Lab & pathology prices at Memorial Hospital
Aurora, NE · every code in this section with a posted price and a Medicare benchmark.
462 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) | $225.60 | $235 | 12.3× |
| Acth (82024) | $273.60 | $285 | 7.1× |
| Actin smooth muscle antibody each (86015) | $114.24 | $119 | 9.5× |
| Acute hepatitis panel (80074) | $324.48 | $338 | 6.8× |
| Agglutinins Febrile Each Antigen (86000) | $96 | $100 | 13.8× |
| Albumin Fluid (82042) | $60.48 | $63 | 7.8× |
| Albumin serum (82040) | $94.08 | $98 | 19.0× |
| Aldolase (82085) | $111.36 | $116 | 11.5× |
| Aldosterone urine (82088) | $299.52 | $312 | 7.4× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$168–$571.20 | $175–$595 | varies |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$40.32–$161.28 | $42–$168 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$264–$272.64 | $275–$284 | varies |
| Alpha-Fetoprotein Serum (82105) | $182.40 | $190 | 10.9× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$35.52–$39.36 | $37–$41 | varies |
| Aluminum (82108) | $170.88 | $178 | 6.7× |
| Ammonia (82140) | $128.64 | $134 | 8.8× |
| Amylase urine (82150) range across 3 matching MRF lines |
$59.91–$115.20 | $62.40–$120 | varies |
| Ana Titer (86039) | $100.80 | $105 | 9.0× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$232.32–$445.44 | $242–$464 | varies |
| Androstenedione (82157) | $419.52 | $437 | 14.3× |
| Angiotensin converting enzyme csf (82164) | $149.76 | $156 | 10.3× |
| Antibody aspergillus (86606) | $62.40 | $65 | 4.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $168.96 | $176 | 10.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $157.44 | $164 | 9.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$113.28–$213.12 | $118–$222 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113.28 | $118 | 7.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $113.28 | $118 | 6.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $445.44 | $464 | 36.4× |
| Antibody Herpes Smplx Type 1 (86695) | $103.68 | $108 | 7.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,536 | $1,600 | 4.7× |
| Antibody Treponema Pallidum (86780) | $68.16 | $71 | 5.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $51.84 | $54 | 9.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$112.32–$143.04 | $117–$149 | varies |
| Antistreptolysin o titer (86060) | $118.08 | $123 | 16.2× |
| Antithrombin iii activity (85300) | $129.60 | $135 | 10.9× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$81.60–$912 | $85–$950 | varies |
| Arsenic (82175) | $288 | $300 | 15.2× |
| Assay Blood Carbon Dioxide (82374) | $46.08 | $48 | 9.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$158.40–$768 | $165–$800 | varies |
| Assay of 5-hiaa (83497) | $130.56 | $136 | 10.1× |
| Assay of blood/uric acid (84550) | $77.76 | $81 | 17.2× |
| Assay of calcium in urine (82340) | $31.30 | $32.60 | 5.2× |
| Assay of estrone (82679) | $203.52 | $212 | 8.2× |
| Assay of g6pd enzyme (82955) | $128.64 | $134 | 13.3× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$97.92–$119.04 | $102–$124 | varies |
| Assay of lactic acid (83605) | $163.20 | $170 | 14.1× |
| Assay of manganese (83785) | $97.92 | $102 | 3.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$123.84–$250.56 | $129–$261 | varies |
| Assay of proinsulin (84206) | $192 | $200 | 7.2× |
| Assay of serum potassium (84132) | $49.92 | $52 | 10.5× |
| Assay of urea nitrogen (84520) | $51.84 | $54 | 13.1× |
| Assay of urine vma (84585) | $189.12 | $197 | 12.2× |
| Assay of vasoactive intestinal peptide (84586) | $264 | $275 | 7.5× |
| Assay of vitamin b-1 (84425) | $208.32 | $217 | 9.8× |
| Assay Ph Body Fluid Nos (83986) | $43.20 | $45 | 12.1× |
| Assay spec xcp ur&breath ia (82077) | $249.60 | $260 | 14.5× |
