Lab & pathology prices at Pemiscot Memorial Hospital
Hayti, MO · every code in this section with a posted price and a Medicare benchmark.
532 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $86.10 | $123 | 2.2× |
| Acute hepatitis panel (80074) | $105 | $150 | 2.2× |
| Acylcarnitines Quant (82017) | $176.40 | $252 | 10.5× |
| Agglutinins Febrile Each Antigen (86000) | $9.80 | $14 | 1.4× |
| Albumin Fluid (82042) | $11.90 | $17 | 1.5× |
| Albumin serum (82040) | $11.20 | $16 | 2.3× |
| Aldolase (82085) | $21.70 | $31 | 2.2× |
| Aldosterone urine (82088) | $90.30 | $129 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $32.90 | $47 | 2.2× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$11.90–$463.40 | $17–$662 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$29.40–$33.60 | $42–$48 | varies |
| Alpha-Fetoprotein Serum (82105) | $37.10 | $53 | 2.2× |
| Alt (sgpt) (84460) | $11.90 | $17 | 2.2× |
| Amikacin trough (80150) | $40.60 | $58 | 2.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $37.10 | $53 | 1.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $141.40 | $202 | 8.4× |
| Amino Acids Quant 2-5 (82136) | $37.10 | $53 | 1.9× |
| Ammonia (82140) | $32.90 | $47 | 2.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $92.40 | $132 | 0.9× |
| Amylase urine (82150) | $14.70 | $21 | 2.3× |
| Androstenedione (82157) | $65.10 | $93 | 2.2× |
| Angiotensin converting enzyme csf (82164) | $32.90 | $47 | 2.3× |
| Anti-Phospholipid Antibody (86148) | $35.70 | $51 | 2.2× |
| Antibody aspergillus (86606) | $33.60 | $48 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$28.70–$401.80 | $41–$574 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$34.30–$50.40 | $49–$72 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $40.60 | $58 | 2.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $29.40 | $42 | 2.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $34.30 | $49 | 2.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $40.60 | $58 | 2.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $175.70 | $251 | 14.3× |
| Antibody helicobacter pylori (86677) | $32.90 | $47 | 2.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $32.20 | $46 | 2.2× |
| Antibody Herpes Smplx Type 1 (86695) | $29.40 | $42 | 2.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $42.70 | $61 | 2.2× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$43.40–$49 | $62–$70 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $28 | $40 | 2.2× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$13.30–$37.10 | $19–$53 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$11.90–$66.50 | $17–$95 | varies |
| Antibody Treponema Pallidum (86780) | $29.40 | $42 | 2.2× |
| Antigen typing (86905) | $9.10 | $13 | 2.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $12.60 | $18 | 2.2× |
| Antinuclear antibodies (86038) | $27.30 | $39 | 2.3× |
| Antistreptolysin O Screen (86063) | $13.30 | $19 | 2.3× |
| Antistreptolysin o titer (86060) | $16.80 | $24 | 2.3× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$66.50–$111.30 | $95–$159 | varies |
| Antithrombin iii antigen (85301) | $66.50 | $95 | 6.2× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$34.30–$404.60 | $49–$578 | varies |
| Arsenic (82175) | $42 | $60 | 2.2× |
| Assay activated protein c (85307) | $65.10 | $93 | 4.2× |
| Assay Blood Carbon Dioxide (82374) | $7 | $10 | 1.4× |
| Assay Blood Catecholamines (82383) | $56 | $80 | 1.9× |
| Assay Nephelometry Not Spec (83883) | $74.90 | $107 | 5.5× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$28.70–$67.20 | $41–$96 | varies |
| Assay of blood/uric acid (84550) | $10.50 | $15 | 2.3× |
| Assay of calcium in urine (82340) | $13.30 | $19 | 2.2× |
| Assay of corticosterone (82528) | $81.90 | $117 | 3.6× |
| Assay of cpk in blood (82552) | $29.40 | $42 | 2.2× |
| Assay of estrone (82679) | $56 | $80 | 2.2× |
| Assay of g6pd enzyme (82955) | $21.70 | $31 | 2.2× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$12.60–$91 | $18–$130 | varies |
| Assay of lactic acid (83605) | $36.40 | $52 | 3.1× |
