Lab & pathology prices at Muscogee (creek) Nation Medical Center

Okmulgee, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024)
range across 2 matching MRF lines
$78.92–$134.40 $131.53–$224 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $39.60 $66 1.2×
Actin smooth muscle antibody each (86015) $50.46 $84.10 4.2×
Acute hepatitis panel (80074) $97.34 $162.23 2.0×
Acylcarnitines Quant (82017) $20.24 $33.74 1.2×
Albumin Fluid (82042) $9.30 $15.50 1.2×
Albumin serum (82040)
range across 2 matching MRF lines
$10.11–$17.40 $16.85–$29 varies
Aldosterone urine (82088)
range across 2 matching MRF lines
$83.27–$163.20 $138.78–$272 varies
Alkaline phosphatase isoenzymes (84080) $30.21 $50.35 2.0×
Allergen specific ige (86003) $18.60 $31 3.6×
Alpha-1-antitrypsin total (82103) $27.45 $45.75 2.0×
Alpha-Fetoprotein Serum (82105) $16.80 $28 1.0×
Alt (sgpt) (84460) $19.20 $32 3.6×
Amino Acids 1 Quantitative Each Specimen (82131) $27.60 $46 1.2×
Ammonia (82140) $49.80 $83 3.4×
Amylase urine (82150)
range across 2 matching MRF lines
$13.25–$22.80 $22.08–$38 varies
Ana Titer (86039) $22.80 $38 2.0×
Anca screen each antibody (86036) $15 $25 1.2×
Anca Titer Each Antibody (86037) $14.46 $24.10 1.2×
Androstenedione (82157) $59.82 $99.70 2.0×
Angiotensin converting enzyme csf (82164) $51 $85 3.5×
Anti-Phospholipid Antibody (86148) $21 $35 1.3×
Antibody aspergillus (86606) $18.60 $31 1.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $31.65 $52.75 2.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $26.81 $44.68 2.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$24–$37.08 $40–$61.80 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$15–$25.04 $25–$41.73 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines
$29.66–$75 $49.43–$125 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$29.42–$112.80 $49.03–$188 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$18.60–$26.96 $31–$44.93 varies
Antibody HIV-1&HIV-2 single result (86703) $28.01 $46.68 2.0×
Antibody htlv/HIV antibody confirmatory test (86689) $39.56 $65.93 2.0×
Antibody identification leukocyte antibodies (86021) $30.77 $51.28 2.0×
Antibody Identification Platelet Immunogl Assay (86023) $14.67 $24.45 1.2×
Antibody john cunningham virus (86711) $21 $35 1.2×
Antibody Protozoa Nes (86753) $15 $25 1.2×
Antibody Titer (86886) $6.30 $10.50 1.2×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$15.90–$18.60 $26.50–$31 varies
Antibody; influenza virus (86710) $16.80 $28 1.2×
Antigen typing (86905) $6 $10 1.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $6.90 $11.50 1.2×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$24.71–$33 $41.18–$55 varies
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$14.93–$25.20 $24.88–$42 varies
Antithrombin iii activity (85300) $15 $25 1.3×
Antithrombin iii antigen (85301) $13.20 $22 1.2×
Apc gene dup/delet variants (81203) $240 $400 1.2×
Apc gene full sequence (81201) $936 $1,560 1.2×
Aquaporin-4 Antb Elisa (86051) $15 $25 1.3×
Arsenic (82175) $22.80 $38 1.2×
Aspergillus ag eia (87305) $15 $25 1.3×
Assay activated protein c (85307) $21 $35 1.4×
Assay Blood Carbon Dioxide (82374) $6 $10 1.2×
Assay myeloperoxidase (83876) $69.36 $115.60 1.4×
Assay Nephelometry Not Spec (83883) $83.40 $139 6.1×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$9.24–$17.40 $15.40–$29 varies
Assay of calcium in urine (82340) $18.45 $30.75 3.1×
Assay of cpk in blood (82552) $58.20 $97 4.3×
Assay of estrone (82679) $51 $85 2.0×
Assay of g6pd enzyme (82955) $12 $20 1.2×
Assay of gammaglobulin igm (82784) $70.20 $117 7.5×
Assay of lactic acid (83605) $64.20 $107 5.5×
Assay of manganese (83785) $32.10 $53.50 1.2×
Assay of phosphatase acid total (84060) $12 $20 1.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$9.39–$17.40 $15.65–$29 varies
Assay of Tyrosine (84510) $21.26 $35.43 2.0×
