Lab & pathology prices at Optim Medical Center-Screven
Sylvania, GA · every code in this section with a posted price and a Medicare benchmark.
445 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $121.68 | $121.68 | 10.9× |
| Acth (82024) | $212.40 | $212.40 | 5.5× |
| Actin smooth muscle antibody each (86015) | $120.50 | $120.50 | 10.0× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$269.88–$523.76 | $269.88–$523.76 | varies |
| Acylcarnitines Quant (82017) | $185.44 | $185.44 | 11.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $191 | $191 | 3.0× |
| Albumin serum (82040) | $54.40 | $54.40 | 11.0× |
| Aldolase (82085) | $106.72 | $106.72 | 11.0× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$112.04–$224.08 | $112.04–$224.08 | varies |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$20.56–$236.44 | $20.56–$236.44 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $157.84 | $157.84 | 10.9× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$146.64–$147.76 | $146.64–$147.76 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$92.24–$184.48 | $92.24–$184.48 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$29.08–$58.16 | $29.08–$58.16 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$80.12–$160.24 | $80.12–$160.24 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$35.64–$71.28 | $35.64–$71.28 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$61.40–$122.80 | $61.40–$122.80 | varies |
| Angiotensin converting enzyme csf (82164) | $160.56 | $160.56 | 11.0× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$20.54–$41.08 | $20.54–$41.08 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $35.16 | $35.16 | 2.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$170.40–$255.60 | $170.40–$255.60 | varies |
| Antibody Encephalitis California La Crosse (86651) | $145.04 | $145.04 | 11.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $74.25 | $74.25 | 5.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$83.48–$168.24 | $83.48–$168.24 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $198 | $198 | 10.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $134.80 | $134.80 | 11.0× |
| Antibody helicobacter pylori (86677) | $170.40 | $170.40 | 10.1× |
| Antibody Herpes Smplx Type 1 (86695) | $145.04 | $145.04 | 11.0× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$75.40–$150.80 | $75.40–$150.80 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$106.40–$212.80 | $106.40–$212.80 | varies |
| Antibody identification leukocyte antibodies (86021) | $50 | $50 | 3.3× |
| Antibody Lymphocytic Choriomeningitis (86727) | $141.52 | $141.52 | 11.0× |
| Antibody Titer (86886) | $50.72 | $50.72 | 9.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$20–$72.12 | $20–$72.12 | varies |
| Antibody; encephalitis, st. louis (86653) | $145.04 | $145.04 | 11.0× |
| Antigen typing (86905) | $41.76 | $41.76 | 10.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $62.96 | $62.96 | 11.0× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$66.48–$132.96 | $66.48–$132.96 | varies |
| Antistreptolysin O Screen (86063) | $63.44 | $63.44 | 11.0× |
| Antistreptolysin o titer (86060) | $76.88 | $76.88 | 10.5× |
| Antithrombin iii activity (85300) | $120 | $120 | 10.1× |
| Antithrombin iii antigen (85301) | $118.88 | $118.88 | 11.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$84.56–$169.12 | $84.56–$169.12 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$64.24–$207.12 | $64.24–$207.12 | varies |
| Aspergillus ag eia (87305) | $131.92 | $131.92 | 11.0× |
| Assay Blood Carbon Dioxide (82374) | $53.76 | $53.76 | 11.0× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$74.16–$151.12 | $74.16–$151.12 | varies |
| Assay of 5-hiaa (83497) | $70.20 | $70.20 | 5.4× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$24.84–$49.68 | $24.84–$49.68 | varies |
| Assay of calcium in urine (82340) | $66.32 | $66.32 | 11.0× |
| Assay of estrone (82679) | $199.50 | $199.50 | 8.0× |
