Lab & pathology prices at Hans P Peterson Memorial Hospital - Cah
Philip, SD · every code in this section with a posted price and a Medicare benchmark.
428 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $85 | $85 | 2.2× |
| Acute hepatitis panel (80074) | $333 | $333 | 7.0× |
| Agglutinins Febrile Each Antigen (86000) | $307 | $307 | 44.0× |
| Albumin serum (82040) | $56 | $56 | 11.3× |
| Aldolase (82085) | $33 | $33 | 3.4× |
| Aldosterone urine (82088) | $108 | $108 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $310 | $310 | 21.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$13–$72 | $13–$72 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$43–$49 | $43–$49 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $92 | $92 | 6.4× |
| Alpha-1-antitrypsin total (82103) | $95 | $95 | 7.1× |
| Alpha-Fetoprotein Serum (82105) | $62 | $62 | 3.7× |
| Alt (sgpt) (84460) | $100 | $100 | 18.9× |
| Aluminum (82108) | $67 | $67 | 2.6× |
| Amikacin trough (80150) | $152 | $152 | 10.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$180–$316 | $180–$316 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$128–$278 | $128–$278 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$57–$79 | $57–$79 | varies |
| Anca screen each antibody (86036) | $79 | $79 | 6.6× |
| Androstenedione (82157) | $282 | $282 | 9.6× |
| Antibody aspergillus (86606) | $105 | $105 | 7.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $81 | $81 | 6.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$151–$157 | $151–$157 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $42 | $42 | 2.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $49 | $49 | 2.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $134 | $134 | 10.9× |
| Antibody helicobacter pylori (86677) | $175 | $175 | 10.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$36–$37 | $36–$37 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $51 | $51 | 3.7× |
| Antibody HIV-2 (86702) | $565 | $565 | 41.8× |
| Antibody Treponema Pallidum (86780) | $66 | $66 | 5.0× |
| Antigen typing (86905) | $152 | $152 | 39.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 4 matching MRF lines |
$116–$138 | $116–$138 | varies |
| Antinuclear antibodies (86038) | $81 | $81 | 6.7× |
| Antistreptolysin O Screen (86063) | $99 | $99 | 17.2× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$24–$27 | $24–$27 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$92–$189 | $92–$189 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$50–$597 | $50–$597 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$146–$192 | $146–$192 | varies |
| Assay Blood Carbon Dioxide (82374) | $83 | $83 | 17.0× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$60–$108 | $60–$108 | varies |
| Assay of 5-hiaa (83497) | $108 | $108 | 8.4× |
| Assay of blood/uric acid (84550) | $77 | $77 | 17.0× |
| Assay of calcium in urine (82340) | $83 | $83 | 13.8× |
| Assay of g6pd enzyme (82955) | $140 | $140 | 14.4× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$99–$302 | $99–$302 | varies |
| Assay of lactic acid (83605) | $135 | $135 | 11.7× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$85–$386 | $85–$386 | varies |
| Assay of serotonin (84260) | $118 | $118 | 3.8× |
| Assay of serum potassium (84132) | $76 | $76 | 16.0× |
| Assay of urea nitrogen (84520) | $74 | $74 | 18.7× |
| Assay of urine vma (84585) | $227 | $227 | 14.6× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$103–$268 | $103–$268 | varies |
| Assay spec xcp ur&breath ia (82077) | $207 | $207 | 12.0× |
| Automated Leukocyte Count (85048) | $52 | $52 | 20.5× |
| B cells total count (86355) | $112 | $112 | 3.0× |
| Beta 2 glycoprotein i antibody each (86146) | $388 | $388 | 15.2× |
