Lab & pathology prices at Memorial Hospital of Texas County Authority
Guymon, OK · every code in this section with a posted price and a Medicare benchmark.
475 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $344.80 | $431 | 8.9× |
| Acute hepatitis panel (80074) | $532.80 | $666 | 11.2× |
| Acylcarnitines Quant (82017) | $64 | $80 | 3.8× |
| Adenovirus antibody (86603) range across 4 matching MRF lines |
$363.20–$1,245.60 | $454–$1,557 | varies |
| Agglutinins Febrile Each Antigen (86000) | $80.80 | $101 | 11.6× |
| Albumin Fluid (82042) | $42.40 | $53 | 5.4× |
| Albumin serum (82040) | $54.40 | $68 | 11.0× |
| Aldolase (82085) | $82.40 | $103 | 8.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$131.20–$298.40 | $164–$373 | varies |
| Alkaline phosphatase isoenzymes (84080) | $127.20 | $159 | 8.6× |
| Allergen specific ige (86003) range across 9 matching MRF lines |
$22.40–$628 | $28–$785 | varies |
| Alpha-1-antitrypsin total (82103) | $120.80 | $151 | 9.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$135.20–$356 | $169–$445 | varies |
| Alt (sgpt) (84460) | $98.40 | $123 | 18.6× |
| Amikacin trough (80150) | $127.20 | $159 | 8.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $347.20 | $434 | 15.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $66.40 | $83 | 3.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$64.80–$146.40 | $81–$183 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$28.80–$115.20 | $36–$144 | varies |
| Androstenedione (82157) | $218.40 | $273 | 7.5× |
| Angiotensin converting enzyme csf (82164) | $116.80 | $146 | 8.0× |
| Anti-Phospholipid Antibody (86148) | $56.80 | $71 | 3.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$220.80–$242.40 | $276–$303 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $113.60 | $142 | 7.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $168 | $210 | 10.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$88.80–$144 | $111–$180 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$105.60–$152.80 | $132–$191 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$105.60–$155.20 | $132–$194 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $292.80 | $366 | 23.9× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$85.60–$94.40 | $107–$118 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $132 | $165 | 9.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$72–$124.80 | $90–$156 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$101.60–$112 | $127–$140 | varies |
| Antibody identification leukocyte antibodies (86021) | $459.20 | $574 | 30.5× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$176.80–$180.80 | $221–$226 | varies |
| Antibody Titer (86886) | $419.20 | $524 | 80.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$97.60–$112 | $122–$140 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$246.40–$270.40 | $308–$338 | varies |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$100–$212 | $125–$265 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$77.60–$231.20 | $97–$289 | varies |
| Antithrombin iii activity (85300) | $166.40 | $208 | 14.0× |
| Antithrombin iii antigen (85301) | $133.60 | $167 | 12.4× |
| Arsenic (82175) range across 2 matching MRF lines |
$30.40–$166.40 | $38–$208 | varies |
| Assay activated protein c (85307) | $188 | $235 | 12.3× |
| Assay Blood Carbon Dioxide (82374) | $53.60 | $67 | 11.0× |
| Assay Nephelometry Not Spec (83883) | $155.20 | $194 | 11.4× |
| Assay of 5-hiaa (83497) | $166.40 | $208 | 12.9× |
| Assay of blood/uric acid (84550) | $56.80 | $71 | 12.6× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$53.60–$63.20 | $67–$79 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$110.40–$120.80 | $138–$151 | varies |
| Assay of estrone (82679) | $108 | $135 | 4.3× |
| Assay of g6pd enzyme (82955) | $38.40 | $48 | 4.0× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$64–$100.80 | $80–$126 | varies |
