Lab & pathology prices at Mahnomen Health
Mahnomen, MN · every code in this section with a posted price and a Medicare benchmark.
461 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) | $189.90 | $211 | 10.3× |
| Acth (82024) | $612.90 | $681 | 15.9× |
| Actin smooth muscle antibody each (86015) | $153.90 | $171 | 12.8× |
| Acute hepatitis panel (80074) | $411.30 | $457 | 8.6× |
| Acylcarnitines Quant (82017) | $489.60 | $544 | 29.0× |
| Albumin serum (82040) | $83.70 | $93 | 16.9× |
| Aldolase (82085) | $102.60 | $114 | 10.6× |
| Aldosterone urine (82088) | $675 | $750 | 16.6× |
| Alkaline phosphatase isoenzymes (84080) | $287.10 | $319 | 19.4× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$58.50–$133.20 | $65–$148 | varies |
| Allergen specific igg (86001) | $111.60 | $124 | 14.3× |
| Alpha-1-antitrypsin phenotype (82104) | $117.90 | $131 | 8.2× |
| Alpha-1-antitrypsin total (82103) | $202.50 | $225 | 15.1× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$180.90–$188.10 | $201–$209 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$111.60–$116.10 | $124–$129 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $1,529.10 | $1,699 | 90.6× |
| Ammonia (82140) range across 2 matching MRF lines |
$192.60–$197.10 | $214–$219 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$143.10–$151.20 | $159–$168 | varies |
| Ana Titer (86039) | $267.30 | $297 | 24.0× |
| Anca screen each antibody (86036) | $192.60 | $214 | 16.0× |
| Angiotensin converting enzyme csf (82164) | $91.80 | $102 | 6.3× |
| Antibody aspergillus (86606) | $214.20 | $238 | 14.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $93.60 | $104 | 7.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$167.40–$264.60 | $186–$294 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $135 | $150 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$125.10–$190.80 | $139–$212 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 6 matching MRF lines |
$164.70–$202.50 | $183–$225 | varies |
| Antibody helicobacter pylori (86677) | $231.30 | $257 | 13.7× |
| Antibody Herpes Smplx Type 1 (86695) | $233.10 | $259 | 17.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $146.70 | $163 | 10.7× |
| Antibody HIV-2 (86702) | $146.70 | $163 | 10.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $845.10 | $939 | 2.6× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$344.70–$733.50 | $383–$815 | varies |
| Antibody Protozoa Nes (86753) | $194.40 | $216 | 15.7× |
| Antibody Treponema Pallidum (86780) | $155.70 | $173 | 11.8× |
| Antigen typing (86905) | $258.30 | $287 | 67.4× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$113.40–$168.30 | $126–$187 | varies |
| Antistreptolysin o titer (86060) | $35.10 | $39 | 4.8× |
| Antithrombin iii activity (85300) | $187.20 | $208 | 15.8× |
| Antithrombin iii antigen (85301) | $441.90 | $491 | 40.9× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$90–$204.30 | $100–$227 | varies |
| Arsenic (82175) range across 5 matching MRF lines |
$165.60–$616.50 | $184–$685 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$245.70–$437.40 | $273–$486 | varies |
| Assay Blood Carbon Dioxide (82374) | $111.60 | $124 | 22.9× |
| Assay Dir Meas Fr Estradiol (82681) | $220.50 | $245 | 7.9× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$138.60–$368.10 | $154–$409 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$198.90–$209.70 | $221–$233 | varies |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$88.20–$92.70 | $98–$103 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$72–$107.10 | $80–$119 | varies |
| Assay of estrone (82679) | $192.60 | $214 | 7.7× |
| Assay of g6pd enzyme (82955) | $239.40 | $266 | 24.7× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$101.70–$128.70 | $113–$143 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$162.90–$225 | $181–$250 | varies |
| Assay of metanephrines (83835) | $321.30 | $357 | 19.0× |
