Lab & pathology prices at Jackson Healthcare Center
Edna, TX · every code in this section with a posted price and a Medicare benchmark.
494 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $180 | $225 | 7.9× |
| 5 Nucleotidase (83915) | $84 | $105 | 7.5× |
| Acetylcholine receptor binding antibody (86041) | $96 | $120 | 5.2× |
| Acth (82024) | $126 | $158 | 3.3× |
| Acute hepatitis panel (80074) | $156 | $195 | 3.3× |
| Acylcarnitines Quant (82017) | $60 | $75 | 3.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $432 | $540 | 6.7× |
| Albumin Fluid (82042) | $17 | $21 | 2.2× |
| Albumin serum (82040) range across 2 matching MRF lines |
$24–$200 | $30–$250 | varies |
| Aldolase (82085) | $48 | $60 | 4.9× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$64–$160 | $80–$200 | varies |
| Alkaline phosphatase isoenzymes (84080) | $84 | $105 | 5.7× |
| Allergen specific ige (86003) range across 49 matching MRF lines |
$18–$288 | $22–$360 | varies |
| Allergen specific igg (86001) | $51 | $64 | 6.5× |
| Alpha-1-antitrypsin phenotype (82104) | $89 | $111 | 6.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$48–$60 | $60–$75 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$24–$55 | $30–$69 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$2–$34 | $2–$42 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $444 | $555 | 26.3× |
| Ammonia (82140) range across 3 matching MRF lines |
$47–$80 | $59–$100 | varies |
| Amylase urine (82150) range across 5 matching MRF lines |
$4–$37 | $5–$46 | varies |
| Ana Titer (86039) | $288 | $360 | 25.8× |
| Androstenedione (82157) | $288 | $360 | 9.8× |
| Angiotensin converting enzyme csf (82164) | $120 | $150 | 8.2× |
| Antibody aspergillus (86606) | $48 | $60 | 3.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $96 | $120 | 6.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $48 | $60 | 2.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $156 | $195 | 11.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $156 | $195 | 10.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$96–$160 | $120–$200 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$126–$160 | $158–$200 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$22–$91 | $27–$114 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $46 | $57 | 3.4× |
| Antibody HIV-2 (86702) | $108 | $135 | 8.0× |
| Antibody identification leukocyte antibodies (86021) | $239 | $299 | 15.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $123 | $154 | 9.9× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$82–$120 | $102–$150 | varies |
| Antibody rotavirus (86759) | $59 | $74 | 3.2× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$29–$31 | $36–$39 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$64–$93 | $80–$116 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$25–$31 | $31–$39 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$24–$180 | $30–$225 | varies |
| Antistreptolysin o titer (86060) | $36 | $45 | 4.9× |
| Antithrombin iii activity (85300) | $360 | $450 | 30.4× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$58–$360 | $72–$450 | varies |
| Arsenic (82175) | $62 | $78 | 3.3× |
| Assay Blood Carbon Dioxide (82374) | $22 | $28 | 4.5× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$78–$424 | $98–$530 | varies |
| Assay of 5-hiaa (83497) | $108 | $135 | 8.4× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$4–$27 | $5–$34 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$24–$96 | $30–$120 | varies |
| Assay of corticosterone (82528) | $108 | $135 | 4.8× |
| Assay of cpk in blood (82552) | $81 | $101 | 6.0× |
| Assay of estrone (82679) | $84 | $105 | 3.4× |
| Assay of g6pd enzyme (82955) | $39 | $49 | 4.0× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$38–$60 | $48–$75 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$29–$132 | $36–$165 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$84–$562 | $105–$702 | varies |
