Lab & pathology prices at Pacifica Hospital of the Valley
Sun Valley, CA · every code in this section with a posted price and a Medicare benchmark.
524 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $111 | $111 | 7.2× |
| 5 Nucleotidase (83915) | $32 | $32 | 2.9× |
| Acth (82024) | $61 | $61 | 1.6× |
| Acute hepatitis panel (80074) | $358 | $358 | 7.5× |
| Acylcarnitines Quant (82017) | $199 | $199 | 11.8× |
| Agglutinins Febrile Each Antigen (86000) range across 8 matching MRF lines |
$11–$151 | $11–$151 | varies |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$8–$20 | $8–$20 | varies |
| Albumin serum (82040) | $95 | $95 | 19.2× |
| Aldolase (82085) | $13 | $13 | 1.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$42–$66 | $42–$66 | varies |
| Alkaline phosphatase isoenzymes (84080) | $19 | $19 | 1.3× |
| Allergen specific ige (86003) | $67 | $67 | 12.8× |
| Alpha-1-antitrypsin total (82103) | $19 | $19 | 1.4× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$18–$204 | $18–$204 | varies |
| Alt (sgpt) (84460) | $89 | $89 | 16.8× |
| Aluminum (82108) range across 2 matching MRF lines |
$11–$47 | $11–$47 | varies |
| Amikacin trough (80150) range across 5 matching MRF lines |
$37–$176 | $37–$176 | varies |
| Amines vaginal fluid qualitative (82120) | $123 | $123 | 20.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 4 matching MRF lines |
$41–$80 | $41–$80 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$103–$378 | $103–$378 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $56 | $56 | 3.9× |
| Ammonia (82140) | $155 | $155 | 10.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$7–$125 | $7–$125 | varies |
| Ana Titer (86039) | $13 | $13 | 1.2× |
| Androstenedione (82157) | $47 | $47 | 1.6× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$28–$47 | $28–$47 | varies |
| Animal inoculation, small animal, with observation and dissection Facility (87003) | $2 | $2 | 0.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$35–$142 | $35–$142 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 5 matching MRF lines |
$21–$101 | $21–$101 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $81 | $81 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $65 | $65 | 5.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $20 | $20 | 1.3× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$25–$138 | $25–$138 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $104 | $104 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$14–$26 | $14–$26 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $167 | $167 | 12.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $30 | $30 | 1.6× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$17–$446 | $17–$446 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $93 | $93 | 7.5× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$34–$137 | $34–$137 | varies |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$34–$53 | $34–$53 | varies |
| Antibody yersinia (86793) | $158 | $158 | 12.0× |
| Antibody; influenza virus (86710) range across 3 matching MRF lines |
$32–$63 | $32–$63 | varies |
| Antigen typing (86905) | $53 | $53 | 13.8× |
| Antistreptolysin O Screen (86063) | $25 | $25 | 4.3× |
| Antistreptolysin o titer (86060) | $8 | $8 | 1.1× |
| Antithrombin iii activity (85300) | $164 | $164 | 13.8× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$13–$20 | $13–$20 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$40–$173 | $40–$173 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$6–$61 | $6–$61 | varies |
| Assay Blood Catecholamines (82383) | $81 | $81 | 2.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$48–$71 | $48–$71 | varies |
| Assay of 5-hiaa (83497) | $20 | $20 | 1.6× |
| Assay of b-hexosaminidase each assay (83080) | $122 | $122 | 7.2× |
| Assay of blood/uric acid (84550) | $82 | $82 | 18.1× |
| Assay of calcium in urine (82340) | $68 | $68 | 11.3× |
| Assay of cpk in blood (82552) | $25 | $25 | 1.9× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$39–$44 | $39–$44 | varies |
| Assay of feces for trypsin (84490) | $72 | $72 | 7.3× |
| Assay of g6pd enzyme (82955) | $79 | $79 | 8.1× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$23–$287 | $23–$287 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$34–$94 | $34–$94 | varies |
