Lab & pathology prices at Larabida Childrens Hospital I

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $91.16 $91.16 5.9×
17-Hydroxypregnenolone (84143) $185.29 $185.29 8.1×
Acth (82024) $249.49 $249.49 6.5×
Actin smooth muscle antibody each (86015) $78.25 $78.25 6.5×
Acute hepatitis panel (80074) $151.50 $151.50 3.2×
Acylcarnitines Quant (82017) $109.17 $109.17 6.5×
Agglutinins Febrile Each Antigen (86000) $45.45 $45.45 6.5×
Albumin serum (82040) $32.42 $32.42 6.5×
Aldolase (82085) $63.10 $63.10 6.5×
Aldosterone urine (82088) $263.27 $263.27 6.5×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$44.58–$95.89 $44.58–$95.89 varies
Allergen specific ige (86003)
range across 129 matching MRF lines
$16.78–$71.52 $16.78–$71.52 varies
Alpha-1-antitrypsin phenotype (82104) $93.52 $93.52 6.5×
Alpha-1-antitrypsin total (82103) $87.17 $87.17 6.5×
Alpha-Fetoprotein Serum (82105) $108.53 $108.53 6.5×
Alt (sgpt) (84460) $34.52 $34.52 6.5×
Aluminum (82108) $164.78 $164.78 6.5×
Amikacin trough (80150) $73.63 $73.63 4.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $109.17 $109.17 6.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $89.90 $89.90 6.5×
Amino Acids Quant 2-5 (82136) $109.17 $109.17 5.6×
Ammonia (82140) $94.38 $94.38 6.5×
Amylase urine (82150) $42.10 $42.10 6.5×
Ana Titer (86039) $72.28 $72.28 6.5×
Androstenedione (82157) $189.37 $189.37 6.5×
Angiotensin converting enzyme csf (82164) $94.63 $94.63 6.5×
Antibody aspergillus (86606) $97.49 $97.49 6.5×
Antibody Bacterium Not Elsewhere Specified (86609) $83.46 $83.46 6.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $100.34 $100.34 6.5×
Antibody Cytomegalovirus Cmv Igm (86645) $109.01 $109.01 6.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$85.07–$88.66 $85.07–$88.66 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $99.10 $99.10 6.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $117.36 $117.36 6.5×
Antibody Fungus Not Elsewhere Specified (86671) $79.22 $79.22 6.5×
Antibody haemophilus influenza (86684) $102.70 $102.70 6.5×
Antibody helicobacter pylori (86677) $93.89 $93.89 5.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $93.14 $93.14 6.5×
Antibody Herpes Smplx Type 1 (86695) $85.44 $85.44 6.5×
Antibody HIV-1&HIV-2 single result (86703) $125.16 $125.16 9.1×
Antibody HIV-2 (86702) $87.55 $87.55 6.5×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 3 matching MRF lines
$88.80–$125.16 $88.80–$125.16 varies
Antibody identification leukocyte antibodies (86021) $97.49 $97.49 6.5×
Antibody plasmodium malaria (86750) $85.44 $85.44 6.5×
Antibody Protozoa Nes (86753) $80.34 $80.34 6.5×
Antibody Titer (86886) $118.96 $118.96 23.0×
Antibody Treponema Pallidum (86780) $85.81 $85.81 6.5×
Antibody; influenza virus (86710) $87.80 $87.80 6.5×
Antigen typing (86905) $25.07 $25.07 6.5×
Antinuclear antibodies (86038) $78.35 $78.35 6.5×
Antistreptolysin o titer (86060) $47.56 $47.56 6.5×
Antithrombin iii activity (85300) $76.75 $76.75 6.5×
Apolipoprotein a1 (82172) $100.34 $100.34 4.8×
Arsenic (82175) $56.94 $56.94 3.0×
Assay Blood Carbon Dioxide (82374) $31.91 $31.91 6.5×
Assay of 5-hiaa (83497) $83.46 $83.46 6.5×
Assay of blood/uric acid (84550) $29.56 $29.56 6.5×
Assay of calcium in urine (82340) $39.36 $39.36 6.5×
Assay of cpk in blood (82552) $86.80 $86.80 6.5×
Assay of g6pd enzyme (82955) $62.95 $62.95 6.5×
Assay of gammaglobulin igm (82784) $60.47 $60.47 6.5×
Assay of lactic acid (83605) $69.28 $69.28 6.0×
Assay of manganese (83785) $159.32 $159.32 6.0×
