Lab & pathology prices at MercyOne Centerville Medical Center

Centerville, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $120 $120 6.5×
Acth (82024) $375 $375 9.7×
Actin smooth muscle antibody each (86015) $182 $182 15.1×
Acute hepatitis panel (80074) $487 $487 10.2×
Albumin Fluid (82042) $73 $73 9.4×
Albumin serum (82040) $89 $89 18.0×
Aldolase (82085) $132 $132 13.6×
Aldosterone urine (82088)
range across 2 matching MRF lines
$275–$442 $275–$442 varies
Alkaline phosphatase isoenzymes (84080) $167 $167 11.3×
Allergen specific ige (86003) $44 $44 8.4×
Allergen specific igg (86001) $219 $219 28.0×
Allg Spec Ige Recomb Ea (86008) $48 $48 2.7×
Alpha-1-antitrypsin phenotype (82104) $126 $126 8.7×
Alpha-1-antitrypsin total (82103) $192 $192 14.3×
Alpha-Fetoprotein Serum (82105) $199 $199 11.9×
Alt (sgpt) (84460) $481 — 90.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $373 $373 22.1×
Amino Acids Quant 2-5 (82136) $145 $145 7.4×
Ammonia (82140) $238 $238 16.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $321 $321 3.3×
Amylase urine (82150)
range across 6 matching MRF lines
$110–$125 $110–$125 varies
Ana Titer (86039) $132 $132 11.8×
Anca screen each antibody (86036) $227 $227 18.8×
Androstenedione (82157) $263 $263 9.0×
Angiotensin converting enzyme csf (82164) $183 $183 12.5×
Antibody aspergillus (86606) $219 $219 14.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $158 $158 10.2×
Antibody Cytomegalovirus Cmv Igm (86645) $169 $169 10.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $145 $145 11.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $166 $166 10.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $186 $186 10.3×
Antibody Fungus Not Elsewhere Specified (86671) $109 $109 8.9×
Antibody helicobacter pylori (86677) $123 $123 7.3×
Antibody Herpes Smplx Type 1 (86695) $132 $132 10.0×
Antibody HIV-1&HIV-2 single result (86703) $99 $99 7.2×
Antibody Identification Platelet Immunogl Assay (86023) $249 $249 20.0×
Antibody john cunningham virus (86711) $51 $51 3.0×
Antibody Protozoa Nes (86753) $240 $240 19.4×
Antibody Titer (86886)
range across 2 matching MRF lines
$173–$210 $173–$210 varies
Antibody Treponema Pallidum (86780) $200 $200 15.1×
Antigen typing (86905) $139 $139 36.3×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $142 $142 24.8×
Antinuclear antibodies (86038) $163 $163 13.5×
Antistreptolysin O Screen (86063) $75 $75 13.0×
Antithrombin iii activity (85300) $208 $208 17.6×
Antithrombin iii antigen (85301) $243 $243 22.5×
Apolipoprotein a1 (82172) $185 $185 8.8×
Arsenic (82175) $110 $110 5.8×
Aspergillus ag eia (87305) $206 $206 17.2×
Assay activated protein c (85307) $197 $197 12.9×
Assay Blood Carbon Dioxide (82374) $55 $55 11.3×
Assay myeloperoxidase (83876) $84 $84 1.7×
Assay of 5-hiaa (83497) $167 $167 12.9×
Assay of anti-mullerian hormone (82166) $307 $307 7.9×
Assay of blood/uric acid (84550) $89 $89 19.7×
Assay of calcium in urine (82340) $107 $107 17.7×
Assay of cpk in blood (82552) $177 $177 13.2×
Assay of estrone (82679) $219 $219 8.8×
Assay of g6pd enzyme (82955) $187 $187 19.3×
Assay of gammaglobulin igm (82784) $126 $126 13.5×
Assay of lactic acid (83605)
range across 4 matching MRF lines
$126–$153 $126–$153 varies
Assay of manganese (83785) $174 $174 6.5×
Assay of metanephrines (83835) $263 $263 15.5×