| Assay of manganese (83785) | $53.90 | $77 | 2.0× |
| Assay of metanephrines (83835) | $37.80 | $54 | 2.2× |
| Assay of phosphatase acid total (84060) | $16.80 | $24 | 2.2× |
| Assay of phosphatase alkaline heat stable (84078) | $12.60 | $18 | 1.5× |
| Assay of proinsulin (84206) | $39.90 | $57 | 1.5× |
| Assay of serotonin (84260) | $44.10 | $63 | 1.4× |
| Assay of serum potassium (84132) | $10.50 | $15 | 2.2× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$7.70–$107.10 | $11–$153 | varies |
| Assay of transcortin (84449) | $42 | $60 | 2.3× |
| Assay of urea nitrogen (84520) | $9.10 | $13 | 2.3× |
| Assay of urine vma (84585) | $34.30 | $49 | 2.2× |
| Assay of vitamin b-1 (84425) | $30.80 | $44 | 1.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$11.90–$21 | $17–$30 | varies |
| Automated Leukocyte Count (85048) | $5.60 | $8 | 2.2× |
| B cells total count (86355) | $41.30 | $59 | 1.1× |
| Bacterial antigens 87802 (87802) | $26.60 | $38 | 2.1× |
| Bartonella antibody (86611) | $212.10 | $303 | 20.8× |
| Bckdhb Gene Analysis Common Variants (81205) | $245.70 | $351 | 2.6× |
| Beta 2 glycoprotein i antibody each (86146) | $35 | $50 | 1.4× |
| Beta Lactamase (87185) | $3.50 | $5 | 0.7× |
| Beta-2 Microglobulin (82232) | $40.60 | $58 | 2.5× |
| Bilirubin direct (82248) | $11.20 | $16 | 2.2× |
| Bilirubin total (82247) | $11.20 | $16 | 2.2× |
| Blastomyces antibody (86612) | $28.70 | $41 | 2.2× |
| Bld Typing Serologic Rh Phnt (86906) | $17.50 | $25 | 2.3× |
| Bleeding time test (85002) | $10.50 | $15 | 2.2× |
| Blood Count Red Blood Cell Automated (85041) | $6.30 | $9 | 2.1× |
| Blood count reticulocyte automated (85045) | $9.10 | $13 | 2.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $6.30 | $9 | 1.7× |
| Blood gas (82803) | $42.70 | $61 | 1.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35 | $50 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$7–$26.60 | $10–$38 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $46.90 | $67 | 7.4× |
| Blood typing serologic abo (86900) | $22.40 | $32 | 7.5× |
| Body fluid cell count (89050) | $6.30 | $9 | 1.3× |
| Bordetella antibody (86615) | $29.40 | $42 | 2.2× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $1,124.20 | $1,606 | 3.0× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,124.20 | $1,606 | 3.0× |
| C diff amplified probe (87493) | $58.10 | $83 | 1.6× |
| C-Peptide (84681) | $46.20 | $66 | 2.2× |
| C-reactive protein (86140) | $11.90 | $17 | 2.3× |
| Ca 19-9 (86301) | $46.20 | $66 | 2.2× |
| Calcitonin (82308) | $59.50 | $85 | 2.2× |
| Calcium ionized (82330) | $30.10 | $43 | 2.2× |
| Calcium total (82310) | $11.90 | $17 | 2.3× |
| Calculus assay quant (82360) range across 2 matching MRF lines |
$28.70–$59.50 | $41–$85 | varies |
| Calprotectin Fecal (83993) | $539 | $770 | 27.5× |
| Cancer Antigen 125 (86304) | $46.20 | $66 | 2.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$46.20–$456.40 | $66–$652 | varies |
| Carbamazepine total (80156) | $32.90 | $47 | 2.3× |
| Carboxyhemoglobin (82375) | $27.30 | $39 | 2.2× |
| Carcinoembryonic antigen (82378) | $42 | $60 | 2.2× |
| Cardiolipin ab iga (86147) | $56.70 | $81 | 2.2× |
| Catecholamines fractionated (82384) | $56 | $80 | 2.2× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$28.70–$37.10 | $41–$53 | varies |
| Cell count csf (89051) | $12.60 | $18 | 2.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 3 matching MRF lines |
$73.50–$391.30 | $105–$559 | varies |
| Ceruloplasmin (82390) | $24.50 | $35 | 2.3× |
| Cftr gene com variants (81220) | $160.30 | $229 | 0.3× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$28.70–$88.20 | $41–$126 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$26.60–$49.70 | $38–$71 | varies |
| Chlamydia Igm Antibody (86632) | $28 | $40 | 2.2× |
| Chloride other source (82438) | $11.20 | $16 | 2.2× |
| Chloride Serum (82435) | $10.50 | $15 | 2.3× |
| Chloride urine (82436) | $11.20 | $16 | 1.9× |