| Assay of manganese (83785) | $211 | $211 | 7.9× |
| Assay of metanephrines (83835) | $98 | $98 | 5.8× |
| Assay of phosphatase acid total (84060) | $6 | $6 | 0.8× |
| Assay of procainamide (80190) | $49 | $49 | 0.8× |
| Assay of pyruvate (84210) | $29 | $29 | 2.0× |
| Assay of serotonin (84260) | $78 | $78 | 2.5× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$9–$83 | $9–$83 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$11–$95 | $11–$95 | varies |
| Assay of urine vma (84585) | $28 | $28 | 1.8× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$41–$110 | $41–$110 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$27–$68 | $27–$68 | varies |
| Automated Leukocyte Count (85048) | $44 | $44 | 17.3× |
| B cells total count (86355) | $367 | $367 | 9.7× |
| Beta-2 Microglobulin (82232) | $31 | $31 | 1.9× |
| Bile acids total (82239) | $7 | $7 | 0.4× |
| Bile acids, cholylglycine (82240) | $130 | $130 | 4.9× |
| Bilirubin direct (82248) | $85 | $85 | 16.9× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$23–$117 | $23–$117 | varies |
| Blastomyces antibody (86612) | $36 | $36 | 2.8× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$31–$82 | $31–$82 | varies |
| Bleeding time test (85002) range across 2 matching MRF lines |
$44–$69 | $44–$69 | varies |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $26 | $26 | 5.1× |
| Blood Count Red Blood Cell Automated (85041) | $31 | $31 | 10.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $40 | $40 | 10.5× |
| Blood gas (82803) | $368 | $368 | 14.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $69 | $69 | 15.8× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$50–$139 | $50–$139 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$68–$69 | $68–$69 | varies |
| Bone marrow smear interpretation (85097) | $474 | $474 | 0.5× |
| C-Peptide (84681) | $74 | $74 | 3.6× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$68–$87 | $68–$87 | varies |
| Ca 19-9 (86301) | $24 | $24 | 1.2× |
| Cadmium (82300) | $35 | $35 | 1.5× |
| Calcitonin (82308) | $54 | $54 | 2.0× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$69–$258 | $69–$258 | varies |
| Calcium total (82310) | $75 | $75 | 14.5× |
| Calculus assay quant (82360) | $62 | $62 | 4.8× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$30–$72 | $30–$72 | varies |
| Cancer Antigen 27.29 (86300) | $20 | $20 | 1.0× |
| Candida antibody (86628) | $41 | $41 | 3.4× |
| Carbamazepine total (80156) | $155 | $155 | 10.6× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$37–$59 | $37–$59 | varies |
| Carcinoembryonic antigen (82378) | $51 | $51 | 2.7× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$27–$33 | $27–$33 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$36–$197 | $36–$197 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$72–$123 | $72–$123 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$49–$225 | $49–$225 | varies |
| Catecholamines total urine (82382) | $30 | $30 | 1.1× |
| Ccp antibody (86200) | $104 | $104 | 8.0× |
| Cell count csf (89051) | $92 | $92 | 16.4× |
| Ceruloplasmin (82390) | $26 | $26 | 2.4× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$39–$137 | $39–$137 | varies |
| Chlamydia trachomatis ag if (87270) | $68 | $68 | 5.7× |
| Chloride other source (82438) range across 2 matching MRF lines |
$52–$54 | $52–$54 | varies |
| Chloride Serum (82435) | $75 | $75 | 16.3× |
| Chloride urine (82436) range across 3 matching MRF lines |
$7–$85 | $7–$85 | varies |
| Cholesterol total (82465) | $85 | $85 | 19.5× |
| Cholinesterase Serum (82480) | $26 | $26 | 3.3× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$106–$230 | $106–$230 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $845 | $845 | 4.5× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $744 | $744 | 4.3× |
| Chromium serum (82495) | $86 | $86 | 4.2× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$17–$31 | $17–$31 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$689–$836 | $689–$836 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $41 | $41 | 1.2× |
| Ckmb (82553) range across 2 matching MRF lines |
$140–$249 | $140–$249 | varies |
| Clot factor xiii fibrin stab (85290) | $101 | $101 | 6.2× |
