Lab & pathology prices at North Sunflower Medical Center
Ruleville, MS · every code in this section with a posted price and a Medicare benchmark.
494 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $25 | $50 | 1.1× |
| 5 Nucleotidase (83915) | $22.50 | $45 | 2.0× |
| Acth (82024) | $117 | $234 | 3.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $28 | $56 | 0.9× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $66.50 | $133 | 0.8× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $66.50 | $133 | 0.8× |
| Acute hepatitis panel (80074) | $62 | $124 | 1.3× |
| Albumin Fluid (82042) | $20 | $40 | 2.6× |
| Albumin serum (82040) range across 2 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Aldosterone urine (82088) | $133 | $266 | 3.3× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$17.50–$35 | $35–$70 | varies |
| Allergen specific ige (86003) | $11.50 | $23 | 2.2× |
| Allg Spec Ige Recomb Ea (86008) | $20 | $40 | 1.1× |
| Alpha-Fetoprotein Serum (82105) | $51.50 | $103 | 3.1× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$5–$29 | $10–$58 | varies |
| Amikacin trough (80150) | $61.50 | $123 | 4.1× |
| Ammonia (82140) | $105 | $210 | 7.2× |
| Amylase urine (82150) range across 3 matching MRF lines |
$7.50–$90 | $15–$180 | varies |
| Anca Titer Each Antibody (86037) | $25 | $50 | 2.1× |
| Androstenedione (82157) | $60 | $120 | 2.0× |
| Angiotensin converting enzyme csf (82164) | $59 | $118 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $50.50 | $101 | 3.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $36.50 | $73 | 2.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $115.50 | $231 | 8.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $115.50 | $231 | 7.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $115.50 | $231 | 6.4× |
| Antibody haemophilus influenza (86684) | $37.50 | $75 | 2.4× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$17.50–$58 | $35–$116 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $71.50 | $143 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) | $12 | $24 | 0.9× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$12.50–$84.50 | $25–$169 | varies |
| Antibody HIV-2 (86702) | $56 | $112 | 4.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $55 | $110 | 2.8× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$30–$133 | $60–$266 | varies |
| Antibody Treponema Pallidum (86780) | $80 | $160 | 6.0× |
| Antibody; influenza virus (86710) | $48.25 | $96.50 | 3.6× |
| Antigen typing (86905) | $54.50 | $109 | 14.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $18.50 | $37 | 3.2× |
| Antinuclear antibodies (86038) | $47.50 | $95 | 3.9× |
| Antistreptolysin o titer (86060) | $36 | $72 | 4.9× |
| Antithrombin iii activity (85300) | $50 | $100 | 4.2× |
| Antithrombin iii antigen (85301) | $120 | $240 | 11.1× |
| Arsenic (82175) | $133 | $266 | 7.0× |
| Assay activated protein c (85307) | $25 | $50 | 1.6× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$5–$22 | $10–$44 | varies |
| Assay Blood Catecholamines (82383) | $100 | $200 | 3.4× |
| Assay Nephelometry Not Spec (83883) | $74 | $148 | 5.4× |
| Assay of 5-hiaa (83497) | $26.50 | $53 | 2.1× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$5–$12 | $10–$24 | varies |
| Assay of calcium in urine (82340) | $27.50 | $55 | 4.6× |
| Assay of cpk in blood (82552) | $54.50 | $109 | 4.1× |
| Assay of estrone (82679) | $75 | $150 | 3.0× |
| Assay of g6pd enzyme (82955) | $10 | $20 | 1.0× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$49.50–$61.50 | $99–$123 | varies |
| Assay of lactic acid (83605) | $60.50 | $121 | 5.2× |
| Assay of metanephrines (83835) | $142.50 | $285 | 8.4× |
| Assay of phosphatase acid total (84060) | $32 | $64 | 4.2× |
