Lab & pathology prices at Liberty Dayton Regional Medical Center
Liberty, TX · every code in this section with a posted price and a Medicare benchmark.
452 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$210–$247 | $300–$353 | varies |
| Acth (82024) | $354 | $505 | 9.2× |
| Actin smooth muscle antibody each (86015) range across 3 matching MRF lines |
$35–$88 | $50–$126 | varies |
| Acute hepatitis panel (80074) | $227 | $325 | 4.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $136 | $194 | 2.1× |
| Albumin serum (82040) range across 3 matching MRF lines |
$14–$39 | $20–$55 | varies |
| Aldolase (82085) | $29 | $41 | 3.0× |
| Aldosterone urine (82088) | $132 | $189 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $43 | $61 | 2.9× |
| Allergen specific ige (86003) range across 107 matching MRF lines |
$24–$1,159 | $34–$1,655 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$78–$141 | $111–$202 | varies |
| Allg Spec Ige Recomb Ea (86008) | $43 | $62 | 2.4× |
| Alpha-1-antitrypsin phenotype (82104) | $653 | $933 | 45.2× |
| Alpha-1-antitrypsin total (82103) | $113 | $161 | 8.4× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$35–$58 | $50–$83 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$21–$37 | $30–$53 | varies |
| Ammonia (82140) | $115 | $164 | 7.9× |
| Amylase urine (82150) range across 3 matching MRF lines |
$34–$53 | $48–$75 | varies |
| Ana Titer (86039) | $38 | $54 | 3.4× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$153–$210 | $218–$300 | varies |
| Androstenedione (82157) | $423 | $604 | 14.4× |
| Angiotensin converting enzyme csf (82164) | $33 | $47 | 2.3× |
| Anti-Phospholipid Antibody (86148) | $447 | $639 | 27.8× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$16–$154 | $23–$220 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $16 | $23 | 1.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $116 | $166 | 7.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $71 | $101 | 4.2× |
| Antibody Encephalitis California La Crosse (86651) | $136 | $194 | 10.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $202 | $288 | 15.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$44–$202 | $63–$289 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 5 matching MRF lines |
$202 | $288–$289 | 11.1× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$111–$234 | $159–$334 | varies |
| Antibody haemophilus influenza (86684) | $90 | $128 | 5.7× |
| Antibody helicobacter pylori (86677) | $245 | $350 | 14.5× |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$101–$154 | $144–$220 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $173 | $247 | 12.6× |
| Antibody HIV-2 (86702) | $53 | $75 | 3.9× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $441 | $630 | 4.6× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$153–$315 | $218–$450 | varies |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$34–$202 | $49–$288 | varies |
| Antibody; encephalitis, st. louis (86653) | $136 | $194 | 10.3× |
| Antinuclear antibodies (86038) range across 14 matching MRF lines |
$15–$195 | $21–$278 | varies |
| Antistreptolysin o titer (86060) | $100 | $143 | 13.7× |
| Antithrombin iii activity (85300) | $438 | $625 | 37.0× |
| Apolipoprotein a1 (82172) range across 9 matching MRF lines |
$53–$186 | $75–$265 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $1,109 | $1,584 | 92.0× |
| Arsenic (82175) range across 3 matching MRF lines |
$120–$141 | $171–$201 | varies |
| Aspergillus ag eia (87305) | $221 | $315 | 18.4× |
| Assay Blood Carbon Dioxide (82374) | $17 | $24 | 3.5× |
| Assay Dir Meas Fr Estradiol (82681) | $315 | $450 | 11.3× |
| Assay myeloperoxidase (83876) | $92 | $132 | 1.8× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$129–$515 | $184–$735 | varies |
| Assay of 5-hiaa (83497) | $99 | $141 | 7.7× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$22–$27 | $32–$39 | varies |
| Assay of calcium in urine (82340) | $43 | $62 | 7.1× |
| Assay of cpk in blood (82552) | $87 | $124 | 6.5× |
| Assay of estrone (82679) | $151 | $216 | 6.1× |
| Assay of g6pd enzyme (82955) | $88 | $126 | 9.1× |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
$17–$69 | $24–$99 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$25–$31 | $35–$44 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$164–$433 | $234–$619 | varies |
