Lab & pathology prices at Norton Sound Regional Hospital
Nome, AK · every code in this section with a posted price and a Medicare benchmark.
526 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $223 | $446 | 5.8× |
| Acute hepatitis panel (80074) | $424.50 | $849 | 8.9× |
| Acylcarnitines Quant (82017) | $27.50 | $55 | 1.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $178.50 | $357 | 2.8× |
| Albumin Fluid (82042) | $112 | $224 | 14.4× |
| Albumin serum (82040) | $88.50 | $177 | 17.9× |
| Aldolase (82085) | $84 | $168 | 8.7× |
| Aldosterone urine (82088) | $132.50 | $265 | 3.3× |
| Alkaline phosphatase isoenzymes (84080) | $100 | $200 | 6.8× |
| Allergen specific ige (86003) | $53.50 | $107 | 10.2× |
| Allergen specific igg (86001) | $16 | $32 | 2.0× |
| Allg Spec Ige Recomb Ea (86008) | $42 | $84 | 2.3× |
| Alpha-1-antitrypsin phenotype (82104) | $151 | $302 | 10.4× |
| Alpha-1-antitrypsin total (82103) | $84.50 | $169 | 6.3× |
| Alpha-Fetoprotein Serum (82105) | $117.50 | $235 | 7.0× |
| Alt (sgpt) (84460) | $53 | $106 | 10.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $112.50 | $225 | 4.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $56 | $112 | 3.3× |
| Ammonia (82140) | $213 | $426 | 14.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $132.50 | $265 | 1.4× |
| Amylase urine (82150) | $120 | $240 | 18.5× |
| Ana Titer (86039) | $111.50 | $223 | 10.0× |
| Anca screen each antibody (86036) | $19 | $38 | 1.6× |
| Androstenedione (82157) | $256.50 | $513 | 8.8× |
| Angiotensin converting enzyme csf (82164) | $107.50 | $215 | 7.4× |
| Anti-Phospholipid Antibody (86148) | $53.50 | $107 | 3.3× |
| Antibody aspergillus (86606) | $50.50 | $101 | 3.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $43.50 | $87 | 3.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $227.50 | $455 | 14.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $67.50 | $135 | 4.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $42 | $84 | 3.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $166.50 | $333 | 10.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $205.50 | $411 | 11.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $143.50 | $287 | 11.7× |
| Antibody haemophilus influenza (86684) | $85 | $170 | 5.4× |
| Antibody helicobacter pylori (86677) | $124.50 | $249 | 7.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $77.50 | $155 | 5.4× |
| Antibody Herpes Smplx Type 1 (86695) | $69 | $138 | 5.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $88 | $176 | 6.4× |
| Antibody HIV-2 (86702) | $79.50 | $159 | 5.9× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $183 | $366 | 1.9× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $157 | $314 | 1.9× |
| Antibody identification leukocyte antibodies (86021) | $104 | $208 | 6.9× |
| Antibody john cunningham virus (86711) | $1,429 | $2,858 | 84.6× |
| Antibody Protozoa Nes (86753) | $44 | $88 | 3.6× |
| Antibody Titer (86886) | $208.50 | $417 | 40.3× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$84.50–$148 | $169–$296 | varies |
| Antigen typing (86905) | $210.50 | $421 | 55.0× |
| Antinuclear antibodies (86038) | $136.50 | $273 | 11.3× |
| Antistreptolysin o titer (86060) | $156.50 | $313 | 21.4× |
| Antithrombin iii activity (85300) | $135.50 | $271 | 11.4× |
| Apolipoprotein a1 (82172) | $76 | $152 | 3.6× |
| Arsenic (82175) | $82 | $164 | 4.3× |
| Assay Blood Carbon Dioxide (82374) | $88 | $176 | 18.0× |
| Assay Nephelometry Not Spec (83883) | $37.50 | $75 | 2.8× |
| Assay of 5-hiaa (83497) | $138.50 | $277 | 10.7× |
| Assay of anti-mullerian hormone (82166) | $64 | $128 | 1.7× |
| Assay of blood/uric acid (84550) | $53 | $106 | 11.7× |
| Assay of calcium in urine (82340) | $79.50 | $159 | 13.2× |
| Assay of estrone (82679) | $84 | $168 | 3.4× |
| Assay of g6pd enzyme (82955) | $130 | $260 | 13.4× |
| Assay of gammaglobulin igm (82784) | $76 | $152 | 8.2× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$141–$150 | $282–$300 | varies |
