Lab & pathology prices at Holland Hospital

Holland, MI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholn Rcptr Modlg Antb (86043) $47.74 $79.56 4.0×
Acth (82024) $6.30 $10.50 0.2×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$7.74–$10.16 $12.90–$16.93 varies
Acute hepatitis panel (80074) $148.20 $247 3.1×
Albumin Fluid (82042)
range across 2 matching MRF lines
$5.78–$9 $9.64–$15 varies
Albumin serum (82040)
range across 2 matching MRF lines
$3.68–$25.80 $6.13–$43 varies
Aldolase (82085) $4.80 $8 0.5×
Aldosterone urine (82088)
range across 2 matching MRF lines
$10.80–$36.50 $18–$60.84 varies
Alkaline phosphatase isoenzymes (84080) $11.11 $18.51 0.8×
Allergen specific ige (86003)
range across 2 matching MRF lines
$3–$12 $5–$20 varies
Allg Spec Ige Recomb Ea (86008) $10.72 $17.86 0.6×
Alpha-1-antitrypsin phenotype (82104) $14.26 $23.76 1.0×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$5.34–$13.24 $8.90–$22.07 varies
Alpha-Fetoprotein Serum (82105) $18 $30 1.1×
Alt (sgpt) (84460) $18.60 $31 3.5×
Amikacin trough (80150)
range across 2 matching MRF lines
$20.75–$22.82 $34.58–$38.04 varies
Ammonia (82140) $49.80 $83 3.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $126.60 $211 1.3×
Amylase urine (82150)
range across 2 matching MRF lines
$19.20–$26.17 $32–$43.61 varies
Ana Titer (86039) $6 $10 0.5×
Anca screen each antibody (86036) $14.84 $24.73 1.2×
Androstenedione (82157) $14.40 $24 0.5×
Angiotensin converting enzyme csf (82164) $6 $10 0.4×
Antibody aspergillus (86606) $18.73 $31.21 1.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$8.43–$16.86 $14.05–$28.10 varies
Antibody Cytomegalovirus Cmv Igm (86645) $6.70 $11.17 0.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $3.38 $5.64 0.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $4.01 $6.68 0.2×
Antibody Fungus Not Elsewhere Specified (86671) $15.14 $25.24 1.2×
Antibody haemophilus influenza (86684) $15 $25 0.9×
Antibody helicobacter pylori (86677) $53.40 $89 3.2×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$4.14–$9.55 $6.90–$15.92 varies
Antibody Herpes Smplx Type 1 (86695) $3.14 $5.23 0.2×
Antibody HIV-2 (86702) $28.80 $48 2.1×
Antibody Protozoa Nes (86753) $19.48 $32.46 1.6×
Antibody Titer (86886)
range across 2 matching MRF lines
$21–$54.30 $35–$90.50 varies
Antibody Treponema Pallidum (86780)
range across 5 matching MRF lines
$5.44–$27 $9.06–$45 varies
Antibody; influenza virus (86710)
range across 2 matching MRF lines
$8.60–$9.61 $14.34–$16.02 varies
Antigen typing (86905) $25.80 $43 6.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines
$7.80–$9.60 $13–$16 varies
Antinuclear antibodies (86038) $34.80 $58 2.9×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$4.97–$51.60 $8.28–$86 varies
Antithrombin iii activity (85300) $11.34 $18.90 1.0×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$8.52–$14.46 $14.20–$24.10 varies
Arsenic (82175)
range across 3 matching MRF lines
$6.92–$21.38 $11.54–$35.63 varies
Aspergillus ag eia (87305) $19.50 $32.50 1.6×
Assay Blood Carbon Dioxide (82374) $8.40 $14 1.7×
Assay myeloperoxidase (83876) $19.02 $31.70 0.4×
Assay of 5-hiaa (83497) $12 $20 0.9×
Assay of blood/uric acid (84550) $18.60 $31 4.1×
Assay of calcium in urine (82340) $20.40 $34 3.4×
Assay of estrone (82679) $14.94 $24.90 0.6×
Assay of g6pd enzyme (82955) $16.49 $27.48 1.7×
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$4.72–$367.20 $7.87–$612 varies
Assay of lactic acid (83605) $36.60 $61 3.2×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$11.10–$12.60 $18.50–$21 varies
Assay of procainamide (80190) $41.75 $69.58 0.7×
Assay of proinsulin (84206) $31.82 $53.04 1.2×
Assay of semen fructose (82757) $36.49 $60.81 2.1×
Assay of serotonin (84260) $23.88 $39.80 0.8×
