Lab & pathology prices at Lake Granbury Medical Center
Granbury, TX · every code in this section with a posted price and a Medicare benchmark.
524 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $326.16 | $1,812 | 8.4× |
| Actin smooth muscle antibody each (86015) | $29.16 | $162 | 2.4× |
| Acute hepatitis panel (80074) | $556.20 | $3,090 | 11.7× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$7.74–$90.36 | $43–$502 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $228.78 | $1,271 | 3.6× |
| Albumin Fluid (82042) | $49.50 | $275 | 6.4× |
| Albumin serum (82040) | $49.50 | $275 | 10.0× |
| Aldolase (82085) | $96.48 | $536 | 9.9× |
| Aldosterone urine (82088) | $356.94 | $1,983 | 8.8× |
| Alkaline phosphatase isoenzymes (84080) | $48.06 | $267 | 3.3× |
| Allergen specific ige (86003) | $36.72 | $204 | 7.0× |
| Allergen specific igg (86001) | $25.56 | $142 | 3.3× |
| Allg Spec Ige Recomb Ea (86008) | $15.12 | $84 | 0.8× |
| Alpha-1-antitrypsin phenotype (82104) | $94.86 | $527 | 6.6× |
| Alpha-1-antitrypsin total (82103) | $197.28 | $1,096 | 14.7× |
| Alpha-Fetoprotein Serum (82105) | $93.60 | $520 | 5.6× |
| Alt (sgpt) (84460) | $52.74 | $293 | 10.0× |
| Aminolevulinic acid (ala) (82135) | $77.94 | $433 | 4.7× |
| Ammonia (82140) | $153.90 | $855 | 10.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $99 | $550 | 1.0× |
| Amylase urine (82150) | $84.96 | $472 | 13.1× |
| Androstenedione (82157) | $56.34 | $313 | 1.9× |
| Angiotensin converting enzyme csf (82164) | $74.16 | $412 | 5.1× |
| Anti-Phospholipid Antibody (86148) | $50.04 | $278 | 3.1× |
| Antibody aspergillus (86606) | $18.36 | $102 | 1.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $159.84 | $888 | 12.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $9.18 | $51 | 0.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $184.68 | $1,026 | 11.0× |
| Antibody Encephalitis California La Crosse (86651) | $50.76 | $282 | 3.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $3.42 | $19 | 0.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.50 | $375 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $151.74 | $843 | 8.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $27.36 | $152 | 2.2× |
| Antibody helicobacter pylori (86677) | $139.68 | $776 | 8.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $53.28 | $296 | 3.7× |
| Antibody Herpes Smplx Type 1 (86695) | $53.28 | $296 | 4.0× |
| Antibody identification leukocyte antibodies (86021) | $280.62 | $1,559 | 18.6× |
| Antibody john cunningham virus (86711) | $12.24 | $68 | 0.7× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$10.26–$50.76 | $57–$282 | varies |
| Antibody Protozoa Nes (86753) | $128.70 | $715 | 10.4× |
| Antibody Titer (86886) | $64.26 | $357 | 12.4× |
| Antibody Treponema Pallidum (86780) | $29.70 | $165 | 2.2× |
| Antibody; encephalitis, st. louis (86653) | $50.76 | $282 | 3.8× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$10.80–$220.14 | $60–$1,223 | varies |
| Antigen typing (86905) | $112.14 | $623 | 29.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $43.02 | $239 | 7.5× |
| Antinuclear antibodies (86038) | $102.60 | $570 | 8.5× |
| Antistreptolysin o titer (86060) | $62.28 | $346 | 8.5× |
| Antithrombin iii activity (85300) | $33.84 | $188 | 2.9× |
| Antithrombin iii antigen (85301) | $210.42 | $1,169 | 19.5× |
| Apolipoprotein a1 (82172) | $56.52 | $314 | 2.7× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $22.50 | $125 | 0.6× |
| Aquaporin-4 Antb Cba Each (86052) | $26.64 | $148 | 2.2× |
| Aspergillus ag eia (87305) | $47.70 | $265 | 4.0× |
| Assay activated protein c (85307) | $180.90 | $1,005 | 11.8× |
| Assay Blood Carbon Dioxide (82374) | $14.58 | $81 | 3.0× |
| Assay Dir Meas Fr Estradiol (82681) | $178.20 | $990 | 6.4× |
| Assay Nephelometry Not Spec (83883) | $164.52 | $914 | 12.1× |
| Assay of 5-hiaa (83497) | $138.06 | $767 | 10.7× |