| Assay of g6pd enzyme (82955) | $85.76 | $85.76 | 8.8× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$102.24–$153.36 | $102.24–$153.36 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$40.08–$117.44 | $40.08–$117.44 | varies |
| Assay of metanephrines (83835) | $186.32 | $186.32 | 11.0× |
| Assay of prostate specific antigen complexed (84152) | $138 | $138 | 7.5× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$25.28–$50.56 | $25.28–$50.56 | varies |
| Assay of transcortin (84449) | $197.92 | $197.92 | 11.0× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21.72–$43.44 | $21.72–$43.44 | varies |
| Assay of urine vma (84585) | $169.12 | $169.12 | 10.9× |
| Assay of vitamin b-1 (84425) | $233.52 | $233.52 | 11.0× |
| Assay Ph Body Fluid Nos (83986) | $39.36 | $39.36 | 11.0× |
| Automated Leukocyte Count (85048) | $27.92 | $27.92 | 11.0× |
| B cells total count (86355) | $258.38 | $258.38 | 6.8× |
| Beta Lactamase (87185) | $52.24 | $52.24 | 11.0× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$88.28–$176.56 | $88.28–$176.56 | varies |
| Bile acids total (82239) | $192.72 | $192.72 | 11.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$27.60–$55.20 | $27.60–$55.20 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$27.60–$55.20 | $27.60–$55.20 | varies |
| Blastomyces antibody (86612) | $141.80 | $141.80 | 11.0× |
| Bld Typing Serologic Rh Phnt (86906) | $84.56 | $84.56 | 10.9× |
| Bleeding time test (85002) | $49.52 | $49.52 | 10.3× |
| Blood Count Red Blood Cell Automated (85041) | $48 | $48 | 15.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.84 | $37.84 | 10.0× |
| Blood gas (82803) | $200 | $200 | 7.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $174.88 | $174.88 | 11.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $41.76 | $41.76 | 6.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $104.56 | $104.56 | 6.4× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$16.40–$32.80 | $16.40–$32.80 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$107.08–$214.16 | $107.08–$214.16 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$87.40–$174.80 | $87.40–$174.80 | varies |
| C-reactive protein (86140) | $56.88 | $56.88 | 11.0× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$114.44–$228.88 | $114.44–$228.88 | varies |
| Calcium ionized (82330) range across 2 matching MRF lines |
$75.16–$150.32 | $75.16–$150.32 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$28.36–$56.72 | $28.36–$56.72 | varies |
| Calculus Spectroscopy (82365) | $127.28 | $127.28 | 9.9× |
| Calprotectin Fecal (83993) | $214.24 | $214.24 | 10.9× |
| Cancer Antigen 125 (86304) | $228.88 | $228.88 | 11.0× |
| Cancer Antigen 27.29 (86300) | $228.88 | $228.88 | 11.0× |
| Candida Dna Dir Probe (87480) | $176.88 | $176.88 | 8.8× |
| Carbamazepine total (80156) | $160.16 | $160.16 | 11.0× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$104.32–$208.64 | $104.32–$208.64 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$104.40–$209.82 | $104.40–$209.82 | varies |
| Carnitine Quantitative Each Specimen (82379) | $155.36 | $155.36 | 9.2× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$104.13–$277.68 | $104.13–$277.68 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$71.20–$142.40 | $71.20–$142.40 | varies |
| Cell count csf (89051) | $19.44 | $19.44 | 3.5× |
| Cell marker study (88182) | $195.72 | $195.72 | 4.3× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$59.04–$118.08 | $59.04–$118.08 | varies |
| Cftr gene com variants (81220) | $130 | $130 | 0.2× |
| Chlmy trch&neisra gonor mult (87494) | $165 | $165 | 2.4× |
| Chloride Serum (82435) | $50.56 | $50.56 | 11.0× |
| Chloride urine (82436) | $55.28 | $55.28 | 9.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$23.92–$47.84 | $23.92–$47.84 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$35.28–$70.56 | $35.28–$70.56 | varies |
| Chromium serum (82495) | $223.04 | $223.04 | 11.0× |
| Chromogranin a (86316) | $228.88 | $228.88 | 11.0× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$342.66–$685.32 | $342.66–$685.32 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $245.76 | $245.76 | 7.0× |