Assay of serum potassium (84132) $18.60 $31 3.9×
Assay of urea nitrogen (84520) $7.80 $13 2.0×
Assay of urine vma (84585) $11.68 $19.47 0.8×
Assay of vasoactive intestinal peptide (84586) $66 $110 1.9×
Assay of vitamin b-1 (84425) $7.26 $12.10 0.3×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$6–$36 $10–$60 varies
Autol Bld/Component Collj Storage Predeposited (86890) $57.60 $96 0.3×
Automated Leukocyte Count (85048) $22.20 $37 8.7×
B cells total count (86355) $10.25 $17.08 0.3×
Bartonella antibody (86611) $6.30 $10.50 0.6×
Beta 2 glycoprotein i antibody each (86146) $12 $20 0.5×
Beta hydroxybutyrate (82010) $13.80 $23 1.7×
Beta Lactamase (87185) $12 $20 2.5×
Beta-2 Microglobulin (82232) $6.66 $11.10 0.4×
Bile acids total (82239) $18 $30 1.1×
Bilirubin direct (82248) $31.20 $52 6.2×
Bilirubin total (82247) $18 $30 3.6×
Bilirubin total transcutaneous (88720) $73.80 $123 14.7×
Blastomyces antibody (86612) $28.76 $47.93 2.2×
Bld Typing Serologic Rh Phnt (86906) $40.20 $67 5.2×
Blood Count Automated Differential Wbc Count (85004) $36 $60 5.6×
Blood count reticulocyte automated (85045) $41.40 $69 10.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $14.40 $24 3.8×
Blood gases w/02 saturation (82805) $119.40 $199 1.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $48.60 $81 3.1×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 10 matching MRF lines
$55.80–$552.60 $93–$921 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $42.90 $71.50 2.6×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$9.60–$16.20 $16–$27 varies
Brucella antibody (86622) $12.44 $20.74 1.4×
C diff amplified probe (87493) $115.80 $193 3.1×
C-Peptide (84681) $7.95 $13.25 0.4×
C-reactive protein (86140) $34.20 $57 6.6×
Ca 19-9 (86301) $8.82 $14.70 0.4×
Cadmium (82300)
range across 3 matching MRF lines
$8.63–$26.64 $14.39–$44.40 varies
Calcitonin (82308) $12 $20 0.4×
Calcium ionized (82330) $34.20 $57 2.5×
Calcium total (82310) $8.40 $14 1.6×
Calculus Spectroscopy (82365)
range across 2 matching MRF lines
$7.20–$16.32 $12–$27.20 varies
Calprotectin Fecal (83993) $48.30 $80.50 2.5×
Cancer Antigen 125 (86304) $49.20 $82 2.4×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$9.72–$10.05 $16.20–$16.75 varies
Carbamazepine total (80156) $46.20 $77 3.2×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$66–$148.80 $110–$248 varies
Carcinoembryonic antigen (82378) $56.40 $94 3.0×
Cardiolipin ab iga (86147) $46.80 $78 1.8×
Carnitine Quantitative Each Specimen (82379) $16.52 $27.53 1.0×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$15–$22.44 $25–$37.40 varies
Ccp antibody (86200) $40.20 $67 3.1×
Cell count csf (89051) $64.80 $108 11.6×
Ceruloplasmin (82390) $5.70 $9.50 0.5×
Cftr gene com variants (81220) $108.05 $180.09 0.2×
Cftr gene dup/delet variants (81222) $84.46 $140.77 0.2×
Chlamydia antibody (86631) $7.40 $12.33 0.6×
Chlamydia Igm Antibody (86632) $7.93 $13.22 0.6×
Chloride Serum (82435) $7.80 $13 1.7×
Chloride urine (82436) $40.80 $68 7.1×
Cholesterol total (82465) $13.20 $22 3.0×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$1.51–$17.40 $2.52–$29 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) $28.80 $48 0.9×
Chromium serum (82495) $16.15 $26.92 0.8×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$118.39–$252 $197.32–$420 varies
Chromosome Analysis 20-25 (88264) $111 $185 0.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$9.96–$69 $16.60–$115 varies
Citric acid urine (82507) $21.05 $35.09 0.8×
Ckmb (82553) $60.60 $101 5.2×
Clotting Funct Activity (85397) $37.56 $62.60 1.2×
Coagulation time activated (85347) $23.40 $39 5.5×
Cold agglutinin titer (86157) $26.42 $44.03 3.3×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$7.50–$12.36 $12.50–$20.60 varies
