Lab & pathology prices at Pawnee County Memorial Hospital
Pawnee City, NE · every code in this section with a posted price and a Medicare benchmark.
446 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $213 | $266 | 5.5× |
| Acute hepatitis panel (80074) | $256 | $320 | 5.4× |
| Albumin serum (82040) | $46 | $58 | 9.3× |
| Aldolase (82085) | $90 | $113 | 9.3× |
| Aldosterone urine (82088) | $220 | $275 | 5.4× |
| Alkaline phosphatase isoenzymes (84080) | $100 | $125 | 6.8× |
| Allergen specific ige (86003) | $46 | $58 | 8.8× |
| Alpha-1-antitrypsin total (82103) | $123 | $154 | 9.2× |
| Alpha-Fetoprotein Serum (82105) | $87 | $109 | 5.2× |
| Alt (sgpt) (84460) | $46 | $58 | 8.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $226 | $283 | 13.4× |
| Ammonia (82140) | $110 | $138 | 7.5× |
| Amylase urine (82150) | $74 | $92 | 11.4× |
| Ana Titer (86039) | $80 | $100 | 7.2× |
| Anca screen each antibody (86036) | $143 | $179 | 11.9× |
| Angiotensin converting enzyme csf (82164) | $109 | $136 | 7.5× |
| Antibody aspergillus (86606) | $66 | $82 | 4.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $174 | $218 | 11.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $112 | $140 | 6.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $106 | $133 | 8.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $100 | $125 | 6.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $132 | $165 | 7.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $143 | $179 | 11.7× |
| Antibody helicobacter pylori (86677) | $113 | $141 | 6.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $100 | $125 | 6.9× |
| Antibody Herpes Smplx Type 1 (86695) | $72 | $90 | 5.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $85 | $106 | 6.2× |
| Antibody HIV-2 (86702) | $85 | $106 | 6.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $180 | $225 | 9.3× |
| Antibody Treponema Pallidum (86780) | $51 | $64 | 3.9× |
| Antigen typing (86905) | $163 | $204 | 42.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $59 | $74 | 10.3× |
| Antinuclear antibodies (86038) | $88 | $110 | 7.3× |
| Antistreptolysin o titer (86060) | $74 | $92 | 10.1× |
| Antithrombin iii activity (85300) | $127 | $159 | 10.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$59–$61 | $74–$76 | varies |
| Arsenic (82175) | $113 | $141 | 6.0× |
| Assay Blood Carbon Dioxide (82374) | $36 | $45 | 7.4× |
| Assay Nephelometry Not Spec (83883) | $128 | $160 | 9.4× |
| Assay of 5-hiaa (83497) | $107 | $134 | 8.3× |
| Assay of blood/uric acid (84550) | $49 | $61 | 10.8× |
| Assay of calcium in urine (82340) | $60 | $75 | 10.0× |
| Assay of g6pd enzyme (82955) | $103 | $129 | 10.6× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$104–$130 | $130–$162 | varies |
| Assay of lactic acid (83605) | $130 | $162 | 11.2× |
| Assay of metanephrines (83835) | $183 | $229 | 10.8× |
| Assay of phosphatase acid total (84060) | $74 | $92 | 9.7× |
| Assay of procainamide (80190) | $100 | $125 | 1.7× |
| Assay of proinsulin (84206) | $162 | $203 | 6.1× |
| Assay of serotonin (84260) | $188 | $235 | 6.1× |
| Assay of serum potassium (84132) | $42 | $52 | 8.8× |
| Assay of sweat sodium (84302) | $30 | $37 | 6.2× |
| Assay of transcortin (84449) | $114 | $142 | 6.3× |
| Assay of urea nitrogen (84520) | $44 | $55 | 11.1× |
| Assay of urine vma (84585) | $134 | $167 | 8.6× |
| Assay of vitamin b-1 (84425) | $174 | $217 | 8.2× |
| Assay Ph Body Fluid Nos (83986) | $71 | $89 | 19.8× |
| Automated Leukocyte Count (85048) | $44 | $55 | 17.3× |
| B cells total count (86355) | $67 | $84 | 1.8× |