| Assay of procainamide (80190) | $48.50 | $97 | 0.8× |
| Assay of serotonin (84260) | $35 | $70 | 1.1× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$5–$22 | $10–$44 | varies |
| Assay of transcortin (84449) | $41.50 | $83 | 2.3× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Assay of vitamin b-1 (84425) | $22.50 | $45 | 1.1× |
| Assay Ph Body Fluid Nos (83986) | $2 | $4 | 0.6× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$2.50–$19.50 | $5–$39 | varies |
| Bcr/abl1 gene major bp (81206) | $175 | $350 | 1.1× |
| Bcr/abl1 gene minor bp (81207) | $150 | $300 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $120 | $240 | 4.7× |
| Beta hydroxybutyrate (82010) | $10 | $20 | 1.2× |
| Beta Lactamase (87185) | $12.50 | $25 | 2.6× |
| Beta-2 Microglobulin (82232) | $50 | $100 | 3.1× |
| Bile acids total (82239) | $61.50 | $123 | 3.6× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Bleeding time test (85002) | $17.50 | $35 | 3.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $4 | $8 | 0.8× |
| Blood count reticulocyte automated (85045) | $46 | $92 | 11.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$5–$60 | $10–$120 | varies |
| Blood gas (82803) | $157 | $314 | 6.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $19.50 | $39 | 1.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$5–$11.50 | $10–$23 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $54.50 | $109 | 3.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$18.50–$92 | $37–$184 | varies |
| Bordetella antibody (86615) | $80 | $160 | 6.1× |
| Brca1&2 gen full seq dup/del (81162) | $2,050 | $4,100 | 1.1× |
| C diff amplified probe (87493) | $72.50 | $145 | 1.9× |
| C-Peptide (84681) | $111 | $222 | 5.3× |
| C-reactive protein (86140) | $37 | $74 | 7.1× |
| Ca 19-9 (86301) | $91 | $182 | 4.4× |
| Cadmium (82300) | $66 | $132 | 2.8× |
| Calcitonin (82308) | $22.50 | $45 | 0.8× |
| Calcium ionized (82330) | $29 | $58 | 2.1× |
| Calcium total (82310) range across 2 matching MRF lines |
$5–$18 | $10–$36 | varies |
| Calprotectin Fecal (83993) | $57.50 | $115 | 2.9× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$108.50–$181.50 | $217–$363 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$83.50–$131.50 | $167–$263 | varies |
| Carbamazepine total (80156) | $53.50 | $107 | 3.7× |
| Carboxyhemoglobin (82375) | $63.50 | $127 | 5.2× |
| Carcinoembryonic antigen (82378) | $155 | $310 | 8.2× |
| Cardiolipin ab iga (86147) | $55 | $110 | 2.2× |
| Carotene (82380) | $10.50 | $21 | 1.1× |
| Catecholamines fractionated (82384) | $100 | $200 | 4.0× |
| Ccp antibody (86200) | $50.50 | $101 | 3.9× |
| Cell count csf (89051) | $25.50 | $51 | 4.6× |
| Ceruloplasmin (82390) | $48.50 | $97 | 4.5× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $200 | $400 | 1.2× |
| Chemiluminescent assay (82397) | $30 | $60 | 2.1× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$5–$30.50 | $10–$61 | varies |
| Chloride urine (82436) | $29 | $58 | 5.0× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$5–$17 | $10–$34 | varies |
| Cholinesterase rbc (82482) | $22.50 | $45 | 2.3× |
| Cholinesterase Serum (82480) | $25 | $50 | 3.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$15–$109 | $30–$218 | varies |
| Chromium serum (82495) | $66.50 | $133 | 3.3× |
| Chromogranin a (86316) | $50 | $100 | 2.4× |
| Chromosome Analysis 15-20 (88262) | $175 | $350 | 1.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $52.50 | $105 | 1.5× |
| Citric acid urine (82507) | $110 | $220 | 4.0× |
| Ckmb (82553) range across 2 matching MRF lines |
$12.50–$34 | $25–$68 | varies |
| Clostridium Difficile (87324) | $58 | $116 | 4.8× |
