Lab & pathology prices at Holzer Medical Center - Jackson

Jackson, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $645 $1,290 35.1×
Acetylcholine receptor blocking antibody (86042) $645 $1,290 35.1×
Acetylcholn Rcptr Modlg Antb (86043) $319.50 $639 26.5×
Acth (82024) $278.50 $557 7.2×
Actin smooth muscle antibody each (86015) $48.50 $97 4.0×
Acute hepatitis panel (80074) $307 $614 6.4×
Albumin Fluid (82042) $49 $98 6.3×
Albumin serum (82040) $36 $72 7.3×
Aldolase (82085) $54.50 $109 5.6×
Aldosterone urine (82088) $251.50 $503 6.2×
Alkaline phosphatase isoenzymes (84080) $22.50 $45 1.5×
Allergen specific ige (86003) $35 $70 6.7×
Allg Spec Ige Recomb Ea (86008) $35 $70 2.0×
Alpha-1-antitrypsin phenotype (82104) $102 $204 7.1×
Alpha-1-antitrypsin total (82103) $106 $212 7.9×
Alpha-Fetoprotein Serum (82105) $106 $212 6.3×
Alt (sgpt) (84460) $33.50 $67 6.3×
Aluminum (82108) $85 $170 3.3×
Amikacin trough (80150) $90 $180 6.0×
Amino Acids 1 Quantitative Each Specimen (82131) $102 $204 4.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $704.50 $1,409 41.8×
Ammonia (82140) $104.50 $209 7.2×
Amniotic fluid protein test on cervicovaginal fluid (84112) $162.50 $325 1.7×
Amylase urine (82150) $36 $72 5.6×
Anca screen each antibody (86036) $131.50 $263 10.9×
Anca Titer Each Antibody (86037) $91 $182 7.6×
Angiotensin converting enzyme csf (82164) $100 $200 6.8×
Anti-Phospholipid Antibody (86148) $103 $206 6.4×
Antibody aspergillus (86606) $89.50 $179 5.9×
Antibody Bacterium Not Elsewhere Specified (86609) $47 $94 3.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $85.50 $171 5.5×
Antibody Cytomegalovirus Cmv Igm (86645) $126.50 $253 7.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $126 $252 9.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $89.50 $179 5.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $155.50 $311 8.6×
Antibody Fungus Not Elsewhere Specified (86671) $91 $182 7.4×
Antibody haemophilus influenza (86684) $114.50 $229 7.2×
Antibody helicobacter pylori (86677) $114 $228 6.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $121.50 $243 8.4×
Antibody Herpes Smplx Type 1 (86695) $63.50 $127 4.8×
Antibody HIV-1&HIV-2 single result (86703) $80 $160 5.8×
Antibody HIV-2 (86702) $167 $334 12.4×
Antibody Hla Class I High Definition Panel Qual (86832) $258 $516 0.8×
Antibody htlv/HIV antibody confirmatory test (86689) $167 $334 8.6×
Antibody identification leukocyte antibodies (86021) $284 $568 18.9×
Antibody neisseria meningitidis (86741) $105.50 $211 8.0×
Antibody Protozoa Nes (86753) $15.50 $31 1.3×
Antibody Titer (86886) $145 $290 28.0×
Antibody Treponema Pallidum (86780) $56 $112 4.2×
Antigen typing (86905) $36 $72 9.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $18 $36 3.1×
Antinomyces antibody (86602) $15.50 $31 1.5×
Antinuclear antibodies (86038) $76.50 $153 6.3×
Antistreptolysin O Screen (86063) $42 $84 7.3×
Antistreptolysin o titer (86060) $71 $142 9.7×
Antithrombin iii activity (85300) $187 $374 15.8×
Antithrombin iii antigen (85301) $76 $152 7.0×
Apolipoprotein a1 (82172) $62.50 $125 3.0×
Aquaporin-4 Antb Cba Each (86052) $980 $1,960 81.3×
Aquaporin-4 Antb Elisa (86051) $717.50 $1,435 62.2×
Arsenic (82175) $89.50 $179 4.7×
Aspergillus ag eia (87305) $59 $118 4.9×
Assay activated protein c (85307) $167 $334 10.9×
Assay Blood Carbon Dioxide (82374) $36 $72 7.4×
Assay Dir Meas Fr Estradiol (82681) $37 $74 1.3×
Assay myeloperoxidase (83876) $105.50 $211 2.1×
Assay Nephelometry Not Spec (83883) $92.50 $185 6.8×
Assay of 5-hiaa (83497) $88 $176 6.8×
Assay of anti-mullerian hormone (82166) $54.50 $109 1.4×
Assay of blood/uric acid (84550) $33.50 $67 7.4×
Assay of calcium in urine (82340) $30.50 $61 5.1×
Assay of g6pd enzyme (82955) $54.50 $109 5.6×
Assay of gammaglobulin igm (82784) $83.50 $167 9.0×
Assay of lactic acid (83605) $80.50 $161 7.0×
Assay of manganese (83785) $127 $254 4.8×
Assay of metanephrines (83835) $205.50 $411 12.1×
Assay of proinsulin (84206) $298.50 $597 11.2×
Assay of pyruvate (84210) $58 $116 4.0×
