Lab & pathology prices at Medicine Lodge Memorial Hospital
Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.
384 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) range across 2 matching MRF lines |
$149.15–$165.73 | $149.15–$165.73 | varies |
| Actin smooth muscle antibody each (86015) | $69 | $69 | 5.7× |
| Acute hepatitis panel (80074) | $193.19 | $193.19 | 4.1× |
| Albumin serum (82040) range across 2 matching MRF lines |
$18.97–$37.40 | $18.97–$37.40 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$45–$45.09 | $45–$45.09 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$155.22–$172.48 | $155.22–$172.48 | varies |
| Alkaline phosphatase isoenzymes (84080) | $111.39 | $111.39 | 7.5× |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$21.71–$147.20 | $21.71–$147.20 | varies |
| Allg Spec Ige Recomb Ea (86008) | $71.75 | $71.75 | 4.0× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$70.30–$99.52 | $70.30–$99.52 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$61.87–$77.88 | $61.87–$77.88 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$18.34–$26.44 | $18.34–$26.44 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $743.02 | $743.02 | 44.0× |
| Amino Acids Quant 2-5 (82136) | $257.17 | $257.17 | 13.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$69.13–$73.20 | $69.13–$73.20 | varies |
| Amylase urine (82150) | $32.89 | $32.89 | 5.1× |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$51.61–$105.62 | $51.61–$105.62 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$150.06–$166.75 | $150.06–$166.75 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$69.13–$75 | $69.13–$75 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$79.79–$114.94 | $79.79–$114.94 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $114.94 | $114.94 | 6.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $132 | $132 | 10.8× |
| Antibody haemophilus influenza (86684) | $88.50 | $88.50 | 5.6× |
| Antibody Herpes Smplx Type 1 (86695) | $112.70 | $112.70 | 8.5× |
| Antibody identification leukocyte antibodies (86021) | $61.76 | $61.76 | 4.1× |
| Antibody Protozoa Nes (86753) | $46.79 | $46.79 | 3.8× |
| Antibody Treponema Pallidum (86780) | $74.35 | $74.35 | 5.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $48 | $48 | 8.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$62.02–$83.30 | $62.02–$83.30 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$41.90–$46.48 | $41.90–$46.48 | varies |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$58.31–$268.10 | $58.31–$268.10 | varies |
| Antithrombin iii antigen (85301) | $190.40 | $190.40 | 17.6× |
| Apolipoprotein a1 (82172) | $101.23 | $101.23 | 4.8× |
| Arsenic (82175) | $167.83 | $167.83 | 8.8× |
| Assay Blood Carbon Dioxide (82374) | $25.02 | $25.02 | 5.1× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$100.28–$177.33 | $100.28–$177.33 | varies |
| Assay of 5-hiaa (83497) | $68 | $68 | 5.3× |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$142.10–$245 | $142.10–$245 | varies |
| Assay of blood/uric acid (84550) | $26.82 | $26.82 | 5.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$38.48–$45.47 | $38.48–$45.47 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$109–$163.30 | $109–$163.30 | varies |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$68.94–$779.36 | $68.94–$779.36 | varies |
| Assay of lactic acid (83605) | $61.88 | $61.88 | 5.3× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$92.08–$227.68 | $92.08–$227.68 | varies |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$115.82–$173.14 | $115.82–$173.14 | varies |
| Assay of serum potassium (84132) | $20.31 | $20.31 | 4.3× |
| Assay of urea nitrogen (84520) | $18.97 | $18.97 | 4.8× |
| Assay of urine vma (84585) | $85.33 | $85.33 | 5.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$97.43–$101.60 | $97.43–$101.60 | varies |
| Assay spec xcp ur&breath ia (82077) | $72 | $72 | 4.2× |
| Asy carbamazepin 10,11-epxid (80161) | $111.25 | $111.25 | 6.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$18.81–$21.40 | $18.81–$21.40 | varies |
