Lab & pathology prices at Knox County Hospital
Knox City, TX · every code in this section with a posted price and a Medicare benchmark.
450 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) | $650 | $650 | 35.3× |
| Acetylcholine receptor blocking antibody (86042) | $650 | $650 | 35.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $650 | $650 | 53.9× |
| Acth (82024) | $120 | $120 | 3.1× |
| Acute hepatitis panel (80074) | $175 | $175 | 3.7× |
| Albumin serum (82040) | $70 | $70 | 14.1× |
| Aldolase (82085) | $80 | $80 | 8.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$108–$210 | $108–$210 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$40–$60 | $40–$60 | varies |
| Allergen specific ige (86003) range across 27 matching MRF lines |
$25–$80 | $25–$80 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $78 | $78 | 5.4× |
| Alpha-1-antitrypsin total (82103) | $80 | $80 | 6.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $70 | $70 | 4.1× |
| Alpha-Fetoprotein Serum (82105) | $80 | $80 | 4.8× |
| Alt (sgpt) (84460) | $50 | $50 | 9.4× |
| Amikacin trough (80150) | $100 | $100 | 6.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $100 | $100 | 4.4× |
| Ammonia (82140) | $80 | $80 | 5.5× |
| Amylase urine (82150) | $80 | $80 | 12.3× |
| Androstenedione (82157) | $100 | $100 | 3.4× |
| Angiotensin converting enzyme csf (82164) range across 5 matching MRF lines |
$39–$95 | $39–$95 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 7 matching MRF lines |
$53–$55 | $53–$55 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 4 matching MRF lines |
$60–$100 | $60–$100 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $66 | $66 | 4.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$65–$90 | $65–$90 | varies |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$45–$100 | $45–$100 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $75 | $75 | 5.5× |
| Antibody HIV-2 (86702) | $73 | $73 | 5.4× |
| Antibody identification leukocyte antibodies (86021) | $58 | $58 | 3.9× |
| Antibody Protozoa Nes (86753) | $56 | $56 | 4.5× |
| Antibody Treponema Pallidum (86780) | $50 | $50 | 3.8× |
| Antigen typing (86905) | $752 | $752 | 196.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$381–$500 | $381–$500 | varies |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$105–$220 | $105–$220 | varies |
| Antistreptolysin o titer (86060) | $45 | $45 | 6.2× |
| Antithrombin iii antigen (85301) | $63 | $63 | 5.8× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$175–$300 | $175–$300 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$90–$518 | $90–$518 | varies |
| Assay Blood Carbon Dioxide (82374) | $47 | $47 | 9.6× |
| Assay myeloperoxidase (83876) | $150 | $150 | 2.9× |
| Assay Nephelometry Not Spec (83883) | $100 | $100 | 7.4× |
| Assay of 5-hiaa (83497) | $70 | $70 | 5.4× |
| Assay of blood/uric acid (84550) | $50 | $50 | 11.1× |
| Assay of calcium in urine (82340) | $40 | $40 | 6.6× |
| Assay of cpk in blood (82552) | $94 | $94 | 7.0× |
| Assay of estrone (82679) | $100 | $100 | 4.0× |
| Assay of g6pd enzyme (82955) | $120 | $120 | 12.4× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$75–$84 | $75–$84 | varies |
| Assay of lactic acid (83605) | $70 | $70 | 6.1× |
| Assay of metanephrines (83835) | $100 | $100 | 5.9× |
| Assay of phosphatase acid total (84060) | $42 | $42 | 5.5× |
| Assay of procainamide (80190) | $159 | $159 | 2.7× |
| Assay of proinsulin (84206) | $72 | $72 | 2.7× |
| Assay of serotonin (84260) | $110 | $110 | 3.6× |
| Assay of serum potassium (84132) | $40 | $40 | 8.4× |
| Assay of sweat sodium (84302) | $18 | $18 | 3.7× |
| Assay of transcortin (84449) | $330 | $330 | 18.3× |
| Assay of urea nitrogen (84520) | $38 | $38 | 9.6× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$77–$90 | $77–$90 | varies |
| Assay of vitamin b-1 (84425) | $57 | $57 | 2.7× |
| Assay Ph Body Fluid Nos (83986) | $32 | $32 | 8.9× |