Assay of serotonin (84260) $320.50 $641 10.3×
Assay of serum potassium (84132) $34 $68 7.1×
Assay of sweat sodium (84302) $204 $408 42.0×
Assay of urea nitrogen (84520) $34 $68 8.6×
Assay of urine vma (84585) $92.50 $185 6.0×
Assay of vasoactive intestinal peptide (84586) $184 $368 5.2×
Assay of vitamin b-1 (84425) $118 $236 5.6×
Assay Ph Body Fluid Nos (83986) $13.50 $27 3.8×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $187 $374 1.4×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $187 $374 1.4×
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) $187 $374 1.4×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $187 $374 1.4×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $187 $374 1.4×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $187 $374 1.4×
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) $187 $374 1.4×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,187.50 $2,375 1.4×
Automated Leukocyte Count (85048) $17 $34 6.7×
B cells total count (86355) $127 $254 3.4×
Babesia microti amp prb (87469) $76 $152 2.2×
Bacterial antigens 87802 (87802) $25 $50 2.0×
Bartonella antibody (86611) $47 $94 4.6×
Bcr/abl1 gene minor bp (81207) $322 $644 2.2×
Beta 2 glycoprotein i antibody each (86146) $145.50 $291 5.7×
Beta hydroxybutyrate (82010) $59.50 $119 7.3×
Beta Lactamase (87185) $57 $114 12.0×
Beta-2 Microglobulin (82232) $102 $204 6.3×
Bile acids total (82239) $80 $160 4.7×
Bilirubin direct (82248) $35 $70 7.0×
Bilirubin total (82247) $35 $70 7.0×
Blastomyces antibody (86612) $112.50 $225 8.7×
Bld Typing Serologic Rh Phnt (86906) $76.50 $153 9.9×
Bleeding time test (85002) $66 $132 13.7×
Blood Count Red Blood Cell Automated (85041) $54.50 $109 18.0×
Blood count reticulocyte automated (85045) $28.50 $57 7.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $28.50 $57 7.5×
Blood gas (82803)
range across 2 matching MRF lines
$126.50–$131 $253–$262 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $77.50 $155 4.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $18 $36 4.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $35 $70 5.5×
Blood typing serologic abo (86900) $24 $48 8.0×
Body fluid cell count (89050)
range across 4 matching MRF lines
$69–$89 $138–$178 varies
Braf gene analysis (81210) $301 $602 1.7×
Brca1&2 gen full seq dup/del (81162) $1,678 $3,356 0.9×
C diff amplified probe (87493) $133 $266 3.6×
C-Peptide (84681) $54.50 $109 2.6×
C-reactive protein (86140) $41.50 $83 8.0×
Ca 19-9 (86301) $133 $266 6.4×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $187 $374 1.4×
Cadmium (82300) $133 $266 5.6×
Calcitonin (82308) $220 $440 8.2×
Calcium ionized (82330) $87.50 $175 6.4×
Calcium total (82310) $36 $72 7.0×
Calculus assay quant (82360) $116 $232 9.0×
Calprotectin Fecal (83993) $50.50 $101 2.6×
Cancer Antigen 125 (86304) $133 $266 6.4×
Cancer Antigen 27.29 (86300) $129 $258 6.2×
Carbamazepine total (80156) $114 $228 7.8×
Carboxyhemoglobin (82375) $51 $102 4.1×
Carcinoembryonic antigen (82378) $140.50 $281 7.4×
Cardiolipin ab iga (86147) $124.50 $249 4.9×
Carotene (82380) $44 $88 4.8×
Catecholamines fractionated (82384) $167 $334 6.6×
Ccp antibody (86200) $66 $132 5.1×
Cell count csf (89051) $147 $294 26.3×
Cellular Function Assay Stimul&Detect Biomarke (86352) $226 $452 1.7×
Ceruloplasmin (82390) $59.50 $119 5.5×
Cftr gene full sequence (81223) $682 $1,364 1.4×
Chemiluminescent assay (82397) $68 $136 4.8×
Chlamydia antibody (86631) $40.50 $81 3.4×
Chlamydia Igm Antibody (86632) $40.50 $81 3.2×
Chlamydia trachomatis ag if (87270) $115.50 $231 9.6×
Chloride other source (82438) $29 $58 5.8×
Chloride Serum (82435) $36 $72 7.8×
Chloride urine (82436) $18 $36 3.1×
Cholesterol total (82465) $35 $70 8.0×
Cholinesterase Serum (82480) $51.50 $103 6.5×
Chorionic gonadotropin test (84702) $102.50 $205 6.8×
Chrmsm Analysis Addl High Resolution Study (88289) $98.50 $197 2.9×
Chromium serum (82495) $169 $338 8.3×
Chromogranin a (86316) $130 $260 6.2×
Chromosome Analysis 15-20 (88262) $177 $354 1.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $98.50 $197 2.8×
