Lab & pathology prices at HSHS Good Shepherd Hospital Inc

Shelbyville, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $92.16 $128 8.3×
Acetylcholine receptor binding antibody (86041) $197.28 $274 10.7×
Acetylcholine receptor blocking antibody (86042) $168.48 $234 9.2×
Acetylcholn Rcptr Modlg Antb (86043) $197.28 $274 16.4×
Acth (82024) $179.28 $249 4.6×
Actin smooth muscle antibody each (86015) $95.04 $132 7.9×
Acute hepatitis panel (80074) $145.44 $202 3.1×
Acylcarnitines Quant (82017) $249.12 $346 14.8×
Adenovirus antibody (86603) $192.24 $267 14.9×
Agglutinins Febrile Each Antigen (86000) $307.44 $427 44.0×
Albumin Fluid (82042) $127.44 $177 16.4×
Albumin ischemia modified (82045) $40.32 $56 1.2×
Albumin serum (82040)
range across 2 matching MRF lines
$77.76–$1,321.92 $108–$1,836 varies
Aldolase (82085) $123.84 $172 12.8×
Aldosterone urine (82088) $144.72 $201 3.6×
Alkaline phosphatase isoenzymes (84080) $141.84 $197 9.6×
Allergen specific ige (86003) $48.96 $68 9.4×
Allergen specific igg (86001) $40.32 $56 5.2×
Allg Spec Ige Recomb Ea (86008) $66.96 $93 3.7×
Alpha-1-antitrypsin phenotype (82104) $75.60 $105 5.2×
Alpha-1-antitrypsin total (82103) $209.52 $291 15.6×
Alpha-Fetoprotein Serum (82105) $228.96 $318 13.7×
Alt (sgpt) (84460) $98.64 $137 18.6×
Aluminum (82108) $170.64 $237 6.7×
Amikacin trough (80150) $71.28 $99 4.7×
Amino Acids 1 Quantitative Each Specimen (82131) $514.08 $714 22.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $357.84 $497 21.2×
Aminolevulinic acid (ala) (82135) $123.84 $172 7.5×
Ammonia (82140)
range across 2 matching MRF lines
$173.52–$525.60 $241–$730 varies
Amylase urine (82150) $150.48 $209 23.2×
Ana Titer (86039) $154.08 $214 13.8×
Anca screen each antibody (86036) $174.96 $243 14.5×
Androstenedione (82157) $242.64 $337 8.3×
Angiotensin converting enzyme csf (82164) $182.16 $253 12.5×
Anti-Phospholipid Antibody (86148) $26.64 $37 1.7×
Antibody aspergillus (86606) $269.28 $374 17.9×
Antibody Bacterium Not Elsewhere Specified (86609) $311.04 $432 24.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $182.16 $253 11.8×
Antibody Cytomegalovirus Cmv Igm (86645) $165.60 $230 9.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $40.32 $56 3.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $40.32 $56 2.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $40.32 $56 2.2×
Antibody Fungus Not Elsewhere Specified (86671) $303.12 $421 24.7×
Antibody haemophilus influenza (86684) $305.28 $424 19.3×
Antibody helicobacter pylori (86677) $239.76 $333 14.2×
Antibody Herpes Smplx Type 1 (86695) $166.32 $231 12.6×
Antibody HIV-2 (86702) $132.48 $184 9.8×
Antibody identification leukocyte antibodies (86021) $230.40 $320 15.3×
Antibody Identification Platelet Immunogl Assay (86023) $155.52 $216 12.5×
Antibody john cunningham virus (86711) $1,213.20 $1,685 71.8×
Antibody Protozoa Nes (86753) $94.32 $131 7.6×
Antibody Titer (86886) $216 $300 41.7×
Antibody Treponema Pallidum (86780) $200.16 $278 15.1×
Antibody; influenza virus (86710) $365.76 $508 27.0×
Antigen typing (86905) $453.60 $630 118.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $193.68 $269 33.9×
Antinuclear antibodies (86038) $92.88 $129 7.7×
Antistreptolysin o titer (86060) $126.72 $176 17.4×
Antithrombin iii activity (85300) $245.52 $341 20.7×
Antithrombin iii antigen (85301) $73.44 $102 6.8×
Apolipoprotein a1 (82172) $156.96 $218 7.4×
Aquaporin-4 Antb Cba Each (86052) $400.32 $556 33.2×
Arsenic (82175) $308.16 $428 16.2×
Assay activated protein c (85307) $110.16 $153 7.2×
Assay Blood Carbon Dioxide (82374) $115.92 $161 23.8×
Assay Nephelometry Not Spec (83883) $284.40 $395 20.9×
Assay of 5-hiaa (83497) $82.08 $114 6.4×
Assay of anti-mullerian hormone (82166) $163.44 $227 4.2×
Assay of blood/uric acid (84550) $85.68 $119 19.0×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$45.36–$72 $63–$100 varies
Assay of cpk in blood (82552) $269.28 $374 20.1×
Assay of estrone (82679) $84.96 $118 3.4×
Assay of g6pd enzyme (82955) $145.44 $202 15.0×
Assay of gammaglobulin igm (82784) $118.80 $165 12.8×
Assay of lactic acid (83605) $239.04 $332 20.7×
Assay of manganese (83785) $131.76 $183 4.9×