| Beta hydroxybutyrate (82010) | $23 | $23 | 2.8× |
| Beta Lactamase (87185) | $18 | $18 | 3.8× |
| Beta-2 Microglobulin (82232) | $127 | $127 | 7.8× |
| Bilirubin direct (82248) | $78 | $78 | 15.5× |
| Bilirubin total (82247) | $69 | $69 | 13.7× |
| Biotinidase (82261) | $610 | $610 | 36.2× |
| Bld Typing Serologic Rh Phnt (86906) | $131 | $131 | 16.9× |
| Blood Count Automated Differential Wbc Count (85004) | $68 | $68 | 10.5× |
| Blood count reticulocyte automated (85045) | $59 | $59 | 14.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $62 | $62 | 16.3× |
| Blood gas (82803) | $264 | $264 | 10.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $83 | $83 | 5.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $107 | $107 | 24.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $422 | $422 | 66.5× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$90–$92 | $90–$92 | varies |
| Breath Alcohol Test (82075) | $30 | $30 | 1.0× |
| Brucella antibody (86622) | $248 | $248 | 27.8× |
| C diff amplified probe (87493) | $294 | $294 | 7.9× |
| C-Peptide (84681) range across 2 matching MRF lines |
$51–$322 | $51–$322 | varies |
| C-reactive protein (86140) | $115 | $115 | 22.2× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$58–$314 | $58–$314 | varies |
| Cadmium (82300) | $64 | $64 | 2.7× |
| Calcitonin (82308) | $202 | $202 | 7.5× |
| Calcium ionized (82330) | $104 | $104 | 7.6× |
| Calcium total (82310) range across 3 matching MRF lines |
$38–$92 | $38–$92 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$81–$168 | $81–$168 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$405–$575 | $405–$575 | varies |
| Calr gene com variants (81219) | $727 | $727 | 6.0× |
| Cancer Antigen 125 (86304) | $274 | $274 | 13.2× |
| Cancer Antigen 27.29 (86300) | $60 | $60 | 2.9× |
| Carbamazepine total (80156) | $51 | $51 | 3.5× |
| Carboxyhemoglobin (82375) | $159 | $159 | 12.9× |
| Carcinoembryonic antigen (82378) | $206 | $206 | 10.9× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$33–$108 | $33–$108 | varies |
| Catecholamines fractionated (82384) | $204 | $204 | 8.1× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$71–$204 | $71–$204 | varies |
| Cell count csf (89051) | $19 | $19 | 3.4× |
| Ceruloplasmin (82390) | $36 | $36 | 3.4× |
| Chemiluminescent assay (82397) | $214 | $214 | 15.2× |
| Chloride Serum (82435) | $64 | $64 | 13.9× |
| Cholesterol total (82465) | $80 | $80 | 18.4× |
| Chorionic gonadotropin test (84702) | $56 | $56 | 3.7× |
| Chromogranin a (86316) | $140 | $140 | 6.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$129–$165 | $129–$165 | varies |
| Citric acid urine (82507) | $236 | $236 | 8.5× |
| Ckmb (82553) | $196 | $196 | 17.0× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$33–$197 | $33–$197 | varies |
| Clotting factor xii hageman (85280) | $249 | $249 | 12.9× |
| Clotting Funct Activity (85397) | $417 | $417 | 13.5× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$215–$896 | $215–$896 | varies |
| Compatibility test antiglob (86922) | $296 | $296 | 1.7× |
| Complement Antigen Each Component (86160) | $129 | $129 | 10.8× |
| Coombs direct (86880) range across 3 matching MRF lines |
$27–$85 | $27–$85 | varies |
| Copper urine (82525) | $51 | $51 | 4.1× |
| Cortisol free (82530) range across 4 matching MRF lines |
$78–$582 | $78–$582 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$178–$223 | $178–$223 | varies |
| Creatine kinase total (82550) | $90 | $90 | 13.8× |
| Creatinine blood (82565) | $81 | $81 | 15.8× |
| Creatinine clearance (82575) | $147 | $147 | 15.5× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$22–$210 | $22–$210 | varies |
| Crossmatch electronic (86923) | $253 | $253 | 1.5× |
