Lab & pathology prices at Jackson Park Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
395 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholinesterase Assay (82013) | $192.28 | $240.35 | 15.6× |
| Acth (82024) | $293.80 | $367.25 | 7.6× |
| Acute hepatitis panel (80074) | $456.11 | $570.14 | 9.6× |
| Aldolase (82085) | $124.52 | $155.65 | 12.8× |
| Aldosterone urine (82088) | $335.24 | $419.05 | 8.2× |
| Alkaline phosphatase isoenzymes (84080) | $331.06 | $413.82 | 22.4× |
| Allergen specific ige (86003) range across 57 matching MRF lines |
$84.44–$102.83 | $105.55–$128.54 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $144.63 | $180.79 | 8.5× |
| Alpha-Fetoprotein Serum (82105) | $321.86 | $402.33 | 19.2× |
| Alt (sgpt) (84460) | $127.91 | $159.89 | 24.1× |
| Amikacin trough (80150) | $144.63 | $180.79 | 9.6× |
| Ammonia (82140) | $289.26 | $361.57 | 19.9× |
| Amylase urine (82150) range across 2 matching MRF lines |
$133.76–$153.82 | $167.20–$192.28 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$174.58–$178.90 | $218.22–$223.63 | varies |
| Antibody aspergillus (86606) | $173.89 | $217.36 | 11.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $465.66 | $582.07 | 30.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $191.14 | $238.93 | 11.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $168.94 | $211.18 | 9.3× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$168.04–$179.74 | $210.05–$224.68 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$139.62–$148.81 | $174.52–$186.01 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $135.43 | $169.29 | 10.3× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$132.93–$157.17 | $166.16–$196.46 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $207.33 | $259.16 | 10.7× |
| Antibody identification leukocyte antibodies (86021) range across 5 matching MRF lines |
$173.53–$266.64 | $216.91–$333.30 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$233.20–$235.75 | $291.50–$294.69 | varies |
| Antibody Treponema Pallidum (86780) | $148.81 | $186.01 | 11.2× |
| Antinuclear antibodies (86038) | $196.46 | $245.58 | 16.2× |
| Antistreptolysin o titer (86060) | $148.81 | $186.01 | 20.4× |
| Antithrombin iii activity (85300) | $373.41 | $466.76 | 31.5× |
| Assay Blood Carbon Dioxide (82374) | $117.88 | $147.35 | 24.2× |
| Assay Blood Catecholamines (82383) | $360.80 | $451 | 12.4× |
| Assay of blood/uric acid (84550) | $127.91 | $159.89 | 28.3× |
| Assay of calcium in urine (82340) | $140.45 | $175.56 | 23.3× |
| Assay of cpk in blood (82552) | $239.94 | $299.92 | 17.9× |
| Assay of estrone (82679) | $187.26 | $234.08 | 7.5× |
| Assay of g6pd enzyme (82955) | $230.74 | $288.42 | 23.8× |
| Assay of gammaglobulin igm (82784) | $267.52 | $334.40 | 28.8× |
| Assay of lactic acid (83605) | $140.45 | $175.56 | 12.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$249.04–$273.13 | $311.30–$341.41 | varies |
| Assay of phosphatase acid total (84060) | $133.76 | $167.20 | 17.5× |
| Assay of procainamide (80190) | $239.94 | $299.92 | 4.0× |
| Assay of proinsulin (84206) | $328.24 | $410.30 | 12.3× |
| Assay of serotonin (84260) | $366.17 | $457.71 | 11.8× |
| Assay of serum potassium (84132) | $117.88 | $147.35 | 24.8× |
| Assay of urea nitrogen (84520) | $117.88 | $147.35 | 29.8× |