| Babesia microti amp prb (87469) | $250 | $312 | 7.1× |
| Bartonella antibody (86611) | $184 | $230 | 18.1× |
| Bcr/abl1 gene major bp (81206) | $676 | $845 | 4.1× |
| Bcr/abl1 gene minor bp (81207) | $264 | $330 | 1.8× |
| Bcr/Abl1 Gene Other Bp (81208) | $360 | $450 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $165 | $206 | 6.5× |
| Beta hydroxybutyrate (82010) | $103 | $129 | 12.6× |
| Beta-2 Microglobulin (82232) | $126 | $157 | 7.8× |
| Bilirubin direct (82248) | $45 | $56 | 9.0× |
| Bilirubin total (82247) | $46 | $58 | 9.2× |
| Blastomyces antibody (86612) | $75 | $94 | 5.8× |
| Blood Count Red Blood Cell Automated (85041) | $30 | $38 | 9.9× |
| Blood count reticulocyte automated (85045) | $46 | $58 | 11.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $48 | $60 | 12.6× |
| Blood count spun microhematocrit (85013) | $17 | $21 | 2.4× |
| Blood gases w/02 saturation (82805) | $232 | $290 | 2.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $41 | $51 | 2.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $30 | $37 | 6.8× |
| Blood typing serologic abo (86900) | $53 | $66 | 17.7× |
| Body fluid cell count (89050) | $47 | $59 | 10.0× |
| Bone marrow smear interpretation (85097) | $245 | $306 | 0.3× |
| Brucella antibody (86622) | $69 | $86 | 7.7× |
| C diff amplified probe (87493) | $122 | $152 | 3.3× |
| C-Peptide (84681) | $114 | $142 | 5.5× |
| C-reactive protein (86140) | $90 | $113 | 17.4× |
| Ca 19-9 (86301) | $142 | $178 | 6.8× |
| Cadmium (82300) | $88 | $110 | 3.7× |
| Calcium ionized (82330) | $90 | $113 | 6.6× |
| Calcium total (82310) | $51 | $64 | 9.9× |
| Calculus Spectroscopy (82365) | $122 | $152 | 9.5× |
| Calprotectin Fecal (83993) | $334 | $418 | 17.0× |
| Calr gene com variants (81219) | $455 | $569 | 3.7× |
| Cancer Antigen 125 (86304) | $152 | $190 | 7.3× |
| Cancer Antigen 27.29 (86300) | $164 | $205 | 7.9× |
| Candida Dna Dir Probe (87480) | $86 | $107 | 4.3× |
| Carbamazepine free (80157) | $93 | $116 | 7.0× |
| Carbamazepine total (80156) | $106 | $132 | 7.3× |
| Carboxyhemoglobin (82375) | $108 | $135 | 8.8× |
| Carcinoembryonic antigen (82378) | $123 | $154 | 6.5× |
| Cardiolipin ab iga (86147) | $210 | $263 | 8.3× |
| Carotene (82380) | $86 | $107 | 9.3× |
| Catecholamines fractionated (82384) | $179 | $224 | 7.1× |
| Ccp antibody (86200) | $117 | $146 | 9.0× |
| Cell count csf (89051) | $100 | $125 | 17.9× |
| Ceruloplasmin (82390) | $78 | $97 | 7.3× |
| Chemiluminescent assay (82397) | $121 | $151 | 8.6× |
| Chloride other source (82438) | $56 | $70 | 11.2× |
| Chloride Serum (82435) | $41 | $51 | 8.9× |
| Cholesterol total (82465) | $58 | $72 | 13.3× |
| Chorionic gonadotropin test (84702) | $115 | $144 | 7.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $178 | $222 | 5.3× |
| Chromogranin a (86316) | $146 | $182 | 7.0× |
| Chromosome Analysis 15-20 (88262) | $448 | $560 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $110 | $138 | 3.1× |
| Ckmb (82553) | $138 | $173 | 11.9× |
| Clostridium Difficile (87324) | $130 | $162 | 10.9× |
| Clot Factor VIII Multimetric (85247) | $111 | $139 | 4.8× |
| Coccidioides antibody (86635) | $70 | $87 | 6.1× |
| Cold agglutinin titer (86157) | $78 | $97 | 9.7× |
| Collagen crosslinks (82523) | $204 | $255 | 10.9× |
| Column Chromotography Quant (82542) | $303 | $379 | 12.6× |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $136 | $170 | 0.2× |
| Compatibility test antiglob (86922) | $426 | $532 | 2.4× |
| Complement Antigen Each Component (86160) | $83 | $104 | 6.9× |