Assay of metanephrines (83835) $151.20 $210 8.9×
Assay of proinsulin (84206) $154.08 $214 5.8×
Assay of serotonin (84260) $222.48 $309 7.2×
Assay of serum potassium (84132) $64.80 $90 13.6×
Assay of sweat sodium (84302) $154.08 $214 31.7×
Assay of urea nitrogen (84520) $79.92 $111 20.2×
Assay of urine vma (84585) $228.96 $318 14.8×
Assay of vasoactive intestinal peptide (84586) $242.64 $337 6.9×
Assay of vitamin b-1 (84425) $334.08 $464 15.7×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$30.96–$61.20 $43–$85 varies
B cells total count (86355) $190.80 $265 5.1×
Bartonella antibody (86611) $123.84 $172 12.2×
Bcr/abl1 gene major bp (81206) $312.48 $434 1.9×
Bcr/abl1 gene minor bp (81207) $259.92 $361 1.8×
Beta 2 glycoprotein i antibody each (86146) $73.44 $102 2.9×
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines
$98.64–$192.24 $137–$267 varies
Beta Lactamase (87185) $29.52 $41 6.2×
Beta-2 Microglobulin (82232) $147.60 $205 9.1×
Bile acids total (82239) $123.84 $172 7.2×
Bilirubin direct (82248) $62.64 $87 12.5×
Bilirubin total (82247) $72 $100 14.3×
Blastomyces antibody (86612) $101.52 $141 7.9×
Bld Typing Serologic Rh Phnt (86906) $70.56 $98 9.1×
Blood Count Red Blood Cell Automated (85041) $43.20 $60 14.3×
Blood count reticulocyte automated (85045) $81.36 $113 20.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $33.12 $46 8.7×
Blood gas (82803) $283.68 $394 10.9×
Blood gases w/02 saturation (82805) $283.68 $394 3.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $54 $75 3.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $47.52 $66 10.8×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$393.84–$453.60 $547–$630 varies
Blood typing serologic abo (86900) $153.36 $213 51.3×
Brca1&2 gen full seq dup/del (81162) $3,735.36 $5,188 2.0×
Brucella antibody (86622) $93.60 $130 10.5×
C diff amplified probe (87493) $115.20 $160 3.1×
C-Peptide (84681) $271.44 $377 13.0×
C-reactive protein (86140) $110.16 $153 21.3×
Ca 19-9 (86301) $212.40 $295 10.2×
Cadmium (82300) $86.40 $120 3.7×
Calcitonin (82308) $131.04 $182 4.9×
Calcium ionized (82330) $243.36 $338 17.8×
Calcium total (82310) $89.28 $124 17.3×
Calculus assay quant (82360) $133.20 $185 10.3×
Calculus Spectroscopy (82365) $121.68 $169 9.4×
Calprotectin Fecal (83993) $421.20 $585 21.5×
Calr gene com variants (81219) $342.72 $476 2.8×
Cancer Antigen 125 (86304) $249.84 $347 12.0×
Cancer Antigen 27.29 (86300) $283.68 $394 13.6×
Candida antibody (86628) $92.88 $129 7.7×
Carbamazepine total (80156)
range across 3 matching MRF lines
$162–$628.56 $225–$873 varies
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$82.08–$86.40 $114–$120 varies
Carcinoembryonic antigen (82378) $146.88 $204 7.7×
Cardiolipin ab iga (86147) $319.68 $444 12.6×
Carnitine Quantitative Each Specimen (82379) $241.92 $336 14.3×
Carotene (82380) $133.20 $185 14.4×
Catecholamines fractionated (82384) $264.96 $368 10.5×
Catecholamines total urine (82382) $198.72 $276 7.3×
Ccp antibody (86200) $124.56 $173 9.6×
Cell count csf (89051) $79.92 $111 14.3×
Ceruloplasmin (82390) $139.68 $194 13.0×
Cftr gene com variants (81220) $1,100.88 $1,529 2.0×
Chemiluminescent assay (82397) $72 $100 5.1×
Chlamydia antibody (86631) $160.56 $223 13.6×
Chlamydia Igm Antibody (86632) $516.24 $717 40.7×
Chloride other source (82438) $897.84 $1,247 179.6×
Chloride Serum (82435) $59.76 $83 13.0×
Chloride urine (82436) $21.60 $30 3.8×
Cholesterol total (82465) $70.56 $98 16.2×
Cholinesterase Serum (82480) $79.20 $110 10.1×
Chorionic gonadotropin test (84702) $166.32 $231 11.1×
Chrmsm Analysis Addl High Resolution Study (88289) $220.32 $306 6.4×
Chromium serum (82495) $81.36 $113 4.0×
Chromogranin a (86316) $169.20 $235 8.1×
Chromosome Analysis 15-20 (88262) $568.80 $790 4.5×
Chromosome Analysis 20-25 (88264) $750.24 $1,042 5.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $202.32 $281 5.8×
Citric acid urine (82507) $94.32 $131 3.4×
Ckmb (82553) $193.68 $269 16.8×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$12.96–$300.24 $18–$417 varies
Clot Factor VIII Multimetric (85247) $275.76 $383 12.0×
Clotting factor xii hageman (85280) $141.84 $197 7.3×
