Lab & pathology prices at North Memorial Health - Maple Grove Hospital

Maple Grove, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $90.45 $171.64 8.1×
Acetylcholine receptor binding antibody (86041)
range across 2 matching MRF lines
$51.65–$60.73 $98–$115.24 varies
Acetylcholn Rcptr Modlg Antb (86043) $92.25 $175.04 7.7×
Acth (82024) $36.64 $69.52 0.9×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$14.23–$16.76 $27–$31.80 varies
Acute hepatitis panel (80074) $70.09 $133 1.5×
Acylcarnitines Quant (82017) $36.89 $70 2.2×
Albumin Fluid (82042)
range across 2 matching MRF lines
$11.59–$14.76 $22–$28 varies
Albumin serum (82040)
range across 3 matching MRF lines
$11.59–$18.97 $22–$36 varies
Aldolase (82085) $9.21 $17.48 0.9×
Aldosterone urine (82088)
range across 2 matching MRF lines
$38.66–$60.08 $73.35–$114 varies
Alkaline phosphatase isoenzymes (84080) $40.43 $76.72 2.7×
Allg Spec Ige Recomb Ea (86008) $83.58 $158.60 4.7×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$12.75–$31.55 $24.19–$59.86 varies
Alpha-Fetoprotein Serum (82105) $43.21 $82 2.6×
Alt (sgpt) (84460) $11.59 $22 2.2×
Amikacin trough (80150) $28.05 $53.23 1.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $152.99 $290.30 9.1×
Ammonia (82140) $34.25 $65 2.4×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$102.76–$104.87 $195–$199 varies
Amylase urine (82150)
range across 2 matching MRF lines
$18.44–$18.97 $35–$36 varies
Ana Titer (86039) $25.25 $47.92 2.3×
Anca Titer Each Antibody (86037) $12.12 $23 1.0×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$13.85–$30.57 $26.28–$58 varies
Antibody aspergillus (86606)
range across 2 matching MRF lines
$14.28–$40.30 $27.09–$76.48 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $28.18 $53.48 1.8×
Antibody Encephalitis California La Crosse (86651) $20.60 $39.08 1.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $15.81 $30 1.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $14.76 $28 1.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $16.86 $32 0.9×
Antibody HIV-2 (86702) $53.75 $102 4.0×
Antibody identification leukocyte antibodies (86021) $89.60 $170.02 6.0×
Antibody john cunningham virus (86711) $36.89 $70 2.2×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$38.33–$41.04 $72.74–$77.88 varies
Antibody Titer (86886) $116.47 $221 22.5×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$13.70–$26.05 $26–$49.44 varies
Antibody; encephalitis, st. louis (86653) $20.60 $39.08 1.6×
Antigen typing (86905)
range across 2 matching MRF lines
$198.68–$200.79 $377–$381 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$22.13–$22.66 $42–$43 varies
Antistreptolysin o titer (86060) $9.77 $18.54 1.3×
Antithrombin iii activity (85300) $38.47 $73 3.2×
Apolipoprotein a1 (82172) $28.77 $54.60 1.4×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $368.96 $700.12 9.8×
Arsenic (82175)
range across 2 matching MRF lines
$26.35–$41.30 $50–$78.36 varies
Aspergillus ag eia (87305) $37.94 $72 3.2×
Assay Blood Carbon Dioxide (82374) $14.76 $28 3.0×
Assay of 5-hiaa (83497) $12.24 $23.22 0.9×
Assay of blood/uric acid (84550) $12.12 $23 2.7×
Assay of calcium in urine (82340) $16.86 $32 2.8×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines
$9.20–$78.69 $17.46–$149.32 varies
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$8.82–$72.73 $16.74–$138 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$32.15–$35.31 $61–$67 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines
$26.08–$33.20 $49.48–$63 varies
Assay of serotonin (84260) $50.36 $95.56 1.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$11.59–$12.12 $22–$23 varies
Assay of Tyrosine (84510) $89.04 $168.96 8.4×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$11.59–$12.12 $22–$23 varies
Assay of vitamin b-1 (84425) $20.14 $38.21 0.9×
Assay Ph Body Fluid Nos (83986) $8.96 $17 2.5×
Assay Phosphohexose Enzymes (84087) $87.05 $165.18 8.1×
Assay spec xcp ur&breath ia (82077) $28.46 $54 1.6×
Asy carbamazepin 10,11-epxid (80161) $32.25 $61.20 1.7×