| Complement Total (Ch50) (86162) | $133 | $166 | 6.5× |
| Complement/Function Activity (86161) | $82 | $103 | 6.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $134 | $167 | 2.5× |
| Coombs direct (86880) | $82 | $103 | 15.2× |
| Copper urine (82525) | $118 | $148 | 9.5× |
| Cortisol free (82530) | $126 | $157 | 7.5× |
| Cortisol saliva (82533) | $111 | $139 | 6.8× |
| Creatine (82540) | $56 | $70 | 12.1× |
| Creatine kinase total (82550) | $77 | $96 | 11.8× |
| Creatinine blood (82565) | $49 | $61 | 9.6× |
| Creatinine clearance (82575) | $88 | $110 | 9.3× |
| Creatinine Urine (82570) | $62 | $77 | 12.0× |
| Crossmatch immediate spin (86920) | $207 | $259 | 1.2× |
| Crp High Sensitivity (86141) | $90 | $113 | 6.9× |
| Cryofibrinogen (82585) | $68 | $85 | 4.8× |
| Cryoglobulin (82595) | $68 | $85 | 10.5× |
| Cryptococcus ag titer (87899) | $60 | $75 | 3.7× |
| Cryptosporidium (87272) | $106 | $133 | 8.8× |
| Cryptosporidium ag eia (87328) | $82 | $103 | 5.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $78 | $98 | 9.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $83 | $104 | 10.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $106 | $132 | 13.7× |
| Culture afb (87116) | $127 | $159 | 11.8× |
| Culture Anaerobic (87075) | $102 | $127 | 10.8× |
| Culture blood (87040) | $212 | $265 | 20.5× |
| Culture csf (87070) | $94 | $118 | 10.9× |
| Culture screen only (87081) | $60 | $75 | 9.0× |
| Culture stool (87045) | $97 | $121 | 10.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $65 | $81 | 12.5× |
| Culture urine (87086) | $78 | $98 | 9.7× |
| Cystatin C (82610) | $87 | $109 | 4.7× |
| Cytogenetics 100-300 (88275) | $122 | $152 | 2.4× |
| Cytomegalovirus igg (86644) | $126 | $157 | 8.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $77 | $96 | 3.8× |
| Cytopath Cell Enhance Tech (88112) | $126 | $157 | 2.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $86 | $108 | 3.2× |
| Cytp Concentration Smears & Interpretation (88108) | $122 | $153 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $179 | $224 | 3.3× |
| Detect Agent Nos Dna Amp (87798) | $157 | $196 | 4.5× |
| Detect Agent Nos Dna Quant (87799) | $210 | $263 | 4.9× |
| Detect agnt mult DNA ampli (87801) | $87 | $109 | 1.2× |
| Dgp Antibody Each Ig Class (86258) | $107 | $134 | 8.9× |
| Dhea (82626) | $190 | $238 | 7.5× |
| Dhea-S (82627) | $158 | $197 | 7.1× |
| Digoxin (80162) | $118 | $148 | 8.9× |
| Dna Antibody Native/Double Stranded (86225) | $87 | $109 | 6.3× |
| Dna Antibody Single Stranded (86226) | $90 | $113 | 7.4× |
| Drug assay acetaminophen (80143) | $216 | $270 | 11.6× |
| Drug Assay Infliximab (80230) | $240 | $300 | 6.2× |
| Drug Screen Quant Clozapine (80159) | $144 | $180 | 7.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $137 | $171 | 10.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $184 | $230 | 13.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $178 | $223 | 13.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $100 | $125 | 6.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$200–$220 | $250–$275 | varies |
| Ehrlichia antibody (86666) | $166 | $208 | 16.3× |
| El-1 Fecal Quantitative (82653) | $179 | $224 | 7.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $86 | $108 | 7.1× |
| Eosinophil Smear (89190) | $36 | $45 | 6.2× |
| Erythropoietin (82668) | $148 | $185 | 7.9× |
| Estradiol serum (82670) | $121 | $151 | 4.3× |
| Estriol (82677) | $122 | $152 | 5.0× |
| Estrogen total (82672) | $186 | $232 | 8.6× |
| Estrogens fractionated (82671) | $147 | $184 | 4.6× |
