Lab & pathology prices at Palo Pinto General Hospital
Mineral Wells, TX · every code in this section with a posted price and a Medicare benchmark.
466 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $34.65 | $69.30 | 1.5× |
| 5 Nucleotidase (83915) | $38.85 | $77.70 | 3.5× |
| Acth (82024) | $57.75 | $115.50 | 1.5× |
| Acute hepatitis panel (80074) | $162.25 | $324.50 | 3.4× |
| Acylcarnitines Quant (82017) | $61 | $122 | 3.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $37.95 | $75.90 | 0.6× |
| Albumin Fluid (82042) | $16.80 | $33.60 | 2.2× |
| Albumin serum (82040) | $15.75 | $31.50 | 3.2× |
| Aldolase (82085) | $40.95 | $81.90 | 4.2× |
| Aldosterone urine (82088) | $48.85 | $97.70 | 1.2× |
| Alkaline phosphatase isoenzymes (84080) | $67.75 | $135.50 | 4.6× |
| Allergen specific ige (86003) | $14.70 | $29.40 | 2.8× |
| Allergen specific igg (86001) | $11.20 | $22.40 | 1.4× |
| Alpha-1-antitrypsin phenotype (82104) | $82.95 | $165.90 | 5.7× |
| Alpha-1-antitrypsin total (82103) | $50.40 | $100.80 | 3.8× |
| Alpha-Fetoprotein Serum (82105) | $67.75 | $135.50 | 4.0× |
| Alt (sgpt) (84460) | $20.50 | $41 | 3.9× |
| Amikacin trough (80150) | $72.45 | $144.90 | 4.8× |
| Amino Acids Quant 2-5 (82136) | $129.15 | $258.30 | 6.6× |
| Ammonia (82140) | $67.75 | $135.50 | 4.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $81.90 | $163.80 | 0.8× |
| Amylase urine (82150) | $49.35 | $98.70 | 7.6× |
| Androstenedione (82157) | $38.35 | $76.70 | 1.3× |
| Angiotensin converting enzyme csf (82164) | $57.75 | $115.50 | 4.0× |
| Anti-Phospholipid Antibody (86148) | $60.90 | $121.80 | 3.8× |
| Antibody aspergillus (86606) | $19.75 | $39.50 | 1.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $18.10 | $36.20 | 1.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $19.45 | $38.90 | 1.2× |
| Antibody Encephalitis California La Crosse (86651) | $44.10 | $88.20 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $43.05 | $86.10 | 3.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $49.35 | $98.70 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $59.85 | $119.70 | 3.3× |
| Antibody helicobacter pylori (86677) | $61.45 | $122.90 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$44.10–$45.15 | $88.20–$90.30 | varies |
| Antibody HIV-2 (86702) | $30.65 | $61.30 | 2.3× |
| Antibody identification leukocyte antibodies (86021) | $78.25 | $156.50 | 5.2× |
| Antibody Protozoa Nes (86753) | $130.49 | $260.97 | 10.5× |
| Antibody Titer (86886) | $183.25 | $366.50 | 35.4× |
| Antibody Treponema Pallidum (86780) | $23.65 | $47.30 | 1.8× |
| Antibody; encephalitis, st. louis (86653) | $44.10 | $88.20 | 3.3× |
| Antigen typing (86905) range across 2 matching MRF lines |
$37.50–$125 | $75–$250 | varies |
| Antinuclear antibodies (86038) | $51.45 | $102.90 | 4.3× |
| Antistreptolysin O Screen (86063) | $35.20 | $70.40 | 6.1× |
| Antithrombin iii antigen (85301) | $33.10 | $66.20 | 3.1× |
| Apolipoprotein a1 (82172) | $41.50 | $83 | 2.0× |
| Arsenic (82175) | $52 | $104 | 2.7× |
| Assay activated protein c (85307) | $69.30 | $138.60 | 4.5× |
| Assay Blood Carbon Dioxide (82374) | $13.65 | $27.30 | 2.8× |
| Assay Nephelometry Not Spec (83883) | $53.05 | $106.10 | 3.9× |
| Assay of 5-hiaa (83497) | $44.65 | $89.30 | 3.5× |
| Assay of blood/uric acid (84550) | $22.60 | $45.20 | 5.0× |
| Assay of calcium in urine (82340) | $31 | $62 | 5.1× |
| Assay of cpk in blood (82552) | $78.25 | $156.50 | 5.8× |
| Assay of g6pd enzyme (82955) | $38.35 | $76.70 | 4.0× |
| Assay of gammaglobulin igm (82784) | $42.55 | $85.10 | 4.6× |
