Lab & pathology prices at Memorial Hospital

Seward, NE · every code in this section with a posted price and a Medicare benchmark.

676 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $230 $230 10.1×
5 Nucleotidase (83915) $62 $62 5.6×
Abl1 gene analysis kinase domain variants (81170) $1,574 $1,574 5.2×
Acetylcholine receptor binding antibody (86041) $138 $138 7.5×
Acetylcholine receptor blocking antibody (86042) $116 $116 6.3×
Acetylcholn Rcptr Modlg Antb (86043) $145 $145 12.0×
Acth (82024) $268 $268 6.9×
Actin smooth muscle antibody each (86015) $52 $52 4.3×
Acute hepatitis panel (80074) $401 $401 8.4×
Adenovirus antibody (86603) $189 $189 14.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $524 $524 8.1×
Albumin Fluid (82042) $76 $76 9.8×
Albumin serum (82040) $67 $67 13.5×
Aldolase (82085) $112 $112 11.5×
Aldosterone urine (82088)
range across 2 matching MRF lines
$312–$317 $312–$317 varies
Alkaline phosphatase isoenzymes (84080) $189 $189 12.8×
Allergen spec ige qual multiallergen screen (86005) $24 $24 3.0×
Allergen specific ige (86003)
range across 3 matching MRF lines
$18–$107 $18–$107 varies
Allergen specific igg (86001)
range across 2 matching MRF lines
$65–$172 $65–$172 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$45–$88 $45–$88 varies
Alpha-1-antitrypsin phenotype (82104) $189 $189 13.1×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$199–$283 $199–$283 varies
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$189–$201 $189–$201 varies
Alt (sgpt) (84460) $69 $69 13.0×
Aluminum (82108) $193 $193 7.6×
Amikacin trough (80150) $192 $192 12.7×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines
$145–$161 $145–$161 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$493–$534 $493–$534 varies
Aminolevulinic acid (ala) (82135) $793 $793 48.2×
Ammonia (82140) $155 $155 10.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $205 $205 2.1×
Amylase urine (82150)
range across 2 matching MRF lines
$110–$111 $110–$111 varies
Ana Titer (86039) $100 $100 9.0×
Anca screen each antibody (86036) $51 $51 4.2×
Androstenedione (82157) $288 $288 9.8×
Angiotensin converting enzyme csf (82164) $181 $181 12.4×
Anti-Phospholipid Antibody (86148) $107 $107 6.7×
Antibody aspergillus (86606) $148 $148 9.8×
Antibody Bacterium Not Elsewhere Specified (86609) $47 $47 3.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $180 $180 11.6×
Antibody Cytomegalovirus Cmv Igm (86645) $145 $145 8.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $57 $57 4.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $124 $124 8.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $139 $139 7.7×
Antibody Fungus Not Elsewhere Specified (86671) $171 $171 14.0×
Antibody helicobacter pylori (86677) $182 $182 10.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $116 $116 8.1×
Antibody Herpes Smplx Type 1 (86695) $90 $90 6.8×
Antibody HIV-1&HIV-2 single result (86703) $115 $115 8.4×
Antibody HIV-2 (86702) $225 $225 16.6×
Antibody Hla Class I High Definition Panel Qual (86832) $555 $555 1.7×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 3 matching MRF lines
$228–$374 $228–$374 varies
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$232–$433 $232–$433 varies
Antibody Identification Platelet Immunogl Assay (86023) $69 $69 5.5×
Antibody neisseria meningitidis (86741) $107 $107 8.1×
Antibody Titer (86886) $150 $150 29.0×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$57–$98 $57–$98 varies
Antibody; influenza virus (86710) $133 $133 9.8×
Antigen typing (86905) $106 $106 27.7×
Antinuclear antibodies (86038) $109 $109 9.0×
Antistreptolysin o titer (86060) $116 $116 15.9×
Antithrombin iii activity (85300) $259 $259 21.9×
Antithrombin iii antigen (85301) $222 $222 20.5×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$177–$187 $177–$187 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $305 $305 8.1×
Aquaporin-4 Antb Cba Each (86052) $300 $300 24.9×
Arsenic (82175) $141 $141 7.4×
Aspergillus ag eia (87305) $643 $643 53.7×
Assay activated protein c (85307) $215 $215 14.0×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$68–$70 $68–$70 varies
Assay myeloperoxidase (83876) $210 $210 4.1×
Assay Nephelometry Not Spec (83883)
range across 6 matching MRF lines
$168–$264 $168–$264 varies
Assay of 5-hiaa (83497) $175 $175 13.6×
Assay of anti-mullerian hormone (82166) $105 $105 2.7×
Assay of blood/uric acid (84550) $69 $69 15.3×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$71–$91 $71–$91 varies