| Assay of lactic acid (83605) | $113.60 | $142 | 9.8× |
| Assay of metanephrines (83835) | $146.40 | $183 | 8.6× |
| Assay of phosphatase acid total (84060) | $48.80 | $61 | 6.4× |
| Assay of procainamide (80190) | $118.40 | $148 | 2.0× |
| Assay of proinsulin (84206) | $175.20 | $219 | 6.6× |
| Assay of serum potassium (84132) | $53.60 | $67 | 11.3× |
| Assay of sweat sodium (84302) | $28 | $35 | 5.8× |
| Assay of urea nitrogen (84520) | $70.40 | $88 | 17.8× |
| Assay of urine vma (84585) | $157.60 | $197 | 10.2× |
| Assay of vitamin b-1 (84425) | $112.80 | $141 | 5.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$35.20–$54.40 | $44–$68 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$120.80–$574.40 | $151–$718 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$289.60–$333.60 | $362–$417 | varies |
| Beta hydroxybutyrate (82010) | $150.40 | $188 | 18.4× |
| Bile acids total (82239) | $432 | $540 | 25.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$68–$73.60 | $85–$92 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$21.60–$37.60 | $27–$47 | varies |
| Biotinidase (82261) | $66.40 | $83 | 3.9× |
| Blood Count Automated Differential Wbc Count (85004) | $26.40 | $33 | 4.1× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $28 | $35 | 5.5× |
| Blood Count Red Blood Cell Automated (85041) | $22.40 | $28 | 7.4× |
| Blood count reticulocyte automated (85045) | $78.40 | $98 | 19.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $16 | $20 | 4.2× |
| Blood gas (82803) | $353.60 | $442 | 13.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $85.60 | $107 | 5.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $257.60 | $322 | 40.6× |
| Blood typing serologic abo (86900) | $150.40 | $188 | 50.3× |
| Bordetella antibody (86615) | $355.20 | $444 | 26.9× |
| Breath Alcohol Test (82075) range across 3 matching MRF lines |
$47.20–$115.20 | $59–$144 | varies |
| Brucella antibody (86622) | $89.60 | $112 | 10.0× |
| C diff amplified probe (87493) | $156.80 | $196 | 4.2× |
| C-Peptide (84681) | $204 | $255 | 9.8× |
| C-reactive protein (86140) | $63.20 | $79 | 12.2× |
| Ca 19-9 (86301) | $163.20 | $204 | 7.8× |
| Cadmium (82300) | $161.60 | $202 | 6.8× |
| Calcitonin (82308) | $244 | $305 | 9.1× |
| Calcium ionized (82330) | $210.40 | $263 | 15.4× |
| Calcium total (82310) range across 3 matching MRF lines |
$48.80–$116 | $61–$145 | varies |
| Calprotectin Fecal (83993) | $264.80 | $331 | 13.5× |
| Cancer Antigen 125 (86304) | $176.80 | $221 | 8.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$21.60–$161.60 | $27–$202 | varies |
| Candida antibody (86628) | $328 | $410 | 27.3× |
| Carbamazepine total (80156) | $211.20 | $264 | 14.5× |
| Carboxyhemoglobin (82375) | $103.20 | $129 | 8.4× |
| Carcinoembryonic antigen (82378) | $168 | $210 | 8.9× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$64–$228 | $80–$285 | varies |
| Catecholamines fractionated (82384) | $227.20 | $284 | 9.0× |
| Ccp antibody (86200) | $128 | $160 | 9.9× |
| Cell count csf (89051) | $104.80 | $131 | 18.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $326.40 | $408 | 2.4× |
| Ceruloplasmin (82390) | $106.40 | $133 | 9.9× |
| Cftr Gene Analysis Known Familial Variants (81221) | $739.20 | $924 | 7.6× |
| Chemiluminescent assay (82397) | $106.40 | $133 | 7.5× |
| Chlamydia antibody (86631) | $104.80 | $131 | 8.9× |
| Chlamydia Igm Antibody (86632) | $116.80 | $146 | 9.2× |
| Chloride other source (82438) | $52 | $65 | 10.4× |
| Chloride Serum (82435) | $39.20 | $49 | 8.5× |
| Chloride urine (82436) | $103.20 | $129 | 17.9× |
| Cholesterol total (82465) | $43.20 | $54 | 9.9× |
| Cholinesterase rbc (82482) | $120 | $150 | 12.2× |
| Cholinesterase Serum (82480) | $80.80 | $101 | 10.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$60.80–$132.80 | $76–$166 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $339.20 | $424 | 10.1× |
| Chromogranin a (86316) | $351.20 | $439 | 16.9× |