| Crossmatch immediate spin (86920) | $164 | $164 | 0.9× |
| Crp High Sensitivity (86141) | $48 | $48 | 3.7× |
| Cryofibrinogen (82585) | $77 | $77 | 5.4× |
| Cryoglobulin (82595) | $37 | $37 | 5.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$330–$691 | $330–$691 | varies |
| Cryptosporidium ag eia (87328) | $142 | $142 | 10.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$92–$360 | $92–$360 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $28 | $28 | 3.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $144 | $144 | 18.7× |
| Culture afb (87116) | $210 | $210 | 19.4× |
| Culture Anaerobic (87075) | $125 | $125 | 13.2× |
| Culture blood (87040) | $199 | $199 | 19.3× |
| Culture csf (87070) | $118 | $118 | 13.7× |
| Culture fungus (87102) | $23 | $23 | 2.7× |
| Culture screen only (87081) | $121 | $121 | 18.3× |
| Culture stool (87045) range across 2 matching MRF lines |
$86–$138 | $86–$138 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $19 | $19 | 3.7× |
| Culture urine (87086) | $198 | $198 | 24.5× |
| Cyclosporine (80158) | $298 | $298 | 16.5× |
| Cystatin C (82610) | $515 | $515 | 27.8× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$38–$176 | $38–$176 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $245 | $245 | 6.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $157 | $157 | 5.3× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$40–$300 | $40–$300 | varies |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$93–$799 | $93–$799 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$337–$347 | $337–$347 | varies |
| Dgp Antibody Each Ig Class (86258) | $97 | $97 | 8.0× |
| Dhea-S (82627) | $170 | $170 | 7.6× |
| Digoxin (80162) | $172 | $172 | 13.0× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$49–$1,239 | $49–$1,239 | varies |
| Drug assay acetaminophen (80143) | $158 | $158 | 8.5× |
| Drug assay adalimumab (80145) | $419 | $419 | 10.9× |
| Drug Assay Everolimus (80169) | $664 | $664 | 48.4× |
| Drug Assay Leflunomide (80193) | $494 | $494 | 12.8× |
| Drug Screen Quant Clozapine (80159) | $129 | $129 | 6.4× |
| Drug Screen Quantitative Gabapentin (80171) | $144 | $144 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $37 | $37 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $294 | $294 | 22.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $162 | $162 | 9.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$330–$599 | $330–$599 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $226 | $226 | 17.9× |
| Drug Test Prsmv Instrmnt (80306) | $329 | $329 | 19.2× |
| El-1 Fecal Quantitative (82653) | $349 | $349 | 15.2× |
| Electrolyte panel (80051) | $152 | $152 | 21.7× |
| Enterovirus PCR (87498) | $244 | $244 | 7.0× |
| Eosinophil Smear (89190) | $19 | $19 | 3.3× |
| Erythropoietin (82668) | $313 | $313 | 16.7× |
| Estradiol serum (82670) | $104 | $104 | 3.7× |
| Estrogens fractionated (82671) | $190 | $190 | 5.9× |
| Ethosuximide (80168) | $124 | $124 | 7.6× |
| Exam Synovial Fluid Crystals (89060) | $26 | $26 | 3.5× |
| F2 Gene (81240) range across 2 matching MRF lines |
$230–$572 | $230–$572 | varies |
| Factor ix activity (85250) | $223 | $223 | 11.7× |
| Factor v leiden mutation (81241) | $206 | $206 | 2.8× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$228–$758 | $228–$758 | varies |
| Factor xi activity (85270) | $241 | $241 | 13.5× |
| Fat stain feces urine/respir secretions (89125) | $19 | $19 | 3.2× |
| Ferritin (82728) | $150 | $150 | 11.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $405 | $405 | 2.6× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$213–$254 | $213–$254 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$85–$129 | $85–$129 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 3 matching MRF lines |
