Lab & pathology prices at Northern Montana Hospital

Havre, MT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $412.83 $589.75 10.7×
Acth Stimulation Panel Adrenal Insufficiency (80400) $362.78 $518.25 11.1×
Acute hepatitis panel (80074) $502.43 $717.75 10.5×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$32.90–$50.93 $47–$72.75 varies
Adenovirus antibody (86603) $140 $200 10.9×
Agglutinins Febrile Each Antigen (86000) $76.48 $109.25 11.0×
Albumin Fluid (82042) $50.93 $72.75 6.5×
Albumin serum (82040) $50.93 $72.75 10.3×
Aldolase (82085) $114.80 $164 11.8×
Aldosterone urine (82088)
range across 2 matching MRF lines
$357.35–$435.40 $510.50–$622 varies
Alkaline phosphatase isoenzymes (84080) $40.95 $58.50 2.8×
Allergen specific ige (86003)
range across 8 matching MRF lines
$24.50–$479.15 $35–$684.50 varies
Allergen specific igg (86001) $23.63 $33.75 3.0×
Alpha-1-antitrypsin phenotype (82104) $121.98 $174.25 8.4×
Alpha-1-antitrypsin total (82103) $157.68 $225.25 11.7×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$78.23–$181.13 $111.75–$258.75 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$63.53–$92.40 $90.75–$132 varies
Amino Acids 1 Quantitative Each Specimen (82131) $182 $260 7.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $198.28 $283.25 11.8×
Amino Acids Multiple Qualitative Each Specimen (82128) $163.28 $233.25 11.8×
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines
$13.48–$53.38 $19.25–$76.25 varies
Ammonia (82140) $154.70 $221 10.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $379.23 $541.75 3.9×
Amylase urine (82150) $77.53 $110.75 12.0×
Anca screen each antibody (86036) $33.95 $48.50 2.8×
Anca Titer Each Antibody (86037) $33.95 $48.50 2.8×
Androstenedione (82157) $80.50 $115 2.7×
Angiotensin converting enzyme csf (82164) $171.68 $245.25 11.8×
Anti-Phospholipid Antibody (86148) $173.43 $247.75 10.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $34.65 $49.50 2.2×
Antibody Cytomegalovirus Cmv Igm (86645) $182 $260 10.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $154.70 $221 11.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $180.43 $257.75 11.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$192.85–$195.13 $275.50–$278.75 varies
Antibody Fungus Not Elsewhere Specified (86671) $68.60 $98 5.6×
Antibody helicobacter pylori (86677) $156.98 $224.25 9.3×
Antibody Herpes Smplx Non-Specific Type Test (86694) $88.55 $126.50 6.2×
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$106.23–$131.95 $151.75–$188.50 varies
Antibody HIV-1&HIV-2 single result (86703) $189 $270 13.8×
Antibody htlv/HIV antibody confirmatory test (86689) $150.68 $215.25 7.8×
Antibody Identification Platelet Immunogl Assay (86023) $106.23 $151.75 8.5×
Antibody Treponema Pallidum (86780) $36.05 $51.50 2.7×
Antibody; influenza virus (86710) $145.95 $208.50 10.8×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $57.93 $82.75 10.1×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$47.60–$130.55 $68–$186.50 varies
Antistreptolysin O Screen (86063) $68.95 $98.50 11.9×
Antistreptolysin o titer (86060) $82.95 $118.50 11.4×
Antithrombin iii activity (85300) $140.70 $201 11.9×
Antithrombin iii antigen (85301) $128.10 $183 11.9×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$32.20–$266.18 $46–$380.25 varies
Arsenic (82175) $203.70 $291 10.7×
Assay activated protein c (85307) $180.43 $257.75 11.8×
Assay Blood Carbon Dioxide (82374) $58.63 $83.75 12.0×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines
$114.80–$232.58 $164–$332.25 varies
Assay of 5-hiaa (83497) $151.55 $216.50 11.7×
Assay of blood/uric acid (84550) $54.08 $77.25 12.0×
Assay of calcium in urine (82340) $66.50 $95 11.0×
Assay of estrone (82679) $210 $300 8.4×
Assay of gammaglobulin igm (82784) $107.98 $154.25 11.6×
Assay of lactic acid (83605) $95.20 $136 8.2×
Assay of manganese (83785) $189.70 $271 7.1×
Assay of metanephrines (83835) $199.15 $284.50 11.8×
