Lab & pathology prices at Memorial Hospital
Carthage, IL · every code in this section with a posted price and a Medicare benchmark.
545 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $63.20 | $79 | 5.7× |
| Acetylcholine receptor binding antibody (86041) | $47.20 | $59 | 2.6× |
| Acetylcholine receptor blocking antibody (86042) | $47.20 | $59 | 2.6× |
| Acetylcholinesterase Assay (82013) | $262.40 | $328 | 21.4× |
| Acth (82024) | $174.40 | $218 | 4.5× |
| Actin smooth muscle antibody each (86015) | $71.20 | $89 | 5.9× |
| Acute hepatitis panel (80074) | $424 | $530 | 8.9× |
| Acylcarnitines Quant (82017) | $224.80 | $281 | 13.3× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $30.40 | $38 | 1.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $284 | $355 | 4.4× |
| Albumin Fluid (82042) | $218.40 | $273 | 28.1× |
| Albumin serum (82040) range across 2 matching MRF lines |
$84–$85.60 | $105–$107 | varies |
| Aldolase (82085) | $140.80 | $176 | 14.5× |
| Aldosterone urine (82088) | $218.40 | $273 | 5.4× |
| Alkaline phosphatase isoenzymes (84080) | $126.40 | $158 | 8.6× |
| Allergen spec ige qual multiallergen screen (86005) | $83.20 | $104 | 10.4× |
| Allergen specific ige (86003) range across 47 matching MRF lines |
$29.60–$83.20 | $37–$104 | varies |
| Allg Spec Ige Recomb Ea (86008) | $63.20 | $79 | 3.5× |
| Alpha-1-antitrypsin phenotype (82104) | $100 | $125 | 6.9× |
| Alpha-1-antitrypsin total (82103) | $100 | $125 | 7.4× |
| Alpha-Fetoprotein Serum (82105) | $89.60 | $112 | 5.3× |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$12–$132 | $15–$165 | varies |
| Amikacin trough (80150) | $153.60 | $192 | 10.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $200 | $250 | 11.9× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $30.40 | $38 | 2.2× |
| Ammonia (82140) | $278.40 | $348 | 19.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$132–$223.20 | $165–$279 | varies |
| Ana Titer (86039) | $63.20 | $79 | 5.7× |
| Anca screen each antibody (86036) | $200.80 | $251 | 16.7× |
| Androstenedione (82157) range across 2 matching MRF lines |
$120.80–$121.60 | $151–$152 | varies |
| Angiotensin converting enzyme csf (82164) | $123.20 | $154 | 8.4× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$77.60–$83.20 | $97–$104 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $134.40 | $168 | 8.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$60.80–$67.20 | $76–$84 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $69.60 | $87 | 5.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $69.60 | $87 | 4.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $69.60 | $87 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $96 | $120 | 6.7× |
| Antibody Herpes Smplx Type 1 (86695) | $32 | $40 | 2.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $150.40 | $188 | 11.0× |
| Antibody identification leukocyte antibodies (86021) | $170.40 | $213 | 11.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $230.40 | $288 | 18.5× |
| Antibody Protozoa Nes (86753) | $101.60 | $127 | 8.2× |
| Antibody Titer (86886) | $237.60 | $297 | 45.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$61.60–$68.80 | $77–$86 | varies |
| Antibody; campylobacter (86625) | $183.20 | $229 | 14.0× |
| Antigen typing (86905) range across 3 matching MRF lines |
$176.80–$195.20 | $221–$244 | varies |
| Antinuclear antibodies (86038) | $277.60 | $347 | 23.0× |
| Antistreptolysin o titer (86060) | $67.20 | $84 | 9.2× |
| Antithrombin iii activity (85300) | $87.20 | $109 | 7.4× |
| Antithrombin iii antigen (85301) | $87.20 | $109 | 8.1× |
| Apolipoprotein a1 (82172) | $132 | $165 | 6.3× |
| Arsenic (82175) | $76 | $95 | 4.0× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$208.80–$209.60 | $261–$262 | varies |
| Assay activated protein c (85307) | $84 | $105 | 5.5× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$12–$123.20 | $15–$154 | varies |
| Assay Nephelometry Not Spec (83883) | $312 | $390 | 22.9× |
| Assay of 5-hiaa (83497) | $244 | $305 | 18.9× |
| Assay of blood/uric acid (84550) | $132 | $165 | 29.2× |
| Assay of calcium in urine (82340) | $111.20 | $139 | 18.4× |
| Assay of cpk in blood (82552) | $77.60 | $97 | 5.8× |
| Assay of estrone (82679) | $120 | $150 | 4.8× |