Assay of estrone (82679) $281 $281 11.3×
Assay of g6pd enzyme (82955) $208 $208 21.4×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$110–$116 $110–$116 varies
Assay of lactic acid (83605) $163 $163 14.1×
Assay of manganese (83785) $186 $186 7.0×
Assay of metanephrines (83835) $325 $325 19.2×
Assay of proinsulin (84206) $250 $250 9.4×
Assay of pyruvate (84210) $210 $210 14.5×
Assay of serotonin (84260) $346 $346 11.2×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$60–$68 $60–$68 varies
Assay of sweat sodium (84302) $163 $163 33.5×
Assay of Tyrosine (84510) $165 $165 15.5×
Assay of urea nitrogen (84520) $63 $63 15.9×
Assay of urine vma (84585)
range across 2 matching MRF lines
$227–$252 $227–$252 varies
Assay of vasoactive intestinal peptide (84586) $564 $564 16.0×
Assay of vitamin b-1 (84425) $147 $147 6.9×
Assay Ph Body Fluid Nos (83986) $93 $93 26.0×
Automated Leukocyte Count (85048) $79 $79 31.1×
B cells total count (86355) $152 $152 4.0×
Bartonella antibody (86611) $107 $107 10.5×
Bcr/abl1 gene major bp (81206) $414 $414 2.5×
Bcr/abl1 gene minor bp (81207) $487 $487 3.4×
Bcr/Abl1 Gene Other Bp (81208) $690 $690 3.2×
Beta 2 glycoprotein i antibody each (86146)
range across 4 matching MRF lines
$51–$175 $51–$175 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$80–$158 $80–$158 varies
Beta Lactamase (87185) $91 $91 19.2×
Beta-2 Microglobulin (82232) $191 $191 11.8×
Bile acids total (82239) $119 $119 7.0×
Bilirubin direct (82248) $70 $70 13.9×
Bilirubin total (82247) $75 $75 14.9×
Bilirubin total transcutaneous (88720) $81 $81 16.1×
Biotinidase (82261) $61 $61 3.6×
Blastomyces antibody (86612) $146 $146 11.3×
Blood Count Manual Cell Count Each (85032) $29 $29 6.7×
Blood Count Red Blood Cell Automated (85041) $50 $50 16.6×
Blood count reticulocyte automated (85045) $69 $69 17.3×
Blood gas (82803) $295 $295 11.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $50 $50 11.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $113 $113 17.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $115 $115 7.0×
Blood typing serologic abo (86900) $88 $88 29.4×
Body fluid cell count (89050) $83 $83 17.6×
Bordetella antibody (86615)
range across 2 matching MRF lines
$93–$209 $93–$209 varies
Brucella antibody (86622) $192 $192 21.5×
C diff amplified probe (87493) $189 $189 5.1×
C-Peptide (84681) $185 $185 8.9×
C-reactive protein (86140) $142 $142 27.4×
Ca 19-9 (86301) $285 $285 13.7×
Cadmium (82300) $112 $112 4.7×
Caffeine (80155) $189 $189 4.9×
Calcitonin (82308) $292 $292 10.9×
Calcium ionized (82330)
range across 2 matching MRF lines
$49–$152 $49–$152 varies
Calcium total (82310)
range across 2 matching MRF lines
$66–$69 $66–$69 varies
Calculus assay quant (82360) $123 $123 9.6×
Calculus Spectroscopy (82365) $156 $156 12.1×
Calprotectin Fecal (83993) $571 $571 29.1×
Calr gene com variants (81219) $701 $701 5.8×
Cancer Antigen 125 (86304) $223 $223 10.7×
Cancer Antigen 27.29 (86300) $209 $209 10.0×
Candida antibody (86628) $145 $145 12.1×
Carbamazepine free (80157) $169 $169 12.8×
Carbamazepine total (80156) $163 $163 11.2×
Carboxyhemoglobin (82375) $181 $181 14.7×
Carcinoembryonic antigen (82378) $168 $168 8.9×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$56–$150 $56–$150 varies
Carnitine Quantitative Each Specimen (82379) $265 $265 15.7×
Carotene (82380) $150 $150 16.3×
Catecholamines fractionated (82384) $294 $294 11.6×
Ccp antibody (86200) $190 $190 14.7×
Cell count csf (89051) $208 $208 37.1×
Cellular Function Assay Stimul&Detect Biomarke (86352) $758 $758 5.6×
Ceruloplasmin (82390) $126 $126 11.7×
Cftr gene full sequence (81223) $1,336 $1,336 2.7×
Chemiluminescent assay (82397)
range across 8 matching MRF lines
$95–$566 $95–$566 varies
Chlamydia antibody (86631) $91 $91 7.7×
Chlamydia Igm Antibody (86632) $113 $113 8.9×
Chloramphenicol level (82415) $50 $50 3.9×
Chloride other source (82438) $126 $126 25.2×
Chloride Serum (82435)
range across 2 matching MRF lines
$48–$69 $48–$69 varies
Chloride urine (82436) $54 $54 9.4×
Cholesterol total (82465) $69 $69 15.9×
Cholinesterase Serum (82480) $115 $115 14.6×
Chorionic gonadotropin test (84702) $178 $178 11.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $179 $179 5.3×
Chromium serum (82495) $123 $123 6.1×
Chromogranin a (86316) $248 $248 11.9×
Chromosome analysis, 5 (88261) $879 $879 3.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $198 $198 5.6×
