Lab & pathology prices at Haxtun Hospital District
Haxtun, CO · every code in this section with a posted price and a Medicare benchmark.
506 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $82.88 | $85 | 7.4× |
| Acth (82024) | $116.03 | $119 | 3.0× |
| Actin smooth muscle antibody each (86015) | $103.35 | $106 | 8.6× |
| Acute hepatitis panel (80074) | $225.23 | $231 | 4.7× |
| Agglutinins Febrile Each Antigen (86000) | $152.10 | $156 | 21.8× |
| Albumin serum (82040) | $70.20 | $72 | 14.2× |
| Aldolase (82085) | $104.33 | $107 | 10.7× |
| Aldosterone urine (82088) | $195.98 | $201 | 4.8× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$58.50–$185.25 | $60–$190 | varies |
| Allergen specific ige (86003) range across 25 matching MRF lines |
$17.55–$119.93 | $18–$123 | varies |
| Allergen specific igg (86001) range across 3 matching MRF lines |
$80.93–$84.83 | $83–$87 | varies |
| Alpha-1-antitrypsin total (82103) | $100.43 | $103 | 7.5× |
| Alpha-Fetoprotein Serum (82105) | $79.95 | $82 | 4.8× |
| Alt (sgpt) (84460) | $70.20 | $72 | 13.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$486.53–$542.10 | $499–$556 | varies |
| Aminolevulinic acid (ala) (82135) | $128.70 | $132 | 7.8× |
| Ammonia (82140) | $170.63 | $175 | 11.7× |
| Amylase urine (82150) range across 4 matching MRF lines |
$30.23–$111.15 | $31–$114 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$38.03–$39 | $39–$40 | varies |
| Angiotensin converting enzyme csf (82164) | $333.45 | $342 | 22.8× |
| Anti-Phospholipid Antibody (86148) | $281.78 | $289 | 17.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 11 matching MRF lines |
$101.40–$104.33 | $104–$107 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $318.83 | $327 | 20.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $165.75 | $170 | 9.8× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$64.35–$110.18 | $66–$113 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $202.80 | $208 | 15.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $195 | $200 | 12.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $202.80 | $208 | 11.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $104.33 | $107 | 7.3× |
| Antibody Herpes Smplx Type 1 (86695) | $276.90 | $284 | 21.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $127.73 | $131 | 9.3× |
| Antibody HIV-2 (86702) | $64.35 | $66 | 4.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $53.63 | $55 | 2.8× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$160.88–$270.08 | $165–$277 | varies |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$196.95–$692.25 | $202–$710 | varies |
| Antibody Titer (86886) | $48.75 | $50 | 9.4× |
| Antibody Treponema Pallidum (86780) | $82.88 | $85 | 6.3× |
| Antibody; encephalitis, st. louis (86653) | $110.18 | $113 | 8.4× |
| Antigen typing (86905) | $972.08 | $997 | 253.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $492.38 | $505 | 86.1× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$37.05–$193.05 | $38–$198 | varies |
| Antistreptolysin o titer (86060) | $111.15 | $114 | 15.2× |
| Antithrombin iii activity (85300) | $214.50 | $220 | 18.1× |
| Antithrombin iii antigen (85301) | $50.70 | $52 | 4.7× |
| Apolipoprotein a1 (82172) | $95.55 | $98 | 4.5× |
| Arsenic (82175) range across 3 matching MRF lines |
$137.48–$357.83 | $141–$367 | varies |
| Assay activated protein c (85307) | $244.73 | $251 | 16.0× |
| Assay Blood Carbon Dioxide (82374) | $84.83 | $87 | 17.4× |
| Assay Blood Catecholamines (82383) | $144.30 | $148 | 5.0× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$112.13–$281.78 | $115–$289 | varies |
| Assay of 5-hiaa (83497) | $71.18 | $73 | 5.5× |
| Assay of blood/uric acid (84550) | $71.18 | $73 | 15.7× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$22.43–$75.08 | $23–$77 | varies |
| Assay of estrone (82679) | $349.05 | $358 | 14.0× |
| Assay of g6pd enzyme (82955) | $118.95 | $122 | 12.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$43.88–$58.50 | $45–$60 | varies |
| Assay of lactic acid (83605) | $166.73 | $171 | 14.4× |
