Lab & pathology prices at Hermann Area District Hospital
Hermann, MO · every code in this section with a posted price and a Medicare benchmark.
360 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $120 | $200 | 3.1× |
| Acute hepatitis panel (80074) | $147.60 | $246 | 3.1× |
| Agglutinins Febrile Each Antigen (86000) | $111.90 | $186.50 | 16.0× |
| Albumin Fluid (82042) | $14.70 | $24.50 | 1.9× |
| Albumin serum (82040) | $27.30 | $45.50 | 5.5× |
| Aldolase (82085) | $29.70 | $49.50 | 3.1× |
| Aldosterone urine (82088) | $126 | $210 | 3.1× |
| Allergen specific ige (86003) | $19.80 | $33 | 3.8× |
| Allergen specific igg (86001) | $29.70 | $49.50 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $171.30 | $285.50 | 11.8× |
| Alpha-Fetoprotein Serum (82105) | $82.80 | $138 | 4.9× |
| Alt (sgpt) (84460) | $27.30 | $45.50 | 5.2× |
| Ammonia (82140) | $64.20 | $107 | 4.4× |
| Amylase urine (82150) | $43.80 | $73 | 6.8× |
| Ana Titer (86039) | $47.10 | $78.50 | 4.2× |
| Angiotensin converting enzyme csf (82164) | $45 | $75 | 3.1× |
| Anti-Phospholipid Antibody (86148) | $73.50 | $122.50 | 4.6× |
| Antibody aspergillus (86606) | $51.30 | $85.50 | 3.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $48.30 | $80.50 | 3.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$108.30–$204.60 | $180.50–$341 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$47.70–$56.10 | $79.50–$93.50 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $148.80 | $248 | 12.1× |
| Antibody Herpes Smplx Type 1 (86695) | $41.40 | $69 | 3.1× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$96.90–$215.10 | $161.50–$358.50 | varies |
| Antibody Protozoa Nes (86753) | $173.70 | $289.50 | 14.0× |
| Antibody Titer (86886) | $112.50 | $187.50 | 21.7× |
| Antigen typing (86905) range across 2 matching MRF lines |
$90.30–$112.50 | $150.50–$187.50 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $29.70 | $49.50 | 5.2× |
| Antinuclear antibodies (86038) | $57 | $95 | 4.7× |
| Antistreptolysin o titer (86060) | $54.30 | $90.50 | 7.4× |
| Antithrombin iii antigen (85301) | $142.80 | $238 | 13.2× |
| Assay Blood Carbon Dioxide (82374) | $48.30 | $80.50 | 9.9× |
| Assay Nephelometry Not Spec (83883) | $184.80 | $308 | 13.6× |
| Assay of 5-hiaa (83497) | $67.50 | $112.50 | 5.2× |
| Assay of blood/uric acid (84550) | $27.30 | $45.50 | 6.0× |
| Assay of calcium in urine (82340) | $24 | $40 | 4.0× |
| Assay of cpk in blood (82552) | $78 | $130 | 5.8× |
| Assay of estrone (82679) | $113.10 | $188.50 | 4.5× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$50.70–$87.90 | $84.50–$146.50 | varies |
| Assay of lactic acid (83605) | $77.40 | $129 | 6.7× |
| Assay of serotonin (84260) | $118.80 | $198 | 3.8× |
| Assay of serum potassium (84132) | $27.30 | $45.50 | 5.7× |
| Assay of urea nitrogen (84520) | $27.30 | $45.50 | 6.9× |
| Assay of vitamin b-1 (84425) | $66.60 | $111 | 3.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$132.30–$404.10 | $220.50–$673.50 | varies |
| Bcr/abl1 gene major bp (81206) | $472.80 | $788 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $472.80 | $788 | 3.3× |
| Beta 2 glycoprotein i antibody each (86146) | $79.20 | $132 | 3.1× |
| Beta Lactamase (87185) | $15.60 | $26 | 3.3× |
| Beta-2 Microglobulin (82232) | $50.10 | $83.50 | 3.1× |
| Bilirubin direct (82248) | $42.60 | $71 | 8.5× |
| Bilirubin total (82247) | $25.20 | $42 | 5.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $19.20 | $32 | 5.6× |
| Bld Typing Serologic Rh Phnt (86906) | $128.40 | $214 | 16.6× |
| Blood count reticulocyte automated (85045) | $39 | $65 | 9.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30.90 | $51.50 | 8.1× |
| Blood gas (82803) | $77.40 | $129 | 3.0× |
| Blood gases w/02 saturation (82805) | $21.60 | $36 | 0.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$43.80–$49.50 | $73–$82.50 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$35.10–$50.70 | $58.50–$84.50 | varies |
