Lab & pathology prices at Niobrara County Hospital District

Lusk, WY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor blocking antibody (86042) $240.80 $301 13.1×
Acth (82024) $168 $210 4.4×
Acute hepatitis panel (80074) $292 $365 6.1×
Albumin Fluid (82042) $46.40 $58 6.0×
Albumin serum (82040) $55.89 $69.86 11.3×
Aldolase (82085) $84 $105 8.7×
Aldosterone urine (82088) $182.40 $228 4.5×
Alkaline phosphatase isoenzymes (84080) $83.20 $104 5.6×
Allergen specific ige (86003)
range across 4 matching MRF lines
$29.60–$569.60 $37–$712 varies
Allergen specific igg (86001) $53.20 $66.50 6.8×
Alpha-1-antitrypsin phenotype (82104) $99.20 $124 6.9×
Alpha-1-antitrypsin total (82103) $99.20 $124 7.4×
Alpha-Fetoprotein Serum (82105) $115.20 $144 6.9×
Alt (sgpt) (84460) $76.09 $95.11 14.4×
Aluminum (82108) $99.20 $124 3.9×
Ammonia (82140) $113.60 $142 7.8×
Amylase urine (82150) $81.46 $101.82 12.6×
Ana Titer (86039) $83.20 $104 7.5×
Androstenedione (82157) $116.80 $146 4.0×
Angiotensin converting enzyme csf (82164) $91.20 $114 6.2×
Antibody aspergillus (86606) $102.40 $128 6.8×
Antibody Cytomegalovirus Cmv Igm (86645) $96 $120 5.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $76.80 $96 5.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $76.80 $96 5.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $90.40 $113 5.0×
Antibody Fungus Not Elsewhere Specified (86671) $96 $120 7.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $153.60 $192 10.7×
Antibody Herpes Smplx Type 1 (86695) $100.80 $126 7.6×
Antibody HIV-1&HIV-2 single result (86703) $98.40 $123 7.2×
Antibody HIV-2 (86702) $76.80 $96 5.7×
Antibody htlv/HIV antibody confirmatory test (86689) $134.40 $168 6.9×
Antibody identification leukocyte antibodies (86021) $139.20 $174 9.2×
Antibody rotavirus (86759) $110.40 $138 6.1×
Antibody Treponema Pallidum (86780) $24 $30 1.8×
Antigen typing (86905) $48 $60 12.5×
Antinuclear antibodies (86038) $60 $75 5.0×
Antistreptolysin o titer (86060) $59.20 $74 8.1×
Antithrombin iii antigen (85301) $122.40 $153 11.3×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$90.40–$149.60 $113–$187 varies
Arsenic (82175) $82.40 $103 4.3×
Aspergillus ag eia (87305) $43.20 $54 3.6×
Assay activated protein c (85307) $124 $155 8.1×
Assay Blood Carbon Dioxide (82374) $64.26 $80.33 13.2×
Assay Blood Catecholamines (82383) $175.20 $219 6.0×
Assay Nephelometry Not Spec (83883) $171.20 $214 12.6×
Assay of 5-hiaa (83497) $72.80 $91 5.6×
Assay of blood/uric acid (84550) $68.80 $86 15.2×
Assay of calcium in urine (82340)
range across 4 matching MRF lines
$34.40–$54.40 $43–$68 varies
Assay of cpk in blood (82552) $80.80 $101 6.0×
Assay of estrone (82679)
range across 2 matching MRF lines
$103.20–$219.20 $129–$274 varies
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$88–$126.40 $110–$158 varies
Assay of lactic acid (83605) $130.67 $163.34 11.3×
Assay of metanephrines (83835) $183.20 $229 10.8×
Assay of proinsulin (84206) $88 $110 3.3×
Assay of prostate specific antigen complexed (84152) $113.60 $142 6.2×
Assay of serotonin (84260) $130.40 $163 4.2×
Assay of serum potassium (84132) $55.29 $69.11 11.6×
Assay of sweat sodium (84302) $44.80 $56 9.2×
Assay of urea nitrogen (84520) $65.21 $81.51 16.5×
Assay of urine vma (84585) $87.20 $109 5.6×
Assay of vitamin b-1 (84425) $320 $400 15.1×
