Lab & pathology prices at Pender Community Health
Pender, NE · every code in this section with a posted price and a Medicare benchmark.
489 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $61 | $72 | 3.3× |
| Acetylcholine receptor blocking antibody (86042) | $107 | $126 | 5.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $161 | $189 | 13.4× |
| Acth (82024) | $290 | $341 | 7.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $88 | $103 | 2.7× |
| Actin smooth muscle antibody each (86015) | $109 | $128 | 9.0× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$318–$332 | $374–$391 | varies |
| Albumin Fluid (82042) | $85 | $100 | 10.9× |
| Albumin serum (82040) | $79 | $93 | 16.0× |
| Aldolase (82085) | $104 | $122 | 10.7× |
| Aldosterone urine (82088) | $231 | $272 | 5.7× |
| Alkaline phosphatase isoenzymes (84080) | $28 | $33 | 1.9× |
| Allergen specific ige (86003) | $172 | $202 | 33.0× |
| Allergen specific igg (86001) | $121 | $142 | 15.5× |
| Allg Spec Ige Recomb Ea (86008) | $174 | $205 | 9.7× |
| Alpha-1-antitrypsin phenotype (82104) | $182 | $214 | 12.6× |
| Alpha-1-antitrypsin total (82103) | $164 | $193 | 12.2× |
| Alpha-Fetoprotein Serum (82105) | $132 | $155 | 7.9× |
| Alt (sgpt) (84460) | $89 | $105 | 16.8× |
| Amikacin trough (80150) | $52 | $61 | 3.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $173 | $203 | 10.3× |
| Ammonia (82140) | $133 | $157 | 9.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $220 | $259 | 2.2× |
| Amylase urine (82150) range across 2 matching MRF lines |
$97–$122 | $114–$144 | varies |
| Ana Titer (86039) | $91 | $107 | 8.2× |
| Androstenedione (82157) | $213 | $250 | 7.3× |
| Angiotensin converting enzyme csf (82164) | $128 | $151 | 8.8× |
| Anti-Phospholipid Antibody (86148) | $60 | $70 | 3.7× |
| Antibody aspergillus (86606) | $102 | $120 | 6.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $100 | $118 | 7.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $169 | $199 | 10.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $175 | $206 | 10.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $20 | $24 | 1.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $164 | $193 | 9.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $213 | $251 | 17.4× |
| Antibody haemophilus influenza (86684) | $135 | $159 | 8.5× |
| Antibody helicobacter pylori (86677) | $201 | $237 | 11.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $167 | $197 | 11.6× |
| Antibody Herpes Smplx Type 1 (86695) | $118 | $139 | 8.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $100 | $118 | 7.3× |
| Antibody identification leukocyte antibodies (86021) | $239 | $281 | 15.9× |
| Antibody Protozoa Nes (86753) | $287 | $338 | 23.2× |
| Antibody Titer (86886) | $52 | $61 | 10.0× |
| Antibody Treponema Pallidum (86780) | $77 | $90 | 5.8× |
| Antigen typing (86905) | $201 | $236 | 52.5× |
| Antinuclear antibodies (86038) | $122 | $143 | 10.1× |
| Antistreptolysin o titer (86060) | $95 | $112 | 13.0× |
| Antithrombin iii activity (85300) | $179 | $210 | 15.1× |
| Apolipoprotein a1 (82172) | $101 | $119 | 4.8× |
| Arsenic (82175) | $139 | $163 | 7.3× |
| Aspergillus ag eia (87305) | $236 | $278 | 19.7× |
| Assay myeloperoxidase (83876) | $122 | $144 | 2.4× |
| Assay Nephelometry Not Spec (83883) | $222 | $261 | 16.3× |
| Assay of 5-hiaa (83497) | $105 | $123 | 8.1× |
| Assay of anti-mullerian hormone (82166) | $190 | $224 | 4.9× |
| Assay of blood/uric acid (84550) | $89 | $105 | 19.7× |
| Assay of calcium in urine (82340) | $68 | $80 | 11.3× |