Automated Leukocyte Count (85048) $8.96 $17 3.5×
B cells total count (86355) $35.79 $67.91 0.9×
Babesia microti amp prb (87469) $36.89 $70 1.1×
Bartonella antibody (86611)
range across 2 matching MRF lines
$13.22–$13.23 $25.08–$25.10 varies
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$155.53–$437.94 $295.13–$831 varies
Bcr/abl1 gene minor bp (81207) $137.39 $260.71 0.9×
Bcr/Abl1 Gene Other Bp (81208) $203.59 $386.32 0.9×
Beta 2 glycoprotein i antibody each (86146) $32.15 $61 1.3×
Beta hydroxybutyrate (82010) $20.03 $38 2.5×
Beta Lactamase (87185) $21.61 $41 4.5×
Beta-2 Microglobulin (82232) $15.35 $29.12 0.9×
Beta-amyloid; 1-42 (abeta 42) (82234) $421.60 $800 3.3×
Bile acids total (82239) $16.86 $32 1.0×
Bilirubin direct (82248) $7.38 $14 1.5×
Bilirubin total (82247) $11.59 $22 2.3×
Biotinidase (82261) $24.24 $46 1.4×
Blastomyces antibody (86612) $16.86 $32 1.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $207.64 $394 1.2×
Bld Typing Serologic Rh Phnt (86906) $82.21 $156 10.6×
Blood Count Automated Differential Wbc Count (85004) $9.49 $18 1.5×
Blood Count Red Blood Cell Automated (85041) $2.87 $5.44 1.0×
Blood count reticulocyte automated (85045) $12.65 $24 3.2×
Blood gas (82803)
range across 4 matching MRF lines
$23.71–$26.88 $45–$51 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $70.62 $134 11.1×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $58.50 $111 3.6×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$31.09–$73.78 $59–$140 varies
Body fluid cell count (89050) $23.19 $44 4.9×
Bordetella antibody (86615) $37.04 $70.28 2.8×
Braf gene analysis (81210) $872.92 $1,656.40 5.0×
Brucella antibody (86622) $17.90 $33.96 2.0×
C diff amplified probe (87493) $60.08 $114 1.6×
C-Peptide (84681) $20.55 $39 1.0×
C-reactive protein (86140) $14.23 $27 2.7×
Ca 19-9 (86301)
range across 2 matching MRF lines
$19.74–$38.47 $37.45–$73 varies
Cadmium (82300) $26.35 $50 1.1×
Calcium ionized (82330)
range across 2 matching MRF lines
$28.98–$30.57 $55–$58 varies
Calcium total (82310)
range across 2 matching MRF lines
$11.07–$11.59 $21–$22 varies
Calculus Spectroscopy (82365) $15.55 $29.50 1.2×
Calprotectin Fecal (83993) $94.86 $180 4.8×
Calr gene com variants (81219)
range across 2 matching MRF lines
$289.85–$342.55 $550–$650 varies
Cancer Antigen 125 (86304) $41.63 $79 2.0×
Cancer Antigen 27.29 (86300) $50.06 $95 2.4×
Carbamazepine total (80156) $134.91 $256 9.3×
Carboxyhemoglobin (82375) $25.82 $49 2.1×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$38.47–$39 $73–$74 varies
Cardiolipin ab iga (86147) $31.09 $59 1.2×
Carnitine Quantitative Each Specimen (82379) $35.56 $67.48 2.1×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$25.31–$43.49 $48.02–$82.52 varies
Ccp antibody (86200) $21.08 $40 1.6×
Cell count csf (89051)
range across 2 matching MRF lines
$24.77–$25.30 $47–$48 varies
Ceruloplasmin (82390) $10.19 $19.33 0.9×
Cftr gene com variants (81220) $527.99 $1,001.88 0.9×
Cftr gene dup/delet variants (81222) $412.71 $783.13 0.9×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$36.89–$102.67 $70–$194.82 varies
Chlamydia antibody (86631) $21.44 $40.68 1.8×
Chlamydia Igm Antibody (86632)
range across 2 matching MRF lines
$22.99–$23 $43.62–$43.64 varies
Chloride Serum (82435)
range across 2 matching MRF lines
$8.43–$10.01 $16–$19 varies
Chloride urine (82436) $5.80 $11 1.0×
Cholesterol total (82465) $11.59 $22 2.7×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$14.28–$31.62 $27.09–$60 varies
Chrmsm Analysis Addl High Resolution Study (88289) $313.04 $594 9.1×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $100.13 $190 3.0×
Chromogenic Substrate Assay (85130) $46.38 $88 3.9×
Chromogranin a (86316) $19.74 $37.46 0.9×
Chromosome Analysis 20-25 (88264) $311.98 $592 2.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $64.29 $122 1.8×
Clostridium Difficile (87324) $18.97 $36 1.6×
Clot Factor VIII Multimetric (85247) $80.66 $153.06 3.5×
Clot factor xiii fibrin stab (85290) $63.24 $120 3.9×
Clotting Funct Activity (85397)