| Assay of g6pd enzyme (82955) | $257.60 | $322 | 26.6× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$130.40–$137.60 | $163–$172 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$12–$250.40 | $15–$313 | varies |
| Assay of manganese (83785) | $126.40 | $158 | 4.7× |
| Assay of metanephrines (83835) | $195.20 | $244 | 11.5× |
| Assay of proinsulin (84206) | $122.40 | $153 | 4.6× |
| Assay of serotonin (84260) | $244.80 | $306 | 7.9× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$12–$94.40 | $15–$118 | varies |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$12–$128 | $15–$160 | varies |
| Assay of urine vma (84585) | $146.40 | $183 | 9.4× |
| Assay of vasoactive intestinal peptide (84586) | $156 | $195 | 4.4× |
| Assay of vitamin b-1 (84425) | $140.80 | $176 | 6.6× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$32–$65.60 | $40–$82 | varies |
| Assay spec xcp ur&breath ia (82077) | $212.80 | $266 | 12.3× |
| Automated Leukocyte Count (85048) | $52.80 | $66 | 20.8× |
| B cells total count (86355) | $73.60 | $92 | 2.0× |
| Bartonella antibody (86611) | $82.40 | $103 | 8.1× |
| Bcr/abl1 gene major bp (81206) | $556.80 | $696 | 3.4× |
| Bcr/abl1 gene minor bp (81207) | $556.80 | $696 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) | $133.60 | $167 | 5.2× |
| Beta hydroxybutyrate (82010) | $95.20 | $119 | 11.7× |
| Beta Lactamase (87185) | $111.20 | $139 | 23.4× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$84.80–$85.60 | $106–$107 | varies |
| Bile acids total (82239) | $86.40 | $108 | 5.0× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$66–$132 | $82.50–$165 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$66–$132 | $82.50–$165 | varies |
| Bilirubin total transcutaneous (88720) | $51.20 | $64 | 10.2× |
| Biotinidase (82261) | $30.40 | $38 | 1.8× |
| Blastomyces antibody (86612) | $149.60 | $187 | 11.6× |
| Bld Typing Serologic Rh Phnt (86906) | $216 | $270 | 27.9× |
| Blood Count Automated Differential Wbc Count (85004) | $52.80 | $66 | 8.2× |
| Blood Count Red Blood Cell Automated (85041) | $52.80 | $66 | 17.5× |
| Blood gas (82803) | $396.80 | $496 | 15.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 4 matching MRF lines |
$80–$83.20 | $100–$104 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $228 | $285 | 35.9× |
| Blood typing serologic abo (86900) | $80.80 | $101 | 27.0× |
| Body fluid cell count (89050) | $63.20 | $79 | 13.4× |
| Bordetella antibody (86615) | $509.60 | $637 | 38.6× |
| Brucella antibody (86622) | $80.80 | $101 | 9.0× |
| C diff amplified probe (87493) | $332 | $415 | 8.9× |
| C-Peptide (84681) | $233.60 | $292 | 11.2× |
| C-reactive protein (86140) | $177.60 | $222 | 34.3× |
| Ca 19-9 (86301) | $69.60 | $87 | 3.3× |
| Calcitonin (82308) | $126.40 | $158 | 4.7× |
| Calcium ionized (82330) | $69.60 | $87 | 5.1× |
| Calcium total (82310) | $132 | $165 | 25.6× |
| Calculus Spectroscopy (82365) | $281.60 | $352 | 21.8× |
| Calprotectin Fecal (83993) | $284 | $355 | 14.5× |
| Cancer Antigen 125 (86304) | $134.40 | $168 | 6.5× |
| Cancer Antigen 27.29 (86300) | $119.20 | $149 | 5.7× |
| Carbamazepine total (80156) | $153.60 | $192 | 10.5× |
| Carboxyhemoglobin (82375) | $344.80 | $431 | 28.0× |
| Carcinoembryonic antigen (82378) | $243.20 | $304 | 12.8× |
| Cardiolipin ab iga (86147) | $61.60 | $77 | 2.4× |
| Carnitine Quantitative Each Specimen (82379) | $224.80 | $281 | 13.3× |
| Catecholamines fractionated (82384) | $132 | $165 | 5.2× |
| Ccp antibody (86200) | $228.80 | $286 | 17.7× |
| Cell count csf (89051) | $197.60 | $247 | 35.3× |
| Ceruloplasmin (82390) | $102.40 | $128 | 9.5× |
| Chemiluminescent assay (82397) | $150.40 | $188 | 10.7× |
| Chlamydia antibody (86631) | $55.20 | $69 | 4.7× |
| Chlamydia Igm Antibody (86632) | $55.20 | $69 | 4.4× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$12–$94.40 | $15–$118 | varies |
| Chloride urine (82436) | $43.20 | $54 | 7.5× |
| Cholesterol total (82465) | $132 | $165 | 30.3× |
| Cholinesterase Serum (82480) | $64 | $80 | 8.1× |
| Chorionic gonadotropin test (84702) | $146.40 | $183 | 9.7× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $136.80 | $171 | 0.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $126.40 | $158 | 3.8× |
| Chromium serum (82495) | $140 | $175 | 6.9× |
| Chromogranin a (86316) | $132.80 | $166 | 6.4× |
