Lab & pathology prices at Mary Rutan Health
Bellefontaine, OH · every code in this section with a posted price and a Medicare benchmark.
442 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$32–$94.40 | $40–$118 | varies |
| Acetylcholine receptor blocking antibody (86042) | $32 | $40 | 1.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $32 | $40 | 2.7× |
| Acth (82024) | $197.60 | $247 | 5.1× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$478.40–$598.40 | $598–$748 | varies |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$92.80–$116.80 | $116–$146 | varies |
| Albumin Fluid (82042) | $68.80 | $86 | 8.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$20.80–$38.40 | $26–$48 | varies |
| Aldolase (82085) | $70.40 | $88 | 7.3× |
| Aldosterone urine (82088) | $207.20 | $259 | 5.1× |
| Alkaline phosphatase isoenzymes (84080) | $113.60 | $142 | 7.7× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$60.80–$76.80 | $76–$96 | varies |
| Alpha-1-antitrypsin total (82103) | $94.40 | $118 | 7.0× |
| Alpha-Fetoprotein Serum (82105) | $107.20 | $134 | 6.4× |
| Alt (sgpt) (84460) | $20 | $25 | 3.8× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$164–$205.60 | $205–$257 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$236–$296 | $295–$370 | varies |
| Ammonia (82140) | $75.20 | $94 | 5.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $223.20 | $279 | 2.3× |
| Amylase urine (82150) | $53.60 | $67 | 8.3× |
| Ana Titer (86039) range across 2 matching MRF lines |
$160.80–$200.80 | $201–$251 | varies |
| Angiotensin converting enzyme csf (82164) | $86.40 | $108 | 5.9× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$73.60–$219.20 | $92–$274 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $64.80 | $81 | 5.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$196.80–$245.60 | $246–$307 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$71.20–$88.80 | $89–$111 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$180.80–$227.20 | $226–$284 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$205.60–$256.80 | $257–$321 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$180.80–$227.20 | $226–$284 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $108.80 | $136 | 8.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$89.60–$197.60 | $112–$247 | varies |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$76.80–$246.40 | $96–$308 | varies |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$8–$191.20 | $10–$239 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$83.20–$104 | $104–$130 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$174.40–$218.40 | $218–$273 | varies |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
$73.60–$92.80 | $92–$116 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$102.40–$128.80 | $128–$161 | varies |
| Antithrombin iii activity (85300) | $148 | $185 | 12.5× |
| Antithrombin iii antigen (85301) | $25.60 | $32 | 2.4× |
| Apolipoprotein a1 (82172) | $76.80 | $96 | 3.6× |
| Arsenic (82175) | $98.40 | $123 | 5.2× |
| Assay Blood Carbon Dioxide (82374) | $11.20 | $14 | 2.3× |
| Assay myeloperoxidase (83876) | $165.60 | $207 | 3.3× |
| Assay Nephelometry Not Spec (83883) | $90.40 | $113 | 6.6× |
| Assay of 5-hiaa (83497) | $89.60 | $112 | 6.9× |
| Assay of anti-mullerian hormone (82166) | $120 | $150 | 3.1× |
| Assay of blood/uric acid (84550) | $29.60 | $37 | 6.5× |
| Assay of calcium in urine (82340) | $85.60 | $107 | 14.2× |
| Assay of cpk in blood (82552) | $297.60 | $372 | 22.2× |
| Assay of g6pd enzyme (82955) | $58.40 | $73 | 6.0× |
| Assay of gammaglobulin igm (82784) | $101.60 | $127 | 10.9× |
| Assay of lactic acid (83605) | $60.80 | $76 | 5.3× |
| Assay of metanephrines (83835) | $161.60 | $202 | 9.5× |
| Assay of serum potassium (84132) | $18.40 | $23 | 3.9× |
| Assay of urea nitrogen (84520) | $19.20 | $24 | 4.9× |