Assay of metanephrines (83835) $109.65 $109.65 6.5×
Assay of pyruvate (84210) $70.40 $70.40 4.9×
Assay of serum potassium (84132)
range across 3 matching MRF lines
$21.30–$29.92 $21.30–$29.92 varies
Assay of Tyrosine (84510) $40.98 $40.98 3.9×
Assay of urea nitrogen (84520) $25.98 $25.98 6.6×
Assay of urine vma (84585) $100.45 $100.45 6.5×
Assay Phosphohexose Enzymes (84087) $21.74 $21.74 2.0×
Automated Leukocyte Count (85048) $16.78 $16.78 6.6×
B cells total count (86355) $148.02 $148.02 3.9×
Bartonella antibody (86611) $66.06 $66.06 6.5×
Beta 2 glycoprotein i antibody each (86146)
range across 5 matching MRF lines
$164.55–$164.67 $164.55–$164.67 varies
Beta hydroxybutyrate (82010) $53.13 $53.13 6.5×
Beta Lactamase (87185) $31.17 $31.17 6.6×
Beta-2 Microglobulin (82232) $104.82 $104.82 6.5×
Bilirubin direct (82248) $32.79 $32.79 6.5×
Bilirubin total (82247) $32.79 $32.79 6.5×
Bl Smear W/O Diff Wbc Count (85008) $22.60 $22.60 6.6×
Blastomyces antibody (86612) $39.74 $39.74 3.1×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $13.66 $13.66 0.1×
Blood Count Red Blood Cell Automated (85041) $17.39 $17.39 5.8×
Blood count reticulocyte automated (85045) $26.19 $26.19 6.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $22.60 $22.60 5.9×
Blood gas (82803)
range across 5 matching MRF lines
$78.25–$183.66 $78.25–$183.66 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $21.36 $21.36 4.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $198.31 $198.31 31.2×
Blood typing serologic abo (86900) $30.93 $30.93 10.3×
Brucella antibody (86622) $57.99 $57.99 6.5×
C diff amplified probe (87493) $213.72 $213.72 5.7×
C-Peptide (84681) $134.50 $134.50 6.5×
C-reactive protein (86140) $33.65 $33.65 6.5×
Cadmium (82300) $150 $150 6.3×
Calcitonin (82308) $20.25 $20.25 0.8×
Calcium ionized (82330) $88.55 $88.55 6.5×
Calcium total (82310) $33.65 $33.65 6.5×
Calculus Spectroscopy (82365) $79.86 $79.86 6.2×
Calprotectin Fecal (83993) $312.94 $312.94 15.9×
Carbamazepine free (80157) $85.95 $85.95 6.5×
Carbamazepine total (80156) $94.38 $94.38 6.5×
Carcinoembryonic antigen (82378) $122.69 $122.69 6.5×
Cardiolipin ab iga (86147) $164.67 $164.67 6.5×
Carnitine Quantitative Each Specimen (82379) $109.17 $109.17 6.5×
Carotene (82380) $60.10 $60.10 6.5×
Catecholamines fractionated (82384) $163.05 $163.05 6.5×
Ccp antibody (86200) $83.83 $83.83 6.5×
Cell count csf (89051) $36.02 $36.02 6.4×
Ceruloplasmin (82390) $69.66 $69.66 6.5×
Chemiluminescent assay (82397) $46.70 $46.70 3.3×
Chloride other source (82438) $31.91 $31.91 6.4×
Chloride Serum (82435)
range across 3 matching MRF lines
$21.30–$29.92 $21.30–$29.92 varies
Chloride urine (82436) $32.79 $32.79 5.7×
Cholesterol total (82465) $28.56 $28.56 6.6×
Cholinesterase Serum (82480) $51.16 $51.16 6.5×
Chorionic gonadotropin test (84702) $97.49 $97.49 6.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $109.65 $109.65 4.1×
Chrmsm Analysis Addl High Resolution Study (88289) $190.87 $190.87 5.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $191.82 $191.82 5.7×
Chromium serum (82495) $131.13 $131.13 6.5×
Chromosome Analysis 15-20 (88262) $804.09 $804.09 6.4×
Chromosome Analysis 20-25 (88264) $718.64 $718.64 5.0×
Chromosome analysis, 5 (88261) $1,018.77 $1,018.77 3.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $226.88 $226.88 6.5×
Ckmb (82553) $75.13 $75.13 6.5×
Clotting factor xii hageman (85280) $125.16 $125.16 6.5×
Clotting Funct Activity (85397) $86.40 $86.40 2.8×
Coccidioides antibody (86635) $39.74 $39.74 3.5×
