Lab & pathology prices at MercyOne New Hampton Medical Center

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

485 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) $57.85 $89 11.7×
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×
Allergen specific igg (86001) $142.35 $219 18.2×
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) $129.35 $199 7.7×
Alt (sgpt) (84460) $67.60 $104 12.8×
Amikacin trough (80150) $240.50 $370 15.9×
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×
Angiotensin converting enzyme csf (82164) $118.95 $183 8.1×
Antibody aspergillus (86606) $142.35 $219 9.5×
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) $120.90 $186 6.7×
Antibody helicobacter pylori (86677) $79.95 $123 4.7×
Antibody Herpes Smplx Type 1 (86695) $85.80 $132 6.5×
Antibody HIV-2 (86702) $84.50 $130 6.3×
Antibody Titer (86886)
range across 2 matching MRF lines
$112.45–$136.50 $173–$210 varies
Antibody Treponema Pallidum (86780) $130 $200 9.8×
Antigen typing (86905) $90.35 $139 23.6×
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 of 5-hiaa (83497) $80.60 $124 6.2×
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) $1,172.60 — 101.3×
Assay of metanephrines (83835) $170.95 $263 10.1×
Assay of serum potassium (84132) $72.80 — 15.3×
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)
range across 2 matching MRF lines
$110.50–$163.80 $170–$252 varies
Assay Ph Body Fluid Nos (83986)
range across 2 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×
Bartonella antibody (86611) $77.35 $119 7.6×
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-2 Microglobulin (82232) $96.20 $148 5.9×
Bile acids total (82239) $52 $80 3.0×
Bilirubin direct (82248) $42.90 $66 8.5×
Bilirubin total (82247) $83.85 — 16.7×
Blastomyces antibody (86612) $90.35 $139 7.0×
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) $220.35 $339 8.5×
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 Occult Peroxidase Actv Qual Feces 1 Deter (82270) $32.50 $50 7.4×
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×
Brca1&2 gen full seq dup/del (81162) $1,898 $2,920 1.0×
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×
Calcitonin (82308) $112.45 $173 4.2×
Calcium ionized (82330) $105.30 $162 7.7×
Calcium total (82310) $752.70 — 145.9×
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×
Cancer Antigen 27.29 (86300) $130 $200 6.2×
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×
Catecholamines fractionated (82384) $128.05 $197 5.1×
Ccp antibody (86200) $97.50 $150 7.5×
Cell count csf (89051) $83.20 $128 14.9×
Ceruloplasmin (82390) $71.50 $110 6.7×
Cftr gene dup/delet variants (81222) $241.15 $371 0.6×
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×
Chromogranin a (86316) $148.20 $228 7.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $200.85 $309 5.7×
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 factor xii hageman (85280) $122.20 $188 6.3×
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×
Coccidioides antibody (86635)
range across 4 matching MRF lines
$57.20–$68.90 $88–$106 varies
Cold agglutinin titer (86157) $54.60 $84 6.8×
Collagen crosslinks (82523) $146.25 $225 7.8×
Column Chromotography Quant (82542) $186.55 $287 7.7×
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×
Coombs direct (86880) $74.75 $115 13.9×
Copper urine (82525) $65 $100 5.2×
Cortisol free (82530)
range across 2 matching MRF lines
$93.60–$109.85 $144–$169 varies
Cortisol saliva (82533) $122.20 $188 7.5×
Creatine kinase total (82550) $66.30 $102 10.2×
Creatinine blood (82565) $42.25 $65 8.3×
Creatinine clearance (82575) $69.55 $107 7.4×
Creatinine Urine (82570) $63.05 $97 12.2×