| Assay of urine vma (84585) | $116 | $145 | 7.5× |
| Assay of vitamin b-1 (84425) | $159.20 | $199 | 7.5× |
| Assay Ph Body Fluid Nos (83986) | $62.40 | $78 | 17.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 6 matching MRF lines |
$84.80–$435.20 | $106–$544 | varies |
| Automated Leukocyte Count (85048) | $20 | $25 | 7.9× |
| Bcr/abl1 gene major bp (81206) | $630.40 | $788 | 3.8× |
| Bcr/abl1 gene minor bp (81207) | $467.20 | $584 | 3.2× |
| Beta 2 glycoprotein i antibody each (86146) | $325.60 | $407 | 12.8× |
| Beta hydroxybutyrate (82010) | $52 | $65 | 6.4× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$66.40–$83.20 | $83–$104 | varies |
| Beta-2 Microglobulin (82232) | $143.20 | $179 | 8.9× |
| Bile acids total (82239) range across 2 matching MRF lines |
$166.40–$208 | $208–$260 | varies |
| Bilirubin direct (82248) | $25.60 | $32 | 5.1× |
| Bilirubin total (82247) | $22.40 | $28 | 4.5× |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$51.20–$64 | $64–$80 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) range across 2 matching MRF lines |
$57.60–$71.20 | $72–$89 | varies |
| Blood count reticulocyte automated (85045) | $52 | $65 | 13.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$4–$36 | $5–$45 | varies |
| Blood gas (82803) | $104.80 | $131 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.40 | $28 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$76–$94.40 | $95–$118 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$8–$108.80 | $10–$136 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$72–$91.20 | $90–$114 | varies |
| Brca1&2 gen full seq dup/del (81162) | $3,385.60 | $4,232 | 1.9× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$46.40–$59.20 | $58–$74 | varies |
| C diff amplified probe (87493) | $172.80 | $216 | 4.6× |
| C-Peptide (84681) | $109.60 | $137 | 5.3× |
| C-reactive protein (86140) | $93.60 | $117 | 18.1× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$197.60–$248 | $247–$310 | varies |
| Calcium ionized (82330) | $56.80 | $71 | 4.2× |
| Calcium total (82310) range across 4 matching MRF lines |
$8–$20.80 | $10–$26 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$136–$170.40 | $170–$213 | varies |
| Calprotectin Fecal (83993) | $351.20 | $439 | 17.9× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$197.60–$248 | $247–$310 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$154.40–$248 | $193–$310 | varies |
| Candida Dna Dir Probe (87480) | $105.60 | $132 | 5.3× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$159.20–$199.20 | $199–$249 | varies |
| Carboxyhemoglobin (82375) | $73.60 | $92 | 6.0× |
| Carcinoembryonic antigen (82378) | $96.80 | $121 | 5.1× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$112–$140.80 | $140–$176 | varies |
| Catecholamines fractionated (82384) | $151.20 | $189 | 6.0× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$164–$206.40 | $205–$258 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$88–$110.40 | $110–$138 | varies |
| Ceruloplasmin (82390) | $95.20 | $119 | 8.9× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) range across 2 matching MRF lines |
$644.80–$806.40 | $806–$1,008 | varies |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$843.20–$1,054.40 | $1,054–$1,318 | varies |
| Chloride Serum (82435) | $13.60 | $17 | 3.0× |
| Chloride urine (82436) | $32.80 | $41 | 5.7× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$8–$27.20 | $10–$34 | varies |
| Chorionic gonadotropin test (84702) | $92 | $115 | 6.1× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$1,348.80–$1,685.60 | $1,686–$2,107 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $152.80 | $191 | 4.4× |
| Ckmb (82553) | $86.40 | $108 | 7.5× |
| Clostridium Difficile (87324) | $196 | $245 | 16.4× |
