Lab & pathology prices at Holton Community Hospital

Holton, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $60 $80 5.4×
Acetylcholine receptor binding antibody (86041) $60 $80 3.3×
Acth (82024) $155.40 $207.20 4.0×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$22.50–$37.50 $30–$50 varies
Acute hepatitis panel (80074) $237.19 $316.25 5.0×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$177–$210.75 $236–$281 varies
Albumin Fluid (82042) $34.31 $45.75 4.4×
Albumin serum (82040) $38.25 $51 7.7×
Aldolase (82085) $41.25 $55 4.2×
Aldosterone urine (82088) $158.25 $211 3.9×
Alkaline phosphatase isoenzymes (84080) $105.38 $140.50 7.1×
Allergen spec ige qual multiallergen screen (86005) $55.50 $74 7.0×
Allergen specific ige (86003)
range across 5 matching MRF lines
$17.25–$50.25 $23–$67 varies
Allergen specific igg (86001) $42.94 $57.25 5.5×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$42–$90 $56–$120 varies
Alpha-1-antitrypsin phenotype (82104) $102 $136 7.1×
Alpha-1-antitrypsin total (82103) $68.63 $91.50 5.1×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$71.81–$92.81 $95.75–$123.75 varies
Alt (sgpt) (84460) $14.93 $19.90 2.8×
Amikacin trough (80150) $47.25 $63 3.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$591–$719.25 $788–$959 varies
Ammonia (82140) $63.19 $84.25 4.3×
Amylase urine (82150) $56.25 $75 8.7×
Ana Titer (86039) $57 $76 5.1×
Anca Titer Each Antibody (86037) $45 $60 3.7×
Androstenedione (82157) $229.31 $305.75 7.8×
Angiotensin converting enzyme csf (82164) $63.19 $84.25 4.3×
Anti-Phospholipid Antibody (86148) $67.50 $90 4.2×
Antibody aspergillus (86606) $67.50 $90 4.5×
Antibody Bacterium Not Elsewhere Specified (86609) $41.25 $55 3.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $188.06 $250.75 12.1×
Antibody Cytomegalovirus Cmv Igm (86645) $80.25 $107 4.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $81.19 $108.25 6.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $84.94 $113.25 5.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $83.44 $111.25 4.6×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$53.81–$112.50 $71.75–$150 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines
$46.50–$72.75 $62–$97 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$99.75–$103.69 $133–$138.25 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$70.50–$85.88 $94–$114.50 varies
Antibody HIV-1&HIV-2 single result (86703) $48.75 $65 3.6×
Antibody HIV-2 (86702) $113.06 $150.75 8.4×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$53.81–$152.81 $71.75–$203.75 varies
Antibody Protozoa Nes (86753) $188.25 $251 15.2×
Antibody Treponema Pallidum (86780) $71.81 $95.75 5.4×
Antibody; influenza virus (86710) $125.63 $167.50 9.3×
Antigen typing (86905) $257.25 $343 67.2×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$64.69–$78 $86.25–$104 varies
Antistreptolysin O Screen (86063) $49.13 $65.50 8.5×
Antistreptolysin o titer (86060) $45.19 $60.25 6.2×
Antithrombin iii activity (85300) $58.50 $78 4.9×
Antithrombin iii antigen (85301) $171 $228 15.8×
Arsenic (82175) $80.25 $107 4.2×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$66–$86.25 $88–$115 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$50.25–$114.75 $67–$153 varies
Assay of anti-mullerian hormone (82166) $65.25 $87 1.7×
Assay of blood/uric acid (84550) $19.35 $25.80 4.3×
Assay of calcium in urine (82340) $30.38 $40.50 5.0×
Assay of cpk in blood (82552) $62.44 $83.25 4.7×
Assay of estrone (82679) $72.75 $97 2.9×
Assay of g6pd enzyme (82955) $105.38 $140.50 10.9×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$54.75–$260.44 $73–$347.25 varies