Assay of proinsulin (84206) $110 $110 4.1×
Assay of serotonin (84260) $229 $229 7.4×
Assay of serum potassium (84132) $67 $67 14.1×
Assay of urea nitrogen (84520) $65 $65 16.5×
Assay of urine vma (84585) $115 $115 7.4×
Assay of vasoactive intestinal peptide (84586) $215 $215 6.1×
Assay of vitamin b-1 (84425) $252 $252 11.9×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$41–$81 $41–$81 varies
Assay spec xcp ur&breath ia (82077) $146 $146 8.5×
Automated Leukocyte Count (85048) $41 $41 16.1×
B cells total count (86355) $202 $202 5.4×
Babesia microti amp prb (87469) $122 $122 3.5×
Bartonella antibody (86611) $119 $119 11.7×
Bcr/abl1 gene major bp (81206) $528 $528 3.2×
Bcr/abl1 gene minor bp (81207) $607 $607 4.2×
Bcr/Abl1 Gene Other Bp (81208) $644 $644 3.0×
Beta 2 glycoprotein i antibody each (86146) $167 $167 6.6×
Beta hydroxybutyrate (82010) $112 $112 13.7×
Beta Lactamase (87185) $22 $22 4.6×
Beta-2 Microglobulin (82232) $148 $148 9.1×
Bile acids total (82239) $80 $80 4.7×
Bilirubin direct (82248) $794 — 158.2×
Bilirubin total (82247)
range across 2 matching MRF lines
$84–$99 $84–$99 varies
Blastomyces antibody (86612) $139 $139 10.8×
Bld Typing Serologic Rh Phnt (86906) $228 $228 29.4×
Blood Count Red Blood Cell Automated (85041) $28 $28 9.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $59 $59 15.5×
Blood gas (82803) $339 $339 13.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $66 $66 4.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $50 $50 11.4×
Blood Sulfhemoglobin Assay (83060) $50 $50 5.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $360 $360 56.7×
Blood typing serologic abo (86900) $956 — 319.7×
Body fluid cell count (89050) $180 $180 38.1×
Bone marrow smear interpretation (85097) $274 $274 0.4×
Bordetella antibody (86615) $149 $149 11.3×
Braf gene analysis (81210) $526 $526 3.0×
Brucella antibody (86622) $55 $55 6.2×
C diff amplified probe (87493) $194 $194 5.2×
C-Peptide (84681) $252 $252 12.1×
C-reactive protein (86140) $109 $109 21.0×
Ca 19-9 (86301) $161 $161 7.7×
Calcitonin (82308) $173 $173 6.5×
Calcium ionized (82330) $162 $162 11.8×
Calcium total (82310) $98 $98 19.0×
Calculus Spectroscopy (82365) $193 $193 15.0×
Calprotectin Fecal (83993) $247 $247 12.6×
Calr gene com variants (81219) $365 $365 3.0×
Cancer Antigen 125 (86304) $203 $203 9.8×
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines
$200–$217 $200–$217 varies
Carbamazepine total (80156) $191 $191 13.1×
Carboxyhemoglobin (82375) $182 $182 14.8×
Carcinoembryonic antigen (82378) $255 $255 13.4×
Cardiolipin ab iga (86147) $233 $233 9.2×
Carnitine Quantitative Each Specimen (82379) $87 $87 5.2×
Carotene (82380) $126 $126 13.7×
Catecholamines fractionated (82384) $197 $197 7.8×
Ccp antibody (86200) $150 $150 11.6×
Cell count csf (89051) $128 $128 22.9×
Ceruloplasmin (82390) $110 $110 10.2×
Chemiluminescent assay (82397) $188 $188 13.3×
Chlamydia antibody (86631) $122 $122 10.3×
Chlamydia Igm Antibody (86632) $95 $95 7.5×
Chlmy trch&neisra gonor mult (87494) $211 $211 3.0×
Chloride other source (82438) $130 $130 26.0×
Chloride Serum (82435) $61 $61 13.3×
Chloride urine (82436) $59 $59 10.3×
Cholesterol total (82465) $63 $63 14.5×
Cholinesterase Serum (82480) $113 $113 14.4×
Chorionic gonadotropin test (84702) $168 $168 11.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $100 $100 3.0×