| Chromosome Analysis 15-20 (88262) | $1,222.40 | $1,528 | 9.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$83.20–$183.20 | $104–$229 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$64.80–$247.20 | $81–$309 | varies |
| Ckmb (82553) | $145.60 | $182 | 12.6× |
| Clostridium Difficile (87324) | $140.80 | $176 | 11.8× |
| Coccidioides antibody (86635) | $152 | $190 | 13.3× |
| Cold agglutinin titer (86157) | $79.20 | $99 | 9.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$268–$400 | $335–$500 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$152.80–$178.40 | $191–$223 | varies |
| Compatibility test antiglob (86922) | $319.20 | $399 | 1.9× |
| Complement Antigen Each Component (86160) | $143.20 | $179 | 11.9× |
| Complement Total (Ch50) (86162) | $200.80 | $251 | 9.9× |
| Complement/Function Activity (86161) | $390.40 | $488 | 32.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $308 | $385 | 1.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $185.60 | $232 | 3.7× |
| Coombs direct (86880) | $270.40 | $338 | 50.2× |
| Copper urine (82525) | $129.60 | $162 | 10.4× |
| Cortisol free (82530) | $174.40 | $218 | 10.4× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$72–$185.60 | $90–$232 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$36–$98.40 | $45–$123 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$60.80–$116 | $76–$145 | varies |
| Creatinine clearance (82575) | $257.60 | $322 | 27.2× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$39.20–$180.80 | $49–$226 | varies |
| Crp High Sensitivity (86141) | $124 | $155 | 9.6× |
| Cryoglobulin (82595) | $68 | $85 | 10.5× |
| Cryptococcus ag titer (87899) | $112 | $140 | 7.0× |
| Cryptosporidium ag eia (87328) | $55.20 | $69 | 4.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $86.40 | $108 | 10.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $172.80 | $216 | 21.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $72.80 | $91 | 9.4× |
| Culture afb (87116) | $96 | $120 | 8.9× |
| Culture Anaerobic (87075) | $203.20 | $254 | 21.5× |
| Culture blood (87040) | $198.40 | $248 | 19.2× |
| Culture chlamydia (87110) | $188 | $235 | 9.6× |
| Culture csf (87070) range across 4 matching MRF lines |
$48–$216 | $60–$270 | varies |
| Culture fungus (87102) | $89.60 | $112 | 10.7× |
| Culture screen only (87081) range across 4 matching MRF lines |
$50.40–$135.20 | $63–$169 | varies |
| Culture stool (87045) | $135.20 | $169 | 14.3× |
| Culture typing if ea antiserum (87140) | $188 | $235 | 33.8× |
| Culture urine (87086) range across 3 matching MRF lines |
$126.70–$135.20 | $158.38–$169 | varies |
| Cyclosporine (80158) | $188 | $235 | 10.4× |
| Cyp2c19 gene analysis common variants (81225) | $720.80 | $901 | 2.5× |
| Cystatin C (82610) | $116 | $145 | 6.3× |
| Cytomegalovirus igg (86644) | $152 | $190 | 10.6× |
| Cytopath Cell Enhance Tech (88112) | $172.80 | $216 | 3.4× |
| Cytp Concentration Smears & Interpretation (88108) | $344.80 | $431 | 9.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$89.60–$210.40 | $112–$263 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $136 | $170 | 3.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $86.40 | $108 | 4.7× |
| Deoxyribonuclease antibody (86215) | $133.60 | $167 | 10.1× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$147.20–$667.20 | $184–$834 | varies |
| Detect Agent Nos Dna Quant (87799) | $516 | $645 | 12.0× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$240.80–$657.60 | $301–$822 | varies |
| Dhea (82626) | $230.40 | $288 | 9.1× |
| Dhea-S (82627) | $168.80 | $211 | 7.6× |
| Digoxin (80162) | $127.20 | $159 | 9.6× |
| Dna Antibody Native/Double Stranded (86225) | $131.20 | $164 | 9.5× |
| Drug assay acetaminophen (80143) | $160 | $200 | 8.6× |
| Drug Screen Quant Zonisamide (80203) | $425.60 | $532 | 32.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $487.20 | $609 | 36.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$869.60–$912.80 | $1,087–$1,141 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 5 matching MRF lines |
