Lab & pathology prices at Mc Donough District Hospital

Macomb, IL · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $192 $320 5.0×
Acute hepatitis panel (80074) $206.40 $344 4.3×
Acylcarnitines Quant (82017) $249.60 $416 14.8×
Adenovirus antibody (86603) $86.40 $144 6.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $321 $535 5.0×
Albumin Fluid (82042) $38.40 $64 4.9×
Albumin serum (82040) $24 $40 4.8×
Aldolase (82085) $48.60 $81 5.0×
Aldosterone urine (82088) $202.80 $338 5.0×
Alkaline phosphatase isoenzymes (84080) $139.80 $233 9.5×
Allergen specific ige (86003) $34.20 $57 6.6×
Alpha-1-antitrypsin phenotype (82104) $73.20 $122 5.1×
Alpha-1-antitrypsin total (82103) $67.20 $112 5.0×
Alpha-Fetoprotein Serum (82105) $84 $140 5.0×
Amino Acids 1 Quantitative Each Specimen (82131) $114.60 $191 5.0×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $307.20 $512 18.2×
Ammonia (82140) $63.60 $106 4.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $487.80 $813 5.0×
Amylase urine (82150) $33 $55 5.1×
Androstenedione (82157) $184.80 $308 6.3×
Angiotensin converting enzyme csf (82164) $72.60 $121 5.0×
Anti-Phospholipid Antibody (86148) $74.40 $124 4.6×
Antibody aspergillus (86606) $74.40 $124 4.9×
Antibody Bacterium Not Elsewhere Specified (86609) $16.20 $27 1.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $84.60 $141 5.5×
Antibody Cytomegalovirus Cmv Igm (86645) $84 $140 5.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $64.20 $107 4.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $71.40 $119 4.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $89.40 $149 4.9×
Antibody haemophilus influenza (86684) $79.20 $132 5.0×
Antibody helicobacter pylori (86677) $124.20 $207 7.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $70.80 $118 4.9×
Antibody Herpes Smplx Type 1 (86695) $66 $110 5.0×
Antibody Titer (86886) $527.40 $879 101.8×
Antibody Treponema Pallidum (86780)
range across 5 matching MRF lines
$60–$66 $110 varies
Antibody; influenza virus (86710) $70.80 $118 5.2×
Antigen typing (86905) $1,042.20 $1,737 272.1×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $620.40 $1,034 108.5×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$59.40–$103.80 $99–$173 varies
Antistreptolysin O Screen (86063) $81.60 $136 14.1×
Antistreptolysin o titer (86060) $36 $60 4.9×
Antithrombin iii activity (85300) $43.80 $73 3.7×
Apolipoprotein a1 (82172) $84 $140 4.0×
Arsenic (82175) $93.60 $156 4.9×
Assay activated protein c (85307) $127.20 $212 8.3×
Assay Blood Carbon Dioxide (82374) $55.20 $92 11.3×
Assay Nephelometry Not Spec (83883) $58.20 $97 4.3×
Assay of 5-hiaa (83497) $64.80 $108 5.0×
Assay of blood/uric acid (84550) $19.20 $32 4.2×
Assay of calcium in urine (82340) $30 $50 5.0×
Assay of estrone (82679) $141 $235 5.7×
Assay of gammaglobulin igm (82784)
range across 11 matching MRF lines
$46.80–$67.80 $78–$113 varies
Assay of lactic acid (83605) $49.80 $83 4.3×
Assay of manganese (83785) $133.20 $222 5.0×
Assay of metanephrines (83835) $84.60 $141 5.0×
Assay of proinsulin (84206) $133.20 $222 5.0×
Assay of serum potassium (84132) $20.40 $34 4.3×
Assay of urea nitrogen (84520) $17.40 $29 4.4×
Assay of urine vma (84585) $56.40 $94 3.6×