| Assay of estrone (82679) | $223 | $262 | 8.9× |
| Assay of g6pd enzyme (82955) | $47 | $55 | 4.8× |
| Assay of gammaglobulin igm (82784) | $203 | $239 | 21.8× |
| Assay of lactic acid (83605) | $152 | $179 | 13.1× |
| Assay of metanephrines (83835) | $287 | $338 | 16.9× |
| Assay of serotonin (84260) | $175 | $206 | 5.6× |
| Assay of serum potassium (84132) | $83 | $98 | 17.4× |
| Assay of Tyrosine (84510) | $177 | $208 | 16.7× |
| Assay of urea nitrogen (84520) | $85 | $100 | 21.5× |
| Assay of urine vma (84585) | $150 | $177 | 9.7× |
| Assay of vitamin b-1 (84425) | $211 | $248 | 9.9× |
| Assay Ph Body Fluid Nos (83986) | $43 | $50 | 12.0× |
| Automated Leukocyte Count (85048) | $76 | $89 | 29.9× |
| Bcr/abl1 gene major bp (81206) | $626 | $737 | 3.8× |
| Bcr/abl1 gene minor bp (81207) | $379 | $446 | 2.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $613 | $721 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) | $200 | $235 | 7.9× |
| Beta hydroxybutyrate (82010) | $120 | $141 | 14.7× |
| Beta Lactamase (87185) | $53 | $62 | 11.2× |
| Beta-2 Microglobulin (82232) | $98 | $115 | 6.1× |
| Bilirubin direct (82248) | $83 | $98 | 16.5× |
| Bilirubin total (82247) | $92 | $108 | 18.3× |
| Bilirubin total transcutaneous (88720) | $70 | $82 | 13.9× |
| Biotinidase (82261) | $48 | $56 | 2.8× |
| Blastomyces antibody (86612) | $104 | $122 | 8.1× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$13–$22 | $15–$26 | varies |
| Blood count reticulocyte automated (85045) | $68 | $80 | 17.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $48 | $57 | 12.6× |
| Blood gases w/02 saturation (82805) | $236 | $278 | 3.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $50 | $59 | 3.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $31 | $36 | 7.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$253–$272 | $298–$320 | varies |
| Blood typing serologic abo (86900) | $96 | $113 | 32.1× |
| Body fluid cell count (89050) | $169 | $199 | 35.8× |
| Bone marrow smear interpretation (85097) | $684 | $805 | 0.8× |
| Brca1&2 gen full seq dup/del (81162) | $3,068 | $3,609 | 1.7× |
| C diff amplified probe (87493) | $189 | $222 | 5.1× |
| C-Peptide (84681) | $116 | $136 | 5.6× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$107–$137 | $126–$161 | varies |
| Ca 19-9 (86301) | $194 | $228 | 9.3× |
| Cadmium (82300) | $123 | $145 | 5.2× |
| Calcitonin (82308) | $228 | $268 | 8.5× |
| Calcium ionized (82330) | $127 | $149 | 9.3× |
| Calcium total (82310) | $85 | $100 | 16.5× |
| Calculus Spectroscopy (82365) | $98 | $115 | 7.6× |
| Calculus Xray Diffraction (82370) | $87 | $102 | 6.9× |
| Calprotectin Fecal (83993) | $360 | $424 | 18.3× |
| Cancer Antigen 125 (86304) | $200 | $235 | 9.6× |
| Cancer Antigen 27.29 (86300) | $191 | $225 | 9.2× |
| Carbamazepine total (80156) | $136 | $160 | 9.3× |
| Carboxyhemoglobin (82375) | $117 | $138 | 9.5× |
| Carcinoembryonic antigen (82378) | $157 | $185 | 8.3× |
| Cardiolipin ab iga (86147) | $230 | $271 | 9.0× |
| Catecholamines fractionated (82384) | $260 | $306 | 10.3× |
| Ccp antibody (86200) | $133 | $157 | 10.3× |
| Cell count csf (89051) | $127 | $149 | 22.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $458 | $539 | 3.4× |
| Ceruloplasmin (82390) | $112 | $132 | 10.4× |
| Chloride other source (82438) | $65 | $76 | 13.0× |
| Chloride Serum (82435) | $82 | $97 | 17.8× |
| Cholesterol total (82465) | $93 | $109 | 21.4× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$138–$163 | $162–$192 | varies |
| Chromogranin a (86316) | $216 | $254 | 10.4× |