| Cholesterol total (82465) | $9.80 | $14 | 2.3× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$18.20–$27.30 | $26–$39 | varies |
| Chorionic gonadotropin test (84702) | $15.40 | $22 | 1.0× |
| Chromium serum (82495) | $156.80 | $224 | 7.7× |
| Chromogranin a (86316) | $66.50 | $95 | 3.2× |
| Chromosome Analysis 15-20 (88262) | $305.20 | $436 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$61.60–$78.40 | $88–$112 | varies |
| Citric acid urine (82507) | $61.60 | $88 | 2.2× |
| Ckmb (82553) | $25.90 | $37 | 2.2× |
| Clostridium Difficile (87324) | $26.60 | $38 | 2.2× |
| Clotting factor xii hageman (85280) | $92.40 | $132 | 4.8× |
| Coagulation time activated (85347) | $9.80 | $14 | 2.3× |
| Coagulation time other methods (85348) | $6.30 | $9 | 1.4× |
| Coccidioides antibody (86635) | $25.90 | $37 | 2.3× |
| Cold agglutinin screen (86156) | $14.70 | $21 | 1.8× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$40.60–$291.20 | $58–$416 | varies |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $161.70 | $231 | 0.3× |
| Compatibility Each Unit Incubation (86921) | $78.40 | $112 | 0.5× |
| Compatibility test antiglob (86922) | $78.40 | $112 | 0.5× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$16.80–$26.60 | $24–$38 | varies |
| Complement Fixation Tests Each Antigen (86171) | $22.40 | $32 | 2.2× |
| Complement Total (Ch50) (86162) | $44.80 | $64 | 2.2× |
| Complement/Function Activity (86161) | $26.60 | $38 | 2.2× |
| Coombs direct (86880) | $11.90 | $17 | 2.2× |
| Copper urine (82525) | $28 | $40 | 2.3× |
| Cortisol free (82530) | $37.10 | $53 | 2.2× |
| Cortisol saliva (82533) | $36.40 | $52 | 2.2× |
| Creatine kinase total (82550) | $14.70 | $21 | 2.3× |
| Creatinine blood (82565) | $11.90 | $17 | 2.3× |
| Creatinine clearance (82575) | $21 | $30 | 2.2× |
| Creatinine Urine (82570) | $11.90 | $17 | 2.3× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$72.80–$78.40 | $104–$112 | varies |
| Crp High Sensitivity (86141) | $28.70 | $41 | 2.2× |
| Cryoglobulin (82595) | $14.70 | $21 | 2.3× |
| Cryptococcus ab (86641) | $32.20 | $46 | 2.2× |
| Cryptococcus ag titer (87899) | $26.60 | $38 | 1.7× |
| Cryptosporidium (87272) | $26.60 | $38 | 2.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $18.20 | $26 | 2.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $18.20 | $26 | 2.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $15.40 | $22 | 2.0× |
| Culture afb (87116) | $22.40 | $32 | 2.1× |
| Culture Anaerobic (87075) | $15.40 | $22 | 1.6× |
| Culture blood (87040) range across 2 matching MRF lines |
$23.10–$30.80 | $33–$44 | varies |
| Culture chlamydia (87110) | $50.40 | $72 | 2.6× |
| Culture csf (87070) | $19.60 | $28 | 2.3× |
| Culture fungus (87102) | $18.90 | $27 | 2.2× |
| Culture fungus blood (87103) | $15.40 | $22 | 0.8× |
| Culture screen only (87081) range across 4 matching MRF lines |
$14.70–$19.60 | $21–$28 | varies |
| Culture stool (87045) | $21 | $30 | 2.2× |
| Culture urine (87086) | $15.40 | $22 | 1.9× |
| Cyanide (82600) | $28.70 | $41 | 1.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $32.20 | $46 | 2.2× |
| Cyclosporine (80158) | $40.60 | $58 | 2.2× |
| Cyp2c19 gene analysis common variants (81225) | $1,010.80 | $1,444 | 3.5× |
| Cystatin C (82610) | $30.10 | $43 | 1.6× |
| Cytomegalovirus igg (86644) | $40.60 | $58 | 2.8× |
| Cytopath Cell Enhance Tech (88112) | $176.40 | $252 | 3.4× |
| Cytp Concentration Smears & Interpretation (88108) | $52.50 | $75 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $84.70 | $121 | 2.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $45.50 | $65 | 2.5× |
| Deoxyribonuclease antibody (86215) | $29.40 | $42 | 2.2× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$78.40–$591.50 | $112–$845 | varies |
| Detect Agent Nos Dna Quant (87799) | $436.10 | $623 | 10.2× |
| Detect agnt mult DNA ampli (87801) | $156.10 | $223 | 2.2× |
| Dhea (82626) | $56 | $80 | 2.2× |
| Dhea-S (82627) | $49.70 | $71 | 2.2× |
| Digoxin (80162) | $29.40 | $42 | 2.2× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$30.10–$529.20 | $43–$756 | varies |
