Lab & pathology prices at Hannibal Regional Hospital

Hannibal, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $243 $405 6.3×
Acute hepatitis panel (80074) $369 $615 7.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $186 $310 2.9×
Agglutinins Febrile Each Antigen (86000) $70.20 $117 10.1×
Albumin Fluid (82042) $37.20 $62 4.8×
Albumin serum (82040) $43.80 $73 8.8×
Aldolase (82085) $129 $215 13.3×
Aldosterone urine (82088) $346.80 $578 8.5×
Alkaline phosphatase isoenzymes (84080) $76.80 $128 5.2×
Allergen specific ige (86003) $33 $55 6.3×
Alpha-1-antitrypsin phenotype (82104) $84.60 $141 5.9×
Alpha-1-antitrypsin total (82103) $123 $205 9.2×
Alpha-Fetoprotein Amniotic Fluid (82106) $163.20 $272 9.6×
Alpha-Fetoprotein Serum (82105) $126.60 $211 7.5×
Alt (sgpt) (84460) $110.40 $184 20.8×
Amino Acids Multiple Qualitative Each Specimen (82128) $130.80 $218 9.4×
Aminolevulinic acid (ala) (82135) $235.80 $393 14.3×
Ammonia (82140) $58.20 $97 4.0×
Amniotic fluid protein test on cervicovaginal fluid (84112) $210.60 $351 2.1×
Amniotic fluid scan (82143) $74.40 $124 8.0×
Amylase urine (82150) $76.80 $128 11.9×
Ana Titer (86039) $136.20 $227 12.2×
Anca screen each antibody (86036) $55.20 $92 4.6×
Angiotensin converting enzyme csf (82164) $92.40 $154 6.3×
Antibody Encephalitis California La Crosse (86651) $61.80 $103 4.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $128.40 $214 8.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $123.60 $206 6.8×
Antibody Fungus Not Elsewhere Specified (86671) $91.20 $152 7.4×
Antibody helicobacter pylori (86677) $153 $255 9.1×
Antibody Herpes Smplx Type 1 (86695) $106.80 $178 8.1×
Antibody HIV-2 (86702) $98.40 $164 7.3×
Antibody Protozoa Nes (86753) $70.20 $117 5.7×
Antibody Titer (86886)
range across 3 matching MRF lines
$198–$214.20 $330–$357 varies
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$22.20–$24 $37–$40 varies
Antibody; encephalitis, st. louis (86653) $58.80 $98 4.5×
Antigen typing (86905) $316.80 $528 82.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines
$198–$214.20 $330–$357 varies
Antinuclear antibodies (86038) $258 $430 21.3×
Antistreptolysin o titer (86060) $75.60 $126 10.4×
Antithrombin iii activity (85300) $108 $180 9.1×
Arsenic (82175)
range across 2 matching MRF lines
$60–$64.80 $100–$108 varies
Aspergillus ag eia (87305) $132.60 $221 11.1×
Assay of 5-hiaa (83497) $88.80 $148 6.9×
Assay of anti-mullerian hormone (82166) $159 $265 4.1×
Assay of blood/uric acid (84550) $94.80 $158 21.0×
Assay of calcium in urine (82340) $91.20 $152 15.1×
Assay of cpk in blood (82552) $50.40 $84 3.8×
Assay of estrone (82679) $112.80 $188 4.5×
Assay of g6pd enzyme (82955) $58.20 $97 6.0×
Assay of gammaglobulin igm (82784) $66 $110 7.1×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$87–$94.20 $145–$157 varies
Assay of phosphatase acid total (84060) $64.80 $108 8.5×
Assay of serum potassium (84132) $44.40 $74 9.3×
Assay of urine vma (84585) $98.40 $164 6.3×
Assay of vitamin b-1 (84425) $156 $260 7.3×
Assay spec xcp ur&breath ia (82077) $36.60 $61 2.1×
Autol Bld/Component Collj Storage Predeposited (86890) $340.20 $567 2.0×
Automated Leukocyte Count (85048) $34.80 $58 13.7×
B cells total count (86355) $145.20 $242 3.8×