Cns DNA amp probe type 12-25 (87483) $1,341.36 $1,863 3.2×
Coccidioides antibody (86635) $110.16 $153 9.6×
Cold agglutinin titer (86157) $95.76 $133 11.9×
Collagen crosslinks (82523) $80.64 $112 4.3×
Column Chromotography Quant (82542) $222.48 $309 9.2×
Compatibility test antiglob (86922) $187.92 $261 1.0×
Complement Antigen Each Component (86160) $221.76 $308 18.5×
Complement Total (Ch50) (86162) $322.56 $448 15.9×
Complement/Function Activity (86161) $138.96 $193 11.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $311.04 $432 7.8×
Coombs direct (86880) $82.80 $115 15.4×
Copper urine (82525) $159.12 $221 12.8×
Cortisol free (82530) $153.36 $213 9.2×
Cortisol saliva (82533) $73.44 $102 4.5×
Creatine kinase total (82550) $116.64 $162 17.9×
Creatinine blood (82565) $92.88 $129 18.1×
Creatinine clearance (82575) $197.28 $274 20.9×
Creatinine Urine (82570) $36.72 $51 7.1×
Crossmatch immediate spin (86920) $196.56 $273 1.1×
Crp High Sensitivity (86141) $110.16 $153 8.5×
Cryoglobulin (82595) $102.24 $142 15.8×
Cryptococcal Antigen (87327) $99.36 $138 7.4×
Cryptococcus ag titer (87899) $67.68 $94 4.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $100.80 $140 12.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $80.64 $112 10.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $179.28 $249 23.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 2 matching MRF lines
$732.96–$807.84 $1,018–$1,122 varies
Culture afb (87116) $69.84 $97 6.5×
Culture Anaerobic (87075) $208.80 $290 22.0×
Culture blood (87040) $249.84 $347 24.2×
Culture csf (87070) $158.40 $220 18.4×
Culture fungus (87102) $212.40 $295 25.3×
Culture screen only (87081) $120.24 $167 18.1×
Culture stool (87045) $146.16 $203 15.5×
Culture typing if ea antiserum (87140) $69.84 $97 12.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $43.20 $60 8.3×
Culture urine (87086) $145.44 $202 18.0×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $67.68 $94 4.7×
Cyclosporine (80158) $244.08 $339 13.5×
Cystatin C (82610) $95.04 $132 5.1×
Cytogenetics 100-300 (88275) $136.80 $190 2.7×
Cytomegalovirus igg (86644) $165.60 $230 11.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $141.84 $197 7.0×
Cytopath Cell Enhance Tech (88112) $118.08 $164 2.1×
Cytopath Fl Nongyn Filter (88106) $128.16 $178 4.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $132.48 $184 5.0×
Cytp Concentration Smears & Interpretation (88108) $120.24 $167 3.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $100.08 $139 1.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $246.24 $342 1.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $131.76 $183 3.3×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,094.40 $1,520 6.0×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $159.84 $222 5.2×
Cytp Urine 3-5 Probes Cmptr (88121) $301.68 $419 1.7×
Deoxyribonuclease antibody (86215) $49.68 $69 3.7×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$191.52–$262.80 $266–$365 varies
Detect Agent Nos Dna Quant (87799) $336.24 $467 7.8×
Detect agnt mult DNA ampli (87801) $483.84 $672 6.9×
Dgp Antibody Each Ig Class (86258) $91.44 $127 7.6×
Dhea (82626) $270 $375 10.7×
Dhea-S (82627) $182.16 $253 8.2×
Digoxin (80162)
range across 2 matching MRF lines
$144–$1,296 $200–$1,800 varies
Dihydrotestosterone (82642) $56.88 $79 1.9×
Diphtheria antitoxoid (86648) $127.44 $177 8.4×
Dna Antibody Native/Double Stranded (86225) $77.04 $107 5.6×
Dna Antibody Single Stranded (86226) $105.12 $146 8.7×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$189.36–$190.08 $263–$264 varies
DNA/RNA direct probe (87149) $159.84 $222 8.0×
Dna/Rna Sequencing (87153) $396.72 $551 3.4×
Drug assay adalimumab (80145) $104.40 $145 2.7×
Drug Assay Everolimus (80169) $207.36 $288 15.1×
Drug Assay Lacosamide (80235) $210.24 $292 7.8×
Drug Assay Posaconazole (80187) $235.44 $327 8.7×
Drug Screen Quant Clozapine (80159) $131.04 $182 6.5×
Drug Screen Quant Zonisamide (80203) $154.80 $215 11.7×
Drug Screen Quantitative Gabapentin (80171) $187.20 $260 8.6×
Drug Screen Quantitative Lamotrigine (80175) $331.20 $460 25.0×
Drug Screen Quantitative Levetiracetam (80177) $276.48 $384 20.9×