Assay Ph Body Fluid Nos (83986) $37.60 $47 10.5×
Assay spec xcp ur&breath ia (82077) $149.86 $187.33 8.7×
Automated Leukocyte Count (85048) $34.40 $43 13.5×
Bartonella antibody (86611) $284.80 $356 28.0×
Beta hydroxybutyrate (82010) $59.20 $74 7.2×
Beta Lactamase (87185) $70.40 $88 14.8×
Beta-2 Microglobulin (82232) $130.40 $163 8.1×
Bilirubin direct (82248) $64.38 $80.47 12.8×
Bilirubin total (82247) $54.91 $68.64 10.9×
Bl Smear W/O Diff Wbc Count (85008) $27.20 $34 7.9×
Blood Count Red Blood Cell Automated (85041) $24 $30 7.9×
Blood count reticulocyte automated (85045) $49.60 $62 12.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $37.60 $47 9.9×
Blood gas (82803)
range across 2 matching MRF lines
$61.60–$193.33 $77–$241.66 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 4 matching MRF lines
$17.60–$44.80 $22–$56 varies
Blood typing serologic abo (86900) $302.40 $378 101.1×
Body fluid cell count (89050) $88.80 $111 18.8×
Brucella antibody (86622) $90.40 $113 10.1×
C diff amplified probe (87493) $114.40 $143 3.1×
C-Peptide (84681) $91.20 $114 4.4×
C-reactive protein (86140) $72 $90 13.9×
Ca 19-9 (86301) $117.60 $147 5.7×
Cadmium (82300) $163.20 $204 6.9×
Calcitonin (82308) $132 $165 4.9×
Calcium ionized (82330) $91.20 $114 6.7×
Calcium total (82310) $80.48 $100.60 15.6×
Calculus Spectroscopy (82365) $89.60 $112 6.9×
Calprotectin Fecal (83993) $192 $240 9.8×
Cancer Antigen 125 (86304) $137.60 $172 6.6×
Cancer Antigen 27.29 (86300) $141.60 $177 6.8×
Carbamazepine total (80156) $124.80 $156 8.6×
Carboxyhemoglobin (82375) $94.40 $118 7.7×
Carcinoembryonic antigen (82378) $128.80 $161 6.8×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$162.40–$206.40 $203–$258 varies
Catecholamines fractionated (82384) $140 $175 5.5×
Ccp antibody (86200) $100 $125 7.7×
Cell count csf (89051)
range across 2 matching MRF lines
$60.80–$84.80 $76–$106 varies
Ceruloplasmin (82390) $72.80 $91 6.8×
Cftr gene com variants (81220) $904 $1,130 1.6×
Chlamydia antibody (86631) $59.20 $74 5.0×
Chlamydia Igm Antibody (86632) $51.20 $64 4.0×
Chloride other source (82438) $61.60 $77 12.3×
Chloride Serum (82435) $69.43 $86.79 15.1×
Chloride urine (82436) $49.60 $62 8.6×
Cholesterol total (82465) $57.64 $72.05 13.3×
Chorionic gonadotropin test (84702) $141.60 $177 9.4×
Chromogranin a (86316) $148 $185 7.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $120 $150 3.4×
Citric acid urine (82507) $192 $240 6.9×
Ckmb (82553) $108.80 $136 9.4×
Clostridium Difficile (87324) $112 $140 9.3×
Clot Factor VIII Multimetric (85247) $182.40 $228 8.0×
Coccidioides antibody (86635) $80.80 $101 7.0×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$87.20–$135.20 $109–$169 varies
Compatibility test antiglob (86922) $402.72 $503.40 2.3×
Complement Antigen Each Component (86160) $68 $85 5.7×
Complement Total (Ch50) (86162) $128.80 $161 6.3×
Complement/Function Activity (86161) $99.20 $124 8.3×
Coombs direct (86880) $93.60 $117 17.4×
Copper urine (82525) $81.60 $102 6.6×
Cortisol free (82530) $109.60 $137 6.6×
Cortisol saliva (82533)
range across 2 matching MRF lines
$69.60–$118.40 $87–$148 varies
Creatine kinase total (82550) $37.60 $47 5.8×
Creatinine blood (82565) $57.81 $72.26 11.3×
Creatinine clearance (82575) $98.40 $123 10.4×
Creatinine Urine (82570) $28 $35 5.4×
Crossmatch immediate spin (86920) $402.72 $503.40 2.3×
