Lab & pathology prices at Montgomery General Hospital
Montgomery, WV · every code in this section with a posted price and a Medicare benchmark.
390 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $179.61 | $239.48 | 4.7× |
| Acute hepatitis panel (80074) | $220.36 | $293.81 | 4.6× |
| Albumin serum (82040) | $27.42 | $36.57 | 5.5× |
| Aldolase (82085) | $68.75 | $91.67 | 7.1× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$55.23–$168.41 | $73.65–$224.54 | varies |
| Alkaline phosphatase isoenzymes (84080) | $59.10 | $78.80 | 4.0× |
| Allergen specific ige (86003) | $34.18 | $45.58 | 6.5× |
| Alpha-1-antitrypsin phenotype (82104) | $54.08 | $72.10 | 3.7× |
| Alpha-1-antitrypsin total (82103) | $70.10 | $93.47 | 5.2× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$61.61–$75.51 | $82.14–$100.68 | varies |
| Alt (sgpt) (84460) | $34.18 | $45.58 | 6.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $55.23 | $73.65 | 2.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $55.23 | $73.65 | 3.3× |
| Ammonia (82140) | $73.58 | $98.11 | 5.1× |
| Amylase urine (82150) | $54.27 | $72.36 | 8.4× |
| Androstenedione (82157) | $127.85 | $170.47 | 4.4× |
| Angiotensin converting enzyme csf (82164) | $80.92 | $107.89 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $227.12 | $302.82 | 14.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $85.17 | $113.56 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $56.20 | $74.93 | 4.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $56.20 | $74.93 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $56.20 | $74.93 | 3.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $243.34 | $324.45 | 19.9× |
| Antibody helicobacter pylori (86677) | $97.72 | $130.30 | 5.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72.42 | $96.56 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) | $202.78 | $270.38 | 15.4× |
| Antibody HIV-2 (86702) | $70.10 | $93.47 | 5.2× |
| Antibody rotavirus (86759) | $104.48 | $139.31 | 5.7× |
| Antinuclear antibodies (86038) | $55.23 | $73.65 | 4.6× |
| Antistreptolysin o titer (86060) | $74.55 | $99.40 | 10.2× |
| Antithrombin iii activity (85300) | $161.84 | $215.79 | 13.7× |
| Apolipoprotein a1 (82172) | $162.23 | $216.30 | 7.7× |
| Arsenic (82175) | $54.08 | $72.10 | 2.9× |
| Assay Blood Carbon Dioxide (82374) | $44.61 | $59.48 | 9.1× |
| Assay Nephelometry Not Spec (83883) | $202.78 | $270.38 | 14.9× |
| Assay of 5-hiaa (83497) | $80.53 | $107.38 | 6.2× |
| Assay of blood/uric acid (84550) | $51.76 | $69.01 | 11.5× |
| Assay of calcium in urine (82340) | $48.67 | $64.89 | 8.1× |
| Assay of g6pd enzyme (82955) | $202.78 | $270.38 | 20.9× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$46.54–$47.70 | $62.06–$63.60 | varies |
| Assay of lactic acid (83605) | $54.08 | $72.10 | 4.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$149.67–$365.01 | $199.56–$486.68 | varies |
| Assay of phosphatase acid total (84060) | $43.45 | $57.94 | 5.7× |
| Assay of proinsulin (84206) | $176.13 | $234.84 | 6.6× |
| Assay of serum potassium (84132) | $29.93 | $39.91 | 6.3× |
| Assay of urea nitrogen (84520) | $44.61 | $59.48 | 11.3× |