| Assay of urine vma (84585) | $180.58 | $225.72 | 11.7× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$203.15–$220.70 | $253.94–$275.88 | varies |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$66.88–$77.75 | $83.60–$97.19 | varies |
| Automated Leukocyte Count (85048) | $152.15 | $190.19 | 59.9× |
| B cells total count (86355) | $233.70 | $292.12 | 6.2× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$125.40–$132.09 | $156.75–$165.11 | varies |
| Beta-2 Microglobulin (82232) | $190 | $237.50 | 11.7× |
| Bilirubin direct (82248) | $133.76 | $167.20 | 26.6× |
| Bilirubin total (82247) | $133.76 | $167.20 | 26.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $358.16 | $447.70 | 2.0× |
| Bld Typing Serologic Rh Phnt (86906) | $422.62 | $528.28 | 54.5× |
| Bleeding time test (85002) | $137.10 | $171.38 | 28.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$51.83–$124.57 | $64.79–$155.71 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$273.38–$397.10 | $341.72–$496.38 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $115.28 | $144.10 | 7.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $62.70 | $78.38 | 14.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $519.20 | $649 | 81.8× |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$91.32–$217.36 | $114.15–$271.70 | varies |
| Bone marrow smear interpretation (85097) | $427.20 | $534 | 0.5× |
| C-Peptide (84681) | $489.90 | $612.37 | 23.5× |
| C-reactive protein (86140) | $98.65 | $123.31 | 19.0× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$175.56–$204.82 | $219.45–$256.03 | varies |
| Calcium ionized (82330) | $322.70 | $403.37 | 23.6× |
| Calcium total (82310) | $117.88 | $147.35 | 22.8× |
| Cancer Antigen 125 (86304) | $209.78 | $262.22 | 10.1× |
| Cancer Antigen 27.29 (86300) | $212.81 | $266.01 | 10.2× |
| Carbamazepine total (80156) | $142.96 | $178.70 | 9.8× |
| Carcinoembryonic antigen (82378) | $274.21 | $342.76 | 14.5× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$216.53–$465.66 | $270.66–$582.07 | varies |
| Catecholamines fractionated (82384) | $229.68 | $287.10 | 9.1× |
| Catecholamines total urine (82382) | $406.30 | $507.87 | 14.9× |
| Ccp antibody (86200) | $167.20 | $209 | 12.9× |
| Cell count csf (89051) | $158.22 | $197.77 | 28.3× |
| Chloride other source (82438) range across 3 matching MRF lines |
$103.66–$120.38 | $129.58–$150.48 | varies |
| Chloride urine (82436) range across 3 matching MRF lines |
$91.96–$140.45 | $114.95–$175.56 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$86.94–$129.58 | $108.68–$161.98 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$267.52–$273.68 | $334.40–$342.10 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $2,480.42 | $3,100.52 | 13.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $198.14 | $247.67 | 5.9× |
| Chromosome Analysis 15-20 (88262) | $797.54 | $996.93 | 6.4× |
| Chromosome Analysis 20-25 (88264) | $920.48 | $1,150.60 | 6.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$151.82–$579.30 | $189.77–$724.13 | varies |
| Citric acid urine (82507) | $259.16 | $323.95 | 9.3× |
| Ckmb (82553) | $261.67 | $327.09 | 22.7× |
| Coagulation time; Lee and White Facility (85345) | $107.01 | $133.76 | 22.8× |
| Coccidioides antibody (86635) | $143.30 | $179.12 | 12.5× |
| Cold agglutinin screen (86156) | $101.99 | $127.49 | 12.6× |
| Cold agglutinin titer (86157) | $95.92 | $119.90 | 11.9× |
| Column Chromotography Quant (82542) | $252.50 | $315.63 | 10.5× |
| Compatibility Each Unit Incubation (86921) | $82.77 | $103.46 | 0.5× |