Assay of urea nitrogen (84520) $17.40 $29 4.4×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$25.50–$95.40 $42.50–$159 varies
Automated Leukocyte Count (85048) $10.80 $18 4.3×
Bcr/abl1 gene major bp (81206) $335.03 $558.38 2.0×
Bcr/abl1 gene minor bp (81207) $295.95 $493.25 2.0×
Beta 2 glycoprotein i antibody each (86146) $51.99 $86.65 2.0×
Beta hydroxybutyrate (82010) $12 $20 1.5×
Beta Lactamase (87185)
range across 2 matching MRF lines
$13.20–$70.20 $22–$117 varies
Bile acids total (82239) $21 $35 1.2×
Bilirubin direct (82248)
range across 2 matching MRF lines
$10.25–$17.40 $17.08–$29 varies
Bilirubin total (82247)
range across 2 matching MRF lines
$10.25–$17.40 $17.08–$29 varies
Biotinidase (82261) $20.24 $33.74 1.2×
Bl Smear W/O Diff Wbc Count (85008)
range across 2 matching MRF lines
$9–$11.40 $15–$19 varies
Blastomyces antibody (86612) $15.60 $26 1.2×
Bld Typing Serologic Rh Phnt (86906) $9.30 $15.50 1.2×
Blood Count Red Blood Cell Automated (85041) $6 $10 2.0×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$8.18–$15 $13.63–$25 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $10.20 $17 2.7×
Blood gas (82803) $65.40 $109 2.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $32.51 $54.18 2.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$6–$6.65 $10–$11.08 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $7.80 $13 1.2×
Blood typing serologic abo (86900) $111 $185 37.1×
Brca1&2 gen full seq dup/del (81162) $2,190 $3,650 1.2×
C diff amplified probe (87493) $96 $160 2.6×
C-Peptide (84681)
range across 2 matching MRF lines
$12.60–$42.53 $21–$70.88 varies
C-reactive protein (86140)
range across 2 matching MRF lines
$10.58–$14.40 $17.63–$24 varies
Ca 19-9 (86301)
range across 2 matching MRF lines
$42.53–$87 $70.88–$145 varies
Calcium ionized (82330) $70.20 $117 5.1×
Calcium total (82310) $10.55 $17.58 2.0×
Calculus Spectroscopy (82365) $26.34 $43.90 2.0×
Calprotectin Fecal (83993) $40.11 $66.85 2.0×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$42.53–$70.20 $70.88–$117 varies
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$42.53–$70.20 $70.88–$117 varies
Candida antibody (86628) $15 $25 1.2×
Carbamazepine total (80156) $111 $185 7.6×
Carbohydrate Deficient Transferrin (82373) $22.20 $37 1.2×
Carboxyhemoglobin (82375) $58.80 $98 4.8×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$38.76–$64.80 $64.60–$108 varies
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$51.99–$85.80 $86.65–$143 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$31.20–$51.60 $52–$86 varies
Catecholamines total urine (82382) $33 $55 1.2×
Ccp antibody (86200)
range across 2 matching MRF lines
$26.45–$81 $44.08–$135 varies
Cell count csf (89051) $36 $60 6.4×
Cell marker study (88182) $43.35 $72.25 0.9×
Ceruloplasmin (82390)
range across 2 matching MRF lines
$21.95–$42 $36.58–$70 varies
Cftr gene dup/delet variants (81222) $522 $870 1.2×
Chloride Serum (82435) $6 $10 1.3×
Chloride urine (82436) $10.28 $17.13 1.8×
Cholesterol total (82465) $17.40 $29 4.0×
Cholinesterase Serum (82480) $12 $20 1.5×
Chorionic gonadotropin test (84702) $51.60 $86 3.4×
Chrmsm Analysis Addl High Resolution Study (88289) $41.31 $68.85 1.2×
Chromosome Analysis 15-20 (88262) $150 $250 1.2×
Chromosome Analysis 20-25 (88264) $173.52 $289.20 1.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$71.70–$96 $119.50–$160 varies
Ckmb (82553) $39 $65 3.4×
Clostridium Difficile (87324) $39.60 $66 3.3×
Clot factor xiii fibrin stab (85290) $19.65 $32.75 1.2×
Clotting factor xii hageman (85280) $24.42 $40.70 1.3×
Coccidioides antibody (86635) $15 $25 1.3×
Cold agglutinin screen (86156) $9.69 $16.15 1.2×
Cold agglutinin titer (86157) $12 $20 1.5×
Collagen crosslinks (82523) $24 $40 1.3×
Column Chromotography Quant (82542) $148.91 $248.18 6.2×
