Lab & pathology prices at Lakeview Hospital

Bountiful, UT · every code in this section with a posted price and a Medicare benchmark.

529 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $133.47 $133.47 5.9×
5 Nucleotidase (83915) $210.77 $210.77 18.9×
Acth (82024) $581.39 $581.39 15.1×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$345.57–$387.61 $345.57–$387.61 varies
Acute hepatitis panel (80074) $861.63 $861.63 18.1×
Albumin Fluid (82042) $152.37 $152.37 19.6×
Albumin serum (82040) $94.01 $94.01 19.0×
Aldolase (82085) $235.84 $235.84 24.3×
Aldosterone urine (82088)
range across 2 matching MRF lines
$443.66–$492.69 $443.66–$492.69 varies
Alkaline phosphatase isoenzymes (84080) $289.51 $289.51 19.6×
Allergen specific ige (86003) $116.79 $116.79 22.4×
Allergen specific igg (86001) $113.99 $113.99 14.6×
Alpha-1-antitrypsin total (82103) $298.87 $298.87 22.2×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$262.82–$289.51 $262.82–$289.51 varies
Alt (sgpt) (84460) $98.08 $98.08 18.5×
Amikacin trough (80150) $260.74 $260.74 17.3×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $328.03 $328.03 19.4×
Ammonia (82140) $268.53 $268.53 18.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $502.03 $502.03 5.1×
Amylase urine (82150) $139.51 $139.51 21.5×
Ana Titer (86039) $361.90 $361.90 32.4×
Anca screen each antibody (86036)
range across 2 matching MRF lines
$70.03–$232.93 $70.03–$232.93 varies
Anca Titer Each Antibody (86037) $183.78 $183.78 15.3×
Androstenedione (82157) $138.37 $138.37 4.7×
Angiotensin converting enzyme csf (82164) $471.66 $471.66 32.3×
Anti-Phospholipid Antibody (86148)
range across 3 matching MRF lines
$406.30–$509.05 $406.30–$509.05 varies
Antibody aspergillus (86606) $367.90 $367.90 24.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $422.64 $422.64 27.3×
Antibody Cytomegalovirus Cmv Igm (86645) $366.58 $366.58 21.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $329.25 $329.25 25.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $329.25 $329.25 21.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $366.58 $366.58 20.2×
Antibody helicobacter pylori (86677) $382.95 $382.95 22.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $310.56 $310.56 21.6×
Antibody HIV-1&HIV-2 single result (86703) $151.21 $151.21 11.0×
Antibody HIV-2 (86702) $408.62 $408.62 30.2×
Antibody htlv/HIV antibody confirmatory test (86689) $371.29 $371.29 19.2×
Antibody identification leukocyte antibodies (86021) $70.03 $70.03 4.7×
Antibody Identification Platelet Immunogl Assay (86023) $551.06 $551.06 44.2×
Antibody Protozoa Nes (86753) $164.63 $164.63 13.3×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$68.30–$110.33 $68.30–$110.33 varies
Antigen typing (86905) $180.38 $180.38 47.1×
Antinuclear antibodies (86038) $56.61 $56.61 4.7×
Antistreptolysin o titer (86060) $239.36 $239.36 32.8×
Antithrombin iii activity (85300) $476.36 $476.36 40.2×
Antithrombin iii antigen (85301) $464.68 $464.68 43.0×
Aquaporin-4 Antb Elisa (86051) $1,517.33 $1,517.33 131.6×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) $583.78 $583.78 4.3×
Arsenic (82175) $350.27 $350.27 18.5×
Aspergillus ag eia (87305) $628.10 $628.10 52.4×
Assay activated protein c (85307) $75.30 $75.30 4.9×
Assay Blood Carbon Dioxide (82374) $88.74 $88.74 18.2×
Assay of 5-hiaa (83497) $338.59 $338.59 26.2×
Assay of blood/uric acid (84550) $88.74 $88.74 19.6×
Assay of calcium in urine (82340) $152.37 $152.37 25.3×
Assay of cpk in blood (82552) $359.62 $359.62 26.9×
Assay of estrone (82679) $493.88 $493.88 19.8×
Assay of g6pd enzyme (82955) $289.51 $289.51 29.8×
Assay of gammaglobulin igm (82784) $301.24 $301.24 32.4×
Assay of lactic acid (83605) $268.53 $268.53 23.2×
Assay of manganese (83785) $392.12 $392.12 14.7×
