Lab & pathology prices at Jennie M Melham Memorial Medical Center
Broken Bow, NE · every code in this section with a posted price and a Medicare benchmark.
520 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $108.85 | $108.85 | 5.9× |
| Acetylcholine receptor blocking antibody (86042) | $108.85 | $108.85 | 5.9× |
| Acth (82024) | $171.60 | $171.60 | 4.4× |
| Acute hepatitis panel (80074) | $316.90 | $316.90 | 6.7× |
| Acylcarnitines Quant (82017) | $324.75 | $324.75 | 19.3× |
| Albumin Fluid (82042) | $76.75 | $76.75 | 9.9× |
| Albumin serum (82040) | $40.18 | $40.18 | 8.1× |
| Aldolase (82085) | $70 | $70 | 7.2× |
| Aldosterone urine (82088) | $259.09 | $259.09 | 6.4× |
| Alkaline phosphatase isoenzymes (84080) | $140.43 | $140.43 | 9.5× |
| Allergen spec ige qual multiallergen screen (86005) | $13.25 | $13.25 | 1.7× |
| Allergen specific ige (86003) | $50 | $50 | 9.6× |
| Allergen specific igg (86001) | $39.44 | $39.44 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $52.34 | $52.34 | 3.6× |
| Alpha-1-antitrypsin total (82103) | $90 | $90 | 6.7× |
| Alpha-Fetoprotein Serum (82105) | $102.71 | $102.71 | 6.1× |
| Alt (sgpt) (84460) | $40.72 | $40.72 | 7.7× |
| Amikacin trough (80150) | $75 | $75 | 5.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $300 | $300 | 13.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $375 | $375 | 22.2× |
| Ammonia (82140) | $150.43 | $150.43 | 10.3× |
| Amylase urine (82150) | $92.29 | $92.29 | 14.2× |
| Anca screen each antibody (86036) | $38 | $38 | 3.2× |
| Androstenedione (82157) | $115.50 | $115.50 | 3.9× |
| Angiotensin converting enzyme csf (82164) | $72.29 | $72.29 | 5.0× |
| Anti-Phospholipid Antibody (86148) | $114.32 | $114.32 | 7.1× |
| Antibody aspergillus (86606) | $13.25 | $13.25 | 0.9× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $205 | $205 | 15.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $200.21 | $200.21 | 12.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $75 | $75 | 4.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $66.25 | $66.25 | 5.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $66.25 | $66.25 | 4.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $66.25 | $66.25 | 3.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $179.63 | $179.63 | 14.7× |
| Antibody helicobacter pylori (86677) | $45.50 | $45.50 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $60.64 | $60.64 | 4.2× |
| Antibody Herpes Smplx Type 1 (86695) | $54.88 | $54.88 | 4.2× |
| Antibody identification leukocyte antibodies (86021) | $100 | $100 | 6.6× |
| Antibody Treponema Pallidum (86780) | $50.13 | $50.13 | 3.8× |
| Antibody; influenza virus (86710) | $119.25 | $119.25 | 8.8× |
| Antigen typing (86905) | $368.85 | $368.85 | 96.3× |
| Antinomyces antibody (86602) | $211.15 | $211.15 | 20.7× |
| Antinuclear antibodies (86038) | $100.53 | $100.53 | 8.3× |
| Antistreptolysin o titer (86060) | $82.25 | $82.25 | 11.3× |
| Antithrombin iii activity (85300) | $104.67 | $104.67 | 8.8× |
| Antithrombin iii antigen (85301) | $177.92 | $177.92 | 16.5× |
| Apolipoprotein a1 (82172) | $55.65 | $55.65 | 2.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $451.46 | $451.46 | 12.0× |
| Arsenic (82175) | $201 | $201 | 10.6× |
| Assay Blood Carbon Dioxide (82374) | $12.75 | $12.75 | 2.6× |
| Assay Nephelometry Not Spec (83883) | $202.44 | $202.44 | 14.9× |
| Assay of 5-hiaa (83497) | $95 | $95 | 7.4× |
| Assay of blood/uric acid (84550) | $44.25 | $44.25 | 9.8× |
| Assay of calcium in urine (82340) | $78.02 | $78.02 | 12.9× |
| Assay of cpk in blood (82552) | $106.50 | $106.50 | 8.0× |
| Assay of g6pd enzyme (82955) | $72 | $72 | 7.4× |
| Assay of gammaglobulin igm (82784) | $152.11 | $152.11 | 16.4× |
| Assay of lactic acid (83605) | $164.75 | $164.75 | 14.2× |
| Assay of manganese (83785) | $140.26 | $140.26 | 5.3× |
| Assay of metanephrines (83835) | $259.37 | $259.37 | 15.3× |