Ckmb (82553) $51 $102 4.4×
Clostridium Difficile (87324) $114.50 $229 9.6×
Clotting factor xii hageman (85280) $177.50 $355 9.2×
Clotting Funct Activity (85397) $53.50 $107 1.7×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $387 $774 2.8×
Cns DNA amp probe type 12-25 (87483) $517 $1,034 1.2×
Coagulation time activated (85347) $50.50 $101 11.8×
Coccidioides antibody (86635) $112.50 $225 9.8×
Cold agglutinin screen (86156) $63.50 $127 7.9×
Cold agglutinin titer (86157) $53 $106 6.6×
Collagen crosslinks (82523) $102 $204 5.5×
Column Chromotography Quant (82542) $126.50 $253 5.3×
Comparative Anal Str Markers Patient&Comp Spec (81265) $146.50 $293 0.6×
Compatibility test antiglob (86922) $36.50 $73 0.2×
Complement Antigen Each Component (86160) $89.50 $179 7.5×
Complement Total (Ch50) (86162) $153 $306 7.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $130 $260 2.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $131.50 $263 3.7×
Coombs direct (86880) $35 $70 6.5×
Copper urine (82525) $66.50 $133 5.4×
Cortisol free (82530) $133.50 $267 8.0×
Cortisol saliva (82533) $95.50 $191 5.9×
Creatine kinase total (82550) $34 $68 5.2×
Creatinine blood (82565) $35 $70 6.8×
Creatinine clearance (82575) $76 $152 8.0×
Creatinine Urine (82570) $42 $84 8.1×
Crossmatch electronic (86923) $36.50 $73 0.2×
Crossmatch immediate spin (86920) $65.50 $131 0.4×
Crp High Sensitivity (86141) $102.50 $205 7.9×
Cryoglobulin (82595) $32.50 $65 5.0×
Cryptococcus ab (86641) $27 $54 1.9×
Cryptococcus ag titer (87899) $51 $102 3.2×
Cryptosporidium ag eia (87328) $58 $116 4.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $48.50 $97 6.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $88.50 $177 11.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $76 $152 9.9×
Culture afb (87116) $127 $254 11.8×
Culture Anaerobic (87075) $126.50 $253 13.4×
Culture blood (87040) $66.50 $133 6.4×
Culture csf (87070) $59 $118 6.8×
Culture fungus (87102) $73 $146 8.7×
Culture screen only (87081) $35 $70 5.3×
Culture stool (87045) $76 $152 8.1×
Culture urine (87086) $54.50 $109 6.8×
Cyclosporine (80158) $142 $284 7.9×
Cyp2c19 gene analysis common variants (81225) $504 $1,008 1.7×
Cystatin C (82610) $45.50 $91 2.5×
Cytomegalovirus igg (86644) $112.50 $225 7.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $64.50 $129 3.2×
Cytopath Cell Enhance Tech (88112) $146.50 $293 3.0×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $62.50 $125 2.3×
Cytp Concentration Smears & Interpretation (88108) $75 $150 2.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $163.50 $327 3.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $60.50 $121 0.4×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $151 $302 4.3×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $512.50 $1,025 3.2×
Deoxyribonuclease antibody (86215) $92.50 $185 7.0×
Detect Agent Nos Dna Amp (87798) $76 $152 2.2×
Detect Agent Nos Dna Quant (87799) $188.50 $377 4.4×
Dgp Antibody Each Ig Class (86258) $48.50 $97 4.0×
Dhea-S (82627) $155.50 $311 7.0×
Digoxin (80162) $106.50 $213 8.0×
Dihydrotestosterone (82642) $32 $64 1.1×
Dipropylacetic Acid Free (80165) $105 $210 7.8×
Dmd Duplication/Deletion Analysis (81161) $381 $762 1.4×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $403 $806 2.9×
Dna Antibody Native/Double Stranded (86225) $80.50 $161 5.9×
Dna/Rna Amplified Probe (87150) $133 $266 3.8×
DNA/RNA direct probe (87149) $43.50 $87 2.2×
Dna/Rna Sequencing (87153) $171 $342 1.5×
Dpyd gene common variants (81232) $398 $796 2.3×
Drug assay adalimumab (80145) $196 $392 5.1×
Drug Assay Amiodarone (80151) $15.50 $31 0.8×
Drug Assay Everolimus (80169) $32 $64 2.3×
Drug Assay Infliximab (80230) $195.50 $391 5.1×
Drug Assay Itraconazole (80189) $442 $884 16.3×
Drug Assay Lacosamide (80235) $240.50 $481 8.9×
Drug Assay Leflunomide (80193) $536 $1,072 13.9×
Drug Assay Posaconazole (80187) $418 $836 15.4×
Drug Assay Vedolizumab (80280) $268 $536 6.9×
Drug assay voriconazole (80285) $212.50 $425 7.8×
Drug Screen Quant Clozapine (80159) $47 $94 2.3×