| Chromosome Analysis 15-20 (88262) | $220 | $259 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $150 | $176 | 4.3× |
| Citric acid urine (82507) | $55 | $65 | 2.0× |
| Ckmb (82553) | $166 | $195 | 14.4× |
| Clostridium Difficile (87324) | $87 | $102 | 7.3× |
| Cns DNA amp probe type 12-25 (87483) | $759 | $893 | 1.8× |
| Coccidioides antibody (86635) | $87 | $102 | 7.6× |
| Collagen crosslinks (82523) | $104 | $122 | 5.6× |
| Column Chromotography Quant (82542) | $400 | $471 | 16.6× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$291–$332 | $342–$391 | varies |
| Complement Antigen Each Component (86160) | $162 | $191 | 13.5× |
| Complement Total (Ch50) (86162) | $30 | $35 | 1.5× |
| Complement/Function Activity (86161) | $43 | $51 | 3.6× |
| Coombs direct (86880) | $89 | $105 | 16.5× |
| Copper urine (82525) | $139 | $164 | 11.2× |
| Cortisol free (82530) | $169 | $199 | 10.1× |
| Cortisol saliva (82533) | $142 | $167 | 8.7× |
| Creatine kinase total (82550) | $121 | $142 | 18.6× |
| Creatinine blood (82565) | $88 | $104 | 17.2× |
| Creatinine clearance (82575) | $116 | $137 | 12.3× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$51–$77 | $60–$91 | varies |
| Crossmatch immediate spin (86920) | $252 | $296 | 1.4× |
| Crp High Sensitivity (86141) | $113 | $133 | 8.7× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $413 | $486 | 31.6× |
| Cryptococcus ag titer (87899) | $168 | $198 | 10.5× |
| Cryptosporidium ag eia (87328) | $111 | $130 | 8.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $95 | $112 | 11.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $118 | $139 | 14.6× |
| Culture afb (87116) | $164 | $193 | 15.2× |
| Culture Anaerobic (87075) | $120 | $141 | 12.7× |
| Culture blood (87040) range across 2 matching MRF lines |
$332–$410 | $391–$482 | varies |
| Culture csf (87070) | $120 | $141 | 13.9× |
| Culture fungus (87102) | $101 | $119 | 12.0× |
| Culture screen only (87081) | $82 | $96 | 12.4× |
| Culture stool (87045) | $124 | $146 | 13.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $67 | $79 | 12.9× |
| Culture urine (87086) | $89 | $105 | 11.0× |
| Cyclosporine (80158) | $174 | $205 | 9.6× |
| Cystatin C (82610) | $100 | $118 | 5.4× |
| Cytogenetics 100-300 (88275) | $247 | $290 | 4.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,547 | $1,820 | 1.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$172–$188 | $202–$221 | varies |
| Cytopath Cell Enhance Tech (88112) | $139 | $163 | 2.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $141 | $166 | 5.3× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $88 | $103 | 3.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $224 | $263 | 4.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $87 | $102 | 2.9× |
| Deoxyribonuclease antibody (86215) | $125 | $147 | 9.4× |
| Detect Agent Nos Dna Amp (87798) | $272 | $320 | 7.8× |
| Detect Agent Nos Dna Quant (87799) | $360 | $424 | 8.4× |
| Detect agnt mult DNA ampli (87801) | $102 | $120 | 1.5× |
| Dgp Antibody Each Ig Class (86258) | $20 | $24 | 1.7× |
| Dhea (82626) | $195 | $229 | 7.7× |
| Dhea-S (82627) | $190 | $223 | 8.5× |
| Digoxin (80162) | $161 | $189 | 12.1× |
| Diphtheria antitoxoid (86648) | $116 | $136 | 7.6× |
| Dna Antibody Native/Double Stranded (86225) | $117 | $138 | 8.5× |
| Drug assay acetaminophen (80143) | $365 | $429 | 19.6× |
| Drug assay adalimumab (80145) | $363 | $427 | 9.4× |
| Drug Assay Infliximab (80230) | $326 | $384 | 8.5× |
| Drug Assay Lacosamide (80235) | $138 | $162 | 5.1× |