| Assay of serotonin (84260) | $271 | $387 | 8.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$22–$37 | $31–$53 | varies |
| Assay of urea nitrogen (84520) | $15 | $22 | 3.8× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$256–$304 | $366–$434 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$34–$88 | $49–$125 | varies |
| Assay spec xcp ur&breath ia (82077) | $41 | $58 | 2.4× |
| Automated Leukocyte Count (85048) | $13 | $18 | 5.1× |
| B cells total count (86355) | $98 | $140 | 2.6× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$90–$617 | $128–$881 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$58–$277 | $83–$396 | varies |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$13–$37 | $19–$53 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$13–$37 | $19–$53 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $88 | $125 | 25.7× |
| Blastomyces antibody (86612) | $90 | $129 | 7.0× |
| Blood Count Automated Differential Wbc Count (85004) | $19 | $27 | 2.9× |
| Blood Count Red Blood Cell Automated (85041) range across 3 matching MRF lines |
$11–$13 | $16–$18 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$11–$20 | $16–$28 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $15 | $21 | 3.9× |
| Blood gas (82803) range across 7 matching MRF lines |
$55–$68 | $78–$97 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14 | $20 | 3.2× |
| Blood typing serologic abo (86900) | $271 | $387 | 90.6× |
| C-Peptide (84681) range across 4 matching MRF lines |
$92–$141 | $132–$201 | varies |
| C-reactive protein (86140) | $121 | $173 | 23.4× |
| Ca 19-9 (86301) | $218 | $312 | 10.5× |
| Cadmium (82300) | $141 | $201 | 6.0× |
| Calcium ionized (82330) | $111 | $159 | 8.1× |
| Calcium total (82310) range across 5 matching MRF lines |
$31–$86 | $44–$123 | varies |
| Calprotectin Fecal (83993) | $410 | $585 | 20.9× |
| Calr gene com variants (81219) | $735 | $1,050 | 6.0× |
| Cancer Antigen 125 (86304) | $285 | $407 | 13.7× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$43–$258 | $62–$369 | varies |
| Carbamazepine total (80156) | $182 | $260 | 12.5× |
| Carboxyhemoglobin (82375) | $64 | $91 | 5.2× |
| Carcinoembryonic antigen (82378) | $187 | $267 | 9.9× |
| Cardiolipin ab iga (86147) range across 12 matching MRF lines |
$69–$191 | $98–$273 | varies |
| Carotene (82380) | $155 | $222 | 16.8× |
| Catecholamines fractionated (82384) | $193 | $276 | 7.6× |
| Catecholamines total urine (82382) | $164 | $234 | 6.0× |
| Ccp antibody (86200) range across 5 matching MRF lines |
$90–$200 | $128–$286 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$66–$254 | $94–$363 | varies |
| Ceruloplasmin (82390) | $62 | $89 | 5.8× |
| Chemiluminescent assay (82397) | $631 | $901 | 44.7× |
| Chloride Serum (82435) | $14 | $20 | 3.0× |
| Chloride urine (82436) range across 4 matching MRF lines |
$15–$46 | $21–$66 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$9–$69 | $13–$98 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$36–$125 | $51–$179 | varies |
| Chromogranin a (86316) | $298 | $425 | 14.3× |
| Chromosome Analysis 15-20 (88262) | $1,193 | $1,704 | 9.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 10 matching MRF lines |
$53–$326 | $75–$466 | varies |
| Citric acid urine (82507) | $151 | $216 | 5.4× |
| Ckmb (82553) range across 2 matching MRF lines |
$56–$169 | $80–$242 | varies |
| Clostridium Difficile (87324) | $249 | $356 | 20.8× |
| Coccidioides antibody (86635) | $179 | $255 | 15.6× |
| Collagen crosslinks (82523) | $292 | $417 | 15.6× |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$34–$401 | $48–$573 | varies |
| Compatibility Each Unit Incubation (86921) range across 5 matching MRF lines |
$240–$360 | $343–$514 | varies |
| Complement Antigen Each Component (86160) range across 13 matching MRF lines |
$28–$204 | $40–$292 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$63–$125 | $90–$179 | varies |
| Complement/Function Activity (86161) | $68 | $97 | 5.7× |
| Coombs direct (86880) range across 2 matching MRF lines |
$83–$125 | $119–$178 | varies |
| Copper urine (82525) | $67 | $95 | 5.4× |
| Cortisol free (82530) range across 4 matching MRF lines |
$80–$88 | $114–$125 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$95–$223 | $135–$319 | varies |
| Creatine (82540) | $88 | $126 | 19.0× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$30–$40 | $43–$57 | varies |