| Body fluid cell count (89050) | $39 | $65 | 8.3× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$108.90–$233.10 | $181.50–$388.50 | varies |
| C-Peptide (84681) | $75.30 | $125.50 | 3.6× |
| C-reactive protein (86140) | $44.40 | $74 | 8.6× |
| Ca 19-9 (86301) | $73.50 | $122.50 | 3.5× |
| Calcium ionized (82330) | $48.30 | $80.50 | 3.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$22.80–$27.30 | $38–$45.50 | varies |
| Calculus Spectroscopy (82365) | $100.80 | $168 | 7.8× |
| Calprotectin Fecal (83993) | $300.90 | $501.50 | 15.3× |
| Calr gene com variants (81219) | $991.20 | $1,652 | 8.1× |
| Cancer Antigen 125 (86304) | $73.50 | $122.50 | 3.5× |
| Cancer Antigen 27.29 (86300) | $73.50 | $122.50 | 3.5× |
| Candida Dna Dir Probe (87480) | $127.20 | $212 | 6.3× |
| Carbamazepine total (80156) | $48.30 | $80.50 | 3.3× |
| Carboxyhemoglobin (82375) | $77.40 | $129 | 6.3× |
| Carcinoembryonic antigen (82378) | $66 | $110 | 3.5× |
| Cardiolipin ab iga (86147) | $79.20 | $132 | 3.1× |
| Carotene (82380) | $38.40 | $64 | 4.2× |
| Catecholamines fractionated (82384) | $81.60 | $136 | 3.2× |
| Ccp antibody (86200) | $159.30 | $265.50 | 12.3× |
| Cell count csf (89051) range across 2 matching MRF lines |
$39–$59.40 | $65–$99 | varies |
| Ceruloplasmin (82390) | $33.30 | $55.50 | 3.1× |
| Cftr gene com variants (81220) | $388.20 | $647 | 0.7× |
| Chloride Serum (82435) | $51.30 | $85.50 | 11.2× |
| Chloride urine (82436) | $39 | $65 | 6.8× |
| Cholesterol total (82465) | $33.30 | $55.50 | 7.7× |
| Chorionic gonadotropin test (84702) | $90.90 | $151.50 | 6.0× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $327.30 | $545.50 | 1.9× |
| Chromogranin a (86316) | $61.20 | $102 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $216.90 | $361.50 | 6.2× |
| Citric acid urine (82507) | $362.10 | $603.50 | 13.0× |
| Ckmb (82553) | $36.60 | $61 | 3.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$51.30–$99.60 | $85.50–$166 | varies |
| Cold agglutinin screen (86156) | $108.30 | $180.50 | 13.4× |
| Cold agglutinin titer (86157) | $171.90 | $286.50 | 21.3× |
| Column Chromotography Quant (82542) | $51.90 | $86.50 | 2.2× |
| Compatibility test antiglob (86922) | $86.40 | $144 | 0.5× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$64.20–$68.10 | $107–$113.50 | varies |
| Complement Total (Ch50) (86162) | $65.40 | $109 | 3.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $206.40 | $344 | 5.5× |
| Coombs direct (86880) range across 2 matching MRF lines |
$29.70–$53.70 | $49.50–$89.50 | varies |
| Copper urine (82525) | $34.50 | $57.50 | 2.8× |
| Cortisol free (82530) | $183.60 | $306 | 11.0× |
| Cortisol saliva (82533) | $63 | $105 | 3.9× |
| Creatine kinase total (82550) | $38.40 | $64 | 5.9× |
| Creatinine blood (82565) | $34.50 | $57.50 | 6.7× |
| Creatinine clearance (82575) | $48.30 | $80.50 | 5.1× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$16.20–$51.30 | $27–$85.50 | varies |
| Crp High Sensitivity (86141) | $80.40 | $134 | 6.2× |
| Cryptosporidium ag eia (87328) | $143.40 | $239 | 10.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $29.70 | $49.50 | 3.7× |
| Culture afb (87116) | $75.90 | $126.50 | 7.0× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$37.80–$57.60 | $63–$96 | varies |
| Culture blood (87040) | $59.40 | $99 | 5.8× |
| Culture csf (87070) range across 3 matching MRF lines |
$16.80–$61.20 | $28–$102 | varies |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) | $938.70 | $1,564.50 | 5.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$21–$33.90 | $35–$56.50 | varies |
| Culture stool (87045) | $29.10 | $48.50 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$14.10–$29.10 | $23.50–$48.50 | varies |