| Drug Assay Posaconazole (80187) | $371 | $437 | 13.7× |
| Drug Assay Vedolizumab (80280) | $357 | $420 | 9.3× |
| Drug assay voriconazole (80285) | $284 | $334 | 10.5× |
| Drug Screen Quant Zonisamide (80203) | $148 | $174 | 11.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $142 | $167 | 10.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $167 | $197 | 12.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $66 | $78 | 5.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $218 | $256 | 3.5× |
| Drug Test Prsmv Instrmnt (80306) | $227 | $267 | 13.2× |
| Ehrlichia antibody (86666) | $96 | $113 | 9.4× |
| El-1 Fecal Quantitative (82653) | $248 | $292 | 10.8× |
| Electrolyte panel (80051) | $170 | $200 | 24.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $169 | $199 | 2.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $92 | $108 | 7.6× |
| Enterovirus PCR (87498) | $179 | $210 | 5.1× |
| Enzyme cell activity (82657) | $227 | $267 | 10.2× |
| Erythropoietin (82668) | $166 | $195 | 8.8× |
| Estradiol serum (82670) | $186 | $219 | 6.7× |
| Estriol (82677) | $218 | $256 | 9.0× |
| Estrogen total (82672) | $201 | $236 | 9.3× |
| Estrogens fractionated (82671) | $192 | $226 | 5.9× |
| Exam Synovial Fluid Crystals (89060) | $81 | $95 | 11.1× |
| F2 Gene (81240) | $276 | $325 | 4.2× |
| Factor v activity (85220) | $258 | $303 | 14.6× |
| Factor v leiden mutation (81241) | $317 | $373 | 4.3× |
| Factor viii assay (85240) | $257 | $302 | 14.4× |
| Fat/Lipids Feces Quantitative (82710) | $264 | $311 | 15.7× |
| Fecal Fat Qualitative (82705) | $74 | $87 | 14.5× |
| Ferritin (82728) | $150 | $177 | 11.0× |
| Fetal Chrmoml Aneuploidy (81420) | $1,826 | $2,148 | 2.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $244 | $287 | 1.6× |
| Fetal Fibronectin (82731) | $528 | $621 | 8.2× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $87 | $102 | 4.6× |
| Fetal screen rosette (85461) | $145 | $171 | 15.5× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$128–$191 | $150–$225 | varies |
| Fibrinogen activity (85384) | $93 | $109 | 9.6× |
| Flecainide level (80181) | $40 | $47 | 2.1× |
| Flow cytometry first marker (88184) | $287 | $338 | 0.8× |
| Fluorescent antibody screen (86255) | $177 | $208 | 14.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $165 | $194 | 13.7× |
| Fmr1 gene detection (81243) | $220 | $259 | 3.9× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$133–$163 | $157–$192 | varies |
| Follicle Stimulating Hormone (83001) | $146 | $172 | 7.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $183 | $215 | 1.0× |
| Fungi Identification Yeast (87106) | $104 | $122 | 10.1× |
| Galactose (82760) | $39 | $46 | 3.5× |
| Galactose transferase test (82776) | $46 | $54 | 3.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $33 | $39 | 1.6× |
| Gammaglobulin ige (82785) | $122 | $144 | 7.4× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$91–$93 | $107–$109 | varies |
| Gastrin (82941) | $117 | $138 | 6.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $670 | $788 | 1.6× |
| Gentamicin (80170) | $147 | $173 | 9.0× |
| Ggt (82977) | $67 | $79 | 9.3× |
| Giardia antigen (87329) | $122 | $144 | 10.2× |
| Glucagon (82943) | $88 | $103 | 6.2× |
| Glucose 2 hr pp (82950) | $68 | $80 | 14.3× |
| Glucose body fluid (82945) | $60 | $70 | 15.3× |
| Glucose Serum (82947) | $84 | $99 | 21.4× |
| Glucose tolerance test (gtt) (82951) | $164 | $193 | 12.7× |
| Gonadotropin Chorionic Qualitative (84703) | $105 | $124 | 14.0× |
| Gtt-added samples (82952) | $66 | $78 | 16.8× |
