Lab & pathology prices at Pecos County Memorial Hospital

Fort Stockton, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $75 $100 3.3×
Acth (82024) $155 $207 4.0×
Acute hepatitis panel (80074) $151 $201 3.2×
Acylcarnitines Quant (82017) $31 $41 1.8×
Agglutinins Febrile Each Antigen (86000) $75 $100 10.7×
Albumin Fluid (82042) $16 $21 2.1×
Albumin serum (82040)
range across 2 matching MRF lines
$15–$24 $20–$32 varies
Aldolase (82085) $50 $66 5.1×
Aldosterone urine (82088)
range across 2 matching MRF lines
$154–$160 $205–$213 varies
Alkaline phosphatase isoenzymes (84080) $120 $160 8.1×
Allergen specific ige (86003)
range across 13 matching MRF lines
$15–$65 $20–$86 varies
Allergen specific igg (86001)
range across 17 matching MRF lines
$15–$75 $20–$100 varies
Alpha-1-antitrypsin phenotype (82104) $47 $63 3.3×
Alpha-1-antitrypsin total (82103) $95 $127 7.1×
Alpha-Fetoprotein Serum (82105) $73 $97 4.4×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$17–$36 $22–$48 varies
Aluminum (82108) $131 $175 5.1×
Amikacin trough (80150) $117 $156 7.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $33 $44 2.0×
Amino Acids Quant 2-5 (82136) $311 $414 15.9×
Ammonia (82140) $95 $127 6.5×
Amniotic fluid protein test on cervicovaginal fluid (84112) $172 $229 1.8×
Amylase urine (82150)
range across 3 matching MRF lines
$41–$45 $55–$60 varies
Ana Titer (86039) $35 $46 3.1×
Androstenedione (82157) $92 $123 3.1×
Angiotensin converting enzyme csf (82164) $101 $134 6.9×
Antibody aspergillus (86606) $26 $35 1.7×
Antibody Bacterium Not Elsewhere Specified (86609) $27 $36 2.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $90 $120 5.8×
Antibody Cytomegalovirus Cmv Igm (86645) $32 $42 1.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $113 $150 7.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $109 $145 6.0×
Antibody Fungus Not Elsewhere Specified (86671) $59 $78 4.8×
Antibody haemophilus influenza (86684) $114 $152 7.2×
Antibody helicobacter pylori (86677) $125 $166 7.4×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$47–$111 $63–$148 varies
Antibody Herpes Smplx Type 1 (86695) $56 $74 4.2×
Antibody HIV-1&HIV-2 single result (86703) $69 $92 5.0×
Antibody HIV-2 (86702) $38 $50 2.8×
Antibody htlv/HIV antibody confirmatory test (86689) $160 $213 8.3×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$62–$198 $82–$264 varies
Antibody Protozoa Nes (86753) $27 $36 2.2×
Antibody rotavirus (86759) $79 $105 4.3×
Antibody Titer (86886) $330 $440 63.7×
Antibody Treponema Pallidum (86780) $94 $125 7.1×
Antibody yersinia (86793) $81 $108 6.1×
Antibody; campylobacter (86625) $116 $154 8.8×
Antibody; encephalitis, st. louis (86653) $137 $182 10.4×
Antigen typing (86905) $260 $347 67.9×
Antinuclear antibodies (86038) $61 $81 5.0×
Antistreptolysin o titer (86060) $65 $86 8.9×
Antithrombin iii activity (85300) $68 $90 5.7×
Antithrombin iii antigen (85301) $68 $90 6.3×
Arsenic (82175) $75 $100 4.0×
Assay activated protein c (85307) $44 $58 2.9×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$16–$26 $21–$34 varies
Assay Blood Catecholamines (82383) $191 $254 6.6×
Assay Nephelometry Not Spec (83883) $45 $60 3.3×
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$14–$92 $19–$123 varies
Assay of blood/uric acid (84550) $32 $43 7.1×
Assay of calcium in urine (82340) $23 $30 3.8×
Assay of corticosterone (82528) $112 $149 5.0×
Assay of cpk in blood (82552) $188 $251 14.0×
Assay of estrone (82679) $79 $105 3.2×