Compatibility test antiglob (86922) $70.20 $117 0.4×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$15–$33 $25–$55 varies
Complement Total (Ch50) (86162) $41.52 $69.20 2.0×
Coombs direct (86880) $11 $18.33 2.0×
Copper urine (82525) $25.35 $42.25 2.0×
Cortisol free (82530) $78.60 $131 4.7×
Cortisol saliva (82533)
range across 3 matching MRF lines
$19.56–$55.80 $32.60–$93 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$13.31–$19.20 $22.18–$32 varies
Creatinine blood (82565) $17.40 $29 3.4×
Creatinine clearance (82575) $19.32 $32.20 2.0×
Creatinine Urine (82570) $30 $50 5.8×
Crossmatch electronic (86923) $140.70 $234.50 0.9×
Crossmatch immediate spin (86920) $162.60 $271 1.0×
Crp High Sensitivity (86141) $26.45 $44.08 2.0×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$22.80–$25.20 $38–$42 varies
Cryptosporidium ag eia (87328) $24 $40 1.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$12–$38.40 $20–$64 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $16.50 $27.50 2.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $34.20 $57 4.4×
Culture afb (87116) $37.80 $63 3.5×
Culture Anaerobic (87075) $19.35 $32.25 2.0×
Culture blood (87040) $21.11 $35.18 2.0×
Culture csf (87070) $30 $50 3.5×
Culture fungus (87102) $33 $55 3.9×
Culture fungus blood (87103) $27 $45 1.3×
Culture screen only (87081) $63 $105 9.5×
Culture stool (87045) $25.80 $43 2.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$10.58–$12 $17.63–$20 varies
Culture urine (87086) $27 $45 3.3×
Cyp2c19 gene analysis common variants (81225) $698.40 $1,164 2.4×
Cystatin C (82610) $23.40 $39 1.3×
Cytogenetics 100-300 (88275) $63 $105 1.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,392 $2,320 1.2×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$29.42–$51 $49.03–$85 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$41.40–$45.60 $69–$76 varies
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$56.94–$191.39 $94.90–$318.98 varies
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $43.67 $72.78 1.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$54.14–$57 $90.23–$95 varies
Cytp Concentration Smears & Interpretation (88108) $48.60 $81 1.4×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $90 $150 1.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $87.06 $145.10 0.5×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $21.59 $35.98 1.2×
Detect Agent Nos Dna Amp (87798) $71.70 $119.50 2.0×
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$51.60–$139.20 $86–$232 varies
Detect agnt mult DNA ampli (87801) $143.43 $239.05 2.0×
Dgp Antibody Each Ig Class (86258) $15 $25 1.2×
Dhea-S (82627) $76.20 $127 3.4×
Dibucaine number (82638) $15 $25 1.2×
Digoxin (80162)
range across 2 matching MRF lines
$27.14–$45.60 $45.23–$76 varies
Dihydrotestosterone (82642) $35.13 $58.55 1.2×
Dna Antibody Native/Double Stranded (86225) $28.07 $46.78 2.0×
Drug Assay Lacosamide (80235) $33 $55 1.2×
Drug Screen Quant Zonisamide (80203) $18 $30 1.4×
Drug Screen Quantitative Gabapentin (80171) $25.80 $43 1.2×
Drug Screen Quantitative Lamotrigine (80175) $36 $60 2.7×
Drug Screen Quantitative Levetiracetam (80177) $36 $60 2.7×
Drug Screen Quantitative Oxcarbazepine (80183) $36 $60 2.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$75–$159 $125–$265 varies
Drug Test Prsmv Dir Opt Obs (80305) $36.40 $60.66 2.9×
Ehrlichia antibody (86666) $20.81 $34.68 2.0×
El-1 Fecal Quantitative (82653) $33.60 $56 1.5×
Electrolyte panel (80051) $14.33 $23.88 2.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $75 $125 1.2×
Enterovirus Antibody (86658) $15.60 $26 1.2×
Enzyme cell activity (82657) $27 $45 1.2×
Erythropoietin (82668)
range across 2 matching MRF lines
$38.40–$96.60 $64–$161 varies
Estradiol serum (82670)
range across 2 matching MRF lines
$57.09–$94.80 $95.15–$158 varies
Estriol (82677) $81.60 $136 3.4×
Estrogen total (82672) $88.20 $147 4.1×