Column Chromotography Quant (82542) $166.80 $278 6.9×
Compatibility test antiglob (86922) $59.40 $99 0.3×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$26.40–$30.55 $44–$50.92 varies
Complement Total (Ch50) (86162) $5.58 $9.30 0.3×
Complement/Function Activity (86161) $28.91 $48.18 2.4×
Consltj Compre Review Reprt Referred Matrl (88325) $104.89 $174.81 0.6×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines
$48–$104.89 $80–$174.81 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $104.89 $174.81 2.8×
Coombs direct (86880)
range across 2 matching MRF lines
$16.20–$33 $27–$55 varies
Copper urine (82525) $8.59 $14.32 0.7×
Cortisol free (82530) $11.76 $19.60 0.7×
Cortisol saliva (82533)
range across 2 matching MRF lines
$28.80–$44.40 $48–$74 varies
Creatine kinase total (82550) $11.40 $19 1.8×
Creatinine blood (82565) $18 $30 3.5×
Creatinine clearance (82575) $45.60 $76 4.8×
Creatinine Urine (82570)
range across 3 matching MRF lines
$3.40–$15 $5.67–$25 varies
Crossmatch electronic (86923) $58.20 $97 0.3×
Crossmatch immediate spin (86920)
range across 2 matching MRF lines
$24–$93 $40–$155 varies
Crp High Sensitivity (86141) $34.20 $57 2.6×
Cryofibrinogen (82585) $5.84 $9.74 0.4×
Cryoglobulin (82595) $2.68 $4.46 0.4×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$14.31–$31.80 $23.85–$53 varies
Cryptosporidium (87272) $40.80 $68 3.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $36 $60 4.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $18.48 $30.80 2.4×
Culture afb (87116) $27.39 $45.65 2.5×
Culture Anaerobic (87075) $114.60 $191 12.1×
Culture blood (87040) $67.80 $113 6.6×
Culture chlamydia (87110) $36 $60 1.8×
Culture csf (87070)
range across 2 matching MRF lines
$18–$39 $30–$65 varies
Culture fungus (87102)
range across 2 matching MRF lines
$15.18–$24 $25.30–$40 varies
Culture fungus blood (87103) $84 $140 4.1×
Culture screen only (87081)
range across 3 matching MRF lines
$18.35–$46.20 $30.58–$77 varies
Culture stool (87045) $45.60 $76 4.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $9 $15 1.7×
Culture urine (87086) $53.40 $89 6.6×
Cyclosporine (80158) $11.94 $19.90 0.7×
Cystatin C (82610) $22.80 $38 1.2×
Cytogenetics 100-300 (88275) $96 $160 1.9×
Cytomegalovirus igg (86644) $5.72 $9.53 0.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $61.80 $103 3.1×
Cytopath Cell Enhance Tech (88112) $74.40 $124 1.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $76.20 $127 2.9×
Cytp Concentration Smears & Interpretation (88108) $74.40 $124 2.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $95.40 $159 1.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $69 $115 0.4×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $64.20 $107 1.7×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $84 $140 2.9×
Deoxyribonuclease antibody (86215) $9.02 $15.03 0.7×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$36–$39.60 $60–$66 varies
Dgp Antibody Each Ig Class (86258) $13.88 $23.13 1.2×
Dhea (82626) $13.14 $21.90 0.5×
Dhea-S (82627) $57.60 $96 2.6×
Digoxin (80162) $39.60 $66 3.0×
Dihydrotestosterone (82642) $27.14 $45.23 0.9×
Dipropylacetic Acid Free (80165) $17.27 $28.78 1.3×
Dna Antibody Native/Double Stranded (86225) $47.40 $79 3.4×
DNA/RNA direct probe (87149) $27 $45 1.3×
Drug assay adalimumab (80145) $116.82 $194.70 3.0×
Drug Assay Amiodarone (80151) $11.85 $19.75 0.6×
Drug Assay Infliximab (80230) $105 $175 2.7×
Drug Assay Lacosamide (80235) $57 $95 2.1×
Drug Screen Quant Clozapine (80159)
range across 2 matching MRF lines
$7.87–$12.96 $13.11–$21.60 varies
Drug Screen Quant Zonisamide (80203) $23.91 $39.85 1.8×
Drug Screen Quantitative Gabapentin (80171) $13.02 $21.70 0.6×
Drug Screen Quantitative Lamotrigine (80175) $8.59 $14.32 0.6×
