Lab & pathology prices at Perry County Memorial Hospital
Tell City, IN · every code in this section with a posted price and a Medicare benchmark.
483 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $345.10 | $493 | 22.3× |
| 17-Hydroxypregnenolone (84143) | $58.10 | $83 | 2.5× |
| Acth (82024) | $208.60 | $298 | 5.4× |
| Actin smooth muscle antibody each (86015) | $158.90 | $227 | 13.2× |
| Acute hepatitis panel (80074) | $231 | $330 | 4.8× |
| Albumin serum (82040) | $84 | $120 | 17.0× |
| Aldolase (82085) | $146.30 | $209 | 15.1× |
| Aldosterone urine (82088) | $181.30 | $259 | 4.4× |
| Alkaline phosphatase isoenzymes (84080) range across 4 matching MRF lines |
$19.60–$391.30 | $28–$559 | varies |
| Allergen specific ige (86003) range across 34 matching MRF lines |
$11.20–$617.40 | $16–$882 | varies |
| Allg Spec Ige Recomb Ea (86008) | $38.50 | $55 | 2.1× |
| Alpha-1-antitrypsin phenotype (82104) | $60.20 | $86 | 4.2× |
| Alpha-1-antitrypsin total (82103) | $60.20 | $86 | 4.5× |
| Alpha-Fetoprotein Serum (82105) range across 6 matching MRF lines |
$45.50–$96.60 | $65–$138 | varies |
| Alt (sgpt) (84460) | $84 | $120 | 15.8× |
| Aluminum (82108) | $47.60 | $68 | 1.9× |
| Amikacin trough (80150) | $153.30 | $219 | 10.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $551.60 | $788 | 24.0× |
| Ammonia (82140) | $245.70 | $351 | 16.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 4 matching MRF lines |
$42–$43.40 | $60–$62 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$56–$84 | $80–$120 | varies |
| Androstenedione (82157) | $103.60 | $148 | 3.5× |
| Angiotensin converting enzyme csf (82164) | $176.40 | $252 | 12.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $214.90 | $307 | 16.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $203 | $290 | 13.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$81.20–$205.10 | $116–$293 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $96.60 | $138 | 7.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $96.60 | $138 | 6.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $189.70 | $271 | 10.5× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$21–$189 | $30–$270 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 5 matching MRF lines |
$69.30–$81.20 | $99–$116 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $69.30 | $99 | 5.3× |
| Antibody HIV-2 (86702) | $125.30 | $179 | 9.3× |
| Antibody identification leukocyte antibodies (86021) | $214.90 | $307 | 14.3× |
| Antibody rotavirus (86759) | $144.90 | $207 | 7.9× |
| Antibody Titer (86886) | $126.70 | $181 | 24.5× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$11.20–$110.60 | $16–$158 | varies |
| Antibody yersinia (86793) | $154 | $220 | 11.7× |
| Antigen typing (86905) | $98 | $140 | 25.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $20.30 | $29 | 3.5× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$129.50–$193.20 | $185–$276 | varies |
| Antistreptolysin o titer (86060) | $93.80 | $134 | 12.8× |
| Antithrombin iii activity (85300) | $45.50 | $65 | 3.8× |
| Antithrombin iii antigen (85301) | $391.30 | $559 | 36.2× |
| Apolipoprotein a1 (82172) | $17.50 | $25 | 0.8× |
| Arsenic (82175) | $100.80 | $144 | 5.3× |
| Assay Blood Carbon Dioxide (82374) | $93.80 | $134 | 19.2× |
| Assay of 5-hiaa (83497) range across 4 matching MRF lines |
$24.50–$85.40 | $35–$122 | varies |
| Assay of blood/uric acid (84550) | $75.60 | $108 | 16.7× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$40.60–$69.30 | $58–$99 | varies |
| Assay of cpk in blood (82552) | $121.10 | $173 | 9.0× |
| Assay of g6pd enzyme (82955) | $175 | $250 | 18.0× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$31.50–$116.90 | $45–$167 | varies |
| Assay of lactic acid (83605) | $179.20 | $256 | 15.5× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$56–$224.70 | $80–$321 | varies |
| Assay of procainamide (80190) | $256.90 | $367 | 4.3× |