Drug Screen Quant Zonisamide (80203) $119.50 $239 9.0×
Drug Screen Quantitative Gabapentin (80171) $32 $64 1.5×
Drug Screen Quantitative Lamotrigine (80175) $32.50 $65 2.5×
Drug Screen Quantitative Levetiracetam (80177) $32 $64 2.4×
Drug Screen Quantitative Oxcarbazepine (80183) $30 $60 2.3×
Drug Test Prsmv Chem Anlyzr (80307) $275 $550 4.4×
Drug Test Prsmv Dir Opt Obs (80305) $17.50 $35 1.4×
Drug Test Prsmv Instrmnt (80306) $126.50 $253 7.4×
Ehrlichia antibody (86666) $160.50 $321 15.8×
El-1 Fecal Quantitative (82653) $182 $364 7.9×
Electrolyte panel (80051) $51 $102 7.3×
Electron Microscopy (88348) $430.50 $861 0.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $131.50 $263 10.9×
Enterovirus Antibody (86658) $80.50 $161 6.2×
Enterovirus PCR (87498) $78.50 $157 2.2×
Enzyme cell activity (82657) $247 $494 11.1×
Erythropoietin (82668) $145 $290 7.7×
Estradiol serum (82670) $106.50 $213 3.8×
Estrogen total (82672) $134.50 $269 6.2×
Exam Synovial Fluid Crystals (89060) $14.50 $29 2.0×
F2 Gene (81240) $329 $658 5.0×
F9 full gene sequence (81238) $2,950.50 $5,901 4.9×
Factor ii activity (85210) $85.50 $171 6.6×
Factor Inhibitor Test (85335) $207 $414 16.1×
Factor ix activity (85250) $214 $428 11.2×
Factor v activity (85220) $106 $212 6.0×
Factor v leiden mutation (81241) $302 $604 4.1×
Factor vii assay (85230) $106 $212 5.9×
Factor viii assay (85240) $181.50 $363 10.1×
Factor X (85260) $134.50 $269 7.5×
Factor xi activity (85270) $241 $482 13.5×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $170 $340 26.0×
Fecal Fat Qualitative (82705) $80.50 $161 15.8×
Ferritin (82728) $85.50 $171 6.3×
Fetal Fibronectin (82731) $340 $680 5.3×
Fetal hemoglobin assay qual (83033) $444 $888 55.5×
Fetal screen rosette (85461) $90.50 $181 9.7×
Fibrin Degradation Quant (85379) $63.50 $127 6.2×
Fibrin dgradj products d-dimer qual/semiquan (85378) $41.50 $83 4.3×
Fibrinogen activity (85384) $44 $88 4.5×
Flecainide level (80181) $58.50 $117 3.1×
Flow cytometry first marker (88184) $196.50 $393 0.6×
Flt3 Gene (81245) $278 $556 1.7×
Flt3 gene analysis (81246) $278 $556 3.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $91 $182 7.6×
Folic Acid Serum (82746) $95.50 $191 6.5×
Follicle Stimulating Hormone (83001) $126 $252 6.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $35.50 $71 0.2×
Frozen Section (88331) $182.50 $365 1.1×
Fungi Identification Mold (87107) $23 $46 2.2×
Fungi Identification Yeast (87106) $76.50 $153 7.4×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $428.50 $857 7.3×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $496 $992 23.5×
Galectin-3 (82777) $80 $160 1.8×
Gammaglobulin ige (82785) $89.50 $179 5.4×
Gases blood ph only (82800) $20.50 $41 1.9×
Gastrin (82941) $123 $246 7.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $359 $718 0.9×
Genet Virus Isolate Hsv (87255) $162 $324 4.8×
Genetic Tstg Severe Inh Cond (81443) $2,700 $5,400 1.1×
Gentamicin (80170) $102.50 $205 6.3×
Ggt (82977) $33.50 $67 4.7×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$30.50–$32 $61–$64 varies
Glucose body fluid (82945) $33.50 $67 8.5×
Glucose Serum (82947) $30.50 $61 7.8×
Glucose tolerance test (gtt) (82951) $87.50 $175 6.8×
Glycated Protein (82985) $142 $284 8.5×
Gonadotropin Chorionic Qualitative (84703) $41.50 $83 5.5×
Gtt-added samples (82952) $40.50 $81 10.3×
H Pylori (C-13) Breath (83013) $64.50 $129 1.0×
Haptoglobin (83010) $105 $210 8.3×
Hba1/Hba2 Gene (81257) $464 $928 4.5×
Hdl Cholesterol (83718) $51 $102 6.2×
Hearing Loss Dup/Del Analysis (81431) $928.50 $1,857 1.4×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $2,220 $4,440 1.4×
Helicobacter Pylori Stool (87338) $176 $352 12.2×
Helminth Antibody (86682) $92.50 $185 7.1×
Hematocrit (85014) $18 $36 7.6×
Hemoglobin (85018) $18 $36 7.6×
Hemoglobin a1c (83036) $76 $152 7.8×
Hemoglobin Chromotography (83021) $53.50 $107 3.0×
Hemolysins&Agglutinins Auto Screen Each (86940) $95.50 $191 10.9×
Hemolysins&Agglutinins Incubated (86941) $95.50 $191 7.9×
Hep a ab igm (86709) $77.50 $155 6.9×
Heparin assay (85520) $68 $136 5.2×