| Automated Leukocyte Count (85048) | $45.12 | $47 | 17.8× |
| B cells total count (86355) range across 3 matching MRF lines |
$206.40–$600 | $215–$625 | varies |
| Bcr/abl1 gene major bp (81206) | $600 | $625 | 3.7× |
| Bcr/abl1 gene minor bp (81207) | $273.60 | $285 | 1.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$130.56–$235.20 | $136–$245 | varies |
| Beta hydroxybutyrate (82010) | $123.84 | $129 | 15.2× |
| Beta Lactamase (87185) | $70.08 | $73 | 14.8× |
| Beta-2 Microglobulin (82232) | $120 | $125 | 7.4× |
| Bile acids total (82239) | $70.08 | $73 | 4.1× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$33.60–$57.60 | $35–$60 | varies |
| Bilirubin total (82247) | $62.40 | $65 | 12.4× |
| Biotinidase (82261) | $16.32 | $17 | 1.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $38.40 | $40 | 11.2× |
| Bleeding time test (85002) | $74.88 | $78 | 15.5× |
| Blood Count Automated Differential Wbc Count (85004) | $56.64 | $59 | 8.8× |
| Blood Count Red Blood Cell Automated (85041) | $20.79 | $21.65 | 6.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $93.12 | $97 | 24.5× |
| Blood gas (82803) range across 3 matching MRF lines |
$247.68–$304.32 | $258–$317 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $49.92 | $52 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$288–$672 | $300–$700 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$67.20–$89.28 | $70–$93 | varies |
| Bordetella antibody (86615) | $115.20 | $120 | 8.7× |
| Brucella antibody (86622) | $120.96 | $126 | 13.5× |
| C-Peptide (84681) | $196.80 | $205 | 9.5× |
| C-reactive protein (86140) | $136.32 | $142 | 26.3× |
| Ca 19-9 (86301) | $184.32 | $192 | 8.9× |
| Calcium ionized (82330) | $119.04 | $124 | 8.7× |
| Calcium total (82310) range across 2 matching MRF lines |
$31.30–$78.72 | $32.60–$82 | varies |
| Calculus Spectroscopy (82365) | $143.04 | $149 | 11.1× |
| Calprotectin Fecal (83993) | $490.56 | $511 | 25.0× |
| Cancer Antigen 125 (86304) | $179.52 | $187 | 8.6× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$186.24–$187.20 | $194–$195 | varies |
| Candida Dna Dir Probe (87480) | $72 | $75 | 3.6× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$126.72–$168 | $132–$175 | varies |
| Carboxyhemoglobin (82375) | $74.88 | $78 | 6.1× |
| Carcinoembryonic antigen (82378) | $154.56 | $161 | 8.2× |
| Cardiolipin ab iga (86147) range across 7 matching MRF lines |
$144.96–$235.20 | $151–$245 | varies |
| Carnitine Quantitative Each Specimen (82379) | $109.44 | $114 | 6.5× |
| Catecholamines fractionated (82384) | $216.96 | $226 | 8.6× |
| Ccp antibody (86200) | $194.88 | $203 | 15.0× |
| Cell count csf (89051) range across 2 matching MRF lines |
$123.84–$144.96 | $129–$151 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $307.20 | $320 | 2.3× |
| Ceruloplasmin (82390) | $103.68 | $108 | 9.7× |
| Cftr gene com variants (81220) | $463.68 | $483 | 0.8× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$254.40–$419.52 | $265–$437 | varies |
| Chlmy trch&neisra gonor mult (87494) | $224.64 | $234 | 3.2× |
| Chloride Serum (82435) | $40.32 | $42 | 8.8× |
| Chloride urine (82436) | $27.94 | $29.10 | 4.9× |
| Cholesterol total (82465) | $72 | $75 | 16.6× |
| Chorionic gonadotropin test (84702) | $168 | $175 | 11.2× |
| Chromium serum (82495) | $247.68 | $258 | 12.2× |
| Chromogranin a (86316) | $211.20 | $220 | 10.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $126.72 | $132 | 3.6× |
| Citric acid urine (82507) | $134.40 | $140 | 4.8× |
| Ckmb (82553) | $177.60 | $185 | 15.4× |
| Clostridium Difficile (87324) | $189.12 | $197 | 15.8× |
| Clot Factor VIII Multimetric (85247) | $206.40 | $215 | 9.0× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$177.60–$216 | $185–$225 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$172.80–$648 | $180–$675 | varies |