$135–$445 | $135–$445 | varies |
| Flecainide level (80181) | $276 | $276 | 14.8× |
| Flow cytometry first marker (88184) | $688 | $688 | 1.9× |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$97–$986 | $97–$986 | varies |
| Folic Acid Serum (82746) | $130 | $130 | 8.8× |
| Follicle Stimulating Hormone (83001) | $69 | $69 | 3.7× |
| Fungi Identification Yeast (87106) | $178 | $178 | 17.2× |
| Galactose transferase test (82776) | $34 | $34 | 2.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$40–$43 | $40–$43 | varies |
| Gastrin (82941) | $208 | $208 | 11.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,494 | $1,494 | 3.6× |
| Gentamicin (80170) | $182 | $182 | 11.1× |
| Ggt (82977) | $86 | $86 | 11.9× |
| Giardia antigen (87329) | $178 | $178 | 14.9× |
| Glucose 2 hr pp (82950) | $95 | $95 | 20.0× |
| Glucose body fluid (82945) | $70 | $70 | 17.8× |
| Glucose Serum (82947) | $77 | $77 | 19.6× |
| Glucose tolerance test (gtt) (82951) | $183 | $183 | 14.2× |
| Glycated Protein (82985) | $60 | $60 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $145 | $145 | 19.3× |
| Growth hormone (83003) | $112 | $112 | 6.7× |
| Gtt-added samples (82952) | $64 | $64 | 16.3× |
| H Pylori (C-13) Breath (83013) | $474 | $474 | 7.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$33–$49 | $33–$49 | varies |
| Hdl Cholesterol (83718) | $79 | $79 | 9.6× |
| Helicobacter Pylori Stool (87338) | $159 | $159 | 11.1× |
| Hematocrit (85014) | $58 | $58 | 24.5× |
| Hemoglobin (85018) | $54 | $54 | 22.8× |
| Hemoglobin a1c (83036) | $105 | $105 | 10.8× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$86–$293 | $86–$293 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$34–$58 | $34–$58 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$42–$77 | $42–$77 | varies |
| Heparin assay (85520) | $48 | $48 | 3.7× |
| Hepatitis a antibody total (86708) | $63 | $63 | 5.1× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$43–$79 | $43–$79 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$46–$103 | $46–$103 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$40–$55 | $40–$55 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$36–$71 | $36–$71 | varies |
| Hepatitis Be Antibody (86707) | $103 | $103 | 8.9× |
| Hepatitis Be Antigen (87350) | $115 | $115 | 10.0× |
| Hepatitis C Antibody (86803) | $200 | $200 | 14.0× |
| Hepatitis C Genotype (87902) | $526 | $526 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $317 | $317 | 7.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$50–$52 | $50–$52 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$15–$22 | $15–$22 | varies |
| Hfe Gene (81256) | $344 | $344 | 5.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $214 | $214 | 27.7× |
| Histoplasma antigen urine (87385) | $274 | $274 | 20.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $88 | $88 | 3.7× |
| HIV-1 p24 antigen (87390) | $63 | $63 | 2.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $308 | $308 | 3.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,433 | $1,433 | 3.6× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $530 | $530 | 2.4× |
| Hla ii typing 1 locus lr (81376) | $239 | $239 | 2.0× |
| Hla-b27 (86812) | $99 | $99 | 3.8× |
| Homocysteine (83090) | $69 | $69 | 3.9× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$96–$112 | $96–$112 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$79–$186 | $79–$186 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $168 | $168 | 12.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $138 | $138 | 3.9× |
| Iaad ia shiga-like toxin (87427) | $154 | $154 | 12.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $123 | $123 | 3.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $48 | $48 | 1.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $272 | $272 | 7.8× |
