Lab & pathology prices at Phelps Memorial Health Center
Holdrege, NE · every code in this section with a posted price and a Medicare benchmark.
557 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $207 | $230 | 9.1× |
| Abl1 gene analysis kinase domain variants (81170) | $1,935.90 | $2,151 | 6.5× |
| Acetylcholine receptor binding antibody (86041) | $35.10 | $39 | 1.9× |
| Acetylcholine receptor blocking antibody (86042) | $35.10 | $39 | 1.9× |
| Acth (82024) | $99.90 | $111 | 2.6× |
| Actin smooth muscle antibody each (86015) | $87.30 | $97 | 7.2× |
| Acute hepatitis panel (80074) | $121.50 | $135 | 2.6× |
| Agglutinins Febrile Each Antigen (86000) | $204.30 | $227 | 29.3× |
| Albumin Fluid (82042) | $20.70 | $23 | 2.7× |
| Albumin serum (82040) | $14.40 | $16 | 2.9× |
| Aldolase (82085) | $124.20 | $138 | 12.8× |
| Aldosterone urine (82088) | $105.30 | $117 | 2.6× |
| Alkaline phosphatase isoenzymes (84080) | $147.60 | $164 | 10.0× |
| Allergen spec ige qual multiallergen screen (86005) | $31.50 | $35 | 4.0× |
| Allergen specific ige (86003) | $15.30 | $17 | 2.9× |
| Allg Spec Ige Recomb Ea (86008) | $428.40 | $476 | 23.9× |
| Alpha-1-antitrypsin phenotype (82104) | $38.70 | $43 | 2.7× |
| Alpha-1-antitrypsin total (82103) | $35.10 | $39 | 2.6× |
| Alpha-Fetoprotein Serum (82105) | $43.20 | $48 | 2.6× |
| Alt (sgpt) (84460) | $15.30 | $17 | 2.9× |
| Amikacin trough (80150) | $139.50 | $155 | 9.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $63 | $70 | 2.7× |
| Aminolevulinic acid (ala) (82135) | $316.80 | $352 | 19.3× |
| Ammonia (82140) | $38.70 | $43 | 2.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $249.30 | $277 | 2.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$17.10–$104.40 | $19–$116 | varies |
| Ana Titer (86039) | $29.70 | $33 | 2.7× |
| Anca screen each antibody (86036) | $49.50 | $55 | 4.1× |
| Androstenedione (82157) | $75.60 | $84 | 2.6× |
| Angiotensin converting enzyme csf (82164) | $38.70 | $43 | 2.7× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32.40–$58.50 | $36–$65 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $41.40 | $46 | 2.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $43.20 | $48 | 2.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $35.10 | $39 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $40.50 | $45 | 2.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $46.80 | $52 | 2.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $34.20 | $38 | 2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $37.80 | $42 | 2.6× |
| Antibody Herpes Smplx Type 1 (86695) | $35.10 | $39 | 2.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $36 | $40 | 2.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$575.10–$581.40 | $639–$646 | varies |
| Antibody hla class ii semiquantitative panel (86835) | $867.60 | $964 | 2.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $42.30 | $47 | 2.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $293.40 | $326 | 23.5× |
| Antibody john cunningham virus (86711) | $127.80 | $142 | 7.6× |
| Antibody Protozoa Nes (86753) | $97.20 | $108 | 7.8× |
| Antibody Titer (86886) | $109.80 | $122 | 21.2× |
| Antibody Treponema Pallidum (86780) | $35.10 | $39 | 2.7× |
| Antibody; influenza virus (86710) | $133.20 | $148 | 9.8× |
| Antigen typing (86905) | $169.20 | $188 | 44.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $15.30 | $17 | 2.7× |
| Antinuclear antibodies (86038) | $32.40 | $36 | 2.7× |
| Antistreptolysin o titer (86060) | $19.80 | $22 | 2.7× |
| Antithrombin iii activity (85300) | $32.40 | $36 | 2.7× |
| Apolipoprotein a1 (82172) | $54.90 | $61 | 2.6× |
| Arsenic (82175) | $50.40 | $56 | 2.7× |
| Aspergillus ag eia (87305) | $479.70 | $533 | 40.0× |
| Assay Blood Carbon Dioxide (82374) | $70.20 | $78 | 14.4× |
| Assay Nephelometry Not Spec (83883) | $36 | $40 | 2.6× |
| Assay of 5-hiaa (83497) | $165.60 | $184 | 12.8× |
| Assay of anti-mullerian hormone (82166) | $211.50 | $235 | 5.5× |
| Assay of blood/uric acid (84550) | $13.50 | $15 | 3.0× |
| Assay of calcium in urine (82340) | $16.20 | $18 | 2.7× |