| Culture urine (87086) | $47.70 | $79.50 | 5.9× |
| Cyclosporine (80158) | $189 | $315 | 10.5× |
| Cystatin C (82610) | $233.10 | $388.50 | 12.6× |
| Cytomegalovirus igg (86644) | $204.60 | $341 | 14.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $81.60 | $136 | 3.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $166.20 | $277 | 4.4× |
| Detect Agent Nos Dna Quant (87799) | $660.60 | $1,101 | 15.4× |
| Dhea-S (82627) | $68.70 | $114.50 | 3.1× |
| Digoxin (80162) | $51.30 | $85.50 | 3.9× |
| Dna Antibody Native/Double Stranded (86225) | $44.40 | $74 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $41.40 | $69 | 3.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $141 | $235 | 10.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$128.40–$430.20 | $214–$717 | varies |
| Ehrlichia antibody (86666) | $56.10 | $93.50 | 5.5× |
| Electrolyte panel (80051) | $34.50 | $57.50 | 4.9× |
| Erythropoietin (82668) | $82.80 | $138 | 4.4× |
| Estradiol serum (82670) | $159.30 | $265.50 | 5.7× |
| Estrogen total (82672) | $150.30 | $250.50 | 6.9× |
| Exam Synovial Fluid Crystals (89060) | $55.50 | $92.50 | 7.6× |
| Factor v activity (85220) | $294.30 | $490.50 | 16.7× |
| Factor v leiden mutation (81241) | $366.60 | $611 | 5.0× |
| Factor viii assay (85240) | $221.10 | $368.50 | 12.4× |
| Fat/Lipids Feces Quantitative (82710) | $236.10 | $393.50 | 14.1× |
| Fecal Fat Qualitative (82705) | $53.70 | $89.50 | 10.5× |
| Ferritin (82728) | $61.20 | $102 | 4.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $65.40 | $109 | 6.7× |
| Fibrinogen activity (85384) | $91.50 | $152.50 | 9.4× |
| Flow cytometry first marker (88184) | $147.60 | $246 | 0.4× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$42.60–$152.70 | $71–$254.50 | varies |
| Folic Acid Serum (82746) | $63 | $105 | 4.3× |
| Follicle Stimulating Hormone (83001) | $96.90 | $161.50 | 5.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $22.80 | $38 | 0.1× |
| Frozen Blood Each Unit Thawing (86931) | $204.60 | $341 | 1.2× |
| Fungi Identification Mold (87107) | $47.70 | $79.50 | 4.6× |
| Gammaglobulin ige (82785) | $50.70 | $84.50 | 3.1× |
| Gardner vag DNA dir probe (87510) | $127.20 | $212 | 6.3× |
| Gastrin (82941) | $96.90 | $161.50 | 5.5× |
| Gentamicin (80170) | $77.40 | $129 | 4.7× |
| Ggt (82977) | $43.80 | $73 | 6.1× |
| Giardia antigen (87329) | $78.60 | $131 | 6.6× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$25.20–$82.20 | $42–$137 | varies |
| Glucose body fluid (82945) | $22.20 | $37 | 5.6× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$20.40–$29.70 | $34–$49.50 | varies |
| Glucose tolerance test (gtt) (82951) | $127.20 | $212 | 9.9× |
| Gtt-added samples (82952) | $42 | $70 | 10.7× |
| Haptoglobin (83010) | $39 | $65 | 3.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$19.20–$48.30 | $32–$80.50 | varies |
| Helicobacter Pylori Stool (87338) | $181.80 | $303 | 12.6× |
| Hematocrit (85014) | $36.60 | $61 | 15.4× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$18.60–$55.50 | $31–$92.50 | varies |
| Hemoglobin a1c (83036) | $64.20 | $107 | 6.6× |
| Hemoglobin Chromotography (83021) | $48.30 | $80.50 | 2.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $140.40 | $234 | 16.0× |
| Hemolysins&Agglutinins Incubated (86941) | $140.40 | $234 | 11.6× |
| Hep a ab igm (86709) | $34.50 | $57.50 | 3.1× |
| Hepatitis a antibody total (86708) | $58.20 | $97 | 4.7× |
| Hepatitis b core ab igm (86705) | $37.80 | $63 | 3.2× |
| Hepatitis b core ab total (86704) | $37.80 | $63 | 3.1× |
| Hepatitis B Surface Antigen (87340) | $78.60 | $131 | 7.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$138.30–$160.80 | $230.50–$268 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $462.30 | $770.50 | 10.8× |
| Herpes simplex type 2 (86696) | $60.60 | $101 | 3.1× |
| Heterophile Antibody Screen (86308) | $41.40 | $69 | 8.0× |