| Compatibility test antiglob (86922) | $345.60 | $360 | 2.0× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$98.88–$259.20 | $103–$270 | varies |
| Complement Total (Ch50) (86162) | $175.68 | $183 | 8.6× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$182.40–$227.52 | $190–$237 | varies |
| Coombs direct (86880) | $89.28 | $93 | 16.6× |
| Copper urine (82525) range across 2 matching MRF lines |
$171.84–$180.48 | $179–$188 | varies |
| Cortisol free (82530) | $191.04 | $199 | 11.4× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$144.96–$176.64 | $151–$184 | varies |
| Creatine kinase total (82550) | $115.20 | $120 | 17.7× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$74.88–$79.68 | $78–$83 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$114.24–$119.04 | $119–$124 | varies |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$86.40–$142.08 | $90–$148 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$235.20–$312 | $245–$325 | varies |
| Crossmatch immediate spin (86920) | $235.20 | $245 | 1.3× |
| Crp High Sensitivity (86141) | $100.80 | $105 | 7.8× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$77.76–$80.64 | $81–$84 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$72–$117.12 | $75–$122 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$91.20–$115.20 | $95–$120 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $91.20 | $95 | 11.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $128.64 | $134 | 16.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $806.40 | $840 | 3.7× |
| Culture afb (87116) | $182.40 | $190 | 16.9× |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$45.60–$149.76 | $47.50–$156 | varies |
| Culture blood (87040) | $350.40 | $365 | 34.0× |
| Culture chlamydia (87110) | $60.48 | $63 | 3.1× |
| Culture csf (87070) range across 10 matching MRF lines |
$72–$168.96 | $75–$176 | varies |
| Culture fungus (87102) | $158.40 | $165 | 18.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$63.36–$68.16 | $66–$71 | varies |
| Culture stool (87045) | $119.04 | $124 | 12.6× |
| Culture typing if ea antiserum (87140) | $96.96 | $101 | 17.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $82.56 | $86 | 15.9× |
| Culture urine (87086) range across 2 matching MRF lines |
$91.20–$105.60 | $95–$110 | varies |
| Cyclosporine (80158) | $160.32 | $167 | 8.9× |
| Cystatin C (82610) | $119.04 | $124 | 6.4× |
| Cytogenetics 100-300 (88275) | $986.88 | $1,028 | 19.3× |
| Cytomegalovirus igg (86644) | $147.84 | $154 | 10.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$134.40–$144 | $140–$150 | varies |
| Cytopath Cell Enhance Tech (88112) | $183.36 | $191 | 3.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $144 | $150 | 5.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $244.80 | $255 | 4.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $103.68 | $108 | 3.5× |
| Detect Agent Nos Dna Amp (87798) range across 24 matching MRF lines |
$59.52–$1,032 | $62–$1,075 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$264–$355.20 | $275–$370 | varies |
| Dgp Antibody Each Ig Class (86258) | $200.64 | $209 | 16.7× |
| Dhea (82626) | $240.96 | $251 | 9.5× |
| Dhea-S (82627) | $184.32 | $192 | 8.3× |
| Digoxin (80162) | $125.76 | $131 | 9.5× |
| Diphtheria antitoxoid (86648) | $89.28 | $93 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$114.24–$226.56 | $119–$236 | varies |
| Dna/Rna Amplified Probe (87150) range across 80 matching MRF lines |
$59.52–$206.40 | $62–$215 | varies |
| Dna/Rna Sequencing (87153) | $88.32 | $92 | 0.8× |
| Drug assay acetaminophen (80143) | $226.56 | $236 | 12.2× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$448.32–$672 | $467–$700 | varies |