Drug Screen Quantitative Levetiracetam (80177) $13.11 $21.85 1.0×
Drug Screen Quantitative Oxcarbazepine (80183) $12 $20 0.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $35.52 $59.20 2.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 5 matching MRF lines
$12–$72 $20–$120 varies
El-1 Fecal Quantitative (82653) $44.88 $74.80 2.0×
Electrolyte panel (80051) $28.20 $47 4.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $12.30 $20.50 1.0×
Enzyme cell activity (82657) $81 $135 3.7×
Erythropoietin (82668) $9.30 $15.50 0.5×
Estradiol serum (82670) $61.80 $103 2.2×
Estriol (82677)
range across 2 matching MRF lines
$6.66–$12.29 $11.10–$20.49 varies
Ethosuximide (80168) $23.24 $38.74 1.4×
Ethylene Glycol (82693) $27 $45 1.8×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$27–$37.20 $45–$62 varies
F2 Gene (81240) $46.91 $78.19 0.7×
Factor ix activity (85250) $46.43 $77.39 2.4×
Factor v leiden mutation (81241) $32.98 $54.97 0.4×
Factor viii assay (85240) $28.43 $47.39 1.6×
Fat/Lipids Feces Quantitative (82710) $16.81 $28.02 1.0×
Fatty acids free (82725) $75.65 $126.08 4.0×
Ferritin (82728) $39.60 $66 2.9×
Fetal Congenital Abnor Assay Four Anal (81511) $19.69 $32.82 0.1×
Fetal Fibronectin (82731) $243 $405 3.8×
Fetal screen rosette (85461) $66.60 $111 7.1×
Fibrin Degradation Quant (85379) $90.60 $151 8.9×
Fibrinogen activity (85384) $51.60 $86 5.3×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$7.75–$24.06 $12.91–$40.10 varies
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$57–$70.20 $95–$117 varies
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$15.91–$31.23 $26.52–$52.05 varies
Fmr1 gene detection (81243) $150 $250 2.6×
Folic Acid Serum (82746) $39 $65 2.7×
Follicle Stimulating Hormone (83001) $69.60 $116 3.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $43.20 $72 0.3×
Frozen Section (88331) $121.80 $203 0.7×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$7.41–$43.20 $12.35–$72 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $75 $125 7.7×
Gastrin (82941) $9.42 $15.70 0.5×
Gentamicin (80170)
range across 2 matching MRF lines
$30–$75 $50–$125 varies
Ggt (82977) $22.80 $38 3.2×
Glucose 2 hr pp (82950) $21 $35 4.4×
Glucose Blood Test (82962) $6 $10 1.8×
Glucose body fluid (82945) $24 $40 6.1×
Glucose Serum (82947)
range across 2 matching MRF lines
$8.40–$19.20 $14–$32 varies
Glucose tolerance test (gtt) (82951) $63.60 $106 4.9×
Glycated Protein (82985) $10.20 $17 0.6×
Gonadotropin Chorionic Qualitative (84703) $29.40 $49 3.9×
Growth hormone (83003) $9.96 $16.60 0.6×
Gtt-added samples (82952) $19.20 $32 4.9×
Haptoglobin (83010) $7.20 $12 0.6×
Hdl Cholesterol (83718) $22.80 $38 2.8×
Helicobacter Pylori Stool (87338) $37.80 $63 2.6×
Hematocrit (85014) $9.60 $16 4.1×
Hemoglobin (85018)
range across 2 matching MRF lines
$9.60–$10.20 $16–$17 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$12–$29.40 $20–$49 varies
Hemoglobin Chromotography (83021) $10.57 $17.62 0.6×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$7.54–$45 $12.56–$75 varies
Hemoglobin Methemoglobin Quantitative (83050) $13.80 $23 1.7×
Hemoglobin plasma (83051) $12 $20 1.6×
Hep a ab igm (86709) $48 $80 4.3×
Heparin assay (85520) $22.27 $37.11 1.7×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$8.91–$10.12 $14.85–$16.87 varies
Hepatitis b core ab igm (86705) $36 $60 3.1×
Hepatitis b core ab total (86704) $46.20 $77 3.8×
Hepatitis B Surface Antibody (86706) $45 $75 4.2×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$6.60–$15 $11–$25 varies
Hepatitis Be Antibody (86707) $9.30 $15.50 0.8×
Hepatitis Be Antigen (87350) $9.26 $15.44 0.8×
Hepatitis C Antibody (86803) $47.40 $79 3.3×
Hepatitis C Genotype (87902) $75.36 $125.60 0.3×
Hepatitis C Revrs Trnscrpj (87522) $51.30 $85.50 1.2×