| Assay of blood/uric acid (84550) | $59.04 | $328 | 13.1× |
| Assay of calcium in urine (82340) | $42.84 | $238 | 7.1× |
| Assay of estrone (82679) | $213.12 | $1,184 | 8.5× |
| Assay of g6pd enzyme (82955) | $47.70 | $265 | 4.9× |
| Assay of gammaglobulin igm (82784) | $82.98 | $461 | 8.9× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$97.20–$97.38 | $540–$541 | varies |
| Assay of metanephrines (83835) | $173.70 | $965 | 10.3× |
| Assay of proinsulin (84206) | $125.28 | $696 | 4.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$18.90–$50.76 | $105–$282 | varies |
| Assay of sweat sodium (84302) | $44.82 | $249 | 9.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$18–$53.64 | $100–$298 | varies |
| Assay of vasoactive intestinal peptide (84586) | $162.54 | $903 | 4.6× |
| Assay of vitamin b-1 (84425) | $291.60 | $1,620 | 13.7× |
| Assay Ph Body Fluid Nos (83986) | $75.60 | $420 | 21.1× |
| Automated Leukocyte Count (85048) | $27.72 | $154 | 10.9× |
| Bartonella antibody (86611) | $38.34 | $213 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) | $106.02 | $589 | 4.2× |
| Beta hydroxybutyrate (82010) | $56.88 | $316 | 7.0× |
| Beta-2 Microglobulin (82232) | $135.90 | $755 | 8.4× |
| Bilirubin direct (82248) | $64.62 | $359 | 12.9× |
| Bilirubin total (82247) | $67.68 | $376 | 13.5× |
| Bilirubin total transcutaneous (88720) | $64.44 | $358 | 12.8× |
| Biotinidase (82261) | $60.30 | $335 | 3.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $14.04 | $78 | 4.1× |
| Blastomyces antibody (86612) | $63.36 | $352 | 4.9× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $50.40 | $280 | 0.9× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $40.68 | $226 | 1.4× |
| Bld Typing Serologic Rh Phnt (86906) | $59.58 | $331 | 7.7× |
| Bleeding time test (85002) | $41.94 | $233 | 8.7× |
| Blood Count Manual Cell Count Each (85032) | $47.88 | $266 | 11.1× |
| Blood Count Red Blood Cell Automated (85041) | $25.92 | $144 | 8.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $15.12 | $84 | 4.0× |
| Blood gas (82803) range across 2 matching MRF lines |
$95.22–$104.94 | $529–$583 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22.32 | $124 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33.30 | $185 | 7.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $16.02 | $89 | 2.5× |
| Blood typing serologic abo (86900) | $49.68 | $276 | 16.6× |
| Body fluid cell count (89050) | $35.82 | $199 | 7.6× |
| Bordetella antibody (86615) | $33.12 | $184 | 2.5× |
| C diff amplified probe (87493) | $45.72 | $254 | 1.2× |
| C-Peptide (84681) | $122.58 | $681 | 5.9× |
| C-reactive protein (86140) | $81 | $450 | 15.6× |
| Ca 19-9 (86301) | $19.44 | $108 | 0.9× |
| Calcitonin (82308) | $77.76 | $432 | 2.9× |
| Calcium ionized (82330) | $129.78 | $721 | 9.5× |
| Calcium total (82310) | $58.50 | $325 | 11.3× |
| Calculus Spectroscopy (82365) | $50.76 | $282 | 3.9× |
| Calprotectin Fecal (83993) | $116.46 | $647 | 5.9× |
| Cancer Antigen 125 (86304) | $94.68 | $526 | 4.5× |
| Cancer Antigen 27.29 (86300) | $107.64 | $598 | 5.2× |
| Carbamazepine free (80157) | $248.04 | $1,378 | 18.7× |
| Carbamazepine total (80156) | $147.42 | $819 | 10.1× |
| Carboxyhemoglobin (82375) | $107.64 | $598 | 8.7× |
| Carcinoembryonic antigen (82378) | $168.12 | $934 | 8.9× |
| Cardiolipin ab iga (86147) | $260.64 | $1,448 | 10.2× |
| Catecholamines fractionated (82384) | $191.70 | $1,065 | 7.6× |
| Ccp antibody (86200) | $51.48 | $286 | 4.0× |
| Cell count csf (89051) | $66.42 | $369 | 11.9× |
| Ceruloplasmin (82390) | $87.84 | $488 | 8.2× |
| Cftr gene com variants (81220) | $413.82 | $2,299 | 0.7× |
| Chemiluminescent assay (82397) | $11.88 | $66 | 0.8× |
| Chloride other source (82438) | $56.88 | $316 | 11.4× |
| Chloride Serum (82435) | $16.02 | $89 | 3.5× |
| Chloride urine (82436) | $56.88 | $316 | 9.9× |
| Cholesterol total (82465) | $48.42 | $269 | 11.1× |
