Lab & pathology prices at MercyOne Newton Medical Center
Newton, IA · every code in this section with a posted price and a Medicare benchmark.
544 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $78 | $120 | 4.2× |
| Acetylcholine receptor blocking antibody (86042) | $115.05 | $177 | 6.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $85.15 | $131 | 7.1× |
| Acth (82024) | $243.75 | $375 | 6.3× |
| Acute hepatitis panel (80074) | $316.55 | $487 | 6.6× |
| Albumin Fluid (82042) | $47.45 | $73 | 6.1× |
| Albumin serum (82040) | $506 | — | 102.2× |
| Aldolase (82085) | $85.80 | $132 | 8.8× |
| Aldosterone urine (82088) range across 3 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) | $1,606 | — | 89.6× |
| 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) | $481 | — | 90.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $242.45 | $373 | 14.4× |
| Ammonia (82140) | $154.70 | $238 | 10.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $208.65 | $321 | 2.1× |
| Amylase urine (82150) range across 6 matching MRF lines |
$71.50–$81.25 | $110–$125 | varies |
| Ana Titer (86039) | $85.80 | $132 | 7.7× |
| Anca screen each antibody (86036) | $147.55 | $227 | 12.2× |
| Anca Titer Each Antibody (86037) | $85.80 | $132 | 7.1× |
| Androstenedione (82157) | $170.95 | $263 | 5.8× |
| 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 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 Hla Class I High Definition Panel Qual (86832) | $631.15 | $971 | 1.9× |
| Antibody Protozoa Nes (86753) | $156 | $240 | 12.6× |
| 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× |
| 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 5-hiaa (83497) range across 2 matching MRF lines |
$80.60–$108.55 | $124–$167 | varies |
| 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 cpk in blood (82552) | $115.05 | $177 | 8.6× |
| Assay of estrone (82679) | $142.35 | $219 | 5.7× |
| 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) | $405 | — | 35.0× |
| Assay of manganese (83785) | $113.10 | $174 | 4.2× |
| Assay of metanephrines (83835) | $170.95 | $263 | 10.1× |
| Assay of proinsulin (84206) | $71.50 | $110 | 2.7× |
| Assay of serotonin (84260) | $148.85 | $229 | 4.8× |
| Assay of serum potassium (84132) | $393 | — | 82.6× |
| Assay of urea nitrogen (84520) | $521 | — | 131.9× |
| Assay of urine vma (84585) | $74.75 | $115 | 4.8× |
| 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 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× |
| Babesia microti amp prb (87469) | $79.30 | $122 | 2.3× |
| Bartonella antibody (86611) | $77.35 | $119 | 7.6× |
| Bcr/abl1 gene major bp (81206) | $343.20 | $528 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $394.55 | $607 | 2.7× |
| 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× |
| Bile acids total (82239) | $52 | $80 | 3.0× |
| Bilirubin direct (82248) | $42.90 | $66 | 8.5× |
| Bilirubin total (82247) | $129 | — | 25.7× |
| Blastomyces antibody (86612) | $90.35 | $139 | 7.0× |
| 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 4 matching MRF lines |
$220.35–$221 | $339–$340 | 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 Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32.50 | $50 | 7.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $6,873 | — | 1082.4× |
| Blood typing serologic abo (86900) | $83.85 | $129 | 28.0× |
| Body fluid cell count (89050) | $117 | $180 | 24.8× |
| Bordetella antibody (86615) | $96.85 | $149 | 7.3× |
| Brucella antibody (86622) | $35.75 | $55 | 4.0× |
| 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× |
| Calcitonin (82308) | $112.45 | $173 | 4.2× |
| Calcium ionized (82330) | $105.30 | $162 | 7.7× |
| Calcium total (82310) | $412 | — | 79.8× |
| 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) range across 3 matching MRF lines |
$130–$141.05 | $200–$217 | varies |
| 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× |
| Carnitine Quantitative Each Specimen (82379) | $56.55 | $87 | 3.4× |
| Carotene (82380) | $81.90 | $126 | 8.9× |
| 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× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $214.50 | $330 | 1.6× |
| Ceruloplasmin (82390) | $71.50 | $110 | 6.7× |
| Chemiluminescent assay (82397) | $122.20 | $188 | 8.7× |