| Assay of lactic acid (83605) | $52.50 | $105 | 4.5× |
| Assay of metanephrines (83835) | $85.05 | $170.10 | 5.0× |
| Assay of proinsulin (84206) | $70.95 | $141.90 | 2.7× |
| Assay of serum potassium (84132) | $20.50 | $41 | 4.3× |
| Assay of urea nitrogen (84520) | $17.85 | $35.70 | 4.5× |
| Assay of vitamin b-1 (84425) | $69.30 | $138.60 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $22.05 | $44.10 | 6.2× |
| Assay Phosphohexose Enzymes (84087) | $125 | $250 | 11.6× |
| Automated Leukocyte Count (85048) | $14.70 | $29.40 | 5.8× |
| Bartonella antibody (86611) | $31.85 | $63.70 | 3.1× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$91.90–$136.50 | $183.80–$273 | varies |
| Bcr/abl1 gene minor bp (81207) | $91.90 | $183.80 | 0.6× |
| Beta 2 glycoprotein i antibody each (86146) | $50.40 | $100.80 | 2.0× |
| Beta hydroxybutyrate (82010) | $40.95 | $81.90 | 5.0× |
| Beta Lactamase (87185) | $25.20 | $50.40 | 5.3× |
| Beta-2 Microglobulin (82232) | $67.75 | $135.50 | 4.2× |
| Bilirubin direct (82248) | $23.10 | $46.20 | 4.6× |
| Bilirubin total (82247) | $19.45 | $38.90 | 3.9× |
| Biotinidase (82261) | $54.75 | $109.50 | 3.2× |
| Blastomyces antibody (86612) | $57.37 | $114.73 | 4.4× |
| Blood Count Red Blood Cell Automated (85041) | $12.10 | $24.20 | 4.0× |
| Blood count reticulocyte automated (85045) | $27.85 | $55.70 | 7.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $22.05 | $44.10 | 5.8× |
| Blood gas (82803) | $75.60 | $151.20 | 2.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18.40 | $36.80 | 4.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $49.35 | $98.70 | 7.8× |
| Blood typing serologic abo (86900) | $25.75 | $51.50 | 8.6× |
| Bordetella antibody (86615) | $94.50 | $189 | 7.2× |
| C-Peptide (84681) | $55.15 | $110.30 | 2.7× |
| C-reactive protein (86140) | $37.30 | $74.60 | 7.2× |
| Ca 19-9 (86301) | $63.55 | $127.10 | 3.1× |
| Cadmium (82300) | $52.50 | $105 | 2.2× |
| Calcium ionized (82330) | $48.85 | $97.70 | 3.6× |
| Calcium total (82310) | $17.35 | $34.70 | 3.4× |
| Calculus assay quant (82360) | $53.55 | $107.10 | 4.2× |
| Calculus Spectroscopy (82365) | $48.50 | $97 | 3.8× |
| Calprotectin Fecal (83993) | $80.85 | $161.70 | 4.1× |
| Cancer Antigen 125 (86304) | $82.45 | $164.90 | 4.0× |
| Cancer Antigen 27.29 (86300) | $78.75 | $157.50 | 3.8× |
| Carbamazepine total (80156) | $72.45 | $144.90 | 5.0× |
| Carboxyhemoglobin (82375) | $39.90 | $79.80 | 3.2× |
| Carcinoembryonic antigen (82378) | $84.55 | $169.10 | 4.5× |
| Cardiolipin ab iga (86147) | $19.45 | $38.90 | 0.8× |
| Carnitine Quantitative Each Specimen (82379) | $38 | $76 | 2.3× |
| Catecholamines fractionated (82384) | $45.15 | $90.30 | 1.8× |
| Ccp antibody (86200) | $57.75 | $115.50 | 4.5× |
| Cell count csf (89051) | $49.90 | $99.80 | 8.9× |
| Cell enumeration & id (86152) | $341.25 | $682.50 | 1.4× |
| Ceruloplasmin (82390) | $44.10 | $88.20 | 4.1× |
| Cftr gene com variants (81220) | $81.90 | $163.80 | 0.1× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$63–$71.95 | $126–$143.90 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$28.35–$29.40 | $56.70–$58.80 | varies |
| Chlamydia Igm Antibody (86632) | $29.95 | $59.90 | 2.4× |
| Chloride urine (82436) | $29 | $58 | 5.0× |
| Cholesterol total (82465) | $22.05 | $44.10 | 5.1× |
| Chorionic gonadotropin test (84702) | $78.75 | $157.50 | 5.2× |
| Chromogranin a (86316) | $76.15 | $152.30 | 3.7× |
| Chromosome Analysis 15-20 (88262) | $391.65 | $783.30 | 3.1× |
| Citric acid urine (82507) | $37.50 | $75 | 1.3× |
| Ckmb (82553) | $68.80 | $137.60 | 6.0× |