| Assay of metanephrines (83835) | $279.83 | $287 | 16.5× |
| Assay of procainamide (80190) | $144.30 | $148 | 2.4× |
| Assay of proinsulin (84206) | $514.80 | $528 | 19.3× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$223.28–$253.50 | $229–$260 | varies |
| Assay of serum potassium (84132) | $87.75 | $90 | 18.4× |
| Assay of sweat sodium (84302) | $24.38 | $25 | 5.0× |
| Assay of urea nitrogen (84520) | $70.20 | $72 | 17.8× |
| Assay of urine vma (84585) | $118.95 | $122 | 7.7× |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$100.43–$111.15 | $103–$114 | varies |
| Assay of vitamin b-1 (84425) | $268.13 | $275 | 12.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$38.03–$43.88 | $39–$45 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $637.65 | $654 | 3.5× |
| Automated Leukocyte Count (85048) | $70.20 | $72 | 27.6× |
| B cells total count (86355) range across 2 matching MRF lines |
$112.13–$125.78 | $115–$129 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $312.98 | $321 | 12.3× |
| Beta-2 Microglobulin (82232) | $179.40 | $184 | 11.1× |
| Bile acids total (82239) | $78.98 | $81 | 4.6× |
| Bilirubin direct (82248) | $24.38 | $25 | 4.9× |
| Bilirubin total (82247) | $70.20 | $72 | 14.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $10.73 | $11 | 3.1× |
| Bleeding time test (85002) | $110.18 | $113 | 22.9× |
| Blood Count Manual Cell Count Each (85032) | $64.35 | $66 | 14.9× |
| Blood Count Red Blood Cell Automated (85041) | $64.35 | $66 | 21.3× |
| Blood gas (82803) | $293.48 | $301 | 11.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $75.08 | $77 | 4.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $64.35 | $66 | 14.7× |
| Blood typing serologic abo (86900) | $78 | $80 | 26.1× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$104.33–$214.50 | $107–$220 | varies |
| C diff amplified probe (87493) | $179.40 | $184 | 4.8× |
| C-Peptide (84681) | $185.25 | $190 | 8.9× |
| C-reactive protein (86140) | $122.85 | $126 | 23.7× |
| Ca 19-9 (86301) | $179.40 | $184 | 8.6× |
| Cadmium (82300) | $118.95 | $122 | 5.0× |
| Calcitonin (82308) | $161.85 | $166 | 6.0× |
| Calcium ionized (82330) | $160.88 | $165 | 11.8× |
| Calcium total (82310) | $70.20 | $72 | 13.6× |
| Calculus assay quant (82360) | $194.03 | $199 | 15.1× |
| Calculus Xray Diffraction (82370) | $137.48 | $141 | 11.0× |
| Calprotectin Fecal (83993) | $581.10 | $596 | 29.6× |
| Calr gene com variants (81219) | $396.83 | $407 | 3.3× |
| Cancer Antigen 125 (86304) | $204.75 | $210 | 9.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$128.70–$236.93 | $132–$243 | varies |
| Candida antibody (86628) | $222.30 | $228 | 18.5× |
| Carbamazepine free (80157) | $116.03 | $119 | 8.8× |
| Carbamazepine total (80156) | $169.65 | $174 | 11.6× |
| Carboxyhemoglobin (82375) | $110.18 | $113 | 8.9× |
| Carcinoembryonic antigen (82378) | $185.25 | $190 | 9.8× |
| Cardiolipin ab iga (86147) | $323.70 | $332 | 12.7× |
| Carnitine Quantitative Each Specimen (82379) | $70.20 | $72 | 4.2× |
| Carotene (82380) | $81.90 | $84 | 8.9× |
| Catecholamines fractionated (82384) | $110.18 | $113 | 4.4× |
| Catecholamines total urine (82382) | $163.80 | $168 | 6.0× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$39–$182.33 | $40–$187 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$27.30–$114.08 | $28–$117 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $409.50 | $420 | 3.0× |
| Ceruloplasmin (82390) | $64.35 | $66 | 6.0× |
| Cftr gene com variants (81220) | $421.20 | $432 | 0.8× |
| Cftr gene dup/delet variants (81222) | $1,310.40 | $1,344 | 3.0× |
| Cftr gene full sequence (81223) | $1,503.45 | $1,542 | 3.0× |
| Chemiluminescent assay (82397) | $219.38 | $225 | 15.5× |
| Chlamydia antibody (86631) | $252.53 | $259 | 21.4× |
| Chlamydia Igm Antibody (86632) | $258.38 | $265 | 20.4× |
| Chloride other source (82438) | $24.38 | $25 | 4.9× |
| Chloride Serum (82435) | $70.20 | $72 | 15.3× |
| Chloride urine (82436) | $103.35 | $106 | 18.0× |
| Cholesterol total (82465) | $70.20 | $72 | 16.1× |
