Lab & pathology prices at Keefe Memorial Hospital
Cheyenne Wells, CO · every code in this section with a posted price and a Medicare benchmark.
539 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $153 | $153 | 6.7× |
| 5 Nucleotidase (83915) | $155 | $155 | 13.9× |
| Acth (82024) | $198 | $198 | 5.1× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$38–$158 | $38–$158 | varies |
| Acute hepatitis panel (80074) | $359 | $359 | 7.5× |
| Acylcarnitines Quant (82017) | $794 | $794 | 47.1× |
| Agglutinins Febrile Each Antigen (86000) | $196 | $196 | 28.1× |
| Albumin serum (82040) | $70 | $70 | 14.1× |
| Aldolase (82085) | $123 | $123 | 12.7× |
| Aldosterone urine (82088) | $291 | $291 | 7.1× |
| Alkaline phosphatase isoenzymes (84080) | $123 | $123 | 8.3× |
| Allergen specific ige (86003) range across 32 matching MRF lines |
$12–$102 | $12–$102 | varies |
| Allergen specific igg (86001) | $137 | $137 | 17.5× |
| Alpha-1-antitrypsin phenotype (82104) | $230 | $230 | 15.9× |
| Alpha-1-antitrypsin total (82103) | $123 | $123 | 9.2× |
| Alpha-Fetoprotein Serum (82105) | $118 | $118 | 7.0× |
| Alt (sgpt) (84460) | $117 | $117 | 22.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $210 | $210 | 9.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $420 | $420 | 24.9× |
| Amino Acids Quant 2-5 (82136) | $316 | $316 | 16.1× |
| Ammonia (82140) | $177 | $177 | 12.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$91–$317 | $91–$317 | varies |
| Anca screen each antibody (86036) | $68 | $68 | 5.6× |
| Androstenedione (82157) | $343 | $343 | 11.7× |
| Angiotensin converting enzyme csf (82164) | $188 | $188 | 12.9× |
| Anti-Phospholipid Antibody (86148) | $93 | $93 | 5.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $114 | $114 | 8.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$99–$207 | $99–$207 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $243 | $243 | 14.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $133 | $133 | 10.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $121 | $121 | 7.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $152 | $152 | 8.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $58 | $58 | 4.7× |
| Antibody helicobacter pylori (86677) | $170 | $170 | 10.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $90 | $90 | 6.3× |
| Antibody Herpes Smplx Type 1 (86695) | $127 | $127 | 9.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $226 | $226 | 11.7× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$35–$252 | $35–$252 | varies |
| Antibody rotavirus (86759) | $162 | $162 | 8.9× |
| Antibody Titer (86886) | $122 | $122 | 23.6× |
| Antibody Treponema Pallidum (86780) | $117 | $117 | 8.8× |
| Antibody yersinia (86793) | $369 | $369 | 28.0× |
| Antibody; influenza virus (86710) | $126 | $126 | 9.3× |
| Antigen typing (86905) | $182 | $182 | 47.5× |
| Antinuclear antibodies (86038) range across 7 matching MRF lines |
$82–$130 | $82–$130 | varies |
| Antistreptolysin o titer (86060) | $137 | $137 | 18.8× |
| Antithrombin iii activity (85300) | $202 | $202 | 17.0× |
| Antithrombin iii antigen (85301) | $259 | $259 | 24.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$39–$178 | $39–$178 | varies |
| Arsenic (82175) | $187 | $187 | 9.9× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$199–$205 | $199–$205 | varies |
| Assay Blood Carbon Dioxide (82374) | $71 | $71 | 14.5× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$151–$274 | $151–$274 | varies |
| Assay of 5-hiaa (83497) | $239 | $239 | 18.5× |
| Assay of anti-mullerian hormone (82166) | $59 | $59 | 1.5× |
| Assay of blood/uric acid (84550) | $74 | $74 | 16.4× |
| Assay of calcium in urine (82340) | $83 | $83 | 13.8× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$35–$133 | $35–$133 | varies |
| Assay of estrone (82679) | $245 | $245 | 9.8× |
| Assay of g6pd enzyme (82955) | $153 | $153 | 15.8× |
| Assay of gammaglobulin igm (82784) | $94 | $94 | 10.1× |
| Assay of lactic acid (83605) | $138 | $138 | 11.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$215–$329 | $215–$329 | varies |