| Assay of proinsulin (84206) | $318.60 | $354 | 11.9× |
| Assay of pyruvate (84210) | $337.50 | $375 | 23.3× |
| Assay of serotonin (84260) | $196.20 | $218 | 6.3× |
| Assay of serum potassium (84132) | $93.60 | $104 | 19.7× |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$88.20–$93.60 | $98–$104 | varies |
| Assay of urine vma (84585) | $279 | $310 | 18.0× |
| Assay of vasoactive intestinal peptide (84586) | $465.30 | $517 | 13.2× |
| Assay of vitamin b-1 (84425) | $244.80 | $272 | 11.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$19.80–$77.40 | $22–$86 | varies |
| Assay spec xcp ur&breath ia (82077) | $136.80 | $152 | 7.9× |
| Automated Leukocyte Count (85048) | $63 | $70 | 24.8× |
| B cells total count (86355) range across 2 matching MRF lines |
$253.80–$385.20 | $282–$428 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$51.30–$90.90 | $57–$101 | varies |
| Bcr/abl1 gene major bp (81206) | $1,116 | $1,240 | 6.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$207–$208.80 | $230–$232 | varies |
| Beta hydroxybutyrate (82010) | $96.30 | $107 | 11.8× |
| Beta-2 Microglobulin (82232) | $262.80 | $292 | 16.2× |
| Bile acids total (82239) | $127.80 | $142 | 7.5× |
| Bilirubin direct (82248) | $118.80 | $132 | 23.7× |
| Bilirubin total (82247) | $118.80 | $132 | 23.7× |
| Blastomyces antibody (86612) | $93.60 | $104 | 7.3× |
| Blood Count Automated Differential Wbc Count (85004) | $72 | $80 | 11.1× |
| Blood count reticulocyte automated (85045) | $83.70 | $93 | 21.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $76.50 | $85 | 20.1× |
| Blood gas (82803) | $363.60 | $404 | 13.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81.90 | $91 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$214.20–$257.40 | $238–$286 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $113.40 | $126 | 6.9× |
| Blood typing serologic abo (86900) | $101.70 | $113 | 34.0× |
| C diff amplified probe (87493) | $188.10 | $209 | 5.0× |
| C-Peptide (84681) | $287.10 | $319 | 13.8× |
| C-reactive protein (86140) | $236.70 | $263 | 45.7× |
| Ca 19-9 (86301) | $317.70 | $353 | 15.3× |
| Cadmium (82300) range across 3 matching MRF lines |
$153–$577.80 | $170–$642 | varies |
| Caffeine (80155) | $314.10 | $349 | 8.1× |
| Calcium ionized (82330) | $179.10 | $199 | 13.1× |
| Calcium total (82310) | $107.10 | $119 | 20.8× |
| Calculus Spectroscopy (82365) | $170.10 | $189 | 13.2× |
| Calprotectin Fecal (83993) | $485.10 | $539 | 24.7× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$214.20–$224.10 | $238–$249 | varies |
| Cancer Antigen 27.29 (86300) | $260.10 | $289 | 12.5× |
| Candida antibody (86628) range across 2 matching MRF lines |
$159.30–$173.70 | $177–$193 | varies |
| Carbamazepine total (80156) | $76.50 | $85 | 5.3× |
| Carboxyhemoglobin (82375) | $144.90 | $161 | 11.8× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$186.30–$194.40 | $207–$216 | varies |
| Cardiolipin ab iga (86147) | $450.90 | $501 | 17.7× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$214.20–$508.50 | $238–$565 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$173.70–$210.60 | $193–$234 | varies |
| Cell count csf (89051) | $27.90 | $31 | 5.0× |
| Ceruloplasmin (82390) | $146.70 | $163 | 13.7× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$264.60–$489.60 | $294–$544 | varies |
| Chloride Serum (82435) | $95.40 | $106 | 20.7× |
| Chloride urine (82436) range across 2 matching MRF lines |
$63–$116.10 | $70–$129 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$104.40–$153.90 | $116–$171 | varies |
| Chorionic gonadotropin test (84702) | $200.70 | $223 | 13.3× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$188.10–$219.60 | $209–$244 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$178.20–$231.30 | $198–$257 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$77.40–$360.90 | $86–$401 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$220.50–$231.30 | $245–$257 | varies |
