Lab & pathology prices at Ochiltree General Hospital

Perryton, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $105 $150 4.6×
Acth (82024) $68 $97 1.8×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$28–$53 $40–$75 varies
Acute hepatitis panel (80074) $316 $452 6.6×
Acylcarnitines Quant (82017) $165 $235 9.8×
Afp-l3 fraction isoform & total afp w/ratio (82107) $113 $161 1.8×
Albumin Fluid (82042) $40 $57 5.1×
Albumin serum (82040) $40 $57 8.1×
Aldolase (82085) $35 $50 3.6×
Aldosterone urine (82088)
range across 2 matching MRF lines
$103–$314 $147–$449 varies
Alkaline phosphatase isoenzymes (84080) $35 $50 2.4×
Allergen specific ige (86003)
range across 89 matching MRF lines
$11–$23 $15–$33 varies
Allergen specific igg (86001)
range across 9 matching MRF lines
$31–$46 $45–$65 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$35–$53 $50–$75 varies
Alpha-1-antitrypsin phenotype (82104) $70 $100 4.8×
Alpha-1-antitrypsin total (82103) $97 $138 7.2×
Alpha-Fetoprotein Serum (82105)
range across 4 matching MRF lines
$28–$162 $40–$232 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines
$46–$47 $66–$67 varies
Aluminum (82108) $87 $124 3.4×
Amikacin trough (80150) $116 $166 7.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $527 $753 31.2×
Ammonia (82140) $111 $159 7.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $172 $245 1.8×
Amylase urine (82150)
range across 2 matching MRF lines
$48–$86 $68–$123 varies
Ana Titer (86039) $74 $105 6.6×
Anca screen each antibody (86036) $116 $166 9.6×
Androstenedione (82157) $226 $323 7.7×
Angiotensin converting enzyme csf (82164) $97 $138 6.6×
Anti-Phospholipid Antibody (86148) $85 $122 5.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$105–$140 $150–$200 varies
Antibody Cytomegalovirus Cmv Igm (86645) $82 $117 4.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $116 $166 8.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $89 $127 5.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$77–$140 $110–$200 varies
Antibody Fungus Not Elsewhere Specified (86671) $92 $131 7.5×
Antibody helicobacter pylori (86677) $125 $179 7.4×
Antibody Herpes Smplx Type 1 (86695) $102 $145 7.7×
Antibody HIV-1&HIV-2 single result (86703) $106 $151 7.7×
Antibody HIV-2 (86702) $81 $115 6.0×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$56–$92 $80–$131 varies
Antibody john cunningham virus (86711)
range across 3 matching MRF lines
$983–$1,750 $1,404–$2,500 varies
Antibody Protozoa Nes (86753)
range across 4 matching MRF lines
$82–$88 $117–$125 varies
Antibody rotavirus (86759) $43 $62 2.4×
Antibody Titer (86886) $305 $435 58.9×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$68–$79 $97–$113 varies
Antigen typing (86905)
range across 2 matching MRF lines
$420–$641 $600–$915 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $42 $60 7.3×
Antinuclear antibodies (86038) $70 $100 5.8×
Antistreptolysin o titer (86060) $70 $100 9.6×
Antithrombin iii activity (85300) $100 $143 8.4×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$59–$105 $84–$150 varies
Aquaporin-4 Antb Cba Each (86052) $1,820 $2,600 151.0×
Arsenic (82175) $161 $230 8.5×
Assay activated protein c (85307) $134 $191 8.7×
Assay Blood Carbon Dioxide (82374) $31 $45 6.4×
Assay Dir Meas Fr Estradiol (82681) $140 $200 5.0×
Assay Nephelometry Not Spec (83883) $315 $450 23.2×
Assay of 5-hiaa (83497) $241 $344 18.7×
Assay of anti-mullerian hormone (82166) $140 $200 3.6×
Assay of blood/uric acid (84550) $45 $64 10.0×
Assay of calcium in urine (82340) $38 $54 6.3×
Assay of cpk in blood (82552) $73 $104 5.5×
Assay of g6pd enzyme (82955) $48 $68 4.9×
Assay of gammaglobulin igm (82784) $72 $103 7.7×
Assay of lactic acid (83605) $57 $82 4.9×
Assay of manganese (83785) $68 $97 2.6×
Assay of metanephrines (83835) $130 $186 7.7×
Assay of phosphatase acid total (84060) $212 $303 27.7×