Assay of metanephrines (83835) $436.68 $436.68 25.8×
Assay of proinsulin (84206) $490.31 $490.31 18.4×
Assay of pyruvate (84210) $164.02 $164.02 11.3×
Assay of serum potassium (84132) $88.74 $88.74 18.6×
Assay of sweat sodium (84302) $75.90 $75.90 15.6×
Assay of urea nitrogen (84520) $98.08 $98.08 24.8×
Assay of vasoactive intestinal peptide (84586) $632.78 $632.78 17.9×
Assay of vitamin b-1 (84425) $422.64 $422.64 19.9×
Assay Ph Body Fluid Nos (83986) $202.61 $202.61 56.6×
Automated Leukocyte Count (85048) $88.74 $88.74 34.9×
Bartonella antibody (86611) $48.55 $48.55 4.8×
Bcr/abl1 gene major bp (81206) $624.80 $624.80 3.8×
Bcr/abl1 gene minor bp (81207) $624.80 $624.80 4.3×
Beta 2 glycoprotein i antibody each (86146) $218.31 $218.31 8.6×
Beta hydroxybutyrate (82010) $373.58 $373.58 45.7×
Beta Lactamase (87185)
range across 2 matching MRF lines
$159.95–$254.80 $159.95–$254.80 varies
Beta-2 Microglobulin (82232) $366.58 $366.58 22.7×
Bile acids total (82239) $84.62 $84.62 4.9×
Bilirubin direct (82248) $88.74 $88.74 17.7×
Bilirubin total (82247) $88.74 $88.74 17.7×
Biotinidase (82261) $153.91 $153.91 9.1×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $431.97 $431.97 2.5×
Bld Typing Serologic Rh Phnt (86906) $180.38 $180.38 23.3×
Blood count reticulocyte automated (85045) $112.11 $112.11 28.1×
Blood gases w/02 saturation (82805) $427.31 $427.31 5.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $140.11 $140.11 8.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $183.27 $183.27 28.9×
Blood typing serologic abo (86900) $101.57 $101.57 34.0×
Bone marrow smear interpretation (85097) $130.14 $130.14 0.2×
Bordetella antibody (86615) $361.90 $361.90 27.4×
Braf gene analysis (81210) $978.92 $978.92 5.6×
Brucella antibody (86622) $59.05 $59.05 6.6×
C diff amplified probe (87493) $373.58 $373.58 10.0×
C-Peptide (84681) $499.70 $499.70 24.0×
C-reactive protein (86140) $195.57 $195.57 37.8×
Ca 19-9 (86301) $469.37 $469.37 22.6×
Cadmium (82300) $448.69 $448.69 19.0×
Calcitonin (82308) $544.05 $544.05 20.3×
Calcium ionized (82330) $324.58 $324.58 23.7×
Calcium total (82310) $112.11 $112.11 21.7×
Calprotectin Fecal (83993) $1,274.94 $1,274.94 64.9×
Cancer Antigen 125 (86304) $469.37 $469.37 22.6×
Cancer Antigen 27.29 (86300) $378.28 $378.28 18.2×
Candida antibody (86628) $333.89 $333.89 27.8×
Carbamazepine total (80156) $155.87 $155.87 10.7×
Carboxyhemoglobin (82375) $421.62 $421.62 34.2×
Carcinoembryonic antigen (82378) $492.69 $492.69 26.0×
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$155.67–$544.05 $155.67–$544.05 varies
Carnitine Quantitative Each Specimen (82379) $151.21 $151.21 9.0×
Catecholamines fractionated (82384) $639.79 $639.79 25.3×
Ccp antibody (86200) $516.02 $516.02 39.8×
Cell count csf (89051)
range across 2 matching MRF lines
$171.60–$195.57 $171.60–$195.57 varies
Ceruloplasmin (82390) $303.56 $303.56 28.3×
Chemiluminescent assay (82397) $525.39 $525.39 37.2×
Chloride other source (82438) $108.01 $108.01 21.6×
Chloride Serum (82435) $108.01 $108.01 23.5×
Chloride urine (82436) $108.01 $108.01 18.8×
Cholesterol total (82465) $88.74 $88.74 20.4×
Cholinesterase Serum (82480) $210.77 $210.77 26.8×
Chorionic gonadotropin test (84702) $336.25 $336.25 22.3×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $1,827.71 $1,827.71 10.6×
Chromium serum (82495) $115.59 $115.59 5.7×
Chromogenic Substrate Assay (85130)
range across 2 matching MRF lines
$814.59–$845.28 $814.59–$845.28 varies
Chromogranin a (86316) $333.89 $333.89 16.0×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$1,648.64–$1,961.42 $1,648.64–$1,961.42 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $277.88 $277.88 7.9×
Citric acid urine (82507) $616.43 $616.43 22.2×
Ckmb (82553) $165.20 $165.20 14.3×