Assay of g6pd enzyme (82955) $68 $90 7.0×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$29–$148 $38–$197 varies
Assay of lactic acid (83605) $128 $170 11.1×
Assay of metanephrines (83835) $248 $331 14.6×
Assay of procainamide (80190) $102 $136 1.7×
Assay of proinsulin (84206) $152 $202 5.7×
Assay of serum potassium (84132) $23 $31 4.8×
Assay of Tyrosine (84510) $59 $78 5.6×
Assay of urea nitrogen (84520) $20 $27 5.1×
Assay of urine vma (84585) $107 $143 6.9×
Assay of vitamin b-1 (84425) $164 $218 7.7×
Assay Ph Body Fluid Nos (83986) $11 $15 3.1×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$8–$17 $11–$23 varies
Bartonella antibody (86611) $38 $50 3.7×
Beta 2 glycoprotein i antibody each (86146) $24 $32 0.9×
Beta hydroxybutyrate (82010) $41 $55 5.0×
Beta Lactamase (87185) $87 $116 18.3×
Beta-2 Microglobulin (82232) $52 $69 3.2×
Bile acids, cholylglycine (82240) $120 $160 4.5×
Bilirubin direct (82248)
range across 2 matching MRF lines
$16–$36 $21–$48 varies
Bilirubin total (82247) $24 $32 4.8×
Bl Smear W/O Diff Wbc Count (85008) $11 $15 3.2×
Bld Typing Serologic Rh Phnt (86906) $83 $110 10.7×
Blood Count Manual Cell Count Each (85032) $29 $38 6.7×
Blood Count Red Blood Cell Automated (85041) $20 $27 6.6×
Blood count reticulocyte automated (85045) $53 $71 13.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $19 $25 5.0×
Blood gas (82803)
range across 2 matching MRF lines
$165–$184 $220–$245 varies
Blood gases w/02 saturation (82805) $76 $101 1.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20 $27 4.6×
Blood Sulfhemoglobin Assay (83060) $115 $153 13.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $260 $347 40.9×
Blood typing serologic abo (86900) $137 $182 45.8×
Body fluid cell count (89050) $52 $69 11.0×
Bordetella antibody (86615)
range across 3 matching MRF lines
$42–$116 $56–$154 varies
Brucella antibody (86622) $26 $34 2.9×
C diff amplified probe (87493) $109 $145 2.9×
C-Peptide (84681) $75 $100 3.6×
C-reactive protein (86140)
range across 2 matching MRF lines
$50–$92 $67–$122 varies
Ca 19-9 (86301) $133 $177 6.4×
Calcitonin (82308) $158 $210 5.9×
Calcium ionized (82330) $135 $180 9.9×
Calcium total (82310)
range across 2 matching MRF lines
$16–$37 $21–$49 varies
Calculus Spectroscopy (82365) $113 $150 8.8×
Cancer Antigen 125 (86304) $106 $141 5.1×
Cancer Antigen 27.29 (86300) $68 $90 3.3×
Candida antibody (86628) $42 $56 3.5×
Carbamazepine total (80156) $102 $136 7.0×
Carboxyhemoglobin (82375) $90 $120 7.3×
Carcinoembryonic antigen (82378) $114 $152 6.0×
Cardiolipin ab iga (86147)
range across 6 matching MRF lines
$53–$62 $71–$83 varies
Carnitine Quantitative Each Specimen (82379) $32 $42 1.9×
Carotene (82380) $117 $156 12.7×
Catecholamines fractionated (82384) $83 $110 3.3×
Catecholamines total urine (82382) $143 $190 5.2×
Ccp antibody (86200) $113 $150 8.7×
Cell count csf (89051)
range across 3 matching MRF lines
$23 $30–$31 4.1×
Cellular Function Assay Stimul&Detect Biomarke (86352) $420 $560 3.1×
Ceruloplasmin (82390) $65 $87 6.1×
Chemiluminescent assay (82397) $47 $62 3.3×
Chlamydia antibody (86631) $106 $141 9.0×
Chlamydia Igm Antibody (86632) $102 $136 8.0×
Chloride other source (82438) $32 $43 6.4×
Chloride Serum (82435)
range across 2 matching MRF lines
$14–$33 $19–$44 varies
Chloride urine (82436)
range across 2 matching MRF lines
$30–$33 $40–$44 varies
Chlorinated Hydrocarbons Screen (82441) $122 $163 20.3×
Cholesterol total (82465)
range across 3 matching MRF lines
$14–$29 $18–$39 varies
Cholinesterase Serum (82480) $61 $81 7.8×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$116–$125 $155–$166 varies