Chromium serum (82495) $167 $167 8.2×
Chromogranin a (86316) $228 $228 11.0×
Chromosome Analysis 20-25 (88264) $722 $722 5.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $309 $309 8.8×
Citric acid urine (82507) $280 $280 10.1×
Ckmb (82553) $168 $168 14.5×
Clostridium Difficile (87324) $105 $105 8.8×
Clot Factor VIII Multimetric (85247) $336 $336 14.6×
Clotting Funct Activity (85397) $353 $353 11.4×
Cns DNA amp probe type 12-25 (87483) $1,764 $1,764 4.2×
Coagulation time activated (85347) $77 $77 18.0×
Coccidioides antibody (86635) $88 $88 7.7×
Cold agglutinin screen (86156) $103 $103 12.8×
Cold agglutinin titer (86157) $84 $84 10.4×
Column Chromotography Quant (82542) $287 $287 11.9×
Compatibility test antiglob (86922) $3,916.50 — 23.9×
Complement Antigen Each Component (86160) $2,814 — 234.5×
Complement Total (Ch50) (86162) $167 $167 8.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $410 $410 11.4×
Coombs direct (86880)
range across 4 matching MRF lines
$115–$140 $115–$140 varies
Copper urine (82525) $100 $100 8.1×
Cortisol free (82530)
range across 4 matching MRF lines
$144–$169 $144–$169 varies
Cortisol saliva (82533) $188 $188 11.5×
Creatine kinase total (82550) $102 $102 15.7×
Creatinine blood (82565) $65 $65 12.7×
Creatinine clearance (82575) $107 $107 11.3×
Creatinine Urine (82570) $97 $97 18.7×
Crossmatch electronic (86923) $4,379 — 26.7×
Crossmatch immediate spin (86920) $3,916.50 — 23.9×
Crp High Sensitivity (86141) $199 $199 15.4×
Cryoglobulin (82595) $93 $93 14.4×
Cryptococcal Antigen (87327) $99 $99 7.4×
Cryptococcus ag titer (87899) $92 $92 5.7×
Cryptosporidium ag eia (87328) $159 $159 11.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $392 — 48.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $82 $82 10.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $85 $85 11.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $500 $500 2.3×
Culture aerobic quant other (87071) $132 $132 13.3×
Culture afb (87116) $117 $117 10.8×
Culture Anaerobic (87075) $127 $127 13.4×
Culture blood (87040) $183 $183 17.7×
Culture csf (87070) $339 — 39.3×
Culture fungus (87102) $143 $143 17.0×
Culture fungus blood (87103) $164 $164 8.0×
Culture screen only (87081)
range across 6 matching MRF lines
$78–$101 $78–$101 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $46 $46 8.9×
Culture urine (87086) $90 $90 11.2×
Cyanide (82600) $185 $185 9.5×
Cyclosporine (80158) $194 $194 10.7×
Cystatin C (82610) $112 $112 6.0×
Cytomegalovirus igg (86644)
range across 4 matching MRF lines
$92–$146 $92–$146 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $109 $109 5.4×
Cytopath Cell Enhance Tech (88112) $246 $246 4.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $123 $123 4.6×
Cytp Concentration Smears & Interpretation (88108) $192 $192 5.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $150 $150 4.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $91 $91 4.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $164 $164 5.9×
Deoxyribonuclease antibody (86215) $418 $418 31.5×
Detect Agent Nos Dna Amp (87798) $329 $329 9.4×
Detect Agent Nos Dna Quant (87799) $1,958 — 45.7×
Dgp Antibody Each Ig Class (86258) $98 $98 8.1×
Dhea (82626) $228 $228 9.0×
Dhea-S (82627) $286 $286 12.9×
Digoxin (80162) $141 $141 10.6×
Dipropylacetic Acid Free (80165) $136 $136 10.0×