Crossmatch electronic (86923) $191.75 $295 1.2×
Crossmatch immediate spin (86920) $107.25 $165 0.7×
Crp High Sensitivity (86141) $129.35 $199 10.0×
Cryofibrinogen (82585) $30.55 $47 2.2×
Cryoglobulin (82595) $60.45 $93 9.3×
Cryptococcal Antigen (87327) $64.35 $99 4.8×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$52–$59.80 $80–$92 varies
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) $1,172.60 — 5.4×
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) $1,172.60 — 113.6×
Culture csf (87070) $94.90 $146 11.0×
Culture fungus (87102) $92.95 $143 11.1×
Culture fungus blood (87103) $106.60 $164 5.2×
Culture screen only (87081)
range across 7 matching MRF lines
$50.70–$65.65 $78–$101 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $29.90 $46 5.8×
Culture urine (87086) $58.50 $90 7.2×
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×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $79.95 $123 3.0×
Cytp Concentration Smears & Interpretation (88108) $124.80 $192 3.5×
Deoxyribonuclease antibody (86215) $271.70 $418 20.5×
Detect Agent Nos Dna Amp (87798) $213.85 $329 6.1×
Detect Agent Nos Dna Quant (87799) $231.40 $356 5.4×
Detect agnt mult DNA ampli (87801) $429 $660 6.1×
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×
Dna Antibody Native/Double Stranded (86225) $101.40 $156 7.4×
Dna/Rna Amplified Probe (87150) $157.30 $242 4.5×
Drug Assay Amiodarone (80151) $90.35 $139 4.8×
Drug Assay Everolimus (80169) $125.45 $193 9.1×
Drug assay felbamate (80167) $65 $100 3.5×
Drug Assay Infliximab (80230) $234 $360 6.1×
Drug Assay Itraconazole (80189) $202.15 $311 7.5×
Drug Assay Lacosamide (80235) $175.50 $270 6.5×
Drug Screen Quant Clozapine (80159) $122.85 $189 6.1×
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×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$72.15–$226.20 $111–$348 varies
Enterovirus PCR (87498) $229.45 $353 6.5×
Erythropoietin (82668) $140.40 $216 7.5×
Estradiol serum (82670) $154.70 $238 5.5×
Estrogens fractionated (82671) $243.10 $374 7.5×
Ethosuximide (80168) $68.25 $105 4.2×
Exam Synovial Fluid Crystals (89060) $83.20 $128 11.4×
F2 Gene (81240) $110.50 $170 1.7×
Factor ii activity (85210) $91.65 $141 7.1×
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×
Factor xiii screen (85291) $74.10 $114 8.1×
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)
range across 2 matching MRF lines
$81.25–$145.60 $125–$224 varies
Fibrinogen activity (85384) $67.60 $104 7.0×
Fibrinogen antigen (85385) $26 $40 1.8×
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 Serum (82746) $94.25 $145 6.4×
Follicle Stimulating Hormone (83001) $133.25 $205 7.2×
Fungi Identification Mold (87107) $364 $560 35.3×
Fungi Identification Yeast (87106) $111.80 $172 10.8×
Gammaglobulin ige (82785) $83.85 $129 5.1×
Gases Blood O2 Saturation Only Direct Meas (82810) $76.70 $118 7.9×
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) $870.35 — 120.9×
Giardia antigen (87329) $100.10 $154 8.4×
Glucose 2 hr pp (82950) $41.60 $64 8.8×
Glucose Blood Test (82962) $27.30 $42 8.3×
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×
Haptoglobin (83010) $126.10 $194 10.0×
Hdl Cholesterol (83718) $62.40 $96 7.6×
Helicobacter Pylori Stool (87338) $210.60 $324 14.6×
Hematocrit (85014) $30.55 $47 12.9×
Hemoglobin (85018) $25.35 $39 10.7×
Hemoglobin a1c (83036) $547.30 — 56.4×
Hemoglobin electrophoresis (83020) $76.70 $118 6.0×
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 a antibody total (86708) $118.95 $183 9.6×
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 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×
Histoplasma antibody (86698) $57.85 $89 4.2×