| Assay of proinsulin (84206) | $208 | $208 | 7.8× |
| Assay of serotonin (84260) | $379 | $379 | 12.2× |
| Assay of serum potassium (84132) | $67 | $67 | 14.1× |
| Assay of urea nitrogen (84520) | $63 | $63 | 15.9× |
| Assay of urine vma (84585) | $179 | $179 | 11.5× |
| Assay of vitamin b-1 (84425) | $289 | $289 | 13.6× |
| Assay Ph Body Fluid Nos (83986) | $71 | $71 | 19.8× |
| Automated Leukocyte Count (85048) | $49 | $49 | 19.3× |
| B cells total count (86355) | $61 | $61 | 1.6× |
| Beta 2 glycoprotein i antibody each (86146) | $95 | $95 | 3.7× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$93–$106 | $93–$106 | varies |
| Beta Lactamase (87185) | $48 | $48 | 10.1× |
| Beta-2 Microglobulin (82232) | $183 | $183 | 11.3× |
| Bilirubin direct (82248) | $76 | $76 | 15.1× |
| Bilirubin total (82247) | $68 | $68 | 13.5× |
| Bld Typing Serologic Rh Phnt (86906) | $145 | $145 | 18.7× |
| Bleeding time test (85002) | $66 | $66 | 13.7× |
| Blood Count Manual Cell Count Each (85032) | $74 | $74 | 17.2× |
| Blood Count Red Blood Cell Automated (85041) | $46 | $46 | 15.2× |
| Blood count reticulocyte automated (85045) | $79 | $79 | 19.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$6–$76 | $6–$76 | varies |
| Blood gas (82803) | $328 | $328 | 12.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $132 | $132 | 8.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $238 | $238 | 37.5× |
| Blood typing serologic abo (86900) | $107 | $107 | 35.8× |
| Body fluid cell count (89050) | $76 | $76 | 16.1× |
| Bordetella antibody (86615) | $121 | $121 | 9.2× |
| Brca1&2 gen full seq dup/del (81162) | $3,467.80 | $4,954 | 1.9× |
| Breath Alcohol Test (82075) | $76 | $76 | 2.5× |
| C diff amplified probe (87493) | $197 | $197 | 5.3× |
| C-Peptide (84681) | $115 | $115 | 5.5× |
| C-reactive protein (86140) | $115 | $115 | 22.2× |
| Ca 19-9 (86301) | $200 | $200 | 9.6× |
| Calcitonin (82308) | $139 | $139 | 5.2× |
| Calcium ionized (82330) | $80 | $80 | 5.8× |
| Calcium total (82310) range across 3 matching MRF lines |
$66–$253 | $66–$253 | varies |
| Calculus Spectroscopy (82365) | $118 | $118 | 9.1× |
| Calprotectin Fecal (83993) | $542 | $542 | 27.6× |
| Cancer Antigen 125 (86304) | $200 | $200 | 9.6× |
| Cancer Antigen 27.29 (86300) | $200 | $200 | 9.6× |
| Candida antibody (86628) | $220 | $220 | 18.3× |
| Carbamazepine total (80156) | $214 | $214 | 14.7× |
| Carboxyhemoglobin (82375) | $200 | $200 | 16.2× |
| Carcinoembryonic antigen (82378) | $181 | $181 | 9.5× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$65–$149 | $65–$149 | varies |
| Carnitine Quantitative Each Specimen (82379) | $317 | $317 | 18.8× |
| Carotene (82380) | $80 | $80 | 8.7× |
| Catecholamines fractionated (82384) | $220 | $220 | 8.7× |
| Catecholamines total urine (82382) | $229 | $229 | 8.4× |
| Ccp antibody (86200) | $170 | $170 | 13.1× |
| Cell count csf (89051) | $153 | $153 | 27.3× |
| Cell marker study (88182) | $142 | $142 | 2.6× |
| Ceruloplasmin (82390) | $114 | $114 | 10.6× |
| Chemiluminescent assay (82397) | $252 | $252 | 17.8× |
| Chlamydia antibody (86631) | $84 | $84 | 7.1× |
| Chlamydia Igm Antibody (86632) | $84 | $84 | 6.6× |
| Chloride Serum (82435) | $66 | $66 | 14.3× |
| Chloride urine (82436) | $57 | $57 | 9.9× |
| Cholesterol total (82465) | $79 | $79 | 18.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$157–$165 | $157–$165 | varies |
| Chromium serum (82495) | $121 | $121 | 6.0× |
| Chromogranin a (86316) | $282 | $282 | 13.6× |
| Chromosome Analysis 15-20 (88262) | $974 | $974 | 7.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$25–$281 | $25–$281 | varies |
| Citric acid urine (82507) | $314 | $314 | 11.3× |
| Ckmb (82553) range across 3 matching MRF lines |
$163–$178 | $163–$178 | varies |
| Clostridium Difficile (87324) | $126 | $126 | 10.5× |
| Clot Factor VIII Multimetric (85247) | $501 | $501 | 21.8× |
| Clotting factor viii related antigen (85244) | $289 | $289 | 14.2× |
| Coccidioides antibody (86635) | $68 | $68 | 5.9× |
| Cold agglutinin screen (86156) | $98 | $98 | 12.1× |