| Assay of urine vma (84585) | $74.55 | $99.40 | 4.8× |
| Assay of vasoactive intestinal peptide (84586) | $194.67 | $259.56 | 5.5× |
| Assay of vitamin b-1 (84425) | $80.53 | $107.38 | 3.8× |
| Assay Ph Body Fluid Nos (83986) | $24.14 | $32.19 | 6.7× |
| Assay spec xcp ur&breath ia (82077) | $73.58 | $98.11 | 4.3× |
| Automated Leukocyte Count (85048) | $33.60 | $44.81 | 13.2× |
| Bartonella antibody (86611) | $73 | $97.34 | 7.2× |
| Beta-2 Microglobulin (82232) | $193.13 | $257.50 | 11.9× |
| Bilirubin direct (82248) | $45.96 | $61.29 | 9.2× |
| Bilirubin total (82247) | $45.96 | $61.29 | 9.2× |
| Blood Count Automated Differential Wbc Count (85004) | $39.40 | $52.53 | 6.1× |
| Blood Count Manual Cell Count Each (85032) | $16.61 | $22.15 | 3.9× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) range across 2 matching MRF lines |
$16.80–$32.25 | $22.40–$43 | varies |
| Blood Count Red Blood Cell Automated (85041) | $21.24 | $28.33 | 7.0× |
| Blood count reticulocyte automated (85045) | $41.33 | $55.11 | 10.4× |
| Blood gases w/02 saturation (82805) | $68.17 | $90.90 | 0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$12.17–$28.78 | $16.22–$38.37 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$34.18–$80.53 | $45.58–$107.38 | varies |
| Blood typing serologic abo (86900) | $29.93 | $39.91 | 10.0× |
| Body fluid cell count (89050) | $27.23 | $36.31 | 5.8× |
| Bone marrow smear interpretation (85097) range across 3 matching MRF lines |
$70.88–$141.17 | $94.50–$188.23 | varies |
| Breath Alcohol Test (82075) | $30.90 | $41.20 | 1.0× |
| C-Peptide (84681) | $91.54 | $122.06 | 4.4× |
| C-reactive protein (86140) | $33.41 | $44.55 | 6.4× |
| Cadmium (82300) | $54.08 | $72.10 | 2.3× |
| Calcium ionized (82330) | $66.63 | $88.84 | 4.9× |
| Calcium total (82310) | $40.17 | $53.56 | 7.8× |
| Calculus assay quant (82360) | $45.58 | $60.77 | 3.5× |
| Cancer Antigen 27.29 (86300) | $62.77 | $83.69 | 3.0× |
| Carbamazepine total (80156) | $77.83 | $103.77 | 5.3× |
| Carboxyhemoglobin (82375) | $68.17 | $90.90 | 5.5× |
| Carcinoembryonic antigen (82378) | $77.64 | $103.52 | 4.1× |
| Cardiolipin ab iga (86147) | $97.91 | $130.55 | 3.8× |
| Catecholamines fractionated (82384) | $124.57 | $166.09 | 4.9× |
| Catecholamines total urine (82382) | $124.57 | $166.09 | 4.6× |
| Ccp antibody (86200) | $170.34 | $227.12 | 13.2× |
| Cell count csf (89051) | $64.31 | $85.75 | 11.5× |
| Ceruloplasmin (82390) | $49.83 | $66.44 | 4.6× |
| Chloride other source (82438) | $27.42 | $36.57 | 5.5× |
| Chloride Serum (82435) | $29.93 | $39.91 | 6.5× |
| Chloride urine (82436) | $37.85 | $50.47 | 6.6× |
| Cholesterol total (82465) | $43.26 | $57.68 | 9.9× |
| Chorionic gonadotropin test (84702) | $81.69 | $108.92 | 5.4× |
| Chromogranin a (86316) range across 4 matching MRF lines |
$91.54–$95.02 | $122.06–$126.69 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$60.83–$202.78 | $81.11–$270.38 | varies |
| Citric acid urine (82507) | $151.22 | $201.62 | 5.4× |
| Ckmb (82553) | $102.36 | $136.48 | 8.9× |
| Clostridium Difficile (87324) | $94.63 | $126.18 | 7.9× |
| Compatibility Each Unit Incubation (86921) | $93.86 | $125.15 | 0.6× |