| Assay of cpk in blood (82552) | $154.80 | $172 | 11.6× |
| Assay of gammaglobulin igm (82784) | $23.40 | $26 | 2.5× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$31.50–$147.60 | $35–$164 | varies |
| Assay of manganese (83785) | $287.10 | $319 | 10.8× |
| Assay of metanephrines (83835) | $43.20 | $48 | 2.6× |
| Assay of proinsulin (84206) | $68.40 | $76 | 2.6× |
| Assay of prostate specific antigen complexed (84152) | $32.40 | $36 | 1.8× |
| Assay of serum potassium (84132) | $14.40 | $16 | 3.0× |
| Assay of sweat sodium (84302) | $135.90 | $151 | 28.0× |
| Assay of urea nitrogen (84520) | $11.70 | $13 | 3.0× |
| Assay of urine vma (84585) | $186.30 | $207 | 12.0× |
| Assay of vasoactive intestinal peptide (84586) | $97.20 | $108 | 2.8× |
| Assay of vitamin b-1 (84425) | $55.80 | $62 | 2.6× |
| Assay Ph Body Fluid Nos (83986) | $64.80 | $72 | 18.1× |
| Automated Leukocyte Count (85048) | $51.30 | $57 | 20.2× |
| B cells total count (86355) | $87.30 | $97 | 2.3× |
| Bartonella antibody (86611) | $98.10 | $109 | 9.6× |
| Beta 2 glycoprotein i antibody each (86146) | $66.60 | $74 | 2.6× |
| Beta hydroxybutyrate (82010) | $21.60 | $24 | 2.6× |
| Beta-2 Microglobulin (82232) | $165.60 | $184 | 10.2× |
| Bile acids total (82239) | $44.10 | $49 | 2.6× |
| Bilirubin direct (82248) | $14.40 | $16 | 2.9× |
| Bilirubin total (82247) | $14.40 | $16 | 2.9× |
| Biotinidase (82261) | $43.20 | $48 | 2.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $10.80 | $12 | 3.1× |
| Blastomyces antibody (86612) | $35.10 | $39 | 2.7× |
| Bld Typing Serologic Rh Phnt (86906) | $152.10 | $169 | 19.6× |
| Blood Count Red Blood Cell Automated (85041) | $52.20 | $58 | 17.3× |
| Blood count reticulocyte automated (85045) | $11.70 | $13 | 2.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $11.70 | $13 | 3.1× |
| Blood count spun microhematocrit (85013) | $68.40 | $76 | 9.8× |
| Blood gas (82803) range across 2 matching MRF lines |
$67.50–$275.40 | $75–$306 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.50 | $15 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $239.40 | $266 | 37.7× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $113.40 | $126 | 6.9× |
| Blood typing serologic abo (86900) | $9 | $10 | 3.0× |
| Body fluid cell count (89050) | $76.50 | $85 | 16.2× |
| Bordetella antibody (86615) | $35.10 | $39 | 2.7× |
| Breath Alcohol Test (82075) | $78.30 | $87 | 2.6× |
| C diff amplified probe (87493) | $233.10 | $259 | 6.3× |
| C-Peptide (84681) | $54 | $60 | 2.6× |
| C-reactive protein (86140) | $15.30 | $17 | 3.0× |
| Ca 19-9 (86301) | $54 | $60 | 2.6× |
| Cadmium (82300) | $61.20 | $68 | 2.6× |
| Calcitonin (82308) | $177.30 | $197 | 6.6× |
| Calcium ionized (82330) | $36 | $40 | 2.6× |
| Calcium total (82310) | $15.30 | $17 | 3.0× |
| Calculus assay quant (82360) | $35.10 | $39 | 2.7× |
| Calculus Xray Diffraction (82370) | $147.60 | $164 | 11.8× |
| Calprotectin Fecal (83993) | $51.30 | $57 | 2.6× |
| Cancer Antigen 125 (86304) | $54 | $60 | 2.6× |
| Cancer Antigen 27.29 (86300) | $54 | $60 | 2.6× |
| Carbamazepine free (80157) | $28.80 | $32 | 2.2× |
| Carbamazepine total (80156) | $38.70 | $43 | 2.7× |
| Carboxyhemoglobin (82375) | $34.20 | $38 | 2.8× |
| Carcinoembryonic antigen (82378) | $240.30 | $267 | 12.7× |
| Cardiolipin ab iga (86147) | $66.60 | $74 | 2.6× |
| Carotene (82380) | $145.80 | $162 | 15.8× |
| Catecholamines fractionated (82384) | $65.70 | $73 | 2.6× |
| Ccp antibody (86200) | $35.10 | $39 | 2.7× |
| Cell count csf (89051) | $15.30 | $17 | 2.7× |
| Ceruloplasmin (82390) | $28.80 | $32 | 2.7× |
| Chemiluminescent assay (82397) | $37.80 | $42 | 2.7× |
| Chlmy trch&neisra gonor mult (87494) | $159.30 | $177 | 2.3× |
| Chloride other source (82438) | $58.50 | $65 | 11.7× |
| Chloride urine (82436) | $91.80 | $102 | 16.0× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$12.60–$79.20 | $14–$88 | varies |
| Chorionic gonadotropin test (84702) | $39.60 | $44 | 2.6× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $252 | $280 | 9.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $86.40 | $96 | 2.6× |