| Chorionic gonadotropin test (84702) | $182.16 | $1,012 | 12.1× |
| Chromogranin a (86316) | $159.84 | $888 | 7.7× |
| Chromosome Analysis 15-20 (88262) | $671.58 | $3,731 | 5.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $102.06 | $567 | 2.9× |
| Citric acid urine (82507) | $328.86 | $1,827 | 11.8× |
| Ckmb (82553) | $95.22 | $529 | 8.2× |
| Clostridium Difficile (87324) | $36 | $200 | 3.0× |
| Clot Factor VIII Multimetric (85247) | $73.08 | $406 | 3.2× |
| Clotting Funct Activity (85397) | $192.06 | $1,067 | 6.2× |
| Coagulation time activated (85347) | $14.76 | $82 | 3.4× |
| Coccidioides antibody (86635) | $48.60 | $270 | 4.2× |
| Cold agglutinin screen (86156) | $101.34 | $563 | 12.6× |
| Cold agglutinin titer (86157) | $30.24 | $168 | 3.8× |
| Collagen crosslinks (82523) | $74.16 | $412 | 4.0× |
| Column Chromotography Quant (82542) | $19.80 | $110 | 0.8× |
| Compatibility test antiglob (86922) | $48.96 | $272 | 0.3× |
| Complement Antigen Each Component (86160) | $144.90 | $805 | 12.1× |
| Complement Total (Ch50) (86162) | $118.98 | $661 | 5.9× |
| Complement/Function Activity (86161) | $34.74 | $193 | 2.9× |
| Coombs direct (86880) | $67.14 | $373 | 12.5× |
| Copper urine (82525) | $66.24 | $368 | 5.3× |
| Cortisol free (82530) | $117 | $650 | 7.0× |
| Cortisol saliva (82533) | $185.22 | $1,029 | 11.4× |
| Creatine kinase total (82550) | $71.28 | $396 | 10.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$13.50–$44.64 | $75–$248 | varies |
| Creatinine clearance (82575) | $97.56 | $542 | 10.3× |
| Creatinine Urine (82570) | $93.78 | $521 | 18.1× |
| Crossmatch immediate spin (86920) | $126.72 | $704 | 0.7× |
| Crp High Sensitivity (86141) | $21.78 | $121 | 1.7× |
| Cryoglobulin (82595) | $56.70 | $315 | 8.8× |
| Cryptococcus ag titer (87899) | $385.74 | $2,143 | 24.0× |
| Cryptosporidium (87272) | $55.98 | $311 | 4.7× |
| Cryptosporidium ag eia (87328) | $179.28 | $996 | 13.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $70.38 | $391 | 8.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $41.04 | $228 | 5.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $30.96 | $172 | 4.0× |
| Culture aerobic quant other (87071) | $48.60 | $270 | 4.9× |
| Culture afb (87116) | $137.16 | $762 | 12.7× |
| Culture Anaerobic (87075) | $91.80 | $510 | 9.7× |
| Culture blood (87040) | $98.46 | $547 | 9.5× |
| Culture csf (87070) | $95.40 | $530 | 11.1× |
| Culture fungus (87102) | $102.60 | $570 | 12.2× |
| Culture fungus blood (87103) | $48.42 | $269 | 2.4× |
| Culture screen only (87081) | $21.42 | $119 | 3.2× |
| Culture stool (87045) | $122.22 | $679 | 12.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $47.88 | $266 | 9.2× |
| Culture urine (87086) | $101.34 | $563 | 12.6× |
| Cyclosporine (80158) | $345.78 | $1,921 | 19.2× |
| Cystatin C (82610) | $32.22 | $179 | 1.7× |
| Cytogenetics 100-300 (88275) | $46.98 | $261 | 0.9× |
| Cytomegalovirus igg (86644) | $245.34 | $1,363 | 17.0× |
| Cytopath Cell Enhance Tech (88112) | $62.46 | $347 | 1.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $34.56 | $192 | 1.3× |
| Cytp Concentration Smears & Interpretation (88108) | $133.02 | $739 | 3.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $199.80 | $1,110 | 3.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $62.64 | $348 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $94.32 | $524 | 2.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $133.56 | $742 | 0.8× |
| Detect Agent Nos Dna Amp (87798) | $116.46 | $647 | 3.3× |
| Detect Agent Nos Dna Quant (87799) | $217.08 | $1,206 | 5.1× |
| Detect agnt mult DNA ampli (87801) | $194.40 | $1,080 | 2.8× |
| Dhea (82626) | $172.80 | $960 | 6.8× |
| Dhea-S (82627) | $73.44 | $408 | 3.3× |
| Digoxin (80162) | $126 | $700 | 9.5× |
| Dihydrotestosterone (82642) | $22.50 | $125 | 0.8× |
| Diphtheria antitoxoid (86648) | $12.24 | $68 | 0.8× |
| Dna Antibody Native/Double Stranded (86225) | $134.10 | $745 | 9.8× |