Hepatitis a antibody total (86708) $71.50 $143 5.8×
Hepatitis b core ab igm (86705) $77.50 $155 6.6×
Hepatitis b core ab total (86704) $85.50 $171 7.1×
Hepatitis B Surface Antibody (86706) $77.50 $155 7.2×
Hepatitis B Surface Antigen (87340) $38.50 $77 3.7×
Hepatitis Be Antibody (86707) $76 $152 6.6×
Hepatitis Be Antigen (87350) $71.50 $143 6.2×
Hepatitis C Antibody (86803) $105 $210 7.4×
Hepatitis C Genotype (87902) $581 $1,162 2.3×
Hepatitis C Revrs Trnscrpj (87522) $463 $926 10.8×
Herpes simplex type 2 (86696) $62.50 $125 3.2×
Heterophile antibodies titer (86309) $30.50 $61 4.7×
Heterophile Antibody Screen (86308) $40 $80 7.7×
Hfe Gene (81256) $438.50 $877 6.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $82.50 $165 10.7×
Histoplasma antibody (86698) $121 $242 8.8×
Histoplasma antigen urine (87385) $181.50 $363 13.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $126 $252 5.2×
Hiv-1 Antibody (86701) $81 $162 9.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $240 $480 2.8×
HIV-2 probe&revrse trnscripj (87538) $48.50 $97 1.4×
Hla Class I Typing Low Resolution Complete (81372) $1,260 $2,520 3.1×
Hla Class I Typing Low Resolution One Locus Each (81373) $273.50 $547 2.1×
Hla-b27 (86812) $161.50 $323 6.3×
Homocysteine (83090) $77.50 $155 4.3×
Hpa-1 genotyping gene analysis common variant (81105) $242 $484 2.0×
Hpa-15 genotyping gene analysis common variant (81112) $294 $588 2.4×
Hpa-2 genotyping gene analysis common variant (81106) $24.50 $49 0.2×
Hpa-3 genotyping gene analysis common variant (81107) $24.50 $49 0.2×
Hpa-4 genotyping gene analysis common variant (81108) $24.50 $49 0.2×
Hpa-5 genotyping gene analysis common variant (81109) $24.50 $49 0.2×
Hpa-6 genotyping gene analysis common variant (81110) $24.50 $49 0.2×
Hpa-9 Genotyping (81111) $24.50 $49 0.2×
Hpv High-Risk Types (87624) $119.50 $239 3.4×
Hsv Dna Amp Probe (87529) $165 $330 4.7×
Htt Gene Detc Abnor Alleles (81271) $199 $398 1.5×
Hydroxyprogesterone 17-d (83498) $153 $306 5.6×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $102 $204 7.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $48.50 $97 1.4×
Iaad ia shiga-like toxin (87427) $59.50 $119 5.0×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $212 $424 6.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $510.50 $1,021 14.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $145 $290 4.1×
Iadna Cytomegalovirus Quantification (87497) $446.50 $893 10.4×
Iadna hepatitis b virus amplified probe tq (87516) $153 $306 4.4×
Iadna Hepatitis B Virus Quantification (87517) $278.50 $557 6.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $205.50 $411 5.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $161 $322 4.6×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $95.50 $191 2.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $128.50 $257 3.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $95.50 $191 2.7×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $105.50 $211 2.1×
Ifnl3 gene analysis rs12979860 variant (81283) $346 $692 4.7×
Ig Light Chains Free Each (83521) $92.50 $185 5.4×
Igg subclasses (82787) $218.50 $437 27.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $135.50 $271 0.4×
Immune Complex Assay (86332) $19.50 $39 0.8×
Immunfix e-phorsis/urine/csf (86335) $67 $134 2.3×
Immunoassay Analyte Quant Radioimmunoassay (83519) $258 $516 14.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $41.50 $83 2.8×
Immunoassay nonantibody (83516) $48.50 $97 4.2×
Immunodiffusion Ouchterlony (86331) $15.50 $31 1.3×
Immunofixation electrophoresis (86334) $124.50 $249 5.6×
Immunofluorescence per spec 1st singl antb stain (88346) $182 $364 1.1×
Immunohistochemistry (88342) $135.50 $271 0.8×
In situ hybridization 1st probe stain (88365) $406 $812 2.5×
In situ hybridization ea multiplex probe stain (88366) $135.50 $271 0.8×
Influenza assay w/optic (87804) $48 $96 2.9×
Inhibin b (83520) $182 $364 10.5×
Insitu hybridization manual (88368) $108.50 $217 0.3×
Insulin antibodies (86337) $37.50 $75 1.8×
Insulin total (83525) $59 $118 5.2×