| Chromium serum (82495) | $130.50 | $145 | 6.4× |
| Chromogranin a (86316) | $250.20 | $278 | 12.0× |
| Chromosome Analysis 15-20 (88262) | $318.60 | $354 | 2.5× |
| Chromosome Analysis 20-25 (88264) | $430.20 | $478 | 3.0× |
| Chromosome analysis, 5 (88261) | $767.70 | $853 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $90 | $100 | 2.6× |
| Citric acid urine (82507) | $200.70 | $223 | 7.2× |
| Ckmb (82553) | $31.50 | $35 | 2.7× |
| Clostridium Difficile (87324) | $32.40 | $36 | 2.7× |
| Clot Factor VIII Multimetric (85247) | $517.50 | $575 | 22.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,737 | $1,930 | 4.2× |
| Coagulation time activated (85347) | $112.50 | $125 | 26.3× |
| Coccidioides antibody (86635) | $25.20 | $28 | 2.2× |
| Cold agglutinin titer (86157) | $135 | $150 | 16.7× |
| Collagen crosslinks (82523) | $361.80 | $402 | 19.4× |
| Column Chromotography Quant (82542) | $45.90 | $51 | 1.9× |
| Compatibility Each Unit Incubation (86921) | $56.70 | $63 | 0.3× |
| Compatibility test antiglob (86922) | $323.40 | $359.33 | 1.8× |
| Complement Antigen Each Component (86160) | $32.40 | $36 | 2.7× |
| Complement Total (Ch50) (86162) | $53.10 | $59 | 2.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $105.30 | $117 | 1.9× |
| Coombs direct (86880) | $15.30 | $17 | 2.8× |
| Copper urine (82525) | $34.20 | $38 | 2.8× |
| Cortisol free (82530) | $224.10 | $249 | 13.4× |
| Cortisol saliva (82533) | $42.30 | $47 | 2.6× |
| Creatine kinase total (82550) | $17.10 | $19 | 2.6× |
| Creatinine blood (82565) | $15.30 | $17 | 3.0× |
| Creatinine clearance (82575) | $124.20 | $138 | 13.1× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$15.30–$91.80 | $17–$102 | varies |
| Crossmatch electronic (86923) | $51.30 | $57 | 0.3× |
| Crossmatch immediate spin (86920) | $63 | $70 | 0.4× |
| Crp High Sensitivity (86141) | $35.10 | $39 | 2.7× |
| Cryoglobulin (82595) | $111.60 | $124 | 17.2× |
| Cryptococcus ag titer (87899) | $42.30 | $47 | 2.6× |
| Cryptosporidium ag eia (87328) | $36.90 | $41 | 2.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $21.60 | $24 | 2.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $21.60 | $24 | 2.7× |
| Culture afb (87116) | $181.80 | $202 | 16.8× |
| Culture Anaerobic (87075) | $23.40 | $26 | 2.5× |
| Culture blood (87040) | $27.90 | $31 | 2.7× |
| Culture chlamydia (87110) | $242.10 | $269 | 12.4× |
| Culture csf (87070) range across 3 matching MRF lines |
$23.40–$163.80 | $26–$182 | varies |
| Culture fungus (87102) | $172.80 | $192 | 20.5× |
| Culture fungus blood (87103) | $199.80 | $222 | 9.8× |
| Culture screen only (87081) | $17.10 | $19 | 2.6× |
| Culture stool (87045) | $23.40 | $26 | 2.5× |
| Culture typing if ea antiserum (87140) | $15.30 | $17 | 2.7× |
| Culture urine (87086) | $21.60 | $24 | 2.7× |
| Cystatin C (82610) | $105.30 | $117 | 5.7× |
| Cytogenetics 100-300 (88275) | $563.40 | $626 | 11.0× |
| Cytomegalovirus igg (86644) | $37.80 | $42 | 2.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $53.10 | $59 | 2.6× |
| Cytp Concentration Smears & Interpretation (88108) | $155.70 | $173 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $216 | $240 | 4.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $260.10 | $289 | 6.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $111.60 | $124 | 3.7× |
| Deoxycortisol (82634) | $186.30 | $207 | 6.4× |
| Detect Agent Nos Dna Amp (87798) | $90 | $100 | 2.6× |
| Detect Agent Nos Dna Quant (87799) | $110.70 | $123 | 2.6× |
| Detect agnt mult DNA ampli (87801) | $545.40 | $606 | 7.8× |
| Dgp Antibody Each Ig Class (86258) | $32.40 | $36 | 2.7× |
| Dhea-S (82627) | $58.50 | $65 | 2.6× |
| Digoxin (80162) | $35.10 | $39 | 2.6× |
| Dipropylacetic Acid Free (80165) | $36 | $40 | 2.7× |
| Dna Antibody Native/Double Stranded (86225) | $36 | $40 | 2.6× |
| Dna/Rna Sequencing (87153) | $348.30 | $387 | 3.0× |
| Dpyd gene common variants (81232) | $608.40 | $676 | 3.5× |
| Drug assay adalimumab (80145) | $243 | $270 | 6.3× |
| Drug Assay Infliximab (80230) | $370.80 | $412 | 9.6× |
| Drug Assay Lacosamide (80235) | $57.60 | $64 | 2.1× |