| Clot Factor VIII Multimetric (85247) | $113.60 | $142 | 5.0× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$132.80–$167.20 | $166–$209 | varies |
| Column Chromotography Quant (82542) | $106.40 | $133 | 4.4× |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$177.60–$233.60 | $222–$292 | varies |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$152.80–$191.20 | $191–$239 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$257.60–$322.40 | $322–$403 | varies |
| Coombs direct (86880) range across 3 matching MRF lines |
$74.40–$109.60 | $93–$137 | varies |
| Copper urine (82525) | $95.20 | $119 | 7.7× |
| Cortisol free (82530) | $146.40 | $183 | 8.8× |
| Cortisol saliva (82533) | $119.20 | $149 | 7.3× |
| Creatine kinase total (82550) | $40.80 | $51 | 6.3× |
| Creatinine blood (82565) | $18.40 | $23 | 3.6× |
| Creatinine clearance (82575) | $58.40 | $73 | 6.2× |
| Creatinine Urine (82570) | $33.60 | $42 | 6.5× |
| Crossmatch electronic (86923) range across 4 matching MRF lines |
$74.40–$196 | $93–$245 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$164–$205.60 | $205–$257 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$155.20–$195.20 | $194–$244 | varies |
| Cryofibrinogen (82585) | $61.60 | $77 | 4.4× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 2 matching MRF lines |
$327.20–$408.80 | $409–$511 | varies |
| Cryptococcal Antigen (87327) | $99.20 | $124 | 7.4× |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$167.20–$208 | $209–$260 | varies |
| Cryptosporidium ag eia (87328) | $115.20 | $144 | 8.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$125.60–$220.80 | $157–$276 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 4 matching MRF lines |
$117.60–$166.40 | $147–$208 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $238.40 | $298 | 30.9× |
| Culture afb (87116) | $141.60 | $177 | 13.1× |
| Culture Anaerobic (87075) | $151.20 | $189 | 16.0× |
| Culture blood (87040) range across 2 matching MRF lines |
$136.80–$170.40 | $171–$213 | varies |
| Culture csf (87070) | $124.80 | $156 | 14.5× |
| Culture fungus (87102) | $134.40 | $168 | 16.0× |
| Culture screen only (87081) | $85.60 | $107 | 12.9× |
| Culture stool (87045) range across 2 matching MRF lines |
$136.80–$170.40 | $171–$213 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$59.20–$76 | $74–$95 | varies |
| Culture urine (87086) | $106.40 | $133 | 13.2× |
| Cyclosporine (80158) | $129.60 | $162 | 7.2× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$71.20–$88.80 | $89–$111 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$305.60–$381.60 | $382–$477 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $63.20 | $79 | 2.4× |
| Cytp Concentration Smears & Interpretation (88108) range across 6 matching MRF lines |
$199.20–$248.80 | $249–$311 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $69.60 | $87 | 1.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $16 | $20 | 0.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 4 matching MRF lines |
$199.20–$248.80 | $249–$311 | varies |
| Detect Agent Nos Dna Amp (87798) | $223.20 | $279 | 6.4× |
| Detect Agent Nos Dna Quant (87799) | $351.20 | $439 | 8.2× |
| Detect agnt mult DNA ampli (87801) | $169.60 | $212 | 2.4× |
| Dhea (82626) | $150.40 | $188 | 6.0× |
| Dhea-S (82627) | $127.20 | $159 | 5.7× |
| Digoxin (80162) range across 2 matching MRF lines |
$145.60–$181.60 | $182–$227 | varies |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$87.20–$108.80 | $109–$136 | varies |
| Drug assay acetaminophen (80143) | $136.80 | $171 | 7.3× |
| Drug Assay Everolimus (80169) | $140.80 | $176 | 10.3× |
| Drug Screen Quant Clozapine (80159) | $50.40 | $63 | 2.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $104 | $130 | 7.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $135.20 | $169 | 10.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $129.60 | $162 | 9.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$180.80–$380 | $226–$475 | varies |
