Lab & pathology prices at Memorial Hospital Los Banos
Los Banos, CA · every code in this section with a posted price and a Medicare benchmark.
408 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $293 | $293 | 9.0× |
| Acute hepatitis panel (80074) | $391 | $391 | 8.2× |
| Albumin Fluid (82042) | $124 | $124 | 15.9× |
| Albumin serum (82040) | $97 | $97 | 19.6× |
| Allergen specific ige (86003) | $78 | $78 | 14.9× |
| Allg Spec Ige Recomb Ea (86008) | $57 | $57 | 3.2× |
| Alpha-1-antitrypsin total (82103) | $105 | $105 | 7.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$157–$176 | $157–$176 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$112–$113 | $112–$113 | varies |
| Ammonia (82140) | $387 | $387 | 26.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $460 | $460 | 4.7× |
| Amylase urine (82150) | $220 | $220 | 34.0× |
| Ana Titer (86039) | $206 | $206 | 18.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $363 | $363 | 21.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $159 | $159 | 12.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $109 | $109 | 7.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $102 | $102 | 5.6× |
| Antibody helicobacter pylori (86677) | $139 | $139 | 8.2× |
| Antibody Herpes Smplx Type 1 (86695) | $25 | $25 | 1.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $172 | $172 | 12.5× |
| Antibody HIV-2 (86702) | $101 | $101 | 7.5× |
| Antibody rotavirus (86759) | $523 | $523 | 28.7× |
| Antibody Titer (86886) | $106 | $106 | 20.5× |
| Antibody Treponema Pallidum (86780) | $100 | $100 | 7.6× |
| Antigen typing (86905) | $182 | $182 | 47.5× |
| Antinuclear antibodies (86038) | $98 | $98 | 8.1× |
| Antistreptolysin O Screen (86063) | $98 | $98 | 17.0× |
| Antithrombin iii activity (85300) | $100 | $100 | 8.4× |
| Antithrombin iii antigen (85301) | $287 | $287 | 26.5× |
| Apolipoprotein a1 (82172) | $211 | $211 | 10.0× |
| Assay Blood Carbon Dioxide (82374) | $97 | $97 | 19.9× |
| Assay Blood Catecholamines (82383) | $1,004 | $1,004 | 34.5× |
| Assay Nephelometry Not Spec (83883) | $86 | $86 | 6.3× |
| Assay of blood/uric acid (84550) | $134 | $134 | 29.6× |
| Assay of calcium in urine (82340) | $115 | $115 | 19.1× |
| Assay of gammaglobulin igm (82784) | $71 | $71 | 7.6× |
| Assay of lactic acid (83605) | $313 | $313 | 27.1× |
| Assay of serum potassium (84132) | $155 | $155 | 32.6× |
| Assay of urea nitrogen (84520) | $106 | $106 | 26.8× |
| Assay Ph Body Fluid Nos (83986) | $116 | $116 | 32.4× |
| Assay spec xcp ur&breath ia (82077) | $255 | $255 | 14.8× |
| Automated Leukocyte Count (85048) | $52 | $52 | 20.5× |
| Beta 2 glycoprotein i antibody each (86146) | $119 | $119 | 4.7× |
| Beta hydroxybutyrate (82010) | $231 | $231 | 28.3× |
| Beta Lactamase (87185) | $68 | $68 | 14.3× |
| Beta-2 Microglobulin (82232) | $171 | $171 | 10.6× |
| Bilirubin direct (82248) | $137 | $137 | 27.3× |
| Bilirubin total (82247) | $127 | $127 | 25.3× |
| Bleeding time test (85002) | $160 | $160 | 33.2× |
| Blood Count Manual Cell Count Each (85032) | $41 | $41 | 9.5× |
| Blood count reticulocyte automated (85045) | $118 | $118 | 29.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $92 | $92 | 24.2× |
| Blood gas (82803) | $755 | $755 | 29.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $114 | $114 | 7.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$87–$96 | $87–$96 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $137 | $137 | 21.6× |
