Lab & pathology prices at Lucas County Health Center
Chariton, IA · every code in this section with a posted price and a Medicare benchmark.
391 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $325.80 | $362 | 8.4× |
| Actin smooth muscle antibody each (86015) | $94.50 | $105 | 7.8× |
| Acute hepatitis panel (80074) | $354.60 | $394 | 7.4× |
| Albumin Fluid (82042) | $45 | $50 | 5.8× |
| Albumin serum (82040) | $45 | $50 | 9.1× |
| Aldolase (82085) | $79.20 | $88 | 8.2× |
| Aldosterone urine (82088) | $245.70 | $273 | 6.0× |
| Alkaline phosphatase isoenzymes (84080) | $135.90 | $151 | 9.2× |
| Allergen spec ige qual multiallergen screen (86005) | $27 | $30 | 3.4× |
| Allergen specific ige (86003) | $81 | $90 | 15.5× |
| Allg Spec Ige Recomb Ea (86008) | $198 | $220 | 11.0× |
| Alpha-1-antitrypsin phenotype (82104) | $123.30 | $137 | 8.5× |
| Alpha-1-antitrypsin total (82103) | $117 | $130 | 8.7× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$137.54–$140.70 | $152.82–$156.33 | varies |
| Alt (sgpt) (84460) | $84.60 | $94 | 16.0× |
| Amino Acids Quant 2-5 (82136) | $241.20 | $268 | 12.3× |
| Ammonia (82140) | $125.10 | $139 | 8.6× |
| Amylase urine (82150) | $60.30 | $67 | 9.3× |
| Ana Titer (86039) | $71.10 | $79 | 6.4× |
| Anca screen each antibody (86036) | $105.30 | $117 | 8.7× |
| Angiotensin converting enzyme csf (82164) | $125.10 | $139 | 8.6× |
| Antibody aspergillus (86606) | $130.50 | $145 | 8.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $135 | $150 | 8.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $144.90 | $161 | 8.6× |
| Antibody Encephalitis California La Crosse (86651) | $85.50 | $95 | 6.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $54 | $60 | 3.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $53.10 | $59 | 2.9× |
| Antibody Herpes Smplx Type 1 (86695) | $112.50 | $125 | 8.5× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $486 | $540 | 1.5× |
| Antibody Protozoa Nes (86753) | $110.70 | $123 | 8.9× |
| Antibody Treponema Pallidum (86780) | $161.10 | $179 | 12.2× |
| Antibody; encephalitis, st. louis (86653) | $85.50 | $95 | 6.5× |
| Antinuclear antibodies (86038) | $107.10 | $119 | 8.9× |
| Antistreptolysin o titer (86060) | $66.60 | $74 | 9.1× |
| Antithrombin iii activity (85300) | $61.20 | $68 | 5.2× |
| Antithrombin iii antigen (85301) | $61.20 | $68 | 5.7× |
| Arsenic (82175) | $172.50 | $191.67 | 9.1× |
| Assay Nephelometry Not Spec (83883) | $105.30 | $117 | 7.7× |
| Assay of blood/uric acid (84550) | $41.40 | $46 | 9.2× |
| Assay of calcium in urine (82340) | $56.70 | $63 | 9.4× |
| Assay of g6pd enzyme (82955) | $63.90 | $71 | 6.6× |
| Assay of gammaglobulin igm (82784) | $225.88 | $250.98 | 24.3× |
| Assay of lactic acid (83605) | $92.70 | $103 | 8.0× |
| Assay of metanephrines (83835) | $307.80 | $342 | 18.2× |
| Assay of serum potassium (84132) | $42.30 | $47 | 8.9× |
| Assay of urea nitrogen (84520) | $37.80 | $42 | 9.6× |
| Assay of vitamin b-1 (84425) | $181.80 | $202 | 8.6× |
| Assay Ph Body Fluid Nos (83986) | $35.10 | $39 | 9.8× |
| Assay spec xcp ur&breath ia (82077) | $95.40 | $106 | 5.5× |
| Automated Leukocyte Count (85048) | $23.40 | $26 | 9.2× |
| B cells total count (86355) | $129.60 | $144 | 3.4× |
| Bartonella antibody (86611) | $54.90 | $61 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $695.70 | $773 | 4.2× |