Chromium serum (82495) $173 $230 8.5×
Chromosome Analysis 15-20 (88262) $763 $1,017 6.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$79–$111 $105–$148 varies
Citric acid urine (82507) $134 $178 4.8×
Ckmb (82553) $67 $89 5.8×
Clotting factor xii hageman (85280) $64 $85 3.3×
Coccidioides antibody (86635) $112 $149 9.8×
Cold agglutinin titer (86157) $57 $76 7.1×
Collagen crosslinks (82523) $59 $79 3.2×
Column Chromotography Quant (82542) $113 $150 4.7×
Compatibility test antiglob (86922) $225 $300 1.3×
Complement Antigen Each Component (86160) $62 $83 5.2×
Complement Fixation Tests Each Antigen (86171) $127 $169 12.7×
Complement/Function Activity (86161) $190 $253 15.8×
Coombs direct (86880)
range across 2 matching MRF lines
$47–$225 $62–$300 varies
Copper urine (82525) $41 $54 3.3×
Cortisol free (82530)
range across 4 matching MRF lines
$86–$92 $115–$122 varies
Cortisol saliva (82533) $86 $115 5.3×
Creatine kinase total (82550) $47 $62 7.2×
Creatinine blood (82565)
range across 2 matching MRF lines
$16–$26 $21–$35 varies
Creatinine clearance (82575) $57 $76 6.0×
Creatinine Urine (82570) $49 $65 9.5×
Crossmatch immediate spin (86920) $225 $300 1.3×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$84–$92 $112–$122 varies
Cryofibrinogen (82585) $41 $55 2.9×
Cryoglobulin (82595) $41 $55 6.3×
Cryptococcal Antigen (87327) $121 $161 9.0×
Cryptococcus ag titer (87899) $38 $51 2.4×
Cryptosporidium ag eia (87328) $38 $51 2.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$33–$54 $44–$72 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $148 $197 18.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$77–$80 $103–$106 varies
Culture afb (87116) $55 $73 5.1×
Culture Anaerobic (87075) $176 $235 18.6×
Culture blood (87040) $49 $65 4.7×
Culture chlamydia (87110) $86 $114 4.4×
Culture csf (87070)
range across 7 matching MRF lines
$44–$47 $58–$63 varies
Culture fungus (87102) $74 $99 8.8×
Culture fungus blood (87103) $77 $103 3.8×
Culture screen only (87081) $60 $80 9.0×
Culture stool (87045)
range across 2 matching MRF lines
$56–$62 $75–$82 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $149 $199 28.8×
Culture urine (87086) $65 $87 8.1×
Cyclosporine (80158) $194 $259 10.7×
Cytogenetics 10-30 (88273) $102 $136 2.9×
Cytogenetics 100-300 (88275) $128 $170 2.5×
Cytomegalovirus igg (86644) $90 $120 6.3×
Cytopath Cell Enhance Tech (88112) $89 $119 1.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $65 $86 3.5×
Deoxycortisol (82634) $65 $87 2.2×
Deoxyribonuclease antibody (86215) $65 $86 4.9×
Desoxycorticosterone (82633) $65 $87 2.1×
Detect Agent Nos Dna Amp (87798)
range across 20 matching MRF lines
$72–$245 $96–$327 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$158–$319 $211–$425 varies
Dhea (82626)
range across 2 matching MRF lines
$81–$140 $108–$187 varies
Dhea-S (82627) $73 $97 3.3×
Digoxin (80162) $67 $89 5.0×
Diphtheria antitoxoid (86648) $49 $65 3.2×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$73–$76 $97–$101 varies
Dna Antibody Single Stranded (86226) $38 $51 3.1×
Dna/Rna Sequencing (87153) $365 $487 3.2×
Drug Test Prsmv Chem Anlyzr (80307) $178 $237 2.9×
Drug Test Prsmv Dir Opt Obs (80305) $45 $60 3.6×
Drug Test Prsmv Instrmnt (80306) $147 $196 8.6×
Ehrlichia antibody (86666) $27 $36 2.7×
Electrolyte panel (80051) $32 $42 4.6×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $121 $161 2.0×
Encephaltis West Eqne Antbdy (86654) $224 $299 17.0×
Enterovirus Antibody (86658) $272 $363 20.9×