| Clostridium Difficile (87324) | $247.50 | $275 | 20.7× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$93.60–$165.60 | $104–$184 | varies |
| Cold agglutinin titer (86157) | $135 | $150 | 16.7× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$224.10–$577.80 | $249–$642 | varies |
| Compatibility test antiglob (86922) | $204.30 | $227 | 1.2× |
| Complement Antigen Each Component (86160) | $212.40 | $236 | 17.7× |
| Complement Total (Ch50) (86162) | $272.70 | $303 | 13.4× |
| Coombs direct (86880) range across 2 matching MRF lines |
$92.70–$188.10 | $103–$209 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$147.60–$209.70 | $164–$233 | varies |
| Cortisol free (82530) | $279 | $310 | 16.7× |
| Cortisol saliva (82533) | $197.10 | $219 | 12.1× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$131.40–$137.70 | $146–$153 | varies |
| Creatinine blood (82565) | $116.10 | $129 | 22.7× |
| Creatinine clearance (82575) | $150.30 | $167 | 15.9× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$72–$161.10 | $80–$179 | varies |
| Crossmatch immediate spin (86920) | $176.40 | $196 | 1.0× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$147.60–$208.80 | $164–$232 | varies |
| Cryofibrinogen (82585) | $187.20 | $208 | 13.2× |
| Cryoglobulin (82595) | $148.50 | $165 | 23.0× |
| Cryptococcal Antigen (87327) | $113.40 | $126 | 8.5× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$105.30–$320.40 | $117–$356 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$131.40–$253.80 | $146–$282 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 7 matching MRF lines |
$45–$241.20 | $50–$268 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $287.10 | $319 | 35.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $153.90 | $171 | 20.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,694.70 | $1,883 | 7.8× |
| Culture afb (87116) range across 2 matching MRF lines |
$108–$161.10 | $120–$179 | varies |
| Culture blood (87040) | $209.70 | $233 | 20.3× |
| Culture csf (87070) | $136.80 | $152 | 15.9× |
| Culture fungus (87102) | $287.10 | $319 | 34.1× |
| Culture fungus blood (87103) | $188.10 | $209 | 9.2× |
| Culture screen only (87081) | $104.40 | $116 | 15.7× |
| Culture stool (87045) range across 3 matching MRF lines |
$77.40–$124.20 | $86–$138 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$45–$48.60 | $50–$54 | varies |
| Culture urine (87086) | $131.40 | $146 | 16.3× |
| Cyanide (82600) | $264.60 | $294 | 13.6× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$181.80–$200.70 | $202–$223 | varies |
| Cystatin C (82610) | $269.10 | $299 | 14.5× |
| Cytogenetics 10-30 (88273) | $726.30 | $807 | 20.9× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$135–$239.40 | $150–$266 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $291.60 | $324 | 11.0× |
| Cytp Concentration Smears & Interpretation (88108) | $461.70 | $513 | 12.0× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$370.80–$711.90 | $412–$791 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$579.60–$685.80 | $644–$762 | varies |
| Detect agnt mult DNA ampli (87801) | $446.40 | $496 | 6.4× |
| Dgp Antibody Each Ig Class (86258) | $153.90 | $171 | 12.8× |
| Dhea-S (82627) | $214.20 | $238 | 9.6× |
| Digoxin (80162) range across 2 matching MRF lines |
$217.80–$221.40 | $242–$246 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$205.20–$228.60 | $228–$254 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$149.40–$155.70 | $166–$173 | varies |
| DNA/RNA direct probe (87149) | $172.80 | $192 | 8.6× |
| Drug assay acetaminophen (80143) | $87.30 | $97 | 4.7× |
| Drug assay adalimumab (80145) | $582.30 | $647 | 15.1× |
| Drug Assay Lacosamide (80235) | $208.80 | $232 | 7.7× |
| Drug Assay Vedolizumab (80280) | $670.50 | $745 | 17.4× |
| Drug Screen Quant Clozapine (80159) | $186.30 | $207 | 9.2× |
