Lab & pathology prices at Salem Hospital
Salem, MA · every code in this section with a posted price and a Medicare benchmark.
521 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $71.25 | $95 | 6.4× |
| Acetylcholine receptor binding antibody (86041) | $117.75 | $157 | 6.4× |
| Acetylcholine receptor blocking antibody (86042) | $117.75 | $157 | 6.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $78 | $104 | 6.5× |
| Acth (82024) | $244.50 | $326 | 6.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $283.50 | $378 | 8.7× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $802.50 | $1,070 | 9.2× |
| Actin smooth muscle antibody each (86015) | $73.50 | $98 | 6.1× |
| Acute hepatitis panel (80074) | $299.25 | $399 | 6.3× |
| Albumin Fluid (82042) | $39.75 | $53 | 5.1× |
| Albumin serum (82040) | $31.50 | $42 | 6.4× |
| Aldolase (82085) | $59.25 | $79 | 6.1× |
| Aldosterone urine (82088) | $255.75 | $341 | 6.3× |
| Alkaline phosphatase isoenzymes (84080) | $90 | $120 | 6.1× |
| Allergen specific ige (86003) | $46.50 | $62 | 8.9× |
| Allergen specific igg (86001) | $45.75 | $61 | 5.9× |
| Allg Spec Ige Recomb Ea (86008) | $67.50 | $90 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $89.25 | $119 | 6.2× |
| Alpha-1-antitrypsin total (82103) | $84 | $112 | 6.3× |
| Alpha-Fetoprotein Serum (82105) | $103.50 | $138 | 6.2× |
| Alt (sgpt) (84460) | $33 | $44 | 6.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $70.50 | $94 | 4.2× |
| Ammonia (82140) | $93 | $124 | 6.4× |
| Amylase urine (82150) | $44.25 | $59 | 6.8× |
| Ana Titer (86039) | $75.75 | $101 | 6.8× |
| Anca screen each antibody (86036) | $76.50 | $102 | 6.3× |
| Anca Titer Each Antibody (86037) | $76.50 | $102 | 6.3× |
| Androstenedione (82157) | $180 | $240 | 6.1× |
| Angiotensin converting enzyme csf (82164) | $91.50 | $122 | 6.3× |
| Antibody aspergillus (86606) | $72 | $96 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $136.50 | $182 | 8.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $91.50 | $122 | 5.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $60.75 | $81 | 4.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $90.75 | $121 | 5.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $90.75 | $121 | 5.0× |
| Antibody haemophilus influenza (86684) | $62.25 | $83 | 3.9× |
| Antibody Herpes Smplx Type 1 (86695) | $81.75 | $109 | 6.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $96.75 | $129 | 7.1× |
| Antibody HIV-2 (86702) | $69.75 | $93 | 5.2× |
| Antibody identification leukocyte antibodies (86021) | $96.75 | $129 | 6.4× |
| Antibody john cunningham virus (86711) | $82.50 | $110 | 4.9× |
| Antibody Protozoa Nes (86753) | $80.25 | $107 | 6.5× |
| Antibody Treponema Pallidum (86780) | $115.50 | $154 | 8.7× |
| Antibody; influenza virus (86710) | $90 | $120 | 6.6× |
| Antigen typing (86905) | $104.25 | $139 | 27.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $60 | $80 | 10.5× |
| Antinuclear antibodies (86038) | $75.75 | $101 | 6.3× |
| Antistreptolysin o titer (86060) | $48 | $64 | 6.6× |
| Antithrombin iii activity (85300) | $84.75 | $113 | 7.2× |
| Apolipoprotein a1 (82172) | $96.75 | $129 | 4.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $75 | $100 | 2.0× |
| Arsenic (82175) | $88.50 | $118 | 4.7× |
| Aspergillus ag eia (87305) | $86.25 | $115 | 7.2× |
| Assay activated protein c (85307) | $93.75 | $125 | 6.1× |
| Assay Dir Meas Fr Estradiol (82681) | $174.75 | $233 | 6.3× |
| Assay Nephelometry Not Spec (83883) | $103.50 | $138 | 7.6× |
| Assay of 5-hiaa (83497) | $80.25 | $107 | 6.2× |
| Assay of anti-mullerian hormone (82166) | $248.25 | $331 | 6.4× |
| Assay of blood/uric acid (84550) | $42 | $56 | 9.3× |
| Assay of calcium in urine (82340) | $53.25 | $71 | 8.8× |
| Assay of corticosterone (82528) | $195 | $260 | 8.7× |