| Citric acid urine (82507) | $229.32 | $229.32 | 8.2× |
| Ckmb (82553) | $126.96 | $126.96 | 11.0× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$65.96–$131.92 | $65.96–$131.92 | varies |
| Clot Factor VIII Multimetric (85247) | $252.32 | $252.32 | 11.0× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$151.59–$454.77 | $151.59–$454.77 | varies |
| Collagen crosslinks (82523) | $205.52 | $205.52 | 11.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$72–$390 | $72–$390 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$121–$123 | $121–$123 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$32.76–$132 | $32.76–$132 | varies |
| Complement Total (Ch50) (86162) | $223.44 | $223.44 | 11.0× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$32.76–$33 | $32.76–$33 | varies |
| Coombs direct (86880) | $59.12 | $59.12 | 11.0× |
| Copper urine (82525) range across 2 matching MRF lines |
$68.24–$136.48 | $68.24–$136.48 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$91.88–$183.76 | $91.88–$183.76 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$89.64–$179.28 | $89.64–$179.28 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$50.96–$58.32 | $50.96–$58.32 | varies |
| Creatine kinase total (82550) | $71.60 | $71.60 | 11.0× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$28.16–$56.32 | $28.16–$56.32 | varies |
| Creatinine clearance (82575) | $103.92 | $103.92 | 11.0× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$28.44–$56.88 | $28.44–$56.88 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$70–$140 | $70–$140 | varies |
| Cryoglobulin (82595) | $71.12 | $71.12 | 11.0× |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$65.96–$131.92 | $65.96–$131.92 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$44.44–$88.88 | $44.44–$88.88 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $84.80 | $84.80 | 11.0× |
| Culture afb (87116) | $79.92 | $79.92 | 7.4× |
| Culture bacteria anaerobic (87073) | $103.76 | $103.76 | 10.7× |
| Culture blood (87040) | $113.52 | $113.52 | 11.0× |
| Culture csf (87070) range across 2 matching MRF lines |
$47.36–$94.72 | $47.36–$94.72 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$92.40–$97.84 | $92.40–$97.84 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$36.48–$72.96 | $36.48–$72.96 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$51.88–$103.76 | $51.88–$103.76 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$44.40–$88.80 | $44.40–$88.80 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $156.32 | $156.32 | 10.9× |
| Cyclosporine (80158) | $65.44 | $65.44 | 3.6× |
| Cystatin C (82610) | $201 | $201 | 10.9× |
| Cytomegalovirus igg (86644) | $128 | $128 | 8.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $218.28 | $218.28 | 8.2× |
| Detect Agent Nos Dna Quant (87799) | $235.52 | $235.52 | 5.5× |
| Dgp Antibody Each Ig Class (86258) | $90 | $90 | 7.5× |
| Dhea (82626) | $208.44 | $208.44 | 8.2× |
| Dhea-S (82627) range across 2 matching MRF lines |
$90.99–$181.98 | $90.99–$181.98 | varies |
| Digoxin (80162) range across 2 matching MRF lines |
$73–$146 | $73–$146 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$75.52–$151.04 | $75.52–$151.04 | varies |
| Dna Antibody Single Stranded (86226) | $132.16 | $132.16 | 10.9× |
| Drug assay acetaminophen (80143) | $91 | $91 | 4.9× |
| Drug Assay Lacosamide (80235) | $132.48 | $132.48 | 4.9× |
| Drug Screen Quant Clozapine (80159) | $201.84 | $201.84 | 10.0× |
| Drug Screen Quant Zonisamide (80203) | $144.72 | $144.72 | 10.9× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$72.36–$144.72 | $72.36–$144.72 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$75.32–$150.64 | $75.32–$150.64 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $111.74 | $111.74 | 8.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$303.36–$394.60 | $303.36–$394.60 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$58.32–$116.64 | $58.32–$116.64 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$38.56–$77.12 | $38.56–$77.12 | varies |
| Encephaltis East Eqne Anbdy (86652) | $145.04 | $145.04 | 11.0× |