Estrogens fractionated (82671) $39 $65 1.2×
Ethosuximide (80168) $21 $35 1.3×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$14.63–$19.20 $24.38–$32 varies
Factor ii activity (85210) $7.80 $13 0.6×
Factor ix activity (85250) $27 $45 1.4×
Factor v activity (85220)
range across 2 matching MRF lines
$36.06–$138 $60.10–$230 varies
Factor vii assay (85230) $21.60 $36 1.2×
Factor viii assay (85240) $25.20 $42 1.4×
Factor X (85260) $21.60 $36 1.2×
Factor xi activity (85270) $36.59 $60.98 2.0×
Ferritin (82728)
range across 2 matching MRF lines
$27.86–$37.20 $46.43–$62 varies
Fetal screen rosette (85461) $11.01 $18.35 1.2×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$20.81–$30.60 $34.68–$51 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$17.36–$63.60 $28.93–$106 varies
Flow cytometry first marker (88184) $114.47 $190.78 0.3×
Fluorescent antibody screen (86255) $67.80 $113 5.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $33 $55 2.7×
Fmr1 gene detection (81243) $68.46 $114.10 1.2×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$30.05–$51 $50.08–$85 varies
Follicle Stimulating Hormone (83001) $63.60 $106 3.4×
Francisella tularensis (86668) $21.26 $35.43 1.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $135.90 $226.50 0.8×
Fungi Identification Mold (87107) $12.39 $20.65 1.2×
Gammaglobulin ige (82785) $33.65 $56.08 2.0×
Gardner vag DNA dir probe (87510) $40.98 $68.30 2.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $501 $835 1.2×
Genet Virus Isolate Hsv (87255) $69.20 $115.33 2.0×
Gentamicin (80170) $55.80 $93 3.4×
Ggt (82977) $14.72 $24.53 2.0×
Giardia antigen (87329) $24.50 $40.83 2.0×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$4.79–$17.40 $7.98–$29 varies
Glucose body fluid (82945) $17.40 $29 4.4×
Glucose Serum (82947) $17.40 $29 4.4×
Glucose tolerance test (gtt) (82951) $35.40 $59 2.8×
Glycated Protein (82985) $59.40 $99 3.5×
Gonadotropin Chorionic Qualitative (84703) $31.20 $52 4.1×
Gtt-added samples (82952)
range across 2 matching MRF lines
$8.01–$22.20 $13.35–$37 varies
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines
$137.63–$151.80 $229.38–$253 varies
Haptoglobin (83010)
range across 2 matching MRF lines
$25.70–$43.20 $42.83–$72 varies
Hdl Cholesterol (83718) $28.80 $48 3.5×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $222.24 $370.40 0.1×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$29.39–$83.40 $48.98–$139 varies
Helminth Antibody (86682) $16.20 $27 1.2×
Hematocrit (85014)
range across 2 matching MRF lines
$4.85–$21 $8.08–$35 varies
Hemoglobin (85018) $10.80 $18 4.6×
Hemoglobin a1c (83036) $30 $50 3.1×
Hemoglobin Chromotography (83021) $36.90 $61.50 2.0×
Hemoglobin electrophoresis (83020) $26.30 $43.83 2.0×
Hep a ab igm (86709) $23 $38.33 2.0×
Heparin assay (85520) $16.20 $27 1.2×
Heparin Neutralization (85525) $15.60 $26 1.3×
Hepatitis a antibody total (86708) $25.31 $42.18 2.0×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$24.06–$41.40 $40.10–$69 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$23.40–$24.62 $39–$41.03 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$16.20–$21.95 $27–$36.58 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$21.11–$36 $35.18–$60 varies
Hepatitis Be Antibody (86707) $23.64 $39.40 2.0×
Hepatitis C Antibody (86803) $29.16 $48.60 2.0×
Hepatitis C Genotype (87902) $222 $370 0.9×
Hepatitis C Probe&Rvrs Trnsc (87521) $71.70 $119.50 2.0×
Hepatitis C Revrs Trnscrpj (87522) $207 $345 4.8×
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$30.60–$74.40 $51–$124 varies
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$6.60–$18.60 $11–$31 varies
Hexa gene analysis common variants (81255) $61.80 $103 1.2×