| B cells total count (86355) | $100.98 | $100.98 | 2.7× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$191.97–$271.45 | $191.97–$271.45 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$191.97–$276.79 | $191.97–$276.79 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$114–$191.97 | $114–$191.97 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $135.82 | $135.82 | 5.3× |
| Beta hydroxybutyrate (82010) | $65 | $65 | 8.0× |
| Beta Lactamase (87185) | $45 | $45 | 9.5× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$85.81–$128 | $85.81–$128 | varies |
| Bilirubin direct (82248) | $26.56 | $26.56 | 5.3× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$24.10–$30.36 | $24.10–$30.36 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $87 | $87 | 11.2× |
| Bleeding time test (85002) | $15 | $15 | 3.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$106.54–$111.10 | $106.54–$111.10 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $11.77 | $11.77 | 3.1× |
| Blood gas (82803) | $88.94 | $88.94 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$34–$44.61 | $34–$44.61 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$16.22–$17.10 | $16.22–$17.10 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $245 | $245 | 38.6× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$25–$295.05 | $25–$295.05 | varies |
| Breath Alcohol Test (82075) | $65 | $65 | 2.2× |
| C diff amplified probe (87493) | $99.75 | $99.75 | 2.7× |
| C-Peptide (84681) range across 2 matching MRF lines |
$85.68–$93.28 | $85.68–$93.28 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$34.16–$40.19 | $34.16–$40.19 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$85–$85.81 | $85–$85.81 | varies |
| Cadmium (82300) | $91.70 | $91.70 | 3.9× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$51.75–$65.03 | $51.75–$65.03 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$18.97–$38.48 | $18.97–$38.48 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$84.86–$120.31 | $84.86–$120.31 | varies |
| Calprotectin Fecal (83993) | $245 | $245 | 12.5× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$69.63–$76.78 | $69.63–$76.78 | varies |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
$69.10–$95 | $69.10–$95 | varies |
| Carbamazepine total (80156) | $128.28 | $128.28 | 8.8× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$63.60–$64.22 | $63.60–$64.22 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$99.18–$110.69 | $99.18–$110.69 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$96.73–$112.63 | $96.73–$112.63 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$146.13–$162.39 | $146.13–$162.39 | varies |
| Ccp antibody (86200) | $86 | $86 | 6.6× |
| Cell count csf (89051) range across 3 matching MRF lines |
$52.22–$76.04 | $52.22–$76.04 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$66.60–$82.57 | $66.60–$82.57 | varies |
| Chemiluminescent assay (82397) | $137 | $137 | 9.7× |
| Chloride other source (82438) | $37.61 | $37.61 | 7.5× |
| Chloride Serum (82435) | $23.32 | $23.32 | 5.1× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$18.97–$27 | $18.97–$27 | varies |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$84.50–$99.08 | $84.50–$99.08 | varies |
| Chromogranin a (86316) | $104 | $104 | 5.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$99.18–$105.45 | $99.18–$105.45 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$125.86–$139.86 | $125.86–$139.86 | varies |
| Ckmb (82553) | $70.61 | $70.61 | 6.1× |
| Clostridium Difficile (87324) | $76.78 | $76.78 | 6.4× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$227.37–$316.25 | $227.37–$316.25 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$58.11–$114 | $58.11–$114 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$74.75–$77.95 | $74.75–$77.95 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$100.02–$111.15 | $100.02–$111.15 | varies |
| Coombs direct (86880) | $58.01 | $58.01 | 10.8× |
| Copper urine (82525) | $65.70 | $65.70 | 5.3× |
| Cortisol free (82530) range across 2 matching MRF lines |
$83.79–$189.09 | $83.79–$189.09 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$84.76–$88.09 | $84.76–$88.09 | varies |