| Creatinine blood (82565) | $37 | $53 | 7.2× |
| Creatinine clearance (82575) | $27 | $39 | 2.9× |
| Creatinine Urine (82570) range across 19 matching MRF lines |
$12–$67 | $17–$95 | varies |
| Crp High Sensitivity (86141) range across 4 matching MRF lines |
$69–$280 | $98–$400 | varies |
| Cryoglobulin (82595) | $55 | $79 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $57 | $81 | 7.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $57 | $81 | 7.1× |
| Culture afb (87116) range across 3 matching MRF lines |
$15–$167 | $21–$239 | varies |
| Culture Anaerobic (87075) | $277 | $396 | 29.3× |
| Culture blood (87040) | $172 | $246 | 16.7× |
| Culture csf (87070) range across 15 matching MRF lines |
$11–$141 | $15–$201 | varies |
| Culture fungus (87102) range across 4 matching MRF lines |
$39–$172 | $55–$246 | varies |
| Culture screen only (87081) range across 5 matching MRF lines |
$55–$58 | $79–$83 | varies |
| Culture stool (87045) range across 4 matching MRF lines |
$81–$122 | $116–$174 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $20 | $29 | 3.9× |
| Culture urine (87086) | $89 | $127 | 11.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $66 | $94 | 4.6× |
| Cyclosporine (80158) | $58 | $83 | 3.2× |
| Cystatin C (82610) | $227 | $324 | 12.3× |
| Cytomegalovirus igg (86644) | $79 | $113 | 5.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $126 | $180 | 6.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 6 matching MRF lines |
$76–$284 | $109–$405 | varies |
| Deoxycortisol (82634) | $137 | $196 | 4.7× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$74–$683 | $105–$975 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$90–$875 | $129–$1,250 | varies |
| Dgp Antibody Each Ig Class (86258) range across 5 matching MRF lines |
$68–$69 | $97–$99 | varies |
| Dhea (82626) | $226 | $323 | 8.9× |
| Dhea-S (82627) | $56 | $80 | 2.5× |
| Digoxin (80162) | $73 | $104 | 5.5× |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$216–$431 | $308–$615 | varies |
| Diphtheria antitoxoid (86648) | $146 | $208 | 9.6× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $72 | $103 | 2.1× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$38–$122 | $54–$175 | varies |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$55–$165 | $79–$236 | varies |
| Drug Assay Amiodarone (80151) | $86 | $123 | 4.6× |
| Drug Assay Infliximab (80230) | $447 | $638 | 11.6× |
| Drug Assay Lacosamide (80235) | $200 | $285 | 7.4× |
| Drug assay voriconazole (80285) | $374 | $534 | 13.8× |
| Drug Screen Quant Clozapine (80159) | $53 | $76 | 2.6× |
| Drug Screen Quant Zonisamide (80203) | $83 | $118 | 6.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $273 | $390 | 20.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $146 | $208 | 11.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $78 | $111 | 5.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 21 matching MRF lines |
$87–$447 | $124–$638 | varies |
| Electrolyte panel (80051) | $36 | $51 | 5.1× |
| Encephaltis East Eqne Anbdy (86652) | $136 | $194 | 10.3× |
| Encephaltis West Eqne Antbdy (86654) | $136 | $194 | 10.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $69 | $99 | 5.7× |
| Erythropoietin (82668) | $60 | $86 | 3.2× |
| Estradiol serum (82670) | $146 | $208 | 5.2× |
| Estriol (82677) | $109 | $155 | 4.5× |
| Estrogen total (82672) | $85 | $122 | 3.9× |
| Exam Synovial Fluid Crystals (89060) | $130 | $186 | 17.7× |
| F2 Gene (81240) | $308 | $440 | 4.7× |
| Factor v leiden mutation (81241) | $176 | $251 | 2.4× |
| Factor viii assay (85240) | $242 | $346 | 13.5× |
| Fat/Lipids Feces Quantitative (82710) | $329 | $470 | 19.6× |
| Fecal Fat Qualitative (82705) | $21 | $30 | 4.1× |
| Ferritin (82728) | $182 | $260 | 13.4× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$56–$127 | $80–$182 | varies |
| Fibrinogen activity (85384) | $79 | $113 | 8.1× |
| Fibrinogen antigen (85385) | $105 | $150 | 7.3× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$43–$503 | $62–$719 | varies |
| Fluorescent antibody screen (86255) range across 29 matching MRF lines |
$17–$3,503 | $24–$5,004 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$10–$144 | $14–$206 | varies |
| Fmr1 gene detection (81243) | $2,258 | $3,225 | 39.6× |
| Folic acid rbc (82747) | $50 | $72 | 2.8× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$20–$160 | $29–$229 | varies |