Assay of lactic acid (83605) $87.38 $116.50 7.6×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$126.38–$328.31 $168.50–$437.75 varies
Assay of proinsulin (84206) $96 $128 3.6×
Assay of serotonin (84260) $129.75 $173 4.2×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$17.10–$29.63 $22.80–$39.50 varies
Assay of transcortin (84449) $109.50 $146 6.1×
Assay of urea nitrogen (84520) $34.31 $45.75 8.7×
Assay of urine vma (84585) $113.06 $150.75 7.3×
Assay of vitamin b-1 (84425) $127.13 $169.50 6.0×
B cells total count (86355) $262.50 $350 7.0×
Bartonella antibody (86611) $23.44 $31.25 2.3×
Bcr/abl1 gene major bp (81206) $332.25 $443 2.0×
Bcr/abl1 gene minor bp (81207) $332.25 $443 2.3×
Bcr/Abl1 Gene Other Bp (81208) $205.50 $274 1.0×
Beta 2 glycoprotein i antibody each (86146) $69.38 $92.50 2.7×
Beta hydroxybutyrate (82010) $60 $80 7.3×
Beta Lactamase (87185) $24.94 $33.25 5.3×
Beta-2 Microglobulin (82232) $51.56 $68.75 3.2×
Bile acids total (82239) $112.50 $150 6.6×
Bilirubin direct (82248) $28.88 $38.50 5.8×
Bilirubin total (82247) $34.31 $45.75 6.8×
Biotinidase (82261) $104.25 $139 6.2×
Blastomyces antibody (86612) $135 $180 10.5×
Blood Count Red Blood Cell Automated (85041) $54.75 $73 18.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$8.25–$9.90 $11–$13.20 varies
Blood gas (82803) $159.94 $213.25 6.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines
$7.88–$35.63 $10.50–$47.50 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $53.06 $70.75 8.4×
Blood typing serologic abo (86900) $276.60 $368.80 92.5×
Body fluid cell count (89050) $25.69 $34.25 5.4×
Bordetella antibody (86615) $163.88 $218.50 12.4×
Braf gene analysis (81210) $210 $280 1.2×
Brucella antibody (86622) $68.63 $91.50 7.7×
C diff amplified probe (87493) $98.85 $131.80 2.7×
C-Peptide (84681) $90.56 $120.75 4.4×
C-reactive protein (86140) $48.38 $64.50 9.3×
Ca 19-9 (86301) $85.88 $114.50 4.1×
Cadmium (82300) $66.75 $89 2.8×
Calcitonin (82308) $183.75 $245 6.9×
Calcium ionized (82330) $59.25 $79 4.3×
Calcium total (82310) $34.31 $45.75 6.6×
Calculus assay quant (82360) $63.19 $84.25 4.9×
Calculus Spectroscopy (82365) $93.56 $124.75 7.3×
Calprotectin Fecal (83993) $227.81 $303.75 11.6×
Calr gene com variants (81219) $330 $440 2.7×
Cancer Antigen 125 (86304) $67.13 $89.50 3.2×
Cancer Antigen 27.29 (86300) $67.13 $89.50 3.2×
Candida Dna Dir Probe (87480)
range across 2 matching MRF lines
$60.75–$64.50 $81–$86 varies
Carbamazepine free (80157) $90.56 $120.75 6.8×
Carbamazepine total (80156) $123.94 $165.25 8.5×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $56.25 $75 4.0×
Carboxyhemoglobin (82375) $102.19 $136.25 8.3×
Carcinoembryonic antigen (82378) $96 $128 5.1×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$87–$100.69 $116–$134.25 varies
Carnitine Quantitative Each Specimen (82379) $262.88 $350.50 15.6×
Carotene (82380) $41.25 $55 4.5×
Catecholamines fractionated (82384) $156.75 $209 6.2×
Ccp antibody (86200) $117 $156 9.0×
Cell count csf (89051) $46.17 $61.56 8.2×
Cellular Function Assay Stimul&Detect Biomarke (86352) $155.25 $207 1.1×
Ceruloplasmin (82390) $50.63 $67.50 4.7×
Chemiluminescent assay (82397) $211.69 $282.25 15.0×
Chloride Serum (82435) $31.13 $41.50 6.8×
Chloride urine (82436) $38.25 $51 6.7×
Cholesterol total (82465) $14.25 $19 3.3×
Chorionic gonadotropin test (84702) $81.94 $109.25 5.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$75–$127.50 $100–$170 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$79.50–$84 $106–$112 varies
Citric acid urine (82507) $135.75 $181 4.9×
Ckmb (82553) $73.31 $97.75 6.3×
Clostridium Difficile (87324) $74.06 $98.75 6.2×