Assay of prostate specific antigen complexed (84152) $79 $113 4.3×
Assay of pyruvate (84210) $35 $50 2.4×
Assay of serotonin (84260) $248 $355 8.0×
Assay of serum potassium (84132) $38 $54 8.0×
Assay of sweat sodium (84302) $54 $77 11.1×
Assay of urea nitrogen (84520) $49 $70 12.4×
Assay of urine vma (84585) $85 $121 5.5×
Assay of vitamin b-1 (84425) $122 $175 5.7×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$21–$40 $30–$57 varies
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,471 $2,102 1.7×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$18–$35 $26–$50 varies
B cells total count (86355) $254 $363 6.7×
Bartonella antibody (86611) $141 $201 13.9×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$66–$71 $94–$102 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$66–$79 $94–$113 varies
Beta Lactamase (87185) $67 $95 14.1×
Beta-2 Microglobulin (82232) $125 $178 7.7×
Beta-amyloid 1-40 (abeta 40) (82233) $700 $1,000 5.4×
Bile acids total (82239) $59 $84 3.4×
Bilirubin direct (82248) $48 $69 9.6×
Bilirubin total (82247) $54 $77 10.8×
Bilirubin total transcutaneous (88720) $9 $13 1.8×
Biotinidase (82261) $102 $146 6.0×
Bleeding time test (85002) $14 $20 2.9×
Blood Count Automated Differential Wbc Count (85004) $25 $36 3.9×
Blood Count Red Blood Cell Automated (85041) $18 $25 6.0×
Blood count reticulocyte automated (85045) $35 $50 8.8×
Blood gas (82803)
range across 2 matching MRF lines
$195–$210 $278–$300 varies
Blood gases w/02 saturation (82805) $195 $278 2.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $122 $175 7.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $28 $40 6.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $599 $856 94.3×
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$213–$238 $304–$340 varies
Bordetella antibody (86615) $23 $33 1.7×
Brca1&2 gen full seq dup/del (81162) $3,193 $4,562 1.7×
Brucella antibody (86622) $64 $92 7.2×
C diff amplified probe (87493)
range across 2 matching MRF lines
$140–$175 $200–$250 varies
C-Peptide (84681) $64 $92 3.1×
C-reactive protein (86140)
range across 2 matching MRF lines
$41–$103 $58–$147 varies
Ca 19-9 (86301) $141 $201 6.8×
Cadmium (82300) $161 $230 6.8×
Calcitonin (82308) $183 $261 6.8×
Calcium ionized (82330) $79 $113 5.8×
Calcium total (82310) $46 $65 8.9×
Calculus Spectroscopy (82365) $99 $142 7.7×
Calprotectin Fecal (83993) $196 $280 10.0×
Cancer Antigen 125 (86304) $161 $230 7.7×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$45–$49 $64–$70 varies
Candida Dna Dir Probe (87480) $105 $150 5.2×
Carbamazepine total (80156) $112 $160 7.7×
Carboxyhemoglobin (82375) $95 $136 7.7×
Carcinoembryonic antigen (82378) $146 $209 7.7×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$45–$76 $64–$109 varies
Carnitine Quantitative Each Specimen (82379) $162 $231 9.6×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$53–$195 $75–$278 varies
Catecholamines total urine (82382) $133 $190 4.9×
Ccp antibody (86200) $132 $188 10.2×
Cell count csf (89051)
range across 4 matching MRF lines
$19–$119 $27–$170 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $264 $377 1.9×
Ceruloplasmin (82390) $40 $57 3.7×
Cftr gene com variants (81220) $974 $1,392 1.7×
Chlmy trch&neisra gonor mult (87494)
range across 2 matching MRF lines
$62–$271 $88–$387 varies
Chloride other source (82438)
range across 2 matching MRF lines
$34–$50 $49–$72 varies
Chloride Serum (82435) $34 $49 7.4×
Chloride urine (82436) $15 $22 2.6×
Cholesterol total (82465) $44 $63 10.1×
Cholinesterase Serum (82480) $120 $172 15.2×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $399 $570 7.7×
Chorionic gonadotropin test (84702) $89 $127 5.9×
Chromium serum (82495) $101 $144 5.0×
Chromogranin a (86316)
range across 2 matching MRF lines
$161–$175 $230–$250 varies
Chromosome Analysis 15-20 (88262) $251 $358 2.0×
Citric acid urine (82507) $52 $74 1.9×