| Cold agglutinin titer (86157) | $106 | $106 | 13.2× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$153–$266 | $153–$266 | varies |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$44–$605 | $44–$605 | varies |
| Compatibility Each Unit Incubation (86921) | $163 | $163 | 0.9× |
| Compatibility test antiglob (86922) | $331 | $331 | 1.8× |
| Complement Antigen Each Component (86160) | $146 | $146 | 12.2× |
| Complement Total (Ch50) (86162) | $244 | $244 | 12.0× |
| Coombs direct (86880) | $107 | $107 | 19.9× |
| Copper urine (82525) | $200 | $200 | 16.1× |
| Cortisol free (82530) | $220 | $220 | 13.2× |
| Cortisol saliva (82533) | $156 | $156 | 9.6× |
| Creatine kinase total (82550) | $95 | $95 | 14.6× |
| Creatinine blood (82565) | $71 | $71 | 13.9× |
| Creatinine clearance (82575) | $131 | $131 | 13.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$79–$153 | $79–$153 | varies |
| Crossmatch immediate spin (86920) | $198 | $198 | 1.1× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$28–$127 | $28–$127 | varies |
| Cryoglobulin (82595) | $72 | $72 | 11.1× |
| Cryptosporidium (87272) | $109 | $109 | 9.1× |
| Cryptosporidium ag eia (87328) | $136 | $136 | 9.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $108 | $108 | 13.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $136 | $136 | 16.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $140 | $140 | 18.2× |
| Culture afb (87116) | $175 | $175 | 16.2× |
| Culture Anaerobic (87075) | $140 | $140 | 14.8× |
| Culture blood (87040) | $206 | $206 | 20.0× |
| Culture csf (87070) range across 5 matching MRF lines |
$141–$175 | $141–$175 | varies |
| Culture fungus (87102) | $166 | $166 | 19.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$27–$108 | $27–$108 | varies |
| Culture stool (87045) | $167 | $167 | 17.7× |
| Culture typing if ea antiserum (87140) | $94 | $94 | 16.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $66 | $66 | 12.7× |
| Culture urine (87086) | $108 | $108 | 13.4× |
| Cystatin C (82610) | $146 | $146 | 7.9× |
| Cytogenetics 10-30 (88273) | $152 | $152 | 4.4× |
| Cytomegalovirus igg (86644) | $220 | $220 | 15.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $133 | $133 | 6.6× |
| Cytopath Cell Enhance Tech (88112) | $218 | $218 | 4.0× |
| Cytopath Fl Nongyn Filter (88106) | $126 | $126 | 4.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $106 | $106 | 4.0× |
| Cytp Concentration Smears & Interpretation (88108) | $147 | $147 | 3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $207 | $207 | 3.8× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$261–$667.47 | $261–$667.47 | varies |
| Detect agnt mult DNA ampli (87801) | $564 | $564 | 8.0× |
| Dgp Antibody Each Ig Class (86258) | $46 | $46 | 3.8× |
| Dhea (82626) | $285 | $285 | 11.3× |
| Dhea-S (82627) | $242 | $242 | 10.9× |
| Dibucaine number (82638) | $186 | $186 | 15.2× |
| Digoxin (80162) | $162 | $162 | 12.2× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$147–$270 | $147–$270 | varies |
| Dna Antibody Single Stranded (86226) | $91 | $91 | 7.5× |
| Drug Screen Quant Zonisamide (80203) | $233 | $233 | 17.6× |
| Drug Screen Quantitative Gabapentin (80171) | $192 | $192 | 8.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $216 | $216 | 16.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $293 | $293 | 22.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $216 | $216 | 16.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$74–$254 | $74–$254 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $163 | $163 | 12.9× |
| Ehrlichia antibody (86666) | $194 | $194 | 19.1× |
| Electrolyte panel (80051) | $111 | $111 | 15.8× |
| Encephaltis East Eqne Anbdy (86652) | $324 | $324 | 24.6× |
| Encephaltis West Eqne Antbdy (86654) | $401 | $401 | 30.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $47 | $47 | 3.9× |
| Enterovirus Antibody (86658) | $177 | $177 | 13.6× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$207–$410 | $207–$410 | varies |
| Estradiol serum (82670) range across 5 matching MRF lines |