| Beta 2 glycoprotein i antibody each (86146) | $153.90 | $171 | 6.0× |
| Beta hydroxybutyrate (82010) | $72 | $80 | 8.8× |
| Beta Lactamase (87185) | $39.60 | $44 | 8.3× |
| Beta-2 Microglobulin (82232) | $117.90 | $131 | 7.3× |
| Bile acids total (82239) | $73.80 | $82 | 4.3× |
| Bilirubin direct (82248) | $46.80 | $52 | 9.3× |
| Bilirubin total (82247) | $46.80 | $52 | 9.3× |
| Biotinidase (82261) | $45 | $50 | 2.7× |
| Blastomyces antibody (86612) | $17.10 | $19 | 1.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $32.40 | $36 | 8.5× |
| Blood gases w/02 saturation (82805) | $166.50 | $185 | 2.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.70 | $33 | 6.8× |
| Blood typing serologic abo (86900) | $113.40 | $126 | 37.9× |
| Breath Alcohol Test (82075) | $33.30 | $37 | 1.1× |
| Brucella antibody (86622) | $22.50 | $25 | 2.5× |
| C diff amplified probe (87493) | $171 | $190 | 4.6× |
| C-Peptide (84681) | $180 | $200 | 8.6× |
| C-reactive protein (86140) | $47.70 | $53 | 9.2× |
| Ca 19-9 (86301) | $180 | $200 | 8.6× |
| Cadmium (82300) | $45 | $50 | 1.9× |
| Calcitonin (82308) | $204.30 | $227 | 7.6× |
| Calcium ionized (82330) | $117.90 | $131 | 8.6× |
| Calcium total (82310) | $47.70 | $53 | 9.2× |
| Calculus Spectroscopy (82365) | $42.30 | $47 | 3.3× |
| Calprotectin Fecal (83993) | $215.18 | $239.09 | 11.0× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$180–$720 | $200–$800 | varies |
| Cancer Antigen 125 (86304) | $180 | $200 | 8.6× |
| Cancer Antigen 27.29 (86300) | $180 | $200 | 8.6× |
| Carbamazepine total (80156) | $125.10 | $139 | 8.6× |
| Carboxyhemoglobin (82375) | $99 | $110 | 8.0× |
| Carcinoembryonic antigen (82378) | $97.20 | $108 | 5.1× |
| Cardiolipin ab iga (86147) | $153.90 | $171 | 6.0× |
| Carnitine Quantitative Each Specimen (82379) | $144.90 | $161 | 8.6× |
| Catecholamines fractionated (82384) | $192 | $213.33 | 7.6× |
| Ccp antibody (86200) | $111.60 | $124 | 8.6× |
| Cell count csf (89051) | $51.30 | $57 | 9.2× |
| Ceruloplasmin (82390) | $95.40 | $106 | 8.9× |
| Cftr gene com variants (81220) | $392.40 | $436 | 0.7× |
| Cftr gene dup/delet variants (81222) | $474.30 | $527 | 1.1× |
| Chlamydia Igm Antibody (86632) | $22.50 | $25 | 1.8× |
| Chloride urine (82436) | $46.80 | $52 | 8.1× |
| Cholesterol total (82465) | $38.70 | $43 | 8.9× |
| Chorionic gonadotropin test (84702) | $130.50 | $145 | 8.7× |
| Chromogranin a (86316) | $180 | $200 | 8.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $204.30 | $227 | 5.8× |
| Ckmb (82553) | $101.70 | $113 | 8.8× |
| Clostridium Difficile (87324) | $105.30 | $117 | 8.8× |
| Clotting factor xii hageman (85280) | $45 | $50 | 2.3× |
| Clotting Funct Activity (85397) | $178.20 | $198 | 5.8× |
| Cold agglutinin titer (86157) | $105.30 | $117 | 13.1× |
| Column Chromotography Quant (82542) | $172.80 | $192 | 7.2× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$105.30–$136.74 | $117–$151.93 | varies |
| Complement Total (Ch50) (86162) | $173.70 | $193 | 8.5× |
| Complement/Function Activity (86161) | $341.10 | $379 | 28.4× |
| Coombs direct (86880) | $135.90 | $151 | 25.2× |
| Copper urine (82525) | $108.90 | $121 | 8.8× |
| Cortisol free (82530) | $144 | $160 | 8.6× |
| Cortisol saliva (82533) | $141.30 | $157 | 8.7× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$83.92–$84.82 | $93.24–$94.24 | varies |
