Lab & pathology prices at Parkview Noble Hospital

Kendallville, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $133 $266 11.9×
Acetylcholine receptor binding antibody (86041) $99 $198 5.4×
Acetylcholine receptor blocking antibody (86042) $99 $198 5.4×
Acetylcholn Rcptr Modlg Antb (86043) $99 $198 8.2×
Acth (82024) $190.50 $381 4.9×
Actin smooth muscle antibody each (86015) $136 $272 11.3×
Acute hepatitis panel (80074) $345.50 $691 7.3×
Acylcarnitines Quant (82017) $158 $316 9.4×
Albumin Fluid (82042) $40 $80 5.1×
Albumin serum (82040) $20.50 $41 4.1×
Aldolase (82085) $50.50 $101 5.2×
Aldosterone urine (82088) $208.50 $417 5.1×
Alkaline phosphatase isoenzymes (84080) $96.50 $193 6.5×
Allergen specific ige (86003)
range across 179 matching MRF lines
$8–$52.50 $16–$105 varies
Allg Spec Ige Recomb Ea (86008) $59.50 $119 3.3×
Alpha-1-antitrypsin phenotype (82104) $118 $236 8.2×
Alpha-1-antitrypsin total (82103) $105 $210 7.8×
Alpha-Fetoprotein Serum (82105) $128 $256 7.6×
Alt (sgpt) (84460) $27 $54 5.1×
Aluminum (82108) $126.50 $253 5.0×
Amikacin trough (80150) $42.50 $85 2.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$298–$299.50 $596–$599 varies
Ammonia (82140) $121.50 $243 8.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $304 $608 3.1×
Amylase urine (82150) $40.50 $81 6.3×
Ana Titer (86039) $92.50 $185 8.3×
Anca screen each antibody (86036) $65.50 $131 5.4×
Anca Titer Each Antibody (86037) $65.50 $131 5.4×
Androstenedione (82157) $122.50 $245 4.2×
Angiotensin converting enzyme csf (82164) $75.50 $151 5.2×
Anti-Phospholipid Antibody (86148) $115.50 $231 7.2×
Antibody aspergillus (86606) $32.50 $65 2.2×
Antibody Bacterium Not Elsewhere Specified (86609) $29 $58 2.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $155 $310 10.0×
Antibody Cytomegalovirus Cmv Igm (86645) $98 $196 5.8×
Antibody Encephalitis California La Crosse (86651) $105.50 $211 8.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $105.50 $211 8.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $65.50 $131 4.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $79.50 $159 4.4×
Antibody Fungus Not Elsewhere Specified (86671) $44 $88 3.6×
Antibody haemophilus influenza (86684) $81.50 $163 5.1×
Antibody Herpes Smplx Type 1 (86695) $97 $194 7.4×
Antibody HIV-2 (86702) $87.50 $175 6.5×
Antibody Hla Class I High Definition Panel Qual (86832) $538.50 $1,077 1.7×
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$59.50–$66 $119–$132 varies
Antibody Identification Platelet Immunogl Assay (86023) $323.50 $647 26.0×
Antibody Titer (86886) $140.50 $281 27.1×
Antibody Treponema Pallidum (86780) $95.50 $191 7.2×
Antibody; encephalitis, st. louis (86653) $92 $184 7.0×
Antigen typing (86905) $142 $284 37.1×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $163.50 $327 28.6×
Antinuclear antibodies (86038) $44 $88 3.6×
Antistreptolysin o titer (86060) $23 $46 3.2×
Antithrombin iii activity (85300) $99 $198 8.4×
Antithrombin iii antigen (85301) $120.50 $241 11.1×
Apolipoprotein a1 (82172) $44 $88 2.1×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $191 $382 5.1×
Aquaporin-4 Antb Cba Each (86052) $193 $386 16.0×
Arsenic (82175) $103 $206 5.4×
Aspergillus ag eia (87305) $106.50 $213 8.9×
Assay activated protein c (85307) $132 $264 8.6×
Assay Blood Carbon Dioxide (82374) $38.50 $77 7.9×
Assay myeloperoxidase (83876) $78.50 $157 1.5×
Assay Nephelometry Not Spec (83883) $65.50 $131 4.8×
Assay of 5-hiaa (83497) $110 $220 8.5×
Assay of anti-mullerian hormone (82166) $94 $188 2.4×
Assay of blood/uric acid (84550) $33 $66 7.3×
Assay of calcium in urine (82340) $60 $120 10.0×
Assay of cpk in blood (82552) $111 $222 8.3×
Assay of estrone (82679) $132 $264 5.3×
Assay of g6pd enzyme (82955) $50.50 $101 5.2×
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$57.50–$60.50 $115–$121 varies
Assay of lactic acid (83605) $101 $202 8.7×
Assay of manganese (83785) $76.50 $153 2.9×
Assay of metanephrines (83835) $105 $210 6.2×
Assay of pyruvate (84210) $99.50 $199 6.9×
Assay of serotonin (84260) $84.50 $169 2.7×
Assay of serum potassium (84132) $27.50 $55 5.8×
Assay of urea nitrogen (84520) $23.50 $47 5.9×
Assay of urine vma (84585) $128 $256 8.3×
Assay of vasoactive intestinal peptide (84586) $190 $380 5.4×