| Cold agglutinin titer (86157) | $45.50 | $91 | 5.6× |
| Collagen crosslinks (82523) | $37.50 | $75 | 2.0× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$90–$237.50 | $180–$475 | varies |
| Compatibility Each Unit Incubation (86921) | $38.50 | $77 | 0.3× |
| Compatibility test antiglob (86922) | $20 | $40 | 0.1× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$76.50–$272.50 | $153–$545 | varies |
| Complement Fixation Tests Each Antigen (86171) | $7.50 | $15 | 0.7× |
| Complement Total (Ch50) (86162) | $285.50 | $571 | 14.1× |
| Complement/Function Activity (86161) | $290.50 | $581 | 24.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $67.50 | $135 | 1.5× |
| Coombs direct (86880) | $22 | $44 | 4.1× |
| Copper urine (82525) | $55 | $110 | 4.4× |
| Cortisol free (82530) | $80 | $160 | 4.8× |
| Cortisol saliva (82533) | $59 | $118 | 3.6× |
| Creatine (82540) | $17.50 | $35 | 3.8× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$10–$24 | $20–$48 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Creatinine clearance (82575) | $44.50 | $89 | 4.7× |
| Creatinine Urine (82570) | $38.50 | $77 | 7.4× |
| Crossmatch immediate spin (86920) | $29 | $58 | 0.2× |
| Crp High Sensitivity (86141) | $40.50 | $81 | 3.1× |
| Cryoglobulin (82595) | $30.50 | $61 | 4.7× |
| Cryptococcus ag titer (87899) | $60 | $120 | 3.7× |
| Cryptosporidium ag eia (87328) | $60 | $120 | 4.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $19.50 | $39 | 2.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $32.50 | $65 | 4.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $37 | $74 | 4.8× |
| Culture afb (87116) | $42.50 | $85 | 3.9× |
| Culture Anaerobic (87075) | $62 | $124 | 6.5× |
| Culture blood (87040) | $83 | $166 | 8.0× |
| Culture chlamydia (87110) | $102.50 | $205 | 5.2× |
| Culture csf (87070) range across 2 matching MRF lines |
$43–$56.50 | $86–$113 | varies |
| Culture screen only (87081) | $41.50 | $83 | 6.3× |
| Culture stool (87045) | $80.50 | $161 | 8.5× |
| Cyclosporine (80158) | $174.50 | $349 | 9.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $335 | $670 | 0.3× |
| Cytomegalovirus igg (86644) | $28.50 | $57 | 2.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$20–$54 | $40–$108 | varies |
| Cytopath Cell Enhance Tech (88112) | $82.50 | $165 | 1.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $30 | $60 | 1.1× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $50 | $100 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $97.50 | $195 | 2.2× |
| Deoxycortisol (82634) | $30 | $60 | 1.0× |
| Deoxyribonuclease antibody (86215) | $74 | $148 | 5.6× |
| Desoxycorticosterone (82633) | $30 | $60 | 1.0× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$242–$392 | $484–$784 | varies |
| Detect Agent Nos Dna Quant (87799) | $37.50 | $75 | 0.9× |
| Dhea (82626) | $114.50 | $229 | 4.5× |
| Dhea-S (82627) | $50 | $100 | 2.2× |
| Digoxin (80162) | $116.50 | $233 | 8.8× |
| Dihydrotestosterone (82642) | $25 | $50 | 0.9× |
| Dna Antibody Native/Double Stranded (86225) | $70.50 | $141 | 5.1× |
| Dna Antibody Single Stranded (86226) | $218 | $436 | 18.0× |
| Dna/Rna Amplified Probe (87150) | $75 | $150 | 2.1× |
| DNA/RNA direct probe (87149) | $50 | $100 | 2.5× |
| Dna/Rna Sequencing (87153) | $150 | $300 | 1.3× |
| Drug Assay Infliximab (80230) | $50 | $100 | 1.3× |
| Drug Assay Itraconazole (80189) | $30 | $60 | 1.1× |
| Drug Assay Lacosamide (80235) | $50 | $100 | 1.8× |
| Drug Screen Quant Clozapine (80159) | $22.50 | $45 | 1.1× |
| Drug Screen Quantitative Gabapentin (80171) | $25 | $50 | 1.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $50 | $100 | 3.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $50 | $100 | 3.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $50 | $100 | 3.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $120 | $240 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$12.50–$45 | $25–$90 | varies |