| Assay of cpk in blood (82552) | $117 | $156 | 8.7× |
| Assay of estrone (82679) | $154.50 | $206 | 6.2× |
| Assay of g6pd enzyme (82955) | $54.75 | $73 | 5.6× |
| Assay of gammaglobulin igm (82784) | $48.75 | $65 | 5.2× |
| Assay of lactic acid (83605) | $79.50 | $106 | 6.9× |
| Assay of metanephrines (83835) | $107.25 | $143 | 6.3× |
| Assay of serum potassium (84132) | $33 | $44 | 6.9× |
| Assay of urea nitrogen (84520) | $24.75 | $33 | 6.3× |
| Assay of urine vma (84585) | $96.75 | $129 | 6.2× |
| Assay of vasoactive intestinal peptide (84586) | $133.50 | $178 | 3.8× |
| Assay of vitamin b-1 (84425) | $132.75 | $177 | 6.3× |
| Automated Leukocyte Count (85048) | $18 | $24 | 7.1× |
| B cells total count (86355) | $141 | $188 | 3.7× |
| Babesia microti amp prb (87469) | $225.75 | $301 | 6.4× |
| Bartonella antibody (86611) | $61.50 | $82 | 6.0× |
| Bcr/abl1 gene major bp (81206) | $613.50 | $818 | 3.7× |
| Beta 2 glycoprotein i antibody each (86146) | $97.50 | $130 | 3.8× |
| Beta hydroxybutyrate (82010) | $61.50 | $82 | 7.5× |
| Beta-2 Microglobulin (82232) | $101.25 | $135 | 6.3× |
| Bile acids total (82239) | $108.75 | $145 | 6.4× |
| Bilirubin direct (82248) | $32.25 | $43 | 6.4× |
| Bilirubin total (82247) | $38.25 | $51 | 7.6× |
| Blood Count Automated Differential Wbc Count (85004) | $44.25 | $59 | 6.8× |
| Blood count reticulocyte automated (85045) | $31.50 | $42 | 7.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $25.50 | $34 | 6.7× |
| Blood gas (82803) | $153 | $204 | 5.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $129.75 | $173 | 8.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $125.25 | $167 | 19.7× |
| Blood typing serologic abo (86900) | $70.50 | $94 | 23.6× |
| Borrelia Antibody (86619) | $114.75 | $153 | 8.6× |
| C diff amplified probe (87493) | $166.50 | $222 | 4.5× |
| C-Peptide (84681) | $182.25 | $243 | 8.8× |
| C-reactive protein (86140) | $45.75 | $61 | 8.8× |
| Ca 19-9 (86301) | $96.75 | $129 | 4.6× |
| Cadmium (82300) | $144 | $192 | 6.1× |
| Calcitonin (82308) | $165.75 | $221 | 6.2× |
| Calcium ionized (82330) | $114.75 | $153 | 8.4× |
| Calcium total (82310) | $45 | $60 | 8.7× |
| Calculus Spectroscopy (82365) | $112.50 | $150 | 8.7× |
| Calprotectin Fecal (83993) | $170.25 | $227 | 8.7× |
| Cancer Antigen 125 (86304) | $183.75 | $245 | 8.8× |
| Cancer Antigen 27.29 (86300) | $130.50 | $174 | 6.3× |
| Candida antibody (86628) | $73.50 | $98 | 6.1× |
| Carbamazepine total (80156) | $90 | $120 | 6.2× |
| Carcinoembryonic antigen (82378) | $119.25 | $159 | 6.3× |
| Cardiolipin ab iga (86147) | $98.25 | $131 | 3.9× |
| Carnitine Quantitative Each Specimen (82379) | $90 | $120 | 5.3× |
| Catecholamines fractionated (82384) | $156 | $208 | 6.2× |
| Catecholamines total urine (82382) | $107.25 | $143 | 3.9× |
| Ccp antibody (86200) | $79.50 | $106 | 6.1× |
| Cell count csf (89051) | $47.25 | $63 | 8.4× |
| Ceruloplasmin (82390) | $69.75 | $93 | 6.5× |
| Chemiluminescent assay (82397) | $90 | $120 | 6.4× |
| Chloride Serum (82435) | $30 | $40 | 6.5× |
| Chloride urine (82436) | $35.25 | $47 | 6.1× |
| Cholesterol total (82465) | $27 | $36 | 6.2× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $487.50 | $650 | 8.7× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $477.75 | $637 | 9.3× |
| Chorionic gonadotropin test (84702) | $130.50 | $174 | 8.7× |
| Chromium serum (82495) | $124.50 | $166 | 6.1× |
| Chromogranin a (86316) | $129.75 | $173 | 6.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $159 | $212 | 4.5× |
| Ckmb (82553) | $62.25 | $83 | 5.4× |
| Clostridium Difficile (87324) | $77.25 | $103 | 6.4× |
| Clotting factor xii hageman (85280) | $165.75 | $221 | 8.6× |
| Clotting Funct Activity (85397) | $201.75 | $269 | 6.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,970.25 | $2,627 | 4.7× |