Assay of vitamin b-1 (84425) $146 $292 6.9×
Assay Ph Body Fluid Nos (83986) $42.50 $85 11.9×
Assay spec xcp ur&breath ia (82077) $188 $376 10.9×
Autol bld/component collj storage salvage (86891) $769 $1,538 0.9×
Automated Leukocyte Count (85048) $35 $70 13.8×
B cells total count (86355) $160 $320 4.2×
Bartonella antibody (86611) $84.50 $169 8.3×
Bcr/abl1 gene major bp (81206) $325 $650 2.0×
Bcr/abl1 gene minor bp (81207) $325 $650 2.2×
Beta 2 glycoprotein i antibody each (86146) $55 $110 2.2×
Beta hydroxybutyrate (82010) $78 $156 9.5×
Beta Lactamase (87185) $36.50 $73 7.7×
Beta-2 Microglobulin (82232) $59.50 $119 3.7×
Bilirubin direct (82248) $25.50 $51 5.1×
Bilirubin total (82247) $25.50 $51 5.1×
Bilirubin total transcutaneous (88720) $69.50 $139 13.8×
Blastomyces antibody (86612) $29 $58 2.2×
Bld Typing Serologic Rh Phnt (86906) $82.50 $165 10.6×
Blood Count Automated Differential Wbc Count (85004) $41.50 $83 6.4×
Blood Count Red Blood Cell Automated (85041) $23.50 $47 7.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $40 $80 10.5×
Blood count spun microhematocrit (85013) $36.50 $73 5.2×
Blood gas (82803) $175.50 $351 6.7×
Blood gases w/02 saturation (82805) $190.50 $381 2.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$41–$70.50 $82–$141 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $36.50 $73 8.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $207.50 $415 32.7×
Blood typing serologic abo (86900) $57.50 $115 19.2×
Body fluid cell count (89050) $96.50 $193 20.4×
Bone marrow smear interpretation (85097) $594.50 $1,189 0.7×
Bordetella antibody (86615)
range across 2 matching MRF lines
$124.50–$131.50 $249–$263 varies
Braf gene analysis (81210) $368 $736 2.1×
Breath Alcohol Test (82075) $140.50 $281 4.7×
Brucella antibody (86622) $85 $170 9.5×
C diff amplified probe (87493) $131.50 $263 3.5×
C-Peptide (84681) $108.50 $217 5.2×
C-reactive protein (86140) $92.50 $185 17.9×
Ca 19-9 (86301) $145 $290 7.0×
Cadmium (82300) $46 $92 1.9×
Calcitonin (82308) $158 $316 5.9×
Calcium ionized (82330) $105 $210 7.7×
Calcium total (82310) $23.50 $47 4.6×
Calculus Spectroscopy (82365) $215.50 $431 16.7×
Calprotectin Fecal (83993) $54.50 $109 2.8×
Cancer Antigen 125 (86304) $158 $316 7.6×
Cancer Antigen 27.29 (86300) $134 $268 6.4×
Candida antibody (86628)
range across 2 matching MRF lines
$23.50–$70 $47–$140 varies
Candida Dna Dir Probe (87480) $84.50 $169 4.2×
Carbamazepine total (80156) $198.50 $397 13.6×
Carboxyhemoglobin (82375) $85.50 $171 6.9×
Carcinoembryonic antigen (82378) $111 $222 5.9×
Cardiolipin ab iga (86147) $93 $186 3.7×
Carnitine Quantitative Each Specimen (82379) $157.50 $315 9.3×
Carotene (82380) $69.50 $139 7.5×
Catecholamines fractionated (82384) $182 $364 7.2×
Ccp antibody (86200) $50.50 $101 3.9×
Cell count csf (89051) $129.50 $259 23.1×
Ceruloplasmin (82390) $55 $110 5.1×
Cftr gene com variants (81220) $547.50 $1,095 1.0×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$94–$99 $188–$198 varies
Chlamydia antibody (86631) $49 $98 4.1×
Chlamydia Igm Antibody (86632) $71 $142 5.6×
Chlmy trch&neisra gonor mult (87494) $255 $510 3.6×
Chloride other source (82438) $55.50 $111 11.1×
Chloride Serum (82435) $27.50 $55 6.0×
Chloride urine (82436) $59 $118 10.3×
Cholesterol total (82465) $33 $66 7.6×
Cholinesterase rbc (82482) $15.50 $31 1.6×
Cholinesterase Serum (82480) $32 $64 4.1×
Chorionic gonadotropin test (84702) $78 $156 5.2×
Chromium serum (82495) $142.50 $285 7.0×
Chromogranin a (86316) $113 $226 5.4×
Chromosome Analysis 15-20 (88262) $1,000 $2,000 8.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $80 $160 2.3×
Citric acid urine (82507) $139.50 $279 5.0×
Ckmb (82553) $69.50 $139 6.0×
Clostridium Difficile (87324) $79.50 $159 6.6×
Clot Factor VIII Multimetric (85247) $145.50 $291 6.3×
Clotting factor xii hageman (85280) $155 $310 8.0×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$196.50–$206.50 $393–$413 varies
Cns DNA amp probe type 12-25 (87483) $881.50 $1,763 2.1×
Coagulation time activated (85347) $26.50 $53 6.2×
Coccidioides antibody (86635) $26.50 $53 2.3×
Cold agglutinin titer (86157) $95 $190 11.8×
Collagen crosslinks (82523) $135 $270 7.2×
Column Chromotography Quant (82542)