Clostridium Difficile (87324) $347.91 $347.91 29.0×
Clot Factor VIII Multimetric (85247) $422.64 $422.64 18.4×
Clotting Funct Activity (85397) $891.92 $891.92 28.9×
Cns DNA amp probe type 12-25 (87483) $1,287.42 $1,287.42 3.1×
Coagulation time activated (85347) $60.12 $60.12 14.0×
Coccidioides antibody (86635) $406.30 $406.30 35.4×
Cold agglutinin titer (86157) $39.67 $39.67 4.9×
Collagen crosslinks (82523) $313.71 $313.71 16.8×
Column Chromotography Quant (82542) $420.40 $420.40 17.5×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$272.43–$422.64 $272.43–$422.64 varies
Complement Total (Ch50) (86162) $607.09 $607.09 29.9×
Complement/Function Activity (86161) $378.28 $378.28 31.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $302.23 $302.23 5.7×
Coombs direct (86880) $101.57 $101.57 18.8×
Copper urine (82525) $298.87 $298.87 24.1×
Cortisol free (82530) $474.01 $474.01 28.4×
Cortisol saliva (82533) $410.97 $410.97 25.2×
Creatine kinase total (82550) $112.68 $112.68 17.3×
Creatinine blood (82565) $112.68 $112.68 22.0×
Creatinine clearance (82575) $268.53 $268.53 28.4×
Creatinine Urine (82570) $152.37 $152.37 29.4×
Crossmatch immediate spin (86920) $289.51 $289.51 1.7×
Crp High Sensitivity (86141) $247.50 $247.50 19.1×
Cryoglobulin (82595) $178.63 $178.63 27.6×
Cryptococcal Antigen (87327) $252.18 $252.18 18.8×
Cryptococcus ag titer (87899) $367.38 $367.38 22.9×
Cryptosporidium ag eia (87328) $171.60 $171.60 12.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $180.38 $180.38 22.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $266.21 $266.21 32.9×
Culture afb (87116) $303.56 $303.56 28.1×
Culture Anaerobic (87075) $203.16 $203.16 21.5×
Culture blood (87040) $296.55 $296.55 28.7×
Culture csf (87070)
range across 18 matching MRF lines
$62.47–$382.95 $62.47–$382.95 varies
Culture fungus (87102) $427.31 $427.31 50.8×
Culture fungus blood (87103) $537.06 $537.06 26.2×
Culture screen only (87081)
range across 4 matching MRF lines
$128.41–$583.78 $128.41–$583.78 varies
Culture stool (87045) $282.55 $282.55 29.9×
Culture typing if ea antiserum (87140) $244.45 $244.45 43.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $122.61 $122.61 23.7×
Culture typing other methods (87158) $310.29 $310.29 40.1×
Culture urine (87086) $235.27 $235.27 29.2×
Cyclosporine (80158) $378.28 $378.28 21.0×
Cystatin C (82610) $730.85 $730.85 39.5×
Cytogenetics 100-300 (88275) $519.63 $519.63 10.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $8,674.37 $8,674.37 7.5×
Cytomegalovirus igg (86644) $324.58 $324.58 22.6×
Deoxyribonuclease antibody (86215) $366.58 $366.58 27.7×
Detect Agent Nos Dna Amp (87798)
range across 12 matching MRF lines
$205.41–$1,288.94 $205.41–$1,288.94 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$566.60–$1,898.36 $566.60–$1,898.36 varies
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$733.37–$2,008.85 $733.37–$2,008.85 varies
Dgp Antibody Each Ig Class (86258) $144.19 $144.19 12.0×
Dhea (82626) $709.86 $709.86 28.1×
Dhea-S (82627) $336.25 $336.25 15.1×
Digoxin (80162) $298.87 $298.87 22.5×
Dna Antibody Native/Double Stranded (86225) $560.41 $560.41 40.8×
DNA/RNA direct probe (87149) $324.34 $324.34 16.2×
Dna/Rna Sequencing (87153) $835.96 $835.96 7.2×
Drug assay acetaminophen (80143) $46.32 $46.32 2.5×
Drug Assay Everolimus (80169) $292.86 $292.86 21.3×
Drug assay felbamate (80167) $85.29 $85.29 4.6×
Drug Screen Quant Clozapine (80159) $120.14 $120.14 6.0×
Drug Screen Quant Zonisamide (80203) $214.71 $214.71 16.2×
Drug Screen Quantitative Lamotrigine (80175) $125.51 $125.51 9.5×
Drug Screen Quantitative Levetiracetam (80177) $236.17 $236.17 17.8×
Drug Screen Quantitative Oxcarbazepine (80183) $157 $157 11.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$56.43–$407.78 $56.43–$407.78 varies