| Drug assay acetaminophen (80143) | $248.04 | $1,378 | 13.3× |
| Drug assay adalimumab (80145) | $7.74 | $43 | 0.2× |
| Drug Assay Everolimus (80169) | $10.44 | $58 | 0.8× |
| Drug Assay Infliximab (80230) | $26.64 | $148 | 0.7× |
| Drug Assay Lacosamide (80235) | $100.98 | $561 | 3.7× |
| Drug Assay Vedolizumab (80280) | $7.74 | $43 | 0.2× |
| Drug Screen Quant Clozapine (80159) | $3.96 | $22 | 0.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $14.58 | $81 | 1.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $37.26 | $207 | 2.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $15.48 | $86 | 1.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $98.82 | $549 | 1.6× |
| Egfr Gene Analysis Common Variants (81235) | $335.16 | $1,862 | 1.0× |
| El-1 Fecal Quantitative (82653) | $4.50 | $25 | 0.2× |
| Electrolyte panel (80051) | $125.82 | $699 | 17.9× |
| Encephaltis East Eqne Anbdy (86652) | $50.76 | $282 | 3.8× |
| Encephaltis West Eqne Antbdy (86654) | $50.76 | $282 | 3.8× |
| Enterovirus Antibody (86658) | $26.64 | $148 | 2.0× |
| Enzyme cell activity (82657) | $64.80 | $360 | 2.9× |
| Erythropoietin (82668) | $165.24 | $918 | 8.8× |
| Estradiol serum (82670) | $178.20 | $990 | 6.4× |
| Estriol (82677) | $170.28 | $946 | 7.0× |
| Estrogen total (82672) | $174.06 | $967 | 8.0× |
| Ethosuximide (80168) | $21.96 | $122 | 1.3× |
| Ethylene Glycol (82693) | $27.90 | $155 | 1.9× |
| Exam Synovial Fluid Crystals (89060) | $63.36 | $352 | 8.6× |
| F2 Gene (81240) | $83.16 | $462 | 1.3× |
| Factor ix activity (85250) | $234 | $1,300 | 12.3× |
| Factor v activity (85220) | $332.10 | $1,845 | 18.8× |
| Factor v leiden mutation (81241) | $454.68 | $2,526 | 6.2× |
| Factor vii assay (85230) | $266.76 | $1,482 | 14.9× |
| Factor viii assay (85240) | $284.94 | $1,583 | 15.9× |
| Factor X (85260) | $284.94 | $1,583 | 15.9× |
| Fat/Lipids Feces Quantitative (82710) | $119.88 | $666 | 7.1× |
| Fecal Fat Qualitative (82705) | $46.08 | $256 | 9.0× |
| Ferritin (82728) | $116.64 | $648 | 8.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $130.86 | $727 | 0.9× |
| Fetal Fibronectin (82731) | $560.88 | $3,116 | 8.7× |
| Fetal screen rosette (85461) | $68.04 | $378 | 7.3× |
| Fibrin degradation products (85362) | $117.18 | $651 | 17.0× |
| Fibrin Degradation Quant (85379) | $52.20 | $290 | 5.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $85.32 | $474 | 8.8× |
| Fibrinogen activity (85384) | $103.32 | $574 | 10.6× |
| Flow cytometry first marker (88184) | $123.84 | $688 | 0.3× |
| Fluorescent antibody screen (86255) | $162.72 | $904 | 13.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $154.08 | $856 | 12.8× |
| Folic acid rbc (82747) | $72.36 | $402 | 4.1× |
| Folic Acid Serum (82746) | $97.38 | $541 | 6.6× |
| Follicle Stimulating Hormone (83001) | $169.56 | $942 | 9.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $113.40 | $630 | 0.7× |
| Frozen Section (88331) | $580.32 | $3,224 | 3.3× |
| Fungi Identification Mold (87107) | $69.12 | $384 | 6.7× |
| Fungi Identification Yeast (87106) | $30.60 | $170 | 3.0× |
| Gammaglobulin ige (82785) | $86.22 | $479 | 5.2× |
| Gardner Vag Dna Quant (87512) | $25.02 | $139 | 0.6× |
| Gastrin (82941) | $111.60 | $620 | 6.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $248.22 | $1,379 | 0.6× |
| Genet Virus Isolate Hsv (87255) | $21.60 | $120 | 0.6× |
| Gentamicin (80170) | $123.12 | $684 | 7.5× |
| Ggt (82977) | $91.44 | $508 | 12.7× |
| Giardia antigen (87329) | $35.64 | $198 | 3.0× |
| Glucose Blood Test (82962) | $26.10 | $145 | 8.0× |
| Glucose body fluid (82945) | $20.16 | $112 | 5.1× |
| Glucose Serum (82947) | $31.86 | $177 | 8.1× |
| Glucose tolerance test (gtt) (82951) | $102.24 | $568 | 7.9× |
| Gonadotropin Chorionic Qualitative (84703) | $72.36 | $402 | 9.6× |
| Growth hormone (83003) | $221.04 | $1,228 | 13.3× |
| Gtt-added samples (82952) | $33.84 | $188 | 8.6× |