| Automated Leukocyte Count (85048) | $25 | $25 | 9.8× |
| B cells total count (86355) range across 2 matching MRF lines |
$622–$1,500 | $622–$1,500 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $100 | $100 | 3.9× |
| Beta hydroxybutyrate (82010) | $29 | $29 | 3.5× |
| Beta-2 Microglobulin (82232) | $33 | $33 | 2.0× |
| Bile acids total (82239) | $50 | $50 | 2.9× |
| Bilirubin direct (82248) | $52 | $52 | 10.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$29–$40 | $29–$40 | varies |
| Bleeding time test (85002) | $42 | $42 | 8.7× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $31 | $31 | 6.1× |
| Blood Count Red Blood Cell Automated (85041) | $18 | $18 | 6.0× |
| Blood count reticulocyte automated (85045) | $50 | $50 | 12.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$11–$50 | $11–$50 | varies |
| Blood gases w/02 saturation (82805) | $209 | $209 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36 | $36 | 8.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $752 | $752 | 118.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $89 | $89 | 5.4× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$150–$289 | $150–$289 | varies |
| Body fluid cell count (89050) | $40 | $40 | 8.5× |
| Bordetella antibody (86615) | $122 | $122 | 9.2× |
| Brca1&2 gen full seq dup/del (81162) | $5,000 | $5,000 | 2.7× |
| Brucella antibody (86622) | $52 | $52 | 5.8× |
| C-Peptide (84681) | $100 | $100 | 4.8× |
| C-reactive protein (86140) | $105 | $105 | 20.3× |
| Ca 19-9 (86301) | $56 | $56 | 2.7× |
| Calcium ionized (82330) | $80 | $80 | 5.8× |
| Calcium total (82310) | $100 | $100 | 19.4× |
| Calculus Xray Diffraction (82370) | $52 | $52 | 4.2× |
| Calprotectin Fecal (83993) | $80 | $80 | 4.1× |
| Cancer Antigen 27.29 (86300) | $110 | $110 | 5.3× |
| Carbamazepine total (80156) | $90 | $90 | 6.2× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$53–$75 | $53–$75 | varies |
| Carcinoembryonic antigen (82378) | $90 | $90 | 4.7× |
| Cardiolipin ab iga (86147) | $84 | $84 | 3.3× |
| Catecholamines fractionated (82384) | $150 | $150 | 5.9× |
| Ccp antibody (86200) | $70 | $70 | 5.4× |
| Cell count csf (89051) range across 2 matching MRF lines |
$55–$67 | $55–$67 | varies |
| Ceruloplasmin (82390) | $70 | $70 | 6.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$80–$250 | $80–$250 | varies |
| Chlamydia antibody (86631) | $150 | $150 | 12.7× |
| Chlamydia Igm Antibody (86632) | $150 | $150 | 11.8× |
| Chloride Serum (82435) | $40 | $40 | 8.7× |
| Chloride urine (82436) | $40 | $40 | 7.0× |
| Chlorinated Hydrocarbons Screen (82441) | $80 | $80 | 13.3× |
| Cholesterol total (82465) | $40 | $40 | 9.2× |
| Cholinesterase rbc (82482) | $50 | $50 | 5.1× |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$100–$109 | $100–$109 | varies |
| Chromium serum (82495) | $66 | $66 | 3.3× |
| Chromogranin a (86316) range across 4 matching MRF lines |
$56–$133 | $56–$133 | varies |
| Chromosome Analysis 15-20 (88262) | $333 | $333 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$93–$95 | $93–$95 | varies |
| Ckmb (82553) | $123 | $123 | 10.6× |
| Clostridium Difficile (87324) | $90 | $90 | 7.5× |
| Clotting factor viii related antigen (85244) | $65 | $65 | 3.2× |
| Cold agglutinin titer (86157) | $44 | $44 | 5.5× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$141–$462 | $141–$462 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$150–$500 | $150–$500 | varies |
| Compatibility Each Unit Incubation (86921) | $381 | $381 | 2.2× |
| Compatibility test antiglob (86922) | $381 | $381 | 2.2× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$32–$130 | $32–$130 | varies |
| Complement Fixation Tests Each Antigen (86171) | $40 | $40 | 4.0× |
| Complement Total (Ch50) (86162) | $100 | $100 | 4.9× |
| Complement/Function Activity (86161) | $35 | $35 | 2.9× |
| Coombs direct (86880) | $89 | $89 | 16.5× |
| Copper urine (82525) | $83 | $83 | 6.7× |