| Follicle Stimulating Hormone (83001) range across 4 matching MRF lines |
$46–$197 | $65–$281 | varies |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$34–$134 | $49–$191 | varies |
| Gardner Vag Dna Quant (87512) range across 2 matching MRF lines |
$202–$669 | $288–$955 | varies |
| Gastrin (82941) | $99 | $141 | 5.6× |
| Genet Virus Isolate Hsv (87255) range across 4 matching MRF lines |
$96–$112 | $137–$160 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $2,571 | $3,673 | 1.1× |
| Gentamicin (80170) | $226 | $323 | 13.8× |
| Ggt (82977) | $23 | $33 | 3.2× |
| Giardia antigen (87329) | $141 | $201 | 11.8× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$27–$37 | $38–$53 | varies |
| Glucose Blood Test (82962) | $65 | $93 | 19.8× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$46–$68 | $66–$97 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$27–$37 | $38–$53 | varies |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$37–$50 | $53–$72 | varies |
| Glycated Protein (82985) | $43 | $61 | 2.6× |
| Gonadotropin Chorionic Qualitative (84703) | $91 | $130 | 12.1× |
| Growth hormone (83003) | $90 | $129 | 5.4× |
| Gtt-added samples (82952) range across 7 matching MRF lines |
$16–$37 | $23–$53 | varies |
| H Pylori (C-13) Breath (83013) | $295 | $422 | 4.4× |
| Haptoglobin (83010) | $90 | $128 | 7.2× |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$18–$69 | $25–$98 | varies |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$206–$323 | $294–$461 | varies |
| Hematocrit (85014) range across 5 matching MRF lines |
$11–$12 | $16–$17 | varies |
| Hemoglobin (85018) range across 6 matching MRF lines |
$11–$12 | $16–$17 | varies |
| Hemoglobin a1c (83036) range across 6 matching MRF lines |
$20–$92 | $29–$132 | varies |
| Hemoglobin Chromotography (83021) | $182 | $260 | 10.1× |
| Hemoglobin electrophoresis (83020) | $27 | $39 | 2.1× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $20 | $28 | 2.1× |
| Hep a ab igm (86709) | $29 | $41 | 2.6× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$59–$90 | $85–$129 | varies |
| Hepatitis b core ab igm (86705) | $29 | $41 | 2.5× |
| Hepatitis b core ab total (86704) range across 5 matching MRF lines |
$19–$59 | $27–$85 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$19–$59 | $27–$85 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$17–$122 | $24–$175 | varies |
| Hepatitis Be Antibody (86707) | $75 | $107 | 6.5× |
| Hepatitis Be Antigen (87350) | $75 | $107 | 6.5× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$59–$227 | $85–$325 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$861–$1,567 | $1,230–$2,239 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $492 | $703 | 14.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $253 | $362 | 5.9× |
| Herpes simplex type 2 (86696) range across 6 matching MRF lines |
$101–$154 | $144–$220 | varies |
| Heterophile Antibody Screen (86308) | $27 | $38 | 5.2× |
| Hfe Gene (81256) | $825 | $1,179 | 12.6× |
| Histoplasma antibody (86698) | $164 | $234 | 11.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $50 | $72 | 2.1× |
| Hiv-1 Antibody (86701) | $53 | $75 | 6.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $438 | $626 | 5.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$188–$294 | $268–$420 | varies |
| Hla-b27 (86812) | $54 | $77 | 2.1× |
| Homocysteine (83090) | $71 | $101 | 4.0× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$126–$158 | $180–$225 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $293 | $418 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$210–$815 | $300–$1,164 | varies |
| Hsv Dna Quant (87530) | $244 | $349 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $152 | $217 | 5.6× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$143–$144 | $204–$206 | varies |
| Iaadi herpes smplx virus type 1 (87274) | $277 | $396 | 23.1× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 4 matching MRF lines |
$168–$525 | $240–$750 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $667 | $953 | 19.0× |
| Iadna Cytomegalovirus Quantification (87497) | $643 | $918 | 15.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $403 | $575 | 11.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $724 | $1,034 | 16.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$667–$678 | $953–$969 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 10 matching MRF lines |