range across 3 matching MRF lines
$131.75–$178.96 $250–$339.58 varies
Cns DNA amp probe type 12-25 (87483) $296.70 $563 0.7×
Coagulation time activated (85347) $14.23 $27 3.3×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$21.22–$43.64 $40.26–$82.80 varies
Cold agglutinin titer (86157) $16.34 $31 2.0×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$51.44–$194.99 $97.60–$370 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$41.63–$42.16 $79–$80 varies
Compatibility Each Unit Incubation (86921)
range across 2 matching MRF lines
$46.38–$135.44 $88–$257 varies
Compatibility test antiglob (86922)
range across 3 matching MRF lines
$46.38–$135.44 $88–$257 varies
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$11.38–$178.83 $21.60–$339.34 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$19.28–$178.83 $36.58–$339.34 varies
Complement/Function Activity (86161) $302.82 $574.62 25.2×
Coombs direct (86880)
range across 2 matching MRF lines
$30.57–$82.74 $58–$157 varies
Copper urine (82525) $11.77 $22.34 0.9×
Cortisol free (82530) $20.03 $38 1.2×
Cortisol saliva (82533)
range across 3 matching MRF lines
$33.73–$43.74 $64–$83 varies
Creatine (82540) $32.32 $61.32 7.0×
Creatine kinase total (82550) $13.70 $26 2.1×
Creatinine blood (82565)
range across 2 matching MRF lines
$11.59–$12.65 $22–$24 varies
Creatinine Urine (82570)
range across 3 matching MRF lines
$5.27–$13.70 $10–$26 varies
Crossmatch electronic (86923) $123.32 $234 0.7×
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
$46.38–$143.34 $88–$272 varies
Crp High Sensitivity (86141) $12.65 $24 1.0×
Cryofibrinogen (82585) $13.41 $25.45 0.9×
Cryoglobulin (82595) $6.14 $11.65 0.9×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$15.81–$17.30 $30–$32.82 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$25.82–$46.27 $49–$87.80 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $33.20 $63 4.1×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $194.99 $370 0.9×
Culture afb (87116)
range across 2 matching MRF lines
$57.97–$94.86 $110–$180 varies
Culture Anaerobic (87075) $37.42 $71 4.0×
Culture blood (87040) $37.42 $71 3.6×
Culture csf (87070)
range across 5 matching MRF lines
$31.62–$34.78 $60–$66 varies
Culture fungus (87102)
range across 2 matching MRF lines
$31.09–$31.62 $59–$60 varies
Culture fungus blood (87103) $54.81 $104 2.7×
Culture screen only (87081)
range across 2 matching MRF lines
$15.28–$17.92 $29–$34 varies
Culture urine (87086) $28.98 $55 3.6×
Cyclosporine (80158) $30.93 $58.70 1.7×
Cystatin C (82610) $17.57 $33.34 0.9×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$48.56–$80.10 $92.14–$152 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 3 matching MRF lines
$863.23–$1,222.64 $1,638–$2,320 varies
Cytomegalovirus igg (86644) $158.10 $300 11.0×
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$63.24–$98.02 $120–$186 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $27.93 $53 1.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $155.99 $296 2.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $163.90 $311 0.9×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $43.74 $83 1.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $361.53 $686.02 2.0×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $34.25 $65 1.1×
Detect Agent Nos Dna Amp (87798)
range across 14 matching MRF lines
$33.29–$238.91 $63.16–$453.34 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$97.02–$366.89 $184.10–$696.18 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$66.59–$273.30 $126.36–$518.60 varies
Dgp Antibody Each Ig Class (86258) $15.28 $29 1.3×
Dhea-S (82627) $25.77 $48.90 1.2×
Digoxin (80162) $26.35 $50 2.0×
Dipropylacetic Acid Free (80165) $33.33 $63.24 2.5×
Dna Antibody Native/Double Stranded (86225) $30.04 $57 2.2×
Dna/Rna Amplified Probe (87150) $41.63 $79 1.2×
DNA/RNA direct probe (87149) $29.51 $56 1.5×
Dpyd gene common variants (81232) $406.56 $771.46 2.3×
Drug assay acetaminophen (80143) $31.62 $60 1.7×
Drug assay adalimumab (80145) $356.74 $676.92 9.2×