Citric acid urine (82507) $269 $269 9.7×
Ckmb (82553) $249 $249 21.6×
Clostridium Difficile (87324) $60 $60 5.0×
Clotting factor xii hageman (85280) $348 $348 18.0×
Clotting Funct Activity (85397) $597 $597 19.3×
Clotting hi molec weight kininogen assay (85293) $226 $226 11.9×
Coccidioides antibody (86635) $147 $147 12.8×
Collagen crosslinks (82523) $324 $324 17.3×
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$145–$527 $145–$527 varies
Compatibility test antiglob (86922) $289 $289 1.6×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$127–$190 $127–$190 varies
Complement Total (Ch50) (86162) $224 $224 11.0×
Complement/Function Activity (86161) $232 $232 19.3×
Coombs direct (86880) $153 $153 28.4×
Copper urine (82525)
range across 3 matching MRF lines
$144–$150 $144–$150 varies
Cortisol free (82530) $211 $211 12.6×
Cortisol saliva (82533) $200 $200 12.3×
Creatine kinase total (82550) $117 $117 18.0×
Creatinine blood (82565)
range across 2 matching MRF lines
$63–$79 $63–$79 varies
Creatinine clearance (82575) $149 $149 15.8×
Creatinine Urine (82570) $86 $86 16.6×
Crossmatch immediate spin (86920) $186 $186 1.1×
Crp High Sensitivity (86141) $106 $106 8.2×
Cryofibrinogen (82585) $86 $86 6.1×
Cryoglobulin (82595) $82 $82 12.7×
Cryptococcal Antigen (87327) $167 $167 12.4×
Cryptococcus ag titer (87899) $225 $225 14.0×
Cryptosporidium ag eia (87328) $101 $101 7.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$94–$135 $94–$135 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $205 $205 25.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $187 $187 24.3×
Culture aerobic quant other (87071) $80 $80 8.1×
Culture afb (87116) $286 $286 26.5×
Culture Anaerobic (87075) $175 $175 18.5×
Culture blood (87040) $291 $291 28.2×
Culture chlamydia (87110) $187 $187 9.5×
Culture csf (87070) $162 $162 18.8×
Culture fungus (87102) $218 $218 25.9×
Culture fungus blood (87103) $331 $331 16.2×
Culture screen only (87081)
range across 3 matching MRF lines
$91–$94 $91–$94 varies
Culture stool (87045) $156 $156 16.5×
Culture typing if ea antiserum (87140) $119 $119 21.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $105 $105 20.3×
Culture urine (87086)
range across 2 matching MRF lines
$127–$135 $127–$135 varies
Cyanide (82600) $262 $262 13.5×
Cyclosporine (80158) $278 $278 15.4×
Cystatin C (82610) $185 $185 10.0×
Cytogenetics 100-300 (88275) $371 $371 7.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $5,472 $5,472 4.7×
Cytomegalovirus igg (86644) $135 $135 9.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $39 $39 1.9×
Cytopath Cell Enhance Tech (88112) $119 $119 2.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $112 $112 4.2×
Cytp Concentration Smears & Interpretation (88108) $232 $232 6.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $179 $179 3.3×
Deoxyribonuclease antibody (86215) $149 $149 11.2×
Desoxycorticosterone (82633) $306 $306 9.9×
Detect Agent Nos Dna Amp (87798)
range across 6 matching MRF lines
$54–$285 $54–$285 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$317–$720 $317–$720 varies
Detect agnt mult DNA ampli (87801) $363 $363 5.2×
Dgp Antibody Each Ig Class (86258) $126 $126 10.5×
Dhea (82626) $215 $215 8.5×
Dhea-S (82627) $205 $205 9.2×
Digoxin (80162) $168 $168 12.7×
Diphtheria antitoxoid (86648) $249 $249 16.4×
Dna Antibody Native/Double Stranded (86225) $109 $109 7.9×
Dna Antibody Single Stranded (86226) $133 $133 11.0×
Dna/Rna Amplified Probe (87150) $189 $189 5.4×
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$241–$545 $241–$545 varies
Dna/Rna Sequencing (87153)
range across 2 matching MRF lines
$268–$504 $268–$504 varies
Drug assay acetaminophen (80143) $364 $364 19.5×
Drug assay adalimumab (80145) $145 $145 3.8×
Drug Assay Amiodarone (80151) $104 $104 5.6×
Drug Assay Everolimus (80169) $112 $112 8.2×
Drug Assay Infliximab (80230) $328 $328 8.5×
Drug Assay Lacosamide (80235) $116 $116 4.3×
Drug Assay Leflunomide (80193) $155 $155 4.0×
Drug Assay Vedolizumab (80280) $258 $258 6.7×
Drug assay voriconazole (80285) $126 $126 4.6×
Drug Screen Quant Clozapine (80159) $224 $224 11.1×
Drug Screen Quant Zonisamide (80203) $231 $231 17.4×
Drug Screen Quantitative Gabapentin (80171) $256 $256 11.8×
Drug Screen Quantitative Lamotrigine (80175) $205 $205 15.5×
Drug Screen Quantitative Levetiracetam (80177) $250 $250 18.9×
