Lab & pathology prices at Lafayette Surgical Specialty Hospital
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
383 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $116 | $116 | 10.4× |
| Acth (82024) | $384 | $384 | 9.9× |
| Acute hepatitis panel (80074) | $573 | $573 | 12.0× |
| Albumin Fluid (82042) | $31 | $31 | 4.0× |
| Albumin serum (82040) | $54 | $54 | 10.9× |
| Aldolase (82085) | $138 | $138 | 14.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$186–$347 | $186–$347 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$183–$4,002 | $183–$4,002 | varies |
| Allergen specific igg (86001) | $87 | $87 | 11.1× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$30–$172 | $30–$172 | varies |
| Alpha-Fetoprotein Serum (82105) | $206 | $206 | 12.3× |
| Alt (sgpt) (84460) | $95 | $95 | 17.9× |
| Ammonia (82140) | $208 | $208 | 14.3× |
| Amniotic fluid scan (82143) | $1,333 | $1,333 | 142.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$162–$171 | $162–$171 | varies |
| Ana Titer (86039) | $123 | $123 | 11.0× |
| Androstanediol Glucuronide (82154) | $336 | $336 | 11.7× |
| Androstenedione (82157) | $302 | $302 | 10.3× |
| Angiotensin converting enzyme csf (82164) | $153 | $153 | 10.5× |
| Anti-Phospholipid Antibody (86148) | $199 | $199 | 12.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $168 | $168 | 13.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $174 | $174 | 10.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $165 | $165 | 12.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $160 | $160 | 10.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $185 | $185 | 10.2× |
| Antibody helicobacter pylori (86677) | $200 | $200 | 11.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $162 | $162 | 11.3× |
| Antibody Herpes Smplx Type 1 (86695) | $140 | $140 | 10.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $173 | $173 | 12.6× |
| Antibody HIV-2 (86702) | $140 | $140 | 10.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $206 | $206 | 10.6× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$97–$168 | $97–$168 | varies |
| Antigen typing (86905) | $155 | $155 | 40.5× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$77–$189 | $77–$189 | varies |
| Antistreptolysin o titer (86060) | $140 | $140 | 19.2× |
| Antithrombin iii activity (85300) | $302 | $302 | 25.5× |
| Antithrombin iii antigen (85301) | $225 | $225 | 20.8× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$80–$147 | $80–$147 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$180–$257 | $180–$257 | varies |
| Aspergillus ag eia (87305) | $151 | $151 | 12.6× |
| Assay Blood Carbon Dioxide (82374) | $79 | $79 | 16.2× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$100–$173 | $100–$173 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$71–$76 | $71–$76 | varies |
| Assay of cpk in blood (82552) | $208 | $208 | 15.5× |
| Assay of estrone (82679) | $221 | $221 | 8.9× |
| Assay of g6pd enzyme (82955) | $280 | $280 | 28.9× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$101–$240 | $101–$240 | varies |
| Assay of lactic acid (83605) | $214 | $214 | 18.5× |
| Assay of metanephrines (83835) | $307 | $307 | 18.1× |
| Assay of serotonin (84260) | $322 | $322 | 10.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$67–$72 | $67–$72 | varies |
| Assay of urea nitrogen (84520) | $70 | $70 | 17.7× |
| Assay of vitamin b-1 (84425) | $240 | $240 | 11.3× |
| Assay Phosphohexose Enzymes (84087) | $291 | $291 | 27.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $579 | $579 | 3.8× |
| Autol bld/component collj storage salvage (86891) | $541 | $541 | 0.7× |
| Automated Leukocyte Count (85048) | $54 | $54 | 21.3× |
| B cells total count (86355) | $269 | $269 | 7.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$103–$412 | $103–$412 | varies |
| Beta hydroxybutyrate (82010) | $146 | $146 | 17.9× |
| Beta Lactamase (87185) | $66 | $66 | 13.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$69–$74 | $69–$74 | varies |
| Bilirubin total (82247) | $101 | $101 | 20.1× |