| Cholinesterase rbc (82482) | $113.10 | $116 | 11.5× |
| Cholinesterase Serum (82480) | $128.70 | $132 | 16.4× |
| Chorionic gonadotropin test (84702) | $70.20 | $72 | 4.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $306.15 | $314 | 11.4× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $134.55 | $138 | 3.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $254.48 | $261 | 7.6× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$65.33–$100.43 | $67–$103 | varies |
| Chromosome analysis, 5 (88261) | $714.68 | $733 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $81.90 | $84 | 2.3× |
| Citric acid urine (82507) | $268.13 | $275 | 9.6× |
| Ckmb (82553) | $215.48 | $221 | 18.7× |
| Clostridium Difficile (87324) | $47.78 | $49 | 4.0× |
| Clotting factor viii related antigen (85244) range across 2 matching MRF lines |
$64.35–$65.33 | $66–$67 | varies |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$61.43–$337.35 | $63–$346 | varies |
| Clotting Funct Activity (85397) | $463.13 | $475 | 15.0× |
| Coccidioides antibody (86635) | $123.83 | $127 | 10.8× |
| Cold agglutinin screen (86156) | $110.18 | $113 | 13.7× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$160.88–$565.50 | $165–$580 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$137.48–$333.45 | $141–$342 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$113.10–$122.85 | $116–$126 | varies |
| Complement Fixation Tests Each Antigen (86171) | $137.48 | $141 | 13.7× |
| Complement Total (Ch50) (86162) | $200.85 | $206 | 9.9× |
| Complement/Function Activity (86161) | $79.95 | $82 | 6.7× |
| Coombs direct (86880) | $120.90 | $124 | 22.4× |
| Copper urine (82525) range across 2 matching MRF lines |
$103.35–$171.60 | $106–$176 | varies |
| Cortisol free (82530) | $95.55 | $98 | 5.7× |
| Cortisol saliva (82533) | $179.40 | $184 | 11.0× |
| Creatine (82540) | $14.63 | $15 | 3.2× |
| Creatine kinase total (82550) | $111.15 | $114 | 17.1× |
| Creatinine blood (82565) | $70.20 | $72 | 13.7× |
| Creatinine clearance (82575) | $144.30 | $148 | 15.3× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$15.60–$210.60 | $16–$216 | varies |
| Crossmatch immediate spin (86920) | $492.38 | $505 | 2.7× |
| Crp High Sensitivity (86141) | $103.35 | $106 | 8.0× |
| Cryoglobulin (82595) | $99.45 | $102 | 15.4× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$57.53–$92.63 | $59–$95 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$113.10–$133.58 | $116–$137 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $38.03 | $39 | 4.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $140.40 | $144 | 18.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $117.98 | $121 | 0.5× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$29.25–$152.10 | $30–$156 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$185.25–$252.53 | $190–$259 | varies |
| Culture csf (87070) range across 10 matching MRF lines |
$95.55–$144.30 | $98–$148 | varies |
| Culture fungus (87102) | $81.90 | $84 | 9.7× |
| Culture screen only (87081) range across 4 matching MRF lines |
$21.45–$144.30 | $22–$148 | varies |
| Culture stool (87045) | $32.18 | $33 | 3.4× |
| Culture urine (87086) | $111.15 | $114 | 13.8× |
| Cyclosporine (80158) | $227.18 | $233 | 12.6× |
| Cystatin C (82610) | $61.43 | $63 | 3.3× |
| Cytomegalovirus igg (86644) | $146.25 | $150 | 10.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $78.98 | $81 | 3.9× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$118.95–$182.33 | $122–$187 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $97.50 | $100 | 1.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $75.08 | $77 | 1.9× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $78 | $80 | 4.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $57.53 | $59 | 3.1× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$108.23–$647.40 | $111–$664 | varies |
| Detect Agent Nos Dna Quant (87799) | $286.65 | $294 | 6.7× |
| Detect agnt mult DNA ampli (87801) | $344.18 | $353 | 4.9× |
| Dgp Antibody Each Ig Class (86258) | $55.58 | $57 | 4.6× |