| Chlamydia antibody (86631) | $79.30 | $122 | 6.7× |
| Chlamydia Igm Antibody (86632) | $61.75 | $95 | 4.9× |
| Chlmy trch&neisra gonor mult (87494) | $137.15 | $211 | 2.0× |
| Chloride other source (82438) | $84.50 | $130 | 16.9× |
| 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× |
| Chromosome Analysis 15-20 (88262) | $1,092 | $1,680 | 8.7× |
| Chromosome Analysis 20-25 (88264) | $469.30 | $722 | 3.2× |
| 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) | $997 | — | 83.2× |
| 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 screen (86156) | $66.95 | $103 | 8.3× |
| Cold agglutinin titer (86157) | $54.60 | $84 | 6.8× |
| 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× |
| Complement/Function Activity (86161) | $44.20 | $68 | 3.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $266.50 | $410 | 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 free (82530) range across 3 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) | $524 | — | 102.3× |
| 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× |
| Cryoglobulin (82595) | $60.45 | $93 | 9.3× |
| Cryptococcal Antigen (87327) | $64.35 | $99 | 4.8× |
| Cryptococcus ag titer (87899) range across 3 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) | $1,762 | — | 8.1× |
| Culture aerobic quant other (87071) | $85.80 | $132 | 8.7× |
| Culture afb (87116) | $76.05 | $117 | 7.0× |
| Culture Anaerobic (87075) | $656 | — | 69.3× |
| Culture blood (87040) | $411 | — | 39.8× |
| Culture csf (87070) | $385 | — | 44.7× |
| Culture fungus (87102) | $92.95 | $143 | 11.1× |
| Culture fungus blood (87103) | $106.60 | $164 | 5.2× |
| Culture screen only (87081) range across 6 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) | $313 | — | 38.8× |
| Cyanide (82600) | $120.25 | $185 | 6.2× |
| Cyclosporine (80158) | $126.10 | $194 | 7.0× |
| Cystatin C (82610) | $72.80 | $112 | 3.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,683.50 | $2,590 | 1.5× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$59.80–$94.90 | $92–$146 | varies |
| Cytopath Cell Enhance Tech (88112) | $159.90 | $246 | 3.2× |
| 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× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $97.50 | $150 | 2.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $59.15 | $91 | 3.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $106.60 | $164 | 3.8× |
| 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× |
| 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× |
| Dipropylacetic Acid Free (80165) | $88.40 | $136 | 6.5× |
| 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 Amiodarone (80151) | $90.35 | $139 | 4.8× |
| Drug Assay Everolimus (80169) | $125.45 | $193 | 9.1× |
| 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 Assay Vedolizumab (80280) | $253.50 | $390 | 6.6× |
| Drug assay voriconazole (80285) | $121.55 | $187 | 4.5× |
| Drug Screen Quant Clozapine (80159) | $122.85 | $189 | 6.1× |
| Drug Screen Quant Zonisamide (80203) | $105.30 | $162 | 7.9× |
| Drug Screen Quantitative Gabapentin (80171) | $39.65 | $61 | 1.8× |
| 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) | $463 | — | 7.5× |
| Ehrlichia antibody (86666) | $63.05 | $97 | 6.2× |
| El-1 Fecal Quantitative (82653) | $185.90 | $286 | 8.1× |
| Electrolyte panel (80051) | $63.05 | $97 | 9.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $226.20 | $348 | 18.7× |
| Enterovirus PCR (87498) | $229.45 | $353 | 6.5× |
| Erythropoietin (82668) | $140.40 | $216 | 7.5× |
| Estradiol serum (82670) | $154.70 | $238 | 5.5× |
| 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 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× |
| 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× |
| 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× |
| Fmr1 gene detection (81243) | $266.50 | $410 | 4.7× |
| Folic Acid Serum (82746) | $94.25 | $145 | 6.4× |
| Follicle Stimulating Hormone (83001) | $133.25 | $205 | 7.2× |
| Francisella tularensis (86668) | $48.10 | $74 | 3.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $53.30 | $82 | 0.3× |
| Frozen Section (88331) | $128.05 | $197 | 0.8× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$79.30–$364 | $122–$560 | varies |