| Creatinine blood (82565) | $47.70 | $53 | 9.3× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$36.26–$37.14 | $40.29–$41.27 | varies |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$95.40–$105.75 | $106–$117.50 | varies |
| Crp High Sensitivity (86141) | $111.60 | $124 | 8.6× |
| Cryoglobulin (82595) | $181.80 | $202 | 28.1× |
| Cryptococcus ag titer (87899) | $153.90 | $171 | 9.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$67.39–$71.33 | $74.88–$79.26 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $63 | $70 | 7.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$311.40–$315 | $346–$350 | varies |
| Culture Anaerobic (87075) | $82.80 | $92 | 8.7× |
| Culture blood (87040) | $90.90 | $101 | 8.8× |
| Culture csf (87070) range across 3 matching MRF lines |
$77.99–$82.80 | $86.65–$92 | varies |
| Culture fungus (87102) | $54 | $60 | 6.4× |
| Culture fungus blood (87103) | $90.90 | $101 | 4.4× |
| Culture screen only (87081) | $54.90 | $61 | 8.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $47.70 | $53 | 9.2× |
| Culture urine (87086) | $72 | $80 | 8.9× |
| Cyclosporine (80158) | $153.90 | $171 | 8.5× |
| Cystatin C (82610) range across 2 matching MRF lines |
$77.40–$81 | $86–$90 | varies |
| Cytomegalovirus igg (86644) | $123.30 | $137 | 8.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$154.65–$154.84 | $171.83–$172.04 | varies |
| Detect Agent Nos Dna Quant (87799) | $507.60 | $564 | 11.8× |
| Dgp Antibody Each Ig Class (86258) | $101.70 | $113 | 8.4× |
| Dhea-S (82627) | $189.90 | $211 | 8.5× |
| Digoxin (80162) | $116.10 | $129 | 8.7× |
| Dna Antibody Native/Double Stranded (86225) | $110.70 | $123 | 8.1× |
| Dna/Rna Amplified Probe (87150) | $25.45 | $28.28 | 0.7× |
| Drug assay acetaminophen (80143) | $173.70 | $193 | 9.3× |
| Drug Assay Infliximab (80230) | $180 | $200 | 4.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $117.90 | $131 | 8.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $151.20 | $168 | 11.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $117.90 | $131 | 8.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$180–$463.50 | $200–$515 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 5 matching MRF lines |
$36.72–$189 | $40.80–$210 | varies |
| Ehrlichia antibody (86666) | $135 | $150 | 13.3× |
| El-1 Fecal Quantitative (82653) | $112.50 | $125 | 4.9× |
| Electrolyte panel (80051) | $63.90 | $71 | 9.1× |
| Encephaltis East Eqne Anbdy (86652) | $85.50 | $95 | 6.5× |
| Encephaltis West Eqne Antbdy (86654) | $85.50 | $95 | 6.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $101.70 | $113 | 8.4× |
| Erythropoietin (82668) | $162 | $180 | 8.6× |
| Estradiol serum (82670) | $237.60 | $264 | 8.5× |
| Exam Synovial Fluid Crystals (89060) | $65.70 | $73 | 9.0× |
| F2 Gene (81240) | $72.90 | $81 | 1.1× |
| Factor ii activity (85210) | $261 | $290 | 20.1× |
| Factor ix activity (85250) | $181.80 | $202 | 9.5× |
| Factor v activity (85220) | $261 | $290 | 14.8× |
| Factor v leiden mutation (81241) | $331.20 | $368 | 4.5× |
| Factor vii assay (85230) | $117.90 | $131 | 6.6× |
| Factor viii assay (85240) | $174.60 | $194 | 9.8× |
| Factor X (85260) | $45 | $50 | 2.5× |
| Factor xi activity (85270) | $181.80 | $202 | 10.2× |