| Assay of proinsulin (84206) | $156 | $195 | 5.8× |
| Assay of pyruvate (84210) | $156 | $195 | 10.8× |
| Assay of serotonin (84260) | $134 | $168 | 4.3× |
| Assay of serum potassium (84132) | $26 | $32 | 5.5× |
| Assay of sweat sodium (84302) | $58 | $72 | 11.9× |
| Assay of urea nitrogen (84520) | $26 | $32 | 6.6× |
| Assay of urine vma (84585) | $136 | $170 | 8.8× |
| Assay of vasoactive intestinal peptide (84586) | $466 | $582 | 13.2× |
| Assay of vitamin b-1 (84425) | $96 | $120 | 4.5× |
| Assay Ph Body Fluid Nos (83986) | $19 | $24 | 5.3× |
| B cells total count (86355) range across 2 matching MRF lines |
$168–$648 | $210–$810 | varies |
| Bartonella antibody (86611) | $60 | $75 | 5.9× |
| Bcr/abl1 gene major bp (81206) | $358 | $447 | 2.2× |
| Bcr/abl1 gene minor bp (81207) | $394 | $493 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $26 | $32 | 1.0× |
| Beta hydroxybutyrate (82010) | $20 | $25 | 2.4× |
| Beta Lactamase (87185) | $15 | $19 | 3.2× |
| Beta-2 Microglobulin (82232) | $48 | $60 | 3.0× |
| Bile acids total (82239) | $340 | $425 | 19.9× |
| Bilirubin direct (82248) range across 4 matching MRF lines |
$4–$29 | $5–$36 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$4–$29 | $5–$36 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $12 | $15 | 3.5× |
| Blastomyces antibody (86612) | $60 | $75 | 4.7× |
| Bld Typing Serologic Rh Phnt (86906) | $114 | $143 | 14.7× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $13 | $16 | 2.6× |
| Blood Count Red Blood Cell Automated (85041) | $14 | $17 | 4.6× |
| Blood count reticulocyte automated (85045) | $20 | $25 | 5.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $12 | $15 | 3.2× |
| Blood gas (82803) | $143 | $179 | 5.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54 | $67 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12 | $15 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $64 | $80 | 10.1× |
| Blood typing serologic abo (86900) | $25 | $31 | 8.4× |
| Body fluid cell count (89050) | $22 | $27 | 4.7× |
| Bordetella antibody (86615) | $53 | $66 | 4.0× |
| Brca1&2 gen full seq dup/del (81162) | $96 | $120 | 0.1× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$31–$720 | $39–$900 | varies |
| C diff amplified probe (87493) range across 4 matching MRF lines |
$46–$324 | $58–$405 | varies |
| C-Peptide (84681) | $60 | $75 | 2.9× |
| C-reactive protein (86140) | $75 | $94 | 14.5× |
| Ca 19-9 (86301) | $48 | $60 | 2.3× |
| Cadmium (82300) | $76 | $95 | 3.2× |
| Calcitonin (82308) | $108 | $135 | 4.0× |
| Calcium ionized (82330) | $72 | $90 | 5.3× |
| Calcium total (82310) | $26 | $32 | 5.0× |
| Calculus Spectroscopy (82365) | $108 | $135 | 8.4× |
| Calprotectin Fecal (83993) | $540 | $675 | 27.5× |
| Cancer Antigen 125 (86304) | $38 | $48 | 1.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$60–$68 | $75–$85 | varies |
| Candida antibody (86628) | $43 | $54 | 3.6× |
| Carbamazepine total (80156) | $72 | $90 | 4.9× |
| Carboxyhemoglobin (82375) | $236 | $295 | 19.2× |
| Carcinoembryonic antigen (82378) | $29 | $36 | 1.5× |
| Cardiolipin ab iga (86147) | $26 | $32 | 1.0× |
| Carnitine Quantitative Each Specimen (82379) | $120 | $150 | 7.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$72–$192 | $90–$240 | varies |
| Ccp antibody (86200) | $120 | $150 | 9.3× |
| Cell count csf (89051) range across 3 matching MRF lines |
$18–$60 | $23–$75 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $184 | $230 | 1.4× |
| Ceruloplasmin (82390) | $96 | $120 | 8.9× |
| Cftr gene com variants (81220) | $208 | $260 | 0.4× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$48–$234 | $60–$293 | varies |
| Chloride Serum (82435) | $26 | $32 | 5.7× |
