Lab & pathology prices at MercyOne Elkader Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $78 $120 4.2×
Acth (82024) $243.75 $375 6.3×
Actin smooth muscle antibody each (86015) $118.30 $182 9.8×
Acute hepatitis panel (80074) $316.55 $487 6.6×
Albumin Fluid (82042) $47.45 $73 6.1×
Albumin serum (82040) $1,330 — 268.7×
Aldolase (82085) $85.80 $132 8.8×
Aldosterone urine (82088)
range across 2 matching MRF lines
$178.75–$287.30 $275–$442 varies
Alkaline phosphatase isoenzymes (84080) $108.55 $167 7.3×
Allergen specific ige (86003) $28.60 $44 5.5×
Allg Spec Ige Recomb Ea (86008) $31.20 $48 1.7×
Alpha-1-antitrypsin phenotype (82104) $81.90 $126 5.7×
Alpha-1-antitrypsin total (82103) $124.80 $192 9.3×
Alpha-Fetoprotein Serum (82105) $1,956 — 116.6×
Alt (sgpt) (84460) $802 — 151.3×
Ammonia (82140) $154.70 $238 10.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $208.65 $321 2.1×
Amylase urine (82150) $71.50 $110 11.0×
Ana Titer (86039) $85.80 $132 7.7×
Anca screen each antibody (86036) $147.55 $227 12.2×
Androstenedione (82157) $170.95 $263 5.8×
Angiotensin converting enzyme csf (82164) $118.95 $183 8.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $102.70 $158 6.6×
Antibody Cytomegalovirus Cmv Igm (86645) $109.85 $169 6.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $94.25 $145 7.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $107.90 $166 7.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $1,879 — 103.6×
Antibody Fungus Not Elsewhere Specified (86671) $70.85 $109 5.8×
Antibody helicobacter pylori (86677) $79.95 $123 4.7×
Antibody Herpes Smplx Type 1 (86695) $85.80 $132 6.5×
Antibody HIV-1&HIV-2 single result (86703) $64.35 $99 4.7×
Antibody Titer (86886) $112.45 $173 21.7×
Antibody Treponema Pallidum (86780) $130 $200 9.8×
Antigen typing (86905) $90.35 $139 23.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $92.30 $142 16.1×
Antinuclear antibodies (86038) $105.95 $163 8.8×
Antistreptolysin O Screen (86063) $48.75 $75 8.4×
Antithrombin iii activity (85300) $135.20 $208 11.4×
Antithrombin iii antigen (85301) $157.95 $243 14.6×
Apolipoprotein a1 (82172) $120.25 $185 5.7×
Arsenic (82175) $71.50 $110 3.8×
Aspergillus ag eia (87305) $133.90 $206 11.2×
Assay activated protein c (85307) $128.05 $197 8.4×
Assay Blood Carbon Dioxide (82374) $35.75 $55 7.3×
Assay Nephelometry Not Spec (83883) $103.35 $159 7.6×
Assay of anti-mullerian hormone (82166) $199.55 $307 5.2×
Assay of blood/uric acid (84550) $57.85 $89 12.8×
Assay of calcium in urine (82340) $69.55 $107 11.5×
Assay of g6pd enzyme (82955) $121.55 $187 12.5×
Assay of gammaglobulin igm (82784) $81.90 $126 8.8×
Assay of lactic acid (83605) $81.90 $126 7.1×
Assay of metanephrines (83835) $170.95 $263 10.1×
Assay of serotonin (84260)
range across 2 matching MRF lines
$113.75–$148.85 $175–$229 varies
Assay of serum potassium (84132) $617 — 129.6×
Assay of urea nitrogen (84520) $42.25 $65 10.7×
Assay of vasoactive intestinal peptide (84586) $139.75 $215 4.0×
Assay of vitamin b-1 (84425) $163.80 $252 7.7×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$26.65–$52.65 $41–$81 varies
Assay spec xcp ur&breath ia (82077) $94.90 $146 5.5×
Automated Leukocyte Count (85048) $26.65 $41 10.5×
B cells total count (86355) $131.30 $202 3.5×
Bcr/abl1 gene major bp (81206) $343.20 $528 2.1×