Babesia microti amp prb (87469) $126 $210 3.6×
Bacterial antigens 87802 (87802) $83.40 $139 6.6×
Bcr/abl1 gene major bp (81206) $403.80 $673 2.5×
Bcr/Abl1 Gene Other Bp (81208) $516.60 $861 2.4×
Beta 2 glycoprotein i antibody each (86146) $137.40 $229 5.4×
Beta Lactamase (87185) $75.60 $126 15.9×
Beta-2 Microglobulin (82232) $240.60 $401 14.9×
Bile acids total (82239) $62.40 $104 3.6×
Bilirubin direct (82248) $72 $120 14.3×
Bilirubin total (82247) $81 $135 16.1×
Bilirubin total transcutaneous (88720) $43.20 $72 8.6×
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines
$81–$87.60 $135–$146 varies
Bleeding time test (85002) $69 $115 14.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $53.40 $89 10.5×
Blood Count Red Blood Cell Automated (85041) $19.80 $33 6.6×
Blood count reticulocyte automated (85045) $57.60 $96 14.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $42.60 $71 11.2×
Blood gas (82803)
range across 4 matching MRF lines
$84–$234.60 $140–$391 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $40.20 $67 9.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $318 $530 50.1×
Blood typing serologic abo (86900) $150 $250 50.2×
Borrelia miyamotoi amp prb (87478) $124.80 $208 3.6×
Braf gene analysis (81210) $373.80 $623 2.1×
Breath Alcohol Test (82075) $15 $25 0.5×
C diff amplified probe (87493) $139.20 $232 3.7×
C-Peptide (84681) $168 $280 8.1×
Ca 19-9 (86301) $153.60 $256 7.4×
Cadmium (82300) $128.40 $214 5.4×
Calcitonin (82308) $110.40 $184 4.1×
Calcium ionized (82330) $184.80 $308 13.5×
Calcium total (82310) $93.60 $156 18.1×
Calculus Spectroscopy (82365) $256.80 $428 19.9×
Calprotectin Fecal (83993) $508.80 $848 25.9×
Cancer Antigen 125 (86304) $163.80 $273 7.9×
Cancer Antigen 27.29 (86300) $220.20 $367 10.6×
Carbamazepine total (80156) $52.80 $88 3.6×
Carboxyhemoglobin (82375) $94.80 $158 7.7×
Carcinoembryonic antigen (82378) $209.40 $349 11.0×
Catecholamines fractionated (82384) $151.20 $252 6.0×
Ccp antibody (86200) $139.20 $232 10.7×
Cell count csf (89051) $85.80 $143 15.3×
Ceruloplasmin (82390) $85.80 $143 8.0×
Cftr gene com variants (81220) $1,113 $1,855 2.0×
Chemiluminescent assay (82397) $103.80 $173 7.4×
Chloride Serum (82435) $40.20 $67 8.7×
Chloride urine (82436) $63.60 $106 11.1×
Chlorinated Hydrocarbons Screen (82441) $113.40 $189 18.9×
Cholesterol total (82465) $69 $115 15.9×
Cholinesterase rbc (82482) $64.80 $108 6.6×
Cholinesterase Serum (82480) $64.80 $108 8.2×
Chorionic gonadotropin test (84702) $131.40 $219 8.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $142.20 $237 4.2×
Chromium serum (82495) $78 $130 3.8×
Chromogranin a (86316) $116.40 $194 5.6×
Chromosome Analysis 20-25 (88264) $443.40 $739 3.1×
Citric acid urine (82507) $145.20 $242 5.2×
Ckmb (82553) $126.60 $211 11.0×
Clostridium Difficile (87324) $120.60 $201 10.1×
Clotting factor xii hageman (85280) $178.20 $297 9.2×
Clotting Funct Activity (85397) $163.80 $273 5.3×
Coagulation time activated (85347) $64.20 $107 15.0×
Cold agglutinin screen (86156) $70.20 $117 8.7×
Cold agglutinin titer (86157) $69 $115 8.6×
Compatibility test antiglob (86922) $151.20 $252 0.9×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$112.80–$120 $188–$200 varies