| Chloride urine (82436) | $36 | $45 | 6.3× |
| Cholesterol total (82465) | $29 | $36 | 6.7× |
| Cholinesterase rbc (82482) | $40 | $50 | 4.1× |
| Cholinesterase Serum (82480) | $40 | $50 | 5.1× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$4–$63 | $5–$79 | varies |
| Chromium serum (82495) | $84 | $105 | 4.1× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$40–$187 | $50–$234 | varies |
| Chromosome Analysis 15-20 (88262) | $213 | $266 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$96–$169 | $120–$211 | varies |
| Citric acid urine (82507) | $150 | $188 | 5.4× |
| Ckmb (82553) range across 2 matching MRF lines |
$4–$59 | $5–$74 | varies |
| Clostridium Difficile (87324) | $39 | $49 | 3.3× |
| Clotting factor xii hageman (85280) | $120 | $150 | 6.2× |
| Cold agglutinin titer (86157) | $53 | $66 | 6.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$62–$360 | $77–$450 | varies |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$60–$265 | $75–$331 | varies |
| Compatibility Each Unit Incubation (86921) | $36 | $45 | 0.2× |
| Compatibility test antiglob (86922) | $36 | $45 | 0.2× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$24–$378 | $30–$472 | varies |
| Complement Total (Ch50) (86162) | $62 | $77 | 3.1× |
| Complement/Function Activity (86161) | $110 | $138 | 9.2× |
| Coombs direct (86880) | $25 | $31 | 4.6× |
| Copper urine (82525) range across 3 matching MRF lines |
$36–$192 | $45–$240 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$192–$392 | $240–$490 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$24–$48 | $30–$60 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$4–$77 | $5–$96 | varies |
| Creatinine blood (82565) | $26 | $33 | 5.1× |
| Creatinine clearance (82575) | $36 | $45 | 3.8× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$26–$36 | $33–$45 | varies |
| Crossmatch immediate spin (86920) | $36 | $45 | 0.2× |
| Crp High Sensitivity (86141) | $60 | $75 | 4.6× |
| Cryoglobulin (82595) | $174 | $218 | 26.9× |
| Cryptococcal Antigen (87327) | $120 | $150 | 8.9× |
| Cryptococcus ag titer (87899) | $39 | $49 | 2.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$23–$120 | $29–$150 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$26 | $32–$33 | 3.2× |
| Culture afb (87116) | $29 | $36 | 2.7× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$31–$72 | $39–$90 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$28–$34 | $35–$42 | varies |
| Culture chlamydia (87110) | $48 | $60 | 2.4× |
| Culture csf (87070) range across 15 matching MRF lines |
$20–$80 | $25–$100 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$28–$29 | $35–$36 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$30–$48 | $38–$60 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$31–$48 | $39–$60 | varies |
| Culture urine (87086) range across 3 matching MRF lines |
$24–$26 | $30–$33 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $84 | $105 | 5.9× |
| Cyclosporine (80158) | $128 | $160 | 7.1× |
| Cystatin C (82610) | $272 | $340 | 14.7× |
| Cytomegalovirus igg (86644) | $48 | $60 | 3.3× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $24 | $30 | 1.3× |
| Deoxyribonuclease antibody (86215) | $48 | $60 | 3.6× |
| Detect Agent Nos Dna Amp (87798) range across 14 matching MRF lines |
$31–$660 | $39–$825 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$300–$570 | $375–$713 | varies |
| Dhea (82626) | $43 | $54 | 1.7× |
| Dhea-S (82627) | $53 | $66 | 2.4× |
| Digoxin (80162) range across 2 matching MRF lines |
$20–$43 | $25–$54 | varies |
| Dna Antibody Native/Double Stranded (86225) | $72 | $90 | 5.2× |
| Dna/Rna Amplified Probe (87150) | $108 | $135 | 3.1× |
| Drug assay adalimumab (80145) | $120 | $150 | 3.1× |
| Drug Assay Lacosamide (80235) | $168 | $210 | 6.2× |