| Dhea (82626) | $288.60 | $296 | 11.4× |
| Dhea-S (82627) | $213.53 | $219 | 9.6× |
| Digoxin (80162) | $164.78 | $169 | 12.4× |
| Dna Antibody Native/Double Stranded (86225) | $108.23 | $111 | 7.9× |
| Dna/Rna Amplified Probe (87150) | $166.73 | $171 | 4.8× |
| Drug Assay Everolimus (80169) | $140.40 | $144 | 10.2× |
| Drug Assay Lacosamide (80235) | $88.73 | $91 | 3.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $272.03 | $279 | 20.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $256.43 | $263 | 19.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $255.45 | $262 | 4.1× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$44.85–$253.50 | $46–$260 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$319.80–$376.35 | $328–$386 | varies |
| Ehrlichia antibody (86666) | $1,617.53 | $1,659 | 158.9× |
| El-1 Fecal Quantitative (82653) | $62.40 | $64 | 2.7× |
| Electrolyte panel (80051) range across 4 matching MRF lines |
$25.35–$127.73 | $26–$131 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$64.35–$110.18 | $66–$113 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$64.35–$110.18 | $66–$113 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $58.50 | $60 | 4.8× |
| Enterovirus PCR (87498) | $324.68 | $333 | 9.3× |
| Enzyme cell activity (82657) | $70.20 | $72 | 3.2× |
| Eosinophil Smear (89190) | $128.70 | $132 | 22.2× |
| Erythropoietin (82668) | $152.10 | $156 | 8.1× |
| Estradiol serum (82670) | $189.15 | $194 | 6.8× |
| Estriol (82677) | $133.58 | $137 | 5.5× |
| Estrogens fractionated (82671) | $330.53 | $339 | 10.2× |
| Ethosuximide (80168) | $152.10 | $156 | 9.3× |
| Exam Synovial Fluid Crystals (89060) | $87.75 | $90 | 12.0× |
| F2 Gene (81240) | $517.73 | $531 | 7.9× |
| Factor ii activity (85210) | $41.93 | $43 | 3.2× |
| Factor v activity (85220) | $434.85 | $446 | 24.6× |
| Factor v leiden mutation (81241) | $238.88 | $245 | 3.3× |
| Factor viii assay (85240) | $244.73 | $251 | 13.7× |
| Factor X (85260) | $502.13 | $515 | 28.1× |
| Fat stain feces urine/respir secretions (89125) | $48.75 | $50 | 8.3× |
| Fat/Lipids Feces Quantitative (82710) | $295.43 | $303 | 17.6× |
| Fecal Fat Qualitative (82705) | $46.80 | $48 | 9.2× |
| Ferritin (82728) | $155.03 | $159 | 11.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $277.88 | $285 | 1.8× |
| Fibrin Degradation Quant (85379) | $85.80 | $88 | 8.4× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$32.18–$128.70 | $33–$132 | varies |
| Flow cytometry first marker (88184) | $978.90 | $1,004 | 2.6× |
| Fluorescent antibody screen (86255) range across 11 matching MRF lines |
$39–$1,151.48 | $40–$1,181 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$77.03–$548.93 | $79–$563 | varies |
| Folic acid rbc (82747) | $100.43 | $103 | 5.7× |
| Folic Acid Serum (82746) | $171.60 | $176 | 11.7× |
| Follicle Stimulating Hormone (83001) | $152.10 | $156 | 8.2× |
| Francisella tularensis (86668) | $362.70 | $372 | 25.6× |
| Fungi Identification Mold (87107) | $79.95 | $82 | 7.7× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$51.68–$78 | $53–$80 | varies |
| Gases blood ph only (82800) | $70.20 | $72 | 6.4× |
| Gastrin (82941) | $155.03 | $159 | 8.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $810.23 | $831 | 1.9× |
| Ggt (82977) range across 2 matching MRF lines |
$48.75–$84.83 | $50–$87 | varies |
| Giardia antigen (87329) | $113.10 | $116 | 9.4× |
| Glucagon (82943) | $123.83 | $127 | 8.7× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$13.65–$48.75 | $14–$50 | varies |
| Glucose Serum (82947) | $70.20 | $72 | 17.9× |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$70.20–$104.33 | $72–$107 | varies |
| Glycated Protein (82985) | $64.35 | $66 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) | $156 | $160 | 20.7× |
| Growth hormone (83003) | $144.30 | $148 | 8.7× |
| Gtt-added samples (82952) range across 5 matching MRF lines |
$20.48–$70.20 | $21–$72 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$203.78–$228.15 | $209–$234 | varies |
| H Pylori Drug Admin (83014) | $26.33 | $27 | 3.3× |