range across 16 matching MRF lines
$109.50–$115.50 $219–$231 varies
Compatibility test antiglob (86922) $172.50 $345 1.0×
Complement Antigen Each Component (86160) $72 $144 6.0×
Complement Total (Ch50) (86162) $192 $384 9.4×
Complement/Function Activity (86161) $181 $362 15.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $151 $302 2.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $175.50 $351 4.4×
Coombs direct (86880)
range across 4 matching MRF lines
$40.50–$80.50 $81–$161 varies
Copper urine (82525) $96.50 $193 7.8×
Cortisol free (82530) $137.50 $275 8.2×
Cortisol saliva (82533) $115 $230 7.1×
Creatine kinase total (82550) $50 $100 7.7×
Creatinine blood (82565) $27 $54 5.3×
Creatinine clearance (82575) $89.50 $179 9.5×
Creatinine Urine (82570)
range across 5 matching MRF lines
$19–$23.50 $38–$47 varies
Crossmatch electronic (86923) $161 $322 0.9×
Crossmatch immediate spin (86920) $161 $322 0.9×
Crp High Sensitivity (86141) $99 $198 7.6×
Cryofibrinogen (82585) $345.50 $691 24.4×
Cryoglobulin (82595) $60 $120 9.3×
Cryptococcus ag titer (87899) $47.50 $95 3.0×
Cryptosporidium ag eia (87328) $80.50 $161 5.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $59 $118 7.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $76 $152 9.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $112 $224 14.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $373.50 $747 1.7×
Culture afb (87116) $56.50 $113 5.2×
Culture Anaerobic (87075) $141.50 $283 14.9×
Culture blood (87040) $126.50 $253 12.3×
Culture chlamydia (87110) $127 $254 6.5×
Culture csf (87070)
range across 7 matching MRF lines
$124–$130.50 $248–$261 varies
Culture fungus (87102) $79 $158 9.4×
Culture fungus blood (87103) $124 $248 6.1×
Culture screen only (87081) $54.50 $109 8.2×
Culture stool (87045) $78.50 $157 8.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $42.50 $85 8.2×
Culture urine (87086) $41.50 $83 5.1×
Cyclosporine (80158) $97 $194 5.4×
Cyp2c19 gene analysis common variants (81225) $489 $978 1.7×
Cystatin C (82610) $54 $108 2.9×
Cytogenetics 100-300 (88275) $283 $566 5.5×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,707.50 $3,415 1.5×
Cytomegalovirus igg (86644) $91.50 $183 6.4×
Cytopath Cell Enhance Tech (88112) $138 $276 2.5×
Cytopath Fl Nongyn Filter (88106) $148 $296 4.8×
Cytp Concentration Smears & Interpretation (88108) $148 $296 3.7×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $220 $440 4.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $204.50 $409 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $124 $248 3.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $588 $1,176 3.3×
Deoxycortisol (82634) $179 $358 6.1×
Deoxyribonuclease antibody (86215) $116.50 $233 8.8×
Detect Agent Nos Dna Amp (87798)
range across 11 matching MRF lines
$23.50–$117 $47–$234 varies
Detect Agent Nos Dna Quant (87799) $280 $560 6.5×
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$255–$363.50 $510–$727 varies
Dgp Antibody Each Ig Class (86258)
range across 4 matching MRF lines
$66–$69.50 $132–$139 varies
Dhea (82626) $137.50 $275 5.4×
Dhea-S (82627) $113.50 $227 5.1×
Dibucaine number (82638) $13.50 $27 1.1×
Digoxin (80162) $119 $238 9.0×
Dihydrotestosterone (82642) $60 $120 2.0×
Diphtheria antitoxoid (86648) $120.50 $241 7.9×
Dipropylacetic Acid Free (80165) $140.50 $281 10.4×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $91 $182 2.7×
Dna Antibody Native/Double Stranded (86225) $44 $88 3.2×
Dna/Rna Amplified Probe (87150) $78 $156 2.2×
Drug assay acetaminophen (80143) $139 $278 7.5×
Drug assay adalimumab (80145) $107.50 $215 2.8×
Drug Assay Amiodarone (80151) $126.50 $253 6.8×
Drug assay felbamate (80167) $126.50 $253 6.8×
Drug Assay Infliximab (80230) $76 $152 2.0×
Drug Assay Itraconazole (80189) $82 $164 3.0×
Drug Assay Lacosamide (80235) $126.50 $253 4.7×
Drug Assay Posaconazole (80187) $79 $158 2.9×
Drug Assay Vedolizumab (80280) $151.50 $303 3.9×
Drug assay voriconazole (80285) $71.50 $143 2.6×
Drug Screen Quant Clozapine (80159) $139 $278 6.9×
Drug Screen Quant Zonisamide (80203) $139 $278 10.5×
Drug Screen Quantitative Gabapentin (80171) $139 $278 6.4×
Drug Screen Quantitative Lamotrigine (80175) $139 $278 10.5×