| Assay of serotonin (84260) | $400.40 | $572 | 12.9× |
| Assay of serum potassium (84132) | $69.30 | $99 | 14.6× |
| Assay of urea nitrogen (84520) | $51.80 | $74 | 13.1× |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$26.60–$144.90 | $38–$207 | varies |
| Assay of vasoactive intestinal peptide (84586) | $256.90 | $367 | 7.3× |
| Assay of vitamin b-1 (84425) | $45.50 | $65 | 2.1× |
| Assay Ph Body Fluid Nos (83986) | $56 | $80 | 15.6× |
| Assay spec xcp ur&breath ia (82077) | $286.30 | $409 | 16.6× |
| Automated Leukocyte Count (85048) | $60.20 | $86 | 23.7× |
| Bartonella antibody (86611) | $139.30 | $199 | 13.7× |
| Bcr/abl1 gene major bp (81206) | $330.40 | $472 | 2.0× |
| Bcr/abl1 gene minor bp (81207) | $406.70 | $581 | 2.8× |
| Beta-2 Microglobulin (82232) | $200.90 | $287 | 12.4× |
| Bile acids total (82239) | $46.90 | $67 | 2.7× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$93.80–$110.60 | $134–$158 | varies |
| Bilirubin total transcutaneous (88720) | $25.90 | $37 | 5.2× |
| Bl Smear W/O Diff Wbc Count (85008) range across 4 matching MRF lines |
$18.20–$64.40 | $26–$92 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $96.60 | $138 | 0.5× |
| Bld Typing Serologic Rh Phnt (86906) | $206.50 | $295 | 26.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $85.40 | $122 | 16.8× |
| Blood Count Red Blood Cell Automated (85041) | $194.60 | $278 | 64.4× |
| Blood count reticulocyte automated (85045) range across 4 matching MRF lines |
$60.20–$206.50 | $86–$295 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $26.60 | $38 | 7.0× |
| Blood gas (82803) | $380.10 | $543 | 14.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $142.10 | $203 | 22.4× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$22.40–$46.90 | $32–$67 | varies |
| Body fluid cell count (89050) range across 4 matching MRF lines |
$46.20–$84.70 | $66–$121 | varies |
| Bordetella antibody (86615) | $159.60 | $228 | 12.1× |
| C-Peptide (84681) | $156.10 | $223 | 7.5× |
| C-reactive protein (86140) | $69.30 | $99 | 13.4× |
| Ca 19-9 (86301) | $137.90 | $197 | 6.6× |
| Cadmium (82300) | $100.80 | $144 | 4.3× |
| Calcitonin (82308) | $153.30 | $219 | 5.7× |
| Calcium ionized (82330) | $45.50 | $65 | 3.3× |
| Calcium total (82310) | $69.30 | $99 | 13.4× |
| Calculus assay quant (82360) | $390.60 | $558 | 30.3× |
| Calprotectin Fecal (83993) | $179.20 | $256 | 9.1× |
| Cancer Antigen 125 (86304) | $153.30 | $219 | 7.4× |
| Cancer Antigen 27.29 (86300) | $207.90 | $297 | 10.0× |
| Candida antibody (86628) | $130.20 | $186 | 10.8× |
| Carbamazepine total (80156) | $165.90 | $237 | 11.4× |
| Carboxyhemoglobin (82375) | $299.60 | $428 | 24.3× |
| Carcinoembryonic antigen (82378) | $254.80 | $364 | 13.4× |
| Cardiolipin ab iga (86147) | $179.20 | $256 | 7.0× |
| Carotene (82380) | $128.10 | $183 | 13.9× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$60.20–$296.10 | $86–$423 | varies |
| Ccp antibody (86200) | $93.10 | $133 | 7.2× |
| Cell count csf (89051) | $81.20 | $116 | 14.5× |
| Ceruloplasmin (82390) | $128.80 | $184 | 12.0× |
| Cftr gene com variants (81220) | $221.90 | $317 | 0.4× |
| Chlamydia Igm Antibody (86632) | $364 | $520 | 28.7× |
| Chloride other source (82438) | $69.30 | $99 | 13.9× |
| Chloride Serum (82435) | $60.20 | $86 | 13.1× |
| Chloride urine (82436) | $75.60 | $108 | 13.1× |
| Cholesterol total (82465) | $75.60 | $108 | 17.4× |
| Cholinesterase rbc (82482) | $21 | $30 | 2.1× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$42–$102.90 | $60–$147 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $122.50 | $175 | 3.7× |
| Chromogranin a (86316) | $247.10 | $353 | 11.9× |
| Chromosome Analysis 20-25 (88264) | $604.80 | $864 | 4.2× |
| Chromosome analysis, 5 (88261) | $471.80 | $674 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$92.40–$97.30 | $132–$139 | varies |
| Ckmb (82553) | $165.90 | $237 | 14.4× |