| El-1 Fecal Quantitative (82653) | $50 | $100 | 2.2× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$7.50–$58 | $15–$116 | varies |
| Enterovirus Antibody (86658) | $60 | $120 | 4.6× |
| Enzyme histochemistry (88319) | $100 | $200 | 0.1× |
| Erythropoietin (82668) | $67.50 | $135 | 3.6× |
| Estradiol serum (82670) | $100 | $200 | 3.6× |
| Estriol (82677) | $36.50 | $73 | 1.5× |
| Estrogen total (82672) | $14.50 | $29 | 0.7× |
| Ethosuximide (80168) | $32.50 | $65 | 2.0× |
| Ethylene Glycol (82693) | $40 | $80 | 2.7× |
| Exam Synovial Fluid Crystals (89060) | $35 | $70 | 4.8× |
| F2 Gene (81240) | $100 | $200 | 1.5× |
| Factor ii activity (85210) | $17.50 | $35 | 1.3× |
| Factor Inhibitor Test (85335) | $32.50 | $65 | 2.5× |
| Factor vii assay (85230) | $130.50 | $261 | 7.3× |
| Factor viii assay (85240) | $80 | $160 | 4.5× |
| Factor xi activity (85270) | $20 | $40 | 1.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $30 | $60 | 1.7× |
| Fecal Fat Qualitative (82705) | $82 | $164 | 16.1× |
| Ferritin (82728) | $82.50 | $165 | 6.1× |
| Fetal hemoglobin assay qual (83033) | $7.50 | $15 | 0.9× |
| Fibrin degradation products (85362) | $20 | $40 | 2.9× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$10–$120 | $20–$240 | varies |
| Flecainide level (80181) | $25 | $50 | 1.3× |
| Flow cytometry first marker (88184) | $100 | $200 | 0.3× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$70–$91 | $140–$182 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $8 | $16 | 0.7× |
| Folic Acid Serum (82746) | $120 | $240 | 8.2× |
| Follicle Stimulating Hormone (83001) | $145 | $290 | 7.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $22.50 | $45 | 0.2× |
| Gammaglobulin ige (82785) | $79 | $158 | 4.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $255.50 | $511 | 0.6× |
| Genet Virus Isolate Hsv (87255) | $78.50 | $157 | 2.3× |
| Gentamicin (80170) | $76.50 | $153 | 4.7× |
| Ggt (82977) | $95 | $190 | 13.2× |
| Giardia antigen (87329) | $60 | $120 | 5.0× |
| Glucose 2 hr pp (82950) | $56.50 | $113 | 11.9× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$5–$11 | $10–$22 | varies |
| Glucose body fluid (82945) | $10 | $20 | 2.5× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$5–$72.50 | $10–$145 | varies |
| Glucose tolerance test (gtt) (82951) | $43 | $86 | 3.3× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$7.50–$61.50 | $15–$123 | varies |
| Growth hormone (83003) | $16.50 | $33 | 1.0× |
| Haptoglobin (83010) | $60.50 | $121 | 4.8× |
| Hba1/Hba2 Gene (81257) | $180 | $360 | 1.8× |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$7.50–$28.50 | $15–$57 | varies |
| Helicobacter Pylori Stool (87338) | $50 | $100 | 3.5× |
| Hemagglutination Inhibition (86280) | $22 | $44 | 2.7× |
| Hematocrit (85014) range across 2 matching MRF lines |
$2.50–$25.50 | $5–$51 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$2.50–$11 | $5–$22 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$10–$113.50 | $20–$227 | varies |
| Hemoglobin Chromotography (83021) | $30 | $60 | 1.7× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) range across 2 matching MRF lines |
$5–$10 | $10–$20 | varies |
| Hemoglobin electrophoresis (83020) | $174.50 | $349 | 13.6× |
| Hemoglobin F Fetal Chemical (83030) | $10 | $20 | 0.9× |
| Hep a ab igm (86709) | $32 | $64 | 2.8× |
| Hepatitis a antibody total (86708) | $83 | $166 | 6.7× |
| Hepatitis b core ab igm (86705) | $40 | $80 | 3.4× |
| Hepatitis b core ab total (86704) | $17 | $34 | 1.4× |