Assay of phosphatase alkaline heat stable (84078)
range across 2 matching MRF lines
$79.80–$107.98 $114–$154.25 varies
Assay of proinsulin (84206) $149.98 $214.25 5.6×
Assay of serotonin (84260) $259.18 $370.25 8.4×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$50.93–$54.78 $72.75–$78.25 varies
Assay of sweat sodium (84302) $53.38 $76.25 11.0×
Assay of urea nitrogen (84520) $48.65 $69.50 12.3×
Assay of urine vma (84585) $178.15 $254.50 11.5×
Assay of vitamin b-1 (84425) $178.15 $254.50 8.4×
Assay Ph Body Fluid Nos (83986) $43.93 $62.75 12.3×
Assay spec xcp ur&breath ia (82077) $38.33 $54.75 2.2×
Automated Leukocyte Count (85048) $29.05 $41.50 11.4×
B cells total count (86355) $92.40 $132 2.4×
Bartonella antibody (86611) $72.80 $104 7.2×
Bcr/abl1 gene major bp (81206) $401.98 $574.25 2.5×
Bcr/abl1 gene minor bp (81207) $356.48 $509.25 2.5×
Beta 2 glycoprotein i antibody each (86146) $223.83 $319.75 8.8×
Beta-2 Microglobulin (82232) $156.98 $224.25 9.7×
Bile acids total (82239) $145.25 $207.50 8.5×
Bilirubin direct (82248) $61.08 $87.25 12.2×
Bilirubin total (82247)
range across 2 matching MRF lines
$61.08–$80.50 $87.25–$115 varies
Bilirubin total transcutaneous (88720) $28 $40 5.6×
Biotinidase (82261)
range across 2 matching MRF lines
$17.33–$53.38 $24.75–$76.25 varies
Bld Typing Serologic Rh Phnt (86906) $66.68 $95.25 8.6×
Bleeding time test (85002) $54.08 $77.25 11.2×
Blood count reticulocyte automated (85045) $48.65 $69.50 12.2×
Blood gas (82803) $208.43 $297.75 8.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $109.38 $156.25 6.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $36.75 $52.50 8.4×
Blood typing serologic abo (86900) $52.50 $75 17.6×
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines
$76.30–$81.90 $109–$117 varies
Braf gene analysis (81210) $1,152.03 $1,645.75 6.6×
Brca1 Gene Analysis Known Familial Variant (81215) $1,152.03 $1,645.75 3.1×
Brca1&2 gen full seq dup/del (81162) $2,262.23 $3,231.75 1.2×
Brca2 Gene Analysis Known Familial Variant (81217) $1,152.03 $1,645.75 3.1×
C diff amplified probe (87493) $191.10 $273 5.1×
C-Peptide (84681) $163.98 $234.25 7.9×
C-reactive protein (86140)
range across 3 matching MRF lines
$49–$62.83 $70–$89.75 varies
Ca 19-9 (86301) $223.83 $319.75 10.8×
Cadmium (82300) $64.93 $92.75 2.7×
Calcium ionized (82330) $147.70 $211 10.8×
Calcium total (82310)
range across 2 matching MRF lines
$57.05–$62.83 $81.50–$89.75 varies
Calculus assay quant (82360) $140 $200 10.9×
Calprotectin Fecal (83993) $164.68 $235.25 8.4×
Calr gene com variants (81219) $542.85 $775.50 4.5×
Cancer Antigen 125 (86304) $223.83 $319.75 10.8×
Cancer Antigen 27.29 (86300) $223.83 $319.75 10.8×
Carbamazepine total (80156) $170.98 $244.25 11.7×
Carboxyhemoglobin (82375) $95.20 $136 7.7×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$161.70–$203.70 $231–$291 varies
Cardiolipin ab iga (86147) $272.30 $389 10.7×
Carnitine Quantitative Each Specimen (82379) $147.70 $211 8.8×
Carotene (82380) $82.25 $117.50 8.9×
Catecholamines fractionated (82384) $270.73 $386.75 10.7×
Ccp antibody (86200) $114.80 $164 8.9×
Cell count csf (89051) $65.63 $93.75 11.7×
Cell marker study (88182)
range across 2 matching MRF lines
$348.60–$367.33 $498–$524.75 varies
Ceruloplasmin (82390) $95.20 $136 8.9×
Cftr gene com variants (81220) $751.98 $1,074.25 1.4×
Cftr gene dup/delet variants (81222) $205.28 $293.25 0.5×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$39.20–$300.30 $56–$429 varies
Chlamydia antibody (86631) $128.10 $183 10.8×
Chlamydia Igm Antibody (86632) $137.55 $196.50 10.8×
Chloride other source (82438) $58.63 $83.75 11.7×
Chloride Serum (82435) $54.78 $78.25 11.9×
Chloride urine (82436) $36.75 $52.50 6.4×
Chlorinated Hydrocarbons Screen (82441) $111.83 $159.75 18.6×
Cholesterol total (82465) $52.50 $75 12.1×
Cholinesterase rbc (82482) $84.35 $120.50 8.6×
Cholinesterase Serum (82480) $85.93 $122.75 10.9×