Hiv Genotype (87901) $501.80 $772 1.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $123.50 $190 5.1×
Hiv-1 Antibody (86701) $120.90 $186 13.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $219.05 $337 2.6×
HIV-2 probe&revrse trnscripj (87538) $33.80 $52 1.0×
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 Severe Aqt Respir Synd Coronavirus (87426) $87.10 $134 2.5×
Iaad Ia Streptococcus Group A (87430) $66.30 $102 3.9×
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 HIV-1 amplified probe & reverse transcrpj (87535) $226.85 $349 6.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $109.20 $168 2.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $253.50 $390 7.2×
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×
Immunfix e-phorsis/urine/csf (86335) $191.10 $294 6.5×
Immunoassay Analyte Quant Radioimmunoassay (83519) $83.85 $129 4.6×
Immunoassay nonantibody (83516) $115.05 $177 10.0×
Immunofixation electrophoresis (86334) $155.35 $239 7.0×
Immunohistochemistry (88342) $230.10 $354 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $162.50 $250 2.3×
Inhibin b (83520) $135.20 $208 7.8×
Insulin antibodies (86337) $133.90 $206 6.3×
Insulin total (83525) $85.80 $132 7.5×
Intrinsic factor antibody (86340) $122.20 $188 8.1×
Iron (83540) $53.30 $82 8.2×
Iron Binding Capacity (83550) $63.05 $97 7.2×
Islet cell antibody (86341) $141.05 $217 6.0×
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×
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) $453.05 — 43.1×
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 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) $78 $120 6.9×
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×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $479.70 $738 2.9×
Magnesium Urine (83735) $69.55 $107 10.4×
Mercury urine (83825) $65 $100 4.0×
Metabolic panel ionized ca (80047) $26 $40 1.9×
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×
Mopath procedure level 2 (81401) $267.15 $411 1.9×
Mrsa Pcr (87641) $181.35 $279 5.2×
Mumps antibody (86735) $78 $120 6.0×
Muscle-Specific Kinase Antb (86366) $250.90 $386 13.6×
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 bv&vaginitis DNA alg (81515) $512.85 $789 2.0×
Nfct ds chrnc hcv 6 assays (81596) $295.10 $454 4.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $250.90 $386 1.9×
Nk cells total count (86357) $99.45 $153 2.6×
Nuclear antigen antibody (86235) $133.25 $205 7.4×
Occult blood feces (82272) $125.45 — 29.7×
Occult Blood Other Sources (82271) $56.55 $87 10.6×
Oligoclonal bands (83916)
range across 2 matching MRF lines
$57.20–$120.90 $88–$186 varies
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×
Parvovirus antibody (86747)
range across 2 matching MRF lines
$65–$78 $100–$120 varies
Ph urine (81003) $39.65 $61 17.6×
Phenobarbital Level (80184) $120.90 $186 7.9×
Phenotype Infect Agent Drug (87900) $254.15 $391 1.9×
Phenytoin (Dilantin) (80185) $100.10 $154 7.6×
Phenytoin free (80186) $91 $140 6.6×
Phosphatase alkaline (84075) $40.95 $63 7.9×
Phospholipid Neutralization Hexagonal (85598) $195 $300 10.8×
Phosphorus Serum (84100) $1,155.70 — 243.8×
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×
Porphobilinogen, urine; quantitative (84110) $65 $100 7.7×
Porphyrins Urine Quantitation & Fractionation (84120) $111.80 $172 7.6×
Potassium Urine (84133) $53.95 $83 11.4×
Prealbumin (84134) $73.45 $113 5.0×
Primidone (80188) $78 $120 4.7×
Procalcitonin (Pct) (84145) $258.70 $398 9.5×
Progesterone (84144) $107.25 $165 5.1×
Prolactin (84146) $149.50 $230 7.7×
Prostaglandin (84150) $162.50 $250 3.9×