| Fat/Lipids Feces Quantitative (82710) | $117.90 | $131 | 7.0× |
| Ferritin (82728) | $117.90 | $131 | 8.7× |
| Fibrin Degradation Quant (85379) | $76.50 | $85 | 7.5× |
| Fibrinogen activity (85384) | $75.60 | $84 | 7.8× |
| Flecainide level (80181) | $45 | $50 | 2.4× |
| Flow cytometry first marker (88184) | $178.20 | $198 | 0.5× |
| Fluorescent antibody screen (86255) | $118.80 | $132 | 9.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $101.70 | $113 | 8.4× |
| Folic Acid Serum (82746) | $126.90 | $141 | 8.6× |
| Follicle Stimulating Hormone (83001) | $159.30 | $177 | 8.6× |
| Francisella tularensis (86668) | $22.50 | $25 | 1.6× |
| Fungi Identification Mold (87107) | $82.80 | $92 | 8.0× |
| Fungi Identification Yeast (87106) | $109.80 | $122 | 10.6× |
| Gammaglobulin ige (82785) | $143.10 | $159 | 8.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $324.90 | $361 | 0.8× |
| Ggt (82977) | $65.70 | $73 | 9.1× |
| Glucose Blood Test (82962) | $4.50 | $5 | 1.4× |
| Glucose body fluid (82945) | $36 | $40 | 9.2× |
| Glucose Serum (82947) | $36 | $40 | 9.2× |
| Glucose tolerance test (gtt) (82951) | $90 | $100 | 7.0× |
| Haptoglobin (83010) | $109.80 | $122 | 8.7× |
| Hdl Cholesterol (83718) | $72.90 | $81 | 8.9× |
| Helicobacter Pylori Stool (87338) | $105.30 | $117 | 7.3× |
| Hematocrit (85014) | $21.60 | $24 | 9.1× |
| Hemoglobin (85018) | $21.60 | $24 | 9.1× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$54.59–$76.37 | $60.65–$84.86 | varies |
| Hep a ab igm (86709) | $99.90 | $111 | 8.9× |
| Hepatitis a antibody total (86708) | $108.90 | $121 | 8.8× |
| Hepatitis b core ab igm (86705) | $68.40 | $76 | 5.8× |
| Hepatitis b core ab total (86704) | $105.30 | $117 | 8.7× |
| Hepatitis B Surface Antibody (86706) | $95.40 | $106 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $84.60 | $94 | 8.2× |
| Hepatitis Be Antibody (86707) | $86.40 | $96 | 7.5× |
| Hepatitis Be Antigen (87350) | $101.70 | $113 | 8.8× |
| Hepatitis C Antibody (86803) | $121.50 | $135 | 8.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $360.90 | $401 | 8.4× |
| Herpes simplex type 2 (86696) | $112.50 | $125 | 5.8× |
| Heterophile Antibody Screen (86308) | $47.70 | $53 | 9.2× |
| Hfe Gene (81256) | $643.50 | $715 | 9.8× |
| Histamine urine (83088) | $158.40 | $176 | 5.4× |
| Histoplasma antibody (86698) | $35.10 | $39 | 2.5× |
| Histoplasma antigen urine (87385) | $161.10 | $179 | 12.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $87.30 | $97 | 3.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $83.70 | $93 | 1.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $135 | $150 | 1.1× |
| Hla class ii high defin qual (86833) | $315 | $350 | 1.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $90 | $100 | 1.2× |
| Homocysteine (83090) | $201.60 | $224 | 11.2× |
| Hpv High-Risk Types (87624) | $295.20 | $328 | 8.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $295.20 | $328 | 4.2× |
| Hsv Dna Amp Probe (87529) | $295.20 | $328 | 8.4× |
| Hydroxyprogesterone 17-d (83498) | $231.30 | $257 | 8.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $48.60 | $54 | 4.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $135 | $150 | 3.8× |