| Iadna Cytomegalovirus Quantification (87497) | $236 | $236 | 5.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $603 | $603 | 14.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$48–$989 | $48–$989 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $129 | $129 | 3.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,258 | $1,258 | 4.8× |
| Ig Light Chains Free Each (83521) | $35 | $35 | 2.0× |
| Igg subclasses (82787) | $318 | $318 | 39.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $3,116 | $3,116 | 10.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$354–$565 | $354–$565 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$38–$479 | $38–$479 | varies |
| Immunofixation electrophoresis (86334) | $249 | $249 | 11.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $129 | $129 | 8.9× |
| Influenza assay w/optic (87804) | $148 | $148 | 8.9× |
| Inhibin b (83520) range across 7 matching MRF lines |
$61–$468 | $61–$468 | varies |
| Insulin antibodies (86337) | $175 | $175 | 8.2× |
| Insulin free (83527) range across 2 matching MRF lines |
$60–$73 | $60–$73 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$60–$148 | $60–$148 | varies |
| Iron (83540) | $85 | $85 | 13.1× |
| Iron Binding Capacity (83550) | $100 | $100 | 11.4× |
| Irradiation Blood Product Each Unit (86945) | $176 | $176 | 4.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $714 | $714 | 7.8× |
| Koh Prep (87220) | $17 | $17 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) | $100 | $100 | 16.6× |
| LDL direct (83721) | $132 | $132 | 12.6× |
| Lead (83655) range across 4 matching MRF lines |
$32–$47 | $32–$47 | varies |
| Legionella antigen urine (87449) | $298 | $298 | 24.9× |
| Leukocyte Assessment Fecal (89055) | $128 | $128 | 30.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $658 | $658 | 1.8× |
| Lipase (83690) | $133 | $133 | 19.3× |
| Lipoprotein A (83695) | $445 | $445 | 31.1× |
| Lipoprotein Bld Quan Part (83704) | $189 | $189 | 5.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $69 | $69 | 2.0× |
| Lithium (80178) | $102 | $102 | 15.4× |
| Luteinizing Hormone (Lh) (83002) | $69 | $69 | 3.7× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$63–$232 | $63–$232 | varies |
| Macroscopic exam arthropod (87168) | $105 | $105 | 24.6× |
| Macroscopic Exam Parasite (87169) | $105 | $105 | 24.4× |
| Magnesium Urine (83735) | $116 | $116 | 17.3× |
| Mass Spectrometry Quant (83789) | $73 | $73 | 3.0× |
| Mercury urine (83825) | $42 | $42 | 2.6× |
| Methylmalonic acid serum (83921) | $91 | $91 | 4.3× |
| Microalbumin, quantitative (82043) | $113 | $113 | 19.6× |
| Microsomal Antibodies Each (86376) | $164 | $164 | 11.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $244 | $244 | 11.4× |
| Mopath procedure level 2 (81401) | $359 | $359 | 2.6× |
| Mrsa Pcr (87641) | $439 | $439 | 12.5× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$48–$310 | $48–$310 | varies |
| Mycobacteric Identification (87118) | $590 | $590 | 40.4× |
| Mycophenolic Acid (80180) | $100 | $100 | 5.5× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$82–$180 | $82–$180 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94–$373 | $94–$373 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $798 | $798 | 6.2× |
| Nk cells total count (86357) | $112 | $112 | 3.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$63–$564 | $63–$564 | varies |
| Occult blood feces (82272) | $64 | $64 | 15.1× |
| Occult Blood Other Sources (82271) | $58 | $58 | 10.9× |
| Osmolality serum (83930) | $112 | $112 | 16.9× |