Assay of vitamin b-1 (84425) $105.60 $176 5.0×
Assay Ph Body Fluid Nos (83986)
range across 4 matching MRF lines
$18–$49.80 $30–$83 varies
Automated Leukocyte Count (85048) $13.20 $22 5.2×
B cells total count (86355) $187.80 $313 5.0×
Bcr/abl1 gene major bp (81206) $438.60 $731 2.7×
Beta 2 glycoprotein i antibody each (86146) $126 $210 5.0×
Beta hydroxybutyrate (82010) $30 $50 3.7×
Beta Lactamase (87185) $20.40 $34 4.3×
Beta-2 Microglobulin (82232) $81 $135 5.0×
Bile acids total (82239) $63.60 $106 3.7×
Bilirubin direct (82248) $21 $35 4.2×
Bilirubin total (82247) $21 $35 4.2×
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines
$39.60–$40.80 $66–$68 varies
Blastomyces antibody (86612) $64.80 $108 5.0×
Bleeding time test (85002) $85.20 $142 17.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $47.40 $79 12.5×
Blood gas (82803) $112.80 $188 4.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $69 $115 4.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $18.60 $31 4.2×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 5 matching MRF lines
$114.60–$1,225.20 $191–$2,042 varies
Blood typing serologic abo (86900)
range across 6 matching MRF lines
$66.60–$542.40 $111–$904 varies
Bone marrow smear interpretation (85097) $2,308.20 $3,847 2.7×
Brca1&2 gen full seq dup/del (81162) $2,221.20 $3,702 1.2×
Breath Alcohol Test (82075) $37.20 $62 1.2×
Brucella antibody (86622) $107.40 $179 12.0×
C diff amplified probe (87493) $185.40 $309 5.0×
C-Peptide (84681) $103.80 $173 5.0×
C-reactive protein (86140) $20 $41 3.9×
Ca 19-9 (86301) $89.40 $149 4.3×
Calcitonin (82308) $134.40 $224 5.0×
Calcium ionized (82330) $67.80 $113 5.0×
Calcium total (82310) $21.60 $36 4.2×
Calculus assay quant (82360) $64.80 $108 5.0×
Calculus Spectroscopy (82365) $64.80 $108 5.0×
Calprotectin Fecal (83993) $98.40 $164 5.0×
Calr gene com variants (81219) $540 $900 4.4×
Cancer Antigen 125 (86304) $89.40 $149 4.3×
Cancer Antigen 27.29 (86300) $103.80 $173 5.0×
Candida antibody (86628) $58.80 $98 4.9×
Candida Dna Dir Probe (87480) $100.20 $167 5.0×
Carbamazepine total (80156) $63.60 $106 4.4×
Carcinoembryonic antigen (82378) $82.80 $138 4.4×
Cardiolipin ab iga (86147) $126 $210 5.0×
Carnitine Quantitative Each Specimen (82379) $180 $300 10.7×
Catecholamines fractionated (82384) $124.80 $208 4.9×
Ccp antibody (86200) $64.80 $108 5.0×
Cell count csf (89051) $23.40 $39 4.2×
Ceruloplasmin (82390) $53.40 $89 5.0×
Cftr gene com variants (81220) $2,722.20 $4,537 4.9×
Chemiluminescent assay (82397) $69.60 $116 4.9×
Chloride Serum (82435) $50.40 $84 11.0×
Chloride urine (82436) $28.80 $48 5.0×
Cholesterol total (82465) $20 $35 4.6×
Chorionic gonadotropin test (84702) $74.40 $124 4.9×
Chromium serum (82495) $74.40 $124 3.7×
Chromogranin a (86316) $198.60 $331 9.5×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$394.20–$631.20 $657–$1,052 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 13 matching MRF lines
$75–$174 $49–$290 varies
Citric acid urine (82507) $138.60 $231 5.0×
Ckmb (82553)
range across 2 matching MRF lines
$48–$96 $80–$160 varies
Clot factor xiii fibrin stab (85290) $108.60 $181 6.6×
Coccidioides antibody (86635) $56.40 $94 4.9×
Cold agglutinin titer (86157) $68.40 $114 8.5×