| Blood typing serologic abo (86900) | $205 | $205 | 68.6× |
| Body fluid cell count (89050) | $145 | $145 | 30.7× |
| Breath Alcohol Test (82075) | $309 | $309 | 10.3× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$363–$397 | $363–$397 | varies |
| C-Peptide (84681) | $152 | $152 | 7.3× |
| C-reactive protein (86140) | $177 | $177 | 34.2× |
| Ca 19-9 (86301) | $212 | $212 | 10.2× |
| Calcium ionized (82330) | $206 | $206 | 15.1× |
| Calcium total (82310) range across 3 matching MRF lines |
$108–$112 | $108–$112 | varies |
| Cancer Antigen 125 (86304) | $257 | $257 | 12.3× |
| Cancer Antigen 27.29 (86300) | $180 | $180 | 8.6× |
| Candida Dna Dir Probe (87480) | $136 | $136 | 6.8× |
| Carbamazepine total (80156) | $341 | $341 | 23.4× |
| Carboxyhemoglobin (82375) | $254 | $254 | 20.6× |
| Carcinoembryonic antigen (82378) | $286 | $286 | 15.1× |
| Cardiolipin ab iga (86147) | $25 | $25 | 1.0× |
| Ccp antibody (86200) | $50 | $50 | 3.9× |
| Cell count csf (89051) | $264 | $264 | 47.1× |
| Ceruloplasmin (82390) | $125 | $125 | 11.6× |
| Cftr gene com variants (81220) | $242 | $242 | 0.4× |
| Chlamydia Igm Antibody (86632) | $345 | $345 | 27.2× |
| Chlmy trch&neisra gonor mult (87494) | $560 | $560 | 8.0× |
| Chloride Serum (82435) | $107 | $107 | 23.3× |
| Chloride urine (82436) | $166 | $166 | 28.9× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$118–$119 | $118–$119 | varies |
| Chorionic gonadotropin test (84702) | $395 | $395 | 26.2× |
| Chromosome Analysis 15-20 (88262) | $137.80 | $137.80 | 1.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $275 | $275 | 7.8× |
| Ckmb (82553) | $377 | $377 | 32.6× |
| Clostridium Difficile (87324) | $181 | $181 | 15.1× |
| Cns DNA amp probe type 12-25 (87483) | $1,340 | $1,340 | 3.2× |
| Coagulation time activated (85347) | $215 | $215 | 50.2× |
| Coccidioides antibody (86635) | $113 | $113 | 9.9× |
| Cold agglutinin screen (86156) | $56 | $56 | 6.9× |
| Cold agglutinin titer (86157) | $166 | $166 | 20.6× |
| Compatibility Each Unit Incubation (86921) | $554 | $554 | 2.5× |
| Compatibility test antiglob (86922) | $563 | $563 | 2.6× |
| Complement Antigen Each Component (86160) | $88 | $88 | 7.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $98 | $98 | 1.5× |
| Coombs direct (86880) | $147 | $147 | 27.3× |
| Cortisol saliva (82533) | $283 | $283 | 17.4× |
| Creatine kinase total (82550) | $243 | $243 | 37.3× |
| Creatinine blood (82565) | $117 | $117 | 22.9× |
| Creatinine clearance (82575) | $224 | $224 | 23.7× |
| Creatinine Urine (82570) | $119 | $119 | 23.0× |
| Crossmatch electronic (86923) | $522 | $522 | 2.4× |
| Crossmatch immediate spin (86920) | $544 | $544 | 2.5× |
| Crp High Sensitivity (86141) | $227 | $227 | 17.5× |
| Cryoglobulin (82595) | $113 | $113 | 17.5× |
| Cryptococcus ag titer (87899) | $200 | $200 | 12.4× |
| Cryptosporidium (87272) | $86 | $86 | 7.2× |
| Cryptosporidium ag eia (87328) | $117 | $117 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $174 | $174 | 21.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $178 | $178 | 22.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $59 | $59 | 7.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $787 | $787 | 3.6× |
| Culture afb (87116) | $159 | $159 | 14.7× |
| Culture Anaerobic (87075) | $253 | $253 | 26.7× |
| Culture bacteria anaerobic (87073) | $214 | $214 | 22.2× |