| Hfe Gene (81256) | $388.20 | $647 | 5.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $101.40 | $169 | 4.2× |
| Hiv-1 Antibody (86701) | $27.30 | $45.50 | 3.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $461.70 | $769.50 | 5.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $517.20 | $862 | 7.0× |
| Hla-b27 (86812) | $336.30 | $560.50 | 13.0× |
| Homocysteine (83090) | $85.20 | $142 | 4.8× |
| Hpv High-Risk Types (87624) | $109.50 | $182.50 | 3.1× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$41.40–$60.60 | $69–$101 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $72.90 | $121.50 | 7.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$69.30–$69.60 | $115.50–$116 | varies |
| Iaad ia shiga-like toxin (87427) | $29.70 | $49.50 | 2.5× |
| Iaadi inffluenza a virus (87276) | $34.50 | $57.50 | 2.1× |
| Iaadi parainfluenza virus each type (87279) | $34.50 | $57.50 | 2.1× |
| Iaadi respiratory synctial virus (87280) | $34.50 | $57.50 | 2.6× |
| Iaadi Varicella Zoster Virus (87290) | $68.10 | $113.50 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $658.20 | $1,097 | 15.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $267 | $445 | 6.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $216.90 | $361.50 | 6.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $270.60 | $451 | 1.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $221.10 | $368.50 | 0.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $56.10 | $93.50 | 3.7× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$51.30–$141.60 | $85.50–$236 | varies |
| Immunofixation electrophoresis (86334) | $100.80 | $168 | 4.5× |
| Immunohistochemistry (88342) | $247.80 | $413 | 1.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$75.30–$77.70 | $125.50–$129.50 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $34.50 | $57.50 | 2.4× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $34.50 | $57.50 | 2.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $58.80 | $98 | 2.9× |
| Influenza a/b ag eia (87400) | $37.80 | $63 | 2.7× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$27.60–$72.30 | $46–$120.50 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$126.60–$199.50 | $211–$332.50 | varies |
| Insulin free (83527) | $204.60 | $341 | 15.8× |
| Insulin total (83525) | $147.60 | $246 | 12.9× |
| Iron (83540) range across 2 matching MRF lines |
$19.20–$33.90 | $32–$56.50 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$19.20–$27.30 | $32–$45.50 | varies |
| Irradiation Blood Product Each Unit (86945) | $108.30 | $180.50 | 2.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $490.80 | $818 | 5.4× |
| Koh Prep (87220) | $15.60 | $26 | 3.7× |
| Lactate (ld) (ldh) enzyme (83615) | $37.20 | $62 | 6.2× |
| Lactoferrin Fecal Quantitative (83631) | $398.10 | $663.50 | 20.3× |
| LDL direct (83721) | $22.80 | $38 | 2.2× |
| Lead (83655) | $82.80 | $138 | 6.8× |
| Legionella antibody (86713) | $197.70 | $329.50 | 12.9× |
| Legionella antigen urine (87449) | $50.70 | $84.50 | 4.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $48.90 | $81.50 | 1.7× |
| Level ii surg pathology grossµscopic exam (88302) | $78.60 | $131 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $598.80 | $998 | 1.7× |
| Lipase (83690) | $48.30 | $80.50 | 7.0× |
| Lipoprotein A (83695) | $53.70 | $89.50 | 3.8× |
| Lithium (80178) | $57.60 | $96 | 8.7× |
| Luteinizing Hormone (Lh) (83002) | $100.20 | $167 | 5.4× |
| Lyme disease antibody (86618) | $113.70 | $189.50 | 6.7× |
| Magnesium Urine (83735) | $39 | $65 | 5.8× |
| Mercury urine (83825) | $48.30 | $80.50 | 3.0× |
| Methylmalonic acid serum (83921) | $140.40 | $234 | 6.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$18.60–$39 | $31–$65 | varies |
| Microsomal Antibodies Each (86376) | $45 | $75 | 3.1× |