Complement Total (Ch50) (86162) $147 $245 7.2×
Consltj Compre Review Reprt Referred Matrl (88325) $328.80 $548 1.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $103.80 $173 2.0×
Consltj&Reprt Slides Prepared Elsewhere (88321) $221.40 $369 5.9×
Coombs direct (86880) $90 $150 16.7×
Copper urine (82525) $106.20 $177 8.6×
Cortisol free (82530) $409.20 $682 24.5×
Cortisol saliva (82533) $139.80 $233 8.6×
Creatine kinase total (82550) $69.60 $116 10.7×
Creatinine blood (82565) $96 $160 18.8×
Creatinine clearance (82575) $159 $265 16.8×
Creatinine Urine (82570) $53.40 $89 10.3×
Crossmatch immediate spin (86920) $151.20 $252 0.9×
Crp High Sensitivity (86141) $111 $185 8.6×
Cryofibrinogen (82585) $42.60 $71 3.0×
Cryoglobulin (82595) $45.60 $76 7.0×
Cryptococcal Antigen (87327) $70.20 $117 5.2×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$72–$105 $120–$175 varies
Cryptosporidium ag eia (87328) $99.60 $166 7.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $106.20 $177 13.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $45 $75 5.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $71.40 $119 9.3×
Culture aerobic quant other (87071) $42.60 $71 4.3×
Culture afb (87116) $92.40 $154 8.6×
Culture Anaerobic (87075) $140.40 $234 14.8×
Culture bacteria anaerobic (87073)
range across 2 matching MRF lines
$133.20–$140.40 $222–$234 varies
Culture blood (87040) $109.80 $183 10.6×
Culture csf (87070)
range across 7 matching MRF lines
$95.40–$197.40 $159–$329 varies
Culture fungus (87102) $142.20 $237 16.9×
Culture screen only (87081) $66.60 $111 10.0×
Culture stool (87045) $160.80 $268 17.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $42 $70 8.1×
Culture typing other methods (87158) $90.60 $151 11.7×
Culture urine (87086) $106.20 $177 13.2×
Cyclosporine (80158) $123.60 $206 6.8×
Cytomegalovirus igg (86644) $106.20 $177 7.4×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $47.40 $79 1.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $55.20 $92 2.1×
Cytp Concentration Smears & Interpretation (88108) $138.60 $231 3.7×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $216 $360 4.1×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $229.20 $382 1.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $126.60 $211 3.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $93.60 $156 3.2×
Deoxyribonuclease antibody (86215) $69 $115 5.2×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$163.80–$376.80 $273–$628 varies
Detect agnt mult DNA ampli (87801) $286.80 $478 4.1×
Dgp Antibody Each Ig Class (86258) $92.40 $154 7.7×
Dhea (82626) $114.60 $191 4.5×
Dhea-S (82627) $116.40 $194 5.2×
Digoxin (80162) $60.60 $101 4.6×
Dna Antibody Native/Double Stranded (86225) $315.60 $526 23.0×
Dna/Rna Amplified Probe (87150) $100.20 $167 2.9×
Dna/Rna Sequencing (87153) $277.80 $463 2.4×
Drug assay acetaminophen (80143) $150 $250 8.0×
Drug Assay Everolimus (80169) $171 $285 12.5×
Drug Assay Lacosamide (80235) $127.80 $213 4.7×
Drug Screen Quant Clozapine (80159) $54 $90 2.7×
Drug Screen Quantitative Lamotrigine (80175) $80.40 $134 6.1×
Drug Screen Quantitative Levetiracetam (80177) $57.60 $96 4.3×
Drug Screen Quantitative Oxcarbazepine (80183) $77.40 $129 5.8×