| Cortisol free (82530) | $100 | $100 | 6.0× |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$80–$130 | $80–$130 | varies |
| Creatine kinase total (82550) | $50 | $50 | 7.7× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$36–$50 | $36–$50 | varies |
| Creatinine clearance (82575) | $90 | $90 | 9.5× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$40–$50 | $40–$50 | varies |
| Crossmatch immediate spin (86920) | $381 | $381 | 2.2× |
| Crp High Sensitivity (86141) | $160 | $160 | 12.4× |
| Cryoglobulin (82595) | $60 | $60 | 9.3× |
| Cryptococcus ab (86641) | $77 | $77 | 5.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $42 | $42 | 5.2× |
| Culture afb (87116) | $70 | $70 | 6.5× |
| Culture blood (87040) | $70 | $70 | 6.8× |
| Culture chlamydia (87110) | $52 | $52 | 2.7× |
| Culture csf (87070) range across 8 matching MRF lines |
$90–$92 | $90–$92 | varies |
| Culture fungus (87102) | $90 | $90 | 10.7× |
| Culture fungus blood (87103) | $60 | $60 | 2.9× |
| Culture screen only (87081) | $60 | $60 | 9.0× |
| Culture stool (87045) | $27 | $27 | 2.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $70 | $70 | 13.5× |
| Culture urine (87086) | $70 | $70 | 8.7× |
| Cyclosporine (80158) | $90 | $90 | 5.0× |
| Cystatin C (82610) | $80 | $80 | 4.3× |
| Cytogenetics 100-300 (88275) | $420 | $420 | 8.2× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$52–$70 | $52–$70 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $89 | $89 | 2.4× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $41 | $41 | 2.2× |
| Deoxycortisol (82634) | $80 | $80 | 2.7× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$93–$141 | $93–$141 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$150–$180 | $150–$180 | varies |
| Dhea (82626) | $80 | $80 | 3.2× |
| Dhea-S (82627) | $221 | $221 | 9.9× |
| Digoxin (80162) | $100 | $100 | 7.5× |
| Diphtheria antitoxoid (86648) | $60 | $60 | 3.9× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$105–$250 | $105–$250 | varies |
| Drug assay acetaminophen (80143) | $100 | $100 | 5.4× |
| Drug Screen Quant Zonisamide (80203) | $225 | $225 | 17.0× |
| Drug Screen Quantitative Gabapentin (80171) | $157 | $157 | 7.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $125 | $125 | 9.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $53 | $53 | 4.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$55–$276 | $55–$276 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 3 matching MRF lines |
$55–$60 | $55–$60 | varies |
| Egfr Gene Analysis Common Variants (81235) | $861 | $861 | 2.7× |
| Electrolyte panel (80051) | $100 | $100 | 14.3× |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) | $200 | $200 | 2.9× |
| Enterovirus Antibody (86658) | $250 | $250 | 19.2× |
| Enterovirus PCR (87498) | $116 | $116 | 3.3× |
| Erythropoietin (82668) | $70 | $70 | 3.7× |
| Estradiol serum (82670) | $150 | $150 | 5.4× |
| Estrogen total (82672) | $70 | $70 | 3.2× |
| Ethosuximide (80168) range across 3 matching MRF lines |
$44–$90 | $44–$90 | varies |
| Euglobulin lysis (85360) | $50 | $50 | 5.9× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$20–$26 | $20–$26 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$175–$316 | $175–$316 | varies |
| Factor ix activity (85250) | $75 | $75 | 3.9× |
| Factor v leiden mutation (81241) | $200 | $200 | 2.7× |
| Factor viii assay (85240) | $150 | $150 | 8.4× |
| Fat stain feces urine/respir secretions (89125) | $16 | $16 | 2.7× |
| Fat/Lipids Feces Quantitative (82710) | $55 | $55 | 3.3× |
| Ferritin (82728) | $100 | $100 | 7.3× |
| Fetal Chrmoml Aneuploidy (81420) | $1,500 | $1,500 | 2.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $130 | $130 | 0.8× |
| Fibrin Degradation Quant (85379) | $90 | $90 | 8.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $100 | $100 | 10.3× |
| Fibrinogen activity (85384) | $69 | $69 | 7.1× |