| Creatine kinase total (82550) | $30.36 | $30.36 | 4.7× |
| Creatinine blood (82565) | $18.97 | $18.97 | 3.7× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$45.53–$49.15 | $45.53–$49.15 | varies |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$28.36–$56.32 | $28.36–$56.32 | varies |
| Crossmatch immediate spin (86920) | $64.05 | $64.05 | 0.4× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$84.71–$85.78 | $84.71–$85.78 | varies |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$65.70–$84.49 | $65.70–$84.49 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $47.61 | $47.61 | 5.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $43.25 | $43.25 | 5.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $130 | $130 | 16.9× |
| Culture afb (87116) | $140 | $140 | 13.0× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$43.69–$174.91 | $43.69–$174.91 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$50.58–$53.77 | $50.58–$53.77 | varies |
| Culture csf (87070) range across 7 matching MRF lines |
$40–$129.24 | $40–$129.24 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$37.70–$43.70 | $37.70–$43.70 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$41.48–$50 | $41.48–$50 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $52 | $52 | 4.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $43.25 | $43.25 | 8.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$42.53–$45.25 | $42.53–$45.25 | varies |
| Cytogenetics 100-300 (88275) | $183.43 | $183.43 | 3.6× |
| Cytopath Cell Enhance Tech (88112) | $107.88 | $107.88 | 2.3× |
| Cytp Concentration Smears & Interpretation (88108) | $107.88 | $107.88 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $296.62 | $296.62 | 6.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $108.17 | $108.17 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$57.63–$259.89 | $57.63–$259.89 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$307–$352.21 | $307–$352.21 | varies |
| Detect agnt mult DNA ampli (87801) | $187 | $187 | 2.7× |
| Dgp Antibody Each Ig Class (86258) | $88.50 | $88.50 | 7.3× |
| Dhea (82626) range across 2 matching MRF lines |
$115.29–$128.11 | $115.29–$128.11 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$83.32–$112.57 | $83.32–$112.57 | varies |
| Digoxin (80162) | $71.08 | $71.08 | 5.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$85.05–$95.22 | $85.05–$95.22 | varies |
| Dna/Rna Amplified Probe (87150) | $140 | $140 | 4.0× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$50–$59 | $50–$59 | varies |
| Drug Assay Amiodarone (80151) | $100 | $100 | 5.4× |
| Drug Assay Everolimus (80169) | $214 | $214 | 15.6× |
| Drug Assay Lacosamide (80235) | $217 | $217 | 8.0× |
| Drug Screen Quant Zonisamide (80203) | $105 | $105 | 7.9× |
| Drug Screen Quantitative Gabapentin (80171) | $100.06 | $100.06 | 4.6× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$73–$80.70 | $73–$80.70 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$82.57–$101 | $82.57–$101 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $50.51 | $50.51 | 3.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$197.62–$210.11 | $197.62–$210.11 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $87 | $87 | 6.9× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$60.40–$156.96 | $60.40–$156.96 | varies |
| El-1 Fecal Quantitative (82653) | $245 | $245 | 10.7× |
| Electrolyte panel (80051) | $30.74 | $30.74 | 4.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $141.05 | $141.05 | 11.7× |
| Erythropoietin (82668) | $99.37 | $99.37 | 5.3× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$170.78–$229.57 | $170.78–$229.57 | varies |
| Estrogen total (82672) | $189.88 | $189.88 | 8.8× |
| Estrogens fractionated (82671) | $117.86 | $117.86 | 3.6× |
| Ethosuximide (80168) | $73.26 | $73.26 | 4.5× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$97.58–$102.86 | $97.58–$102.86 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$119.12–$137 | $119.12–$137 | varies |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$220.66–$323.75 | $220.66–$323.75 | varies |