| Clot retraction (85170) range across 2 matching MRF lines |
$10–$46 | $10–$46 | varies |
| Clotting factor xii hageman (85280) | $230 | $230 | 11.9× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$43–$83 | $43–$83 | varies |
| Cold agglutinin screen (86156) | $31 | $31 | 3.8× |
| Collagen crosslinks (82523) | $49 | $49 | 2.6× |
| Compatibility Each Unit Incubation (86921) | $137 | $137 | 0.6× |
| Compatibility test antiglob (86922) | $154 | $154 | 0.7× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$12–$119 | $12–$119 | varies |
| Complement Fixation Tests Each Antigen (86171) | $151 | $151 | 15.1× |
| Complement Total (Ch50) (86162) | $53 | $53 | 2.6× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$30–$66 | $30–$66 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $85 | $85 | 1.8× |
| Coombs direct (86880) | $57 | $57 | 10.6× |
| Copper urine (82525) range across 3 matching MRF lines |
$21–$25 | $21–$25 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$14–$35 | $14–$35 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$20–$104 | $20–$104 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$75–$136 | $75–$136 | varies |
| Creatinine clearance (82575) | $154 | $154 | 16.3× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$43–$83 | $43–$83 | varies |
| Crossmatch immediate spin (86920) | $185 | $185 | 0.8× |
| Crp High Sensitivity (86141) | $87 | $87 | 6.7× |
| Cryofibrinogen (82585) | $64 | $64 | 4.5× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$51–$59 | $51–$59 | varies |
| Cryptococcus ab (86641) | $158 | $158 | 11.0× |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$15–$76 | $15–$76 | varies |
| Cryptosporidium ag eia (87328) | $27 | $27 | 2.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $113 | $113 | 14.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $128 | $128 | 15.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$13–$55 | $13–$55 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$128–$202 | $128–$202 | varies |
| Culture Anaerobic (87075) | $59 | $59 | 6.2× |
| Culture blood (87040) | $168 | $168 | 16.3× |
| Culture csf (87070) range across 3 matching MRF lines |
$133–$170 | $133–$170 | varies |
| Culture fungus (87102) | $11 | $11 | 1.3× |
| Culture screen only (87081) range across 6 matching MRF lines |
$48–$255 | $48–$255 | varies |
| Culture stool (87045) range across 3 matching MRF lines |
$13–$170 | $13–$170 | varies |
| Culture urine (87086) | $158 | $158 | 19.6× |
| Cyanide (82600) | $134 | $134 | 6.9× |
| Cyclic amp (82030) | $58 | $58 | 2.2× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$37–$214 | $37–$214 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$40–$52 | $40–$52 | varies |
| Cytopath C/V Index Add-On (88155) | $74 | $74 | 5.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $31 | $31 | 1.5× |
| Cytopath Fl Nongyn Filter (88106) | $129 | $129 | 3.5× |
| Cytp Concentration Smears & Interpretation (88108) | $257 | $257 | 5.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $593 | $593 | 8.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $508 | $508 | 2.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $127 | $127 | 2.6× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $30 | $30 | 0.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $112 | $112 | 3.0× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $123 | $123 | 10.9× |
| Deoxycortisol (82634) | $59 | $59 | 2.0× |
| Desoxycorticosterone (82633) | $64 | $64 | 2.1× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$126–$374 | $126–$374 | varies |
| Detect agnt mult DNA ampli (87801) | $252 | $252 | 3.6× |
| Dhea (82626) range across 2 matching MRF lines |
$66–$71 | $66–$71 | varies |
| Dhea-S (82627) | $41 | $41 | 1.8× |
| Digoxin (80162) | $106 | $106 | 8.0× |
| Diphtheria antitoxoid (86648) | $40 | $40 | 2.6× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$33–$89 | $33–$89 | varies |
| Dna Antibody Single Stranded (86226) | $63 | $63 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $33 | $33 | 1.6× |
| Drug Screen Quantitative Gabapentin (80171) | $122 | $122 | 5.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $83 | $83 | 6.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $142 | $142 | 2.3× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$27–$72 | $27–$72 | varies |