| Compatibility test antiglob (86922) | $234.92 | $293.65 | 1.3× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$155.64–$284.24 | $194.55–$355.30 | varies |
| Complement Total (Ch50) (86162) | $259.16 | $323.95 | 12.8× |
| Coombs direct (86880) range across 3 matching MRF lines |
$168.04–$186.19 | $210.05–$232.74 | varies |
| Copper urine (82525) | $149.89 | $187.36 | 12.1× |
| Cortisol saliva (82533) | $221.54 | $276.93 | 13.6× |
| Creatine kinase total (82550) | $222.38 | $277.97 | 34.2× |
| Creatinine blood (82565) | $133.76 | $167.20 | 26.1× |
| Creatinine clearance (82575) | $143.88 | $179.85 | 15.2× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$71.90–$185.59 | $89.87–$231.99 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$152.15–$198.14 | $190.19–$247.67 | varies |
| Cryptococcus ag titer (87899) | $205.92 | $257.40 | 12.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $74.41 | $93.01 | 9.2× |
| Culture afb (87116) | $280.06 | $350.08 | 25.9× |
| Culture Anaerobic (87075) | $202.87 | $253.59 | 21.4× |
| Culture blood (87040) | $205.57 | $256.96 | 19.9× |
| Culture chlamydia (87110) | $259.16 | $323.95 | 13.2× |
| Culture csf (87070) range across 12 matching MRF lines |
$183.09–$230.74 | $228.86–$288.42 | varies |
| Culture fungus (87102) | $203.15 | $253.94 | 24.2× |
| Culture screen only (87081) range across 3 matching MRF lines |
$88.73–$121.22 | $110.91–$151.53 | varies |
| Culture stool (87045) | $152.15 | $190.19 | 16.1× |
| Culture typing if ea antiserum (87140) | $113.70 | $142.12 | 20.4× |
| Culture urine (87086) | $168.04 | $210.05 | 20.8× |
| Cyclosporine (80158) | $379.43 | $474.29 | 21.0× |
| Cytogenetics 100-300 (88275) | $621.52 | $776.90 | 12.1× |
| Cytopath Fl Nongyn Filter (88106) | $162.18 | $202.73 | 5.2× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $124.57 | $155.71 | 2.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $139.48 | $174.35 | 5.2× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $354.46 | $443.08 | 15.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$352.98–$449.24 | $441.23–$561.55 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$320.87–$333.52 | $401.09–$416.90 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $124.57 | $155.71 | 6.7× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$62.48–$418 | $78.10–$522.50 | varies |
| Dhea (82626) | $257.84 | $322.30 | 10.2× |
| Dhea-S (82627) | $249.63 | $312.04 | 11.2× |
| Digoxin (80162) | $177.23 | $221.54 | 13.3× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$186.10–$313.50 | $232.63–$391.88 | varies |
| DNA/RNA direct probe (87149) | $264.75 | $330.94 | 13.2× |
| Drug Screen Quantitative Gabapentin (80171) | $205.92 | $257.40 | 9.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $203.15 | $253.94 | 15.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $176.27 | $220.34 | 13.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$85.36–$498.96 | $106.70–$623.70 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$207.33–$300.96 | $259.16–$376.20 | varies |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$183.09–$228.23 | $228.86–$285.29 | varies |
| Erythropoietin (82668) | $225.72 | $282.15 | 12.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$255.82–$347.78 | $319.77–$434.72 | varies |
| Estriol (82677) | $162.80 | $203.50 | 6.7× |
| Estrogen total (82672) | $235.75 | $294.69 | 10.9× |