Beta 2 glycoprotein i antibody each (86146) $108.55 $167 4.3×
Beta hydroxybutyrate (82010) $72.80 $112 8.9×
Beta Lactamase (87185) $14.30 $22 3.0×
Beta-2 Microglobulin (82232) $96.20 $148 5.9×
Bilirubin direct (82248) $42.90 $66 8.5×
Bilirubin total (82247) $507 — 101.0×
Bld Typing Serologic Rh Phnt (86906) $148.20 $228 19.1×
Blood Count Red Blood Cell Automated (85041) $18.20 $28 6.0×
Blood count reticulocyte automated (85045) $47.45 $73 11.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $38.35 $59 10.1×
Blood gas (82803)
range across 5 matching MRF lines
$165.10–$220.35 $254–$339 varies
Blood gases w/02 saturation (82805) $220.35 $339 2.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $42.90 $66 2.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $234 $360 36.9×
Blood typing serologic abo (86900) $83.85 $129 28.0×
Body fluid cell count (89050) $117 $180 24.8×
Breath Alcohol Test (82075) $33.80 $52 1.1×
C diff amplified probe (87493) $126.10 $194 3.4×
C-Peptide (84681) $163.80 $252 7.9×
C-reactive protein (86140) $70.85 $109 13.7×
Ca 19-9 (86301) $104.65 $161 5.0×
Cadmium (82300) $76.70 $118 3.2×
Calcium ionized (82330) $105.30 $162 7.7×
Calcium total (82310) $63.70 $98 12.3×
Calculus Spectroscopy (82365) $125.45 $193 9.7×
Calprotectin Fecal (83993) $160.55 $247 8.2×
Cancer Antigen 125 (86304) $131.95 $203 6.3×
Carbamazepine total (80156) $124.15 $191 8.5×
Carboxyhemoglobin (82375) $118.30 $182 9.6×
Carcinoembryonic antigen (82378) $165.75 $255 8.7×
Cardiolipin ab iga (86147) $151.45 $233 6.0×
Ccp antibody (86200) $97.50 $150 7.5×
Cell count csf (89051) $83.20 $128 14.9×
Ceruloplasmin (82390) $71.50 $110 6.7×
Chemiluminescent assay (82397) $122.20 $188 8.7×
Chlmy trch&neisra gonor mult (87494) $137.15 $211 2.0×
Chloride Serum (82435) $39.65 $61 8.6×
Chloride urine (82436) $38.35 $59 6.7×
Cholesterol total (82465) $40.95 $63 9.4×
Cholinesterase Serum (82480) $73.45 $113 9.3×
Chorionic gonadotropin test (84702) $109.20 $168 7.3×
Chromium serum (82495) $108.55 $167 5.4×
Chromogranin a (86316) $148.20 $228 7.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $200.85 $309 5.7×
Citric acid urine (82507) $182 $280 6.5×
Ckmb (82553) $109.20 $168 9.5×
Clostridium Difficile (87324) $68.25 $105 5.7×
Clot Factor VIII Multimetric (85247) $218.40 $336 9.5×
Clotting Funct Activity (85397) $229.45 $353 7.4×
Cns DNA amp probe type 12-25 (87483) $1,146.60 $1,764 2.8×
Coagulation time activated (85347) $50.05 $77 11.7×
Cold agglutinin screen (86156) $66.95 $103 8.3×
Compatibility test antiglob (86922) $144.95 $223 0.9×
Complement Antigen Each Component (86160) $91 $140 7.6×
Complement Total (Ch50) (86162) $108.55 $167 5.3×
Consltj&Reprt Material Requiring Prepj Slides (88323) $370.50 $570 7.4×
Coombs direct (86880)
range across 4 matching MRF lines
$74.75–$91 $115–$140 varies
Copper urine (82525) $65 $100 5.2×
Cortisol saliva (82533) $122.20 $188 7.5×
Creatine kinase total (82550) $66.30 $102 10.2×
Creatinine blood (82565) $1,390 — 271.5×
Creatinine clearance (82575) $69.55 $107 7.4×
Creatinine Urine (82570) $63.05 $97 12.2×
Crossmatch immediate spin (86920) $107.25 $165 0.7×
Crp High Sensitivity (86141) $129.35 $199 10.0×
Cryoglobulin (82595) $60.45 $93 9.3×
Cryptococcal Antigen (87327) $64.35 $99 4.8×