Collagen crosslinks (82523) $176.40 $294 9.4×
Column Chromotography Quant (82542) $120 $200 5.0×
Compatibility Each Unit Incubation (86921) $61.20 $102 0.3×
Compatibility test antiglob (86922) $527.40 $879 2.9×
Complement Antigen Each Component (86160) $58.80 $98 4.9×
Complement Total (Ch50) (86162) $74.40 $124 3.7×
Complement/Function Activity (86161) $58.80 $98 4.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $246 $410 4.4×
Consltj&Reprt Slides Prepared Elsewhere (88321) $199.80 $333 5.0×
Coombs direct (86880) $144 $240 26.7×
Copper urine (82525) $61.80 $103 5.0×
Cortisol free (82530) $83.40 $139 5.0×
Cortisol saliva (82533) $81.60 $136 5.0×
Creatine kinase total (82550) $33 $55 5.1×
Creatinine blood (82565) $25 $36 4.9×
Creatinine clearance (82575) $40.20 $67 4.2×
Creatinine Urine (82570)
range across 7 matching MRF lines
$24.60–$25 $41 varies
Crossmatch electronic (86923) $620.40 $1,034 3.4×
Crp High Sensitivity (86141) $64.80 $108 5.0×
Cryoglobulin (82595) $81.60 $136 12.6×
Cryptococcus ag titer (87899) $81 $135 5.0×
Cryptosporidium ag eia (87328) $58.80 $98 4.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $35.40 $59 4.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $147.60 $246 19.1×
Culture afb (87116) $54 $90 5.0×
Culture Anaerobic (87075) $40.20 $67 4.2×
Culture blood (87040) $45.60 $76 4.4×
Culture csf (87070) $37.20 $62 4.3×
Culture fungus (87102) $36.60 $61 4.4×
Culture screen only (87081) $28.80 $48 4.3×
Culture stool (87045) $47.40 $79 5.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $21.60 $36 4.2×
Culture urine (87086)
range across 2 matching MRF lines
$21–$34.80 $35–$58 varies
Cyclic amp (82030) $109.80 $183 4.3×
Cyclosporine (80158) $89.40 $149 5.0×
Cytogenetics 100-300 (88275) $214.20 $357 4.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,286.60 $3,811 2.0×
Cytomegalovirus igg (86644) $70.80 $118 4.9×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$70.80–$117 $118–$195 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 18 matching MRF lines
$126.60–$132 $211–$220 varies
Cytp Concentration Smears & Interpretation (88108) $166.20 $277 4.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $246 $410 4.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $527.40 $879 2.9×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $166.20 $277 4.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $66.60 $111 3.6×
Detect Agent Nos Dna Amp (87798) $151.80 $253 4.3×
Detect Agent Nos Dna Quant (87799) $199.80 $333 4.7×
Detect agnt mult DNA ampli (87801) $349.20 $582 5.0×
Dhea (82626) $125.40 $209 5.0×
Dhea-S (82627) $109.80 $183 4.9×
Digoxin (80162) $49.20 $82 3.7×
Dna Antibody Native/Double Stranded (86225) $68.40 $114 5.0×
DNA/RNA direct probe (87149) $331.20 $552 16.5×
Drug Assay Everolimus (80169) $50.40 $84 3.7×
Drug Screen Quant Clozapine (80159) $174.60 $291 8.7×
Drug Screen Quantitative Lamotrigine (80175) $57 $95 4.3×
Drug Screen Quantitative Levetiracetam (80177) $57 $95 4.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 25 matching MRF lines
$9–$268.80 $15–$448 varies
Electrolyte panel (80051) $31.20 $52 4.5×
Enterovirus Antibody (86658) $65.40 $109 5.0×
Enterovirus PCR (87498) $221.40 $369 6.3×
Eosinophil Smear (89190) $75 $125 13.0×