| Drug Screen Quant Clozapine (80159) | $72 | $90 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $84 | $105 | 6.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $180 | $225 | 13.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $96 | $120 | 7.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $75 | $94 | 4.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 13 matching MRF lines |
$8–$280 | $10–$350 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 7 matching MRF lines |
$26–$50 | $32–$63 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$4–$66 | $5–$82 | varies |
| Enterovirus Antibody (86658) | $150 | $188 | 11.5× |
| Enterovirus PCR (87498) | $144 | $180 | 4.1× |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$120–$840 | $150–$1,050 | varies |
| Eosinophil Smear (89190) | $16 | $20 | 2.8× |
| Erythropoietin (82668) | $63 | $79 | 3.4× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$108–$144 | $135–$180 | varies |
| Estriol (82677) | $84 | $105 | 3.5× |
| Estrogen total (82672) | $156 | $195 | 7.2× |
| Ethosuximide (80168) | $192 | $240 | 11.8× |
| Ethylene Glycol (82693) | $50 | $63 | 3.4× |
| Exam Synovial Fluid Crystals (89060) | $32 | $40 | 4.4× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor ii activity (85210) | $80 | $100 | 6.2× |
| Factor ix activity (85250) | $62 | $78 | 3.3× |
| Factor v activity (85220) | $276 | $345 | 15.6× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Factor vii assay (85230) | $104 | $130 | 5.8× |
| Factor viii assay (85240) | $110 | $138 | 6.1× |
| Factor X (85260) | $104 | $130 | 5.8× |
| Factor xi activity (85270) | $58 | $73 | 3.2× |
| Fat/Lipids Feces Quantitative (82710) | $75 | $94 | 4.5× |
| Fecal Fat Qualitative (82705) | $48 | $60 | 9.4× |
| Ferritin (82728) | $53 | $66 | 3.9× |
| Fibrin degradation products (85362) | $50 | $63 | 7.3× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$4–$72 | $5–$90 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$62–$108 | $78–$135 | varies |
| Flow cytometry first marker (88184) | $240 | $300 | 0.7× |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$48–$400 | $60–$500 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$54–$288 | $68–$360 | varies |
| Fmr1 gene detection (81243) | $160 | $200 | 2.8× |
| Folic acid rbc (82747) | $53 | $66 | 3.0× |
| Folic Acid Serum (82746) | $48 | $60 | 3.3× |
| Follicle Stimulating Hormone (83001) | $53 | $66 | 2.9× |
| Fungi Identification Mold (87107) | $34 | $42 | 3.3× |
| Gammaglobulin ige (82785) | $43 | $54 | 2.6× |
| Gastrin (82941) | $48 | $60 | 2.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$538–$1,112 | $672–$1,390 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$24–$110 | $30–$138 | varies |
| Gentamicin (80170) | $74 | $92 | 4.5× |
| Ggt (82977) range across 2 matching MRF lines |
$26–$29 | $33–$36 | varies |
| Glucose 2 hr pp (82950) | $28 | $35 | 5.9× |
| Glucose Blood Test (82962) | $11 | $14 | 3.4× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$15–$28 | $19–$35 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$84–$140 | $105–$175 | varies |
| Glycated Protein (82985) | $48 | $60 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $38 | $47 | 5.1× |
| Growth hormone (83003) | $60 | $75 | 3.6× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$28–$58 | $35–$72 | varies |
| Haloperidol (80173) | $72 | $90 | 4.6× |
| Haptoglobin (83010) | $55 | $69 | 4.4× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $60 | $75 | 0.3× |
| Hdl Cholesterol (83718) | $37 | $46 | 4.5× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$65–$270 | $81–$338 | varies |
| Hematocrit (85014) | $13 | $16 | 5.5× |
| Hemoglobin (85018) | $24 | $30 | 10.1× |
| Hemoglobin a1c (83036) | $44 | $55 | 4.5× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$53–$60 | $66–$75 | varies |