| Fat/Lipids Feces Quantitative (82710) | $111 | $111 | 6.6× |
| Ferritin (82728) range across 2 matching MRF lines |
$73.20–$74.52 | $73.20–$74.52 | varies |
| Fibrin degradation products (85362) | $122.41 | $122.41 | 17.8× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$84.85–$103.07 | $84.85–$103.07 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$35.91–$41.51 | $35.91–$41.51 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$51.10–$91.28 | $51.10–$91.28 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$80.13–$83.97 | $80.13–$83.97 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$86.53–$91.66 | $86.53–$91.66 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$99.81–$105.58 | $99.81–$105.58 | varies |
| Francisella tularensis (86668) range across 6 matching MRF lines |
$25.35–$139.29 | $25.35–$139.29 | varies |
| Fungi Identification Yeast (87106) | $137 | $137 | 13.3× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$79.71–$88.58 | $79.71–$88.58 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,273.26 | $1,273.26 | 3.1× |
| Gentamicin (80170) | $65.70 | $65.70 | 4.0× |
| Ggt (82977) range across 2 matching MRF lines |
$34.56–$37.82 | $34.56–$37.82 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$84.49–$89.30 | $84.49–$89.30 | varies |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$26.44–$26.56 | $26.44–$26.56 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$18.65–$37.82 | $18.65–$37.82 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$17.25–$36.74 | $17.25–$36.74 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$63.68–$64.16 | $63.68–$64.16 | varies |
| Glycated Protein (82985) | $99.58 | $99.58 | 5.9× |
| Gonadotropin Chorionic Qualitative (84703) | $44.85 | $44.85 | 6.0× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$26.44–$38.48 | $26.44–$38.48 | varies |
| Haptoglobin (83010) range across 3 matching MRF lines |
$60.39–$86.57 | $60.39–$86.57 | varies |
| Hdl Cholesterol (83718) | $24.03 | $24.03 | 2.9× |
| Helicobacter Pylori Stool (87338) | $88.78 | $88.78 | 6.2× |
| Hematocrit (85014) range across 3 matching MRF lines |
$14.26–$36.56 | $14.26–$36.56 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$15.69–$17.10 | $15.69–$17.10 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$46.96–$50.32 | $46.96–$50.32 | varies |
| Hemosiderin urine (83070) | $12.39 | $12.39 | 2.6× |
| Hep a ab igm (86709) | $65.78 | $65.78 | 5.8× |
| Hepatitis a antibody total (86708) | $96.65 | $96.65 | 7.8× |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$44.89–$68.75 | $44.89–$68.75 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$59.14–$78.80 | $59.14–$78.80 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$64.90–$80.90 | $64.90–$80.90 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$32.43–$59.38 | $32.43–$59.38 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$59.37–$67.34 | $59.37–$67.34 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$581.96–$773.40 | $581.96–$773.40 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$169–$481.25 | $169–$481.25 | varies |
| Herpes simplex type 2 (86696) | $147.35 | $147.35 | 7.6× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$24.15–$37 | $24.15–$37 | varies |
| Histoplasma antigen urine (87385) | $156.01 | $156.01 | 11.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$84.03–$92 | $84.03–$92 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$132.89–$255.63 | $132.89–$255.63 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $142.35 | $142.35 | 1.9× |
| Hla-b27 (86812) | $103 | $103 | 4.0× |
| Homocysteine (83090) range across 2 matching MRF lines |
$209.83–$247.21 | $209.83–$247.21 | varies |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$109.57–$291.13 | $109.57–$291.13 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $71.68 | $71.68 | 2.0× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$73.20–$76.78 | $73.20–$76.78 | varies |