| Fungi Identification Yeast (87106) | $111.80 | $172 | 10.8× |
| Gammaglobulin ige (82785) | $83.85 | $129 | 5.1× |
| Gastrin (82941) | $94.90 | $146 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $987 | — | 2.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,157.35 | $3,319 | 2.8× |
| 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) | $355 | — | 90.3× |
| 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× |
| 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) | $82.55 | $127 | 6.3× |
| Hematocrit (85014) | $603 | — | 254.4× |
| Hemoglobin (85018) | $603 | — | 254.4× |
| Hemoglobin a1c (83036) | $79.30 | $122 | 8.2× |
| 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× |
| Hemosiderin urine (83070) | $81.90 | $126 | 17.2× |
| 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× |
| Hepatitis Delta Agent Antibody (86692) | $156.65 | $241 | 9.1× |
| Herpes simplex type 2 (86696) | $57.85 | $89 | 3.0× |
| Heterophile Antibody Screen (86308) | $52 | $80 | 10.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $48.75 | $75 | 6.3× |
| Histoplasma antibody (86698) | $57.85 | $89 | 4.2× |
| Histoplasma antigen urine (87385) | $208.65 | $321 | 15.7× |
| 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× |
| Hla class ii high defin qual (86833) | $635.70 | $978 | 2.0× |
| Hla ii typing 1 locus lr (81376) | $317.20 | $488 | 2.6× |
| Hla-b27 (86812) | $164.45 | $253 | 6.4× |
| Homocysteine (83090) | $181.35 | $279 | 10.1× |
| Homogenization Tissue (87176) | $29.90 | $46 | 5.1× |
| 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× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $308.10 | $474 | 8.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $349.05 | $537 | 9.9× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$229.45–$280.15 | $353–$431 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $310.70 | $478 | 7.3× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $209.95 | $323 | 2.7× |
| 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) | $831 | — | 3.2× |
| Ig Light Chains Free Each (83521) | $126.10 | $194 | 7.3× |
| Igg subclasses (82787) | $64.35 | $99 | 8.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $301.60 | $464 | 1.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $378.95 | $583 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $191.10 | $294 | 6.5× |
| 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× |
| Immunohistochemistry (88342) | $11,096.40 | — | 67.4× |
| In situ hybridization 1st probe stain (88365) | $280.15 | $431 | 1.7× |
| Inhibin A (86336) | $60.45 | $93 | 3.9× |
| 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× |
| Irradiation Blood Product Each Unit (86945) | $202.15 | $311 | 5.6× |
| 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× |
| LDL direct (83721) | $62.40 | $96 | 5.9× |
| Lead (83655) | $90.35 | $139 | 7.5× |
| Legionella antibody (86713) | $139.75 | $215 | 9.1× |
| Legionella antigen urine (87449) | $53.30 | $82 | 4.4× |
| Leptospira antibody (86720) | $110.50 | $170 | 6.8× |
| 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 grossµscopic 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× |
| 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. Genitalium Amp Probe (87563) | $93.60 | $144 | 2.7× |
| M/phmtrc alys ishquant/semiq (88374) | $479.70 | $738 | 2.9× |
| Magnesium Urine (83735) | $719 | — | 107.3× |
| 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) range across 3 matching MRF lines |
$114.40–$116.35 | $176–$179 | varies |
| Mitochondrial Antibody Each (86381) | $110.50 | $170 | 4.3× |
| Mlh1 Gene (81288) | $375.05 | $577 | 2.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $135.85 | $209 | 6.3× |
| 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× |
| 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 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 feces (82272) | $23.40 | $36 | 5.5× |
| Occult Blood Other Sources (82271) | $56.55 | $87 | 10.6× |
| Oligoclonal bands (83916) | $120.90 | $186 | 4.4× |
| 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× |
| Parvovirus antibody (86747) | $78 | $120 | 5.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $279.50 | $430 | 0.4× |
| Pathology Consultation During Surgery (88329) | $139.10 | $214 | 2.4× |