| Assay of phosphatase acid total (84060) | $73.25 | $73.25 | 9.6× |
| Assay of proinsulin (84206) | $71.92 | $71.92 | 2.7× |
| Assay of serotonin (84260) | $198 | $198 | 6.4× |
| Assay of serum potassium (84132) | $53.71 | $53.71 | 11.3× |
| Assay of Tyrosine (84510) | $40 | $40 | 3.8× |
| Assay of urea nitrogen (84520) | $44.11 | $44.11 | 11.2× |
| Assay of vitamin b-1 (84425) | $161.74 | $161.74 | 7.6× |
| Assay Ph Body Fluid Nos (83986) | $54 | $54 | 15.1× |
| Assay spec xcp ur&breath ia (82077) | $206.22 | $206.22 | 11.9× |
| Automated Leukocyte Count (85048) | $38.25 | $38.25 | 15.1× |
| B cells total count (86355) | $203.16 | $203.16 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $812 | $812 | 5.0× |
| Bcr/abl1 gene minor bp (81207) | $261.12 | $261.12 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $210.04 | $210.04 | 8.3× |
| Beta hydroxybutyrate (82010) | $87.75 | $87.75 | 10.7× |
| Beta Lactamase (87185) | $8.83 | $8.83 | 1.9× |
| Beta-2 Microglobulin (82232) | $139.16 | $139.16 | 8.6× |
| Bile acids total (82239) | $43.60 | $43.60 | 2.5× |
| Bilirubin direct (82248) | $46.72 | $46.72 | 9.3× |
| Bilirubin total (82247) | $39.20 | $39.20 | 7.8× |
| Biotinidase (82261) | $49.50 | $49.50 | 2.9× |
| Blastomyces antibody (86612) | $13.25 | $13.25 | 1.0× |
| Bleeding time test (85002) | $75 | $75 | 15.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $39.37 | $39.37 | 10.4× |
| Blood gas (82803) | $281.38 | $281.38 | 10.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $41.58 | $41.58 | 9.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $142.61 | $142.61 | 22.5× |
| Blood typing serologic abo (86900) | $90.84 | $90.84 | 30.4× |
| Body fluid cell count (89050) | $32.25 | $32.25 | 6.8× |
| Bone marrow smear interpretation (85097) | $35.75 | $35.75 | 0.0× |
| Bordetella antibody (86615) | $289.14 | $289.14 | 21.9× |
| Braf gene analysis (81210) | $602.66 | $602.66 | 3.4× |
| Breath Alcohol Test (82075) | $65 | $65 | 2.2× |
| C diff amplified probe (87493) | $281.09 | $281.09 | 7.5× |
| C-Peptide (84681) | $87 | $87 | 4.2× |
| C-reactive protein (86140) | $107.88 | $107.88 | 20.8× |
| Ca 19-9 (86301) | $78.75 | $78.75 | 3.8× |
| Cadmium (82300) | $63 | $63 | 2.7× |
| Calcium ionized (82330) | $90 | $90 | 6.6× |
| Calcium total (82310) | $49.62 | $49.62 | 9.6× |
| Calculus assay quant (82360) | $134.08 | $134.08 | 10.4× |
| Calprotectin Fecal (83993) | $429.48 | $429.48 | 21.9× |
| Calr gene com variants (81219) | $448 | $448 | 3.7× |
| Cancer Antigen 125 (86304) | $142.18 | $142.18 | 6.8× |
| Cancer Antigen 27.29 (86300) | $171.98 | $171.98 | 8.3× |
| Carbamazepine total (80156) | $131.29 | $131.29 | 9.0× |
| Carboxyhemoglobin (82375) | $52.75 | $52.75 | 4.3× |
| Carcinoembryonic antigen (82378) | $142.21 | $142.21 | 7.5× |
| Cardiolipin ab iga (86147) | $288.29 | $288.29 | 11.3× |
| Carnitine Quantitative Each Specimen (82379) | $236 | $236 | 14.0× |
| Carotene (82380) | $82.75 | $82.75 | 9.0× |
| Catecholamines fractionated (82384) | $159.50 | $159.50 | 6.3× |
| Ccp antibody (86200) | $105.62 | $105.62 | 8.2× |
| Cell count csf (89051) | $150.68 | $150.68 | 26.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $765.73 | $765.73 | 5.6× |
| Ceruloplasmin (82390) | $47.25 | $47.25 | 4.4× |
| Cftr gene com variants (81220) | $240 | $240 | 0.4× |
| Chemiluminescent assay (82397) | $174.61 | $174.61 | 12.4× |
| Chloride other source (82438) | $47.25 | $47.25 | 9.5× |
| Chloride Serum (82435) | $21 | $21 | 4.6× |
| Chloride urine (82436) | $87.57 | $87.57 | 15.2× |
| Cholesterol total (82465) | $30.25 | $30.25 | 7.0× |
| Cholinesterase Serum (82480) | $86 | $86 | 10.9× |
| Chorionic gonadotropin test (84702) | $144.66 | $144.66 | 9.6× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $91.50 | $91.50 | 3.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $236 | $236 | 7.1× |
| Chromium serum (82495) | $62.80 | $62.80 | 3.1× |
| Chromogranin a (86316) | $125.30 | $125.30 | 6.0× |