| Ethosuximide (80168) | $82 | $103 | 5.0× |
| Exam Synovial Fluid Crystals (89060) | $62 | $77 | 8.5× |
| Factor ii activity (85210) | $74 | $93 | 5.7× |
| Factor v leiden mutation (81241) | $258 | $322 | 3.5× |
| Factor viii assay (85240) | $169 | $211 | 9.4× |
| Fecal Fat Qualitative (82705) | $49 | $61 | 9.6× |
| Ferritin (82728) | $112 | $140 | 8.2× |
| Fibrin Degradation Quant (85379) | $119 | $149 | 11.7× |
| Fibrinogen activity (85384) | $82 | $103 | 8.4× |
| Fibrinogen antigen (85385) | $104 | $130 | 7.2× |
| Flow cytometry first marker (88184) | $212 | $265 | 0.6× |
| Fluorescent antibody screen (86255) | $132 | $165 | 11.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $171 | $214 | 14.2× |
| Folic acid rbc (82747) | $127 | $159 | 7.2× |
| Folic Acid Serum (82746) | $111 | $139 | 7.6× |
| Follicle Stimulating Hormone (83001) | $112 | $140 | 6.0× |
| Francisella tularensis (86668) | $120 | $150 | 8.5× |
| Fungi Identification Yeast (87106) | $95 | $119 | 9.2× |
| Gammaglobulin ige (82785) | $136 | $170 | 8.3× |
| Gardner vag DNA dir probe (87510) | $88 | $110 | 4.4× |
| Gastrin (82941) | $123 | $154 | 7.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$562–$641 | $703–$801 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,045 | $2,556 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $95 | $119 | 2.8× |
| Gentamicin (80170) | $134 | $167 | 8.2× |
| Ggt (82977) | $55 | $69 | 7.6× |
| Giardia antigen (87329) | $91 | $114 | 7.6× |
| Glucose Blood Test (82962) | $38 | $47 | 11.6× |
| Glucose body fluid (82945) | $42 | $53 | 10.7× |
| Glucose Serum (82947) | $40 | $50 | 10.2× |
| Glucose tolerance test (gtt) (82951) | $130 | $162 | 10.1× |
| Gonadotropin Chorionic Qualitative (84703) | $103 | $129 | 13.7× |
| Growth hormone (83003) | $107 | $134 | 6.4× |
| Gtt-added samples (82952) | $45 | $56 | 11.5× |
| Haptoglobin (83010) | $88 | $110 | 7.0× |
| Hdl Cholesterol (83718) | $51 | $64 | 6.2× |
| Heavy metal qualitative any analytes (83015) | $99 | $124 | 4.7× |
| Helicobacter Pylori Stool (87338) | $161 | $201 | 11.2× |
| Helminth Antibody (86682) | $118 | $148 | 9.1× |
| Hematocrit (85014) | $34 | $42 | 14.3× |
| Hemoglobin (85018) | $34 | $42 | 14.3× |
| Hemoglobin a1c (83036) | $56 | $70 | 5.8× |
| Hemoglobin plasma (83051) | $90 | $113 | 12.3× |
| Hemosiderin urine (83070) | $204 | $255 | 42.9× |
| Hep a ab igm (86709) | $92 | $115 | 8.2× |
| Hepatitis a antibody total (86708) | $86 | $107 | 6.9× |
| Hepatitis b core ab igm (86705) | $89 | $111 | 7.6× |
| Hepatitis b core ab total (86704) | $117 | $146 | 9.7× |
| Hepatitis B Surface Antibody (86706) | $110 | $138 | 10.2× |
| Hepatitis B Surface Antigen (87340) | $95 | $119 | 9.2× |
| Hepatitis C Antibody (86803) | $82 | $103 | 5.7× |
| Hepatitis C Genotype (87902) | $562 | $703 | 2.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $333 | $416 | 7.8× |
| Herpes simplex type 2 (86696) | $77 | $96 | 4.0× |
| Heterophile Antibody Screen (86308) | $66 | $82 | 12.7× |
| Histamine urine (83088) | $270 | $338 | 9.1× |
| Histoplasma antibody (86698) | $125 | $156 | 9.1× |
| Histoplasma antigen urine (87385) | $230 | $287 | 17.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $84 | $105 | 3.5× |
| Hiv-1 Antibody (86701) | $99 | $124 | 11.1× |
| Hla class ii typing high resolution one locus ea (81382) | $186 | $233 | 1.5× |
| Homocysteine (83090) | $112 | $140 | 6.2× |
| Hpv High-Risk Types (87624) | $101 | $126 | 2.9× |
| Hpv Types 16 & 18 Only (87625) | $138 | $173 | 3.4× |