Drug Screen Quantitative Procainamide Metabolite (80192) $105 $175 6.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$72–$177 $120–$295 varies
Drug Test Prsmv Dir Opt Obs (80305) $63 $105 5.0×
Drug Test Prsmv Instrmnt (80306) $77.40 $129 4.5×
Egfr Gene Analysis Common Variants (81235) $508.20 $847 1.6×
El-1 Fecal Quantitative (82653) $166.20 $277 7.2×
Electrolyte panel (80051) $39 $65 5.6×
Electron Microscopy (88348) $1,006.80 $1,678 1.2×
Encephaltis East Eqne Anbdy (86652) $58.20 $97 4.4×
Encephaltis West Eqne Antbdy (86654) $54.60 $91 4.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $194.40 $324 16.1×
Enterovirus PCR (87498) $171 $285 4.9×
Enzyme cell activity (82657) $436.80 $728 19.7×
Eosinophil Smear (89190) $44.40 $74 7.7×
Erythropoietin (82668) $180.60 $301 9.6×
Estradiol serum (82670) $163.20 $272 5.8×
Estrogens fractionated (82671) $93 $155 2.9×
Ethosuximide (80168) $106.80 $178 6.5×
Exam Synovial Fluid Crystals (89060) $66.60 $111 9.1×
F2 Gene (81240) $180.60 $301 2.7×
Factor ii activity (85210) $158.40 $264 12.2×
Factor Inhibitor Test (85335) $160.20 $267 12.4×
Factor ix activity (85250) $178.20 $297 9.4×
Factor v activity (85220) $126.60 $211 7.2×
Factor v leiden mutation (81241) $210.60 $351 2.9×
Factor vii assay (85230) $167.40 $279 9.4×
Factor viii assay (85240) $199.20 $332 11.1×
Factor X (85260) $178.20 $297 10.0×
Factor xi activity (85270) $178.20 $297 10.0×
Fat/Lipids Feces Quantitative (82710) $87 $145 5.2×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $129 $215 7.5×
Fecal Fat Qualitative (82705) $149.40 $249 29.3×
Ferritin (82728) $132 $220 9.7×
Fetal Congenital Abnor Assay Four Anal (81511) $229.80 $383 1.5×
Fetal hemoglobin assay qual (83033) $28.80 $48 3.6×
Fetal screen rosette (85461) $54.60 $91 5.8×
Fibrin Degradation Quant (85379) $208.80 $348 20.5×
Fibrinogen activity (85384) $88.20 $147 9.1×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $69 $115 4.5×
Fluorescent antibody screen (86255) $132 $220 11.0×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $160.80 $268 13.3×
Fmr1 Gene Charac Alleles (81244) $532.20 $887 11.9×
Fmr1 gene detection (81243) $321.60 $536 5.6×
Folic acid rbc (82747) $84 $140 4.8×
Folic Acid Serum (82746) $87 $145 5.9×
Follicle Stimulating Hormone (83001) $159.60 $266 8.6×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $299.40 $499 10.5×
Frozen Section (88331) $277.20 $462 1.6×
Fungi Identification Mold (87107) $89.40 $149 8.7×
Fungi Identification Yeast (87106) $99 $165 9.6×
Gammaglobulin ige (82785) $102 $170 6.2×
Gardner Vag Dna Quant (87512) $103.80 $173 2.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $87.60 $146 9.0×
Gastrin (82941) $201.60 $336 11.4×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $241.20 $402 0.1×
Gentamicin (80170) $112.20 $187 6.8×
Ggt (82977) $102 $170 14.2×
Giardia antigen (87329) $109.20 $182 9.1×
Glucose 2 hr pp (82950) $37.20 $62 7.8×
Glucose Blood Test (82962) $3.60 $6 1.1×
Glucose Serum (82947) $39.60 $66 10.1×
Gonadotropin Chorionic Qualitative (84703) $45 $75 6.0×
Gtt-added samples (82952) $28.80 $48 7.3×
Haloperidol (80173) $144.60 $241 9.2×
Haptoglobin (83010) $106.20 $177 8.4×
Hdl Cholesterol (83718) $57.60 $96 7.0×
Helicobacter Pylori Stool (87338) $147 $245 10.2×