Cns DNA amp probe type 12-25 (87483) $1,013.25 $1,351 2.4×
Cold agglutinin screen (86156) $53.81 $71.75 6.7×
Cold agglutinin titer (86157) $34.50 $46 4.3×
Collagen crosslinks (82523) $133.50 $178 7.1×
Column Chromotography Quant (82542) $216.75 $289 9.0×
Compatibility test antiglob (86922) $122.25 $163 0.8×
Complement Antigen Each Component (86160) $62.25 $83 5.2×
Complement Total (Ch50) (86162) $107.63 $143.50 5.3×
Complement/Function Activity (86161) $75.75 $101 6.3×
Coombs direct (86880) $44.25 $59 8.2×
Copper urine (82525) $52.50 $70 4.2×
Cortisol free (82530) $143.25 $191 8.6×
Cortisol saliva (82533) $63 $84 3.9×
Creatine kinase total (82550) $30.30 $40.40 4.7×
Creatinine blood (82565) $34.31 $45.75 6.7×
Creatinine clearance (82575) $47.63 $63.50 5.0×
Creatinine Urine (82570) $28.88 $38.50 5.6×
Crossmatch electronic (86923) $191.25 $255 1.2×
Crossmatch immediate spin (86920) $92.81 $123.75 0.6×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$79.50–$113.06 $106–$150.75 varies
Cryoglobulin (82595) $24 $32 3.7×
Cryptosporidium ag eia (87328) $74.06 $98.75 5.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$34.50–$57 $46–$76 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $84.75 $113 10.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $50.25 $67 6.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $172.50 $230 0.8×
Culture aerobic quant other (87071) $40.50 $54 4.1×
Culture afb (87116) $53.25 $71 4.9×
Culture Anaerobic (87075) $39.75 $53 4.2×
Culture blood (87040) $49.13 $65.50 4.8×
Culture csf (87070)
range across 3 matching MRF lines
$35.25–$58.13 $47–$77.50 varies
Culture fungus (87102) $44.25 $59 5.3×
Culture fungus blood (87103) $40.50 $54 2.0×
Culture screen only (87081)
range across 2 matching MRF lines
$27–$30.38 $36–$40.50 varies
Culture stool (87045) $52.31 $69.75 5.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $23.44 $31.25 4.5×
Culture urine (87086)
range across 2 matching MRF lines
$33.75–$39 $45–$52 varies
Cyp2c19 gene analysis common variants (81225) $316.50 $422 1.1×
Cystatin C (82610) $22.50 $30 1.2×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$80.25–$97.50 $107–$130 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $78.75 $105 3.9×
Cytopath Cell Enhance Tech (88112) $91.50 $122 1.9×
Cytp Concentration Smears & Interpretation (88108) $99.75 $133 2.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $274.50 $366 5.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $92.25 $123 2.7×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $132.56 $176.75 5.0×
Deoxyribonuclease antibody (86215) $85.88 $114.50 6.5×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$192.75–$207 $257–$276 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$327–$330 $436–$440 varies
Dgp Antibody Each Ig Class (86258) $30 $40 2.5×
Dhea (82626) $117.75 $157 4.7×
Dhea-S (82627) $102.94 $137.25 4.6×
Digoxin (80162) $73.31 $97.75 5.5×
Dihydrotestosterone (82642) $93.75 $125 3.2×
Dipropylacetic Acid Free (80165) $68.25 $91 5.0×
Dna Antibody Native/Double Stranded (86225) $82.69 $110.25 6.0×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$84–$213 $112–$284 varies
Drug assay adalimumab (80145) $187.50 $250 4.9×
Drug Assay Amiodarone (80151) $73.50 $98 3.9×
Drug Assay Everolimus (80169) $97.50 $130 7.1×
Drug Assay Infliximab (80230) $231 $308 6.0×
Drug Assay Lacosamide (80235) $39 $52 1.4×
Drug Screen Quant Clozapine (80159) $105 $140 5.2×
Drug Screen Quantitative Lamotrigine (80175) $99 $132 7.5×
Drug Screen Quantitative Levetiracetam (80177) $91.16 $121.55 6.9×