| Compatibility test antiglob (86922) | $161.07 | $214.76 | 1.0× |
| Complement Antigen Each Component (86160) | $70.10 | $93.47 | 5.8× |
| Complement Total (Ch50) (86162) | $107.57 | $143.43 | 5.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$80.92–$186.56 | $107.89–$248.75 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $80.92 | $107.89 | 2.3× |
| Coombs direct (86880) | $57.36 | $76.48 | 10.6× |
| Cortisol free (82530) | $85.17 | $113.56 | 5.1× |
| Cortisol saliva (82533) | $82.27 | $109.70 | 5.0× |
| Creatine kinase total (82550) | $34.57 | $46.09 | 5.3× |
| Creatinine blood (82565) | $37.66 | $50.21 | 7.4× |
| Creatinine clearance (82575) | $64.70 | $86.26 | 6.8× |
| Creatinine Urine (82570) | $40.36 | $53.82 | 7.8× |
| Crossmatch immediate spin (86920) | $26.65 | $35.54 | 0.2× |
| Crp High Sensitivity (86141) | $71.07 | $94.76 | 5.5× |
| Cryoglobulin (82595) | $85.17 | $113.56 | 13.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$34.57–$47.70 | $46.09–$63.60 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $47.70 | $63.60 | 5.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $54.08 | $72.10 | 7.0× |
| Culture Anaerobic (87075) | $60.64 | $80.86 | 6.4× |
| Culture bacteria anaerobic (87073) | $61.61 | $82.14 | 6.4× |
| Culture blood (87040) | $60.64 | $80.86 | 5.9× |
| Culture csf (87070) range across 7 matching MRF lines |
$56.20–$60.64 | $74.93–$80.86 | varies |
| Culture fungus blood (87103) | $56.20 | $74.93 | 2.7× |
| Culture screen only (87081) | $48.67 | $64.89 | 7.3× |
| Culture stool (87045) | $56.78 | $75.71 | 6.0× |
| Culture typing if ea antiserum (87140) | $50.21 | $66.95 | 9.0× |
| Culture urine (87086) | $56.78 | $75.71 | 7.0× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$114.72–$170.34 | $152.96–$227.12 | varies |
| Cystatin C (82610) | $283.89 | $378.53 | 15.3× |
| Cytomegalovirus igg (86644) | $85.17 | $113.56 | 5.9× |
| Cytopath C/V Index Add-On (88155) | $47.51 | $63.35 | 3.2× |
| Cytopath Cell Enhance Tech (88112) | $118.19 | $157.59 | 2.4× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $32.45 | $43.26 | 0.8× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $127.85 | $170.47 | 5.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$67.40–$73.39 | $89.87–$97.85 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$107.57–$191.19 | $143.43–$254.93 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$68.95–$73.39 | $91.93–$97.85 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $20.28 | $27.04 | 1.1× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$162.23–$202.78 | $216.30–$270.38 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$89.61–$213.02 | $119.48–$284.02 | varies |
| Dhea-S (82627) | $112.21 | $149.61 | 5.0× |
| Digoxin (80162) | $77.83 | $103.77 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) | $57.36 | $76.48 | 4.2× |
| Dna/Rna Amplified Probe (87150) | $97.34 | $129.78 | 2.8× |
| Drug Assay Everolimus (80169) | $356.90 | $475.86 | 26.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $283.89 | $378.53 | 21.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $129.78 | $173.04 | 9.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $76.09 | $101.46 | 4.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$64.89–$276.56 | $86.52–$368.74 | varies |