| Blood Count Automated Differential Wbc Count (85004) | $78 | $78 | 12.1× |
| Blood Count Red Blood Cell Automated (85041) | $46 | $46 | 15.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $80 | $80 | 21.1× |
| Blood gas (82803) | $342 | $342 | 13.1× |
| Blood gases w/02 saturation (82805) | $378 | $378 | 4.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $117 | $117 | 7.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $70 | $70 | 16.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$160–$172 | $160–$172 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$134–$141 | $134–$141 | varies |
| C diff amplified probe (87493) | $224 | $224 | 6.0× |
| C-Peptide (84681) | $224 | $224 | 10.8× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$113–$120 | $113–$120 | varies |
| Ca 19-9 (86301) | $206 | $206 | 9.9× |
| Cadmium (82300) range across 2 matching MRF lines |
$165–$219 | $165–$219 | varies |
| Calcitonin (82308) | $252 | $252 | 9.4× |
| Calcium ionized (82330) | $158 | $158 | 11.5× |
| Calcium total (82310) range across 3 matching MRF lines |
$57–$60 | $57–$60 | varies |
| Calculus assay quant (82360) | $182 | $182 | 14.1× |
| Calprotectin Fecal (83993) | $404 | $404 | 20.6× |
| Cancer Antigen 125 (86304) | $120 | $120 | 5.8× |
| Cancer Antigen 27.29 (86300) | $215 | $215 | 10.3× |
| Carbamazepine total (80156) | $231 | $231 | 15.9× |
| Carboxyhemoglobin (82375) | $194 | $194 | 15.7× |
| Carcinoembryonic antigen (82378) | $224 | $224 | 11.8× |
| Cardiolipin ab iga (86147) | $207 | $207 | 8.1× |
| Carnitine Quantitative Each Specimen (82379) | $282 | $282 | 16.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$118–$291 | $118–$291 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$77–$272 | $77–$272 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$101–$163 | $101–$163 | varies |
| Ceruloplasmin (82390) | $155 | $155 | 14.4× |
| Chemiluminescent assay (82397) | $140 | $140 | 9.9× |
| Chloride other source (82438) | $97 | $97 | 19.4× |
| Chloride Serum (82435) | $56 | $56 | 12.2× |
| Chloride urine (82436) | $104 | $104 | 18.1× |
| Cholesterol total (82465) | $97 | $97 | 22.3× |
| Cholinesterase Serum (82480) | $80 | $80 | 10.2× |
| Chorionic gonadotropin test (84702) | $239 | $239 | 15.9× |
| Chromogranin a (86316) | $257 | $257 | 12.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $197 | $197 | 5.6× |
| Ckmb (82553) range across 2 matching MRF lines |
$220–$237 | $220–$237 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$361–$524 | $361–$524 | varies |
| Cold agglutinin screen (86156) | $130 | $130 | 16.1× |
| Cold agglutinin titer (86157) | $39 | $39 | 4.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$237–$243 | $237–$243 | varies |
| Complement Antigen Each Component (86160) | $178 | $178 | 14.8× |
| Complement Total (Ch50) (86162) | $241 | $241 | 11.9× |
| Complement/Function Activity (86161) | $182 | $182 | 15.2× |
| Coombs direct (86880) | $122 | $122 | 22.6× |
| Copper urine (82525) range across 2 matching MRF lines |
$159–$162 | $159–$162 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$79–$231 | $79–$231 | varies |
| Cortisol saliva (82533) | $239 | $239 | 14.7× |
| Creatine (82540) | $109 | $109 | 23.5× |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $123 | $123 | 10.4× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$130–$138 | $130–$138 | varies |
| Creatinine blood (82565) | $74 | $74 | 14.5× |
| Creatinine clearance (82575) | $216 | $216 | 22.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$79–$83 | $79–$83 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$199–$376 | $199–$376 | varies |
| Crp High Sensitivity (86141) | $165 | $165 | 12.7× |
| Cryoglobulin (82595) | $89 | $89 | 13.8× |
| Cryptococcus ag titer (87899) | $124 | $124 | 7.7× |
| Cryptosporidium ag eia (87328) | $147 | $147 | 10.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$101–$162 | $101–$162 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $159 | $159 | 19.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$471–$896 | $471–$896 | varies |