Drug Screen Quantitative Oxcarbazepine (80183) $87 $116 6.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$167.25–$216 $223–$288 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 8 matching MRF lines
$18.75–$167.25 $25–$223 varies
Drug Test Prsmv Instrmnt (80306)
range across 3 matching MRF lines
$42–$222 $56–$296 varies
Ehrlichia antibody (86666) $152.06 $202.75 14.9×
El-1 Fecal Quantitative (82653) $109.50 $146 4.8×
Electrolyte panel (80051) $42.19 $56.25 6.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $48.75 $65 4.0×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$100.69–$150.75 $134.25–$201 varies
Enzyme cell activity (82657) $554.25 $739 25.0×
Erythropoietin (82668) $91.31 $121.75 4.9×
Estradiol serum (82670) $169.31 $225.75 6.1×
Estriol (82677) $84.94 $113.25 3.5×
Estrogen total (82672) $114.75 $153 5.3×
Estrogens fractionated (82671) $132.59 $176.79 4.1×
Exam Synovial Fluid Crystals (89060) $99.75 $133 13.6×
F2 Gene (81240) $432.75 $577 6.6×
Factor ix activity (85250) $77.25 $103 4.1×
Factor v activity (85220) $138.75 $185 7.9×
Factor v leiden mutation (81241) $195 $260 2.7×
Factor viii assay (85240) $144 $192 8.0×
Factor X (85260) $73.50 $98 4.1×
Fat/Lipids Feces Quantitative (82710) $166.88 $222.50 9.9×
Fecal Fat Qualitative (82705) $92.81 $123.75 18.2×
Ferritin (82728) $71.81 $95.75 5.3×
Fetal screen rosette (85461) $70.13 $93.50 7.5×
Fibrin degradation products (85362) $44.25 $59 6.4×
Fibrin Degradation Quant (85379) $99.75 $133 9.8×
Fibrinogen activity (85384) $31.13 $41.50 3.2×
Fibrinogen antigen (85385) $49.13 $65.50 3.4×
Flow cytometry first marker (88184) $257.25 $343 0.8×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$67.88–$180.75 $90.50–$241 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$63.75–$124.31 $85–$165.75 varies
Folic acid rbc (82747) $102.19 $136.25 5.8×
Folic Acid Serum (82746) $114.75 $153 7.8×
Follicle Stimulating Hormone (83001) $96.75 $129 5.2×
Francisella tularensis (86668)
range across 2 matching MRF lines
$32.25–$84 $43–$112 varies
Fungi Identification Yeast (87106) $53.06 $70.75 5.1×
Gammaglobulin ige (82785) $85.88 $114.50 5.2×
Gardner vag DNA dir probe (87510)
range across 2 matching MRF lines
$60.75–$64.50 $81–$86 varies
Gases blood ph only (82800) $67.50 $90 6.1×
Gastrin (82941) $87.38 $116.50 5.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,013.25 $1,351 2.4×
Gentamicin (80170) $73.31 $97.75 4.5×
Ggt (82977) $52.31 $69.75 7.3×
Giardia antigen (87329) $74.06 $98.75 6.2×
Glucose 2 hr pp (82950) $83.44 $111.25 17.6×
Glucose Blood Test (82962) $5.44 $7.25 1.7×
Glucose body fluid (82945) $15.90 $21.20 4.0×
Glucose Serum (82947)
range across 2 matching MRF lines
$11.33–$34.31 $15.10–$45.75 varies
Glucose tolerance test (gtt) (82951) $85.88 $114.50 6.7×
Glycated Protein (82985) $46.50 $62 2.8×
Gonadotropin Chorionic Qualitative (84703) $46.88 $62.50 6.2×
Gonadotropin releasing hormone (83727)
range across 2 matching MRF lines
$281.25–$285 $375–$380 varies
Growth hormone (83003) $103.69 $138.25 6.2×
H Pylori (C-13) Breath (83013) $306 $408 4.5×
Haloperidol (80173) $81 $108 5.1×
Haptoglobin (83010) $70.13 $93.50 5.6×
Hdl Cholesterol (83718) $19.50 $26 2.4×
Helicobacter Pylori Stool (87338) $76.50 $102 5.3×
Helminth Antibody (86682) $54.56 $72.75 4.2×
Hematocrit (85014)
range across 2 matching MRF lines
$13.95–$24.19 $18.60–$32.25 varies
Hemoglobin (85018)
range across 3 matching MRF lines
$5.44–$24.19 $7.25–$32.25 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$39.75–$48.38 $53–$64.50 varies
Hemoglobin electrophoresis (83020) $54.75 $73 4.3×
Hemoglobin Methemoglobin Quantitative (83050) $18.75 $25 2.3×
Hep a ab igm (86709) $67.88 $90.50 6.0×