| Flow cytometry first marker (88184) | $200 | $200 | 0.6× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$33–$650 | $33–$650 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 13 matching MRF lines |
$73–$150 | $73–$150 | varies |
| Folic acid rbc (82747) | $100 | $100 | 5.7× |
| Folic Acid Serum (82746) | $140 | $140 | 9.5× |
| Follicle Stimulating Hormone (83001) | $85 | $85 | 4.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $315 | $315 | 1.8× |
| Fungi Identification Mold (87107) | $60 | $60 | 5.8× |
| Fungi Identification Yeast (87106) | $60 | $60 | 5.8× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$100–$672 | $100–$672 | varies |
| Gases blood ph only (82800) | $30 | $30 | 2.7× |
| Gastrin (82941) | $85 | $85 | 4.8× |
| Gentamicin (80170) | $60 | $60 | 3.7× |
| Ggt (82977) | $128 | $128 | 17.8× |
| Giardia antigen (87329) | $60 | $60 | 5.0× |
| Glucose 2 hr pp (82950) | $40 | $40 | 8.4× |
| Glucose Blood Test (82962) | $42 | $42 | 12.8× |
| Glucose body fluid (82945) | $35 | $35 | 8.9× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$38–$40 | $38–$40 | varies |
| Glucose tolerance test (gtt) (82951) | $85 | $85 | 6.6× |
| Glycated Protein (82985) | $100 | $100 | 6.0× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $60 | $60 | 3.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$33–$60 | $33–$60 | varies |
| Growth hormone (83003) | $50 | $50 | 3.0× |
| Gtt-added samples (82952) | $40 | $40 | 10.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$34–$122 | $34–$122 | varies |
| Hdl Cholesterol (83718) | $84 | $84 | 10.3× |
| Heavy metal qualitative any analytes (83015) | $120 | $120 | 5.7× |
| Helicobacter Pylori Stool (87338) | $46 | $46 | 3.2× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $200 | $200 | 3.0× |
| Hematocrit (85014) | $31 | $31 | 13.1× |
| Hemoglobin (85018) | $26 | $26 | 11.0× |
| Hemoglobin a1c (83036) | $99 | $99 | 10.2× |
| Hemoglobin Chromotography (83021) | $105 | $105 | 5.8× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$33–$65 | $33–$65 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $85 | $85 | 10.4× |
| Hemoglobin plasma (83051) | $45 | $45 | 6.2× |
| Hemoglobin urine (83069) | $20 | $20 | 5.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $30 | $30 | 3.4× |
| Hemosiderin urine (83070) | $40 | $40 | 8.4× |
| Hep a ab igm (86709) | $58 | $58 | 5.2× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$55–$65 | $55–$65 | varies |
| Hepatitis b core ab igm (86705) | $60 | $60 | 5.1× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$33–$60 | $33–$60 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$52–$105 | $52–$105 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$60–$74 | $60–$74 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$83–$100 | $83–$100 | varies |
| Hepatitis c antibody confirmatory test (86804) | $140 | $140 | 9.0× |
| Hepatitis C Genotype (87902) | $683 | $683 | 2.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $110 | $110 | 3.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $114 | $114 | 2.7× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $950 | $950 | 0.7× |
| Heterophile antibodies titer (86309) | $33 | $33 | 5.1× |
| Heterophile Antibody Screen (86308) | $37 | $37 | 7.1× |
| Hfe Gene (81256) | $174 | $174 | 2.7× |
| Histamine urine (83088) | $80 | $80 | 2.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $100 | $100 | 4.2× |
| Hiv-1 Antibody (86701) | $73 | $73 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,500 | $1,500 | 17.6× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$100–$120 | $100–$120 | varies |
| Homocysteine (83090) | $100 | $100 | 5.6× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$93–$413 | $93–$413 | varies |
| Hydroxycorticosteroids 17 (83491) | $86 | $86 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $96 | $96 | 3.5× |
| Hydroxyproline total (83505) | $100 | $100 | 4.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $500 | $500 | 14.2× |