Drug Screen Quantitative Levetiracetam (80177) $125 $250 9.4×
Drug Screen Quantitative Oxcarbazepine (80183) $139 $278 10.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$109.50–$115.50 $219–$231 varies
Ehrlichia antibody (86666) $172 $344 16.9×
El-1 Fecal Quantitative (82653) $100.50 $201 4.4×
Electrolyte panel (80051) $34 $68 4.9×
Electron Microscopy (88348) $1,277 $2,554 1.5×
Encephaltis East Eqne Anbdy (86652) $92 $184 7.0×
Encephaltis West Eqne Antbdy (86654) $92 $184 7.0×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 4 matching MRF lines
$162.50–$171 $325–$342 varies
Enzyme cell activity (82657)
range across 2 matching MRF lines
$171–$180.50 $342–$361 varies
Enzyme histochemistry (88319) $487 $974 0.6×
Eosinophil Smear (89190) $37.50 $75 6.5×
Erythropoietin (82668) $102.50 $205 5.5×
Estradiol serum (82670) $142.50 $285 5.1×
Estriol (82677) $77.50 $155 3.2×
Estrogen total (82672) $156 $312 7.2×
Ethosuximide (80168) $134 $268 8.2×
Ethylene Glycol (82693) $397 $794 26.6×
Exam Synovial Fluid Crystals (89060) $96.50 $193 13.2×
F2 Gene (81240) $188 $376 2.9×
Factor ii activity (85210) $159.50 $319 12.3×
Factor Inhibitor Test (85335) $196.50 $393 15.3×
Factor ix activity (85250) $193.50 $387 10.2×
Factor v activity (85220) $189 $378 10.7×
Factor v leiden mutation (81241) $193 $386 2.6×
Factor vii assay (85230) $184.50 $369 10.3×
Factor viii assay (85240)
range across 3 matching MRF lines
$126.50–$133.50 $253–$267 varies
Factor X (85260) $177.50 $355 9.9×
Factor xi activity (85270) $155 $310 8.7×
Fat/Lipids Feces Quantitative (82710) $136.50 $273 8.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $173.50 $347 10.1×
Fecal Fat Qualitative (82705) $63.50 $127 12.5×
Ferritin (82728)
range across 2 matching MRF lines
$111–$122.50 $222–$245 varies
Fetal Fibronectin (82731) $349 $698 5.4×
Fetal screen rosette (85461) $89 $178 9.5×
Fibrin Degradation Quant (85379) $124 $248 12.2×
Fibrinogen activity (85384) $68 $136 7.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $42 $84 2.7×
Flecainide level (80181) $113.50 $227 6.1×
Flow cytometry first marker (88184) $252 $504 0.7×
Flt3 Gene (81245) $315 $630 1.9×
Flt3 gene analysis (81246) $315 $630 3.8×
Fluorescent antibody screen (86255)
range across 8 matching MRF lines
$4.50–$81.50 $9–$163 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $61 $122 5.1×
Fmr1 gene detection (81243) $200.50 $401 3.5×
Folic acid rbc (82747) $123.50 $247 7.0×
Folic Acid Serum (82746) $100 $200 6.8×
Follicle Stimulating Hormone (83001) $103 $206 5.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $415.50 $831 2.3×
Frozen Section (88331) $260.50 $521 1.4×
Fungi Identification Mold (87107) $75 $150 7.3×
Fungi Identification Yeast (87106) $60 $120 5.8×
Gammaglobulin ige (82785) $78 $156 4.7×
Gardner vag DNA dir probe (87510) $111 $222 5.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $67.50 $135 6.9×
Gases blood ph only (82800) $72.50 $145 6.6×
Gastrin (82941) $129 $258 7.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $610.50 $1,221 1.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,308.50 $2,617 1.7×
Genet Virus Isolate Hsv (87255) $119 $238 3.5×
Gentamicin (80170) $208.50 $417 12.7×
Ggt (82977) $28 $56 3.9×
Giardia antigen (87329) $85.50 $171 7.1×
Glucagon (82943) $464 $928 32.5×
Glucose 2 hr pp (82950) $41.50 $83 8.7×
Glucose Blood Test (82962) $17.50 $35 5.3×
Glucose body fluid (82945) $16.50 $33 4.2×
Glucose Serum (82947) $26 $52 6.6×
Glucose tolerance test (gtt) (82951) $73 $146 5.7×
Glycated Protein (82985) $94.50 $189 5.6×
Gonadotropin Chorionic Qualitative (84703) $58 $116 7.7×
Growth hormone (83003) $51.50 $103 3.1×
Gtt-added samples (82952) $15 $30 3.8×
H Pylori (C-13) Breath (83013) $233.50 $467 3.5×
H Pylori Drug Admin (83014) $60 $120 7.6×
Haloperidol (80173) $164 $328 10.4×
Haptoglobin (83010) $68 $136 5.4×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $329.50 $659 1.6×
Hdl Cholesterol (83718) $64 $128 7.8×
Helicobacter Pylori Stool (87338) $133.50 $267 9.3×
Helminth Antibody (86682) $190 $380 14.6×
Hematocrit (85014) $26.50 $53 11.2×
Hemoglobin (85018)
range across 2 matching MRF lines
$19.50–$24.50 $39–$49 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$27–$58 $54–$116 varies
