Lab & pathology prices at Phillips County Medical Center
Malta, MT · every code in this section with a posted price and a Medicare benchmark.
377 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) | $81 | $81 | 4.4× |
| Acth (82024) | $238 | $238 | 6.2× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$198–$269 | $198–$269 | varies |
| Acylcarnitines Quant (82017) | $85 | $85 | 5.0× |
| Albumin serum (82040) | $40 | $40 | 8.1× |
| Aldolase (82085) | $102 | $102 | 10.5× |
| Aldosterone urine (82088) | $212 | $212 | 5.2× |
| Allergen specific ige (86003) range across 66 matching MRF lines |
$32–$110 | $32–$110 | varies |
| Allergen specific igg (86001) | $3,078 | $3,078 | 393.6× |
| Alpha-1-antitrypsin total (82103) | $116 | $116 | 8.6× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$116–$156 | $116–$156 | varies |
| Alt (sgpt) (84460) | $56 | $56 | 10.6× |
| Amikacin trough (80150) | $115 | $115 | 7.6× |
| Ammonia (82140) | $149 | $149 | 10.2× |
| Amylase urine (82150) | $65 | $65 | 10.0× |
| Ana Titer (86039) | $78 | $78 | 7.0× |
| Androstenedione (82157) | $196 | $196 | 6.7× |
| Angiotensin converting enzyme csf (82164) | $133 | $133 | 9.1× |
| Anti-Phospholipid Antibody (86148) | $88 | $88 | 5.5× |
| Antibody aspergillus (86606) | $105 | $105 | 7.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $78 | $78 | 5.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $88 | $88 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $133 | $133 | 10.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $56 | $56 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$56–$65 | $56–$65 | varies |
| Antibody haemophilus influenza (86684) | $177 | $177 | 11.2× |
| Antibody helicobacter pylori (86677) | $167 | $167 | 9.9× |
| Antibody Herpes Smplx Type 1 (86695) | $102 | $102 | 7.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $133 | $133 | 9.7× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$208–$219 | $208–$219 | varies |
| Antibody john cunningham virus (86711) | $1,718 | $1,718 | 101.7× |
| Antibody Treponema Pallidum (86780) | $78 | $78 | 5.9× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$42–$538 | $42–$538 | varies |
| Antistreptolysin o titer (86060) | $78 | $78 | 10.7× |
| Antithrombin iii activity (85300) | $186 | $186 | 15.7× |
| Antithrombin iii antigen (85301) | $186 | $186 | 17.2× |
| Apolipoprotein a1 (82172) | $66 | $66 | 3.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $390 | $390 | 10.3× |
| Arsenic (82175) range across 2 matching MRF lines |
$40–$139 | $40–$139 | varies |
| Assay activated protein c (85307) | $199 | $199 | 13.0× |
| Assay Blood Carbon Dioxide (82374) | $56 | $56 | 11.5× |
| Assay Nephelometry Not Spec (83883) | $143 | $143 | 10.5× |
| Assay of 5-hiaa (83497) | $137 | $137 | 10.6× |
| Assay of blood/uric acid (84550) | $72 | $72 | 15.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$65–$68 | $65–$68 | varies |
| Assay of estrone (82679) | $223 | $223 | 8.9× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$116–$700 | $116–$700 | varies |
| Assay of lactic acid (83605) | $141 | $141 | 12.2× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$194–$218 | $194–$218 | varies |
| Assay of proinsulin (84206) | $253 | $253 | 9.5× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$48–$54 | $48–$54 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$48–$50 | $48–$50 | varies |
| Assay of urine vma (84585) | $190 | $190 | 12.3× |
| Assay of vasoactive intestinal peptide (84586) | $314 | $314 | 8.9× |
| Assay of vitamin b-1 (84425) | $202 | $202 | 9.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$75–$78 | $75–$78 | varies |