| Drug Assay Everolimus (80169) | $144 | $150 | 10.5× |
| Drug Assay Lacosamide (80235) | $245.76 | $256 | 9.1× |
| Drug Screen Quant Zonisamide (80203) | $178.56 | $186 | 13.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $170.88 | $178 | 12.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $212.16 | $221 | 16.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $195.84 | $204 | 14.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $24 | $25 | 0.4× |
| Drug Test Prsmv Instrmnt (80306) | $290.88 | $303 | 17.0× |
| Ehrlichia antibody (86666) | $163.20 | $170 | 16.0× |
| El-1 Fecal Quantitative (82653) | $186.24 | $194 | 8.1× |
| Electrolyte panel (80051) | $114.24 | $119 | 16.3× |
| Enzyme cell activity (82657) | $16.32 | $17 | 0.7× |
| Erythropoietin (82668) | $199.68 | $208 | 10.6× |
| Estradiol serum (82670) | $205.44 | $214 | 7.4× |
| Estriol (82677) | $177.60 | $185 | 7.3× |
| Estrogen total (82672) | $257.28 | $268 | 11.9× |
| Exam Synovial Fluid Crystals (89060) | $90.24 | $94 | 12.3× |
| F2 Gene (81240) | $489.60 | $510 | 7.5× |
| Factor ii activity (85210) | $134.40 | $140 | 10.4× |
| Factor v activity (85220) | $144 | $150 | 8.2× |
| Factor v leiden mutation (81241) | $489.60 | $510 | 6.7× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$110.40–$360 | $115–$375 | varies |
| Fecal Fat Qualitative (82705) | $102.72 | $107 | 20.1× |
| Ferritin (82728) | $153.60 | $160 | 11.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $186.24 | $194 | 1.2× |
| Fetal Fibronectin (82731) | $572.16 | $596 | 8.9× |
| Fetal screen rosette (85461) | $115.20 | $120 | 12.3× |
| Fibrin Degradation Quant (85379) | $198.72 | $207 | 19.5× |
| Fibrinogen activity (85384) | $106.56 | $111 | 11.0× |
| Flow cytometry first marker (88184) | $216.96 | $226 | 0.6× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$72–$321.60 | $75–$335 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $162.24 | $169 | 13.5× |
| Fluoride serum (82735) | $652.80 | $680 | 35.2× |
| Folic acid rbc (82747) | $148.80 | $155 | 8.4× |
| Folic Acid Serum (82746) | $166.08 | $173 | 11.3× |
| Follicle Stimulating Hormone (83001) | $165.12 | $172 | 8.9× |
| Francisella tularensis (86668) | $139.20 | $145 | 9.8× |
| Fungi Identification Mold (87107) | $112.32 | $117 | 10.9× |
| Fungi Identification Yeast (87106) | $124.80 | $130 | 12.1× |
| Galactose (82760) | $16.32 | $17 | 1.5× |
| Galactose transferase test (82776) | $16.32 | $17 | 1.4× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$119.04–$297.60 | $124–$310 | varies |
| Gardner vag DNA dir probe (87510) | $72 | $75 | 3.6× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$61.44–$103.68 | $64–$108 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $633.60 | $660 | 1.5× |
| Genet Virus Isolate Hsv (87255) | $309.12 | $322 | 9.1× |
| Gentamicin (80170) range across 3 matching MRF lines |
$141.46–$192 | $147.35–$200 | varies |
| Ggt (82977) | $72.96 | $76 | 10.1× |
| Giardia antigen (87329) | $121.92 | $127 | 10.2× |
| Glucose Blood Test (82962) | $75.84 | $79 | 23.1× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$33.99–$60.48 | $35.40–$63 | varies |
| Glucose Serum (82947) | $55.68 | $58 | 14.2× |
| Glucose tolerance test (gtt) (82951) | $150.72 | $157 | 11.7× |
| Glycated Protein (82985) | $86.40 | $90 | 5.2× |
| Gonadotropin Chorionic Qualitative (84703) | $148.80 | $155 | 19.8× |
| Growth hormone (83003) | $146.88 | $153 | 8.8× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$64.32–$150.72 | $67–$157 | varies |
| Haptoglobin (83010) | $118.08 | $123 | 9.4× |
| Hdl Cholesterol (83718) | $44.16 | $46 | 5.4× |
| Helicobacter Pylori Stool (87338) | $212.16 | $221 | 14.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$36.48–$56.64 | $38–$59 | varies |