Drug Test Prsmv Dir Opt Obs (80305) $28.22 $28.22 2.2×
El-1 Fecal Quantitative (82653) $1,186.19 $1,186.19 51.6×
Electrolyte panel (80051) $225.34 $225.34 32.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $173.54 $173.54 2.8×
Endomysial Antibody Each Immunoglobulin Class (86231) $214.71 $214.71 17.8×
Enterovirus PCR (87498) $596.41 $596.41 17.0×
Enzyme cell activity (82657) $1,070.22 $1,070.22 48.3×
Erythropoietin (82668) $544.05 $544.05 29.0×
Estradiol serum (82670) $382.95 $382.95 13.7×
Estriol (82677) $78.06 $78.06 3.2×
Estrogens fractionated (82671) $751.88 $751.88 23.3×
Ethylene Glycol (82693) $492.69 $492.69 33.1×
Exam Synovial Fluid Crystals (89060) $92.82 $92.82 12.7×
F2 Gene (81240) $525.39 $525.39 8.0×
Factor ii activity (85210) $198.40 $198.40 15.3×
Factor ix activity (85250) $422.64 $422.64 22.2×
Factor v activity (85220) $422.64 $422.64 23.9×
Factor v leiden mutation (81241) $1,109.11 $1,109.11 15.1×
Factor vii assay (85230) $422.64 $422.64 23.6×
Factor viii assay (85240) $427.31 $427.31 23.9×
Factor X (85260) $422.64 $422.64 23.6×
Factor xi activity (85270) $422.64 $422.64 23.6×
Fat/Lipids Feces Quantitative (82710) $565.08 $565.08 33.6×
Fecal Fat Qualitative (82705) $90.81 $90.81 17.8×
Ferritin (82728) $289.51 $289.51 21.2×
Fetal Chrmoml Aneuploidy (81420) $1,396.75 $1,396.75 1.8×
Fetal Fibronectin (82731) $1,564.46 $1,564.46 24.3×
Fetal screen rosette (85461) $203.72 $203.72 21.8×
Fibrin degradation products (85362) $225.90 $225.90 32.8×
Fibrin Degradation Quant (85379) $345.57 $345.57 33.9×
Fibrinogen activity (85384) $176.25 $176.25 18.1×
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$211.90–$499.70 $211.90–$499.70 varies
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$396.97–$589.17 $396.97–$589.17 varies
Folic Acid Serum (82746) $244.60 $244.60 16.6×
Follicle Stimulating Hormone (83001) $431.97 $431.97 23.2×
Fresh Frozen Plasma Thawing Each Unit (86927) $184.62 $184.62 1.1×
Frozen Section (88331) $431.97 $431.97 2.5×
Fungi Identification Mold (87107) $684.17 $684.17 66.3×
Fungi Identification Yeast (87106) $214.21 $214.21 20.8×
Gammaglobulin ige (82785) $382.95 $382.95 23.3×
Gastrin (82941) $436.68 $436.68 24.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,667.38 $1,667.38 4.0×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $10,637 $10,637 3.6×
Gentamicin (80170) $232.93 $232.93 14.2×
Ggt (82977) $139.51 $139.51 19.4×
Giardia antigen (87329) $628.10 $628.10 52.4×
Glucose 2 hr pp (82950) $155.87 $155.87 32.8×
Glucose body fluid (82945) $139.51 $139.51 35.5×
Glucose Serum (82947) $104.51 $104.51 26.6×
Glucose tolerance test (gtt) (82951) $371.29 $371.29 28.8×
Glycated Protein (82985) $15.74 $15.74 0.9×
Gonadotropin Chorionic Qualitative (84703) $182.71 $182.71 24.3×
Growth hormone (83003) $448.35 $448.35 26.9×
Gtt-added samples (82952) $106.83 $106.83 27.3×
H Pylori (C-13) Breath (83013) $218.92 $218.92 3.3×
Haptoglobin (83010) $268.53 $268.53 21.3×
Hdl Cholesterol (83718) $146.54 $146.54 17.9×
Helicobacter Pylori Stool (87338) $408.62 $408.62 28.4×
Helminth Antibody (86682) $76.77 $76.77 5.9×
Hematocrit (85014) $82.34 $82.34 34.7×
Hemoglobin (85018) $82.34 $82.34 34.7×
Hemoglobin a1c (83036) $200.81 $200.81 20.7×
Hemoglobin Chromotography (83021) $249.85 $249.85 13.8×
Hemoglobin plasma (83051) $82.90 $82.90 11.3×
Hep a ab igm (86709) $152.96 $152.96 13.6×
Heparin assay (85520) $737.87 $737.87 56.4×
Heparin Neutralization (85525) $84.34 $84.34 7.1×
Hepatitis a antibody total (86708) $408.62 $408.62 33.0×
Hepatitis b core ab igm (86705) $88.74 $88.74 7.5×
Hepatitis b core ab total (86704) $357.27 $357.27 29.6×
Hepatitis B Surface Antibody (86706) $331.56 $331.56 30.9×
Hepatitis B Surface Antigen (87340) $345.57 $345.57 33.5×