Crp High Sensitivity (86141) $23.20 $29 1.8×
Cryofibrinogen (82585) $71.20 $89 5.0×
Cryoglobulin (82595) $66.40 $83 10.3×
Cryptococcus ag titer (87899) $42.40 $53 2.6×
Cryptosporidium ag eia (87328) $72 $90 5.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $57.60 $72 7.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $72.80 $91 9.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $83.20 $104 10.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $800 $1,000 3.7×
Culture afb (87116) $110.40 $138 10.2×
Culture Anaerobic (87075) $126.40 $158 13.3×
Culture bacteria anaerobic (87073) $145.60 $182 15.1×
Culture blood (87040)
range across 2 matching MRF lines
$82.40–$136 $103–$170 varies
Culture csf (87070)
range across 7 matching MRF lines
$80–$100.80 $100–$126 varies
Culture fungus (87102)
range across 2 matching MRF lines
$104.80–$112 $131–$140 varies
Culture fungus blood (87103) $112.80 $141 5.5×
Culture screen only (87081)
range across 6 matching MRF lines
$71.20–$101.60 $89–$127 varies
Culture stool (87045) $102.40 $128 10.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $32 $40 6.2×
Culture urine (87086) $84 $105 10.4×
Cyclosporine (80158) $145.60 $182 8.1×
Cyp2c19 gene analysis common variants (81225) $796 $995 2.7×
Cystatin C (82610) $200.80 $251 10.8×
Cytomegalovirus igg (86644) $90.40 $113 6.3×
Cytopath Cell Enhance Tech (88112) $152 $190 2.9×
Cytp Concentration Smears & Interpretation (88108) $232 $290 6.1×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$60–$206.40 $75–$258 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$90.40–$170.40 $113–$213 varies
Dgp Antibody Each Ig Class (86258) $104 $130 8.6×
Dhea (82626) $133.60 $167 5.3×
Dhea-S (82627) $131.20 $164 5.9×
Digoxin (80162) $108 $135 8.1×
Dihydrotestosterone (82642) $201.60 $252 6.9×
Dna Antibody Native/Double Stranded (86225) $96 $120 7.0×
Dna/Rna Amplified Probe (87150) $94.74 $118.43 2.7×
Drug assay acetaminophen (80143) $147.70 $184.62 7.9×
Drug Screen Quantitative Lamotrigine (80175) $119.20 $149 9.0×
Drug Screen Quantitative Levetiracetam (80177) $156.80 $196 11.8×
Drug Screen Quantitative Oxcarbazepine (80183) $125.60 $157 9.5×
Drug Test Prsmv Chem Anlyzr (80307) $175.20 $219 2.8×
Drug Test Prsmv Dir Opt Obs (80305) $300 $375 23.8×
Ehrlichia antibody (86666) $106.40 $133 10.5×
El-1 Fecal Quantitative (82653) $57.60 $72 2.5×
Electrolyte panel (80051) $78.39 $97.99 11.2×
Erythropoietin (82668)
range across 2 matching MRF lines
$53.60–$156 $67–$195 varies
Estradiol serum (82670) $155.20 $194 5.6×
Estrogens fractionated (82671)
range across 2 matching MRF lines
$87.20–$132 $109–$165 varies
Ethosuximide (80168) $115.20 $144 7.1×
Exam Synovial Fluid Crystals (89060) $61.60 $77 8.4×
Factor v activity (85220) $90.40 $113 5.1×
Factor v leiden mutation (81241) $218.40 $273 3.0×
Factor viii assay (85240) $166.40 $208 9.3×
Fat/Lipids Feces Quantitative (82710) $125.60 $157 7.5×
Fecal Fat Qualitative (82705) $49.60 $62 9.7×
Ferritin (82728) $104.80 $131 7.7×
Fetal Chrmoml Aneuploidy (81420) $2,049.60 $2,562 2.7×
Fetal Congenital Abnor Assay Four Anal (81511) $82.40 $103 0.5×
Fibrin Degradation Quant (85379) $159.24 $199.05 15.6×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$44.80–$786.40 $56–$983 varies