| Culture aerobic quant other (87071) | $219 | $219 | 22.1× |
| Culture afb (87116) range across 2 matching MRF lines |
$216–$227 | $216–$227 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$84–$160 | $84–$160 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$270–$514 | $270–$514 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$300–$570 | $300–$570 | varies |
| Culture fungus (87102) | $216 | $216 | 25.7× |
| Culture fungus blood (87103) | $209 | $209 | 10.2× |
| Culture screen only (87081) range across 2 matching MRF lines |
$131–$139 | $131–$139 | varies |
| Culture stool (87045) | $229 | $229 | 24.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$78–$82 | $78–$82 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$161–$171 | $161–$171 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $178 | $178 | 12.4× |
| Cyclosporine (80158) | $134 | $134 | 7.4× |
| Cytomegalovirus igg (86644) | $152 | $152 | 10.6× |
| Cytopath Cell Enhance Tech (88112) | $139 | $139 | 2.9× |
| Deoxyribonuclease antibody (86215) | $150 | $150 | 11.3× |
| Dhea (82626) | $260 | $260 | 10.3× |
| Dhea-S (82627) range across 2 matching MRF lines |
$247–$260 | $247–$260 | varies |
| Digoxin (80162) | $199 | $199 | 15.0× |
| Dna Antibody Native/Double Stranded (86225) | $144 | $144 | 10.5× |
| Dna/Rna Amplified Probe (87150) | $236 | $236 | 6.7× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$163–$310 | $163–$310 | varies |
| Dna/Rna Sequencing (87153) | $444 | $444 | 3.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $201 | $201 | 15.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$320–$413 | $320–$413 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$93–$1,062 | $93–$1,062 | varies |
| Electrolyte panel (80051) | $140 | $140 | 20.0× |
| Enzyme cell activity (82657) | $635 | $635 | 28.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$270–$284 | $270–$284 | varies |
| Estrogen total (82672) | $550 | $550 | 25.3× |
| Ethosuximide (80168) | $173 | $173 | 10.6× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$114–$126 | $114–$126 | varies |
| Factor ix activity (85250) | $355 | $355 | 18.6× |
| Factor v leiden mutation (81241) | $446 | $446 | 6.1× |
| Factor vii assay (85230) | $322 | $322 | 18.0× |
| Factor viii assay (85240) | $336 | $336 | 18.8× |
| Fat/Lipids Feces Quantitative (82710) | $238 | $238 | 14.2× |
| Ferritin (82728) range across 2 matching MRF lines |
$172–$181 | $172–$181 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $217 | $217 | 22.3× |
| Fibrinogen activity (85384) | $196 | $196 | 20.2× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$199–$218 | $199–$218 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $196 | $196 | 16.3× |
| Folic Acid Serum (82746) | $174 | $174 | 11.8× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$194–$238 | $194–$238 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $114 | $114 | 0.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$207–$219 | $207–$219 | varies |
| Fungi Identification Yeast (87106) | $138 | $138 | 13.4× |
| Gammaglobulin ige (82785) range across 4 matching MRF lines |
$219–$409 | $219–$409 | varies |
| Gastrin (82941) | $198 | $198 | 11.2× |
| Gentamicin (80170) | $60 | $60 | 3.7× |
| Ggt (82977) | $49 | $49 | 6.8× |
| Giardia antigen (87329) | $186 | $186 | 15.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $116 | $116 | 19.2× |
| Glucose 2 hr pp (82950) | $100 | $100 | 21.1× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$72–$220 | $72–$220 | varies |
| Glucose body fluid (82945) | $104 | $104 | 26.5× |
| Glucose Serum (82947) | $59 | $59 | 15.0× |
| Glucose tolerance test (gtt) (82951) | $228 | $228 | 17.7× |
| Glutathione (82978) | $438 | $438 | 28.3× |
| Glycated Protein (82985) | $134 | $134 | 8.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$154–$162 | $154–$162 | varies |
| Growth hormone (83003) | $198 | $198 | 11.9× |
| Gtt-added samples (82952) | $77 | $77 | 19.6× |
| Hdl Cholesterol (83718) | $115 | $115 | 14.0× |