| Chromosome analysis, 5 (88261) | $600 | $600 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $120.35 | $120.35 | 3.4× |
| Citric acid urine (82507) | $221.25 | $221.25 | 8.0× |
| Ckmb (82553) | $180 | $180 | 15.6× |
| Clostridium Difficile (87324) | $51.50 | $51.50 | 4.3× |
| Clot Factor VIII Multimetric (85247) | $373.75 | $373.75 | 16.3× |
| Clotting factor viii related antigen (85244) | $100.64 | $100.64 | 4.9× |
| Clotting Funct Activity (85397) | $368.51 | $368.51 | 11.9× |
| Cns DNA amp probe type 12-25 (87483) | $616 | $616 | 1.5× |
| Coagulation time; Lee and White Facility (85345) | $34.75 | $34.75 | 7.4× |
| Coccidioides antibody (86635) | $61.04 | $61.04 | 5.3× |
| Cold agglutinin screen (86156) | $79.50 | $79.50 | 9.9× |
| Collagen crosslinks (82523) | $266.61 | $266.61 | 14.3× |
| Column Chromotography Quant (82542) | $250 | $250 | 10.4× |
| Compatibility Each Unit Incubation (86921) | $30.75 | $30.75 | 0.2× |
| Compatibility test antiglob (86922) | $370.20 | $370.20 | 2.1× |
| Complement Antigen Each Component (86160) | $134.55 | $134.55 | 11.2× |
| Complement Total (Ch50) (86162) | $75.50 | $75.50 | 3.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $208.80 | $208.80 | 3.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $250 | $250 | 6.4× |
| Coombs direct (86880) | $152.77 | $152.77 | 28.3× |
| Copper urine (82525) | $106.38 | $106.38 | 8.6× |
| Cortisol free (82530) | $141.75 | $141.75 | 8.5× |
| Cortisol saliva (82533) | $150.59 | $150.59 | 9.2× |
| Creatine kinase total (82550) | $93.05 | $93.05 | 14.3× |
| Creatinine blood (82565) | $49.92 | $49.92 | 9.8× |
| Creatinine clearance (82575) | $105.75 | $105.75 | 11.2× |
| Creatinine Urine (82570) | $35 | $35 | 6.8× |
| Crossmatch immediate spin (86920) | $137.25 | $137.25 | 0.8× |
| Crp High Sensitivity (86141) | $62.25 | $62.25 | 4.8× |
| Cryoglobulin (82595) | $43.42 | $43.42 | 6.7× |
| Cryptococcus ag titer (87899) | $119.50 | $119.50 | 7.4× |
| Cryptosporidium ag eia (87328) | $84.77 | $84.77 | 6.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $97.92 | $97.92 | 12.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $111.30 | $111.30 | 13.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $42 | $42 | 5.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $657.78 | $657.78 | 3.0× |
| Culture afb (87116) | $214.93 | $214.93 | 19.9× |
| Culture Anaerobic (87075) | $152.09 | $152.09 | 16.1× |
| Culture blood (87040) | $355.48 | $355.48 | 34.4× |
| Culture csf (87070) | $114.95 | $114.95 | 13.3× |
| Culture fungus (87102) | $237.14 | $237.14 | 28.2× |
| Culture screen only (87081) | $64.21 | $64.21 | 9.7× |
| Culture stool (87045) | $105.86 | $105.86 | 11.2× |
| Culture typing if ea antiserum (87140) | $48 | $48 | 8.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $67.90 | $67.90 | 13.1× |
| Culture urine (87086) | $91.37 | $91.37 | 11.3× |
| Cyclosporine (80158) | $84 | $84 | 4.7× |
| Cystatin C (82610) | $43.17 | $43.17 | 2.3× |
| Cytogenetics 100-300 (88275) | $217.50 | $217.50 | 4.2× |
| Cytomegalovirus igg (86644) | $83.25 | $83.25 | 5.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $78.45 | $78.45 | 3.9× |
| Cytopath Cell Enhance Tech (88112) | $80 | $80 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) | $207.21 | $207.21 | 5.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$101.70–$440.42 | $101.70–$440.42 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $52 | $52 | 1.3× |
| Detect Agent Nos Dna Amp (87798) | $50 | $50 | 1.4× |
| Detect Agent Nos Dna Quant (87799) | $185 | $185 | 4.3× |
| Dgp Antibody Each Ig Class (86258) | $115.50 | $115.50 | 9.6× |
| Dhea (82626) | $149.47 | $149.47 | 5.9× |
| Dhea-S (82627) | $145.45 | $145.45 | 6.5× |
| Digoxin (80162) | $114.89 | $114.89 | 8.7× |
| Dna Antibody Native/Double Stranded (86225) | $85.78 | $85.78 | 6.2× |
| Dna/Rna Amplified Probe (87150) | $814 | $814 | 23.2× |
| DNA/RNA direct probe (87149) | $129.36 | $129.36 | 6.5× |