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 Free (85306) $153.40 $236 10.0×
Protein s total (85305) $63.05 $97 5.4×
Protein total serum (84155) $1,011.40 — 275.6×
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×
Quantiferon tb gold plus (86480) $164.45 $253 2.7×
Quantitative assay drug (80299) $268.45 $413 14.4×
Rbc antibody identification (86870) $291.85 $449 0.8×
Rbc antibody screen (86850) $85.80 $132 8.8×
Renin activity plasma (84244) $120.25 $185 5.5×
Reptilase test (85635) $80.60 $124 8.2×
Resp virus 12-25 targets (87633) $812.50 $1,250 1.9×
Reticulated Platelet Assay (85055) $52 $80 1.5×
Reticulocyte Count (85046) $44.85 $69 8.1×
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×
Ristocetin cofactor (85245) $231.40 $356 10.1×
Rotavirus ag eia (87425) $118.30 $182 9.9×
Rpr qualitative (86592) $53.95 $83 12.6×
Rsv Assay W/Optic (87807) $74.10 $114 5.7×
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×
Sars-Cov-2 Covid-19 Amp Prb (87635) $187.20 $288 3.6×
Sars-cov-2 COVID-19 antibody (86769) $91.65 $141 2.2×
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×
Semen analysis complete (89322) $46.15 $71 3.0×
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×
Skin test tuberculosis intradermal (86580) $24.70 $38 0.9×
Smear acid fast (87206) $50.70 $78 9.4×
Smear complex stain (87209) $35.10 $54 2.0×
Smear gram stain (87205) $35.75 $55 8.4×
Smear Special Stain (87207) $64.35 $99 10.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $41.60 $64 7.1×
Sodium Serum (84295) $196.95 — 40.9×
Sodium Urine (84300) $74.10 $114 14.6×
Somatomedin (84305) $139.75 $215 6.6×
Special Stains Group 1 (88312) $222.30 $342 4.4×
Special Stains Group 2 (88313) $175.50 $270 1.4×
Specific gravity body fluid (84315) $30.55 $47 9.3×
Specimen infect agnt concntj (87015) $52.65 $81 7.9×
Staph a DNA amp probe (87640) $100.10 $154 2.9×
Strep a assay w/optic (87880) $94.25 $145 5.7×
Strep a DNA amp probe (87651) $100.10 $154 2.9×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $71.50 $110 0.8×
Surg path level iii (88304) $122.20 $188 2.4×
Surgical pathology level IV (88305) $178.10 $274 3.6×
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×
Test for acetone/ketones (82009) $42.25 $65 9.3×
Testosterone total (84403) $180.70 $278 7.0×
Testosterone, Free (84402) $152.10 $234 6.0×
Theophylline (80198) $117 $180 8.3×
Thiopurine methyltransferase (84433) $262.60 $404 11.8×
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×
Thyroxine binding globulin (84442) $82.55 $127 5.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $176.80 $272 15.3×
Tobramycin peak (80200) $121.55 $187 7.5×
Topiramate (80201) $81.25 $125 6.8×
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) $763.75 — 61.2×
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 Bacteria Culture (87088) $55.25 $85 6.8×
Urine Pregnancy Test (81025) $42.25 $65 4.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $341.25 — 107.6×
Valproic acid (80164) $131.95 $203 9.7×
Vancomycin (80202) $159.90 $246 11.8×
Varicella-zoster antibody (86787) $90.35 $139 7.0×
Viscosity serum (85810) $113.10 $174 9.7×
Vit D 1 25-Dihydroxy (82652) $912.60 — 23.7×
Vitamin A (84590) $85.80 $132 7.4×
Vitamin b-12 (82607) $94.90 $146 6.3×
Vitamin B6 (84207) $203.45 $313 7.2×
Vitamin D 25-Hydroxy (82306) $174.85 $269 5.9×
Vitamin E (84446) $147.55 $227 10.4×
Voltage-Gated Calcium Channel Antibody Each (86596) $84.50 $130 7.0×
Von willebrand factor ag (85246) $178.10 $274 7.8×
West nile virus ab igm (86788) $79.30 $122 4.7×
West Nile Virus Antibody (86789) $87.75 $135 6.1×
Xm Archive Tissue Molec Anal (88363) $142.35 $219 5.1×
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.