| Clostridium Difficile (87324) | $70.35 | $140.70 | 5.9× |
| Clot Factor VIII Multimetric (85247) | $56.70 | $113.40 | 2.5× |
| Coagulation time activated (85347) | $35.20 | $70.40 | 8.2× |
| Coccidioides antibody (86635) | $51.19 | $102.37 | 4.5× |
| Cold agglutinin screen (86156) | $37.50 | $75 | 4.6× |
| Cold agglutinin titer (86157) | $36.75 | $73.50 | 4.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$38.85–$99 | $77.70–$198 | varies |
| Column Chromotography Quant (82542) | $47.80 | $95.60 | 2.0× |
| Compatibility test antiglob (86922) | $126 | $252 | 0.7× |
| Complement Antigen Each Component (86160) | $27.30 | $54.60 | 2.3× |
| Complement Total (Ch50) (86162) | $43.60 | $87.20 | 2.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $50.95 | $101.90 | 1.0× |
| Coombs direct (86880) | $36.75 | $73.50 | 6.8× |
| Copper urine (82525) | $45.40 | $90.80 | 3.7× |
| Cortisol free (82530) | $68.80 | $137.60 | 4.1× |
| Cortisol saliva (82533) | $73.50 | $147 | 4.5× |
| Creatine (82540) | $27.85 | $55.70 | 6.0× |
| Creatine kinase total (82550) | $39.90 | $79.80 | 6.1× |
| Creatinine blood (82565) | $20.50 | $41 | 4.0× |
| Creatinine clearance (82575) | $64.05 | $128.10 | 6.8× |
| Creatinine Urine (82570) | $26.25 | $52.50 | 5.1× |
| Crossmatch immediate spin (86920) | $30 | $60 | 0.2× |
| Crp High Sensitivity (86141) | $52.50 | $105 | 4.1× |
| Cryoglobulin (82595) | $30.10 | $60.20 | 4.7× |
| Cryptococcus ag titer (87899) | $82.68 | $165.36 | 5.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $34.15 | $68.30 | 4.2× |
| Culture afb (87116) | $70.35 | $140.70 | 6.5× |
| Culture Anaerobic (87075) | $74.55 | $149.10 | 7.9× |
| Culture blood (87040) | $82.95 | $165.90 | 8.0× |
| Culture chlamydia (87110) | $69.85 | $139.70 | 3.6× |
| Culture csf (87070) | $63.55 | $127.10 | 7.4× |
| Culture fungus (87102) | $68.25 | $136.50 | 8.1× |
| Culture screen only (87081) | $37.80 | $75.60 | 5.7× |
| Culture stool (87045) | $61.45 | $122.90 | 6.5× |
| Culture typing if ea antiserum (87140) | $25.20 | $50.40 | 4.5× |
| Culture urine (87086) | $48.30 | $96.60 | 6.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $50.40 | $100.80 | 3.5× |
| Cyclosporine (80158) | $94.50 | $189 | 5.2× |
| Cyp2c19 gene analysis common variants (81225) | $346.50 | $693 | 1.2× |
| Cyp2c9 gene com variants (81227) | $166.45 | $332.90 | 1.0× |
| Cyp2d6 gene com variants (81226) | $461.50 | $923 | 1.0× |
| Cytomegalovirus igg (86644) | $33.10 | $66.20 | 2.3× |
| Cytopath Cell Enhance Tech (88112) | $46.75 | $93.50 | 0.9× |
| Cytp Concentration Smears & Interpretation (88108) | $27.30 | $54.60 | 0.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $38.35 | $76.70 | 0.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $40.95 | $81.90 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $32.05 | $64.10 | 0.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $32.05 | $64.10 | 1.1× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$33.75–$218.40 | $67.50–$436.80 | varies |
| Detect Agent Nos Dna Quant (87799) | $178.50 | $357 | 4.2× |
| Dgp Antibody Each Ig Class (86258) | $67.50 | $135 | 5.6× |
| Dhea-S (82627) | $67.75 | $135.50 | 3.0× |
| Digoxin (80162) | $61.45 | $122.90 | 4.6× |
| Dna Antibody Native/Double Stranded (86225) | $55.65 | $111.30 | 4.1× |
| Drug Assay Everolimus (80169) | $84 | $168 | 6.1× |
| Drug assay voriconazole (80285) | $128.23 | $256.46 | 4.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $55.65 | $111.30 | 4.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $55.65 | $111.30 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$11.05–$63 | $22.10–$126 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$11.05–$15 | $22.10–$30 | varies |