$80–$328.80 | $100–$411 | varies |
| Electrolyte panel (80051) | $89.60 | $112 | 12.8× |
| Electron Microscopy (88348) | $672.80 | $841 | 0.9× |
| Enterovirus Antibody (86658) | $340 | $425 | 26.1× |
| Eosinophil Smear (89190) | $43.20 | $54 | 7.5× |
| Erythropoietin (82668) | $173.60 | $217 | 9.2× |
| Estradiol serum (82670) | $155.20 | $194 | 5.6× |
| Estriol (82677) | $86.40 | $108 | 3.6× |
| Estrogen total (82672) | $197.60 | $247 | 9.1× |
| Estrogens fractionated (82671) | $260.80 | $326 | 8.1× |
| Ethosuximide (80168) | $96.80 | $121 | 5.9× |
| Exam Synovial Fluid Crystals (89060) | $91.20 | $114 | 12.4× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$169.60–$271.20 | $212–$339 | varies |
| Factor viii assay (85240) | $336 | $420 | 18.8× |
| Factor X (85260) | $383.20 | $479 | 21.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $215.20 | $269 | 33.0× |
| Fecal Fat Qualitative (82705) | $52 | $65 | 10.2× |
| Ferritin (82728) | $108.80 | $136 | 8.0× |
| Fetal Chrmoml Aneuploidy (81420) | $670.40 | $838 | 0.9× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$144–$331.20 | $180–$414 | varies |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$76–$87.20 | $95–$109 | varies |
| Fibrin degradation products (85362) | $71.20 | $89 | 10.3× |
| Fibrin Degradation Quant (85379) | $135.20 | $169 | 13.3× |
| Fibrinogen activity (85384) | $72 | $90 | 7.4× |
| Flow cytometry first marker (88184) | $481.60 | $602 | 1.4× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$100.80–$274.40 | $126–$343 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$91.20–$755.20 | $114–$944 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$101.60–$104.80 | $127–$131 | varies |
| Follicle Stimulating Hormone (83001) | $140 | $175 | 7.5× |
| Francisella tularensis (86668) | $116.80 | $146 | 8.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $213.60 | $267 | 1.3× |
| Frozen Blood Each Unit Thawing (86931) | $313.60 | $392 | 1.9× |
| Frozen Section (88331) | $68 | $85 | 0.4× |
| Galactose (82760) range across 2 matching MRF lines |
$44–$88 | $55–$110 | varies |
| Gammaglobulin ige (82785) | $598.40 | $748 | 36.4× |
| Gastrin (82941) | $137.60 | $172 | 7.8× |
| Genet Virus Isolate Hsv (87255) | $139.20 | $174 | 4.1× |
| Gentamicin (80170) range across 2 matching MRF lines |
$152.80–$160.80 | $191–$201 | varies |
| Ggt (82977) | $65.60 | $82 | 9.1× |
| Giardia antigen (87329) | $55.20 | $69 | 4.6× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $62.40 | $78 | 10.3× |
| Glucose 2 hr pp (82950) | $51.20 | $64 | 10.8× |
| Glucose Blood Test (82962) | $5.25 | $6.56 | 1.6× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$80.80–$114.40 | $101–$143 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$48–$60.80 | $60–$76 | varies |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$56–$150.40 | $70–$188 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $79.20 | $99 | 10.5× |
| Growth hormone (83003) | $147.20 | $184 | 8.8× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$16.80–$177.60 | $21–$222 | varies |
| Haptoglobin (83010) | $126.40 | $158 | 10.0× |
| Hdl Cholesterol (83718) | $67.20 | $84 | 8.2× |
| Helicobacter Pylori Stool (87338) | $95.20 | $119 | 6.6× |
| Helminth Antibody (86682) range across 4 matching MRF lines |
$80.80–$532 | $101–$665 | varies |
| Hematocrit (85014) | $20.80 | $26 | 8.8× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$9.60–$28 | $12–$35 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$16–$82.40 | $20–$103 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$71.20–$76.80 | $89–$96 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$50.40–$101.60 | $63–$127 | varies |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $24.80 | $31 | 2.6× |
| Hemoglobin-Oxygen Affinity (82820) | $105.60 | $132 | 7.9× |
| Hemosiderin urine (83070) | $199.20 | $249 | 41.9× |