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$57.60–$124 $72–$155 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $89.60 $112 7.4×
Fmr1 gene detection (81243) $443.20 $554 7.8×
Folic Acid Serum (82746) $36 $45 2.4×
Follicle Stimulating Hormone (83001) $125.60 $157 6.8×
Francisella tularensis (86668) $128 $160 9.0×
Fungi Identification Mold (87107) $70.40 $88 6.8×
Fungi Identification Yeast (87106) $72.80 $91 7.1×
Gammaglobulin ige (82785) $98.40 $123 6.0×
Gastrin (82941)
range across 2 matching MRF lines
$48–$106.40 $60–$133 varies
Gentamicin (80170) $131.20 $164 8.0×
Ggt (82977) $30.40 $38 4.2×
Giardia antigen (87329) $82.40 $103 6.9×
Glucose 2 hr pp (82950) $63.20 $79 13.3×
Glucose Blood Test (82962) $32.80 $41 10.0×
Glucose body fluid (82945)
range across 2 matching MRF lines
$40–$42.40 $50–$53 varies
Glucose Serum (82947) $63.02 $78.78 16.0×
Glucose tolerance test (gtt) (82951) $110.40 $138 8.6×
Glycated Protein (82985) $128.80 $161 7.7×
Gonadotropin Chorionic Qualitative (84703) $89.60 $112 11.9×
Growth hormone (83003) $89.60 $112 5.4×
Gtt-added samples (82952) $35.20 $44 9.0×
Haptoglobin (83010) $91.20 $114 7.2×
Hdl Cholesterol (83718) $67.52 $84.40 8.2×
Helicobacter Pylori Stool (87338) $119.20 $149 8.3×
Hematocrit (85014)
range across 2 matching MRF lines
$34.04–$34.40 $42.55–$43 varies
Hemoglobin (85018) $31.05 $38.81 13.1×
Hemoglobin a1c (83036) $82.96 $103.70 8.5×
Hemoglobin Chromotography (83021) $126.40 $158 7.0×
Hemoglobin electrophoresis (83020) $600 $750 46.6×
Hemoglobin Methemoglobin Quantitative (83050) $27.20 $34 3.3×
Hep a ab igm (86709) $92.80 $116 8.2×
Heparin assay (85520) $121.60 $152 9.3×
Hepatitis a antibody total (86708) $76.80 $96 6.2×
Hepatitis b core ab total (86704) $84 $105 7.0×
Hepatitis B Surface Antibody (86706) $84 $105 7.8×
Hepatitis B Surface Antigen (87340) $80 $100 7.7×
Hepatitis Be Antibody (86707) $84 $105 7.3×
Hepatitis Be Antigen (87350) $85.60 $107 7.4×
Hepatitis C Antibody (86803) $108 $135 7.6×
Hepatitis c antibody confirmatory test (86804) $191.20 $239 12.3×
Hepatitis C Genotype (87902) $712 $890 2.8×
Hepatitis C Revrs Trnscrpj (87522) $328.80 $411 7.7×
Herpes simplex type 2 (86696) $100.80 $126 5.2×
Heterophile Antibody Screen (86308) $65.60 $82 12.7×
Hfe Gene (81256)
range across 2 matching MRF lines
$280.80–$471.20 $351–$589 varies
Histamine urine (83088) $140 $175 4.7×
Hiv Genotype (87901) $695.20 $869 2.7×
Hiv-1 Antibody (86701) $26.40 $33 3.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $347.20 $434 4.1×
Hla I Low Resolution One Antigen Equivalent Each (81374) $130.40 $163 1.8×
Hla I Typing 1 Allele Hr (81381) $458.40 $573 2.7×
Hla ii typing 1 locus lr (81376) $149.60 $187 1.2×
Hla-b27 (86812) $130.40 $163 5.1×
Homocysteine (83090) $123.20 $154 6.9×
Homovanillic acid urine (83150) $80.80 $101 3.6×
Hsv Dna Amp Probe (87529) $180.80 $226 5.2×
Human Epididymis Protein 4 (86305) $34.40 $43 1.7×
Hydroxycorticosteroids 17 (83491) $88.80 $111 5.0×
Hydroxyprogesterone 17-d (83498) $107.20 $134 3.9×
Iaad Ia Cytomegalovirus (87332) $75.20 $94 6.3×
Iaad Ia Entamoeba Histolytica Grp (87337) $56 $70 4.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $113.60 $142 8.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $76 $95 2.2×
Iaad ia shiga-like toxin (87427)
range across 3 matching MRF lines
$85.60–$86.40 $107–$108 varies