Hemoglobin Chromotography (83021) $52.50 $105 2.9×
Hemoglobin electrophoresis (83020) $31.50 $63 2.4×
Hemoglobin Methemoglobin Quantitative (83050) $59.50 $119 7.3×
Hemoglobin plasma (83051) $69.50 $139 9.5×
Hep a ab igm (86709) $124.50 $249 11.1×
Heparin assay (85520)
range across 2 matching MRF lines
$40–$50 $80–$100 varies
Hepatitis a antibody total (86708) $105 $210 8.5×
Hepatitis b core ab igm (86705) $128 $256 10.9×
Hepatitis b core ab total (86704) $95.50 $191 7.9×
Hepatitis B Surface Antibody (86706) $106 $212 9.9×
Hepatitis B Surface Antigen (87340) $61 $122 5.9×
Hepatitis Be Antibody (86707) $107 $214 9.2×
Hepatitis Be Antigen (87350) $79 $158 6.9×
Hepatitis C Antibody (86803) $122.50 $245 8.6×
Hepatitis C Genotype (87902)
range across 4 matching MRF lines
$627–$660 $1,254–$1,320 varies
Hepatitis C Revrs Trnscrpj (87522) $244.50 $489 5.7×
Herpes simplex type 2 (86696) $97 $194 5.0×
Heterophile Antibody Screen (86308) $105.50 $211 20.4×
Hfe Gene (81256) $483.50 $967 7.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $107 $214 13.8×
Histamine urine (83088) $169.50 $339 5.7×
Histoplasma antibody (86698)
range across 3 matching MRF lines
$15.50–$31 $31–$62 varies
Histoplasma antigen urine (87385) $155 $310 11.7×
Hiv Genotype (87901) $524 $1,048 2.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $74.50 $149 3.1×
Hiv-1 Antibody (86701) $87.50 $175 9.8×
Hiv-1 Quant&Revrse Trnscrpj (87536) $381 $762 4.5×
Hla Class I Typing Low Resolution One Locus Each (81373) $476.50 $953 3.7×
Hla class ii typing high resolution one locus ea (81382) $1,027 $2,054 8.3×
Hla I Typing 1 Allele Hr (81381) $262 $524 1.5×
Hla-b27 (86812) $254 $508 9.8×
Homocysteine (83090) $125 $250 7.0×
Homogenization Tissue (87176) $43 $86 7.3×
Hpa-1 genotyping gene analysis common variant (81105) $229.50 $459 1.9×
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines
$152–$159.50 $304–$319 varies
Hsv Dna Quant (87530) $234.50 $469 5.5×
Hydroxyprogesterone 17-d (83498) $138.50 $277 5.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $95.50 $191 9.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $69 $138 2.0×
Iaad ia shiga-like toxin (87427) $69 $138 5.8×
Iaadi inffluenza a virus (87276) $46 $92 2.9×
Iaadi parainfluenza virus each type (87279) $16.50 $33 1.0×
Iaadi pneumocustis carinii (87281) $83 $166 6.9×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $78.50 $157 6.6×
Iaadi respiratory synctial virus (87280) $66 $132 4.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $257 $514 7.3×
Iadna Cytomegalovirus Quantification (87497) $102 $204 2.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $145.50 $291 2.1×
Iadna Hepatitis B Virus Quantification (87517) $266 $532 6.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $253.50 $507 7.2×
Iadna Multiple Organisms Direct Probe Tq (87800) $284.50 $569 6.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $201.50 $403 4.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $95.50 $191 2.7×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $143.50 $287 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $242 $484 1.7×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $416.50 $833 1.6×
Ig Light Chains Free Each (83521) $78.50 $157 4.5×
Igg subclasses (82787) $37.50 $75 4.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $268.50 $537 0.7×
Immune Complex Assay (86332) $182.50 $365 7.5×
Immunfix e-phorsis/urine/csf (86335) $114 $228 3.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $89 $178 4.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $45.50 $91 3.0×
Immunoassay nonantibody (83516) $23.50 $47 2.0×
Immunodiffusion Ouchterlony (86331) $37 $74 3.1×
Immunofixation electrophoresis (86334) $154.50 $309 6.9×
Immunofluorescence per spec 1st singl antb stain (88346) $218.50 $437 1.2×
Immunohistochemistry (88342) $289 $578 1.6×
In situ hybridization 1st probe stain (88365) $234 $468 1.3×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $20.50 $41 1.4×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $49.50 $99 4.0×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $49.50 $99 1.4×
Influenza DNA amp probe (87502) $220 $440 2.3×
Inhibin A (86336)
range across 3 matching MRF lines
$94.50–$95.50 $189–$191 varies