| Dna Antibody Single Stranded (86226) | $27.30 | $39 | 2.3× |
| Drug assay acetaminophen (80143) | $39.20 | $56 | 2.1× |
| Drug Assay Everolimus (80169) | $39.20 | $56 | 2.9× |
| Drug Screen Quant Zonisamide (80203) | $81.90 | $117 | 6.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $30.10 | $43 | 2.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $37.10 | $53 | 2.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$48.30–$513.80 | $69–$734 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$135.80–$513.80 | $194–$734 | varies |
| Ehrlichia antibody (86666) | $14 | $20 | 1.4× |
| Electrolyte panel (80051) | $15.40 | $22 | 2.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $75.60 | $108 | 1.2× |
| Enterovirus Antibody (86658) | $39.20 | $56 | 3.0× |
| Enzyme cell activity (82657) | $508.20 | $726 | 22.9× |
| Erythropoietin (82668) | $42 | $60 | 2.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$61.60–$227.50 | $88–$325 | varies |
| Estriol (82677) | $53.20 | $76 | 2.2× |
| Estrogen total (82672) | $48.30 | $69 | 2.2× |
| Ethosuximide (80168) | $36.40 | $52 | 2.2× |
| Ethylene Glycol (82693) | $33.60 | $48 | 2.3× |
| Exam Synovial Fluid Crystals (89060) | $15.40 | $22 | 2.1× |
| F2 Gene (81240) | $693 | $990 | 10.5× |
| Factor ix activity (85250) | $67.90 | $97 | 3.6× |
| Factor v leiden mutation (81241) | $693 | $990 | 9.4× |
| Factor viii assay (85240) | $56 | $80 | 3.1× |
| Factor X (85260) | $97.30 | $139 | 5.4× |
| Factor xi activity (85270) | $113.40 | $162 | 6.3× |
| Fat/Lipids Feces Quantitative (82710) | $14 | $20 | 0.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $98 | $140 | 15.0× |
| Fecal Fat Qualitative (82705) | $27.30 | $39 | 5.4× |
| Ferritin (82728) | $30.10 | $43 | 2.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $140.70 | $201 | 0.9× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $105.70 | $151 | 1.9× |
| Fetal Fibronectin (82731) | $173.60 | $248 | 2.7× |
| Fetal screen rosette (85461) | $14.70 | $21 | 1.6× |
| Fibrin degradation products (85362) | $56 | $80 | 8.1× |
| Fibrin Degradation Quant (85379) | $22.40 | $32 | 2.2× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $15.40 | $22 | 1.6× |
| Fibrinogen activity (85384) | $20.30 | $29 | 2.1× |
| Flow cytometry first marker (88184) | $51.10 | $73 | 0.1× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$27.30–$485.10 | $39–$693 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 6 matching MRF lines |
$27.30–$37.10 | $39–$53 | varies |
| Fmr1 gene detection (81243) | $352.10 | $503 | 6.2× |
| Folic acid rbc (82747) | $38.50 | $55 | 2.2× |
| Folic Acid Serum (82746) | $32.90 | $47 | 2.2× |
| Follicle Stimulating Hormone (83001) | $41.30 | $59 | 2.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $28.70 | $41 | 0.2× |
| Frozen Section (88331) | $133.70 | $191 | 0.8× |
| Fungi Identification Yeast (87106) | $23.10 | $33 | 2.2× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$36.40–$102.20 | $52–$146 | varies |
| Gases blood ph only (82800) | $18.90 | $27 | 1.7× |
| Gastrin (82941) | $39.90 | $57 | 2.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $161.70 | $231 | 0.4× |
| Gentamicin (80170) | $36.40 | $52 | 2.2× |
| Ggt (82977) | $16.80 | $24 | 2.3× |
| Giardia antigen (87329) | $26.60 | $38 | 2.2× |
| Giardia lamblia antibody (86674) | $18.20 | $26 | 1.2× |
| Glucagon (82943) | $30.80 | $44 | 2.2× |
| Glucose 2 hr pp (82950) | $11.20 | $16 | 2.4× |
| Glucose Blood Test (82962) | $9.10 | $13 | 2.8× |
| Glucose body fluid (82945) | $9.10 | $13 | 2.3× |
| Glucose Serum (82947) | $9.10 | $13 | 2.3× |
| Glucose tolerance test (gtt) (82951) | $28.70 | $41 | 2.2× |
| Glycated Protein (82985) | $33.60 | $48 | 2.0× |
| Gonadotropin Chorionic Qualitative (84703) | $17.50 | $25 | 2.3× |
| Gonadotropin releasing hormone (83727) | $224 | $320 | 13.0× |
| Growth hormone (83003) | $37.10 | $53 | 2.2× |
| Gtt-added samples (82952) | $9.10 | $13 | 2.3× |
| H Pylori (C-13) Breath (83013) | $182 | $260 | 2.7× |
| H Pylori Drug Admin (83014) | $18.20 | $26 | 2.3× |