| Electrolyte panel (80051) | $59.29 | $79.05 | 8.5× |
| Enzyme cell activity (82657) | $413.67 | $551.57 | 18.7× |
| Eosinophil Smear (89190) | $11.59 | $15.45 | 2.0× |
| Erythropoietin (82668) | $84.20 | $112.27 | 4.5× |
| Estradiol serum (82670) | $140.02 | $186.69 | 5.0× |
| Estriol (82677) | $81.69 | $108.92 | 3.4× |
| Estrogen total (82672) | $119.16 | $158.88 | 5.5× |
| Ethosuximide (80168) | $59.68 | $79.57 | 3.7× |
| Exam Synovial Fluid Crystals (89060) | $16.80 | $22.40 | 2.3× |
| Factor v leiden mutation (81241) | $225.76 | $301.02 | 3.1× |
| Fat/Lipids Feces Quantitative (82710) | $137.51 | $183.34 | 8.2× |
| Fecal Fat Qualitative (82705) | $68.17 | $90.90 | 13.4× |
| Ferritin (82728) | $66.24 | $88.32 | 4.9× |
| Fibrin degradation products (85362) | $54.08 | $72.10 | 7.8× |
| Fibrin Degradation Quant (85379) | $67.01 | $89.35 | 6.6× |
| Fibrinogen activity (85384) | $46.16 | $61.54 | 4.7× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$74.55–$340.67 | $99.40–$454.23 | varies |
| Folic acid rbc (82747) | $131.13 | $174.84 | 7.4× |
| Folic Acid Serum (82746) | $69.91 | $93.22 | 4.8× |
| Follicle Stimulating Hormone (83001) | $84.59 | $112.79 | 4.6× |
| Forensic Cytopathology (88125) | $55.81 | $74.42 | 1.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $114.33 | $152.44 | 0.7× |
| Frozen Section (88331) range across 2 matching MRF lines |
$163.58–$196.99 | $218.10–$262.65 | varies |
| Fungi Identification Yeast (87106) | $73.77 | $98.37 | 7.1× |
| Gammaglobulin ige (82785) | $54.08 | $72.10 | 3.3× |
| Gases blood ph only (82800) | $37.66 | $50.21 | 3.4× |
| Gastric Analy W/Ph Ea Spec (82930) | $21.44 | $28.58 | 3.2× |
| Gastrin (82941) | $75.51 | $100.68 | 4.3× |
| Gentamicin (80170) | $89.03 | $118.71 | 5.4× |
| Ggt (82977) | $34.57 | $46.09 | 4.8× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$7.73–$16.61 | $10.30–$22.15 | varies |
| Glucose Serum (82947) | $33.02 | $44.03 | 8.4× |
| Glucose tolerance test (gtt) (82951) | $53.69 | $71.59 | 4.2× |
| Glycated Protein (82985) | $25.30 | $33.73 | 1.5× |
| Gonadotropin Chorionic Qualitative (84703) | $44.03 | $58.71 | 5.9× |
| Growth hormone (83003) | $72.04 | $96.05 | 4.3× |
| Gtt-added samples (82952) | $20.28 | $27.04 | 5.2× |
| Haptoglobin (83010) | $71.26 | $95.02 | 5.7× |
| Hdl Cholesterol (83718) | $55.81 | $74.42 | 6.8× |
| Helicobacter Pylori Stool (87338) | $127.85 | $170.47 | 8.9× |
| Hematocrit (85014) | $18.73 | $24.98 | 7.9× |
| Hemoglobin (85018) | $18.73 | $24.98 | 7.9× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$49.83–$55.23 | $66.44–$73.65 | varies |
| Hemoglobin F Fetal Chemical (83030) | $48.28 | $64.38 | 4.5× |
| Hemoglobin-Oxygen Affinity (82820) | $37.66 | $50.21 | 2.8× |
| Hep a ab igm (86709) | $64.70 | $86.26 | 5.7× |
| Hepatitis a antibody total (86708) | $55.23 | $73.65 | 4.5× |
| Hepatitis b core ab igm (86705) | $68.75 | $91.67 | 5.8× |
| Hepatitis b core ab total (86704) | $55.23 | $73.65 | 4.6× |
| Hepatitis B Surface Antibody (86706) | $64.70 | $86.26 | 6.0× |