Hepatitis Be Antibody (86707) $157.60 $157.60 13.6×
Hepatitis Be Antigen (87350) $157.60 $157.60 13.7×
Hepatitis C Antibody (86803) $403.96 $403.96 28.3×
Hepatitis C Genotype (87902) $1,415.03 $1,415.03 5.5×
Hepatitis C Revrs Trnscrpj (87522) $761.23 $761.23 17.8×
Hepatitis Delta Agent Antibody (86692) $317.96 $317.96 18.5×
Heterophile Antibody Screen (86308) $139.51 $139.51 26.9×
Hfe Gene (81256) $1,223.67 $1,223.67 18.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $315.23 $315.23 40.8×
Histamine urine (83088) $511.38 $511.38 17.3×
Histoplasma antibody (86698) $284.87 $284.87 20.7×
Hiv Antigen W/Hiv Antibodies (87806) $330.31 $330.31 10.1×
Hiv Genotype (87901) $1,903.47 $1,903.47 7.4×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $330.31 $330.31 13.7×
Hiv-1 Antibody (86701) $221.80 $221.80 24.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $777.55 $777.55 9.1×
Hla I Typing 1 Allele Hr (81381) $543.85 $543.85 3.2×
Hla ii type 1 ag equiv lr (81377) $146.16 $146.16 1.5×
Hla Typing Dr/Dq Single Antigen (86816) $871.40 $871.40 28.9×
Hla-b27 (86812) $232.93 $232.93 9.0×
Homocysteine (83090) $933.99 $933.99 52.1×
Homovanillic acid urine (83150) $382.95 $382.95 17.1×
Hsv Dna Amp Probe (87529) $410.97 $410.97 11.7×
Hydroxyprogesterone 17-d (83498) $525.39 $525.39 19.3×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$256.83–$389.94 $256.83–$389.94 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $38.35 $38.35 1.1×
Iaad ia shiga-like toxin (87427) $203.72 $203.72 17.0×
Iaad Ia Streptococcus Group A (87430) $110.33 $110.33 6.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $381.70 $381.70 10.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $1,333.28 $1,333.28 38.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $364.29 $364.29 10.4×
Iadna Cytomegalovirus Quantification (87497) $1,179.18 $1,179.18 27.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $373.58 $373.58 5.3×
Iadna Hepatitis B Virus Quantification (87517) $1,373.01 $1,373.01 32.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $1,013.22 $1,013.22 28.9×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $2,010.45 $2,010.45 48.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $870.97 $870.97 24.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $277.88 $277.88 7.9×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $93.17 $93.17 1.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $648.76 $648.76 4.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,110.80 $1,110.80 4.2×
Ig Light Chains Free Each (83521) $284.87 $284.87 16.5×
Igg subclasses (82787) $192.07 $192.07 23.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $431.97 $431.97 1.2×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$147.03–$471.66 $147.03–$471.66 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$385.08–$2,873.11 $385.08–$2,873.11 varies
Immunoassay infectious agent (86318) $424.96 $424.96 23.5×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$126.89–$694.22 $126.89–$694.22 varies
Immunodiffusion Ouchterlony (86331) $65.97 $65.97 5.5×
Immunofixation electrophoresis (86334) $277.88 $277.88 12.4×
Immunofluorescence per spec 1st singl antb stain (88346) $2,316.38 $2,316.38 13.4×
Immunohistochemistry (88342) $240.23 $240.23 1.4×
Influenza a/b ag eia (87400) $256.83 $256.83 18.2×
Influenza assay w/optic (87804) $256.83 $256.83 15.5×
Influenza DNA amp probe (87502) $550.24 $550.24 5.7×
Inhibin b (83520)
range across 17 matching MRF lines
$167.54–$581.39 $167.54–$581.39 varies
Insulin total (83525) $289.51 $289.51 25.3×
Intrinsic factor antibody (86340) $106.28 $106.28 7.0×
Iron (83540) $94.01 $94.01 14.5×
Iron Binding Capacity (83550) $143.59 $143.59 16.4×
Islet cell antibody (86341) $684.92 $684.92 29.1×