| Assay of manganese (83785) | $53.50 | $107 | 2.0× |
| Assay of metanephrines (83835) | $148 | $296 | 8.7× |
| Assay of proinsulin (84206) | $107 | $214 | 4.0× |
| Assay of serum potassium (84132) | $61.50 | $123 | 12.9× |
| Assay of sweat sodium (84302) | $50.50 | $101 | 10.4× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$53–$65 | $106–$130 | varies |
| Assay of urine vma (84585) | $129.50 | $259 | 8.4× |
| Assay of vitamin b-1 (84425) | $160 | $320 | 7.5× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$11–$92.50 | $22–$185 | varies |
| Bartonella antibody (86611) | $45.50 | $91 | 4.5× |
| Bcr/abl1 gene major bp (81206) | $653 | $1,306 | 4.0× |
| Bcr/abl1 gene minor bp (81207) | $693 | $1,386 | 4.8× |
| Beta 2 glycoprotein i antibody each (86146) | $153.50 | $307 | 6.0× |
| Beta hydroxybutyrate (82010) | $83.50 | $167 | 10.2× |
| Beta-2 Microglobulin (82232) | $118 | $236 | 7.3× |
| Bile acids total (82239) | $58 | $116 | 3.4× |
| Bilirubin direct (82248) | $78 | $156 | 15.5× |
| Bilirubin total (82247) | $72 | $144 | 14.3× |
| Biotinidase (82261) | $56 | $112 | 3.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $5.50 | $11 | 1.6× |
| Bld Typing Serologic Rh Phnt (86906) | $102 | $204 | 13.2× |
| Blood Count Red Blood Cell Automated (85041) | $47.50 | $95 | 15.7× |
| Blood count reticulocyte automated (85045) | $46 | $92 | 11.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $64.50 | $129 | 17.0× |
| Blood gas (82803) | $276.50 | $553 | 10.6× |
| Blood gases w/02 saturation (82805) | $271.50 | $543 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $52.50 | $105 | 3.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $61 | $122 | 13.9× |
| Blood typing serologic abo (86900) | $55 | $110 | 18.4× |
| Bordetella antibody (86615) | $104 | $208 | 7.9× |
| Brca1&2 gen full seq dup/del (81162) | $6,074.50 | $12,149 | 3.3× |
| C diff amplified probe (87493) | $222 | $444 | 6.0× |
| C-Peptide (84681) | $186.50 | $373 | 9.0× |
| C-reactive protein (86140) | $69 | $138 | 13.3× |
| Ca 19-9 (86301) | $123 | $246 | 5.9× |
| Calcitonin (82308) | $199.50 | $399 | 7.4× |
| Calcium ionized (82330) | $155.50 | $311 | 11.4× |
| Calcium total (82310) | $83.50 | $167 | 16.2× |
| Calculus Spectroscopy (82365) | $105 | $210 | 8.1× |
| Calprotectin Fecal (83993) | $310.50 | $621 | 15.8× |
| Calr gene com variants (81219) | $191.50 | $383 | 1.6× |
| Cancer Antigen 125 (86304) | $199.50 | $399 | 9.6× |
| Cancer Antigen 27.29 (86300) | $108.50 | $217 | 5.2× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$172.50–$217 | $345–$434 | varies |
| Carboxyhemoglobin (82375) | $292.50 | $585 | 23.7× |
| Carcinoembryonic antigen (82378) | $149.50 | $299 | 7.9× |
| Cardiolipin ab iga (86147) | $144 | $288 | 5.7× |
| Carnitine Quantitative Each Specimen (82379) | $53.50 | $107 | 3.2× |
| Catecholamines fractionated (82384) | $152.50 | $305 | 6.0× |
| Catecholamines total urine (82382) | $55 | $110 | 2.0× |
| Ccp antibody (86200) | $143 | $286 | 11.0× |
| Cell count csf (89051) range across 2 matching MRF lines |
$106–$111.50 | $212–$223 | varies |
| Ceruloplasmin (82390) | $80.50 | $161 | 7.5× |
| Cftr gene com variants (81220) | $877 | $1,754 | 1.6× |
| Chemiluminescent assay (82397) | $190 | $380 | 13.5× |
| Chloride other source (82438) | $30 | $60 | 6.0× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$45–$110.50 | $90–$221 | varies |
| Chloride urine (82436) | $59 | $118 | 10.3× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$51–$67 | $102–$134 | varies |
| Chorionic gonadotropin test (84702) | $160.50 | $321 | 10.7× |
| Chromium serum (82495) | $201.50 | $403 | 9.9× |
| Chromosome Analysis 15-20 (88262) | $398 | $796 | 3.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$149–$172.50 | $298–$345 | varies |
| Citric acid urine (82507) | $146 | $292 | 5.3× |