| Hepatitis B Surface Antigen (87340) | $34.76 | $46.35 | 3.4× |
| Hepatitis Be Antibody (86707) | $59.29 | $79.05 | 5.1× |
| Hepatitis Be Antigen (87350) | $55.23 | $73.65 | 4.8× |
| Hepatitis C Antibody (86803) | $66.24 | $88.32 | 4.6× |
| Hepatitis c antibody confirmatory test (86804) | $193.13 | $257.50 | 12.5× |
| Hepatitis C Genotype (87902) | $919.28 | $1,225.70 | 3.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$364.23–$973.35 | $485.65–$1,297.80 | varies |
| Hepatitis Delta Agent Antibody (86692) | $80.53 | $107.38 | 4.7× |
| Herpes simplex type 2 (86696) | $202.78 | $270.38 | 10.5× |
| Heterophile Antibody Screen (86308) | $43.26 | $57.68 | 8.4× |
| Hiv-1 Antibody (86701) | $70.10 | $93.47 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $326.57 | $435.43 | 4.4× |
| Homocysteine (83090) | $179.41 | $239.22 | 10.0× |
| Hpv High-Risk Types (87624) | $162.23 | $216.30 | 4.6× |
| Hydroxycorticosteroids 17 (83491) | $100.23 | $133.64 | 5.6× |
| Hydroxyprogesterone 17-d (83498) | $103.90 | $138.54 | 3.8× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $59.29 | $79.05 | 4.9× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$22.40–$48.28 | $29.87–$64.38 | varies |
| Iaad Ia Streptococcus Group A (87430) | $15.45 | $20.60 | 0.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $162.23 | $216.30 | 4.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $315.76 | $421.01 | 7.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $70.10 | $93.47 | 2.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $162.23 | $216.30 | 4.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$60.83–$223.06 | $81.11–$297.41 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$59.29–$648.90 | $79.05–$865.20 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,034.18 | $1,378.91 | 3.9× |
| Igg subclasses (82787) | $121.67 | $162.23 | 15.2× |
| Igh gene rearrange amp meth (81261) | $1,022.02 | $1,362.69 | 5.2× |
| Immunfix e-phorsis/urine/csf (86335) | $166.09 | $221.45 | 5.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$115.88–$446.12 | $154.50–$594.83 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $43.26 | $57.68 | 2.9× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$71.84–$405.56 | $95.79–$540.75 | varies |
| Immunoelectrophoresis Serum (86320) | $145.23 | $193.64 | 4.9× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$85.17–$151.22 | $113.56–$201.62 | varies |
| Immunohistochemistry (88342) | $116.84 | $155.79 | 0.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $46.93 | $62.57 | 2.9× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$34.76–$63.92 | $46.35–$85.23 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$48.81–$243.34 | $65.08–$324.45 | varies |
| Inhibin b (83520) range across 7 matching MRF lines |
$42.68–$608.34 | $56.91–$811.13 | varies |
| Insulin total (83525) | $59.29 | $79.05 | 5.2× |
| Intrinsic factor antibody (86340) | $106.61 | $142.14 | 7.1× |
| Iron (83540) | $56.01 | $74.68 | 8.7× |
| Iron Binding Capacity (83550) | $56.01 | $74.68 | 6.4× |
| Irradiation Blood Product Each Unit (86945) | $85.17 | $113.56 | 2.4× |
| Islet cell antibody (86341) | $193.13 | $257.50 | 8.2× |