| Osmolality Urine (83935) | $84 | $84 | 12.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$108–$252 | $108–$252 | varies |
| Oxalate urine (83945) | $128 | $128 | 8.9× |
| Pancreatic Elastase Fecal (82656) | $345 | $345 | 29.9× |
| Ph urine (81003) | $52 | $52 | 23.1× |
| Phenobarbital Level (80184) | $45 | $45 | 2.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$48–$159 | $48–$159 | varies |
| Phenytoin free (80186) | $26 | $26 | 1.9× |
| Phosphatase acid prostatic (84066) | $150 | $150 | 15.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$70–$110 | $70–$110 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$235–$424 | $235–$424 | varies |
| Phosphorus Serum (84100) | $74 | $74 | 15.6× |
| Pinworm exam (87172) | $150 | $150 | 35.1× |
| Platelet Aggregation (85576) | $82 | $82 | 3.3× |
| Platelet Antibodies (86022) | $432 | $432 | 23.5× |
| Platelet count automated (85049) | $107 | $107 | 23.9× |
| Potassium Urine (84133) | $69 | $69 | 14.6× |
| Prealbumin (84134) | $41 | $41 | 2.8× |
| Pregnenolone (84140) | $350 | $350 | 16.9× |
| Procalcitonin (Pct) (84145) | $318 | $318 | 11.7× |
| Progesterone (84144) | $77 | $77 | 3.7× |
| Prolactin (84146) range across 2 matching MRF lines |
$71–$192 | $71–$192 | varies |
| Protein body fluid (84157) | $70 | $70 | 17.5× |
| Protein C Activity (85303) | $132 | $132 | 9.5× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$43–$331 | $43–$331 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$57–$123 | $57–$123 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$146–$453 | $146–$453 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$41–$59 | $41–$59 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$10–$92 | $10–$92 | varies |
| PSA free (84154) | $204 | $204 | 11.1× |
| Pth Intact (83970) | $284 | $284 | 6.9× |
| Q Fever Antibody (86638) | $444 | $444 | 36.6× |
| Quantiferon tb gold plus (86480) | $532 | $532 | 8.6× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$92–$526 | $92–$526 | varies |
| Quinidine (80194) | $159 | $159 | 10.9× |
| Rbc antibody elution (86860) | $197 | $197 | 1.1× |
| Rbc antibody identification (86870) | $168 | $168 | 0.5× |
| Rbc antibody screen (86850) | $140 | $140 | 14.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$53–$298 | $53–$298 | varies |
| Resp virus 12-25 targets (87633) | $540 | $540 | 1.3× |
| Rh (86901) range across 2 matching MRF lines |
$87–$146 | $87–$146 | varies |
| Rheumatoid Factor Qualitative (86430) | $102 | $102 | 16.6× |
| Rheumatoid factor quant (86431) | $99 | $99 | 17.5× |
| Rickettsia antibody (86757) | $589 | $589 | 30.4× |
| Rotavirus ag eia (87425) | $167 | $167 | 13.9× |
| Rpr qualitative (86592) | $18 | $18 | 4.2× |
| Rsv Assay W/Optic (87807) | $160 | $160 | 12.2× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$38–$53 | $38–$53 | varies |
| Rubeola antibody (86765) | $48 | $48 | 3.7× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$94–$356 | $94–$356 | varies |
| Salicylate Level (80179) | $212 | $212 | 11.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$154–$160 | $154–$160 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$93–$194 | $93–$194 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $459 | $459 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $519 | $519 | 3.6× |
| Sedimentation rate (85651) | $86 | $86 | 20.1× |
| Sedimentation Rate, Automated (85652) | $84 | $84 | 31.1× |
| Selenium (84255) | $149 | $149 | 5.8× |
| Sensitivity mic (87186) | $187 | $187 | 21.6× |
| Sex Hormone Binding Globulin (84270) | $110 | $110 | 5.1× |
| Sickling of rbc reduction (85660) | $108 | $108 | 19.6× |
| Sirolimus (80195) | $92 | $92 | 6.7× |
| Skin test tuberculosis intradermal (86580) | $21 | $21 | 0.7× |