| Haptoglobin (83010) | $143.33 | $147 | 11.4× |
| Hdl Cholesterol (83718) | $68.25 | $70 | 8.3× |
| Helicobacter Pylori Stool (87338) | $211.58 | $217 | 14.7× |
| Helminth Antibody (86682) | $540.15 | $554 | 41.5× |
| Hemagglutination Inhibition (86280) | $104.33 | $107 | 12.7× |
| Hematocrit (85014) | $64.35 | $66 | 27.2× |
| Hemoglobin (85018) | $53.63 | $55 | 22.6× |
| Hemoglobin a1c (83036) | $114.08 | $117 | 11.7× |
| Hemoglobin Chromotography (83021) | $103.35 | $106 | 5.7× |
| Hemoglobin F Fetal Chemical (83030) | $153.08 | $157 | 14.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $48.75 | $50 | 5.9× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$79.95–$104.33 | $82–$107 | varies |
| Heparin assay (85520) | $227.18 | $233 | 17.4× |
| Hepatitis a antibody total (86708) | $161.85 | $166 | 13.1× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$95.55–$105.30 | $98–$108 | varies |
| Hepatitis b core ab total (86704) | $160.88 | $165 | 13.4× |
| Hepatitis B Surface Antibody (86706) | $144.30 | $148 | 13.4× |
| Hepatitis B Surface Antigen (87340) | $143.33 | $147 | 13.9× |
| Hepatitis Be Antibody (86707) | $37.05 | $38 | 3.2× |
| Hepatitis Be Antigen (87350) | $160.88 | $165 | 14.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$155.03–$365.63 | $159–$375 | varies |
| Hepatitis C Genotype (87902) | $814.13 | $835 | 3.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $352.95 | $362 | 10.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $130.65 | $134 | 3.0× |
| Herpes simplex type 2 (86696) | $114.08 | $117 | 5.9× |
| Heterophile Antibody Screen (86308) | $104.33 | $107 | 20.1× |
| Hfe Gene (81256) | $608.40 | $624 | 9.3× |
| Histamine urine (83088) | $746.85 | $766 | 25.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $112.13 | $115 | 4.7× |
| Hiv-1 Antibody (86701) | $41.93 | $43 | 4.7× |
| HIV-1 p24 antigen (87390) | $82.88 | $85 | 3.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $701.03 | $719 | 9.4× |
| Homocysteine (83090) | $293.48 | $301 | 16.4× |
| Hpv High-Risk Types (87624) | $137.48 | $141 | 3.9× |
| Hsv Dna Amp Probe (87529) | $327.60 | $336 | 9.3× |
| Htt Gene Detc Abnor Alleles (81271) | $469.95 | $482 | 3.4× |
| Hydroxycorticosteroids 17 (83491) | $144.30 | $148 | 8.1× |
| Hydroxyprogesterone 17-d (83498) | $85.80 | $88 | 3.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $48.75 | $50 | 1.4× |
| Iaad Ia Streptococcus Group A (87430) | $95.55 | $98 | 5.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $165.75 | $170 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$86.78–$369.53 | $89–$379 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $311.03 | $319 | 7.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $222.30 | $228 | 3.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $650.33 | $667 | 15.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $1,010.10 | $1,036 | 28.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$86.78–$369.53 | $89–$379 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $81.90 | $84 | 2.3× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$55.58–$281.78 | $57–$289 | varies |
| Igg subclasses (82787) | $27.30 | $28 | 3.4× |
| Immune Complex Assay (86332) | $92.63 | $95 | 3.8× |
| Immunfix e-phorsis/urine/csf (86335) | $152.10 | $156 | 5.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$62.40–$222.30 | $64–$228 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$8.78–$155.03 | $9–$159 | varies |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$35.10–$235.95 | $36–$242 | varies |
| Immunodiffusion Ouchterlony (86331) | $185.25 | $190 | 15.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $118.95 | $122 | 5.1× |
| Immunoelectrophoresis Serum (86320) range across 3 matching MRF lines |
$166.73–$227.18 | $171–$233 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$70.20–$212.55 | $72–$218 | varies |
| Immunohistochemistry (88342) | $197.93 | $203 | 1.1× |
| Influenza assay w/optic (87804) | $127.73 | $131 | 7.7× |
| Influenza DNA amp probe (87502) | $302.25 | $310 | 3.2× |