Drug Screen Quantitative Oxcarbazepine (80183) $167.76 $233 12.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $195.84 $272 11.7×
Drug Test Prsmv Chem Anlyzr (80307) $202.32 $281 3.3×
Drug Test Prsmv Instrmnt (80306) $128.16 $178 7.5×
Ehrlichia antibody (86666) $174.24 $242 17.1×
El-1 Fecal Quantitative (82653) $253.44 $352 11.0×
Electrolyte panel (80051) $179.28 $249 25.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $144.72 $201 12.0×
Enterovirus Antibody (86658) $262.08 $364 20.1×
Enterovirus PCR (87498) $308.88 $429 8.8×
Enzyme cell activity (82657) $321.12 $446 14.5×
Erythropoietin (82668) $205.92 $286 11.0×
Estradiol serum (82670) $288.72 $401 10.3×
Estriol (82677) $54.72 $76 2.3×
Estrogen total (82672) $298.80 $415 13.8×
Estrogens fractionated (82671) $85.68 $119 2.7×
Exam Synovial Fluid Crystals (89060) $79.92 $111 10.9×
F2 Gene (81240) $110.88 $154 1.7×
Factor ii activity (85210) $108.72 $151 8.4×
Factor ix activity (85250) $162 $225 8.5×
Factor v activity (85220) $540 $750 30.6×
Factor v leiden mutation (81241) $416.16 $578 5.7×
Factor vii assay (85230) $612 $850 34.2×
Factor viii assay (85240) $204.48 $284 11.4×
Factor X (85260) $516.96 $718 28.9×
Factor xi activity (85270) $141.84 $197 7.9×
Fecal Fat Qualitative (82705) $146.88 $204 28.8×
Ferritin (82728) $209.52 $291 15.4×
Fetal Congenital Abnor Assay Four Anal (81511) $336.24 $467 2.2×
Fetal Congenital Abnor Assay Two Proteins (81508) $212.40 $295 3.9×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $961.20 $1,335 13.8×
Fibrin degradation products (85362) $144 $200 20.9×
Fibrin Degradation Quant (85379) $60.48 $84 5.9×
Fibrinogen activity (85384) $110.16 $153 11.3×
Flow cytometry first marker (88184) $393.84 $547 1.0×
Fluorescent antibody screen (86255) $188.64 $262 15.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $226.80 $315 18.8×
Fmr1 gene detection (81243) $620.64 $862 10.9×
Folic acid rbc (82747) $76.32 $106 4.3×
Folic Acid Serum (82746) $90.72 $126 6.2×
Follicle Stimulating Hormone (83001) $98.64 $137 5.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $370.08 $514 2.0×
Fungi Identification Mold (87107) $108.72 $151 10.5×
Fungi Identification Yeast (87106) $114.48 $159 11.1×
Gammaglobulin ige (82785) $198 $275 12.0×
Gastrin (82941) $68.40 $95 3.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $687.60 $955 1.6×
Genet Virus Isolate Hsv (87255) $199.44 $277 5.9×
Gentamicin (80170)
range across 2 matching MRF lines
$156.96–$662.40 $218–$920 varies
Ggt (82977) $109.44 $152 15.2×
Giardia antigen (87329) $143.28 $199 12.0×
Glucagon (82943) $136.80 $190 9.6×
Glucose 2 hr pp (82950) $70.56 $98 14.9×
Glucose Blood Test (82962) $41.76 $58 12.7×
Glucose body fluid (82945) $88.56 $123 22.5×
Glucose Serum (82947) $53.28 $74 13.6×
Glucose tolerance test (gtt) (82951) $163.44 $227 12.7×
Glycated Protein (82985) $75.60 $105 4.5×
Gonadotropin Chorionic Qualitative (84703) $109.44 $152 14.6×
Growth hormone (83003) $79.92 $111 4.8×
H Pylori (C-13) Breath (83013) $181.44 $252 2.7×
Haptoglobin (83010) $49.68 $69 3.9×
Hdl Cholesterol (83718) $105.84 $147 12.9×
Helicobacter Pylori Stool (87338) $287.28 $399 20.0×
Hematocrit (85014) $36.72 $51 15.5×
Hemoglobin (85018) $40.32 $56 17.0×
Hemoglobin a1c (83036) $146.88 $204 15.1×
Hemoglobin Chromotography (83021) $132.48 $184 7.3×
Hemoglobin electrophoresis (83020) $236.16 $328 18.3×
Hemoglobin Methemoglobin Quantitative (83050) $82.08 $114 10.0×
Hemoglobin plasma (83051) $79.92 $111 10.9×
Hemolysins&Agglutinins Auto Screen Each (86940) $108.72 $151 12.4×
Hep a ab igm (86709) $118.80 $165 10.6×
Heparin assay (85520) $189.36 $263 14.5×
Hepatitis a antibody total (86708) $205.20 $285 16.6×
Hepatitis b core ab igm (86705) $98.64 $137 8.4×
Hepatitis b core ab total (86704) $221.04 $307 18.3×
Hepatitis B Surface Antibody (86706) $192.96 $268 18.0×
Hepatitis B Surface Antigen (87340) $169.92 $236 16.4×
Hepatitis Be Antibody (86707) $77.76 $108 6.7×
Hepatitis Be Antigen (87350) $105.84 $147 9.2×
Hepatitis C Antibody (86803) $105.84 $147 7.4×
Hepatitis C Genotype (87902) $676.08 $939 2.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $920.88 $1,279 26.2×