| Chromosome Analysis 15-20 (88262) | $360 | $450 | 2.9× |
| Chromosome Analysis 20-25 (88264) | $450.40 | $563 | 3.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $153.60 | $192 | 4.4× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$29.60–$119.20 | $37–$149 | varies |
| Ckmb (82553) | $188 | $235 | 16.3× |
| Clostridium Difficile (87324) | $70.40 | $88 | 5.9× |
| Clot Factor VIII Multimetric (85247) | $164.80 | $206 | 7.2× |
| Clot factor xiii fibrin stab (85290) | $196 | $245 | 12.0× |
| Clotting factor xii hageman (85280) | $160 | $200 | 8.3× |
| Clotting Funct Activity (85397) | $167.20 | $209 | 5.4× |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
$48–$176.80 | $60–$221 | varies |
| Cold agglutinin screen (86156) | $48.80 | $61 | 6.0× |
| Cold agglutinin titer (86157) | $103.20 | $129 | 12.8× |
| Column Chromotography Quant (82542) | $265.60 | $332 | 11.0× |
| Compatibility test antiglob (86922) | $411.20 | $514 | 2.3× |
| Complement Antigen Each Component (86160) | $48 | $60 | 4.0× |
| Complement Total (Ch50) (86162) | $189.60 | $237 | 9.3× |
| Complement/Function Activity (86161) | $112.80 | $141 | 9.4× |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$440.80–$605.60 | $551–$757 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $334.40 | $418 | 6.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $76 | $95 | 1.9× |
| Coombs direct (86880) | $89.60 | $112 | 16.6× |
| Copper urine (82525) range across 2 matching MRF lines |
$190.40–$191.20 | $238–$239 | varies |
| Cortisol free (82530) | $184 | $230 | 11.0× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$60.80–$305.60 | $76–$382 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$12–$132 | $15–$165 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$12–$132 | $15–$165 | varies |
| Creatinine clearance (82575) | $207.20 | $259 | 21.9× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$129.60–$132 | $162–$165 | varies |
| Crossmatch immediate spin (86920) | $352 | $440 | 1.9× |
| Crp High Sensitivity (86141) | $196 | $245 | 15.1× |
| Cryoglobulin (82595) | $157.60 | $197 | 24.4× |
| Cryptococcal Antigen (87327) range across 3 matching MRF lines |
$96–$115.20 | $120–$144 | varies |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$63.20–$150.40 | $79–$188 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $96 | $120 | 11.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70.40 | $88 | 8.7× |
| Culture afb (87116) range across 4 matching MRF lines |
$305.60–$306.40 | $382–$383 | varies |
| Culture Anaerobic (87075) | $224.80 | $281 | 23.7× |
| Culture blood (87040) | $224.80 | $281 | 21.8× |
| Culture chlamydia (87110) | $152.80 | $191 | 7.8× |
| Culture csf (87070) range across 11 matching MRF lines |
$72.80–$224.80 | $91–$281 | varies |
| Culture fungus (87102) | $306.40 | $383 | 36.4× |
| Culture screen only (87081) | $72.80 | $91 | 11.0× |
| Culture stool (87045) | $70.40 | $88 | 7.5× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$40–$88 | $50–$110 | varies |
| Culture urine (87086) | $191.20 | $239 | 23.7× |
| Cyclosporine (80158) | $227.20 | $284 | 12.6× |
| Cystatin C (82610) | $72 | $90 | 3.9× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$60.80–$67.20 | $76–$84 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $188 | $235 | 9.3× |
| Cytopath Cell Enhance Tech (88112) | $111.20 | $139 | 2.0× |
| Cytp Concentration Smears & Interpretation (88108) | $196 | $245 | 4.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $270.40 | $338 | 4.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $240 | $300 | 6.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $751.20 | $939 | 4.1× |
| Deoxyribonuclease antibody (86215) | $112.80 | $141 | 8.5× |
| Detect Agent Nos Dna Amp (87798) range across 14 matching MRF lines |
$16.80–$288.80 | $21–$361 | varies |
| Detect Agent Nos Dna Quant (87799) | $911.20 | $1,139 | 21.3× |
| Dgp Antibody Each Ig Class (86258) | $140.80 | $176 | 11.7× |
| Dhea (82626) | $109.60 | $137 | 4.3× |
| Dhea-S (82627) | $152.80 | $191 | 6.9× |
| Digoxin (80162) | $217.60 | $272 | 16.4× |
| Dihydrotestosterone (82642) | $101.60 | $127 | 3.5× |
| Dna Antibody Native/Double Stranded (86225) | $177.60 | $222 | 12.9× |
| Drug assay acetaminophen (80143) | $212.80 | $266 | 11.4× |