| Coagulation time activated (85347) | $33.75 | $45 | 7.9× |
| Coccidioides antibody (86635) | $86.25 | $115 | 7.5× |
| Cold agglutinin screen (86156) | $56.25 | $75 | 7.0× |
| Collagen crosslinks (82523) | $113.25 | $151 | 6.1× |
| Column Chromotography Quant (82542) | $165.75 | $221 | 6.9× |
| Complement Antigen Each Component (86160) | $107.25 | $143 | 8.9× |
| Complement Total (Ch50) (86162) | $129 | $172 | 6.3× |
| Complement/Function Activity (86161) | $74.25 | $99 | 6.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $126.75 | $169 | 2.8× |
| Coombs direct (86880) | $51 | $68 | 9.5× |
| Copper urine (82525) | $77.25 | $103 | 6.2× |
| Cortisol free (82530) | $72 | $96 | 4.3× |
| Cortisol saliva (82533) | $142.50 | $190 | 8.7× |
| Creatine kinase total (82550) | $45 | $60 | 6.9× |
| Creatinine blood (82565) | $33 | $44 | 6.4× |
| Creatinine clearance (82575) | $56.25 | $75 | 5.9× |
| Creatinine Urine (82570) | $45.75 | $61 | 8.8× |
| Crossmatch immediate spin (86920) | $164.25 | $219 | 0.8× |
| Crp High Sensitivity (86141) | $80.25 | $107 | 6.2× |
| Cryofibrinogen (82585) | $51.75 | $69 | 3.7× |
| Cryoglobulin (82595) | $43.50 | $58 | 6.7× |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$102.75–$294.75 | $137–$393 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $45.75 | $61 | 5.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $44.25 | $59 | 5.5× |
| Culture afb (87116) | $79.50 | $106 | 7.4× |
| Culture Anaerobic (87075) | $71.25 | $95 | 7.5× |
| Culture blood (87040) | $78 | $104 | 7.6× |
| Culture csf (87070) | $75 | $100 | 8.7× |
| Culture fungus blood (87103) | $102 | $136 | 5.0× |
| Culture screen only (87081) | $56.25 | $75 | 8.5× |
| Culture stool (87045) | $78 | $104 | 8.3× |
| Culture urine (87086) | $71.25 | $95 | 8.8× |
| Cyclosporine (80158) | $123.75 | $165 | 6.9× |
| Cystatin C (82610) | $72 | $96 | 3.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,837.50 | $2,450 | 1.6× |
| Cytomegalovirus igg (86644) | $90.75 | $121 | 6.3× |
| Cytopath Cell Enhance Tech (88112) | $270.75 | $361 | 4.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $234 | $312 | 8.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $207.75 | $277 | 3.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $207.75 | $277 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $2,200.50 | $2,934 | 10.8× |
| Deoxyribonuclease antibody (86215) | $83.25 | $111 | 6.3× |
| Detect Agent Nos Dna Amp (87798) | $173.25 | $231 | 4.9× |
| Detect Agent Nos Dna Quant (87799) | $294 | $392 | 6.9× |
| Detect agnt mult DNA ampli (87801) | $351 | $468 | 5.0× |
| Dgp Antibody Each Ig Class (86258) | $73.50 | $98 | 6.1× |
| Dhea (82626) | $155.25 | $207 | 6.1× |
| Dhea-S (82627) | $136.50 | $182 | 6.1× |
| Digoxin (80162) | $102.75 | $137 | 7.7× |
| Dihydrotestosterone (82642) | $142.50 | $190 | 4.9× |
| Dipropylacetic Acid Free (80165) | $90.75 | $121 | 6.7× |
| Dna Antibody Native/Double Stranded (86225) | $85.50 | $114 | 6.2× |
| Dpyd gene common variants (81232) | $1,095 | $1,460 | 6.3× |
| Drug assay acetaminophen (80143) | $89.25 | $119 | 4.8× |
| Drug assay adalimumab (80145) | $172.50 | $230 | 4.5× |
| Drug Assay Everolimus (80169) | $73.50 | $98 | 5.4× |
| Drug Assay Infliximab (80230) | $172.50 | $230 | 4.5× |
| Drug Assay Itraconazole (80189) | $169.50 | $226 | 6.3× |
| Drug Assay Lacosamide (80235) | $100.50 | $134 | 3.7× |
| Drug Assay Posaconazole (80187) | $168.75 | $225 | 6.2× |
| Drug Assay Vedolizumab (80280) | $169.50 | $226 | 4.4× |
| Drug assay voriconazole (80285) | $168.75 | $225 | 6.2× |
| Drug Asy Hydroxychloroquine (80220) | $116.25 | $155 | 6.2× |
| Drug Screen Quant Clozapine (80159) | $113.25 | $151 | 5.6× |