| Hep a ab igm (86709) | $116 | $145 | 10.3× |
| Heparin assay (85520) | $348 | $435 | 26.6× |
| Hepatitis a antibody total (86708) | $134.40 | $168 | 10.8× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$55.20–$116 | $69–$145 | varies |
| Hepatitis B Surface Antibody (86706) | $109.60 | $137 | 10.2× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$43.20–$62.40 | $54–$78 | varies |
| Hepatitis Be Antibody (86707) | $117.60 | $147 | 10.2× |
| Hepatitis Be Antigen (87350) | $242.40 | $303 | 21.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$117.60–$161.60 | $147–$202 | varies |
| Hepatitis C Genotype (87902) | $1,153.60 | $1,442 | 4.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $156 | $195 | 4.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$280–$498.40 | $350–$623 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$72–$124.80 | $90–$156 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$60.80–$82.40 | $76–$103 | varies |
| Hfe Gene (81256) | $138.40 | $173 | 2.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $87.20 | $109 | 11.3× |
| Histamine urine (83088) | $127.20 | $159 | 4.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $766.40 | $958 | 9.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 2 matching MRF lines |
$945.60–$1,135.20 | $1,182–$1,419 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$499.20–$1,008.80 | $624–$1,261 | varies |
| Homocysteine (83090) | $107.20 | $134 | 6.0× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$162.40–$413.60 | $203–$517 | varies |
| Hsv Dna Quant (87530) | $160.80 | $201 | 3.8× |
| Htlv-I Antibody (86687) | $120 | $150 | 13.2× |
| Htlv-ii antibody (86688) | $114.40 | $143 | 8.2× |
| Human Epididymis Protein 4 (86305) | $388 | $485 | 18.6× |
| Hydroxycorticosteroids 17 (83491) | $196 | $245 | 10.9× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$106.40–$214.40 | $133–$268 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $55.20 | $69 | 4.0× |
| Iaad ia shiga-like toxin (87427) | $77.60 | $97 | 6.5× |
| Iaadi pneumocustis carinii (87281) | $76 | $95 | 6.3× |
| Iaadi Varicella Zoster Virus (87290) | $55.20 | $69 | 4.1× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $74.40 | $93 | 3.3× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$579.20–$1,156 | $724–$1,445 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$177.60–$212.80 | $222–$266 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$266.40–$403.20 | $333–$504 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$91.20–$184 | $114–$230 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $74.40 | $93 | 2.5× |
| Igg subclasses (82787) | $32.80 | $41 | 4.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $116.80 | $146 | 6.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$12–$146.40 | $15–$183 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$84–$604 | $105–$755 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $208.80 | $261 | 9.0× |
| Immunoelectrophoresis Serum (86320) | $202.40 | $253 | 6.8× |
| Immunohistochemistry (88342) | $949.60 | $1,187 | 5.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $87.20 | $109 | 4.3× |
| Influenza a/b ag eia (87400) | $90.40 | $113 | 6.4× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$240.80–$321.60 | $301–$402 | varies |
| Inhibin A (86336) | $156 | $195 | 10.0× |
| Inhibin b (83520) range across 6 matching MRF lines |
$64–$998.40 | $80–$1,248 | varies |
| Insulin antibodies (86337) | $512.80 | $641 | 24.0× |
| Insulin total (83525) | $116.80 | $146 | 10.2× |
| Intrinsic factor antibody (86340) | $177.60 | $222 | 11.8× |
| Iron (83540) range across 3 matching MRF lines |
$48–$84 | $60–$105 | varies |
| Iron Binding Capacity (83550) | $97.60 | $122 | 11.2× |
| Irradiation Blood Product Each Unit (86945) | $94.40 | $118 | 2.6× |
| Islet cell antibody (86341) | $1,327.20 | $1,659 | 56.3× |
| Lactate (ld) (ldh) enzyme (83615) | $67.20 | $84 | 11.1× |