Cold agglutinin titer (86157) $52.40 $52.40 6.5×
Collagen crosslinks (82523) $120.95 $120.95 6.5×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$41.53–$116.99 $41.53–$116.99 varies
Compatibility test antiglob (86922) $115.86 $115.86 0.6×
Complement Antigen Each Component (86160) $77.88 $77.88 6.5×
Complement Fixation Tests Each Antigen (86171) $65.07 $65.07 6.5×
Complement Total (Ch50) (86162) $131.38 $131.38 6.5×
Complement/Function Activity (86161)
range across 5 matching MRF lines
$77.88–$77.98 $77.88–$77.98 varies
Coombs direct (86880) $35.02 $35.02 6.5×
Copper urine (82525) $78.10 $78.10 6.3×
Cortisol free (82530) $108.16 $108.16 6.5×
Cortisol saliva (82533) $105.57 $105.57 6.5×
Creatine kinase total (82550) $42.48 $42.48 6.5×
Creatinine blood (82565) $33.53 $33.53 6.5×
Creatinine clearance (82575) $61.35 $61.35 6.5×
Creatinine Urine (82570) $33.65 $33.65 6.5×
Crossmatch electronic (86923) $68.30 $68.30 0.4×
Crp High Sensitivity (86141) $83.83 $83.83 6.5×
Cryofibrinogen (82585) $55.76 $55.76 3.9×
Cryoglobulin (82595) $42.10 $42.10 6.5×
Cryptococcus ag titer (87899) $77.88 $77.88 4.8×
Cryptosporidium ag eia (87328) $78.99 $78.99 5.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$27.81–$37.97 $27.81–$37.97 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $27.81 $27.81 3.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $50.30 $50.30 6.5×
Culture aerobic quant other (87071)
range across 2 matching MRF lines
$32.04–$61.35 $32.04–$61.35 varies
Culture afb (87116) $89.90 $89.90 8.3×
Culture Anaerobic (87075) $39.69 $39.69 4.2×
Culture bacteria anaerobic (87073) $61.28 $61.28 6.3×
Culture blood (87040) $66.92 $66.92 6.5×
Culture csf (87070)
range across 7 matching MRF lines
$138.54–$138.59 $138.54–$138.59 varies
Culture fungus (87102) $54.53 $54.53 6.5×
Culture fungus blood (87103) $58.61 $58.61 2.9×
Culture screen only (87081)
range across 6 matching MRF lines
$43.22–$125.54 $43.22–$125.54 varies
Culture stool (87045) $138.49 $138.49 14.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $29.92 $29.92 5.8×
Culture urine (87086) $52.40 $52.40 6.5×
Cyclosporine (80158) $116.72 $116.72 6.5×
Cystatin C (82610) $30.07 $30.07 1.6×
Cytogenetics 10-30 (88273)
range across 7 matching MRF lines
$147.51–$207.50 $147.51–$207.50 varies
Cytogenetics 100-300 (88275) $259.28 $259.28 5.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,669.41 $2,669.41 2.3×
Cytomegalovirus igg (86644) $93.14 $93.14 6.5×
Deoxycortisol (82634) $112.26 $112.26 3.8×
Deoxyribonuclease antibody (86215) $85.95 $85.95 6.5×
Desoxycorticosterone (82633) $36.45 $36.45 1.2×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$226.74–$721.36 $226.74–$721.36 varies
Detect Agent Nos Dna Quant (87799) $230.61 $230.61 5.4×
Detect agnt mult DNA ampli (87801) $453.26 $453.26 6.5×
Dgp Antibody Each Ig Class (86258) $66.72 $66.72 5.5×
Dhea (82626) $163.18 $163.18 6.5×
Dhea-S (82627) $143.55 $143.55 6.5×
Digoxin (80162) $86.06 $86.06 6.5×
Diphtheria antitoxoid (86648) $98.59 $98.59 6.5×
Dna Antibody Native/Double Stranded (86225) $89.03 $89.03 6.5×
Dna Antibody Single Stranded (86226) $78.48 $78.48 6.5×
Dna/Rna Amplified Probe (87150) $65.56 $65.56 1.9×
Dna/Rna Sequencing (87153) $664.99 $664.99 5.8×
Drug Assay Lacosamide (80235) $53.97 $53.97 2.0×
Drug assay voriconazole (80285) $53.85 $53.85 2.0×
Drug Screen Quant Clozapine (80159) $116.99 $116.99 5.8×
Drug Screen Quant Zonisamide (80203) $71.52 $71.52 5.4×
Drug Screen Quantitative Gabapentin (80171) $88.66 $88.66 4.1×