$53–$326 | $75–$466 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $108 | $154 | 2.1× |
| Ig Light Chains Free Each (83521) | $141 | $201 | 8.2× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$211–$844 | $301–$1,205 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $279 | $399 | 9.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 12 matching MRF lines |
$196–$3,503 | $280–$5,004 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$24–$886 | $34–$1,265 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$55–$172 | $78–$246 | varies |
| Immunodiffusion Ouchterlony (86331) | $16 | $23 | 1.3× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$30–$345 | $43–$493 | varies |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$46–$155 | $65–$222 | varies |
| Influenza DNA amp probe (87502) | $158 | $225 | 1.6× |
| Inhibin b (83520) range across 22 matching MRF lines |
$76–$537 | $109–$767 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$313–$332 | $447–$474 | varies |
| Insulin total (83525) range across 3 matching MRF lines |
$60–$139 | $86–$199 | varies |
| Interleukin-6 (83529) | $376 | $537 | 21.8× |
| Intrinsic factor antibody (86340) | $66 | $94 | 4.4× |
| Iron (83540) | $106 | $151 | 16.4× |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$50–$106 | $72–$151 | varies |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$167–$783 | $239–$1,118 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,050 | $1,500 | 11.5× |
| Koh Prep (87220) range across 2 matching MRF lines |
$38–$78 | $54–$111 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$22–$50 | $32–$71 | varies |
| Ldh Isoenzymes (83625) | $50 | $71 | 3.9× |
| LDL direct (83721) range across 4 matching MRF lines |
$52–$55 | $74–$79 | varies |
| Lead (83655) range across 4 matching MRF lines |
$30–$141 | $43–$201 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$216–$525 | $309–$750 | varies |
| Leukocyte Assessment Fecal (89055) | $57 | $82 | 13.3× |
| Leukocyte Histamine Release (86343) | $73 | $104 | 5.9× |
| Lipase (83690) range across 2 matching MRF lines |
$43–$47 | $62–$67 | varies |
| Lipoprotein A (83695) | $53 | $75 | 3.7× |
| Lipoprotein Bld Quan Part (83704) | $173 | $247 | 5.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $105 | $150 | 2.3× |
| Lithium (80178) | $46 | $66 | 7.0× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$53–$211 | $76–$302 | varies |
| Lyme disease antibody (86618) | $284 | $405 | 16.7× |
| Lysozyme serum (85549) | $101 | $144 | 5.4× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$235–$291 | $336–$415 | varies |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$35–$78 | $50–$111 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$120–$134 | $171–$192 | varies |
| Methotrexate (80204) | $134 | $191 | 3.5× |
| Methylmalonic acid serum (83921) | $441 | $630 | 20.8× |
| Microalbumin, quantitative (82043) range across 8 matching MRF lines |
$25–$104 | $36–$148 | varies |
| Microsomal Antibodies Each (86376) range across 9 matching MRF lines |
$46–$183 | $65–$262 | varies |
| Mitochondrial Antibody Each (86381) | $48 | $68 | 1.9× |
| Mrsa Pcr (87641) | $96 | $137 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $626 | $894 | 9.6× |
| Mucin Clot Body Fluid (83872) | $79 | $113 | 13.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$57–$211 | $81–$301 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,848 | $2,640 | 100.4× |
| Mycoplasma antibody (86738) | $55 | $78 | 4.2× |
| Myoglobin urine (83874) | $69 | $99 | 5.3× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$98–$271 | $140–$387 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $326 | $466 | 2.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $309 | $442 | 1.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $606 | $866 | 8.4× |
| Niacin (84591) | $385 | $550 | 22.6× |
| Nuclear antigen antibody (86235) range across 36 matching MRF lines |
$55–$245 | $78–$350 | varies |
| Occult blood feces (82272) | $14 | $20 | 3.3× |
| Occult Blood Other Sources (82271) | $16 | $23 | 3.0× |
| Osmolality serum (83930) | $113 | $161 | 17.1× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$19–$167 | $27–$238 | varies |
| Osteocalcin (83937) | $169 | $242 | 5.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$39–$279 | $55–$398 | varies |