Erythropoietin (82668) $81.60 $136 4.3×
Estradiol serum (82670) $139.20 $232 5.0×
Estriol (82677) $120.60 $201 5.0×
Estrogen total (82672) $107.40 $179 4.9×
Ethosuximide (80168) $59.40 $99 3.6×
Ethylene Glycol (82693) $127.20 $212 8.5×
Exam Synovial Fluid Crystals (89060) $82.80 $138 11.3×
F2 Gene (81240) $466.80 $778 7.1×
Factor ii activity (85210) $220.80 $368 17.0×
Factor v activity (85220) $87.60 $146 5.0×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$302.40–$338.40 $504–$564 varies
Factor vii assay (85230) $88.80 $148 5.0×
Factor viii assay (85240) $157.80 $263 8.8×
Factor X (85260) $66 $110 3.7×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $172.80 $288 22.4×
Fecal Fat Qualitative (82705) $67.80 $113 13.3×
Ferritin (82728) $67.80 $113 5.0×
Fetal Fibronectin (82731) $425.40 $709 6.6×
Fibrin Degradation Quant (85379) $50.40 $84 5.0×
Fibrinogen activity (85384) $41.40 $69 4.3×
Flow cytometry first marker (88184) $1,042.20 $1,737 2.7×
Fluorescent antibody screen (86255) $45 $75 3.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $59.40 $99 4.9×
Fmr1 gene detection (81243) $427.80 $713 7.5×
Folic acid rbc (82747) $87.60 $146 5.0×
Folic Acid Serum (82746) $64.20 $107 4.4×
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines
$91.80–$96 $153–$160 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $297.60 $496 1.6×
Frozen Section (88331) $620.40 $1,034 3.4×
Fungi Identification Yeast (87106) $37.80 $63 3.7×
Gammaglobulin ige (82785) $82.20 $137 5.0×
Gardner vag DNA dir probe (87510) $100.20 $167 5.0×
Gastrin (82941) $87.60 $146 5.0×
Genet Virus Isolate Hsv (87255) $168 $280 5.0×
Gentamicin (80170) $70.20 $117 4.3×
Ggt (82977) $36 $60 5.0×
Giardia antigen (87329) $100.20 $167 8.4×
Glucose 2 hr pp (82950) $22.80 $38 4.8×
Glucose body fluid (82945) $17.40 $29 4.4×
Glucose Serum (82947)
range across 7 matching MRF lines
$9.60–$17.40 $16–$29 varies
Glucose tolerance test (gtt) (82951) $64.80 $108 5.0×
Glycated Protein (82985) $61.80 $103 3.7×
Gonadotropin Chorionic Qualitative (84703) $20 $62 2.7×
Growth hormone (83003) $141 $235 8.5×
Gtt-added samples (82952)
range across 3 matching MRF lines
$18.60–$19.20 $31–$32 varies
H Pylori (C-13) Breath (83013) $247.20 $412 3.7×
Haptoglobin (83010) $120.60 $201 9.6×
Hdl Cholesterol (83718) $40.20 $67 4.9×
Helicobacter Pylori Stool (87338) $70.80 $118 4.9×
Hematocrit (85014)
range across 2 matching MRF lines
$11.40–$20 $19 varies
Hemoglobin (85018) $11.40 $19 4.8×
Hemoglobin a1c (83036) $35 $81 3.6×
Hemoglobin Chromotography (83021) $75.60 $126 4.2×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $34.80 $58 3.7×
Hemoglobin urine (83069) $47.40 $79 12.0×
Hep a ab igm (86709) $55.80 $93 5.0×
Heparin assay (85520) $48.60 $81 3.7×
Hepatitis a antibody total (86708) $61.80 $103 5.0×
Hepatitis b core ab igm (86705) $58.20 $97 4.9×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$117.60–$167.40 $196–$279 varies
Hepatitis B Surface Antibody (86706) $53.40 $89 5.0×
Hepatitis B Surface Antigen (87340) $51 $85 4.9×
Hepatitis Be Antigen (87350) $41.40 $69 3.6×
Hepatitis C Antibody (86803) $61.80 $103 4.3×
Hepatitis C Genotype (87902) $1,279.80 $2,133 5.0×
Hepatitis C Probe&Rvrs Trnsc (87521) $174 $290 5.0×