Inhibin b (83520)
range across 9 matching MRF lines
$27–$56.50 $54–$113 varies
Insitu hybridization auto (88367) $440 $880 1.2×
Insitu hybridization manual (88368) $275.50 $551 0.7×
Insulin antibodies (86337) $188.50 $377 8.8×
Insulin total (83525) $61.50 $123 5.4×
Intrinsic factor antibody (86340) $139.50 $279 9.3×
Iron (83540) $48 $96 7.4×
Iron Binding Capacity (83550) $44 $88 5.0×
Irradiation Blood Product Each Unit (86945) $142 $284 3.6×
Islet cell antibody (86341) $103 $206 4.4×
Kit Gene Analysis Targeted Sequence Analysis (81272) $566.50 $1,133 1.7×
Koh Prep (87220) $48.50 $97 11.4×
Kras Gene Analysis Additional Variant(S) (81276) $421 $842 2.2×
Kras Gene Variants Exon 2 (81275) $421 $842 2.2×
Lactate (ld) (ldh) enzyme (83615) $43 $86 7.1×
Lactoferrin fecal qualitative (83630) $160 $320 8.1×
LDL direct (83721) $57.50 $115 5.5×
Lead (83655) $78 $156 6.4×
Legionella antibody (86713) $174.50 $349 11.4×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$111–$330.50 $222–$661 varies
Leukocyte Assessment Fecal (89055) $52.50 $105 12.3×
Leukocyte Histamine Release (86343) $63 $126 5.1×
Level I Surg Pathology Gross Examination Only (88300) $90.50 $181 3.0×
Level ii surg pathology gross&microscopic exam (88302) $141.50 $283 3.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $585.50 $1,171 1.5×
Lidocaine (80176) $226 $452 15.4×
Lipase (83690)
range across 2 matching MRF lines
$93.50–$100.50 $187–$201 varies
Lipoprotein A (83695) $87.50 $175 6.1×
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines
$137.50–$145 $275–$290 varies
Lipoprotein-Associated Phospholipase A2 (83698) $101 $202 2.2×
Lithium (80178) $114 $228 17.2×
Luteinizing Hormone (Lh) (83002) $142.50 $285 7.7×
Lyme disease antibody (86618) $168.50 $337 9.9×
Lysozyme serum (85549) $44 $88 2.3×
M. Genitalium Amp Probe (87563) $72.50 $145 2.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $387 $774 2.1×
M/phmtrc alys ishquant/semiq (88374)
range across 4 matching MRF lines
$76–$304.50 $152–$609 varies
Magnesium Urine (83735)
range across 2 matching MRF lines
$73–$77.50 $146–$155 varies
Mass Spectrometry Quant (83789) $67 $134 2.8×
Mercury urine (83825) $59.50 $119 3.7×
Metabolic panel ionized ca (80047) $51.50 $103 3.8×
Methotrexate (80204) $165.50 $331 4.3×
Methylmalonic acid serum (83921) $151.50 $303 7.1×
Mgmt methylation analysis (81287) $429.50 $859 3.4×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$24.50–$31 $49–$62 varies
Microsomal Antibodies Each (86376) $75.50 $151 5.2×
Mitochondrial Antibody Each (86381) $183 $366 7.2×
Mlh1 Gene (81288) $476 $952 2.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $265 $530 7.0×
Molecular Cytogenetics Dna Probe Each (88271) $103 $206 4.8×
Molecular Pathology Procedure Level 3 (81402) $439.50 $879 2.9×
Mononuclear cell antigen (86356) $201 $402 7.5×
Mopath procedure level 1 (81400) $421 $842 6.6×
Mopath procedure level 4 (81403) $305.50 $611 1.6×
Mrsa Pcr (87641) $117 $234 3.3×
Mthfr Gene Analysis Common Variants (81291) $542.50 $1,085 8.3×
Mumps antibody (86735) $104.50 $209 8.0×
Muscle-Specific Kinase Antb (86366) $99 $198 5.4×
Mycoplasma antibody (86738) $136 $272 10.3×
Mycoplasma culture (87109) $133.50 $267 8.7×
Myd88 Gene P.Leu265pro Vrnt (81305) $489.50 $979 2.8×
Myelin basic protein csf (83873) $59.50 $119 3.5×
Myoglobin urine (83874) $142.50 $285 11.0×
Natriuretic peptide (83880) $170.50 $341 4.3×
Neutralization Test Viral (86382) $110.50 $221 6.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $52.50 $105 0.4×
Nfct ds chrnc hcv 6 assays (81596) $594.50 $1,189 8.2×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $346.50 $693 2.7×
Niacin (84591) $110 $220 6.4×
Nk cells total count (86357) $160 $320 4.2×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $357.50 $715 1.5×
Nuclear antigen antibody (86235)
range across 13 matching MRF lines
$24.50–$128 $49–$256 varies
Occult blood feces (82272) $41 $82 9.7×
Occult Blood Other Sources (82271) $42.50 $85 8.0×
Oligoclonal bands (83916) $71.50 $143 2.6×
Organic acids urine (83918) $212.50 $425 9.0×
Osmolality serum (83930) $64 $128 9.7×
Osmolality Urine (83935) $41.50 $83 6.1×
Osmotic fragility rbc incubated (85557) $154.50 $309 11.6×
Osteocalcin (83937) $131.50 $263 4.4×