Hematocrit (85014) $30.60 $51 12.9×
Hemoglobin (85018)
range across 2 matching MRF lines
$24.60–$27 $41–$45 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$91.20–$92.40 $152–$154 varies
Hemoglobin Chromotography (83021) $80.40 $134 4.5×
Hemoglobin electrophoresis (83020) $102.60 $171 8.0×
Hemoglobin Methemoglobin Quantitative (83050) $54.60 $91 6.7×
Hep a ab igm (86709) $131.40 $219 11.7×
Heparin assay (85520) $123.60 $206 9.4×
Heparin Neutralization (85525) $54 $90 4.6×
Hepatitis a antibody total (86708) $154.80 $258 12.5×
Hepatitis b core ab igm (86705) $131.40 $219 11.2×
Hepatitis b core ab total (86704) $90 $150 7.5×
Hepatitis B Surface Antibody (86706) $152.40 $254 14.2×
Hepatitis B Surface Antigen (87340) $141.60 $236 13.7×
Hepatitis Be Antibody (86707) $49.20 $82 4.3×
Hepatitis C Antibody (86803) $131.40 $219 9.2×
Hepatitis C Revrs Trnscrpj (87522) $238.20 $397 5.6×
Herpes simplex type 2 (86696) $109.20 $182 5.6×
Heterophile Antibody Screen (86308) $63.60 $106 12.3×
Hfe Gene (81256) $232.80 $388 3.6×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $90.60 $151 11.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $108 $180 4.5×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$67.20–$72.60 $112–$121 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $328.20 $547 3.9×
Hla-b27 (86812) $141 $235 5.5×
Homocysteine (83090) $246 $410 13.7×
Homogenization Tissue (87176) $45 $75 7.7×
Hpv High-Risk Types (87624) $110.40 $184 3.1×
Hpv Types 16 & 18 Only (87625) $69.60 $116 1.7×
Hydroxyprogesterone 17-d (83498) $107.40 $179 4.0×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $60 $100 5.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $163.80 $273 4.6×
Iaad ia shiga-like toxin (87427) $58.20 $97 4.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $126 $210 3.6×
Iadna Candida Species Amplified Probe Tq (87481) $54.60 $91 1.6×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $210 $350 6.0×
Iadna Cytomegalovirus Quantification (87497) $312.60 $521 7.3×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $158.40 $264 2.3×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $126 $210 3.6×
Iadna Hepatitis B Virus Quantification (87517) $236.40 $394 5.5×
Iadna Herpes Virus-6 Quantification (87533) $351 $585 8.4×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $103.80 $173 3.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $237.60 $396 5.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $318 $530 2.2×
Ig Light Chains Free Each (83521) $67.80 $113 3.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $347.40 $579 1.0×
Immunoassay nonantibody (83516) $94.80 $158 8.2×
Immunofixation electrophoresis (86334) $225.60 $376 10.1×
Immunofluorescence per spec 1st singl antb stain (88346) $820.20 $1,367 4.8×
Immunohistochemistry (88342) $519.60 $866 3.0×
In situ hybridization 1st probe stain (88365) $396 $660 2.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $204.60 $341 2.9×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $66.60 $111 4.6×
Influenza assay w/optic (87804) $107.40 $179 6.5×
Influenza DNA amp probe (87502) $213 $355 2.2×
Insulin total (83525) $141.60 $236 12.4×
Iron (83540) $106.20 $177 16.4×
Iron Binding Capacity (83550) $96.60 $161 11.1×