| Iaad ia shiga-like toxin (87427) | $32 | $32 | 2.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $90 | $90 | 7.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $154 | $154 | 4.4× |
| Iadna Cytomegalovirus Quantification (87497) | $300 | $300 | 7.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $125 | $125 | 2.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $110 | $110 | 3.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $258 | $258 | 7.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$93–$116 | $93–$116 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $110 | $110 | 3.7× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$48–$70 | $48–$70 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $145 | $145 | 4.9× |
| Immunoassay analyte qual/semiqual single step (83518) | $100 | $100 | 10.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$120–$200 | $120–$200 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 30 matching MRF lines |
$40–$125 | $40–$125 | varies |
| Immunoassay nonantibody (83516) range across 11 matching MRF lines |
$44–$105 | $44–$105 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 3 matching MRF lines |
$50–$90 | $50–$90 | varies |
| Immunodiffusion Ouchterlony (86331) | $100 | $100 | 8.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $100 | $100 | 4.3× |
| Immunofixation electrophoresis (86334) | $130 | $130 | 5.8× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$46–$70 | $46–$70 | varies |
| Inhibin A (86336) | $46 | $46 | 3.0× |
| Inhibin b (83520) range across 6 matching MRF lines |
$75–$200 | $75–$200 | varies |
| Insulin antibodies (86337) | $80 | $80 | 3.7× |
| Insulin total (83525) | $100 | $100 | 8.7× |
| Iron (83540) | $60 | $60 | 9.3× |
| Iron Binding Capacity (83550) | $89 | $89 | 10.2× |
| Islet cell antibody (86341) | $63 | $63 | 2.7× |
| Ketosteroids 17 total (83586) | $70 | $70 | 5.5× |
| Koh Prep (87220) | $33 | $33 | 7.7× |
| Lactate (ld) (ldh) enzyme (83615) | $163 | $163 | 27.0× |
| Lactoferrin Fecal Quantitative (83631) | $120 | $120 | 6.1× |
| Ldh Isoenzymes (83625) | $63 | $63 | 4.9× |
| LDL direct (83721) range across 2 matching MRF lines |
$100–$331 | $100–$331 | varies |
| Lead (83655) | $40 | $40 | 3.3× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$32–$195 | $32–$195 | varies |
| Lipase (83690) | $77 | $77 | 11.2× |
| Lipoprotein A (83695) | $100 | $100 | 7.0× |
| Lipoprotein Bld Quan Part (83704) | $300 | $300 | 8.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $47 | $47 | 4.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $100 | $100 | 3.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $123 | $123 | 2.7× |
| Listeria Monocytogenes (86723) | $70 | $70 | 5.3× |
| Lithium (80178) | $58 | $58 | 8.8× |
| Liver ds alys 3 bmrk srm alg (81517) range across 3 matching MRF lines |
$33–$1,000 | $33–$1,000 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$50–$80 | $50–$80 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$70–$107 | $70–$107 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$68–$100 | $68–$100 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$95–$400 | $95–$400 | varies |
| Microalbumin, quantitative (82043) | $81 | $81 | 14.0× |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$52–$4,700 | $52–$4,700 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $300 | $300 | 14.0× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$33–$364 | $33–$364 | varies |
| Mopath procedure level 4 (81403) | $491 | $491 | 2.7× |
| Mrsa Pcr (87641) | $168 | $168 | 4.8× |
| Mumps antibody (86735) | $70 | $70 | 5.4× |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$100–$120 | $100–$120 | varies |
| Mycoplasma culture (87109) | $75 | $75 | 4.9× |
| Myoglobin urine (83874) | $80 | $80 | 6.2× |