| Ckmb (82553) | $130.50 | $261 | 11.3× |
| Clostridium Difficile (87324) | $123 | $246 | 10.3× |
| Clot Factor VIII Multimetric (85247) | $195 | $390 | 8.5× |
| Cns DNA amp probe type 12-25 (87483) | $760 | $1,520 | 1.8× |
| Cold agglutinin titer (86157) | $13 | $26 | 1.6× |
| Column Chromotography Quant (82542) | $202.50 | $405 | 8.4× |
| Complement Antigen Each Component (86160) | $102.50 | $205 | 8.5× |
| Complement Total (Ch50) (86162) | $135.50 | $271 | 6.7× |
| Complement/Function Activity (86161) | $129 | $258 | 10.8× |
| Coombs direct (86880) | $92 | $184 | 17.1× |
| Copper urine (82525) | $85.50 | $171 | 6.9× |
| Cortisol free (82530) | $136.50 | $273 | 8.2× |
| Cortisol saliva (82533) | $135 | $270 | 8.3× |
| Creatine kinase total (82550) | $98.50 | $197 | 15.1× |
| Creatinine blood (82565) | $93 | $186 | 18.2× |
| Creatinine clearance (82575) | $139 | $278 | 14.7× |
| Creatinine Urine (82570) | $88 | $176 | 17.0× |
| Crossmatch immediate spin (86920) | $164.50 | $329 | 0.9× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$128.50–$135 | $257–$270 | varies |
| Cryoglobulin (82595) | $61.50 | $123 | 9.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $142 | $284 | 17.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $158 | $316 | 20.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $378.50 | $757 | 1.7× |
| Culture Anaerobic (87075) | $175 | $350 | 18.5× |
| Culture blood (87040) | $146 | $292 | 14.1× |
| Culture chlamydia (87110) | $62.50 | $125 | 3.2× |
| Culture csf (87070) | $123.50 | $247 | 14.3× |
| Culture fungus (87102) | $123 | $246 | 14.6× |
| Culture screen only (87081) range across 2 matching MRF lines |
$76–$92.50 | $152–$185 | varies |
| Culture stool (87045) | $134.50 | $269 | 14.2× |
| Culture typing if ea antiserum (87140) | $68.50 | $137 | 12.3× |
| Culture urine (87086) | $104 | $208 | 12.9× |
| Cyclosporine (80158) | $174 | $348 | 9.6× |
| Cystatin C (82610) | $95.50 | $191 | 5.2× |
| Cytomegalovirus igg (86644) | $124.50 | $249 | 8.7× |
| Cytopath Cell Enhance Tech (88112) | $111.50 | $223 | 1.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $301 | $602 | 7.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $427 | $854 | 2.3× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $145.50 | $291 | 12.9× |
| Deoxyribonuclease antibody (86215) | $105 | $210 | 7.9× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$97–$117 | $194–$234 | varies |
| Detect Agent Nos Dna Quant (87799) | $390.50 | $781 | 9.1× |
| Dgp Antibody Each Ig Class (86258) | $22 | $44 | 1.8× |
| Dhea (82626) | $185.50 | $371 | 7.3× |
| Dhea-S (82627) | $124.50 | $249 | 5.6× |
| Digoxin (80162) | $206 | $412 | 15.5× |
| Digoxin free (80163) | $118 | $236 | 8.9× |
| Diphtheria antitoxoid (86648) | $76.50 | $153 | 5.0× |
| Dipropylacetic Acid Free (80165) | $139 | $278 | 10.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $227 | $454 | 1.7× |
| Dna Antibody Native/Double Stranded (86225) | $92.50 | $185 | 6.7× |
| Dna/Rna Amplified Probe (87150) | $117 | $234 | 3.3× |
| Drug Assay Everolimus (80169) | $345.50 | $691 | 25.2× |
| Drug Assay Lacosamide (80235) | $42.50 | $85 | 1.6× |
| Drug Assay Vedolizumab (80280) | $61 | $122 | 1.6× |
| Drug Screen Quant Clozapine (80159) | $90.50 | $181 | 4.5× |
| Drug Screen Quant Zonisamide (80203) | $21 | $42 | 1.6× |
| Drug Screen Quantitative Gabapentin (80171) | $185.50 | $371 | 8.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $149 | $298 | 11.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $125.50 | $251 | 9.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $125.50 | $251 | 9.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $128.50 | $257 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$50.50–$144 | $101–$288 | varies |
| Drug Test Prsmv Instrmnt (80306) | $136.50 | $273 | 8.0× |
| Electrolyte panel (80051) | $80 | $160 | 11.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $136.50 | $273 | 2.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21 | $42 | 1.7× |