Dna Antibody Native/Double Stranded (86225) $156 $156 11.4×
Dna/Rna Amplified Probe (87150) $242 $242 6.9×
Dpyd gene common variants (81232) $524 $524 3.0×
Drug assay adalimumab (80145) $470 $470 12.2×
Drug Assay Amiodarone (80151) $139 $139 7.5×
Drug Assay Everolimus (80169) $193 $193 14.1×
Drug Assay Infliximab (80230) $360 $360 9.3×
Drug Assay Itraconazole (80189) $311 $311 11.5×
Drug Assay Lacosamide (80235) $270 $270 10.0×
Drug Assay Vedolizumab (80280) $390 $390 10.1×
Drug assay voriconazole (80285) $187 $187 6.9×
Drug Screen Quant Clozapine (80159) $189 $189 9.4×
Drug Screen Quant Zonisamide (80203) $162 $162 12.2×
Drug Screen Quantitative Gabapentin (80171) $61 $61 2.8×
Drug Screen Quantitative Lamotrigine (80175) $22 $22 1.7×
Drug Screen Quantitative Levetiracetam (80177) $200 $200 15.1×
Drug Screen Quantitative Oxcarbazepine (80183) $201 $201 15.2×
Drug Test Prsmv Chem Anlyzr (80307) $211 $211 3.4×
Drug Test Prsmv Dir Opt Obs (80305) $168 $168 13.3×
Ehrlichia antibody (86666) $97 $97 9.5×
El-1 Fecal Quantitative (82653) $286 $286 12.5×
Electrolyte panel (80051) $550 — 78.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $348 $348 28.8×
Enterovirus PCR (87498) $353 $353 10.1×
Erythropoietin (82668) $216 $216 11.5×
Estradiol serum (82670) $238 $238 8.5×
Estriol (82677) $89 $89 3.7×
Estrogens fractionated (82671) $374 $374 11.6×
Ethosuximide (80168) $105 $105 6.4×
Exam Synovial Fluid Crystals (89060) $849 — 115.8×
F2 Gene (81240) $170 $170 2.6×
Factor ii activity (85210) $141 $141 10.9×
Factor ix activity (85250) $225 $225 11.8×
Factor v leiden mutation (81241) $584 $584 8.0×
Factor vii assay (85230) $141 $141 7.9×
Factor viii assay (85240) $379 $379 21.2×
Factor X (85260) $169 $169 9.4×
Fat/Lipids Feces Quantitative (82710) $168 $168 10.0×
Fecal Fat Qualitative (82705) $70 $70 13.7×
Ferritin (82728) $1,117 — 82.0×
Fetal Fibronectin (82731) $680 $680 10.6×
Fetal hemoglobin assay qual (83033) $198 $198 24.8×
Fetal screen rosette (85461) $126 $126 13.5×
Fibrin Degradation Quant (85379) $224 $224 22.0×
Fibrinogen activity (85384) $104 $104 10.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $342 $342 22.1×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$40–$383 $40–$383 varies
Fluorescent antibody screen (86255) $146 $146 12.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $123 $123 10.2×
Folic Acid Serum (82746) $145 $145 9.9×
Follicle Stimulating Hormone (83001) $205 $205 11.0×
Francisella tularensis (86668) $74 $74 5.2×
Frozen Section (88331) $197 $197 1.2×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$122–$560 $122–$560 varies
Fungi Identification Yeast (87106) $172 $172 16.7×
Gammaglobulin ige (82785) $129 $129 7.8×
Gases blood ph only (82800) $142 $142 12.9×
Gastrin (82941) $146 $146 8.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $892 $892 2.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,319 $3,319 4.4×
Gentamicin (80170) $150 $150 9.2×
Ggt (82977) $93 $93 12.9×
Giardia antigen (87329) $154 $154 12.9×
Glucose 2 hr pp (82950) $64 $64 13.5×
Glucose body fluid (82945) $70 $70 17.8×
Glucose Serum (82947) $56 $56 14.2×
Glucose tolerance test (gtt) (82951) $142 $142 11.0×
Glycated Protein (82985) $107 $107 6.4×
Gonadotropin Chorionic Qualitative (84703) $131 $131 17.4×
Growth hormone (83003) $181 $181 10.9×
Gtt-added samples (82952) $83 $83 21.2×