| Clostridium Difficile (87324) | $42 | $60 | 3.5× |
| Clot factor xiii fibrin stab (85290) | $149.10 | $213 | 9.1× |
| Cold agglutinin titer (86157) | $84 | $120 | 10.4× |
| Collagen crosslinks (82523) | $401.10 | $573 | 21.5× |
| Column Chromotography Quant (82542) | $65.10 | $93 | 2.7× |
| Compatibility Each Unit Incubation (86921) | $77 | $110 | 0.4× |
| Compatibility test antiglob (86922) | $85.40 | $122 | 0.5× |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$137.90–$213.50 | $197–$305 | varies |
| Complement Total (Ch50) (86162) | $168.70 | $241 | 8.3× |
| Coombs direct (86880) | $40.60 | $58 | 7.5× |
| Copper urine (82525) range across 4 matching MRF lines |
$33.60–$128.10 | $48–$183 | varies |
| Cortisol free (82530) | $77 | $110 | 4.6× |
| Cortisol saliva (82533) | $237.30 | $339 | 14.6× |
| Creatine (82540) | $23.80 | $34 | 5.1× |
| Creatine kinase total (82550) | $84 | $120 | 12.9× |
| Creatinine blood (82565) | $51.80 | $74 | 10.1× |
| Creatinine clearance (82575) | $174.30 | $249 | 18.4× |
| Creatinine Urine (82570) range across 12 matching MRF lines |
$18.20–$69.30 | $26–$99 | varies |
| Crp High Sensitivity (86141) | $81.20 | $116 | 6.3× |
| Cryoglobulin (82595) | $78.40 | $112 | 12.1× |
| Cryptococcus ab (86641) | $93.10 | $133 | 6.5× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$104.30–$295.40 | $149–$422 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $23.80 | $34 | 2.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $165.90 | $237 | 21.5× |
| Culture afb (87116) | $205.10 | $293 | 19.0× |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$35–$208.60 | $50–$298 | varies |
| Culture blood (87040) | $149.10 | $213 | 14.4× |
| Culture chlamydia (87110) | $205.10 | $293 | 10.5× |
| Culture csf (87070) range across 6 matching MRF lines |
$72.80–$122.50 | $104–$175 | varies |
| Culture screen only (87081) range across 11 matching MRF lines |
$16.80–$173.60 | $24–$248 | varies |
| Culture stool (87045) | $159.60 | $228 | 16.9× |
| Culture typing if ea antiserum (87140) | $278.60 | $398 | 50.0× |
| Culture urine (87086) range across 4 matching MRF lines |
$23.80–$60.20 | $34–$86 | varies |
| Cyclosporine (80158) | $167.30 | $239 | 9.3× |
| Cystatin C (82610) | $455 | $650 | 24.6× |
| Cytogenetics 10-30 (88273) | $104.30 | $149 | 3.0× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$134.40–$665 | $192–$950 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,701.60 | $5,288 | 3.2× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$81.20–$154 | $116–$220 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $161 | $230 | 7.9× |
| Cytopath Cell Enhance Tech (88112) | $82.60 | $118 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) | $74.20 | $106 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $123.90 | $177 | 2.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $38.50 | $55 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $67.90 | $97 | 1.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $52.50 | $75 | 1.7× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $608.30 | $869 | 3.4× |
| Deoxycortisol (82634) | $189.70 | $271 | 6.5× |
| Deoxyribonuclease antibody (86215) | $51.80 | $74 | 3.9× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$79.10–$97.30 | $113–$139 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$548.80–$592.20 | $784–$846 | varies |
| Detect agnt mult DNA ampli (87801) | $97.30 | $139 | 1.4× |
| Dgp Antibody Each Ig Class (86258) | $205.10 | $293 | 17.0× |
| Dhea (82626) | $72.80 | $104 | 2.9× |
| Dhea-S (82627) | $213.50 | $305 | 9.6× |
| Digoxin (80162) | $205.10 | $293 | 15.4× |
| Dna Antibody Native/Double Stranded (86225) range across 6 matching MRF lines |
$18.20–$144.90 | $26–$207 | varies |
| Drug Screen Quant Clozapine (80159) | $105 | $150 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $78.40 | $112 | 5.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $153.30 | $219 | 11.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $55.30 | $79 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$18.90–$158.90 | $27–$227 | varies |