| Drug Assay Amiodarone (80151) | $212.80 | $266 | 11.4× |
| Drug Assay Everolimus (80169) | $209.60 | $262 | 15.3× |
| Drug assay felbamate (80167) | $212.80 | $266 | 11.4× |
| Drug Assay Itraconazole (80189) | $212.80 | $266 | 7.8× |
| Drug Assay Lacosamide (80235) | $265.60 | $332 | 9.8× |
| Drug Assay Posaconazole (80187) | $114.40 | $143 | 4.2× |
| Drug Assay Vedolizumab (80280) | $150.40 | $188 | 3.9× |
| Drug Screen Quant Clozapine (80159) | $115.20 | $144 | 5.7× |
| Drug Screen Quant Zonisamide (80203) | $252 | $315 | 19.0× |
| Drug Screen Quantitative Gabapentin (80171) | $570.40 | $713 | 26.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $115.20 | $144 | 8.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $100 | $125 | 7.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $115.20 | $144 | 8.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$308.80–$493.60 | $386–$617 | varies |
| Drug Test Prsmv Instrmnt (80306) | $356 | $445 | 20.8× |
| Ehrlichia antibody (86666) | $88 | $110 | 8.6× |
| El-1 Fecal Quantitative (82653) | $221.60 | $277 | 9.6× |
| Electrolyte panel (80051) | $216 | $270 | 30.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $60 | $75 | 5.0× |
| Enterovirus Antibody (86658) | $275.20 | $344 | 21.1× |
| Enterovirus PCR (87498) | $306.40 | $383 | 8.7× |
| Enzyme histochemistry (88319) | $178.40 | $223 | 0.2× |
| Erythropoietin (82668) | $81.60 | $102 | 4.3× |
| Estradiol serum (82670) | $96 | $120 | 3.4× |
| Estriol (82677) | $146.40 | $183 | 6.1× |
| Estrogens fractionated (82671) | $160 | $200 | 5.0× |
| Ethosuximide (80168) | $63.20 | $79 | 3.9× |
| Ethylene Glycol (82693) | $70.40 | $88 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $124 | $155 | 16.9× |
| F2 Gene (81240) | $266.40 | $333 | 4.1× |
| Factor Inhibitor Test (85335) | $136.80 | $171 | 10.6× |
| Factor ix activity (85250) | $136.80 | $171 | 7.2× |
| Factor v activity (85220) | $161.60 | $202 | 9.2× |
| Factor v leiden mutation (81241) | $247.20 | $309 | 3.4× |
| Factor vii assay (85230) | $161.60 | $202 | 9.0× |
| Factor viii assay (85240) | $167.20 | $209 | 9.3× |
| Factor xi activity (85270) | $160 | $200 | 8.9× |
| Factor xiii screen (85291) | $384 | $480 | 42.2× |
| Fat/Lipids Feces Quantitative (82710) | $420.80 | $526 | 25.0× |
| Fatty acids free (82725) | $104.80 | $131 | 5.6× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $176.80 | $221 | 22.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $173.60 | $217 | 10.1× |
| Fecal Fat Qualitative (82705) | $56.80 | $71 | 11.1× |
| Ferritin (82728) | $268 | $335 | 19.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$276–$648 | $345–$810 | varies |
| Fetal Fibronectin (82731) | $894.40 | $1,118 | 13.9× |
| Fetal screen rosette (85461) | $256.80 | $321 | 27.4× |
| Fibrin Degradation Quant (85379) | $211.20 | $264 | 20.7× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$40–$230.40 | $50–$288 | varies |
| Flow cytometry first marker (88184) | $112.80 | $141 | 0.3× |
| Fluorescent antibody screen (86255) | $200.80 | $251 | 16.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 12 matching MRF lines |
$70.40–$88 | $88–$110 | varies |
| Folic acid rbc (82747) | $69.60 | $87 | 3.9× |
| Folic Acid Serum (82746) | $232 | $290 | 15.8× |
| Follicle Stimulating Hormone (83001) | $188.80 | $236 | 10.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $96 | $120 | 0.5× |
| Frozen Section (88331) range across 3 matching MRF lines |
$210.40–$334.40 | $263–$418 | varies |
| Fungi Identification Mold (87107) | $63.20 | $79 | 6.1× |
| Fungi Identification Yeast (87106) | $63.20 | $79 | 6.1× |
| Galactose (82760) | $30.40 | $38 | 2.7× |
| Gammaglobulin ige (82785) | $85.60 | $107 | 5.2× |
| Gases blood ph only (82800) | $156.80 | $196 | 14.3× |
| Gastrin (82941) | $81.60 | $102 | 4.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$140–$438.40 | $175–$548 | varies |
| Genet Virus Isolate Hsv (87255) | $72 | $90 | 2.1× |
| Gentamicin (80170) | $157.60 | $197 | 9.6× |
| Ggt (82977) | $124.80 | $156 | 17.3× |
| Giardia antigen (87329) | $40 | $50 | 3.3× |
| Glucagon (82943) | $130.40 | $163 | 9.1× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$84–$85.60 | $105–$107 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$12–$40.80 | $15–$51 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$65.60–$84 | $82–$105 | varies |