Drug Screen Quantitative Oxcarbazepine (80183) $250 $250 18.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $144 $144 8.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$153–$375 $153–$375 varies
Ehrlichia antibody (86666) $40 $40 3.9×
El-1 Fecal Quantitative (82653) $126 $126 5.5×
Electrolyte panel (80051) $122 $122 17.4×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $220 $220 3.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $81 $81 6.7×
Enterovirus Antibody (86658) $193 $193 14.8×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$315–$350 $315–$350 varies
Eosinophil Smear (89190) $62 $62 10.7×
Erythropoietin (82668) $192 $192 10.2×
Estradiol serum (82670) $149 $149 5.3×
Estriol (82677) $127 $127 5.3×
Estrogen total (82672) $324 $324 14.9×
Estrogens fractionated (82671) $173 $173 5.4×
Ethosuximide (80168) $236 $236 14.4×
Ethylene Glycol (82693) $369 $369 24.8×
Exam Synovial Fluid Crystals (89060) $102 $102 13.9×
F2 Gene (81240) $304 $304 4.6×
Factor ii activity (85210) $286 $286 22.0×
Factor Inhibitor Test (85335) $283 $283 22.0×
Factor ix activity (85250) $353 $353 18.5×
Factor v activity (85220) $308 $308 17.5×
Factor v leiden mutation (81241) $408 $408 5.6×
Factor vii assay (85230) $342 $342 19.1×
Factor viii assay (85240) $239 $239 13.4×
Factor X (85260) $598 $598 33.4×
Factor xi activity (85270) $326 $326 18.2×
Fat/Lipids Feces Quantitative (82710) $349 $349 20.8×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $421 $421 24.5×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $201 $201 30.8×
Fecal Fat Qualitative (82705) $115 $115 22.5×
Ferritin (82728) $181 $181 13.3×
Fetal Congenital Abnor Assay Four Anal (81511) $224 $224 1.5×
Fetal Fibronectin (82731) $739 $739 11.5×
Fetal hemoglobin assay qual (83033) $86 $86 10.8×
Fetal Lung Maturity Fluorescence Polarization (83663) $204 $204 10.8×
Fetal screen rosette (85461) $148 $148 15.8×
Fibrin degradation products (85362) $110 $110 16.0×
Fibrin Degradation Quant (85379) $227 $227 22.3×
Fibrinogen activity (85384) $125 $125 12.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $219 $219 14.1×
Flecainide level (80181) $84 $84 4.5×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$176–$194 $176–$194 varies
Fluorescent antibody screen (86255)
range across 12 matching MRF lines
$58–$772 $58–$772 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$135–$339 $135–$339 varies
Folic acid rbc (82747) $161 $161 9.1×
Folic Acid Serum (82746) $124 $124 8.4×
Follicle Stimulating Hormone (83001) $152 $152 8.2×
Francisella tularensis (86668) $71 $71 5.0×
Fresh Frozen Plasma Thawing Each Unit (86927) $142 $142 0.8×
Fungi Identification Mold (87107) $191 $191 18.5×
Fungi Identification Yeast (87106) $150 $150 14.5×
Galactose transferase test (82776) $47 $47 4.0×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $372 $372 17.7×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$83–$124 $83–$124 varies
Gases blood ph only (82800) $128 $128 11.6×
Gastrin (82941) $253 $253 14.4×
Genet Virus Isolate Hsv (87255) $234 $234 6.9×
Gentamicin (80170) $225 $225 13.7×
Ggt (82977) $95 $95 13.2×
Giardia antigen (87329) $120 $120 10.0×
Glucagon (82943) $308 $308 21.6×
Glucose 2 hr pp (82950) $69 $69 14.5×
Glucose body fluid (82945)
range across 2 matching MRF lines
$108–$109 $108–$109 varies
Glucose Serum (82947)
range across 2 matching MRF lines
$52–$68 $52–$68 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$189–$191 $189–$191 varies
Glycated Protein (82985) $145 $145 8.7×
Gonadotropin Chorionic Qualitative (84703) $162 $162 21.5×
Growth hormone (83003) $213 $213 12.8×
Gtt-added samples (82952) $76 $76 19.4×
Haloperidol (80173) $184 $184 11.7×
Haptoglobin (83010) $149 $149 11.8×
Hdl Cholesterol (83718) $98 $98 12.0×
Helicobacter Pylori Stool (87338) $315 $315 21.9×
Hematocrit (85014) $54 $54 22.8×
Hemoglobin (85018) $54 $54 22.8×
Hemoglobin a1c (83036) $98 $98 10.1×
Hemoglobin Chromotography (83021) $152 $152 8.4×
Hemoglobin electrophoresis (83020) $108 $108 8.4×
Hemoglobin Methemoglobin Quantitative (83050) $323 $323 39.4×
Hemoglobin plasma (83051) $189 $189 25.9×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $131 $131 14.0×
Hemosiderin urine (83070) $139 $139 29.3×
Hep a ab igm (86709) $158 $158 14.0×
Heparin assay (85520)
range across 2 matching MRF lines
$246–$345 $246–$345 varies
Heparin Neutralization (85525) $171 $171 14.4×
Hepatitis a antibody total (86708) $204 $204 16.5×
Hepatitis b core ab igm (86705) $161 $161 13.7×