Iron stain peripheral blood (85536) $74.40 $124 10.8×
Irradiation Blood Product Each Unit (86945) $87.60 $146 2.3×
Islet cell antibody (86341) $148.20 $247 6.3×
Jak2 gene analysis p.val617phe variant (81270) $565.80 $943 6.2×
Koh Prep (87220) $62.40 $104 14.6×
Kras Gene Variants Exon 2 (81275) $499.20 $832 2.6×
L/s ratio (83661) $87.60 $146 4.0×
Lactate (ld) (ldh) enzyme (83615) $101.40 $169 16.8×
Ldh Isoenzymes (83625) $120 $200 9.4×
LDL direct (83721) $80.40 $134 7.7×
Lead (83655) $81 $135 6.7×
Legionella antigen urine (87449) $95.40 $159 8.0×
Leukocyte Assessment Fecal (89055) $105 $175 24.6×
Level I Surg Pathology Gross Examination Only (88300) $145.20 $242 5.0×
Level ii surg pathology gross&microscopic exam (88302) $303 $505 8.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $636 $1,060 1.8×
Lipase (83690) $160.20 $267 23.3×
Lipoprotein A (83695) $96.60 $161 6.7×
Lithium (80178) $34.20 $57 5.2×
Luteinizing Hormone (Lh) (83002) $201 $335 10.9×
Lyme disease antibody (86618) $201.60 $336 11.8×
M. Genitalium Amp Probe (87563) $108 $180 3.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $439.80 $733 2.6×
M/phmtrc alys ishquant/semiq (88374) $314.40 $524 1.8×
Magnesium Urine (83735)
range across 3 matching MRF lines
$83.40–$90.60 $139–$151 varies
Mercury urine (83825)
range across 2 matching MRF lines
$54.60–$59.40 $91–$99 varies
Methylmalonic acid serum (83921) $174.60 $291 8.2×
Microalbumin, quantitative (82043) $106.20 $177 18.4×
Microsomal Antibodies Each (86376) $111.60 $186 7.7×
Mitochondrial Antibody Each (86381) $144 $240 5.7×
Mononuclear cell antigen (86356) $135 $225 5.0×
Mrsa Pcr (87641) $139.20 $232 4.0×
Mthfr Gene Analysis Common Variants (81291) $174.60 $291 2.7×
Mumps antibody (86735) $32.40 $54 2.5×
Mycoplasma antibody (86738) $22.20 $37 1.7×
Myoglobin urine (83874) $222 $370 17.2×
Natriuretic peptide (83880) $243 $405 6.2×
Nfct ds bv&vaginitis DNA alg (81515) $273.60 $456 1.0×
Nuclear antigen antibody (86235)
range across 4 matching MRF lines
$109.80–$121.20 $183–$202 varies
Occult blood feces (82272) $37.80 $63 8.9×
Occult Blood Other Sources (82271) $35.40 $59 6.7×
Osmolality serum (83930) $66 $110 10.0×
Osmolality Urine (83935) $79.80 $133 11.7×
Osteocalcin (83937) $96 $160 3.2×
Ova and parasites smears (87177) $160.80 $268 18.1×
Oxalate urine (83945) $94.20 $157 6.5×
Particle Agglutination Screen Each Antibody (86403) $76.20 $127 6.6×
Parvovirus antibody (86747) $58.20 $97 3.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $798.60 $1,331 1.0×
Pathology Consultation During Surgery (88329) $120.60 $201 2.0×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $613.20 $1,022 2.4×
Ph urine (81003) $42 $70 18.7×
Phenobarbital Level (80184) $51.60 $86 3.4×
Phenylalanine (84030) $68.40 $114 12.4×
Phenytoin (Dilantin) (80185) $18 $30 1.4×
Phosphatase acid prostatic (84066) $50.40 $84 5.2×
Phosphatase alkaline (84075) $42.60 $71 8.2×
Phosphatidylglycerol (84081) $48 $80 2.9×
Phosphorus Serum (84100) $53.40 $89 11.3×
Phosphorus urine (84105) $37.80 $63 6.5×
Pinworm exam (87172) $39.60 $66 9.3×
Platelet Aggregation (85576) $57.60 $96 2.3×
Platelet count automated (85049) $56.40 $94 12.6×
Pneumcysts jirovecii amp prb (87594) $388.80 $648 11.1×