| Smear acid fast (87206) | $105 | $105 | 19.5× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$70–$511 | $70–$511 | varies |
| Smear gram stain (87205) | $55 | $55 | 12.9× |
| Smear Special Stain (87207) | $101 | $101 | 16.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $71 | $71 | 12.2× |
| Sodium Serum (84295) | $81 | $81 | 16.8× |
| Sodium Urine (84300) | $80 | $80 | 15.8× |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$107–$624 | $107–$624 | varies |
| Somatomedin (84305) | $112 | $112 | 5.3× |
| Special Stains Group 2 (88313) | $131 | $131 | 1.0× |
| Specific gravity body fluid (84315) | $33 | $33 | 10.1× |
| Stool cultr aerobic bact ea (87046) | $66 | $66 | 7.0× |
| Strep a assay w/optic (87880) | $107 | $107 | 6.5× |
| T cells absolute cd4 count (86361) | $301 | $301 | 11.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$88–$139 | $88–$139 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$72–$112 | $72–$112 | varies |
| T3 Free (84481) | $215 | $215 | 12.7× |
| T3 reverse (84482) | $218 | $218 | 13.8× |
| T3 Total (84480) | $144 | $144 | 10.2× |
| T4 Free (84439) | $110 | $110 | 12.2× |
| T4 total (84436) | $24 | $24 | 3.5× |
| T4-neonatal (84437) | $52 | $52 | 8.0× |
| Tacrolimus (80197) | $239 | $239 | 17.4× |
| Tb ag response t-cell susp (86481) | $512 | $512 | 5.1× |
| Testosterone Bioavailable (84410) | $134 | $134 | 2.6× |
| Testosterone total (84403) | $131 | $131 | 5.1× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$42–$66 | $42–$66 | varies |
| Theophylline (80198) | $154 | $154 | 10.9× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$58–$155 | $58–$155 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $267 | $267 | 41.3× |
| Thyroglobulin (84432) | $38 | $38 | 2.4× |
| Thyroglobulin Antibody (86800) | $142 | $142 | 8.9× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$179–$571 | $179–$571 | varies |
| Thyroxine binding globulin (84442) | $198 | $198 | 13.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$58–$185 | $58–$185 | varies |
| Tobramycin peak (80200) | $176 | $176 | 10.9× |
| Topiramate (80201) | $152 | $152 | 12.8× |
| Toxoplasma ab igm (86778) | $568 | $568 | 39.4× |
| Toxoplasma antibody (86777) | $38 | $38 | 2.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $91 | $91 | 17.6× |
| Transferrin (84466) range across 2 matching MRF lines |
$96–$156 | $96–$156 | varies |
| Triglycerides (84478) | $86 | $86 | 15.0× |
| Troponin Quant (84484) | $245 | $245 | 19.6× |
| Urea nitrogen urine (84540) | $19 | $19 | 3.4× |
| Urinalysis Microscopic Only (81015) | $68 | $68 | 22.3× |
| Urine Albumin Semiquantitative (82044) | $87 | $87 | 14.0× |
| Urine Bacteria Culture (87088) | $76 | $76 | 9.4× |
| Urine Pregnancy Test (81025) | $108 | $108 | 12.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $83 | $83 | 26.2× |
| Valproic acid (80164) | $137 | $137 | 10.1× |
| Vancomycin (80202) | $229 | $229 | 16.9× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$48–$374 | $48–$374 | varies |
| Vasopressin (84588) | $613 | $613 | 18.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$148–$250 | $148–$250 | varies |
| Virus antibody nos (86790) | $323 | $323 | 25.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$85–$581 | $85–$581 | varies |
| Vitamin A (84590) | $71 | $71 | 6.1× |
| Vitamin b-12 (82607) | $172 | $172 | 11.4× |
| Vitamin D 25-Hydroxy (82306) | $223 | $223 | 7.5× |
| Vitamin E (84446) | $74 | $74 | 5.2× |
| Vitamin K (84597) | $302 | $302 | 22.0× |
| Von willebrand factor ag (85246) | $380 | $380 | 16.6× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$62–$320 | $62–$320 | varies |
| West Nile Virus Antibody (86789) | $271 | $271 | 18.8× |
| Zinc (84630) | $46 | $46 | 4.0× |
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.