| Ketosteroids 17 total (83586) | $70.10 | $93.47 | 5.5× |
| Koh Prep (87220) | $39.59 | $52.79 | 9.3× |
| Lactate (ld) (ldh) enzyme (83615) | $34.57 | $46.09 | 5.7× |
| Ldh Isoenzymes (83625) | $60.06 | $80.08 | 4.7× |
| LDL direct (83721) | $90.58 | $120.77 | 8.6× |
| Lead (83655) | $51.95 | $69.27 | 4.3× |
| Legionella antibody (86713) range across 2 matching MRF lines |
$42.68–$117.61 | $56.91–$156.82 | varies |
| Legionella antigen urine (87449) | $59.29 | $79.05 | 4.9× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$31.29–$44.61 | $41.72–$59.48 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $18.93 | $25.24 | 0.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $221.51 | $295.35 | 0.6× |
| Lidocaine (80176) | $70.10 | $93.47 | 4.8× |
| Lipase (83690) | $37.85 | $50.47 | 5.5× |
| Lipoprotein A (83695) | $63.92 | $85.23 | 4.5× |
| Lipoprotein Bld Quan Part (83704) | $191.77 | $255.70 | 5.6× |
| Lithium (80178) | $41.33 | $55.11 | 6.3× |
| Luteinizing Hormone (Lh) (83002) | $84.01 | $112.01 | 4.5× |
| Lyme disease antibody (86618) | $134.22 | $178.96 | 7.9× |
| M. Genitalium Amp Probe (87563) | $64.70 | $86.26 | 1.8× |
| Magnesium Urine (83735) | $49.44 | $65.92 | 7.4× |
| Mercury urine (83825) | $54.27 | $72.36 | 3.3× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$55.23–$196.41 | $73.65–$261.88 | varies |
| Microalbumin, quantitative (82043) | $50.41 | $67.21 | 8.7× |
| Microsomal Antibodies Each (86376) | $80.53 | $107.38 | 5.5× |
| Morphometric Analysis Tumor (88358) range across 3 matching MRF lines |
$82.85–$346.27 | $110.47–$461.70 | varies |
| Mumps antibody (86735) | $66.24 | $88.32 | 5.1× |
| Mycobacteric Identification (87118) | $57.94 | $77.25 | 4.0× |
| Mycoplasma antibody (86738) | $85.17 | $113.56 | 6.4× |
| Myoglobin urine (83874) | $85.17 | $113.56 | 6.6× |
| Natriuretic peptide (83880) | $121.28 | $161.71 | 3.1× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$63.92–$251.45 | $85.23–$335.27 | varies |
| Occult blood feces (82272) range across 4 matching MRF lines |
$12.17–$42.68 | $16.22–$56.91 | varies |
| Occult Blood Other Sources (82271) | $36.11 | $48.15 | 6.8× |
| Organic Acids Qualitative Each Specimen (83919) | $446.12 | $594.83 | 27.1× |
| Osmolality serum (83930) | $48.67 | $64.89 | 7.4× |
| Osmolality Urine (83935) | $54.08 | $72.10 | 7.9× |
| Oxalate urine (83945) | $57.74 | $76.99 | 4.0× |
| Pancreatic Elastase Fecal (82656) | $202.78 | $270.38 | 17.6× |
| Parvovirus antibody (86747) | $121.67 | $162.23 | 8.1× |
| Ph urine (81003) range across 10 matching MRF lines |
$7.73–$15.64 | $10.30–$20.86 | varies |
| Phenobarbital Level (80184) | $77.83 | $103.77 | 5.1× |
| Phenylalanine (84030) | $15.45 | $20.60 | 2.8× |
| Phenytoin (Dilantin) (80185) | $71.65 | $95.53 | 5.4× |
| Phosphatase acid prostatic (84066) | $54.08 | $72.10 | 5.6× |
| Phosphatase alkaline (84075) | $34.18 | $45.58 | 6.6× |
| Phosphorus Serum (84100) | $50.60 | $67.47 | 10.7× |
| Phosphorus urine (84105) | $25.30 | $33.73 | 4.4× |
| Platelet Antibodies (86022) | $332.56 | $443.42 | 18.1× |
| Platelet count automated (85049) | $43.26 | $57.68 | 9.7× |
| Pooling blood platelets (86965) | $216.30 | $288.40 | 1.3× |