| Culture blood (87040) | $443 | $443 | 42.9× |
| Culture csf (87070) | $423 | $423 | 49.1× |
| Culture fungus (87102) | $165 | $165 | 19.6× |
| Culture fungus blood (87103) | $293 | $293 | 14.3× |
| Culture screen only (87081) range across 8 matching MRF lines |
$208–$212 | $208–$212 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$239–$247 | $239–$247 | varies |
| Culture typing if ea antiserum (87140) | $97 | $97 | 17.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $111 | $111 | 21.4× |
| Culture urine (87086) | $237 | $237 | 29.4× |
| Cyclosporine (80158) | $232 | $232 | 12.9× |
| Cytomegalovirus igg (86644) | $113 | $113 | 7.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $20.26 | $20.26 | 1.0× |
| Cytopath Cell Enhance Tech (88112) | $140 | $140 | 2.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $26.61 | $26.61 | 1.0× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$151–$155 | $151–$155 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$198–$210 | $198–$210 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $72 | $72 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $130 | $130 | 2.7× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $126.90 | $126.90 | 1.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $58.74 | $58.74 | 1.6× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $197.37 | $197.37 | 0.9× |
| Detect Agent Nos Dna Amp (87798) | $424 | $424 | 12.1× |
| Detect Agent Nos Dna Quant (87799) | $343 | $343 | 8.0× |
| Detect agnt mult DNA ampli (87801) | $456 | $456 | 6.5× |
| Dgp Antibody Each Ig Class (86258) | $65 | $65 | 5.4× |
| Dhea-S (82627) | $144 | $144 | 6.5× |
| Digoxin (80162) | $341 | $341 | 25.7× |
| Dna Antibody Native/Double Stranded (86225) | $109 | $109 | 7.9× |
| Dna/Rna Amplified Probe (87150) | $252 | $252 | 7.2× |
| DNA/RNA direct probe (87149) | $213 | $213 | 10.6× |
| Drug assay acetaminophen (80143) | $306 | $306 | 16.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $735 | $735 | 11.8× |
| Electrolyte panel (80051) | $208 | $208 | 29.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $23 | $23 | 1.9× |
| Enterovirus PCR (87498) | $380 | $380 | 10.8× |
| Eosinophil Smear (89190) | $138 | $138 | 23.8× |
| Erythropoietin (82668) | $237 | $237 | 12.6× |
| Estradiol serum (82670) | $256 | $256 | 9.2× |
| Exam Synovial Fluid Crystals (89060) | $196 | $196 | 26.7× |
| F2 Gene (81240) | $189 | $189 | 2.9× |
| Factor v activity (85220) | $315 | $315 | 17.8× |
| Factor v leiden mutation (81241) | $283 | $283 | 3.9× |
| Factor vii assay (85230) | $370 | $370 | 20.7× |
| Factor viii assay (85240) | $135 | $135 | 7.5× |
| Factor X (85260) | $428 | $428 | 23.9× |
| Factor xi activity (85270) | $304 | $304 | 17.0× |
| Ferritin (82728) | $256 | $256 | 18.8× |
| Fetal Fibronectin (82731) | $1,093 | $1,093 | 17.0× |
| Fibrin Degradation Quant (85379) | $349 | $349 | 34.3× |
| Fibrinogen activity (85384) | $302 | $302 | 31.1× |
| Flow cytometry first marker (88184) | $267 | $267 | 0.6× |
| Fluorescent antibody screen (86255) | $184 | $184 | 15.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $95 | $95 | 7.9× |
| Folic Acid Serum (82746) | $231 | $231 | 15.7× |
| Follicle Stimulating Hormone (83001) | $234 | $234 | 12.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $342 | $342 | 1.6× |
| Frozen Section (88331) | $144 | $144 | 0.7× |