| Ehrlichia antibody (86666) | $32.50 | $65 | 3.2× |
| Electrolyte panel (80051) | $40.95 | $81.90 | 5.8× |
| Encephaltis East Eqne Anbdy (86652) | $44.10 | $88.20 | 3.3× |
| Encephaltis West Eqne Antbdy (86654) | $44.10 | $88.20 | 3.3× |
| Enterovirus PCR (87498) | $95.55 | $191.10 | 2.7× |
| Erythropoietin (82668) | $62.50 | $125 | 3.3× |
| Estradiol serum (82670) | $83.50 | $167 | 3.0× |
| Estriol (82677) | $71.95 | $143.90 | 3.0× |
| Estrogen total (82672) | $69.85 | $139.70 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $34.65 | $69.30 | 4.7× |
| F2 Gene (81240) range across 2 matching MRF lines |
$74.05–$169.60 | $148.10–$339.20 | varies |
| Factor v activity (85220) | $40.95 | $81.90 | 2.3× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$74.05–$169.60 | $148.10–$339.20 | varies |
| Factor viii assay (85240) | $50.95 | $101.90 | 2.8× |
| Fecal Fat Qualitative (82705) | $27.85 | $55.70 | 5.5× |
| Ferritin (82728) | $59.35 | $118.70 | 4.4× |
| Fetal Fibronectin (82731) | $214.20 | $428.40 | 3.3× |
| Fibrin degradation products (85362) | $59.85 | $119.70 | 8.7× |
| Fibrin Degradation Quant (85379) | $68.80 | $137.60 | 6.8× |
| Fibrinogen activity (85384) | $49.35 | $98.70 | 5.1× |
| Flow cytometry first marker (88184) | $61.95 | $123.90 | 0.2× |
| Fluorescent antibody screen (86255) | $46.75 | $93.50 | 3.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $46.75 | $93.50 | 3.9× |
| Folic Acid Serum (82746) | $56.20 | $112.40 | 3.8× |
| Follicle Stimulating Hormone (83001) | $71.95 | $143.90 | 3.9× |
| Frozen Section (88331) | $95.55 | $191.10 | 0.6× |
| Gammaglobulin ige (82785) | $53.05 | $106.10 | 3.2× |
| Gastrin (82941) | $59.35 | $118.70 | 3.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $337.75 | $675.50 | 0.8× |
| Genet Virus Isolate Hsv (87255) | $94 | $188 | 2.8× |
| Gentamicin (80170) | $81.90 | $163.80 | 5.0× |
| Ggt (82977) | $31.50 | $63 | 4.4× |
| Giardia antigen (87329) | $27.85 | $55.70 | 2.3× |
| Glucose 2 hr pp (82950) | $27.30 | $54.60 | 5.7× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$7.90–$17.35 | $15.80–$34.70 | varies |
| Glucose body fluid (82945) | $29.95 | $59.90 | 7.6× |
| Glucose Serum (82947) | $17.35 | $34.70 | 4.4× |
| Glucose tolerance test (gtt) (82951) | $62.50 | $125 | 4.9× |
| Gonadotropin Chorionic Qualitative (84703) | $49.90 | $99.80 | 6.6× |
| Gtt-added samples (82952) | $20.50 | $41 | 5.2× |
| H Pylori (C-13) Breath (83013) | $65.65 | $131.30 | 1.0× |
| Haptoglobin (83010) | $50.95 | $101.90 | 4.1× |
| Hdl Cholesterol (83718) | $31.50 | $63 | 3.8× |
| Helicobacter Pylori Stool (87338) | $35.70 | $71.40 | 2.5× |
| Helminth Antibody (86682) | $107.99 | $215.98 | 8.3× |
| Hematocrit (85014) | $18.40 | $36.80 | 7.8× |
| Hemoglobin (85018) | $18 | $36 | 7.6× |
| Hemoglobin a1c (83036) | $42.55 | $85.10 | 4.4× |
| Hemoglobin Chromotography (83021) | $60.40 | $120.80 | 3.3× |
| Hemoglobin F Fetal Chemical (83030) | $55.15 | $110.30 | 5.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $35.20 | $70.40 | 4.3× |
| Hep a ab igm (86709) | $51.45 | $102.90 | 4.6× |
| Hepatitis a antibody total (86708) | $50.95 | $101.90 | 4.1× |
| Hepatitis b core ab total (86704) | $50.40 | $100.80 | 4.2× |
| Hepatitis B Surface Antibody (86706) | $48.30 | $96.60 | 4.5× |
| Hepatitis B Surface Antigen (87340) | $45.70 | $91.40 | 4.4× |
| Hepatitis Be Antibody (86707) | $43.60 | $87.20 | 3.8× |