| El-1 Fecal Quantitative (82653) | $154.40 | $193 | 6.7× |
| Electrolyte panel (80051) range across 4 matching MRF lines |
$8–$89.60 | $10–$112 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$96–$120 | $120–$150 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$172.80–$217.60 | $216–$272 | varies |
| Enzyme histochemistry (88319) range across 4 matching MRF lines |
$161.60–$202.40 | $202–$253 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$68.80–$86.40 | $86–$108 | varies |
| Erythropoietin (82668) | $112.80 | $141 | 6.0× |
| Estradiol serum (82670) | $173.60 | $217 | 6.2× |
| Estriol (82677) range across 2 matching MRF lines |
$255.20–$320 | $319–$400 | varies |
| Estrogen total (82672) | $220.80 | $276 | 10.2× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$86.40–$108 | $108–$135 | varies |
| F2 Gene (81240) | $574.40 | $718 | 8.7× |
| Factor Inhibitor Test (85335) | $289.60 | $362 | 22.5× |
| Factor v leiden mutation (81241) | $517.60 | $647 | 7.1× |
| Factor viii assay (85240) | $265.60 | $332 | 14.8× |
| Fat/Lipids Feces Quantitative (82710) | $111.20 | $139 | 6.6× |
| Fecal Fat Qualitative (82705) | $68.80 | $86 | 13.5× |
| Ferritin (82728) | $56 | $70 | 4.1× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$66.40–$83.20 | $83–$104 | varies |
| Fibrin Degradation Quant (85379) | $88.80 | $111 | 8.7× |
| Fibrinogen activity (85384) | $41.60 | $52 | 4.3× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$77.60–$97.60 | $97–$122 | varies |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$172.80–$256.80 | $216–$321 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 6 matching MRF lines |
$158.40–$229.60 | $198–$287 | varies |
| Folic Acid Serum (82746) | $60 | $75 | 4.1× |
| Follicle Stimulating Hormone (83001) | $74.40 | $93 | 4.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$61.60–$76.80 | $77–$96 | varies |
| Frozen Section (88331) range across 2 matching MRF lines |
$340–$425.60 | $425–$532 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$136–$169.60 | $170–$212 | varies |
| Gammaglobulin ige (82785) | $162.40 | $203 | 9.9× |
| Gardner vag DNA dir probe (87510) | $105.60 | $132 | 5.3× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$88–$112 | $110–$140 | varies |
| Gastrin (82941) | $137.60 | $172 | 7.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $791.20 | $989 | 1.9× |
| Genet Virus Isolate Hsv (87255) | $170.40 | $213 | 5.0× |
| Gentamicin (80170) range across 2 matching MRF lines |
$152.80–$191.20 | $191–$239 | varies |
| Ggt (82977) | $44 | $55 | 6.1× |
| Giardia antigen (87329) | $88 | $110 | 7.3× |
| Glucose 2 hr pp (82950) range across 4 matching MRF lines |
$8–$38.40 | $10–$48 | varies |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$12.80–$38.40 | $16–$48 | varies |
| Glucose body fluid (82945) | $54.40 | $68 | 13.8× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$8–$18.40 | $10–$23 | varies |
| Glucose tolerance test (gtt) (82951) | $103.20 | $129 | 8.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$12–$54.40 | $15–$68 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$44–$55.20 | $55–$69 | varies |
| H Pylori (C-13) Breath (83013) | $123.20 | $154 | 1.8× |
| Haptoglobin (83010) | $101.60 | $127 | 8.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$9.60–$49.60 | $12–$62 | varies |
| Helicobacter Pylori Stool (87338) | $182.40 | $228 | 12.7× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$177.60–$223.20 | $222–$279 | varies |
| Hematocrit (85014) | $15.20 | $19 | 6.4× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$16.80–$24 | $21–$30 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$16–$56 | $20–$70 | varies |
| Hemoglobin Chromotography (83021) | $80 | $100 | 4.4× |
| Hemoglobin electrophoresis (83020) | $64 | $80 | 5.0× |