| Iaad Ia Streptococcus Group A (87430) | $72.22 | $72.22 | 4.3× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$147–$163.75 | $147–$163.75 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $220.57 | $220.57 | 3.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $248 | $248 | 6.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$99.18–$105.45 | $99.18–$105.45 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$47.10–$94.20 | $47.10–$94.20 | varies |
| Igg subclasses (82787) | $47.24 | $47.24 | 5.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $379.05 | $379.05 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $256.88 | $256.88 | 8.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $281.10 | $281.10 | 15.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$62.38–$213.76 | $62.38–$213.76 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$61.75–$183.84 | $61.75–$183.84 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$131.06–$135.87 | $131.06–$135.87 | varies |
| Immunohistochemistry (88342) | $379.05 | $379.05 | 2.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $149.55 | $149.55 | 2.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $85 | $85 | 6.9× |
| Influenza assay w/optic (87804) | $71.68 | $71.68 | 4.3× |
| Inhibin b (83520) range across 4 matching MRF lines |
$30.08–$277 | $30.08–$277 | varies |
| Insulin antibodies (86337) | $167.96 | $167.96 | 7.8× |
| Insulin total (83525) range across 2 matching MRF lines |
$71.01–$85.22 | $71.01–$85.22 | varies |
| Iron (83540) range across 3 matching MRF lines |
$35.87–$41 | $35.87–$41 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$57.72–$60 | $57.72–$60 | varies |
| Islet cell antibody (86341) | $216.95 | $216.95 | 9.2× |
| Koh Prep (87220) range across 2 matching MRF lines |
$21.85–$24.03 | $21.85–$24.03 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$29.99–$36.50 | $29.99–$36.50 | varies |
| LDL direct (83721) range across 3 matching MRF lines |
$51.75–$63.42 | $51.75–$63.42 | varies |
| Lead (83655) range across 5 matching MRF lines |
$54–$100.89 | $54–$100.89 | varies |
| Legionella antibody (86713) | $87.33 | $87.33 | 5.7× |
| Legionella antigen urine (87449) | $72.22 | $72.22 | 6.0× |
| Leptospira antibody (86720) | $69.83 | $69.83 | 4.3× |
| Leukocyte Assessment Fecal (89055) | $38.63 | $38.63 | 9.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $41.90 | $41.90 | 1.6× |
| Level ii surg pathology grossµscopic exam (88302) | $106.09 | $106.09 | 3.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $357.93 | $357.93 | 1.1× |
| Lipase (83690) | $36.68 | $36.68 | 5.3× |
| Lithium (80178) range across 2 matching MRF lines |
$56.70–$61.18 | $56.70–$61.18 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$91.60–$97.38 | $91.60–$97.38 | varies |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$42.49–$110.92 | $42.49–$110.92 | varies |
| Lysozyme serum (85549) | $107 | $107 | 5.7× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$34.03–$42.84 | $34.03–$42.84 | varies |
| Mercury urine (83825) | $157.59 | $157.59 | 9.7× |
| Methylmalonic acid serum (83921) | $79 | $79 | 3.7× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$31.90–$45.32 | $31.90–$45.32 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$71.34–$86.40 | $71.34–$86.40 | varies |
| Mitochondrial Antibody Each (86381) | $91 | $91 | 3.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $183.43 | $183.43 | 8.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $183.43 | $183.43 | 4.3× |
| Molecular Pathology Procedure Level 6 (81405) | $193.29 | $193.29 | 0.6× |
| Mumps antibody (86735) | $90.93 | $90.93 | 7.0× |
| Mycobacteric Identification (87118) | $125 | $125 | 8.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$67.49–$82.19 | $67.49–$82.19 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$95.20–$239.75 | $95.20–$239.75 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $311.94 | $311.94 | 4.3× |
| Nk cells total count (86357) | $100.98 | $100.98 | 2.7× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$65.84–$86.74 | $65.84–$86.74 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$40.19–$63.41 | $40.19–$63.41 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$43.72–$65.92 | $43.72–$65.92 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$48.98–$99 | $48.98–$99 | varies |