| Heavy metal qualitative any analytes (83015) | $386 | $386 | 18.4× |
| Helicobacter Pylori Stool (87338) | $246 | $246 | 17.1× |
| Helminth Antibody (86682) | $104 | $104 | 8.0× |
| Hematocrit (85014) | $112 | $112 | 47.3× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$55–$112 | $55–$112 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$125–$133 | $125–$133 | varies |
| Hemoglobin Chromotography (83021) | $186 | $186 | 10.3× |
| Hemoglobin electrophoresis (83020) | $183 | $183 | 14.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $132 | $132 | 16.1× |
| Hemoglobin urine (83069) range across 2 matching MRF lines |
$62–$70 | $62–$70 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$168–$178 | $168–$178 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$185–$196 | $185–$196 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$170–$180 | $170–$180 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$149–$158 | $149–$158 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$146–$155 | $146–$155 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$136–$143 | $136–$143 | varies |
| Hepatitis C Antibody (86803) | $208 | $208 | 14.6× |
| Hepatitis c antibody confirmatory test (86804) | $339 | $339 | 21.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $542 | $542 | 12.7× |
| Herpes simplex type 2 (86696) | $163 | $163 | 8.4× |
| Heterophile Antibody Screen (86308) | $118 | $118 | 22.8× |
| Hiv Genotype (87901) | $1,197 | $1,197 | 4.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $104 | $104 | 4.3× |
| Hiv-1 Antibody (86701) | $140 | $140 | 15.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $550 | $550 | 6.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$180–$189 | $180–$189 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $1,750 | $1,750 | 58.0× |
| Hla-b27 (86812) | $320 | $320 | 12.4× |
| Homocysteine (83090) range across 2 matching MRF lines |
$237–$249 | $237–$249 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$86–$92 | $86–$92 | varies |
| Hydroxyprogesterone 17-d (83498) | $251 | $251 | 9.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $143 | $143 | 13.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $523 | $523 | 12.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $503 | $503 | 14.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $518 | $518 | 12.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $193 | $193 | 5.5× |
| Ig Light Chains Free Each (83521) | $100 | $100 | 5.8× |
| Igg subclasses (82787) | $126 | $126 | 15.7× |
| Immunfix e-phorsis/urine/csf (86335) | $294 | $294 | 10.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$282–$311 | $282–$311 | varies |
| Immunoassay infectious agent (86318) | $171 | $171 | 9.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$144–$153 | $144–$153 | varies |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$56–$188 | $56–$188 | varies |
| Immunoelectrophoresis Serum (86320) | $323 | $323 | 10.8× |
| Immunofixation electrophoresis (86334) | $267 | $267 | 12.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $260 | $260 | 1.7× |
| Influenza assay w/optic (87804) | $138 | $138 | 8.3× |
| Inhibin b (83520) range across 2 matching MRF lines |
$248–$255 | $248–$255 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$150–$158 | $150–$158 | varies |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $1,399 | $1,399 | 8.4× |
| Iron (83540) range across 2 matching MRF lines |
$96–$101 | $96–$101 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$111–$118 | $111–$118 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $120 | $120 | 19.9× |
| LDL direct (83721) | $101 | $101 | 9.6× |
| Lead (83655) range across 2 matching MRF lines |
$137–$219 | $137–$219 | varies |
| Leukocyte Assessment Fecal (89055) | $102 | $102 | 23.9× |
| Lipase (83690) | $162 | $162 | 23.5× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$80–$165 | $80–$165 | varies |
| Lipoprotein Bld Quan Part (83704) | $243 | $243 | 7.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $214 | $214 | 6.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $350 | $350 | 7.6× |