Iaadi inffluenza a virus (87276) $78.40 $98 4.9×
Iaadi not otherwise specified each organism (87299) $86.40 $108 5.4×
Iaadi parainfluenza virus each type (87279) $78.40 $98 4.8×
Iaadi respiratory synctial virus (87280) $78.40 $98 5.8×
Iadna Cytomegalovirus Quantification (87497) $442.40 $553 10.3×
Iadna Hepatitis B Virus Quantification (87517) $148 $185 3.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $276.80 $346 7.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $240 $300 6.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $120 $150 3.4×
Igg subclasses (82787) $252 $315 31.4×
Immunfix e-phorsis/urine/csf (86335) $198.40 $248 6.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 6 matching MRF lines
$125.60–$240.80 $157–$301 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $116.80 $146 7.8×
Immunoassay nonantibody (83516)
range across 10 matching MRF lines
$88.80–$220 $111–$275 varies
Immunofixation electrophoresis (86334) $126.40 $158 5.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $26.40 $33 1.7×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $78.40 $98 5.4×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $78.40 $98 6.4×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines
$40.80–$78.40 $51–$98 varies
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$55.20–$117.32 $69–$146.65 varies
Inhibin A (86336) $80 $100 5.1×
Inhibin b (83520)
range across 6 matching MRF lines
$120–$198.40 $150–$248 varies
Insulin antibodies (86337) $192 $240 9.0×
Insulin free (83527) $109.60 $137 8.5×
Insulin total (83525) $80 $100 7.0×
Iron (83540) $63.20 $79 9.8×
Iron Binding Capacity (83550) $60.80 $76 7.0×
Islet cell antibody (86341)
range across 3 matching MRF lines
$84.80–$223.20 $106–$279 varies
Jak2 gene analysis p.val617phe variant (81270) $2,044.80 $2,556 22.3×
Koh Prep (87220) $47.20 $59 11.1×
Lactate (ld) (ldh) enzyme (83615) $25.60 $32 4.2×
Lactoferrin fecal qualitative (83630) $76.80 $96 3.9×
LDL direct (83721) $58.40 $73 5.6×
Lead (83655) $68 $85 5.6×
Legionella antibody (86713) $76 $95 5.0×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$56.80–$102.40 $71–$128 varies
Leptospira antibody (86720) $91.20 $114 5.6×
Leukocyte Assessment Fecal (89055) $48 $60 11.2×
Lipase (83690) $93.72 $117.15 13.6×
Lipoprotein A (83695) $52.80 $66 3.7×
Lipoprotein Bld Quan Part (83704) $187.20 $234 5.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $72 $90 6.4×
Listeria Monocytogenes (86723) $19.20 $24 1.5×
Lithium (80178) $72 $90 10.9×
Luteinizing Hormone (Lh) (83002) $124.80 $156 6.7×
Lyme disease antibody (86618) $160.80 $201 9.4×
Magnesium Urine (83735)
range across 4 matching MRF lines
$38.40–$76.08 $48–$95.10 varies
Mercury urine (83825) $76.80 $96 4.7×
Metabolic panel ionized ca (80047) $118.40 $148 8.6×
Methylmalonic acid serum (83921) $188 $235 8.9×
Microalbumin, quantitative (82043) $64.80 $81 11.2×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$82.40–$84.80 $103–$106 varies
Molecular Cytogenetics Dna Probe Each (88271) $120 $150 5.6×
Mrsa Pcr (87641) $142.40 $178 4.1×
Mthfr Gene Analysis Common Variants (81291) $219.20 $274 3.4×
Mumps antibody (86735) $76.80 $96 5.9×
Mycoplasma antibody (86738) $92.80 $116 7.0×
Myoglobin urine (83874)
range across 2 matching MRF lines
$100–$104.80 $125–$131 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$158.40–$215.50 $198–$269.37 varies