| Enterovirus PCR (87498) | $134.50 | $269 | 3.8× |
| Enzyme histochemistry (88319) | $600 | $1,200 | 0.7× |
| Eosinophil Smear (89190) | $126 | $252 | 21.8× |
| Erythropoietin (82668) | $52.50 | $105 | 2.8× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$201.50–$211.50 | $403–$423 | varies |
| Estriol (82677) | $92.50 | $185 | 3.8× |
| Estrogen total (82672) | $219 | $438 | 10.1× |
| Exam Synovial Fluid Crystals (89060) | $104 | $208 | 14.2× |
| F2 Gene (81240) | $234.50 | $469 | 3.6× |
| Factor v activity (85220) | $135 | $270 | 7.6× |
| Factor v leiden mutation (81241) | $362.50 | $725 | 4.9× |
| Factor viii assay (85240) | $126 | $252 | 7.0× |
| Fat/Lipids Feces Quantitative (82710) | $123.50 | $247 | 7.4× |
| Fecal Fat Qualitative (82705) | $42 | $84 | 8.2× |
| Ferritin (82728) | $168 | $336 | 12.3× |
| Fetal Chrmoml Aneuploidy (81420) | $2,312.50 | $4,625 | 3.0× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $359.50 | $719 | 6.5× |
| Fetal Fibronectin (82731) | $597.50 | $1,195 | 9.3× |
| Fibrin degradation products (85362) | $118 | $236 | 17.1× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$160–$310.50 | $320–$621 | varies |
| Fibrinogen activity (85384) | $105 | $210 | 10.8× |
| Flow cytometry first marker (88184) | $124.50 | $249 | 0.3× |
| Fluorescent antibody screen (86255) | $148 | $296 | 12.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $166 | $332 | 13.8× |
| Fmr1 gene detection (81243) | $126 | $252 | 2.2× |
| Folic acid rbc (82747) | $106 | $212 | 6.0× |
| Folic Acid Serum (82746) | $136.50 | $273 | 9.3× |
| Follicle Stimulating Hormone (83001) | $166.50 | $333 | 9.0× |
| Fungi Identification Yeast (87106) | $16.50 | $33 | 1.6× |
| Gammaglobulin ige (82785) | $92.50 | $185 | 5.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $65.50 | $131 | 6.7× |
| Gases blood ph only (82800) | $149.50 | $299 | 13.6× |
| Gastrin (82941) | $118.50 | $237 | 6.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,387.50 | $2,775 | 3.3× |
| Genet Virus Isolate Hsv (87255) | $180 | $360 | 5.3× |
| Gentamicin (80170) | $227.50 | $455 | 13.9× |
| Ggt (82977) | $65.50 | $131 | 9.1× |
| Giardia antigen (87329) | $85.50 | $171 | 7.1× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $557 | $1,114 | 5.5× |
| Gjb6 Gene Analysis Common Variants (81254) | $130 | $260 | 3.7× |
| Glucose 2 hr pp (82950) | $75.50 | $151 | 15.9× |
| Glucose body fluid (82945) | $100 | $200 | 25.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$45–$64.50 | $90–$129 | varies |
| Glucose tolerance test (gtt) (82951) | $99 | $198 | 7.7× |
| Glycated Protein (82985) | $76 | $152 | 4.5× |
| Gonadotropin Chorionic Qualitative (84703) | $75.50 | $151 | 10.0× |
| Gonadotropin releasing hormone (83727) | $33.50 | $67 | 1.9× |
| Growth hormone (83003) | $77.50 | $155 | 4.6× |
| Gtt-added samples (82952) | $59 | $118 | 15.1× |
| H Pylori (C-13) Breath (83013) | $322.50 | $645 | 4.8× |
| Haptoglobin (83010) | $99 | $198 | 7.9× |
| Hdl Cholesterol (83718) | $43.50 | $87 | 5.3× |
| Helicobacter Pylori Stool (87338) | $240 | $480 | 16.7× |
| Hematocrit (85014) | $32.50 | $65 | 13.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$46–$48.50 | $92–$97 | varies |
| Hemoglobin a1c (83036) | $122 | $244 | 12.6× |
| Hemoglobin Chromotography (83021) | $61.50 | $123 | 3.4× |
| Hemoglobin electrophoresis (83020) | $157 | $314 | 12.2× |
| Hemoglobin plasma (83051) | $13 | $26 | 1.8× |
| Hemosiderin urine (83070) | $11.50 | $23 | 2.4× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$70.50–$130.50 | $141–$261 | varies |
| Heparin assay (85520) | $36 | $72 | 2.8× |
| Hepatitis a antibody total (86708) | $119.50 | $239 | 9.6× |
| Hepatitis b core ab igm (86705) | $145.50 | $291 | 12.4× |
| Hepatitis b core ab total (86704) | $88 | $176 | 7.3× |
| Hepatitis B Surface Antibody (86706) | $124 | $248 | 11.5× |