Hepatitis b core ab total (86704) $161 $161 13.4×
Hepatitis B Surface Antibody (86706) $164 $164 15.3×
Hepatitis B Surface Antigen (87340) $120 $120 11.6×
Hepatitis Be Antibody (86707) $126 $126 10.9×
Hepatitis Be Antigen (87350) $132 $132 11.4×
Hepatitis C Antibody (86803) $175 $175 12.3×
Hepatitis c antibody confirmatory test (86804) $343 $343 22.1×
Hepatitis C Genotype (87902) $986 $986 3.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $645 $645 18.4×
Hepatitis C Revrs Trnscrpj (87522) $611 $611 14.3×
Herpes simplex type 2 (86696) $97 $97 5.0×
Heterophile Antibody Screen (86308) $108 $108 20.8×
Hfe Gene (81256) $518 $518 7.9×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $326 $326 42.2×
Histoplasma antibody (86698) $131 $131 9.5×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$345–$417 $345–$417 varies
Hiv Genotype (87901) $517 $517 2.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $137 $137 5.7×
Hiv-1 Antibody (86701) $177 $177 19.9×
HIV-1 p24 antigen (87390) $60 $60 2.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $641 $641 7.5×
Hla Class I Typing Low Resolution One Locus Each (81373) $359 $359 2.8×
Hla class ii high defin qual (86833) $555 $555 1.7×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines
$425–$432 $425–$432 varies
Hla ii typing 1 locus lr (81376) $385 $385 3.2×
Hla Typing Dr/Dq Single Antigen (86816) $486 $486 16.1×
Hla-b27 (86812) $287 $287 11.1×
Homocysteine (83090) $321 $321 17.9×
Homogenization Tissue (87176) $99 $99 16.8×
Homovanillic acid urine (83150) $275 $275 12.3×
Hpa-1 genotyping gene analysis common variant (81105) $161 $161 1.3×
Hpa-15 genotyping gene analysis common variant (81112) $161 $161 1.3×
Hpa-2 genotyping gene analysis common variant (81106) $161 $161 1.3×
Hpa-3 genotyping gene analysis common variant (81107) $161 $161 1.3×
Hpa-4 genotyping gene analysis common variant (81108) $161 $161 1.3×
Hpa-5 genotyping gene analysis common variant (81109) $161 $161 1.3×
Hpa-6 genotyping gene analysis common variant (81110) $161 $161 1.3×
Hpv sep hi-rsk typ&pool rslt (87626) $164 $164 2.3×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$106–$421 $106–$421 varies
Htlv-I Antibody (86687) $181 $181 19.9×
Hydroxycorticosteroids 17 (83491) $209 $209 11.7×
Hydroxyprogesterone 17-d (83498) $191 $191 7.0×
Hydroxyproline free (83500) $349 $349 15.4×
Hydroxyproline total (83505) $223 $223 9.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $162 $162 15.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $319 $319 22.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $36 $36 1.0×
Iaad ia shiga-like toxin (87427) $145 $145 12.1×
Iaad Ia Streptococcus Group A (87430) $97 $97 5.8×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $571 $571 16.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $116 $116 3.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$105–$394 $105–$394 varies
Iadna Cytomegalovirus Quantification (87497) $580 $580 13.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $208 $208 3.0×
Iadna Hepatitis B Virus Quantification (87517) $687 $687 16.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines
$106–$377 $106–$377 varies
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $142 $142 5.2×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $391 $391 8.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$391–$487 $391–$487 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $153 $153 5.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines
$116–$510 $116–$510 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $198 $198 5.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $378 $378 2.7×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $645 $645 2.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$110–$111 $110–$111 varies
Igg subclasses (82787) $144 $144 18.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $113 $113 0.3×
Immune Complex Assay (86332)
range across 2 matching MRF lines
$73–$236 $73–$236 varies
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$268–$497 $268–$497 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$99–$301 $99–$301 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$135–$149 $135–$149 varies
Immunoassay nonantibody (83516)
range across 18 matching MRF lines
$32–$1,047 $32–$1,047 varies
Immunodiffusion Ouchterlony (86331) $89 $89 7.4×
Immunoelectrophoresis Other Fluids Concentration (86325) $262 $262 11.3×