| Drug Test Prsmv Instrmnt (80306) | $174.30 | $249 | 10.2× |
| El-1 Fecal Quantitative (82653) | $549.50 | $785 | 23.9× |
| Electrolyte panel (80051) | $28 | $40 | 4.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $31.50 | $45 | 2.6× |
| Eosinophil Smear (89190) | $41.30 | $59 | 7.1× |
| Erythropoietin (82668) | $129.50 | $185 | 6.9× |
| Estradiol serum (82670) | $57.40 | $82 | 2.1× |
| Estriol (82677) range across 3 matching MRF lines |
$66.50–$359.80 | $95–$514 | varies |
| Estrogen total (82672) | $140.70 | $201 | 6.5× |
| Euglobulin lysis (85360) | $268.10 | $383 | 31.9× |
| Exam Synovial Fluid Crystals (89060) | $103.60 | $148 | 14.1× |
| Factor v activity (85220) range across 4 matching MRF lines |
$133–$175.70 | $190–$251 | varies |
| Factor vii assay (85230) | $140.70 | $201 | 7.9× |
| Fat/Lipids Feces Quantitative (82710) | $60.20 | $86 | 3.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $144.90 | $207 | 22.2× |
| Fecal Fat Qualitative (82705) | $78.40 | $112 | 15.4× |
| Ferritin (82728) | $95.90 | $137 | 7.0× |
| Fetal Fibronectin (82731) | $459.20 | $656 | 7.1× |
| Fetal screen rosette (85461) | $28 | $40 | 3.0× |
| Fibrin degradation products (85362) | $146.30 | $209 | 21.2× |
| Fibrin Degradation Quant (85379) | $168.70 | $241 | 16.6× |
| Fibrinogen activity (85384) | $125.30 | $179 | 12.9× |
| Fibrinogen antigen (85385) | $179.20 | $256 | 12.4× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$151.20–$834.40 | $216–$1,192 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$238.70–$448 | $341–$640 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $224.70 | $321 | 18.6× |
| Fmr1 gene detection (81243) | $1,939.70 | $2,771 | 34.0× |
| Folic acid rbc (82747) | $93.80 | $134 | 5.3× |
| Folic Acid Serum (82746) | $173.60 | $248 | 11.8× |
| Follicle Stimulating Hormone (83001) | $117.60 | $168 | 6.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $40.60 | $58 | 0.2× |
| Frozen Section (88331) range across 4 matching MRF lines |
$44.10–$56.70 | $63–$81 | varies |
| Gammaglobulin ige (82785) range across 4 matching MRF lines |
$38.50–$154 | $55–$220 | varies |
| Gases blood ph only (82800) range across 4 matching MRF lines |
$24.50–$72.10 | $35–$103 | varies |
| Gastrin (82941) | $35.70 | $51 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $159.60 | $228 | 4.7× |
| Gentamicin (80170) | $179.20 | $256 | 10.9× |
| Ggt (82977) | $81.90 | $117 | 11.4× |
| Giardia antigen (87329) | $158.20 | $226 | 13.2× |
| Glucose 2 hr pp (82950) | $69.30 | $99 | 14.6× |
| Glucose Blood Test (82962) range across 10 matching MRF lines |
$60.20–$73.50 | $86–$105 | varies |
| Glucose body fluid (82945) | $69.30 | $99 | 17.6× |
| Glucose Serum (82947) | $69.30 | $99 | 17.6× |
| Glucose tolerance test (gtt) (82951) | $274.40 | $392 | 21.3× |
| Glycated Protein (82985) | $13.30 | $19 | 0.8× |
| Gonadotropin Chorionic Qualitative (84703) | $96.60 | $138 | 12.8× |
| Growth hormone (83003) | $134.40 | $192 | 8.1× |
| Gtt-added samples (82952) | $77 | $110 | 19.6× |
| H Pylori (C-13) Breath (83013) | $310.80 | $444 | 4.6× |
| Haptoglobin (83010) | $381.50 | $545 | 30.3× |
| Hdl Cholesterol (83718) | $110.60 | $158 | 13.5× |
| Heavy metal qualitative any analytes (83015) | $433.30 | $619 | 20.7× |
| Helicobacter Pylori Stool (87338) | $134.40 | $192 | 9.3× |
| Hematocrit (85014) | $57.40 | $82 | 24.2× |
| Hemoglobin (85018) | $57.40 | $82 | 24.2× |
| Hemoglobin a1c (83036) | $92.40 | $132 | 9.5× |
| Hemoglobin electrophoresis (83020) | $302.40 | $432 | 23.5× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $316.40 | $452 | 48.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $82.60 | $118 | 9.4× |
| Hemolysins&Agglutinins Incubated (86941) | $82.60 | $118 | 6.8× |