| H Pylori (C-13) Breath (83013) | $157.50 | $875 | 2.3× |
| Haptoglobin (83010) | $153.36 | $852 | 12.2× |
| Haptoglobin; phenotypes Facility (83012) | $153.36 | $852 | 5.7× |
| Hdl Cholesterol (83718) | $26.82 | $149 | 3.3× |
| Heavy metal qualitative any analytes (83015) | $118.08 | $656 | 5.6× |
| Helicobacter Pylori Stool (87338) | $8.46 | $47 | 0.6× |
| Hematocrit (85014) | $26.28 | $146 | 11.1× |
| Hemoglobin (85018) | $24.66 | $137 | 10.4× |
| Hemoglobin a1c (83036) | $100.08 | $556 | 10.3× |
| Hemoglobin electrophoresis (83020) | $157.86 | $877 | 12.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $23.40 | $130 | 2.9× |
| Hep a ab igm (86709) | $58.14 | $323 | 5.2× |
| Hepatitis a antibody total (86708) | $93.60 | $520 | 7.6× |
| Hepatitis b core ab igm (86705) | $161.28 | $896 | 13.7× |
| Hepatitis b core ab total (86704) | $85.50 | $475 | 7.1× |
| Hepatitis B Surface Antibody (86706) | $93.78 | $521 | 8.7× |
| Hepatitis B Surface Antigen (87340) | $73.62 | $409 | 7.1× |
| Hepatitis Be Antibody (86707) | $151.92 | $844 | 13.1× |
| Hepatitis Be Antigen (87350) | $39.60 | $220 | 3.4× |
| Hepatitis C Antibody (86803) | $153 | $850 | 10.7× |
| Hepatitis C Genotype (87902) | $369.54 | $2,053 | 1.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $316.98 | $1,761 | 9.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $325.98 | $1,811 | 7.6× |
| Hepatitis Delta Agent Antibody (86692) | $111.60 | $620 | 6.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$11.52–$53.28 | $64–$296 | varies |
| Heterophile Antibody Screen (86308) | $71.64 | $398 | 13.8× |
| Hfe Gene (81256) | $90.36 | $502 | 1.4× |
| Histoplasma antibody (86698) | $56.88 | $316 | 4.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $83.34 | $463 | 1.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $67.32 | $374 | 0.9× |
| Hla-b27 (86812) | $171.90 | $955 | 6.7× |
| Homocysteine (83090) | $90.36 | $502 | 5.0× |
| Hpv High-Risk Types (87624) | $54 | $300 | 1.5× |
| Hsv Dna Amp Probe (87529) | $125.64 | $698 | 3.6× |
| Hsv Dna Quant (87530) | $154.80 | $860 | 3.6× |
| Human Epididymis Protein 4 (86305) | $88.56 | $492 | 4.3× |
| Hydroxyprogesterone 17-d (83498) | $50.04 | $278 | 1.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $15.84 | $88 | 0.4× |
| Iaad ia shiga-like toxin (87427) | $51.12 | $284 | 4.3× |
| Iaad Ia Streptococcus Group A (87430) | $39.24 | $218 | 2.3× |
| Iaadi respiratory synctial virus (87280) | $23.40 | $130 | 1.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $171.54 | $953 | 4.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $113.22 | $629 | 3.2× |
| Iadna Cytomegalovirus Quantification (87497) | $159.12 | $884 | 3.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $995.40 | $5,530 | 23.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $92.70 | $515 | 2.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $114.12 | $634 | 0.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $166.68 | $926 | 0.6× |
| Igg subclasses (82787) | $215.82 | $1,199 | 26.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $124.74 | $693 | 0.3× |
| Immunfix e-phorsis/urine/csf (86335) | $72.36 | $402 | 2.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $585.36 | $3,252 | 31.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $41.04 | $228 | 2.7× |
| Immunoassay nonantibody (83516) | $54.54 | $303 | 4.7× |
| Immunodiffusion Ouchterlony (86331) | $22.68 | $126 | 1.9× |
| Immunofixation electrophoresis (86334) | $66.78 | $371 | 3.0× |
| Immunohistochemistry (88342) | $232.56 | $1,292 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $113.40 | $630 | 0.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $154.26 | $857 | 9.6× |
| Influenza assay w/optic (87804) | $47.70 | $265 | 2.9× |
| Inhibin A (86336) | $72.72 | $404 | 4.7× |
| Inhibin b (83520) | $130.14 | $723 | 7.5× |
| Insulin antibodies (86337) | $52.02 | $289 | 2.4× |
| Insulin free (83527) | $70.92 | $394 | 5.5× |