| Oxalate urine (83945) | $30 | $43 | 2.1× |
| Pancreatic Elastase Fecal (82656) | $470 | $672 | 40.8× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$104–$149 | $148–$213 | varies |
| Parvovirus antibody (86747) | $78 | $111 | 5.2× |
| Ph urine (81003) | $12 | $17 | 5.3× |
| Phenobarbital Level (80184) | $95 | $135 | 6.2× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$76–$158 | $108–$226 | varies |
| Phenytoin free (80186) | $69 | $99 | 5.0× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$15–$176 | $22–$251 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$23–$37 | $33–$53 | varies |
| Phosphorus urine (84105) | $22 | $31 | 3.8× |
| Platelet count automated (85049) range across 4 matching MRF lines |
$9–$47 | $13–$67 | varies |
| Potassium Urine (84133) range across 5 matching MRF lines |
$12–$94 | $17–$134 | varies |
| Prealbumin (84134) | $98 | $140 | 6.7× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$195–$235 | $278–$336 | varies |
| Procalcitonin (Pct) (84145) | $420 | $600 | 15.4× |
| Progesterone (84144) range across 4 matching MRF lines |
$149–$200 | $213–$286 | varies |
| Prolactin (84146) range across 6 matching MRF lines |
$41–$279 | $58–$398 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$46–$64 | $66–$92 | varies |
| Protein C Activity (85303) | $384 | $549 | 27.7× |
| Protein Electrophoresis Urine (84166) range across 8 matching MRF lines |
$29–$77 | $41–$110 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$24–$150 | $34–$214 | varies |
| Protein S Free (85306) | $426 | $608 | 27.8× |
| Protein s total (85305) | $438 | $625 | 37.7× |
| Protein total serum (84155) range across 5 matching MRF lines |
$24–$37 | $34–$53 | varies |
| Protein Total Urine (84156) range across 8 matching MRF lines |
$11–$67 | $15–$95 | varies |
| Protein Western Blot Test (84182) | $247 | $353 | 8.5× |
| Protoporphyrin rbc quantitative (84202) | $164 | $234 | 11.4× |
| PSA free (84154) | $39 | $55 | 2.1× |
| Pth Intact (83970) range across 4 matching MRF lines |
$87–$97 | $124–$138 | varies |
| Pyruvate kinase (84220) | $349 | $498 | 37.0× |
| Quantiferon tb gold plus (86480) | $535 | $764 | 8.6× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$39–$631 | $56–$901 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$122–$298 | $174–$426 | varies |
| Rbc antibody identification (86870) | $755 | $1,079 | 2.1× |
| Rbc antibody screen (86850) | $254 | $363 | 26.0× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$90–$221 | $128–$315 | varies |
| Reptilase test (85635) | $208 | $297 | 21.1× |
| Resp virus 12-25 targets (87633) | $875 | $1,250 | 2.1× |
| Rh (86901) | $83 | $118 | 27.8× |
| Rheumatoid factor quant (86431) range across 6 matching MRF lines |
$12–$139 | $17–$199 | varies |
| Rickettsia antibody (86757) | $74 | $105 | 3.8× |
| Rotavirus ag eia (87425) | $167 | $239 | 13.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$19–$25 | $27–$35 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$36–$62 | $51–$89 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$57–$193 | $81–$275 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$57–$424 | $81–$605 | varies |
| Rufinamide (80210) | $132 | $188 | 4.9× |
| Russell Viper Venom Time Diluted (85613) | $88 | $126 | 9.2× |
| Salicylate Level (80179) | $55 | $79 | 3.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $245 | $350 | 4.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $137 | $195 | 3.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $300 | $428 | 2.1× |
| Sedimentation rate (85651) | $19 | $27 | 4.4× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$21–$25 | $30–$35 | varies |
| Selenium (84255) | $124 | $177 | 4.9× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$57–$183 | $81–$262 | varies |
| Sex Hormone Binding Globulin (84270) range across 5 matching MRF lines |
$46–$214 | $65–$306 | varies |
| Sickling of rbc reduction (85660) | $25 | $36 | 4.5× |
| Sirolimus (80195) | $143 | $204 | 10.4× |
| Skin test tuberculosis intradermal (86580) | $21 | $30 | 0.7× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$15–$71 | $21–$101 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$43–$52 | $61–$74 | varies |
| Smear gram stain (87205) range across 7 matching MRF lines |
$11–$27 | $15–$39 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18 | $26 | 3.1× |