$4–$253 | $4–$253 | varies |
| Estriol (82677) | $130 | $130 | 5.4× |
| Estrogen total (82672) | $270 | $270 | 12.4× |
| Estrogens fractionated (82671) | $508 | $508 | 15.7× |
| Exam Synovial Fluid Crystals (89060) | $88 | $88 | 12.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$252–$331 | $252–$331 | varies |
| Factor ix activity (85250) | $630 | $630 | 33.1× |
| Factor v activity (85220) | $332 | $332 | 18.8× |
| Factor v leiden mutation (81241) | $314 | $314 | 4.3× |
| Factor vii assay (85230) | $269 | $269 | 15.0× |
| Factor viii assay (85240) | $349 | $349 | 19.5× |
| Fat stain feces urine/respir secretions (89125) | $66 | $66 | 11.2× |
| Fat/Lipids Feces Quantitative (82710) | $275 | $275 | 16.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $177 | $177 | 23.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $213 | $213 | 32.6× |
| Fecal Fat Qualitative (82705) | $146 | $146 | 28.6× |
| Ferritin (82728) range across 2 matching MRF lines |
$81–$140 | $81–$140 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $197 | $197 | 1.3× |
| Fibrin Degradation Quant (85379) | $160 | $160 | 15.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $175 | $175 | 18.0× |
| Fibrinogen activity (85384) | $178 | $178 | 18.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $178 | $178 | 11.5× |
| Flow cytometry first marker (88184) | $414 | $414 | 1.1× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$122–$185 | $122–$185 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $185 | $185 | 15.4× |
| Folic acid rbc (82747) | $183 | $183 | 10.4× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$119–$150 | $119–$150 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$3–$160 | $3–$160 | varies |
| Francisella tularensis (86668) | $80 | $80 | 5.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $49 | $49 | 0.3× |
| Fungi Identification Mold (87107) | $36 | $36 | 3.5× |
| Fungi Identification Yeast (87106) | $36 | $36 | 3.5× |
| Gammaglobulin ige (82785) range across 6 matching MRF lines |
$33–$99 | $33–$99 | varies |
| Gases blood ph only (82800) | $95 | $95 | 8.6× |
| Gastrin (82941) | $177 | $177 | 10.0× |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$38–$98 | $38–$98 | varies |
| Gentamicin (80170) | $122 | $122 | 7.4× |
| Ggt (82977) | $16 | $16 | 2.2× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$136–$145 | $136–$145 | varies |
| Glucose 2 hr pp (82950) | $60 | $60 | 12.6× |
| Glucose Blood Test (82962) | $72 | $72 | 22.0× |
| Glucose body fluid (82945) | $60 | $60 | 15.3× |
| Glucose Serum (82947) | $60 | $60 | 15.3× |
| Glucose tolerance test (gtt) (82951) range across 6 matching MRF lines |
$163–$178 | $163–$178 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $141 | $141 | 18.8× |
| Gonadotropin releasing hormone (83727) | $410 | $410 | 23.9× |
| Growth hormone (83003) | $74 | $74 | 4.4× |
| Gtt-added samples (82952) | $52 | $52 | 13.3× |
| H Pylori (C-13) Breath (83013) | $244 | $244 | 3.6× |
| Haptoglobin (83010) | $116 | $116 | 9.2× |
| Hdl Cholesterol (83718) | $77 | $77 | 9.4× |
| Heavy metal qualitative any analytes (83015) | $106 | $106 | 5.1× |
| Helicobacter Pylori Stool (87338) | $276 | $276 | 19.2× |
| Hemagglutination Inhibition (86280) | $165 | $165 | 20.1× |
| Hematocrit (85014) | $48 | $48 | 20.3× |
| Hemoglobin (85018) | $48 | $48 | 20.3× |
| Hemoglobin a1c (83036) | $131 | $131 | 13.5× |
| Hemoglobin Chromotography (83021) | $108 | $108 | 6.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$131–$186 | $131–$186 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $149 | $149 | 18.2× |
| Hep a ab igm (86709) | $121 | $121 | 10.7× |
| Hepatitis a antibody total (86708) | $144 | $144 | 11.6× |
| Hepatitis b core ab igm (86705) | $132 | $132 | 11.2× |
| Hepatitis b core ab total (86704) | $121 | $121 | 10.0× |
| Hepatitis B Surface Antibody (86706) | $41 | $41 | 3.8× |
| Hepatitis B Surface Antigen (87340) | $113 | $113 | 10.9× |
| Hepatitis Be Antibody (86707) | $137 | $137 | 11.8× |
| Hepatitis Be Antigen (87350) | $138 | $138 | 12.0× |