Enterovirus PCR (87498) $116 $154 3.3×
Enzyme cell activity (82657) $115 $153 5.2×
Eosinophil Smear (89190) $33 $44 5.7×
Erythropoietin (82668) $61 $81 3.2×
Estradiol serum (82670) $92 $122 3.3×
Estriol (82677) $83 $110 3.4×
Estrogen total (82672) $182 $242 8.4×
Ethosuximide (80168) $43 $57 2.6×
Exam Synovial Fluid Crystals (89060) $53 $70 7.2×
Factor ii activity (85210) $43 $57 3.3×
Factor ix activity (85250) $131 $175 6.9×
Factor v activity (85220) $131 $175 7.4×
Factor vii assay (85230) $59 $78 3.3×
Factor viii assay (85240) $131 $175 7.3×
Factor X (85260) $59 $79 3.3×
Factor xiii screen (85291) $29 $39 3.2×
Fat/Lipids Feces Quantitative (82710) $62 $82 3.7×
Fecal Fat Qualitative (82705) $37 $49 7.3×
Ferritin (82728) $89 $118 6.5×
Fetal Aneuploidy Trisom Risk (81507) $596 $795 0.7×
Fetal Chrmoml Aneuploidy (81420) $569 $759 0.7×
Fetal screen rosette (85461) $46 $61 4.9×
Fibrin degradation products (85362) $60 $80 8.7×
Fibrin Degradation Quant (85379)
range across 3 matching MRF lines
$113–$122 $150–$163 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $61 $81 6.3×
Fibrinogen activity (85384) $43 $57 4.4×
Fibrinogen antigen (85385) $45 $60 3.1×
Flow cytometry first marker (88184) $330 $440 0.9×
Fluorescent antibody screen (86255) $56 $75 4.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $40 $53 3.3×
Folic acid rbc (82747) $56 $75 3.2×
Folic Acid Serum (82746) $90 $120 6.1×
Follicle Stimulating Hormone (83001) $80 $107 4.3×
Francisella tularensis (86668) $100 $133 7.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $194 $259 1.1×
Fungi Identification Mold (87107) $71 $94 6.9×
Fungi Identification Yeast (87106) $77 $103 7.5×
Galactose (82760) $158 $211 14.1×
Galactose transferase test (82776) $34 $45 2.9×
Gammaglobulin ige (82785) $91 $121 5.5×
Gastrin (82941) $104 $138 5.9×
Gentamicin (80170)
range across 3 matching MRF lines
$50–$52 $67–$69 varies
Ggt (82977) $38 $50 5.3×
Giardia antigen (87329) $121 $161 10.1×
Glucose 2 hr pp (82950) $17 $23 3.6×
Glucose Blood Test (82962) $8 $10 2.4×
Glucose body fluid (82945)
range across 3 matching MRF lines
$23–$26 $31–$35 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$19–$20 $25–$27 varies
Glucose tolerance test (gtt) (82951) $53 $70 4.1×
Glutamate dehydrogenase Facility (82965) $28 $37 2.1×
Glycated Protein (82985) $101 $135 6.0×
Gonadotropin Chorionic Qualitative (84703) $53 $70 7.0×
Growth hormone (83003) $54 $72 3.2×
Gtt-added samples (82952) $17 $22 4.3×
H Pylori (C-13) Breath (83013) $212 $282 3.1×
H Pylori Drug Admin (83014) $25 $33 3.2×
Haloperidol (80173) $133 $177 8.4×
Haptoglobin (83010) $41 $54 3.3×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$29–$41 $39–$55 varies
Helicobacter Pylori Stool (87338) $200 $266 13.9×
Helminth Antibody (86682) $128 $170 9.8×
Hematocrit (85014) $16 $21 6.8×
Hemoglobin (85018)
range across 2 matching MRF lines
$8–$16 $10–$21 varies
Hemoglobin a1c (83036) $116 $154 11.9×
Hemoglobin Chromotography (83021) $75 $100 4.2×
Hemoglobin electrophoresis (83020) $113 $150 8.8×
Hemoglobin F Fetal Chemical (83030) $27 $36 2.5×
Hemoglobin Methemoglobin Quantitative (83050) $115 $153 14.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $17 $22 1.8×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $17 $22 1.8×
Hemosiderin urine (83070) $16 $21 3.4×
Hep a ab igm (86709) $54 $72 4.8×
Hepatitis a antibody total (86708) $71 $95 5.7×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$54–$78 $72–$104 varies