| Dna/Rna Sequencing (87153) | $75 | $75 | 0.7× |
| Drug Assay Infliximab (80230) | $353.39 | $353.39 | 9.2× |
| Drug Assay Itraconazole (80189) | $157.87 | $157.87 | 5.8× |
| Drug Assay Posaconazole (80187) | $140.64 | $140.64 | 5.2× |
| Drug Assay Vedolizumab (80280) | $237.22 | $237.22 | 6.2× |
| Drug assay voriconazole (80285) | $185.90 | $185.90 | 6.9× |
| Drug Screen Quant Clozapine (80159) | $157.50 | $157.50 | 7.8× |
| Drug Screen Quantitative Gabapentin (80171) | $170.75 | $170.75 | 7.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $149.37 | $149.37 | 11.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $191.17 | $191.17 | 14.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $158.82 | $158.82 | 12.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $267.50 | $267.50 | 4.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $182.86 | $182.86 | 14.5× |
| El-1 Fecal Quantitative (82653) | $243.20 | $243.20 | 10.6× |
| Electrolyte panel (80051) | $109.69 | $109.69 | 15.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.75 | $108.75 | 9.0× |
| Enzyme cell activity (82657) | $250 | $250 | 11.3× |
| Eosinophil Smear (89190) | $33.46 | $33.46 | 5.8× |
| Erythropoietin (82668) | $134.91 | $134.91 | 7.2× |
| Estradiol serum (82670) | $151.64 | $151.64 | 5.4× |
| Estriol (82677) | $88.98 | $88.98 | 3.7× |
| Estrogens fractionated (82671) | $100.39 | $100.39 | 3.1× |
| Exam Synovial Fluid Crystals (89060) | $65 | $65 | 8.9× |
| F2 Gene (81240) | $224.72 | $224.72 | 3.4× |
| Factor v leiden mutation (81241) | $350 | $350 | 4.8× |
| Factor viii assay (85240) | $100.64 | $100.64 | 5.6× |
| Fat stain feces urine/respir secretions (89125) | $123.50 | $123.50 | 21.0× |
| Fecal Fat Qualitative (82705) | $70.88 | $70.88 | 13.9× |
| Ferritin (82728) | $40 | $40 | 2.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $190.58 | $190.58 | 1.2× |
| Fetal Fibronectin (82731) | $433.25 | $433.25 | 6.7× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $124.50 | $124.50 | 6.6× |
| Fetal screen rosette (85461) | $105.26 | $105.26 | 11.2× |
| Fibrin Degradation Quant (85379) | $196.71 | $196.71 | 19.3× |
| Fibrinogen activity (85384) | $136.99 | $136.99 | 14.1× |
| Flow cytometry first marker (88184) | $388.19 | $388.19 | 1.0× |
| Fluorescent antibody screen (86255) | $303.75 | $303.75 | 25.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $130.28 | $130.28 | 10.8× |
| Folic Acid Serum (82746) | $120.97 | $120.97 | 8.2× |
| Follicle Stimulating Hormone (83001) | $132.72 | $132.72 | 7.1× |
| Fungi Identification Mold (87107) | $59 | $59 | 5.7× |
| Fungi Identification Yeast (87106) | $26.45 | $26.45 | 2.6× |
| Galactose transferase test (82776) | $33.75 | $33.75 | 2.9× |
| Gammaglobulin ige (82785) | $145.66 | $145.66 | 8.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $31.50 | $31.50 | 3.2× |
| Gases blood ph only (82800) | $130.11 | $130.11 | 11.8× |
| Gastrin (82941) | $109.25 | $109.25 | 6.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $826.64 | $826.64 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,672 | $1,672 | 2.2× |
| Gentamicin (80170) | $100.50 | $100.50 | 6.1× |
| Ggt (82977) | $81.78 | $81.78 | 11.4× |
| Giardia antigen (87329) | $88.53 | $88.53 | 7.4× |
| Giardia lamblia antibody (86674) | $112.25 | $112.25 | 7.6× |
| Glucose 2 hr pp (82950) | $51 | $51 | 10.7× |
| Glucose body fluid (82945) | $47.25 | $47.25 | 12.0× |
| Glucose Serum (82947) | $45.41 | $45.41 | 11.6× |
| Glucose tolerance test (gtt) (82951) | $152.90 | $152.90 | 11.9× |
| Glycated Protein (82985) | $68.93 | $68.93 | 4.1× |
| Growth hormone (83003) | $76.50 | $76.50 | 4.6× |
| Gtt-added samples (82952) | $51.32 | $51.32 | 13.1× |
| Haptoglobin (83010) | $116.78 | $116.78 | 9.3× |
| Hdl Cholesterol (83718) | $66.50 | $66.50 | 8.1× |
| Helicobacter Pylori Stool (87338) | $172.46 | $172.46 | 12.0× |
| Hematocrit (85014) | $46.40 | $46.40 | 19.6× |