| Drug Screen Quant Zonisamide (80203) | $79.50 | $106 | 6.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $113.25 | $151 | 8.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $112.50 | $150 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $83.25 | $111 | 6.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $319.50 | $426 | 5.1× |
| Ehrlichia antibody (86666) | $60 | $80 | 5.9× |
| El-1 Fecal Quantitative (82653) | $143.25 | $191 | 6.2× |
| Electrolyte panel (80051) | $45.75 | $61 | 6.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $76.50 | $102 | 6.3× |
| Enterovirus PCR (87498) | $219 | $292 | 6.2× |
| Enzyme cell activity (82657) | $129.75 | $173 | 5.9× |
| Eosinophil Smear (89190) | $39.75 | $53 | 6.9× |
| Erythropoietin (82668) | $117 | $156 | 6.2× |
| Estradiol serum (82670) | $244.50 | $326 | 8.8× |
| Estrogen total (82672) | $132.75 | $177 | 6.1× |
| Exam Synovial Fluid Crystals (89060) | $45.75 | $61 | 6.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$83.25–$192.75 | $111–$257 | varies |
| Factor ii activity (85210) | $111.75 | $149 | 8.6× |
| Factor ix activity (85250) | $164.25 | $219 | 8.6× |
| Factor v activity (85220) | $114.75 | $153 | 6.5× |
| Factor v leiden mutation (81241) | $231.75 | $309 | 3.2× |
| Factor vii assay (85230) | $142.50 | $190 | 8.0× |
| Factor viii assay (85240) | $114.75 | $153 | 6.4× |
| Factor X (85260) | $153 | $204 | 8.5× |
| Factor xi activity (85270) | $117.75 | $157 | 6.6× |
| Fat/Lipids Feces Quantitative (82710) | $105 | $140 | 6.3× |
| Fatty acids free (82725) | $93 | $124 | 5.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $152.25 | $203 | 8.9× |
| Fecal Fat Qualitative (82705) | $45 | $60 | 8.8× |
| Ferritin (82728) | $117 | $156 | 8.6× |
| Fetal Fibronectin (82731) | $408 | $544 | 6.3× |
| Fibrin Degradation Quant (85379) | $89.25 | $119 | 8.8× |
| Fibrinogen activity (85384) | $54.75 | $73 | 5.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $44.25 | $59 | 2.9× |
| Flow cytometry first marker (88184) | $151.50 | $202 | 0.4× |
| Fluorescent antibody screen (86255) | $60 | $80 | 5.0× |
| Folic acid rbc (82747) | $99 | $132 | 5.6× |
| Folic Acid Serum (82746) | $93 | $124 | 6.3× |
| Follicle Stimulating Hormone (83001) | $163.50 | $218 | 8.8× |
| Francisella tularensis (86668) | $74.25 | $99 | 5.2× |
| Frozen Section (88331) | $215.25 | $287 | 1.1× |
| Fungi Identification Mold (87107) | $69.75 | $93 | 6.8× |
| Fungi Identification Yeast (87106) | $91.50 | $122 | 8.9× |
| Gammaglobulin ige (82785) | $102 | $136 | 6.2× |
| Gastrin (82941) | $111 | $148 | 6.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $3,505.50 | $4,674 | 8.4× |
| Genet Virus Isolate Hsv (87255) | $207.75 | $277 | 6.1× |
| Ggt (82977) | $45 | $60 | 6.3× |
| Glucagon (82943) | $126.75 | $169 | 8.9× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $464.25 | $619 | 9.2× |
| Glucose 2 hr pp (82950) | $29.25 | $39 | 6.2× |
| Glucose Blood Test (82962) | $20.25 | $27 | 6.2× |
| Glucose body fluid (82945) | $27 | $36 | 6.9× |
| Glucose Serum (82947) | $31.50 | $42 | 8.0× |
| Glucose tolerance test (gtt) (82951) | $79.50 | $106 | 6.2× |
| Glycated Protein (82985) | $90.75 | $121 | 5.4× |
| Gonadotropin Chorionic Qualitative (84703) | $54 | $72 | 7.2× |
| Growth hormone (83003) | $103.50 | $138 | 6.2× |
| Gtt-added samples (82952) | $25.50 | $34 | 6.5× |
| H Pylori (C-13) Breath (83013) | $414.75 | $553 | 6.2× |
| H pylri clrthmcn rst amp prb (87513) | $696 | $928 | 19.8× |
| Haptoglobin (83010) | $85.50 | $114 | 6.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $1,270.50 | $1,694 | 6.3× |
| Hdl Cholesterol (83718) | $51 | $68 | 6.2× |
| Helicobacter Pylori Stool (87338) | $102 | $136 | 7.1× |
| Helminth Antibody (86682) | $86.25 | $115 | 6.6× |
| Hematocrit (85014) | $19.50 | $26 | 8.2× |
| Hemoglobin (85018) | $20.25 | $27 | 8.5× |