Chorionic gonadotropin test (84702) $162.40 $232 10.8×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $56.70 $81 2.1×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $70 $100 2.1×
Chrmsm Analysis Addl Specialized Banding (88283) $144.20 $206 2.1×
Chromium serum (82495) $55.65 $79.50 2.7×
Chromogranin a (86316)
range across 2 matching MRF lines
$183.40–$421.40 $262–$602 varies
Chromosome Analysis 15-20 (88262) $263.90 $377 2.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $165.38 $236.25 4.7×
Citric acid urine (82507) $298.20 $426 10.7×
Ckmb (82553) $136.68 $195.25 11.8×
Clot Factor VIII Multimetric (85247) $255.33 $364.75 11.1×
Cns DNA amp probe type 12-25 (87483) $613.03 $875.75 1.5×
Coccidioides antibody (86635) $97.65 $139.50 8.5×
Cold agglutinin screen (86156) $53.73 $76.75 6.7×
Cold agglutinin titer (86157) $63.53 $90.75 7.9×
Collagen crosslinks (82523) $129.85 $185.50 7.0×
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$115.68–$172.55 $165.25–$246.50 varies
Compatibility test antiglob (86922) $141.40 $202 0.8×
Complement Antigen Each Component (86160) $142.10 $203 11.8×
Complement Fixation Tests Each Antigen (86171)
range across 2 matching MRF lines
$107.10–$108.68 $153–$155.25 varies
Complement Total (Ch50) (86162) $225.75 $322.50 11.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $102.38 $146.25 1.9×
Coombs direct (86880)
range across 2 matching MRF lines
$57.93–$60.38 $82.75–$86.25 varies
Copper urine (82525)
range across 2 matching MRF lines
$79.10–$110.25 $113–$157.50 varies
Cortisol free (82530) $140.70 $201 8.4×
Cortisol saliva (82533) $174.83 $249.75 10.7×
Creatine kinase total (82550) $78.23 $111.75 12.0×
Creatinine blood (82565) $61.78 $88.25 12.1×
Creatinine clearance (82575) $112.53 $160.75 11.9×
Creatinine Urine (82570)
range across 3 matching MRF lines
$57.05–$62.83 $81.50–$89.75 varies
Cryoglobulin (82595) $50.93 $72.75 7.9×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $27.30 $39 2.1×
Cryptococcal Antigen (87327) $129.85 $185.50 9.7×
Cryptococcus ag titer (87899) $93.80 $134 5.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$88.55–$92.40 $126.50–$132 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $88.55 $126.50 11.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $92.40 $132 12.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $458.50 $655 2.1×
Culture Anaerobic (87075) $112.53 $160.75 11.9×
Culture blood (87040) $121.98 $174.25 11.8×
Culture csf (87070)
range across 3 matching MRF lines
$63.53–$102.38 $90.75–$146.25 varies
Culture fungus blood (87103) $107.10 $153 5.2×
Culture screen only (87081)
range across 6 matching MRF lines
$32.90–$68.08 $47–$97.25 varies
Culture stool (87045) $111.83 $159.75 11.8×
Culture urine (87086) $95.20 $136 11.8×
Cyclosporine (80158) $212.28 $303.25 11.8×
Cytomegalovirus igg (86644) $121.98 $174.25 8.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $107.98 $154.25 5.3×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$34.30–$192.85 $49–$275.50 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $107.98 $154.25 4.1×
Cytp Concentration Smears & Interpretation (88108) $119.53 $170.75 3.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$84.70–$192.85 $121–$275.50 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines
$42.70–$51.80 $61–$74 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $107.10 $153 2.8×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 2 matching MRF lines
$107.10–$107.98 $153–$154.25 varies
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
$46.90–$207.03 $67–$295.75 varies
Detect Agent Nos Dna Quant (87799) $357.35 $510.50 8.3×
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$99.23–$259.18 $141.75–$370.25 varies
Dhea (82626) $270.73 $386.75 10.7×
Dhea-S (82627) $259.88 $371.25 11.7×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$68.95–$148.58 $98.50–$212.25 varies
Drug assay acetaminophen (80143) $217.18 $310.25 11.7×
Drug Assay Everolimus (80169) $132.30 $189 9.6×
Drug Assay Lacosamide (80235) $74.38 $106.25 2.7×