| Hemoglobin (85018) | $54.72 | $57 | 23.1× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$81.60–$96 | $85–$100 | varies |
| Hemoglobin electrophoresis (83020) | $16.32 | $17 | 1.3× |
| Hep a ab igm (86709) | $121.92 | $127 | 10.8× |
| Heparin assay (85520) | $140.16 | $146 | 10.7× |
| Hepatitis a antibody total (86708) | $138.24 | $144 | 11.2× |
| Hepatitis b core ab igm (86705) | $180.48 | $188 | 15.3× |
| Hepatitis B Surface Antibody (86706) | $114.24 | $119 | 10.6× |
| Hepatitis B Surface Antigen (87340) | $93.12 | $97 | 9.0× |
| Hepatitis Be Antigen (87350) | $103.68 | $108 | 9.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$109.44–$149.76 | $114–$156 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$336–$669.12 | $350–$697 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $457.92 | $477 | 10.7× |
| Herpes simplex type 2 (86696) | $94.08 | $98 | 4.9× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$59.52–$96.96 | $62–$101 | varies |
| Hfe Gene (81256) | $427.20 | $445 | 6.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $212.16 | $221 | 27.4× |
| Histoplasma antibody (86698) | $188.16 | $196 | 13.6× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$293.76–$309.12 | $306–$322 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $120.96 | $126 | 5.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $349.44 | $364 | 4.1× |
| Hla class i&ii antibody qual (86828) | $268.80 | $280 | 4.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $544.32 | $567 | 7.3× |
| Hla ii typing 1 locus lr (81376) | $811.20 | $845 | 6.6× |
| Homocysteine (83090) | $187.20 | $195 | 10.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $194.88 | $203 | 2.8× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$303.36–$325.44 | $316–$339 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$16.32–$216 | $17–$225 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$103.68–$128.64 | $108–$134 | varies |
| Iaad ia shiga-like toxin (87427) | $160.32 | $167 | 13.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $80.64 | $84 | 2.3× |
| Iadna Cytomegalovirus Quantification (87497) | $532.80 | $555 | 12.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $470.40 | $490 | 11.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $303.36 | $316 | 8.6× |
| Iadna Herpes Virus-6 Quantification (87533) | $511.68 | $533 | 12.3× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $59.52 | $62 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $80.64 | $84 | 2.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $126.72 | $132 | 3.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $385.92 | $402 | 2.7× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$169.92–$213.12 | $177–$222 | varies |
| Igg subclasses (82787) | $130.56 | $136 | 16.3× |
| Immunfix e-phorsis/urine/csf (86335) | $169.92 | $177 | 5.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$172.80–$772.80 | $180–$805 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$25.92–$119.04 | $27–$124 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$16.32–$1,475.52 | $17–$1,537 | varies |
| Immunofixation electrophoresis (86334) | $161.28 | $168 | 7.2× |
| Immunohistochemistry (88342) | $213.12 | $222 | 1.2× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$201.60–$256.32 | $210–$267 | varies |
| Inhibin A (86336) | $103.68 | $108 | 6.7× |
| Inhibin b (83520) range across 7 matching MRF lines |
$201.60–$321.60 | $210–$335 | varies |
| Insulin antibodies (86337) | $230.40 | $240 | 10.8× |
| Insulin total (83525) | $121.92 | $127 | 10.7× |
| Iron (83540) range across 2 matching MRF lines |
$65.28–$86.40 | $68–$90 | varies |