| Hemoglobin a1c (83036) | $84 | $112 | 8.7× |
| Hemoglobin Chromotography (83021) | $114 | $152 | 6.3× |
| Hemoglobin electrophoresis (83020) | $79.50 | $106 | 6.2× |
| Hep a ab igm (86709) | $99 | $132 | 8.8× |
| Heparin assay (85520) | $111.75 | $149 | 8.5× |
| Hepatitis a antibody total (86708) | $99.75 | $133 | 8.1× |
| Hepatitis b core ab igm (86705) | $75.75 | $101 | 6.4× |
| Hepatitis b core ab total (86704) | $104.25 | $139 | 8.7× |
| Hepatitis B Surface Antibody (86706) | $91.50 | $122 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $64.50 | $86 | 6.2× |
| Hepatitis Be Antibody (86707) | $72 | $96 | 6.2× |
| Hepatitis Be Antigen (87350) | $72 | $96 | 6.2× |
| Hepatitis C Antibody (86803) | $78 | $104 | 5.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $375.75 | $501 | 8.8× |
| Hepatitis Delta Agent Antibody (86692) | $103.50 | $138 | 6.0× |
| Herpes simplex type 2 (86696) | $119.25 | $159 | 6.2× |
| Heterophile Antibody Screen (86308) | $34.50 | $46 | 6.7× |
| Hfe Gene (81256) | $337.50 | $450 | 5.2× |
| Histamine urine (83088) | $183 | $244 | 6.2× |
| Histoplasma antibody (86698) | $83.25 | $111 | 6.0× |
| Hiv Genotype (87901) | $1,009.50 | $1,346 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $200.25 | $267 | 8.3× |
| Hiv-1 Antibody (86701) | $55.50 | $74 | 6.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $489 | $652 | 5.7× |
| Hla ii typing 1 locus lr (81376) | $738.75 | $985 | 6.0× |
| Hla-b27 (86812) | $158.25 | $211 | 6.1× |
| Homocysteine (83090) | $147 | $196 | 8.2× |
| Homogenization Tissue (87176) | $44.25 | $59 | 7.5× |
| Homovanillic acid urine (83150) | $111.75 | $149 | 5.0× |
| Hpv High-Risk Types (87624) | $227.25 | $303 | 6.5× |
| Hpv Types 16 & 18 Only (87625) | $159 | $212 | 3.9× |
| Hsv Dna Amp Probe (87529) | $169.50 | $226 | 4.8× |
| Hsv Dna Quant (87530) | $378 | $504 | 8.8× |
| Htlv-I Antibody (86687) | $73.50 | $98 | 8.1× |
| Hydroxycorticosteroids 17 (83491) | $153 | $204 | 8.5× |
| Hydroxyprogesterone 17-d (83498) | $168 | $224 | 6.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $101.25 | $135 | 8.5× |
| Iaad ia shiga-like toxin (87427) | $73.50 | $98 | 6.1× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $102 | $136 | 8.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $225.75 | $301 | 6.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $182.25 | $243 | 5.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $225.75 | $301 | 6.4× |
| Iadna Cytomegalovirus Quantification (87497) | $238.50 | $318 | 5.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $225.75 | $301 | 6.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $267 | $356 | 6.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $225.75 | $301 | 6.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $179.25 | $239 | 5.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $159 | $212 | 4.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $600 | $800 | 4.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,943.25 | $2,591 | 7.4× |
| Ig Light Chains Free Each (83521) | $108.75 | $145 | 6.3× |
| Igg subclasses (82787) | $43.50 | $58 | 5.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $389.25 | $519 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $196.50 | $262 | 6.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $84.75 | $113 | 4.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $133.50 | $178 | 8.9× |
| Immunoassay nonantibody (83516) | $104.25 | $139 | 9.0× |
| Immunofixation electrophoresis (86334) | $139.50 | $186 | 6.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $279.75 | $373 | 1.4× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$255.75–$270.75 | $341–$361 | varies |
| In situ hybridization 1st probe stain (88365) | $462.75 | $617 | 2.3× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $107.25 | $143 | 8.8× |