Immunofixation electrophoresis (86334) $284 $284 12.7×
Immunofluorescence per spec 1st singl antb stain (88346) $333 $333 1.9×
Immunohistochemistry (88342) $166 $166 0.9×
In situ hybridization 1st probe stain (88365) $390 $390 2.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $187 $187 12.5×
Influenza a/b ag eia (87400) $240 $240 17.0×
Influenza DNA amp probe (87502) $206 $206 2.2×
Inhibin A (86336) $124 $124 8.0×
Inhibin b (83520)
range across 22 matching MRF lines
$95–$594 $95–$594 varies
Insulin antibodies (86337) $147 $147 6.9×
Insulin total (83525) $180 $180 15.7×
Interleukin-6 (83529) $317 $317 18.4×
Intrinsic factor antibody (86340) $176 $176 11.7×
Iron (83540) $78 $78 12.1×
Iron Binding Capacity (83550) $94 $94 10.8×
Iron stain peripheral blood (85536) $98 $98 14.2×
Islet cell antibody (86341)
range across 3 matching MRF lines
$218–$781 $218–$781 varies
Jak2 gene analysis p.val617phe variant (81270) $791 $791 8.6×
Jak2 Gene Trgt Sequence Alys (81279) $633 $633 3.4×
Ketosteroids 17 total (83586) $76 $76 5.9×
Koh Prep (87220) $85 $85 19.9×
L/s ratio (83661) $353 $353 16.1×
Lactate (ld) (ldh) enzyme (83615) $82 $82 13.6×
Lactoferrin fecal qualitative (83630) $193 $193 9.8×
Lactoferrin Fecal Quantitative (83631) $208 $208 10.6×
Ldh Isoenzymes (83625) $172 $172 13.4×
LDL direct (83721) $88 $88 8.4×
Lead (83655) $105 $105 8.7×
Legionella antibody (86713) $156 $156 10.2×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$60–$322 $60–$322 varies
Leptospira antibody (86720) $191 $191 11.8×
Leukocyte Assessment Fecal (89055) $97 $97 22.7×
Level ii surg pathology gross&microscopic exam (88302) $123 $123 3.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $396 $396 1.1×
Lidocaine (80176) $208 $208 14.2×
Lipase (83690) $141 $141 20.5×
Lipoprotein A (83695) $210 $210 14.7×
Lipoprotein Bld Quan Part (83704) $358 $358 10.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $110 $110 9.8×
Lithium (80178) $144 $144 21.8×
Luteinizing Hormone (Lh) (83002) $139 $139 7.5×
Lyme disease antibody (86618) $165 $165 9.7×
Lysozyme serum (85549) $156 $156 8.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $877 $877 5.0×
M/phmtrc alys ishquant/semiq (88374) $458 $458 2.6×
Magnesium Urine (83735)
range across 4 matching MRF lines
$71–$236 $71–$236 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$154–$241 $154–$241 varies
Mercury urine (83825) $140 $140 8.6×
Methotrexate (80204) $109 $109 2.8×
Methylmalonic acid serum (83921) $482 $482 22.7×
Microalbumin, quantitative (82043) $136 $136 23.5×
Microbe Suscept Macrobroth (87188) $41 $41 6.2×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$53–$140 $53–$140 varies
Mitochondrial Antibody Each (86381) $52 $52 2.0×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 2 matching MRF lines
$139–$627 $139–$627 varies
Molecular Cytogenetics Dna Probe Each (88271) $164 $164 7.7×
Molecular Pathology Procedure Level 3 (81402) $834 $834 5.5×
Molecular Pathology Procedure Level 6 (81405) $668 $668 2.2×
Mononuclear cell antigen (86356) $245 $245 9.1×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$601–$826 $601–$826 varies
Mopath procedure level 5 (81404) $723 $723 2.6×
Mpl gene analysis sequence analysis exon 10 (81339) $689 $689 3.7×
Mumps antibody (86735)
range across 2 matching MRF lines
$65–$135 $65–$135 varies
Muscle-Specific Kinase Antb (86366) $523 $523 28.4×
Mycophenolic Acid (80180) $83 $83 4.6×
Mycoplasma antibody (86738) $161 $161 12.2×
Mycoplasma culture (87109) $225 $225 14.6×
Myelin basic protein csf (83873) $225 $225 13.1×
Myoglobin urine (83874)
range across 2 matching MRF lines
$217–$222 $217–$222 varies
Natriuretic peptide (83880) $365 $365 9.3×
Neutralization Test Viral (86382) $976 $976 57.7×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $375 $375 2.9×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $449 $449 3.5×
Niacin (84591) $167 $167 9.8×
Nk cells total count (86357) $156 $156 4.1×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$25–$349 $25–$349 varies
Occult blood feces (82272) $56 $56 13.2×
Occult Blood Other Sources (82271) $91 $91 17.1×
Oligoclonal bands (83916) $261 $261 9.5×
Organic Acids Qualitative Each Specimen (83919) $292 $292 17.8×
Organic acids urine (83918) $309 $309 13.1×
Osmolality serum (83930) $164 $164 24.8×
Osmolality Urine (83935) $140 $140 20.5×
Osmotic Fragility RBC Unincubated (85555) $98 $98 13.1×
Osteocalcin (83937) $339 $339 11.4×
Ova and parasites smears (87177) $126 $126 14.2×