| Iron Binding Capacity (83550) | $100.80 | $105 | 11.5× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$326.40–$475.20 | $340–$495 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$56.64–$72.96 | $59–$76 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $93.12 | $97 | 15.4× |
| Lactoferrin fecal qualitative (83630) | $91.20 | $95 | 4.6× |
| Lactoferrin Fecal Quantitative (83631) | $137.28 | $143 | 7.0× |
| LDL direct (83721) | $127.68 | $133 | 12.2× |
| Lead (83655) range across 4 matching MRF lines |
$120–$120.96 | $125–$126 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$266.88–$551.04 | $278–$574 | varies |
| Leukocyte Assessment Fecal (89055) | $80.64 | $84 | 18.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $70.08 | $73 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $116.16 | $121 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $523.20 | $545 | 1.4× |
| Lipase (83690) | $147.84 | $154 | 21.5× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$86.40–$128.64 | $90–$134 | varies |
| Lithium (80178) | $97.92 | $102 | 14.8× |
| Luteinizing Hormone (Lh) (83002) | $120.96 | $126 | 6.5× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$163.20–$225.60 | $170–$235 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $399.36 | $416 | 2.3× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$52.76–$110.40 | $54.95–$115 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$16.32–$604.80 | $17–$630 | varies |
| Metabolic panel ionized ca (80047) | $192 | $200 | 14.0× |
| Methylmalonic acid serum (83921) | $331.20 | $345 | 15.6× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$120–$124.80 | $125–$130 | varies |
| Microbe Suscept Macrobroth (87188) | $224.64 | $234 | 33.8× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$120–$169.92 | $125–$177 | varies |
| Mitochondrial Antibody Each (86381) | $119.04 | $124 | 4.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $1,156.80 | $1,205 | 30.7× |
| Mopath procedure level 2 (81401) | $254.40 | $265 | 1.9× |
| Mthfr Gene Analysis Common Variants (81291) | $192 | $200 | 2.9× |
| Mumps antibody (86735) | $101.76 | $106 | 7.8× |
| Muscle-Specific Kinase Antb (86366) | $1,190.40 | $1,240 | 64.7× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$297.60–$324.48 | $310–$338 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $254.40 | $265 | 1.0× |
| Niacin (84591) | $134.40 | $140 | 7.9× |
| Nk cells total count (86357) | $240 | $250 | 6.4× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$65.28–$192.96 | $68–$201 | varies |
| Osmolality serum (83930) | $92.16 | $96 | 13.9× |
| Osmolality Urine (83935) | $102.72 | $107 | 15.1× |
| Osteocalcin (83937) | $177.60 | $185 | 5.9× |
| Ova and parasites smears (87177) | $96.96 | $101 | 10.9× |
| Oxalate urine (83945) | $134.40 | $140 | 9.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$43.20–$70.08 | $45–$73 | varies |
| Phenobarbital Level (80184) | $144.96 | $151 | 9.5× |
| Phenylalanine (84030) | $137.28 | $143 | 25.0× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$120–$140.16 | $125–$146 | varies |
| Phenytoin free (80186) | $120 | $125 | 8.7× |
| Phosphatase alkaline (84075) | $46.08 | $48 | 8.9× |
| Phospholipid Neutralization Hexagonal (85598) | $196.80 | $205 | 10.9× |
| Phosphorus Serum (84100) | $85.44 | $89 | 18.0× |
| Phosphorus urine (84105) | $51.27 | $53.40 | 8.9× |
| Pinworm exam (87172) | $58.56 | $61 | 13.7× |
| Platelet count automated (85049) | $60.48 | $63 | 13.5× |
| Platelet neutralization (85597) | $168 | $175 | 9.3× |
| Potassium Urine (84133) | $41.14 | $42.85 | 8.7× |
| Prealbumin (84134) | $114.24 | $119 | 7.8× |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$298.56–$421.44 | $311–$439 | varies |
| Progesterone (84144) | $141.12 | $147 | 6.8× |
| Prolactin (84146) | $210.24 | $219 | 10.8× |
| Prostaglandin (84150) | $196.80 | $205 | 4.7× |