| Haptoglobin (83010) | $28 | $40 | 2.2× |
| Hba1/Hba2 Gene (81257) | $502.60 | $718 | 4.9× |
| Hdl Cholesterol (83718) | $18.20 | $26 | 2.2× |
| Heavy metal qualitative any analytes (83015) | $42 | $60 | 2.0× |
| Helicobacter Pylori Stool (87338) | $16.80 | $24 | 1.2× |
| Hematocrit (85014) | $5.60 | $8 | 2.4× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$5.60–$34.30 | $8–$49 | varies |
| Hemoglobin a1c (83036) | $21.70 | $31 | 2.2× |
| Hemoglobin electrophoresis (83020) | $28.70 | $41 | 2.2× |
| Hemolysins&Agglutinins Incubated (86941) | $27.30 | $39 | 2.3× |
| Hep a ab igm (86709) | $33.60 | $48 | 3.0× |
| Heparin assay (85520) | $18.90 | $27 | 1.4× |
| Hepatitis a antibody total (86708) | $33.60 | $48 | 2.7× |
| Hepatitis b core ab igm (86705) | $33.60 | $48 | 2.9× |
| Hepatitis b core ab total (86704) | $33.60 | $48 | 2.8× |
| Hepatitis B Surface Antibody (86706) | $24.50 | $35 | 2.3× |
| Hepatitis B Surface Antigen (87340) | $22.40 | $32 | 2.2× |
| Hepatitis Be Antibody (86707) | $25.90 | $37 | 2.2× |
| Hepatitis Be Antigen (87350) | $25.90 | $37 | 2.2× |
| Hepatitis C Antibody (86803) | $32.20 | $46 | 2.3× |
| Hepatitis c antibody confirmatory test (86804) | $34.30 | $49 | 2.2× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$223.30–$567.70 | $319–$811 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $106.40 | $152 | 3.0× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$37.10–$104.30 | $53–$149 | varies |
| Hepatitis Delta Agent Antibody (86692) | $37.80 | $54 | 2.2× |
| Herpes simplex type 2 (86696) | $42.70 | $61 | 2.2× |
| Heterophile antibodies titer (86309) | $14.70 | $21 | 2.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$11.90–$37.10 | $17–$53 | varies |
| Hfe Gene (81256) range across 5 matching MRF lines |
$9.10–$296.80 | $13–$424 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $81.20 | $116 | 10.5× |
| Histoplasma antibody (86698) | $28 | $40 | 2.0× |
| Hiv Genotype (87901) | $567.70 | $811 | 2.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $42.70 | $61 | 1.8× |
| Hiv-1 Antibody (86701) | $19.60 | $28 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $188.30 | $269 | 2.2× |
| Hla ii type 1 ag equiv lr (81377) | $446.60 | $638 | 4.7× |
| Hla ii typing 1 allele hr (81383) | $412.30 | $589 | 3.8× |
| Hla ii typing 1 locus lr (81376) | $446.60 | $638 | 3.7× |
| Hla-b27 (86812) | $57.40 | $82 | 2.2× |
| Homocysteine (83090) | $37.10 | $53 | 2.1× |
| Hsv Dna Quant (87530) | $95.20 | $136 | 2.2× |
| Hydroxycorticosteroids 17 (83491) | $38.50 | $55 | 2.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$60.20–$110.60 | $86–$158 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $26.60 | $38 | 2.2× |
| Iaadi pneumocustis carinii (87281) | $26.60 | $38 | 2.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $180.60 | $258 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $95.20 | $136 | 2.2× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$95.20–$331.10 | $136–$473 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $192.50 | $275 | 5.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$73.50–$78.40 | $105–$112 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $129.50 | $185 | 0.9× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$7.70–$13.30 | $11–$19 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $35 | $50 | 1.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $30.10 | $43 | 1.6× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $25.90 | $37 | 1.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $53.90 | $77 | 3.6× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$23.10–$114.10 | $33–$163 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $49.70 | $71 | 2.1× |
| Immunoelectrophoresis Serum (86320) | $49.70 | $71 | 1.7× |
| Immunofixation electrophoresis (86334) | $49.70 | $71 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $26.60 | $38 | 1.7× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$26.60–$52.50 | $38–$75 | varies |
| Inhibin A (86336) | $35 | $50 | 2.2× |