| Hemosiderin urine (83070) | $28 | $40 | 5.9× |
| Hep a ab igm (86709) | $58.10 | $83 | 5.2× |
| Heparin assay (85520) | $314.30 | $449 | 24.0× |
| Hepatitis a antibody total (86708) | $58.10 | $83 | 4.7× |
| Hepatitis b core ab igm (86705) | $26.60 | $38 | 2.3× |
| Hepatitis b core ab total (86704) | $154 | $220 | 12.8× |
| Hepatitis B Surface Antibody (86706) | $100.80 | $144 | 9.4× |
| Hepatitis B Surface Antigen (87340) | $101.50 | $145 | 9.8× |
| Hepatitis c antibody confirmatory test (86804) | $452.90 | $647 | 29.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $660.10 | $943 | 18.8× |
| Herpes simplex type 2 (86696) | $53.90 | $77 | 2.8× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $176.40 | $252 | 23.9× |
| Heterophile Antibody Screen (86308) | $66.50 | $95 | 12.8× |
| Hfe Gene (81256) | $245.70 | $351 | 3.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $119.70 | $171 | 15.5× |
| Histamine urine (83088) | $518.70 | $741 | 17.6× |
| Histoplasma antibody (86698) | $256.90 | $367 | 18.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $116.90 | $167 | 4.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $551.60 | $788 | 7.4× |
| Homocysteine (83090) | $374.50 | $535 | 20.9× |
| Homovanillic acid urine (83150) | $330.40 | $472 | 14.7× |
| Hsv Dna Amp Probe (87529) | $496.30 | $709 | 14.1× |
| Htlv-I Antibody (86687) | $168.70 | $241 | 18.6× |
| Hydroxycorticosteroids 17 (83491) | $372.40 | $532 | 20.8× |
| Hydroxyprogesterone 17-d (83498) | $121.10 | $173 | 4.5× |
| Iaad ia shiga-like toxin (87427) | $49.70 | $71 | 4.1× |
| Iaad Ia Streptococcus Group A (87430) | $84 | $120 | 5.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $92.40 | $132 | 2.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $144.90 | $207 | 4.1× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $280.70 | $401 | 9.3× |
| Iadna Cytomegalovirus Quantification (87497) | $306.60 | $438 | 7.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$92.40–$97.30 | $132–$139 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $179.20 | $256 | 3.5× |
| Ig Light Chains Free Each (83521) | $51.80 | $74 | 3.0× |
| Immunfix e-phorsis/urine/csf (86335) | $51.10 | $73 | 1.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $406.70 | $581 | 22.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $116.90 | $167 | 7.8× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$31.50–$72.80 | $45–$104 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $280.70 | $401 | 12.1× |
| Immunoelectrophoresis Serum (86320) | $289.10 | $413 | 9.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $109.90 | $157 | 0.6× |
| Immunohistochemistry (88342) | $114.10 | $163 | 0.6× |
| In situ hybridization 1st probe stain (88365) range across 4 matching MRF lines |
$194.60–$623.70 | $278–$891 | varies |
| Influenza DNA amp probe (87502) | $322 | $460 | 3.4× |
| Inhibin A (86336) | $19.60 | $28 | 1.3× |
| Inhibin b (83520) range across 6 matching MRF lines |
$208.60–$490 | $298–$700 | varies |
| Insitu hybridization auto (88367) | $351.40 | $502 | 0.9× |
| Insitu hybridization manual (88368) | $283.50 | $405 | 0.7× |
| Insulin antibodies (86337) | $93.80 | $134 | 4.4× |
| Insulin total (83525) range across 4 matching MRF lines |
$110.60–$129.50 | $158–$185 | varies |
| Interleukin-6 (83529) | $206.50 | $295 | 12.0× |
| Iron (83540) | $84 | $120 | 13.0× |
| Iron Binding Capacity (83550) | $176.40 | $252 | 20.2× |
| Irradiation Blood Product Each Unit (86945) | $123.20 | $176 | 3.1× |
| Islet cell antibody (86341) | $133.70 | $191 | 5.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,076.60 | $1,538 | 11.7× |
| Ketosteroids 17 total (83586) | $346.50 | $495 | 27.1× |
| Koh Prep (87220) | $84 | $120 | 19.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$75.60–$84 | $108–$120 | varies |
| Ldh Isoenzymes (83625) | $217.70 | $311 | 17.0× |
| LDL direct (83721) | $20.30 | $29 | 1.9× |
| Lead (83655) | $139.30 | $199 | 11.5× |