| Hepatitis B Surface Antigen (87340) | $111.50 | $223 | 10.8× |
| Hepatitis Be Antibody (86707) | $117 | $234 | 10.1× |
| Hepatitis Be Antigen (87350) | $108.50 | $217 | 9.4× |
| Hepatitis C Antibody (86803) | $172.50 | $345 | 12.1× |
| Hepatitis C Genotype (87902) | $647.50 | $1,295 | 2.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $291 | $582 | 8.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $372 | $744 | 8.7× |
| Hepatitis Delta Agent Antibody (86692) | $27 | $54 | 1.6× |
| Herpes simplex type 2 (86696) | $96.50 | $193 | 5.0× |
| Heterophile Antibody Screen (86308) | $68.50 | $137 | 13.2× |
| Hfe Gene (81256) | $409 | $818 | 6.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $253.50 | $507 | 32.8× |
| Histoplasma antigen urine (87385) | $32.50 | $65 | 2.5× |
| Hiv Genotype (87901) | $705 | $1,410 | 2.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $67 | $134 | 2.8× |
| Hiv-1 Antibody (86701) | $45 | $90 | 5.1× |
| HIV-1 p24 antigen (87390) | $56.50 | $113 | 2.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $472 | $944 | 5.5× |
| Hla ii typing 1 locus lr (81376) | $335 | $670 | 2.7× |
| Hla-b27 (86812) | $329 | $658 | 12.7× |
| Homocysteine (83090) | $311.50 | $623 | 17.4× |
| Homovanillic acid urine (83150) | $64.50 | $129 | 2.9× |
| Hpv High-Risk Types (87624) | $105 | $210 | 3.0× |
| Hpv Types 16 & 18 Only (87625) | $96.50 | $193 | 2.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$242–$520.50 | $484–$1,041 | varies |
| Hydroxyprogesterone 17-d (83498) | $168.50 | $337 | 6.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $88 | $176 | 8.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $92 | $184 | 6.6× |
| Iaad ia shiga-like toxin (87427) | $74.50 | $149 | 6.2× |
| Iaadi not otherwise specified each organism (87299) | $35.50 | $71 | 2.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $117 | $234 | 3.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $174 | $348 | 5.0× |
| Iadna Cytomegalovirus Quantification (87497) | $482.50 | $965 | 11.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $122.50 | $245 | 1.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $117 | $234 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $206.50 | $413 | 4.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $292.50 | $585 | 8.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $321.50 | $643 | 7.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $117 | $234 | 3.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$145–$174.50 | $290–$349 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $64 | $128 | 1.2× |
| Ig Light Chains Free Each (83521) | $196.50 | $393 | 11.4× |
| Igg subclasses (82787) | $134.50 | $269 | 16.8× |
| Immunfix e-phorsis/urine/csf (86335) | $165.50 | $331 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $157.50 | $315 | 8.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $111.50 | $223 | 7.4× |
| Immunoassay nonantibody (83516) | $150.50 | $301 | 13.1× |
| Immunofixation electrophoresis (86334) | $151 | $302 | 6.8× |
| Immunohistochemistry (88342) | $374 | $748 | 2.0× |
| Influenza a/b ag eia (87400) | $187.50 | $375 | 13.3× |
| Influenza assay w/optic (87804) | $102.50 | $205 | 6.2× |
| Influenza DNA amp probe (87502) | $244.50 | $489 | 2.6× |
| Inhibin A (86336) | $88.50 | $177 | 5.7× |
| Inhibin b (83520) | $196.50 | $393 | 11.4× |
| Insulin antibodies (86337) | $108.50 | $217 | 5.1× |
| Insulin free (83527) | $111.50 | $223 | 8.6× |
| Insulin total (83525) | $99 | $198 | 8.7× |
| Intrinsic factor antibody (86340) | $132.50 | $265 | 8.8× |
| Iron (83540) | $70.50 | $141 | 10.9× |
| Iron Binding Capacity (83550) | $65 | $130 | 7.4× |
| Islet cell antibody (86341) | $165 | $330 | 7.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $679 | $1,358 | 7.4× |
| Jak2 Gene Trgt Sequence Alys (81279) | $355 | $710 | 1.9× |
| Koh Prep (87220) range across 2 matching MRF lines |