| Hemoglobin (85018) | $44.77 | $44.77 | 18.9× |
| Hemoglobin a1c (83036) | $64.50 | $64.50 | 6.6× |
| Hemoglobin Chromotography (83021) | $61 | $61 | 3.4× |
| Hemoglobin electrophoresis (83020) | $91.10 | $91.10 | 7.1× |
| Hemoglobin F Fetal Chemical (83030) | $61 | $61 | 5.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $98 | $98 | 12.0× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $72.52 | $72.52 | 7.5× |
| Heparin assay (85520) | $162 | $162 | 12.4× |
| Hepatitis a antibody total (86708) | $84 | $84 | 6.8× |
| Hepatitis b core ab igm (86705) | $90 | $90 | 7.6× |
| Hepatitis b core ab total (86704) | $102.34 | $102.34 | 8.5× |
| Hepatitis B Surface Antibody (86706) | $91.26 | $91.26 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $71.19 | $71.19 | 6.9× |
| Hepatitis Be Antibody (86707) | $70.16 | $70.16 | 6.1× |
| Hepatitis Be Antigen (87350) | $117.62 | $117.62 | 10.2× |
| Hepatitis C Antibody (86803) | $101.93 | $101.93 | 7.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $323.59 | $323.59 | 7.6× |
| Herpes simplex type 2 (86696) | $54.88 | $54.88 | 2.8× |
| Heterophile Antibody Screen (86308) | $87.35 | $87.35 | 16.9× |
| Hfe Gene (81256) | $348.91 | $348.91 | 5.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $134.75 | $134.75 | 17.4× |
| Histoplasma antibody (86698) | $13.25 | $13.25 | 1.0× |
| Histoplasma antigen urine (87385) | $293.51 | $293.51 | 22.2× |
| Hiv Genotype (87901) | $237.50 | $237.50 | 0.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $97.96 | $97.96 | 4.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $426.25 | $426.25 | 5.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $440 | $440 | 5.9× |
| Hla ii typing 1 allele hr (81383) | $275.26 | $275.26 | 2.5× |
| Hla-b27 (86812) | $123 | $123 | 4.8× |
| Homocysteine (83090) | $221.37 | $221.37 | 12.4× |
| Homogenization Tissue (87176) | $53.82 | $53.82 | 9.2× |
| Hpv High-Risk Types (87624) | $134.03 | $134.03 | 3.8× |
| Hsv Dna Amp Probe (87529) | $115 | $115 | 3.3× |
| Hydroxyprogesterone 17-d (83498) | $131.34 | $131.34 | 4.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $231.78 | $231.78 | 16.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $153.67 | $153.67 | 4.3× |
| Iaad ia shiga-like toxin (87427) | $74.14 | $74.14 | 6.2× |
| Iaadi herpes smplx virus type 1 (87274) | $60.39 | $60.39 | 5.0× |
| Iaadi herpes smplx virus type 2 (87273) | $60.39 | $60.39 | 5.0× |
| Iaadi inffluenza a virus (87276) | $53.78 | $53.78 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $50 | $50 | 1.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $220.17 | $220.17 | 9.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $115 | $115 | 3.3× |
| Iadna Cytomegalovirus Quantification (87497) | $472.18 | $472.18 | 11.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $168 | $168 | 3.9× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $115 | $115 | 3.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $50 | $50 | 1.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $112.60 | $112.60 | 3.2× |
| Ig Light Chains Free Each (83521) | $120 | $120 | 6.9× |
| Igg subclasses (82787) | $222.21 | $222.21 | 27.7× |
| Igh gene rearrange amp meth (81261) | $726 | $726 | 3.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,134.38 | $1,134.38 | 3.9× |
| Immunfix e-phorsis/urine/csf (86335) | $58 | $58 | 2.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $452.82 | $452.82 | 24.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $84.26 | $84.26 | 5.6× |
| Immunoassay nonantibody (83516) | $59 | $59 | 5.1× |
| Immunodiffusion Ouchterlony (86331) | $13.25 | $13.25 | 1.1× |
| Immunofixation electrophoresis (86334) | $199.45 | $199.45 | 8.9× |
| Immunohistochemistry (88342) | $409.94 | $409.94 | 2.3× |
| In situ hybridization 1st probe stain (88365) | $107.81 | $107.81 | 0.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $61 | $61 | 5.0× |
| Influenza a/b ag eia (87400) | $243.56 | $243.56 | 17.2× |