| Influenza DNA amp probe (87502) | $494.25 | $659 | 5.2× |
| Inhibin A (86336) | $96 | $128 | 6.2× |
| Inhibin b (83520) range across 39 matching MRF lines |
$110.25–$116.25 | $147–$155 | varies |
| Insitu hybridization manual (88368) | $658.50 | $878 | 1.5× |
| Insulin antibodies (86337) | $140.25 | $187 | 6.6× |
| Insulin free (83527) | $79.50 | $106 | 6.1× |
| Insulin total (83525) | $72 | $96 | 6.3× |
| Interleukin-6 (83529) | $108.75 | $145 | 6.3× |
| Intrinsic factor antibody (86340) | $93 | $124 | 6.2× |
| Iron (83540) | $44.25 | $59 | 6.8× |
| Iron Binding Capacity (83550) | $53.25 | $71 | 6.1× |
| Islet cell antibody (86341) | $93 | $124 | 3.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $355.50 | $474 | 3.9× |
| Lactate (ld) (ldh) enzyme (83615) | $45 | $60 | 7.5× |
| Lactoferrin fecal qualitative (83630) | $128.25 | $171 | 6.5× |
| Lactoferrin Fecal Quantitative (83631) | $120 | $160 | 6.1× |
| LDL direct (83721) | $54 | $72 | 5.1× |
| Lead (83655) | $105.75 | $141 | 8.7× |
| Legionella antigen urine (87449) | $84 | $112 | 7.0× |
| Leukocyte Assessment Fecal (89055) | $25.50 | $34 | 6.0× |
| Leukocyte Histamine Release (86343) | $78.75 | $105 | 6.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $93.75 | $125 | 2.7× |
| Level ii surg pathology grossµscopic exam (88302) | $101.25 | $135 | 2.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $609 | $812 | 1.4× |
| Lipase (83690) | $60.75 | $81 | 8.8× |
| Lipoprotein A (83695) | $113.25 | $151 | 7.9× |
| Lithium (80178) | $57 | $76 | 8.6× |
| Luteinizing Hormone (Lh) (83002) | $163.50 | $218 | 8.8× |
| Lyme disease antibody (86618) | $126.75 | $169 | 7.4× |
| Lymphocyte transformation (86353) | $432 | $576 | 8.8× |
| Lysozyme serum (85549) | $115.50 | $154 | 6.2× |
| M. Genitalium Amp Probe (87563) | $232.50 | $310 | 6.6× |
| Macroscopic exam arthropod (87168) | $27 | $36 | 6.3× |
| Magnesium Urine (83735) | $47.25 | $63 | 7.1× |
| Mass Spectrometry Quant (83789) | $116.25 | $155 | 4.8× |
| Mercury urine (83825) | $101.25 | $135 | 6.2× |
| Methylmalonic acid serum (83921) | $143.25 | $191 | 6.8× |
| Microalbumin, quantitative (82043) | $34.50 | $46 | 6.0× |
| Microsomal Antibodies Each (86376) | $89.25 | $119 | 6.1× |
| Mitochondrial Antibody Each (86381) | $159 | $212 | 6.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $76.50 | $102 | 2.0× |
| Mononuclear cell antigen (86356) | $78 | $104 | 2.9× |
| Mopath procedure level 2 (81401) | $594 | $792 | 4.3× |
| Mopath procedure level 4 (81403) | $970.50 | $1,294 | 5.2× |
| Mopath procedure level 5 (81404) | $1,365.75 | $1,821 | 5.0× |
| Mrsa Pcr (87641) | $139.50 | $186 | 4.0× |
| Mumps antibody (86735) | $114.75 | $153 | 8.8× |
| Muscle-Specific Kinase Antb (86366) | $117.75 | $157 | 6.4× |
| Mycoplasma antibody (86738) | $70.50 | $94 | 5.3× |
| Myoglobin urine (83874) | $112.50 | $150 | 8.7× |
| Natriuretic peptide (83880) | $290.25 | $387 | 7.4× |
| Neurofilament light chain (83884) | $897.75 | $1,197 | 7.7× |
| Neutralization Test Viral (86382) | $103.50 | $138 | 6.1× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $384.75 | $513 | 2.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $223.50 | $298 | 3.1× |
| Nk cells total count (86357) | $101.25 | $135 | 2.7× |
| Nuclear antigen antibody (86235) | $133.50 | $178 | 7.4× |
| Oligoclonal bands (83916) | $131.25 | $175 | 4.8× |
| Osmolality serum (83930) | $47.25 | $63 | 7.1× |
| Osmolality Urine (83935) | $48.75 | $65 | 7.1× |
| Ova and parasites smears (87177) | $75.75 | $101 | 8.5× |
| Parvovirus antibody (86747) | $60.75 | $81 | 4.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $195.75 | $261 | 0.2× |
| Pathology Consultation During Surgery (88329) | $87 | $116 | 1.2× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $404.25 | $539 | 9.2× |