Ova and parasites smears (87177) $47 $94 5.3×
Oxalate urine (83945) $118.50 $237 8.2×
Parvovirus antibody (86747) $36.50 $73 2.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $368.50 $737 0.4×
Ph urine (81003) $24.50 $49 10.9×
Phenobarbital Level (80184) $178 $356 11.6×
Phenotype Infect Agent Drug (87900) $299 $598 2.3×
Phenytoin (Dilantin) (80185) $180 $360 13.6×
Phenytoin free (80186) $132.50 $265 9.6×
Phosphatase acid prostatic (84066) $30.50 $61 3.2×
Phosphatase alkaline (84075) $31 $62 6.0×
Phospholipid Neutralization Hexagonal (85598) $35 $70 1.9×
Phosphorus Serum (84100) $27.50 $55 5.8×
Phosphorus urine (84105) $46.50 $93 8.0×
Platelet Aggregation (85576) $79 $158 3.2×
Platelet Antibodies (86022)
range across 6 matching MRF lines
$18.50–$92 $37–$184 varies
Platelet count automated (85049) $29.50 $59 6.6×
Platelet neutralization (85597)
range across 2 matching MRF lines
$39–$40.50 $78–$81 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $523 $1,046 2.5×
Pneumcysts jirovecii amp prb (87594) $110 $220 3.1×
Pooling blood platelets (86965) $223.50 $447 1.2×
Porphobilinogen, urine; quantitative (84110) $35.50 $71 4.2×
Potassium Urine (84133) $59.50 $119 12.6×
Prealbumin (84134) $101 $202 6.9×
Pregnenolone (84140) $151.50 $303 7.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $120.50 $241 1.9×
Primidone (80188) $127.50 $255 7.7×
Procalcitonin (Pct) (84145) $99 $198 3.6×
Progesterone (84144) $137.50 $275 6.6×
Prolactin (84146) $99.50 $199 5.1×
Protein body fluid (84157) $44 $88 11.0×
Protein C Activity (85303) $124 $248 9.0×
Protein c antigen (85302) $140 $280 11.7×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$62–$111.50 $124–$223 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $50.50 $101 4.7×
Protein S Free (85306) $89.50 $179 5.8×
Protein s total (85305) $145 $290 12.5×
Protein total serum (84155) $24.50 $49 6.7×
Protein Total Urine (84156) $22 $44 6.0×
Protein Western Blot Test (84182)
range across 3 matching MRF lines
$7–$63 $14–$126 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $41.50 $83 10.5×
Protoporphyrin rbc quantitative (84202) $51.50 $103 3.6×
PSA free (84154) $49 $98 2.7×
Pth Intact (83970) $191.50 $383 4.6×
Q Fever Antibody (86638)
range across 5 matching MRF lines
$19.50–$76.50 $39–$153 varies
Quantitative assay drug (80299) $85.50 $171 4.6×
Quantitative Screen Metals (83018) $137.50 $275 6.3×
Rbc antibody elution (86860) $168.50 $337 0.9×
Rbc antibody identification (86870) $234 $468 0.6×
Rbc antibody screen (86850) $100 $200 10.2×
Rbc pretreatment serum (86978) $94 $188 1.5×
Rbc pretx incubatj w/enzymes (86971) $168.50 $337 0.9×
Renin activity plasma (84244) $113 $226 5.1×
Reticulated Platelet Assay (85055) $38 $76 1.1×
Reticulocyte Count (85046) $49 $98 8.8×
Reticulocyte separation (86972) $392.50 $785 2.2×
Rh (86901)
range across 2 matching MRF lines
$10–$40.50 $20–$81 varies
Rheumatoid Factor Qualitative (86430) $100.50 $201 16.4×
Rheumatoid factor quant (86431) $23 $46 4.1×
Rickettsia antibody (86757) $102 $204 5.3×
Ristocetin cofactor (85245) $144.50 $289 6.3×
Rotavirus ag eia (87425) $128 $256 10.7×
Rpr qualitative (86592) $40 $80 9.4×
Rubella Antibody (86762) $86.50 $173 6.0×
Rubeola antibody (86765) $103 $206 8.0×
Russell Viper Venom Time Diluted (85613)
range across 4 matching MRF lines
$18–$19 $36–$38 varies
Salicylate Level (80179) $126 $252 6.8×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$105–$182 $210–$364 varies
Sars-cov-2 COVID-19 antibody (86769) $84.50 $169 2.0×
Sarscov2 & inf a&b amp prb (87636) $183 $366 1.3×
Sarscov2&inf a&b&rsv amp prb (87637) $223.50 $447 1.6×
Sedimentation Rate, Automated (85652) $35.50 $71 13.1×
Selenium (84255) $113.50 $227 4.4×
Semen Anal Sperm Detection (89321) $133 $266 11.0×
Sensitivity mic (87186) $55 $110 6.4×
Sex Hormone Binding Globulin (84270) $67.50 $135 3.1×
Sickling of rbc reduction (85660) $13.50 $27 2.5×
Sirolimus (80195) $209.50 $419 15.3×
Skin test tuberculosis intradermal (86580) $17 $34 0.6×
Smear acid fast (87206) $32.50 $65 6.0×
Smear complex stain (87209) $47 $94 2.6×
Smear gram stain (87205)
range across 2 matching MRF lines
$25.50–$32 $51–$64 varies
Smear Special Stain (87207) $74.50 $149 12.4×
