $274 5.5×
Virus antibody nos (86790) $71.01 $135 5.5×
Vit D 1 25-Dihydroxy (82652) $212.50 $404 5.5×
Vitamin A (84590) $64.17 $122 5.5×
Vitamin b-12 (82607) $83.11 $158 5.5×
Vitamin B2 (Riboflavin) (84252) $112.04 $213 5.5×
Vitamin B6 (84207) $155.17 $295 5.5×
Vitamin c (82180) $54.70 $104 5.5×
Vitamin D 25-Hydroxy (82306) $163.59 $311 5.5×
Vitamin E (84446) $78.37 $149 5.5×
Vitamin K (84597) $75.74 $144 5.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $66.80 $127 5.5×
Von willebrand factor ag (85246) $126.77 $241 5.5×
West nile virus ab igm (86788) $93.10 $177 5.5×
West Nile Virus Antibody (86789) $79.43 $151 5.5×
Zinc (84630) $63.12 $120 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.