| Protein body fluid (84157) | $60.48 | $63 | 15.1× |
| Protein C Activity (85303) | $218.88 | $228 | 15.8× |
| Protein Electrophoresis Urine (84166) | $142.08 | $148 | 8.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $143.04 | $149 | 13.3× |
| Protein S Free (85306) | $244.80 | $255 | 16.0× |
| Protein total serum (84155) | $49.92 | $52 | 13.6× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$86.40–$169.92 | $90–$177 | varies |
| PSA free (84154) | $180.48 | $188 | 9.8× |
| Pth Intact (83970) | $340.80 | $355 | 8.3× |
| Q Fever Antibody (86638) | $96.96 | $101 | 8.0× |
| Quantiferon tb gold plus (86480) | $144.96 | $151 | 2.3× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$158.40–$925.44 | $165–$964 | varies |
| Quantitative Screen Metals (83018) | $177.60 | $185 | 8.1× |
| Rbc antibody identification (86870) | $252.48 | $263 | 0.7× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$115.20–$138.24 | $120–$144 | varies |
| Reagent Strip/Blood Glucose (82948) | $53.76 | $56 | 10.7× |
| Renin activity plasma (84244) | $194.88 | $203 | 8.9× |
| Resp virus 12-25 targets (87633) | $864 | $900 | 2.1× |
| Resp Virus 6-11 Targets (87632) | $811.20 | $845 | 3.7× |
| Reticulocyte Count (85046) | $68.16 | $71 | 12.2× |
| Rh (86901) range across 4 matching MRF lines |
$44.16–$92.16 | $46–$96 | varies |
| Rheumatoid factor quant (86431) | $86.40 | $90 | 15.2× |
| Rickettsia antibody (86757) | $163.20 | $170 | 8.4× |
| Ristocetin cofactor (85245) | $211.20 | $220 | 9.2× |
| Rotavirus ag eia (87425) | $145.92 | $152 | 12.2× |
| Rpr qualitative (86592) | $51.84 | $54 | 12.1× |
| Rsv Assay W/Optic (87807) | $144.96 | $151 | 11.1× |
| Rubella Antibody (86762) | $77.76 | $81 | 5.4× |
| Rubeola antibody (86765) | $112.32 | $117 | 8.7× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$126.72–$235.20 | $132–$245 | varies |
| Salicylate Level (80179) | $226.56 | $236 | 12.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$187.20–$257.28 | $195–$268 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $170.88 | $178 | 4.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $422.40 | $440 | 3.0× |
| Sedimentation Rate, Automated (85652) | $66.24 | $69 | 24.5× |
| Selenium (84255) | $146.88 | $153 | 5.8× |
| Semen Anal Sperm Detection (89321) | $88.32 | $92 | 7.3× |
| Sensitivity mic (87186) | $129.60 | $135 | 15.0× |
| Sex Hormone Binding Globulin (84270) | $144.96 | $151 | 6.7× |
| Sickling of rbc reduction (85660) | $81.60 | $85 | 14.8× |
| Sirolimus (80195) | $289.92 | $302 | 21.1× |
| Skin test tuberculosis intradermal (86580) | $19.20 | $20 | 0.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$47.04–$77.76 | $49–$81 | varies |
| Smear complex stain (87209) | $93.12 | $97 | 5.2× |
| Smear gram stain (87205) range across 5 matching MRF lines |
$61.44–$73.92 | $64–$77 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $61.44 | $64 | 10.6× |
| Sodium Serum (84295) | $44.16 | $46 | 9.2× |
| Sodium Urine (84300) | $54.72 | $57 | 10.8× |
| Soluble Transferrin Receptor (84238) | $222.72 | $232 | 6.1× |
| Somatomedin (84305) | $201.60 | $210 | 9.5× |
| Special Stains Group 1 (88312) | $175.68 | $183 | 3.2× |
| Special Stains Group 2 (88313) | $151.68 | $158 | 1.1× |
| Specimen infect agnt concntj (87015) | $57.60 | $60 | 8.6× |
| Stool cultr aerobic bact ea (87046) | $115.20 | $120 | 12.2× |
| Strep a DNA amp probe (87651) | $145.92 | $152 | 4.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$25.92–$216 | $27–$225 | varies |
| Sugars Single Qual (84376) | $72 | $75 | 13.1× |
| Surg path level iii (88304) | $147.84 | $154 | 2.7× |
| Surgical pathology level IV (88305) | $360 | $375 | 6.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $158.40 | $165 | 21.2× |