| Haptoglobin (83010) | $118 | $139 | 9.4× |
| Helicobacter Pylori Stool (87338) | $152 | $179 | 10.6× |
| Helminth Antibody (86682) | $95 | $112 | 7.3× |
| Hematocrit (85014) | $75 | $88 | 31.6× |
| Hemoglobin (85018) | $71 | $84 | 30.0× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$75–$111 | $88–$131 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$125–$162 | $147–$191 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$71–$78 | $84–$92 | varies |
| Hemoglobin plasma (83051) | $70 | $82 | 9.6× |
| Hemoglobin stability screen (83068) | $414 | $487 | 43.7× |
| Hep a ab igm (86709) | $110 | $129 | 9.8× |
| Hepatitis a antibody total (86708) | $124 | $146 | 10.0× |
| Hepatitis b core ab igm (86705) | $129 | $152 | 11.0× |
| Hepatitis b core ab total (86704) | $138 | $162 | 11.5× |
| Hepatitis B Surface Antibody (86706) | $153 | $180 | 14.2× |
| Hepatitis B Surface Antigen (87340) | $99 | $116 | 9.6× |
| Hepatitis Be Antibody (86707) | $96 | $113 | 8.3× |
| Hepatitis Be Antigen (87350) | $106 | $125 | 9.2× |
| Hepatitis C Antibody (86803) | $120 | $141 | 8.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $484 | $569 | 11.3× |
| Herpes simplex type 2 (86696) | $119 | $140 | 6.1× |
| Heterophile Antibody Screen (86308) | $82 | $97 | 15.8× |
| Hfe Gene (81256) | $467 | $549 | 7.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $79 | $93 | 10.2× |
| Histoplasma antibody (86698) | $119 | $140 | 8.6× |
| Histoplasma antigen urine (87385) | $275 | $324 | 20.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $119 | $140 | 4.9× |
| Hla-b27 (86812) | $155 | $182 | 6.0× |
| Homocysteine (83090) | $235 | $276 | 13.1× |
| Hpv High-Risk Types (87624) | $149 | $175 | 4.2× |
| Hsv Dna Amp Probe (87529) | $230 | $270 | 6.6× |
| Hsv Dna Quant (87530) | $147 | $173 | 3.4× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$124–$168 | $146–$198 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $153 | $180 | 11.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$141–$235 | $166–$277 | varies |
| Iaad ia shiga-like toxin (87427) | $96 | $113 | 8.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $138 | $162 | 11.5× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $54 | $63 | 4.5× |
| Iadna Cytomegalovirus Quantification (87497) | $324 | $381 | 7.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $434 | $510 | 10.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $344 | $405 | 8.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $141 | $166 | 4.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $774 | $911 | 2.9× |
| Ig Light Chains Free Each (83521) | $143 | $168 | 8.3× |
| Igg subclasses (82787) | $281 | $330 | 35.0× |
| Immunfix e-phorsis/urine/csf (86335) | $163 | $192 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $334 | $393 | 18.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $201 | $237 | 13.4× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$162–$190 | $191–$223 | varies |
| Immunodiffusion Ouchterlony (86331) | $15 | $18 | 1.3× |
| Immunofixation electrophoresis (86334) | $175 | $206 | 7.8× |
| Immunohistochemistry (88342) | $270 | $318 | 1.5× |
| In situ hybridization 1st probe stain (88365) | $150 | $177 | 0.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $166 | $195 | 2.4× |
| Influenza a/b ag eia (87400) | $213 | $250 | 15.1× |
| Influenza assay w/optic (87804) | $60 | $71 | 3.6× |
| Inhibin A (86336) | $163 | $192 | 10.5× |
| Inhibin b (83520) | $219 | $258 | 12.7× |
| Insulin antibodies (86337) | $191 | $225 | 8.9× |
| Insulin total (83525) | $125 | $147 | 10.9× |