| Drug Test Prsmv Instrmnt (80306) | $37 | $37 | 2.2× |
| Electrolyte panel (80051) | $249 | $249 | 35.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $117 | $117 | 1.9× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$54–$227 | $54–$227 | varies |
| Enzyme cell activity (82657) | $65 | $65 | 2.9× |
| Eosinophil Smear (89190) | $52 | $52 | 9.0× |
| Erythropoietin (82668) | $95 | $95 | 5.1× |
| Estradiol serum (82670) | $67 | $67 | 2.4× |
| Estriol (82677) | $26 | $26 | 1.1× |
| Estrogen total (82672) range across 2 matching MRF lines |
$39–$48 | $39–$48 | varies |
| Estrogens fractionated (82671) | $87 | $87 | 2.7× |
| Ethosuximide (80168) | $137 | $137 | 8.4× |
| Ethylene Glycol (82693) | $56 | $56 | 3.8× |
| Exam Synovial Fluid Crystals (89060) | $100 | $100 | 13.6× |
| Factor ii activity (85210) | $176 | $176 | 13.6× |
| Factor ix activity (85250) | $176 | $176 | 9.2× |
| Factor v activity (85220) | $176 | $176 | 10.0× |
| Factor v leiden mutation (81241) | $301 | $301 | 4.1× |
| Factor vii assay (85230) | $176 | $176 | 9.8× |
| Factor viii assay (85240) | $201 | $201 | 11.2× |
| Factor X (85260) | $176 | $176 | 9.8× |
| Factor xi activity (85270) | $176 | $176 | 9.8× |
| Fat differential, feces, quantitative Facility (82715) | $104 | $104 | 4.5× |
| Fat stain feces urine/respir secretions (89125) range across 3 matching MRF lines |
$36–$59 | $36–$59 | varies |
| Fat/Lipids Feces Quantitative (82710) | $57 | $57 | 3.4× |
| Fatty acids free (82725) | $22 | $22 | 1.2× |
| Ferritin (82728) range across 2 matching MRF lines |
$35–$87 | $35–$87 | varies |
| Fibrin degradation products (85362) | $27 | $27 | 3.9× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$23–$138 | $23–$138 | varies |
| Fibrinogen activity (85384) | $95 | $95 | 9.8× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$440–$874 | $440–$874 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$22–$129 | $22–$129 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$24–$67 | $24–$67 | varies |
| Folic Acid Serum (82746) | $52 | $52 | 3.5× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$35–$51 | $35–$51 | varies |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $260 | $260 | 9.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $185 | $185 | 0.8× |
| Frozen Section (88331) | $373 | $373 | 1.7× |
| Fungi Identification Yeast (87106) | $39 | $39 | 3.8× |
| Galactose (82760) | $29 | $29 | 2.6× |
| Gammaglobulin ige (82785) | $37 | $37 | 2.2× |
| Gastrin (82941) | $21 | $21 | 1.2× |
| Gentamicin (80170) | $180 | $180 | 11.0× |
| Ggt (82977) | $101 | $101 | 14.0× |
| Glucagon (82943) | $34 | $34 | 2.4× |
| Glucose 2 hr pp (82950) | $3 | $3 | 0.6× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$68–$329 | $68–$329 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$13–$100 | $13–$100 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $57 | $57 | 7.6× |
| Growth hormone (83003) range across 2 matching MRF lines |
$27–$31 | $27–$31 | varies |
| Growth Stimulation Gene 2 (83006) | $10 | $10 | 0.1× |
| Gtt-added samples (82952) | $111 | $111 | 28.3× |
| Haloperidol (80173) | $279 | $279 | 17.7× |
| Haptoglobin (83010) | $67 | $67 | 5.3× |
| Hdl Cholesterol (83718) | $19 | $19 | 2.3× |
| Heavy metal qualitative any analytes (83015) range across 4 matching MRF lines |
$40–$63 | $40–$63 | varies |
| Helicobacter Pylori Stool (87338) | $170 | $170 | 11.8× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$72–$178 | $72–$178 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$18–$34 | $18–$34 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$37–$89 | $37–$89 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$73–$128 | $73–$128 | varies |
| Hemoglobin electrophoresis (83020) | $28 | $28 | 2.2× |
| Hemoglobin F Fetal Chemical (83030) | $13 | $13 | 1.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $40 | $40 | 4.9× |
| Hemoglobin urine (83069) | $18 | $18 | 4.6× |
| Hemolysin Acid (85475) range across 3 matching MRF lines |
$72–$85 | $72–$85 | varies |
| Hemolysins&Agglutinins Incubated (86941) | $43 | $43 | 3.6× |
| Hemosiderin urine (83070) | $53 | $53 | 11.2× |
| Heparin assay (85520) | $469 | $469 | 35.8× |