| Iadna Cytomegalovirus Quantification (87497) | $295.20 | $328 | 6.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $135 | $150 | 1.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $268.88 | $298.75 | 7.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $621 | $690 | 14.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $204.30 | $227 | 5.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $247.50 | $275 | 1.7× |
| Ig Light Chains Free Each (83521) | $185.40 | $206 | 10.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $754.20 | $838 | 2.6× |
| Immunfix e-phorsis/urine/csf (86335) | $246.60 | $274 | 8.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$308.70–$561.60 | $343–$624 | varies |
| Immunoassay infectious agent (86318) | $75.60 | $84 | 4.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$21.17–$25.72 | $23.52–$28.58 | varies |
| Immunoassay nonantibody (83516) | $101.70 | $113 | 8.8× |
| Immunodiffusion Ouchterlony (86331) | $153 | $170 | 12.8× |
| Immunofixation electrophoresis (86334) | $190.80 | $212 | 8.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $132.30 | $147 | 0.8× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$116.10–$154.58 | $129–$171.75 | varies |
| Influenza assay w/optic (87804) | $47.70 | $53 | 2.9× |
| Influenza DNA amp probe (87502) | $109.80 | $122 | 1.1× |
| Inhibin A (86336) | $111.60 | $124 | 7.2× |
| Inhibin b (83520) range across 2 matching MRF lines |
$95.54–$121.50 | $106.15–$135 | varies |
| Insulin antibodies (86337) | $558 | $620 | 26.1× |
| Insulin total (83525) | $100.80 | $112 | 8.8× |
| Intrinsic factor antibody (86340) | $130.50 | $145 | 8.7× |
| Iron (83540) | $58.50 | $65 | 9.0× |
| Iron Binding Capacity (83550) | $68.40 | $76 | 7.8× |
| Islet cell antibody (86341) | $308.70 | $343 | 13.1× |
| Jak2 gene analysis p.val617phe variant (81270) | $754.20 | $838 | 8.2× |
| Koh Prep (87220) | $39.60 | $44 | 9.3× |
| Lactate (ld) (ldh) enzyme (83615) | $56.70 | $63 | 9.4× |
| LDL direct (83721) | $68.40 | $76 | 6.5× |
| Lead (83655) | $107.10 | $119 | 8.8× |
| Legionella antigen urine (87449) | $129.60 | $144 | 10.8× |
| Level ii surg pathology grossµscopic exam (88302) | $131.40 | $146 | 3.7× |
| Lipase (83690) | $63 | $70 | 9.1× |
| Lipoprotein A (83695) | $47.70 | $53 | 3.3× |
| Lithium (80178) | $60.30 | $67 | 9.1× |
| Luteinizing Hormone (Lh) (83002) | $158.40 | $176 | 8.6× |
| Lyme disease antibody (86618) | $73.80 | $82 | 4.3× |
| Macroscopic Exam Parasite (87169) | $68.40 | $76 | 15.9× |
| Magnesium Urine (83735) | $61.20 | $68 | 9.1× |
| Mercury urine (83825) | $45 | $50 | 2.8× |
| Methylmalonic acid serum (83921) | $163.80 | $182 | 7.7× |
| Microalbumin, quantitative (82043) | $37.80 | $42 | 6.5× |
| Microsomal Antibodies Each (86376) | $125.10 | $139 | 8.6× |
| Mitochondrial Antibody Each (86381) | $105.30 | $117 | 4.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$225–$652.50 | $250–$725 | varies |
| Mrsa Pcr (87641) | $249.30 | $277 | 7.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$111.92–$112.50 | $124.36–$125 | varies |
| Mycoplasma antibody (86738) | $113.40 | $126 | 8.6× |
| Myoglobin urine (83874) | $111.60 | $124 | 8.6× |
| Natriuretic peptide (83880) | $286.20 | $318 | 7.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $360 | $400 | 2.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $225 | $250 | 0.9× |
| Nuclear antigen antibody (86235) | $87.30 | $97 | 4.9× |