H pylri clrthmcn rst amp prb (87513) $105 $105 3.0×
Haptoglobin (83010) $194 $194 15.4×
Hdl Cholesterol (83718) $96 $96 11.7×
Helicobacter Pylori Stool (87338) $324 $324 22.5×
Helminth Antibody (86682) $127 $127 9.8×
Hematocrit (85014) $983 — 414.8×
Hemoglobin (85018) $750 — 316.5×
Hemoglobin a1c (83036) $122 $122 12.6×
Hemoglobin electrophoresis (83020) $118 $118 9.2×
Hemoglobin Methemoglobin Quantitative (83050) $115 $115 14.0×
Hemoglobin plasma (83051) $129 $129 17.6×
Hemosiderin urine (83070) $126 $126 26.5×
Hep a ab igm (86709) $154 $154 13.7×
Heparin assay (85520) $83 $83 6.3×
Heparin Neutralization (85525) $73 $73 6.2×
Hepatitis a antibody total (86708) $183 $183 14.8×
Hepatitis b core ab igm (86705) $183 $183 15.5×
Hepatitis b core ab total (86704) $148 $148 12.3×
Hepatitis B Surface Antibody (86706) $166 $166 15.5×
Hepatitis B Surface Antigen (87340) $145 $145 14.0×
Hepatitis Be Antibody (86707) $141 $141 12.2×
Hepatitis Be Antigen (87350) $142 $142 12.3×
Hepatitis C Antibody (86803) $195 $195 13.7×
Hepatitis C Genotype (87902) $2,420 $2,420 9.4×
Hepatitis C Revrs Trnscrpj (87522) $474 $474 11.1×
Hepatitis Delta Agent Antibody (86692) $241 $241 14.0×
Herpes simplex type 2 (86696) $89 $89 4.6×
Heterophile Antibody Screen (86308) $80 $80 15.4×
Hfe Gene (81256) $446 $446 6.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $75 $75 9.7×
Histoplasma antibody (86698) $89 $89 6.5×
Histoplasma antigen urine (87385) $321 $321 24.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $190 $190 7.9×
Hiv-1 Antibody (86701) $186 $186 20.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $337 $337 4.0×
Hla ii typing 1 locus lr (81376) $488 $488 4.0×
Hla-b27 (86812) $253 $253 9.8×
Homocysteine (83090) $279 $279 15.6×
Homogenization Tissue (87176) $46 $46 7.8×
Hpv sep hi-rsk typ&pool rslt (87626) $211 $211 3.0×
Hsv Dna Amp Probe (87529) $298 $298 8.5×
Hydroxyprogesterone 17-d (83498) $223 $223 8.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $76 $76 7.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $474 $474 13.5×
Iadna Cytomegalovirus Quantification (87497) $353 $353 8.2×
Iadna Hepatitis B Virus Quantification (87517) $478 $478 11.2×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $323 $323 4.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $168 $168 4.0×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $390 $390 11.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $297 $297 8.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $442 $442 3.1×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $637 $637 2.4×
Ig Light Chains Free Each (83521) $194 $194 11.2×
Igg subclasses (82787) $99 $99 12.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $583 $583 1.7×
Immunfix e-phorsis/urine/csf (86335) $294 $294 10.0×
Immunoassay analyte qual/semiqual single step (83518) $205 $205 21.3×
Immunoassay Analyte Quant Radioimmunoassay (83519) $129 $129 7.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $96 $96 6.4×
Immunoassay nonantibody (83516) $177 $177 15.4×
Immunofixation electrophoresis (86334) $239 $239 10.7×
Immunohistochemistry (88342) $7,074.50 — 43.2×
In situ hybridization 1st probe stain (88365) $431 $431 2.6×
Inhibin A (86336) $93 $93 6.0×
Inhibin b (83520) $208 $208 12.0×
Insitu hybridization auto (88367) $1,079 $1,079 3.1×
Insulin antibodies (86337) $206 $206 9.6×