Drug Assay Itraconazole (80189) $50.52 $95.86 1.9×
Drug Assay Lacosamide (80235) $84.32 $160 3.1×
Drug Assay Posaconazole (80187) $68.67 $130.30 2.5×
Drug assay voriconazole (80285) $74.26 $140.92 2.7×
Drug Screen Quant Zonisamide (80203) $12.57 $23.85 0.9×
Drug Screen Quantitative Gabapentin (80171) $25.17 $47.76 1.2×
Drug Screen Quantitative Lamotrigine (80175) $7.38 $14 0.6×
Drug Screen Quantitative Levetiracetam (80177) $47.43 $90 3.6×
Drug Screen Quantitative Oxcarbazepine (80183) $144.40 $274 10.9×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$71.67–$120.75 $136–$229.12 varies
Ehrlichia antibody (86666)
range across 4 matching MRF lines
$31.48–$38.66 $59.74–$73.36 varies
El-1 Fecal Quantitative (82653) $100.13 $190 4.4×
Electrolyte panel (80051) $12.65 $24 1.8×
Electron Microscopy (88348) $792.39 $1,503.58 0.9×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $58.81 $111.60 1.0×
Encephaltis East Eqne Anbdy (86652) $20.60 $39.08 1.6×
Encephaltis West Eqne Antbdy (86654) $20.60 $39.08 1.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $21.08 $40 1.7×
Enterovirus PCR (87498) $80.62 $152.98 2.3×
Enzyme cell activity (82657) $179.85 $341.28 8.1×
Erythropoietin (82668) $17.82 $33.82 0.9×
Estradiol serum (82670) $45.32 $86 1.6×
Estrogens fractionated (82671) $31.14 $59.08 1.0×
Exam Synovial Fluid Crystals (89060) $25.30 $48 3.5×
F2 Gene (81240) $91.70 $174 1.4×
Factor ii activity (85210) $78.71 $149.36 6.1×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$149.40–$312.62 $283.50–$593.20 varies
Factor ix activity (85250)
range across 2 matching MRF lines
$79.05–$110.42 $150–$209.52 varies
Factor v activity (85220)
range across 2 matching MRF lines
$71.14–$79.95 $135–$151.70 varies
Factor v leiden mutation (81241) $103.29 $196 1.4×
Factor vii assay (85230)
range across 2 matching MRF lines
$57.97–$83.63 $110–$158.70 varies
Factor viii assay (85240)
range across 3 matching MRF lines
$26.35–$103.81 $50–$196.98 varies
Factor X (85260)
range across 2 matching MRF lines
$79.05–$95.94 $150–$182.04 varies
Factor xi activity (85270) $71.14 $135 4.0×
Factor xiii screen (85291) $52.83 $100.24 5.8×
Fecal Fat Qualitative (82705) $7.90 $15 1.5×
Ferritin (82728) $28.46 $54 2.1×
Fetal Fibronectin (82731) $113.30 $215 1.8×
Fetal hemoglobin assay qual (83033) $56.39 $107 7.0×
Fetal screen rosette (85461) $32.15 $61 3.4×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$30.57–$59.03 $58–$112.02 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$10.01–$56.37 $19–$106.96 varies
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$45.51–$643.81 $86.36–$1,221.66 varies
Flt3 Gene (81245) $210.80 $400 1.3×
Fluorescent antibody screen (86255)
range across 6 matching MRF lines
$69.04–$298.28 $131–$566 varies
Folic Acid Serum (82746) $23.71 $45 1.6×
Follicle Stimulating Hormone (83001) $35.84 $68 1.9×
Francisella tularensis (86668) $82.37 $156.30 5.8×
Frozen Section (88331) $134.38 $255 0.8×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$35.84–$59.72 $68–$113.32 varies
Fungi Identification Yeast (87106) $13.17 $25 1.3×
Galactose (82760) $12.65 $24 1.1×
Galactose transferase test (82776) $12.65 $24 1.1×
Gammaglobulin ige (82785) $15.62 $29.63 0.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $9.49 $18 1.0×
Gases blood ph only (82800) $28.46 $54 2.6×
Gastrin (82941) $17.39 $33 1.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $371.53 $705 0.9×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$1,897.20–$2,511.92 $3,600–$4,766.46 varies
Genetic Tstg Severe Inh Cond (81443) $2,490.07 $4,725 1.0×
Gentamicin (80170) $43.74 $83 2.7×
Ggt (82977) $6.83 $12.96 0.9×
Glucagon (82943) $62.13 $117.90 4.3×
Glucose 2 hr pp (82950) $18.44 $35 3.9×
Glucose body fluid (82945)
range across 2 matching MRF lines
$12.65–$13.70 $24–$26 varies
Glucose Serum (82947)
range across 2 matching MRF lines
$5.27–$12.12 $10–$23 varies
Glucose tolerance test (gtt) (82951) $17.39 $33 1.4×
Glutathione (82978) $125.34 $237.84 8.1×