Hepatitis a antibody total (86708) $62.44 $83.25 5.0×
Hepatitis b core ab igm (86705) $42.94 $57.25 3.6×
Hepatitis b core ab total (86704) $57 $76 4.7×
Hepatitis B Surface Antibody (86706) $63.19 $84.25 5.9×
Hepatitis B Surface Antigen (87340) $68.25 $91 6.6×
Hepatitis Be Antibody (86707) $58.50 $78 5.1×
Hepatitis Be Antigen (87350) $48 $64 4.2×
Hepatitis C Antibody (86803) $57.75 $77 4.0×
Hepatitis c antibody confirmatory test (86804) $78 $104 5.0×
Hepatitis C Genotype (87902) $615 $820 2.4×
Hepatitis C Probe&Rvrs Trnsc (87521) $88.13 $117.50 2.5×
Hepatitis C Revrs Trnscrpj (87522) $187.50 $250 4.4×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$75–$175.50 $100–$234 varies
Heterophile Antibody Screen (86308) $50.63 $67.50 9.8×
Hfe Gene (81256) $422.25 $563 6.5×
Histamine urine (83088) $105 $140 3.6×
Histoplasma antibody (86698) $79.50 $106 5.8×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$160.13–$165 $213.50–$220 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $84.75 $113 3.5×
Hiv-1 Antibody (86701) $73.50 $98 8.3×
Hiv-1 Quant&Revrse Trnscrpj (87536) $203.25 $271 2.4×
Hla I Low Resolution One Antigen Equivalent Each (81374) $113.25 $151 1.5×
Hla-b27 (86812) $84.94 $113.25 3.3×
Homocysteine (83090) $326.81 $435.75 18.2×
Homogenization Tissue (87176) $19.50 $26 3.3×
Hpv High-Risk Types (87624) $101.59 $135.45 2.9×
Hpv low-risk types (87623) $101.44 $135.25 2.9×
Hpv Types 16 & 18 Only (87625) $68.25 $91 1.7×
Hsv Dna Amp Probe (87529) $116.25 $155 3.3×
Hydroxycorticosteroids 17 (83491) $162.19 $216.25 9.1×
Hydroxyprogesterone 17-d (83498) $153.75 $205 5.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $60.75 $81 5.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$39.75–$101.44 $53–$135.25 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $70.50 $94 2.0×
Iaad ia shiga-like toxin (87427) $101.44 $135.25 8.5×
Iaadiadoo trichomonas vaginalis (87808) $44.25 $59 2.9×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $97.50 $130 2.8×
Iadna Cytomegalovirus Quantification (87497) $250.50 $334 5.8×
Iadna Hepatitis B Virus Quantification (87517) $255.75 $341 6.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $84 $112 2.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$79.50–$84 $106–$112 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $267 $356 1.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $484.31 $645.75 1.8×
Igg subclasses (82787) $45.94 $61.25 5.7×
Igh@ Variable Region Somatic Mutation Analysis (81263) $692.25 $923 2.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $302.25 $403 0.9×
Immunfix e-phorsis/urine/csf (86335) $71.25 $95 2.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$38.25–$165.38 $51–$220.50 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $57 $76 3.8×
Immunoassay nonantibody (83516)
range across 8 matching MRF lines
$50.25–$162 $67–$216 varies
Immunodiffusion not elsewhere specified (86329) $105.38 $140.50 7.5×
Immunofixation electrophoresis (86334) $131.81 $175.75 5.9×
Immunofluorescence per spec 1st singl antb stain (88346) $253.50 $338 1.6×
Immunohistochemistry (88342) $351 $468 2.2×
In situ hybridization 1st probe stain (88365) $346.50 $462 2.2×
Influenza a/b ag eia (87400) $106.50 $142 7.5×
Influenza assay w/optic (87804) $32.25 $43 1.9×
Inhibin A (86336) $136.50 $182 8.8×
Inhibin b (83520)
range across 7 matching MRF lines
$40.50–$186 $54–$248 varies
Insulin free (83527) $126 $168 9.7×
Insulin total (83525) $81.19 $108.25 7.1×
Intrinsic factor antibody (86340) $61.50 $82 4.1×
Iron (83540) $35.06 $46.75 5.4×
Iron Binding Capacity (83550) $56.25 $75 6.4×
Irradiation Blood Product Each Unit (86945) $131.25 $175 3.8×