| Hepatitis Be Antigen (87350) | $42.55 | $85.10 | 3.7× |
| Hepatitis C Antibody (86803) | $66.15 | $132.30 | 4.6× |
| Hepatitis c antibody confirmatory test (86804) | $102.90 | $205.80 | 6.6× |
| Hepatitis C Genotype (87902) | $330.75 | $661.50 | 1.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $188.50 | $377 | 4.4× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$31.50–$45.15 | $63–$90.30 | varies |
| Heterophile Antibody Screen (86308) | $36.75 | $73.50 | 7.1× |
| Hfe Gene (81256) | $76.65 | $153.30 | 1.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $70.35 | $140.70 | 9.1× |
| Histoplasma antibody (86698) | $53.99 | $107.98 | 3.9× |
| Histoplasma antigen urine (87385) | $77.62 | $155.23 | 5.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $59.35 | $118.70 | 2.5× |
| Hiv-1 Antibody (86701) | $27.65 | $55.30 | 3.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $74.05 | $148.10 | 0.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $73.50 | $147 | 1.0× |
| Hla-b27 (86812) | $39.40 | $78.80 | 1.5× |
| Homocysteine (83090) | $76.15 | $152.30 | 4.2× |
| Hsv Dna Amp Probe (87529) | $128.10 | $256.20 | 3.7× |
| Human Epididymis Protein 4 (86305) | $157 | $314 | 7.5× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$34.15–$73.50 | $68.30–$147 | varies |
| Iaad Ia Escherichia Coli 0157 (87335) | $50.40 | $100.80 | 4.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $81.40 | $162.80 | 5.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $25 | $50 | 0.7× |
| Iaadi herpes smplx virus type 1 (87274) | $38 | $76 | 3.2× |
| Iaadi herpes smplx virus type 2 (87273) | $37 | $74 | 3.1× |
| Iaadi pneumocustis carinii (87281) | $68.25 | $136.50 | 5.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $165.40 | $330.80 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $27.37 | $54.74 | 0.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $33.10 | $66.20 | 1.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $62.50 | $125 | 1.8× |
| Iadna Cytomegalovirus Quantification (87497) | $92.40 | $184.80 | 2.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $136 | $272 | 3.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $73.50 | $147 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $28.94 | $57.88 | 0.8× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $50 | $100 | 1.0× |
| Igg subclasses (82787) | $32.55 | $65.10 | 4.1× |
| Immunfix e-phorsis/urine/csf (86335) | $82.95 | $165.90 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $112.50 | $225 | 6.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $27.30 | $54.60 | 1.8× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$23.10–$30.45 | $46.20–$60.90 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $87.15 | $174.30 | 3.8× |
| Immunofixation electrophoresis (86334) | $88.20 | $176.40 | 3.9× |
| Immunohistochemistry (88342) | $45.70 | $91.40 | 0.3× |
| Influenza assay w/optic (87804) | $45.70 | $91.40 | 2.8× |
| Inhibin A (86336) | $47.25 | $94.50 | 3.0× |
| Inhibin b (83520) | $72.25 | $144.50 | 4.2× |
| Insulin total (83525) | $44.65 | $89.30 | 3.9× |
| Intrinsic factor antibody (86340) | $47.80 | $95.60 | 3.2× |
| Iron (83540) | $30.45 | $60.90 | 4.7× |
| Iron Binding Capacity (83550) | $36.25 | $72.50 | 4.1× |
| Irradiation Blood Product Each Unit (86945) | $42.55 | $85.10 | 1.1× |
| Islet cell antibody (86341) | $69.30 | $138.60 | 2.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $189 | $378 | 2.1× |
| Koh Prep (87220) | $25.75 | $51.50 | 6.0× |
| Lactate (ld) (ldh) enzyme (83615) | $28.35 | $56.70 | 4.7× |