Cryptosporidium ag eia (87328) $103.35 $159 7.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $62.40 $96 7.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $53.30 $82 6.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $55.25 $85 7.2×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $325 $500 1.5×
Culture aerobic quant other (87071) $85.80 $132 8.7×
Culture afb (87116) $76.05 $117 7.0×
Culture Anaerobic (87075) $82.55 $127 8.7×
Culture blood (87040) $118.95 $183 11.5×
Culture csf (87070) $94.90 $146 11.0×
Culture fungus (87102) $92.95 $143 11.1×
Culture fungus blood (87103) $309.40 $476 15.1×
Culture screen only (87081)
range across 6 matching MRF lines
$50.70–$65.65 $78–$101 varies
Culture stool (87045) $83.85 $129 8.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $29.90 $46 5.8×
Culture urine (87086) $58.50 $90 7.2×
Cyanide (82600) $120.25 $185 6.2×
Cyclosporine (80158) $126.10 $194 7.0×
Cystatin C (82610) $72.80 $112 3.9×
Cytomegalovirus igg (86644) $94.90 $146 6.6×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $70.85 $109 3.5×
Cytopath Cell Enhance Tech (88112) $159.90 $246 3.2×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $750.75 $1,155 4.6×
Detect Agent Nos Dna Amp (87798) $213.85 $329 6.1×
Detect Agent Nos Dna Quant (87799) $231.40 $356 5.4×
Dgp Antibody Each Ig Class (86258) $63.70 $98 5.3×
Dhea (82626) $148.20 $228 5.9×
Dhea-S (82627) $185.90 $286 8.4×
Digoxin (80162) $91.65 $141 6.9×
Dihydrotestosterone (82642) $55.25 $85 1.9×
Dna Antibody Native/Double Stranded (86225) $101.40 $156 7.4×
Dna/Rna Amplified Probe (87150) $157.30 $242 4.5×
Drug assay adalimumab (80145) $305.50 $470 7.9×
Drug Assay Everolimus (80169) $125.45 $193 9.1×
Drug Assay Infliximab (80230) $234 $360 6.1×
Drug Assay Lacosamide (80235) $175.50 $270 6.5×
Drug Screen Quant Zonisamide (80203) $105.30 $162 7.9×
Drug Screen Quantitative Lamotrigine (80175) $14.30 $22 1.1×
Drug Screen Quantitative Levetiracetam (80177) $130 $200 9.8×
Drug Screen Quantitative Oxcarbazepine (80183) $130.65 $201 9.9×
Drug Test Prsmv Chem Anlyzr (80307) $137.15 $211 2.2×
El-1 Fecal Quantitative (82653) $185.90 $286 8.1×
Electrolyte panel (80051) $63.05 $97 9.0×
Electron Microscopy (88348) $455 $700 0.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $226.20 $348 18.7×
Eosinophil Smear (89190) $37.05 $57 6.4×
Erythropoietin (82668) $140.40 $216 7.5×
Estradiol serum (82670) $154.70 $238 5.5×
Estrogens fractionated (82671) $243.10 $374 7.5×
Exam Synovial Fluid Crystals (89060) $83.20 $128 11.4×
F2 Gene (81240) $110.50 $170 1.7×
Factor ix activity (85250) $146.25 $225 7.7×
Factor v activity (85220) $91.65 $141 5.2×
Factor v leiden mutation (81241) $379.60 $584 5.2×
Factor vii assay (85230) $91.65 $141 5.1×
Factor viii assay (85240) $246.35 $379 13.8×
Factor X (85260) $109.85 $169 6.1×
Factor xi activity (85270) $122.20 $188 6.8×
Fat/Lipids Feces Quantitative (82710) $109.20 $168 6.5×
Fecal Fat Qualitative (82705) $45.50 $70 8.9×
Ferritin (82728) $107.25 $165 7.9×
Fetal Fibronectin (82731) $442 $680 6.9×
Fetal hemoglobin assay qual (83033) $128.70 $198 16.1×
Fetal screen rosette (85461) $81.90 $126 8.8×
Fibrin Degradation Quant (85379) $145.60 $224 14.3×
Fibrinogen activity (85384) $67.60 $104 7.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $222.30 $342 14.4×
Flow cytometry first marker (88184) $248.95 $383 0.7×