Glycated Protein (82985) $25.71 $48.78 1.5×
Growth hormone (83003) $18.70 $35.48 1.1×
Gtt-added samples (82952) $15.81 $30 4.0×
Haptoglobin (83010) $25.82 $49 2.1×
Hba1/hba2 full gene sequence (81259) $569.16 $1,080 0.9×
Hba1/Hba2 Gene (81257) $194.99 $370 1.9×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $450.24 $854.34 2.2×
Hdl Cholesterol (83718) $12.65 $24 1.5×
Helicobacter Pylori Stool (87338) $25.30 $48 1.8×
Helminth Antibody (86682)
range across 2 matching MRF lines
$16.86–$84.32 $32–$160 varies
Hematocrit (85014) $3.16 $6 1.3×
Hemoglobin (85018) $7.90 $15 3.3×
Hemoglobin a1c (83036) $17.92 $34 1.8×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$24.24–$146.52 $46–$278.02 varies
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$12.21–$104.41 $23.17–$198.12 varies
Hemoglobin Methemoglobin Quantitative (83050) $21.61 $41 2.6×
Hemoglobin stability screen (83068) $76.83 $145.78 8.1×
Hemosiderin urine (83070) $42.52 $80.68 9.0×
Hep a ab igm (86709) $23.71 $45 2.1×
Heparin assay (85520)
range across 2 matching MRF lines
$16.34–$17.39 $31–$33 varies
Hepatitis a antibody total (86708) $11.75 $22.30 0.9×
Hepatitis b core ab igm (86705) $27.93 $53 2.4×
Hepatitis b core ab total (86704) $11.43 $21.69 0.9×
Hepatitis B Surface Antibody (86706) $22.66 $43 2.1×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$10.54–$22.66 $20–$43 varies
Hepatitis Be Antibody (86707) $11.59 $22 1.0×
Hepatitis Be Antigen (87350) $11.59 $22 1.0×
Hepatitis C Antibody (86803) $27.93 $53 2.0×
Hepatitis C Revrs Trnscrpj (87522) $79.05 $150 1.8×
Heterophile Antibody Screen (86308) $15.81 $30 3.1×
Hfe Gene (81256) $68.51 $130 1.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $39 $74 5.0×
Histoplasma antibody (86698) $36.22 $68.72 2.6×
Histoplasma antigen urine (87385) $68.51 $130 5.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$35.31–$36.89 $67–$70 varies
Hiv-1 Antibody (86701) $53.75 $102 6.0×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$94.86–$99.92 $180–$189.60 varies
Hla Class I Typing Low Resolution Complete (81372) $382.84 $726.46 0.9×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $416.33 $790 3.8×
Hla I Low Resolution One Antigen Equivalent Each (81374) $70.51 $133.79 0.9×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $469.41 $890.72 2.1×
Homocysteine (83090)
range across 2 matching MRF lines
$17–$33.32 $32.26–$63.22 varies
Hpv High-Risk Types (87624) $56.92 $108 1.6×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$33.29–$34.69 $63.16–$65.82 varies
Htt Gene Detc Abnor Alleles (81271) $263.50 $500 1.9×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$26.88–$39.52 $51–$75 varies
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $47.43 $90 1.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines
$25.11–$53.02 $47.64–$100.60 varies
Iadna Candida Species Amplified Probe Tq (87481) $33.29 $63.16 0.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $63.24 $120 1.8×
Iadna Cytomegalovirus Quantification (87497) $81.16 $154 1.9×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $62.71 $119 0.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $33.29 $63.16 0.9×
Iadna Hepatitis B Virus Quantification (87517) $84.32 $160 2.0×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $342.02 $649 5.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $46.38 $88 1.3×
Idh1 common variants (81120) $666.05 $1,263.86 3.4×
Idh2 common variants (81121) $435.16 $825.74 1.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$16.38–$92.22 $31.09–$175 varies
Igg subclasses (82787)
range across 2 matching MRF lines
$9.19–$15.02 $17.44–$28.50 varies
Igh gene rearrange amp meth (81261) $378.18 $717.60 1.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $225.56 $428 0.6×
Immune Complex Assay (86332) $24.24 $46 1.0×
Immunfix e-phorsis/urine/csf (86335) $58.50 $111 2.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $42.68 $80.98 2.8×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$12.65–$51.14 $24–$97.04 varies