| Ethylene Glycol (82693) | $266.69 | $333.36 | 17.9× |
| Exam Synovial Fluid Crystals (89060) | $104.77 | $130.96 | 14.3× |
| Factor v activity (85220) | $306.82 | $383.52 | 17.4× |
| Factor viii assay (85240) | $442.98 | $553.72 | 24.7× |
| Fecal Fat Qualitative (82705) | $74.41 | $93.01 | 14.6× |
| Ferritin (82728) | $243.28 | $304.10 | 17.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $409.20 | $511.50 | 2.7× |
| Fetal Fibronectin (82731) | $539.22 | $674.03 | 8.4× |
| Fetal screen rosette (85461) | $219.12 | $273.90 | 23.4× |
| Fibrin degradation products (85362) | $140.45 | $175.56 | 20.4× |
| Fibrin Degradation Quant (85379) | $265.02 | $331.27 | 26.0× |
| Fibrinogen activity (85384) | $117.88 | $147.35 | 12.1× |
| Flow cytometry first marker (88184) | $292.31 | $365.39 | 0.8× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$167.20–$256.96 | $209–$321.20 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $225.28 | $281.60 | 18.7× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$211.85–$284.24 | $264.81–$355.30 | varies |
| Folic Acid Serum (82746) | $259.16 | $323.95 | 17.6× |
| Follicle Stimulating Hormone (83001) | $239.94 | $299.92 | 12.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $76.08 | $95.10 | 0.4× |
| Frozen Section (88331) range across 2 matching MRF lines |
$382.89–$428.56 | $478.61–$535.70 | varies |
| Fungi Identification Yeast (87106) | $169.71 | $212.14 | 16.4× |
| Gammaglobulin ige (82785) | $219.87 | $274.84 | 13.4× |
| Genet Virus Isolate Hsv (87255) | $219.87 | $274.84 | 6.5× |
| Gentamicin (80170) | $239.94 | $299.92 | 14.6× |
| Ggt (82977) | $109.52 | $136.90 | 15.2× |
| Glucose 2 hr pp (82950) | $94.33 | $117.91 | 19.9× |
| Glucose Blood Test (82962) | $45.60 | $57 | 13.9× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$107.85–$112.02 | $134.81–$140.03 | varies |
| Glucose Serum (82947) | $66.05 | $82.56 | 16.8× |
| Glucose tolerance test (gtt) (82951) | $182.92 | $228.65 | 14.2× |
| Gonadotropin Chorionic Qualitative (84703) | $157.17 | $196.46 | 20.9× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$62.77–$217.36 | $78.46–$271.70 | varies |
| H Pylori (C-13) Breath (83013) | $498.96 | $623.70 | 7.4× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$143.34–$163.02 | $179.18–$203.78 | varies |
| Hdl Cholesterol (83718) | $107.02 | $133.77 | 13.1× |
| Helicobacter Pylori Stool (87338) | $247.28 | $309.10 | 17.2× |
| Hematocrit (85014) | $57.69 | $72.11 | 24.3× |
| Hemoglobin (85018) | $58.96 | $73.70 | 24.9× |
| Hemoglobin a1c (83036) | $120.38 | $150.48 | 12.4× |
| Hemoglobin Chromotography (83021) | $274.21 | $342.76 | 15.2× |
| Hemoglobin electrophoresis (83020) | $290.93 | $363.66 | 22.6× |
| Hemoglobin plasma (83051) | $139.04 | $173.80 | 19.0× |
| Hep a ab igm (86709) | $354.46 | $443.08 | 31.5× |
| Heparin assay (85520) | $371.11 | $463.89 | 28.4× |
| Hepatitis b core ab total (86704) | $189.78 | $237.22 | 15.7× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$143.79–$161.35 | $179.74–$201.69 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$147.86–$161.35 | $184.82–$201.69 | varies |
| Hepatitis Be Antigen (87350) | $128.74 | $160.93 | 11.2× |
| Hepatitis C Antibody (86803) | $179.88 | $224.85 | 12.6× |
| Hepatitis c antibody confirmatory test (86804) | $310.99 | $388.74 | 20.1× |
| Hepatitis C Genotype (87902) | $1,511.49 | $1,889.36 | 5.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $855.23 | $1,069.04 | 20.0× |