| Snrpn/Ube3a Methylation Analysis (81331) | $786 | $1,123 | 15.4× |
| Sodium Serum (84295) | $15 | $22 | 3.1× |
| Sodium Urine (84300) range across 5 matching MRF lines |
$14–$94 | $20–$134 | varies |
| Soluble Transferrin Receptor (84238) | $399 | $570 | 10.9× |
| Somatomedin (84305) | $137 | $196 | 6.4× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$15–$67 | $21–$95 | varies |
| Spectrophotometry (84311) | $107 | $153 | 13.2× |
| Stool cultr aerobic bact ea (87046) range across 6 matching MRF lines |
$22–$108 | $32–$154 | varies |
| Strep a assay w/optic (87880) | $41 | $58 | 2.5× |
| Strep a DNA amp probe (87651) | $74 | $105 | 2.1× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$172–$344 | $246–$491 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $41 | $58 | 8.6× |
| Syphilis Test Non-Trep Quant (86593) | $13 | $18 | 3.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $189 | $270 | 4.0× |
| T cells total count (86359) | $98 | $140 | 2.6× |
| T3 Free (84481) | $131 | $187 | 7.7× |
| T3 reverse (84482) | $151 | $215 | 9.6× |
| T3 Total (84480) range across 3 matching MRF lines |
$50–$80 | $72–$114 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$27–$40 | $39–$57 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$40–$96 | $57–$137 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$10–$40 | $14–$57 | varies |
| Tacrolimus (80197) | $345 | $493 | 25.1× |
| Tb ag response t-cell susp (86481) | $291 | $416 | 2.9× |
| Test for acetone/ketones (82009) | $15 | $21 | 3.3× |
| Testosterone total (84403) range across 6 matching MRF lines |
$36–$75 | $52–$107 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$36–$201 | $51–$287 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$99–$146 | $142–$208 | varies |
| Theophylline (80198) | $88 | $126 | 6.2× |
| Thiopurine methyltransferase (84433) | $599 | $855 | 27.0× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $225 | $321 | 6.4× |
| Thyroglobulin (84432) | $67 | $96 | 4.2× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$44–$83 | $63–$119 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $347 | $495 | 6.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$68–$143 | $97–$204 | varies |
| Tobramycin peak (80200) | $223 | $318 | 13.8× |
| Topiramate (80201) | $136 | $194 | 11.4× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$20–$37 | $28–$53 | varies |
| Transferrin (84466) | $84 | $120 | 6.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $393 | $562 | 1.9× |
| Trichomonas Vaginalis Amplif (87661) range across 7 matching MRF lines |
$235–$326 | $336–$466 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$12–$69 | $17–$98 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$62–$223 | $89–$318 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$14–$52 | $20–$74 | varies |
| Urinalysis Microscopic Only (81015) | $14 | $20 | 4.6× |
| Urine Bacteria Culture (87088) | $23 | $33 | 2.8× |
| Urine Pregnancy Test (81025) | $22 | $31 | 2.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $22 | $32 | 6.9× |
| Valproic acid (80164) range across 2 matching MRF lines |
$75–$93 | $107–$133 | varies |
| Vancomycin (80202) | $97 | $138 | 7.2× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$53–$90 | $76–$128 | varies |
| Vasopressin (84588) | $332 | $474 | 9.8× |
| Viral Culture (87252) | $87 | $124 | 3.3× |
| Virus antibody nos (86790) | $63 | $90 | 4.9× |
| Virus inoculation, shell via (87254) | $458 | $655 | 23.4× |
| Vit D 1 25-Dihydroxy (82652) | $149 | $213 | 3.9× |
| Vitamin A (84590) | $248 | $354 | 21.4× |
| Vitamin b-12 (82607) range across 4 matching MRF lines |
$21–$35 | $30–$50 | varies |
| Vitamin B6 (84207) | $143 | $204 | 5.1× |
| Vitamin c (82180) | $155 | $222 | 15.7× |
| Vitamin D 25-Hydroxy (82306) range across 5 matching MRF lines |
$69–$149 | $99–$213 | varies |
| Vitamin E (84446) | $185 | $264 | 13.0× |
| Vitamin K (84597) range across 2 matching MRF lines |
$240–$328 | $343–$468 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $247 | $353 | 20.5× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$118–$136 | $168–$194 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$118–$136 | $168–$194 | varies |
| Zinc (84630) range across 3 matching MRF lines |
$64–$95 | $92–$136 | varies |
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.