| Drug Screen Quant Zonisamide (80203) | $186.30 | $207 | 14.1× |
| Drug Screen Quantitative Gabapentin (80171) | $196.20 | $218 | 9.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $188.10 | $209 | 14.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $72.90 | $81 | 5.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $186.30 | $207 | 14.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$207–$450 | $230–$500 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $569.70 | $633 | 45.2× |
| Ehrlichia antibody (86666) | $242.10 | $269 | 23.8× |
| Electrolyte panel (80051) | $177.30 | $197 | 25.3× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$76.50–$80.10 | $85–$89 | varies |
| Erythropoietin (82668) | $324.90 | $361 | 17.3× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$220.50–$271.80 | $245–$302 | varies |
| Estriol (82677) | $248.40 | $276 | 10.3× |
| Estrogens fractionated (82671) | $279.90 | $311 | 8.7× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$231.30–$253.80 | $257–$282 | varies |
| Exam Synovial Fluid Crystals (89060) | $99 | $110 | 13.5× |
| F2 Gene (81240) | $644.40 | $716 | 9.8× |
| Factor v leiden mutation (81241) | $383.40 | $426 | 5.2× |
| Factor viii assay (85240) | $531 | $590 | 29.7× |
| Fat stain feces urine/respir secretions (89125) | $24.30 | $27 | 4.1× |
| Fat/Lipids Feces Quantitative (82710) | $328.50 | $365 | 19.6× |
| Fecal Fat Qualitative (82705) | $131.40 | $146 | 25.8× |
| Ferritin (82728) | $244.80 | $272 | 18.0× |
| Fibrin Degradation Quant (85379) | $225 | $250 | 22.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $193.50 | $215 | 19.9× |
| Fibrinogen activity (85384) | $141.30 | $157 | 14.5× |
| Flow cytometry first marker (88184) range across 12 matching MRF lines |
$549–$605.70 | $610–$673 | varies |
| Fluorescent antibody screen (86255) | $204.30 | $227 | 17.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $461.70 | $513 | 38.3× |
| Folic acid rbc (82747) | $225 | $250 | 12.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$179.10–$276.30 | $199–$307 | varies |
| Follicle Stimulating Hormone (83001) | $187.20 | $208 | 10.1× |
| Francisella tularensis (86668) | $337.50 | $375 | 23.8× |
| Fungi Identification Mold (87107) | $85.50 | $95 | 8.3× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$118.80–$194.40 | $132–$216 | varies |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$122.40–$175.50 | $136–$195 | varies |
| Gases blood ph only (82800) | $159.30 | $177 | 14.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,325.60 | $2,584 | 5.6× |
| Gentamicin (80170) | $209.70 | $233 | 12.8× |
| Ggt (82977) | $137.70 | $153 | 19.1× |
| Giardia antigen (87329) | $135.90 | $151 | 11.3× |
| Glucose 2 hr pp (82950) range across 5 matching MRF lines |
$61.20–$91.80 | $68–$102 | varies |
| Glucose Serum (82947) | $95.40 | $106 | 24.3× |
| Glucose tolerance test (gtt) (82951) | $220.50 | $245 | 17.1× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$135.90–$141.30 | $151–$157 | varies |
| Growth hormone (83003) | $252 | $280 | 15.1× |
| Gtt-added samples (82952) | $286.20 | $318 | 73.0× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$345.60–$388.80 | $384–$432 | varies |
| Haptoglobin (83010) | $152.10 | $169 | 12.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $1,318.50 | $1,465 | 6.5× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$136.80–$159.30 | $152–$177 | varies |
| Helicobacter Pylori Stool (87338) | $304.20 | $338 | 21.2× |
| Helminth Antibody (86682) | $155.70 | $173 | 12.0× |
| Hematocrit (85014) | $63 | $70 | 26.6× |
| Hemoglobin (85018) | $59.40 | $66 | 25.1× |
| Hemoglobin a1c (83036) | $146.70 | $163 | 15.1× |
| Hemoglobin Chromotography (83021) | $263.70 | $293 | 14.6× |
| Hemoglobin electrophoresis (83020) | $258.30 | $287 | 20.1× |
| Hemoglobin plasma (83051) | $146.70 | $163 | 20.1× |
| Hep a ab igm (86709) | $260.10 | $289 | 23.1× |