| Lithium (80178) | $152 | $152 | 23.0× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$195–$205 | $195–$205 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$191–$201 | $191–$201 | varies |
| Lysozyme serum (85549) | $183 | $183 | 9.8× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$112–$118 | $112–$118 | varies |
| Mass Spectrometry Quant (83789) | $255 | $255 | 10.6× |
| Mercury urine (83825) range across 2 matching MRF lines |
$161–$219 | $161–$219 | varies |
| Metabolic panel ionized ca (80047) | $247 | $247 | 18.0× |
| Methylmalonic acid serum (83921) | $272 | $272 | 12.8× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$116–$122 | $116–$122 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$100–$105 | $100–$105 | varies |
| Mrsa Pcr (87641) | $273 | $273 | 7.8× |
| Mthfr Gene Analysis Common Variants (81291) | $501 | $501 | 7.7× |
| Mumps antibody (86735) | $156 | $156 | 12.0× |
| Mycobacteric Identification (87118) | $225 | $225 | 15.4× |
| Mycophenolic Acid (80180) | $223 | $223 | 12.4× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$146–$159 | $146–$159 | varies |
| Myelin basic protein csf (83873) | $207 | $207 | 12.0× |
| Myoglobin urine (83874) | $218 | $218 | 16.9× |
| Natriuretic peptide (83880) | $286 | $286 | 7.3× |
| Nk cells total count (86357) | $269 | $269 | 7.1× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$158–$185 | $158–$185 | varies |
| Occult Blood Other Sources (82271) | $76 | $76 | 14.3× |
| Oligoclonal bands (83916) | $229 | $229 | 8.4× |
| Organic Acids Qualitative Each Specimen (83919) | $116 | $116 | 7.1× |
| Osmolality serum (83930) | $74 | $74 | 11.2× |
| Osmolality Urine (83935) | $142 | $142 | 20.8× |
| Ova and parasites smears (87177) | $176 | $176 | 19.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$75–$80 | $75–$80 | varies |
| Phenobarbital Level (80184) | $227 | $227 | 14.8× |
| Phenytoin (Dilantin) (80185) | $219 | $219 | 16.5× |
| Phosphatase alkaline (84075) | $101 | $101 | 19.5× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$71–$76 | $71–$76 | varies |
| Platelet Aggregation (85576) | $188 | $188 | 7.5× |
| Platelet count automated (85049) | $98 | $98 | 21.9× |
| Potassium Urine (84133) | $105 | $105 | 22.2× |
| Prealbumin (84134) | $178 | $178 | 12.2× |
| Progesterone (84144) range across 2 matching MRF lines |
$212–$223 | $212–$223 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$260–$273 | $260–$273 | varies |
| Protein body fluid (84157) | $55 | $55 | 13.8× |
| Protein C Activity (85303) | $368 | $368 | 26.6× |
| Protein Electrophoresis Urine (84166) | $302 | $302 | 16.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $177 | $177 | 16.5× |
| Protein S Free (85306) | $361 | $361 | 23.6× |
| Protein s total (85305) | $323 | $323 | 27.8× |
| Protein total serum (84155) | $95 | $95 | 25.9× |
| Protein Total Urine (84156) | $82 | $82 | 22.3× |
| Protein Western Blot Test (84182) | $481 | $481 | 16.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$343–$361 | $343–$361 | varies |
| Pyruvate kinase (84220) | $270 | $270 | 28.6× |
| Quantiferon tb gold plus (86480) | $370 | $370 | 6.0× |
| Quantitative assay drug (80299) | $231 | $231 | 12.4× |
| Quantitative Screen Metals (83018) | $225 | $225 | 10.2× |
| Rbc antibody elution (86860) | $214 | $214 | 1.4× |
| Rbc antibody identification (86870) | $271 | $271 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$200–$210 | $200–$210 | varies |
| Renin activity plasma (84244) | $260 | $260 | 11.8× |
| Reticulocyte Count Manual (85044) | $101 | $101 | 23.4× |
| Rh (86901) range across 2 matching MRF lines |
$131–$139 | $131–$139 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$109–$116 | $109–$116 | varies |
| Ristocetin cofactor (85245) | $285 | $285 | 12.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$89–$97 | $89–$97 | varies |
| Rsv ab (86756) | $136 | $136 | 8.6× |