| Encephaltis West Eqne Antbdy (86654) | $145.04 | $145.04 | 11.0× |
| Erythropoietin (82668) | $206.72 | $206.72 | 11.0× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$153.64–$307.28 | $153.64–$307.28 | varies |
| Estriol (82677) | $199.50 | $199.50 | 8.3× |
| Estrogen total (82672) | $238.56 | $238.56 | 11.0× |
| Ethosuximide (80168) | $179.76 | $179.76 | 11.0× |
| Ethylene Glycol (82693) | $163.84 | $163.84 | 11.0× |
| Exam Synovial Fluid Crystals (89060) | $78.64 | $78.64 | 10.7× |
| F2 Gene (81240) range across 2 matching MRF lines |
$160–$240 | $160–$240 | varies |
| Factor v activity (85220) | $194.08 | $194.08 | 11.0× |
| Factor v leiden mutation (81241) | $160 | $160 | 2.2× |
| Factor viii assay (85240) | $196.80 | $196.80 | 11.0× |
| Fat/Lipids Feces Quantitative (82710) | $215.44 | $215.44 | 12.8× |
| Fecal Fat Qualitative (82705) | $55.92 | $55.92 | 11.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$74.92–$149.84 | $74.92–$149.84 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$55.96–$111.92 | $55.96–$111.92 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$46.72–$93.44 | $46.72–$93.44 | varies |
| Flow cytometry first marker (88184) | $237.72 | $237.72 | 0.8× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$131.52–$132.56 | $131.52–$132.56 | varies |
| Fmr1 gene detection (81243) | $205 | $205 | 3.6× |
| Folic acid rbc (82747) | $190.48 | $190.48 | 10.8× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$80.84–$161.68 | $80.84–$161.68 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$102.16–$204.32 | $102.16–$204.32 | varies |
| Frozen Blood Each Unit Thawing (86931) | $85 | $85 | 0.6× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$90.56–$181.12 | $90.56–$181.12 | varies |
| Gardner vag DNA dir probe (87510) | $176.88 | $176.88 | 8.8× |
| Gases blood ph only (82800) | $94.60 | $94.60 | 8.6× |
| Gastrin (82941) range across 2 matching MRF lines |
$96.96–$193.92 | $96.96–$193.92 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $425 | $425 | 1.0× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$83.18–$166.36 | $83.18–$166.36 | varies |
| Gentamicin (80170) | $180.24 | $180.24 | 11.0× |
| Ggt (82977) range across 2 matching MRF lines |
$39.60–$79.20 | $39.60–$79.20 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$65.96–$131.92 | $65.96–$131.92 | varies |
| Giardia lamblia antibody (86674) | $161.92 | $161.92 | 11.0× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $240 | $240 | 2.4× |
| Glucose 2 hr pp (82950) | $52.24 | $52.24 | 11.0× |
| Glucose body fluid (82945) | $43.12 | $43.12 | 11.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$21.56–$43.12 | $21.56–$43.12 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$70.76–$141.52 | $70.76–$141.52 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$35.28–$70.56 | $35.28–$70.56 | varies |
| Growth hormone (83003) | $183.44 | $183.44 | 11.0× |
| Gtt-added samples (82952) | $43.12 | $43.12 | 11.0× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$370.36–$740.72 | $370.36–$740.72 | varies |
| H Pylori Drug Admin (83014) | $86.48 | $86.48 | 11.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$20.48–$40.96 | $20.48–$40.96 | varies |
| Helicobacter Pylori Stool (87338) | $158.16 | $158.16 | 11.0× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $148.72 | $148.72 | 2.2× |
| Helminth Antibody (86682) | $142 | $142 | 10.9× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13.04–$26.08 | $13.04–$26.08 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$13.04–$26.08 | $13.04–$26.08 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$53.36–$106.72 | $53.36–$106.72 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$33–$66 | $33–$66 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $94.60 | $94.60 | 7.1× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$68.12–$136.24 | $68.12–$136.24 | varies |