| Inhibin A (86336) | $26.79 | $26.79 | 1.7× |
| Inhibin b (83520) | $331.18 | $331.18 | 19.2× |
| Insulin total (83525) | $89.46 | $89.46 | 7.8× |
| Iron (83540) | $40 | $40 | 6.2× |
| Iron Binding Capacity (83550) | $40 | $40 | 4.6× |
| Islet cell antibody (86341) | $297 | $297 | 12.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $560 | $560 | 6.1× |
| Lactate (ld) (ldh) enzyme (83615) | $59.29 | $59.29 | 9.8× |
| Lactoferrin fecal qualitative (83630) | $67.25 | $67.25 | 3.4× |
| Ldh Isoenzymes (83625) | $28.75 | $28.75 | 2.2× |
| LDL direct (83721) | $65.27 | $65.27 | 6.2× |
| Lead (83655) | $88.09 | $88.09 | 7.3× |
| Legionella antigen urine (87449) | $51.50 | $51.50 | 4.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $84.46 | $84.46 | 2.8× |
| Level ii surg pathology grossµscopic exam (88302) | $196.78 | $196.78 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $810.70 | $810.70 | 2.2× |
| Lipase (83690) | $134.87 | $134.87 | 19.6× |
| Lipoprotein A (83695) | $113.51 | $113.51 | 7.9× |
| Lipoprotein Bld Quan Part (83704) | $86 | $86 | 2.5× |
| Lithium (80178) | $86 | $86 | 13.0× |
| Luteinizing Hormone (Lh) (83002) | $125.92 | $125.92 | 6.8× |
| Lyme disease antibody (86618) | $194.63 | $194.63 | 11.4× |
| Magnesium Urine (83735) | $97.77 | $97.77 | 14.6× |
| Mass Spectrometry Quant (83789) | $520 | $520 | 21.6× |
| Mercury urine (83825) | $109.90 | $109.90 | 6.8× |
| Methylmalonic acid serum (83921) | $188.12 | $188.12 | 8.9× |
| Microalbumin, quantitative (82043) | $82.28 | $82.28 | 14.2× |
| Microbe Suscept Macrobroth (87188) | $149.64 | $149.64 | 22.5× |
| Microsomal Antibodies Each (86376) | $94.58 | $94.58 | 6.5× |
| Mitochondrial Antibody Each (86381) | $68.60 | $68.60 | 2.7× |
| Mog-Igg1 Antb Cba Each (86362) | $288.40 | $288.40 | 23.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $157.25 | $157.25 | 7.3× |
| Mononuclear cell antigen (86356) | $88 | $88 | 3.3× |
| Mopath procedure level 2 (81401) | $194.80 | $194.80 | 1.4× |
| Mopath procedure level 4 (81403) | $803.86 | $803.86 | 4.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $792 | $792 | 4.3× |
| Mrsa Pcr (87641) | $354.24 | $354.24 | 10.1× |
| Mthfr Gene Analysis Common Variants (81291) | $130.56 | $130.56 | 2.0× |
| Mumps antibody (86735) | $33.25 | $33.25 | 2.5× |
| Muscle-Specific Kinase Antb (86366) | $986.34 | $986.34 | 53.6× |
| Mycoplasma antibody (86738) | $133.26 | $133.26 | 10.1× |
| Myelin basic protein csf (83873) | $103.25 | $103.25 | 6.0× |
| Myoglobin urine (83874) | $61 | $61 | 4.7× |
| Natriuretic peptide (83880) | $303.90 | $303.90 | 7.7× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $237.50 | $237.50 | 1.8× |
| Niacin (84591) | $181.50 | $181.50 | 10.6× |
| Nk cells total count (86357) | $210.93 | $210.93 | 5.6× |
| Nuclear antigen antibody (86235) | $186.72 | $186.72 | 10.4× |
| Oligoclonal bands (83916) | $145.47 | $145.47 | 5.3× |
| Organic acids urine (83918) | $374.54 | $374.54 | 15.9× |
| Osmolality serum (83930) | $93.75 | $93.75 | 14.2× |
| Osmolality Urine (83935) | $93.52 | $93.52 | 13.7× |
| Ova and parasites smears (87177) | $29.41 | $29.41 | 3.3× |
| Oxalate urine (83945) | $131.20 | $131.20 | 9.1× |
| Particle Agglutination Screen Each Antibody (86403) | $67.17 | $67.17 | 5.8× |
| Parvovirus antibody (86747) | $41.54 | $41.54 | 2.8× |
| Ph urine (81003) | $71.87 | $71.87 | 31.9× |
| Phenobarbital Level (80184) | $138.25 | $138.25 | 9.0× |
| Phenotype Infect Agent Drug (87900) | $237.50 | $237.50 | 1.8× |
| Phenylalanine (84030) | $40 | $40 | 7.3× |
| Phenytoin (Dilantin) (80185) | $120.02 | $120.02 | 9.1× |
| Phosphatase alkaline (84075) | $29.06 | $29.06 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $215 | $215 | 12.0× |
| Phosphorus Serum (84100) | $69.35 | $69.35 | 14.6× |
| Phosphorus urine (84105) | $89.31 | $89.31 | 15.5× |
| Platelet Antibodies (86022) | $243.50 | $243.50 | 13.3× |