Histamine urine (83088) $36 $60 1.2×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$15.90–$16.20 $26.50–$27 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $65.40 $109 2.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $173.88 $289.80 2.0×
Hla class ii typing high resolution one locus ea (81382) $180 $300 1.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $90 $150 1.2×
Hla ii typing 1 allele hr (81383) $132 $220 1.2×
Hla ii typing 1 locus lr (81376) $150 $250 1.2×
Hla-b27 (86812) $85.20 $142 3.3×
Homocysteine (83090) $147.60 $246 8.2×
Homogenization Tissue (87176) $13.20 $22 2.2×
Hpv High-Risk Types (87624) $75.60 $126 2.2×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$71.70–$75.60 $119.50–$126 varies
Hsv Dna Amp Probe (87529) $71.70 $119.50 2.0×
Htt Gene Detc Abnor Alleles (81271) $165 $275 1.2×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$55.52–$93 $92.53–$155 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $21.11 $35.18 2.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $24.50 $40.83 1.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $54.28 $90.46 1.5×
Iaad Ia Streptococcus Group A (87430) $25.80 $43 1.5×
Iaadi herpes smplx virus type 2 (87273) $15 $25 1.3×
Iadna Bartonella Amplified Probe Technique (87471) $42 $70 1.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $71.70 $119.50 2.0×
Iadna Cytomegalovirus Quantification (87497) $87.53 $145.88 2.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $84 $140 1.2×
Iadna Hepatitis B Virus Quantification (87517) $90.60 $151 2.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $53.40 $89 1.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $71.70 $119.50 2.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$68.40–$71.70 $114–$119.50 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $171.16 $285.26 1.2×
Ig Light Chains Free Each (83521) $21 $35 1.2×
Igg subclasses (82787) $9.63 $16.05 1.2×
Igh gene rearrange amp meth (81261) $240 $400 1.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $142.65 $237.75 0.4×
Immunfix e-phorsis/urine/csf (86335) $76.80 $128 2.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$24–$193.80 $40–$323 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $21 $35 1.4×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$6–$108.60 $10–$181 varies
Immunofixation electrophoresis (86334) $76.80 $128 3.4×
Immunofluorescence per spec 1st singl antb stain (88346) $360 $600 2.2×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$158.18–$161.23 $263.64–$268.71 varies
In situ hybridization 1st probe stain (88365) $135.90 $226.50 0.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $21 $35 1.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $26.10 $43.50 1.2×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $18 $30 1.2×
Influenza a/b ag eia (87400) $24.50 $40.83 1.7×
Influenza assay w/optic (87804) $37.80 $63 2.3×
Influenza DNA amp probe (87502) $114.96 $191.60 1.2×
Inhibin b (83520) $26.45 $44.08 1.5×
Insulin antibodies (86337)
range across 2 matching MRF lines
$43.74–$48.60 $72.90–$81 varies
Insulin total (83525) $39 $65 3.4×
Intrinsic factor antibody (86340) $71.40 $119 4.7×
Iron (83540) $19.80 $33 3.1×
Iron Binding Capacity (83550) $17.87 $29.78 2.0×
Islet cell antibody (86341) $133.20 $222 5.7×
Lactate (ld) (ldh) enzyme (83615) $18.60 $31 3.1×
Lactoferrin fecal qualitative (83630) $24 $40 1.2×
LDL direct (83721) $55.80 $93 5.3×
Lead (83655) $46.20 $77 3.8×
Legionella antigen urine (87449) $19.80 $33 1.7×
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$8.73–$35.40 $14.55–$59 varies
Level I Surg Pathology Gross Examination Only (88300) $23.40 $39 0.8×
Level ii surg pathology gross&microscopic exam (88302) $36 $60 1.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $120.60 $201 0.3×
Lipase (83690)
range across 2 matching MRF lines
$14.07–$21 $23.45–$35 varies
Lipoprotein A (83695) $129.60 $216 9.1×
Lithium (80178)
range across 2 matching MRF lines