| Bartonella antibody (86611) | $48 | $48 | 4.7× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$364–$1,536 | $364–$1,536 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$254–$262 | $254–$262 | varies |
| Beta-2 Microglobulin (82232) | $152 | $152 | 9.4× |
| Bilirubin direct (82248) | $56 | $56 | 11.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$48–$56 | $48–$56 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $158 | $158 | 20.4× |
| Blood Count Manual Cell Count Each (85032) | $28 | $28 | 6.5× |
| Blood count reticulocyte automated (85045) | $65 | $65 | 16.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $32 | $32 | 8.4× |
| Blood gas (82803) range across 2 matching MRF lines |
$89–$323 | $89–$323 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $8 | $8 | 0.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $178 | $178 | 28.0× |
| Blood typing serologic abo (86900) | $51 | $51 | 17.1× |
| Body fluid cell count (89050) | $91 | $91 | 19.3× |
| Borrelia Antibody (86619) | $446 | $446 | 33.3× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$30–$60 | $30–$60 | varies |
| Brucella antibody (86622) | $65 | $65 | 7.3× |
| C-Peptide (84681) | $239 | $239 | 11.5× |
| C-reactive protein (86140) | $104 | $104 | 20.1× |
| Ca 19-9 (86301) | $192 | $192 | 9.2× |
| Cadmium (82300) | $40 | $40 | 1.7× |
| Calcitonin (82308) | $553 | $553 | 20.6× |
| Calcium ionized (82330) | $136 | $136 | 9.9× |
| Calcium total (82310) | $48 | $48 | 9.3× |
| Calculus Spectroscopy (82365) | $133 | $133 | 10.3× |
| Calprotectin Fecal (83993) | $225 | $225 | 11.5× |
| Cancer Antigen 125 (86304) | $199 | $199 | 9.6× |
| Cancer Antigen 27.29 (86300) | $200 | $200 | 9.6× |
| Carbamazepine total (80156) | $125 | $125 | 8.6× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $88 | $88 | 6.3× |
| Carcinoembryonic antigen (82378) | $196 | $196 | 10.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$37–$264 | $37–$264 | varies |
| Carnitine Quantitative Each Specimen (82379) | $368 | $368 | 21.8× |
| Carotene (82380) | $110 | $110 | 11.9× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$263–$274 | $263–$274 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$158–$174 | $158–$174 | varies |
| Cftr gene com variants (81220) | $431 | $431 | 0.8× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$85–$246 | $85–$246 | varies |
| Chlamydia Igm Antibody (86632) | $296 | $296 | 23.3× |
| Chloride Serum (82435) | $48 | $48 | 10.4× |
| Cholesterol total (82465) | $56 | $56 | 12.9× |
| Chorionic gonadotropin test (84702) | $159 | $159 | 10.6× |
| Chromium serum (82495) | $259 | $259 | 12.8× |
| Chromogenic Substrate Assay (85130) | $219 | $219 | 18.4× |
| Citric acid urine (82507) | $263 | $263 | 9.5× |
| Ckmb (82553) | $200 | $200 | 17.3× |
| Clostridium Difficile (87324) | $70 | $70 | 5.8× |
| Clotting Funct Activity (85397) | $141 | $141 | 4.6× |
| Coccidioides antibody (86635) | $178 | $178 | 15.5× |
| Collagen crosslinks (82523) | $366 | $366 | 19.6× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$154–$276 | $154–$276 | varies |
| Compatibility Each Unit Incubation (86921) | $122 | $122 | 0.7× |
| Complement Antigen Each Component (86160) | $32 | $32 | 2.7× |
| Complement Total (Ch50) (86162) | $272 | $272 | 13.4× |
| Coombs direct (86880) | $73 | $73 | 13.5× |
| Copper urine (82525) | $110 | $110 | 8.9× |
| Cortisol free (82530) range across 3 matching MRF lines |
$137–$4,255 | $137–$4,255 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$176–$181 | $176–$181 | varies |
| Creatine kinase total (82550) | $105 | $105 | 16.1× |
| Creatinine blood (82565) | $48 | $48 | 9.4× |
| Creatinine clearance (82575) | $64 | $64 | 6.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$57–$68 | $57–$68 | varies |
| Crp High Sensitivity (86141) | $116 | $116 | 9.0× |
| Cryoglobulin (82595) | $56 | $56 | 8.7× |