| Platelet count automated (85049) | $42.75 | $42.75 | 9.5× |
| Platelet neutralization (85597) | $135 | $135 | 7.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $571.20 | $571.20 | 2.8× |
| Porphyrins, urine; qualitative (84119) | $47.25 | $47.25 | 3.5× |
| Potassium Urine (84133) | $85.82 | $85.82 | 18.1× |
| Prealbumin (84134) | $132.86 | $132.86 | 9.1× |
| Pregnenolone (84140) | $266.42 | $266.42 | 12.9× |
| Primidone (80188) | $95.50 | $95.50 | 5.8× |
| Procalcitonin (Pct) (84145) | $262.99 | $262.99 | 9.7× |
| Progesterone (84144) | $131.66 | $131.66 | 6.3× |
| Prolactin (84146) | $142.48 | $142.48 | 7.4× |
| Prostaglandin (84150) | $103.60 | $103.60 | 2.5× |
| Protein body fluid (84157) | $57.25 | $57.25 | 14.3× |
| Protein C Activity (85303) | $124.85 | $124.85 | 9.0× |
| Protein c antigen (85302) | $226.78 | $226.78 | 18.9× |
| Protein Electrophoresis Urine (84166) | $60 | $60 | 3.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $33 | $33 | 3.1× |
| Protein S Free (85306) | $206.30 | $206.30 | 13.5× |
| Protein s total (85305) | $62.43 | $62.43 | 5.4× |
| Protein total serum (84155) | $37.87 | $37.87 | 10.3× |
| Protein Total Urine (84156) | $18.14 | $18.14 | 4.9× |
| Protein Western Blot Test (84182) | $84.88 | $84.88 | 2.9× |
| PSA free (84154) | $10 | $10 | 0.5× |
| Pth Intact (83970) | $237.21 | $237.21 | 5.7× |
| Q Fever Antibody (86638) | $166.76 | $166.76 | 13.8× |
| Quantiferon tb gold plus (86480) | $209.36 | $209.36 | 3.4× |
| Quantitative assay drug (80299) | $190.55 | $190.55 | 10.2× |
| Quantitative Screen Metals (83018) | $71.60 | $71.60 | 3.3× |
| Quinidine (80194) | $126.50 | $126.50 | 8.7× |
| Rbc antibody elution (86860) | $139.50 | $139.50 | 0.8× |
| Rbc antibody identification (86870) | $413.02 | $413.02 | 1.1× |
| Rbc antibody screen (86850) | $144.94 | $144.94 | 14.8× |
| Rbc pretreatment serum (86978) | $212.50 | $212.50 | 3.5× |
| Receptor assay estrogen (84233) | $113.25 | $113.25 | 1.3× |
| Receptor assay progesterone (84234) | $113.25 | $113.25 | 1.7× |
| Renin activity plasma (84244) | $172.87 | $172.87 | 7.9× |
| Resp virus 12-25 targets (87633) | $425 | $425 | 1.0× |
| Reticulated Platelet Assay (85055) | $51 | $51 | 1.4× |
| Reticulocyte Count (85046) | $43.47 | $43.47 | 7.8× |
| Rh (86901) | $78.21 | $78.21 | 26.2× |
| Rheumatoid factor quant (86431) | $66.78 | $66.78 | 11.8× |
| Rickettsia antibody (86757) | $132.50 | $132.50 | 6.8× |
| Ristocetin cofactor (85245) | $159.50 | $159.50 | 7.0× |
| Rotavirus ag eia (87425) | $101 | $101 | 8.4× |
| Rpr qualitative (86592) | $25 | $25 | 5.9× |
| Rubella Antibody (86762) | $40.66 | $40.66 | 2.8× |
| Rubeola antibody (86765) | $33.25 | $33.25 | 2.6× |
| Russell Viper Venom Time Diluted (85613) | $40 | $40 | 4.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.50 | $157.50 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $112 | $112 | 2.7× |
| Sedimentation rate (85651) | $56.16 | $56.16 | 13.2× |
| Sedimentation Rate, Automated (85652) | $43.21 | $43.21 | 16.0× |
| Semen Anal Sperm Detection (89321) | $73 | $73 | 6.1× |
| Semen analysis complete (89320) | $100.50 | $100.50 | 8.2× |
| Semen analysis motility and count (89310) | $98.50 | $98.50 | 11.4× |
| Sensitivity mic (87186) | $124.92 | $124.92 | 14.4× |
| Sex Hormone Binding Globulin (84270) | $104.91 | $104.91 | 4.8× |
| Skin test tuberculosis intradermal (86580) | $57.07 | $57.07 | 1.9× |
| Smear acid fast (87206) | $100.89 | $100.89 | 18.7× |
| Smear complex stain (87209) | $58.80 | $58.80 | 3.3× |
| Smear gram stain (87205) | $63.94 | $63.94 | 15.0× |
| Smear Special Stain (87207) | $44.10 | $44.10 | 7.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $72.08 | $72.08 | 12.4× |
| Sodium Serum (84295) | $54.08 | $54.08 | 11.2× |
| Sodium Urine (84300) | $53.03 | $53.03 | 10.5× |
| Soluble Transferrin Receptor (84238) | $86.37 | $86.37 | 2.4× |
| Somatomedin (84305) | $177.68 | $177.68 | 8.4× |