| Hemoglobin stability screen (83068) range across 2 matching MRF lines |
$81.60–$103.20 | $102–$129 | varies |
| Hemoglobin-Oxygen Affinity (82820) range across 2 matching MRF lines |
$116–$145.60 | $145–$182 | varies |
| Hep a ab igm (86709) | $109.60 | $137 | 9.7× |
| Heparin assay (85520) | $284.80 | $356 | 21.8× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$148–$185.60 | $185–$232 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$156.80–$196.80 | $196–$246 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$148–$185.60 | $185–$232 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$68–$171.20 | $85–$214 | varies |
| Hepatitis B Surface Antigen (87340) | $113.60 | $142 | 11.0× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$136–$169.60 | $170–$212 | varies |
| Hepatitis Be Antigen (87350) | $88 | $110 | 7.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$168–$210.40 | $210–$263 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$385.60–$483.20 | $482–$604 | varies |
| Hepatitis C Genotype (87902) | $705.60 | $882 | 2.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $500 | $625 | 11.7× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$197.60–$248 | $247–$310 | varies |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$99.20–$138.40 | $124–$173 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$83.20–$104 | $104–$130 | varies |
| Hfe Gene (81256) | $508.80 | $636 | 7.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$253.60–$317.60 | $317–$397 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$256.80–$321.60 | $321–$402 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $41.60 | $52 | 1.7× |
| Hla ii typing 1 allele hr (81383) | $370.40 | $463 | 3.4× |
| Hla-b27 (86812) range across 4 matching MRF lines |
$371.20–$739.20 | $464–$924 | varies |
| Homocysteine (83090) | $217.60 | $272 | 12.1× |
| Hpv High-Risk Types (87624) | $128.80 | $161 | 3.7× |
| Hsv Dna Amp Probe (87529) | $248 | $310 | 7.1× |
| Hydroxyprogesterone 17-d (83498) | $101.60 | $127 | 3.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $163.20 | $204 | 13.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $43.20 | $54 | 1.2× |
| Iadna Cytomegalovirus Quantification (87497) | $466.40 | $583 | 10.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $80.80 | $101 | 1.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $278.40 | $348 | 6.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $260 | $325 | 7.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $136.80 | $171 | 3.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $398.40 | $498 | 1.5× |
| Igg subclasses (82787) | $114.40 | $143 | 14.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$332–$416 | $415–$520 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$337.60–$422.40 | $422–$528 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $264.80 | $331 | 14.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$28–$476 | $35–$595 | varies |
| Immunoassay nonantibody (83516) | $110.40 | $138 | 9.6× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$58.40–$72 | $73–$90 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$257.60–$322.40 | $322–$403 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$332–$416 | $415–$520 | varies |
| Influenza assay w/optic (87804) | $76.80 | $96 | 4.6× |
| Influenza DNA amp probe (87502) | $144 | $180 | 1.5× |
| Inhibin A (86336) range across 2 matching MRF lines |
$224–$280 | $280–$350 | varies |
| Inhibin b (83520) | $233.60 | $292 | 13.5× |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$316.80–$396 | $396–$495 | varies |
| Insulin free (83527) | $46.40 | $58 | 3.6× |
| Insulin total (83525) | $37.60 | $47 | 3.3× |
| Iron (83540) | $32.80 | $41 | 5.1× |