$65.50–$152.50 | $131–$305 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $61.50 | $123 | 10.2× |
| Lactoferrin fecal qualitative (83630) | $48.50 | $97 | 2.5× |
| LDL direct (83721) | $71 | $142 | 6.8× |
| Lead (83655) | $104 | $208 | 8.6× |
| Legionella antigen urine (87449) | $173.50 | $347 | 14.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.50 | $119 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $59.50 | $119 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $374 | $748 | 0.9× |
| Lipase (83690) | $84 | $168 | 12.2× |
| Lipoprotein A (83695) | $107.50 | $215 | 7.5× |
| Lithium (80178) | $90 | $180 | 13.6× |
| Liver ds alys 3 bmrk srm alg (81517) | $272.50 | $545 | 1.5× |
| Luteinizing Hormone (Lh) (83002) | $136.50 | $273 | 7.4× |
| Lyme disease antibody (86618) | $227.50 | $455 | 13.4× |
| M. Genitalium Amp Probe (87563) | $61 | $122 | 1.7× |
| Macroscopic exam arthropod (87168) | $13.50 | $27 | 3.2× |
| Macroscopic Exam Parasite (87169) | $51 | $102 | 11.8× |
| Magnesium Urine (83735) | $76.50 | $153 | 11.4× |
| Mass Spectrometry Quant (83789) | $109 | $218 | 4.5× |
| Mercury urine (83825) | $77.50 | $155 | 4.8× |
| Metabolic panel ionized ca (80047) | $102 | $204 | 7.4× |
| Methylmalonic acid serum (83921) | $220 | $440 | 10.4× |
| Microalbumin, quantitative (82043) | $76 | $152 | 13.1× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$132.50–$139 | $265–$278 | varies |
| Mitochondrial Antibody Each (86381) | $46 | $92 | 1.8× |
| Mopath procedure level 1 (81400) | $494.50 | $989 | 7.7× |
| Mopath procedure level 7 (81406) | $703 | $1,406 | 2.5× |
| Mopath procedure level 8 (81407) | $703 | $1,406 | 0.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $292 | $584 | 1.6× |
| Mumps antibody (86735) | $118 | $236 | 9.0× |
| Mycoplasma antibody (86738) | $145 | $290 | 11.0× |
| Mycoplasma culture (87109) | $143.50 | $287 | 9.3× |
| Myelin basic protein csf (83873) | $161.50 | $323 | 9.4× |
| Myoglobin urine (83874) | $196 | $392 | 15.2× |
| Natriuretic peptide (83880) | $284.50 | $569 | 7.2× |
| Neutralization Test Viral (86382) | $30 | $60 | 1.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $857.50 | $1,715 | 3.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $247.50 | $495 | 0.9× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$96.50–$148 | $193–$296 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$25–$25.50 | $50–$51 | varies |
| Oligoclonal bands (83916) | $124.50 | $249 | 4.5× |
| Organic acids urine (83918) | $165 | $330 | 7.0× |
| Osmolality serum (83930) | $117 | $234 | 17.7× |
| Osmolality Urine (83935) | $153 | $306 | 22.4× |
| Osmotic fragility rbc incubated (85557) | $132.50 | $265 | 9.9× |
| Ova and parasites smears (87177) | $82 | $164 | 9.2× |
| Oxalate urine (83945) | $55.50 | $111 | 3.8× |
| Pancreatic Elastase Fecal (82656) | $36 | $72 | 3.1× |
| Particle Agglutination Screen Each Antibody (86403) | $58.50 | $117 | 5.1× |
| Parvovirus antibody (86747) | $122 | $244 | 8.1× |
| Ph urine (81003) | $64 | $128 | 28.4× |
| Phenobarbital Level (80184) | $174.50 | $349 | 11.4× |
| Phenotype Infect Agent Drug (87900) | $418.50 | $837 | 3.2× |
| Phenytoin (Dilantin) (80185) | $163.50 | $327 | 12.3× |
| Phenytoin free (80186) | $124.50 | $249 | 9.0× |
| Phosphatase alkaline (84075) | $87.50 | $175 | 16.9× |
| Phospholipid Neutralization Hexagonal (85598) | $151 | $302 | 8.4× |
| Phosphorus Serum (84100) | $71 | $142 | 15.0× |
| Phosphorus urine (84105) | $61 | $122 | 10.6× |
| Pinworm exam (87172) | $56 | $112 | 13.1× |
| Platelet Antibodies (86022) | $166.50 | $333 | 9.1× |
| Platelet count automated (85049) | $36 | $72 | 8.0× |
| Platelet neutralization (85597) | $58 | $116 | 3.2× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $343 | $686 | 1.7× |
| Porphobilinogen, urine; quantitative (84110) | $97 | $194 | 11.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $96.50 | $193 | 6.6× |