Hepatitis b core ab total (86704) $56 $75 4.6×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$35–$49 $46–$65 varies
Hepatitis B Surface Antigen (87340) $34 $45 3.3×
Hepatitis Be Antibody (86707) $53 $71 4.6×
Hepatitis Be Antigen (87350) $53 $71 4.6×
Hepatitis C Antibody (86803) $113 $150 7.9×
Hepatitis c antibody confirmatory test (86804) $114 $152 7.4×
Hepatitis C Genotype (87902)
range across 4 matching MRF lines
$567–$584 $756–$779 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $131 $175 3.7×
Hepatitis C Revrs Trnscrpj (87522) $240 $320 5.6×
Herpes simplex type 2 (86696) $99 $132 5.1×
Heterophile Antibody Screen (86308) $47 $63 9.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $173 $230 22.4×
Histoplasma antigen urine (87385) $216 $288 16.3×
Hiv-1 Antibody (86701) $75 $100 8.4×
HIV-1 p24 antigen (87390) $63 $84 2.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $281 $374 3.3×
Hla Typing a/B/C Multiple Antigens (86813) $198 $264 3.4×
Hla-b27 (86812) $95 $127 3.7×
Homocysteine (83090) $180 $240 10.0×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$83–$192 $110–$256 varies
Htlv-I Antibody (86687) $188 $250 20.7×
Hydroxycorticosteroids 17 (83491) $122 $163 6.8×
Hydroxyprogesterone 17-d (83498) $90 $120 3.3×
Hydroxyproline total (83505) $248 $331 10.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $34 $45 3.3×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $56 $75 4.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $113 $150 3.2×
Iaad ia shiga-like toxin (87427) $104 $139 8.7×
Iaad Ia Streptococcus Group A (87430) $48 $64 2.9×
Iaadi inffluenza a virus (87276) $38 $51 2.4×
Iaadi pneumocustis carinii (87281) $83 $110 6.9×
Iaadi respiratory synctial virus (87280) $96 $128 7.2×
Iaadi Varicella Zoster Virus (87290) $75 $100 5.6×
Iadna Candida Species Amplified Probe Tq (87481) $72 $96 2.1×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $68 $90 3.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $269 $358 7.7×
Iadna Cytomegalovirus Quantification (87497) $90 $120 2.1×
Iadna Hepatitis B Virus Quantification (87517) $203 $270 4.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$72–$111 $96–$148 varies
Igg subclasses (82787) $53 $71 6.6×
Immunfix e-phorsis/urine/csf (86335) $125 $166 4.3×
Immunoassay analyte qual/semiqual single step (83518) $77 $102 8.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $101 $135 5.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $114 $152 7.6×
Immunoassay nonantibody (83516)
range across 12 matching MRF lines
$113–$117 $150–$156 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $104 $139 4.5×
Immunoelectrophoresis Serum (86320)
range across 2 matching MRF lines
$71–$107 $95–$142 varies
Immunofixation electrophoresis (86334) $72 $96 3.2×
Immunohistochemistry (88342) $187 $249 1.1×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $58 $77 4.3×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $38 $51 3.1×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $72 $96 2.1×
Inhibin A (86336) $50 $66 3.2×
Inhibin b (83520)
range across 12 matching MRF lines
$43–$113 $57–$150 varies
Insulin antibodies (86337) $59 $78 2.8×
Insulin total (83525) $85 $113 7.4×
Intrinsic factor antibody (86340) $94 $125 6.2×
Iron (83540) $53 $70 8.2×
Iron Binding Capacity (83550) $56 $74 6.4×
Irradiation Blood Product Each Unit (86945)
range across 8 matching MRF lines
$84–$391 $112–$521 varies
Islet cell antibody (86341)
range across 3 matching MRF lines
$49–$59 $65–$78 varies
Ketosteroids 17 total (83586) $74 $99 5.8×
Koh Prep (87220) $127 $169 29.7×