$13.52–$22.80 $22.53–$38 varies
Luteinizing Hormone (Lh) (83002) $63.60 $106 3.4×
Lyme disease antibody (86618) $58.80 $98 3.5×
Lysozyme serum (85549) $24 $40 1.3×
M. Genitalium Amp Probe (87563) $42 $70 1.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $618.03 $1,030.05 3.8×
Magnesium Urine (83735) $23.40 $39 3.5×
Metabolic panel ionized ca (80047) $17.28 $28.80 1.3×
Methylmalonic acid serum (83921) $118.20 $197 5.6×
Microalbumin, quantitative (82043) $11.81 $19.68 2.0×
Microsomal Antibodies Each (86376) $29.73 $49.55 2.0×
Mitochondrial Antibody Each (86381) $30.54 $50.90 1.2×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $243 $405 1.2×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $810 $1,350 1.2×
Mog-Igg1 Antb Cba Each (86362) $15 $25 1.2×
Molecular Cytogenetics Dna Probe Each (88271) $27 $45 1.3×
Molecular Pathology Procedure Level 6 (81405) $363 $605 1.2×
Mopath procedure level 1 (81400) $76.74 $127.90 1.2×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$222.24–$225 $370.40–$375 varies
Mopath procedure level 5 (81404) $330 $550 1.2×
Mopath procedure level 7 (81406) $342 $570 1.2×
Mopath procedure level 9 (81408) $2,400 $4,000 1.2×
Mrsa Pcr (87641) $43.20 $72 1.2×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $255 $425 1.2×
Msh2 Gene Analysis Full Sequence Analysis (81295) $483.60 $806 1.3×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $288 $480 1.2×
Msh6 Gene Analysis Full Sequence Analysis (81298) $771 $1,285 1.2×
Mumps antibody (86735)
range across 3 matching MRF lines
$15.60–$69.60 $26–$116 varies
Mycophenolic Acid (80180) $21.66 $36.10 1.2×
Mycoplasma culture (87109) $21 $35 1.4×
Natriuretic peptide (83880) $158.40 $264 4.0×
Neisseria Dir Na Probe (87590) $33 $55 1.2×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $156 $260 1.2×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $31.35 $52.25 1.2×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $586.39 $977.32 1.2×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$21.60–$95.40 $36–$159 varies
Occult blood feces (82272) $9 $15 2.1×
Oligoclonal bands (83916) $32.88 $54.80 1.2×
Osmolality serum (83930)
range across 2 matching MRF lines
$13.52–$63.60 $22.53–$106 varies
Osmolality Urine (83935)
range across 2 matching MRF lines
$13.94–$23.40 $23.23–$39 varies
Ova and parasites smears (87177)
range across 2 matching MRF lines
$18.18–$69.60 $30.30–$116 varies
Palb2 gene full gene seq (81307) $813 $1,355 1.2×
Pancreatic Elastase Fecal (82656) $15 $25 1.3×
Particle Agglutination Screen Each Antibody (86403) $15 $25 1.3×
Parvovirus antibody (86747) $30.72 $51.20 2.0×
Path Clin Consltj Mod 21-40 (80504) $150 $250 0.9×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $21 $35 0.4×
Pathology Consultation During Surgery (88329) $76.31 $127.19 1.3×
Ph urine (81003) $10.80 $18 4.8×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$23.40–$38.40 $39–$64 varies
Phenotype Infect Agent Drug (87900)
range across 2 matching MRF lines
$37.20–$189 $62–$315 varies
Phenytoin (Dilantin) (80185) $45.60 $76 3.4×
Phosphatase acid prostatic (84066) $19.74 $32.90 2.0×
Phosphatase alkaline (84075) $10.58 $17.63 2.0×
Phospholipid Neutralization Hexagonal (85598) $85.80 $143 4.8×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$9.69–$17.40 $16.15–$29 varies
Pinworm exam (87172) $8.73 $14.55 2.0×
Platelet Aggregation (85576) $30 $50 1.2×
Platelet Antibodies (86022) $21.60 $36 1.2×
Platelet count automated (85049) $16.20 $27 3.6×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $243 $405 1.2×
Pms2 gene full seq analysis (81317) $813 $1,355 1.2×
Porphyrins Urine Quantitation & Fractionation (84120) $30.06 $50.10 2.0×
Potassium Urine (84133) $15.60 $26 3.3×
Prealbumin (84134)
range across 2 matching MRF lines