Drug Screen Quantitative Lamotrigine (80175) $88.66 $88.66 6.7×
Drug Screen Quantitative Levetiracetam (80177) $88.66 $88.66 6.7×
Drug Screen Quantitative Oxcarbazepine (80183) $69.63 $69.63 5.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$85.69–$164.90 $85.69–$164.90 varies
Drug Test Prsmv Dir Opt Obs (80305) $164.81 $164.81 13.1×
El-1 Fecal Quantitative (82653) $44.28 $44.28 1.9×
Electrolyte panel (80051)
range across 4 matching MRF lines
$45.58–$45.70 $45.58–$45.70 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $178.70 $178.70 2.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $69.90 $69.90 5.8×
Enterovirus Antibody (86658) $84.44 $84.44 6.5×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$116.99–$131.76 $116.99–$131.76 varies
Eosinophil Smear (89190) $31.17 $31.17 5.4×
Erythropoietin (82668) $121.70 $121.70 6.5×
Estradiol serum (82670) $73.63 $73.63 2.6×
Estrogen total (82672) $140.33 $140.33 6.5×
Ethosuximide (80168) $105.80 $105.80 6.5×
F2 Gene (81240) $107.29 $107.29 1.6×
Factor ix activity (85250) $123.31 $123.31 6.5×
Factor v activity (85220) $114.13 $114.13 6.5×
Factor vii assay (85230) $115.98 $115.98 6.5×
Factor viii assay (85240) $115.98 $115.98 6.5×
Fat/Lipids Feces Quantitative (82710) $22.10 $22.10 1.3×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $66.06 $66.06 6.5×
Fecal Fat Qualitative (82705) $18.76 $18.76 3.7×
Ferritin (82728) $88.29 $88.29 6.5×
Fibrin Degradation Quant (85379) $66.06 $66.06 6.5×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $73.63 $73.63 5.9×
Fibrinogen activity (85384) $55.28 $55.28 5.7×
Flow cytometry first marker (88184) $77.62 $77.62 0.2×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$26.05–$78.25 $26.05–$78.25 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $78.25 $78.25 6.5×
Fmr1 Gene Charac Alleles (81244) $81.58 $81.58 1.8×
Fmr1 gene detection (81243) $107.92 $107.92 1.9×
Folic Acid Serum (82746) $96.34 $96.34 6.6×
Follicle Stimulating Hormone (83001) $120.20 $120.20 6.5×
Francisella tularensis (86668) $67.43 $67.43 4.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $68.30 $68.30 0.4×
Fungi Identification Mold (87107) $66.96 $66.96 6.5×
Fungi Identification Yeast (87106) $66.96 $66.96 6.5×
Galactose (82760) $38.54 $38.54 3.4×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $114.74 $114.74 5.4×
Gammaglobulin ige (82785) $106.67 $106.67 6.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $131.27 $131.27 13.4×
Gases blood ph only (82800) $38.36 $38.36 3.5×
Gastrin (82941) $113.99 $113.99 6.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $747.32 $747.32 1.8×
Gentamicin (80170) $106.17 $106.17 6.5×
Ggt (82977) $46.70 $46.70 6.5×
Giardia antigen (87329) $40.72 $40.72 3.4×
Glucagon (82943) $50.78 $50.78 3.6×
Glucose 2 hr pp (82950) $31.17 $31.17 6.6×
Glucose Blood Test (82962)
range across 3 matching MRF lines
$19.91–$19.99 $19.91–$19.99 varies
Glucose body fluid (82945) $25.71 $25.71 6.5×
Glucose Serum (82947)
range across 2 matching MRF lines
$25.71–$63.96 $25.71–$63.96 varies
Glucose tolerance test (gtt) (82951) $83.32 $83.32 6.5×
Glycated Protein (82985) $97.60 $97.60 5.8×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$48.76–$48.92 $48.76–$48.92 varies
Haptoglobin (83010) $81.47 $81.47 6.5×
Hba1/Hba2 Gene (81257) $193.97 $193.97 1.9×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $390.26 $390.26 1.9×
Hdl Cholesterol (83718) $53.13 $53.13 6.5×
Helicobacter Pylori Stool (87338) $93.14 $93.14 6.5×
Hemagglutination Inhibition (86280) $53.13 $53.13 6.5×