Hepatitis C Revrs Trnscrpj (87522) $709.92 $986 16.6×
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,702.08 $2,364 1.3×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $1,702.08 $2,364 1.3×
Herpes simplex type 2 (86696) $166.32 $231 8.6×
Heterophile Antibody Screen (86308) $115.92 $161 22.4×
Hfe Gene (81256) $642.24 $892 9.8×
Histamine urine (83088) $148.32 $206 5.0×
Histoplasma antibody (86698) $208.08 $289 15.1×
Histoplasma antigen urine (87385) $483.12 $671 36.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $64.80 $90 2.7×
Hiv-1 Antibody (86701) $211.68 $294 23.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $294.48 $409 3.5×
Hla class ii typing high resolution one locus ea (81382) $294.48 $409 2.4×
Hla ii type 1 ag equiv lr (81377) $470.16 $653 5.0×
Hla-b27 (86812) $313.92 $436 12.2×
Homocysteine (83090) $122.40 $170 6.8×
Homogenization Tissue (87176) $68.40 $95 11.6×
Homovanillic acid urine (83150) $326.16 $453 14.6×
Hpv High-Risk Types (87624) $115.92 $161 3.3×
Hpv Types 16 & 18 Only (87625) $187.92 $261 4.6×
Hsv Dna Amp Probe (87529) $401.76 $558 11.4×
Hsv Dna Quant (87530) $299.52 $416 7.0×
Htt Gene Detc Abnor Alleles (81271) $327.60 $455 2.4×
Human Epididymis Protein 4 (86305) $412.56 $573 19.8×
Hydroxyprogesterone 17-d (83498) $113.04 $157 4.2×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $448.56 $623 32.2×
Iaad Ia Streptococcus Group A (87430) $133.92 $186 8.0×
Iaadi not otherwise specified each organism (87299) $84.96 $118 5.3×
Iadna Candida Species Amplified Probe Tq (87481) $153.36 $213 4.4×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 3 matching MRF lines
$189.36–$207.36 $263–$288 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $64.80 $90 1.8×
Iadna Cytomegalovirus Quantification (87497) $393.12 $546 9.2×
Iadna Hepatitis B Virus Quantification (87517) $388.80 $540 9.1×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $94.32 $131 2.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $352.80 $490 8.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines
$216–$234 $300–$325 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $89.28 $124 2.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $86.40 $120 1.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $464.40 $645 3.3×
Ig Light Chains Free Each (83521) $133.92 $186 7.8×
Igg subclasses (82787) $205.20 $285 25.6×
Igh@ Variable Region Somatic Mutation Analysis (81263) $468 $650 1.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $538.56 $748 1.4×
Immunfix e-phorsis/urine/csf (86335) $299.52 $416 10.2×
Immunoassay Analyte Quant Radioimmunoassay (83519) $185.76 $258 10.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $16.56 $23 1.1×
Immunoassay nonantibody (83516) $141.12 $196 12.2×
Immunodiffusion not elsewhere specified (86329) $108 $150 7.7×
Immunodiffusion Ouchterlony (86331) $160.56 $223 13.4×
Immunofixation electrophoresis (86334) $357.12 $496 16.0×
Immunohistochemistry (88342) $187.92 $261 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $75.60 $105 1.8×
Influenza a/b ag eia (87400) $46.08 $64 3.3×
Influenza assay w/optic (87804) $54.72 $76 3.3×
Inhibin A (86336) $79.92 $111 5.1×
Inhibin b (83520) $146.88 $204 8.5×
Insulin antibodies (86337) $192.24 $267 9.0×
Insulin total (83525) $164.16 $228 14.4×
Intrinsic factor antibody (86340) $180 $250 11.9×
Iron (83540) $92.88 $129 14.4×
Iron Binding Capacity (83550) $52.56 $73 6.0×
Islet cell antibody (86341) $98.64 $137 4.2×
Jak2 gene analysis p.val617phe variant (81270) $1,132.56 $1,573 12.4×
Jak2 Gene Trgt Sequence Alys (81279) $678.96 $943 3.7×
Kit Gene Analysis D816 Variant(S) (81273) $628.56 $873 5.0×
Koh Prep (87220) $69.84 $97 16.4×
Lactate (ld) (ldh) enzyme (83615) $97.92 $136 16.2×
Lactoferrin fecal qualitative (83630) $123.12 $171 6.2×
Ldh Isoenzymes (83625) $244.08 $339 19.1×
LDL direct (83721) $95.04 $132 9.1×
Lead (83655) $136.80 $190 11.3×
Legionella antigen urine (87449) $252.72 $351 21.1×
Leukocyte Assessment Fecal (89055) $6.48 $9 1.5×
Leukocyte Histamine Release (86343) $146.88 $204 11.8×
Level I Surg Pathology Gross Examination Only (88300) $76.32 $106 2.5×