Jak2 gene analysis p.val617phe variant (81270) $1,651.57 $1,651.57 18.0×
Koh Prep (87220) $155.30 $155.30 36.4×
Kras Gene Analysis Additional Variant(S) (81276) $2,121 $2,121 11.0×
Kras Gene Variants Exon 2 (81275) $2,354.87 $2,354.87 12.2×
Lactate (ld) (ldh) enzyme (83615) $89.31 $89.31 14.8×
Lactoferrin fecal qualitative (83630) $124.65 $124.65 6.3×
Ldh Isoenzymes (83625) $86.22 $86.22 6.7×
Lead (83655) $176.25 $176.25 14.6×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$126.10–$436.68 $126.10–$436.68 varies
Legionella pneumophila dfa (87278) $203.91 $203.91 13.1×
Leptospira antibody (86720) $241.45 $241.45 14.9×
Leukocyte Histamine Release (86343) $366.08 $366.08 29.4×
Level I Surg Pathology Gross Examination Only (88300) $211.90 $211.90 7.2×
Level ii surg pathology gross&microscopic exam (88302) $211.90 $211.90 5.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $658.45 $658.45 1.8×
Lipase (83690) $176.25 $176.25 25.6×
Lipoprotein A (83695) $92.11 $92.11 6.4×
Lipoprotein Bld Quan Part (83704) $527.70 $527.70 15.4×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $287.22 $287.22 8.5×
Lithium (80178) $176.25 $176.25 26.7×
Luteinizing Hormone (Lh) (83002) $464.68 $464.68 25.1×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$359.62–$361.90 $359.62–$361.90 varies
Lysozyme serum (85549) $104.51 $104.51 5.6×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $970.93 $970.93 27.7×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $2,273.28 $2,273.28 13.2×
M/phmtrc alys ishquant/semiq (88374) $2,228.72 $2,228.72 12.9×
Magnesium Urine (83735) $104.51 $104.51 15.6×
Mass Spectrometry Quant (83789) $1,651.22 $1,651.22 68.5×
Mercury urine (83825) $401.63 $401.63 24.7×
Metabolic panel ionized ca (80047) $300.30 $300.30 21.9×
Methotrexate (80204) $289.51 $289.51 7.5×
Methylmalonic acid serum (83921) $644.47 $644.47 30.4×
Microalbumin, quantitative (82043) $289.51 $289.51 50.1×
Microbe Suscept Macrobroth (87188) $282.55 $282.55 42.6×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$39.37–$516.02 $39.37–$516.02 varies
Mitochondrial Antibody Each (86381) $361.90 $361.90 14.2×
Molecular Cytogenetics Dna Probe Each (88271) $1,782.18 $1,782.18 83.2×
Mononuclear cell antigen (86356) $440.42 $440.42 16.4×
Mopath procedure level 4 (81403) $1,204.85 $1,204.85 6.5×
Mrsa Pcr (87641) $373.58 $373.58 10.6×
Mthfr Gene Analysis Common Variants (81291) $702.66 $702.66 10.8×
Mumps antibody (86735) $141.88 $141.88 10.9×
Mycoplasma antibody (86738) $195.57 $195.57 14.8×
Myelin basic protein csf (83873) $401.63 $401.63 23.4×
Myoglobin urine (83874) $371.29 $371.29 28.7×
Natriuretic peptide (83880) $368.95 $368.95 9.4×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $978.92 $978.92 7.6×
Niacin (84591) $296.29 $296.29 17.4×
Nk cells total count (86357) $270.86 $270.86 7.2×
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$53.14–$370.91 $53.14–$370.91 varies
Occult blood feces (82272) $99.80 $99.80 23.6×
Occult Blood Other Sources (82271) $99.80 $99.80 18.8×
Oligoclonal bands (83916) $357.27 $357.27 13.0×
Oncology breast mrna gene expression 21 genes (81519) $25,125.73 $25,125.73 6.5×
Organic acids urine (83918) $998.35 $998.35 42.3×
Osmolality serum (83930) $112.68 $112.68 17.0×
Osmolality Urine (83935) $155.30 $155.30 22.8×
Ova and parasites smears (87177) $639.79 $639.79 71.9×
Oxalate urine (83945) $686.47 $686.47 47.5×
Pancreatic Elastase Fecal (82656) $551.82 $551.82 47.9×
Particle Agglutination Screen Each Antibody (86403) $84.06 $84.06 7.3×
Parvovirus antibody (86747) $427.31 $427.31 28.4×
Pathology Consultation During Surgery (88329) $148.70 $148.70 2.5×
Ph urine (81003) $116.79 $116.79 51.9×
Phenobarbital Level (80184) $263.85 $263.85 17.2×
Phenylalanine (84030) $406.30 $406.30 73.9×
Phenytoin (Dilantin) (80185) $186.79 $186.79 14.1×