Ckmb (82553)
range across 2 matching MRF lines
$88–$90 $125–$128 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines
$35–$42 $50–$60 varies
Clot Factor VIII Multimetric (85247) $112 $160 4.9×
Cns DNA amp probe type 12-25 (87483) $729 $1,042 1.7×
Coccidioides antibody (86635) $130 $185 11.3×
Cold agglutinin screen (86156) $105 $150 13.0×
Cold agglutinin titer (86157) $31 $45 3.8×
Collagen crosslinks (82523) $69 $99 3.7×
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$56–$350 $80–$500 varies
Compatibility Each Unit Incubation (86921) $323 $462 1.9×
Compatibility test antiglob (86922) $285 $407 1.7×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$83–$109 $118–$155 varies
Complement Total (Ch50) (86162) $216 $309 10.6×
Complement/Function Activity (86161) $58 $83 4.8×
Consltj&Reprt Slides Prepared Elsewhere (88321) $210 $300 5.6×
Coombs direct (86880)
range across 2 matching MRF lines
$102–$175 $146–$250 varies
Copper urine (82525)
range across 2 matching MRF lines
$91–$96 $130–$137 varies
Cortisol free (82530)
range across 3 matching MRF lines
$97–$132 $139–$188 varies
Cortisol saliva (82533)
range across 7 matching MRF lines
$35–$140 $50–$200 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$55–$57 $78–$81 varies
Creatinine blood (82565) $41 $59 8.0×
Creatinine clearance (82575) $95 $136 10.0×
Creatinine Urine (82570)
range across 5 matching MRF lines
$29–$184 $42–$263 varies
Crossmatch immediate spin (86920) $305 $435 1.8×
Crp High Sensitivity (86141) $103 $147 8.0×
Cryofibrinogen (82585) $25 $35 1.8×
Cryoglobulin (82595) $69 $99 10.7×
Cryptosporidium ag eia (87328) $75 $107 5.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $61 $87 7.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $27 $38 3.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $106 $151 13.7×
Culture afb (87116) $105 $150 9.7×
Culture Anaerobic (87075) $85 $121 9.0×
Culture blood (87040)
range across 2 matching MRF lines
$101–$106 $144–$151 varies
Culture csf (87070)
range across 3 matching MRF lines
$79–$292 $113–$417 varies
Culture fungus (87102) $88 $125 10.5×
Culture screen only (87081)
range across 3 matching MRF lines
$64–$105 $92–$150 varies
Culture stool (87045) $68 $97 7.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $22 $32 4.2×
Culture urine (87086) $71 $102 8.8×
Cyanide (82600) $104 $149 5.4×
Cyclosporine (80158) $159 $227 8.8×
Cyp2c19 gene analysis common variants (81225) $510 $728 1.8×
Cyp2c9 gene com variants (81227) $306 $437 1.8×
Cyp2d6 gene com variants (81226) $789 $1,127 1.7×
Cystatin C (82610) $132 $188 7.1×
Cytogenetics 100-300 (88275) $280 $400 5.5×
Cytomegalovirus igg (86644) $82 $117 5.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$35–$36 $50–$51 varies
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$90–$104 $129–$149 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $251 $358 4.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $420 $600 14.5×
Deoxycortisol (82634) $105 $150 3.6×
Deoxyribonuclease antibody (86215) $35 $50 2.6×
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$113–$420 $161–$600 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$345–$350 $493–$500 varies
Dgp Antibody Each Ig Class (86258)
range across 3 matching MRF lines
$35–$47 $50–$67 varies
Dhea (82626) $195 $279 7.7×
Dhea-S (82627) $180 $257 8.1×
Digoxin (80162) $89 $127 6.7×
Dna Antibody Native/Double Stranded (86225) $106 $151 7.7×
Dna/Rna Amplified Probe (87150) $67 $95 1.9×
Drug assay adalimumab (80145) $350 $500 9.1×
Drug Assay Amiodarone (80151) $139 $199 7.5×
Drug assay felbamate (80167) $80 $114 4.3×
Drug Assay Lacosamide (80235) $130 $186 4.8×
Drug Screen Quantitative Lamotrigine (80175) $142 $203 10.7×
Drug Screen Quantitative Levetiracetam (80177) $102 $146 7.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $95 $135 5.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$109–$179 $155–$256 varies