Islet cell antibody (86341)
range across 2 matching MRF lines
$84–$135 $112–$180 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$207.75–$624.75 $277–$833 varies
Jak2 Gene Trgt Sequence Alys (81279) $318.75 $425 1.7×
Koh Prep (87220)
range across 2 matching MRF lines
$14.06–$21 $18.75–$28 varies
Lactate (ld) (ldh) enzyme (83615) $28.88 $38.50 4.8×
Lactoferrin fecal qualitative (83630) $44.25 $59 2.2×
Lactoferrin Fecal Quantitative (83631) $122.25 $163 6.2×
Ldh Isoenzymes (83625) $63.94 $85.25 5.0×
LDL direct (83721) $61.69 $82.25 5.9×
Lead (83655) $41.25 $55 3.4×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$60.75–$102 $81–$136 varies
Leptospira antibody (86720) $71.25 $95 4.4×
Leukocyte Assessment Fecal (89055) $15 $20 3.5×
Level I Surg Pathology Gross Examination Only (88300) $51.56 $68.75 1.9×
Level ii surg pathology gross&microscopic exam (88302) $98.25 $131 2.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $331.50 $442 1.0×
Lipase (83690) $37.50 $50 5.4×
Lipoprotein A (83695) $62.25 $83 4.3×
Lithium (80178) $49.13 $65.50 7.4×
Luteinizing Hormone (Lh) (83002) $128.63 $171.50 6.9×
Lyme disease antibody (86618) $141.94 $189.25 8.3×
Lysozyme serum (85549) $55.50 $74 3.0×
M/phmtrc alys ishquant/semiq (88374) $488.25 $651 3.1×
Macroscopic Exam Parasite (87169) $24 $32 5.6×
Magnesium Urine (83735) $47.63 $63.50 7.1×
Mercury urine (83825) $156.75 $209 9.6×
Methotrexate (80204) $57.75 $77 1.5×
Methylmalonic acid serum (83921) $180.94 $241.25 8.5×
Microalbumin, quantitative (82043) $45.94 $61.25 7.9×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$53.25–$89.63 $71–$119.50 varies
Mitochondrial Antibody Each (86381) $57 $76 2.2×
Mononuclear cell antigen (86356) $77.25 $103 2.9×
Mopath procedure level 5 (81404) $850.50 $1,134 3.1×
Mopath procedure level 7 (81406) $255 $340 0.9×
Mpl gene analysis sequence analysis exon 10 (81339) $297.75 $397 1.6×
Mrsa Pcr (87641) $102.75 $137 2.9×
Mthfr Gene Analysis Common Variants (81291) $348.75 $465 5.3×
Mumps antibody (86735)
range across 2 matching MRF lines
$82.50–$88.13 $110–$117.50 varies
Muscle-Specific Kinase Antb (86366) $465 $620 25.3×
Mycophenolic Acid (80180) $48.75 $65 2.7×
Mycoplasma antibody (86738) $74.25 $99 5.6×
Mycoplasma culture (87109) $90 $120 5.8×
Myoglobin urine (83874) $60.75 $81 4.7×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$81–$95.63 $108–$127.50 varies
Neutralization Test Viral (86382) $99 $132 5.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505)
range across 2 matching MRF lines
$291–$312 $388–$416 varies
Nfct ds chrnc hcv 6 assays (81596) $165 $220 2.3×
Niacin (84591) $111.56 $148.75 6.5×
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$58.50–$181.69 $78–$242.25 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$8.63–$35.63 $11.50–$47.50 varies
Occult Blood Other Sources (82271) $30.38 $40.50 5.7×
Organic Acids Qualitative Each Specimen (83919) $48 $64 2.9×
Organic acids urine (83918) $152.25 $203 6.5×
Osmolality serum (83930) $53.06 $70.75 8.0×
Osmolality Urine (83935) $57.75 $77 8.5×
Ova and parasites smears (87177) $77.25 $103 8.7×
Oxalate urine (83945) $62.44 $83.25 4.3×
Parvovirus antibody (86747) $146.63 $195.50 9.8×
Phenobarbital Level (80184) $99.75 $133 6.5×
Phenytoin (Dilantin) (80185) $73.31 $97.75 5.5×
Phenytoin free (80186) $74.06 $98.75 5.4×
Phosphatase alkaline (84075) $36.75 $49 7.1×
Phospholipid Neutralization Hexagonal (85598) $157.50 $210 8.8×
Phosphorus Serum (84100) $34.31 $45.75 7.2×
Phosphorus urine (84105) $18.75 $25 3.2×
Pinworm exam (87172) $28.88 $38.50 6.8×
Platelet Aggregation (85576) $60.75 $81 2.4×