| Fungi Identification Mold (87107) | $146 | $146 | 14.1× |
| Fungi Identification Yeast (87106) | $210 | $210 | 20.3× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$179–$185 | $179–$185 | varies |
| Gardner vag DNA dir probe (87510) | $451 | $451 | 22.5× |
| Gases blood ph only (82800) | $291 | $291 | 26.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $902 | $902 | 2.2× |
| Genet Virus Isolate Hsv (87255) | $686 | $686 | 20.3× |
| Gentamicin (80170) | $400 | $400 | 24.4× |
| Ggt (82977) | $176 | $176 | 24.4× |
| Giardia antigen (87329) | $151 | $151 | 12.6× |
| Glucose 2 hr pp (82950) | $102 | $102 | 21.5× |
| Glucose body fluid (82945) | $169 | $169 | 43.0× |
| Glucose Serum (82947) | $114 | $114 | 29.0× |
| Glucose tolerance test (gtt) (82951) | $178 | $178 | 13.8× |
| Gonadotropin Chorionic Qualitative (84703) | $278 | $278 | 37.0× |
| Growth hormone (83003) | $84 | $84 | 5.0× |
| Gtt-added samples (82952) | $55 | $55 | 14.0× |
| H Pylori (C-13) Breath (83013) | $334 | $334 | 5.0× |
| H Pylori Drug Admin (83014) | $59 | $59 | 7.5× |
| Haptoglobin (83010) | $172 | $172 | 13.7× |
| Hdl Cholesterol (83718) | $128 | $128 | 15.6× |
| Helicobacter Pylori Stool (87338) | $213 | $213 | 14.8× |
| Hematocrit (85014) | $98 | $98 | 41.4× |
| Hemoglobin (85018) | $75 | $75 | 31.6× |
| Hemoglobin a1c (83036) | $203 | $203 | 20.9× |
| Hep a ab igm (86709) | $146 | $146 | 13.0× |
| Heparin assay (85520) | $450 | $450 | 34.4× |
| Hepatitis a antibody total (86708) | $124 | $124 | 10.0× |
| Hepatitis b core ab igm (86705) | $148 | $148 | 12.6× |
| Hepatitis b core ab total (86704) | $162 | $162 | 13.4× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$137–$139 | $137–$139 | varies |
| Hepatitis B Surface Antigen (87340) | $147 | $147 | 14.2× |
| Hepatitis C Antibody (86803) | $182 | $182 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $432 | $432 | 10.1× |
| Herpes simplex type 2 (86696) | $24 | $24 | 1.2× |
| Heterophile Antibody Screen (86308) | $205 | $205 | 39.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $171 | $171 | 22.1× |
| Hiv Antigen W/Hiv Antibodies (87806) | $307 | $307 | 9.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $299 | $299 | 12.4× |
| Hiv-1 Antibody (86701) | $88 | $88 | 9.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $539 | $539 | 6.3× |
| Homocysteine (83090) | $300 | $300 | 16.7× |
| Homogenization Tissue (87176) | $124 | $124 | 21.1× |
| Hpv High-Risk Types (87624) | $545 | $545 | 15.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $579 | $579 | 8.2× |
| Hsv Dna Amp Probe (87529) | $243 | $243 | 6.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $40 | $40 | 3.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $337 | $337 | 24.2× |
| Iaad ia shiga-like toxin (87427) | $121 | $121 | 10.1× |
| Iaad Ia Streptococcus Group A (87430) | $214 | $214 | 12.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $288 | $288 | 8.2× |
| Iadna Cytomegalovirus Quantification (87497) | $358 | $358 | 8.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $328 | $328 | 4.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $365 | $365 | 8.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $401 | $401 | 9.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $304 | $304 | 8.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $285 | $285 | 8.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $96 | $96 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,212 | $1,212 | 8.5× |