Hematocrit (85014) $15.77 $15.77 6.7×
Hemoglobin (85018)
range across 2 matching MRF lines
$15.77–$16.52 $15.77–$16.52 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$19.99–$63.10 $19.99–$63.10 varies
Hemoglobin Chromotography (83021) $116.99 $116.99 6.5×
Hemoglobin electrophoresis (83020) $125.16 $125.16 9.7×
Hemoglobin Methemoglobin Quantitative (83050) $43.09 $43.09 5.3×
Hemoglobin stability screen (83068) $23.47 $23.47 2.5×
Hep a ab igm (86709) $73.14 $73.14 6.5×
Heparin assay (85520) $84.94 $84.94 6.5×
Heparin Neutralization (85525) $96.22 $96.22 8.1×
Hepatitis a antibody total (86708) $80.34 $80.34 6.5×
Hepatitis b core ab igm (86705) $76.24 $76.24 6.5×
Hepatitis b core ab total (86704) $78.25 $78.25 6.5×
Hepatitis B Surface Antibody (86706) $97.12 $97.12 9.0×
Hepatitis B Surface Antigen (87340) $66.96 $66.96 6.5×
Hepatitis Be Antibody (86707) $75.26 $75.26 6.5×
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$74.76–$77.88 $74.76–$77.88 varies
Hepatitis C Antibody (86803) $92.39 $92.39 6.5×
Hepatitis C Revrs Trnscrpj (87522) $276.56 $276.56 6.5×
Hepatitis Delta Agent Antibody (86692) $111.28 $111.28 6.5×
Herpes simplex type 2 (86696) $125.16 $125.16 6.5×
Heterophile Antibody Screen (86308) $33.65 $33.65 6.5×
Histoplasma antigen urine (87385) $62.10 $62.10 4.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $295.86 $295.86 12.3×
Hiv-1 Antibody (86701) $57.75 $57.75 6.5×
HIV-1 p24 antigen (87390) $83.19 $83.19 3.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $549.01 $549.01 6.5×
Hla Typing Dr/Dq Single Antigen (86816) $151.39 $151.39 5.0×
Hla-b27 (86812) $166.76 $166.76 6.5×
Homocysteine (83090) $109.17 $109.17 6.1×
Homovanillic acid urine (83150) $125.16 $125.16 5.6×
Hsv Dna Amp Probe (87529) $226.88 $226.88 6.5×
Hydroxycorticosteroids 17 (83491) $113.26 $113.26 6.3×
Hydroxyprogesterone 17-d (83498) $175.59 $175.59 6.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $103.32 $103.32 10.0×
Iaad ia shiga-like toxin (87427) $69.42 $69.42 5.8×
Iaad Ia Streptococcus Group A (87430) $63.96 $63.96 3.8×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $77.88 $77.88 6.5×
Iadna Candida Species Amplified Probe Tq (87481) $32.70 $32.70 0.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $204.15 $204.15 5.8×
Iadna Cytomegalovirus Quantification (87497) $276.56 $276.56 6.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $159.90 $159.90 2.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $226.88 $226.88 6.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $175.84 $175.84 4.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $204.15 $204.15 5.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $226.88 $226.88 6.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $371.52 $371.52 2.6×
Igg subclasses (82787)
range across 5 matching MRF lines
$52.17–$83.46 $52.17–$83.46 varies
Immune Complex Assay (86332) $157.34 $157.34 6.5×
Immunfix e-phorsis/urine/csf (86335) $189.74 $189.74 6.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$83.83–$128.89 $83.83–$128.89 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$91.38–$98.59 $91.38–$98.59 varies
Immunoassay nonantibody (83516) $74.76 $74.76 6.5×
Immunoelectrophoresis Other Fluids Concentration (86325) $144.53 $144.53 6.2×
Immunofixation electrophoresis (86334) $144.41 $144.41 6.5×
Influenza DNA amp probe (87502)
range across 4 matching MRF lines
$207.39–$319.89 $207.39–$319.89 varies
Inhibin b (83520)
range across 11 matching MRF lines
$14.40–$91.03 $14.40–$91.03 varies