| Hepatitis delta ag (87380) | $157.17 | $196.46 | 8.6× |
| Herpes simplex type 2 (86696) | $132.93 | $166.16 | 6.9× |
| Heterophile Antibody Screen (86308) | $108.02 | $135.03 | 20.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $131.47 | $164.34 | 17.0× |
| Histoplasma antibody (86698) | $126.88 | $158.60 | 9.2× |
| Hiv Genotype (87901) | $983.14 | $1,228.92 | 3.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $117.04 | $146.30 | 4.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$408.32–$757.42 | $510.40–$946.77 | varies |
| Hla-b27 (86812) | $291.77 | $364.71 | 11.3× |
| Homocysteine (83090) | $272.54 | $340.67 | 15.2× |
| Hpv High-Risk Types (87624) | $157.18 | $196.47 | 4.5× |
| Hpv Types 16 & 18 Only (87625) | $178.64 | $223.30 | 4.4× |
| Hsv Dna Quant (87530) | $539.44 | $674.30 | 12.6× |
| Hydroxyprogesterone 17-d (83498) | $215.69 | $269.61 | 7.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $204.82 | $256.03 | 14.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $110 | $137.50 | 3.1× |
| Iaadi herpes smplx virus type 1 (87274) | $198.14 | $247.67 | 16.5× |
| Iaadi pneumocustis carinii (87281) | $225.72 | $282.15 | 18.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $465.66 | $582.07 | 13.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $215.78 | $269.72 | 6.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $392.09 | $490.11 | 11.2× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $313.50 | $391.88 | 10.4× |
| Iadna Cytomegalovirus Quantification (87497) | $499.10 | $623.87 | 11.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $526.54 | $658.17 | 12.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $459.80 | $574.75 | 11.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $377.87 | $472.34 | 10.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$162.50–$180.58 | $203.13–$225.72 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $432.28 | $540.35 | 14.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$276.72–$291.77 | $345.90–$364.71 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $68.34 | $85.42 | 4.6× |
| Immunoassay nonantibody (83516) | $162.80 | $203.50 | 14.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $239.94 | $299.92 | 10.4× |
| Immunoelectrophoresis Serum (86320) | $329.38 | $411.73 | 11.0× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$294.77–$367.01 | $368.46–$458.76 | varies |
| Immunohistochemistry (88342) | $371.73 | $464.66 | 2.0× |
| Inhibin A (86336) | $273.38 | $341.72 | 17.5× |
| Inhibin b (83520) range across 3 matching MRF lines |
$242.44–$254.98 | $303.05–$318.73 | varies |
| Insulin total (83525) | $313.50 | $391.88 | 27.4× |
| Intrinsic factor antibody (86340) | $154.66 | $193.33 | 10.3× |
| Iron (83540) | $230.74 | $288.42 | 35.7× |
| Iron Binding Capacity (83550) | $219.87 | $274.84 | 25.2× |
| Irradiation Blood Product Each Unit (86945) | $196.68 | $245.85 | 4.9× |
| Lactate (ld) (ldh) enzyme (83615) range across 8 matching MRF lines |
$93.68–$274.21 | $117.10–$342.76 | varies |
| Ldh Isoenzymes (83625) range across 5 matching MRF lines |
$117.48–$168.87 | $146.85–$211.09 | varies |
| Lead (83655) | $88.11 | $110.14 | 7.3× |
| Legionella antibody (86713) | $135.43 | $169.29 | 8.9× |
| Legionella antigen urine (87449) | $284.24 | $355.30 | 23.7× |
| Legionella pneumophila dfa (87278) | $284.24 | $355.30 | 18.2× |
| Leptospira antibody (86720) | $137.10 | $171.38 | 8.5× |