| Hsv Dna Amp Probe (87529) | $192 | $240 | 5.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $105 | $131 | 7.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $80 | $100 | 2.3× |
| Iaad ia shiga-like toxin (87427) | $83 | $104 | 6.9× |
| Iaad Ia Streptococcus Group A (87430) | $74 | $92 | 4.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $100 | $125 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $82 | $102 | 2.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $125 | $156 | 3.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $286 | $357 | 6.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $92 | $115 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $109 | $136 | 3.1× |
| Ig Light Chains Free Each (83521) | $179 | $224 | 10.4× |
| Igg subclasses (82787) | $256 | $320 | 31.9× |
| Immune Complex Assay (86332) | $93 | $116 | 3.8× |
| Immunfix e-phorsis/urine/csf (86335) | $127 | $159 | 4.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $194 | $243 | 10.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $141 | $176 | 9.4× |
| Immunoassay nonantibody (83516) | $121 | $151 | 10.5× |
| Immunoelectrophoresis Serum (86320) | $175 | $219 | 5.8× |
| Immunofixation electrophoresis (86334) | $138 | $173 | 6.2× |
| Immunohistochemistry (88342) | $142 | $177 | 0.8× |
| Influenza a/b ag eia (87400) | $110 | $138 | 7.8× |
| Influenza assay w/optic (87804) | $74 | $92 | 4.5× |
| Inhibin b (83520) | $146 | $183 | 8.5× |
| Insulin total (83525) | $98 | $123 | 8.6× |
| Iron (83540) | $51 | $64 | 7.9× |
| Iron Binding Capacity (83550) | $59 | $74 | 6.8× |
| Irradiation Blood Product Each Unit (86945) | $137 | $171 | 3.5× |
| Islet cell antibody (86341) | $151 | $189 | 6.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $551 | $689 | 6.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $287 | $359 | 1.5× |
| Ketosteroids 17 total (83586) | $83 | $104 | 6.5× |
| Lactate (ld) (ldh) enzyme (83615) | $65 | $81 | 10.8× |
| Lactoferrin fecal qualitative (83630) | $48 | $60 | 2.4× |
| LDL direct (83721) | $57 | $71 | 5.4× |
| Lead (83655) | $66 | $83 | 5.5× |
| Legionella antibody (86713) | $125 | $156 | 8.2× |
| Legionella antigen urine (87449) | $142 | $177 | 11.9× |
| Leukocyte Assessment Fecal (89055) | $58 | $72 | 13.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $63 | $79 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $90 | $113 | 2.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $295 | $369 | 0.8× |
| Lipase (83690) | $100 | $125 | 14.5× |
| Lipoprotein A (83695) | $70 | $87 | 4.9× |
| Lithium (80178) | $82 | $103 | 12.4× |
| Luteinizing Hormone (Lh) (83002) | $104 | $130 | 5.6× |
| Lyme disease antibody (86618) | $126 | $157 | 7.4× |
| Magnesium Urine (83735) | $74 | $92 | 11.0× |
| Mercury urine (83825) | $105 | $131 | 6.5× |
| Methylmalonic acid serum (83921) | $238 | $298 | 11.2× |
| Microalbumin, quantitative (82043) | $72 | $90 | 12.5× |
| Microsomal Antibodies Each (86376) | $100 | $125 | 6.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $104 | $130 | 4.9× |
| Mononuclear cell antigen (86356) | $160 | $200 | 6.0× |
| Mpl gene common variants (81338) | $480 | $600 | 3.2× |
| Mumps antibody (86735) | $106 | $133 | 8.1× |
| Mycoplasma antibody (86738) | $138 | $173 | 10.4× |
| Myoglobin urine (83874) | $114 | $142 | 8.8× |
| Natriuretic peptide (83880) | $229 | $286 | 5.8× |
| Neutralization Test Viral (86382) | $161 | $201 | 9.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $519 | $649 | 4.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $344 | $430 | 4.8× |