Insulin antibodies (86337) $138.33 $138.33 6.5×
Insulin free (83527) $83.95 $83.95 6.5×
Iron (83540) $42.10 $42.10 6.5×
Iron Binding Capacity (83550) $57.23 $57.23 6.5×
Irradiation Blood Product Each Unit (86945) $68.30 $68.30 1.7×
Islet cell antibody (86341) $251.60 $251.60 10.7×
Ketosteroids 17 total (83586) $82.95 $82.95 6.5×
Lactate (ld) (ldh) enzyme (83615) $39.36 $39.36 6.5×
Lactoferrin fecal qualitative (83630) $47.67 $47.67 2.4×
Ldh Isoenzymes (83625) $125.16 $125.16 9.8×
LDL direct (83721) $61.98 $61.98 5.9×
Lead (83655) $78.48 $78.48 6.5×
Legionella antigen urine (87449) $60.24 $60.24 5.0×
Leukocyte Assessment Fecal (89055) $32.79 $32.79 7.7×
Leukocyte Histamine Release (86343) $49.84 $49.84 4.0×
Lipase (83690) $44.83 $44.83 6.5×
Lipoprotein A (83695) $83.83 $83.83 5.9×
Lithium (80178) $43.09 $43.09 6.5×
Luteinizing Hormone (Lh) (83002) $119.96 $119.96 6.5×
Lyme disease antibody (86618) $110.27 $110.27 6.5×
Lymphocyte transformation (86353) $316.30 $316.30 6.5×
Lysozyme serum (85549) $121.33 $121.33 6.5×
M. Genitalium Amp Probe (87563) $73.68 $73.68 2.1×
Magnesium Urine (83735) $43.59 $43.59 6.5×
Mass Spectrometry Quant (83789)
range across 4 matching MRF lines
$116.99–$264.26 $116.99–$264.26 varies
Metabolic panel ionized ca (80047) $54.90 $54.90 4.0×
Methotrexate (80204) $53.15 $53.15 1.4×
Methylmalonic acid serum (83921) $571.23 $571.23 26.9×
Microalbumin, quantitative (82043) $37.62 $37.62 6.5×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$94.27–$103.06 $94.27–$103.06 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 22 matching MRF lines
$66.96–$127.04 $66.96–$127.04 varies
Molecular Pathology Procedure Level 6 (81405) $161.81 $161.81 0.5×
Mononuclear cell antigen (86356) $87.55 $87.55 3.3×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$193.97–$913.85 $193.97–$913.85 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$193.97–$428.32 $193.97–$428.32 varies
Mopath procedure level 5 (81404) $161.81 $161.81 0.6×
Mumps antibody (86735)
range across 4 matching MRF lines
$84.56–$179.94 $84.56–$179.94 varies
Mycophenolic Acid (80180) $498.46 $498.46 27.6×
Mycoplasma antibody (86738) $85.81 $85.81 6.5×
Myoglobin urine (83874) $83.57 $83.57 6.5×
Natriuretic peptide (83880) $183.29 $183.29 4.7×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $78.25 $78.25 2.7×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $763.28 $763.28 5.9×
Niacin (84591) $222.78 $222.78 13.1×
Nk cells total count (86357) $243.79 $243.79 6.5×
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$114.74–$144.55 $114.74–$144.55 varies
Occult Blood Other Sources (82271) $21.36 $21.36 4.0×
Organic acids urine (83918) $106.54 $106.54 4.5×
Osmolality serum (83930) $41.72 $41.72 6.3×
Osmolality Urine (83935) $44.46 $44.46 6.5×
Osteocalcin (83937) $192.97 $192.97 6.5×
Ova and parasites smears (87177) $56.63 $56.63 6.4×
Pancreatic Elastase Fecal (82656) $26.25 $26.25 2.3×
Parvovirus antibody (86747) $97.36 $97.36 6.5×
Ph urine (81003)
range across 3 matching MRF lines
$14.77–$14.90 $14.77–$14.90 varies
Phenobarbital Level (80184) $74.26 $74.26 4.9×
Phenylalanine (84030) $21.11 $21.11 3.8×
Phenytoin (Dilantin) (80185) $85.95 $85.95 6.5×
Phenytoin free (80186) $89.16 $89.16 6.5×
Phosphatase alkaline (84075) $33.65 $33.65 6.5×
Phosphorus Serum (84100) $31.17 $31.17 6.6×
Phosphorus urine (84105) $33.65 $33.65 5.8×
Pinworm exam (87172) $27.96 $27.96 6.5×
Platelet Antibodies (86022) $94.63 $94.63 5.2×
Platelet count automated (85049) $29.19 $29.19 6.5×