| Intrinsic factor antibody (86340) | $140 | $165 | 9.3× |
| Iron (83540) | $99 | $117 | 15.3× |
| Iron Binding Capacity (83550) | $112 | $132 | 12.8× |
| Islet cell antibody (86341) | $241 | $283 | 10.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $609 | $716 | 6.6× |
| Lactate (ld) (ldh) enzyme (83615) | $79 | $93 | 13.1× |
| Lactoferrin fecal qualitative (83630) | $101 | $119 | 5.1× |
| LDL direct (83721) | $74 | $87 | 7.0× |
| Lead (83655) | $94 | $110 | 7.8× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$181–$214 | $213–$252 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $111 | $130 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $139 | $164 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $458 | $539 | 1.2× |
| Lipase (83690) | $143 | $168 | 20.8× |
| Lipoprotein A (83695) | $112 | $132 | 7.8× |
| Lithium (80178) | $98 | $115 | 14.8× |
| Luteinizing Hormone (Lh) (83002) | $151 | $178 | 8.2× |
| Lyme disease antibody (86618) | $161 | $189 | 9.5× |
| Lysozyme serum (85549) | $89 | $105 | 4.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $366 | $430 | 2.1× |
| M/phmtrc alys ishquant/semiq (88374) | $541 | $636 | 3.1× |
| Magnesium Urine (83735) | $115 | $135 | 17.2× |
| Mass Spectrometry Quant (83789) | $124 | $146 | 5.1× |
| Mercury urine (83825) | $142 | $167 | 8.7× |
| Methylmalonic acid serum (83921) | $282 | $332 | 13.3× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$110–$115 | $129–$135 | varies |
| Microsomal Antibodies Each (86376) | $115 | $135 | 7.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $650 | $765 | 30.3× |
| Mopath procedure level 4 (81403) | $1,080 | $1,271 | 5.8× |
| Mopath procedure level 8 (81407) | $698 | $821 | 0.8× |
| Mopath procedure level 9 (81408) | $3,208 | $3,774 | 1.6× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$158–$190 | $186–$224 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $196 | $231 | 3.0× |
| Mumps antibody (86735) | $115 | $135 | 8.8× |
| Mycoplasma culture (87109) | $26 | $31 | 1.7× |
| Myoglobin urine (83874) | $138 | $162 | 10.7× |
| Natriuretic peptide (83880) | $292 | $344 | 7.4× |
| Niacin (84591) | $85 | $100 | 5.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$368–$373 | $433–$439 | varies |
| Obstetric panel (80081) | $317 | $373 | 4.2× |
| Occult Blood Other Sources (82271) | $50 | $59 | 9.4× |
| Osmolality serum (83930) | $84 | $99 | 12.7× |
| Osmolality Urine (83935) | $101 | $119 | 14.8× |
| Ova and parasites smears (87177) | $100 | $118 | 11.2× |
| Oxalate urine (83945) | $40 | $47 | 2.8× |
| Particle Agglutination Screen Each Antibody (86403) | $48 | $56 | 4.2× |
| Ph urine (81003) | $45 | $53 | 20.0× |
| Phenobarbital Level (80184) | $147 | $173 | 9.6× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$39–$84 | $46–$99 | varies |
| Phenytoin (Dilantin) (80185) | $138 | $162 | 10.4× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$82–$163 | $96–$192 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $223 | $262 | 12.4× |
| Phosphorus Serum (84100) | $87 | $102 | 18.4× |
| Phosphorus urine (84105) | $47 | $55 | 8.1× |
| Platelet count automated (85049) | $89 | $105 | 19.9× |
| Platelet neutralization (85597) | $99 | $116 | 5.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $48 | $57 | 3.3× |
| Potassium Urine (84133) | $48 | $56 | 10.1× |
| Prealbumin (84134) | $133 | $156 | 9.1× |
| Procalcitonin (Pct) (84145) | $220 | $259 | 8.1× |
| Progesterone (84144) | $146 | $172 | 7.0× |
| Prolactin (84146) | $180 | $212 | 9.3× |