| Iron Binding Capacity (83550) | $40.80 | $51 | 4.7× |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$132–$292.80 | $165–$366 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$66.40–$83.20 | $83–$104 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $32 | $40 | 5.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$127.20–$159.20 | $159–$199 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$9.60–$32 | $12–$40 | varies |
| Lead (83655) range across 3 matching MRF lines |
$25.60–$42.40 | $32–$53 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$248.80–$312 | $311–$390 | varies |
| Legionella antigen urine (87449) | $134.40 | $168 | 11.2× |
| Leukocyte Assessment Fecal (89055) | $52 | $65 | 12.2× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$80.80–$102.40 | $101–$128 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$236.80–$296.80 | $296–$371 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$1,412–$1,764.80 | $1,765–$2,206 | varies |
| Lipase (83690) | $53.60 | $67 | 7.8× |
| Lipoprotein Bld Quan Part (83704) | $92.80 | $116 | 2.7× |
| Lithium (80178) range across 2 matching MRF lines |
$104–$130.40 | $130–$163 | varies |
| Liver ds alys 3 bmrk srm alg (81517) | $174.40 | $218 | 1.0× |
| Luteinizing Hormone (Lh) (83002) | $73.60 | $92 | 4.0× |
| Magnesium Urine (83735) | $43.20 | $54 | 6.4× |
| Methylmalonic acid serum (83921) | $203.20 | $254 | 9.6× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$51.20–$132.80 | $64–$166 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$185.60–$231.20 | $232–$289 | varies |
| Mrsa Pcr (87641) | $204.80 | $256 | 5.8× |
| Mthfr Gene Analysis Common Variants (81291) | $552 | $690 | 8.4× |
| Mumps antibody (86735) range across 7 matching MRF lines |
$20.80–$189.60 | $26–$237 | varies |
| Muscle-Specific Kinase Antb (86366) | $403.20 | $504 | 21.9× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$229.60–$288 | $287–$360 | varies |
| Myoglobin urine (83874) | $104.80 | $131 | 8.1× |
| Natriuretic peptide (83880) | $134.40 | $168 | 3.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $197.60 | $247 | 0.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $276 | $345 | 3.8× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$106.40–$322.40 | $133–$403 | varies |
| Obstetric panel (80081) | $390.40 | $488 | 5.2× |
| Occult blood feces (82272) | $17.60 | $22 | 4.2× |
| Occult Blood Other Sources (82271) | $23.20 | $29 | 4.4× |
| Oligoclonal bands (83916) | $54.40 | $68 | 2.0× |
| Osmolality serum (83930) | $88.80 | $111 | 13.4× |
| Osmolality Urine (83935) | $83.20 | $104 | 12.2× |
| Ova and parasites smears (87177) | $96 | $120 | 10.8× |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$214.40–$268 | $268–$335 | varies |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
$215.20–$270.40 | $269–$338 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $486.40 | $608 | 0.6× |
| Ph urine (81003) range across 3 matching MRF lines |
$41.60–$52 | $52–$65 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$111.20–$140 | $139–$175 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$115.20–$144 | $144–$180 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$144.80–$180.80 | $181–$226 | varies |
| Phosphatase alkaline (84075) | $17.60 | $22 | 3.4× |
| Phosphorus Serum (84100) | $28 | $35 | 5.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$406.40–$507.20 | $508–$634 | varies |
| Platelet count automated (85049) | $27.20 | $34 | 6.1× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$223.20–$280 | $279–$350 | varies |
| Pooling blood platelets (86965) range across 2 matching MRF lines |
$92–$116 | $115–$145 | varies |
| Porphobilinogen, urine; quantitative (84110) | $31.20 | $39 | 3.7× |
| Potassium Urine (84133) | $31.20 | $39 | 6.6× |
| Prealbumin (84134) | $104.80 | $131 | 7.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$227.20–$283.20 | $284–$354 | varies |