Potassium Urine (84133) $28.07 $28.07 5.9×
Prealbumin (84134) $94.63 $94.63 6.5×
Pregnenolone (84140) $133.75 $133.75 6.5×
Primidone (80188) $108.53 $108.53 6.5×
Procalcitonin (Pct) (84145) $52.48 $52.48 1.9×
Progesterone (84144) $134.98 $134.98 6.5×
Prolactin (84146) $125.41 $125.41 6.5×
Protein body fluid (84157) $24.11 $24.11 6.0×
Protein C Activity (85303) $89.67 $89.67 6.5×
Protein c antigen (85302) $77.98 $77.98 6.5×
Protein Electrophoresis Urine (84166) $115.48 $115.48 6.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $120.33 $120.33 11.2×
Protein S Free (85306) $99.23 $99.23 6.5×
Protein s total (85305) $75.38 $75.38 6.5×
Protein total serum (84155) $24.11 $24.11 6.6×
Protein Total Urine (84156) $24.11 $24.11 6.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $25.71 $25.71 6.5×
Protoporphyrin rbc quantitative (84202) $92.88 $92.88 6.5×
Pth Intact (83970) $266.50 $266.50 6.5×
Pyruvate kinase (84220) $18.13 $18.13 1.9×
Quantiferon tb gold plus (86480) $400.12 $400.12 6.5×
Quantitative assay drug (80299) $88.66 $88.66 4.8×
Quantitative Screen Metals (83018) $116.99 $116.99 5.3×
Quinidine (80194) $94.63 $94.63 6.5×
Rbc antibody elution (86860) $42.59 $42.59 0.2×
Rbc antibody identification (86870) $115.86 $115.86 0.3×
Rbc antibody screen (86850) $68.30 $68.30 7.0×
Renin activity plasma (84244) $142.32 $142.32 6.5×
Resp virus 12-25 targets (87633) $1,320.05 $1,320.05 3.2×
Reticulocyte Count (85046) $19.82 $19.82 3.6×
Rh (86901) $30.93 $30.93 10.3×
Rheumatoid factor quant (86431) $37.01 $37.01 6.5×
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$46.77–$91.90 $46.77–$91.90 varies
Rotavirus ag eia (87425) $77.88 $77.88 6.5×
Rpr qualitative (86592) $27.96 $27.96 6.5×
Rsv Assay W/Optic (87807) $97.12 $97.12 7.4×
Rubella Antibody (86762) $93.14 $93.14 6.5×
Rubeola antibody (86765) $83.46 $83.46 6.5×
Russell Viper Venom Time Diluted (85613)
range across 5 matching MRF lines
$62.20–$120.70 $62.20–$120.70 varies
Sars-Cov-2 Covid-19 Amp Prb (87635) $179.94 $179.94 3.5×
Sars-cov-2 COVID-19 antibody (86769) $174.94 $174.94 4.2×
Sedimentation Rate, Automated (85652) $17.76 $17.76 6.6×
Selenium (84255) $165.16 $165.16 6.5×
Sensitivity mic (87186) $67.17 $67.17 7.8×
Sex Hormone Binding Globulin (84270) $140.58 $140.58 6.5×
Sickling of rbc reduction (85660) $36.02 $36.02 6.5×
Sirolimus (80195) $88.66 $88.66 6.5×
Skin test tuberculosis intradermal (86580)
range across 4 matching MRF lines
$17.51–$25.71 $17.51–$25.71 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$35.02–$35.64 $35.02–$35.64 varies
Smear complex stain (87209) $51.36 $51.36 2.9×
Smear gram stain (87205) $27.96 $27.96 6.5×
Smear Special Stain (87207)
range across 2 matching MRF lines
$33.75–$39.11 $33.75–$39.11 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $27.96 $27.96 4.8×
Snrpn/Ube3a Methylation Analysis (81331) $684.98 $684.98 13.4×
Sodium Serum (84295) $31.53 $31.53 6.6×
Sodium Urine (84300) $31.78 $31.78 6.3×
Somatomedin (84305) $137.58 $137.58 6.5×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$158.58–$165.16 $158.58–$165.16 varies
Specimen infect agnt concntj (87015) $97.12 $97.12 14.5×
Spectrophotometry (84311) $45.45 $45.45 5.6×
Splitting Blood/Blood Products Each Unit (86985) $68.30 $68.30 0.4×
Stone Analysis (82355) $47.67 $47.67 4.1×
Stool cultr aerobic bact ea (87046) $61.35 $61.35 6.5×
Strep a assay w/optic (87880) $100.91 $100.91 6.1×
Strep a DNA amp probe (87651) $210.22 $210.22 6.0×