| Mucin Clot Body Fluid (83872) | $43.20 | $72 | 7.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$96.90–$103.80 | $161.50–$173 | varies |
| Mycoplasma antibody (86738) | $45 | $75 | 3.4× |
| Myoglobin urine (83874) | $40.80 | $68 | 3.2× |
| Natriuretic peptide (83880) | $105 | $175 | 2.7× |
| Niacin (84591) | $333 | $555 | 19.5× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$80.40–$118.80 | $134–$198 | varies |
| Occult Blood Other Sources (82271) | $24.60 | $41 | 4.6× |
| Osmolality Urine (83935) | $58.20 | $97 | 8.5× |
| Ova and parasites smears (87177) | $67.50 | $112.50 | 7.6× |
| Oxalate urine (83945) | $57.60 | $96 | 4.0× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$44.40–$47.10 | $74–$78.50 | varies |
| Ph urine (81003) | $41.40 | $69 | 18.4× |
| Phenobarbital Level (80184) | $47.70 | $79.50 | 3.1× |
| Phenytoin (Dilantin) (80185) | $42.60 | $71 | 3.2× |
| Phenytoin free (80186) | $52.50 | $87.50 | 3.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$33.30–$88.50 | $55.50–$147.50 | varies |
| Phosphorus Serum (84100) | $27.30 | $45.50 | 5.8× |
| Phosphorus urine (84105) | $57.60 | $96 | 10.0× |
| Platelet count automated (85049) | $36.60 | $61 | 8.2× |
| Platelet neutralization (85597) | $63 | $105 | 3.5× |
| Potassium Urine (84133) | $53.70 | $89.50 | 11.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $108.30 | $180.50 | 0.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $108.30 | $180.50 | 1.8× |
| Pretx serum rbc antibody identification dilution (86976) | $64.80 | $108 | 2.2× |
| Procalcitonin (Pct) (84145) | $205.80 | $343 | 7.6× |
| Progesterone (84144) | $93.90 | $156.50 | 4.5× |
| Prolactin (84146) | $91.50 | $152.50 | 4.7× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$14.70–$22.20 | $24.50–$37 | varies |
| Protein C Activity (85303) | $196.50 | $327.50 | 14.2× |
| Protein c antigen (85302) | $314.70 | $524.50 | 26.2× |
| Protein Electrophoresis Urine (84166) | $73.50 | $122.50 | 4.1× |
| Protein S Free (85306) | $196.50 | $327.50 | 12.8× |
| Protein total serum (84155) range across 2 matching MRF lines |
$17.40–$27.30 | $29–$45.50 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$57–$87 | $95–$145 | varies |
| PSA free (84154) | $57 | $95 | 3.1× |
| Pth Intact (83970) | $127.20 | $212 | 3.1× |
| Quantiferon tb gold plus (86480) | $94.50 | $157.50 | 1.5× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$147.53–$204.60 | $245.88–$341 | varies |
| Rbc antibody elution (86860) | $150.30 | $250.50 | 0.9× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$85.20–$239.10 | $142–$398.50 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$15.60–$44.40 | $26–$74 | varies |
| Rbc pretreatment serum (86978) | $140.40 | $234 | 2.4× |
| Rbc pretx incubatj w/enzymes (86971) | $43.20 | $72 | 0.3× |
| Rbc serum pretx incubj drugs (86975) | $376.50 | $627.50 | 0.8× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$13.50–$48.30 | $22.50–$80.50 | varies |
| Renin activity plasma (84244) | $113.70 | $189.50 | 5.2× |
| Reticulocyte separation (86972) | $258.30 | $430.50 | 1.5× |
| Rh (86901) range across 2 matching MRF lines |
$21–$37.80 | $35–$63 | varies |
| Rheumatoid Factor Qualitative (86430) | $41.40 | $69 | 6.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$50.10–$121.80 | $83.50–$203 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$89.10–$196.50 | $148.50–$327.50 | varies |
| Ristocetin cofactor (85245) | $294.30 | $490.50 | 12.8× |
| Rpr qualitative (86592) | $48.90 | $81.50 | 11.5× |
| Rsv Assay W/Optic (87807) | $67.50 | $112.50 | 5.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$26.10–$82.80 | $43.50–$138 | varies |
| Rubeola antibody (86765) | $191.70 | $319.50 | 14.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$33.30–$64.80 | $55.50–$108 | varies |
| Salmonella antibody (86768) | $199.50 | $332.50 | 15.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $154.50 | $257.50 | 1.1× |