Drug Assay Leflunomide (80193) $243.60 $348 6.3×
Drug Screen Quant Clozapine (80159) $206.33 $294.75 10.2×
Drug Screen Quant Zonisamide (80203) $139.13 $198.75 10.5×
Drug Screen Quantitative Gabapentin (80171) $53.10 $75.85 2.5×
Drug Screen Quantitative Lamotrigine (80175) $39.20 $56 3.0×
Drug Screen Quantitative Oxcarbazepine (80183) $39.20 $56 3.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 14 matching MRF lines
$126.53–$627.20 $180.75–$896 varies
Drug Test Prsmv Dir Opt Obs (80305) $37.63 $53.75 3.0×
Electrolyte panel (80051) $84.35 $120.50 12.0×
Encephaltis West Eqne Antbdy (86654) $142.80 $204 10.8×
Enterovirus Antibody (86658) $101.68 $145.25 7.8×
Enterovirus PCR (87498) $196.88 $281.25 5.6×
Eosinophil Smear (89190) $57.93 $82.75 10.0×
Erythropoietin (82668) $207.03 $295.75 11.0×
Estradiol serum (82670) $298.90 $427 10.7×
Estriol (82677) $111.83 $159.75 4.6×
Estrogens fractionated (82671) $270.03 $385.75 8.4×
Ethosuximide (80168) $123.38 $176.25 7.6×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$22.40–$78.23 $32–$111.75 varies
F2 Gene (81240) $751.98 $1,074.25 11.4×
Factor ii activity (85210) $76.48 $109.25 5.9×
Factor ix activity (85250) $168 $240 8.8×
Factor v activity (85220) $150.68 $215.25 8.5×
Factor v leiden mutation (81241) $751.98 $1,074.25 10.2×
Factor vii assay (85230) $150.68 $215.25 8.4×
Factor viii assay (85240) $210 $300 11.7×
Factor X (85260) $160.13 $228.75 8.9×
Factor xi activity (85270) $210 $300 11.7×
Fat stain feces urine/respir secretions (89125) $52.50 $75 8.9×
Fat/Lipids Feces Quantitative (82710) $142.10 $203 8.5×
Fatty acids free (82725) $41.30 $59 2.2×
Ferritin (82728) $155.40 $222 11.4×
Fetal Chrmoml Aneuploidy (81420) $1,907.33 $2,724.75 2.5×
Fetal Congenital Abnor Assay Four Anal (81511) $444.68 $635.25 2.9×
Fetal Fibronectin (82731) $686.35 $980.50 10.7×
Fibrin degradation products (85362) $82.25 $117.50 11.9×
Fibrin Degradation Quant (85379) $30.10 $43 3.0×
Fibrin dgradj products d-dimer qual/semiquan (85378) $85.23 $121.75 8.8×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $120.40 $172 11.8×
Fibrinogen activity (85384) $100.98 $144.25 10.4×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $34.65 $49.50 2.2×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$131.95–$157.68 $188.50–$225.25 varies
Fluorescent antibody screen (86255)
range across 7 matching MRF lines
$98.53–$130.55 $140.75–$186.50 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$75.08–$107.10 $107.25–$153 varies
Fmr1 gene detection (81243) $360.08 $514.40 6.3×
Folic acid rbc (82747) $203 $290 11.5×
Folic Acid Serum (82746) $158.73 $226.75 10.8×
Follicle Stimulating Hormone (83001) $199.85 $285.50 10.8×
Frozen Section (88331)
range across 2 matching MRF lines
$74.90–$192.85 $107–$275.50 varies
Fungi Identification Yeast (87106) $65.63 $93.75 6.4×
Galactose transferase test (82776) $60.38 $86.25 5.1×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines
$31.50–$37.63 $45–$53.75 varies
Gammaglobulin ige (82785) $177.45 $253.50 10.8×
Gases Blood O2 Saturation Only Direct Meas (82810) $94.50 $135 9.7×
Gases blood ph only (82800) $92.40 $132 8.4×
Gastrin (82941) $207.03 $295.75 11.7×
Gentamicin (80170) $177.45 $253.50 10.8×
Ggt (82977)
range across 2 matching MRF lines
$79.10–$124.08 $113–$177.25 varies
Giardia antigen (87329) $129.85 $185.50 10.8×
Gluc-6-phosphate dehydrogenase screen (82960) $54.08 $77.25 8.9×
Glucose 2 hr pp (82950) $57.93 $82.75 12.2×
Glucose body fluid (82945) $48.65 $69.50 12.4×
Glucose Serum (82947) $48.65 $69.50 12.4×
Glucose tolerance test (gtt) (82951) $140 $200 10.9×
Glutathione (82978) $34.65 $49.50 2.2×
Gonadotropin Chorionic Qualitative (84703) $82.25 $117.50 10.9×
Growth hormone (83003) $117.08 $167.25 7.0×
Gtt-added samples (82952) $43.93 $62.75 11.2×
Haptoglobin (83010)
range across 2 matching MRF lines
$148.58–$215.60 $212.25–$308 varies
Hdl Cholesterol (83718) $89.95 $128.50 11.0×