$29.81–$90 $49.68–$150 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $135.90 $226.50 0.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $30 $50 0.5×
Primidone (80188) $21 $35 1.3×
Procalcitonin (Pct) (84145) $43.80 $73 1.6×
Progesterone (84144)
range across 2 matching MRF lines
$42.63–$70.20 $71.05–$117 varies
Prolactin (84146)
range across 2 matching MRF lines
$39.60–$65.40 $66–$109 varies
Protein body fluid (84157) $18 $30 4.5×
Protein c antigen (85302) $38.40 $64 3.2×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$36.44–$70.20 $60.73–$117 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$21.95–$36 $36.58–$60 varies
Protein S Free (85306) $217.20 $362 14.2×
Protein s total (85305) $23.72 $39.53 2.0×
Protein total serum (84155) $17.40 $29 4.7×
Protein Total Urine (84156) $67.20 $112 18.3×
PSA free (84154) $34.80 $58 1.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $360 $600 1.2×
Pten Gene Analysis Full Sequence Analysis (81321) $720 $1,200 1.2×
Pth Intact (83970) $139.80 $233 3.4×
Quantitative assay drug (80299) $27.99 $46.65 1.5×
Quantitative Screen Metals (83018) $27 $45 1.2×
Rbc antibody elution (86860) $135.90 $226.50 0.8×
Rbc antibody identification (86870) $240 $400 0.7×
Rbc antibody screen (86850) $67.20 $112 6.9×
Rbc pretreatment serum (86978) $30 $50 0.5×
Rbc pretx incubatj w/enzymes (86971) $280.11 $466.85 1.7×
Rbc serum pretx incubj drugs (86975) $326.40 $544 0.8×
Reticulated Platelet Assay (85055) $54.71 $91.18 1.5×
Rh (86901)
range across 2 matching MRF lines
$6.11–$60.60 $10.18–$101 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$11.60–$18.60 $19.33–$31 varies
Rickettsia antibody (86757) $27.60 $46 1.4×
Rotavirus ag eia (87425) $70.20 $117 5.9×
Rpr qualitative (86592) $25.20 $42 5.9×
Rsv ab (86756) $41.40 $69 2.6×
Rsv Assay W/Optic (87807) $24.50 $40.83 1.9×
Rubella Antibody (86762)
range across 2 matching MRF lines
$29.42–$49.80 $49.03–$83 varies
Rubeola antibody (86765) $43.80 $73 3.4×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$11.55–$52.20 $19.25–$87 varies
Russell Viper Venon Time Undiluted (85612) $21 $35 1.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$90–$120 $150–$200 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$48–$50.56 $80–$84.26 varies
Sarscov2&inf a&b&rsv amp prb (87637) $171.60 $286 1.2×
Sedimentation rate (85651)
range across 2 matching MRF lines
$7.25–$12 $12.08–$20 varies
Sedimentation Rate, Automated (85652) $5.52 $9.20 2.0×
Selenium (84255) $52.17 $86.95 2.0×
Sensitivity mic (87186) $17.67 $29.45 2.0×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$27–$55.80 $45–$93 varies
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$6.48–$33.60 $10.80–$56 varies
Sirolimus (80195) $151.20 $252 11.0×
Smear complex stain (87209)
range across 2 matching MRF lines
$16.20–$36.74 $27–$61.23 varies
Smear gram stain (87205) $8.73 $14.55 2.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $18.60 $31 3.2×
Sodium Serum (84295)
range across 2 matching MRF lines
$9.84–$17.40 $16.40–$29 varies
Sodium Urine (84300) $16.80 $28 3.3×
Soluble Transferrin Receptor (84238) $45 $75 1.2×
Somatomedin (84305) $82.80 $138 3.9×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$36–$148.33 $60–$247.21 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$90–$103.72 $150–$172.87 varies
Specimen infect agnt concntj (87015) $22.80 $38 3.4×
Spectrophotometry (84311) $10.20 $17 1.3×
Stool cultr aerobic bact ea (87046) $19.29 $32.15 2.0×
Sugars Single Qual (84376) $6.60 $11 1.2×
Sulfate urine (84392) $9.71 $16.18 1.8×
Surg path level iii (88304)
range across 2 matching MRF lines
$69.32–$76.80 $115.54–$128 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$76.80–$111.25 $128–$185.41 varies
Surgical pathology level vi (88309) $738 $1,230 1.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$7.20–$9.71 $12–$16.18 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$14.09–$70.20 $23.48–$117 varies