| Glucose Serum (82947) | $83.20 | $104 | 21.2× |
| Glucose tolerance test (gtt) (82951) | $280 | $350 | 21.8× |
| Glycated Protein (82985) | $233.60 | $292 | 13.9× |
| Gonadotropin Chorionic Qualitative (84703) | $123.20 | $154 | 16.4× |
| Growth hormone (83003) | $86.40 | $108 | 5.2× |
| Haloperidol (80173) | $130.40 | $163 | 8.3× |
| Haptoglobin (83010) | $226.40 | $283 | 18.0× |
| Hdl Cholesterol (83718) | $104 | $130 | 12.7× |
| Helicobacter Pylori Stool (87338) | $127.20 | $159 | 8.8× |
| Hematocrit (85014) | $58.40 | $73 | 24.6× |
| Hemoglobin (85018) | $58.40 | $73 | 24.6× |
| Hemoglobin a1c (83036) | $239.20 | $299 | 24.6× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$30.40–$102.40 | $38–$128 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $154.40 | $193 | 18.8× |
| Hemoglobin plasma (83051) | $63.20 | $79 | 8.6× |
| Hep a ab igm (86709) | $151.20 | $189 | 13.4× |
| Heparin assay (85520) | $181.60 | $227 | 13.9× |
| Hepatitis a antibody total (86708) | $100.80 | $126 | 8.1× |
| Hepatitis b core ab igm (86705) | $96 | $120 | 8.2× |
| Hepatitis b core ab total (86704) | $100 | $125 | 8.3× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$154.40–$155.20 | $193–$194 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$68.80–$197.60 | $86–$247 | varies |
| Hepatitis Be Antibody (86707) | $132.80 | $166 | 11.5× |
| Hepatitis Be Antigen (87350) | $132.80 | $166 | 11.5× |
| Hepatitis C Antibody (86803) | $155.20 | $194 | 10.9× |
| Hepatitis C Genotype (87902) | $338.40 | $423 | 1.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $356 | $445 | 8.3× |
| Herpes simplex type 2 (86696) | $43.20 | $54 | 2.2× |
| Heterophile Antibody Screen (86308) | $104.80 | $131 | 20.2× |
| Hfe Gene (81256) | $424 | $530 | 6.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $197.60 | $247 | 25.6× |
| Histamine urine (83088) | $126.40 | $158 | 4.3× |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$60–$116.80 | $75–$146 | varies |
| Histoplasma antigen urine (87385) | $289.60 | $362 | 21.9× |
| Hiv Genotype (87901) | $595.20 | $744 | 2.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$150.40–$197.60 | $188–$247 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $231.20 | $289 | 2.7× |
| Hla class ii typing high resolution one locus ea (81382) | $540.80 | $676 | 4.4× |
| Hla I Typing 1 Allele Hr (81381) | $290.40 | $363 | 1.7× |
| Hla-b27 (86812) | $240.80 | $301 | 9.3× |
| Homocysteine (83090) | $146.40 | $183 | 8.2× |
| Homovanillic acid urine (83150) | $173.60 | $217 | 7.7× |
| Hsv Dna Amp Probe (87529) | $102.40 | $128 | 2.9× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$30.40–$71.20 | $38–$89 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $132.80 | $166 | 12.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $88 | $110 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) | $112 | $140 | 6.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $56 | $70 | 1.6× |
| Iadna Bartonella Amplified Probe Technique (87471) | $310.80 | $388.50 | 8.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $387.20 | $484 | 11.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $293.60 | $367 | 8.4× |
| Iadna Cytomegalovirus Quantification (87497) | $399.20 | $499 | 9.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $56 | $70 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $240.80 | $301 | 5.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $111.20 | $139 | 3.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $274.40 | $343 | 6.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $272 | $340 | 7.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $153.60 | $192 | 4.4× |
| Ig Light Chains Free Each (83521) | $312 | $390 | 18.1× |
| Igg subclasses (82787) | $56 | $70 | 7.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $848 | $1,060 | 2.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $193.60 | $242 | 0.5× |
| Immunfix e-phorsis/urine/csf (86335) | $133.60 | $167 | 4.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$225.60–$318.40 | $282–$398 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$156.80–$157.60 | $196–$197 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$140–$140.80 | $175–$176 | varies |