| Ig Light Chains Free Each (83521) | $96 | $96 | 5.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $348 | $348 | 0.8× |
| Immunfix e-phorsis/urine/csf (86335) | $290 | $290 | 9.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $333 | $333 | 18.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $106 | $106 | 7.1× |
| Immunoassay nonantibody (83516) | $61 | $61 | 5.3× |
| Immunofixation electrophoresis (86334) | $173 | $173 | 7.7× |
| Immunohistochemistry (88342) | $232 | $232 | 1.1× |
| In situ hybridization 1st probe stain (88365) | $145 | $145 | 0.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $84 | $84 | 5.3× |
| Influenza a/b ag eia (87400) | $152 | $152 | 10.8× |
| Influenza assay w/optic (87804) | $156 | $156 | 9.4× |
| Influenza DNA amp probe (87502) | $603 | $603 | 6.3× |
| Insitu hybridization auto (88367) | $126.90 | $126.90 | 0.3× |
| Insitu hybridization manual (88368) | $187 | $187 | 0.4× |
| Insulin total (83525) | $210 | $210 | 18.4× |
| Iron (83540) | $140 | $140 | 21.6× |
| Iron Binding Capacity (83550) | $135 | $135 | 15.4× |
| Koh Prep (87220) | $174 | $174 | 40.7× |
| Lactate (ld) (ldh) enzyme (83615) | $157 | $157 | 26.0× |
| Lactoferrin fecal qualitative (83630) | $213 | $213 | 10.8× |
| LDL direct (83721) | $129 | $129 | 12.3× |
| Legionella antigen urine (87449) | $174 | $174 | 14.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $41 | $41 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $91 | $91 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $596 | $596 | 1.3× |
| Lipase (83690) | $275 | $275 | 39.9× |
| Lipoprotein A (83695) | $97 | $97 | 6.8× |
| Lithium (80178) | $220 | $220 | 33.3× |
| Luteinizing Hormone (Lh) (83002) | $314 | $314 | 17.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $265 | $265 | 1.2× |
| Magnesium Urine (83735) | $219 | $219 | 32.7× |
| Microalbumin, quantitative (82043) | $107 | $107 | 18.5× |
| Microbe Suscept Macrobroth (87188) | $71 | $71 | 10.7× |
| Microsomal Antibodies Each (86376) | $110 | $110 | 7.6× |
| Morphometric Analysis Tumor (88358) | $126.90 | $126.90 | 0.6× |
| Mrsa Pcr (87641) | $456 | $456 | 13.0× |
| Mumps antibody (86735) | $133 | $133 | 10.2× |
| Mycobacteric Identification (87118) | $100 | $100 | 6.8× |
| Myoglobin urine (83874) | $450 | $450 | 34.8× |
| Natriuretic peptide (83880) | $566 | $566 | 14.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $73 | $73 | 0.5× |
| Nfct ds bv&vaginitis DNA alg (81515) | $548 | $548 | 2.1× |
| Nuclear antigen antibody (86235) | $139 | $139 | 7.8× |
| Obstetric panel (80081) | $951 | $951 | 12.7× |
| Occult blood feces (82272) | $113 | $113 | 26.7× |
| Occult Blood Other Sources (82271) | $113 | $113 | 21.2× |
| Osmolality serum (83930) | $200 | $200 | 30.3× |
| Osmolality Urine (83935) | $211 | $211 | 30.9× |
| Oxalate urine (83945) | $256 | $256 | 17.7× |
| Particle Agglutination Screen Each Antibody (86403) | $220 | $220 | 19.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $113 | $113 | 0.1× |
| Ph urine (81003) | $96 | $96 | 42.7× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$294–$304 | $294–$304 | varies |
| Phenylalanine (84030) | $200 | $200 | 36.4× |
| Phenytoin (Dilantin) (80185) | $361 | $361 | 27.2× |
| Phenytoin free (80186) | $460 | $460 | 33.4× |
| Phosphatase alkaline (84075) | $97 | $97 | 18.7× |