| Hepatitis B Surface Antibody (86706) | $59.50 | $119 | 5.5× |
| Hepatitis B Surface Antigen (87340) | $23 | $46 | 2.2× |
| Hepatitis Be Antibody (86707) | $62 | $124 | 5.4× |
| Hepatitis Be Antigen (87350) | $62 | $124 | 5.4× |
| Hepatitis C Antibody (86803) | $92 | $184 | 6.4× |
| Hepatitis C Genotype (87902) | $322.50 | $645 | 1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $163.50 | $327 | 4.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$252.50–$315 | $505–$630 | varies |
| Herpes simplex type 2 (86696) | $91 | $182 | 4.7× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$5–$17 | $10–$34 | varies |
| Hfe Gene (81256) | $72.50 | $145 | 1.1× |
| Histamine urine (83088) | $62.50 | $125 | 2.1× |
| Histoplasma antibody (86698) | $29 | $58 | 2.1× |
| Histoplasma antigen urine (87385) | $15 | $30 | 1.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $50 | $100 | 2.1× |
| Hiv-1 Antibody (86701) | $28.50 | $57 | 3.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $269.50 | $539 | 3.2× |
| HIV-2 probe&revrse trnscripj (87538) | $40 | $80 | 1.1× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $115 | $230 | 0.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $120 | $240 | 1.6× |
| Homocysteine (83090) | $79 | $158 | 4.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$40–$125 | $80–$250 | varies |
| Hsv Dna Amp Probe (87529) | $75 | $150 | 2.1× |
| Human Epididymis Protein 4 (86305) | $136.50 | $273 | 6.6× |
| Hydroxyprogesterone 17-d (83498) | $78.50 | $157 | 2.9× |
| Hydroxyproline free (83500) | $34 | $68 | 1.5× |
| Iaad Ia Escherichia Coli 0157 (87335) | $60 | $120 | 4.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$32.50–$50 | $65–$100 | varies |
| Iaad ia shiga-like toxin (87427) | $25 | $50 | 2.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $17.50 | $35 | 1.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $90 | $180 | 2.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $90 | $180 | 2.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $86 | $172 | 3.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $218 | $436 | 6.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $260.50 | $521 | 6.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $40 | $80 | 1.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $85 | $170 | 2.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $90 | $180 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $52.50 | $105 | 1.5× |
| Ig Light Chains Free Each (83521) | $100 | $200 | 5.8× |
| Igg subclasses (82787) | $12.50 | $25 | 1.6× |
| Immune Complex Assay (86332) | $50 | $100 | 2.1× |
| Immunfix e-phorsis/urine/csf (86335) | $62.50 | $125 | 2.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$125.50–$136.50 | $251–$273 | varies |
| Immunoassay infectious agent (86318) | $50 | $100 | 2.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $94 | $188 | 6.3× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$71.50–$495 | $143–$990 | varies |
| Immunofixation electrophoresis (86334) | $50 | $100 | 2.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $18.50 | $37 | 0.1× |
| Immunohistochemistry (88342) | $45 | $90 | 0.3× |
| In situ hybridization 1st probe stain (88365) | $125 | $250 | 0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $60 | $120 | 3.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $85 | $170 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $15 | $30 | 1.2× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $17.50 | $35 | 1.4× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$15–$18 | $30–$36 | varies |
| Inhibin A (86336) | $10 | $20 | 0.6× |
| Inhibin b (83520) | $113 | $226 | 6.5× |