| Insulin total (83525) | $126 | $700 | 11.0× |
| Intrinsic factor antibody (86340) | $34.38 | $191 | 2.3× |
| Iron (83540) | $83.70 | $465 | 12.9× |
| Iron Binding Capacity (83550) | $93.06 | $517 | 10.6× |
| Islet cell antibody (86341) | $5.40 | $30 | 0.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $355.50 | $1,975 | 3.9× |
| Lactate (ld) (ldh) enzyme (83615) | $82.26 | $457 | 13.6× |
| Lactoferrin fecal qualitative (83630) | $33.12 | $184 | 1.7× |
| Lactoferrin Fecal Quantitative (83631) | $20.70 | $115 | 1.1× |
| Lead (83655) | $142.20 | $790 | 11.7× |
| Legionella antigen urine (87449) | $28.80 | $160 | 2.4× |
| Leukocyte Histamine Release (86343) | $10.44 | $58 | 0.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $56.52 | $314 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $56.52 | $314 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $135.36 | $752 | 0.4× |
| Lidocaine (80176) | $54.90 | $305 | 3.7× |
| Lipase (83690) | $76.14 | $423 | 11.1× |
| Lipoprotein Bld Quan Part (83704) | $42.48 | $236 | 1.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $77.04 | $428 | 1.7× |
| Lithium (80178) | $91.26 | $507 | 13.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $99.90 | $555 | 0.6× |
| Luteinizing Hormone (Lh) (83002) | $190.08 | $1,056 | 10.3× |
| Lyme disease antibody (86618) | $146.70 | $815 | 8.6× |
| Lysozyme serum (85549) | $107.46 | $597 | 5.7× |
| M. Genitalium Amp Probe (87563) | $44.46 | $247 | 1.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $113.40 | $630 | 0.7× |
| Macroscopic Exam Parasite (87169) | $3.78 | $21 | 0.9× |
| Magnesium Urine (83735) | $71.64 | $398 | 10.7× |
| Mass Spectrometry Quant (83789) | $63 | $350 | 2.6× |
| Metabolic panel ionized ca (80047) | $65.16 | $362 | 4.7× |
| Methylmalonic acid serum (83921) | $166.86 | $927 | 7.9× |
| Microalbumin, quantitative (82043) | $51.84 | $288 | 9.0× |
| Microsomal Antibodies Each (86376) | $111.60 | $620 | 7.7× |
| Mitochondrial Antibody Each (86381) | $61.38 | $341 | 2.4× |
| Mog-Igg1 Antb Cba Each (86362) | $26.64 | $148 | 2.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $22.50 | $125 | 0.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $26.10 | $145 | 1.2× |
| Mononuclear cell antigen (86356) | $38.70 | $215 | 1.4× |
| Mopath procedure level 2 (81401) | $201.78 | $1,121 | 1.5× |
| Mopath procedure level 4 (81403) | $106.02 | $589 | 0.6× |
| Mthfr Gene Analysis Common Variants (81291) | $131.58 | $731 | 2.0× |
| Mumps antibody (86735) | $101.52 | $564 | 7.8× |
| Mycoplasma antibody (86738) | $91.62 | $509 | 6.9× |
| Myelin basic protein csf (83873) | $94.50 | $525 | 5.5× |
| Myoglobin urine (83874) | $228.06 | $1,267 | 17.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$71.82–$120.60 | $399–$670 | varies |
| Niacin (84591) | $106.02 | $589 | 6.2× |
| Nuclear antigen antibody (86235) | $98.10 | $545 | 5.5× |
| Obstetric panel (80081) | $57.24 | $318 | 0.8× |
| Occult Blood Other Sources (82271) | $33.30 | $185 | 6.3× |
| Oligoclonal bands (83916) | $62.10 | $345 | 2.3× |
| Oncoprotein dcp (83951) | $57.60 | $320 | 0.9× |
| Osmolality serum (83930) | $60.12 | $334 | 9.1× |
| Osmolality Urine (83935) | $109.08 | $606 | 16.0× |
| Ova and parasites smears (87177) | $61.38 | $341 | 6.9× |
| Oxalate urine (83945) | $98.10 | $545 | 6.8× |
| Pancreatic Elastase Fecal (82656) | $127.44 | $708 | 11.1× |
| Particle Agglutination Screen Each Antibody (86403) | $41.58 | $231 | 3.6× |
| Parvovirus antibody (86747) | $30.42 | $169 | 2.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $207.18 | $1,151 | 0.3× |
| Pathology Consultation During Surgery (88329) | $39.60 | $220 | 0.7× |
| Ph urine (81003) | $17.10 | $95 | 7.6× |
| Phenobarbital Level (80184) | $95.04 | $528 | 6.2× |
| Phenylalanine (84030) | $50.76 | $282 | 9.2× |
| Phenytoin (Dilantin) (80185) | $107.28 | $596 | 8.1× |