Pooling blood platelets (86965) $169.80 $283 1.0×
Porphobilinogen, urine; quantitative (84110) $96.60 $161 11.4×
Potassium Urine (84133) $55.80 $93 11.8×
Prealbumin (84134) $128.40 $214 8.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $80.40 $134 1.4×
Pretx serum rbc antibody identification dilution (86976)
range across 2 matching MRF lines
$49.20–$53.40 $82–$89 varies
Primidone (80188) $99.60 $166 6.0×
Procalcitonin (Pct) (84145) $141 $235 5.2×
Progesterone (84144) $112.80 $188 5.4×
Prolactin (84146) $160.20 $267 8.3×
Protein body fluid (84157) $45 $75 11.3×
Protein C Activity (85303) $123.60 $206 8.9×
Protein Electrophoresis Urine (84166) $96.60 $161 5.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $120.60 $201 11.2×
Protein S Free (85306) $165.60 $276 10.8×
Protein total serum (84155) $35.40 $59 9.6×
Protein Total Urine (84156) $95.40 $159 26.0×
Protein Western Blot Test (84182) $165.60 $276 5.7×
Protoporphyrin rbc quantitative (84202) $59.40 $99 4.1×
PSA free (84154) $123 $205 6.7×
Pth Intact (83970) $288.60 $481 7.0×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$139.20–$155.40 $232–$259 varies
Quantitative Screen Metals (83018) $187.80 $313 8.6×
Quinidine (80194) $99.60 $166 6.8×
Rbc antibody elution (86860) $198 $330 1.2×
Rbc antibody identification (86870) $316.80 $528 0.9×
Rbc antibody screen (86850) $121.20 $202 12.4×
Rbc pretreatment serum (86978) $219.60 $366 3.7×
Reagent Strip/Blood Glucose (82948) $9.60 $16 1.9×
Renin activity plasma (84244) $144.60 $241 6.6×
Reptilase test (85635) $69.60 $116 7.1×
Resp Virus 6-11 Targets (87632) $668.40 $1,114 3.1×
Reticulocyte Count (85046) $57.60 $96 10.3×
Reticulocyte separation (86972) $253.20 $422 1.5×
Rh (86901) $60 $100 20.1×
Rheumatoid Factor Qualitative (86430) $61.80 $103 10.1×
Rheumatoid factor quant (86431) $94.20 $157 16.6×
Rickettsia antibody (86757) $135 $225 7.0×
Ristocetin cofactor (85245) $140.40 $234 6.1×
Rotavirus ag eia (87425) $133.20 $222 11.1×
Rpr qualitative (86592) $60 $100 14.1×
Rsv Assay W/Optic (87807) $108.60 $181 8.3×
Rubella Antibody (86762) $99.60 $166 6.9×
Rubeola antibody (86765) $38.40 $64 3.0×
Salicylate Level (80179) $150 $250 8.0×
Sars-Cov-2 Covid19 W/Optic (87811) $63 $105 1.5×
Sarscov2&inf a&b&rsv amp prb (87637) $362.40 $604 2.5×
Sc std carbapenem resist gen (87183) $100.20 $167 2.9×
Sedimentation rate (85651) $55.80 $93 13.1×
Selenium (84255) $92.40 $154 3.6×
Semen Anal Sperm Detection (89321) $167.40 $279 13.9×
Semen analysis complete (89322) $167.40 $279 10.8×
Semen analysis motility and count (89310) $184.20 $307 21.4×
Sensitivity mic (87186) $120 $200 13.9×
Sex Hormone Binding Globulin (84270) $91.20 $152 4.2×
Sickling of rbc reduction (85660) $54 $90 9.8×
Sirolimus (80195) $110.40 $184 8.0×
Skin test tuberculosis intradermal (86580) $32.40 $54 1.1×
Smear complex stain (87209) $66.60 $111 3.7×
Smear gram stain (87205)
range across 2 matching MRF lines
$67.20–$72.60 $112–$121 varies
Smn1 Gene Dos/Deletion Alys (81329) $325.20 $542 2.4×
Sodium Serum (84295) $39 $65 8.1×
Sodium Urine (84300) $42.60 $71 8.4×
Somatomedin (84305) $106.80 $178 5.0×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$221.40–$239.40 $369–$399 varies