| Hepatitis a antibody total (86708) | $25 | $25 | 2.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$76–$182 | $76–$182 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$10–$167 | $10–$167 | varies |
| Hepatitis B Surface Antigen (87340) | $168 | $168 | 16.3× |
| Hepatitis Be Antibody (86707) | $36 | $36 | 3.1× |
| Hepatitis Be Antigen (87350) | $32 | $32 | 2.8× |
| Hepatitis C Antibody (86803) | $76 | $76 | 5.3× |
| Hepatitis C Genotype (87902) | $464 | $464 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$255–$334 | $255–$334 | varies |
| Hepatitis delta ag (87380) | $10 | $10 | 0.5× |
| Hepatitis Delta Agent Antibody (86692) | $109 | $109 | 6.4× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $108 | $108 | 14.7× |
| Heterophile Antibody Screen (86308) | $83 | $83 | 16.0× |
| Histamine urine (83088) | $51 | $51 | 1.7× |
| Histoplasma antibody (86698) | $44 | $44 | 3.2× |
| Hiv Genotype (87901) | $532 | $532 | 2.1× |
| Hiv-1 Antibody (86701) | $46 | $46 | 5.2× |
| HIV-1 p24 antigen (87390) range across 2 matching MRF lines |
$59–$236 | $59–$236 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$178–$265 | $178–$265 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 3 matching MRF lines |
$51–$165 | $51–$165 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $97 | $97 | 0.9× |
| Hla Typing Dr/Dq Single Antigen (86816) range across 5 matching MRF lines |
$97–$185 | $97–$185 | varies |
| Hla-b27 (86812) range across 3 matching MRF lines |
$30–$144 | $30–$144 | varies |
| Homocysteine (83090) range across 3 matching MRF lines |
$50–$413 | $50–$413 | varies |
| Homovanillic acid urine (83150) | $35 | $35 | 1.6× |
| Hsv Dna Amp Probe (87529) | $99 | $99 | 2.8× |
| Htlv-I Antibody (86687) | $29 | $29 | 3.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$41–$49 | $41–$49 | varies |
| Hydroxyproline free (83500) | $47 | $47 | 2.1× |
| Hydroxyproline total (83505) | $59 | $59 | 2.4× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $121 | $121 | 2.7× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $9 | $9 | 0.8× |
| Iaad Ia Cytomegalovirus (87332) | $47 | $47 | 3.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $130 | $130 | 3.7× |
| Iaad ia shiga-like toxin (87427) | $74 | $74 | 6.2× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $141 | $141 | 11.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $104 | $104 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $45 | $45 | 2.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $254 | $254 | 7.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $219 | $219 | 5.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $126 | $126 | 3.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $125 | $125 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$41–$126 | $41–$126 | varies |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$103–$210 | $103–$210 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$25–$209 | $25–$209 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $96 | $96 | 6.4× |
| Immunoelectrophoresis Other Fluids Concentration (86325) range across 4 matching MRF lines |
$105–$219 | $105–$219 | varies |
| Immunoelectrophoresis Serum (86320) range across 3 matching MRF lines |
$37–$164 | $37–$164 | varies |
| Immunofixation electrophoresis (86334) | $27 | $27 | 1.2× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$207–$864 | $207–$864 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $16 | $16 | 1.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $38 | $38 | 2.6× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $36 | $36 | 2.7× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $44 | $44 | 3.6× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $104 | $104 | 3.0× |
| Influenza a/b ag eia (87400) | $174 | $174 | 12.3× |
| Inhibin b (83520) range across 2 matching MRF lines |
$96–$141 | $96–$141 | varies |
| Insulin antibodies (86337) | $46 | $46 | 2.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$20–$61 | $20–$61 | varies |
| Iron (83540) range across 2 matching MRF lines |
$82–$83 | $82–$83 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$62–$82 | $62–$82 | varies |
| Irradiation Blood Product Each Unit (86945) | $195 | $195 | 4.1× |
| Ketosteroids 17 total (83586) | $59 | $59 | 4.6× |
| Koh Prep (87220) range across 2 matching MRF lines |