| Hepatitis C Antibody (86803) | $158 | $158 | 11.1× |
| Hepatitis c antibody confirmatory test (86804) | $206 | $206 | 13.3× |
| Hepatitis C Genotype (87902) | $958 | $958 | 3.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $267 | $267 | 7.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $642 | $642 | 15.0× |
| Hepatitis delta ag (87380) | $496 | $496 | 27.0× |
| Hepatitis Delta Agent Antibody (86692) | $127 | $127 | 7.4× |
| Herpes simplex type 2 (86696) | $127 | $127 | 6.6× |
| Heterophile Antibody Screen (86308) | $83 | $83 | 16.0× |
| Hfe Gene (81256) | $718 | $718 | 11.0× |
| Hiv Genotype (87901) | $982.40 | $1,228 | 3.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $130 | $130 | 5.4× |
| Hiv-1 Antibody (86701) | $112 | $112 | 12.6× |
| HIV-1 p24 antigen (87390) | $814 | $814 | 33.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $511 | $511 | 6.0× |
| HIV-2 probe&revrse trnscripj (87538) | $393 | $393 | 11.2× |
| Hla class ii typing high resolution one locus ea (81382) | $276 | $276 | 2.2× |
| Hla ii typing 1 locus lr (81376) | $148 | $148 | 1.2× |
| Hla-b27 (86812) | $239 | $239 | 9.3× |
| Homocysteine (83090) | $291 | $291 | 16.2× |
| Hpv High-Risk Types (87624) | $135 | $135 | 3.8× |
| Hpv Types 16 & 18 Only (87625) | $147 | $147 | 3.6× |
| Hsv Dna Amp Probe (87529) | $347 | $347 | 9.9× |
| Hsv Dna Quant (87530) | $351 | $351 | 8.2× |
| Htlv-I Antibody (86687) | $94 | $94 | 10.3× |
| Htlv-ii antibody (86688) | $94 | $94 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $140 | $140 | 5.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $139 | $139 | 3.9× |
| Iaad ia shiga-like toxin (87427) | $197 | $197 | 16.4× |
| Iaad Ia Streptococcus Group A (87430) | $89 | $89 | 5.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $104 | $104 | 8.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $248 | $248 | 7.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $550 | $550 | 15.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $365 | $365 | 5.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $320 | $320 | 7.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $246 | $246 | 7.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $698 | $698 | 19.9× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $147 | $147 | 4.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $105 | $105 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $151 | $151 | 4.3× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $180 | $180 | 6.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $813 | $813 | 3.1× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$67–$241 | $67–$241 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$63–$205 | $63–$205 | varies |
| Immune Complex Assay (86332) | $125 | $125 | 5.1× |
| Immunfix e-phorsis/urine/csf (86335) | $167 | $167 | 5.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$88–$825 | $88–$825 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$42–$138 | $42–$138 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$140–$410 | $140–$410 | varies |
| Immunofixation electrophoresis (86334) | $225 | $225 | 10.1× |
| Immunohistochemistry (88342) | $347 | $347 | 1.9× |
| Inhibin A (86336) | $207 | $207 | 13.3× |
| Inhibin b (83520) range across 9 matching MRF lines |
$64–$241 | $64–$241 | varies |
| Insulin antibodies (86337) range across 3 matching MRF lines |
$759–$979.20 | $759–$1,224 | varies |
| Insulin free (83527) | $191 | $191 | 14.7× |
| Insulin total (83525) | $62 | $62 | 5.4× |
| Interleukin-6 (83529) | $369 | $369 | 21.4× |
| Intrinsic factor antibody (86340) | $179 | $179 | 11.9× |
| Iron (83540) range across 2 matching MRF lines |
$73–$82 | $73–$82 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$76–$91 | $76–$91 | varies |
| Irradiation Blood Product Each Unit (86945) | $122 | $122 | 3.1× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$178–$317 | $178–$317 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $609 | $609 | 6.6× |
| Koh Prep (87220) | $66 | $66 | 15.5× |
| Lactate (ld) (ldh) enzyme (83615) | $70 | $70 | 11.6× |