| Hepatitis b core ab igm (86705) | $129.44 | $129.44 | 11.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$66.28–$132.56 | $66.28–$132.56 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$59.04–$118.08 | $59.04–$118.08 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$56.80–$113.60 | $56.80–$113.60 | varies |
| Hepatitis Be Antibody (86707) | $127.20 | $127.20 | 11.0× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$78.48–$165 | $78.48–$165 | varies |
| Hepatitis C Genotype (87902) | $479.52 | $479.52 | 1.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $214.16 | $214.16 | 6.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$117.76–$235.52 | $117.76–$235.52 | varies |
| Hepatitis delta ag (87380) | $180.48 | $180.48 | 9.8× |
| Herpes simplex type 2 (86696) | $212.80 | $212.80 | 11.0× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$28.44–$56.88 | $28.44–$56.88 | varies |
| Hfe Gene (81256) | $358.64 | $358.64 | 5.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$151.59–$303.18 | $151.59–$303.18 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $197.16 | $197.16 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$130–$260 | $130–$260 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $198.50 | $198.50 | 2.7× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$141.92–$286.84 | $141.92–$286.84 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$92.76–$185.52 | $92.76–$185.52 | varies |
| Hpv High-Risk Types (87624) | $213.60 | $213.60 | 6.1× |
| Hpv low-risk types (87623) | $213.60 | $213.60 | 6.1× |
| Hpv Types 16 & 18 Only (87625) | $213.60 | $213.60 | 5.3× |
| Hsv Dna Amp Probe (87529) | $264 | $264 | 7.5× |
| Htt Gene Detc Abnor Alleles (81271) | $178.10 | $178.10 | 1.3× |
| Hydroxyprogesterone 17-d (83498) | $224.10 | $224.10 | 8.2× |
| Iaad ia shiga-like toxin (87427) | $14.80 | $14.80 | 1.2× |
| Iaadi respiratory synctial virus (87280) | $131.92 | $131.92 | 9.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 2 matching MRF lines |
$108.44–$216.88 | $108.44–$216.88 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$144–$288 | $144–$288 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$117.81–$235.62 | $117.81–$235.62 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$107.88–$215.76 | $107.88–$215.76 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $43.86 | $43.86 | 0.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $527 | $527 | 2.0× |
| Ig Light Chains Free Each (83521) | $636 | $636 | 36.8× |
| Igg subclasses (82787) | $66.18 | $66.18 | 8.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$93.68–$251.50 | $93.68–$251.50 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$73.56–$148.56 | $73.56–$148.56 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$66–$132 | $66–$132 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$58.32–$117.52 | $58.32–$117.52 | varies |
| Immunodiffusion Ouchterlony (86331) | $32.56 | $32.56 | 2.7× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$122.84–$245.68 | $122.84–$245.68 | varies |
| Immunohistochemistry (88342) | $232.36 | $232.36 | 1.6× |
| Influenza assay w/optic (87804) | $131.92 | $131.92 | 8.0× |
| Influenza DNA amp probe (87502) | $282.48 | $282.48 | 2.9× |
| Inhibin b (83520) | $71 | $71 | 4.1× |
| Insulin antibodies (86337) | $235.44 | $235.44 | 11.0× |
| Insulin free (83527) | $115 | $115 | 8.9× |
| Insulin total (83525) range across 2 matching MRF lines |
$62.84–$125.68 | $62.84–$125.68 | varies |
| Intrinsic factor antibody (86340) | $165.76 | $165.76 | 11.0× |
| Iron (83540) range across 2 matching MRF lines |
$35.60–$71.20 | $35.60–$71.20 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$48.08–$96.16 | $48.08–$96.16 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$215.92–$217.60 | $215.92–$217.60 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $138 | $138 | 1.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$33.20–$66.40 | $33.20–$66.40 | varies |
| Lactoferrin fecal qualitative (83630) | $213.68 | $213.68 | 10.8× |
| LDL direct (83721) range across 2 matching MRF lines |
$52.44–$104.88 | $52.44–$104.88 | varies |
| Lead (83655) range across 3 matching MRF lines |