| Heparin assay (85520) | $351.90 | $391 | 26.9× |
| Hepatitis a antibody total (86708) | $157.50 | $175 | 12.7× |
| Hepatitis b core ab igm (86705) | $96.30 | $107 | 8.2× |
| Hepatitis b core ab total (86704) | $63 | $70 | 5.2× |
| Hepatitis B Surface Antibody (86706) | $91.80 | $102 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $125.10 | $139 | 12.1× |
| Hepatitis Be Antigen (87350) | $260.10 | $289 | 22.6× |
| Hepatitis C Antibody (86803) | $138.60 | $154 | 9.7× |
| Hepatitis C Genotype (87902) | $1,284.30 | $1,427 | 5.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $477 | $530 | 13.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$562.50–$793.80 | $625–$882 | varies |
| Herpes simplex type 2 (86696) | $251.10 | $279 | 13.0× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$85.50–$88.20 | $95–$98 | varies |
| Hfe Gene (81256) | $549 | $610 | 8.4× |
| Histamine urine (83088) | $225 | $250 | 7.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$93.60–$106.20 | $104–$118 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $146.70 | $163 | 6.1× |
| Hiv-1 Antibody (86701) | $146.70 | $163 | 16.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $556.20 | $618 | 6.5× |
| Hla class ii high defin qual (86833) | $1,154.70 | $1,283 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $652.50 | $725 | 8.8× |
| Hla ii typing 1 locus lr (81376) | $423.90 | $471 | 3.5× |
| Hla-b27 (86812) | $169.20 | $188 | 6.6× |
| Homocysteine (83090) | $176.40 | $196 | 9.8× |
| Hsv Dna Amp Probe (87529) | $327.60 | $364 | 9.3× |
| Hydroxyprogesterone 17-d (83498) | $225 | $250 | 8.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $225 | $250 | 21.8× |
| Iaad ia shiga-like toxin (87427) | $101.70 | $113 | 8.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$418.50–$624.60 | $465–$694 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $286.20 | $318 | 8.2× |
| Iadna Cytomegalovirus Quantification (87497) | $628.20 | $698 | 14.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $246.60 | $274 | 3.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $610.20 | $678 | 14.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,270.80 | $1,412 | 36.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $524.70 | $583 | 12.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $286.20 | $318 | 8.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $423.90 | $471 | 12.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $938.70 | $1,043 | 6.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,354.50 | $1,505 | 5.2× |
| Ig Light Chains Free Each (83521) | $186.30 | $207 | 10.8× |
| Igg subclasses (82787) | $73.80 | $82 | 9.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$205.20–$224.10 | $228–$249 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $175.50 | $195 | 11.7× |
| Immunoassay nonantibody (83516) range across 29 matching MRF lines |
$129.60–$344.70 | $144–$383 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$93.60–$110.70 | $104–$123 | varies |
| Immunofixation electrophoresis (86334) | $209.70 | $233 | 9.4× |
| Influenza a/b ag eia (87400) | $216 | $240 | 15.3× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$83.70–$117.90 | $93–$131 | varies |
| Influenza DNA amp probe (87502) | $359.10 | $399 | 3.7× |
| Inhibin b (83520) range across 40 matching MRF lines |
$220.50–$2,118.60 | $245–$2,354 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$193.50–$202.50 | $215–$225 | varies |
| Intrinsic factor antibody (86340) | $286.20 | $318 | 19.0× |
| Iron (83540) | $133.20 | $148 | 20.6× |
| Iron Binding Capacity (83550) | $112.50 | $125 | 12.9× |
| Islet cell antibody (86341) | $548.10 | $609 | 23.3× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$768.60–$1,008.90 | $854–$1,121 | varies |
| Koh Prep (87220) | $88.20 | $98 | 20.7× |
| Lactate (ld) (ldh) enzyme (83615) | $113.40 | $126 | 18.8× |
| Lactoferrin fecal qualitative (83630) | $152.10 | $169 | 7.7× |