| Inhibin A (86336) | $40.95 | $42 | 2.6× |
| Inhibin b (83520) range across 6 matching MRF lines |
$52.65–$548.93 | $54–$563 | varies |
| Insulin antibodies (86337) | $137.48 | $141 | 6.4× |
| Insulin total (83525) | $153.08 | $157 | 13.4× |
| Intrinsic factor antibody (86340) | $216.45 | $222 | 14.4× |
| Iron (83540) | $78 | $80 | 12.1× |
| Iron Binding Capacity (83550) | $101.40 | $104 | 11.6× |
| Ketosteroids 17 total (83586) | $144.30 | $148 | 11.3× |
| Lactate (ld) (ldh) enzyme (83615) | $82.88 | $85 | 13.7× |
| Lactoferrin fecal qualitative (83630) | $92.63 | $95 | 4.7× |
| Ldh Isoenzymes (83625) | $25.35 | $26 | 2.0× |
| LDL direct (83721) | $71.18 | $73 | 6.8× |
| Lead (83655) range across 2 matching MRF lines |
$46.80–$98.48 | $48–$101 | varies |
| Legionella antibody (86713) | $145.28 | $149 | 9.5× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$38.03–$58.50 | $39–$60 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $30.23 | $31 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) | $86.78 | $89 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $245.70 | $252 | 0.6× |
| Lipase (83690) | $131.63 | $135 | 19.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $95.55 | $98 | 2.8× |
| Lithium (80178) | $111.15 | $114 | 16.8× |
| Luteinizing Hormone (Lh) (83002) | $152.10 | $156 | 8.2× |
| Lyme disease antibody (86618) | $185.25 | $190 | 10.9× |
| Lysozyme serum (85549) | $143.33 | $147 | 7.6× |
| Macroscopic exam arthropod (87168) | $22.43 | $23 | 5.3× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$21.45–$111.15 | $22–$114 | varies |
| Mass Spectrometry Quant (83789) | $166.73 | $171 | 6.9× |
| Mercury urine (83825) range across 2 matching MRF lines |
$79.95–$212.55 | $82–$218 | varies |
| Metabolic panel ionized ca (80047) | $44.85 | $46 | 3.3× |
| Methylmalonic acid serum (83921) | $392.93 | $403 | 18.5× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$123.83–$185.25 | $127–$190 | varies |
| Microbe Suscept Macrobroth (87188) | $43.88 | $45 | 6.6× |
| Microsomal Antibodies Each (86376) | $144.30 | $148 | 9.9× |
| Mitochondrial Antibody Each (86381) | $86.78 | $89 | 3.4× |
| Molecular Pathology Procedure Level 6 (81405) | $907.73 | $931 | 3.0× |
| Mopath procedure level 4 (81403) | $623.03 | $639 | 3.4× |
| Mopath procedure level 5 (81404) | $827.78 | $849 | 3.0× |
| Mrsa Pcr (87641) | $113.10 | $116 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $335.40 | $344 | 5.1× |
| Mumps antibody (86735) | $138.45 | $142 | 10.6× |
| Mycophenolic Acid (80180) | $406.58 | $417 | 22.5× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$67.28–$179.40 | $69–$184 | varies |
| Myelin basic protein csf (83873) | $72.15 | $74 | 4.2× |
| Myoglobin urine (83874) | $243.75 | $250 | 18.9× |
| Natriuretic peptide (83880) | $333.45 | $342 | 8.5× |
| Neisseria Dir Na Probe (87590) | $101.40 | $104 | 3.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $814.13 | $835 | 3.2× |
| Nk cells total count (86357) | $109.20 | $112 | 2.9× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$45.83–$254.48 | $47–$261 | varies |
| Occult Blood Other Sources (82271) | $62.40 | $64 | 11.7× |
| Oligoclonal bands (83916) | $235.95 | $242 | 8.6× |
| Organic acids urine (83918) | $311.03 | $319 | 13.2× |
| Osmolality serum (83930) | $78 | $80 | 11.8× |
| Osmolality Urine (83935) | $111.15 | $114 | 16.3× |
| Osteocalcin (83937) | $137.48 | $141 | 4.6× |
| Oxalate urine (83945) | $158.93 | $163 | 11.0× |
| Parvovirus antibody (86747) | $365.63 | $375 | 24.3× |
| Ph urine (81003) | $53.63 | $55 | 23.8× |
| Phenobarbital Level (80184) | $182.33 | $187 | 11.9× |
| Phenylalanine (84030) | $169.65 | $174 | 30.8× |
| Phenytoin (Dilantin) (80185) | $190.13 | $195 | 14.3× |
| Phosphatase alkaline (84075) | $70.20 | $72 | 13.6× |
| Phosphorus Serum (84100) | $70.20 | $72 | 14.8× |
| Phosphorus urine (84105) | $104.33 | $107 | 18.1× |
| Pinworm exam (87172) | $81.90 | $84 | 19.2× |
| Platelet Antibodies (86022) | $598.65 | $614 | 32.6× |