Drug Test Prsmv Dir Opt Obs (80305) $165 $236 13.1×
Drug Test Prsmv Instrmnt (80306)
range across 3 matching MRF lines
$30–$193 $43–$275 varies
Ehrlichia antibody (86666) $88 $125 8.6×
El-1 Fecal Quantitative (82653) $350 $500 15.2×
Electrolyte panel (80051) $80 $114 11.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $88 $125 7.3×
Enterovirus Antibody (86658) $50 $72 3.8×
Enterovirus PCR (87498) $333 $475 9.5×
Eosinophil Smear (89190) $24 $34 4.1×
Erythropoietin (82668) $145 $207 7.7×
Estradiol serum (82670)
range across 2 matching MRF lines
$210–$216 $300–$308 varies
Estriol (82677) $187 $267 7.7×
Estrogen total (82672) $146 $208 6.7×
Estrogens fractionated (82671) $197 $281 6.1×
Ethosuximide (80168) $80 $114 4.9×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$59–$88 $85–$126 varies
F2 Gene (81240) $115 $164 1.8×
Factor ii activity (85210) $168 $240 12.9×
Factor v activity (85220) $168 $240 9.5×
Factor v leiden mutation (81241) $130 $185 1.8×
Factor viii assay (85240) $221 $316 12.3×
Fecal Fat Qualitative (82705) $43 $62 8.4×
Ferritin (82728) $92 $131 6.7×
Fetal Chrmoml Aneuploidy (81420) $2,275 $3,250 3.0×
Fetal Congenital Abnor Assay Four Anal (81511)
range across 2 matching MRF lines
$210–$266 $300–$380 varies
Fibrin Degradation Quant (85379) $124 $177 12.2×
Fibrinogen activity (85384) $66 $94 6.8×
Fibrinogen antigen (85385) $83 $118 5.7×
Fluorescent antibody screen (86255)
range across 10 matching MRF lines
$28–$280 $40–$400 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $50 $72 4.1×
Fmr1 gene detection (81243) $1,400 $2,000 24.5×
Folic acid rbc (82747) $126 $180 7.1×
Folic Acid Serum (82746) $121 $173 8.2×
Follicle Stimulating Hormone (83001) $144 $205 7.8×
Fungi Identification Yeast (87106) $62 $88 6.0×
Gammaglobulin ige (82785) $127 $181 7.7×
Gardner vag DNA dir probe (87510) $105 $150 5.2×
Gastrin (82941) $31 $44 1.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $728 $1,040 1.7×
Genet Virus Isolate Hsv (87255) $130 $185 3.8×
Genetic Tstg Severe Inh Cond (81443) $4,285 $6,121 1.8×
Gentamicin (80170) $87 $124 5.3×
Ggt (82977) $56 $80 7.8×
Giardia antigen (87329) $69 $99 5.8×
Giardia lamblia antibody (86674) $45 $64 3.1×
Glucagon (82943) $88 $125 6.2×
Glucose 2 hr pp (82950)
range across 5 matching MRF lines
$31–$71 $44–$102 varies
Glucose Blood Test (82962)
range across 3 matching MRF lines
$27–$31 $39–$44 varies
Glucose body fluid (82945) $136 $194 34.6×
Glucose Serum (82947) $48 $69 12.2×
Glucose tolerance test (gtt) (82951)
range across 4 matching MRF lines
$22–$93 $32–$133 varies
Glycated Protein (82985) $34 $49 2.0×
Gonadotropin Chorionic Qualitative (84703) $58 $83 7.7×
Growth hormone (83003) $69 $98 4.1×
Gtt-added samples (82952)
range across 3 matching MRF lines
$18–$21 $25–$30 varies
H Pylori (C-13) Breath (83013) $175 $250 2.6×
H Pylori Drug Admin (83014) $18 $25 2.3×
Haptoglobin (83010) $97 $139 7.7×
Hdl Cholesterol (83718) $36 $52 4.4×
Helicobacter Pylori Stool (87338) $127 $182 8.8×
Helminth Antibody (86682) $160 $229 12.3×
Hematocrit (85014)
range across 2 matching MRF lines
$18–$26 $25–$37 varies
Hemoglobin (85018)
range across 4 matching MRF lines
$18–$25 $25–$35 varies
Hemoglobin a1c (83036) $75 $107 7.7×
Hemoglobin Chromotography (83021) $140 $200 7.8×
Hemoglobin electrophoresis (83020) $153 $219 11.9×
Hemoglobin Methemoglobin Quantitative (83050) $271 $387 33.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $165 $236 17.6×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $46 $65 4.7×
Hep a ab igm (86709) $90 $128 8.0×
Hepatitis a antibody total (86708) $85 $121 6.9×
Hepatitis b core ab igm (86705) $101 $144 8.6×
Hepatitis b core ab total (86704) $90 $128 7.5×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$62–$64 $88–$91 varies
Hepatitis B Surface Antigen (87340) $75 $107 7.3×