| Cryptosporidium (87272) | $91 | $91 | 7.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$78–$95 | $78–$95 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$125–$389 | $125–$389 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $93 | $93 | 12.1× |
| Culture aerobic quant other (87071) | $90 | $90 | 9.1× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$103–$122 | $103–$122 | varies |
| Culture blood (87040) | $206 | $206 | 20.0× |
| Culture csf (87070) range across 5 matching MRF lines |
$90–$120 | $90–$120 | varies |
| Culture fungus (87102) | $93 | $93 | 11.1× |
| Culture stool (87045) | $40 | $40 | 4.2× |
| Culture urine (87086) | $100 | $100 | 12.4× |
| Cyclosporine (80158) | $134 | $134 | 7.4× |
| Cystatin C (82610) | $390 | $390 | 21.1× |
| Cytomegalovirus igg (86644) | $88 | $88 | 6.1× |
| Cytopath Cell Enhance Tech (88112) | $77 | $77 | 1.4× |
| Detect Agent Nos Dna Amp (87798) range across 13 matching MRF lines |
$77–$325 | $77–$325 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$87–$224 | $87–$224 | varies |
| Detect agnt mult DNA ampli (87801) | $246 | $246 | 3.5× |
| Dhea (82626) | $246 | $246 | 9.7× |
| Dhea-S (82627) | $200 | $200 | 9.0× |
| Digoxin (80162) | $110 | $110 | 8.3× |
| Dihydrotestosterone (82642) | $99 | $99 | 3.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$70–$165 | $70–$165 | varies |
| Drug Assay Leflunomide (80193) | $253 | $253 | 6.6× |
| Drug Screen Quant Zonisamide (80203) | $123 | $123 | 9.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $112 | $112 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $216 | $216 | 16.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$187–$208 | $187–$208 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$75–$123 | $75–$123 | varies |
| El-1 Fecal Quantitative (82653) | $241 | $241 | 10.5× |
| Electrolyte panel (80051) | $110 | $110 | 15.7× |
| Enterovirus PCR (87498) | $238 | $238 | 6.8× |
| Erythropoietin (82668) | $133 | $133 | 7.1× |
| Estradiol serum (82670) | $233 | $233 | 8.3× |
| Estriol (82677) | $362 | $362 | 15.0× |
| Estrogen total (82672) | $249 | $249 | 11.5× |
| Exam Synovial Fluid Crystals (89060) | $63 | $63 | 8.6× |
| F2 Gene (81240) | $421 | $421 | 6.4× |
| Factor Inhibitor Test (85335) | $178 | $178 | 13.8× |
| Factor v activity (85220) | $223 | $223 | 12.6× |
| Factor v leiden mutation (81241) | $539 | $539 | 7.3× |
| Factor viii assay (85240) | $228 | $228 | 12.7× |
| Fat/Lipids Feces Quantitative (82710) | $194 | $194 | 11.5× |
| Ferritin (82728) | $123 | $123 | 9.0× |
| Fibrin Degradation Quant (85379) | $155 | $155 | 15.2× |
| Fibrinogen activity (85384) | $93 | $93 | 9.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$274–$1,305 | $274–$1,305 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$2–$178 | $2–$178 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$194–$246 | $194–$246 | varies |
| Folic Acid Serum (82746) | $149 | $149 | 10.1× |
| Follicle Stimulating Hormone (83001) | $152 | $152 | 8.2× |
| Francisella tularensis (86668) | $65 | $65 | 4.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$56–$93 | $56–$93 | varies |
| Galectin-3 (82777) | $188 | $188 | 4.2× |
| Gammaglobulin ige (82785) | $149 | $149 | 9.1× |
| Gases blood ph only (82800) | $65 | $65 | 5.9× |
| Gastrin (82941) | $143 | $143 | 8.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$768–$987 | $768–$987 | varies |
| Gentamicin (80170) | $125 | $125 | 7.6× |
| Ggt (82977) | $78 | $78 | 10.8× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$62–$65 | $62–$65 | varies |
| Glucose body fluid (82945) | $101 | $101 | 25.7× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$48–$50 | $48–$50 | varies |