Platelet count automated (85049) $26.44 $35.25 5.9×
Platelet neutralization (85597) $195 $260 10.8×
Porphobilinogen, urine; quantitative (84110) $60 $80 7.1×
Porphyrins Urine Quantitation & Fractionation (84120) $112.31 $149.75 7.6×
Potassium Urine (84133) $36.75 $49 7.8×
Prealbumin (84134) $85.88 $114.50 5.9×
Primidone (80188) $94.31 $125.75 5.7×
Procalcitonin (Pct) (84145) $102.75 $137 3.8×
Progesterone (84144) $92.06 $122.75 4.4×
Prolactin (84146) $146.63 $195.50 7.6×
Prostaglandin (84150) $127.50 $170 3.1×
Protein body fluid (84157) $25.69 $34.25 6.4×
Protein C Activity (85303)
range across 2 matching MRF lines
$95.25–$151.50 $127–$202 varies
Protein c antigen (85302) $33.75 $45 2.8×
Protein Electrophoresis Urine (84166) $54.56 $72.75 3.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $68.35 $91.13 6.4×
Protein S Free (85306)
range across 3 matching MRF lines
$120–$200.44 $160–$267.25 varies
Protein s total (85305)
range across 2 matching MRF lines
$33.75–$50.63 $45–$67.50 varies
Protein Total Refractometry Any Src (84160) $23.25 $31 4.1×
Protein total serum (84155) $11.33 $15.10 3.1×
Protein Total Urine (84156) $35.06 $46.75 9.6×
Protoporphyrin rbc quantitative (84202) $84 $112 5.9×
PSA free (84154) $92.06 $122.75 5.0×
Pth Intact (83970) $287.06 $382.75 7.0×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$138.38–$172.50 $184.50–$230 varies
Quantitative assay drug (80299)
range across 6 matching MRF lines
$122.63–$300 $163.50–$400 varies
Rbc antibody identification (86870) $257.25 $343 0.8×
Rbc antibody screen (86850) $39 $52 4.0×
Rbc pretreatment serum (86978) $90.56 $120.75 1.7×
Receptor assay estrogen (84233) $153.75 $205 1.7×
Receptor assay progesterone (84234) $167.63 $223.50 2.6×
Renin activity plasma (84244) $141.19 $188.25 6.4×
Reticulocyte Count (85046) $107.63 $143.50 19.3×
Rh (86901) $80.93 $107.90 27.1×
Rheumatoid Factor Qualitative (86430) $50.63 $67.50 8.2×
Rheumatoid factor quant (86431) $47.63 $63.50 8.4×
Rickettsia antibody (86757) $171.56 $228.75 8.9×
Ristocetin cofactor (85245) $135 $180 5.9×
Rotavirus ag eia (87425) $101.44 $135.25 8.5×
Rpr qualitative (86592) $26.44 $35.25 6.2×
Rsv Assay W/Optic (87807) $29.25 $39 2.2×
Rubella Antibody (86762)
range across 2 matching MRF lines
$34.50–$98.25 $46–$131 varies
Rubeola antibody (86765) $126.38 $168.50 9.8×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$34.31–$43.88 $45.75–$58.50 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$127.50–$181.50 $170–$242 varies
Sars-cov-2 COVID-19 antibody (86769) $52.50 $70 1.2×
Sedimentation Rate, Automated (85652) $16.80 $22.40 6.2×
Selenium (84255) $99 $132 3.9×
Sensitivity mic (87186) $96.75 $129 11.2×
Sex Hormone Binding Globulin (84270) $174.75 $233 8.0×
Sickling of rbc reduction (85660) $18.83 $25.10 3.4×
Sirolimus (80195) $36.75 $49 2.7×
Skin test tuberculosis intradermal (86580) $31.13 $41.50 1.2×
Smear acid fast (87206) $41.25 $55 7.7×
Smear complex stain (87209) $40.13 $53.50 2.2×
Smear gram stain (87205) $18 $24 4.2×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$10.13–$28.88 $13.50–$38.50 varies
Sodium Urine (84300) $50.63 $67.50 10.0×
Soluble Transferrin Receptor (84238) $161.25 $215 4.4×
Somatomedin (84305) $223.13 $297.50 10.5×
Special Stains Group 1 (88312) $94.31 $125.75 2.0×
Special Stains Group 2 (88313) $97.50 $130 0.8×
Specimen infect agnt concntj (87015) $44.25 $59 6.6×
Spectrophotometry (84311) $207 $276 25.6×
Stool cultr aerobic bact ea (87046) $38.25 $51 4.1×
Strep a assay w/optic (87880)
range across 3 matching MRF lines
$27.75–$72 $37–$96 varies
Strep a DNA amp probe (87651) $102 $136 2.9×