| Lactoferrin fecal qualitative (83630) | $170.40 | $213 | 8.6× |
| Ldh Isoenzymes (83625) | $126.40 | $158 | 9.9× |
| LDL direct (83721) | $73.60 | $92 | 7.0× |
| Lead (83655) range across 2 matching MRF lines |
$30.40–$88 | $38–$110 | varies |
| Legionella antibody (86713) | $157.60 | $197 | 10.3× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$87.20–$88 | $109–$110 | varies |
| Legionella pneumophila dfa (87278) | $76 | $95 | 4.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $52.80 | $66 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $84 | $105 | 2.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $256.80 | $321 | 0.7× |
| Lipase (83690) | $116.80 | $146 | 17.0× |
| Lithium (80178) | $72.80 | $91 | 11.0× |
| Luteinizing Hormone (Lh) (83002) | $153.60 | $192 | 8.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$95.20–$164.80 | $119–$206 | varies |
| Macroscopic Exam Parasite (87169) | $15.20 | $19 | 3.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$40.80–$71.20 | $51–$89 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$80–$601.60 | $100–$752 | varies |
| Meat fibers, feces (89160) | $52.80 | $66 | 10.9× |
| Mercury urine (83825) | $30.40 | $38 | 1.9× |
| Methylmalonic acid serum (83921) | $147.20 | $184 | 6.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$86.40–$89.60 | $108–$112 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$95.20–$127.20 | $119–$159 | varies |
| Mononuclear cell antigen (86356) | $50.40 | $63 | 1.9× |
| Mrsa Pcr (87641) range across 4 matching MRF lines |
$88–$352 | $110–$440 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $135.20 | $169 | 2.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$81.60–$239.20 | $102–$299 | varies |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$113.60–$124.80 | $142–$156 | varies |
| Mycoplasma culture (87109) | $178.40 | $223 | 11.6× |
| Myelin basic protein csf (83873) | $167.20 | $209 | 9.7× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$74.40–$136.80 | $93–$171 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$88–$247.20 | $110–$309 | varies |
| Neisseria Dir Na Probe (87590) | $74.40 | $93 | 2.8× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $112.80 | $141 | 3.9× |
| Niacin (84591) | $641.60 | $802 | 37.6× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$134.40–$247.20 | $168–$309 | varies |
| Oligoclonal bands (83916) | $146.40 | $183 | 5.3× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$64.80–$56,097.60 | $81–$70,122 | varies |
| Osmolality serum (83930) | $48.80 | $61 | 7.4× |
| Osmolality Urine (83935) | $71.20 | $89 | 10.4× |
| Ova and parasites smears (87177) | $90.40 | $113 | 10.2× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$64.80–$568 | $81–$710 | varies |
| Parvovirus antibody (86747) | $149.60 | $187 | 10.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $44.80 | $56 | 0.1× |
| Phenobarbital Level (80184) | $124.80 | $156 | 8.2× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$114.24–$117.60 | $142.80–$147 | varies |
| Phosphatase acid prostatic (84066) | $95.20 | $119 | 9.9× |
| Phosphatase alkaline (84075) | $42.40 | $53 | 8.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$81.60–$116 | $102–$145 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$47.20–$64.80 | $59–$81 | varies |
| Pinworm exam (87172) | $23.20 | $29 | 5.4× |
| Platelet Aggregation (85576) | $1,201.60 | $1,502 | 48.2× |
| Platelet Antibodies (86022) | $787.20 | $984 | 42.9× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$29.60–$40.80 | $37–$51 | varies |
| Pooling blood platelets (86965) | $141.60 | $177 | 0.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$128.80–$249.60 | $161–$312 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$45.60–$57.60 | $57–$72 | varies |
| Prealbumin (84134) | $88 | $110 | 6.0× |
| Primidone (80188) range across 2 matching MRF lines |
$102.40–$112.80 | $128–$141 | varies |