| Glycated Protein (82985) | $63 | $63 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$106–$118 | $106–$118 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$97–$102 | $97–$102 | varies |
| H Pylori (C-13) Breath (83013) | $371 | $371 | 5.5× |
| H pylri clrthmcn rst amp prb (87513) | $173 | $173 | 4.9× |
| Haptoglobin (83010) | $154 | $154 | 12.2× |
| Hdl Cholesterol (83718) | $78 | $78 | 9.5× |
| Hematocrit (85014) | $25 | $25 | 10.5× |
| Hemoglobin (85018) | $25 | $25 | 10.5× |
| Hemoglobin a1c (83036) | $136 | $136 | 14.0× |
| Hep a ab igm (86709) | $116 | $116 | 10.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$116–$504 | $116–$504 | varies |
| Hepatitis b core ab igm (86705) | $130 | $130 | 11.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$83–$329 | $83–$329 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$107–$266 | $107–$266 | varies |
| Hepatitis B Surface Antigen (87340) | $88 | $88 | 8.5× |
| Hepatitis Be Antibody (86707) | $93 | $93 | 8.0× |
| Hepatitis Be Antigen (87350) | $65 | $65 | 5.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$116–$557 | $116–$557 | varies |
| Hepatitis C Genotype (87902) | $886 | $886 | 3.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $592 | $592 | 13.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,720 | $2,720 | 2.1× |
| Herpes simplex type 2 (86696) | $102 | $102 | 5.3× |
| Heterophile Antibody Screen (86308) | $72 | $72 | 13.9× |
| Hfe Gene (81256) | $429 | $429 | 6.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $431 | $431 | 5.1× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,877 | $1,877 | 5.4× |
| Hla-b27 (86812) | $217 | $217 | 8.4× |
| Homocysteine (83090) | $140 | $140 | 7.8× |
| Hsv Dna Amp Probe (87529) | $200 | $200 | 5.7× |
| Htlv-I Antibody (86687) | $116 | $116 | 12.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$91–$205 | $91–$205 | varies |
| Iaad Ia Streptococcus Group A (87430) | $49 | $49 | 2.9× |
| Iaadi giardia (87269) | $92 | $92 | 6.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $179 | $179 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $404 | $404 | 9.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $179 | $179 | 5.1× |
| Immune Complex Assay (86332) | $198 | $198 | 8.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $186 | $186 | 10.1× |
| Immunoassay infectious agent (86318) | $110 | $110 | 6.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$50–$177 | $50–$177 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$96–$175 | $96–$175 | varies |
| Immunofixation electrophoresis (86334) | $99 | $99 | 4.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $163 | $163 | 3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $173 | $173 | 4.0× |
| Influenza a/b ag eia (87400) | $117 | $117 | 8.3× |
| Inhibin b (83520) range across 8 matching MRF lines |
$56–$321 | $56–$321 | varies |
| Insulin total (83525) | $155 | $155 | 13.6× |
| Intrinsic factor antibody (86340) | $180 | $180 | 11.9× |
| Iron (83540) | $82 | $82 | 12.7× |
| Iron Binding Capacity (83550) | $75 | $75 | 8.6× |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$450–$470 | $450–$470 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $351 | $351 | 2.8× |
| Koh Prep (87220) | $72 | $72 | 16.9× |
| Lactate (ld) (ldh) enzyme (83615) | $78 | $78 | 12.9× |
| Lactoferrin Fecal Quantitative (83631) | $115 | $115 | 5.9× |
| LDL direct (83721) | $48 | $48 | 4.6× |
| Lead (83655) | $102 | $102 | 8.4× |
| Lipase (83690) | $108 | $108 | 15.7× |
| Lipoprotein A (83695) | $102 | $102 | 7.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $172 | $172 | 3.7× |
| Lithium (80178) | $102 | $102 | 15.4× |
| Luteinizing Hormone (Lh) (83002) | $152 | $152 | 8.2× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$65–$665 | $65–$665 | varies |