| Hemoglobin plasma (83051) | $35 | $44 | 4.8× |
| Hep a ab igm (86709) | $67 | $84 | 6.0× |
| Heparin assay (85520) | $43 | $54 | 3.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$24–$37 | $30–$46 | varies |
| Hepatitis b core ab igm (86705) | $40 | $50 | 3.4× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$24–$84 | $30–$105 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$72–$84 | $90–$105 | varies |
| Hepatitis B Surface Antigen (87340) | $72 | $90 | 7.0× |
| Hepatitis Be Antibody (86707) | $84 | $105 | 7.3× |
| Hepatitis Be Antigen (87350) | $38 | $47 | 3.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$29–$48 | $36–$60 | varies |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$456–$757 | $570–$946 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$360–$384 | $450–$480 | varies |
| Hepatitis delta ag (87380) | $240 | $300 | 13.1× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$22–$120 | $27–$150 | varies |
| Heterophile Antibody Screen (86308) | $25 | $31 | 4.8× |
| Hfe Gene (81256) | $446 | $557 | 6.8× |
| Histamine urine (83088) range across 2 matching MRF lines |
$51–$242 | $64–$303 | varies |
| Histoplasma antibody (86698) | $60 | $75 | 4.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$24–$79 | $30–$99 | varies |
| Hiv-1 Antibody (86701) | $108 | $135 | 12.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$312–$360 | $390–$450 | varies |
| Hla class ii typing high resolution one locus ea (81382) | $390 | $488 | 3.2× |
| Hla-b27 (86812) | $108 | $135 | 4.2× |
| Homocysteine (83090) | $202 | $252 | 11.3× |
| Homovanillic acid urine (83150) | $116 | $145 | 5.2× |
| Hsv Dna Amp Probe (87529) | $173 | $216 | 4.9× |
| Hydroxyprogesterone 17-d (83498) | $180 | $225 | 6.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $59 | $74 | 4.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $34 | $43 | 3.3× |
| Iaadi respiratory synctial virus (87280) | $42 | $52 | 3.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $120 | $150 | 3.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $31 | $39 | 0.9× |
| Iadna Cytomegalovirus Quantification (87497) | $228 | $285 | 5.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $600 | $750 | 14.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $31 | $39 | 0.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $115 | $144 | 3.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $377 | $471 | 1.4× |
| Igg subclasses (82787) | $30 | $38 | 3.7× |
| Immunfix e-phorsis/urine/csf (86335) | $67 | $84 | 2.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$34–$840 | $43–$1,050 | varies |
| Immunoassay infectious agent (86318) | $42 | $53 | 2.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 15 matching MRF lines |
$27–$49 | $34–$61 | varies |
| Immunoassay nonantibody (83516) range across 28 matching MRF lines |
$13–$556 | $16–$695 | varies |
| Immunofixation electrophoresis (86334) | $84 | $105 | 3.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$216–$300 | $270–$375 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $108 | $135 | 6.8× |
| Influenza assay w/optic (87804) | $40 | $50 | 2.4× |
| Influenza DNA amp probe (87502) | $144 | $180 | 1.5× |
| Inhibin A (86336) | $58 | $73 | 3.7× |
| Inhibin b (83520) range across 25 matching MRF lines |
$40–$540 | $50–$675 | varies |
| Insulin antibodies (86337) | $144 | $180 | 6.7× |
| Insulin free (83527) | $108 | $135 | 8.3× |
| Insulin total (83525) | $72 | $90 | 6.3× |
| Iron (83540) range across 2 matching MRF lines |
$26–$108 | $33–$135 | varies |
| Iron Binding Capacity (83550) | $29 | $36 | 3.3× |
| Islet cell antibody (86341) | $672 | $840 | 28.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $560 | $700 | 6.1× |
| Ketosteroids 17 total (83586) | $120 | $150 | 9.4× |
| Koh Prep (87220) range across 3 matching MRF lines |