| Insitu hybridization auto (88367) | $150 | $300 | 0.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$80–$90 | $160–$180 | varies |
| Iron (83540) | $28 | $56 | 4.3× |
| Iron Binding Capacity (83550) | $33.50 | $67 | 3.8× |
| Islet cell antibody (86341) | $85 | $170 | 3.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $125 | $250 | 1.4× |
| Koh Prep (87220) | $60.50 | $121 | 14.2× |
| Lactate (ld) (ldh) enzyme (83615) | $22.50 | $45 | 3.7× |
| Lactoferrin fecal qualitative (83630) | $77 | $154 | 3.9× |
| LDL direct (83721) range across 2 matching MRF lines |
$10–$14.50 | $20–$29 | varies |
| Lead (83655) | $181.50 | $363 | 15.0× |
| Legionella antibody (86713) | $39.50 | $79 | 2.6× |
| Legionella antigen urine (87449) | $77 | $154 | 6.4× |
| Leukocyte Assessment Fecal (89055) | $4.50 | $9 | 1.1× |
| Leukocyte Histamine Release (86343) | $108 | $216 | 8.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $10 | $20 | 0.4× |
| Level ii surg pathology grossµscopic exam (88302) | $45 | $90 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $185 | $370 | 0.6× |
| Lipase (83690) range across 2 matching MRF lines |
$7.50–$33.50 | $15–$67 | varies |
| Lipoprotein A (83695) | $15 | $30 | 1.0× |
| Lipoprotein Bld Quan Part (83704) | $40 | $80 | 1.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $67.50 | $135 | 1.5× |
| Lithium (80178) | $53.50 | $107 | 8.1× |
| Luteinizing Hormone (Lh) (83002) | $18.50 | $37 | 1.0× |
| Lyme disease antibody (86618) | $126 | $252 | 7.4× |
| Lysozyme serum (85549) | $31 | $62 | 1.7× |
| Macroscopic exam arthropod (87168) | $92.50 | $185 | 21.7× |
| Macroscopic Exam Parasite (87169) | $15 | $30 | 3.5× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$7.50–$36 | $15–$72 | varies |
| Mercury urine (83825) | $77 | $154 | 4.7× |
| Methylmalonic acid serum (83921) | $121 | $242 | 5.7× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$7.50–$64 | $15–$128 | varies |
| Microsomal Antibodies Each (86376) | $85 | $170 | 5.8× |
| Mononuclear cell antigen (86356) | $115 | $230 | 4.3× |
| Mrsa Pcr (87641) | $72.50 | $145 | 2.1× |
| Mumps antibody (86735) | $48 | $96 | 3.7× |
| Mycobacteric Identification (87118) | $32.50 | $65 | 2.2× |
| Mycoplasma antibody (86738) | $74.50 | $149 | 5.6× |
| Myoglobin urine (83874) | $36.50 | $73 | 2.8× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$37.50–$135 | $75–$270 | varies |
| Neisseria Dir Na Probe (87590) | $73.50 | $147 | 2.7× |
| Neutralization Test Viral (86382) | $42.50 | $85 | 2.5× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $480 | $960 | 1.9× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$20–$121 | $40–$242 | varies |
| Occult Blood Other Sources (82271) | $32.50 | $65 | 6.1× |
| Oligoclonal bands (83916) | $60 | $120 | 2.2× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$20.50–$40.50 | $41–$81 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$20.50–$106.50 | $41–$213 | varies |
| Ova and parasites smears (87177) | $22.50 | $45 | 2.5× |
| Oxalate urine (83945) | $44.50 | $89 | 3.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$2.50–$22 | $5–$44 | varies |
| Phenobarbital Level (80184) | $32 | $64 | 2.1× |
| Phenytoin (Dilantin) (80185) | $120.50 | $241 | 9.1× |
| Phosphatase acid prostatic (84066) | $24 | $48 | 2.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$5–$32.50 | $10–$65 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $20 | $40 | 1.1× |
| Phosphorus Serum (84100) | $14 | $28 | 3.0× |
| Pinworm exam (87172) | $30 | $60 | 7.0× |
| Platelet Antibodies (86022) | $130 | $260 | 7.1× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$5–$8.50 | $10–$17 | varies |
| Platelet neutralization (85597) | $88.50 | $177 | 4.9× |