Hepatitis C Revrs Trnscrpj (87522) $212.40 $354 5.0×
Herpes simplex type 2 (86696) $96.60 $161 5.0×
Heterophile Antibody Screen (86308) $24.60 $41 4.7×
Hfe Gene (81256) $283.20 $472 4.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $14.40 $24 1.9×
Histoplasma antibody (86698) $68.40 $114 5.0×
Histoplasma antigen urine (87385) $66 $110 5.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $50 $200 2.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $423.60 $706 5.0×
Hla Class I Typing Low Resolution One Locus Each (81373) $468 $780 3.7×
Hla-b27 (86812) $94.80 $158 3.7×
Homocysteine (83090) $88.80 $148 5.0×
Hpv High-Risk Types (87624)
range across 10 matching MRF lines
$114–$174 $190–$290 varies
Hpv Types 16 & 18 Only (87625) $159.60 $266 3.9×
Hsv Dna Amp Probe (87529) $174 $290 5.0×
Human Epididymis Protein 4 (86305) $103.80 $173 5.0×
Hydroxyprogesterone 17-d (83498) $135.60 $226 5.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $59.40 $99 4.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $156 $260 4.4×
Iaad ia shiga-like toxin (87427) $58.80 $98 4.9×
Iaad Ia Streptococcus Group A (87430) $72.60 $121 4.3×
Iaadi inffluenza a virus (87276) $69 $115 4.3×
Iadna Bartonella Amplified Probe Technique (87471) $128.40 $214 3.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $151.80 $253 4.3×
Iadna Cytomegalovirus Quantification (87497) $397.20 $662 9.3×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $258.60 $431 3.7×
Iadna Hepatitis B Virus Quantification (87517) $212.40 $354 5.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 11 matching MRF lines
$29.40–$174 $49–$290 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $83.40 $139 1.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $616.80 $1,028 4.3×
Igg subclasses (82787) $30 $50 3.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $1,042.20 $1,737 2.7×
Immunfix e-phorsis/urine/csf (86335) $145.80 $243 5.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $90.60 $151 4.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $55.20 $92 3.7×
Immunoassay nonantibody (83516)
range across 14 matching MRF lines
$57–$283.80 $95–$473 varies
Immunofixation electrophoresis (86334) $97.20 $162 4.4×
Immunohistochemistry (88342) $713.40 $1,189 3.9×
In situ hybridization 1st probe stain (88365) $713.40 $1,189 3.9×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $53.40 $89 4.4×
Influenza DNA amp probe (87502) $267 $445 2.8×
Inhibin A (86336) $77.40 $129 5.0×
Inhibin b (83520) $133.20 $222 7.7×
Insulin antibodies (86337) $79.20 $132 3.7×
Insulin total (83525)
range across 2 matching MRF lines
$101.40–$117 $169–$195 varies
Intrinsic factor antibody (86340) $74.40 $124 4.9×
Iron (83540)
range across 2 matching MRF lines
$20–$33 $55 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$109.80–$114.60 $183–$191 varies
Islet cell antibody (86341) $117.60 $196 5.0×
Koh Prep (87220) $63.60 $106 14.9×
Lactate (ld) (ldh) enzyme (83615) $27 $45 4.5×
Lactoferrin fecal qualitative (83630) $99 $165 5.0×
LDL direct (83721)
range across 3 matching MRF lines
$52.20–$68.40 $87–$114 varies
Lead (83655)
range across 5 matching MRF lines
$51–$59.40 $85–$99 varies
Legionella antibody (86713) $75.60 $126 4.9×