$18–$19 | $22–$24 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$21–$37 | $26–$46 | varies |
| Lactoferrin fecal qualitative (83630) | $64 | $80 | 3.2× |
| Ldh Isoenzymes (83625) | $58 | $72 | 4.5× |
| LDL direct (83721) | $43 | $54 | 4.1× |
| Lead (83655) range across 2 matching MRF lines |
$41–$108 | $51–$135 | varies |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$39–$480 | $49–$600 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$22–$68 | $27–$85 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $52 | $65 | 1.8× |
| Lipase (83690) range across 2 matching MRF lines |
$4–$31 | $5–$39 | varies |
| Lipoprotein A (83695) | $60 | $75 | 4.2× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$108–$132 | $135–$165 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $50 | $63 | 4.4× |
| Lithium (80178) | $60 | $75 | 9.1× |
| Luteinizing Hormone (Lh) (83002) | $53 | $66 | 2.9× |
| Lyme disease antibody (86618) | $132 | $165 | 7.8× |
| Lysozyme serum (85549) | $156 | $195 | 8.3× |
| Macroscopic Exam Parasite (87169) | $36 | $45 | 8.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$4–$144 | $5–$180 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$35–$684 | $44–$855 | varies |
| Mercury urine (83825) | $42 | $53 | 2.6× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$120–$168 | $150–$210 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$12–$55 | $15–$69 | varies |
| Microsatellite instability (81301) | $474 | $593 | 1.4× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$72–$84 | $90–$105 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $200 | $250 | 0.7× |
| Mopath procedure level 2 (81401) | $390 | $488 | 2.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$94–$100 | $117–$125 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $211 | $264 | 3.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$43–$46 | $54–$58 | varies |
| Mycoplasma antibody (86738) | $40 | $50 | 3.0× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$60–$101 | $75–$126 | varies |
| Natriuretic peptide (83880) | $240 | $300 | 6.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $560 | $700 | 2.1× |
| Niacin (84591) range across 2 matching MRF lines |
$62–$218 | $78–$273 | varies |
| Nickel level (83885) | $110 | $137 | 4.5× |
| Nk cells total count (86357) | $172 | $215 | 4.6× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$24–$360 | $30–$450 | varies |
| Occult Blood Other Sources (82271) | $17 | $21 | 3.2× |
| Oncoprotein dcp (83951) | $420 | $525 | 6.5× |
| Organic acids urine (83918) | $72 | $90 | 3.1× |
| Osmolality serum (83930) | $72 | $90 | 10.9× |
| Osmolality Urine (83935) | $72 | $90 | 10.6× |
| Osteocalcin (83937) | $229 | $286 | 7.7× |
| Ova and parasites smears (87177) | $29 | $36 | 3.3× |
| Oxalate urine (83945) | $79 | $99 | 5.5× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$36–$51 | $45–$64 | varies |
| Parvovirus antibody (86747) | $174 | $218 | 11.6× |
| Ph urine (81003) range across 2 matching MRF lines |
$8–$21 | $10–$26 | varies |
| Phenobarbital Level (80184) | $43 | $54 | 2.8× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$43–$60 | $54–$75 | varies |
| Phenytoin free (80186) | $120 | $150 | 8.7× |
| Phosphatase acid prostatic (84066) | $43 | $54 | 4.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$2–$30 | $2–$38 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $47 | $59 | 2.6× |
| Phosphorus Serum (84100) | $28 | $35 | 5.9× |
| Phosphorus urine (84105) | $81 | $101 | 14.0× |
| Pinworm exam (87172) | $24 | $30 | 5.6× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$72–$152 | $90–$190 | varies |
| Platelet count automated (85049) | $20 | $25 | 4.5× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $40 | $50 | 0.2× |