| Inhibin b (83520) range across 15 matching MRF lines |
$25.90–$133 | $37–$190 | varies |
| Insulin antibodies (86337) | $47.60 | $68 | 2.2× |
| Insulin total (83525) | $25.90 | $37 | 2.3× |
| Intrinsic factor antibody (86340) | $46.20 | $66 | 3.1× |
| Iron (83540) | $14.70 | $21 | 2.3× |
| Iron Binding Capacity (83550) | $19.60 | $28 | 2.2× |
| Islet cell antibody (86341) | $25.90 | $37 | 1.1× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,213.10 | $1,733 | 13.2× |
| Ketosteroids 17 total (83586) | $28.70 | $41 | 2.2× |
| Koh Prep (87220) range across 2 matching MRF lines |
$9.80–$29.40 | $14–$42 | varies |
| L/s ratio (83661) | $49 | $70 | 2.2× |
| Lactate (ld) (ldh) enzyme (83615) | $13.30 | $19 | 2.2× |
| Lactoferrin Fecal Quantitative (83631) | $121.10 | $173 | 6.2× |
| Ldh Isoenzymes (83625) | $28.70 | $41 | 2.2× |
| LDL direct (83721) | $21 | $30 | 2.0× |
| Lead (83655) | $27.30 | $39 | 2.3× |
| Legionella antibody (86713) | $34.30 | $49 | 2.2× |
| Leukocyte Assessment Fecal (89055) | $9.80 | $14 | 2.3× |
| Leukocyte phagocytosis (86344) | $18.20 | $26 | 1.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $30.80 | $44 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $65.10 | $93 | 1.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $357.70 | $511 | 1.0× |
| Lidocaine (80176) | $32.90 | $47 | 2.2× |
| Lipase (83690) | $15.40 | $22 | 2.2× |
| Lipoprotein Bld Quan Part (83704) | $83.30 | $119 | 2.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$55.30–$227.50 | $79–$325 | varies |
| Lithium (80178) | $14.70 | $21 | 2.2× |
| Luteinizing Hormone (Lh) (83002) | $41.30 | $59 | 2.2× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$37.80–$50.40 | $54–$72 | varies |
| Lysozyme serum (85549) | $42 | $60 | 2.2× |
| M. Genitalium Amp Probe (87563) | $87.50 | $125 | 2.5× |
| Magnesium Urine (83735) | $14.70 | $21 | 2.2× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$40.60–$168 | $58–$240 | varies |
| Mercury urine (83825) | $159.60 | $228 | 9.8× |
| Metabolic panel ionized ca (80047) | $18.90 | $27 | 1.4× |
| Microalbumin, quantitative (82043) | $13.30 | $19 | 2.3× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$32.90–$40.60 | $47–$58 | varies |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,701.70 | $2,431 | 2.5× |
| Molecular Pathology Procedure Level 3 (81402) | $291.20 | $416 | 1.9× |
| Mopath procedure level 2 (81401) | $291.20 | $416 | 2.1× |
| Mopath procedure level 4 (81403) | $550.90 | $787 | 3.0× |
| Mumps antibody (86735) | $47.60 | $68 | 3.6× |
| Mycoplasma antibody (86738) | $29.40 | $42 | 2.2× |
| Myoglobin urine (83874) | $53.20 | $76 | 4.1× |
| Natriuretic peptide (83880) | $61.60 | $88 | 1.6× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$14–$138.60 | $20–$198 | varies |
| Occult blood feces (82272) | $7 | $10 | 1.7× |
| Occult Blood Other Sources (82271) | $7 | $10 | 1.3× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$44.80–$107.80 | $64–$154 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $82.60 | $118 | 5.0× |
| Osmolality serum (83930) | $14.70 | $21 | 2.2× |
| Osmotic Fragility RBC Unincubated (85555) | $14.70 | $21 | 2.0× |
| Osteocalcin (83937) | $25.90 | $37 | 0.9× |
| Ova and parasites smears (87177) | $19.60 | $28 | 2.2× |
| Oxalate urine (83945) | $28.70 | $41 | 2.0× |
| Particle Agglut Antbdy Titr (86406) | $23.10 | $33 | 2.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 8 matching MRF lines |
$22.40–$33.60 | $32–$48 | varies |
| Parvovirus antibody (86747) | $79.80 | $114 | 5.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$4.90–$91 | $7–$130 | varies |
| Phenobarbital Level (80184) | $25.90 | $37 | 1.7× |
| Phenotype Infect Agent Drug (87900) | $1,059.10 | $1,513 | 8.1× |
| Phenylalanine (84030) | $72.10 | $103 | 13.1× |
| Phenytoin (Dilantin) (80185) | $29.40 | $42 | 2.2× |
| Phenytoin free (80186) | $30.10 | $43 | 2.2× |
| Phosphatase acid prostatic (84066) | $21.70 | $31 | 2.2× |
| Phosphatase alkaline (84075) | $11.90 | $17 | 2.3× |
| Phosphatidylglycerol (84081) | $36.40 | $52 | 2.2× |