Neutralization Test Viral (86382) $136 $170 8.0×
Nfct ds bv&vaginitis DNA alg (81515) $710.40 $888 2.7×
Nfct ds chrnc hcv 6 assays (81596) $332 $415 4.6×
Niacin (84591) $140 $175 8.2×
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$62.40–$232 $78–$290 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$37.60–$44.80 $47–$56 varies
Occult Blood Other Sources (82271) $44 $55 8.3×
Osmolality serum (83930) $71.20 $89 10.8×
Osmolality Urine (83935) $68.80 $86 10.1×
Ova and parasites smears (87177) $153.60 $192 17.3×
Parvovirus antibody (86747)
range across 2 matching MRF lines
$90.40–$96 $113–$120 varies
Ph urine (81003) $39.20 $49 17.4×
Phenobarbital Level (80184) $116.80 $146 7.6×
Phenytoin (Dilantin) (80185) $116.80 $146 8.8×
Phosphatase alkaline (84075) $60.81 $76.01 11.7×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$38.40–$63.43 $48–$79.29 varies
Phosphorus urine (84105) $44.80 $56 7.8×
Platelet count automated (85049) $48 $60 10.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $861.60 $1,077 4.2×
Porphobilinogen, urine; quantitative (84110) $40.80 $51 4.8×
Potassium Urine (84133) $49.60 $62 10.5×
Prealbumin (84134) $86.40 $108 5.9×
Pregnenolone (84140) $99.20 $124 4.8×
Primidone (80188) $118.40 $148 7.1×
Procalcitonin (Pct) (84145) $120.80 $151 4.4×
Progesterone (84144) $120 $150 5.8×
Prolactin (84146) $139.20 $174 7.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$41.60–$62.40 $52–$78 varies
Protein C Activity (85303) $161.60 $202 11.7×
Protein Electrophoresis Urine (84166) $93.60 $117 5.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $72.80 $91 6.8×
Protein S Free (85306) $140 $175 9.1×
Protein Total Refractometry Any Src (84160) $27.20 $34 4.8×
Protein total serum (84155) $71.67 $89.59 19.5×
Protein Total Urine (84156)
range across 2 matching MRF lines
$36–$54.40 $45–$68 varies
PSA free (84154) $94.40 $118 5.1×
Pth Intact (83970) $96.80 $121 2.3×
Q Fever Antibody (86638) $94.40 $118 7.8×
Quantiferon tb gold plus (86480) $206.40 $258 3.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$77.60–$175.20 $97–$219 varies
Rbc antibody identification (86870) $193.60 $242 0.5×
Rbc antibody screen (86850) $86.40 $108 8.8×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$32–$63.20 $40–$79 varies
Renin activity plasma (84244) $128.80 $161 5.9×
Resp virus 12-25 targets (87633) $667.20 $834 1.6×
Rh (86901) $91.20 $114 30.5×
Rheumatoid factor quant (86431) $59.20 $74 10.4×
Rickettsia antibody (86757)
range across 5 matching MRF lines
$83.20–$128.80 $104–$161 varies
Ristocetin cofactor (85245) $139.20 $174 6.1×
Rotavirus ag eia (87425) $89.60 $112 7.5×
Rpr qualitative (86592) $48.80 $61 11.4×
Rubella Antibody (86762) $74.40 $93 5.2×
Rubeola antibody (86765) $80 $100 6.2×
Russell Viper Venom Time Diluted (85613) $120.80 $151 12.6×
Salicylate Level (80179) $107.20 $134 5.8×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$72.80–$134.40 $91–$168 varies
Sars-cov-2 COVID-19 antibody (86769) $236 $295 5.6×
Sedimentation rate (85651) $47.20 $59 11.1×
Sedimentation Rate, Automated (85652) $58.22 $72.77 21.6×
Semen Anal Sperm Detection (89321) $64.80 $81 5.4×
Sensitivity mic (87186)
range across 2 matching MRF lines
$67.20–$80 $84–$100 varies
Sex Hormone Binding Globulin (84270) $116 $145 5.3×