| Lactoferrin Fecal Quantitative (83631) | $225 | $225 | 11.5× |
| Ldh Isoenzymes (83625) | $106 | $106 | 8.3× |
| LDL direct (83721) | $66 | $66 | 6.3× |
| Lead (83655) | $104 | $104 | 8.6× |
| Legionella antibody (86713) | $123 | $123 | 8.0× |
| Legionella antigen urine (87449) | $104 | $104 | 8.7× |
| Leptospira antibody (86720) | $331 | $331 | 20.4× |
| Leukocyte Assessment Fecal (89055) | $80 | $80 | 18.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $118 | $118 | 3.9× |
| Level ii surg pathology grossµscopic exam (88302) | $141 | $141 | 3.6× |
| Lidocaine (80176) | $202 | $202 | 13.8× |
| Lipase (83690) | $116 | $116 | 16.8× |
| Lipoprotein A (83695) | $95 | $95 | 6.6× |
| Lipoprotein Bld Quan Part (83704) | $81 | $81 | 2.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$77–$828 | $77–$828 | varies |
| Lithium (80178) | $98 | $98 | 14.8× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$139–$140 | $139–$140 | varies |
| Lyme disease antibody (86618) | $165 | $165 | 9.7× |
| M. Genitalium Amp Probe (87563) | $256 | $256 | 7.3× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$39–$66 | $39–$66 | varies |
| Mass Spectrometry Quant (83789) | $201 | $201 | 8.3× |
| Mercury urine (83825) | $239 | $239 | 14.7× |
| Methylmalonic acid serum (83921) | $437 | $437 | 20.6× |
| Microalbumin, quantitative (82043) range across 5 matching MRF lines |
$70–$137 | $70–$137 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$8–$230 | $8–$230 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$22–$144 | $22–$144 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $711 | $711 | 3.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $778 | $778 | 1.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $199 | $199 | 9.3× |
| Molecular Pathology Procedure Level 6 (81405) | $977 | $977 | 3.2× |
| Mopath procedure level 2 (81401) | $509 | $509 | 3.7× |
| Mopath procedure level 4 (81403) | $687 | $687 | 3.7× |
| Mopath procedure level 5 (81404) | $1,502.40 | $1,878 | 5.5× |
| Mopath procedure level 7 (81406) | $982 | $982 | 3.5× |
| Mopath procedure level 8 (81407) | $1,265.60 | $1,582 | 1.5× |
| Mrsa Pcr (87641) | $197 | $197 | 5.6× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $711 | $711 | 3.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $711 | $711 | 1.9× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $711 | $711 | 3.0× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $711 | $711 | 1.1× |
| Mthfr Gene Analysis Common Variants (81291) | $636 | $636 | 9.7× |
| Mumps antibody (86735) | $102 | $102 | 7.8× |
| Muscle-Specific Kinase Antb (86366) | $1,428 | $1,785 | 77.6× |
| Mycobacteric Identification (87118) | $119 | $119 | 8.1× |
| Myelin basic protein csf (83873) | $144 | $144 | 8.4× |
| Myoglobin urine (83874) | $160 | $160 | 12.4× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$259–$283 | $259–$283 | varies |
| Neutralization Test Viral (86382) | $300 | $300 | 17.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 2 matching MRF lines |
$458–$501 | $458–$501 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $614 | $614 | 4.8× |
| Niacin (84591) | $312 | $312 | 18.3× |
| Nk cells total count (86357) | $61 | $61 | 1.6× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$82–$1,825.60 | $82–$2,282 | varies |
| Occult Blood Other Sources (82271) | $63 | $63 | 11.8× |
| Oligoclonal bands (83916) | $135 | $135 | 4.9× |
| Oncoprotein Her-2/Neu (83950) | $773 | $773 | 12.0× |
| Osmolality serum (83930) | $160 | $160 | 24.2× |
| Osmolality Urine (83935) | $160 | $160 | 23.5× |
| Ova and parasites smears (87177) | $119 | $119 | 13.4× |
| Oxalate urine (83945) | $137 | $137 | 9.5× |
| Particle Agglutination Screen Each Antibody (86403) | $130 | $130 | 11.3× |
| Parvovirus antibody (86747) | $111 | $111 | 7.4× |
| Phenobarbital Level (80184) | $174 | $174 | 11.4× |
| Phenylalanine (84030) | $175 | $175 | 31.8× |
| Phenytoin (Dilantin) (80185) | $173 | $173 | 13.1× |
| Phenytoin free (80186) | $73 | $73 | 5.3× |
| Phosphatase acid prostatic (84066) | $104 | $104 | 10.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$71–$138 | $71–$138 | varies |