Immunodiffusion Ouchterlony (86331) $11.80 $22.40 1.0×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$32.41–$44.79 $61.50–$85 varies
Immunofluorescence per spec 1st singl antb stain (88346) $157.39 $298.66 0.9×
Immunohistochemistry (88342)
range across 3 matching MRF lines
$108.25–$157.39 $205.40–$298.66 varies
Influenza DNA amp probe (87502) $108.03 $205 1.1×
Inhibin A (86336) $57.97 $110 3.7×
Inhibin b (83520)
range across 8 matching MRF lines
$16.38–$242.92 $31.09–$460.94 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines
$97.07–$331.23 $184.20–$628.52 varies
Insulin antibodies (86337) $37.94 $72 1.8×
Insulin total (83525) $10.84 $20.57 0.9×
Intrinsic factor antibody (86340) $26.07 $49.46 1.7×
Iron (83540) $12.65 $24 2.0×
Islet cell antibody (86341) $23.71 $45 1.0×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$11.27–$274.04 $21.38–$520 varies
Kit Gene Analysis D816 Variant(S) (81273) $464.81 $882 3.7×
Lactate (ld) (ldh) enzyme (83615) $14.76 $28 2.4×
Lactoferrin fecal qualitative (83630) $50.06 $95 2.5×
LDL direct (83721) $16.34 $31 1.6×
Lead (83655)
range across 2 matching MRF lines
$11.49–$12.65 $21.80–$24 varies
Legionella antibody (86713) $18.44 $35 1.2×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$14.76–$137.02 $28–$260 varies
Level I Surg Pathology Gross Examination Only (88300) $33.73 $64 1.1×
Level ii surg pathology gross&microscopic exam (88302) $52.70 $100 1.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $322.52 $612 0.9×
Lipase (83690)
range across 2 matching MRF lines
$17.39–$19.50 $33–$37 varies
Lipoprotein A (83695) $16.86 $32 1.2×
Lipoprotein Bld Quan Part (83704) $34.25 $65 1.0×
Lithium (80178) $16.86 $32 2.6×
Luteinizing Hormone (Lh) (83002) $31.62 $60 1.7×
Lyme disease antibody (86618)
range across 5 matching MRF lines
$16.15–$52.68 $30.65–$99.96 varies
M. Genitalium Amp Probe (87563) $133.63 $253.56 3.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $168.64 $320 0.9×
Magnesium Urine (83735)
range across 3 matching MRF lines
$6.36–$16.34 $12.06–$31 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$35.31–$157.99 $67–$299.80 varies
Mercury urine (83825) $15.43 $29.27 0.9×
Methotrexate (80204) $39 $74 1.0×
Methylmalonic acid serum (83921) $20.12 $38.18 0.9×
Microalbumin, quantitative (82043) $5.80 $11 1.0×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$13.80–$15.81 $26.19–$30 varies
Mitochondrial Antibody Each (86381) $24.14 $45.81 0.9×
Mlh1 Gene (81288) $246.64 $468 1.3×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $553.35 $1,050 14.7×
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$22.58–$129.18 $42.84–$245.12 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $163.30 $309.86 3.9×
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$217.12–$351.09 $412–$666.20 varies
Mopath procedure level 9 (81408) $2,318.80 $4,400 1.2×
Mpl gene analysis sequence analysis exon 10 (81339) $338.22 $641.78 1.8×
Mrsa Pcr (87641) $44.27 $84 1.3×
Mumps antibody (86735) $24.24 $46 1.9×
Muscle-Specific Kinase Antb (86366)
range across 2 matching MRF lines
$521.73–$632.40 $990–$1,200 varies
Mycobacteric Identification (87118) $158.69 $301.12 10.9×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$13.44–$63.74 $25.50–$120.94 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $627.13 $1,190 3.6×
Myelin basic protein csf (83873) $16.32 $30.96 0.9×
Myoglobin urine (83874)
range across 2 matching MRF lines
$23.73–$36.89 $45.03–$70 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$65.35–$95.27 $124–$180.78 varies
Neutralization Test Viral (86382) $114.60 $217.46 6.8×
Nk cells total count (86357) $35.79 $67.91 0.9×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $394.20 $748 1.6×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$17.01–$34.51 $32.27–$65.48 varies
Occult blood feces (82272) $13.70 $26 3.2×
Occult Blood Other Sources (82271) $14.23 $27 2.7×
Oligoclonal bands (83916) $110.67 $210 4.0×
Organic Acids Qualitative Each Specimen (83919) $60.91 $115.58 3.7×
Osmolality serum (83930) $7.90 $15 1.2×