| Drug Assay Posaconazole (80187) | $327.60 | $364 | 12.1× |
| Drug assay voriconazole (80285) | $207 | $230 | 7.6× |
| Drug Asy Hydroxychloroquine (80220) | $721.80 | $802 | 38.7× |
| Drug Screen Quant Zonisamide (80203) | $36.90 | $41 | 2.8× |
| Drug Screen Quantitative Gabapentin (80171) | $222.30 | $247 | 10.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $35.10 | $39 | 2.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $35.10 | $39 | 2.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $35.10 | $39 | 2.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$248.40–$723.60 | $276–$804 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $34.20 | $38 | 2.7× |
| El-1 Fecal Quantitative (82653) | $46.80 | $52 | 2.0× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$18.90–$156.60 | $21–$174 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.90 | $121 | 9.0× |
| Enterovirus Antibody (86658) | $35.10 | $39 | 2.7× |
| Enzyme cell activity (82657) | $57.60 | $64 | 2.6× |
| Eosinophil Smear (89190) | $63.90 | $71 | 11.0× |
| Erythropoietin (82668) | $49.50 | $55 | 2.6× |
| Estradiol serum (82670) | $72 | $80 | 2.6× |
| Estriol (82677) | $62.10 | $69 | 2.6× |
| Estrogen total (82672) | $56.70 | $63 | 2.6× |
| Estrogens fractionated (82671) | $83.70 | $93 | 2.6× |
| Ethosuximide (80168) | $233.10 | $259 | 14.3× |
| Ethylene Glycol (82693) | $171 | $190 | 11.5× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$63.90–$92.70 | $71–$103 | varies |
| F2 Gene (81240) | $169.20 | $188 | 2.6× |
| Factor ix activity (85250) | $342 | $380 | 18.0× |
| Factor v leiden mutation (81241) | $186.30 | $207 | 2.5× |
| Factor vii assay (85230) | $37.80 | $42 | 2.1× |
| Factor viii assay (85240) | $45 | $50 | 2.5× |
| Factor X (85260) | $318.60 | $354 | 17.8× |
| Fat stain feces urine/respir secretions (89125) | $9 | $10 | 1.5× |
| Fat/Lipids Feces Quantitative (82710) | $43.20 | $48 | 2.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $17.10 | $19 | 2.6× |
| Fecal Fat Qualitative (82705) | $12.60 | $14 | 2.5× |
| Ferritin (82728) | $36 | $40 | 2.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $267.30 | $297 | 1.7× |
| Fetal Fibronectin (82731) | $846 | $940 | 13.1× |
| Fetal screen rosette (85461) | $166.50 | $185 | 17.8× |
| Fibrin degradation products (85362) | $265.50 | $295 | 38.5× |
| Fibrin Degradation Quant (85379) | $144.90 | $161 | 14.2× |
| Fibrinogen activity (85384) | $25.20 | $28 | 2.6× |
| Flow cytometry first marker (88184) | $171.90 | $191 | 0.5× |
| Fluorescent antibody screen (86255) | $76.50 | $85 | 6.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $76.50 | $85 | 6.3× |
| Folic acid rbc (82747) | $212.40 | $236 | 12.0× |
| Folic Acid Serum (82746) | $38.70 | $43 | 2.6× |
| Follicle Stimulating Hormone (83001) | $48.60 | $54 | 2.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $55.80 | $62 | 0.3× |
| Fungi Identification Mold (87107) | $115.20 | $128 | 11.2× |
| Fungi Identification Yeast (87106) | $149.40 | $166 | 14.5× |
| Galactose (82760) | $61.20 | $68 | 5.5× |
| Galactose transferase test (82776) | $31.50 | $35 | 2.7× |
| Gammaglobulin ige (82785) | $43.20 | $48 | 2.6× |
| Gases blood ph only (82800) | $132.30 | $147 | 12.0× |
| Gastrin (82941) | $139.50 | $155 | 7.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,059.30 | $1,177 | 2.5× |
| Gentamicin (80170) | $216 | $240 | 13.2× |
| Ggt (82977) | $18.90 | $21 | 2.6× |
| Giardia antigen (87329) | $37.80 | $42 | 3.2× |
| Glucose Blood Test (82962) | $9.90 | $11 | 3.0× |
| Glucose body fluid (82945) | $77.40 | $86 | 19.7× |
| Glucose Serum (82947) | $11.70 | $13 | 3.0× |
| Glucose tolerance test (gtt) (82951) | $35.10 | $39 | 2.7× |
| Glutathione (82978) | $456.30 | $507 | 29.5× |
| Glycated Protein (82985) | $166.50 | $185 | 9.9× |
| Gonadotropin Chorionic Qualitative (84703) | $19.80 | $22 | 2.6× |
| Growth hormone (83003) | $43.20 | $48 | 2.6× |
| Gtt-added samples (82952) | $11.70 | $13 | 3.0× |
| H Pylori (C-13) Breath (83013) | $172.80 | $192 | 2.6× |
| Haptoglobin (83010) | $34.20 | $38 | 2.7× |
| Hdl Cholesterol (83718) | $21.60 | $24 | 2.6× |