Fluorescent antibody screen (86255) $94.90 $146 7.9×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $79.95 $123 6.6×
Folic acid rbc (82747) $182.65 $281 10.3×
Folic Acid Serum (82746) $94.25 $145 6.4×
Follicle Stimulating Hormone (83001) $133.25 $205 7.2×
Frozen Section (88331) $128.05 $197 0.8×
Gammaglobulin ige (82785) $83.85 $129 5.1×
Gases blood ph only (82800) $68.25 $105 6.2×
Gastrin (82941) $94.90 $146 5.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $579.80 $892 1.4×
Gentamicin (80170) $97.50 $150 6.0×
Ggt (82977) $60.45 $93 8.4×
Giardia antigen (87329) $100.10 $154 8.4×
Glucose 2 hr pp (82950) $41.60 $64 8.8×
Glucose body fluid (82945) $45.50 $70 11.6×
Glucose Serum (82947) $36.40 $56 9.3×
Glucose tolerance test (gtt) (82951) $92.30 $142 7.2×
Glycated Protein (82985) $69.55 $107 4.1×
Gonadotropin Chorionic Qualitative (84703) $85.15 $131 11.3×
Growth hormone (83003) $117.65 $181 7.1×
Gtt-added samples (82952) $53.95 $83 13.8×
H pylri clrthmcn rst amp prb (87513) $68.25 $105 1.9×
Haloperidol (80173) $48.10 $74 3.0×
Haptoglobin (83010) $126.10 $194 10.0×
Hdl Cholesterol (83718) $62.40 $96 7.6×
Helicobacter Pylori Stool (87338) $210.60 $324 14.6×
Helminth Antibody (86682)
range across 3 matching MRF lines
$70.85–$82.55 $109–$127 varies
Hematocrit (85014) $30.55 $47 12.9×
Hemoglobin (85018) $25.35 $39 10.7×
Hemoglobin a1c (83036) $79.30 $122 8.2×
Hemoglobin Methemoglobin Quantitative (83050) $74.75 $115 9.1×
Hemoglobin plasma (83051) $83.85 $129 11.5×
Hep a ab igm (86709) $100.10 $154 8.9×
Heparin assay (85520) $53.95 $83 4.1×
Heparin Neutralization (85525) $47.45 $73 4.0×
Hepatitis b core ab igm (86705) $118.95 $183 10.1×
Hepatitis b core ab total (86704) $96.20 $148 8.0×
Hepatitis B Surface Antibody (86706) $107.90 $166 10.0×
Hepatitis B Surface Antigen (87340) $94.25 $145 9.1×
Hepatitis Be Antibody (86707) $91.65 $141 7.9×
Hepatitis Be Antigen (87350) $92.30 $142 8.0×
Hepatitis C Antibody (86803) $126.75 $195 8.9×
Hepatitis C Genotype (87902) $1,573 $2,420 6.1×
Hepatitis C Revrs Trnscrpj (87522) $308.10 $474 7.2×
Herpes simplex type 2 (86696) $57.85 $89 3.0×
Heterophile Antibody Screen (86308) $52 $80 10.0×
Hfe Gene (81256) $289.90 $446 4.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $48.75 $75 6.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $123.50 $190 5.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $219.05 $337 2.6×
Hla ii typing 1 locus lr (81376) $317.20 $488 2.6×
Homocysteine (83090) $181.35 $279 10.1×
Hpv sep hi-rsk typ&pool rslt (87626) $137.15 $211 2.0×
Hsv Dna Amp Probe (87529) $193.70 $298 5.5×
Hydroxyprogesterone 17-d (83498) $144.95 $223 5.3×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $49.40 $76 4.8×
Iaad ia shiga-like toxin (87427) $63.70 $98 5.3×
Iadna Cytomegalovirus Quantification (87497) $229.45 $353 5.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $140.40 $216 2.0×
Iadna Hepatitis B Virus Quantification (87517) $310.70 $478 7.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $109.20 $168 2.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $193.05 $297 5.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $287.30 $442 2.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $414.05 $637 1.6×
Ig Light Chains Free Each (83521) $126.10 $194 7.3×
Igg subclasses (82787) $64.35 $99 8.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $378.95 $583 1.1×