Lactate (ld) (ldh) enzyme (83615) $35 $46 5.8×
Ldh Isoenzymes (83625) $95 $126 7.4×
LDL direct (83721) $32 $42 3.0×
Lead (83655) $53 $70 4.4×
Legionella antibody (86713) $147 $196 9.6×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$113–$116 $150–$155 varies
Leucine Aminopeptidase Lap (83670) $91 $121 9.3×
Leukocyte Assessment Fecal (89055) $22 $29 5.2×
Leukocyte phagocytosis (86344) $69 $92 6.6×
Level I Surg Pathology Gross Examination Only (88300) $43 $57 1.5×
Level ii surg pathology gross&microscopic exam (88302) $90 $120 2.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $383 $510 1.1×
Lidocaine (80176) $104 $138 7.1×
Lipase (83690) $51 $68 7.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700)
range across 2 matching MRF lines
$36–$45 $48–$60 varies
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $90 $120 2.7×
Lipoprotein-Associated Phospholipase A2 (83698) $112 $149 2.4×
Lithium (80178) $44 $58 6.7×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$2–$107 $2–$143 varies
Lyme disease antibody (86618) $54 $72 3.2×
Lysozyme serum (85549) $94 $125 5.0×
Magnesium Urine (83735)
range across 2 matching MRF lines
$50–$55 $67–$73 varies
Mass Spectrometry Quant (83789) $154 $205 6.4×
Mercury urine (83825) $43 $57 2.6×
Methylmalonic acid serum (83921) $53 $70 2.5×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$14–$139 $19–$185 varies
Microsomal Antibodies Each (86376) $47 $63 3.2×
Molecular Cytogenetics Dna Probe Each (88271) $128 $170 6.0×
Mopath procedure level 2 (81401) $131 $175 1.0×
Mrsa Pcr (87641) $94 $125 2.7×
Mucin Clot Body Fluid (83872) $20 $27 3.4×
Mumps antibody (86735) $128 $170 9.8×
Mycobacteric Identification (87118) $52 $69 3.6×
Mycoplasma antibody (86738) $83 $110 6.3×
Mycoplasma culture (87109) $82 $109 5.3×
Myoglobin urine (83874) $62 $83 4.8×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$167–$182 $222–$242 varies
Neisseria Dir Na Probe (87590) $68 $90 2.5×
Neutralization Test Viral (86382) $114 $152 6.7×
Nuclear antigen antibody (86235)
range across 9 matching MRF lines
$59 $78–$79 3.3×
Occult blood feces (82272) $19 $25 4.5×
Occult Blood Other Sources (82271) $19 $25 3.6×
Oligoclonal bands (83916) $66 $88 2.4×
Organic Acids Qualitative Each Specimen (83919) $54 $72 3.3×
Osmolality serum (83930) $59 $78 8.9×
Osmolality Urine (83935) $24 $32 3.5×
Osteocalcin (83937) $135 $180 4.5×
Ova and parasites smears (87177) $96 $128 10.8×
Oxalate urine (83945) $88 $117 6.1×
Particle Agglutination Screen Each Antibody (86403) $41 $55 3.6×
Parvovirus antibody (86747) $47 $63 3.1×
Ph urine (81003)
range across 2 matching MRF lines
$14–$17 $19–$22 varies
Phenobarbital Level (80184) $117 $156 7.6×
Phenylalanine (84030)
range across 3 matching MRF lines
$17–$36 $23–$48 varies
Phenytoin (Dilantin) (80185) $67 $89 5.1×
Phosphatase acid prostatic (84066) $134 $178 13.9×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$16–$25 $21–$33 varies
Phosphatidylglycerol (84081) $51 $68 3.1×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$28–$35 $37–$46 varies
Phosphorus urine (84105) $29 $39 5.0×
Pinworm exam (87172) $15 $20 3.5×
Platelet Antibodies (86022) $231 $308 12.6×
Pooling blood platelets (86965) $225 $300 1.3×
Porphobilinogen Urine Qualitative (84106) $102 $136 17.5×
Potassium Urine (84133)
range across 3 matching MRF lines
$33–$34 $44–$45 varies
Prealbumin (84134) $113 $150 7.7×
Pregnenolone (84140) $68 $91 3.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $56 $75 0.9×
Primidone (80188) $88 $117 5.3×