| Immunodiffusion Ouchterlony (86331) | $83.20 | $104 | 6.9× |
| Immunofixation electrophoresis (86334) | $124.80 | $156 | 5.6× |
| Immunohistochemistry (88342) range across 8 matching MRF lines |
$486.40–$536 | $608–$670 | varies |
| In situ hybridization 1st probe stain (88365) | $315.20 | $394 | 1.7× |
| Influenza a/b ag eia (87400) | $65.60 | $82 | 4.6× |
| Influenza DNA amp probe (87502) | $196 | $245 | 2.0× |
| Inhibin A (86336) | $146.40 | $183 | 9.4× |
| Inhibin b (83520) range across 6 matching MRF lines |
$220.80–$221.60 | $276–$277 | varies |
| Insitu hybridization manual (88368) | $386.40 | $483 | 1.0× |
| Insulin antibodies (86337) | $134.40 | $168 | 6.3× |
| Insulin free (83527) | $225.60 | $282 | 17.4× |
| Insulin total (83525) range across 2 matching MRF lines |
$225.60–$226.40 | $282–$283 | varies |
| Intrinsic factor antibody (86340) | $126.40 | $158 | 8.4× |
| Iron (83540) | $129.60 | $162 | 20.0× |
| Iron Binding Capacity (83550) | $129.60 | $162 | 14.8× |
| Irradiation Blood Product Each Unit (86945) | $101.60 | $127 | 2.5× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$60–$132.80 | $75–$166 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $391.20 | $489 | 4.3× |
| Koh Prep (87220) | $40 | $50 | 9.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$132–$197.60 | $165–$247 | varies |
| Lactoferrin fecal qualitative (83630) | $76 | $95 | 3.9× |
| Ldh Isoenzymes (83625) | $132 | $165 | 10.3× |
| LDL direct (83721) | $148.80 | $186 | 14.2× |
| Lead (83655) | $113.60 | $142 | 9.4× |
| Legionella antigen urine (87449) | $136 | $170 | 11.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $146.40 | $183 | 4.7× |
| Level ii surg pathology grossµscopic exam (88302) | $94.40 | $118 | 2.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $488.80 | $611 | 1.3× |
| Lidocaine (80176) | $64 | $80 | 4.4× |
| Lipase (83690) | $132 | $165 | 19.2× |
| Lipoprotein A (83695) | $94.40 | $118 | 6.6× |
| Lipoprotein Bld Quan Part (83704) | $156 | $195 | 4.6× |
| Lithium (80178) | $216.80 | $271 | 32.8× |
| Luteinizing Hormone (Lh) (83002) | $182.40 | $228 | 9.8× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$101.60–$102.40 | $127–$128 | varies |
| Lysozyme serum (85549) | $63.20 | $79 | 3.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$12–$255.20 | $15–$319 | varies |
| Mass Spectrometry Quant (83789) | $126.40 | $158 | 5.2× |
| Mercury urine (83825) | $76 | $95 | 4.7× |
| Methotrexate (80204) | $212.80 | $266 | 5.5× |
| Methylmalonic acid serum (83921) | $234.40 | $293 | 11.1× |
| Microalbumin, quantitative (82043) | $93.60 | $117 | 16.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$72.80–$73.60 | $91–$92 | varies |
| Mitochondrial Antibody Each (86381) | $140.80 | $176 | 5.5× |
| Mononuclear cell antigen (86356) | $811.20 | $1,014 | 30.3× |
| Mumps antibody (86735) | $80.80 | $101 | 6.2× |
| Muscle-Specific Kinase Antb (86366) | $496 | $620 | 27.0× |
| Mycophenolic Acid (80180) | $115.20 | $144 | 6.4× |
| Mycoplasma antibody (86738) | $83.20 | $104 | 6.3× |
| Mycoplasma culture (87109) | $66.40 | $83 | 4.3× |
| Myelin basic protein csf (83873) | $155.20 | $194 | 9.0× |
| Myoglobin urine (83874) | $102.40 | $128 | 7.9× |
| Natriuretic peptide (83880) | $132 | $165 | 3.4× |
| Nk cells total count (86357) | $232 | $290 | 6.1× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$40–$71.20 | $50–$89 | varies |
| Occult blood feces (82272) | $80 | $100 | 18.9× |
| Occult Blood Other Sources (82271) | $75.20 | $94 | 14.1× |
| Oligoclonal bands (83916) | $182.40 | $228 | 6.7× |
| Organic acids urine (83918) | $278.40 | $348 | 11.8× |
| Osmolality serum (83930) | $59.20 | $74 | 9.0× |
| Osmolality Urine (83935) | $59.20 | $74 | 8.7× |
| Ova and parasites smears (87177) | $220 | $275 | 24.7× |
| Oxalate urine (83945) | $60.80 | $76 | 4.2× |
| Parvovirus antibody (86747) | $132 | $165 | 8.8× |
| Pathology Consultation During Surgery (88329) | $227.20 | $284 | 3.6× |
| Ph urine (81003) | $72.80 | $91 | 32.4× |
| Phenobarbital Level (80184) | $306.40 | $383 | 20.0× |
| Phenytoin (Dilantin) (80185) | $217.60 | $272 | 16.4× |
| Phenytoin free (80186) | $74.40 | $93 | 5.4× |
| Phosphatase acid prostatic (84066) | $132.80 | $166 | 13.7× |