$37–$73 | $37–$73 | varies |
| L/s ratio (83661) range across 3 matching MRF lines |
$30–$123 | $30–$123 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$7–$95 | $7–$95 | varies |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $165 | $165 | 8.2× |
| Lead (83655) range across 2 matching MRF lines |
$9–$18 | $9–$18 | varies |
| Legionella antibody (86713) | $25 | $25 | 1.6× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$26–$284 | $26–$284 | varies |
| Legionella pneumophila dfa (87278) range across 4 matching MRF lines |
$32–$44 | $32–$44 | varies |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$22–$24 | $22–$24 | varies |
| Leucine Aminopeptidase Lap (83670) range across 2 matching MRF lines |
$73–$84 | $73–$84 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$74–$82 | $74–$82 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $407 | $407 | 8.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $386 | $386 | 0.8× |
| Lidocaine (80176) | $108 | $108 | 7.4× |
| Lipase (83690) range across 3 matching MRF lines |
$8–$137 | $8–$137 | varies |
| Listeria Monocytogenes (86723) | $108 | $108 | 8.2× |
| Lithium (80178) range across 2 matching MRF lines |
$13–$111 | $13–$111 | varies |
| Luteinizing Hormone (Lh) (83002) | $227 | $227 | 12.3× |
| Lyme disease antibody (86618) | $22 | $22 | 1.3× |
| Lysozyme serum (85549) | $30 | $30 | 1.6× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$27–$133 | $27–$133 | varies |
| Mass Spectrometry Quant (83789) | $197 | $197 | 8.2× |
| Mercury urine (83825) range across 2 matching MRF lines |
$137–$139 | $137–$139 | varies |
| Methemalbumin (83857) | $95 | $95 | 8.8× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$76–$81 | $76–$81 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$14–$151 | $14–$151 | varies |
| Mucin Clot Body Fluid (83872) | $68 | $68 | 11.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$52–$61 | $52–$61 | varies |
| Mycobacteric Identification (87118) range across 3 matching MRF lines |
$72–$108 | $72–$108 | varies |
| Mycoplasma antibody (86738) | $40 | $40 | 3.0× |
| Mycoplasma culture (87109) | $146 | $146 | 9.5× |
| Myelin basic protein csf (83873) | $40 | $40 | 2.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$51–$87 | $51–$87 | varies |
| Natriuretic peptide (83880) | $273 | $273 | 7.0× |
| Neisseria Dir Na Probe (87590) | $28 | $28 | 1.0× |
| Nickel level (83885) | $96 | $96 | 3.9× |
| Nk cells total count (86357) | $432 | $432 | 11.4× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$25–$176 | $25–$176 | varies |
| Organic acids urine (83918) | $473 | $473 | 20.0× |
| Osmolality serum (83930) | $41 | $41 | 6.2× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$41–$121 | $41–$121 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $63 | $63 | 8.4× |
| Osteocalcin (83937) | $36 | $36 | 1.2× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$26–$152 | $26–$152 | varies |
| Oxalate urine (83945) | $37 | $37 | 2.6× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$144–$543 | $144–$543 | varies |
| Parvovirus antibody (86747) | $90 | $90 | 6.0× |
| Pathology Consultation During Surgery (88329) | $174 | $174 | 2.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$27–$33 | $27–$33 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$64–$155 | $64–$155 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$6–$47 | $6–$47 | varies |
| Phenytoin (Dilantin) (80185) | $155 | $155 | 11.7× |
| Phenytoin free (80186) | $40 | $40 | 2.9× |
| Phosphatase acid prostatic (84066) | $12 | $12 | 1.2× |
| Phosphatase alkaline (84075) | $76 | $76 | 14.7× |
| Phosphorus Serum (84100) | $81 | $81 | 17.1× |
| Phosphorus urine (84105) | $13 | $13 | 2.2× |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$41–$575 | $41–$575 | varies |
| Platelet count automated (85049) | $83 | $83 | 18.5× |
| Porphobilinogen, urine; quantitative (84110) | $62 | $62 | 7.3× |
| Porphyrins Feces Quantitative (84126) | $142 | $142 | 3.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $98 | $98 | 6.7× |
| Potassium Urine (84133) | $83 | $83 | 17.5× |
| Pr assay of etiocholanolone (82696) | $201 | $201 | 7.7× |
| Prealbumin (84134) | $39 | $39 | 2.7× |
| Pregnanediol (84135) | $37 | $37 | 1.7× |