Hepatitis Be Antibody (86707) $50 $72 4.3×
Hepatitis Be Antigen (87350) $57 $82 4.9×
Hepatitis C Antibody (86803) $111 $158 7.8×
Hepatitis C Genotype (87902) $451 $644 1.8×
Hepatitis C Revrs Trnscrpj (87522) $491 $702 11.5×
Hepatitis d quantification (87523) $350 $500 8.2×
Hepatitis Delta Agent Antibody (86692) $140 $200 8.2×
Herpes simplex type 2 (86696) $149 $213 7.7×
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines
$31–$49 $45–$70 varies
Hfe Gene (81256) $370 $529 5.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $105 $150 13.6×
Histamine urine (83088) $52 $74 1.8×
Hiv Antigen W/Hiv Antibodies (87806) $106 $151 3.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$105–$106 $150–$151 varies
Hiv-1 Antibody (86701) $81 $115 9.1×
Hla-b27 (86812) $199 $284 7.7×
Homocysteine (83090) $144 $205 8.0×
Homovanillic acid urine (83150) $105 $150 4.7×
Hpv low-risk types (87623) $36 $51 1.0×
Hsv Dna Amp Probe (87529) $278 $397 7.9×
Hsv Dna Quant (87530) $350 $500 8.2×
Hydroxycorticosteroids 17 (83491) $88 $125 4.9×
Hydroxyprogesterone 17-d (83498) $148 $211 5.4×
Hydroxyproline free (83500) $162 $232 7.2×
Hydroxyproline total (83505) $162 $232 6.7×
Iaad ia shiga-like toxin (87427) $118 $169 9.8×
Iadna Candida Species Amplified Probe Tq (87481) $350 $500 10.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines
$22–$40 $32–$57 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $357 $510 10.2×
Iadna Cytomegalovirus Quantification (87497) $140 $200 3.3×
Iadna Hepatitis B Virus Quantification (87517) $310 $443 7.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $250 $357 1.8×
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 2 matching MRF lines
$700–$729 $1,000–$1,042 varies
Ig Light Chains Free Each (83521) $315 $450 18.2×
Igg subclasses (82787) $350 $500 43.6×
Immune Complex Assay (86332) $159 $227 6.5×
Immunfix e-phorsis/urine/csf (86335) $69 $99 2.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 7 matching MRF lines
$134–$210 $191–$300 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$77–$525 $110–$750 varies
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$53–$286 $75–$409 varies
Immunofixation electrophoresis (86334) $172 $246 7.7×
Immunofluorescence per spec 1st singl antb stain (88346) $630 $900 3.7×
Immunohistochemistry (88342) $305 $435 1.8×
In situ hybridization 1st probe stain (88365) $305 $435 1.8×
Influenza assay w/optic (87804)
range across 5 matching MRF lines
$29–$87 $41–$124 varies
Inhibin A (86336) $120 $172 7.7×
Inhibin b (83520)
range across 27 matching MRF lines
$30–$595 $43–$850 varies
Insulin antibodies (86337) $144 $206 6.7×
Insulin free (83527) $133 $190 10.3×
Insulin total (83525) $88 $126 7.7×
Intrinsic factor antibody (86340) $130 $185 8.6×
Iron (83540) $57 $82 8.8×
Iron Binding Capacity (83550) $71 $101 8.1×
Islet cell antibody (86341) $179 $255 7.6×
Jak2 gene analysis p.val617phe variant (81270) $1,030 $1,472 11.2×
Ketosteroids 17 total (83586) $88 $125 6.9×
Koh Prep (87220)
range across 2 matching MRF lines
$20–$33 $29–$47 varies
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$53–$57 $75–$81 varies
Lactoferrin fecal qualitative (83630) $105 $150 5.3×
Ldh Isoenzymes (83625) $99 $141 7.7×
LDL direct (83721) $18 $26 1.7×
Lead (83655)
range across 2 matching MRF lines
$75–$94 $107–$134 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$44–$70 $63–$100 varies
Leucine Aminopeptidase Lap (83670) $50 $71 5.1×
Leukocyte Assessment Fecal (89055) $42 $60 9.8×
Leukocyte Histamine Release (86343) $119 $170 9.6×
Level I Surg Pathology Gross Examination Only (88300) $50 $71 1.7×
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$20–$166 $28–$237 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines
$599–$782 $856–$1,117 varies
Lipase (83690) $63 $90 9.1×
Lipoprotein A (83695) $87 $124 6.1×
Lipoprotein Bld Quan Part (83704) $350 $500 10.2×