Smr Prim Src Wet Mount Nfct Agt (87210) $58.50 $117 10.1×
Sodium Serum (84295) $42.50 $85 8.8×
Sodium Urine (84300) $39.50 $79 7.8×
Soluble Transferrin Receptor (84238) $109.50 $219 3.0×
Somatomedin (84305) $137.50 $275 6.5×
Special Stains Group 1 (88312) $155 $310 2.8×
Special Stains Group 2 (88313) $218.50 $437 1.6×
Specimen infect agnt concntj (87015) $34 $68 5.1×
Splitting Blood/Blood Products Each Unit (86985) $132 $264 0.7×
Staph a DNA amp probe (87640) $151 $302 4.3×
Stool cultr aerobic bact ea (87046) $20.50 $41 2.2×
Strep a DNA amp probe (87651) $89 $178 2.5×
Strep b DNA amp probe (87653) $106.50 $213 3.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $58 $116 0.6×
Surg path level iii (88304) $260.50 $521 4.7×
Surgical pathology level IV (88305) $330 $660 6.0×
Surgical pathology level vi (88309) $720 $1,440 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$41.50–$43.50 $83–$87 varies
Susceptibility Study Antimicrobial Disk Method (87184) $64.50 $129 8.6×
Sweat Collection Iontophoresis (89230) $193 $386 3.5×
Syphilis Test Non-Trep Quant (86593) $78.50 $157 17.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $221.50 $443 4.7×
T cells total count (86359) $172 $344 4.6×
T3 Free (84481) $100 $200 5.9×
T3 reverse (84482) $119 $238 7.6×
T3 Total (84480) $121.50 $243 8.6×
T3 Uptake (84479) $80 $160 12.4×
T4 Free (84439) $72.50 $145 8.0×
T4 total (84436) $46 $92 6.7×
Tacrolimus (80197) $225.50 $451 16.4×
Tb ag response t-cell susp (86481) $384 $768 3.8×
Testosterone total (84403) $160 $320 6.2×
Testosterone, Free (84402) $66.50 $133 2.6×
Tetanus antibody (86774) $136 $272 9.2×
Theophylline (80198) $173 $346 12.2×
Thiopurine methyltransferase (84433) $111.50 $223 5.0×
Thrombin Time (85670) $35 $70 6.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $69.50 $139 10.7×
Thyroglobulin (84432) $83.50 $167 5.2×
Thyroglobulin Antibody (86800) $83.50 $167 5.2×
Thyroid Stimulating Immunoglobulin (84445) $251.50 $503 4.9×
Thyroxine binding globulin (84442) $145.50 $291 9.8×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 4 matching MRF lines
$66–$69.50 $132–$139 varies
Tissue culture bone marrow (88237) $562 $1,124 3.9×
Tissue Culture Lymphocyte (88230) $343 $686 2.9×
Tobramycin peak (80200) $204 $408 12.6×
Topiramate (80201) $161 $322 13.5×
Total Tau (84394) $241 $482 1.9×
Toxoplasma ab igm (86778) $137.50 $275 9.5×
Toxoplasma antibody (86777) $125 $250 8.7×
Tpmt gene com variants (81335) $406.50 $813 2.3×
Transferase Aspartate Amino Ast Sgot (84450) $28 $56 5.4×
Transferrin (84466) $67.50 $135 5.3×
Trichomonas vagin dir probe (87660) $84.50 $169 4.2×
Trichomonas Vaginalis Amplif (87661) $96 $192 2.7×
Triglycerides (84478) $36 $72 6.3×
Troponin Quant (84484) $152.50 $305 12.2×
Tumor Immunohistochem/Manual (88360) $319.50 $639 1.8×
Urea Nitrogen Clearance (84545) $112.50 $225 15.6×
Urea nitrogen urine (84540) $59.50 $119 10.7×
Uric acid other source (84560) $54 $108 10.6×
Urinalysis Microscopic Only (81015) $14 $28 4.6×
Urinalysis Volume Measure (81050) $8 $16 2.2×
Urine Bacteria Culture (87088) $70 $140 8.7×
Urine Pregnancy Test (81025) $54 $108 6.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $42 $84 13.2×
Valproic acid (80164) $144 $288 10.6×
Vancomycin (80202) $87.50 $175 6.5×
Varicella-zoster antibody (86787) $119 $238 9.2×
Very Long Chain Fatty Acids (82726) $228 $456 11.5×
Virus antibody nos (86790) $118.50 $237 9.2×
Virus inoculation, shell via (87254) $80.50 $161 4.1×
Viscosity serum (85810) $42 $84 3.6×
Vit D 1 25-Dihydroxy (82652) $217 $434 5.6×
Vitamin A (84590) $90 $180 7.8×
Vitamin b-12 (82607) $102 $204 6.8×
Vitamin B2 (Riboflavin) (84252) $135 $270 6.7×
Vitamin B6 (84207) $165 $330 5.9×
Vitamin c (82180) $94.50 $189 9.6×
Vitamin D 25-Hydroxy (82306) $137.50 $275 4.6×
Vitamin E (84446) $98.50 $197 6.9×
Vitamin K (84597) $173.50 $347 12.6×
Volatiles (84600) $416 $832 24.3×
Voltage-Gated Calcium Channel Antibody Each (86596) $48.50 $97 4.0×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$145.50–$153.50 $291–$307 varies
West nile virus ab igm (86788) $124.50 $249 7.4×
West Nile Virus Antibody (86789) $119.50 $239 8.3×
Western Blot Test (84181) $83 $166 4.9×
Zinc (84630) $55.50 $111 4.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.