| Ldh Isoenzymes (83625) | $146.70 | $163 | 11.5× |
| LDL direct (83721) | $93.60 | $104 | 8.9× |
| Lead (83655) range across 5 matching MRF lines |
$80.10–$180 | $89–$200 | varies |
| Legionella antigen urine (87449) | $80.10 | $89 | 6.7× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$72–$73.80 | $80–$82 | varies |
| Lipase (83690) | $119.70 | $133 | 17.4× |
| Lipoprotein A (83695) | $267.30 | $297 | 18.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $153.90 | $171 | 13.7× |
| Lithium (80178) | $127.80 | $142 | 19.3× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$139.50–$187.20 | $155–$208 | varies |
| Lyme disease antibody (86618) range across 5 matching MRF lines |
$178.20–$189.90 | $198–$211 | varies |
| Lysozyme serum (85549) | $148.50 | $165 | 7.9× |
| Macroscopic Exam Parasite (87169) | $207.90 | $231 | 48.2× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$125.10–$139.50 | $139–$155 | varies |
| Mass Spectrometry Quant (83789) | $264.60 | $294 | 11.0× |
| Mercury urine (83825) range across 3 matching MRF lines |
$157.50–$245.70 | $175–$273 | varies |
| Metabolic panel ionized ca (80047) | $196.20 | $218 | 14.3× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$196.20–$519.30 | $218–$577 | varies |
| Microalbumin, quantitative (82043) | $104.40 | $116 | 18.1× |
| Microsomal Antibodies Each (86376) | $234.90 | $261 | 16.1× |
| Mitochondrial Antibody Each (86381) | $252 | $280 | 9.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$171–$173.70 | $190–$193 | varies |
| Mumps antibody (86735) | $260.10 | $289 | 19.9× |
| Muscle-Specific Kinase Antb (86366) | $1,440 | $1,600 | 78.3× |
| Mycophenolic Acid (80180) | $186.30 | $207 | 10.3× |
| Mycoplasma antibody (86738) | $106.20 | $118 | 8.0× |
| Natriuretic peptide (83880) range across 5 matching MRF lines |
$293.40–$372.60 | $326–$414 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $720 | $800 | 5.6× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$243.90–$385.20 | $271–$428 | varies |
| Nuclear antigen antibody (86235) | $180.90 | $201 | 10.1× |
| Occult blood feces (82272) | $50.40 | $56 | 11.9× |
| Occult Blood Other Sources (82271) | $45.90 | $51 | 8.6× |
| Organic Acids Qualitative Each Specimen (83919) | $266.40 | $296 | 16.2× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$35.10–$117.90 | $39–$131 | varies |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$35.10–$107.10 | $39–$119 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$54.90–$95.40 | $61–$106 | varies |
| Ova1 (81503) | $80.10 | $89 | 0.1× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$170.10–$197.10 | $189–$219 | varies |
| Parvovirus antibody (86747) | $277.20 | $308 | 18.4× |
| Ph urine (81003) | $61.20 | $68 | 27.2× |
| Phenobarbital Level (80184) | $164.70 | $183 | 10.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$177.30–$212.40 | $197–$236 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$147.60–$164.70 | $164–$183 | varies |
| Phosphatase alkaline (84075) | $101.70 | $113 | 19.6× |
| Phospholipid Neutralization Hexagonal (85598) | $306 | $340 | 17.0× |
| Phosphorus Serum (84100) | $107.10 | $119 | 22.6× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$27.90–$92.70 | $31–$103 | varies |
| Pinworm exam (87172) | $56.70 | $63 | 13.3× |
| Platelet Aggregation (85576) | $162.90 | $181 | 6.5× |
| Platelet count automated (85049) | $72.90 | $81 | 16.3× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$24.30–$71.10 | $27–$79 | varies |
| Prealbumin (84134) | $169.20 | $188 | 11.6× |
| Primidone (80188) | $164.70 | $183 | 9.9× |
| Procalcitonin (Pct) (84145) | $283.50 | $315 | 10.4× |
| Progesterone (84144) | $167.40 | $186 | 8.0× |
| Prolactin (84146) range across 7 matching MRF lines |
$193.50–$196.20 | $215–$218 | varies |
| Protein body fluid (84157) | $83.70 | $93 | 20.9× |