$66.56–$133.12 | $66.56–$133.12 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$65.96–$131.92 | $65.96–$131.92 | varies |
| Leukocyte Histamine Release (86343) | $97 | $97 | 7.8× |
| Level ii surg pathology grossµscopic exam (88302) | $68 | $68 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $229.08 | $229.08 | 0.7× |
| Lipase (83690) range across 2 matching MRF lines |
$37.88–$75.76 | $37.88–$75.76 | varies |
| Lipoprotein A (83695) | $142.40 | $142.40 | 9.9× |
| Lipoprotein Bld Quan Part (83704) | $173.44 | $173.44 | 5.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $168.08 | $168.08 | 5.0× |
| Lithium (80178) | $72.72 | $72.72 | 11.0× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$101.84–$203.68 | $101.84–$203.68 | varies |
| Lyme disease antibody (86618) | $187.28 | $187.28 | 11.0× |
| M. Genitalium Amp Probe (87563) | $165 | $165 | 4.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$36.84–$73.68 | $36.84–$73.68 | varies |
| Mass Spectrometry Quant (83789) | $264.60 | $264.60 | 11.0× |
| Mercury urine (83825) range across 3 matching MRF lines |
$54.40–$177.44 | $54.40–$177.44 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$89.80–$179.60 | $89.80–$179.60 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$31.80–$63.60 | $31.80–$63.60 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$79.96–$159.92 | $79.96–$159.92 | varies |
| Mitochondrial Antibody Each (86381) | $254.50 | $254.50 | 10.0× |
| Mopath procedure level 2 (81401) | $430 | $430 | 3.1× |
| Mumps antibody (86735) | $143.52 | $143.52 | 11.0× |
| Mycoplasma antibody (86738) | $144.56 | $144.56 | 10.9× |
| Myelin basic protein csf (83873) | $189.20 | $189.20 | 11.0× |
| Myoglobin urine (83874) | $142 | $142 | 11.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$186.64–$373.28 | $186.64–$373.28 | varies |
| Neisseria Dir Na Probe (87590) | $216.88 | $216.88 | 8.1× |
| Nickel level (83885) | $200.58 | $200.58 | 8.2× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$98.60–$218.65 | $98.60–$218.65 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$17.92–$35.84 | $17.92–$35.84 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$17.92–$35.84 | $17.92–$35.84 | varies |
| Oligoclonal bands (83916) | $219.44 | $219.44 | 8.0× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $557 | $557 | 2.1× |
| Osmolality serum (83930) | $74.96 | $74.96 | 11.3× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$37.48–$74.96 | $37.48–$74.96 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$48.92–$97.84 | $48.92–$97.84 | varies |
| Oxalate urine (83945) | $141.52 | $141.52 | 9.8× |
| Pancreatic Elastase Fecal (82656) | $116.64 | $116.64 | 10.1× |
| Particle Agglutination Screen Each Antibody (86403) | $112.08 | $112.08 | 9.7× |
| Parvovirus antibody (86747) | $165.36 | $165.36 | 11.0× |
| Ph urine (81003) range across 2 matching MRF lines |
$12.36–$24.72 | $12.36–$24.72 | varies |
| Phenobarbital Level (80184) | $125.92 | $125.92 | 8.2× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$72.88–$145.76 | $72.88–$145.76 | varies |
| Phenytoin free (80186) | $145.76 | $145.76 | 10.6× |
| Phosphatase alkaline (84075) | $56.88 | $56.88 | 11.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$26.08–$52.16 | $26.08–$52.16 | varies |
| Phosphorus urine (84105) | $56.88 | $56.88 | 9.8× |
| Platelet Antibodies (86022) | $98.01 | $98.01 | 5.3× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$24.60–$49.20 | $24.60–$49.20 | varies |
| Porphobilinogen, urine; quantitative (84110) | $92.08 | $92.08 | 10.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $216.56 | $216.56 | 14.7× |
| Potassium Urine (84133) | $47.28 | $47.28 | 10.0× |
| Prealbumin (84134) | $160.40 | $160.40 | 11.0× |
| Pregnenolone (84140) | $170.52 | $170.52 | 8.2× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$219.24–$522 | $219.24–$522 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$112–$224 | $112–$224 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$106.56–$213.12 | $106.56–$213.12 | varies |
| Protein body fluid (84157) | $40.32 | $40.32 | 10.1× |