Procalcitonin (Pct) (84145) $86 $114 3.2×
Progesterone (84144) $68 $90 3.3×
Prolactin (84146) $101 $135 5.2×
Protein body fluid (84157) $73 $97 18.3×
Protein C Activity (85303) $210 $280 15.2×
Protein c antigen (85302) $177 $236 14.7×
Protein Electrophoresis Urine (84166) $57 $76 3.2×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$73–$77 $97–$103 varies
Protein S Free (85306) $210 $280 13.7×
Protein s total (85305)
range across 3 matching MRF lines
$177–$210 $236–$280 varies
Protein total serum (84155)
range across 3 matching MRF lines
$26–$43 $35–$57 varies
Protein Total Urine (84156)
range across 4 matching MRF lines
$29–$39 $38–$52 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$59–$319 $79–$425 varies
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines
$102–$112 $136–$149 varies
PSA free (84154) $64 $85 3.5×
Pth Intact (83970)
range across 2 matching MRF lines
$131–$133 $175–$177 varies
Quantiferon tb gold plus (86480) $47 $62 0.8×
Quantitative assay drug (80299) $120 $160 6.4×
Quantitative Screen Metals (83018) $236 $314 10.7×
Quinidine (80194) $86 $115 5.9×
Rbc antibody elution (86860) $129 $172 0.8×
Rbc antibody identification (86870) $330 $440 0.9×
Rbc antibody screen (86850) $149 $199 15.3×
Rbc pretx incubatj w/enzymes (86971) $260 $347 1.5×
Renin activity plasma (84244) $127 $169 5.8×
Rh (86901) $137 $182 45.8×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$41–$44 $55–$58 varies
Rickettsia antibody (86757) $94 $125 4.9×
Ristocetin cofactor (85245) $27 $36 1.2×
Rpr qualitative (86592)
range across 5 matching MRF lines
$28–$122 $37–$163 varies
Rsv ab (86756) $90 $120 5.7×
Rsv Assay W/Optic (87807) $83 $111 6.3×
Rubella Antibody (86762)
range across 3 matching MRF lines
$77–$111 $103–$148 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$69–$117 $92–$156 varies
Russell Viper Venom Time Diluted (85613) $143 $190 14.9×
Salmonella antibody (86768) $27 $36 2.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $123 $164 2.4×
Sars-Cov-2 Covid19 W/Optic (87811) $113 $150 2.7×
Sarscov2&inf a&b&rsv amp prb (87637) $532 $709 3.7×
Sedimentation rate (85651) $26 $34 6.1×
Selenium (84255) $81 $108 3.2×
Sensitivity mic (87186)
range across 4 matching MRF lines
$56–$62 $75–$82 varies
Sex Hormone Binding Globulin (84270) $70 $93 3.2×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$23–$86 $30–$114 varies
Smear acid fast (87206) $36 $48 6.7×
Smear complex stain (87209) $76 $101 4.2×
Smear gram stain (87205)
range across 2 matching MRF lines
$28–$30 $37–$40 varies
Smear Special Stain (87207) $53 $71 8.8×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$25–$26 $33–$35 varies
Sodium Serum (84295) $35 $46 7.3×
Sodium Urine (84300) $32 $42 6.3×
Soluble Transferrin Receptor (84238) $117 $156 3.2×
Somatomedin (84305) $287 $383 13.5×
Special Stains Group 1 (88312) $162 $216 3.1×
Special Stains Group 2 (88313) $115 $153 0.9×
Specific gravity body fluid (84315) $23 $31 7.0×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$59–$63 $78–$84 varies
Spectrophotometry (84311) $115 $153 14.2×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $330 $440 1.9×
Staph a DNA amp probe (87640) $72 $96 2.1×
Stool cultr aerobic bact ea (87046)
range across 3 matching MRF lines
$38–$41 $50–$55 varies
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$72–$86 $96–$114 varies
Sugars Single Qual (84376) $15 $20 2.7×
Sulfate urine (84392) $15 $20 2.7×
Surg path level iii (88304) $119 $159 2.3×
Surgical pathology level IV (88305) $214 $285 4.1×