Oxalate urine (83945) $145 $145 10.0×
Pancreatic Elastase Fecal (82656) $549 $549 47.6×
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines
$109–$144 $109–$144 varies
Parvovirus antibody (86747) $152 $152 10.1×
Ph urine (81003) $61 $61 27.1×
Phenobarbital Level (80184) $198 $198 12.9×
Phenotype Infect Agent Drug (87900) $458 $458 3.5×
Phenytoin (Dilantin) (80185) $185 $185 14.0×
Phenytoin free (80186) $156 $156 11.3×
Phosphatase acid prostatic (84066) $191 $191 19.8×
Phosphatase alkaline (84075) $75 $75 14.5×
Phospholipid Neutralization Hexagonal (85598) $203 $203 11.3×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$75–$76 $75–$76 varies
Phosphorus urine (84105) $68 $68 11.8×
Pinworm exam (87172) $83 $83 19.4×
Platelet Aggregation (85576) $266 $266 10.7×
Platelet Antibodies (86022)
range across 3 matching MRF lines
$307–$566 $307–$566 varies
Platelet count automated (85049) $76 $76 17.0×
Platelet neutralization (85597)
range across 2 matching MRF lines
$182–$208 $182–$208 varies
Porphobilinogen, urine; quantitative (84110) $172 $172 20.4×
Porphyrins Urine Quantitation & Fractionation (84120) $249 $249 16.9×
Potassium Urine (84133) $54 $54 11.4×
Prealbumin (84134) $158 $158 10.8×
Pregnenolone (84140) $322 $322 15.6×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $319 $319 1.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $302 $302 4.9×
Primidone (80188) $146 $146 8.8×
Procalcitonin (Pct) (84145) $278 $278 10.2×
Progesterone (84144) $122 $122 5.8×
Prolactin (84146) $193 $193 10.0×
Protein body fluid (84157)
range across 2 matching MRF lines
$78–$83 $78–$83 varies
Protein C Activity (85303) $253 $253 18.3×
Protein c antigen (85302) $230 $230 19.2×
Protein Electrophoresis Urine (84166) $168 $168 9.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $156 $156 14.5×
Protein S Free (85306) $305 $305 19.9×
Protein s total (85305) $323 $323 27.8×
Protein total serum (84155) $75 $75 20.4×
Protein Total Urine (84156) $105 $105 28.6×
Protein Western Blot Test (84182) $78 $78 2.7×
Prothrombin Time Substitution Plasma Frctj Each (85611) $99 $99 25.1×
Protoporphyrin rbc quantitative (84202) $163 $163 11.4×
PSA free (84154) $182 $182 9.9×
Pth Intact (83970) $366 $366 8.9×
Quantiferon tb gold plus (86480) $309 $309 5.0×
Quantitative assay drug (80299)
range across 10 matching MRF lines
$145–$344 $145–$344 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$170–$276 $170–$276 varies
Quinidine (80194) $145 $145 9.9×
Quinine (84228) $50 $50 4.3×
Rbc antibody elution (86860) $191 $191 1.1×
Rbc antibody identification (86870) $320 $320 0.9×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$122–$123 $122–$123 varies
Rbc pretreatment serum (86978) $191 $191 3.1×
Reagent Strip/Blood Glucose (82948) $47 $47 9.3×
Receptor assay progesterone (84234) $345 $345 5.3×
Renin activity plasma (84244) $230 $230 10.5×
Reptilase test (85635) $189 $189 19.2×
Resp virus 12-25 targets (87633) $541 $541 1.3×
Reticulated Platelet Assay (85055) $82 $82 2.3×
Reticulocyte Count (85046) $111 $111 19.9×
Rh (86901) $87 $87 29.1×
Rheumatoid factor quant (86431) $95 $95 16.8×
Rickettsia antibody (86757) $180 $180 9.3×
Ristocetin cofactor (85245) $352 $352 15.3×
Rotavirus ag eia (87425) $204 $204 17.0×
Rpr qualitative (86592)
range across 2 matching MRF lines
$69–$79 $69–$79 varies
Rubella Antibody (86762) $66 $66 4.6×
Rubeola antibody (86765) $139 $139 10.8×
Rufinamide (80210) $160 $160 5.9×
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$51–$158 $51–$158 varies
Salicylate Level (80179) $320 $320 17.2×
Salmonella antibody (86768) $80 $80 6.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $114 $114 2.2×
Sars-cov-2 COVID-19 antibody (86769) $95 $95 2.3×
Sedimentation rate (85651) $60 $60 14.1×
Sedimentation Rate, Automated (85652) $75 $75 27.8×
Selenium (84255)
range across 2 matching MRF lines
$122–$167 $122–$167 varies
Semen Anal Sperm Detection (89321) $113 $113 9.4×
Sensitivity mic (87186) $144 $144 16.6×
Serpina 1 gene (81332) $842 $842 19.3×
Sex Hormone Binding Globulin (84270) $184 $184 8.5×
Sickling of rbc reduction (85660) $106 $106 19.2×
Smear acid fast (87206) $115 $115 21.3×
Smear complex stain (87209) $139 $139 7.7×
Smear gram stain (87205) $78 $78 18.3×
Smear Special Stain (87207) $130 $130 21.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $109 $109 18.7×
Sodium Serum (84295)
range across 2 matching MRF lines