Legionella antigen urine (87449) $58.80 $98 4.9×
Leukocyte Assessment Fecal (89055) $21 $35 4.9×
Level I Surg Pathology Gross Examination Only (88300) $114.60 $191 3.7×
Level ii surg pathology gross&microscopic exam (88302) $114.60 $191 2.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,408.20 $2,347 3.7×
Lipase (83690) $34.80 $58 5.1×
Lipoprotein A (83695) $52.20 $87 3.6×
Lipoprotein Bld Quan Part (83704) $123.60 $206 3.6×
Lithium (80178) $28.80 $48 4.4×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$91.20–$97.20 $152–$162 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines
$84.60–$152.40 $141–$254 varies
Lysozyme serum (85549) $180.60 $301 9.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $527.40 $879 2.9×
Magnesium Urine (83735)
range across 5 matching MRF lines
$20–$109.80 $49–$183 varies
Mass Spectrometry Quant (83789) $120 $200 5.0×
Mercury urine (83825) $108.60 $181 6.7×
Methylmalonic acid serum (83921) $91.20 $152 4.3×
Microalbumin, quantitative (82043) $29.40 $49 5.1×
Microsomal Antibodies Each (86376) $117 $195 8.0×
Molecular Cytogenetics Dna Probe Each (88271) $123.60 $206 5.8×
Molecular Pathology Procedure Level 3 (81402) $696 $1,160 4.6×
Mopath procedure level 1 (81400) $261 $435 4.1×
Mopath procedure level 2 (81401) $681 $1,135 5.0×
Mopath procedure level 4 (81403) $396 $660 2.1×
Mopath procedure level 7 (81406) $1,867.20 $3,112 6.6×
Mrsa Pcr (87641) $128.40 $214 3.7×
Mthfr Gene Analysis Common Variants (81291) $502.80 $838 7.7×
Mumps antibody (86735) $65.40 $109 5.0×
Mycophenolic Acid (80180) $66.60 $111 3.7×
Mycoplasma antibody (86738) $48.60 $81 3.7×
Myelin basic protein csf (83873) $85.80 $143 5.0×
Myoglobin urine (83874) $48 $80 3.7×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$40–$169.80 $283 varies
Nfct ds bv&vaginitis DNA alg (81515) $100 $333 0.4×
Nfct ds chrnc hcv 6 assays (81596) $358.80 $598 5.0×
Niacin (84591) $235.20 $392 13.8×
Nuclear antigen antibody (86235) $88.80 $148 5.0×
Occult blood feces (82272) $18 $30 4.3×
Oligoclonal bands (83916) $136.80 $228 5.0×
Organic Acids Qualitative Each Specimen (83919) $598.20 $997 36.4×
Osmolality serum (83930) $23.40 $39 3.5×
Osmolality Urine (83935) $34.20 $57 5.0×
Ova and parasites smears (87177) $45 $75 5.1×
Oxalate urine (83945) $71.40 $119 4.9×
Pancreatic Elastase Fecal (82656) $41.40 $69 3.6×
Parvovirus antibody (86747) $74.40 $124 5.0×
Ph urine (81003) $131.40 $219 58.4×
Phenobarbital Level (80184) $55.80 $93 3.6×
Phenylalanine (84030) $28.20 $47 5.1×
Phenytoin (Dilantin) (80185) $57 $95 4.3×
Phosphatase alkaline (84075) $21.60 $36 4.2×
Phospholipid Neutralization Hexagonal (85598) $117.60 $196 6.5×
Phosphorus Serum (84100) $20.40 $34 4.3×
Phosphorus urine (84105) $29.40 $49 5.1×
Pinworm exam (87172) $82.20 $137 19.3×
Platelet Antibodies (86022) $271.20 $452 14.8×
Platelet count automated (85049) $19.20 $32 4.3×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $532.20 $887 2.6×
Porphobilinogen, urine; quantitative (84110) $41.40 $69 4.9×
Porphyrins Urine Quantitation & Fractionation (84120) $132 $220 9.0×
Potassium Urine (84133) $22.80 $38 4.8×
Prealbumin (84134) $72.60 $121 5.0×
Pregnenolone (84140) $74.40 $124 3.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $123 $205 1.9×