Phosphatase alkaline (84075) $98.66 $98.66 19.0×
Phospholipid Neutralization Hexagonal (85598) $428.10 $428.10 23.8×
Phosphorus Serum (84100) $98.66 $98.66 20.8×
Phosphorus urine (84105) $112.68 $112.68 19.5×
Platelet Aggregation (85576) $141.28 $141.28 5.7×
Platelet Antibodies (86022)
range across 3 matching MRF lines
$889.66–$1,046.09 $889.66–$1,046.09 varies
Platelet count automated (85049) $124.92 $124.92 27.9×
Platelet neutralization (85597) $140.55 $140.55 7.8×
Porphobilinogen, urine; quantitative (84110) $135.15 $135.15 16.0×
Porphyrins Urine Quantitation & Fractionation (84120) $254.55 $254.55 17.3×
Potassium Urine (84133) $88.74 $88.74 18.8×
Prealbumin (84134) $203.72 $203.72 14.0×
Pregnenolone (84140) $100.93 $100.93 4.9×
Procalcitonin (Pct) (84145) $950.03 $950.03 34.9×
Progesterone (84144) $378.28 $378.28 18.1×
Prolactin (84146) $378.28 $378.28 19.5×
Protein body fluid (84157) $112.68 $112.68 28.2×
Protein C Activity (85303) $821.94 $821.94 59.4×
Protein Electrophoresis Urine (84166) $277.88 $277.88 15.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $259.20 $259.20 24.1×
Protein S Free (85306) $506.69 $506.69 33.1×
Protein s total (85305) $600.08 $600.08 51.7×
Protein total serum (84155) $98.66 $98.66 26.9×
Protein Total Urine (84156) $124.92 $124.92 34.0×
Protein Western Blot Test (84182) $2,245.27 $2,245.27 76.9×
PSA free (84154) $198.46 $198.46 10.8×
Pth Intact (83970) $544.05 $544.05 13.2×
Q Fever Antibody (86638) $221.71 $221.71 18.3×
Quantiferon tb gold plus (86480) $971.36 $971.36 15.7×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$40.37–$407.89 $40.37–$407.89 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$74.15–$431.97 $74.15–$431.97 varies
Rbc antibody elution (86860) $289.51 $289.51 1.7×
Rbc antibody identification (86870) $289.51 $289.51 0.8×
Rbc antibody screen (86850) $180.38 $180.38 18.5×
Rbc pretreatment serum (86978) $289.51 $289.51 4.8×
Renin activity plasma (84244) $490.35 $490.35 22.3×
Reptilase test (85635) $172.79 $172.79 17.5×
Resp Virus 6-11 Targets (87632) $1,310.79 $1,310.79 6.0×
Reticulated Platelet Assay (85055) $28.03 $28.03 0.8×
Reticulocyte Count (85046) $28.03 $28.03 5.0×
Rh (86901) $101.57 $101.57 34.0×
Rheumatoid factor quant (86431) $203.16 $203.16 35.8×
Rickettsia antibody (86757) $345.57 $345.57 17.9×
Ristocetin cofactor (85245) $422.64 $422.64 18.4×
Rotavirus ag eia (87425) $112.11 $112.11 9.4×
Rpr qualitative (86592)
range across 2 matching MRF lines
$89.31–$94.01 $89.31–$94.01 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$104.51–$221.27 $104.51–$221.27 varies
Rubeola antibody (86765) $195.57 $195.57 15.2×
Russell Viper Venom Time Diluted (85613) $331.56 $331.56 34.6×
Sars-Cov-2 Covid-19 Amp Prb (87635) $61.69 $61.69 1.2×
Sars-cov-2 COVID-19 antibody (86769) $70.26 $70.26 1.7×
Sedimentation rate (85651) $116.79 $116.79 27.4×
Sedimentation Rate, Automated (85652) $120.14 $120.14 44.5×
Selenium (84255) $65.62 $65.62 2.6×
Sensitivity mic (87186)
range across 2 matching MRF lines
$148.30–$186.79 $148.30–$186.79 varies
Sex Hormone Binding Globulin (84270) $394.61 $394.61 18.2×
Sirolimus (80195) $630.47 $630.47 45.9×
Skin test tuberculosis intradermal (86580) $75.90 $75.90 2.6×
Smear acid fast (87206)
range across 2 matching MRF lines
$183.12–$336.25 $183.12–$336.25 varies
Smear gram stain (87205)
range across 3 matching MRF lines
$75.30–$232.93 $75.30–$232.93 varies
Smear Special Stain (87207) $374.54 $374.54 62.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $171.60 $171.60 29.5×
Sodium Serum (84295) $88.74 $88.74 18.4×
Sodium Urine (84300) $88.74 $88.74 17.5×
Soluble Transferrin Receptor (84238) $78.73 $78.73 2.2×
Somatomedin (84305) $490.35 $490.35 23.1×
Somatostatin (84307) $821.12 $821.12 44.9×