| Nk cells total count (86357) | $95 | $119 | 2.5× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$112–$128 | $140–$160 | varies |
| Occult Blood Other Sources (82271) | $37 | $46 | 7.0× |
| Oncology Prostate Prob Score (81539) | $1,038 | $1,298 | 1.4× |
| Organic acids urine (83918) | $270 | $338 | 11.4× |
| Osmolality serum (83930) | $75 | $94 | 11.3× |
| Osmolality Urine (83935) | $71 | $89 | 10.4× |
| Ova and parasites smears (87177) | $98 | $123 | 11.0× |
| Parvovirus antibody (86747) | $146 | $182 | 9.7× |
| Ph urine (81003) | $35 | $44 | 15.6× |
| Phenobarbital Level (80184) | $139 | $174 | 9.1× |
| Phenylalanine (84030) | $134 | $167 | 24.4× |
| Phenytoin (Dilantin) (80185) | $123 | $154 | 9.3× |
| Phenytoin free (80186) | $112 | $140 | 8.1× |
| Phosphatase alkaline (84075) | $42 | $52 | 8.1× |
| Phosphorus Serum (84100) | $45 | $56 | 9.5× |
| Phosphorus urine (84105) | $53 | $66 | 9.2× |
| Platelet count automated (85049) | $46 | $58 | 10.3× |
| Potassium Urine (84133) | $46 | $57 | 9.7× |
| Prealbumin (84134) | $85 | $106 | 5.8× |
| Pregnenolone (84140) | $217 | $271 | 10.5× |
| Procalcitonin (Pct) (84145) | $184 | $230 | 6.8× |
| Progesterone (84144) | $106 | $133 | 5.1× |
| Prolactin (84146) | $129 | $161 | 6.7× |
| Protein body fluid (84157) | $57 | $71 | 14.3× |
| Protein C Activity (85303) | $164 | $205 | 11.8× |
| Protein c antigen (85302) | $130 | $162 | 10.8× |
| Protein Electrophoresis Urine (84166) | $121 | $151 | 6.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $96 | $120 | 8.9× |
| Protein S Free (85306) | $196 | $245 | 12.8× |
| Protein Total Refractometry Any Src (84160) | $39 | $49 | 7.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$51–$57 | $64–$71 | varies |
| Protein Total Urine (84156) | $66 | $82 | 18.0× |
| PSA free (84154) | $112 | $140 | 6.1× |
| Pth Intact (83970) | $198 | $248 | 4.8× |
| Q Fever Antibody (86638) | $238 | $297 | 19.6× |
| Quantiferon tb gold plus (86480) | $210 | $263 | 3.4× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$178–$204 | $222–$255 | varies |
| Quinidine (80194) | $89 | $111 | 6.1× |
| Rbc antibody screen (86850) | $97 | $121 | 9.9× |
| Reagent Strip/Blood Glucose (82948) | $38 | $47 | 7.5× |
| Renin activity plasma (84244) | $151 | $189 | 6.9× |
| Resp virus 12-25 targets (87633) | $578 | $723 | 1.4× |
| Rh (86901) | $57 | $71 | 19.1× |
| Rheumatoid Factor Qualitative (86430) | $77 | $96 | 12.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$55–$77 | $69–$96 | varies |
| Rickettsia antibody (86757) | $99 | $124 | 5.1× |
| Ristocetin cofactor (85245) | $182 | $227 | 7.9× |
| Rpr qualitative (86592) | $42 | $52 | 9.8× |
| Rsv Assay W/Optic (87807) | $22 | $27 | 1.7× |
| Rubella Antibody (86762) | $74 | $92 | 5.1× |
| Rubeola antibody (86765) | $85 | $106 | 6.6× |
| Russell Viper Venom Time Diluted (85613) | $115 | $144 | 12.0× |
| Salicylate Level (80179) | $207 | $259 | 11.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $151 | $189 | 2.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $66 | $83 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $146 | $183 | 1.0× |
| Sedimentation Rate, Automated (85652) | $47 | $59 | 17.4× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $42 | $52 | 4.3× |
| Sensitivity mic (87186) | $101 | $126 | 11.7× |
| Sex Hormone Binding Globulin (84270) | $108 | $135 | 5.0× |
| Sickling of rbc reduction (85660) | $57 | $71 | 10.3× |
| Sirolimus (80195) | $248 | $310 | 18.1× |
| Smear acid fast (87206) | $82 | $103 | 15.2× |
| Smear complex stain (87209) | $65 | $81 | 3.6× |