Interleukin-6 (83529) $182 $364 10.5×
Intrinsic factor antibody (86340) $133 $266 8.8×
Iron (83540) $37.50 $75 5.8×
Iron Binding Capacity (83550) $44 $88 5.0×
Irradiation Blood Product Each Unit (86945) $75 $150 2.1×
Islet cell antibody (86341) $134.50 $269 5.7×
Jak2 gene analysis p.val617phe variant (81270) $230.50 $461 2.5×
Jak2 Gene Trgt Sequence Alys (81279) $231.50 $463 1.3×
Kit Gene Analysis D816 Variant(S) (81273) $192 $384 1.5×
Kras Gene Analysis Additional Variant(S) (81276) $330.50 $661 1.7×
Kras Gene Variants Exon 2 (81275) $346.50 $693 1.8×
Lactate (ld) (ldh) enzyme (83615) $36 $72 6.0×
Lactoferrin fecal qualitative (83630) $50.50 $101 2.6×
Lactoferrin Fecal Quantitative (83631) $59 $118 3.0×
Ldh Isoenzymes (83625) $109 $218 8.5×
LDL direct (83721) $51 $102 4.9×
Lead (83655) $75.50 $151 6.2×
Legionella antibody (86713) $24 $48 1.6×
Legionella antigen urine (87449) $30.50 $61 2.5×
Leptospira antibody (86720) $95.50 $191 5.9×
Leukocyte Assessment Fecal (89055) $7.50 $15 1.8×
Level I Surg Pathology Gross Examination Only (88300) $58.50 $117 2.1×
Level ii surg pathology gross&microscopic exam (88302) $126.50 $253 3.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $286 $572 0.8×
Lipase (83690) $51.50 $103 7.5×
Lipoprotein A (83695) $130 $260 9.1×
Lipoprotein Bld Quan Part (83704) $161 $322 4.7×
Lithium (80178) $40 $80 6.1×
Liver ds alys 3 bmrk srm alg (81517) $475.50 $951 2.7×
Luteinizing Hormone (Lh) (83002) $126 $252 6.8×
Lyme disease antibody (86618) $126.50 $253 7.4×
M. Genitalium Amp Probe (87563) $76 $152 2.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $267.50 $535 1.7×
Macroscopic exam arthropod (87168) $21.50 $43 5.0×
Macroscopic Exam Parasite (87169) $18 $36 4.2×
Magnesium Urine (83735) $36 $72 5.4×
Mass Spectrometry Quant (83789) $128 $256 5.3×
Mercury urine (83825) $134.50 $269 8.3×
Metabolic panel ionized ca (80047) $68.50 $137 5.0×
Methylmalonic acid serum (83921) $170 $340 8.0×
Microalbumin, quantitative (82043) $63 $126 10.9×
Microbe Suscept Macrobroth (87188) $112.50 $225 16.9×
Microsomal Antibodies Each (86376) $58 $116 4.0×
Mitochondrial Antibody Each (86381) $48.50 $97 1.9×
Mog-Igg1 Antb Cba Each (86362) $442.50 $885 36.7×
Molecular Pathology Procedure Level 6 (81405) $411 $822 1.4×
Mononuclear cell antigen (86356) $92.50 $185 3.5×
Mopath procedure level 1 (81400) $346 $692 5.4×
Mopath procedure level 2 (81401) $1,141 $2,282 8.3×
Mopath procedure level 4 (81403) $467.50 $935 2.5×
Mopath procedure level 9 (81408) $2,732 $5,464 1.4×
Mpl gene common variants (81338) $187.50 $375 1.2×
Mrsa Pcr (87641) $133 $266 3.8×
Mthfr Gene Analysis Common Variants (81291) $355.50 $711 5.4×
Mumps antibody (86735) $50 $100 3.8×
Muscle-Specific Kinase Antb (86366) $645 $1,290 35.1×
Mycobacteric Identification (87118) $106.50 $213 7.3×
Mycoplasma antibody (86738) $81 $162 6.1×
Myelin basic protein csf (83873) $83.50 $167 4.9×
Myoglobin urine (83874) $123 $246 9.5×
Natriuretic peptide (83880) $85 $170 2.2×
Nfct ds chrnc hcv 6 assays (81596) $235.50 $471 3.3×
Niacin (84591) $27 $54 1.6×
Nickel level (83885) $100 $200 4.1×
Nk cells total count (86357) $157 $314 4.2×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $413.50 $827 1.7×
Nras gene variants exon 2&3 (81311) $495.50 $991 1.7×
Nuclear antigen antibody (86235) $88 $176 4.9×
Nudt15 Gene Common Variants (81306) $228 $456 0.8×
Occult blood feces (82272) $17 $34 4.0×
Occult Blood Other Sources (82271) $19 $38 3.6×
Oligoclonal bands (83916) $109.50 $219 4.0×
Organic Acids Qualitative Each Specimen (83919) $126 $252 7.7×
Osmolality serum (83930) $35 $70 5.3×
Osmolality Urine (83935) $55 $110 8.1×
Osteocalcin (83937) $68.50 $137 2.3×
Ova and parasites smears (87177) $80.50 $161 9.0×
Oxalate urine (83945) $75.50 $151 5.2×
Palb2 gene full gene seq (81307) $897 $1,794 1.3×
Pancreatic Elastase Fecal (82656) $67 $134 5.8×
Parvovirus antibody (86747) $59 $118 3.9×
Ph urine (81003) $18 $36 8.0×
Phenobarbital Level (80184) $92.50 $185 6.0×
Phenytoin (Dilantin) (80185) $106.50 $213 8.0×