Hepatitis Delta Agent Antibody (86692) $44.34 $73.90 2.6×
Herpes simplex type 2 (86696) $4.60 $7.67 0.2×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$25.20–$34.20 $42–$57 varies
Hfe Gene (81256) $99.18 $165.30 1.5×
Hgb Quantitative Transcutaneous (88738) $24.60 $41 4.9×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $70.80 $118 9.2×
Histoplasma antibody (86698) $5.11 $8.52 0.4×
Histoplasma antigen urine (87385) $33 $55 2.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $51 $85 2.1×
Hiv-1 Antibody (86701) $18.94 $31.56 2.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $49.50 $82.50 0.6×
HIV-2 probe&revrse trnscripj (87538) $21 $35 0.6×
Hla Class I Typing Low Resolution One Locus Each (81373) $200.10 $333.50 1.6×
Hla ii typing 1 locus lr (81376)
range across 2 matching MRF lines
$52.50–$71.94 $87.50–$119.90 varies
Hla-b27 (86812) $14.76 $24.60 0.6×
Homocysteine (83090)
range across 2 matching MRF lines
$11.40–$43.56 $19–$72.60 varies
Hpv High-Risk Types (87624) $61.80 $103 1.8×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$13.16–$47.40 $21.93–$79 varies
Hydroxyprogesterone 17-d (83498) $10.92 $18.20 0.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines
$31.94–$50.40 $53.24–$84 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $42 $70 1.2×
Iaadi giardia (87269) $40.80 $68 3.0×
Iaadi respiratory synctial virus (87280) $6 $10 0.4×
Iaadiadoo trichomonas vaginalis (87808)
range across 2 matching MRF lines
$12–$21 $20–$35 varies
Iadna Cytomegalovirus Quantification (87497) $42 $70 1.0×
Iadna Hepatitis B Virus Quantification (87517) $45 $75 1.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $21 $35 0.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$11.10–$69 $18.50–$115 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $36 $60 0.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $180 $300 1.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $240 $400 0.9×
Ig Light Chains Free Each (83521) $7.86 $13.10 0.5×
Igg subclasses (82787) $4.07 $6.79 0.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines
$45–$234 $75–$390 varies
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$24.31–$72 $40.52–$120 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$8.70–$47.69 $14.50–$79.48 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$1.35–$21.47 $2.25–$35.79 varies
Immunoassay nonantibody (83516)
range across 8 matching MRF lines
$6.62–$54.03 $11.04–$90.05 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $121.80 $203 5.3×
Immunofixation electrophoresis (86334) $72.60 $121 3.2×
Immunofluorescence per spec 1st singl antb stain (88346) $69.60 $116 0.4×
Immunohistochemistry (88342)
range across 4 matching MRF lines
$32.40–$123 $54–$205 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$78–$90 $130–$150 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $63 $105 0.9×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $3 $5 0.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905)
range across 2 matching MRF lines
$8.40–$9 $14–$15 varies
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$21.60–$47.40 $36–$79 varies
Inhibin b (83520)
range across 10 matching MRF lines
$12–$160 $20–$266.67 varies
Insulin antibodies (86337) $21.30 $35.50 1.0×
Insulin total (83525) $31.80 $53 2.8×
Intrinsic factor antibody (86340) $13.49 $22.48 0.9×
Iron (83540) $23.40 $39 3.6×
Islet cell antibody (86341)
range across 3 matching MRF lines
$14.34–$60 $23.90–$100 varies
Koh Prep (87220)
range across 2 matching MRF lines
$8.40–$51.60 $14–$86 varies
L/s ratio (83661) $30 $50 1.4×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$19.20–$39 $32–$65 varies
Lactoferrin fecal qualitative (83630) $40.80 $68 2.1×
LDL direct (83721) $36.60 $61 3.5×
Lead (83655)