| Phosphorus Serum (84100) | $11.20 | $16 | 2.4× |
| Phosphorus urine (84105) | $11.20 | $16 | 1.9× |
| Platelet Aggregation (85576) | $46.20 | $66 | 1.9× |
| Platelet count automated (85049) | $10.50 | $15 | 2.3× |
| Pooling blood platelets (86965) | $56 | $80 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $146.30 | $209 | 17.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$32.90–$146.30 | $47–$209 | varies |
| Potassium Urine (84133) | $9.80 | $14 | 2.1× |
| Prealbumin (84134) | $32.90 | $47 | 2.3× |
| Primidone (80188) | $37.10 | $53 | 2.2× |
| Procalcitonin (Pct) (84145) | $201.60 | $288 | 7.4× |
| Progesterone (84144) | $46.20 | $66 | 2.2× |
| Prolactin (84146) | $43.40 | $62 | 2.2× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$9.10–$457.80 | $13–$654 | varies |
| Protein C Activity (85303) | $77 | $110 | 5.6× |
| Protein c antigen (85302) | $26.60 | $38 | 2.2× |
| Protein Electrophoresis Urine (84166) | $39.90 | $57 | 2.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $24.50 | $35 | 2.3× |
| Protein S Free (85306) | $34.30 | $49 | 2.2× |
| Protein s total (85305) | $88.20 | $126 | 7.6× |
| Protein total serum (84155) | $9.10 | $13 | 2.5× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$9.10–$40.60 | $13–$58 | varies |
| PSA free (84154) | $41.30 | $59 | 2.2× |
| Pth Intact (83970) | $91 | $130 | 2.2× |
| Quantiferon tb gold plus (86480) | $137.20 | $196 | 2.2× |
| Quantitative assay drug (80299) range across 13 matching MRF lines |
$30.10–$295.40 | $43–$422 | varies |
| Quantitative Screen Metals (83018) range across 5 matching MRF lines |
$49–$235.20 | $70–$336 | varies |
| Quinidine (80194) | $32.90 | $47 | 2.3× |
| Rbc antibody elution (86860) | $77 | $110 | 0.5× |
| Rbc antibody identification (86870) | $81.20 | $116 | 0.2× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$12.60–$103.60 | $18–$148 | varies |
| Rbc pretreatment serum (86978) | $77 | $110 | 1.3× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$23.10–$92.40 | $33–$132 | varies |
| Reagent Strip/Blood Glucose (82948) | $7 | $10 | 1.4× |
| Receptor assay estrogen (84233) | $142.80 | $204 | 1.6× |
| Renin activity plasma (84244) | $49 | $70 | 2.2× |
| Resp virus 12-25 targets (87633) | $379.40 | $542 | 0.9× |
| Resp Virus 6-11 Targets (87632) | $198.10 | $283 | 0.9× |
| Rh (86901) | $22.40 | $32 | 7.5× |
| Rheumatoid Factor Qualitative (86430) | $12.60 | $18 | 2.1× |
| Rheumatoid factor quant (86431) | $12.60 | $18 | 2.2× |
| Rickettsia antibody (86757) | $42.70 | $61 | 2.2× |
| Ristocetin cofactor (85245) | $42 | $60 | 1.8× |
| Rotavirus ag eia (87425) | $26.60 | $38 | 2.2× |
| Rpr qualitative (86592) | $9.80 | $14 | 2.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$26.60–$108.50 | $38–$155 | varies |
| Rubella Antibody (86762) | $32.20 | $46 | 2.2× |
| Rubeola antibody (86765) | $28.70 | $41 | 2.2× |
| Russell Viper Venom Time Diluted (85613) | $21 | $30 | 2.2× |
| Salicylate Level (80179) | $39.20 | $56 | 2.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$91–$107.10 | $130–$153 | varies |
| Sedimentation rate (85651) | $7.70 | $11 | 1.8× |
| Selenium (84255) | $56.70 | $81 | 2.2× |
| Semen Anal Sperm Detection (89321) | $27.30 | $39 | 2.3× |
| Semen analysis complete (89320) | $27.30 | $39 | 2.2× |
| Sensitivity mic (87186) | $19.60 | $28 | 2.3× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$27.30–$53.20 | $39–$76 | varies |
| Sickling of rbc reduction (85660) | $12.60 | $18 | 2.3× |
| Sirolimus (80195) | $30.10 | $43 | 2.2× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$11.90–$126 | $17–$180 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$11.90–$14.70 | $17–$21 | varies |
| Smear gram stain (87205) | $9.80 | $14 | 2.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$9.80–$11.20 | $14–$16 | varies |
| Sodium Serum (84295) | $11.20 | $16 | 2.3× |
| Sodium Urine (84300) | $7.70 | $11 | 1.5× |
| Soluble Transferrin Receptor (84238) | $81.20 | $116 | 2.2× |
| Somatomedin (84305) | $47.60 | $68 | 2.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$114.80–$138.60 | $164–$198 | varies |