Lipoprotein-Associated Phospholipase A2 (83698) $105 $150 2.3×
Lithium (80178) $57 $81 8.6×
Luteinizing Hormone (Lh) (83002) $143 $204 7.7×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$88–$104 $125–$148 varies
Lysozyme serum (85549) $88 $125 4.7×
M. Genitalium Amp Probe (87563) $175 $250 5.0×
Magnesium Urine (83735)
range across 4 matching MRF lines
$48–$105 $69–$150 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$82–$346 $117–$494 varies
Mercury urine (83825) $102 $146 6.3×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$92–$188 $131–$268 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$43–$81 $62–$116 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$55–$85 $78–$121 varies
Mitochondrial Antibody Each (86381) $83 $118 3.3×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $543 $775 2.7×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,182 $1,689 1.8×
Mog-Igg1 Antb Cba Each (86362) $700 $1,000 58.1×
Molecular Cytogenetics Dna Probe Each (88271) $175 $250 8.2×
Mononuclear cell antigen (86356) $245 $350 9.1×
Mopath procedure level 1 (81400) $244 $348 3.8×
Mopath procedure level 2 (81401)
range across 4 matching MRF lines
$240–$389 $343–$556 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$105–$543 $150–$775 varies
Mopath procedure level 5 (81404)
range across 2 matching MRF lines
$910–$1,750 $1,300–$2,500 varies
Mrsa Pcr (87641) $105 $150 3.0×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $543 $775 2.5×
Msh2 Gene Analysis Full Sequence Analysis (81295) $668 $954 1.8×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $543 $775 2.3×
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,124 $1,605 1.8×
Msh6 Gene Known Variants (81299) $1,680 $2,400 5.5×
Mthfr Gene Analysis Common Variants (81291) $280 $400 4.3×
Mucin Clot Body Fluid (83872)
range across 2 matching MRF lines
$35–$245 $50–$350 varies
Mumps antibody (86735) $106 $152 8.1×
Mycobacteric Identification (87118) $317 $453 21.7×
Mycoplasma antibody (86738) $67 $95 5.1×
Myoglobin urine (83874) $88 $125 6.8×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$197–$207 $281–$296 varies
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines
$22–$47 $32–$67 varies
Neutralization Test Viral (86382) $175 $250 10.3×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $322 $460 2.3×
Nfct ds bv&vaginitis DNA alg (81515) $210 $300 0.8×
Nfct ds chrnc hcv 6 assays (81596) $350 $500 4.8×
Niacin (84591) $120 $172 7.0×
Nuclear antigen antibody (86235)
range across 9 matching MRF lines
$31–$139 $45–$198 varies
Occult Blood Other Sources (82271) $25 $36 4.7×
Oligoclonal bands (83916) $48 $69 1.8×
Oncoprotein dcp (83951) $280 $400 4.3×
Organic acids urine (83918) $451 $645 19.1×
Osmolality serum (83930) $55 $78 8.3×
Osmolality Urine (83935) $62 $89 9.1×
Osteocalcin (83937) $53 $75 1.8×
Ova and parasites smears (87177) $62 $88 7.0×
Oxalate urine (83945)
range across 2 matching MRF lines
$35–$41 $50–$59 varies
Pancreatic Elastase Fecal (82656) $207 $295 18.0×
Parvovirus antibody (86747) $32 $46 2.1×
Ph urine (81003) $23 $33 10.2×
Phenobarbital Level (80184) $89 $127 5.8×
Phenytoin (Dilantin) (80185) $85 $122 6.4×
Phosphatase acid prostatic (84066) $38 $54 3.9×
Phosphatase alkaline (84075) $43 $61 8.3×
Phospholipid Neutralization Hexagonal (85598) $105 $150 5.8×
Phosphorus Serum (84100) $41 $59 8.6×
Phosphorus urine (84105) $36 $52 6.2×
Platelet Antibodies (86022) $560 $800 30.5×
Platelet count automated (85049)
range across 3 matching MRF lines
$53–$74 $75–$106 varies
Platelet neutralization (85597) $175 $250 9.7×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $543 $775 2.7×
Pms2 gene full seq analysis (81317) $1,184 $1,691 1.8×
Porphobilinogen, urine; quantitative (84110) $35 $50 4.1×
Porphyrins Urine Quantitation & Fractionation (84120) $114 $163 7.7×
Porphyrins, urine; qualitative (84119) $102 $145 7.6×