| Leukocyte Assessment Fecal (89055) | $86.24 | $107.80 | 20.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $147.90 | $184.87 | 4.8× |
| Level ii surg pathology grossµscopic exam (88302) | $198.14 | $247.67 | 4.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $644.42 | $805.52 | 1.7× |
| Lidocaine (80176) | $152.99 | $191.24 | 10.4× |
| Lipase (83690) | $127.91 | $159.89 | 18.6× |
| Lithium (80178) | $146.30 | $182.88 | 22.1× |
| Luteinizing Hormone (Lh) (83002) | $203.15 | $253.94 | 11.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$107.85–$157.17 | $134.81–$196.46 | varies |
| Mass Spectrometry Quant (83789) | $342.98 | $428.73 | 14.2× |
| Mercury urine (83825) | $147.98 | $184.97 | 9.1× |
| Methylmalonic acid serum (83921) | $282.57 | $353.21 | 13.3× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$114.54–$120.38 | $143.17–$150.48 | varies |
| Microsomal Antibodies Each (86376) | $202.01 | $252.51 | 13.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $274.78 | $343.48 | 12.8× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$148.81–$309.32 | $186.01–$386.65 | varies |
| Mycoplasma antibody (86738) | $209 | $261.25 | 15.8× |
| Myelin basic protein csf (83873) | $218.20 | $272.75 | 12.7× |
| Myoglobin urine (83874) | $167.20 | $209 | 12.9× |
| Natriuretic peptide (83880) | $595.23 | $744.04 | 15.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $346.40 | $433 | 4.8× |
| Nk cells total count (86357) | $235.84 | $294.80 | 6.3× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$155.50–$560.96 | $194.37–$701.20 | varies |
| Occult Blood Other Sources (82271) | $62.70 | $78.38 | 11.8× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$237.42–$473.18 | $296.78–$591.47 | varies |
| Osmolality serum (83930) | $140.45 | $175.56 | 21.2× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$99.93–$117.88 | $124.91–$147.35 | varies |
| Ova and parasites smears (87177) | $151.42 | $189.27 | 17.0× |
| Oxalate urine (83945) | $133.76 | $167.20 | 9.3× |
| Particle Agglutination Screen Each Antibody (86403) | $134.42 | $168.03 | 11.6× |
| Parvovirus antibody (86747) | $176.88 | $221.10 | 11.8× |
| Phenobarbital Level (80184) | $157.17 | $196.46 | 10.3× |
| Phenylalanine (84030) | $113.70 | $142.12 | 20.7× |
| Phenytoin (Dilantin) (80185) | $174.73 | $218.41 | 13.2× |
| Phosphatase alkaline (84075) | $129.58 | $161.98 | 25.0× |
| Phosphorus Serum (84100) | $101.99 | $127.49 | 21.5× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$80.26–$140.45 | $100.32–$175.56 | varies |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$373.46–$391.25 | $466.82–$489.06 | varies |
| Platelet count automated (85049) | $80.26 | $100.32 | 17.9× |
| Pooling blood platelets (86965) | $117.27 | $146.59 | 0.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $184.80 | $231 | 12.6× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$62.70–$96.98 | $78.38–$121.22 | varies |
| Primidone (80188) | $111.76 | $139.70 | 6.7× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$316.80–$375.76 | $396–$469.70 | varies |
| Progesterone (84144) | $560.96 | $701.20 | 26.9× |
| Prolactin (84146) | $290.93 | $363.66 | 15.0× |
| Protein body fluid (84157) range across 6 matching MRF lines |
$93.63–$117.88 | $117.04–$147.35 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$205.04–$412.98 | $256.30–$516.23 | varies |