Phosphatase alkaline (84075) $28.50 $57 5.5×
Phospholipid Neutralization Hexagonal (85598) $45.50 $91 2.5×
Phosphorus Serum (84100) $33.50 $67 7.1×
Platelet Aggregation (85576) $176 $352 7.1×
Platelet Antibodies (86022) $47 $94 2.6×
Platelet count automated (85049) $30.50 $61 6.8×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $216.50 $433 1.0×
Pneumcysts jirovecii amp prb (87594) $275 $550 7.8×
Pooling blood platelets (86965) $40.50 $81 0.3×
Porphobilinogen, urine; quantitative (84110) $44 $88 5.2×
Porphyrins Urine Quantitation & Fractionation (84120) $101 $202 6.9×
Potassium Urine (84133) $30.50 $61 6.4×
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) $187 $374 1.4×
Prealbumin (84134) $85 $170 5.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $63.50 $127 0.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $63.50 $127 1.1×
Pretx serum rbc antibody identification dilution (86976) $39 $78 1.4×
Primidone (80188) $92.50 $185 5.6×
Procalcitonin (Pct) (84145) $63 $126 2.3×
Progesterone (84144) $121 $242 5.8×
Prolactin (84146) $126.50 $253 6.5×
Protein body fluid (84157) $30.50 $61 7.6×
Protein C Activity (85303) $188.50 $377 13.6×
Protein c antigen (85302) $167 $334 13.9×
Protein Electrophoresis Urine (84166) $89 $178 5.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $147 $294 13.7×
Protein S Free (85306) $96.50 $193 6.3×
Protein s total (85305) $126 $252 10.9×
Protein total serum (84155) $30.50 $61 8.3×
Protein Total Urine (84156) $30.50 $61 8.3×
Prothrombin Time Substitution Plasma Frctj Each (85611) $41.50 $83 10.5×
PSA free (84154) $68.50 $137 3.7×
Pten Gene Analysis Duplication/Deletion Variant (81323) $398 $796 1.3×
Pten Gene Analysis Full Sequence Analysis (81321) $795.50 $1,591 1.3×
Pth Intact (83970) $210 $420 5.1×
Pyruvate kinase (84220) $110.50 $221 11.7×
Quantiferon tb gold plus (86480) $239 $478 3.9×
Quantitative assay drug (80299) $100 $200 5.4×
Quantitative Screen Metals (83018) $125.50 $251 5.7×
Rbc antibody elution (86860) $68.50 $137 0.4×
Rbc antibody identification (86870) $76.50 $153 0.2×
Rbc antibody screen (86850) $47 $94 4.8×
Rbc pretreatment serum (86978) $122 $244 2.2×
Rbc pretx incubatj w/enzymes (86971) $26 $52 0.2×
Rbc serum pretx incubj drugs (86975) $221.50 $443 0.5×
Renin activity plasma (84244) $147 $294 6.7×
Reptilase test (85635) $14 $28 1.4×
Resp virus 12-25 targets (87633) $359 $718 0.9×
Reticulocyte separation (86972) $221.50 $443 1.4×
Rh (86901) $22.50 $45 7.5×
Rheumatoid Factor Qualitative (86430) $34 $68 5.5×
Rheumatoid factor quant (86431) $75.50 $151 13.3×
Rickettsia antibody (86757) $123 $246 6.4×
Ristocetin cofactor (85245) $117 $234 5.1×
Rotavirus ag eia (87425) $121 $242 10.1×
Rpr qualitative (86592) $30.50 $61 7.1×
Rsv ab (86756) $43.50 $87 2.7×
Rubella Antibody (86762) $55 $110 3.8×
Rubeola antibody (86765) $102.50 $205 8.0×
Russell Viper Venom Time Diluted (85613) $58 $116 6.1×
Salicylate Level (80179) $120.50 $241 6.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $71.50 $143 1.4×
Sars-cov-2 COVID-19 antibody (86769) $57.50 $115 1.4×
Sarscov2 & inf a&b amp prb (87636) $178 $356 1.2×
Sarscov2&inf a&b&rsv amp prb (87637) $178 $356 1.2×
Sedimentation Rate, Automated (85652) $30.50 $61 11.3×
Selenium (84255) $133 $266 5.2×
Sensitivity mic (87186) $85 $170 9.8×
Sex Hormone Binding Globulin (84270) $114.50 $229 5.3×
Sickling of rbc reduction (85660) $40 $80 7.3×
Sirolimus (80195) $122.50 $245 8.9×
Smear acid fast (87206) $43.50 $87 8.1×
Smear complex stain (87209) $75.50 $151 4.2×
Smear gram stain (87205) $18 $36 4.2×
Smear Special Stain (87207) $54.50 $109 9.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $24 $48 4.1×
Snrpn/Ube3a Methylation Analysis (81331) $331.50 $663 6.5×
Sodium Serum (84295) $36 $72 7.5×
Sodium Urine (84300) $36 $72 7.1×
Somatomedin (84305) $258.50 $517 12.2×
Special Stains Group 1 (88312) $64.50 $129 1.3×
Special Stains Group 2 (88313) $62.50 $125 0.5×
Specimen infect agnt concntj (87015) $43.50 $87 6.5×
Spectrophotometry (84311) $160.50 $321 19.8×
Sperm Antibodies (89325) $81 $162 7.6×