Sugars Single Qual (84376) $14.90 $14.90 2.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $31.17 $31.17 6.6×
Susceptibility Study Antimicrobial Disk Method (87184) $44.83 $44.83 6.0×
Sweat Collection Iontophoresis (89230) $63.96 $63.96 1.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $163.05 $163.05 3.5×
T cells total count (86359)
range across 2 matching MRF lines
$163.05–$243.79 $163.05–$243.79 varies
T3 Free (84481) $73.63 $73.63 4.3×
T3 reverse (84482) $102.09 $102.09 6.5×
T3 Total (84480) $71.52 $71.52 5.0×
T3 Uptake (84479) $42.10 $42.10 6.5×
T4 Free (84439) $58.61 $58.61 6.5×
T4 total (84436) $44.71 $44.71 6.5×
Tacrolimus (80197) $88.80 $88.80 6.5×
Tb ag response t-cell susp (86481) $432.15 $432.15 4.3×
Test for acetone/ketones (82009) $29.56 $29.56 6.5×
Testosterone total (84403) $166.76 $166.76 6.5×
Testosterone, Free (84402) $164.78 $164.78 6.5×
Tetanus antibody (86774) $95.89 $95.89 6.5×
Theophylline (80198) $91.77 $91.77 6.5×
Thrombin Time (85670) $37.62 $37.62 6.5×
Thromboplastin Inhibition Tissue (85705) $30.56 $30.56 3.2×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $37.50 $37.50 5.8×
Thyroglobulin (84432) $103.94 $103.94 6.5×
Thyroglobulin Antibody (86800) $94.27 $94.27 5.9×
Thyroid Stimulating Immunoglobulin (84445) $328.35 $328.35 6.5×
Thyroxine binding globulin (84442) $95.89 $95.89 6.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $66.72 $66.72 5.8×
Tissue Culture Lymphocyte (88230) $751.66 $751.66 6.5×
Tobramycin peak (80200)
range across 2 matching MRF lines
$52.50–$73.63 $52.50–$73.63 varies
Topiramate (80201) $77.50 $77.50 6.5×
Toxoplasma ab igm (86778) $93.26 $93.26 6.5×
Toxoplasma antibody (86777) $93.14 $93.14 6.5×
Transferase Aspartate Amino Ast Sgot (84450) $33.65 $33.65 6.5×
Transferrin (84466) $82.83 $82.83 6.5×
Trichomonas Vaginalis Amplif (87661) $110.27 $110.27 3.1×
Triglycerides (84478) $37.50 $37.50 6.5×
Troponin Quant (84484) $63.85 $63.85 5.1×
Unlisted Cytogenetic Study (88299) $501.07 $501.07 9.0×
Unlisted reproductive medicine lab procedure (89398) $63.85 $63.85 1.1×
Unlisted Surgical Pathology Procedure (88399) $48.07 $48.07 0.9×
Unlisted Transfusion Medicine Procedure (86999) $68.30 $68.30 2.2×
Urea nitrogen urine (84540) $31.17 $31.17 5.6×
Uric acid other source (84560) $31.17 $31.17 6.1×
Urinalysis Microscopic Only (81015) $9.48 $9.48 3.1×
Urinalysis Volume Measure (81050) $19.86 $19.86 5.5×
Urine Bacteria Culture (87088) $52.64 $52.64 6.5×
Urine Pregnancy Test (81025) $41.25 $41.25 4.8×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $20.85 $20.85 6.6×
Valproic acid (80164) $87.67 $87.67 6.5×
Vancomycin (80202) $87.67 $87.67 6.5×
Varicella-zoster antibody (86787) $83.46 $83.46 6.5×
Vasopressin (84588) $183.29 $183.29 5.4×
Viral Culture (87252)
range across 3 matching MRF lines
$126.54–$150.37 $126.54–$150.37 varies
Virus antibody nos (86790) $83.46 $83.46 6.5×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $126.54 $126.54 6.5×
Vit D 1 25-Dihydroxy (82652) $248.75 $248.75 6.5×
Vitamin A (84590) $75.38 $75.38 6.5×
Vitamin b-12 (82607) $97.60 $97.60 6.5×
Vitamin B6 (84207) $411.15 $411.15 14.6×
Vitamin c (82180) $37.88 $37.88 3.8×
Vitamin D 25-Hydroxy (82306) $191.25 $191.25 6.5×
Vitamin E (84446) $91.90 $91.90 6.5×
Vitamin K (84597) $73.63 $73.63 5.4×
Volume Reduction Blood/Blood Product Each Unit (86960) $68.30 $68.30 0.4×
Von willebrand factor ag (85246) $91.90 $91.90 4.0×
Xylose Absorption Test (84620) $56.63 $56.63 4.4×
Zinc (84630) $150.37 $150.37 13.2×

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.