Special Stains Group 2 (88313) $214.20 $357 1.6×
Specific gravity body fluid (84315) $26.40 $44 8.0×
Specimen infect agnt concntj (87015) $63.60 $106 9.5×
Splitting Blood/Blood Products Each Unit (86985) $169.80 $283 1.0×
Stool cultr aerobic bact ea (87046) $50.40 $84 5.3×
Strep a assay w/optic (87880) $63.60 $106 3.8×
Surg path level iii (88304) $400.80 $668 7.7×
Surgical pathology level IV (88305) $517.80 $863 9.9×
Surgical pathology level vi (88309) $790.80 $1,318 1.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $45.60 $76 9.6×
Susceptibility Study Antimicrobial Disk Method (87184) $63.60 $106 8.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $265.80 $443 5.7×
T cells total count (86359) $219.60 $366 5.8×
T3 Free (84481) $236.40 $394 14.0×
T3 reverse (84482) $93.60 $156 5.9×
T3 Total (84480) $112.80 $188 8.0×
T3 Uptake (84479) $70.20 $117 10.9×
T4 Free (84439) $123 $205 13.6×
T4 total (84436) $67.80 $113 9.9×
Tacrolimus (80197) $246.60 $411 18.0×
Test for acetone/ketones (82009) $46.20 $77 10.2×
Testosterone total (84403) $207.60 $346 8.0×
Testosterone, Free (84402) $131.40 $219 5.2×
Theophylline (80198) $96 $160 6.8×
Thrombin Time (85670) $53.40 $89 9.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $94.20 $157 14.6×
Thyroglobulin Antibody (86800) $145.20 $242 9.1×
Thyroid Stimulating Immunoglobulin (84445) $207 $345 4.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $97.20 $162 8.4×
Tissue culture bone marrow (88237) $352.20 $587 2.5×
Topiramate (80201) $130.80 $218 11.0×
Touch prep (88161) $111 $185 3.8×
Toxoplasma ab igm (86778) $77.40 $129 5.4×
Toxoplasma antibody (86777) $76.80 $128 5.3×
Transferase Aspartate Amino Ast Sgot (84450) $107.40 $179 20.7×
Transferrin (84466) $129 $215 10.1×
Trichomonas Vaginalis Amplif (87661) $123.60 $206 3.5×
Triglycerides (84478) $63.60 $106 11.1×
Troponin Quant (84484) $169.80 $283 13.6×
Tumor immunohistochem/comput (88361) $401.40 $669 1.1×
Tumor Immunohistochem/Manual (88360) $269.40 $449 1.6×
Unlisted Transfusion Medicine Procedure (86999) $102 $170 3.5×
Urea nitrogen urine (84540) $16.20 $27 2.9×
Uric acid other source (84560) $88.80 $148 17.5×
Urinalysis Microscopic Only (81015) $26.40 $44 8.7×
Urinalysis Volume Measure (81050) $23.40 $39 6.4×
Urine Bacteria Culture (87088) $80.40 $134 9.9×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$29.40–$45 $49–$75 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $52.20 $87 16.5×
Valproic acid (80164) $97.20 $162 7.2×
Vancomycin (80202) $124.80 $208 9.2×
Varicella-zoster antibody (86787) $74.40 $124 5.8×
Vasopressin (84588) $123 $205 3.6×
Viral Culture (87252) $83.40 $139 3.2×
Virus inoculate tissue addl (87253) $64.80 $108 3.2×
Virus inoculation, shell via (87254) $187.20 $312 9.6×
Vit D 1 25-Dihydroxy (82652) $168 $280 4.4×
Vitamin A (84590) $78.60 $131 6.8×
Vitamin b-12 (82607) $124.80 $208 8.3×
Vitamin B6 (84207) $132 $220 4.7×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$200.40–$216.60 $334–$361 varies
Vitamin E (84446) $81 $135 5.7×
Vitamin K (84597) $113.40 $189 8.3×
Von willebrand factor ag (85246) $130.80 $218 5.7×
Xm Archive Tissue Molec Anal (88363) $51.60 $86 1.8×
Zinc (84630) $91.20 $152 8.0×

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.