Level ii surg pathology gross&microscopic exam (88302) $116.64 $162 2.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $453.60 $630 1.2×
Lidocaine (80176) $189.36 $263 12.9×
Lipase (83690) $103.68 $144 15.0×
Lipoprotein A (83695) $110.88 $154 7.7×
Lipoprotein Bld Quan Part (83704) $95.76 $133 2.8×
Lithium (80178)
range across 2 matching MRF lines
$84.96–$1,188.72 $118–$1,651 varies
Luteinizing Hormone (Lh) (83002) $98.64 $137 5.3×
Lyme disease antibody (86618) $112.32 $156 6.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $717.12 $996 3.9×
M/phmtrc alys ishquant/semiq (88374) $771.84 $1,072 4.2×
Macroscopic exam arthropod (87168) $33.84 $47 7.9×
Magnesium Urine (83735) $140.40 $195 21.0×
Mass Spectrometry Quant (83789) $150.48 $209 6.2×
Mercury urine (83825) $196.56 $273 12.1×
Methylmalonic acid serum (83921) $118.80 $165 5.6×
Microalbumin, quantitative (82043) $23.04 $32 4.0×
Microbe Suscept Macrobroth (87188) $142.56 $198 21.5×
Microsomal Antibodies Each (86376) $79.92 $111 5.5×
Mitochondrial Antibody Each (86381) $144.72 $201 5.7×
Mog-Igg1 Antb Cba Each (86362) $900 $1,250 74.7×
Molecular Cytogenetics Dna Probe Each (88271) $72.72 $101 3.4×
Molecular Pathology Procedure Level 3 (81402) $189.36 $263 1.3×
Molecular Pathology Procedure Level 6 (81405) $1,188.72 $1,651 3.9×
Mopath procedure level 1 (81400) $442.08 $614 6.9×
Mopath procedure level 2 (81401) $403.20 $560 2.9×
Mopath procedure level 4 (81403) $345.60 $480 1.9×
Mopath procedure level 5 (81404) $662.40 $920 2.4×
Mopath procedure level 7 (81406) $2,078.64 $2,887 7.3×
Mpl gene analysis sequence analysis exon 10 (81339) $644.40 $895 3.5×
Mrsa Pcr (87641)
range across 3 matching MRF lines
$198–$217.44 $275–$302 varies
Mthfr Gene Analysis Common Variants (81291) $406.80 $565 6.2×
Mumps antibody (86735) $176.40 $245 13.5×
Mycoplasma antibody (86738) $150.48 $209 11.4×
Myelin basic protein csf (83873) $93.60 $130 5.4×
Myoglobin urine (83874) $151.20 $210 11.7×
Natriuretic peptide (83880) $268.56 $373 6.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $180 $250 1.3×
Nfct ds bv&vaginitis DNA alg (81515) $378.72 $526 1.4×
Nfct ds chrnc hcv 6 assays (81596) $323.28 $449 4.5×
Nk cells total count (86357) $246.24 $342 6.5×
Nuclear antigen antibody (86235) $136.80 $190 7.6×
Occult Blood Other Sources (82271) $45.36 $63 8.5×
Oligoclonal bands (83916) $153.36 $213 5.6×
Organic acids urine (83918) $275.04 $382 11.7×
Osmolality serum (83930) $120.96 $168 18.3×
Osmolality Urine (83935) $105.84 $147 15.5×
Ova and parasites smears (87177) $77.76 $108 8.7×
Oxalate urine (83945) $95.04 $132 6.6×
Pancreatic Elastase Fecal (82656) $74.88 $104 6.5×
Particle Agglut Antbdy Titr (86406) $131.76 $183 12.4×
Particle Agglutination Screen Each Antibody (86403) $161.28 $224 14.0×
Parvovirus antibody (86747) $118.08 $164 7.9×
Ph urine (81003) $41.76 $58 18.6×
Phenobarbital Level (80184) $113.76 $158 7.4×
Phenylalanine (84030) $102.96 $143 18.7×
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines
$155.52–$2,078.64 $216–$2,887 varies
Phenytoin free (80186) $105.84 $147 7.7×
Phosphatase acid prostatic (84066) $56.88 $79 5.9×
Phosphatase alkaline (84075) $104.40 $145 20.2×
Phospholipid Neutralization Hexagonal (85598) $381.60 $530 21.2×
Phosphorus Serum (84100) $85.68 $119 18.1×
Phosphorus urine (84105) $57.60 $80 10.0×
Pinworm exam (87172) $60.48 $84 14.2×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$92.88–$307.44 $129–$427 varies
Platelet count automated (85049) $82.08 $114 18.3×
Platelet neutralization (85597) $172.08 $239 9.6×
Porphobilinogen, urine; quantitative (84110) $56.88 $79 6.7×
Porphyrins Urine Quantitation & Fractionation (84120) $146.88 $204 10.0×
Potassium Urine (84133)
range across 2 matching MRF lines
$26.64–$75.60 $37–$105 varies
Prealbumin (84134) $126 $175 8.6×
Pregnenolone (84140) $84.96 $118 4.1×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $216 $300 1.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $149.04 $207 2.4×
Pretx serum rbc antibody identification dilution (86976) $30.96 $43 1.0×
Primidone (80188) $193.68 $269 11.7×
Procalcitonin (Pct) (84145) $399.60 $555 14.7×
Progesterone (84144) $87.84 $122 4.2×