| Potassium Urine (84133) | $37.85 | $50.47 | 8.0× |
| Prealbumin (84134) | $63.92 | $85.23 | 4.4× |
| Primidone (80188) | $54.08 | $72.10 | 3.3× |
| Procalcitonin (Pct) (84145) | $446.12 | $594.83 | 16.4× |
| Progesterone (84144) | $79.76 | $106.35 | 3.8× |
| Prolactin (84146) | $96.95 | $129.27 | 5.0× |
| Protein c antigen (85302) | $151.22 | $201.62 | 12.6× |
| Protein Electrophoresis Urine (84166) | $106.61 | $142.14 | 6.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$72.81–$90.58 | $97.08–$120.77 | varies |
| Protein S Free (85306) | $85.17 | $113.56 | 5.6× |
| Protein s total (85305) | $161.07 | $214.76 | 13.9× |
| Protein total serum (84155) | $48.67 | $64.89 | 13.3× |
| Protein Total Urine (84156) | $48.67 | $64.89 | 13.3× |
| PSA free (84154) | $102.94 | $137.25 | 5.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$11.59–$193.13 | $15.45–$257.50 | varies |
| Quantiferon tb gold plus (86480) | $154.50 | $206 | 2.5× |
| Quantitative assay drug (80299) | $68.17 | $90.90 | 3.7× |
| Quinidine (80194) | $64.50 | $86.01 | 4.4× |
| Rbc antibody identification (86870) | $112.59 | $150.12 | 0.3× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$38.63–$40.17 | $51.50–$53.56 | varies |
| Receptor assay estrogen (84233) | $118.39 | $157.85 | 1.3× |
| Receptor assay progesterone (84234) | $118.39 | $157.85 | 1.8× |
| Renin activity plasma (84244) | $102.16 | $136.22 | 4.6× |
| Resp virus 12-25 targets (87633) | $59.29 | $79.05 | 0.1× |
| Reticulocyte Count (85046) | $65.28 | $87.04 | 11.7× |
| Rh (86901) | $45.58 | $60.77 | 15.2× |
| Rheumatoid Factor Qualitative (86430) | $43.26 | $57.68 | 7.0× |
| Rheumatoid factor quant (86431) | $16.61 | $22.15 | 2.9× |
| Rickettsia antibody (86757) | $243.34 | $324.45 | 12.6× |
| Rotavirus ag eia (87425) | $59.29 | $79.05 | 4.9× |
| Rpr qualitative (86592) | $36.11 | $48.15 | 8.5× |
| Rubella Antibody (86762) | $48.47 | $64.63 | 3.4× |
| Rubeola antibody (86765) | $54.08 | $72.10 | 4.2× |
| Russell Viper Venom Time Diluted (85613) | $52.14 | $69.53 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $115.88 | $154.50 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $46.93 | $62.57 | 1.1× |
| Sedimentation rate (85651) | $29.93 | $39.91 | 7.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $40.17 | $53.56 | 4.1× |
| Sensitivity mic (87186) | $40.17 | $53.56 | 4.6× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$58.13–$62.77 | $77.51–$83.69 | varies |
| Skin test tuberculosis intradermal (86580) | $21.44 | $28.58 | 0.8× |
| Smear acid fast (87206) | $16.61 | $22.15 | 3.1× |
| Smear complex stain (87209) | $32.45 | $43.26 | 1.8× |
| Smear gram stain (87205) | $29.93 | $39.91 | 7.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$8.11–$39.59 | $10.82–$52.79 | varies |
| Sodium Serum (84295) | $29.93 | $39.91 | 6.2× |
| Sodium Urine (84300) | $37.85 | $50.47 | 7.5× |
| Somatomedin (84305) | $178.06 | $237.42 | 8.4× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$32.45–$74.74 | $43.26–$99.65 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$33.41–$40.17 | $44.55–$53.56 | varies |