Helicobacter Pylori Stool (87338) $102.38 $146.25 7.1×
Hematocrit (85014) $26.78 $38.25 11.3×
Hemoglobin (85018) $26.78 $38.25 11.3×
Hemoglobin a1c (83036) $105.53 $150.75 10.9×
Hemoglobin Chromotography (83021) $151.55 $216.50 8.4×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$32.20–$47.60 $46–$68 varies
Hemoglobin Methemoglobin Quantitative (83050) $79.80 $114 9.7×
Hemoglobin plasma (83051) $129.85 $185.50 17.8×
Hemoglobin-Oxygen Affinity (82820) $108.68 $155.25 8.1×
Hemosiderin urine (83070) $37.63 $53.75 7.9×
Hep a ab igm (86709) $121.98 $174.25 10.8×
Heparin assay (85520) $189 $270 14.4×
Hepatitis a antibody total (86708) $134.40 $192 10.8×
Hepatitis b core ab total (86704) $130.55 $186.50 10.8×
Hepatitis B Surface Antibody (86706) $107.98 $154.25 10.1×
Hepatitis B Surface Antigen (87340) $107.98 $154.25 10.5×
Hepatitis Be Antibody (86707) $33.95 $48.50 2.9×
Hepatitis Be Antigen (87350) $82.25 $117.50 7.1×
Hepatitis C Antibody (86803) $144.55 $206.50 10.1×
Hepatitis c antibody confirmatory test (86804) $42.35 $60.50 2.7×
Hepatitis C Genotype (87902) $446.25 $637.50 1.7×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$110.25–$506.10 $157.50–$723 varies
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$131.95–$163.98 $188.50–$234.25 varies
Heterophile Antibody Screen (86308) $50.23 $71.75 9.7×
Hfe Gene (81256) $751.98 $1,074.25 11.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $596.75 $852.50 7.0×
Hla-b27 (86812) $277.03 $395.75 10.7×
Homocysteine (83090) $198.28 $283.25 11.1×
Hpv High-Risk Types (87624) $375.38 $536.25 10.7×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$87.50–$192.85 $125–$275.50 varies
Hsv Dna Amp Probe (87529) $199.85 $285.50 5.7×
Human Epididymis Protein 4 (86305) $229.43 $327.75 11.0×
Hydroxyprogesterone 17-d (83498)
range across 3 matching MRF lines
$32.20–$291.03 $46–$415.75 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $82.25 $117.50 8.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $30.10 $43 0.9×
Iaadi pneumocustis carinii (87281) $145.95 $208.50 12.2×
Iadna Cytomegalovirus Quantification (87497) $381.50 $545 8.9×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $191.10 $273 2.7×
Iadna Hepatitis B Virus Quantification (87517) $105 $150 2.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $96.25 $137.50 2.7×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $215.60 $308 7.9×
Iadna Mycobacteria Species Direct Probe Tq (87550) $215.60 $308 10.8×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $272.30 $389 6.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $165.38 $236.25 4.7×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $96.25 $137.50 1.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $368.20 $526 1.4×
Ig Light Chains Free Each (83521) $38.33 $54.75 2.2×
Igg subclasses (82787) $63.53 $90.75 7.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines
$46.20–$436.10 $66–$623 varies
Immunfix e-phorsis/urine/csf (86335) $295.05 $421.50 10.1×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 6 matching MRF lines
$113.93–$114.80 $162.75–$164 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $86.80 $124 5.8×
Immunoassay nonantibody (83516)
range across 14 matching MRF lines
$32.90–$136.68 $47–$195.25 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$107.98–$240.45 $154.25–$343.50 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$42–$192.85 $60–$275.50 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines
$52.50–$373.80 $75–$534 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $129.85 $185.50 8.7×
Influenza a/b ag eia (87400) $68.08 $97.25 4.8×
Influenza DNA amp probe (87502) $261.45 $373.50 2.7×
Inhibin A (86336) $72.80 $104 4.7×
Inhibin b (83520)
range across 7 matching MRF lines
$47.60–$1,006.78 $68–$1,438.25 varies
Insitu hybridization manual (88368) $546 $780 1.5×
Insulin antibodies (86337) $187.43 $267.75 8.8×
Insulin total (83525) $135.10 $193 11.8×
Interleukin-6 (83529) $192.85 $275.50 11.2×