| Protein C Activity (85303) | $357.30 | $397 | 25.8× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$155.70–$306 | $173–$340 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $131.40 | $146 | 12.2× |
| Protein S Free (85306) | $514.80 | $572 | 33.6× |
| Protein s total (85305) | $277.20 | $308 | 23.9× |
| Protein total serum (84155) | $88.20 | $98 | 24.0× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$78.30–$81.90 | $87–$91 | varies |
| PSA free (84154) range across 3 matching MRF lines |
$147.60–$169.20 | $164–$188 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$408.60–$430.20 | $454–$478 | varies |
| Quantiferon tb gold plus (86480) | $400.50 | $445 | 6.5× |
| Quantitative assay drug (80299) range across 44 matching MRF lines |
$215.10–$386.10 | $239–$429 | varies |
| Rbc antibody elution (86860) | $212.40 | $236 | 1.2× |
| Rbc antibody identification (86870) | $304.20 | $338 | 0.8× |
| Rbc antibody screen (86850) | $160.20 | $178 | 16.4× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$183.60–$323.10 | $204–$359 | varies |
| Resp virus 12-25 targets (87633) | $1,122.30 | $1,247 | 2.7× |
| Reticulocyte Count (85046) | $102.60 | $114 | 18.4× |
| Reticulocyte Count Manual (85044) | $161.10 | $179 | 37.4× |
| Rh (86901) | $81.90 | $91 | 27.4× |
| Rheumatoid Factor Qualitative (86430) | $107.10 | $119 | 17.4× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$42.30–$108 | $47–$120 | varies |
| Ristocetin cofactor (85245) | $321.30 | $357 | 14.0× |
| Rotavirus ag eia (87425) range across 3 matching MRF lines |
$119.70–$184.50 | $133–$205 | varies |
| Rpr qualitative (86592) | $87.30 | $97 | 20.4× |
| Rsv Assay W/Optic (87807) | $180.90 | $201 | 13.8× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$119.70–$126 | $133–$140 | varies |
| Rubeola antibody (86765) | $306 | $340 | 23.8× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$152.10–$162.90 | $169–$181 | varies |
| Russell Viper Venon Time Undiluted (85612) | $96.30 | $107 | 5.5× |
| Rx metab gen seq alys pnl 6 (81418) | $450.90 | $501 | 0.5× |
| Salicylate Level (80179) | $291.60 | $324 | 15.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $306 | $340 | 6.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $291.60 | $324 | 6.9× |
| Sarscov2 & inf a&b amp prb (87636) | $495.90 | $551 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $540 | $600 | 3.8× |
| Sedimentation rate (85651) | $72 | $80 | 16.9× |
| Sedimentation Rate, Automated (85652) | $58.50 | $65 | 21.7× |
| Selenium (84255) | $337.50 | $375 | 13.2× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$135.90–$192.60 | $151–$214 | varies |
| Sex Hormone Binding Globulin (84270) | $198 | $220 | 9.1× |
| Sickling of rbc reduction (85660) | $90.90 | $101 | 16.5× |
| Sirolimus (80195) | $252 | $280 | 18.4× |
| Smear acid fast (87206) | $111.60 | $124 | 20.7× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$93.60–$112.50 | $104–$125 | varies |
| Smear gram stain (87205) | $81.90 | $91 | 19.2× |
| Smear Special Stain (87207) | $136.80 | $152 | 22.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $82.80 | $92 | 14.2× |
| Sodium Serum (84295) | $93.60 | $104 | 19.5× |
| Sodium Urine (84300) range across 5 matching MRF lines |
$27–$93.60 | $30–$104 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$264.60–$289.80 | $294–$322 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$72–$95.40 | $80–$106 | varies |
| Spectrophotometry (84311) | $231.30 | $257 | 28.6× |
| Staph a DNA amp probe (87640) | $171 | $190 | 4.9× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$51.30–$61.20 | $57–$68 | varies |
| Strep a assay w/optic (87880) | $123.30 | $137 | 7.5× |
| Strep a DNA amp probe (87651) range across 3 matching MRF lines |
$216–$241.20 | $240–$268 | varies |
| Strep b DNA amp probe (87653) | $234.90 | $261 | 6.7× |
| Sugars Single Qual (84376) | $117 | $130 | 21.3× |
| Sulfate urine (84392) | $63 | $70 | 11.5× |