range across 4 matching MRF lines
$4.42–$20.39 $7.37–$33.98 varies
Legionella antibody (86713) $14.05 $23.41 0.9×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$54–$55.38 $90–$92.30 varies
Level I Surg Pathology Gross Examination Only (88300) $42.60 $71 1.5×
Level ii surg pathology gross&microscopic exam (88302) $65.40 $109 1.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $258 $430 0.7×
Lidocaine (80176) $27 $45 1.8×
Lipase (83690) $40.20 $67 5.8×
Lipoprotein A (83695) $7.44 $12.40 0.5×
Lipoprotein Bld Quan Part (83704) $30.12 $50.20 0.9×
Lithium (80178) $48 $80 7.3×
Luteinizing Hormone (Lh) (83002) $58.80 $98 3.2×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$12.06–$48 $20.10–$80 varies
M. Genitalium Amp Probe (87563) $36 $60 1.0×
M/phmtrc alys ishquant/semiq (88374) $165 $275 1.0×
Macroscopic exam arthropod (87168) $28.23 $47.05 6.6×
Magnesium Urine (83735)
range across 2 matching MRF lines
$28.20–$28.68 $47–$47.80 varies
Mercury urine (83825)
range across 3 matching MRF lines
$5.94–$18.26 $9.90–$30.44 varies
Methylmalonic acid serum (83921) $13.52 $22.53 0.6×
Microalbumin, quantitative (82043) $12.60 $21 2.2×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$8.98–$46.80 $14.97–$78 varies
Molecular Cytogenetics Dna Probe Each (88271) $42 $70 2.0×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$39–$57 $65–$95 varies
Mthfr Gene Analysis Common Variants (81291) $66.93 $111.55 1.0×
Mumps antibody (86735)
range across 3 matching MRF lines
$7.50–$30 $12.50–$50 varies
Muscle-Specific Kinase Antb (86366) $210 $350 11.4×
Mycophenolic Acid (80180) $17.01 $28.35 0.9×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$6.95–$32.98 $11.59–$54.97 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$11.44–$14.69 $19.07–$24.49 varies
Natriuretic peptide (83880) $67.80 $113 1.7×
Nk cells total count (86357) $10.24 $17.07 0.3×
Nuclear antigen antibody (86235) $37.80 $63 2.1×
Occult blood feces (82272)
range across 2 matching MRF lines
$4.80–$18.60 $8–$31 varies
Occult Blood Other Sources (82271) $18.60 $31 3.5×
Oligoclonal bands (83916) $13.80 $23 0.5×
Oncology breast mrna gene expression 21 genes (81519) $2,049.60 $3,416 0.5×
Osmolality serum (83930) $26.40 $44 4.0×
Osmolality Urine (83935) $25.80 $43 3.8×
Osteocalcin (83937) $40.04 $66.73 1.3×
Ova and parasites smears (87177) $5.25 $8.75 0.6×
Oxalate urine (83945) $12.61 $21.01 0.9×
Parvovirus antibody (86747) $6.74 $11.23 0.4×
Ph urine (81003)
range across 2 matching MRF lines
$4.20–$13.20 $7–$22 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$8.57–$23.73 $14.28–$39.55 varies
Phenylalanine (84030) $87 $145 15.8×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$7.89–$25.80 $13.15–$43 varies
Phenytoin free (80186) $8.53 $14.22 0.6×
Phosphatase acid prostatic (84066) $14.39 $23.98 1.5×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$3.89–$18 $6.49–$30 varies
Phosphatidylglycerol (84081) $18.37 $30.62 1.1×
Phospholipid Neutralization Hexagonal (85598) $54 $90 3.0×
Phosphorus Serum (84100) $8.40 $14 1.8×
Phosphorus urine (84105) $21.65 $36.09 3.7×
Pinworm exam (87172) $29.08 $48.46 6.8×
Platelet Aggregation (85576) $116.40 $194 4.7×
Platelet Antibodies (86022)
range across 3 matching MRF lines
$27.02–$149.70 $45.03–$249.50 varies
Platelet count automated (85049) $24.60 $41 5.5×
Porphobilinogen, urine; quantitative (84110) $8.28 $13.80 1.0×
Porphyrins Urine Quantitation & Fractionation (84120) $14.44 $24.06 1.0×
Potassium Urine (84133) $23.40 $39 4.9×
Prealbumin (84134) $36.60 $61 2.5×
Pregnenolone (84140) $15 $25 0.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $32.40 $54 0.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $33.30 $55.50 0.6×
Pretx serum rbc antibody identification dilution (86976) $18.60 $31 0.6×