| Legionella antibody (86713) | $355.60 | $508 | 23.2× |
| Leukocyte Assessment Fecal (89055) | $139.30 | $199 | 32.6× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$24.50–$41.30 | $35–$59 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 4 matching MRF lines |
$60.90–$84.70 | $87–$121 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 4 matching MRF lines |
$121.80–$263.90 | $174–$377 | varies |
| Lidocaine (80176) | $93.80 | $134 | 6.4× |
| Lipase (83690) | $100.80 | $144 | 14.6× |
| Lipoprotein A (83695) | $274.40 | $392 | 19.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 4 matching MRF lines |
$168.70–$278.60 | $241–$398 | varies |
| Lithium (80178) | $149.10 | $213 | 22.6× |
| Luteinizing Hormone (Lh) (83002) | $235.20 | $336 | 12.7× |
| Lyme disease antibody (86618) | $200.20 | $286 | 11.8× |
| Lysozyme serum (85549) | $39.20 | $56 | 2.1× |
| Macroscopic Exam Parasite (87169) | $22.40 | $32 | 5.2× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$9.10–$149.10 | $13–$213 | varies |
| Mass Spectrometry Quant (83789) | $477.40 | $682 | 19.8× |
| Mercury urine (83825) | $427.70 | $611 | 26.3× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$20.30–$174.30 | $29–$249 | varies |
| Microsomal Antibodies Each (86376) | $57.40 | $82 | 3.9× |
| Mitochondrial Antibody Each (86381) | $121.10 | $173 | 4.8× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $75.60 | $108 | 1.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 6 matching MRF lines |
$45.50–$665 | $65–$950 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $110.60 | $158 | 2.6× |
| Mthfr Gene Analysis Common Variants (81291) | $204.40 | $292 | 3.1× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$200.90–$259 | $287–$370 | varies |
| Mycoplasma antibody (86738) range across 6 matching MRF lines |
$28–$438.20 | $40–$626 | varies |
| Mycoplasma culture (87109) | $274.40 | $392 | 17.8× |
| Myoglobin urine (83874) | $213.50 | $305 | 16.5× |
| Natriuretic peptide (83880) | $243.60 | $348 | 6.2× |
| Niacin (84591) | $464.80 | $664 | 27.2× |
| Nuclear antigen antibody (86235) range across 20 matching MRF lines |
$41.30–$786.80 | $59–$1,124 | varies |
| Occult blood feces (82272) range across 4 matching MRF lines |
$17.50–$46.20 | $25–$66 | varies |
| Occult Blood Other Sources (82271) | $5.60 | $8 | 1.1× |
| Organic Acids Qualitative Each Specimen (83919) | $235.20 | $336 | 14.3× |
| Organic acids urine (83918) | $550.90 | $787 | 23.3× |
| Osmolality serum (83930) | $93.80 | $134 | 14.2× |
| Osmolality Urine (83935) | $57.40 | $82 | 8.4× |
| Osteocalcin (83937) | $141.40 | $202 | 4.7× |
| Ova and parasites smears (87177) | $100.80 | $144 | 11.3× |
| Oxalate urine (83945) | $65.80 | $94 | 4.6× |
| Parvovirus antibody (86747) | $244.30 | $349 | 16.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $63.70 | $91 | 0.1× |
| Pathology Consultation During Surgery (88329) | $71.40 | $102 | 1.1× |
| Ph urine (81003) | $66.50 | $95 | 29.6× |
| Phenobarbital Level (80184) | $174.30 | $249 | 11.4× |
| Phenylalanine (84030) | $174.30 | $249 | 31.7× |
| Phenytoin (Dilantin) (80185) | $197.40 | $282 | 14.9× |
| Phenytoin free (80186) | $189 | $270 | 13.7× |
| Phosphatase acid prostatic (84066) | $137.90 | $197 | 14.3× |
| Phosphatase alkaline (84075) | $84 | $120 | 16.2× |
| Phosphorus Serum (84100) | $75.60 | $108 | 15.9× |
| Phosphorus urine (84105) | $40.60 | $58 | 7.0× |
| Pinworm exam (87172) | $96.60 | $138 | 22.6× |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$121.80–$369.60 | $174–$528 | varies |
| Platelet count automated (85049) | $53.90 | $77 | 12.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 6 matching MRF lines |
$175.70–$244.30 | $251–$349 | varies |
| Potassium Urine (84133) | $72.80 | $104 | 15.4× |
| Prealbumin (84134) | $18.20 | $26 | 1.2× |