| Ph urine (81003) | $23.25 | $31 | 10.3× |
| Phenotype Infect Agent Drug (87900) | $795.75 | $1,061 | 6.1× |
| Phenytoin (Dilantin) (80185) | $83.25 | $111 | 6.3× |
| Phosphatase alkaline (84075) | $34.50 | $46 | 6.7× |
| Phospholipid Neutralization Hexagonal (85598) | $67.50 | $90 | 3.8× |
| Phosphorus Serum (84100) | $34.50 | $46 | 7.3× |
| Phosphorus urine (84105) | $32.25 | $43 | 5.6× |
| Pinworm exam (87172) | $30 | $40 | 7.0× |
| Platelet count automated (85049) | $39.75 | $53 | 8.9× |
| Platelet neutralization (85597) | $72 | $96 | 4.0× |
| Porphobilinogen, urine; quantitative (84110) | $59.25 | $79 | 7.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $105.75 | $141 | 7.2× |
| Potassium Urine (84133) | $32.25 | $43 | 6.8× |
| Prealbumin (84134) | $94.50 | $126 | 6.5× |
| Pregnenolone (84140) | $126 | $168 | 6.1× |
| Procalcitonin (Pct) (84145) | $138 | $184 | 5.1× |
| Progesterone (84144) | $130.50 | $174 | 6.3× |
| Prolactin (84146) | $168.75 | $225 | 8.7× |
| Prostaglandin (84150) | $219.75 | $293 | 5.3× |
| Protein body fluid (84157) | $30.75 | $41 | 7.7× |
| Protein C Activity (85303) | $107.25 | $143 | 7.7× |
| Protein c antigen (85302) | $102 | $136 | 8.5× |
| Protein Electrophoresis Urine (84166) | $117.75 | $157 | 6.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $69 | $92 | 6.4× |
| Protein S Free (85306) | $101.25 | $135 | 6.6× |
| Protein s total (85305) | $74.25 | $99 | 6.4× |
| Protein total serum (84155) | $23.25 | $31 | 6.3× |
| Protein Total Urine (84156) | $31.50 | $42 | 8.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $31.50 | $42 | 8.0× |
| PSA free (84154) | $114 | $152 | 6.2× |
| Pth Intact (83970) | $255.75 | $341 | 6.2× |
| Q Fever Antibody (86638) | $103.50 | $138 | 8.5× |
| Quantiferon tb gold plus (86480) | $315.75 | $421 | 5.1× |
| Quantitative assay drug (80299) range across 44 matching MRF lines |
$42–$798.75 | $56–$1,065 | varies |
| Quantitative Screen Metals (83018) | $137.25 | $183 | 6.3× |
| Rbc antibody identification (86870) | $172.50 | $230 | 0.4× |
| Rbc antibody screen (86850) | $111.75 | $149 | 11.4× |
| Renin activity plasma (84244) | $137.25 | $183 | 6.2× |
| Reptilase test (85635) | $83.25 | $111 | 8.5× |
| Rh (86901) | $60 | $80 | 20.1× |
| Rheumatoid factor quant (86431) | $49.50 | $66 | 8.7× |
| Rickettsia antibody (86757) | $105.75 | $141 | 5.5× |
| Ristocetin cofactor (85245) | $141.75 | $189 | 6.2× |
| Rotavirus ag eia (87425) | $73.50 | $98 | 6.1× |
| Rpr qualitative (86592) | $27.75 | $37 | 6.5× |
| Rubella Antibody (86762) | $88.50 | $118 | 6.2× |
| Rubeola antibody (86765) | $113.25 | $151 | 8.8× |
| Russell Viper Venom Time Diluted (85613) | $53.25 | $71 | 5.6× |
| Salicylate Level (80179) | $88.50 | $118 | 4.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$112–$160 | $112–$160 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $358.50 | $478 | 2.5× |
| Sedimentation Rate, Automated (85652) | $24.75 | $33 | 9.2× |
| Selenium (84255) | $160.50 | $214 | 6.3× |
| Semen Anal Sperm Detection (89321) | $105 | $140 | 8.7× |
| Sensitivity mic (87186) | $62.25 | $83 | 7.2× |
| Sex Hormone Binding Globulin (84270) | $133.50 | $178 | 6.1× |
| Sickling of rbc reduction (85660) | $33.75 | $45 | 6.1× |
| Sirolimus (80195) | $53.25 | $71 | 3.9× |
| Skin test tuberculosis intradermal (86580) | $53.25 | $71 | 1.5× |
| Smear acid fast (87206) | $37.50 | $50 | 7.0× |
| Smear complex stain (87209) | $83.25 | $111 | 4.6× |
| Smear gram stain (87205) | $30.75 | $41 | 7.2× |
| Smear Special Stain (87207) | $43.50 | $58 | 7.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27 | $36 | 4.6× |
| Sodium Serum (84295) | $33.75 | $45 | 7.0× |
| Sodium Urine (84300) | $33.75 | $45 | 6.7× |