Immunoassay analyte qual/semiqual single step (83518) $133.25 $205 13.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $62.40 $96 4.2×
Immunoassay nonantibody (83516) $115.05 $177 10.0×
Immunofixation electrophoresis (86334) $155.35 $239 7.0×
Immunofluorescence per spec 1st singl antb stain (88346) $260.65 $401 1.6×
Immunohistochemistry (88342) $230.10 $354 1.4×
In situ hybridization 1st probe stain (88365) $280.15 $431 1.7×
Influenza assay w/optic (87804) $286 — 17.3×
Influenza DNA amp probe (87502) $284.05 $437 3.0×
Inhibin b (83520) $135.20 $208 7.8×
Insulin total (83525) $85.80 $132 7.5×
Iron (83540) $53.30 $82 8.2×
Iron Binding Capacity (83550) $63.05 $97 7.2×
Irradiation Blood Product Each Unit (86945) $202.15 $311 5.6×
Jak2 gene analysis p.val617phe variant (81270) $561.60 $864 6.1×
Jt spc pthgn&rx rsist gen26+ (87627) $1,325.35 $2,039 1.9×
Koh Prep (87220) $28.60 $44 6.7×
Lactate (ld) (ldh) enzyme (83615) $48.75 $75 8.1×
Lactoferrin fecal qualitative (83630) $126.75 $195 6.4×
Ldh Isoenzymes (83625) $65 $100 5.1×
LDL direct (83721) $62.40 $96 5.9×
Lead (83655) $90.35 $139 7.5×
Legionella antigen urine (87449) $53.30 $82 4.4×
Leukocyte Assessment Fecal (89055) $43.55 $67 10.2×
Level I Surg Pathology Gross Examination Only (88300) $72.15 $111 2.6×
Level ii surg pathology gross&microscopic exam (88302) $116.35 $179 3.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $321.10 $494 0.9×
Lidocaine (80176) $43.55 $67 3.0×
Lipase (83690) $83.20 $128 12.1×
Lipoprotein A (83695) $96.85 $149 6.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $135.20 $208 12.0×
Lithium (80178) $61.10 $94 9.2×
Luteinizing Hormone (Lh) (83002) $135.20 $208 7.3×
Lyme disease antibody (86618) $136.50 $210 8.0×
Macroscopic exam arthropod (87168) $40.95 $63 9.6×
Macroscopic Exam Parasite (87169) $19.50 $30 4.5×
Magnesium Urine (83735) $69.55 $107 10.4×
Mass Spectrometry Quant (83789) $157.95 $243 6.6×
Mercury urine (83825) $65 $100 4.0×
Methotrexate (80204) $128.05 $197 3.3×
Methylmalonic acid serum (83921) $183.30 $282 8.6×
Microalbumin, quantitative (82043) $57.20 $88 9.9×
Microsomal Antibodies Each (86376) $114.40 $176 7.9×
Mitochondrial Antibody Each (86381) $110.50 $170 4.3×
Mononuclear cell antigen (86356) $220.35 $339 8.2×
Mrsa Pcr (87641) $181.35 $279 5.2×
Mumps antibody (86735) $78 $120 6.0×
Mycobacteric Identification (87118) $210.60 $324 14.4×
Mycophenolic Acid (80180) $152.10 $234 8.4×
Mycoplasma antibody (86738) $73.45 $113 5.5×
Myoglobin urine (83874) $98.80 $152 7.6×
Natriuretic peptide (83880) $204.10 $314 5.2×
Neutralization Test Viral (86382) $93.60 $144 5.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $313.95 $483 2.4×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $170.95 $263 1.2×
Nfct ds bv&vaginitis DNA alg (81515) $512.85 $789 2.0×
Nfct ds chrnc hcv 6 assays (81596) $295.10 $454 4.1×
Niacin (84591) $326.95 $503 19.2×
Nickel level (83885) $97.50 $150 4.0×
Nk cells total count (86357) $99.45 $153 2.6×
Nuclear antigen antibody (86235) $133.25 $205 7.4×
Occult Blood Other Sources (82271) $56.55 $87 10.6×
Organic Acids Qualitative Each Specimen (83919) $1,247.35 $1,919 75.8×
Osmolality serum (83930) $77.35 $119 11.7×
Osmolality Urine (83935) $74.75 $115 11.0×
Ova and parasites smears (87177) $59.80 $92 6.7×
Oxalate urine (83945) $113.75 $175 7.9×