| Lamellar Body Count (83664) | $30.45 | $60.90 | 1.6× |
| LDL direct (83721) | $23.65 | $47.30 | 2.3× |
| Lead (83655) | $37.30 | $74.60 | 3.1× |
| Legionella antibody (86713) | $40.45 | $80.90 | 2.6× |
| Leukocyte Assessment Fecal (89055) | $29.40 | $58.80 | 6.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $40.45 | $80.90 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $69.85 | $139.70 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $184.80 | $369.60 | 0.5× |
| Lipase (83690) | $50.95 | $101.90 | 7.4× |
| Lipoprotein A (83695) | $41.50 | $83 | 2.9× |
| Lipoprotein Bld Quan Part (83704) | $60.40 | $120.80 | 1.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $73 | $146 | 1.6× |
| Lithium (80178) | $40.95 | $81.90 | 6.2× |
| Luteinizing Hormone (Lh) (83002) | $70.90 | $141.80 | 3.8× |
| Lyme disease antibody (86618) | $66.15 | $132.30 | 3.9× |
| Lysozyme serum (85549) | $53.55 | $107.10 | 2.9× |
| Magnesium Urine (83735) | $36.25 | $72.50 | 5.4× |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$81.90–$94 | $163.80–$188 | varies |
| Mercury urine (83825) | $45.15 | $90.30 | 2.8× |
| Methylmalonic acid serum (83921) | $37.65 | $75.30 | 1.8× |
| Microalbumin, quantitative (82043) | $36.75 | $73.50 | 6.4× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$34.65–$44.65 | $69.30–$89.30 | varies |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $718.50 | $1,437 | 1.1× |
| Molecular Pathology Procedure Level 3 (81402) | $235.20 | $470.40 | 1.6× |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$163.80–$275.10 | $327.60–$550.20 | varies |
| Mopath procedure level 4 (81403) | $163.80 | $327.60 | 0.9× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $225.50 | $451 | 1.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $406 | $812 | 1.1× |
| Mthfr Gene Analysis Common Variants (81291) | $122.85 | $245.70 | 1.9× |
| Mumps antibody (86735) | $49.35 | $98.70 | 3.8× |
| Mycoplasma antibody (86738) | $31 | $62 | 2.3× |
| Mycoplasma culture (87109) | $90.30 | $180.60 | 5.9× |
| Myoglobin urine (83874) | $69.95 | $139.90 | 5.4× |
| Natriuretic peptide (83880) | $99.75 | $199.50 | 2.5× |
| Neisseria Dir Na Probe (87590) | $34.65 | $69.30 | 1.3× |
| Nuclear antigen antibody (86235) | $47.80 | $95.60 | 2.7× |
| Occult Blood Other Sources (82271) | $23.65 | $47.30 | 4.4× |
| Oligoclonal bands (83916) | $34.65 | $69.30 | 1.3× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $228 | $456 | 0.9× |
| Oncoprotein dcp (83951) | $106.20 | $212.40 | 1.6× |
| Osmolality serum (83930) | $40.45 | $80.90 | 6.1× |
| Osmolality Urine (83935) | $41.50 | $83 | 6.1× |
| Ova and parasites smears (87177) | $48.85 | $97.70 | 5.5× |
| Oxalate urine (83945) | $38.53 | $77.05 | 2.7× |
| Particle Agglutination Screen Each Antibody (86403) | $44.10 | $88.20 | 3.8× |
| Parvovirus antibody (86747) | $25.20 | $50.40 | 1.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $57.25 | $114.50 | 0.1× |
| Pathology Consultation During Surgery (88329) | $53.55 | $107.10 | 0.9× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $210 | $420 | 0.8× |
| Ph urine (81003) | $22.60 | $45.20 | 10.0× |
| Phenobarbital Level (80184) | $68.80 | $137.60 | 4.5× |
| Phenytoin (Dilantin) (80185) | $70.35 | $140.70 | 5.3× |
| Phosphatase alkaline (84075) | $19.45 | $38.90 | 3.8× |
| Phosphorus Serum (84100) | $23.10 | $46.20 | 4.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$135.45–$160.65 | $270.90–$321.30 | varies |
| Platelet count automated (85049) | $27.85 | $55.70 | 6.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $58.80 | $117.60 | 4.0× |