| Protein c antigen (85302) | $330.88 | $413.60 | 27.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$221.94–$290.93 | $277.42–$363.66 | varies |
| Protein S Free (85306) | $492.80 | $616 | 32.2× |
| Protein s total (85305) | $240.77 | $300.96 | 20.7× |
| Protein total serum (84155) range across 3 matching MRF lines |
$79.42–$86.94 | $99.28–$108.68 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$91.13–$146.30 | $113.91–$182.88 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $239.94 | $299.92 | 60.9× |
| PSA free (84154) | $433.89 | $542.36 | 23.6× |
| Pth Intact (83970) | $741.54 | $926.92 | 18.0× |
| Quantiferon tb gold plus (86480) | $276.72 | $345.90 | 4.5× |
| Quantitative assay drug (80299) | $244.54 | $305.67 | 13.1× |
| Quinidine (80194) | $161.35 | $201.69 | 11.1× |
| Rbc antibody elution (86860) | $286 | $357.50 | 1.6× |
| Rbc antibody identification (86870) | $298.35 | $372.94 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$181.42–$231.06 | $226.77–$288.83 | varies |
| Reagent Strip/Blood Glucose (82948) | $23.26 | $29.07 | 4.6× |
| Receptor assay estrogen (84233) | $400.45 | $500.56 | 4.6× |
| Receptor assay progesterone (84234) | $400.45 | $500.56 | 6.2× |
| Renin activity plasma (84244) | $337.74 | $422.18 | 15.4× |
| Resp virus 12-25 targets (87633) | $1,470.48 | $1,838.10 | 3.5× |
| Reticulocyte Count Manual (85044) | $90.29 | $112.86 | 20.9× |
| Rh (86901) range across 2 matching MRF lines |
$68.85–$134.20 | $86.06–$167.75 | varies |
| Rheumatoid Factor Qualitative (86430) | $112.02 | $140.03 | 18.2× |
| Ristocetin cofactor (85245) | $467.65 | $584.56 | 20.4× |
| Rpr qualitative (86592) | $72.93 | $91.16 | 17.1× |
| Rubella Antibody (86762) | $117.04 | $146.30 | 8.1× |
| Rubeola antibody (86765) | $209 | $261.25 | 16.2× |
| Russell Viper Venom Time Diluted (85613) | $246.91 | $308.64 | 25.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $220 | $275 | 4.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $92 | $115 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $342.40 | $428 | 2.4× |
| Sedimentation rate (85651) | $86.11 | $107.64 | 20.2× |
| Semen analysis complete (89320) | $57.69 | $72.11 | 4.7× |
| Sensitivity mic (87186) | $131.26 | $164.07 | 15.2× |
| Sex Hormone Binding Globulin (84270) | $121.50 | $151.87 | 5.6× |
| Sickling of rbc reduction (85660) | $107.01 | $133.76 | 19.4× |
| Smear acid fast (87206) | $107.01 | $133.76 | 19.9× |
| Smear gram stain (87205) | $80.26 | $100.32 | 18.8× |
| Smear Special Stain (87207) | $165.99 | $207.49 | 27.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$90.29–$205.92 | $112.86–$257.40 | varies |
| Sodium Serum (84295) | $117.04 | $146.30 | 24.3× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$93.63–$228.23 | $117.04–$285.29 | varies |
| Special Stains Group 1 (88312) | $229.80 | $287.25 | 4.1× |
| Special Stains Group 2 (88313) | $181.17 | $226.46 | 1.3× |
| Staph a DNA amp probe (87640) | $201.89 | $252.36 | 5.8× |
| Stone Analysis (82355) | $184.76 | $230.95 | 16.0× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$120.38–$153.12 | $150.48–$191.40 | varies |
| Surg path level iii (88304) | $391.25 | $489.06 | 7.0× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$418.19–$584.37 | $522.74–$730.46 | varies |
| Surgical pathology level vi (88309) | $920.70 | $1,150.88 | 1.1× |
| Syphilis Test Non-Trep Quant (86593) | $110.35 | $137.94 | 25.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $330.22 | $412.78 | 7.0× |