| Potassium Urine (84133) | $61.50 | $123 | 13.0× |
| Prealbumin (84134) | $128 | $256 | 8.8× |
| Pregnenolone (84140) | $174.50 | $349 | 8.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $62 | $124 | 0.9× |
| Primidone (80188) | $110.50 | $221 | 6.7× |
| Procalcitonin (Pct) (84145) | $88.50 | $177 | 3.3× |
| Progesterone (84144) | $120 | $240 | 5.8× |
| Prolactin (84146) | $208 | $416 | 10.7× |
| Protein body fluid (84157) | $100 | $200 | 25.0× |
| Protein C Activity (85303) | $193 | $386 | 13.9× |
| Protein c antigen (85302) | $153 | $306 | 12.7× |
| Protein Electrophoresis Urine (84166) | $90 | $180 | 5.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $90 | $180 | 8.4× |
| Protein S Free (85306) | $190 | $380 | 12.4× |
| Protein s total (85305) | $173.50 | $347 | 14.9× |
| Protein total serum (84155) | $53.50 | $107 | 14.6× |
| Protein Total Urine (84156) | $53.50 | $107 | 14.6× |
| Protein Western Blot Test (84182) | $161 | $322 | 5.5× |
| PSA free (84154) | $103.50 | $207 | 5.6× |
| Pth Intact (83970) | $367.50 | $735 | 8.9× |
| Quantiferon tb gold plus (86480) | $215.50 | $431 | 3.5× |
| Quantitative assay drug (80299) | $208.50 | $417 | 11.2× |
| Quantitative Screen Metals (83018) | $155.50 | $311 | 7.1× |
| Rbc antibody elution (86860) | $208.50 | $417 | 1.1× |
| Rbc antibody identification (86870) | $348 | $696 | 0.9× |
| Rbc antibody screen (86850) | $102.50 | $205 | 10.5× |
| Reagent Strip/Blood Glucose (82948) | $61 | $122 | 12.1× |
| Renin activity plasma (84244) | $216 | $432 | 9.8× |
| Resp virus 12-25 targets (87633) | $1,387.50 | $2,775 | 3.3× |
| Reticulocyte Count (85046) | $96.50 | $193 | 17.3× |
| Rh (86901) | $44 | $88 | 14.7× |
| Rheumatoid Factor Qualitative (86430) | $90 | $180 | 14.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$97.50–$102.50 | $195–$205 | varies |
| Ristocetin cofactor (85245) | $241 | $482 | 10.5× |
| Rotavirus ag eia (87425) | $155.50 | $311 | 13.0× |
| Rpr qualitative (86592) | $61.50 | $123 | 14.4× |
| Rsv Assay W/Optic (87807) | $109 | $218 | 8.3× |
| Rubella Antibody (86762) | $106.50 | $213 | 7.4× |
| Rubeola antibody (86765) | $97 | $194 | 7.5× |
| Russell Viper Venom Time Diluted (85613) | $80.50 | $161 | 8.4× |
| Salmonella antibody (86768) | $25 | $50 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.50 | $315 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $87.50 | $175 | 2.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $134.50 | $269 | 3.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $273 | $546 | 1.9× |
| Sedimentation Rate, Automated (85652) | $53 | $106 | 19.6× |
| Selenium (84255) | $81.50 | $163 | 3.2× |
| Semen Anal Sperm Detection (89321) | $74 | $148 | 6.1× |
| Semen analysis complete (89320) | $33 | $66 | 2.7× |
| Sensitivity mic (87186) | $126 | $252 | 14.6× |
| Sex Hormone Binding Globulin (84270) | $76.50 | $153 | 3.5× |
| Sickling of rbc reduction (85660) | $112 | $224 | 20.3× |
| Skin test tuberculosis intradermal (86580) | $40.50 | $81 | 1.3× |
| Smear acid fast (87206) | $97 | $194 | 18.0× |
| Smear complex stain (87209) | $59.50 | $119 | 3.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$61.50–$64.50 | $123–$129 | varies |
| Smear Special Stain (87207) | $83.50 | $167 | 13.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $79.50 | $159 | 13.7× |
| Sodium Serum (84295) | $53.50 | $107 | 11.1× |
| Sodium Urine (84300) | $59 | $118 | 11.7× |
| Soluble Transferrin Receptor (84238) | $58 | $116 | 1.6× |
| Somatomedin (84305) | $132.50 | $265 | 6.2× |
| Special Stains Group 1 (88312) | $111.50 | $223 | 1.9× |
| Special Stains Group 2 (88313) | $111.50 | $223 | 0.8× |
| Specimen infect agnt concntj (87015) | $41 | $82 | 6.1× |
| Spectrophotometry (84311) | $176.50 | $353 | 21.8× |
| Stool cultr aerobic bact ea (87046) | $51 | $102 | 5.4× |
| Strep a assay w/optic (87880) | $132 | $264 | 8.0× |
| Strep a DNA amp probe (87651) | $117 | $234 | 3.3× |