| Helicobacter Pylori Stool (87338) | $138.60 | $154 | 9.6× |
| Hematocrit (85014) | $7.20 | $8 | 3.0× |
| Hemoglobin (85018) | $7.20 | $8 | 3.0× |
| Hemoglobin a1c (83036) | $25.20 | $28 | 2.6× |
| Hemoglobin Chromotography (83021) | $46.80 | $52 | 2.6× |
| Hemoglobin electrophoresis (83020) | $90 | $100 | 7.0× |
| Hemoglobin F Fetal Chemical (83030) | $81 | $90 | 7.5× |
| Hemoglobin plasma (83051) | $19.80 | $22 | 2.7× |
| Hemosiderin urine (83070) | $117 | $130 | 24.6× |
| Hep a ab igm (86709) | $30.60 | $34 | 2.7× |
| Heparin assay (85520) | $35.10 | $39 | 2.7× |
| Heparin Neutralization (85525) | $30.60 | $34 | 2.6× |
| Hepatitis a antibody total (86708) | $32.40 | $36 | 2.6× |
| Hepatitis b core ab igm (86705) | $31.50 | $35 | 2.7× |
| Hepatitis b core ab total (86704) | $32.40 | $36 | 2.7× |
| Hepatitis B Surface Antibody (86706) | $28.80 | $32 | 2.7× |
| Hepatitis B Surface Antigen (87340) | $27.90 | $31 | 2.7× |
| Hepatitis Be Antibody (86707) | $31.50 | $35 | 2.7× |
| Hepatitis Be Antigen (87350) | $144.90 | $161 | 12.6× |
| Hepatitis C Antibody (86803) | $37.80 | $42 | 2.6× |
| Hepatitis c antibody confirmatory test (86804) | $342 | $380 | 22.1× |
| Hepatitis C Genotype (87902) | $926.10 | $1,029 | 3.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $109.80 | $122 | 2.6× |
| Hepatitis Delta Agent Antibody (86692) | $44.10 | $49 | 2.6× |
| Herpes simplex type 2 (86696) | $50.40 | $56 | 2.6× |
| Heterophile antibodies titer (86309) | $62.10 | $69 | 9.6× |
| Heterophile Antibody Screen (86308) | $15.30 | $17 | 3.0× |
| Hfe Gene (81256) | $167.40 | $186 | 2.6× |
| Histoplasma antibody (86698) | $37.80 | $42 | 2.7× |
| Histoplasma antigen urine (87385) | $35.10 | $39 | 2.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $62.10 | $69 | 2.6× |
| Hiv-1 Antibody (86701) | $25.20 | $28 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $226.80 | $252 | 2.7× |
| Hla class i semiquant panel (86834) | $959.40 | $1,066 | 2.7× |
| Hla class ii high defin qual (86833) | $873.90 | $971 | 2.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $189.90 | $211 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $581.40 | $646 | 4.8× |
| Homocysteine (83090) | $45.90 | $51 | 2.6× |
| Homogenization Tissue (87176) | $15.30 | $17 | 2.6× |
| Hpv High-Risk Types (87624) | $90 | $100 | 2.6× |
| Hsv Dna Amp Probe (87529) | $307.80 | $342 | 8.8× |
| Hydroxyprogesterone 17-d (83498) | $70.20 | $78 | 2.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $171.90 | $191 | 14.3× |
| Iaad ia shiga-like toxin (87427) | $32.40 | $36 | 2.7× |
| Iaad Ia Streptococcus Group A (87430) | $43.20 | $48 | 2.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $86.40 | $96 | 2.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $90 | $100 | 2.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $383.40 | $426 | 10.9× |
| Iadna Cytomegalovirus Quantification (87497) | $109.80 | $122 | 2.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $348.30 | $387 | 8.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $503.10 | $559 | 14.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $90 | $100 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $90 | $100 | 2.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $364.50 | $405 | 2.6× |
| Ig Light Chains Free Each (83521) | $45.90 | $51 | 2.7× |
| Igg subclasses (82787) | $21.60 | $24 | 2.7× |
| Igh gene rearrange amp meth (81261) | $485.10 | $539 | 2.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $189 | $210 | 0.5× |
| Immunfix e-phorsis/urine/csf (86335) | $120.60 | $134 | 4.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $48.60 | $54 | 2.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $39.60 | $44 | 2.6× |
| Immunoassay nonantibody (83516) | $146.70 | $163 | 12.7× |
| Immunodiffusion Ouchterlony (86331) | $40.50 | $45 | 3.4× |
| Immunofixation electrophoresis (86334) | $103.50 | $115 | 4.6× |
| Immunohistochemistry (88342) | $234 | $260 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $348.30 | $387 | 2.0× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$43.20–$244.80 | $48–$272 | varies |