Primidone (80188) $116.40 $194 7.0×
Procalcitonin (Pct) (84145) $118.20 $197 4.3×
Progesterone (84144) $103.80 $173 5.0×
Prolactin (84146)
range across 2 matching MRF lines
$96.60–$105 $161–$175 varies
Protein body fluid (84157) $54.60 $91 13.7×
Protein C Activity (85303) $68.40 $114 4.9×
Protein c antigen (85302) $130.20 $217 10.8×
Protein Electrophoresis Urine (84166) $76.20 $127 4.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $46.80 $78 4.4×
Protein S Free (85306) $55.80 $93 3.6×
Protein s total (85305) $200.40 $334 17.3×
Protein total serum (84155) $18 $30 4.9×
Protein Total Urine (84156) $16.20 $27 4.4×
Protoporphyrin rbc quantitative (84202) $118.80 $198 8.3×
PSA free (84154) $90.60 $151 4.9×
Pth Intact (83970) $178.20 $297 4.3×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$177–$307.80 $295–$513 varies
Quantitative assay drug (80299)
range across 2 matching MRF lines
$150–$156 $250–$260 varies
Quantitative Screen Metals (83018) $81.60 $136 3.7×
Rbc antibody elution (86860) $527.40 $879 2.9×
Rbc antibody identification (86870) $1,225.20 $2,042 3.2×
Rbc antibody screen (86850)
range across 4 matching MRF lines
$89.40–$246 $149–$410 varies
Rbc pretreatment serum (86978) $123 $205 1.9×
Rbc pretx incubatj w/enzymes (86971) $1,225.20 $2,042 6.7×
Renin activity plasma (84244) $108.60 $181 4.9×
Resp virus 12-25 targets (87633) $1,531.80 $2,553 3.7×
Reticulocyte Count (85046) $23.40 $39 4.2×
Reticulocyte separation (86972) $620.40 $1,034 3.4×
Rh (86901)
range across 4 matching MRF lines
$52.20–$166.20 $87–$277 varies
Rheumatoid Factor Qualitative (86430) $31.20 $52 5.1×
Rheumatoid factor quant (86431) $28.80 $48 5.1×
Ristocetin cofactor (85245) $183 $305 8.0×
Rotavirus ag eia (87425) $52.20 $87 4.4×
Rpr qualitative (86592)
range across 5 matching MRF lines
$21–$71.40 $35–$119 varies
Rubella Antibody (86762) $70.80 $118 4.9×
Rubeola antibody (86765)
range across 5 matching MRF lines
$64.80–$70.80 $108–$118 varies
Russell Viper Venom Time Diluted (85613) $48 $80 5.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $55 $178 1.1×
Sars-cov-2 COVID-19 antibody (86769) $123 $205 2.9×
Sars-Cov-2 Covid19 W/Optic (87811)
range across 3 matching MRF lines
$66.60–$103.80 $111–$173 varies
Sarscov2 & inf a&b amp prb (87636) $156 $260 1.1×
Sarscov2&inf a&b&rsv amp prb (87637) $145 $380 1.0×
Sedimentation rate (85651) $20.40 $35 4.8×
Selenium (84255) $187.80 $313 7.4×
Semen Anal Sperm Detection (89321) $59.40 $99 4.9×
Semen analysis complete (89322) $221.40 $369 14.3×
Sensitivity mic (87186) $37.20 $62 4.3×
Serpina 1 gene (81332) $160.20 $267 3.7×
Sex Hormone Binding Globulin (84270) $107.40 $179 4.9×
Sickling of rbc reduction (85660) $19.80 $33 3.6×
Sirolimus (80195) $187.20 $312 13.6×
Skin test tuberculosis intradermal (86580) $114.60 $191 3.7×
Smear acid fast (87206) $36 $60 6.7×
Smear complex stain (87209) $88.80 $148 4.9×
Smear gram stain (87205) $18.60 $31 4.4×
Smr Prim Src Wet Mount Nfct Agt (87210) $29.40 $49 5.1×
Sodium Serum (84295) $18 $30 3.7×
Sodium Urine (84300) $24 $40 4.7×
Somatomedin (84305) $91.20 $152 4.3×
Special Stains Group 1 (88312) $246 $410 4.4×
Special Stains Group 2 (88313) $144 $240 1.0×