| Protein C Activity (85303) | $152.08 | $152.08 | 11.0× |
| Protein c antigen (85302) | $132.16 | $132.16 | 11.0× |
| Protein Electrophoresis Urine (84166) | $196.16 | $196.16 | 11.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$59.04–$118.08 | $59.04–$118.08 | varies |
| Protein S Free (85306) | $168.48 | $168.48 | 11.0× |
| Protein s total (85305) | $127.60 | $127.60 | 11.0× |
| Protein total serum (84155) | $40.32 | $40.32 | 11.0× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$20.16–$40.32 | $20.16–$40.32 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$101.16–$202.32 | $101.16–$202.32 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$113.48–$226.96 | $113.48–$226.96 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$170.40–$340.80 | $170.40–$340.80 | varies |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$131.20–$224.64 | $131.20–$224.64 | varies |
| Quantitative Screen Metals (83018) | $241.52 | $241.52 | 11.0× |
| Rbc antibody identification (86870) | $246.40 | $246.40 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$70–$140 | $70–$140 | varies |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$17.40–$34.80 | $17.40–$34.80 | varies |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$120.96–$241.92 | $120.96–$241.92 | varies |
| Reticulocyte Count Manual (85044) range across 2 matching MRF lines |
$23.64–$47.28 | $23.64–$47.28 | varies |
| Rh (86901) range across 2 matching MRF lines |
$16.40–$32.80 | $16.40–$32.80 | varies |
| Rheumatoid Factor Qualitative (86430) | $62.40 | $62.40 | 10.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$31.20–$62.40 | $31.20–$62.40 | varies |
| Rickettsia antibody (86757) | $212.81 | $212.81 | 11.0× |
| Ristocetin cofactor (85245) | $252.32 | $252.32 | 11.0× |
| Rotavirus ag eia (87425) | $131.92 | $131.92 | 11.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$23.48–$46.96 | $23.48–$46.96 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$65.96–$131.92 | $65.96–$131.92 | varies |
| Rubella Antibody (86762) | $128 | $128 | 8.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$97.96–$105.28 | $97.96–$105.28 | varies |
| Salicylate Level (80179) | $65 | $65 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$266–$654 | $266–$654 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $1,423.08 | $1,423.08 | 33.8× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$19.52–$39.04 | $19.52–$39.04 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$35.56–$71.12 | $35.56–$71.12 | varies |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$47.52–$95.04 | $47.52–$95.04 | varies |
| Serpina 1 gene (81332) | $238.20 | $238.20 | 5.5× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$89.61–$179.22 | $89.61–$179.22 | varies |
| Sickling of rbc reduction (85660) | $60.72 | $60.72 | 11.0× |
| Smear acid fast (87206) | $59.12 | $59.12 | 11.0× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$98.84–$197.68 | $98.84–$197.68 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$12.88–$25.76 | $12.88–$25.76 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$23.48–$46.96 | $23.48–$46.96 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$26.48–$52.96 | $26.48–$52.96 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$19–$53.52 | $19–$53.52 | varies |
| Somatomedin (84305) | $175.32 | $175.32 | 8.2× |
| Special Stains Group 1 (88312) | $246.36 | $246.36 | 5.4× |
| Special Stains Group 2 (88313) | $194.44 | $194.44 | 1.7× |
| Specimen infect agnt concntj (87015) | $73.44 | $73.44 | 11.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $97.90 | $97.90 | 0.7× |
| Stool cultr aerobic bact ea (87046) | $11.60 | $11.60 | 1.2× |
| Strep a assay w/optic (87880) | $131.92 | $131.92 | 8.0× |
| Strep a DNA amp probe (87651) | $106.80 | $106.80 | 3.0× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $126.72 | $126.72 | 11.0× |
| Sugars Single Qual (84376) | $60 | $60 | 10.9× |
| Sulfate urine (84392) | $192.60 | $192.60 | 35.1× |