| Oxalate urine (83945) | $83.88 | $83.88 | 5.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$13.80–$15.18 | $13.80–$15.18 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$75.59–$88.46 | $75.59–$88.46 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$71.08–$76.15 | $71.08–$76.15 | varies |
| Phenytoin free (80186) | $68.83 | $68.83 | 5.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$22.22–$37.61 | $22.22–$37.61 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$18.46–$24.86 | $18.46–$24.86 | varies |
| Phosphorus urine (84105) | $52.54 | $52.54 | 9.1× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$19.84–$37.40 | $19.84–$37.40 | varies |
| Potassium Urine (84133) | $37.61 | $37.61 | 8.0× |
| Prealbumin (84134) range across 2 matching MRF lines |
$68.33–$71.99 | $68.33–$71.99 | varies |
| Primidone (80188) range across 2 matching MRF lines |
$75.07–$80.09 | $75.07–$80.09 | varies |
| Procalcitonin (Pct) (84145) | $249 | $249 | 9.1× |
| Progesterone (84144) range across 2 matching MRF lines |
$100.41–$106.55 | $100.41–$106.55 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$91.21–$111.17 | $91.21–$111.17 | varies |
| Protein body fluid (84157) | $37.25 | $37.25 | 9.3× |
| Protein c antigen (85302) range across 2 matching MRF lines |
$65.32–$158 | $65.32–$158 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$80–$172.74 | $80–$172.74 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$74.89–$103.77 | $74.89–$103.77 | varies |
| Protein total serum (84155) range across 4 matching MRF lines |
$23.32–$122.27 | $23.32–$122.27 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$36.65–$77.37 | $36.65–$77.37 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $97 | $97 | 24.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$213.67–$217.01 | $213.67–$217.01 | varies |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$18.43–$124.26 | $18.43–$124.26 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$175.13–$186.20 | $175.13–$186.20 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$100–$157.59 | $100–$157.59 | varies |
| Rbc antibody elution (86860) | $104 | $104 | 0.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$111.55–$136.50 | $111.55–$136.50 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$39.32–$127.79 | $39.32–$127.79 | varies |
| Rbc pretreatment serum (86978) | $112 | $112 | 2.1× |
| Reagent Strip/Blood Glucose (82948) | $11.38 | $11.38 | 2.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$112.53–$166.27 | $112.53–$166.27 | varies |
| Resp virus 12-25 targets (87633) | $230 | $230 | 0.6× |
| Reticulocyte separation (86972) | $152 | $152 | 1.0× |
| Rh (86901) range across 4 matching MRF lines |
$25–$86.30 | $25–$86.30 | varies |
| Rheumatoid factor quant (86431) | $44.90 | $44.90 | 7.9× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$25.63–$177.51 | $25.63–$177.51 | varies |
| Rotavirus ag eia (87425) | $65.70 | $65.70 | 5.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$45–$45.10 | $45–$45.10 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$34.69–$79.10 | $34.69–$79.10 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$56–$57.72 | $56–$57.72 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$81.75–$95.58 | $81.75–$95.58 | varies |
| Russell Viper Venom Time Diluted (85613) | $43.40 | $43.40 | 4.5× |
| Salicylate Level (80179) | $121.63 | $121.63 | 6.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$135–$159.82 | $135–$159.82 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $78 | $78 | 1.9× |
| Sedimentation Rate, Automated (85652) | $19.67 | $19.67 | 7.3× |
| Selenium (84255) | $121.10 | $121.10 | 4.7× |
| Semen Anal Sperm Detection (89321) | $60.72 | $60.72 | 5.0× |
| Sensitivity mic (87186) | $48.82 | $48.82 | 5.6× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$127.58–$180.40 | $127.58–$180.40 | varies |
| Sickling of rbc reduction (85660) | $106.14 | $106.14 | 19.3× |