| Phosphorus Serum (84100) | $142 | $142 | 30.0× |
| Phosphorus urine (84105) | $98 | $98 | 17.0× |
| Pinworm exam (87172) | $55 | $55 | 12.9× |
| Platelet Aggregation (85576) | $275 | $275 | 11.0× |
| Platelet count automated (85049) | $140 | $140 | 31.2× |
| Platelet neutralization (85597) | $33 | $33 | 1.8× |
| Potassium Urine (84133) | $134 | $134 | 28.3× |
| Prealbumin (84134) | $216 | $216 | 14.8× |
| Procalcitonin (Pct) (84145) | $589 | $589 | 21.6× |
| Progesterone (84144) | $275 | $275 | 13.2× |
| Prolactin (84146) | $262 | $262 | 13.5× |
| Protein body fluid (84157) | $218 | $218 | 54.5× |
| Protein C Activity (85303) | $104 | $104 | 7.5× |
| Protein Electrophoresis Urine (84166) | $121 | $121 | 6.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $101 | $101 | 9.4× |
| Protein S Free (85306) | $115 | $115 | 7.5× |
| Protein s total (85305) | $105 | $105 | 9.0× |
| Protein total serum (84155) | $53 | $53 | 14.4× |
| Protein Total Urine (84156) | $117 | $117 | 31.9× |
| PSA free (84154) | $238 | $238 | 12.9× |
| Pth Intact (83970) | $400 | $400 | 9.7× |
| Quantiferon tb gold plus (86480) | $783 | $783 | 12.6× |
| Rbc antibody elution (86860) | $221 | $221 | 1.0× |
| Rbc antibody identification (86870) | $629 | $629 | 1.4× |
| Rbc antibody screen (86850) | $241 | $241 | 24.7× |
| Resp virus 12-25 targets (87633) | $783 | $783 | 1.9× |
| Reticulocyte Count Manual (85044) | $119 | $119 | 27.6× |
| Rh (86901) | $161 | $161 | 53.8× |
| Rheumatoid Factor Qualitative (86430) | $136 | $136 | 22.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$78–$79 | $78–$79 | varies |
| Rotavirus ag eia (87425) | $214 | $214 | 17.9× |
| Rpr qualitative (86592) | $101 | $101 | 23.7× |
| Rubella Antibody (86762) | $115 | $115 | 8.0× |
| Rubeola antibody (86765) | $99 | $99 | 7.7× |
| Russell Viper Venom Time Diluted (85613) | $64 | $64 | 6.7× |
| Salicylate Level (80179) | $213 | $213 | 11.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $360 | $360 | 7.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $75 | $75 | 1.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $124 | $124 | 3.0× |
| Sarscov2 & inf a&b amp prb (87636) | $502 | $502 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $570 | $570 | 4.0× |
| Sedimentation rate (85651) | $155 | $155 | 36.3× |
| Sedimentation Rate, Automated (85652) | $95 | $95 | 35.2× |
| Semen Anal Sperm Detection (89321) | $169 | $169 | 14.0× |
| Semen analysis complete (89320) | $239 | $239 | 19.4× |
| Semen analysis motility and count (89310) | $146 | $146 | 17.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $271 | $271 | 27.5× |
| Sensitivity mic (87186) | $283 | $283 | 32.7× |
| Sex Hormone Binding Globulin (84270) | $172 | $172 | 7.9× |
| Sickling of rbc reduction (85660) | $43 | $43 | 7.8× |
| Sirolimus (80195) | $155 | $155 | 11.3× |
| Skin test tuberculosis intradermal (86580) | $67 | $67 | 1.8× |
| Smear acid fast (87206) | $148 | $148 | 27.5× |
| Smear gram stain (87205) | $145 | $145 | 34.0× |
| Smear Special Stain (87207) | $210 | $210 | 35.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $228 | $228 | 39.2× |
| Sodium Serum (84295) | $132 | $132 | 27.4× |
| Sodium Urine (84300) | $161 | $161 | 31.8× |
| Somatomedin (84305) | $150 | $150 | 7.1× |
| Special Stains Group 1 (88312) | $163 | $163 | 2.4× |
| Special Stains Group 2 (88313) | $119 | $119 | 0.7× |