| Specimen infect agnt concntj (87015) | $20.28 | $27.04 | 3.0× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$15.45–$28.78 | $20.60–$38.37 | varies |
| Strep a DNA amp probe (87651) | $101.39 | $135.19 | 2.9× |
| Surg path level iii (88304) | $30.71 | $40.94 | 0.6× |
| Surgical pathology level IV (88305) range across 8 matching MRF lines |
$102.94–$141.17 | $137.25–$188.23 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$210.31–$313.25 | $280.42–$417.67 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $26.27 | $35.02 | 0.7× |
| Syphilis Test Non-Trep Quant (86593) | $30.51 | $40.69 | 6.9× |
| T3 Free (84481) | $180.38 | $240.51 | 10.6× |
| T3 Total (84480) | $66.63 | $88.84 | 4.7× |
| T3 Uptake (84479) | $49.83 | $66.44 | 7.7× |
| T4 Free (84439) | $99.07 | $132.10 | 11.0× |
| T4 total (84436) | $49.83 | $66.44 | 7.3× |
| Tacrolimus (80197) | $106.61 | $142.14 | 7.8× |
| Test for acetone/ketones (82009) | $33.60 | $44.81 | 7.4× |
| Testosterone total (84403) | $116.07 | $154.76 | 4.5× |
| Testosterone, Free (84402) | $129.01 | $172.01 | 5.1× |
| Theophylline (80198) | $77.83 | $103.77 | 5.5× |
| Thrombin Time (85670) | $42.68 | $56.91 | 7.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $52.14 | $69.53 | 8.1× |
| Thyroglobulin (84432) | $129.01 | $172.01 | 8.0× |
| Thyroglobulin Antibody (86800) | $70.10 | $93.47 | 4.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $421.79 | $562.38 | 8.3× |
| Tobramycin peak (80200) | $77.83 | $103.77 | 4.8× |
| Topiramate (80201) | $132.29 | $176.39 | 11.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $94.63 | $126.18 | 4.8× |
| Toxoplasma ab igm (86778) | $251.45 | $335.27 | 17.4× |
| Toxoplasma antibody (86777) | $251.45 | $335.27 | 17.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $34.18 | $45.58 | 6.6× |
| Transferrin (84466) | $60.64 | $80.86 | 4.8× |
| Trichomonas Vaginalis Amplif (87661) | $64.70 | $86.26 | 1.8× |
| Triglycerides (84478) | $43.26 | $57.68 | 7.5× |
| Troponin Quant (84484) | $107.57 | $143.43 | 8.6× |
| Tumor immunohistochem/comput (88361) | $213.02 | $284.02 | 0.6× |
| Urea nitrogen urine (84540) | $25.30 | $33.73 | 4.6× |
| Uric acid other source (84560) | $22.98 | $30.64 | 4.5× |
| Urinalysis Volume Measure (81050) | $11.20 | $14.94 | 3.1× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $57.94 | $77.25 | 1.9× |
| Urine Pregnancy Test (81025) | $12.17 | $16.22 | 1.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $37.66 | $50.21 | 11.9× |
| Valproic acid (80164) | $68.56 | $91.41 | 5.1× |
| Vancomycin (80202) | $161.07 | $214.76 | 11.9× |
| Varicella-zoster antibody (86787) | $75.51 | $100.68 | 5.9× |
| Viral Culture (87252) range across 3 matching MRF lines |
$59.29–$183.28 | $79.05–$244.37 | varies |
| Virus inoculate tissue addl (87253) range across 6 matching MRF lines |
$59.29–$75.13 | $79.05–$100.17 | varies |
| Vit D 1 25-Dihydroxy (82652) | $222.87 | $297.16 | 5.8× |
| Vitamin A (84590) | $106.61 | $142.14 | 9.2× |
| Vitamin b-12 (82607) | $72.81 | $97.08 | 4.8× |
| Vitamin D 25-Hydroxy (82306) | $195.25 | $260.33 | 6.6× |
| Vitamin E (84446) | $206.84 | $275.78 | 14.6× |
| Zinc (84630) | $57.36 | $76.48 | 5.0× |
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.