| Special Stains Group 1 (88312) | $319.14 | $319.14 | 5.9× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$96.30–$365.26 | $96.30–$365.26 | varies |
| Specimen infect agnt concntj (87015) | $59.64 | $59.64 | 8.9× |
| Stool cultr aerobic bact ea (87046) | $111.54 | $111.54 | 11.8× |
| Strep a assay w/optic (87880) | $84.49 | $84.49 | 5.1× |
| Strep b DNA amp probe (87653) | $123.50 | $123.50 | 3.5× |
| Sulfate urine (84392) | $87.57 | $87.57 | 16.0× |
| Surg path level iii (88304) | $228.10 | $228.10 | 4.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$66.25–$532.26 | $66.25–$532.26 | varies |
| Surgical pathology level vi (88309) | $327 | $327 | 0.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $106.72 | $106.72 | 14.3× |
| Syphilis Test Non-Trep Quant (86593) | $44.50 | $44.50 | 10.1× |
| T cells absolute cd4 count (86361) | $100.45 | $100.45 | 3.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $216 | $216 | 4.6× |
| T cells total count (86359) | $151.04 | $151.04 | 4.0× |
| T3 Free (84481) | $123.85 | $123.85 | 7.3× |
| T3 reverse (84482) | $134.65 | $134.65 | 8.5× |
| T3 Total (84480) | $119.21 | $119.21 | 8.4× |
| T3 Uptake (84479) | $64 | $64 | 9.9× |
| T4 Free (84439) | $89.83 | $89.83 | 10.0× |
| T4 total (84436) | $76.24 | $76.24 | 11.1× |
| T4-neonatal (84437) | $27 | $27 | 4.2× |
| Tacrolimus (80197) | $162.50 | $162.50 | 11.8× |
| Testosterone total (84403) | $122.32 | $122.32 | 4.7× |
| Testosterone, Free (84402) | $179.75 | $179.75 | 7.1× |
| Theophylline (80198) | $103.50 | $103.50 | 7.3× |
| Thrombin Time (85670) | $16.98 | $16.98 | 2.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $77 | $77 | 11.9× |
| Thyroglobulin (84432) | $135 | $135 | 8.4× |
| Thyroglobulin Antibody (86800) | $100.49 | $100.49 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $175 | $175 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $90.67 | $90.67 | 7.9× |
| Tissue culture bone marrow (88237) | $619 | $619 | 4.3× |
| Tobramycin peak (80200) | $87 | $87 | 5.4× |
| Topiramate (80201) | $225.75 | $225.75 | 18.9× |
| Toxoplasma ab igm (86778) | $116.25 | $116.25 | 8.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $40.05 | $40.05 | 7.7× |
| Transferrin (84466) | $87.75 | $87.75 | 6.9× |
| Trg gene rearrangement anal (81342) | $690 | $690 | 3.4× |
| Triglycerides (84478) | $51.68 | $51.68 | 9.0× |
| Troponin Quant (84484) | $194.50 | $194.50 | 15.6× |
| Troponin, qualitative (84512) | $132.40 | $132.40 | 13.1× |
| Tumor Immunohistochem/Manual (88360) | $645 | $645 | 3.6× |
| Urea nitrogen urine (84540) | $17.98 | $17.98 | 3.2× |
| Uric acid other source (84560) | $49.25 | $49.25 | 9.7× |
| Urinalysis Microscopic Only (81015) | $32.74 | $32.74 | 10.7× |
| Urinalysis Volume Measure (81050) | $25 | $25 | 6.9× |
| Urine Bacteria Culture (87088) | $95.41 | $95.41 | 11.8× |
| Urine Pregnancy Test (81025) | $90 | $90 | 10.5× |
| Valproic acid (80164) | $152.13 | $152.13 | 11.2× |
| Vancomycin (80202) | $168.02 | $168.02 | 12.4× |
| Varicella-zoster antibody (86787) | $58.75 | $58.75 | 4.6× |
| Vasopressin (84588) | $168.50 | $168.50 | 5.0× |
| Viral Culture (87252) | $131.50 | $131.50 | 5.0× |
| Virus inoculate tissue addl (87253) | $45 | $45 | 2.2× |
| Viscosity serum (85810) | $84.46 | $84.46 | 7.2× |
| Vit D 1 25-Dihydroxy (82652) | $142.53 | $142.53 | 3.7× |
| Vitamin A (84590) | $78.75 | $78.75 | 6.8× |
| Vitamin b-12 (82607) | $117.41 | $117.41 | 7.8× |
| Vitamin B6 (84207) | $165 | $165 | 5.9× |
| Vitamin c (82180) | $99.77 | $99.77 | 10.1× |
| Vitamin D 25-Hydroxy (82306) | $145.28 | $145.28 | 4.9× |
| Vitamin E (84446) | $81.84 | $81.84 | 5.8× |
| Vitamin K (84597) | $167.76 | $167.76 | 12.2× |
| Von willebrand factor ag (85246) | $386.50 | $386.50 | 16.8× |
| West nile virus ab igm (86788) | $104.50 | $104.50 | 6.2× |
| West Nile Virus Antibody (86789) | $108 | $108 | 7.5× |
| Zinc (84630) | $74.12 | $74.12 | 6.5× |
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.