Prolactin (84146) $105.84 $147 5.5×
Protein body fluid (84157) $98.64 $137 24.7×
Protein C Activity (85303) $470.88 $654 34.0×
Protein c antigen (85302) $231.84 $322 19.3×
Protein Electrophoresis Urine (84166) $141.12 $196 7.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $141.12 $196 13.1×
Protein S Free (85306) $219.60 $305 14.3×
Protein s total (85305) $83.52 $116 7.2×
Protein total serum (84155) $71.28 $99 19.4×
Protein Total Urine (84156) $18 $25 4.9×
Protein Western Blot Test (84182) $211.68 $294 7.2×
Protoporphyrin rbc quantitative (84202) $127.44 $177 8.9×
PSA free (84154) $127.44 $177 6.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $648 $900 2.2×
Pten Gene Analysis Full Sequence Analysis (81321) $1,296 $1,800 2.2×
Pth Intact (83970) $113.76 $158 2.8×
Pyruvate kinase (84220) $146.88 $204 15.6×
Q Fever Antibody (86638) $90 $125 7.4×
Quantiferon tb gold plus (86480) $165.60 $230 2.7×
Quantitative assay drug (80299) $174.24 $242 9.3×
Quantitative Screen Metals (83018) $90 $125 4.1×
Quinidine (80194) $154.08 $214 10.6×
Rbc antibody elution (86860) $216 $300 1.2×
Rbc antibody identification (86870) $393.84 $547 1.0×
Rbc antibody screen (86850) $77.04 $107 7.9×
Rbc pretreatment serum (86978) $90 $125 1.4×
Rbc pretx incubatj w/enzymes (86971) $187.92 $261 1.0×
Rbc serum pretx incubj drugs (86975) $502.56 $698 1.0×
Reagent Strip/Blood Glucose (82948) $12.96 $18 2.6×
Renin activity plasma (84244) $143.28 $199 6.5×
Resp virus 12-25 targets (87633)
range across 3 matching MRF lines
$690.48–$1,321.20 $959–$1,835 varies
Resp Virus 6-11 Targets (87632) $950.40 $1,320 4.4×
Reticulocyte Count (85046) $81.36 $113 14.6×
Reticulocyte separation (86972) $216 $300 1.2×
Rh (86901) $50.40 $70 16.9×
Rheumatoid Factor Qualitative (86430) $81.36 $113 13.3×
Rheumatoid factor quant (86431) $133.20 $185 23.5×
Rickettsia antibody (86757) $92.88 $129 4.8×
Ristocetin cofactor (85245) $164.16 $228 7.2×
Rotavirus ag eia (87425) $230.40 $320 19.2×
Rpr qualitative (86592) $61.92 $86 14.5×
Rsv ab (86756) $176.40 $245 11.1×
Rubella Antibody (86762) $41.04 $57 2.9×
Rubeola antibody (86765) $72 $100 5.6×
Russell Viper Venom Time Diluted (85613) $36 $50 3.8×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$64.80–$321.12 $90–$446 varies
Sars-cov-2 COVID-19 antibody (86769) $102.24 $142 2.4×
Sars-Cov-2 Covid19 W/Optic (87811) $99.36 $138 2.4×
Sarscov2 & inf a&b amp prb (87636) $346.32 $481 2.4×
Sarscov2&inf a&b&rsv amp prb (87637) $396 $550 2.8×
Sedimentation rate (85651) $76.32 $106 17.9×
Sedimentation Rate, Automated (85652) $76.32 $106 28.3×
Selenium (84255) $127.44 $177 5.0×
Semen Anal Sperm Detection (89321) $70.56 $98 5.9×
Sensitivity mic (87186) $134.64 $187 15.6×
Serpina 1 gene (81332) $338.40 $470 7.8×
Sex Hormone Binding Globulin (84270) $99.36 $138 4.6×
Sickling of rbc reduction (85660) $52.56 $73 9.5×
Sirolimus (80195) $178.56 $248 13.0×
Smear acid fast (87206) $92.16 $128 17.1×
Smear complex stain (87209) $56.88 $79 3.2×
Smear gram stain (87205) $80.64 $112 18.9×
Smear Special Stain (87207) $72 $100 12.0×
Smn1 Gene Dos/Deletion Alys (81329) $620.64 $862 4.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $74.16 $103 12.7×
Sodium Serum (84295) $63.36 $88 13.2×
Sodium Urine (84300) $36 $50 7.1×
Soluble Transferrin Receptor (84238) $95.04 $132 2.6×
Somatomedin (84305) $218.88 $304 10.3×
Somatostatin (84307) $318.24 $442 17.4×
Special Stains Group 1 (88312) $141.12 $196 2.5×
Special Stains Group 2 (88313) $162.72 $226 1.1×
Specific gravity body fluid (84315) $78.48 $109 23.9×
Spectrophotometry (84311) $213.84 $297 26.4×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $370.08 $514 2.0×
Staph a DNA amp probe (87640) $177.84 $247 5.1×
Stone Analysis (82355) $137.52 $191 11.9×
Stool cultr aerobic bact ea (87046) $12.24 $17 1.3×
Strep a assay w/optic (87880) $100.08 $139 6.1×
Strep a DNA amp probe (87651) $151.92 $211 4.3×
Strep b DNA amp probe (87653) $43.92 $61 1.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $145.44 $202 12.6×
Sugars Single Qual (84376) $70.56 $98 12.8×
Sulfate urine (84392) $46.08 $64 8.4×
Surg path level iii (88304) $131.76 $183 2.4×