| Pregnenolone (84140) | $291.90 | $417 | 14.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $137.90 | $197 | 0.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $61.60 | $88 | 1.0× |
| Pretx serum rbc antibody identification dilution (86976) | $26.60 | $38 | 0.9× |
| Primidone (80188) | $189.70 | $271 | 11.4× |
| Procalcitonin (Pct) (84145) | $309.40 | $442 | 11.4× |
| Progesterone (84144) | $75.60 | $108 | 3.6× |
| Prolactin (84146) | $312.90 | $447 | 16.1× |
| Protein body fluid (84157) | $75.60 | $108 | 18.9× |
| Protein C Activity (85303) | $80.50 | $115 | 5.8× |
| Protein c antigen (85302) | $374.50 | $535 | 31.2× |
| Protein Electrophoresis Urine (84166) | $222.60 | $318 | 12.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$81.20–$196 | $116–$280 | varies |
| Protein S Free (85306) | $65.80 | $94 | 4.3× |
| Protein s total (85305) | $664.30 | $949 | 57.2× |
| Protein total serum (84155) | $75.60 | $108 | 20.6× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$75.60–$146.30 | $108–$209 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $176.40 | $252 | 44.8× |
| Pth Intact (83970) | $198.80 | $284 | 4.8× |
| Quantiferon tb gold plus (86480) | $217 | $310 | 3.5× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$153.30–$413 | $219–$590 | varies |
| Quinidine (80194) | $243.60 | $348 | 16.7× |
| Rbc antibody elution (86860) | $165.90 | $237 | 0.9× |
| Rbc antibody identification (86870) | $116.90 | $167 | 0.3× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$44.80–$81.20 | $64–$116 | varies |
| Rbc pretreatment serum (86978) | $163.80 | $234 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $20.30 | $29 | 0.1× |
| Rbc serum pretx incubj drugs (86975) | $307.30 | $439 | 0.7× |
| Reagent Strip/Blood Glucose (82948) | $69.30 | $99 | 13.8× |
| Receptor assay estrogen (84233) | $1,115.80 | $1,594 | 12.7× |
| Receptor assay progesterone (84234) | $1,046.50 | $1,495 | 16.1× |
| Renin activity plasma (84244) | $222.60 | $318 | 10.1× |
| Rh (86901) range across 4 matching MRF lines |
$22.40–$46.90 | $32–$67 | varies |
| Rheumatoid Factor Qualitative (86430) | $47.60 | $68 | 7.8× |
| Rheumatoid factor quant (86431) | $13.30 | $19 | 2.3× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$140–$496.30 | $200–$709 | varies |
| Ristocetin cofactor (85245) | $233.80 | $334 | 10.2× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$46.20–$57.40 | $66–$82 | varies |
| Rsv Assay W/Optic (87807) | $140.70 | $201 | 10.7× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$81.20–$302.40 | $116–$432 | varies |
| Rubeola antibody (86765) | $179.20 | $256 | 13.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$129.50–$160.30 | $185–$229 | varies |
| Sedimentation Rate, Automated (85652) | $66.50 | $95 | 24.6× |
| Selenium (84255) | $99.40 | $142 | 3.9× |
| Semen Anal Sperm Detection (89321) | $145.60 | $208 | 12.1× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$44.10–$65.80 | $63–$94 | varies |
| Sex Hormone Binding Globulin (84270) | $103.60 | $148 | 4.8× |
| Sickling of rbc reduction (85660) | $95.90 | $137 | 17.4× |
| Sirolimus (80195) | $66.50 | $95 | 4.8× |
| Skin test tuberculosis intradermal (86580) | $27.30 | $39 | 0.9× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$149.10–$173.60 | $213–$248 | varies |
| Smear gram stain (87205) | $57.40 | $82 | 13.4× |
| Smear Special Stain (87207) | $117.60 | $168 | 19.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$75.60–$84 | $108–$120 | varies |
| Sodium Serum (84295) | $66.50 | $95 | 13.8× |
| Sodium Urine (84300) | $72.80 | $104 | 14.4× |
| Somatomedin (84305) range across 4 matching MRF lines |
$42–$200.90 | $60–$287 | varies |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$90.30–$142.80 | $129–$204 | varies |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$71.40–$119.70 | $102–$171 | varies |
| Specific gravity body fluid (84315) | $56 | $80 | 17.1× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$20.30–$144.20 | $29–$206 | varies |