| Pooling blood platelets (86965) | $50 | $100 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $10 | $20 | 1.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $87 | $174 | 5.9× |
| Potassium Urine (84133) | $27.50 | $55 | 5.8× |
| Prealbumin (84134) | $83.50 | $167 | 5.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $50 | $100 | 3.3× |
| Pregnenolone (84140) | $25 | $50 | 1.2× |
| Primidone (80188) | $14.50 | $29 | 0.9× |
| Procalcitonin (Pct) (84145) | $100 | $200 | 3.7× |
| Progesterone (84144) | $88 | $176 | 4.2× |
| Prolactin (84146) | $116 | $232 | 6.0× |
| Protein body fluid (84157) | $10 | $20 | 2.5× |
| Protein C Activity (85303) | $90 | $180 | 6.5× |
| Protein c antigen (85302) | $174.50 | $349 | 14.5× |
| Protein Electrophoresis Urine (84166) | $103 | $206 | 5.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $82.50 | $165 | 7.7× |
| Protein S Free (85306) | $96 | $192 | 6.3× |
| Protein s total (85305) | $50.50 | $101 | 4.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$5–$26 | $10–$52 | varies |
| Protein Total Urine (84156) | $127 | $254 | 34.6× |
| PSA free (84154) | $96.50 | $193 | 5.2× |
| Pth Intact (83970) | $104.50 | $209 | 2.5× |
| Q Fever Antibody (86638) | $62 | $124 | 5.1× |
| Quantiferon tb gold plus (86480) | $123.50 | $247 | 2.0× |
| Quantitative assay drug (80299) | $63.50 | $127 | 3.4× |
| Quantitative Screen Metals (83018) | $88 | $176 | 4.0× |
| Rbc antibody elution (86860) | $37.50 | $75 | 0.3× |
| Rbc antibody identification (86870) | $48.50 | $97 | 0.2× |
| Rbc antibody screen (86850) | $32.50 | $65 | 3.3× |
| Renin activity plasma (84244) | $45.50 | $91 | 2.1× |
| Resp virus 12-25 targets (87633) | $286 | $572 | 0.7× |
| Rh (86901) | $16.50 | $33 | 5.5× |
| Rheumatoid Factor Qualitative (86430) | $25.50 | $51 | 4.2× |
| Rheumatoid factor quant (86431) | $6.50 | $13 | 1.1× |
| Rickettsia antibody (86757) | $77.50 | $155 | 4.0× |
| Ristocetin cofactor (85245) | $65 | $130 | 2.8× |
| Rotavirus ag eia (87425) | $85 | $170 | 7.1× |
| Rpr qualitative (86592) | $22.50 | $45 | 5.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$12.50–$19.50 | $25–$39 | varies |
| Rubella Antibody (86762) | $8.50 | $17 | 0.6× |
| Rubeola antibody (86765) | $74.50 | $149 | 5.8× |
| Russell Viper Venom Time Diluted (85613) | $62 | $124 | 6.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$50–$62.50 | $100–$125 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $50 | $100 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $150 | $300 | 1.1× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$5–$37 | $10–$74 | varies |
| Sensitivity mic (87186) | $60 | $120 | 6.9× |
| Sex Hormone Binding Globulin (84270) | $57.50 | $115 | 2.6× |
| Sickling of rbc reduction (85660) | $16 | $32 | 2.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$10–$33 | $20–$66 | varies |
| Smear acid fast (87206) | $181.50 | $363 | 33.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$12–$42.50 | $24–$85 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $12 | $24 | 2.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$5–$22 | $10–$44 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$29–$91 | $58–$182 | varies |
| Somatomedin (84305) | $47.50 | $95 | 2.2× |
| Special Stains Group 1 (88312) | $85 | $170 | 1.9× |
| Special Stains Group 2 (88313) | $47 | $94 | 0.4× |
| Spectrophotometry (84311) | $10 | $20 | 1.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $24 | $48 | 0.2× |
| Staph a DNA amp probe (87640) | $72.50 | $145 | 2.1× |
| Stool cultr aerobic bact ea (87046) | $37 | $74 | 3.9× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$15–$25 | $30–$50 | varies |
| Strep a DNA amp probe (87651) | $72.50 | $145 | 2.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $37.50 | $75 | 6.8× |