Sickling of rbc reduction (85660) $80.80 $101 14.7×
Sirolimus (80195) $133.60 $167 9.7×
Skin test tuberculosis intradermal (86580) $60.84 $76.05 2.1×
Smear acid fast (87206) $51.20 $64 9.5×
Smear complex stain (87209) $68.80 $86 3.8×
Smear gram stain (87205) $38.40 $48 9.0×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$49.60–$56 $62–$70 varies
Sodium Serum (84295) $51.68 $64.60 10.7×
Sodium Urine (84300) $51.20 $64 10.1×
Somatomedin (84305) $137.60 $172 6.5×
Specimen infect agnt concntj (87015) $39.20 $49 5.9×
Spectrophotometry (84311) $29.60 $37 3.7×
Stool cultr aerobic bact ea (87046) $48 $60 5.1×
Strep a assay w/optic (87880)
range across 3 matching MRF lines
$40–$76.52 $50–$95.65 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $38.40 $48 8.1×
Susceptibility Study Antimicrobial Disk Method (87184) $62.40 $78 8.3×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$120.80–$176 $151–$220 varies
T cells total count (86359) $105.60 $132 2.8×
T3 Free (84481) $120.80 $151 7.1×
T3 reverse (84482) $103.20 $129 6.5×
T3 Total (84480) $103.20 $129 7.3×
T3 Uptake (84479) $64.80 $81 10.0×
T4 Free (84439) $91.20 $114 10.1×
T4 total (84436) $68.80 $86 10.0×
Tacrolimus (80197) $165.60 $207 12.1×
Tau phosphorylated each (84393) $348.08 $435.10 2.7×
Testosterone total (84403) $72.80 $91 2.8×
Testosterone, Free (84402) $145.60 $182 5.7×
Theophylline (80198) $107.20 $134 7.6×
Thyroglobulin (84432) $109.60 $137 6.8×
Thyroglobulin Antibody (86800) $80.80 $101 5.1×
Thyroid Stimulating Immunoglobulin (84445) $408.80 $511 8.0×
Thyroxine binding globulin (84442) $84 $105 5.7×
Tissue Culture Lymphocyte (88230) $371.20 $464 3.2×
Topiramate (80201) $115.20 $144 9.7×
Transferase Aspartate Amino Ast Sgot (84450) $69.09 $86.36 13.3×
Transferrin (84466)
range across 2 matching MRF lines
$84–$92.80 $105–$116 varies
Triglycerides (84478) $83.30 $104.12 14.5×
Troponin Quant (84484) $181.60 $227 14.6×
Urea nitrogen urine (84540) $48 $60 8.6×
Uric acid other source (84560) $48.80 $61 9.6×
Urinalysis Microscopic Only (81015) $33.60 $42 11.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $12.80 $16 5.9×
Urinalysis Volume Measure (81050) $20.80 $26 5.7×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $48.80 $61 1.6×
Urine Bacteria Culture (87088) $84 $105 10.4×
Urine Pregnancy Test (81025) $37.60 $47 4.4×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $56.17 $70.21 17.7×
Valproic acid (80164) $119.20 $149 8.8×
Vancomycin (80202) $132 $165 9.7×
Varicella-zoster antibody (86787) $73.60 $92 5.7×
Vasopressin (84588)
range across 2 matching MRF lines
$216–$232.80 $270–$291 varies
Viral Culture (87252) $161.60 $202 6.2×
Vit D 1 25-Dihydroxy (82652) $408 $510 10.6×
Vitamin A (84590)
range across 2 matching MRF lines
$57.60–$109.60 $72–$137 varies
Vitamin b-12 (82607) $104.80 $131 6.9×
Vitamin B6 (84207)
range across 2 matching MRF lines
$91.20–$121.60 $114–$152 varies
Vitamin D 25-Hydroxy (82306) $156 $195 5.3×
Vitamin E (84446)
range across 2 matching MRF lines
$71.20–$76 $89–$95 varies
Vitamin K (84597) $167.20 $209 12.2×
Von willebrand factor ag (85246) $272 $340 11.9×
West nile virus ab igm (86788) $85.60 $107 5.1×
West Nile Virus Antibody (86789) $88.80 $111 6.2×
Xylose Absorption Test (84620) $68.80 $86 5.3×
Zinc (84630) $70.40 $88 6.2×

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.