| Specimen infect agnt concntj (87015) | $124 | $124 | 18.6× |
| Stem cells total count (86367) | $866 | $866 | 11.1× |
| Stool cultr aerobic bact ea (87046) | $139 | $139 | 14.7× |
| Strep a assay w/optic (87880) | $209 | $209 | 12.6× |
| Strep a DNA amp probe (87651) | $251 | $251 | 7.2× |
| Surg path level iii (88304) | $110 | $110 | 1.6× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$122–$126.90 | $122–$126.90 | varies |
| Surgical pathology level vi (88309) | $908 | $908 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $99 | $99 | 20.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $101 | $101 | 13.5× |
| Syphilis Test Non-Trep Quant (86593) | $17 | $17 | 3.9× |
| T cells absolute cd4 count (86361) | $792 | $792 | 29.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $316 | $316 | 6.7× |
| T cells total count (86359) | $181 | $181 | 4.8× |
| T3 Free (84481) | $226 | $226 | 13.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$185–$191 | $185–$191 | varies |
| T3 Uptake (84479) | $79 | $79 | 12.2× |
| T4 Free (84439) | $231 | $231 | 25.6× |
| T4 total (84436) | $123 | $123 | 17.9× |
| Tacrolimus (80197) | $144 | $144 | 10.5× |
| Tb ag response t-cell susp (86481) | $471 | $471 | 4.7× |
| Test for acetone/ketones (82009) | $149 | $149 | 33.0× |
| Testosterone total (84403) | $141 | $141 | 5.5× |
| Theophylline (80198) | $268 | $268 | 19.0× |
| Thrombin Time (85670) | $55 | $55 | 9.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $81 | $81 | 12.5× |
| Thyroglobulin (84432) | $157 | $157 | 9.8× |
| Thyroglobulin Antibody (86800) | $115 | $115 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $64 | $64 | 5.6× |
| Tissue Culture Lymphocyte (88230) | $128.80 | $128.80 | 1.1× |
| Tobramycin peak (80200) | $305 | $305 | 18.9× |
| Touch prep (88161) | $58.74 | $58.74 | 1.6× |
| Toxoplasma ab igm (86778) | $270 | $270 | 18.7× |
| Toxoplasma antibody (86777) | $112 | $112 | 7.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $114 | $114 | 22.0× |
| Transferrin (84466) | $187 | $187 | 14.7× |
| Trichomonas vagin dir probe (87660) | $144 | $144 | 7.2× |
| Trichomonas Vaginalis Amplif (87661) | $116 | $116 | 3.3× |
| Triglycerides (84478) range across 3 matching MRF lines |
$149–$162 | $149–$162 | varies |
| Troponin Quant (84484) | $463 | $463 | 37.1× |
| Tumor immunohistochem/comput (88361) | $197.37 | $197.37 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $260 | $260 | 1.2× |
| Urea nitrogen urine (84540) | $171 | $171 | 30.8× |
| Uric acid other source (84560) | $123 | $123 | 24.2× |
| Urinalysis Microscopic Only (81015) | $110 | $110 | 36.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $78 | $78 | 35.9× |
| Urinalysis Volume Measure (81050) | $46 | $46 | 12.6× |
| Urine Bacteria Culture (87088) | $150 | $150 | 18.5× |
| Urine Pregnancy Test (81025) | $190 | $190 | 22.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $141 | $141 | 44.5× |
| Valproic acid (80164) | $382 | $382 | 28.2× |
| Vancomycin (80202) | $430 | $430 | 31.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$111–$115 | $111–$115 | varies |
| Viral Culture (87252) | $212 | $212 | 8.1× |
| Vit D 1 25-Dihydroxy (82652) | $197 | $197 | 5.1× |
| Vitamin b-12 (82607) | $228 | $228 | 15.1× |
| Vitamin D 25-Hydroxy (82306) | $274 | $274 | 9.3× |
| Xm Archive Tissue Molec Anal (88363) | $22.79 | $22.79 | 0.6× |
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.