| Potassium Urine (84133) | $28.35 | $56.70 | 6.0× |
| Prealbumin (84134) | $48.30 | $96.60 | 3.3× |
| Pregnenolone (84140) | $60.90 | $121.80 | 2.9× |
| Primidone (80188) | $47.25 | $94.50 | 2.8× |
| Procalcitonin (Pct) (84145) | $112 | $224 | 4.1× |
| Progesterone (84144) | $65.10 | $130.20 | 3.1× |
| Prolactin (84146) | $82.45 | $164.90 | 4.3× |
| Protein body fluid (84157) | $33.10 | $66.20 | 8.3× |
| Protein C Activity (85303) | $105 | $210 | 7.6× |
| Protein c antigen (85302) | $74.55 | $149.10 | 6.2× |
| Protein Electrophoresis Urine (84166) | $62.50 | $125 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $53.55 | $107.10 | 5.0× |
| Protein S Free (85306) | $95.55 | $191.10 | 6.2× |
| Protein s total (85305) | $82.45 | $164.90 | 7.1× |
| Protein total serum (84155) | $14.70 | $29.40 | 4.0× |
| Protein Total Urine (84156) | $26.25 | $52.50 | 7.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $32.05 | $64.10 | 8.1× |
| PSA free (84154) | $53.55 | $107.10 | 2.9× |
| Pth Intact (83970) | $123.40 | $246.80 | 3.0× |
| Quantiferon tb gold plus (86480) | $46.75 | $93.50 | 0.8× |
| Quantitative assay drug (80299) | $78.75 | $157.50 | 4.2× |
| Rbc antibody elution (86860) | $126 | $252 | 0.7× |
| Rbc antibody identification (86870) | $183.25 | $366.50 | 0.5× |
| Rbc antibody screen (86850) | $49.35 | $98.70 | 5.1× |
| Rbc pretreatment serum (86978) | $60 | $120 | 1.0× |
| Rbc pretx incubatj w/enzymes (86971) | $39.40 | $78.80 | 0.2× |
| Renin activity plasma (84244) | $66.70 | $133.40 | 3.0× |
| Resp virus 12-25 targets (87633) | $270 | $540 | 0.6× |
| Reticulocyte separation (86972) | $37.50 | $75 | 0.2× |
| Rh (86901) | $24.70 | $49.40 | 8.3× |
| Rheumatoid Factor Qualitative (86430) | $33.10 | $66.20 | 5.4× |
| Rheumatoid factor quant (86431) | $35.20 | $70.40 | 6.2× |
| Rickettsia antibody (86757) | $33.50 | $67 | 1.7× |
| Ristocetin cofactor (85245) | $50.95 | $101.90 | 2.2× |
| Rotavirus ag eia (87425) | $60.90 | $121.80 | 5.1× |
| Rpr qualitative (86592) | $27.30 | $54.60 | 6.4× |
| Rubella Antibody (86762) | $40.45 | $80.90 | 2.8× |
| Rubeola antibody (86765) | $54.10 | $108.20 | 4.2× |
| Russell Viper Venom Time Diluted (85613) | $52.50 | $105 | 5.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $115 | $230 | 2.2× |
| Sars-cov-2 COVID-19 antibody (86769) | $42.50 | $85 | 1.0× |
| Sedimentation rate (85651) | $25.75 | $51.50 | 6.0× |
| Semen analysis motility and count (89310) | $23.10 | $46.20 | 2.7× |
| Sensitivity mic (87186) | $47.80 | $95.60 | 5.5× |
| Sex Hormone Binding Globulin (84270) | $51.45 | $102.90 | 2.4× |
| Sickling of rbc reduction (85660) | $20.50 | $41 | 3.7× |
| Sirolimus (80195) | $93.45 | $186.90 | 6.8× |
| Skin test tuberculosis intradermal (86580) | $11.60 | $23.20 | 0.4× |
| Smear acid fast (87206) | $35.70 | $71.40 | 6.6× |
| Smear gram stain (87205) | $29.40 | $58.80 | 6.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$13–$28.90 | $26–$57.80 | varies |
| Sodium Serum (84295) | $17.85 | $35.70 | 3.7× |
| Sodium Urine (84300) | $29.40 | $58.80 | 5.8× |
| Soluble Transferrin Receptor (84238) | $108.50 | $217 | 3.0× |
| Somatomedin (84305) | $36.75 | $73.50 | 1.7× |
| Special Stains Group 1 (88312) | $58.30 | $116.60 | 1.1× |
| Special Stains Group 2 (88313) | $59.85 | $119.70 | 0.4× |
| Specific gravity body fluid (84315) | $12.10 | $24.20 | 3.7× |
| Specimen infect agnt concntj (87015) | $17.35 | $34.70 | 2.6× |
| Spectrophotometry (84311) | $21 | $42 | 2.6× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $99.75 | $199.50 | 0.6× |