| Surgical pathology level IV (88305) | $72 | $80 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 11 matching MRF lines |
$66.60–$95.40 | $74–$106 | varies |
| Syphilis Test Non-Trep Quant (86593) | $356.40 | $396 | 81.0× |
| T cells absolute cd4 count (86361) | $193.50 | $215 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$349.20–$433.80 | $388–$482 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$249.30–$385.20 | $277–$428 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$179.10–$189.90 | $199–$211 | varies |
| T3 Total (84480) | $189.90 | $211 | 13.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$135.90–$136.80 | $151–$152 | varies |
| T4 total (84436) | $92.70 | $103 | 13.5× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$139.50–$314.10 | $155–$349 | varies |
| Tb ag response t-cell susp (86481) | $299.70 | $333 | 3.0× |
| Test for acetone/ketones (82009) | $85.50 | $95 | 18.9× |
| Testosterone Bioavailable (84410) | $431.10 | $479 | 8.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$197.10–$339.30 | $219–$377 | varies |
| Testosterone, Free (84402) | $140.40 | $156 | 5.5× |
| Theophylline (80198) range across 2 matching MRF lines |
$152.10–$194.40 | $169–$216 | varies |
| Thiopurine methyltransferase (84433) | $515.70 | $573 | 23.3× |
| Thrombin Time (85670) | $107.10 | $119 | 18.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $128.70 | $143 | 19.9× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$149.40–$334.80 | $166–$372 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$126.90–$295.20 | $141–$328 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $340.20 | $378 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $122.40 | $136 | 10.6× |
| Topiramate (80201) | $252.90 | $281 | 21.2× |
| Toxoplasma ab igm (86778) | $117.90 | $131 | 8.2× |
| Toxoplasma antibody (86777) | $162 | $180 | 11.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $111.60 | $124 | 21.5× |
| Transferrin (84466) range across 2 matching MRF lines |
$105.30–$177.30 | $117–$197 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$186.30–$333 | $207–$370 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$104.40–$153.90 | $116–$171 | varies |
| Troponin Quant (84484) | $200.70 | $223 | 16.1× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$63–$107.10 | $70–$119 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$27–$88.20 | $30–$98 | varies |
| Urinalysis Microscopic Only (81015) | $18 | $20 | 5.9× |
| Urine Albumin Semiquantitative (82044) | $69.30 | $77 | 11.1× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$81–$141.30 | $90–$157 | varies |
| Urine Pregnancy Test (81025) | $106.20 | $118 | 12.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $87.30 | $97 | 27.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$196.20–$205.20 | $218–$228 | varies |
| Vancomycin (80202) range across 4 matching MRF lines |
$230.40–$244.80 | $256–$272 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$245.70–$421.20 | $273–$468 | varies |
| Vasopressin (84588) | $316.80 | $352 | 9.3× |
| Very Long Chain Fatty Acids (82726) | $612.90 | $681 | 31.0× |
| Viral Culture (87252) | $573.30 | $637 | 22.0× |
| Virus antibody nos (86790) | $180 | $200 | 14.0× |
| Virus inoculate tissue addl (87253) | $352.80 | $392 | 17.5× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$370.80–$444.60 | $412–$494 | varies |
| Vitamin A (84590) | $270.90 | $301 | 23.3× |
| Vitamin b-12 (82607) | $198 | $220 | 13.1× |
| Vitamin B6 (84207) | $404.10 | $449 | 14.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$287.10–$291.60 | $319–$324 | varies |
| Vitamin E (84446) | $236.70 | $263 | 16.7× |
| Volatiles (84600) | $54.90 | $61 | 3.2× |
| Von willebrand factor ag (85246) | $498.60 | $554 | 21.7× |
| West nile virus ab igm (86788) | $138.60 | $154 | 8.2× |
| Zinc (84630) | $152.10 | $169 | 13.4× |
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.