| Procalcitonin (Pct) (84145) | $141.60 | $177 | 5.2× |
| Progesterone (84144) | $65.60 | $82 | 3.1× |
| Prolactin (84146) | $177.60 | $222 | 9.2× |
| Protein body fluid (84157) | $35.20 | $44 | 8.8× |
| Protein C Activity (85303) | $183.20 | $229 | 13.2× |
| Protein Electrophoresis Urine (84166) | $168.80 | $211 | 9.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $128.80 | $161 | 12.0× |
| Protein S Free (85306) | $179.20 | $224 | 11.7× |
| Protein total serum (84155) | $17.60 | $22 | 4.8× |
| Protein Total Urine (84156) | $30.40 | $38 | 8.3× |
| Protoporphyrin rbc quantitative (84202) range across 4 matching MRF lines |
$31.60–$173.60 | $39.50–$217 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$30.40–$112.80 | $38–$141 | varies |
| Pth Intact (83970) | $136.80 | $171 | 3.3× |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$44–$279.20 | $55–$349 | varies |
| Quantitative assay drug (80299) | $161.60 | $202 | 8.7× |
| Quinidine (80194) range across 2 matching MRF lines |
$159.20–$199.20 | $199–$249 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$745.60–$932 | $932–$1,165 | varies |
| Rbc antibody identification (86870) range across 6 matching MRF lines |
$140.80–$602.40 | $176–$753 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$138.40–$173.60 | $173–$217 | varies |
| Reagent Strip/Blood Glucose (82948) | $30.40 | $38 | 6.0× |
| Renin activity plasma (84244) | $127.20 | $159 | 5.8× |
| Resp virus 12-25 targets (87633) | $749.60 | $937 | 1.8× |
| Reticulocyte Count Manual (85044) | $62.40 | $78 | 14.5× |
| Rh (86901) range across 3 matching MRF lines |
$8–$89.60 | $10–$112 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$72.80–$92 | $91–$115 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$107.20–$132.80 | $134–$166 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$252.80–$316 | $316–$395 | varies |
| Ristocetin cofactor (85245) | $176 | $220 | 7.7× |
| Rotavirus ag eia (87425) | $123.20 | $154 | 10.3× |
| Rpr qualitative (86592) range across 7 matching MRF lines |
$52–$144 | $65–$180 | varies |
| Rsv Assay W/Optic (87807) | $60 | $75 | 4.6× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$22.40–$196.80 | $28–$246 | varies |
| Rubeola antibody (86765) range across 7 matching MRF lines |
$20–$176 | $25–$220 | varies |
| Russell Viper Venom Time Diluted (85613) | $187.20 | $234 | 19.5× |
| Salicylate Level (80179) | $111.20 | $139 | 6.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$56–$86.40 | $70–$108 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$64–$121.60 | $80–$152 | varies |
| Sedimentation Rate, Automated (85652) | $40 | $50 | 14.8× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$152.80–$191.20 | $191–$239 | varies |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$93.60–$117.60 | $117–$147 | varies |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$101.60–$156 | $127–$195 | varies |
| Sickling of rbc reduction (85660) | $62.40 | $78 | 11.3× |
| Sirolimus (80195) range across 2 matching MRF lines |
$188.80–$236 | $236–$295 | varies |
| Skin test tuberculosis intradermal (86580) | $43.52 | $54.40 | 1.5× |
| Smear acid fast (87206) | $96.80 | $121 | 18.0× |
| Smear complex stain (87209) | $87.20 | $109 | 4.8× |
| Smear gram stain (87205) | $68 | $85 | 15.9× |
| Smear Special Stain (87207) | $178.40 | $223 | 29.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$49.60–$117.60 | $62–$147 | varies |
| Sodium Serum (84295) | $16 | $20 | 3.3× |
| Sodium Urine (84300) | $32 | $40 | 6.3× |
| Soluble Transferrin Receptor (84238) | $160.80 | $201 | 4.4× |
| Somatomedin (84305) | $180 | $225 | 8.5× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$100–$125.60 | $125–$157 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$100.80–$126.40 | $126–$158 | varies |
| Specimen infect agnt concntj (87015) | $59.20 | $74 | 8.9× |