Primidone (80188) $12.42 $20.70 0.7×
Procalcitonin (Pct) (84145) $37.80 $63 1.4×
Progesterone (84144) $57 $95 2.7×
Prolactin (84146)
range across 2 matching MRF lines
$19.20–$60 $32–$100 varies
Protein body fluid (84157) $31.80 $53 8.0×
Protein C Activity (85303) $15.42 $25.70 1.1×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$6.52–$40.80 $10.86–$68 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $58.20 $97 5.4×
Protein S Free (85306) $13.65 $22.75 0.9×
Protein s total (85305) $13.24 $22.06 1.1×
Protein total serum (84155) $18 $30 4.9×
Protein Total Urine (84156)
range across 2 matching MRF lines
$2.39–$18 $3.99–$30 varies
Protein Western Blot Test (84182) $70.08 $116.80 2.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $41.44 $69.06 10.5×
PSA free (84154)
range across 2 matching MRF lines
$4.50–$47.40 $7.50–$79 varies
Pth Intact (83970) $79.80 $133 1.9×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$18.48–$72 $30.80–$120 varies
Quantitative assay drug (80299)
range across 2 matching MRF lines
$25.76–$36.19 $42.94–$60.32 varies
Rbc antibody elution (86860) $54.30 $90.50 0.3×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$48–$96.60 $80–$161 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$29.40–$39 $49–$65 varies
Rbc pretreatment serum (86978) $67.80 $113 1.2×
Rbc pretx incubatj w/enzymes (86971)
range across 2 matching MRF lines
$11.70–$81 $19.50–$135 varies
Rbc serum pretx incubj drugs (86975)
range across 2 matching MRF lines
$81–$120.30 $135–$200.50 varies
Renin activity plasma (84244) $7.80 $13 0.4×
Reptilase test (85635) $30.37 $50.61 3.1×
Resp virus 12-25 targets (87633) $630 $1,050 1.5×
Resp Virus 6-11 Targets (87632)
range across 2 matching MRF lines
$276–$390 $460–$650 varies
Rh (86901)
range across 2 matching MRF lines
$7.80–$12.30 $13–$20.50 varies
Rheumatoid factor quant (86431) $44.40 $74 7.8×
Ristocetin cofactor (85245) $24.93 $41.55 1.1×
Rotavirus ag eia (87425) $21 $35 1.8×
Rpr qualitative (86592)
range across 3 matching MRF lines
$4.80–$27.54 $8–$45.90 varies
Rsv Assay W/Optic (87807)
range across 3 matching MRF lines
$19.80–$88.20 $33–$147 varies
Rubella Antibody (86762) $15.60 $26 1.1×
Rubeola antibody (86765)
range across 3 matching MRF lines
$13.14–$32.40 $21.90–$54 varies
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$4.79–$24 $7.99–$40 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$60–$76.97 $100–$128.28 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$25.80–$36 $43–$60 varies
Sedimentation Rate, Automated (85652) $22.80 $38 8.4×
Selenium (84255) $15 $25 0.6×
Semen Anal Sperm Detection (89321) $78 $130 6.5×
Semen analysis complete (89320) $114.60 $191 9.3×
Sensitivity mic (87186)
range across 2 matching MRF lines
$6–$59.40 $10–$99 varies
Sex Hormone Binding Globulin (84270) $52.20 $87 2.4×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$34.80–$35.10 $58–$58.50 varies
Sirolimus (80195) $12.71 $21.18 0.9×
Skin test tuberculosis intradermal (86580) $21.60 $36 0.7×
Smear acid fast (87206)
range across 2 matching MRF lines
$12.32–$15 $20.54–$25 varies
Smear complex stain (87209) $10.60 $17.67 0.6×
Smear gram stain (87205) $31.20 $52 7.3×
Smear Special Stain (87207) $36 $60 6.0×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$6.60–$38.40 $11–$64 varies
Sodium Serum (84295) $8.40 $14 1.7×
Sodium Urine (84300) $19.20 $32 3.8×
Somatomedin (84305) $12.18 $20.30 0.6×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$51.60–$141 $86–$235 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$40.80–$117 $68–$195 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$27.42–$28.67 $45.70–$47.78 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$15–$37.20 $25–$62 varies
Strep b DNA amp probe (87653) $40.80 $68 1.2×