| Rubella Antibody (86762) | $133 | $133 | 9.2× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$144–$153 | $144–$153 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $228 | $228 | 4.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $147 | $147 | 3.5× |
| Sedimentation rate (85651) | $83 | $83 | 19.4× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$80–$84 | $80–$84 | varies |
| Selenium (84255) | $196 | $196 | 7.7× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$147–$156 | $147–$156 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$166–$175 | $166–$175 | varies |
| Sickling of rbc reduction (85660) | $105 | $105 | 19.1× |
| Skin test tuberculosis intradermal (86580) | $66 | $66 | 2.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$107–$114 | $107–$114 | varies |
| Smear complex stain (87209) | $146 | $146 | 8.1× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$98–$184 | $98–$184 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$30–$95 | $30–$95 | varies |
| Sodium Serum (84295) | $62 | $62 | 12.9× |
| Sodium Urine (84300) | $57 | $57 | 11.3× |
| Somatomedin (84305) | $247 | $247 | 11.6× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$95–$178 | $95–$178 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $165 | $165 | 1.1× |
| Staph a DNA amp probe (87640) | $234 | $234 | 6.7× |
| Stool cultr aerobic bact ea (87046) | $109 | $109 | 11.5× |
| Strep a assay w/optic (87880) | $115 | $115 | 7.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $84 | $84 | 17.7× |
| Syphilis Test Non-Trep Quant (86593) | $92 | $92 | 20.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $286 | $286 | 6.1× |
| T cells total count (86359) | $269 | $269 | 7.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$218–$229 | $218–$229 | varies |
| T3 reverse (84482) | $255 | $255 | 16.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$195–$205 | $195–$205 | varies |
| T3 Uptake (84479) | $138 | $138 | 21.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$162–$172 | $162–$172 | varies |
| T4 total (84436) | $140 | $140 | 20.4× |
| Tacrolimus (80197) | $314 | $314 | 22.9× |
| Testosterone Bioavailable (84410) | $267 | $267 | 5.2× |
| Testosterone total (84403) range across 3 matching MRF lines |
$240–$276 | $240–$276 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$209–$220 | $209–$220 | varies |
| Thrombin Time (85670) | $120 | $120 | 20.8× |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$174–$183 | $174–$183 | varies |
| Thyroglobulin (84432) | $215 | $215 | 13.4× |
| Thyroglobulin Antibody (86800) | $178 | $178 | 11.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $477 | $477 | 9.4× |
| Tobramycin peak (80200) | $67 | $67 | 4.2× |
| Topiramate (80201) | $123 | $123 | 10.3× |
| Toxoplasma antibody (86777) | $158 | $158 | 11.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $95 | $95 | 18.3× |
| Transferrin (84466) | $182 | $182 | 14.3× |
| Triglycerides (84478) | $62 | $62 | 10.8× |
| Troponin Quant (84484) | $231 | $231 | 18.5× |
| Troponin, qualitative (84512) | $197 | $197 | 19.5× |
| Unlisted Surgical Pathology Procedure (88399) | $83 | $83 | 1.8× |
| Uric acid other source (84560) | $98 | $98 | 19.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$123–$131 | $123–$131 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$99–$104 | $99–$104 | varies |
| Valproic acid (80164) | $219 | $219 | 16.2× |
| Vancomycin (80202) | $260 | $260 | 19.2× |
| Varicella-zoster antibody (86787) | $165 | $165 | 12.8× |
| Vasopressin (84588) | $305 | $305 | 9.0× |
| Vit D 1 25-Dihydroxy (82652) | $383 | $383 | 9.9× |
| Vitamin b-12 (82607) | $180 | $180 | 11.9× |
| Vitamin B6 (84207) | $285 | $285 | 10.1× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$229–$241 | $229–$241 | varies |
| Vitamin E (84446) | $240 | $240 | 16.9× |
| Von willebrand factor ag (85246) | $281 | $281 | 12.2× |
| West nile virus ab igm (86788) | $160 | $160 | 9.5× |
| West Nile Virus Antibody (86789) | $161 | $161 | 11.2× |
| Zinc (84630) | $153 | $153 | 13.4× |
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.