| Procalcitonin (Pct) (84145) | $772 | $965 | 28.4× |
| Progesterone (84144) | $168 | $210 | 8.1× |
| Prolactin (84146) | $146.40 | $183 | 7.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$42.40–$116 | $53–$145 | varies |
| Protein c antigen (85302) | $301.60 | $377 | 25.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$37.60–$90.40 | $47–$113 | varies |
| Protein s total (85305) | $332 | $415 | 28.6× |
| Protein total serum (84155) range across 3 matching MRF lines |
$43.20–$128.80 | $54–$161 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$44.80–$135.20 | $56–$169 | varies |
| Protein Western Blot Test (84182) | $317.60 | $397 | 10.9× |
| Protoporphyrin rbc quantitative (84202) | $84.80 | $106 | 5.9× |
| PSA free (84154) | $114.40 | $143 | 6.2× |
| Pth Intact (83970) range across 2 matching MRF lines |
$136.80–$240.80 | $171–$301 | varies |
| Quantiferon tb gold plus (86480) | $248.80 | $311 | 4.0× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$83.20–$279.20 | $104–$349 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$169.60–$222.40 | $212–$278 | varies |
| Quinidine (80194) | $118.40 | $148 | 8.1× |
| Rbc antibody identification (86870) | $568 | $710 | 1.6× |
| Reagent Strip/Blood Glucose (82948) range across 3 matching MRF lines |
$12.80–$44.80 | $16–$56 | varies |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$131.20–$188.80 | $164–$236 | varies |
| Resp virus 12-25 targets (87633) | $624 | $780 | 1.5× |
| Rh (86901) | $150.40 | $188 | 50.3× |
| Rheumatoid Factor Qualitative (86430) | $84.80 | $106 | 13.8× |
| Rheumatoid factor quant (86431) | $73.60 | $92 | 13.0× |
| Rickettsia antibody (86757) | $155.20 | $194 | 8.0× |
| Rotavirus ag eia (87425) | $55.20 | $69 | 4.6× |
| Rpr qualitative (86592) range across 6 matching MRF lines |
$19.20–$220.80 | $24–$276 | varies |
| Rsv Assay W/Optic (87807) | $47.20 | $59 | 3.6× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$66.40–$76.80 | $83–$96 | varies |
| Rubeola antibody (86765) | $172.80 | $216 | 13.4× |
| Russell Viper Venom Time Diluted (85613) | $73.60 | $92 | 7.7× |
| Salicylate Level (80179) | $148 | $185 | 7.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$89.60–$417.60 | $112–$522 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $136.80 | $171 | 3.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $307.20 | $384 | 2.2× |
| Sedimentation rate (85651) | $63.20 | $79 | 14.8× |
| Selenium (84255) | $398.40 | $498 | 15.6× |
| Semen analysis complete (89320) | $152 | $190 | 12.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$132.80–$153.60 | $166–$192 | varies |
| Sex Hormone Binding Globulin (84270) | $153.60 | $192 | 7.1× |
| Sickling of rbc reduction (85660) | $68.80 | $86 | 12.5× |
| Skin test tuberculosis intradermal (86580) | $24 | $30 | 0.9× |
| Smear acid fast (87206) | $63.20 | $79 | 11.7× |
| Smear gram stain (87205) | $64 | $80 | 15.0× |
| Smear Special Stain (87207) | $214.40 | $268 | 35.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $39.20 | $49 | 6.7× |
| Sodium Serum (84295) | $57.60 | $72 | 12.0× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$40.80–$52 | $51–$65 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$185.60–$216.80 | $232–$271 | varies |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$70.40–$144.80 | $88–$181 | varies |
| Special Stains Group 2 (88313) | $118.40 | $148 | 0.9× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$64–$136.80 | $80–$171 | varies |
| Spectrophotometry (84311) | $40.80 | $51 | 5.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$356.53–$362.40 | $445.67–$453 | varies |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$132.80–$139.20 | $166–$174 | varies |
| Stone Analysis (82355) | $504.80 | $631 | 43.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$29.60–$66.40 | $37–$83 | varies |
| Strep a DNA amp probe (87651) | $100.80 | $126 | 2.9× |