Osmolality Urine (83935) $7.90 $15 1.2×
Osmotic fragility rbc incubated (85557) $108.39 $205.68 8.1×
Osteocalcin (83937) $28.32 $53.73 0.9×
Ova and parasites smears (87177) $8.44 $16.02 0.9×
Parvovirus antibody (86747) $14.26 $27.05 0.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $539.12 $1,023 0.6×
Ph urine (81003) $7.38 $14 3.3×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$18.97–$33.33 $36–$63.24 varies
Phenylalanine (84030) $46.07 $87.42 8.4×
Phenytoin (Dilantin) (80185) $23.19 $44 1.8×
Phenytoin free (80186) $62.19 $118 4.5×
Phosphatase alkaline (84075) $11.59 $22 2.2×
Phosphorus Serum (84100) $11.59 $22 2.4×
Phosphorus urine (84105) $6.32 $12 1.1×
Platelet Aggregation (85576)
range across 2 matching MRF lines
$78.11–$263.06 $148.22–$499.16 varies
Platelet Antibodies (86022)
range across 4 matching MRF lines
$180.23–$377.33 $342–$716 varies
Platelet count automated (85049) $14.76 $28 3.3×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $289.85 $550 1.4×
Porphobilinogen, urine; quantitative (84110) $17.54 $33.28 2.1×
Porphyrins Urine Quantitation & Fractionation (84120) $26.35 $50 1.8×
Potassium Urine (84133) $12.12 $23 2.6×
Prealbumin (84134) $14.23 $27 1.0×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $88.54 $168 0.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $58.50 $111 0.9×
Procalcitonin (Pct) (84145) $62.19 $118 2.3×
Progesterone (84144) $35.31 $67 1.7×
Prolactin (84146)
range across 2 matching MRF lines
$18.38–$59.31 $34.88–$112.54 varies
Protein body fluid (84157)
range across 2 matching MRF lines
$12.12–$12.65 $23–$24 varies
Protein C Activity (85303) $44.27 $84 3.2×
Protein Electrophoresis Urine (84166) $45.32 $86 2.5×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$31.09–$52.70 $59–$100 varies
Protein S Free (85306) $49.01 $93 3.2×
Protein total serum (84155)
range across 2 matching MRF lines
$10.01–$11.27 $19–$21.38 varies
Protein Total Urine (84156) $11.59 $22 3.2×
Prothrombin Time Substitution Plasma Frctj Each (85611) $37.94 $72 9.6×
PSA free (84154) $17.44 $33.10 0.9×
Pth Intact (83970)
range across 2 matching MRF lines
$59.02–$60.08 $112–$114 varies
Pyruvate kinase (84220) $76.58 $145.32 8.1×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$19.44–$77.73 $36.88–$147.50 varies
Quantiferon tb gold plus (86480) $58.79 $111.56 0.9×
Quantitative assay drug (80299)
range across 7 matching MRF lines
$24.24–$106.45 $46–$202 varies
Rbc antibody elution (86860)
range across 2 matching MRF lines
$115.41–$148.09 $219–$281 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines
$39–$261.92 $74–$497 varies
Rbc antibody screen (86850) $49.54 $94 5.1×
Rbc pretreatment serum (86978) $59.02 $112 1.0×
Renin activity plasma (84244) $20.86 $39.58 0.9×
Reticulocyte Count (85046) $15.28 $29 2.7×
Rh (86901)
range across 2 matching MRF lines
$23.71–$31.09 $45–$59 varies
Rheumatoid factor quant (86431) $19.48 $36.96 3.4×
Rickettsia antibody (86757) $24.91 $47.26 1.3×
Ristocetin cofactor (85245) $48.17 $91.40 2.1×
Rpr qualitative (86592) $17.92 $34 4.2×
Rubella Antibody (86762) $26.88 $51 1.9×
Rubeola antibody (86765)
range across 2 matching MRF lines
$27.93–$32.06 $53–$60.84 varies
Russell Viper Venom Time Diluted (85613)
range across 4 matching MRF lines
$9.09–$48.60 $17.24–$92.22 varies
Salicylate Level (80179) $31.62 $60 1.7×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$63.77–$105.40 $121–$200 varies
Sedimentation Rate, Automated (85652) $7.90 $15 2.9×
Selenium (84255) $33.26 $63.12 1.3×
Sensitivity mic (87186)
range across 3 matching MRF lines
$28.46–$210.79 $54–$399.98 varies
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$5.27–$24.25 $10–$46.01 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$21.08–$28.46 $40–$54 varies
Smear complex stain (87209) $17.05 $32.36 0.9×
Smear gram stain (87205)
range across 2 matching MRF lines
$21.08–$23.19 $40–$44 varies
Smear Special Stain (87207)
range across 3 matching MRF lines