| Natriuretic peptide (83880) | $105 | $105 | 2.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $340 | $340 | 2.7× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $683 | $683 | 2.7× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$48–$140 | $48–$140 | varies |
| Occult blood feces (82272) range across 3 matching MRF lines |
$36–$108 | $36–$108 | varies |
| Occult Blood Other Sources (82271) | $26 | $26 | 4.9× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $1,086 | $1,086 | 4.2× |
| Oncoprotein dcp (83951) | $400 | $400 | 6.2× |
| Organic acids urine (83918) | $125 | $125 | 5.3× |
| Osmolality serum (83930) | $63 | $63 | 9.5× |
| Osmolality Urine (83935) | $50 | $50 | 7.3× |
| Osmotic fragility rbc incubated (85557) | $36 | $36 | 2.7× |
| Ova and parasites smears (87177) | $90 | $90 | 10.1× |
| Particle Agglutination Screen Each Antibody (86403) | $74 | $74 | 6.4× |
| Parvovirus antibody (86747) | $100 | $100 | 6.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$8–$31 | $8–$31 | varies |
| Phenobarbital Level (80184) | $60 | $60 | 3.9× |
| Phenylalanine (84030) | $85 | $85 | 15.5× |
| Phenytoin (Dilantin) (80185) | $100 | $100 | 7.5× |
| Phenytoin free (80186) | $80 | $80 | 5.8× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$33–$53 | $33–$53 | varies |
| Phosphorus Serum (84100) | $40 | $40 | 8.4× |
| Platelet Aggregation (85576) | $67 | $67 | 2.7× |
| Platelet count automated (85049) | $44 | $44 | 9.8× |
| Platelet neutralization (85597) | $120 | $120 | 6.7× |
| Potassium Urine (84133) | $42 | $42 | 8.9× |
| Prealbumin (84134) | $79 | $79 | 5.4× |
| Pregnenolone (84140) | $100 | $100 | 4.8× |
| Primidone (80188) | $75 | $75 | 4.5× |
| Procalcitonin (Pct) (84145) | $100 | $100 | 3.7× |
| Progesterone (84144) | $120 | $120 | 5.8× |
| Prolactin (84146) | $100 | $100 | 5.2× |
| Protein body fluid (84157) | $29 | $29 | 7.3× |
| Protein c antigen (85302) | $100 | $100 | 8.3× |
| Protein Electrophoresis Urine (84166) | $90 | $90 | 5.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$71–$80 | $71–$80 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$80–$90 | $80–$90 | varies |
| Protein s total (85305) | $80 | $80 | 6.9× |
| Protein total serum (84155) | $35 | $35 | 9.5× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$35–$40 | $35–$40 | varies |
| Protoporphyrin rbc quantitative (84202) | $50 | $50 | 3.5× |
| PSA free (84154) | $100 | $100 | 5.4× |
| Pth Intact (83970) | $110 | $110 | 2.7× |
| Q Fever Antibody (86638) | $35 | $35 | 2.9× |
| Quantiferon tb gold plus (86480) | $200 | $200 | 3.2× |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$50–$200 | $50–$200 | varies |
| Quinidine (80194) | $80 | $80 | 5.5× |
| Renin activity plasma (84244) | $180 | $180 | 8.2× |
| Resp virus 12-25 targets (87633) range across 18 matching MRF lines |
$1,105–$1,200 | $1,105–$1,200 | varies |
| Reticulocyte Count Manual (85044) | $42 | $42 | 9.7× |
| Rh (86901) | $89 | $89 | 29.8× |
| Rheumatoid Factor Qualitative (86430) | $45 | $45 | 7.3× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$16–$25 | $16–$25 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$52–$160 | $52–$160 | varies |
| Ristocetin cofactor (85245) | $65 | $65 | 2.8× |
| Rotavirus ag eia (87425) | $80 | $80 | 6.7× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$33–$50 | $33–$50 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$43–$65 | $43–$65 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$68–$70 | $68–$70 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$65–$300 | $65–$300 | varies |
| Russell Viper Venom Time Diluted (85613) | $141 | $141 | 14.7× |
| Salmonella antibody (86768) | $35 | $35 | 2.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $150 | $150 | 2.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $150 | $150 | 3.6× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $50 | $50 | 1.2× |
| Sedimentation rate (85651) | $42 | $42 | 9.8× |
| Sedimentation Rate, Automated (85652) | $90 | $90 | 33.3× |
| Sensitivity mic (87186) | $60 | $60 | 6.9× |