Potassium Urine (84133) $36 $52 7.6×
Prealbumin (84134) $64 $92 4.4×
Pregnancy-Associated Plasma Protein-A (84163) $27 $38 1.8×
Pregnenolone (84140) $105 $150 5.1×
Primidone (80188) $85 $121 5.1×
Procalcitonin (Pct) (84145) $219 $313 8.0×
Progesterone (84144) $121 $173 5.8×
Prolactin (84146) $121 $173 6.2×
Prostaglandin (84150) $184 $263 4.4×
Protein body fluid (84157) $195 $278 48.8×
Protein C Activity (85303) $160 $228 11.6×
Protein c antigen (85302) $187 $267 15.6×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$90–$138 $128–$197 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $116 $166 10.8×
Protein S Free (85306) $175 $250 11.4×
Protein s total (85305) $187 $267 16.1×
Protein total serum (84155)
range across 3 matching MRF lines
$49–$62 $70–$89 varies
Protein Total Urine (84156) $50 $72 13.6×
PSA free (84154) $142 $203 7.7×
Pth Intact (83970) $239 $341 5.8×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$73–$105 $104–$150 varies
Quantiferon tb gold plus (86480) $479 $684 7.7×
Quantitative assay drug (80299)
range across 16 matching MRF lines
$78–$350 $111–$500 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$66–$83 $94–$118 varies
Quinidine (80194) $85 $122 5.8×
Rbc antibody elution (86860) $305 $435 1.8×
Rbc antibody identification (86870)
range across 3 matching MRF lines
$599–$782 $856–$1,117 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$92–$105 $132–$150 varies
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$18–$28 $26–$40 varies
Renin activity plasma (84244)
range across 2 matching MRF lines
$101–$170 $144–$243 varies
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$700–$1,022 $1,000–$1,460 varies
Rh (86901)
range across 3 matching MRF lines
$67–$122 $95–$175 varies
Rheumatoid Factor Qualitative (86430) $75 $107 12.2×
Rheumatoid factor quant (86431) $105 $150 18.5×
Rickettsia antibody (86757)
range across 5 matching MRF lines
$39–$149 $56–$213 varies
Ristocetin cofactor (85245) $88 $125 3.8×
Rotavirus ag eia (87425)
range across 2 matching MRF lines
$45–$92 $64–$132 varies
Rpr qualitative (86592) $44 $63 10.3×
Rsv Assay W/Optic (87807)
range across 4 matching MRF lines
$23–$92 $33–$132 varies
Rubella Antibody (86762)
range across 4 matching MRF lines
$46–$111 $66–$159 varies
Rubeola antibody (86765) $105 $150 8.2×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$48–$56 $68–$80 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$105–$140 $150–$200 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 5 matching MRF lines
$105–$115 $150–$164 varies
Sarscov2 & inf a&b amp prb (87636) $245 $350 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $263 $375 1.8×
Sedimentation Rate, Automated (85652) $50 $72 18.5×
Selenium (84255) $109 $156 4.3×
Semen Anal Sperm Detection (89321) $53 $75 4.4×
Sensitivity mic (87186)
range across 3 matching MRF lines
$18–$83 $25–$119 varies
Sex Hormone Binding Globulin (84270) $168 $240 7.7×
Sickling of rbc reduction (85660) $26 $37 4.7×
Sirolimus (80195) $137 $195 10.0×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$50–$52 $71–$74 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$34–$42 $48–$60 varies
Smear complex stain (87209) $31 $45 1.7×
Smear gram stain (87205)
range across 3 matching MRF lines
$25–$46 $36–$66 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$34–$41 $48–$59 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $33 $47 5.7×
Sodium Serum (84295) $39 $55 8.1×
Sodium Urine (84300)
range across 2 matching MRF lines
$35–$36 $50–$52 varies
Soluble Transferrin Receptor (84238) $175 $250 4.8×
Somatomedin (84305) $153 $218 7.2×
Somatostatin (84307) $86 $123 4.7×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$93–$175 $133–$250 varies
Special Stains Group 2 (88313) $238 $340 1.8×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$52–$166 $74–$237 varies