Special Stains Group 1 (88312) $211.90 $211.90 4.0×
Special Stains Group 2 (88313) $211.90 $211.90 1.6×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$92.70–$551.06 $92.70–$551.06 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$42.03–$123.04 $42.03–$123.04 varies
Stone Analysis (82355) $310.56 $310.56 26.8×
Stool cultr aerobic bact ea (87046) $181.67 $181.67 19.2×
Strep a DNA amp probe (87651) $231.68 $231.68 6.6×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $57.41 $57.41 10.4×
Surg path level iii (88304) $431.97 $431.97 8.2×
Surgical pathology level IV (88305) $431.97 $431.97 8.2×
Surgical pathology level vi (88309) $658.45 $658.45 0.8×
Susceptibility Study Antimicrobial Disk Method (87184) $162.26 $162.26 21.7×
T cells absolute cd4 count (86361) $333.89 $333.89 12.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $607.53 $607.53 12.9×
T cells total count (86359) $422.64 $422.64 11.2×
T3 Free (84481) $438.98 $438.98 25.9×
T3 reverse (84482) $317.55 $317.55 20.1×
T3 Total (84480) $141.28 $141.28 10.0×
T3 Uptake (84479) $152.37 $152.37 23.6×
T4 Free (84439) $225.34 $225.34 25.0×
T4 total (84436) $155.87 $155.87 22.7×
Tacrolimus (80197) $474.01 $474.01 34.5×
Test for acetone/ketones (82009) $116.79 $116.79 25.8×
Testosterone total (84403)
range across 2 matching MRF lines
$347.91–$359.62 $347.91–$359.62 varies
Testosterone, Free (84402) $401.63 $401.63 15.8×
Theophylline (80198) $139.51 $139.51 9.9×
Thrombin Time (85670) $165.20 $165.20 28.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $126.10 $126.10 19.5×
Thyroglobulin (84432) $364.29 $364.29 22.7×
Thyroglobulin Antibody (86800) $94.01 $94.01 5.9×
Thyroid Stimulating Immunoglobulin (84445) $978.38 $978.38 19.2×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$287.22–$333.89 $287.22–$333.89 varies
Tissue culture bone marrow (88237) $2,532.62 $2,532.62 17.6×
Tobramycin peak (80200)
range across 3 matching MRF lines
$62.03–$232.93 $62.03–$232.93 varies
Topiramate (80201) $166.51 $166.51 14.0×
Toxoplasma ab igm (86778) $207.79 $207.79 14.4×
Toxoplasma antibody (86777) $162.26 $162.26 11.3×
Transferase Aspartate Amino Ast Sgot (84450) $98.08 $98.08 18.9×
Transferrin (84466) $319.89 $319.89 25.1×
Triglycerides (84478) $98.08 $98.08 17.1×
Troponin Quant (84484) $352.58 $352.58 28.3×
Tumor Immunohistochem/Manual (88360) $431.97 $431.97 2.5×
Urea nitrogen urine (84540) $139.51 $139.51 25.1×
Uric acid other source (84560) $110.33 $110.33 21.7×
Urinalysis Volume Measure (81050) $53.12 $53.12 14.6×
Urine Pregnancy Test (81025) $182.71 $182.71 21.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $176.25 $176.25 55.6×
Valproic acid (80164) $298.87 $298.87 22.1×
Vancomycin (80202) $232.93 $232.93 17.2×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$112.68–$157.60 $112.68–$157.60 varies
Vasopressin (84588) $912.97 $912.97 26.9×
Viral Culture (87252) $702.86 $702.86 27.0×
Virus antibody nos (86790)
range across 5 matching MRF lines
$282.55–$609.44 $282.55–$609.44 varies
Virus inoculation, shell via (87254) $532.37 $532.37 27.2×
Vit D 1 25-Dihydroxy (82652) $611.79 $611.79 15.9×
Vitamin A (84590) $394.61 $394.61 34.0×
Vitamin b-12 (82607) $289.51 $289.51 19.2×
Vitamin B6 (84207)
range across 2 matching MRF lines
$87.16–$511.38 $87.16–$511.38 varies
Vitamin c (82180) $102.59 $102.59 10.4×
Vitamin D 25-Hydroxy (82306) $544.05 $544.05 18.4×
Vitamin E (84446) $310.56 $310.56 21.9×
Vitamin K (84597) $373.58 $373.58 27.2×
Von willebrand factor ag (85246) $583.78 $583.78 25.4×
West nile virus ab igm (86788) $628.10 $628.10 37.3×
West Nile Virus Antibody (86789) $628.10 $628.10 43.6×
Zika Virus Dna/Rna Amp Probe (87662) $795.83 $795.83 15.5×
Zinc (84630) $319.89 $319.89 28.1×

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.