Intrinsic factor antibody (86340) $127.40 $182 8.4×
Iron (83540) $52.50 $75 8.1×
Iron Binding Capacity (83550) $64.93 $92.75 7.4×
Islet cell antibody (86341)
range across 2 matching MRF lines
$139.13–$205.80 $198.75–$294 varies
Jak2 gene analysis p.val617phe variant (81270) $478.45 $683.50 5.2×
Koh Prep (87220) $51.80 $74 12.1×
Kras Gene Variants Exon 2 (81275) $1,490.13 $2,128.75 7.7×
L/s ratio (83661) $185.85 $265.50 8.5×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$71.23–$72.10 $101.75–$103 varies
Lactoferrin Fecal Quantitative (83631) $199.15 $284.50 10.1×
Lamellar Body Count (83664) $57.93 $82.75 3.0×
Ldh Isoenzymes (83625) $139.13 $198.75 10.9×
LDL direct (83721) $105.53 $150.75 10.1×
Lead (83655)
range across 2 matching MRF lines
$130.55–$142.80 $186.50–$204 varies
Legionella antibody (86713) $164.68 $235.25 10.8×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$35.35–$101.68 $50.50–$145.25 varies
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$5.60–$107.10 $8–$153 varies
Level ii surg pathology gross&microscopic exam (88302) $107.10 $153 2.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $319.73 $456.75 0.9×
Lipase (83690)
range across 2 matching MRF lines
$67.20–$79.80 $96–$114 varies
Lipoprotein A (83695) $110.25 $157.50 7.7×
Lipoprotein Bld Quan Part (83704) $93.80 $134 2.7×
Lithium (80178) $79.10 $113 12.0×
Luteinizing Hormone (Lh) (83002) $199.15 $284.50 10.8×
Lyme disease antibody (86618) $183.40 $262 10.8×
Lysozyme serum (85549) $157.68 $225.25 8.4×
M. Genitalium Amp Probe (87563) $102.38 $146.25 2.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $1,227.28 $1,753.25 7.1×
Magnesium Urine (83735)
range across 3 matching MRF lines
$75.78–$76.48 $108.25–$109.25 varies
Mass Spectrometry Quant (83789)
range across 5 matching MRF lines
$75.08–$779.98 $107.25–$1,114.25 varies
Mercury urine (83825) $174.83 $249.75 10.8×
Methylmalonic acid serum (83921) $139.13 $198.75 6.6×
Microalbumin, quantitative (82043) $68.95 $98.50 11.9×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$122.68–$156.98 $175.25–$224.25 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$223.13–$319.73 $318.75–$456.75 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$242.55–$542.15 $346.50–$774.50 varies
Mononuclear cell antigen (86356) $78.23 $111.75 2.9×
Mopath procedure level 1 (81400) $342.65 $489.50 5.4×
Mpl gene analysis sequence analysis exon 10 (81339) $298.90 $427 1.6×
Mthfr Gene Analysis Common Variants (81291) $751.98 $1,074.25 11.5×
Mumps antibody (86735) $141.40 $202 10.8×
Mycophenolic Acid (80180) $195.13 $278.75 10.8×
Mycoplasma antibody (86738) $142.80 $204 10.8×
Mycoplasma culture (87109) $48.65 $69.50 3.2×
Myoglobin urine (83874) $151.55 $216.50 11.7×
Natriuretic peptide (83880) $362.78 $518.25 9.2×
Niacin (84591) $148.58 $212.25 8.7×
Nickel level (83885) $189 $270 7.7×
Nk cells total count (86357) $92.40 $132 2.4×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$68.08–$192.85 $97.25–$275.50 varies
Obstetric panel (80081) $335.30 $479 4.5×
Occult blood feces (82272) $36.75 $52.50 8.7×
Occult Blood Other Sources (82271) $36.75 $52.50 6.9×
Oligoclonal bands (83916) $88.55 $126.50 3.2×
Organic acids urine (83918) $192.85 $275.50 8.2×
Osmolality Urine (83935) $81.38 $116.25 11.9×
Osteocalcin (83937) $252 $360 8.4×
Ova and parasites smears (87177) $97.65 $139.50 11.0×
Oxalate urine (83945) $151.55 $216.50 10.5×
Particle Agglut Antbdy Titr (86406) $118.83 $169.75 11.2×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines
$92.40–$143.85 $132–$205.50 varies
Ph urine (81003) $29.05 $41.50 12.9×
Phenobarbital Level (80184) $124.08 $177.25 8.1×
Phenylalanine (84030)
range across 2 matching MRF lines
$34.65–$54.08 $49.50–$77.25 varies
Phenytoin (Dilantin) (80185) $156.10 $223 11.8×
Phosphatase acid prostatic (84066) $105.53 $150.75 10.9×
Phosphatase alkaline (84075)
range across 3 matching MRF lines
$57.05–$62.83 $81.50–$89.75 varies