| Phosphatase alkaline (84075) | $148.80 | $186 | 28.7× |
| Phosphorus Serum (84100) | $132 | $165 | 27.8× |
| Phosphorus urine (84105) | $152.80 | $191 | 26.4× |
| Pinworm exam (87172) | $88 | $110 | 20.6× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$255.20–$256 | $319–$320 | varies |
| Platelet count automated (85049) | $96 | $120 | 21.4× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $675.20 | $844 | 3.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$289.60–$290.40 | $362–$363 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $160 | $200 | 10.9× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$32–$43.20 | $40–$54 | varies |
| Prealbumin (84134) | $155.20 | $194 | 10.6× |
| Pregnenolone (84140) | $123.20 | $154 | 6.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $143.20 | $179 | 2.3× |
| Pretx serum rbc antibody identification dilution (86976) | $180 | $225 | 5.8× |
| Primidone (80188) | $134.40 | $168 | 8.1× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$40–$214.40 | $50–$268 | varies |
| Progesterone (84144) | $79.20 | $99 | 3.8× |
| Prolactin (84146) | $373.60 | $467 | 19.3× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$80.80–$84 | $101–$105 | varies |
| Protein C Activity (85303) | $178.40 | $223 | 12.9× |
| Protein c antigen (85302) | $153.60 | $192 | 12.8× |
| Protein Electrophoresis Urine (84166) | $100.80 | $126 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $86.40 | $108 | 8.0× |
| Protein S Free (85306) | $175.20 | $219 | 11.4× |
| Protein s total (85305) | $112.80 | $141 | 9.7× |
| Protein total serum (84155) | $132 | $165 | 36.0× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$84–$132 | $105–$165 | varies |
| Protein Western Blot Test (84182) | $126.40 | $158 | 4.3× |
| PSA free (84154) | $56 | $70 | 3.0× |
| Pth Intact (83970) | $100.80 | $126 | 2.4× |
| Pyruvate kinase (84220) | $145.60 | $182 | 15.4× |
| Q Fever Antibody (86638) | $57.60 | $72 | 4.8× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$173.60–$218.40 | $217–$273 | varies |
| Quantitative Screen Metals (83018) | $106.40 | $133 | 4.8× |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$123.20–$294.40 | $154–$368 | varies |
| Rbc antibody identification (86870) | $180 | $225 | 0.5× |
| Rbc antibody screen (86850) range across 5 matching MRF lines |
$137.60–$219.20 | $172–$274 | varies |
| Rbc pretreatment serum (86978) | $210.40 | $263 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) | $136.80 | $171 | 0.7× |
| Renin activity plasma (84244) | $240.80 | $301 | 11.0× |
| Reptilase test (85635) | $80.80 | $101 | 8.2× |
| Reticulocyte Count (85046) | $129.60 | $162 | 23.3× |
| Reticulocyte separation (86972) | $210.40 | $263 | 1.2× |
| Rh (86901) | $89.60 | $112 | 30.0× |
| Rheumatoid factor quant (86431) | $129.60 | $162 | 22.9× |
| Rickettsia antibody (86757) | $165.60 | $207 | 8.6× |
| Ristocetin cofactor (85245) | $164.80 | $206 | 7.2× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$119.20–$197.60 | $149–$247 | varies |
| Rsv Assay W/Optic (87807) | $116.80 | $146 | 8.9× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$197.60–$204.80 | $247–$256 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$60–$136 | $75–$170 | varies |
| Rufinamide (80210) | $212.80 | $266 | 7.8× |
| Russell Viper Venom Time Diluted (85613) | $100 | $125 | 10.4× |
| Salicylate Level (80179) | $212.80 | $266 | 11.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $218.40 | $273 | 4.3× |
| Sedimentation rate (85651) | $109.60 | $137 | 25.7× |
| Selenium (84255) | $132.80 | $166 | 5.2× |
| Semen Anal Sperm Detection (89321) | $81.60 | $102 | 6.8× |
| Sensitivity mic (87186) | $208.80 | $261 | 24.1× |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$68.80–$81.60 | $86–$102 | varies |
| Sickling of rbc reduction (85660) | $184 | $230 | 33.4× |
| Sirolimus (80195) | $234.40 | $293 | 17.1× |
| Smear acid fast (87206) | $165.60 | $207 | 30.7× |
| Smear complex stain (87209) | $97.60 | $122 | 5.4× |
| Smear gram stain (87205) | $89.60 | $112 | 21.0× |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$84–$226.40 | $105–$283 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $124 | $155 | 21.3× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$12–$94.40 | $15–$118 | varies |