| Porphobilinogen, urine; quantitative (84110) | $69.23 | $71 | 8.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $128.70 | $132 | 8.7× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$48.75–$99.45 | $50–$102 | varies |
| Prealbumin (84134) | $144.30 | $148 | 9.9× |
| Pregnenolone (84140) | $124.80 | $128 | 6.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $4.88 | $5 | 0.1× |
| Primidone (80188) | $152.10 | $156 | 9.2× |
| Procalcitonin (Pct) (84145) | $121.88 | $125 | 4.5× |
| Progesterone (84144) | $152.10 | $156 | 7.3× |
| Prolactin (84146) | $188.18 | $193 | 9.7× |
| Protein body fluid (84157) | $82.88 | $85 | 20.7× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$43.88–$137.48 | $45–$141 | varies |
| Protein c antigen (85302) | $365.63 | $375 | 30.4× |
| Protein Electrophoresis Urine (84166) | $84.83 | $87 | 4.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$36.08–$160.88 | $37–$165 | varies |
| Protein S Free (85306) | $340.28 | $349 | 22.2× |
| Protein s total (85305) | $256.43 | $263 | 22.1× |
| Protein total serum (84155) range across 4 matching MRF lines |
$11.70–$78 | $12–$80 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$15.60–$86.78 | $16–$89 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $12.68 | $13 | 3.2× |
| Protoporphyrin rbc quantitative (84202) | $70.20 | $72 | 4.9× |
| PSA free (84154) | $288.60 | $296 | 15.7× |
| Pth Intact (83970) | $330.53 | $339 | 8.0× |
| Q Fever Antibody (86638) | $110.18 | $113 | 9.1× |
| Quantiferon tb gold plus (86480) | $365.63 | $375 | 5.9× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$137.48–$227.18 | $141–$233 | varies |
| Quantitative Screen Metals (83018) | $63.38 | $65 | 2.9× |
| Quinidine (80194) | $118.95 | $122 | 8.1× |
| Rbc antibody identification (86870) | $185.25 | $190 | 0.5× |
| Rbc antibody screen (86850) | $235.95 | $242 | 24.2× |
| Reagent Strip/Blood Glucose (82948) | $8.78 | $9 | 1.7× |
| Renin activity plasma (84244) | $194.03 | $199 | 8.8× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$369.53–$1,006.20 | $379–$1,032 | varies |
| Reticulocyte Count (85046) | $27.30 | $28 | 4.9× |
| Rh (86901) | $78 | $80 | 26.1× |
| Rheumatoid factor quant (86431) | $104.33 | $107 | 18.4× |
| Rickettsia antibody (86757) | $97.50 | $100 | 5.0× |
| Ristocetin cofactor (85245) | $323.70 | $332 | 14.1× |
| Rotavirus ag eia (87425) | $118.95 | $122 | 9.9× |
| Rpr qualitative (86592) | $68.25 | $70 | 16.0× |
| Rsv Assay W/Optic (87807) | $160.88 | $165 | 12.3× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$89.70–$137.48 | $92–$141 | varies |
| Rubeola antibody (86765) | $140.40 | $144 | 10.9× |
| Russell Viper Venom Time Diluted (85613) | $171.60 | $176 | 17.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $162.83 | $167 | 3.2× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$142.35–$161.85 | $146–$166 | varies |
| Sedimentation rate (85651) | $84.83 | $87 | 19.9× |
| Sedimentation Rate, Automated (85652) | $10.73 | $11 | 4.0× |
| Semen Anal Sperm Detection (89321) | $84.83 | $87 | 7.0× |
| Sensitivity mic (87186) | $29.25 | $30 | 3.4× |
| Sex Hormone Binding Globulin (84270) | $212.55 | $218 | 9.8× |
| Sickling of rbc reduction (85660) | $58.50 | $60 | 10.6× |
| Sirolimus (80195) | $359.78 | $369 | 26.2× |
| Smear gram stain (87205) range across 6 matching MRF lines |
$53.63–$144.30 | $55–$148 | varies |
| Smear Special Stain (87207) | $104.33 | $107 | 17.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$39.98–$75.08 | $41–$77 | varies |
| Sodium Serum (84295) | $70.20 | $72 | 14.6× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$95.55–$104.33 | $98–$107 | varies |
| Soluble Transferrin Receptor (84238) | $301.28 | $309 | 8.2× |
| Somatomedin (84305) | $259.35 | $266 | 12.2× |
| Somatostatin (84307) range across 2 matching MRF lines |
$58.50–$258.38 | $60–$265 | varies |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$89.70–$165.75 | $92–$170 | varies |
| Special Stains Group 2 (88313) | $91.65 | $94 | 0.7× |
| Specimen infect agnt concntj (87015) | $61.43 | $63 | 9.2× |
| Stem cells total count (86367) | $227.18 | $233 | 2.9× |