| Phosphorus Serum (84100) | $57 | $57 | 12.0× |
| Phosphorus urine (84105) | $40 | $40 | 6.9× |
| Pinworm exam (87172) | $38 | $38 | 8.9× |
| Platelet Aggregation (85576) | $293 | $293 | 11.8× |
| Platelet Antibodies (86022) | $333 | $333 | 18.1× |
| Platelet count automated (85049) | $79 | $79 | 17.6× |
| Platelet neutralization (85597) | $272 | $272 | 15.1× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $711 | $711 | 3.5× |
| Pms2 gene full seq analysis (81317) | $939 | $939 | 1.4× |
| Porphobilinogen, urine; quantitative (84110) | $149 | $149 | 17.7× |
| Potassium Urine (84133) | $70 | $70 | 14.8× |
| Prealbumin (84134) | $117 | $117 | 8.0× |
| Pregnenolone (84140) | $152 | $152 | 7.4× |
| Primidone (80188) | $205 | $205 | 12.4× |
| Procalcitonin (Pct) (84145) | $413 | $413 | 15.2× |
| Progesterone (84144) | $155 | $155 | 7.4× |
| Prolactin (84146) range across 3 matching MRF lines |
$9–$228 | $9–$228 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$57–$264 | $57–$264 | varies |
| Protein C Activity (85303) | $177 | $177 | 12.8× |
| Protein c antigen (85302) | $213 | $213 | 17.7× |
| Protein Electrophoresis Urine (84166) | $146 | $146 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $150 | $150 | 14.0× |
| Protein S Free (85306) range across 3 matching MRF lines |
$258–$349 | $258–$349 | varies |
| Protein s total (85305) | $206 | $206 | 17.7× |
| Protein total serum (84155) | $71 | $71 | 19.3× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$22–$71 | $22–$71 | varies |
| PSA free (84154) | $282 | $282 | 15.3× |
| Pth Intact (83970) | $263 | $263 | 6.4× |
| Q Fever Antibody (86638) | $117 | $117 | 9.7× |
| Quantiferon tb gold plus (86480) | $376 | $376 | 6.1× |
| Quantitative assay drug (80299) | $224 | $224 | 12.0× |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$106–$482 | $106–$482 | varies |
| Rbc antibody elution (86860) | $185 | $185 | 1.0× |
| Rbc antibody identification (86870) | $206 | $206 | 0.5× |
| Rbc antibody screen (86850) | $129 | $129 | 13.2× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $67 | $67 | 0.9× |
| Renin activity plasma (84244) | $236 | $236 | 10.7× |
| Resp virus 12-25 targets (87633) | $684 | $684 | 1.6× |
| Resp Virus 6-11 Targets (87632) | $661 | $661 | 3.0× |
| Rh (86901) | $94 | $94 | 31.4× |
| Rheumatoid Factor Qualitative (86430) | $80 | $80 | 13.0× |
| Rheumatoid factor quant (86431) | $90 | $90 | 15.9× |
| Rickettsia antibody (86757) | $243 | $243 | 12.6× |
| Ristocetin cofactor (85245) | $342 | $342 | 14.9× |
| Rotavirus ag eia (87425) | $158 | $158 | 13.2× |
| Rpr qualitative (86592) | $157 | $157 | 36.8× |
| Rsv Assay W/Optic (87807) | $116 | $116 | 8.9× |
| Rubella Antibody (86762) | $107 | $107 | 7.4× |
| Rubeola antibody (86765) | $114 | $114 | 8.9× |
| Russell Viper Venom Time Diluted (85613) | $134 | $134 | 14.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $197 | $197 | 3.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $126 | $126 | 3.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $137 | $137 | 3.3× |
| Sedimentation rate (85651) | $62 | $62 | 14.5× |
| Selenium (84255) | $150 | $150 | 5.9× |
| Semen Anal Sperm Detection (89321) | $112 | $112 | 9.3× |
| Semen analysis motility and count (89310) | $71 | $71 | 8.2× |
| Sensitivity mic (87186) | $117 | $117 | 13.5× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$5–$37 | $5–$37 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$15–$67 | $15–$67 | varies |
| Skin test tuberculosis intradermal (86580) | $35 | $35 | 1.1× |
| Smear acid fast (87206) | $84 | $84 | 15.6× |
| Smear gram stain (87205) | $67 | $67 | 15.7× |
| Smear Special Stain (87207) | $67 | $67 | 11.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $87 | $87 | 14.9× |
| Sodium Serum (84295) | $65 | $65 | 13.5× |
| Sodium Urine (84300) | $82 | $82 | 16.2× |
| Soluble Transferrin Receptor (84238) | $174 | $174 | 4.8× |
| Somatomedin (84305) | $89 | $89 | 4.2× |
| Special Stains Group 1 (88312) | $188 | $188 | 3.4× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$226–$259 | $226–$259 | varies |