| Porphobilinogen, urine; quantitative (84110) | $57 | $71 | 6.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $48 | $60 | 3.3× |
| Potassium Urine (84133) | $36 | $45 | 7.6× |
| Prealbumin (84134) | $48 | $60 | 3.3× |
| Pregnenolone (84140) | $144 | $180 | 7.0× |
| Primidone (80188) | $74 | $93 | 4.5× |
| Procalcitonin (Pct) (84145) | $160 | $200 | 5.9× |
| Progesterone (84144) | $43 | $54 | 2.1× |
| Prolactin (84146) range across 2 matching MRF lines |
$53–$384 | $66–$480 | varies |
| Prostaglandin (84150) | $288 | $360 | 6.9× |
| Protein body fluid (84157) | $34 | $42 | 8.5× |
| Protein C Activity (85303) | $228 | $285 | 16.5× |
| Protein c antigen (85302) range across 2 matching MRF lines |
$99–$102 | $124–$128 | varies |
| Protein Electrophoresis Urine (84166) | $43 | $54 | 2.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $43 | $54 | 4.0× |
| Protein S Free (85306) | $228 | $285 | 14.9× |
| Protein s total (85305) | $228 | $285 | 19.6× |
| Protein total serum (84155) range across 3 matching MRF lines |
$22–$480 | $27–$600 | varies |
| Protein Total Urine (84156) | $12 | $15 | 3.3× |
| PSA free (84154) range across 2 matching MRF lines |
$60–$310 | $75–$387 | varies |
| Pth Intact (83970) | $48 | $60 | 1.2× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$48–$167 | $60–$209 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$60–$360 | $75–$450 | varies |
| Rbc antibody elution (86860) | $28 | $35 | 0.2× |
| Rbc antibody identification (86870) | $95 | $119 | 0.3× |
| Rbc antibody screen (86850) | $45 | $56 | 4.6× |
| Reagent Strip/Blood Glucose (82948) | $12 | $15 | 2.4× |
| Renin activity plasma (84244) | $204 | $255 | 9.3× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$566–$660 | $708–$825 | varies |
| Reticulocyte Count Manual (85044) | $17 | $21 | 3.9× |
| Rh (86901) | $25 | $31 | 8.4× |
| Rheumatoid Factor Qualitative (86430) | $100 | $125 | 16.3× |
| Rheumatoid factor quant (86431) | $17 | $21 | 3.0× |
| Rickettsia antibody (86757) | $63 | $79 | 3.3× |
| Ristocetin cofactor (85245) | $110 | $138 | 4.8× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$40–$85 | $50–$106 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$12–$48 | $15–$60 | varies |
| Rsv Assay W/Optic (87807) | $42 | $52 | 3.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$29–$142 | $36–$177 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$42–$240 | $53–$300 | varies |
| Russell Viper Venom Time Diluted (85613) | $23 | $29 | 2.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $60 | $75 | 1.4× |
| Sedimentation Rate, Automated (85652) | $20 | $25 | 7.4× |
| Selenium (84255) | $60 | $75 | 2.4× |
| Semen Anal Sperm Detection (89321) | $24 | $30 | 2.0× |
| Semen analysis motility and count (89310) | $24 | $30 | 2.8× |
| Sensitivity mic (87186) | $28 | $35 | 3.2× |
| Sex Hormone Binding Globulin (84270) | $78 | $98 | 3.6× |
| Sickling of rbc reduction (85660) | $25 | $31 | 4.5× |
| Sirolimus (80195) | $288 | $360 | 21.0× |
| Skin test tuberculosis intradermal (86580) | $17 | $21 | 0.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$11–$14 | $14–$18 | varies |
| Smear complex stain (87209) | $59 | $74 | 3.3× |
| Smear gram stain (87205) | $14 | $18 | 3.3× |
| Smear Special Stain (87207) | $43 | $54 | 7.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$19–$116 | $24–$145 | varies |
| Sodium Serum (84295) | $26 | $33 | 5.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$35–$36 | $44–$45 | varies |
| Soluble Transferrin Receptor (84238) | $36 | $45 | 1.0× |
| Somatomedin (84305) | $250 | $313 | 11.8× |
| Special Stains Group 1 (88312) | $148 | $185 | 2.8× |
| Specific gravity body fluid (84315) | $11 | $14 | 3.4× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$18–$41 | $22–$51 | varies |
| Spectrophotometry (84311) | $120 | $150 | 14.8× |