| Sedimentation rate (85651) | $22.20 | $37 | 5.2× |
| Sedimentation Rate, Automated (85652) | $22.20 | $37 | 8.2× |
| Semen Anal Sperm Detection (89321) | $37.80 | $63 | 3.1× |
| Sensitivity mic (87186) | $47.70 | $79.50 | 5.5× |
| Skin test tuberculosis intradermal (86580) | $21 | $35 | 0.7× |
| Smear acid fast (87206) | $51.30 | $85.50 | 9.5× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$24.60–$38.40 | $41–$64 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$22.80–$50.10 | $38–$83.50 | varies |
| Sodium Serum (84295) | $27.30 | $45.50 | 5.7× |
| Sodium Urine (84300) | $38.40 | $64 | 7.6× |
| Special Stains Group 1 (88312) | $219.90 | $366.50 | 4.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$45–$202.80 | $75–$338 | varies |
| Specimen infect agnt concntj (87015) | $121.80 | $203 | 18.2× |
| Stool cultr aerobic bact ea (87046) | $29.10 | $48.50 | 3.1× |
| Strep a assay w/optic (87880) | $42.60 | $71 | 2.6× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$55.50–$57.30 | $92.50–$95.50 | varies |
| Surg path level iii (88304) | $121.20 | $202 | 2.3× |
| Surgical pathology level IV (88305) | $159.30 | $265.50 | 3.1× |
| Surgical pathology level vi (88309) | $913.50 | $1,522.50 | 1.1× |
| Syphilis Test Non-Trep Quant (86593) | $9.30 | $15.50 | 2.1× |
| T cells absolute cd4 count (86361) | $223.20 | $372 | 8.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $159.30 | $265.50 | 3.4× |
| T3 Free (84481) range across 2 matching MRF lines |
$96.90–$121.20 | $161.50–$202 | varies |
| T3 reverse (84482) | $118.80 | $198 | 7.5× |
| T3 Total (84480) range across 2 matching MRF lines |
$59.40–$120.60 | $99–$201 | varies |
| T3 Uptake (84479) | $39 | $65 | 6.0× |
| T4 Free (84439) | $94.50 | $157.50 | 10.5× |
| T4 total (84436) | $63.60 | $106 | 9.3× |
| Tacrolimus (80197) | $230.40 | $384 | 16.8× |
| Testosterone total (84403) range across 3 matching MRF lines |
$80.40–$143.40 | $134–$239 | varies |
| Testosterone, Free (84402) | $79.20 | $132 | 3.1× |
| Thyroglobulin (84432) | $78.60 | $131 | 4.9× |
| Thyroglobulin Antibody (86800) | $65.40 | $109 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $660 | $1,100 | 13.0× |
| Thyroxine binding globulin (84442) | $66.60 | $111 | 4.5× |
| Topiramate (80201) | $65.40 | $109 | 5.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.30 | $45.50 | 5.3× |
| Transferrin (84466) | $55.50 | $92.50 | 4.3× |
| Trichomonas vagin dir probe (87660) | $127.20 | $212 | 6.3× |
| Triglycerides (84478) | $30.90 | $51.50 | 5.4× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$48.90–$152.70 | $81.50–$254.50 | varies |
| Urea nitrogen urine (84540) | $22.80 | $38 | 4.1× |
| Uric acid other source (84560) | $57.60 | $96 | 11.3× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$12.90–$37.20 | $21.50–$62 | varies |
| Urine Bacteria Culture (87088) | $47.70 | $79.50 | 5.9× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$30–$51.30 | $50–$85.50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $86.40 | $144 | 27.3× |
| Valproic acid (80164) | $70.50 | $117.50 | 5.2× |
| Vancomycin (80202) | $82.80 | $138 | 6.1× |
| Varicella-zoster antibody (86787) | $40.80 | $68 | 3.2× |
| Vasopressin (84588) | $127.80 | $213 | 3.8× |
| Virus inoculation, shell via (87254) | $275.70 | $459.50 | 14.1× |
| Vit D 1 25-Dihydroxy (82652) | $124.80 | $208 | 3.2× |
| Vitamin b-12 (82607) | $68.70 | $114.50 | 4.6× |
| Vitamin B2 (Riboflavin) (84252) | $219.90 | $366.50 | 10.9× |
| Vitamin B6 (84207) | $87.90 | $146.50 | 3.1× |
| Vitamin D 25-Hydroxy (82306) | $145.80 | $243 | 4.9× |
| Vitamin E (84446) | $48.30 | $80.50 | 3.4× |
| Von willebrand factor ag (85246) | $221.10 | $368.50 | 9.6× |
| Zinc (84630) | $35.10 | $58.50 | 3.1× |
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.