Insulin free (83527) $137 $137 10.6×
Insulin total (83525) $132 $132 11.5×
Intrinsic factor antibody (86340) $188 $188 12.5×
Iron (83540) $82 $82 12.7×
Iron Binding Capacity (83550) $1,155 — 132.2×
Irradiation Blood Product Each Unit (86945) $311 $311 8.7×
Islet cell antibody (86341) $217 $217 9.2×
Jak2 gene analysis p.val617phe variant (81270) $864 $864 9.4×
Jt spc pthgn&rx rsist gen26+ (87627) $2,039 $2,039 3.0×
Kit Gene Analysis D816 Variant(S) (81273) $840 $840 6.7×
Kit Gene Analysis Targeted Sequence Analysis (81272) $2,171 $2,171 6.6×
Lactate (ld) (ldh) enzyme (83615) $75 $75 12.4×
Lactoferrin fecal qualitative (83630) $195 $195 9.9×
LDL direct (83721) $585 — 55.7×
Lead (83655) $139 $139 11.5×
Legionella antibody (86713) $215 $215 14.1×
Legionella antigen urine (87449) $82 $82 6.8×
Leptospira antibody (86720) $170 $170 10.5×
Leukocyte Assessment Fecal (89055) $67 $67 15.7×
Level I Surg Pathology Gross Examination Only (88300) $111 $111 4.0×
Level ii surg pathology gross&microscopic exam (88302) $179 $179 5.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $494 $494 1.4×
Lidocaine (80176) $67 $67 4.6×
Lipase (83690) $128 $128 18.6×
Lipoprotein A (83695) $149 $149 10.4×
Lipoprotein Bld Quan Part (83704) $140 $140 4.1×
Lipoprotein-Associated Phospholipase A2 (83698) $102 $102 2.2×
Lithium (80178) $94 $94 14.2×
Luteinizing Hormone (Lh) (83002) $208 $208 11.2×
Lyme disease antibody (86618) $773 — 45.4×
M/phmtrc alys ishquant/semiq (88374) $738 $738 4.5×
Magnesium Urine (83735) $107 $107 16.0×
Mercury urine (83825) $100 $100 6.2×
Methotrexate (80204) $197 $197 5.1×
Methylmalonic acid serum (83921) $282 $282 13.3×
Microalbumin, quantitative (82043) $88 $88 15.2×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$176–$179 $176–$179 varies
Mitochondrial Antibody Each (86381) $170 $170 6.7×
Mopath procedure level 2 (81401) $411 $411 3.0×
Mpl gene analysis sequence analysis exon 10 (81339) $556 $556 3.0×
Mrsa Pcr (87641) $279 $279 8.0×
Mthfr Gene Analysis Common Variants (81291) $576 $576 8.8×
Mumps antibody (86735) $120 $120 9.2×
Muscle-Specific Kinase Antb (86366) $386 $386 21.0×
Mycobacteric Identification (87118) $324 $324 22.2×
Mycophenolic Acid (80180) $234 $234 13.0×
Mycoplasma antibody (86738) $113 $113 8.5×
Myoglobin urine (83874) $152 $152 11.8×
Natriuretic peptide (83880) $314 $314 8.0×
Neutralization Test Viral (86382) $144 $144 8.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $483 $483 3.8×
Nfct ds bv&vaginitis DNA alg (81515) $789 $789 3.0×
Nfct ds chrnc hcv 6 assays (81596) $454 $454 6.3×
Niacin (84591) $503 $503 29.5×
Nk cells total count (86357) $153 $153 4.1×
Nuclear antigen antibody (86235) $205 $205 11.4×
Occult blood feces (82272) $36 $36 8.5×
Occult Blood Other Sources (82271) $87 $87 16.4×
Oligoclonal bands (83916) $186 $186 6.8×
Oncology breast mrna gene expression 21 genes (81519) $4,620 $4,620 1.2×
Osmolality serum (83930) $119 $119 18.0×
Osmolality Urine (83935) $115 $115 16.9×
Oxalate urine (83945) $175 $175 12.1×
Parvovirus antibody (86747) $120 $120 8.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $430 $430 0.6×
Pathology Consultation During Surgery (88329) $214 $214 3.8×
Ph urine (81003) $616 — 273.8×
Phenobarbital Level (80184) $186 $186 12.2×
Phenytoin (Dilantin) (80185) $154 $154 11.6×