Phosphatidylglycerol (84081) $140.70 $201 8.5×
Phosphorus Serum (84100) $57.05 $81.50 12.0×
Phosphorus urine (84105) $62.83 $89.75 10.9×
Pinworm exam (87172) $49.53 $70.75 11.6×
Platelet Antibodies (86022) $155.40 $222 8.5×
Platelet count automated (85049) $50.23 $71.75 11.2×
Porphobilinogen, urine; quantitative (84110) $100.10 $143 11.9×
Porphyrins Urine Quantitation & Fractionation (84120) $172.55 $246.50 11.7×
Potassium Urine (84133) $51.80 $74 11.0×
Prealbumin (84134) $171.68 $245.25 11.8×
Pregnenolone (84140) $139.13 $198.75 6.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $93.10 $133 0.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $93.10 $133 1.5×
Pretx serum rbc antibody identification dilution (86976) $93.10 $133 3.2×
Primidone (80188) $170.98 $244.25 10.3×
Procalcitonin (Pct) (84145) $207.03 $295.75 7.6×
Progesterone (84144) $225.05 $321.50 10.8×
Prolactin (84146) $209.13 $298.75 10.8×
Protein body fluid (84157) $44.80 $64 11.2×
Protein C Activity (85303) $162.40 $232 11.7×
Protein c antigen (85302) $142.10 $203 11.8×
Protein Electrophoresis Urine (84166) $192.15 $274.50 10.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$52.50–$127.40 $75–$182 varies
Protein S Free (85306) $180.43 $257.75 11.8×
Protein s total (85305) $98.53 $140.75 8.5×
Protein total serum (84155)
range across 2 matching MRF lines
$43.93–$44.80 $62.75–$64 varies
Protein Total Urine (84156) $44.80 $64 12.2×
PSA free (84154) $198.28 $283.25 10.8×
Pth Intact (83970) $440.83 $629.75 10.7×
Q Fever Antibody (86638) $131.25 $187.50 10.8×
Quantiferon tb gold plus (86480) $256.73 $366.75 4.1×
Quantitative assay drug (80299)
range across 12 matching MRF lines
$81.73–$300.30 $116.75–$429 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$60.38–$215.60 $86.25–$308 varies
Rbc antibody elution (86860) $141.40 $202 0.8×
Rbc antibody identification (86870) $153.83 $219.75 0.4×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$101.68–$142.10 $145.25–$203 varies
Renin activity plasma (84244) $184.98 $264.25 8.4×
Resp virus 12-25 targets (87633) $967.93 $1,382.75 2.3×
Reticulated Platelet Assay (85055)
range across 2 matching MRF lines
$82.08–$87.50 $117.25–$125 varies
Reticulocyte Count (85046) $13.65 $19.50 2.5×
Rh (86901)
range across 2 matching MRF lines
$51.80–$56.35 $74–$80.50 varies
Rheumatoid Factor Qualitative (86430) $68.08 $97.25 11.1×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$63.53–$68.08 $90.75–$97.25 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines
$133.53–$209.13 $190.75–$298.75 varies
Ristocetin cofactor (85245) $245.88 $351.25 10.7×
Rpr qualitative (86592) $47.60 $68 11.1×
Rsv ab (86756) $140 $200 8.8×
Rsv Assay W/Optic (87807) $141.40 $202 10.8×
Rubella Antibody (86762)
range across 4 matching MRF lines
$31.68–$121.98 $45.25–$174.25 varies
Rubeola antibody (86765) $130.55 $186.50 10.1×
Russell Viper Venom Time Diluted (85613) $103.95 $148.50 10.9×
Salicylate Level (80179) $85.23 $121.75 4.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$33.08–$100.10 $47.25–$143 varies
Sars-cov-2 COVID-19 antibody (86769) $43.93 $62.75 1.0×
Sarscov2 & inf a&b amp prb (87636) $314.65 $449.50 2.2×
Sedimentation rate (85651) $43.05 $61.50 10.1×
Selenium (84255) $214.55 $306.50 8.4×
Semen analysis complete (89320) $137.55 $196.50 11.2×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $97.65 $139.50 9.9×
Sex Hormone Binding Globulin (84270) $182.70 $261 8.4×
Sickling of rbc reduction (85660) $50.40 $72 9.1×
Sirolimus (80195) $173.43 $247.75 12.6×
Skin test tuberculosis intradermal (86580) $14.97 $21.38 0.5×
Smear gram stain (87205) $51.80 $74 12.1×
Smear Special Stain (87207) $51.80 $74 8.6×
Smn1 Gene Dos/Deletion Alys (81329)
range across 4 matching MRF lines
$17.33–$29.05 $24.75–$41.50 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $51.80 $74 8.9×
Sodium Serum (84295) $57.93 $82.75 12.0×
Sodium Urine (84300) $58.63 $83.75 11.6×
Soluble Transferrin Receptor (84238) $80.85 $115.50 2.2×