| Special Stains Group 2 (88313) | $77 | $110 | 0.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $28 | $40 | 0.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $40.60 | $58 | 0.2× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$26.60–$35 | $38–$50 | varies |
| Sulfate urine (84392) | $11.20 | $16 | 2.0× |
| Surg path level iii (88304) | $67.20 | $96 | 1.3× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$40.60–$91.70 | $58–$131 | varies |
| Surgical pathology level vi (88309) | $547.40 | $782 | 0.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $15.40 | $22 | 2.1× |
| Sweat Collection Iontophoresis (89230) | $40.60 | $58 | 0.8× |
| Syphilis Test Non-Trep Quant (86593) | $10.50 | $15 | 2.4× |
| T cells absolute cd4 count (86361) | $46.20 | $66 | 1.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $41.30 | $59 | 0.9× |
| T cells total count (86359) | $41.30 | $59 | 1.1× |
| T3 Free (84481) | $50.40 | $72 | 3.0× |
| T3 reverse (84482) | $35 | $50 | 2.2× |
| T3 Total (84480) | $32.20 | $46 | 2.3× |
| T3 Uptake (84479) | $14.70 | $21 | 2.3× |
| T4 Free (84439) | $20.30 | $29 | 2.3× |
| T4 total (84436) | $15.40 | $22 | 2.2× |
| T4-neonatal (84437) | $14.70 | $21 | 2.3× |
| Tacrolimus (80197) | $30.10 | $43 | 2.2× |
| Test for acetone/ketones (82009) | $10.50 | $15 | 2.3× |
| Testosterone Bioavailable (84410) | $57.40 | $82 | 1.1× |
| Testosterone total (84403) | $67.20 | $96 | 2.6× |
| Testosterone, Free (84402) | $56.70 | $81 | 2.2× |
| Theophylline (80198) | $32.20 | $46 | 2.3× |
| Thrombin Time (85670) | $46.20 | $66 | 8.0× |
| Thyroglobulin (84432) | $35.70 | $51 | 2.2× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$23.80–$35.70 | $34–$51 | varies |
| Thyroxine binding globulin (84442) | $18.90 | $27 | 1.3× |
| Tobramycin peak (80200) | $35.70 | $51 | 2.2× |
| Topiramate (80201) | $26.60 | $38 | 2.2× |
| Toxoplasma ab igm (86778) | $53.20 | $76 | 3.7× |
| Toxoplasma antibody (86777) | $56.70 | $81 | 3.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $11.90 | $17 | 2.3× |
| Transferrin (84466) | $28.70 | $41 | 2.2× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$73.50–$471.10 | $105–$673 | varies |
| Triglycerides (84478) | $12.60 | $18 | 2.2× |
| Troponin Quant (84484) | $21.70 | $31 | 1.7× |
| Urea Nitrogen Clearance (84545) | $19.60 | $28 | 2.7× |
| Urea nitrogen urine (84540) | $14.70 | $21 | 2.6× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$7.70–$10.50 | $11–$15 | varies |
| Urinalysis Microscopic Only (81015) | $6.30 | $9 | 2.1× |
| Urinalysis Volume Measure (81050) | $7 | $10 | 1.9× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$14–$35 | $20–$50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $63 | $90 | 19.9× |
| Urobilinogen urine qual (84578) | $7 | $10 | 1.6× |
| Valproic acid (80164) | $30.10 | $43 | 2.2× |
| Vancomycin (80202) | $30.10 | $43 | 2.2× |
| Varicella-zoster antibody (86787) | $28.70 | $41 | 2.2× |
| Vasopressin (84588) | $45.50 | $65 | 1.3× |
| Viral Culture (87252) | $58.10 | $83 | 2.2× |
| Virus antibody nos (86790) | $44.10 | $63 | 3.4× |
| Virus inoculate tissue addl (87253) | $44.80 | $64 | 2.2× |
| Vit D 1 25-Dihydroxy (82652) | $84.70 | $121 | 2.2× |
| Vitamin A (84590) | $20.30 | $29 | 1.7× |
| Vitamin b-12 (82607) | $33.60 | $48 | 2.2× |
| Vitamin B2 (Riboflavin) (84252) | $47.60 | $68 | 2.4× |
| Vitamin B6 (84207) | $30.80 | $44 | 1.1× |
| Vitamin c (82180) | $19.60 | $28 | 2.0× |
| Vitamin D 25-Hydroxy (82306) | $65.80 | $94 | 2.2× |
| Vitamin E (84446) | $32.20 | $46 | 2.3× |
| Vitamin K (84597) | $52.50 | $75 | 3.8× |
| Volatiles (84600) | $35.70 | $51 | 2.1× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$72.80–$445.90 | $104–$637 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $19.60 | $28 | 2.3× |
| West nile virus ab igm (86788) | $28.70 | $41 | 1.7× |
| West Nile Virus Antibody (86789) | $28.70 | $41 | 2.0× |
| Zinc (84630) | $25.90 | $37 | 2.3× |
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.