Phosphatase alkaline (84075) $63 $63 12.2×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$62–$80 $62–$80 varies
Phosphorus urine (84105) $117 $117 20.2×
Pinworm exam (87172) $52 $52 12.2×
Platelet Aggregation (85576) $207 $207 8.3×
Platelet Antibodies (86022) $396 $396 21.6×
Platelet count automated (85049) $50 $50 11.2×
Potassium Urine (84133) $83 $83 17.5×
Prealbumin (84134) $113 $113 7.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $199 $199 1.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $136 $136 2.4×
Pretx serum rbc antibody identification dilution (86976) $94 $94 3.4×
Primidone (80188) $120 $120 7.2×
Procalcitonin (Pct) (84145) $398 $398 14.6×
Progesterone (84144) $165 $165 7.9×
Prolactin (84146) $230 $230 11.9×
Prostaglandin (84150) $250 $250 6.0×
Protein body fluid (84157) $71 $71 17.8×
Protein C Activity (85303) $184 $184 13.3×
Protein c antigen (85302) $203 $203 16.9×
Protein Electrophoresis Urine (84166) $112 $112 6.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $115 $115 10.7×
Protein S Free (85306) $236 $236 15.4×
Protein s total (85305) $97 $97 8.4×
Protein total serum (84155)
range across 2 matching MRF lines
$1,766–$2,200 — varies
Protein Total Urine (84156) $75 $75 20.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $195 $195 49.5×
PSA free (84154) $216 $216 11.7×
Pth Intact (83970) $367 $367 8.9×
Quantiferon tb gold plus (86480) $253 $253 4.1×
Quantitative assay drug (80299) $413 $413 22.2×
Quantitative Screen Metals (83018) $171 $171 7.8×
Rbc antibody elution (86860) $132 $132 0.8×
Rbc antibody identification (86870) $449 $449 1.3×
Rbc antibody screen (86850) $132 $132 13.5×
Rbc pretreatment serum (86978) $183 $183 3.2×
Rbc pretx incubatj w/enzymes (86971) $92 $92 0.6×
Renin activity plasma (84244) $185 $185 8.4×
Reticulated Platelet Assay (85055) $80 $80 2.2×
Reticulocyte Count (85046) $69 $69 12.4×
Reticulocyte separation (86972) $116 $116 0.7×
Rh (86901) $956 — 319.7×
Rheumatoid Factor Qualitative (86430) $84 $84 13.7×
Rheumatoid factor quant (86431) $108 $108 19.0×
Rickettsia antibody (86757) $1,064 — 55.0×
Ristocetin cofactor (85245) $356 $356 15.5×
Rotavirus ag eia (87425) $182 $182 15.2×
Rpr qualitative (86592) $83 $83 19.4×
Rubella Antibody (86762) $118 $118 8.2×
Rubeola antibody (86765)
range across 2 matching MRF lines
$64–$74 $64–$74 varies
Rufinamide (80210) $132 $132 4.9×
Russell Viper Venom Time Diluted (85613) $126 $126 13.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $288 $288 5.6×
Sars-cov-2 COVID-19 antibody (86769) $141 $141 3.3×
Sars-Cov-2 Covid19 W/Optic (87811) $100 $100 2.4×
Sarscov2 & inf a&b amp prb (87636) $556 $556 3.9×
Sarscov2&inf a&b&rsv amp prb (87637) $459 $459 3.2×
Sedimentation Rate, Automated (85652) $68 $68 25.2×
Selenium (84255) $78 $78 3.1×
Semen Anal Sperm Detection (89321) $155 $155 12.9×
Sensitivity mic (87186) $138 $138 16.0×
Sex Hormone Binding Globulin (84270) $230 $230 10.6×
Sickling of rbc reduction (85660) $78 $78 14.2×
Sirolimus (80195) $154 $154 11.2×
Smear acid fast (87206) $78 $78 14.5×
Smear gram stain (87205) $339 — 79.4×
Smear Special Stain (87207) $99 $99 16.5×
Sodium Serum (84295) $61 $61 12.7×
Sodium Urine (84300) $114 $114 22.5×
Soluble Transferrin Receptor (84238) $194 $194 5.3×
Somatomedin (84305) $215 $215 10.1×
Special Stains Group 1 (88312) $342 $342 6.8×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$217–$270 $217–$270 varies