| Sodium Urine (84300) range across 4 matching MRF lines |
$32–$43.20 | $40–$54 | varies |
| Somatomedin (84305) | $191.20 | $239 | 9.0× |
| Special Stains Group 1 (88312) range across 5 matching MRF lines |
$91.20–$230.40 | $114–$288 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$40–$248.80 | $50–$311 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $104.80 | $131 | 0.6× |
| Stem cells total count (86367) | $105.60 | $132 | 1.4× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$83.20–$238.40 | $104–$298 | varies |
| Strep a DNA amp probe (87651) | $138.40 | $173 | 3.9× |
| Strep b DNA amp probe (87653) | $109.60 | $137 | 3.1× |
| Sugars Single Qual (84376) | $125.60 | $157 | 22.8× |
| Sulfate urine (84392) | $32 | $40 | 5.8× |
| Surg path level iii (88304) | $288.80 | $361 | 5.2× |
| Surgical pathology level IV (88305) | $348 | $435 | 6.2× |
| Surgical pathology level vi (88309) | $607.20 | $759 | 0.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$40–$111.20 | $50–$139 | varies |
| Syphilis Test Non-Trep Quant (86593) | $99.20 | $124 | 22.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $73.60 | $92 | 1.6× |
| T cells total count (86359) | $73.60 | $92 | 2.0× |
| T3 Free (84481) | $70.40 | $88 | 4.2× |
| T3 reverse (84482) | $277.60 | $347 | 17.6× |
| T3 Total (84480) | $208.80 | $261 | 14.7× |
| T3 Uptake (84479) | $131.20 | $164 | 20.3× |
| T4 Free (84439) | $79.20 | $99 | 8.8× |
| T4 total (84436) | $131.20 | $164 | 19.1× |
| Tacrolimus (80197) | $224.80 | $281 | 16.4× |
| Testosterone total (84403) | $160 | $200 | 6.2× |
| Testosterone, Free (84402) | $160 | $200 | 6.3× |
| Theophylline (80198) | $153.60 | $192 | 10.9× |
| Thrombin Time (85670) | $167.20 | $209 | 29.0× |
| Thyroglobulin Antibody (86800) | $124.80 | $156 | 7.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $199.20 | $249 | 3.9× |
| Thyroxine binding globulin (84442) | $63.20 | $79 | 4.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$67.20–$140.80 | $84–$176 | varies |
| Tissue Culture Amniotic Fluid (88235) | $315.20 | $394 | 2.1× |
| Tissue culture bone marrow (88237) | $393.60 | $492 | 2.7× |
| Tissue Culture Lymphocyte (88230) | $360 | $450 | 3.1× |
| Tobramycin peak (80200) | $203.20 | $254 | 12.6× |
| Topiramate (80201) | $238.40 | $298 | 20.0× |
| Toxoplasma ab igm (86778) | $45.60 | $57 | 3.2× |
| Toxoplasma antibody (86777) | $45.60 | $57 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 4 matching MRF lines |
$10–$132 | $12.50–$165 | varies |
| Transferrin (84466) | $69.60 | $87 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $70.40 | $88 | 2.0× |
| Triglycerides (84478) | $132 | $165 | 23.0× |
| Troponin Quant (84484) | $218.40 | $273 | 17.5× |
| Tumor immunohistochem/comput (88361) | $193.60 | $242 | 0.5× |
| Urea nitrogen urine (84540) | $128 | $160 | 23.0× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$92.80–$119.20 | $116–$149 | varies |
| Urinalysis Microscopic Only (81015) | $43.20 | $54 | 14.2× |
| Urine Pregnancy Test (81025) | $124 | $155 | 14.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $104 | $130 | 32.8× |
| Valproic acid (80164) | $150.40 | $188 | 11.1× |
| Vancomycin (80202) | $232 | $290 | 17.1× |
| Varicella-zoster antibody (86787) | $132 | $165 | 10.2× |
| Vasopressin (84588) | $78.40 | $98 | 2.3× |
| Viral Culture (87252) | $214.40 | $268 | 8.2× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$157.60–$158.40 | $197–$198 | varies |
| Viscosity serum (85810) | $86.40 | $108 | 7.4× |
| Vit D 1 25-Dihydroxy (82652) | $182.40 | $228 | 4.7× |
| Vitamin A (84590) | $133.60 | $167 | 11.5× |
| Vitamin b-12 (82607) | $197.60 | $247 | 13.1× |
| Vitamin B6 (84207) | $154.40 | $193 | 5.5× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$173.60–$174.40 | $217–$218 | varies |
| Vitamin E (84446) | $133.60 | $167 | 9.4× |
| Vitamin K (84597) | $250.40 | $313 | 18.3× |
| Volatiles (84600) | $40 | $50 | 2.3× |
| Von willebrand factor ag (85246) | $164.80 | $206 | 7.2× |
| Wbc Alkaline Phosphatase Count (85540) | $86.40 | $108 | 10.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$59.20–$288.80 | $74–$361 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$59.20–$288.80 | $74–$361 | varies |
| Zinc (84630) | $167.20 | $209 | 14.7× |
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.