Spectrophotometry (84311) $50 $72 6.2×
Stool cultr aerobic bact ea (87046) $35 $50 3.7×
Strep a assay w/optic (87880)
range across 4 matching MRF lines
$48–$69 $69–$99 varies
Strep a DNA amp probe (87651) $70 $100 2.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $385 $550 4.2×
Sugars Single Qual (84376) $88 $125 16.0×
Surg path level iii (88304) $231 $330 4.4×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$31–$231 $45–$330 varies
Surgical pathology level vi (88309) $175 $250 0.2×
Susceptibility Study Antimicrobial Disk Method (87184) $67 $95 9.0×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $391 $559 53.5×
Syphilis Test Non-Trep Quant (86593) $18 $25 4.1×
T cells absolute cd4 count (86361) $70 $100 2.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $254 $363 5.4×
T cells total count (86359) $245 $350 6.5×
T3 Free (84481) $139 $198 8.2×
T3 reverse (84482) $128 $183 8.1×
T3 Total (84480) $94 $134 6.6×
T3 Uptake (84479) $47 $67 7.3×
T4 Free (84439)
range across 2 matching MRF lines
$35–$85 $50–$121 varies
T4 total (84436)
range across 2 matching MRF lines
$35–$67 $50–$95 varies
Tacrolimus (80197) $152 $217 11.1×
Tau phosphorylated each (84393) $420 $600 3.3×
Testosterone total (84403) $149 $213 5.8×
Testosterone, Free (84402)
range across 3 matching MRF lines
$147–$175 $210–$250 varies
Theophylline (80198) $66 $94 4.7×
Thyroglobulin (84432) $125 $178 7.8×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$35–$155 $50–$222 varies
Thyroid Stimulating Immunoglobulin (84445) $393 $561 7.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $115 $165 10.0×
Tissue Culture Lymphocyte (88230) $755 $1,078 6.5×
Tobramycin peak (80200) $130 $186 8.1×
Topiramate (80201) $99 $141 8.3×
Toxoplasma ab igm (86778) $34 $49 2.4×
Toxoplasma antibody (86777) $34 $49 2.4×
Tp53 gene analysis targeted sequence analysis (81352) $1,750 $2,500 5.3×
Tpmt gene com variants (81335) $420 $600 2.4×
Transferase Aspartate Amino Ast Sgot (84450) $46 $66 8.9×
Transferrin (84466) $71 $102 5.6×
Trichomonas vagin dir probe (87660) $105 $150 5.2×
Trichomonas Vaginalis Amplif (87661) $175 $250 5.0×
Triglycerides (84478)
range across 2 matching MRF lines
$45–$53 $64–$75 varies
Troponin Quant (84484) $124 $177 9.9×
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines
$285–$525 $407–$750 varies
Urea Nitrogen Clearance (84545) $55 $79 7.6×
Urea nitrogen urine (84540) $34 $49 6.1×
Uric acid other source (84560) $85 $121 16.7×
Urinalysis Microscopic Only (81015) $33 $47 10.8×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $40 $57 18.4×
Urinalysis Volume Measure (81050) $25 $36 6.9×
Urine Bacteria Culture (87088)
range across 3 matching MRF lines
$35–$62 $50–$89 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$40–$59 $57–$85 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $44 $63 13.9×
Valproic acid (80164) $91 $130 6.7×
Vancomycin (80202) $104 $149 7.7×
Varicella-zoster antibody (86787) $85 $122 6.6×
Vasopressin (84588) $154 $220 4.5×
Very Long Chain Fatty Acids (82726) $198 $283 10.0×
Viral Culture (87252) $222 $317 8.5×
Virus antibody nos (86790)
range across 5 matching MRF lines
$97–$175 $139–$250 varies
Virus inoculation, shell via (87254) $105 $150 5.4×
Vitamin A (84590) $81 $115 7.0×
Vitamin b-12 (82607) $88 $125 5.8×
Vitamin B2 (Riboflavin) (84252) $120 $172 5.9×
Vitamin B6 (84207) $199 $284 7.1×
Vitamin c (82180) $63 $90 6.4×
Vitamin D 25-Hydroxy (82306)
range across 4 matching MRF lines
$53–$297 $75–$424 varies
Vitamin E (84446) $42 $60 3.0×
Vitamin K (84597) $195 $278 14.2×
Vkorc1 gene (81355) $227 $324 2.6×
Voltage-Gated Calcium Channel Antibody Each (86596) $350 $500 29.0×
Von willebrand factor ag (85246) $295 $422 12.9×
West nile virus ab igm (86788) $130 $185 7.7×
West Nile Virus Antibody (86789) $122 $175 8.5×
Zinc (84630) $88 $126 7.7×

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.