Specific gravity body fluid (84315) $47 $47 14.3×
Specimen infect agnt concntj (87015) $81 $81 12.1×
Spectrophotometry (84311) $169 $169 20.9×
Strep a DNA amp probe (87651) $154 $154 4.4×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $110 $110 1.2×
Sugars Single Qual (84376) $62 $62 11.3×
Surg path level iii (88304) $188 $188 3.8×
Surgical pathology level IV (88305) $274 $274 5.5×
Surgical pathology level vi (88309) $817 $817 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $84 $84 17.7×
Syphilis Test Non-Trep Quant (86593) $33 $33 7.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $153 $153 3.3×
T cells total count (86359) $141 $141 3.7×
T3 Free (84481) $188 $188 11.1×
T3 reverse (84482) $184 $184 11.7×
T3 Total (84480) $149 $149 10.5×
T4 Free (84439) $121 $121 13.4×
T4 total (84436) $81 $81 11.8×
Tacrolimus (80197) $244 $244 17.8×
Tau phosphorylated each (84393) $315 $315 2.4×
Tb ag response t-cell susp (86481) $341 $341 3.4×
Test for acetone/ketones (82009) $65 $65 14.4×
Testosterone Bioavailable (84410) $72 $72 1.4×
Testosterone total (84403) $278 $278 10.8×
Testosterone, Free (84402) $234 $234 9.2×
Theophylline (80198) $180 $180 12.7×
Thrombin Time (85670) $52 $52 9.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $64 $64 9.9×
Thyroglobulin (84432) $192 $192 12.0×
Thyroglobulin Antibody (86800) $188 $188 11.8×
Thyroid Stimulating Immunoglobulin (84445) $343 $343 6.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $272 $272 23.6×
Tissue culture bone marrow (88237) $431 $431 3.0×
Tobramycin peak (80200) $187 $187 11.6×
Topiramate (80201) $125 $125 10.5×
Toxoplasma ab igm (86778) $96 $96 6.7×
Toxoplasma antibody (86777) $122 $122 8.5×
Transferase Aspartate Amino Ast Sgot (84450) $91 $91 17.6×
Transferrin (84466) $169 $169 13.2×
Trb@ Rearrangement Anal Amplification Method (81340) $627 $627 3.0×
Trg gene rearrangement anal (81342) $605 $605 3.0×
Trichomonas Vaginalis Amplif (87661) $182 $182 5.2×
Triglycerides (84478) $77 $77 13.4×
Troponin Quant (84484) $192 $192 15.4×
Tumor Immunohistochem/Manual (88360) $388 $388 2.4×
Urea nitrogen urine (84540) $84 $84 15.1×
Uric acid other source (84560) $102 $102 20.1×
Urinalysis Microscopic Only (81015) $49 $49 16.1×
Urinalysis Volume Measure (81050) $33 $33 9.1×
Urine Bacteria Culture (87088) $85 $85 10.5×
Urine Pregnancy Test (81025) $65 $65 7.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $503 — 158.7×
Valproic acid (80164) $203 $203 15.0×
Vancomycin (80202) $246 $246 18.2×
Varicella-zoster antibody (86787) $139 $139 10.8×
Virus antibody nos (86790) $180 $180 14.0×
Viscosity serum (85810) $174 $174 14.9×
Vit D 1 25-Dihydroxy (82652) $322 $322 8.4×
Vitamin A (84590) $132 $132 11.4×
Vitamin b-12 (82607) $146 $146 9.7×
Vitamin B2 (Riboflavin) (84252) $110 $110 5.4×
Vitamin B6 (84207) $313 $313 11.1×
Vitamin c (82180) $107 $107 10.8×
Vitamin D 25-Hydroxy (82306) $1,203 — 40.6×
Vitamin E (84446) $227 $227 16.0×
Vitamin K (84597) $213 $213 15.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $130 $130 10.8×
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$274–$374 $274–$374 varies
West nile virus ab igm (86788) $122 $122 7.2×
West Nile Virus Antibody (86789) $135 $135 9.4×
Zinc (84630) $150 $150 13.2×

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.