| Surg path level iii (88304) range across 4 matching MRF lines |
$74.20–$97.30 | $106–$139 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$98–$124.60 | $140–$178 | varies |
| Surgical pathology level vi (88309) range across 4 matching MRF lines |
$195.30–$368.20 | $279–$526 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $42 | $60 | 5.6× |
| Syphilis Test Non-Trep Quant (86593) | $140.70 | $201 | 32.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $93.80 | $134 | 2.0× |
| T3 Free (84481) range across 4 matching MRF lines |
$72.10–$278.60 | $103–$398 | varies |
| T3 reverse (84482) | $413 | $590 | 26.2× |
| T4 Free (84439) | $66.50 | $95 | 7.4× |
| T4 total (84436) range across 4 matching MRF lines |
$201.60–$208.60 | $288–$298 | varies |
| Tacrolimus (80197) | $80.50 | $115 | 5.9× |
| Test for acetone/ketones (82009) | $69.30 | $99 | 15.3× |
| Testosterone total (84403) | $129.50 | $185 | 5.0× |
| Testosterone, Free (84402) | $129.50 | $185 | 5.1× |
| Theophylline (80198) | $200.20 | $286 | 14.2× |
| Thrombin Time (85670) | $43.40 | $62 | 7.5× |
| Thromboplastin Inhibition Tissue (85705) | $129.50 | $185 | 13.4× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$45.50–$177.10 | $65–$253 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $198.80 | $284 | 3.9× |
| Thyroxine binding globulin (84442) | $44.80 | $64 | 3.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $31.50 | $45 | 2.7× |
| Tissue culture bone marrow (88237) | $309.40 | $442 | 2.2× |
| Tobramycin peak (80200) | $424.90 | $607 | 26.3× |
| Topiramate (80201) | $196 | $280 | 16.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $117.60 | $168 | 6.0× |
| Toxoplasma ab igm (86778) range across 4 matching MRF lines |
$77.70–$81.20 | $111–$116 | varies |
| Toxoplasma antibody (86777) range across 6 matching MRF lines |
$46.20–$81.20 | $66–$116 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $84 | $120 | 16.2× |
| Transferrin (84466) | $144.20 | $206 | 11.3× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$92.40–$97.30 | $132–$139 | varies |
| Triglycerides (84478) | $100.80 | $144 | 17.6× |
| Troponin Quant (84484) | $213.50 | $305 | 17.1× |
| Tumor Immunohistochem/Manual (88360) | $129.50 | $185 | 0.7× |
| Urea nitrogen urine (84540) | $11.20 | $16 | 2.0× |
| Uric acid other source (84560) range across 4 matching MRF lines |
$18.20–$69.30 | $26–$99 | varies |
| Urinalysis Microscopic Only (81015) | $17.50 | $25 | 5.7× |
| Urinalysis Volume Measure (81050) | $23.80 | $34 | 6.5× |
| Urine Bacteria Culture (87088) | $60.20 | $86 | 7.4× |
| Urine Pregnancy Test (81025) | $102.90 | $147 | 12.0× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $214.90 | $307 | 22.5× |
| Valproic acid (80164) | $122.50 | $175 | 9.0× |
| Vancomycin (80202) | $278.60 | $398 | 20.6× |
| Varicella-zoster antibody (86787) | $208.60 | $298 | 16.2× |
| Vasopressin (84588) | $197.40 | $282 | 5.8× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $233.80 | $334 | 12.0× |
| Viscosity serum (85810) | $44.80 | $64 | 3.8× |
| Vit D 1 25-Dihydroxy (82652) | $250.60 | $358 | 6.5× |
| Vitamin A (84590) | $30.80 | $44 | 2.7× |
| Vitamin b-12 (82607) | $150.50 | $215 | 10.0× |
| Vitamin B2 (Riboflavin) (84252) | $60.20 | $86 | 3.0× |
| Vitamin B6 (84207) | $58.80 | $84 | 2.1× |
| Vitamin c (82180) | $31.50 | $45 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $144.90 | $207 | 4.9× |
| Vitamin E (84446) | $28.70 | $41 | 2.0× |
| Vitamin K (84597) | $302.40 | $432 | 22.0× |
| Volatiles (84600) | $328.30 | $469 | 19.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $217 | $310 | 18.0× |
| Von willebrand factor ag (85246) | $133 | $190 | 5.8× |
| West nile virus ab igm (86788) | $208.60 | $298 | 12.4× |
| West Nile Virus Antibody (86789) | $224.70 | $321 | 15.6× |
| Zinc (84630) range across 4 matching MRF lines |
$67.90–$133 | $97–$190 | 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.