| Pregnanetriol (84138) | $25 | $25 | 1.2× |
| Primidone (80188) | $22 | $22 | 1.3× |
| Prolactin (84146) | $62 | $62 | 3.2× |
| Prostaglandin (84150) | $491 | $491 | 11.8× |
| Protein c antigen (85302) | $88 | $88 | 7.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$35–$37 | $35–$37 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$207–$216 | $207–$216 | varies |
| Protein s total (85305) | $231 | $231 | 19.9× |
| Protein total serum (84155) range across 8 matching MRF lines |
$11–$76 | $11–$76 | varies |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$24–$72 | $24–$72 | varies |
| PSA free (84154) | $103 | $103 | 5.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$68–$86 | $68–$86 | varies |
| Pyruvate kinase (84220) | $29 | $29 | 3.1× |
| Q Fever Antibody (86638) | $35 | $35 | 2.9× |
| Quantiferon tb gold plus (86480) | $94 | $94 | 1.5× |
| Quantitative assay drug (80299) range across 14 matching MRF lines |
$34–$201 | $34–$201 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$39–$191 | $39–$191 | varies |
| Quinidine (80194) | $30 | $30 | 2.1× |
| Quinine (84228) | $131 | $131 | 11.3× |
| Rbc antibody elution (86860) | $119 | $119 | 0.5× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$35–$361 | $35–$361 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$5–$154 | $5–$154 | varies |
| Reagent Strip/Blood Glucose (82948) range across 3 matching MRF lines |
$25–$41 | $25–$41 | varies |
| Receptor assay estrogen (84233) | $101 | $101 | 1.1× |
| Receptor assay progesterone (84234) range across 2 matching MRF lines |
$34–$311 | $34–$311 | varies |
| Renin activity plasma (84244) | $41 | $41 | 1.9× |
| Reticulocyte Count Manual (85044) | $56 | $56 | 13.0× |
| Rh (86901) range across 2 matching MRF lines |
$52–$465 | $52–$465 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$11–$108 | $11–$108 | varies |
| Rheumatoid factor quant (86431) | $16 | $16 | 2.8× |
| Ristocetin cofactor (85245) | $152 | $152 | 6.6× |
| Rotavirus ag eia (87425) | $89 | $89 | 7.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$51–$98 | $51–$98 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$39–$146 | $39–$146 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$18–$160 | $18–$160 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$57–$204 | $57–$204 | varies |
| Russell Viper Venom Time Diluted (85613) | $14 | $14 | 1.5× |
| Salicylate Level (80179) | $134 | $134 | 7.2× |
| Salmonella antibody (86768) | $106 | $106 | 8.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $150 | $150 | 2.9× |
| Sedimentation Rate, Automated (85652) | $60 | $60 | 22.2× |
| Selenium (84255) | $30 | $30 | 1.2× |
| Semen Anal Sperm Detection (89321) | $59 | $59 | 4.9× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$111–$501 | $111–$501 | varies |
| Sex Chromatin Identification Barr Bodies (88130) | $60 | $60 | 3.3× |
| Sex Hormone Binding Globulin (84270) | $27 | $27 | 1.2× |
| Sickling of rbc reduction (85660) | $9 | $9 | 1.6× |
| Skin test tuberculosis intradermal (86580) | $82 | $82 | 2.2× |
| Skin test; histoplasmosis (86510) | $69 | $69 | 1.4× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$25–$53 | $25–$53 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$50–$76 | $50–$76 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$65–$107 | $65–$107 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$26–$119 | $26–$119 | varies |
| Sodium Serum (84295) range across 3 matching MRF lines |
$5–$83 | $5–$83 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$11–$82 | $11–$82 | varies |
| Soluble fibrin monomer (85366) | $53 | $53 | 0.7× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$65–$83 | $65–$83 | varies |
| Somatomedin (84305) | $122 | $122 | 5.7× |
| Special Stains Group 1 (88312) | $81 | $81 | 1.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$74–$193 | $74–$193 | varies |
| Specimen infect agnt concntj (87015) | $27 | $27 | 4.0× |
| Staph a DNA amp probe (87640) | $104 | $104 | 3.0× |
| Stool cultr aerobic bact ea (87046) | $12 | $12 | 1.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$8–$18 | $8–$18 | varies |
| Surg path level iii (88304) | $131 | $131 | 2.0× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$191–$435 | $191–$435 | varies |