| Ph urine (81003) | $385 | — | 171.1× |
| Phenobarbital Level (80184) | $120.90 | $186 | 7.9× |
| Phenytoin (Dilantin) (80185) | $100.10 | $154 | 7.6× |
| Phenytoin free (80186) | $91 | $140 | 6.6× |
| Phosphatase alkaline (84075) | $1,715 | — | 331.1× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$40.30–$52 | $62–$80 | varies |
| 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× |
| Potassium Urine (84133) | $53.95 | $83 | 11.4× |
| Prealbumin (84134) | $73.45 | $113 | 5.0× |
| 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× |
| 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) | $1,440 | — | 392.4× |
| Protein Total Urine (84156) | $48.75 | $75 | 13.3× |
| Protein Western Blot Test (84182) | $45.50 | $70 | 1.6× |
| 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× |
| 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) | $681 | — | 227.8× |
| Rheumatoid Factor Qualitative (86430) | $54.60 | $84 | 8.9× |
| Rheumatoid factor quant (86431) | $70.20 | $108 | 12.4× |
| Rickettsia antibody (86757) | $100.10 | $154 | 5.2× |
| 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× |
| 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 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) | $459 | — | 3.2× |
| Sedimentation Rate, Automated (85652) | $44.20 | $68 | 16.4× |
| Selenium (84255) | $120.90 | $186 | 4.7× |
| Semen Anal Sperm Detection (89321) | $100.75 | $155 | 8.4× |
| Semen analysis complete (89322) | $46.15 | $71 | 3.0× |
| Sensitivity mic (87186) | $324 | — | 37.5× |
| 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 complex stain (87209) | $35.10 | $54 | 2.0× |
| Smear gram stain (87205) | $393 | — | 92.0× |
| Smear Special Stain (87207) | $64.35 | $99 | 10.7× |
| Sodium Serum (84295) | $11,028.10 | — | 2292.7× |
| 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) | $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× |
| Spectrophotometry (84311) | $109.85 | $169 | 13.6× |
| Strep a DNA amp probe (87651) | $483 | — | 13.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $71.50 | $110 | 0.8× |
| Sugars Single Qual (84376) | $40.30 | $62 | 7.3× |
| Surg path level iii (88304) | $122.20 | $188 | 2.4× |
| Surgical pathology level IV (88305) | $178.10 | $274 | 3.5× |
| Surgical pathology level vi (88309) | $531.05 | $817 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $54.60 | $84 | 11.5× |
| 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× |
| T3 Uptake (84479) | $48.10 | $74 | 7.4× |
| T4 Free (84439) | $78.65 | $121 | 8.7× |
| T4 total (84436) | $52.65 | $81 | 7.7× |
| Tacrolimus (80197) | $158.60 | $244 | 11.6× |
| Tau phosphorylated each (84393) | $204.75 | $315 | 1.6× |
| Tb ag response t-cell susp (86481) | $221.65 | $341 | 2.2× |
| Test for acetone/ketones (82009) | $42.25 | $65 | 9.3× |
| Testosterone Bioavailable (84410) | $46.80 | $72 | 0.9× |
| Testosterone total (84403) | $180.70 | $278 | 7.0× |
| Testosterone, Free (84402) | $152.10 | $234 | 6.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,418.95 | $2,183 | 2.4× |
| 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× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $176.80 | $272 | 15.3× |
| Tissue Culture Lymphocyte (88230) | $227.50 | $350 | 2.0× |
| 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) | $526 | — | 101.5× |
| Transferrin (84466) | $109.85 | $169 | 8.6× |
| Triglycerides (84478) | $50.05 | $77 | 8.7× |
| Troponin Quant (84484) | $124.80 | $192 | 10.0× |
| 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 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) | $721 | — | 227.4× |
| Valproic acid (80164) | $131.95 | $203 | 9.7× |
| Vancomycin (80202) | $159.90 | $246 | 11.8× |
| Varicella-zoster antibody (86787) | $90.35 | $139 | 7.0× |
| Viral Culture (87252) | $180.05 | $277 | 6.9× |
| Viscosity serum (85810) | $113.10 | $174 | 9.7× |
| Vit D 1 25-Dihydroxy (82652) | $209.30 | $322 | 5.4× |
| Vitamin A (84590) | $155.35 | $239 | 13.4× |
| Vitamin b-12 (82607) | $94.90 | $146 | 6.3× |
| 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× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $84.50 | $130 | 7.0× |
| Von willebrand factor ag (85246) | $243.10 | $374 | 10.6× |
| 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.