| Sex Hormone Binding Globulin (84270) | $150 | $150 | 6.9× |
| Shigella Antibody (86771) | $65 | $65 | 2.7× |
| Sickling of rbc reduction (85660) | $40 | $40 | 7.3× |
| Skin test tuberculosis intradermal (86580) | $61 | $61 | 2.1× |
| Smear acid fast (87206) | $47 | $47 | 8.7× |
| Smear gram stain (87205) range across 5 matching MRF lines |
$43–$47 | $43–$47 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$45–$47 | $45–$47 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $37 | $37 | 6.4× |
| Sodium Serum (84295) | $46 | $46 | 9.6× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$36–$40 | $36–$40 | varies |
| Somatomedin (84305) | $100 | $100 | 4.7× |
| Spectrophotometry (84311) | $70 | $70 | 8.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$28–$150 | $28–$150 | varies |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$74–$77 | $74–$77 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $80 | $80 | 6.9× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$33–$150 | $33–$150 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $125 | $125 | 2.7× |
| T3 Free (84481) | $100 | $100 | 5.9× |
| T3 reverse (84482) | $105 | $105 | 6.7× |
| T3 Total (84480) | $145 | $145 | 10.2× |
| T3 Uptake (84479) | $60 | $60 | 9.3× |
| T4 Free (84439) | $80 | $80 | 8.9× |
| T4 total (84436) | $65 | $65 | 9.5× |
| Tacrolimus (80197) | $110 | $110 | 8.0× |
| Test for acetone/ketones (82009) | $33 | $33 | 7.3× |
| Testosterone total (84403) | $100 | $100 | 3.9× |
| Testosterone, Free (84402) | $100 | $100 | 3.9× |
| Theophylline (80198) | $80 | $80 | 5.7× |
| Thrombin Time (85670) | $40 | $40 | 6.9× |
| Thromboplastin Inhibition Tissue (85705) | $80 | $80 | 8.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $100 | $100 | 15.5× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$63–$110 | $63–$110 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$63–$130 | $63–$130 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $135 | $135 | 2.7× |
| Tissue Culture Lymphocyte (88230) | $309 | $309 | 2.7× |
| Tobramycin peak (80200) | $60 | $60 | 3.7× |
| Topiramate (80201) | $120 | $120 | 10.1× |
| Toxoplasma ab igm (86778) | $69 | $69 | 4.8× |
| Toxoplasma antibody (86777) | $50 | $50 | 3.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48 | $48 | 9.3× |
| Transferrin (84466) | $100 | $100 | 7.8× |
| Trichomonas Vaginalis Amplif (87661) | $93 | $93 | 2.7× |
| Triglycerides (84478) | $58 | $58 | 10.1× |
| Troponin Quant (84484) | $125 | $125 | 10.0× |
| Urea nitrogen urine (84540) | $50 | $50 | 9.0× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$39–$50 | $39–$50 | varies |
| Urinalysis Volume Measure (81050) | $18 | $18 | 4.9× |
| Urine Albumin Semiquantitative (82044) | $55 | $55 | 8.8× |
| Urine Pregnancy Test (81025) | $60 | $60 | 7.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $42 | $42 | 13.2× |
| Urobilinogen urine qual (84578) | $13 | $13 | 2.9× |
| Valproic acid (80164) | $90 | $90 | 6.6× |
| Vancomycin (80202) | $100 | $100 | 7.4× |
| Varicella-zoster antibody (86787) range across 6 matching MRF lines |
$35–$100 | $35–$100 | varies |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$94–$100 | $94–$100 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$57–$92 | $57–$92 | varies |
| Vitamin b-12 (82607) | $85 | $85 | 5.6× |
| Vitamin B6 (84207) | $80 | $80 | 2.8× |
| Vitamin c (82180) | $52 | $52 | 5.3× |
| Vitamin D 25-Hydroxy (82306) range across 6 matching MRF lines |
$110–$120 | $110–$120 | varies |
| Vitamin E (84446) | $100 | $100 | 7.1× |
| Vitamin K (84597) | $100 | $100 | 7.3× |
| Von willebrand factor ag (85246) | $75 | $75 | 3.3× |
| Wbc Alkaline Phosphatase Count (85540) | $85 | $85 | 9.9× |
| West nile virus ab igm (86788) | $45 | $45 | 2.7× |
| West Nile Virus Antibody (86789) | $40 | $40 | 2.8× |
| Zinc (84630) | $69 | $69 | 6.1× |
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.