Surgical pathology level IV (88305) $156.96 $218 2.8×
Surgical pathology level vi (88309) $1,029.60 $1,430 1.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $69.84 $97 14.7×
Susceptibility Study Antimicrobial Disk Method (87184) $69.84 $97 9.3×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $105.84 $147 14.5×
Syphilis Test Non-Trep Quant (86593) $44.64 $62 10.1×
T cells absolute cd4 count (86361) $121.68 $169 4.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $59.04 $82 1.3×
T cells total count (86359) $185.04 $257 4.9×
T3 Free (84481) $135.36 $188 8.0×
T3 reverse (84482) $96.48 $134 6.1×
T3 Total (84480) $231.84 $322 16.3×
T3 Uptake (84479) $89.28 $124 13.8×
T4 Free (84439) $82.08 $114 9.1×
T4 total (84436) $86.40 $120 12.6×
Tacrolimus (80197) $189.36 $263 13.8×
Tau phosphorylated each (84393) $324 $450 2.5×
Test for acetone/ketones (82009) $1,662.48 $2,309 367.8×
Testosterone total (84403)
range across 2 matching MRF lines
$196.56–$234.72 $273–$326 varies
Testosterone, Free (84402) $180.72 $251 7.1×
Tetanus antibody (86774) $319.68 $444 21.6×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $2,255.04 $3,132 3.8×
Theophylline (80198)
range across 2 matching MRF lines
$146.16–$727.20 $203–$1,010 varies
Thrombin Time (85670) $146.88 $204 25.5×
Thromboplastin Inhibition Tissue (85705) $434.16 $603 45.1×
Thyroglobulin (84432) $100.80 $140 6.3×
Thyroglobulin Antibody (86800) $82.08 $114 5.2×
Thyroid Stimulating Immunoglobulin (84445) $177.12 $246 3.5×
Thyroxine binding globulin (84442) $85.68 $119 5.8×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$95.04–$95.76 $132–$133 varies
Tissue culture bone marrow (88237) $570.96 $793 4.0×
Tissue Culture Lymphocyte (88230) $594.72 $826 5.1×
Tobramycin peak (80200)
range across 2 matching MRF lines
$188.64–$1,384.56 $262–$1,923 varies
Topiramate (80201) $182.16 $253 15.3×
Total Tau (84394) $511.20 $710 4.0×
Toxoplasma ab igm (86778) $128.16 $178 8.9×
Toxoplasma antibody (86777) $131.76 $183 9.2×
Tp53 gene analysis full gene sequence (81351) $1,384.56 $1,923 2.2×
Transferase Aspartate Amino Ast Sgot (84450) $102.96 $143 19.9×
Transferrin (84466) $180 $250 14.1×
Trb@ Rearrangement Anal Amplification Method (81340) $915.84 $1,272 4.4×
Trg gene rearrangement anal (81342) $888.48 $1,234 4.4×
Trichomonas Vaginalis Amplif (87661) $53.28 $74 1.5×
Triglycerides (84478) $86.40 $120 15.1×
Troponin Quant (84484) $165.60 $230 13.3×
Ugt1a1 gene analysis common variants (81350) $727.20 $1,010 3.1×
Unlisted Transfusion Medicine Procedure (86999) $56.88 $79 1.8×
Urea nitrogen urine (84540) $77.04 $107 13.9×
Uric acid other source (84560) $35.28 $49 6.9×
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$23.76–$41.04 $33–$57 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) $48.96 $68 22.6×
Urinalysis Volume Measure (81050) $11.52 $16 3.2×
Urine Bacteria Culture (87088) $42.48 $59 5.3×
Urine Pregnancy Test (81025) $106.56 $148 12.4×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $61.20 $85 19.3×
Valproic acid (80164)
range across 2 matching MRF lines
$195.84–$648 $272–$900 varies
Vancomycin (80202) $716.40 $995 52.9×
Varicella-zoster antibody (86787) $212.40 $295 16.5×
Viral Culture (87252) $253.44 $352 9.7×
Virus antibody nos (86790) $332.64 $462 25.8×
Virus inoculation, shell via (87254) $158.40 $220 8.1×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $97.20 $135 5.0×
Viscosity serum (85810) $200.16 $278 17.2×
Vit D 1 25-Dihydroxy (82652) $282.96 $393 7.3×
Vitamin A (84590) $74.88 $104 6.4×
Vitamin b-12 (82607) $93.60 $130 6.2×
Vitamin B2 (Riboflavin) (84252) $179.28 $249 8.9×
Vitamin B6 (84207) $107.28 $149 3.8×
Vitamin c (82180) $84.96 $118 8.6×
Vitamin D 25-Hydroxy (82306) $121.68 $169 4.1×
Vitamin E (84446) $74.88 $104 5.3×
Vitamin K (84597) $561.60 $780 40.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $61.92 $86 5.1×
Von willebrand factor ag (85246) $258.48 $359 11.3×
West nile virus ab igm (86788) $78.48 $109 4.7×
West Nile Virus Antibody (86789) $115.92 $161 8.1×
Western Blot Test (84181) $179.28 $249 10.5×
Zinc (84630) $123.84 $172 10.9×

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.