T cells absolute cd4 count (86361) $63.60 $106 2.4×
T3 Free (84481)
range across 2 matching MRF lines
$34.61–$153 $57.68–$255 varies
T3 reverse (84482)
range across 2 matching MRF lines
$32.21–$157.80 $53.68–$263 varies
T3 Total (84480)
range across 2 matching MRF lines
$28.97–$49.20 $48.28–$82 varies
T3 Uptake (84479) $24 $40 3.7×
T4 Free (84439)
range across 2 matching MRF lines
$18.42–$30.60 $30.70–$51 varies
T4 total (84436)
range across 2 matching MRF lines
$14.03–$22.80 $23.38–$38 varies
Tacrolimus (80197)
range across 2 matching MRF lines
$28.07–$61.80 $46.78–$103 varies
Tb ag response t-cell susp (86481)
range across 2 matching MRF lines
$249–$251.40 $415–$419 varies
Test for acetone/ketones (82009) $16.20 $27 3.6×
Testosterone total (84403) $43.20 $72 1.7×
Testosterone, Free (84402)
range across 2 matching MRF lines
$52.04–$87 $86.73–$145 varies
Theophylline (80198) $16.97 $28.28 1.2×
Thromboplastin Inhibition Tissue (85705) $19.67 $32.78 2.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $13.22 $22.03 2.0×
Thyroglobulin (84432)
range across 2 matching MRF lines
$32.82–$55.80 $54.70–$93 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$32.51–$54.60 $54.18–$91 varies
Thyroid Stimulating Immunoglobulin (84445) $264 $440 5.2×
Thyroxine binding globulin (84442) $30.21 $50.35 2.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $15 $25 1.3×
Tissue culture bone marrow (88237) $172.50 $287.50 1.2×
Tissue Culture Lymphocyte (88230) $141 $235 1.2×
Topiramate (80201)
range across 2 matching MRF lines
$24.36–$60.60 $40.60–$101 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $40.35 $67.25 2.0×
Toxoplasma ab igm (86778) $18 $30 1.2×
Toxoplasma antibody (86777) $18 $30 1.3×
Tp53 gene analysis full gene sequence (81351) $771 $1,285 1.2×
Transferase Aspartate Amino Ast Sgot (84450) $19.20 $32 3.7×
Transferrin (84466)
range across 2 matching MRF lines
$26.09–$52.20 $43.48–$87 varies
Trichomonas vagin dir probe (87660) $40.98 $68.30 2.0×
Trichomonas Vaginalis Amplif (87661) $71.70 $119.50 2.0×
Triglycerides (84478)
range across 2 matching MRF lines
$11.75–$20.40 $19.58–$34 varies
Troponin Quant (84484) $20.10 $33.50 1.6×
Tumor immunohistochem/comput (88361) $304.20 $507 0.9×
Tumor Immunohistochem/Manual (88360) $135.90 $226.50 0.8×
Urea nitrogen urine (84540) $6.90 $11.50 1.2×
Uric acid other source (84560) $15 $25 3.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $4.43 $7.38 2.0×
Urinalysis Volume Measure (81050) $6.14 $10.23 1.7×
Urine Bacteria Culture (87088) $11.40 $19 1.4×
Urine Pregnancy Test (81025) $12.92 $21.53 1.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $16.80 $28 5.3×
Valproic acid (80164) $27.69 $46.15 2.0×
Vancomycin (80202) $54.60 $91 4.0×
Varicella-zoster antibody (86787) $56.40 $94 4.4×
Vasopressin (84588) $69.36 $115.60 2.0×
Virus inoculation, shell via (87254) $39.98 $66.63 2.0×
Viscosity serum (85810) $15 $25 1.3×
Vit D 1 25-Dihydroxy (82652) $78.66 $131.10 2.0×
Vitamin A (84590)
range across 2 matching MRF lines
$23.72–$74.40 $39.53–$124 varies
Vitamin b-12 (82607)
range across 2 matching MRF lines
$30.81–$34.20 $51.35–$57 varies
Vitamin B2 (Riboflavin) (84252) $28.80 $48 1.4×
Vitamin B6 (84207)
range across 2 matching MRF lines
$57.41–$129 $95.68–$215 varies
Vitamin c (82180) $12 $20 1.2×
Vitamin D 25-Hydroxy (82306) $60.50 $100.83 2.0×
Vitamin E (84446) $28.97 $48.28 2.0×
Vitamin K (84597) $28.04 $46.73 2.0×
Volatiles (84600) $21 $35 1.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $15 $25 1.2×
Von willebrand factor ag (85246) $46.88 $78.13 2.0×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$24–$34.43 $40–$57.38 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$29.42–$84.60 $49.03–$141 varies
Zinc (84630) $23.27 $38.78 2.0×

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.