Surgical pathology level vi (88309) $624 $832 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $25 $33 5.3×
Susceptibility Study Antimicrobial Disk Method (87184) $35 $47 4.7×
Syphilis Test Non-Trep Quant (86593) $122 $163 27.7×
T cells absolute cd4 count (86361) $65 $87 2.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $197 $263 4.2×
T cells total count (86359) $245 $327 6.5×
T3 Free (84481) $215 $286 12.7×
T3 reverse (84482) $26 $34 1.6×
T3 Total (84480) $66 $88 4.7×
T3 Uptake (84479) $43 $57 6.6×
T4 Free (84439) $47 $62 5.2×
T4 total (84436) $28 $37 4.1×
Tacrolimus (80197) $73 $97 5.3×
Tb ag response t-cell susp (86481) $183 $244 1.8×
Test for acetone/ketones (82009) $26 $35 5.8×
Test for urine cystines (82615) $56 $75 5.9×
Testosterone total (84403) $122 $162 4.7×
Testosterone, Free (84402) $122 $163 4.8×
Tetanus antibody (86774) $47 $63 3.2×
Theophylline (80198) $62 $83 4.4×
Thrombin Time (85670) $38 $50 6.6×
Thyroglobulin (84432)
range across 2 matching MRF lines
$90–$140 $120–$187 varies
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$83–$86 $110–$115 varies
Thyroid Stimulating Immunoglobulin (84445) $364 $485 7.2×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $363 $484 7.2×
Tissue Culture (88233) $443 $591 3.1×
Tissue Culture Amniotic Fluid (88235) $492 $656 3.3×
Tissue culture bone marrow (88237) $398 $531 2.8×
Tissue Culture Lymphocyte (88230) $393 $524 3.4×
Tobramycin peak (80200) $110 $147 6.8×
Topiramate (80201) $74 $98 6.2×
Touch prep (88161) $117 $156 4.0×
Toxoplasma ab igm (86778) $102 $136 7.1×
Toxoplasma antibody (86777) $47 $63 3.3×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$16–$26 $21–$34 varies
Transferrin (84466) $84 $112 6.6×
Trichomonas Vaginalis Amplif (87661) $75 $100 2.1×
Triglycerides (84478) $34 $45 5.9×
Troponin Quant (84484)
range across 5 matching MRF lines
$122–$133 $163–$177 varies
Unlisted Cytogenetic Study (88299) $98 $130 1.9×
Unlisted Transfusion Medicine Procedure (86999) $198 $264 6.8×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$15–$36 $20–$48 varies
Uric acid other source (84560)
range across 2 matching MRF lines
$23–$25 $30–$33 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 3 matching MRF lines
$19–$38 $25–$50 varies
Urinalysis Volume Measure (81050) $14 $19 3.8×
Urine Albumin Semiquantitative (82044) $41 $55 6.6×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$33–$47 $44–$63 varies
Urine Pregnancy Test (81025) $44 $59 5.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $23 $31 7.3×
Valproic acid (80164) $88 $117 6.5×
Vancomycin (80202) $124 $165 9.2×
Varicella-zoster antibody (86787) $112 $149 8.7×
Vasopressin (84588) $108 $144 3.2×
Viral Culture (87252)
range across 2 matching MRF lines
$113–$255 $150–$340 varies
Virus antibody nos (86790) $89 $119 6.9×
Virus inoculate tissue addl (87253) $137 $182 6.8×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $150 $200 7.7×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
$70–$182 $93–$243 varies
Vitamin A (84590)
range across 2 matching MRF lines
$37–$90 $49–$120 varies
Vitamin b-12 (82607) $93 $124 6.2×
Vitamin B6 (84207) $174 $232 6.2×
Vitamin c (82180) $32 $43 3.2×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$79–$98 $105–$130 varies
Vitamin E (84446) $45 $60 3.2×
Volatiles (84600) $128 $170 7.5×
Von willebrand factor ag (85246) $27 $36 1.2×
Western Blot Test (84181) $56 $75 3.3×
Zinc (84630)
range across 2 matching MRF lines
$51–$53 $68–$71 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.