| Occult blood feces (82272) | $29.70 | $33 | 7.0× |
| Organic Acids Qualitative Each Specimen (83919) | $144.90 | $161 | 8.8× |
| Osmolality serum (83930) | $60.30 | $67 | 9.1× |
| Osmolality Urine (83935) | $63 | $70 | 9.2× |
| Ova and parasites smears (87177) | $71.10 | $79 | 8.0× |
| Oxalate urine (83945) | $111.60 | $124 | 7.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $67.50 | $75 | 1.3× |
| Ph urine (81003) | $21.60 | $24 | 9.6× |
| Phenobarbital Level (80184) | $101.70 | $113 | 6.6× |
| Phenytoin (Dilantin) (80185) | $113.40 | $126 | 8.6× |
| Phosphatase alkaline (84075) | $47.70 | $53 | 9.2× |
| Phosphorus Serum (84100) | $43.20 | $48 | 9.1× |
| Phosphorus urine (84105) | $47.70 | $53 | 8.3× |
| Platelet Antibodies (86022) | $243 | $270 | 13.2× |
| Platelet count automated (85049) | $41.40 | $46 | 9.2× |
| Potassium Urine (84133) | $39.60 | $44 | 8.4× |
| Prealbumin (84134) | $125.10 | $139 | 8.6× |
| Procalcitonin (Pct) (84145) | $169.20 | $188 | 6.2× |
| Progesterone (84144) | $180 | $200 | 8.6× |
| Prolactin (84146) | $165.60 | $184 | 8.5× |
| Protein body fluid (84157) | $29.70 | $33 | 7.4× |
| Protein C Activity (85303) | $112.50 | $125 | 8.1× |
| Protein c antigen (85302) | $105.30 | $117 | 8.8× |
| Protein Electrophoresis Urine (84166) | $153 | $170 | 8.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $95.40 | $106 | 8.9× |
| Protein S Free (85306) | $133.20 | $148 | 8.7× |
| Protein total serum (84155) | $36 | $40 | 9.8× |
| Protein Total Urine (84156) | $36 | $40 | 9.8× |
| Protein Western Blot Test (84182) | $277.07 | $307.86 | 9.5× |
| PSA free (84154) | $158.40 | $176 | 8.6× |
| Pth Intact (83970) | $221.40 | $246 | 5.4× |
| Q Fever Antibody (86638) | $22.50 | $25 | 1.9× |
| Quantiferon tb gold plus (86480) | $135.90 | $151 | 2.2× |
| Quantitative assay drug (80299) | $219.60 | $244 | 11.8× |
| Rbc antibody identification (86870) | $290.70 | $323 | 0.8× |
| Rbc antibody screen (86850) | $113.40 | $126 | 11.6× |
| Renin activity plasma (84244) | $187.20 | $208 | 8.5× |
| Reticulocyte Count (85046) | $52.20 | $58 | 9.4× |
| Rh (86901) | $135.90 | $151 | 45.5× |
| Rheumatoid factor quant (86431) | $52.20 | $58 | 9.2× |
| Rickettsia antibody (86757) | $196.20 | $218 | 10.1× |
| Rpr qualitative (86592) | $39.60 | $44 | 9.3× |
| Rsv Assay W/Optic (87807) | $54 | $60 | 4.1× |
| Rubella Antibody (86762) | $123.30 | $137 | 8.6× |
| Russell Viper Venom Time Diluted (85613) | $83.70 | $93 | 8.7× |
| Salicylate Level (80179) | $65.70 | $73 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $90 | $100 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $337.50 | $375 | 2.4× |
| Sedimentation Rate, Automated (85652) | $35.10 | $39 | 13.0× |
| Selenium (84255) | $45 | $50 | 1.8× |
| Semen Anal Sperm Detection (89321) | $105.30 | $117 | 8.7× |
| Sensitivity mic (87186) | $76.50 | $85 | 8.8× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$108.90–$109.80 | $121–$122 | varies |
| Sickling of rbc reduction (85660) | $33.75 | $37.50 | 6.1× |
| Smear acid fast (87206) | $22.50 | $25 | 4.2× |
| Smear complex stain (87209) | $83.70 | $93 | 4.7× |
| Smear gram stain (87205) | $39.60 | $44 | 9.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $16.20 | $18 | 2.8× |
| Sodium Serum (84295) | $43.20 | $48 | 9.0× |
| Sodium Urine (84300) | $27.90 | $31 | 5.5× |