| Strep b DNA amp probe (87653) | $119.50 | $239 | 3.4× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $22.50 | $45 | 2.0× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$20–$44 | $40–$88 | varies |
| Sulfate urine (84392) | $24 | $48 | 4.4× |
| Surg path level iii (88304) | $111.50 | $223 | 1.9× |
| Surgical pathology level IV (88305) | $111.50 | $223 | 1.9× |
| Surgical pathology level vi (88309) | $600 | $1,200 | 0.7× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $14.50 | $29 | 2.0× |
| Syphilis Test Non-Trep Quant (86593) | $13.50 | $27 | 3.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $228 | $456 | 4.9× |
| T3 Free (84481) | $153 | $306 | 9.0× |
| T3 reverse (84482) | $125.50 | $251 | 8.0× |
| T3 Total (84480) | $138.50 | $277 | 9.8× |
| T3 Uptake (84479) | $44 | $88 | 6.8× |
| T4 Free (84439) range across 2 matching MRF lines |
$124.50–$126 | $249–$252 | varies |
| T4 total (84436) | $72.50 | $145 | 10.6× |
| Tacrolimus (80197) | $289.50 | $579 | 21.1× |
| Tb ag response t-cell susp (86481) | $232.50 | $465 | 2.3× |
| Test for acetone/ketones (82009) | $88 | $176 | 19.5× |
| Testosterone total (84403) | $156.50 | $313 | 6.1× |
| Testosterone, Free (84402) | $208.50 | $417 | 8.2× |
| Tetanus antibody (86774) | $120 | $240 | 8.1× |
| Theophylline (80198) | $154.50 | $309 | 10.9× |
| Thiopurine methyltransferase (84433) | $39 | $78 | 1.8× |
| Thrombin Time (85670) | $114.50 | $229 | 19.8× |
| Thyroglobulin (84432) | $107 | $214 | 6.7× |
| Thyroglobulin Antibody (86800) | $80 | $160 | 5.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $331.50 | $663 | 6.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $21.50 | $43 | 1.9× |
| Tissue Culture (88233) | $366.50 | $733 | 2.6× |
| Tissue Culture Lymphocyte (88230) | $244.50 | $489 | 2.1× |
| Topiramate (80201) | $101.50 | $203 | 8.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $254 | $508 | 12.9× |
| Toxoplasma ab igm (86778) | $46 | $92 | 3.2× |
| Toxoplasma antibody (86777) | $71 | $142 | 4.9× |
| Tpmt gene com variants (81335) | $620.50 | $1,241 | 3.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $53 | $106 | 10.2× |
| Transferrin (84466) | $108.50 | $217 | 8.5× |
| Trichinella Antibody (86784) | $158.50 | $317 | 12.6× |
| Trichomonas Vaginalis Amplif (87661) | $97.50 | $195 | 2.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$53–$94.50 | $106–$189 | varies |
| Troponin Quant (84484) | $151 | $302 | 12.1× |
| Troponin, qualitative (84512) | $84.50 | $169 | 8.4× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$45–$84.50 | $90–$169 | varies |
| Urinalysis Microscopic Only (81015) | $16 | $32 | 5.2× |
| Urinalysis Volume Measure (81050) | $22 | $44 | 6.0× |
| Urine Bacteria Culture (87088) | $114 | $228 | 14.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$74–$90 | $148–$180 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $76 | $152 | 24.0× |
| Valproic acid (80164) | $164.50 | $329 | 12.1× |
| Vancomycin (80202) | $217 | $434 | 16.0× |
| Varicella-zoster antibody (86787) | $130.50 | $261 | 10.1× |
| Virus antibody nos (86790) | $211.50 | $423 | 16.4× |
| Virus inoculation, shell via (87254) | $86 | $172 | 4.4× |
| Viscosity serum (85810) | $79.50 | $159 | 6.8× |
| Vit D 1 25-Dihydroxy (82652) | $364 | $728 | 9.5× |
| Vitamin A (84590) | $110.50 | $221 | 9.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$98.50–$118.50 | $197–$237 | varies |
| Vitamin B6 (84207) | $141 | $282 | 5.0× |
| Vitamin c (82180) | $191.50 | $383 | 19.4× |
| Vitamin D 25-Hydroxy (82306) | $170 | $340 | 5.7× |
| Vitamin E (84446) | $118 | $236 | 8.3× |
| Vitamin K (84597) | $181 | $362 | 13.2× |
| Volatiles (84600) | $124.50 | $249 | 7.3× |
| Von willebrand factor ag (85246) | $187.50 | $375 | 8.2× |
| Zika Virus Dna/Rna Amp Probe (87662) | $163.50 | $327 | 3.2× |
| Zinc (84630) | $124.50 | $249 | 10.9× |
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.