| Smear gram stain (87205) | $47 | $59 | 11.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45 | $56 | 7.7× |
| Sodium Serum (84295) | $42 | $52 | 8.7× |
| Sodium Urine (84300) | $46 | $58 | 9.1× |
| Soluble Transferrin Receptor (84238) | $181 | $226 | 4.9× |
| Somatomedin (84305) | $95 | $119 | 4.5× |
| Special Stains Group 1 (88312) | $134 | $167 | 2.5× |
| Special Stains Group 2 (88313) | $165 | $206 | 1.2× |
| Spectrophotometry (84311) | $18 | $23 | 2.2× |
| Stone Analysis (82355) | $99 | $124 | 8.5× |
| Stool cultr aerobic bact ea (87046) | $57 | $71 | 6.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $44 | $55 | 0.5× |
| Sugars Single Qual (84376) | $65 | $81 | 11.8× |
| Surg path level iii (88304) | $115 | $144 | 2.1× |
| Surgical pathology level IV (88305) | $199 | $249 | 3.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $97 | $121 | 13.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $101 | $126 | 2.1× |
| T cells total count (86359) | $94 | $118 | 2.5× |
| T3 Free (84481) | $158 | $198 | 9.3× |
| T3 reverse (84482) | $208 | $260 | 13.2× |
| T3 Total (84480) | $82 | $103 | 5.8× |
| T3 Uptake (84479) | $72 | $90 | 11.1× |
| T4 Free (84439) | $90 | $113 | 10.0× |
| T4 total (84436) | $62 | $77 | 9.0× |
| T4-neonatal (84437) | $34 | $42 | 5.3× |
| Tacrolimus (80197) | $186 | $233 | 13.5× |
| Tb ag response t-cell susp (86481) | $147 | $184 | 1.5× |
| Testosterone total (84403) | $118 | $147 | 4.6× |
| Testosterone, Free (84402) | $139 | $174 | 5.5× |
| Theophylline (80198) | $117 | $146 | 8.3× |
| Thrombin Time (85670) | $39 | $49 | 6.8× |
| Thyroglobulin (84432) | $97 | $121 | 6.0× |
| Thyroglobulin Antibody (86800) | $95 | $119 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $339 | $424 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $80 | $100 | 6.9× |
| Tissue culture bone marrow (88237) | $411 | $514 | 2.9× |
| Tobramycin peak (80200) | $130 | $162 | 8.1× |
| Topiramate (80201) | $200 | $250 | 16.8× |
| Toxoplasma ab igm (86778) | $80 | $100 | 5.6× |
| Toxoplasma antibody (86777) | $80 | $100 | 5.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $56 | $70 | 10.8× |
| Transferrin (84466) | $104 | $130 | 8.2× |
| Trichomonas vagin dir probe (87660) | $86 | $108 | 4.3× |
| Trichomonas Vaginalis Amplif (87661) | $63 | $79 | 1.8× |
| Triglycerides (84478) | $51 | $64 | 8.9× |
| Troponin Quant (84484) | $199 | $249 | 16.0× |
| Urea nitrogen urine (84540) | $42 | $52 | 7.6× |
| Uric acid other source (84560) | $50 | $62 | 9.8× |
| Urine Bacteria Culture (87088) | $69 | $86 | 8.5× |
| Urine Pregnancy Test (81025) | $70 | $88 | 8.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $51 | $64 | 16.1× |
| Valproic acid (80164) | $136 | $170 | 10.0× |
| Vancomycin (80202) | $144 | $180 | 10.6× |
| Varicella-zoster antibody (86787) | $118 | $148 | 9.2× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $98 | $123 | 5.0× |
| Viscosity serum (85810) | $151 | $189 | 12.9× |
| Vit D 1 25-Dihydroxy (82652) | $253 | $316 | 6.6× |
| Vitamin b-12 (82607) | $112 | $140 | 7.4× |
| Vitamin B6 (84207) | $157 | $196 | 5.6× |
| Vitamin c (82180) | $102 | $127 | 10.3× |
| Vitamin D 25-Hydroxy (82306) | $155 | $194 | 5.2× |
| Vitamin E (84446) | $156 | $195 | 11.0× |
| Von willebrand factor ag (85246) | $112 | $140 | 4.9× |
| West nile virus ab igm (86788) | $99 | $124 | 5.9× |
| West Nile Virus Antibody (86789) | $98 | $123 | 6.8× |
| Western Blot Test (84181) | $66 | $82 | 3.9× |
| Xylose Absorption Test (84620) | $152 | $190 | 11.8× |
| Zinc (84630) | $85 | $106 | 7.5× |
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.