| Strep b DNA amp probe (87653) | $144.80 | $181 | 4.1× |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$28.80–$438.40 | $36–$548 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$20.80–$64.80 | $26–$81 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$44.80–$138.40 | $56–$173 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$44.80–$136.80 | $56–$171 | varies |
| Surgical pathology level vi (88309) | $724.80 | $906 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $182.40 | $228 | 24.4× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$6.40–$66.40 | $8–$83 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $286.40 | $358 | 6.1× |
| T3 Free (84481) | $170.40 | $213 | 10.1× |
| T3 reverse (84482) | $224.80 | $281 | 14.3× |
| T3 Total (84480) | $120 | $150 | 8.5× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$33.60–$60 | $42–$75 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$89.60–$111.20 | $112–$139 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$30.40–$71.20 | $38–$89 | varies |
| T4-neonatal (84437) | $14.40 | $18 | 2.2× |
| Tacrolimus (80197) | $180.80 | $226 | 13.2× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$56–$59.20 | $70–$74 | varies |
| Testosterone total (84403) | $157.60 | $197 | 6.1× |
| Testosterone, Free (84402) | $203.20 | $254 | 8.0× |
| Theophylline (80198) | $168 | $210 | 11.9× |
| Thiocyanate (84430) | $116 | $145 | 10.0× |
| Thyroglobulin (84432) | $140.80 | $176 | 8.8× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$87.20–$131.20 | $109–$164 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $249.60 | $312 | 4.9× |
| Tissue Culture Lymphocyte (88230) | $436.80 | $546 | 3.7× |
| Tobramycin peak (80200) | $151.20 | $189 | 9.4× |
| Topiramate (80201) | $114.40 | $143 | 9.6× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$106.40–$163.20 | $133–$204 | varies |
| Toxoplasma antibody (86777) | $106.40 | $133 | 7.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $49.60 | $62 | 9.6× |
| Transferrin (84466) | $32 | $40 | 2.5× |
| Trichinella Antibody (86784) | $138.40 | $173 | 11.0× |
| Trichomonas Vaginalis Amplif (87661) | $152 | $190 | 4.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$38.40–$55.20 | $48–$69 | varies |
| Troponin Quant (84484) | $164.80 | $206 | 13.2× |
| Tumor Immunohistochem/Manual (88360) | $416.80 | $521 | 2.5× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$112–$578.40 | $140–$723 | varies |
| Urea nitrogen urine (84540) | $59.20 | $74 | 10.6× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$59.20–$64.80 | $74–$81 | varies |
| Urinalysis Microscopic Only (81015) | $12 | $15 | 3.9× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$91.20–$128.80 | $114–$161 | varies |
| Urine Pregnancy Test (81025) | $53.60 | $67 | 6.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $69.60 | $87 | 22.0× |
| Valproic acid (80164) range across 2 matching MRF lines |
$128–$178.40 | $160–$223 | varies |
| Vancomycin (80202) | $180 | $225 | 13.3× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$84–$171.20 | $105–$214 | varies |
| Vasopressin (84588) | $214.40 | $268 | 6.3× |
| Viral Culture (87252) | $140.80 | $176 | 5.4× |
| Vit D 1 25-Dihydroxy (82652) | $241.60 | $302 | 6.3× |
| Vitamin A (84590) range across 2 matching MRF lines |
$113.60–$155.20 | $142–$194 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$107.20–$114.40 | $134–$143 | varies |
| Vitamin B2 (Riboflavin) (84252) | $270.40 | $338 | 13.4× |
| Vitamin B6 (84207) | $140.80 | $176 | 5.0× |
| Vitamin c (82180) | $276 | $345 | 27.9× |
| Vitamin D 25-Hydroxy (82306) | $243.20 | $304 | 8.2× |
| Vitamin E (84446) | $178.40 | $223 | 12.6× |
| Vitamin K (84597) | $507.20 | $634 | 37.0× |
| Von willebrand factor ag (85246) | $317.60 | $397 | 13.8× |
| West nile virus ab igm (86788) | $163.20 | $204 | 9.7× |
| West Nile Virus Antibody (86789) | $180.80 | $226 | 12.6× |
| Zinc (84630) | $1.04 | $1.30 | 0.1× |
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.