| Sulfate urine (84392) | $15 | $30 | 2.7× |
| Surg path level iii (88304) | $65 | $130 | 1.4× |
| Surgical pathology level IV (88305) | $60 | $120 | 1.3× |
| Surgical pathology level vi (88309) | $200 | $400 | 0.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $43.50 | $87 | 5.8× |
| Syphilis Test Non-Trep Quant (86593) | $32 | $64 | 7.3× |
| T cells absolute cd4 count (86361) | $72 | $144 | 2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $35 | $70 | 0.7× |
| T cells total count (86359) | $25 | $50 | 0.7× |
| T3 Free (84481) | $90 | $180 | 5.3× |
| T3 Total (84480) | $78.50 | $157 | 5.5× |
| T3 Uptake (84479) | $29 | $58 | 4.5× |
| T4 Free (84439) | $115.50 | $231 | 12.8× |
| T4 total (84436) | $18.50 | $37 | 2.7× |
| T4-neonatal (84437) | $17.50 | $35 | 2.7× |
| Tacrolimus (80197) | $112 | $224 | 8.2× |
| Test for acetone/ketones (82009) | $21.50 | $43 | 4.8× |
| Testosterone total (84403) | $100 | $200 | 3.9× |
| Testosterone, Free (84402) | $131.50 | $263 | 5.2× |
| Theophylline (80198) | $53.50 | $107 | 3.8× |
| Thrombin Time (85670) | $42.50 | $85 | 7.4× |
| Thromboplastin Inhibition Tissue (85705) | $29 | $58 | 3.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $20 | $40 | 3.1× |
| Thyroglobulin (84432) | $50 | $100 | 3.1× |
| Thyroglobulin Antibody (86800) | $74 | $148 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $72.50 | $145 | 1.4× |
| Tissue culture bone marrow (88237) | $175 | $350 | 1.2× |
| Tobramycin peak (80200) | $84.50 | $169 | 5.2× |
| Topiramate (80201) | $86.50 | $173 | 7.3× |
| Toxoplasma ab igm (86778) | $70 | $140 | 4.9× |
| Toxoplasma antibody (86777) | $51 | $102 | 3.5× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$5–$29 | $10–$58 | varies |
| Transferrin (84466) | $40 | $80 | 3.1× |
| Triglycerides (84478) range across 3 matching MRF lines |
$7.50–$177.50 | $15–$355 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$12.50–$167 | $25–$334 | varies |
| Tumor Immunohistochem/Manual (88360) | $100 | $200 | 0.7× |
| Urea nitrogen urine (84540) | $17.50 | $35 | 3.1× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$7.50–$14 | $15–$28 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$5–$40 | $10–$80 | varies |
| Urinalysis Volume Measure (81050) | $13 | $26 | 3.6× |
| Urine Albumin Semiquantitative (82044) | $87 | $174 | 14.0× |
| Urine Bacteria Culture (87088) | $72.50 | $145 | 9.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$5–$62.50 | $10–$125 | varies |
| Urobilinogen urine qual (84578) | $13 | $26 | 2.9× |
| Valproic acid (80164) | $122.50 | $245 | 9.0× |
| Vancomycin (80202) | $58.50 | $117 | 4.3× |
| Varicella-zoster antibody (86787) | $72.50 | $145 | 5.6× |
| Vasopressin (84588) | $214 | $428 | 6.3× |
| Viral Culture (87252) | $19.50 | $39 | 0.7× |
| Virus antibody nos (86790) | $57.50 | $115 | 4.5× |
| Virus inoculation, shell via (87254) | $143 | $286 | 7.3× |
| Vit D 1 25-Dihydroxy (82652) | $147.50 | $295 | 3.8× |
| Vitamin A (84590) | $103 | $206 | 8.9× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$6–$119 | $12–$238 | varies |
| Vitamin B6 (84207) | $141 | $282 | 5.0× |
| Vitamin c (82180) | $50 | $100 | 5.1× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$27.50–$109 | $55–$218 | varies |
| Vitamin E (84446) | $25 | $50 | 1.8× |
| Vitamin K (84597) | $62.50 | $125 | 4.6× |
| Volatiles (84600) | $32.50 | $65 | 1.9× |
| Von willebrand factor ag (85246) | $65 | $130 | 2.8× |
| Wbc Alkaline Phosphatase Count (85540) | $10 | $20 | 1.2× |
| West nile virus ab igm (86788) | $100 | $200 | 5.9× |
| West Nile Virus Antibody (86789) | $100 | $200 | 6.9× |
| Zinc (84630) | $67.50 | $135 | 5.9× |
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.