| Somatomedin (84305) | $147.75 | $197 | 6.9× |
| Somatostatin (84307) | $144 | $192 | 7.9× |
| Special Stains Group 1 (88312) | $263.25 | $351 | 4.2× |
| Special Stains Group 2 (88313) | $153.75 | $205 | 1.0× |
| Staph a DNA amp probe (87640) | $165.75 | $221 | 4.7× |
| Stool cultr aerobic bact ea (87046) | $57 | $76 | 6.0× |
| Strep a assay w/optic (87880) | $102 | $136 | 6.2× |
| Strep a DNA amp probe (87651) | $225.75 | $301 | 6.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $77.25 | $103 | 0.8× |
| Sugars Single Qual (84376) | $49.50 | $66 | 9.0× |
| Surg path level iii (88304) | $269.25 | $359 | 4.3× |
| Surgical pathology level IV (88305) | $264 | $352 | 4.2× |
| Surgical pathology level vi (88309) | $911.25 | $1,215 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $32.25 | $43 | 6.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $49.50 | $66 | 6.6× |
| Syphilis Test Non-Trep Quant (86593) | $33.75 | $45 | 7.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $155.25 | $207 | 3.3× |
| T cells total count (86359) | $142.50 | $190 | 3.8× |
| T3 Free (84481) | $106.50 | $142 | 6.3× |
| T3 reverse (84482) | $131.25 | $175 | 8.3× |
| T3 Total (84480) | $88.50 | $118 | 6.2× |
| T3 Uptake (84479) | $57 | $76 | 8.8× |
| T4 Free (84439) | $77.25 | $103 | 8.6× |
| T4 total (84436) | $44.25 | $59 | 6.4× |
| Tacrolimus (80197) | $73.50 | $98 | 5.4× |
| Testosterone total (84403) | $158.25 | $211 | 6.1× |
| Testosterone, Free (84402) | $222.75 | $297 | 8.7× |
| Tetanus antibody (86774) | $79.50 | $106 | 5.4× |
| Thiopurine methyltransferase (84433) | $141.75 | $189 | 6.4× |
| Thrombin Time (85670) | $36 | $48 | 6.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $56.25 | $75 | 8.7× |
| Thyroglobulin (84432) | $99.75 | $133 | 6.2× |
| Thyroglobulin Antibody (86800) | $90.75 | $121 | 5.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $317.25 | $423 | 6.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $462.75 | $617 | 9.2× |
| Thyroxine binding globulin (84442) | $93 | $124 | 6.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $73.50 | $98 | 6.4× |
| Tissue Culture Lymphocyte (88230) | $371.25 | $495 | 3.2× |
| Topiramate (80201) | $75.75 | $101 | 6.4× |
| Toxoplasma ab igm (86778) | $90.75 | $121 | 6.3× |
| Toxoplasma antibody (86777) | $90.75 | $121 | 6.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $33 | $44 | 6.4× |
| Transferrin (84466) | $81 | $108 | 6.3× |
| Trichomonas Vaginalis Amplif (87661) | $167.25 | $223 | 4.8× |
| Triglycerides (84478) | $36.75 | $49 | 6.4× |
| Troponin Quant (84484) | $82.50 | $110 | 6.6× |
| Tumor Immunohistochem/Manual (88360) | $294 | $392 | 1.4× |
| Urea nitrogen urine (84540) | $37.50 | $50 | 6.7× |
| Urinalysis Volume Measure (81050) | $26.25 | $35 | 7.2× |
| Urine Pregnancy Test (81025) | $54.75 | $73 | 6.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $27.75 | $37 | 8.8× |
| Valproic acid (80164) | $121.50 | $162 | 9.0× |
| Vancomycin (80202) | $111.75 | $149 | 8.3× |
| Varicella-zoster antibody (86787) | $113.25 | $151 | 8.8× |
| Virus antibody nos (86790) | $62.25 | $83 | 4.8× |
| Vit D 1 25-Dihydroxy (82652) | $243.75 | $325 | 6.3× |
| Vitamin A (84590) | $102.75 | $137 | 8.9× |
| Vitamin b-12 (82607) | $129.75 | $173 | 8.6× |
| Vitamin B2 (Riboflavin) (84252) | $123.75 | $165 | 6.1× |
| Vitamin B6 (84207) | $171 | $228 | 6.1× |
| Vitamin c (82180) | $63 | $84 | 6.4× |
| Vitamin D 25-Hydroxy (82306) | $261.75 | $349 | 8.8× |
| Vitamin E (84446) | $90 | $120 | 6.3× |
| Vitamin K (84597) | $116.25 | $155 | 8.5× |
| Von willebrand factor ag (85246) | $141 | $188 | 6.1× |
| West nile virus ab igm (86788) | $123 | $164 | 7.3× |
| West Nile Virus Antibody (86789) | $102 | $136 | 7.1× |
| Zinc (84630) | $72 | $96 | 6.3× |
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.