| Phosphatase alkaline (84075) | $59.58 | $331 | 11.5× |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) | $60.48 | $336 | 6.4× |
| Phosphorus Serum (84100) | $68.40 | $380 | 14.4× |
| Phosphorus urine (84105) | $68.40 | $380 | 11.8× |
| Platelet Antibodies (86022) | $226.08 | $1,256 | 12.3× |
| Platelet count automated (85049) | $22.68 | $126 | 5.1× |
| Pooling blood platelets (86965) | $98.28 | $546 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) | $56.52 | $314 | 6.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $121.32 | $674 | 8.2× |
| Potassium Urine (84133) | $60.66 | $337 | 12.8× |
| Prealbumin (84134) | $108.90 | $605 | 7.5× |
| Primidone (80188) | $197.82 | $1,099 | 11.9× |
| Progesterone (84144) | $165.06 | $917 | 7.9× |
| Prolactin (84146) | $150.84 | $838 | 7.8× |
| Protein body fluid (84157) | $73.26 | $407 | 18.3× |
| Protein C Activity (85303) | $12.96 | $72 | 0.9× |
| Protein c antigen (85302) | $529.02 | $2,939 | 44.0× |
| Protein Electrophoresis Urine (84166) | $33.84 | $188 | 1.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $95.58 | $531 | 8.9× |
| Protein S Free (85306) | $12.96 | $72 | 0.8× |
| Protein s total (85305) | $308.52 | $1,714 | 26.6× |
| Protein total serum (84155) | $76.32 | $424 | 20.8× |
| Protein Total Urine (84156) | $73.26 | $407 | 20.0× |
| Protein Western Blot Test (84182) | $38.70 | $215 | 1.3× |
| Protoporphyrin rbc quantitative (84202) | $12.06 | $67 | 0.8× |
| PSA free (84154) | $231.48 | $1,286 | 12.6× |
| Pth Intact (83970) | $95.58 | $531 | 2.3× |
| Quantiferon tb gold plus (86480) | $155.16 | $862 | 2.5× |
| Quantitative assay drug (80299) | $214.02 | $1,189 | 11.5× |
| Rbc antibody elution (86860) | $198.54 | $1,103 | 1.1× |
| Rbc antibody identification (86870) | $224.82 | $1,249 | 0.6× |
| Rbc antibody screen (86850) | $54.90 | $305 | 5.6× |
| Rbc pretreatment serum (86978) | $59.40 | $330 | 1.0× |
| Rbc pretx incubatj w/enzymes (86971) | $113.40 | $630 | 0.7× |
| Renin activity plasma (84244) | $139.32 | $774 | 6.3× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$248.22–$436.68 | $1,379–$2,426 | varies |
| Reticulocyte Count Manual (85044) | $61.02 | $339 | 14.2× |
| Reticulocyte separation (86972) | $113.40 | $630 | 0.7× |
| Rh (86901) | $47.52 | $264 | 15.9× |
| Rheumatoid Factor Qualitative (86430) | $50.22 | $279 | 8.2× |
| Rheumatoid factor quant (86431) | $88.38 | $491 | 15.6× |
| Rickettsia antibody (86757) | $80.28 | $446 | 4.1× |
| Ristocetin cofactor (85245) | $25.74 | $143 | 1.1× |
| Rotavirus ag eia (87425) | $104.58 | $581 | 8.7× |
| Rpr qualitative (86592) | $55.98 | $311 | 13.1× |
| Rsv ab (86756) | $182.34 | $1,013 | 11.5× |
| Rubella Antibody (86762) | $122.58 | $681 | 8.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$10.26–$94.86 | $57–$527 | varies |
| Russell Viper Venom Time Diluted (85613) | $33.48 | $186 | 3.5× |
| Salicylate Level (80179) | $64.26 | $357 | 3.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$26.64–$47.52 | $148–$264 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$34.38–$44.82 | $191–$249 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $27.36 | $152 | 0.7× |
| Sedimentation rate (85651) | $41.76 | $232 | 9.8× |
| Selenium (84255) | $50.76 | $282 | 2.0× |
| Sensitivity mic (87186) | $95.76 | $532 | 11.1× |
| Sex Hormone Binding Globulin (84270) | $67.50 | $375 | 3.1× |
| Sickling of rbc reduction (85660) | $21.78 | $121 | 4.0× |
| Smear acid fast (87206) | $67.68 | $376 | 12.6× |
| Smear gram stain (87205) | $33.48 | $186 | 7.8× |
| Smear Special Stain (87207) | $36.36 | $202 | 6.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $33.84 | $188 | 5.8× |
| Sodium Serum (84295) | $57.78 | $321 | 12.0× |
| Sodium Urine (84300) | $68.76 | $382 | 13.6× |
| Soluble Transferrin Receptor (84238) | $133.92 | $744 | 3.7× |
| Somatomedin (84305) | $80.10 | $445 | 3.8× |
| Special Stains Group 1 (88312) | $145.44 | $808 | 2.7× |