| Spectrophotometry (84311) | $147.20 | $184 | 18.2× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$84–$105.60 | $105–$132 | varies |
| Staph a DNA amp probe (87640) | $151.20 | $189 | 4.3× |
| Strep a assay w/optic (87880) | $36 | $45 | 2.2× |
| Strep a DNA amp probe (87651) | $56 | $70 | 1.6× |
| Strep b DNA amp probe (87653) | $83.20 | $104 | 2.4× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$107.20–$134.40 | $134–$168 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$348.80–$436 | $436–$545 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$133.60–$464 | $167–$580 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$951.20–$1,189.60 | $1,189–$1,487 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$91.20–$115.20 | $114–$144 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$53.60–$67.20 | $67–$84 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$217.60–$271.20 | $272–$339 | varies |
| T3 Free (84481) | $72 | $90 | 4.3× |
| T3 reverse (84482) | $60 | $75 | 3.8× |
| T3 Total (84480) | $84.80 | $106 | 6.0× |
| T3 Uptake (84479) | $38.40 | $48 | 5.9× |
| T4 Free (84439) range across 2 matching MRF lines |
$24–$55.20 | $30–$69 | varies |
| T4 total (84436) | $40 | $50 | 5.8× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$257.60–$323.20 | $322–$404 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$28–$75.20 | $35–$94 | varies |
| Testosterone, Free (84402) | $167.20 | $209 | 6.6× |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$217.60–$271.20 | $272–$339 | varies |
| Theophylline (80198) range across 2 matching MRF lines |
$154.40–$192 | $193–$240 | varies |
| Thyroglobulin (84432) | $150.40 | $188 | 9.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$203.20–$253.60 | $254–$317 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $252 | $315 | 5.0× |
| Tissue Culture (88233) range across 4 matching MRF lines |
$639.20–$914.40 | $799–$1,143 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$155.20–$195.20 | $194–$244 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $18.40 | $23 | 3.6× |
| Transferrin (84466) | $118.40 | $148 | 9.3× |
| Trichomonas vagin dir probe (87660) | $58.40 | $73 | 2.9× |
| Trichomonas Vaginalis Amplif (87661) | $48.80 | $61 | 1.4× |
| Triglycerides (84478) | $28.80 | $36 | 5.0× |
| Troponin Quant (84484) | $68 | $85 | 5.5× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$332–$416 | $415–$520 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$332–$416 | $415–$520 | varies |
| Urea Nitrogen Clearance (84545) range across 2 matching MRF lines |
$117.60–$147.20 | $147–$184 | varies |
| Urea nitrogen urine (84540) | $28.80 | $36 | 5.2× |
| Uric acid other source (84560) | $83.20 | $104 | 16.4× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$53.60–$67.20 | $67–$84 | varies |
| Urine Albumin Semiquantitative (82044) | $9.60 | $12 | 1.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$44.80–$56.80 | $56–$71 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$118.40–$148 | $148–$185 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$112–$140.80 | $140–$176 | varies |
| Varicella-zoster antibody (86787) range across 7 matching MRF lines |
$20–$192 | $25–$240 | varies |
| Viral Culture (87252) | $200.80 | $251 | 7.7× |
| Viscosity serum (85810) | $88 | $110 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) | $241.60 | $302 | 6.3× |
| Vitamin A (84590) | $112 | $140 | 9.6× |
| Vitamin b-12 (82607) | $60.80 | $76 | 4.0× |
| Vitamin B2 (Riboflavin) (84252) | $156.80 | $196 | 7.7× |
| Vitamin B6 (84207) | $159.20 | $199 | 5.7× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$32–$90.40 | $40–$113 | varies |
| Vitamin E (84446) | $90.40 | $113 | 6.4× |
| Von willebrand factor ag (85246) | $173.60 | $217 | 7.6× |
| Zinc (84630) | $73.60 | $92 | 6.5× |
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.