| Protein body fluid (84157) | $65 | $76 | 16.3× |
| Protein C Activity (85303) | $216 | $254 | 15.6× |
| Protein c antigen (85302) | $231 | $272 | 19.2× |
| Protein Electrophoresis Urine (84166) | $139 | $163 | 7.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $119 | $140 | 11.1× |
| Protein S Free (85306) | $214 | $252 | 14.0× |
| Protein s total (85305) | $224 | $264 | 19.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$45–$75 | $53–$88 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$66–$75 | $78–$88 | varies |
| Protein Western Blot Test (84182) | $384 | $452 | 13.1× |
| PSA free (84154) | $113 | $133 | 6.1× |
| Pth Intact (83970) range across 2 matching MRF lines |
$294–$295 | $346–$347 | varies |
| Q Fever Antibody (86638) | $99 | $116 | 8.2× |
| Quantiferon tb gold plus (86480) | $171 | $201 | 2.8× |
| Quantitative assay drug (80299) | $271 | $319 | 14.5× |
| Quantitative Screen Metals (83018) | $121 | $142 | 5.5× |
| Rbc antibody elution (86860) | $94 | $110 | 0.5× |
| Rbc antibody identification (86870) | $211 | $248 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$114–$137 | $134–$161 | varies |
| Renin activity plasma (84244) | $174 | $205 | 7.9× |
| Rh (86901) | $99 | $117 | 33.1× |
| Rheumatoid factor quant (86431) | $74 | $87 | 13.1× |
| Rickettsia antibody (86757) | $164 | $193 | 8.5× |
| Ristocetin cofactor (85245) | $73 | $86 | 3.2× |
| Rotavirus ag eia (87425) | $130 | $153 | 10.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$54–$59 | $63–$69 | varies |
| Rsv Assay W/Optic (87807) | $92 | $108 | 7.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$91–$103 | $107–$121 | varies |
| Rubeola antibody (86765) | $122 | $143 | 9.5× |
| Russell Viper Venom Time Diluted (85613) | $150 | $177 | 15.7× |
| Salicylate Level (80179) | $338 | $398 | 18.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $180 | $212 | 3.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $74 | $87 | 1.8× |
| Sarscov2 & inf a&b amp prb (87636) | $315 | $370 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $377 | $444 | 2.6× |
| Sedimentation rate (85651) | $82 | $96 | 19.2× |
| Selenium (84255) | $110 | $129 | 4.3× |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$62–$97 | $73–$114 | varies |
| Semen analysis complete (89320) | $124 | $146 | 10.1× |
| Sensitivity mic (87186) | $119 | $140 | 13.8× |
| Sex Hormone Binding Globulin (84270) | $137 | $161 | 6.3× |
| Sickling of rbc reduction (85660) | $71 | $83 | 12.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$29–$52 | $34–$61 | varies |
| Smear acid fast (87206) | $91 | $107 | 16.9× |
| Smear complex stain (87209) | $99 | $117 | 5.5× |
| Smear gram stain (87205) | $61 | $72 | 14.3× |
| Smear Special Stain (87207) | $83 | $98 | 13.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $534 | $628 | 3.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $67 | $79 | 11.5× |
| Sodium Serum (84295) | $85 | $100 | 17.7× |
| Sodium Urine (84300) | $58 | $68 | 11.5× |
| Soluble Transferrin Receptor (84238) | $107 | $126 | 2.9× |
| Somatomedin (84305) | $234 | $275 | 11.0× |
| Special Stains Group 1 (88312) | $181 | $213 | 3.3× |
| Special Stains Group 2 (88313) | $237 | $279 | 1.7× |
| Specimen infect agnt concntj (87015) | $58 | $68 | 8.7× |
| Spectrophotometry (84311) | $206 | $242 | 25.4× |
| Staph a DNA amp probe (87640) | $89 | $105 | 2.5× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$93–$115 | $109–$135 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$78–$84 | $92–$99 | varies |