| Syphilis Test Non-Trep Quant (86593) | $68.16 | $71 | 15.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $240 | $250 | 5.1× |
| T cells total count (86359) | $240 | $250 | 6.4× |
| T3 Free (84481) range across 2 matching MRF lines |
$188.16–$225.60 | $196–$235 | varies |
| T3 reverse (84482) | $232.32 | $242 | 14.7× |
| T3 Total (84480) | $145.92 | $152 | 10.3× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$83.52–$92.16 | $87–$96 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$130.56–$139.20 | $136–$145 | varies |
| T4 total (84436) | $83.52 | $87 | 12.2× |
| T4-neonatal (84437) | $16.32 | $17 | 2.5× |
| Tacrolimus (80197) | $257.28 | $268 | 18.7× |
| Tau phosphorylated each (84393) | $1,102.08 | $1,148 | 8.5× |
| Tb ag response t-cell susp (86481) | $240.96 | $251 | 2.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$146.88–$288 | $153–$300 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$158.40–$163.20 | $165–$170 | varies |
| Theophylline (80198) | $149.76 | $156 | 10.6× |
| Thiopurine methyltransferase (84433) | $206.40 | $215 | 9.3× |
| Thrombin Time (85670) | $140.16 | $146 | 24.3× |
| Thyroglobulin (84432) | $145.92 | $152 | 9.1× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$123.84–$209.28 | $129–$218 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $403.20 | $420 | 7.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $235.20 | $245 | 20.4× |
| Tissue culture bone marrow (88237) | $720 | $750 | 5.0× |
| Topiramate (80201) range across 2 matching MRF lines |
$144–$242.88 | $150–$253 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $154.56 | $161 | 7.8× |
| Toxoplasma ab igm (86778) | $118.08 | $123 | 8.2× |
| Toxoplasma antibody (86777) | $105.60 | $110 | 7.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $85.44 | $89 | 16.5× |
| Transferrin (84466) | $111.36 | $116 | 8.7× |
| Trichomonas vagin dir probe (87660) | $72 | $75 | 3.6× |
| Triglycerides (84478) | $64.32 | $67 | 11.2× |
| Troponin Quant (84484) | $290.88 | $303 | 23.3× |
| Tumor immunohistochem/comput (88361) | $358.08 | $373 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $358.08 | $373 | 2.0× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$33.99–$44.16 | $35.40–$46 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$31.30–$60.48 | $32.60–$63 | varies |
| Urinalysis Microscopic Only (81015) | $43.20 | $45 | 14.2× |
| Urinalysis Volume Measure (81050) | $28.80 | $30 | 7.9× |
| Urine Bacteria Culture (87088) | $120 | $125 | 14.8× |
| Urine Pregnancy Test (81025) | $107.52 | $112 | 12.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $72 | $75 | 22.7× |
| Valproic acid (80164) | $154.56 | $161 | 11.4× |
| Vancomycin (80202) range across 3 matching MRF lines |
$127.59–$177.60 | $132.90–$185 | varies |
| Varicella-zoster antibody (86787) | $131.52 | $137 | 10.2× |
| Vasopressin (84588) | $192 | $200 | 5.7× |
| Very Long Chain Fatty Acids (82726) | $16.32 | $17 | 0.8× |
| Viral Culture (87252) range across 2 matching MRF lines |
$124.80–$180.48 | $130–$188 | varies |
| Virus antibody nos (86790) | $681.60 | $710 | 52.9× |
| Virus inoculate tissue addl (87253) | $306.24 | $319 | 15.2× |
| Viscosity serum (85810) | $62.40 | $65 | 5.3× |
| Vit D 1 25-Dihydroxy (82652) | $233.28 | $243 | 6.1× |
| Vitamin A (84590) | $164.16 | $171 | 14.1× |
| Vitamin b-12 (82607) | $176.64 | $184 | 11.7× |
| Vitamin B6 (84207) | $358.08 | $373 | 12.7× |
| Vitamin c (82180) | $91.20 | $95 | 9.2× |
| Vitamin D 25-Hydroxy (82306) | $206.40 | $215 | 7.0× |
| Vitamin E (84446) | $109.44 | $114 | 7.7× |
| West nile virus ab igm (86788) | $123.84 | $129 | 7.3× |
| West Nile Virus Antibody (86789) | $123.84 | $129 | 8.6× |
| Zinc (84630) | $115.20 | $120 | 10.1× |
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.