$25.30–$26.88 $48–$51 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$5.27–$22.66 $10–$43 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$11.59–$12.12 $22–$23 varies
Sodium Urine (84300) $7.38 $14 1.5×
Soluble fibrin monomer (85366) $184.45 $350 2.3×
Somatomedin (84305) $29.46 $55.90 1.4×
Special Stains Group 1 (88312) $97.49 $185 1.8×
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$76.41–$110.05 $145–$208.82 varies
Specific gravity body fluid (84315) $9.49 $18 2.9×
Splitting Blood/Blood Products Each Unit (86985) $154.41 $293 0.9×
Stool cultr aerobic bact ea (87046) $16.86 $32 1.8×
Surg path level iii (88304) $66.40 $126 1.2×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$84.32–$305.13 $160–$579 varies
Surgical pathology level vi (88309) $578.12 $1,097 0.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $18.88 $35.82 4.0×
Syphilis Test Non-Trep Quant (86593) $17.92 $34 4.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $44.56 $84.56 0.9×
T cells total count (86359) $35.79 $67.91 0.9×
T3 Free (84481) $25.82 $49 1.5×
T3 Total (84480) $13.70 $26 1.0×
T3 Uptake (84479) $6.14 $11.65 0.9×
T4 Free (84439) $17.92 $34 2.0×
T4 total (84436) $6.52 $12.37 0.9×
Tacrolimus (80197) $19.50 $37 1.4×
Tb ag response t-cell susp (86481) $94.86 $180 0.9×
Testosterone total (84403) $24.48 $46.46 0.9×
Testosterone, Free (84402) $24.16 $45.85 0.9×
Thiopurine methyltransferase (84433) $94.86 $180 4.3×
Thrombin Time (85670)
range across 2 matching MRF lines
$18.44–$33.46 $35–$63.50 varies
Thromboplastin Inhibition Tissue (85705) $54.38 $103.18 5.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $37.94 $72 5.9×
Thyroid Stimulating Immunoglobulin (84445) $48.25 $91.55 0.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $15.28 $29 1.3×
Tissue culture bone marrow (88237) $433.19 $822 3.0×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$217.12–$373.53 $412–$708.78 varies
Topiramate (80201) $11.31 $21.46 0.9×
Touch prep (88161) $76.94 $146 2.5×
Tp53 gene analysis targeted sequence analysis (81352) $715.88 $1,358.40 2.2×
Transferase Aspartate Amino Ast Sgot (84450) $11.59 $22 2.2×
Transferrin (84466) $20.03 $38 1.6×
Trb@ gene rearrange dirprobe (81341) $229.98 $436.40 4.6×
Trb@ Rearrangement Anal Amplification Method (81340) $243.47 $462 1.2×
Trg gene rearrangement anal (81342) $243.47 $462 1.2×
Trichomonas Vaginalis Amplif (87661) $47.43 $90 1.4×
Triglycerides (84478)
range across 3 matching MRF lines
$8.43–$179.29 $16–$340.20 varies
Troponin Quant (84484) $13.17 $25 1.1×
Tumor Immunohistochem/Manual (88360) $138.60 $263 0.8×
Ugt1a1 gene analysis common variants (81350) $316.20 $600 1.4×
Urea nitrogen urine (84540) $5.80 $11 1.0×
Uric acid other source (84560)
range across 2 matching MRF lines
$4.74–$5.27 $9–$10 varies
Urinalysis Microscopic Only (81015) $10.54 $20 3.5×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$23.71–$25.30 $45–$48 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $14.76 $28 4.7×
Valproic acid (80164) $2.11 $4 0.2×
Vancomycin (80202)
range across 2 matching MRF lines
$13.17–$13.70 $25–$26 varies
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$24.35–$24.77 $46.20–$47 varies
Vasopressin (84588) $126.48 $240 3.7×
Viral Culture (87252) $35.84 $68 1.4×
Virus antibody nos (86790)
range across 3 matching MRF lines
$23.25–$93.91 $44.12–$178.20 varies
Virus inoculation, shell via (87254) $97.92 $185.80 5.0×
Viscosity serum (85810) $14.76 $28 1.3×
Vit D 1 25-Dihydroxy (82652) $36.52 $69.30 0.9×
Vitamin b-12 (82607) $26.88 $51 1.8×
Vitamin B6 (84207) $37.92 $71.96 1.3×
Vitamin c (82180) $39.30 $74.58 4.0×
Vitamin D 25-Hydroxy (82306) $39.52 $75 1.3×
Vitamin E (84446) $13.45 $25.52 0.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $121.21 $230 10.1×
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$45.25–$133.04 $85.86–$252.44 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines
$24.22–$47.43 $45.96–$90 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$20.69–$42.94 $39.26–$81.48 varies
Zinc (84630) $17.90 $33.96 1.6×

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.