| Surgical pathology level vi (88309) | $810 | $810 | 0.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $173 | $173 | 23.7× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$29–$148 | $29–$148 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$49–$362 | $49–$362 | varies |
| T cells total count (86359) | $374 | $374 | 9.9× |
| T3 reverse (84482) | $51 | $51 | 3.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$25–$93 | $25–$93 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$9–$132 | $9–$132 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$87–$137 | $87–$137 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$39–$93 | $39–$93 | varies |
| Test for acetone/ketones (82009) | $5 | $5 | 1.1× |
| Testosterone total (84403) range across 2 matching MRF lines |
$57–$92 | $57–$92 | varies |
| Testosterone, Free (84402) | $65 | $65 | 2.6× |
| Theophylline (80198) | $242 | $242 | 17.1× |
| Thiocyanate (84430) | $29 | $29 | 2.5× |
| Thrombin Time (85670) | $83 | $83 | 14.4× |
| Thromboplastin Inhibition Tissue (85705) | $18 | $18 | 1.9× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$77–$84 | $77–$84 | varies |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$23–$165 | $23–$165 | varies |
| Tissue culture bone marrow (88237) | $1,184 | $1,184 | 8.2× |
| Tissue Culture Lymphocyte (88230) | $226 | $226 | 1.9× |
| Tobramycin peak (80200) range across 4 matching MRF lines |
$37–$165 | $37–$165 | varies |
| Topiramate (80201) | $76 | $76 | 6.4× |
| Touch prep (88161) | $33 | $33 | 0.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$31–$201 | $31–$201 | varies |
| Toxoplasma ab igm (86778) | $50 | $50 | 3.5× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$34–$59 | $34–$59 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $95 | $95 | 18.3× |
| Transferrin (84466) | $51 | $51 | 4.0× |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$15–$115 | $15–$115 | varies |
| Trichomonas Vaginalis Amplif (87661) | $126 | $126 | 3.6× |
| Triglycerides (84478) | $108 | $108 | 18.8× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$98–$193 | $98–$193 | varies |
| Trypsin feces qual (84488) | $64 | $64 | 8.8× |
| Urea Nitrogen Clearance (84545) | $84 | $84 | 11.7× |
| Urea nitrogen urine (84540) | $74 | $74 | 13.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$72–$83 | $72–$83 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$39–$52 | $39–$52 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$6–$16 | $6–$16 | varies |
| Urinalysis Volume Measure (81050) | $31 | $31 | 8.5× |
| Urine Bacteria Culture (87088) | $117 | $117 | 14.5× |
| Urine Pregnancy Test (81025) | $24 | $24 | 2.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $83 | $83 | 26.2× |
| Urobilinogen, feces, quantitative Facility (84577) | $85 | $85 | 5.1× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $50 | $50 | 5.2× |
| Valproic acid (80164) range across 3 matching MRF lines |
$31–$159 | $31–$159 | varies |
| Vancomycin (80202) | $159 | $159 | 11.7× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$48–$154 | $48–$154 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$64–$213 | $64–$213 | varies |
| Viral Culture (87252) range across 3 matching MRF lines |
$30–$137 | $30–$137 | varies |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$42–$167 | $42–$167 | varies |
| Viscosity serum (85810) | $89 | $89 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$109–$246 | $109–$246 | varies |
| Vitamin A (84590) | $32 | $32 | 2.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$48–$237 | $48–$237 | varies |
| Vitamin B2 (Riboflavin) (84252) | $46 | $46 | 2.3× |
| Vitamin B6 (84207) | $151 | $151 | 5.4× |
| Vitamin c (82180) range across 2 matching MRF lines |
$22–$24 | $22–$24 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$31–$181 | $31–$181 | varies |
| Vitamin E (84446) | $32 | $32 | 2.3× |
| Vitamin K (84597) range across 2 matching MRF lines |
$104–$131 | $104–$131 | varies |
| Volatiles (84600) range across 3 matching MRF lines |
$21–$89 | $21–$89 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $19 | $19 | 2.2× |
| Xylose Absorption Test (84620) | $46 | $46 | 3.6× |
| Zinc (84630) range across 3 matching MRF lines |
$20–$34 | $20–$34 | varies |
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.