Strep b DNA amp probe (87653) $84 $112 2.4×
Sugars Single Qual (84376)
range across 2 matching MRF lines
$55.31–$93 $73.75–$124 varies
Surg path level iii (88304)
range across 2 matching MRF lines
$87–$141.94 $116–$189.25 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$146.25–$238.69 $195–$318.25 varies
Surgical pathology level vi (88309) $615 $820 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $68.25 $91 14.4×
Susceptibility Study Antimicrobial Disk Method (87184) $32.81 $43.75 4.4×
T cells absolute cd4 count (86361) $67.50 $90 2.5×
T3 Free (84481) $113.81 $151.75 6.7×
T3 reverse (84482) $210.75 $281 13.4×
T3 Total (84480) $60.75 $81 4.3×
T3 Uptake (84479) $24.19 $32.25 3.7×
T4 Free (84439) $40.35 $53.80 4.5×
T4 total (84436) $89.25 $119 13.0×
Tacrolimus (80197) $91.31 $121.75 6.7×
Tb ag response t-cell susp (86481) $94.50 $126 0.9×
Test for acetone/ketones (82009) $60 $80 13.3×
Testosterone Bioavailable (84410) $113.25 $151 2.2×
Testosterone total (84403) $141.94 $189.25 5.5×
Testosterone, Free (84402) $141.94 $189.25 5.6×
Thrombin Time (85670) $37.50 $50 6.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$24–$30 $32–$40 varies
Thyroglobulin (84432) $164.63 $219.50 10.3×
Thyroglobulin Antibody (86800) $93.56 $124.75 5.9×
Thyroid Stimulating Immunoglobulin (84445) $488.25 $651 9.6×
Tiss cul neo disorders solid tumor (88239) $875.25 $1,167 5.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $81 $108 7.0×
Tissue Culture (88233) $496.88 $662.50 3.5×
Tissue Culture Amniotic Fluid (88235) $875.25 $1,167 5.8×
Tissue culture bone marrow (88237) $655.50 $874 4.6×
Tissue Culture Lymphocyte (88230) $980.44 $1,307.25 8.4×
Tobramycin peak (80200) $36 $48 2.2×
Topiramate (80201) $124.88 $166.50 10.5×
Toxoplasma ab igm (86778) $69.38 $92.50 4.8×
Toxoplasma antibody (86777) $92.06 $122.75 6.4×
Transferase Aspartate Amino Ast Sgot (84450) $14.55 $19.40 2.8×
Transferrin (84466) $105.38 $140.50 8.3×
Trichomonas vagin dir probe (87660) $64.50 $86 3.2×
Trichomonas Vaginalis Amplif (87661) $108 $144 3.1×
Triglycerides (84478)
range across 2 matching MRF lines
$15–$16.20 $20–$21.60 varies
Troponin Quant (84484) $90 $120 7.2×
Tumor Immunohistochem/Manual (88360) $147 $196 0.9×
Urea nitrogen urine (84540) $34.31 $45.75 6.2×
Uric acid other source (84560) $27.38 $36.50 5.4×
Urinalysis Volume Measure (81050) $13.31 $17.75 3.7×
Urine Bacteria Culture (87088)
range across 3 matching MRF lines
$29.25–$45.94 $39–$61.25 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$14.06–$28.50 $18.75–$38 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25.69 $34.25 8.1×
Valproic acid (80164) $120.94 $161.25 8.9×
Vancomycin (80202) $79.50 $106 5.9×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$69–$131.06 $92–$174.75 varies
Vasopressin (84588) $135 $180 4.0×
Viral Culture (87252) $126.38 $168.50 4.8×
Virus antibody nos (86790) $111.75 $149 8.7×
Virus inoculate tissue addl (87253) $40.50 $54 2.0×
Virus inoculation, shell via (87254) $168.75 $225 8.6×
Vit D 1 25-Dihydroxy (82652) $147.38 $196.50 3.8×
Vitamin A (84590) $63.19 $84.25 5.4×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$60–$100.69 $80–$134.25 varies
Vitamin B2 (Riboflavin) (84252) $119.25 $159 5.9×
Vitamin B6 (84207) $195.75 $261 7.0×
Vitamin c (82180) $57.75 $77 5.8×
Vitamin D 25-Hydroxy (82306) $286.73 $382.30 9.7×
Vitamin E (84446) $58.46 $77.94 4.1×
Vitamin K (84597) $56.48 $75.30 4.1×
Von willebrand factor ag (85246) $146.25 $195 6.4×
West nile virus ab igm (86788) $98.25 $131 5.8×
West Nile Virus Antibody (86789) $65.44 $87.25 4.5×
Zinc (84630) $49.13 $65.50 4.3×

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.