Sugars Single Qual (84376) $30.32 $50.54 5.5×
Surg path level iii (88304) $85.20 $142 1.6×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$39–$102 $65–$170 varies
Surgical pathology level vi (88309) $471 $785 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $24 $40 5.1×
Susceptibility Study Antimicrobial Disk Method (87184) $3 $5 0.4×
Syphilis Test Non-Trep Quant (86593) $9.96 $16.60 2.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $12.76 $21.27 0.3×
T cells total count (86359) $10.24 $17.07 0.3×
T3 Free (84481) $58.80 $98 3.5×
T3 reverse (84482) $13.26 $22.10 0.8×
T3 Total (84480) $37.20 $62 2.6×
T3 Uptake (84479) $36.60 $61 5.7×
T4 Free (84439)
range across 2 matching MRF lines
$12.72–$42 $21.20–$70 varies
T4 total (84436) $41.40 $69 6.0×
Tacrolimus (80197) $7.92 $13.20 0.6×
Testosterone total (84403) $43.80 $73 1.7×
Theophylline (80198)
range across 2 matching MRF lines
$27–$39.60 $45–$66 varies
Thrombin Time (85670) $23.87 $39.79 4.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $34.94 $58.23 5.4×
Thyroglobulin (84432) $5.09 $8.49 0.3×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$5.05–$9.82 $8.41–$16.37 varies
Thyroid Stimulating Immunoglobulin (84445) $28.41 $47.35 0.6×
Thyroxine binding globulin (84442) $19.52 $32.53 1.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $6.48 $10.80 0.6×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$61.80–$111 $103–$185 varies
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$110.66–$180 $184.44–$300 varies
Tobramycin peak (80200) $34.20 $57 2.1×
Topiramate (80201) $13.29 $22.15 1.1×
Touch prep (88161) $38.40 $64 1.3×
Toxoplasma ab igm (86778) $12.39 $20.65 0.9×
Toxoplasma antibody (86777) $10.76 $17.93 0.7×
Transferase Aspartate Amino Ast Sgot (84450) $17.40 $29 3.4×
Transferrin (84466) $40.20 $67 3.2×
Trichomonas vagin dir probe (87660) $26.40 $44 1.3×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$27–$36 $45–$60 varies
Triglycerides (84478) $22.80 $38 4.0×
Troponin Quant (84484) $55.80 $93 4.5×
Tumor immunohistochem/comput (88361) $217.20 $362 0.6×
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$34.80–$82.20 $58–$137 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 22 matching MRF lines
$4.80–$1,104.60 $8–$1,841 varies
Urea nitrogen urine (84540) $40.80 $68 7.3×
Uric acid other source (84560) $28.40 $47.34 5.6×
Urinalysis Microscopic Only (81015) $13.80 $23 4.5×
Urine Albumin Semiquantitative (82044) $5.40 $9 0.9×
Urine Bacteria Culture (87088) $25.20 $42 3.1×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$13.80–$25.20 $23–$42 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $17.40 $29 5.5×
Valproic acid (80164)
range across 2 matching MRF lines
$17.26–$25.80 $28.77–$43 varies
Vancomycin (80202) $62.40 $104 4.6×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$7.50–$42 $12.50–$70 varies
Very Long Chain Fatty Acids (82726) $50.57 $84.28 2.6×
Viral Culture (87252) $51 $85 2.0×
Virus inoculation, shell via (87254) $39 $65 2.0×
Viscosity serum (85810) $21 $35 1.8×
Vit D 1 25-Dihydroxy (82652) $7.20 $12 0.2×
Vitamin A (84590) $6 $10 0.5×
Vitamin b-12 (82607) $31.20 $52 2.1×
Vitamin B6 (84207) $17.62 $29.36 0.6×
Vitamin c (82180) $12 $20 1.2×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$6.83–$55.80 $11.39–$93 varies
Vitamin E (84446) $9.45 $15.75 0.7×
Voltage-Gated Calcium Channel Antibody Each (86596) $31.23 $52.05 2.6×
Von willebrand factor ag (85246) $23.42 $39.03 1.0×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$12.53–$16.18 $20.89–$26.97 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$10.71–$13.82 $17.85–$23.03 varies
Zinc (84630)
range across 2 matching MRF lines
$6–$21 $10–$35 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.