$67–$71 $67–$71 varies
Sodium Urine (84300) $53 $53 10.5×
Soluble fibrin monomer (85366) $315 $315 3.9×
Soluble Transferrin Receptor (84238) $286 $286 7.8×
Somatomedin (84305) $268 $268 12.6×
Somatostatin (84307) $1,021 $1,021 55.9×
Special Stains Group 1 (88312) $191 $191 3.5×
Special Stains Group 2 (88313) $145 $145 1.0×
Specific gravity body fluid (84315) $57 $57 17.4×
Specimen infect agnt concntj (87015) $64 $64 9.6×
Spectrophotometry (84311)
range across 2 matching MRF lines
$168–$232 $168–$232 varies
Stool cultr aerobic bact ea (87046) $107 $107 11.3×
Strep a DNA amp probe (87651) $254 $254 7.2×
Strep b DNA amp probe (87653) $170 $170 4.8×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $87 $87 0.9×
Sugars Single Qual (84376) $146 $146 26.5×
Sulfate urine (84392) $41 $41 7.5×
Surg path level iii (88304) $162 $162 3.0×
Surgical pathology level IV (88305) $196 $196 3.6×
Surgical pathology level vi (88309) $613 $613 0.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $19 $19 4.0×
Susceptibility Study Antimicrobial Disk Method (87184) $144 $144 19.3×
Syphilis Test Non-Trep Quant (86593) $61 $61 13.9×
T cells absolute cd4 count (86361) $165 $165 6.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $175 $175 3.7×
T cells total count (86359) $167 $167 4.4×
T3 Free (84481) $297 $297 17.5×
T3 reverse (84482) $260 $260 16.5×
T3 Total (84480) $171 $171 12.1×
T3 Uptake (84479) $131 $131 20.2×
T4 Free (84439)
range across 2 matching MRF lines
$121–$123 $121–$123 varies
T4 total (84436) $107 $107 15.6×
Tacrolimus (80197) $328 $328 23.9×
Tb ag response t-cell susp (86481) $292 $292 2.9×
Testosterone Bioavailable (84410) $149 $149 2.9×
Testosterone total (84403) $175 $175 6.8×
Testosterone, Free (84402) $219 $219 8.6×
Tetanus antibody (86774) $262 $262 17.7×
Theophylline (80198) $183 $183 12.9×
Thiopurine methyltransferase (84433) $154 $154 6.9×
Thrombin Time (85670) $84 $84 14.6×
Thromboplastin Inhibition Tissue (85705) $73 $73 7.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $253 $253 39.1×
Thyroglobulin (84432)
range across 3 matching MRF lines
$63–$263 $63–$263 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$61–$210 $61–$210 varies
Thyroid Stimulating Immunoglobulin (84445) $532 $532 10.5×
Thyroxine binding globulin (84442) $209 $209 14.1×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$68–$99 $68–$99 varies
Tissue Culture Lymphocyte (88230) $846 $846 7.3×
Tobramycin peak (80200) $301 $301 18.7×
Topiramate (80201) $262 $262 22.0×
Toxoplasma ab igm (86778) $132 $132 9.2×
Toxoplasma antibody (86777) $124 $124 8.6×
Transferase Aspartate Amino Ast Sgot (84450) $71 $71 13.7×
Transferrin (84466) $188 $188 14.7×
Triglycerides (84478) $84 $84 14.6×
Troponin Quant (84484) $229 $229 18.4×
Trypsin feces qual (84488) $59 $59 8.1×
Tumor immunohistochem/comput (88361) $241 $241 0.6×
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$166–$169 $166–$169 varies
Urea nitrogen urine (84540) $90 $90 16.2×
Uric acid other source (84560)
range across 2 matching MRF lines
$75–$89 $75–$89 varies
Urinalysis Microscopic Only (81015) $38 $38 12.5×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $56 $56 25.8×
Urine Pregnancy Test (81025) $138 $138 16.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $68 $68 21.5×
Valproic acid (80164) $212 $212 15.7×
Vancomycin (80202) $222 $222 16.4×
Varicella-zoster antibody (86787) $169 $169 13.1×
Vasopressin (84588) $289 $289 8.5×
Very Long Chain Fatty Acids (82726) $415 $415 21.0×
Viral Culture (87252) $272 $272 10.4×
Virus antibody nos (86790)
range across 3 matching MRF lines
$172–$206 $172–$206 varies
Virus inoculate tissue addl (87253) $201 $201 10.0×
Virus inoculation, shell via (87254) $156 $156 8.0×
Viscosity serum (85810) $162 $162 13.9×
Vit D 1 25-Dihydroxy (82652) $393 $393 10.2×
Vitamin A (84590) $231 $231 19.9×
Vitamin b-12 (82607) $124 $124 8.2×
Vitamin B6 (84207) $254 $254 9.0×
Vitamin c (82180) $198 $198 20.0×
Vitamin D 25-Hydroxy (82306) $223 $223 7.5×
Vitamin E (84446) $144 $144 10.2×
Vitamin K (84597) $320 $320 23.3×
Voltage-Gated Calcium Channel Antibody Each (86596) $106 $106 8.8×
Von willebrand factor ag (85246) $334 $334 14.6×
Wbc Alkaline Phosphatase Count (85540) $278 $278 32.3×
West nile virus ab igm (86788) $163 $163 9.7×
West Nile Virus Antibody (86789) $158 $158 11.0×
Western Blot Test (84181) $458 $458 26.9×
Zinc (84630) $124 $124 10.9×

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.