| Inhibin A (86336) | $41.40 | $46 | 2.7× |
| Inhibin b (83520) range across 2 matching MRF lines |
$44.10–$233.10 | $49–$259 | varies |
| Insitu hybridization auto (88367) | $588.60 | $654 | 1.6× |
| Insulin antibodies (86337) | $55.80 | $62 | 2.6× |
| Insulin free (83527) | $27.90 | $31 | 2.2× |
| Insulin total (83525) | $30.60 | $34 | 2.7× |
| Interleukin-6 (83529) | $306.90 | $341 | 17.8× |
| Intrinsic factor antibody (86340) | $126 | $140 | 8.4× |
| Iron (83540) | $17.10 | $19 | 2.6× |
| Iron Binding Capacity (83550) | $23.40 | $26 | 2.7× |
| Irradiation Blood Product Each Unit (86945) | $129.60 | $144 | 3.3× |
| Islet cell antibody (86341) | $61.20 | $68 | 2.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $234 | $260 | 2.6× |
| Koh Prep (87220) | $12.60 | $14 | 3.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$16.20–$90 | $18–$100 | varies |
| Lactoferrin fecal qualitative (83630) | $54.90 | $61 | 2.8× |
| LDL direct (83721) | $99 | $110 | 9.4× |
| Lead (83655) | $32.40 | $36 | 2.7× |
| Legionella antigen urine (87449) | $32.40 | $36 | 2.7× |
| Leukocyte Assessment Fecal (89055) | $12.60 | $14 | 3.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $38.70 | $43 | 1.3× |
| Level ii surg pathology grossµscopic exam (88302) | $78.30 | $87 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $491.40 | $546 | 1.3× |
| Lipase (83690) | $18 | $20 | 2.6× |
| Lipoprotein A (83695) | $28.80 | $32 | 2.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $206.10 | $229 | 4.5× |
| Lithium (80178) | $17.10 | $19 | 2.6× |
| Luteinizing Hormone (Lh) (83002) | $48.60 | $54 | 2.6× |
| Lyme disease antibody (86618) | $44.10 | $49 | 2.6× |
| Lymphocyte transformation (86353) | $446.40 | $496 | 9.1× |
| Lysozyme serum (85549) | $133.20 | $148 | 7.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $993.60 | $1,104 | 5.6× |
| M/phmtrc alys ishquant/semiq (88374) | $747.90 | $831 | 4.2× |
| Magnesium Urine (83735) | $18 | $20 | 2.7× |
| Mass Spectrometry Quant (83789) | $366.30 | $407 | 15.2× |
| Mercury urine (83825) | $42.30 | $47 | 2.6× |
| Methylmalonic acid serum (83921) | $54.90 | $61 | 2.6× |
| Microalbumin, quantitative (82043) | $15.30 | $17 | 2.6× |
| Microbe Suscept Macrobroth (87188) | $57.60 | $64 | 8.7× |
| Microsomal Antibodies Each (86376) | $38.70 | $43 | 2.7× |
| Mitochondrial Antibody Each (86381) | $15.30 | $17 | 0.6× |
| Mog-Igg1 Antb Cba Each (86362) | $674.10 | $749 | 55.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $557.10 | $619 | 26.0× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$63–$171.90 | $70–$191 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$350.10–$630.90 | $389–$701 | varies |
| Mopath procedure level 4 (81403) | $709.20 | $788 | 3.8× |
| Mumps antibody (86735) | $35.10 | $39 | 2.7× |
| Mycoplasma antibody (86738) | $145.80 | $162 | 11.0× |
| Myoglobin urine (83874) | $35.10 | $39 | 2.7× |
| Natriuretic peptide (83880) | $100.80 | $112 | 2.6× |
| Neutralization Test Viral (86382) | $276.30 | $307 | 16.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $507.60 | $564 | 7.0× |
| Niacin (84591) | $32.40 | $36 | 1.9× |
| Nk cells total count (86357) | $87.30 | $97 | 2.3× |
| Nuclear antigen antibody (86235) | $45.90 | $51 | 2.6× |
| Obstetric panel (80081) | $191.70 | $213 | 2.6× |
| Occult blood feces (82272) | $12.60 | $14 | 3.0× |
| Occult Blood Other Sources (82271) | $62.10 | $69 | 11.7× |
| Oligoclonal bands (83916) | $202.50 | $225 | 7.4× |
| Osmolality serum (83930) | $17.10 | $19 | 2.6× |
| Osmolality Urine (83935) | $18 | $20 | 2.6× |
| Osteocalcin (83937) | $260.10 | $289 | 8.7× |
| Ova and parasites smears (87177) | $23.40 | $26 | 2.6× |
| Oxalate urine (83945) | $143.10 | $159 | 9.9× |
| Particle Agglutination Screen Each Antibody (86403) | $31.50 | $35 | 2.7× |
| Parvovirus antibody (86747) | $146.70 | $163 | 9.8× |
| Ph urine (81003) | $7.20 | $8 | 3.2× |
| Phenobarbital Level (80184) | $40.50 | $45 | 2.6× |
| Phenylalanine (84030) | $162 | $180 | 29.5× |
| Phenytoin (Dilantin) (80185) | $35.10 | $39 | 2.6× |
| Phenytoin free (80186) | $36 | $40 | 2.6× |
| Phosphatase alkaline (84075) | $15.30 | $17 | 3.0× |