| Skin test tuberculosis intradermal (86580) | $53.17 | $53.17 | 2.0× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$47–$68.60 | $47–$68.60 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$48.98–$99 | $48.98–$99 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$15.47–$52.10 | $15.47–$52.10 | varies |
| Smear Special Stain (87207) | $77 | $77 | 12.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$20.70–$22.77 | $20.70–$22.77 | varies |
| Sodium Serum (84295) | $26.82 | $26.82 | 5.6× |
| Sodium Urine (84300) | $36.74 | $36.74 | 7.3× |
| Somatomedin (84305) range across 2 matching MRF lines |
$85.81–$169.04 | $85.81–$169.04 | varies |
| Special Stains Group 1 (88312) | $102.29 | $102.29 | 2.1× |
| Special Stains Group 2 (88313) | $79.40 | $79.40 | 0.6× |
| Specimen infect agnt concntj (87015) | $45.35 | $45.35 | 6.8× |
| Staph a DNA amp probe (87640) | $67 | $67 | 1.9× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$33.35–$41.47 | $33.35–$41.47 | varies |
| Sugars Single Qual (84376) | $87.50 | $87.50 | 15.9× |
| Surg path level iii (88304) | $153.12 | $153.12 | 3.2× |
| Surgical pathology level IV (88305) | $257.58 | $257.58 | 5.4× |
| Surgical pathology level vi (88309) | $483.07 | $483.07 | 0.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$89.60–$190.55 | $89.60–$190.55 | varies |
| T cells total count (86359) | $100.98 | $100.98 | 2.7× |
| T3 Free (84481) range across 2 matching MRF lines |
$110.95–$117.95 | $110.95–$117.95 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$105–$116.09 | $105–$116.09 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$59.46–$66.08 | $59.46–$66.08 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$40.22–$400.22 | $40.22–$400.22 | varies |
| T4 total (84436) | $37.50 | $37.50 | 5.5× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$88.68–$94.29 | $88.68–$94.29 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$146.80–$152.95 | $146.80–$152.95 | varies |
| Testosterone, Free (84402) | $157.72 | $157.72 | 6.2× |
| Theophylline (80198) | $79.12 | $79.12 | 5.6× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$96.70–$123.73 | $96.70–$123.73 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$591.98–$657.80 | $591.98–$657.80 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$138.43–$150.50 | $138.43–$150.50 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$18.97–$37.61 | $18.97–$37.61 | varies |
| Transferrin (84466) | $109.10 | $109.10 | 8.6× |
| Trichomonas Vaginalis Amplif (87661) | $246.11 | $246.11 | 7.0× |
| Triglycerides (84478) | $18.97 | $18.97 | 3.3× |
| Troponin Quant (84484) | $89.64 | $89.64 | 7.2× |
| Uric acid other source (84560) | $37.76 | $37.76 | 7.4× |
| Urinalysis Microscopic Only (81015) | $18.70 | $18.70 | 6.1× |
| Urine Albumin Semiquantitative (82044) | $29.90 | $29.90 | 4.8× |
| Urine Bacteria Culture (87088) | $38.70 | $38.70 | 4.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$35.47–$38.90 | $35.47–$38.90 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18.04 | $18.04 | 5.7× |
| Valproic acid (80164) | $86.92 | $86.92 | 6.4× |
| Vancomycin (80202) range across 3 matching MRF lines |
$66.75–$82.54 | $66.75–$82.54 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$79.70–$127.93 | $79.70–$127.93 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$161.90–$179.90 | $161.90–$179.90 | varies |
| Viral Culture (87252) | $130.21 | $130.21 | 5.0× |
| Virus antibody nos (86790) | $99 | $99 | 7.7× |
| Vit D 1 25-Dihydroxy (82652) | $95.75 | $95.75 | 2.5× |
| Vitamin A (84590) range across 2 matching MRF lines |
$75–$81.43 | $75–$81.43 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$80.37–$80.96 | $80.37–$80.96 | varies |
| Vitamin c (82180) | $106.70 | $106.70 | 10.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$287.64–$305.80 | $287.64–$305.80 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$90.67–$138.69 | $90.67–$138.69 | varies |
| Volatiles (84600) | $94.72 | $94.72 | 5.5× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$73.53–$120.22 | $73.53–$120.22 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$73.53–$110.11 | $73.53–$110.11 | varies |
| Zinc (84630) | $88 | $88 | 7.7× |
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.