Stone Analysis (82355) $55 $110 4.7×
Stool cultr aerobic bact ea (87046) $76 $152 8.1×
Strep a assay w/optic (87880) $37.50 $75 2.3×
Strep b DNA amp probe (87653) $78.50 $157 2.2×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $72.50 $145 0.8×
Sulfate urine (84392) $18.50 $37 3.4×
Surg path level iii (88304) $165.50 $331 3.4×
Surgical pathology level IV (88305) $179 $358 3.6×
Surgical pathology level vi (88309) $332.50 $665 0.4×
Susceptibility Study Antimicrobial Disk Method (87184) $37.50 $75 5.0×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $84.50 $169 11.6×
Syphilis Test Non-Trep Quant (86593) $28.50 $57 6.5×
T cells absolute cd4 count (86361) $133 $266 5.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $228 $456 4.9×
T cells total count (86359) $41.50 $83 1.1×
T3 Free (84481) $133 $266 7.9×
T3 reverse (84482) $331.50 $663 21.0×
T3 Total (84480) $95.50 $191 6.7×
T3 Uptake (84479) $146.50 $293 22.6×
T4 Free (84439) $77.50 $155 8.6×
T4 total (84436) $44 $88 6.4×
Tacrolimus (80197) $196 $392 14.3×
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) $187 $374 1.4×
Test for acetone/ketones (82009) $25 $50 5.5×
Test for urine cystines (82615) $64.50 $129 6.8×
Testosterone total (84403) $123 $246 4.8×
Testosterone, Free (84402) $271 $542 10.6×
Theophylline (80198) $100 $200 7.1×
Thiopurine methyltransferase (84433) $331.50 $663 15.0×
Thrombin Time (85670) $80 $160 13.9×
Thromboplastin Inhibition Tissue (85705) $84 $168 8.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $71 $142 11.0×
Thyroglobulin (84432) $182 $364 11.3×
Thyroglobulin Antibody (86800) $88 $176 5.5×
Thyroid Stimulating Immunoglobulin (84445) $187 $374 3.7×
Thyroxine binding globulin (84442) $153.50 $307 10.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $48.50 $97 4.2×
Tissue culture bone marrow (88237) $367 $734 2.6×
Tissue Culture Lymphocyte (88230) $126 $252 1.1×
Tobramycin peak (80200) $126 $252 7.8×
Toxin/Antitoxin Assay Tissue Culture (87230) $105 $210 5.3×
Toxoplasma ab igm (86778) $140 $280 9.7×
Toxoplasma antibody (86777) $140 $280 9.7×
Tp53 gene analysis full gene sequence (81351) $851 $1,702 1.3×
Tpmt gene com variants (81335) $95.50 $191 0.5×
Transferase Aspartate Amino Ast Sgot (84450) $34 $68 6.6×
Transferrin (84466) $77.50 $155 6.1×
Trb@ Rearrangement Anal Amplification Method (81340) $491 $982 2.4×
Trg gene rearrangement anal (81342) $522.50 $1,045 2.6×
Trichinella Antibody (86784) $189.50 $379 15.1×
Trichomonas Vaginalis Amplif (87661) $86 $172 2.5×
Triglycerides (84478) $34 $68 5.9×
Troponin Quant (84484) $59 $118 4.7×
Ugt1a1 gene analysis common variants (81350) $196.50 $393 0.8×
Urea nitrogen urine (84540) $42 $84 7.6×
Uric acid other source (84560) $33.50 $67 6.6×
Urinalysis Volume Measure (81050) $30.50 $61 8.4×
Urine Pregnancy Test (81025) $40.50 $81 4.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$17.50–$18 $35–$36 varies
Valproic acid (80164) $112.50 $225 8.3×
Vancomycin (80202) $96.50 $193 7.1×
Varicella-zoster antibody (86787) $91 $182 7.1×
Vasopressin (84588) $345 $690 10.2×
Viral Culture (87252) $130 $260 5.0×
Virus antibody nos (86790) $126 $252 9.8×
Virus inoculation, shell via (87254) $106 $212 5.4×
Vit D 1 25-Dihydroxy (82652) $277 $554 7.2×
Vitamin A (84590) $105 $210 9.0×
Vitamin b-12 (82607) $106 $212 7.0×
Vitamin B6 (84207) $247 $494 8.8×
Vitamin c (82180) $71.50 $143 7.2×
Vitamin D 25-Hydroxy (82306) $192 $384 6.5×
Vitamin E (84446) $114.50 $229 8.1×
Vitamin K (84597) $321 $642 23.4×
Voltage-Gated Calcium Channel Antibody Each (86596) $119.50 $239 9.9×
Von willebrand factor ag (85246) $181.50 $363 7.9×
Wbc Alkaline Phosphatase Count (85540) $55 $110 6.4×
West nile virus ab igm (86788) $55 $110 3.3×
West Nile Virus Antibody (86789) $59 $118 4.1×
Whole Mitochondrial Genome (81460) $1,758 $3,516 1.4×
Whole mitochondrial genome analysis panel (81465) $1,278 $2,556 1.4×
Xm Archive Tissue Molec Anal (88363) $22.50 $45 0.8×
Zika Virus Igm Antibody (86794) $171 $342 10.1×
Zinc (84630) $80.50 $161 7.1×

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.