Somatomedin (84305) $178.85 $255.50 8.4×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$107.10–$116.38 $153–$166.25 varies
Special Stains Group 2 (88313) $116.38 $166.25 0.9×
Specific gravity body fluid (84315) $31.50 $45 9.6×
Specimen infect agnt concntj (87015) $72.80 $104 10.9×
Stool cultr aerobic bact ea (87046) $102.38 $146.25 10.8×
Strep a assay w/optic (87880) $81.38 $116.25 4.9×
Strep a DNA amp probe (87651) $96.25 $137.50 2.7×
Strep b DNA amp probe (87653) $191.10 $273 5.4×
Surg path level iii (88304) $192.85 $275.50 3.6×
Surgical pathology level IV (88305) $192.85 $275.50 3.6×
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$173.60–$319.73 $248–$456.75 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$36.05–$82.25 $51.50–$117.50 varies
Syphilis Test Non-Trep Quant (86593) $13.48 $19.25 3.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$114.80–$330.05 $164–$471.50 varies
T cells total count (86359) $92.40 $132 2.4×
T3 reverse (84482) $133.53 $190.75 8.5×
T3 Total (84480) $153.83 $219.75 10.8×
T3 Uptake (84479) $77.53 $110.75 12.0×
T4 Free (84439) $107.10 $153 11.9×
T4 total (84436) $82.25 $117.50 12.0×
T4-neonatal (84437) $34.65 $49.50 5.4×
Tacrolimus (80197) $160.83 $229.75 11.7×
Test for acetone/ketones (82009) $50.23 $71.75 11.1×
Testosterone total (84403) $277.03 $395.75 10.7×
Testosterone, Free (84402) $273.18 $390.25 10.7×
Thrombin Time (85670) $68.95 $98.50 11.9×
Thyroglobulin (84432)
range across 3 matching MRF lines
$120.40–$231.88 $172–$331.25 varies
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$53.38–$170.98 $76.25–$244.25 varies
Thyroid Stimulating Immunoglobulin (84445) $139.13 $198.75 2.7×
Thyroxine binding globulin (84442) $125.83 $179.75 8.5×
Tissue Culture (88233) $295.40 $422 2.1×
Tissue Culture Amniotic Fluid (88235) $315 $450 2.1×
Tissue Culture Lymphocyte (88230) $245 $350 2.1×
Topiramate (80201) $93.10 $133 7.8×
Toxoplasma ab igm (86778) $155.40 $222 10.8×
Toxoplasma antibody (86777) $121.98 $174.25 8.5×
Transferase Aspartate Amino Ast Sgot (84450) $62.83 $89.75 12.1×
Transferrin (84466) $150.68 $215.25 11.8×
Trichomonas Vaginalis Amplif (87661) $96.25 $137.50 2.7×
Triglycerides (84478) $68.95 $98.50 12.0×
Troponin Quant (84484)
range across 2 matching MRF lines
$26.60–$116.38 $38–$166.25 varies
Tumor immunohistochem/comput (88361) $319.73 $456.75 0.9×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$50.40–$256.03 $72–$365.75 varies
Unlisted Transfusion Medicine Procedure (86999) $101.68 $145.25 3.4×
Uric acid other source (84560) $57.93 $82.75 11.4×
Urinalysis Volume Measure (81050) $36.75 $52.50 10.1×
Urine Bacteria Culture (87088) $63.53 $90.75 7.9×
Urine Pregnancy Test (81025) $48.65 $69.50 5.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $38.33 $54.75 12.1×
Valproic acid (80164) $159.43 $227.75 11.8×
Vancomycin (80202) $158.73 $226.75 11.7×
Varicella-zoster antibody (86787) $140 $200 10.9×
Vasopressin (84588) $298.20 $426 8.8×
Very Long Chain Fatty Acids (82726) $152.95 $218.50 7.7×
Viral Culture (87252) $78.23 $111.75 3.0×
Virus antibody nos (86790)
range across 4 matching MRF lines
$100.98–$140 $144.25–$200 varies
Virus inoculation, shell via (87254) $210.88 $301.25 10.8×
Viscosity serum (85810) $99.23 $141.75 8.5×
Vit D 1 25-Dihydroxy (82652)
range across 3 matching MRF lines
$85.40–$412.13 $122–$588.75 varies
Vitamin A (84590) $98.53 $140.75 8.5×
Vitamin b-12 (82607) $162.40 $232 10.8×
Vitamin B6 (84207) $236.60 $338 8.4×
Vitamin D 25-Hydroxy (82306) $286.30 $409 9.7×
Vitamin E (84446) $119.53 $170.75 8.4×
Vitamin K (84597) $115.68 $165.25 8.4×
Von willebrand factor ag (85246) $265.48 $379.25 11.6×
West nile virus ab igm (86788) $174.83 $249.75 10.4×
West Nile Virus Antibody (86789) $121.98 $174.25 8.5×
Western Blot Test (84181)
range across 3 matching MRF lines
$143.85–$144.55 $205.50–$206.50 varies
Zinc (84630) $96.25 $137.50 8.5×

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.