| Strep a assay w/optic (87880) | $35.70 | $71.40 | 2.2× |
| Sugars Single Qual (84376) | $13.13 | $26.25 | 2.4× |
| Sulfate urine (84392) | $13.54 | $27.08 | 2.5× |
| Surg path level iii (88304) | $87.15 | $174.30 | 1.7× |
| Surgical pathology level IV (88305) | $111.85 | $223.70 | 2.1× |
| Surgical pathology level vi (88309) | $236.25 | $472.50 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $13.15 | $26.30 | 2.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $34.15 | $68.30 | 4.6× |
| Syphilis Test Non-Trep Quant (86593) | $13.65 | $27.30 | 3.1× |
| T cells absolute cd4 count (86361) | $66.40 | $132.80 | 2.5× |
| T3 Free (84481) | $61.45 | $122.90 | 3.6× |
| T3 Total (84480) | $68.80 | $137.60 | 4.9× |
| T3 Uptake (84479) | $41.50 | $83 | 6.4× |
| T4 Free (84439) | $51.45 | $102.90 | 5.7× |
| T4 total (84436) | $43.60 | $87.20 | 6.3× |
| Tacrolimus (80197) | $102.40 | $204.80 | 7.5× |
| Test for acetone/ketones (82009) | $27.85 | $55.70 | 6.2× |
| Testosterone total (84403) | $79.80 | $159.60 | 3.1× |
| Testosterone, Free (84402) | $66.15 | $132.30 | 2.6× |
| Theophylline (80198) | $64.05 | $128.10 | 4.5× |
| Thrombin Time (85670) | $31.50 | $63 | 5.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $17.85 | $35.70 | 2.8× |
| Thyroglobulin (84432) | $30.45 | $60.90 | 1.9× |
| Thyroglobulin Antibody (86800) | $19.45 | $38.90 | 1.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $67.50 | $135 | 5.9× |
| Tissue Culture Lymphocyte (88230) | $210.55 | $421.10 | 1.8× |
| Topiramate (80201) | $86.10 | $172.20 | 7.2× |
| Touch prep (88161) | $24.15 | $48.30 | 0.8× |
| Toxoplasma ab igm (86778) | $47.80 | $95.60 | 3.3× |
| Toxoplasma antibody (86777) | $50.95 | $101.90 | 3.5× |
| Tpmt gene com variants (81335) | $160 | $320 | 0.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $21.55 | $43.10 | 4.2× |
| Transferrin (84466) | $48.30 | $96.60 | 3.8× |
| Trichomonas Vaginalis Amplif (87661) | $72 | $144 | 2.1× |
| Triglycerides (84478) | $24.70 | $49.40 | 4.3× |
| Troponin Quant (84484) | $75.10 | $150.20 | 6.0× |
| Tumor Immunohistochem/Manual (88360) | $183.25 | $366.50 | 1.1× |
| Uric acid other source (84560) | $24.50 | $49 | 4.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$14.70–$39.90 | $29.40–$79.80 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $32.55 | $65.10 | 10.3× |
| Valproic acid (80164) | $69.30 | $138.60 | 5.1× |
| Vancomycin (80202) | $80.85 | $161.70 | 6.0× |
| Varicella-zoster antibody (86787) | $54.10 | $108.20 | 4.2× |
| Vasopressin (84588) | $125 | $250 | 3.7× |
| Viral Culture (87252) range across 2 matching MRF lines |
$68.25–$74.55 | $136.50–$149.10 | varies |
| Virus antibody nos (86790) | $108.70 | $217.40 | 8.4× |
| Virus inoculation, shell via (87254) | $71.40 | $142.80 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $95.55 | $191.10 | 2.5× |
| Vitamin A (84590) | $45.15 | $90.30 | 3.9× |
| Vitamin b-12 (82607) | $57.75 | $115.50 | 3.8× |
| Vitamin B2 (Riboflavin) (84252) | $69.30 | $138.60 | 3.4× |
| Vitamin B6 (84207) | $80.35 | $160.70 | 2.9× |
| Vitamin c (82180) | $33.10 | $66.20 | 3.3× |
| Vitamin D 25-Hydroxy (82306) | $75.10 | $150.20 | 2.5× |
| Vitamin E (84446) | $48.30 | $96.60 | 3.4× |
| Vitamin K (84597) | $134.95 | $269.90 | 9.8× |
| Von willebrand factor ag (85246) | $93.45 | $186.90 | 4.1× |
| West nile virus ab igm (86788) | $44.10 | $88.20 | 2.6× |
| West Nile Virus Antibody (86789) | $44.10 | $88.20 | 3.1× |
| Western Blot Test (84181) | $82.95 | $165.90 | 4.9× |
| Zinc (84630) | $39.40 | $78.80 | 3.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.