| Stool cultr aerobic bact ea (87046) | $84.83 | $87 | 9.0× |
| Strep a DNA amp probe (87651) | $110.18 | $113 | 3.1× |
| Sugars Single Qual (84376) | $72.15 | $74 | 13.1× |
| Sulfate urine (84392) | $103.35 | $106 | 18.8× |
| Surg path level iii (88304) | $104.33 | $107 | 1.9× |
| Surgical pathology level IV (88305) | $189.15 | $194 | 3.4× |
| Surgical pathology level vi (88309) | $260.33 | $267 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $104.33 | $107 | 22.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$25.35–$35.10 | $26–$36 | varies |
| Syphilis Test Non-Trep Quant (86593) | $107.25 | $110 | 24.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $140.40 | $144 | 3.0× |
| T cells total count (86359) range across 2 matching MRF lines |
$119.93–$125.78 | $123–$129 | varies |
| T3 Free (84481) | $258.38 | $265 | 15.3× |
| T3 reverse (84482) | $106.28 | $109 | 6.7× |
| T3 Total (84480) | $145.28 | $149 | 10.2× |
| T3 Uptake (84479) | $104.33 | $107 | 16.1× |
| T4 Free (84439) | $129.68 | $133 | 14.4× |
| T4 total (84436) | $103.35 | $106 | 15.0× |
| Tacrolimus (80197) | $268.13 | $275 | 19.5× |
| Test for acetone/ketones (82009) | $48.75 | $50 | 10.8× |
| Testosterone total (84403) | $169.65 | $174 | 6.6× |
| Testosterone, Free (84402) | $214.50 | $220 | 8.4× |
| Theophylline (80198) | $144.30 | $148 | 10.2× |
| Thrombin Time (85670) | $137.48 | $141 | 23.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $65.33 | $67 | 10.1× |
| Thyroglobulin (84432) | $78.98 | $81 | 4.9× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$121.88–$128.70 | $125–$132 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $294.45 | $302 | 5.8× |
| Thyroxine binding globulin (84442) | $50.70 | $52 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$57.53–$180.38 | $59–$185 | varies |
| Tissue Culture Lymphocyte (88230) | $980.85 | $1,006 | 8.4× |
| Tobramycin peak (80200) | $152.10 | $156 | 9.4× |
| Topiramate (80201) | $286.65 | $294 | 24.0× |
| Touch prep (88161) | $137.48 | $141 | 4.5× |
| Toxoplasma ab igm (86778) | $123.83 | $127 | 8.6× |
| Toxoplasma antibody (86777) | $114.08 | $117 | 7.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $78.98 | $81 | 15.2× |
| Transferrin (84466) | $95.55 | $98 | 7.5× |
| Triglycerides (84478) | $78 | $80 | 13.6× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$39.98–$254.48 | $41–$261 | varies |
| Urea nitrogen urine (84540) | $64.35 | $66 | 11.6× |
| Uric acid other source (84560) | $103.35 | $106 | 20.3× |
| Urinalysis Microscopic Only (81015) | $48.75 | $50 | 16.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $95.55 | $98 | 44.0× |
| Urine Bacteria Culture (87088) | $99.45 | $102 | 12.3× |
| Urine Pregnancy Test (81025) | $128.70 | $132 | 14.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $78.98 | $81 | 24.9× |
| Valproic acid (80164) | $189.15 | $194 | 14.0× |
| Vancomycin (80202) | $194.03 | $199 | 14.3× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$95.55–$158.93 | $98–$163 | varies |
| Vasopressin (84588) | $197.93 | $203 | 5.8× |
| Viral Culture (87252) | $78 | $80 | 3.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$53.63–$62.40 | $55–$64 | varies |
| Virus inoculate tissue addl (87253) | $61.43 | $63 | 3.0× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) range across 2 matching MRF lines |
$193.05–$227.18 | $198–$233 | varies |
| Vit D 1 25-Dihydroxy (82652) | $338.33 | $347 | 8.8× |
| Vitamin A (84590) | $109.20 | $112 | 9.4× |
| Vitamin b-12 (82607) | $180.38 | $185 | 12.0× |
| Vitamin B6 (84207) | $95.55 | $98 | 3.4× |
| Vitamin c (82180) | $193.05 | $198 | 19.5× |
| Vitamin D 25-Hydroxy (82306) | $227.18 | $233 | 7.7× |
| Vitamin E (84446) | $67.28 | $69 | 4.7× |
| Von willebrand factor ag (85246) | $323.70 | $332 | 14.1× |
| West nile virus ab igm (86788) | $172.58 | $177 | 10.2× |
| West Nile Virus Antibody (86789) | $172.58 | $177 | 12.0× |
| Zinc (84630) range across 2 matching MRF lines |
$36.08–$84.83 | $37–$87 | varies |
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.