| Surg path level iii (88304) | $183.44 | $183.44 | 4.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$501.36–$752.04 | $501.36–$752.04 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$107.67–$215.34 | $107.67–$215.34 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$129.18–$258.36 | $129.18–$258.36 | varies |
| T cells total count (86359) | $258.36 | $258.36 | 6.8× |
| T3 Free (84481) range across 2 matching MRF lines |
$93.16–$186.32 | $93.16–$186.32 | varies |
| T3 reverse (84482) | $173.36 | $173.36 | 11.0× |
| T3 Total (84480) range across 2 matching MRF lines |
$70.12–$140.24 | $70.12–$140.24 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$35.56–$71.12 | $35.56–$71.12 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$49.60–$99.20 | $49.60–$99.20 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$37.76–$75.52 | $37.76–$75.52 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$75.48–$150.96 | $75.48–$150.96 | varies |
| Test for acetone/ketones (82009) range across 3 matching MRF lines |
$18.08–$49.68 | $18.08–$49.68 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$141.96–$283.92 | $141.96–$283.92 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$140–$280 | $140–$280 | varies |
| Tetanus antibody (86774) | $162.72 | $162.72 | 11.0× |
| Theophylline (80198) | $155.60 | $155.60 | 11.0× |
| Thyroglobulin (84432) | $177 | $177 | 11.0× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$87.44–$174.88 | $87.44–$174.88 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $329 | $329 | 6.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$31.08–$125 | $31.08–$125 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$320.28–$640.56 | $320.28–$640.56 | varies |
| Topiramate (80201) | $131.12 | $131.12 | 11.0× |
| Toxoplasma ab igm (86778) | $158.40 | $158.40 | 11.0× |
| Toxoplasma antibody (86777) | $128 | $128 | 8.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$28.44–$56.88 | $28.44–$56.88 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$70.20–$140.40 | $70.20–$140.40 | varies |
| Trichomonas vagin dir probe (87660) | $176.88 | $176.88 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$165–$214.16 | $165–$214.16 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$31.60–$63.20 | $31.60–$63.20 | varies |
| Troponin Quant (84484) | $194 | $194 | 15.6× |
| Troponin, qualitative (84512) | $81.20 | $81.20 | 8.0× |
| Urea Nitrogen Clearance (84545) | $72.08 | $72.08 | 10.0× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $26.56 | $26.56 | 5.2× |
| Uric acid other source (84560) | $52.24 | $52.24 | 10.3× |
| Urinalysis Volume Measure (81050) | $32.96 | $32.96 | 9.1× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$44.52–$89.04 | $44.52–$89.04 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$34.80–$69.60 | $34.80–$69.60 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$17.40–$34.80 | $17.40–$34.80 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$74.52–$149.04 | $74.52–$149.04 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$74.52–$149.04 | $74.52–$149.04 | varies |
| Varicella-zoster antibody (86787) | $141.68 | $141.68 | 11.0× |
| Vasopressin (84588) | $373.28 | $373.28 | 11.0× |
| Viral Culture (87252) | $243.20 | $243.20 | 9.3× |
| Virus inoculation, shell via (87254) | $126 | $126 | 6.4× |
| Viscosity serum (85810) | $75.25 | $75.25 | 6.4× |
| Vit D 1 25-Dihydroxy (82652) | $423.36 | $423.36 | 11.0× |
| Vitamin A (84590) | $127.60 | $127.60 | 11.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$82.88–$165.76 | $82.88–$165.76 | varies |
| Vitamin B6 (84207) | $231.72 | $231.72 | 8.2× |
| Vitamin c (82180) | $128.48 | $128.48 | 13.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$162.80–$325.60 | $162.80–$325.60 | varies |
| Vitamin E (84446) | $154.72 | $154.72 | 10.9× |
| Von willebrand factor ag (85246) | $252.32 | $252.32 | 11.0× |
| West nile virus ab igm (86788) | $185.20 | $185.20 | 11.0× |
| West Nile Virus Antibody (86789) | $128 | $128 | 8.9× |
| Western Blot Test (84181) | $187.28 | $187.28 | 11.0× |
| Zinc (84630) | $125.20 | $125.20 | 11.0× |
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.