Spectrophotometry (84311) $30 $50 3.7×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $126.60 $211 2.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $128.40 $214 0.7×
Strep a DNA amp probe (87651) $40 $156 1.1×
Strep b DNA amp probe (87653) $177 $295 5.0×
Sulfate urine (84392) $27.60 $46 5.0×
Surg path level iii (88304) $246 $410 4.4×
Surgical pathology level IV (88305) $246 $410 4.4×
Surgical pathology level vi (88309) $2,308.20 $3,847 2.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $20.40 $34 4.3×
Syphilis Test Non-Trep Quant (86593) $16.20 $27 3.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $234 $390 5.0×
T cells total count (86359) $187.80 $313 5.0×
T3 Free (84481) $84.60 $141 5.0×
T3 reverse (84482) $78.60 $131 5.0×
T3 Total (84480) $70.20 $117 5.0×
T3 Uptake (84479) $34.20 $57 5.3×
T4 Free (84439) $30 $76 3.3×
T4 total (84436) $30 $50 4.4×
Tacrolimus (80197) $58.80 $98 4.3×
Test for acetone/ketones (82009) $19.20 $32 4.2×
Testosterone total (84403)
range across 4 matching MRF lines
$93–$128.40 $155–$214 varies
Testosterone, Free (84402) $93 $155 3.7×
Theophylline (80198)
range across 2 matching MRF lines
$52.20–$85.20 $87–$142 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $22.80 $38 3.5×
Thyroglobulin (84432) $121.20 $202 7.5×
Thyroglobulin Antibody (86800) $79.20 $132 5.0×
Thyroid Stimulating Immunoglobulin (84445) $253.20 $422 5.0×
Tissue Culture Lymphocyte (88230) $394.20 $657 3.4×
Tobramycin peak (80200) $58.80 $98 3.6×
Topiramate (80201) $52.20 $87 4.4×
Toxoplasma ab igm (86778) $71.40 $119 5.0×
Toxoplasma antibody (86777) $70.80 $118 4.9×
Transferase Aspartate Amino Ast Sgot (84450) $24.60 $41 4.7×
Transferrin (84466) $64.20 $107 5.0×
Trichomonas vagin dir probe (87660) $100.20 $167 5.0×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$75–$174 $164–$290 varies
Triglycerides (84478) $20 $48 3.5×
Troponin Quant (84484)
range across 2 matching MRF lines
$50–$54 $90 varies
Tumor Immunohistochem/Manual (88360) $527.40 $879 2.9×
Unlisted Transfusion Medicine Procedure (86999) $94.80 $158 3.1×
Urea nitrogen urine (84540) $20.40 $34 3.7×
Uric acid other source (84560) $24.60 $41 4.8×
Urine Bacteria Culture (87088) $35.40 $59 4.4×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $20 $29 6.3×
Valproic acid (80164)
range across 2 matching MRF lines
$67.20–$162 $112–$270 varies
Vancomycin (80202) $58.20 $97 4.3×
Varicella-zoster antibody (86787) $55.80 $93 4.3×
Virus antibody nos (86790) $625.80 $1,043 48.6×
Viscosity serum (85810) $42 $70 3.6×
Vit D 1 25-Dihydroxy (82652) $141.60 $236 3.7×
Vitamin A (84590) $57 $95 4.9×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$50–$67.20 $112 varies
Vitamin B2 (Riboflavin) (84252) $165.60 $276 8.2×
Vitamin B6 (84207) $139.80 $233 5.0×
Vitamin c (82180) $36.60 $61 3.7×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$65–$147.60 $246 varies
Vitamin E (84446) $52.20 $87 3.7×
Von willebrand factor ag (85246) $123.60 $206 5.4×
West nile virus ab igm (86788) $102 $170 6.1×
West Nile Virus Antibody (86789) $70.80 $118 4.9×
Zika Virus Dna/Rna Amp Probe (87662) $450.60 $751 8.8×
Zika Virus Igm Antibody (86794) $147.60 $246 8.8×
Zinc (84630) $56.40 $94 5.0×

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.