| T cells total count (86359) | $217.36 | $271.70 | 5.8× |
| T3 Free (84481) range across 2 matching MRF lines |
$232.41–$319.35 | $290.51–$399.19 | varies |
| T3 Total (84480) | $296.78 | $370.98 | 20.9× |
| T4 Free (84439) | $160.51 | $200.64 | 17.8× |
| T4 total (84436) | $177.23 | $221.54 | 25.8× |
| Tacrolimus (80197) | $403.79 | $504.74 | 29.4× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$74.41–$100.32 | $93.01–$125.40 | varies |
| Testosterone total (84403) | $347.78 | $434.72 | 13.5× |
| Testosterone, Free (84402) | $146.92 | $183.65 | 5.8× |
| Theophylline (80198) | $215.69 | $269.61 | 15.3× |
| Thiocyanate (84430) | $133.76 | $167.20 | 11.5× |
| Thyroglobulin Antibody (86800) | $199.10 | $248.88 | 12.5× |
| Thyroxine binding globulin (84442) | $160.51 | $200.64 | 10.9× |
| Tissue Culture (88233) | $1,291.84 | $1,614.80 | 9.2× |
| Tissue Culture Amniotic Fluid (88235) | $560.96 | $701.20 | 3.7× |
| Tobramycin peak (80200) | $220.70 | $275.88 | 13.7× |
| Topiramate (80201) | $158.01 | $197.51 | 13.3× |
| Touch prep (88161) | $162.18 | $202.73 | 5.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $178.07 | $222.59 | 9.0× |
| Toxoplasma ab igm (86778) | $253.31 | $316.64 | 17.6× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$148.73–$253.31 | $185.91–$316.64 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $127.91 | $159.89 | 24.7× |
| Transferrin (84466) | $148.81 | $186.01 | 11.7× |
| Trichomonas Vaginalis Amplif (87661) | $249.92 | $312.40 | 7.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$112.02–$169.71 | $140.03–$212.14 | varies |
| Troponin Quant (84484) | $296.78 | $370.98 | 23.8× |
| Tumor immunohistochem/comput (88361) | $531.52 | $664.40 | 1.4× |
| Tumor Immunohistochem/Manual (88360) | $479.26 | $599.08 | 2.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $662.95 | $828.69 | 21.4× |
| Urea nitrogen urine (84540) | $140.45 | $175.56 | 25.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$83.60–$140.45 | $104.50–$175.56 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$50.16–$51.83 | $62.70–$64.79 | varies |
| Urinalysis Volume Measure (81050) | $39.60 | $49.50 | 10.9× |
| Urine Bacteria Culture (87088) | $104.88 | $131.10 | 13.0× |
| Urine Pregnancy Test (81025) | $31.77 | $39.71 | 3.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 5 matching MRF lines |
$76.08–$86.11 | $95.10–$107.64 | varies |
| Valproic acid (80164) | $142.12 | $177.65 | 10.5× |
| Vancomycin (80202) range across 3 matching MRF lines |
$138.06–$220.70 | $172.58–$275.88 | varies |
| Varicella-zoster antibody (86787) | $148.81 | $186.01 | 11.6× |
| Vasopressin (84588) | $280.06 | $350.08 | 8.3× |
| Viral Culture (87252) range across 2 matching MRF lines |
$252.45–$635.36 | $315.56–$794.20 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$186.43–$310.99 | $233.04–$388.74 | varies |
| Virus inoculation, shell via (87254) | $102.96 | $128.70 | 5.3× |
| Vit D 1 25-Dihydroxy (82652) | $344.43 | $430.54 | 8.9× |
| Vitamin b-12 (82607) | $244.11 | $305.14 | 16.2× |
| Vitamin D 25-Hydroxy (82306) | $301.80 | $377.25 | 10.2× |
| Volatiles (84600) | $190.61 | $238.26 | 11.1× |
| Wbc Alkaline Phosphatase Count (85540) | $264 | $330 | 30.7× |
| West nile virus ab igm (86788) | $144.03 | $180.04 | 8.5× |
| West Nile Virus Antibody (86789) | $146.08 | $182.60 | 10.2× |
| Zinc (84630) | $125.33 | $156.66 | 11.0× |
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.