| Phospholipid Neutralization Hexagonal (85598) | $224.10 | $249 | 12.5× |
| Phosphorus Serum (84100) | $14.40 | $16 | 3.0× |
| Phosphorus urine (84105) | $76.50 | $85 | 13.2× |
| Platelet Antibodies (86022) | $645.30 | $717 | 35.1× |
| Platelet count automated (85049) | $68.40 | $76 | 15.3× |
| Porphobilinogen, urine; quantitative (84110) | $157.50 | $175 | 18.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $270.90 | $301 | 18.4× |
| Potassium Urine (84133) | $14.40 | $16 | 3.0× |
| Prealbumin (84134) | $38.70 | $43 | 2.7× |
| Pregnenolone (84140) | $180 | $200 | 8.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $137.70 | $153 | 2.2× |
| Primidone (80188) | $35.10 | $39 | 2.1× |
| Procalcitonin (Pct) (84145) | $70.20 | $78 | 2.6× |
| Progesterone (84144) | $54 | $60 | 2.6× |
| Prolactin (84146) | $50.40 | $56 | 2.6× |
| Prostaglandin (84150) | $549 | $610 | 13.1× |
| Protein body fluid (84157) | $68.40 | $76 | 17.1× |
| Protein C Activity (85303) | $36.90 | $41 | 2.7× |
| Protein c antigen (85302) | $32.40 | $36 | 2.7× |
| Protein Electrophoresis Urine (84166) | $90 | $100 | 5.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $72.90 | $81 | 6.8× |
| Protein S Free (85306) | $40.50 | $45 | 2.6× |
| Protein s total (85305) | $31.50 | $35 | 2.7× |
| Protein total serum (84155) | $10.80 | $12 | 2.9× |
| Protein Total Urine (84156) | $10.80 | $12 | 2.9× |
| Protein Western Blot Test (84182) | $43.20 | $48 | 1.5× |
| PSA free (84154) | $48.60 | $54 | 2.6× |
| Pth Intact (83970) | $106.20 | $118 | 2.6× |
| Quantiferon tb gold plus (86480) | $157.50 | $175 | 2.5× |
| Quantitative assay drug (80299) | $172.80 | $192 | 9.3× |
| Quantitative Screen Metals (83018) | $57.60 | $64 | 2.6× |
| Rbc antibody elution (86860) | $195.30 | $217 | 1.1× |
| Rbc antibody identification (86870) | $109.80 | $122 | 0.3× |
| Rbc antibody screen (86850) | $25.20 | $28 | 2.6× |
| Rbc pretreatment serum (86978) | $163.80 | $182 | 2.7× |
| Rbc serum pretx incubj drugs (86975) | $334.80 | $372 | 0.7× |
| Renin activity plasma (84244) | $57.60 | $64 | 2.6× |
| Resp virus 12-25 targets (87633) | $1,063.80 | $1,182 | 2.6× |
| Reticulated Platelet Assay (85055) | $158.40 | $176 | 4.4× |
| Reticulocyte Count (85046) | $15.30 | $17 | 2.7× |
| Reticulocyte Count Manual (85044) | $64.80 | $72 | 15.0× |
| Reticulocyte separation (86972) | $224.10 | $249 | 1.3× |
| Rh (86901) | $9 | $10 | 3.0× |
| Rheumatoid factor quant (86431) | $15.30 | $17 | 2.7× |
| Rickettsia antibody (86757) | $50.40 | $56 | 2.6× |
| Ristocetin cofactor (85245) | $48.60 | $54 | 2.1× |
| Rotavirus ag eia (87425) | $178.20 | $198 | 14.9× |
| Rpr qualitative (86592) | $12.60 | $14 | 3.0× |
| Rsv ab (86756) | $41.40 | $46 | 2.6× |
| Rsv Assay W/Optic (87807) | $35.10 | $39 | 2.7× |
| Rubella Antibody (86762) | $37.80 | $42 | 2.6× |
| Rubeola antibody (86765) | $35.10 | $39 | 2.7× |
| Russell Viper Venom Time Diluted (85613) | $25.20 | $28 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$120.60–$268.20 | $134–$298 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $108.90 | $121 | 2.6× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $107.10 | $119 | 2.6× |
| Sedimentation rate (85651) | $12.60 | $14 | 3.0× |
| Selenium (84255) | $222.30 | $247 | 8.7× |
| Semen Anal Sperm Detection (89321) | $32.40 | $36 | 2.7× |
| Semen analysis complete (89322) | $41.40 | $46 | 2.7× |
| Semen analysis motility and count (89310) | $257.40 | $286 | 29.9× |
| Sensitivity mic (87186) | $23.40 | $26 | 2.7× |
| Sex Hormone Binding Globulin (84270) | $56.70 | $63 | 2.6× |
| Sickling of rbc reduction (85660) | $15.30 | $17 | 2.8× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$22.50–$26.10 | $25–$29 | varies |
| Smear acid fast (87206) | $85.50 | $95 | 15.9× |
| Smear complex stain (87209) | $45.90 | $51 | 2.6× |
| Smear gram stain (87205) | $12.60 | $14 | 3.0× |
| Smear Special Stain (87207) | $266.40 | $296 | 44.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $15.30 | $17 | 2.6× |
| Sodium Serum (84295) | $14.40 | $16 | 3.0× |
| Sodium Urine (84300) | $15.30 | $17 | 3.0× |