Pancreatic Elastase Fecal (82656) $115.05 $177 10.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $279.50 $430 0.4×
Pathology Consultation During Surgery (88329) $139.10 $214 2.5×
Ph urine (81003) $387 — 172.0×
Phenobarbital Level (80184) $120.90 $186 7.9×
Phenytoin (Dilantin) (80185) $100.10 $154 7.6×
Phosphatase alkaline (84075) $473 — 91.3×
Phospholipid Neutralization Hexagonal (85598) $195 $300 10.8×
Phosphorus Serum (84100) $52 $80 11.0×
Phosphorus urine (84105) $76.05 $117 13.2×
Pinworm exam (87172) $33.80 $52 7.9×
Platelet Aggregation (85576) $134.55 $207 5.4×
Platelet Antibodies (86022) $257.40 $396 14.0×
Platelet count automated (85049) $32.50 $50 7.3×
Pneumcysts jirovecii amp prb (87594) $148.20 $228 4.2×
Potassium Urine (84133) $53.95 $83 11.4×
Prealbumin (84134) $73.45 $113 5.0×
Pregnenolone (84140) $126.10 $194 6.1×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $129.35 $199 0.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $88.40 $136 1.6×
Pretx serum rbc antibody identification dilution (86976) $61.10 $94 2.2×
Procalcitonin (Pct) (84145) $258.70 $398 9.5×
Progesterone (84144) $107.25 $165 5.1×
Prolactin (84146) $149.50 $230 7.7×
Protein body fluid (84157) $46.15 $71 11.5×
Protein C Activity (85303) $119.60 $184 8.6×
Protein c antigen (85302) $131.95 $203 11.0×
Protein Electrophoresis Urine (84166) $72.80 $112 4.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $74.75 $115 7.0×
Protein s total (85305) $63.05 $97 5.4×
Protein total serum (84155) $1,306 — 355.9×
Protein Total Urine (84156) $48.75 $75 13.3×
Prothrombin Time Substitution Plasma Frctj Each (85611) $126.75 $195 32.2×
PSA free (84154) $140.40 $216 7.6×
Pth Intact (83970) $238.55 $367 5.8×
Q Fever Antibody (86638) $68.25 $105 5.6×
Quantiferon tb gold plus (86480) $164.45 $253 2.7×
Quantitative assay drug (80299) $268.45 $413 14.4×
Quantitative Screen Metals (83018) $111.15 $171 5.1×
Rbc antibody elution (86860) $85.80 $132 0.5×
Rbc antibody identification (86870) $291.85 $449 0.8×
Rbc antibody screen (86850) $85.80 $132 8.8×
Rbc pretreatment serum (86978) $118.95 $183 2.1×
Rbc pretx incubatj w/enzymes (86971) $59.80 $92 0.4×
Renin activity plasma (84244) $120.25 $185 5.5×
Reticulated Platelet Assay (85055) $52 $80 1.5×
Reticulocyte Count (85046) $44.85 $69 8.1×
Reticulocyte separation (86972) $75.40 $116 0.5×
Rh (86901) $44.85 $69 15.0×
Rheumatoid Factor Qualitative (86430) $54.60 $84 8.9×
Rheumatoid factor quant (86431) $70.20 $108 12.4×
Rotavirus ag eia (87425) $118.30 $182 9.9×
Rpr qualitative (86592) $53.95 $83 12.6×
Rubella Antibody (86762) $76.70 $118 5.3×
Rubeola antibody (86765) $48.10 $74 3.7×
Russell Viper Venom Time Diluted (85613) $81.90 $126 8.5×
Salicylate Level (80179) $36.40 $56 2.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $187.20 $288 3.6×
Sars-Cov-2 Covid19 W/Optic (87811) $65 $100 1.6×
Sarscov2 & inf a&b amp prb (87636) $361.40 $556 2.5×
Sarscov2&inf a&b&rsv amp prb (87637) $298.35 $459 2.1×
Sedimentation Rate, Automated (85652) $44.20 $68 16.4×
Selenium (84255) $50.70 $78 2.0×
Semen Anal Sperm Detection (89321) $100.75 $155 8.4×
Sensitivity mic (87186) $89.70 $138 10.4×
Sex Hormone Binding Globulin (84270) $149.50 $230 6.9×
Sickling of rbc reduction (85660) $50.70 $78 9.2×
Sirolimus (80195) $100.10 $154 7.3×
Smear acid fast (87206) $50.70 $78 9.4×