| Soluble Transferrin Receptor (84238) | $72 | $80 | 2.0× |
| Somatomedin (84305) | $164.70 | $183 | 7.7× |
| Special Stains Group 1 (88312) | $135.90 | $151 | 2.7× |
| Spectrophotometry (84311) | $38.70 | $43 | 4.8× |
| Strep a assay w/optic (87880) | $104.40 | $116 | 6.3× |
| Strep a DNA amp probe (87651) | $45 | $50 | 1.3× |
| Strep b DNA amp probe (87653) | $172.80 | $192 | 4.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $90 | $100 | 1.0× |
| Surg path level iii (88304) | $158.40 | $176 | 3.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$138.60–$151.50 | $154–$168.33 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $76.50 | $85 | 16.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $27 | $30 | 3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $299.70 | $333 | 6.4× |
| T3 Free (84481) | $145.80 | $162 | 8.6× |
| T3 reverse (84482) | $58.50 | $65 | 3.7× |
| T3 Total (84480) | $110.70 | $123 | 7.8× |
| T4 Free (84439) | $68.40 | $76 | 7.6× |
| T4 total (84436) | $63 | $70 | 9.2× |
| Tacrolimus (80197) | $118.80 | $132 | 8.7× |
| Tau phosphorylated each (84393) | $810 | $900 | 6.3× |
| Testosterone Bioavailable (84410) | $158.40 | $176 | 3.1× |
| Testosterone total (84403) | $220.50 | $245 | 8.5× |
| Testosterone, Free (84402) | $222.11 | $246.79 | 8.7× |
| Thyroglobulin (84432) | $139.50 | $155 | 8.7× |
| Thyroglobulin Antibody (86800) | $138.60 | $154 | 8.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $428.40 | $476 | 8.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $101.70 | $113 | 8.8× |
| Topiramate (80201) | $105.30 | $117 | 8.8× |
| Toxoplasma ab igm (86778) | $123.30 | $137 | 8.6× |
| Toxoplasma antibody (86777) | $123.30 | $137 | 8.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $754.20 | $838 | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $47.70 | $53 | 9.2× |
| Transferrin (84466) | $110.70 | $123 | 8.7× |
| Trichomonas Vaginalis Amplif (87661) | $55.80 | $62 | 1.6× |
| Triglycerides (84478) | $54 | $60 | 9.4× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$63.32–$81.84 | $70.36–$90.93 | varies |
| Tumor Immunohistochem/Manual (88360) | $144 | $160 | 0.9× |
| Uric acid other source (84560) | $43.20 | $48 | 8.5× |
| Urinalysis Microscopic Only (81015) | $28.80 | $32 | 9.4× |
| Urine Pregnancy Test (81025) | $57.60 | $64 | 6.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $39.60 | $44 | 12.5× |
| Valproic acid (80164) | $117 | $130 | 8.6× |
| Vancomycin (80202) | $117 | $130 | 8.6× |
| Varicella-zoster antibody (86787) | $111.60 | $124 | 8.7× |
| Virus antibody nos (86790) | $98.10 | $109 | 7.6× |
| Viscosity serum (85810) | $82.80 | $92 | 7.1× |
| Vit D 1 25-Dihydroxy (82652) | $324 | $360 | 8.4× |
| Vitamin A (84590) | $90.90 | $101 | 7.8× |
| Vitamin b-12 (82607) | $132.30 | $147 | 8.8× |
| Vitamin B2 (Riboflavin) (84252) | $45 | $50 | 2.2× |
| Vitamin B6 (84207) | $238.50 | $265 | 8.5× |
| Vitamin D 25-Hydroxy (82306) | $250.20 | $278 | 8.5× |
| Vitamin E (84446) | $100.80 | $112 | 7.1× |
| Vitamin K (84597) | $117.90 | $131 | 8.6× |
| Von willebrand factor ag (85246) | $178.20 | $198 | 7.8× |
| West nile virus ab igm (86788) | $144.90 | $161 | 8.6× |
| West Nile Virus Antibody (86789) | $123.30 | $137 | 8.6× |
| Zinc (84630) | $100.80 | $112 | 8.8× |
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.