| Staph a DNA amp probe (87640) | $94 | $117 | 2.7× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$31–$91 | $39–$114 | varies |
| Strep a assay w/optic (87880) | $39 | $49 | 2.4× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$115–$144 | $144–$180 | varies |
| Surg path level iii (88304) | $70 | $88 | 1.3× |
| Surgical pathology level IV (88305) | $70 | $88 | 1.3× |
| Syphilis Test Non-Trep Quant (86593) | $24 | $30 | 5.5× |
| T cells absolute cd4 count (86361) | $108 | $135 | 4.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $154 | $192 | 3.3× |
| T cells total count (86359) | $123 | $154 | 3.3× |
| T3 Free (84481) | $55 | $69 | 3.2× |
| T3 reverse (84482) | $84 | $105 | 5.3× |
| T3 Total (84480) | $48 | $60 | 3.4× |
| T3 Uptake (84479) range across 3 matching MRF lines |
$144–$178 | $180–$222 | varies |
| T4 Free (84439) range across 3 matching MRF lines |
$4–$48 | $5–$60 | varies |
| T4 total (84436) | $48 | $60 | 7.0× |
| Tacrolimus (80197) | $120 | $150 | 8.7× |
| Test for acetone/ketones (82009) | $20 | $25 | 4.4× |
| Testosterone total (84403) range across 2 matching MRF lines |
$85–$100 | $106–$125 | varies |
| Theophylline (80198) | $64 | $80 | 4.5× |
| Thrombin Time (85670) | $149 | $186 | 25.8× |
| Thyroglobulin (84432) | $72 | $90 | 4.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $168 | $210 | 3.3× |
| Thyroxine binding globulin (84442) | $300 | $375 | 20.3× |
| Tissue Culture Lymphocyte (88230) | $330 | $413 | 2.8× |
| Tobramycin peak (80200) | $218 | $273 | 13.5× |
| Topiramate (80201) | $103 | $129 | 8.6× |
| Toxoplasma ab igm (86778) | $55 | $69 | 3.8× |
| Toxoplasma antibody (86777) | $55 | $69 | 3.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $30 | $37 | 5.8× |
| Transferrin (84466) | $19 | $24 | 1.5× |
| Trichinella Antibody (86784) | $84 | $105 | 6.7× |
| Trichomonas Vaginalis Amplif (87661) | $100 | $125 | 2.8× |
| Triglycerides (84478) | $47 | $59 | 8.2× |
| Troponin, qualitative (84512) range across 3 matching MRF lines |
$20–$72 | $25–$90 | varies |
| Tumor immunohistochem/comput (88361) | $73 | $91 | 0.2× |
| Uric acid other source (84560) | $22 | $27 | 4.3× |
| Urinalysis Microscopic Only (81015) | $8 | $10 | 2.6× |
| Urinalysis Volume Measure (81050) | $14 | $17 | 3.8× |
| Urine Bacteria Culture (87088) | $36 | $45 | 4.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$24–$38 | $30–$47 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $29 | $36 | 9.1× |
| Valproic acid (80164) range across 3 matching MRF lines |
$36–$150 | $45–$188 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$4–$125 | $5–$156 | varies |
| Varicella-zoster antibody (86787) | $43 | $54 | 3.3× |
| Vasopressin (84588) | $233 | $291 | 6.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$252–$420 | $315–$525 | varies |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$27–$320 | $34–$400 | varies |
| Virus inoculate tissue addl (87253) | $110 | $138 | 5.4× |
| Virus inoculation, shell via (87254) | $64 | $80 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $96 | $120 | 2.5× |
| Vitamin A (84590) | $60 | $75 | 5.2× |
| Vitamin b-12 (82607) | $84 | $105 | 5.6× |
| Vitamin B2 (Riboflavin) (84252) | $91 | $114 | 4.5× |
| Vitamin B6 (84207) | $96 | $120 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $60 | $75 | 2.0× |
| Vitamin E (84446) | $108 | $135 | 7.6× |
| Vitamin K (84597) | $96 | $120 | 7.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $96 | $120 | 8.0× |
| Von willebrand factor ag (85246) | $176 | $220 | 7.7× |
| Wbc Alkaline Phosphatase Count (85540) | $559 | $699 | 65.0× |
| West nile virus ab igm (86788) | $40 | $50 | 2.4× |
| West Nile Virus Antibody (86789) | $40 | $50 | 2.8× |
| Zinc (84630) range across 2 matching MRF lines |
$41–$53 | $51–$66 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.