| Special Stains Group 2 (88313) | $226.80 | $1,260 | 1.7× |
| Specimen infect agnt concntj (87015) | $104.40 | $580 | 15.6× |
| Spectrophotometry (84311) | $57.78 | $321 | 7.1× |
| Stool cultr aerobic bact ea (87046) | $104.76 | $582 | 11.1× |
| Surg path level iii (88304) | $118.08 | $656 | 2.2× |
| Surgical pathology level IV (88305) | $155.16 | $862 | 2.9× |
| Surgical pathology level vi (88309) | $540.36 | $3,002 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $66.42 | $369 | 14.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $227.34 | $1,263 | 4.8× |
| T cells total count (86359) | $34.56 | $192 | 0.9× |
| T3 Free (84481) | $157.68 | $876 | 9.3× |
| T3 reverse (84482) | $90 | $500 | 5.7× |
| T3 Total (84480) | $137.52 | $764 | 9.7× |
| T3 Uptake (84479) | $106.20 | $590 | 16.4× |
| T4 Free (84439) | $129.78 | $721 | 14.4× |
| T4 total (84436) | $75.96 | $422 | 11.1× |
| Tacrolimus (80197) | $393.48 | $2,186 | 28.7× |
| Testosterone total (84403) | $60.66 | $337 | 2.4× |
| Testosterone, Free (84402) | $60.66 | $337 | 2.4× |
| Tetanus antibody (86774) | $11.88 | $66 | 0.8× |
| Theophylline (80198) | $89.28 | $496 | 6.3× |
| Thrombin Time (85670) | $79.02 | $439 | 13.7× |
| Thyroglobulin Antibody (86800) | $111.60 | $620 | 7.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $294.84 | $1,638 | 5.8× |
| Thyroxine binding globulin (84442) | $70.20 | $390 | 4.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $27.18 | $151 | 2.4× |
| Tissue Culture (88233) | $712.08 | $3,956 | 5.1× |
| Tissue Culture Lymphocyte (88230) | $122.94 | $683 | 1.1× |
| Tobramycin peak (80200) | $108.90 | $605 | 6.8× |
| Topiramate (80201) | $98.82 | $549 | 8.3× |
| Touch prep (88161) | $61.92 | $344 | 2.1× |
| Toxoplasma ab igm (86778) | $11.52 | $64 | 0.8× |
| Toxoplasma antibody (86777) | $92.34 | $513 | 6.4× |
| Tpmt gene com variants (81335) | $34.74 | $193 | 0.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $52.74 | $293 | 10.2× |
| Transferrin (84466) | $137.52 | $764 | 10.8× |
| Trichomonas Vaginalis Amplif (87661) | $76.86 | $427 | 2.2× |
| Triglycerides (84478) | $87.84 | $488 | 15.3× |
| Troponin Quant (84484) | $260.46 | $1,447 | 20.9× |
| Tumor Immunohistochem/Manual (88360) | $64.80 | $360 | 0.4× |
| Urea nitrogen urine (84540) | $50.94 | $283 | 9.2× |
| Uric acid other source (84560) | $64.26 | $357 | 12.6× |
| Urinalysis Volume Measure (81050) | $25.20 | $140 | 6.9× |
| Urine Albumin Semiquantitative (82044) | $96.12 | $534 | 15.4× |
| Urine Bacteria Culture (87088) | $25.02 | $139 | 3.1× |
| Urine Pregnancy Test (81025) | $33.66 | $187 | 3.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $46.08 | $256 | 14.5× |
| Valproic acid (80164) | $148.86 | $827 | 11.0× |
| Vancomycin (80202) | $157.86 | $877 | 11.7× |
| Varicella-zoster antibody (86787) | $170.82 | $949 | 13.3× |
| Vasopressin (84588) | $239.04 | $1,328 | 7.0× |
| Viral Culture (87252) | $245.52 | $1,364 | 9.4× |
| Virus antibody nos (86790) | $44.64 | $248 | 3.5× |
| Virus inoculation, shell via (87254) | $12.42 | $69 | 0.6× |
| Viscosity serum (85810) | $33.48 | $186 | 2.9× |
| Vit D 1 25-Dihydroxy (82652) | $73.80 | $410 | 1.9× |
| Vitamin A (84590) | $84.24 | $468 | 7.3× |
| Vitamin b-12 (82607) | $131.58 | $731 | 8.7× |
| Vitamin B6 (84207) | $101.34 | $563 | 3.6× |
| Vitamin c (82180) | $59.40 | $330 | 6.0× |
| Vitamin D 25-Hydroxy (82306) | $167.40 | $930 | 5.7× |
| Vitamin E (84446) | $74.34 | $413 | 5.2× |
| Vitamin K (84597) | $118.62 | $659 | 8.6× |
| Volatiles (84600) | $87.48 | $486 | 5.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $10.98 | $61 | 0.9× |
| Von willebrand factor ag (85246) | $341.46 | $1,897 | 14.9× |
| West nile virus ab igm (86788) | $45.54 | $253 | 2.7× |
| West Nile Virus Antibody (86789) | $48.42 | $269 | 3.4× |
| Xylose Absorption Test (84620) | $89.64 | $498 | 6.9× |
| Zinc (84630) | $91.08 | $506 | 8.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.