| Specimen infect agnt concntj (87015) | $64 | $64 | 9.6× |
| Spectrophotometry (84311) | $106 | $106 | 13.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $132 | $132 | 0.7× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$82–$94 | $82–$94 | varies |
| Strep a assay w/optic (87880) | $91 | $91 | 5.5× |
| Strep a DNA amp probe (87651) | $114 | $114 | 3.2× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$15–$248 | $15–$248 | varies |
| Surg path level iii (88304) | $204 | $204 | 3.7× |
| Surgical pathology level IV (88305) | $235 | $235 | 4.3× |
| Surgical pathology level vi (88309) | $517 | $517 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $137 | $137 | 28.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $67 | $67 | 9.0× |
| Syphilis Test Non-Trep Quant (86593) | $105 | $105 | 23.9× |
| T cells absolute cd4 count (86361) | $197 | $197 | 7.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $173 | $173 | 3.7× |
| T cells total count (86359) | $173 | $173 | 4.6× |
| T3 Free (84481) range across 3 matching MRF lines |
$10–$214 | $10–$214 | varies |
| T3 reverse (84482) | $241 | $241 | 15.3× |
| T3 Total (84480) | $137 | $137 | 9.7× |
| T3 Uptake (84479) | $131 | $131 | 20.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$108–$121 | $108–$121 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$10–$131 | $10–$131 | varies |
| Tacrolimus (80197) | $308 | $308 | 22.4× |
| Test for acetone/ketones (82009) | $93 | $93 | 20.6× |
| Testosterone total (84403) range across 5 matching MRF lines |
$4–$218 | $4–$218 | varies |
| Testosterone, Free (84402) | $602 | $602 | 23.6× |
| Tetanus antibody (86774) | $152 | $152 | 10.3× |
| Theophylline (80198) | $171 | $171 | 12.1× |
| Thrombin Time (85670) | $165 | $165 | 28.6× |
| Thyroglobulin (84432) | $127 | $127 | 7.9× |
| Thyroglobulin Antibody (86800) | $139 | $139 | 8.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $440 | $440 | 8.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $59 | $59 | 5.1× |
| Tissue Culture Lymphocyte (88230) | $545 | $545 | 4.7× |
| Topiramate (80201) | $181 | $181 | 15.2× |
| Toxoplasma antibody (86777) | $114 | $114 | 7.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $81 | $81 | 15.6× |
| Transferrin (84466) | $142 | $142 | 11.1× |
| Trichomonas Vaginalis Amplif (87661) | $274 | $274 | 7.8× |
| Triglycerides (84478) | $80 | $80 | 13.9× |
| Troponin Quant (84484) | $239 | $239 | 19.2× |
| Urea nitrogen urine (84540) | $63 | $63 | 11.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$73–$83 | $73–$83 | varies |
| Urinalysis Microscopic Only (81015) | $46 | $46 | 15.1× |
| Urinalysis Volume Measure (81050) | $31 | $31 | 8.5× |
| Urine Bacteria Culture (87088) | $98 | $98 | 12.1× |
| Valproic acid (80164) | $179 | $179 | 13.2× |
| Vancomycin (80202) | $194 | $194 | 14.3× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$171–$207 | $171–$207 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$126–$378 | $126–$378 | varies |
| Viral Culture (87252) | $310 | $310 | 11.9× |
| Virus antibody nos (86790) | $249 | $249 | 19.3× |
| Virus inoculation, shell via (87254) | $147 | $147 | 7.5× |
| Viscosity serum (85810) | $98 | $98 | 8.4× |
| Vit D 1 25-Dihydroxy (82652) | $273 | $273 | 7.1× |
| Vitamin A (84590) | $220 | $220 | 18.9× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$3–$168 | $3–$168 | varies |
| Vitamin B6 (84207) | $97 | $97 | 3.5× |
| Vitamin c (82180) | $130 | $130 | 13.1× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$10–$218 | $10–$218 | varies |
| Vitamin E (84446) | $221 | $221 | 15.6× |
| Vitamin K (84597) | $391 | $391 | 28.5× |
| Von willebrand factor ag (85246) | $374 | $374 | 16.3× |
| Wbc Alkaline Phosphatase Count (85540) | $238 | $238 | 27.7× |
| West nile virus ab igm (86788) | $99 | $99 | 5.9× |
| West Nile Virus Antibody (86789) | $99 | $99 | 6.9× |
| Western Blot Test (84181) | $338 | $338 | 19.8× |
| Zinc (84630) | $200 | $200 | 17.6× |
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.