Smear gram stain (87205) $35.75 $55 8.4×
Smear Special Stain (87207) $64.35 $99 10.7×
Smn1 Gene Dos/Deletion Alys (81329) $520.65 $801 3.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $41.60 $64 7.1×
Sodium Serum (84295) $39.65 $61 8.2×
Sodium Urine (84300) $74.10 $114 14.6×
Soluble fibrin monomer (85366) $261.30 $402 3.2×
Soluble Transferrin Receptor (84238) $126.10 $194 3.4×
Somatomedin (84305) $139.75 $215 6.6×
Special Stains Group 1 (88312) $222.30 $342 4.4×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$141.05–$175.50 $217–$270 varies
Specific gravity body fluid (84315) $30.55 $47 9.3×
Specimen infect agnt concntj (87015) $52.65 $81 7.9×
Stool cultr aerobic bact ea (87046) $52.65 $81 5.6×
Strep a DNA amp probe (87651) $100.10 $154 2.9×
Strep b DNA amp probe (87653) $145.60 $224 4.1×
Surg path level iii (88304) $122.20 $188 2.4×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$548–$12,467.75 — varies
Surgical pathology level vi (88309) $531.05 $817 0.7×
Syphilis Test Non-Trep Quant (86593) $21.45 $33 4.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $99.45 $153 2.1×
T cells total count (86359) $91.65 $141 2.4×
T3 Free (84481) $122.20 $188 7.2×
T3 reverse (84482) $119.60 $184 7.6×
T3 Total (84480) $96.85 $149 6.8×
T4 Free (84439) $78.65 $121 8.7×
T4 total (84436) $52.65 $81 7.7×
Tacrolimus (80197) $158.60 $244 11.6×
Tb ag response t-cell susp (86481) $221.65 $341 2.2×
Testosterone total (84403) $180.70 $278 7.0×
Testosterone, Free (84402) $152.10 $234 6.0×
Theophylline (80198) $117 $180 8.3×
Thrombin Time (85670) $33.80 $52 5.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $41.60 $64 6.4×
Thyroglobulin (84432) $124.80 $192 7.8×
Thyroglobulin Antibody (86800) $122.20 $188 7.7×
Thyroid Stimulating Immunoglobulin (84445) $222.95 $343 4.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $176.80 $272 15.3×
Tobramycin peak (80200) $121.55 $187 7.5×
Toxoplasma ab igm (86778) $62.40 $96 4.3×
Toxoplasma antibody (86777) $79.30 $122 5.5×
Transferase Aspartate Amino Ast Sgot (84450) $59.15 $91 11.4×
Transferrin (84466) $109.85 $169 8.6×
Trichomonas Vaginalis Amplif (87661) $202.15 $311 5.8×
Triglycerides (84478) $50.05 $77 8.7×
Troponin Quant (84484) $970 — 77.8×
Tumor immunohistochem/comput (88361) $313.95 $483 0.9×
Tumor Immunohistochem/Manual (88360) $252.20 $388 1.5×
Urea nitrogen urine (84540) $54.60 $84 9.8×
Uric acid other source (84560) $66.30 $102 13.1×
Urinalysis Microscopic Only (81015) $31.85 $49 10.4×
Urinalysis Volume Measure (81050) $21.45 $33 5.9×
Urine Pregnancy Test (81025) $42.25 $65 4.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $509 — 160.6×
Valproic acid (80164) $131.95 $203 9.7×
Vancomycin (80202) $159.90 $246 11.8×
Varicella-zoster antibody (86787) $90.35 $139 7.0×
Vit D 1 25-Dihydroxy (82652) $1,441 — 37.4×
Vitamin A (84590) $85.80 $132 7.4×
Vitamin b-12 (82607) $94.90 $146 6.3×
Vitamin B2 (Riboflavin) (84252) $71.50 $110 3.5×
Vitamin B6 (84207) $203.45 $313 7.2×
Vitamin c (82180) $69.55 $107 7.0×
Vitamin D 25-Hydroxy (82306) $174.85 $269 5.9×
Vitamin E (84446) $147.55 $227 10.4×
Vitamin K (84597) $138.45 $213 10.1×
West nile virus ab igm (86788) $79.30 $122 4.7×
West Nile Virus Antibody (86789) $87.75 $135 6.1×
Zinc (84630) $97.50 $150 8.6×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.