| Soluble Transferrin Receptor (84238) | $93.60 | $104 | 2.6× |
| Somatomedin (84305) range across 2 matching MRF lines |
$57.60–$315.90 | $64–$351 | varies |
| Somatostatin (84307) | $949.50 | $1,055 | 51.9× |
| Special Stains Group 1 (88312) | $273.60 | $304 | 5.1× |
| Special Stains Group 2 (88313) | $270 | $300 | 2.0× |
| Specific gravity body fluid (84315) | $67.50 | $75 | 20.6× |
| Specimen infect agnt concntj (87015) | $62.10 | $69 | 9.3× |
| Spectrophotometry (84311) | $240.30 | $267 | 29.7× |
| Stool cultr aerobic bact ea (87046) | $23.40 | $26 | 2.5× |
| Strep a assay w/optic (87880) | $43.20 | $48 | 2.6× |
| Sulfate urine (84392) | $106.20 | $118 | 19.3× |
| Surg path level iii (88304) | $101.70 | $113 | 1.9× |
| Surgical pathology level IV (88305) | $173.70 | $193 | 3.2× |
| Surgical pathology level vi (88309) | $534.60 | $594 | 0.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $19.80 | $22 | 2.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $109.80 | $122 | 2.3× |
| T cells total count (86359) | $87.30 | $97 | 2.3× |
| T3 Free (84481) | $43.20 | $48 | 2.6× |
| T3 reverse (84482) | $41.40 | $46 | 2.6× |
| T3 Total (84480) | $37.80 | $42 | 2.7× |
| T4 Free (84439) | $23.40 | $26 | 2.6× |
| T4 total (84436) | $18 | $20 | 2.6× |
| T4-neonatal (84437) | $17.10 | $19 | 2.6× |
| Tacrolimus (80197) | $36 | $40 | 2.6× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$13.50–$15.30 | $15–$17 | varies |
| Testosterone total (84403) | $66.60 | $74 | 2.6× |
| Testosterone, Free (84402) | $189 | $210 | 7.4× |
| Theophylline (80198) | $147.60 | $164 | 10.4× |
| Thrombin Time (85670) | $15.30 | $17 | 2.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $17.10 | $19 | 2.6× |
| Thyroglobulin (84432) | $42.30 | $47 | 2.6× |
| Thyroglobulin Antibody (86800) | $41.40 | $46 | 2.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $131.40 | $146 | 2.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $62.10 | $69 | 5.4× |
| Tissue Culture Lymphocyte (88230) | $297 | $330 | 2.5× |
| Tobramycin peak (80200) | $173.70 | $193 | 10.8× |
| Toxoplasma ab igm (86778) | $128.70 | $143 | 8.9× |
| Toxoplasma antibody (86777) | $80.10 | $89 | 5.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $15.30 | $17 | 3.0× |
| Transferrin (84466) | $34.20 | $38 | 2.7× |
| Trg gene rearrangement anal (81342) | $501.30 | $557 | 2.5× |
| Trichomonas Vaginalis Amplif (87661) | $90 | $100 | 2.6× |
| Triglycerides (84478) | $15.30 | $17 | 2.7× |
| Troponin Quant (84484) | $34.20 | $38 | 2.7× |
| Tumor Immunohistochem/Manual (88360) | $277.20 | $308 | 1.6× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$157.50–$289.80 | $175–$322 | varies |
| Urea nitrogen urine (84540) | $15.30 | $17 | 2.8× |
| Uric acid other source (84560) | $89.10 | $99 | 17.5× |
| Urinalysis Microscopic Only (81015) | $9 | $10 | 3.0× |
| Urinalysis Volume Measure (81050) | $10.80 | $12 | 3.0× |
| Urine Bacteria Culture (87088) | $21.60 | $24 | 2.7× |
| Urine Pregnancy Test (81025) | $22.50 | $25 | 2.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $9.90 | $11 | 3.1× |
| Valproic acid (80164) | $36 | $40 | 2.7× |
| Vancomycin (80202) | $36 | $40 | 2.7× |
| Varicella-zoster antibody (86787) | $35.10 | $39 | 2.7× |
| Very Long Chain Fatty Acids (82726) | $602.10 | $669 | 30.5× |
| Viral Culture (87252) | $67.50 | $75 | 2.6× |
| Virus antibody nos (86790) | $179.10 | $199 | 13.9× |
| Viscosity serum (85810) | $155.70 | $173 | 13.3× |
| Vit D 1 25-Dihydroxy (82652) | $99.90 | $111 | 2.6× |
| Vitamin A (84590) | $31.50 | $35 | 2.7× |
| Vitamin b-12 (82607) | $40.50 | $45 | 2.7× |
| Vitamin B2 (Riboflavin) (84252) | $42.30 | $47 | 2.1× |
| Vitamin B6 (84207) | $72.90 | $81 | 2.6× |
| Vitamin c (82180) | $27 | $30 | 2.7× |
| Vitamin D 25-Hydroxy (82306) | $62.10 | $69 | 2.1× |
| Vitamin E (84446) | $37.80 | $42 | 2.7× |
| Von willebrand factor ag (85246) | $48.60 | $54 | 2.1× |
| West nile virus ab igm (86788) | $43.20 | $48 | 2.6× |
| West Nile Virus Antibody (86789) | $37.80 | $42 | 2.6× |
| Zinc (84630) | $30.60 | $34 | 2.7× |
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.