| Strep b DNA amp probe (87653) | $173 | $203 | 4.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $263 | $309 | 2.9× |
| Sugars Single Qual (84376) | $24 | $28 | 4.4× |
| Sulfate urine (84392) | $36 | $42 | 6.6× |
| Surg path level iii (88304) | $168 | $198 | 3.1× |
| Surgical pathology level IV (88305) | $258 | $304 | 4.8× |
| Surgical pathology level vi (88309) | $646 | $760 | 0.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $110 | $129 | 14.7× |
| Syphilis Test Non-Trep Quant (86593) | $49 | $58 | 11.1× |
| T cells absolute cd4 count (86361) | $41 | $48 | 1.5× |
| T3 Free (84481) | $202 | $238 | 11.9× |
| T3 reverse (84482) | $285 | $335 | 18.1× |
| T3 Total (84480) | $125 | $147 | 8.8× |
| T4 Free (84439) range across 2 matching MRF lines |
$113–$133 | $133–$156 | varies |
| T4 total (84436) | $82 | $96 | 11.9× |
| T4-neonatal (84437) | $38 | $45 | 5.9× |
| Tacrolimus (80197) | $216 | $254 | 15.7× |
| Test for acetone/ketones (82009) | $56 | $66 | 12.4× |
| Testosterone total (84403) | $165 | $194 | 6.4× |
| Testosterone, Free (84402) | $182 | $214 | 7.1× |
| Tetanus antibody (86774) | $69 | $81 | 4.7× |
| Theophylline (80198) | $129 | $152 | 9.1× |
| Thiopurine methyltransferase (84433) | $428 | $504 | 19.3× |
| Thrombin Time (85670) | $94 | $110 | 16.3× |
| Thyroglobulin (84432) | $94 | $111 | 5.9× |
| Thyroglobulin Antibody (86800) | $123 | $145 | 7.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $360 | $423 | 7.1× |
| Thyroxine binding globulin (84442) | $104 | $122 | 7.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $116 | $137 | 10.1× |
| Tissue Culture (88233) | $474 | $558 | 3.4× |
| Tissue Culture Lymphocyte (88230) | $473 | $557 | 4.1× |
| Tobramycin peak (80200) | $141 | $166 | 8.7× |
| Toxoplasma ab igm (86778) | $27 | $32 | 1.9× |
| Toxoplasma antibody (86777) | $27 | $32 | 1.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $94 | $110 | 18.1× |
| Transferrin (84466) | $139 | $163 | 10.9× |
| Triglycerides (84478) | $87 | $102 | 15.2× |
| Troponin Quant (84484) | $247 | $291 | 19.8× |
| Tumor immunohistochem/comput (88361) | $592 | $697 | 1.6× |
| Tumor Immunohistochem/Manual (88360) | $750 | $882 | 4.2× |
| Uric acid other source (84560) | $13 | $15 | 2.6× |
| Urinalysis Microscopic Only (81015) | $31 | $36 | 10.2× |
| Urinalysis Volume Measure (81050) | $30 | $35 | 8.2× |
| Urine Albumin Semiquantitative (82044) | $49 | $58 | 7.9× |
| Urine Bacteria Culture (87088) | $102 | $120 | 12.6× |
| Urine Pregnancy Test (81025) | $89 | $105 | 10.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $58 | $68 | 18.3× |
| Valproic acid (80164) | $163 | $192 | 12.0× |
| Vancomycin (80202) | $205 | $241 | 15.1× |
| Varicella-zoster antibody (86787) | $156 | $184 | 12.1× |
| Viral Culture (87252) | $134 | $158 | 5.1× |
| Virus inoculate tissue addl (87253) | $164 | $193 | 8.1× |
| Virus inoculation, shell via (87254) | $122 | $144 | 6.2× |
| Vit D 1 25-Dihydroxy (82652) | $347 | $408 | 9.0× |
| Vitamin A (84590) | $200 | $235 | 17.2× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$145–$173 | $170–$204 | varies |
| Vitamin B6 (84207) | $173 | $204 | 6.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$156–$186 | $184–$219 | varies |
| Vitamin E (84446) | $115 | $135 | 8.1× |
| Vitamin K (84597) | $99 | $116 | 7.2× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$73–$192 | $86–$226 | varies |
| West nile virus ab igm (86788) | $116 | $136 | 6.9× |
| West Nile Virus Antibody (86789) | $110 | $129 | 7.6× |
| Zinc (84630) | $101 | $119 | 8.9× |
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.