| Macroscopic Exam Parasite (87169) | $45 | $45 | 10.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$83–$136 | $83–$136 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$187–$534 | $187–$534 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$40–$168 | $40–$168 | varies |
| Methylmalonic acid serum (83921) | $118 | $118 | 5.6× |
| Microalbumin, quantitative (82043) | $102 | $102 | 17.6× |
| Microsomal Antibodies Each (86376) | $134 | $134 | 9.2× |
| Mitochondrial Antibody Each (86381) | $191 | $191 | 7.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $627 | $627 | 16.6× |
| Mononuclear cell antigen (86356) | $431 | $431 | 16.1× |
| Mthfr Gene Analysis Common Variants (81291) | $328 | $328 | 5.0× |
| Mumps antibody (86735) | $93 | $93 | 7.1× |
| Muscle-Specific Kinase Antb (86366) | $574 | $574 | 31.2× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$88–$358 | $88–$358 | varies |
| Myoglobin urine (83874) | $171 | $171 | 13.2× |
| Natriuretic peptide (83880) | $300 | $300 | 7.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $404 | $404 | 3.1× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$70–$518 | $70–$518 | varies |
| Occult blood feces (82272) | $26 | $26 | 6.1× |
| Organic Acids Qualitative Each Specimen (83919) | $372 | $372 | 22.6× |
| Organic acids urine (83918) | $277 | $277 | 11.7× |
| Osmolality serum (83930) | $72 | $72 | 10.9× |
| Osmolality Urine (83935) | $88 | $88 | 12.9× |
| Oxalate urine (83945) | $116 | $116 | 8.0× |
| Parvovirus antibody (86747) | $190 | $190 | 12.6× |
| Ph urine (81003) range across 2 matching MRF lines |
$32–$45 | $32–$45 | varies |
| Phenobarbital Level (80184) | $116 | $116 | 7.6× |
| Phenytoin (Dilantin) (80185) | $116 | $116 | 8.8× |
| Phosphatase alkaline (84075) | $56 | $56 | 10.8× |
| Phosphorus Serum (84100) | $83 | $83 | 17.5× |
| Pinworm exam (87172) | $54 | $54 | 12.6× |
| Platelet Antibodies (86022) | $320 | $320 | 17.4× |
| Porphobilinogen, urine; quantitative (84110) | $104 | $104 | 12.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $163 | $163 | 11.1× |
| Potassium Urine (84133) | $65 | $65 | 13.7× |
| Prealbumin (84134) | $116 | $116 | 8.0× |
| Pregnenolone (84140) | $174 | $174 | 8.4× |
| Progesterone (84144) | $166 | $166 | 8.0× |
| Prolactin (84146) | $166 | $166 | 8.6× |
| Protein C Activity (85303) | $218 | $218 | 15.8× |
| Protein Electrophoresis Urine (84166) | $165 | $165 | 9.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $154 | $154 | 14.3× |
| Protein S Free (85306) range across 2 matching MRF lines |
$180–$227 | $180–$227 | varies |
| Protein s total (85305) | $102 | $102 | 8.8× |
| Protein total serum (84155) | $48 | $48 | 13.1× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$72–$78 | $72–$78 | varies |
| PSA free (84154) | $132 | $132 | 7.2× |
| Pth Intact (83970) | $314 | $314 | 7.6× |
| Quantiferon tb gold plus (86480) | $221 | $221 | 3.6× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$113–$149 | $113–$149 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$181–$318 | $181–$318 | varies |
| Rbc antibody elution (86860) | $199 | $199 | 1.1× |
| Rbc antibody identification (86870) | $167 | $167 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$95–$137 | $95–$137 | varies |
| Reagent Strip/Blood Glucose (82948) | $58 | $58 | 11.5× |
| Renin activity plasma (84244) | $226 | $226 | 10.3× |
| Resp virus 12-25 targets (87633) | $1,461 | $1,461 | 3.5× |
| Rh (86901) range across 2 matching MRF lines |
$51–$69 | $51–$69 | varies |
| Rheumatoid Factor Qualitative (86430) | $72 | $72 | 11.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$93–$117 | $93–$117 | varies |
| Rickettsia antibody (86757) | $65 | $65 | 3.4× |
| Ristocetin cofactor (85245) | $195 | $195 | 8.5× |
| Rotavirus ag eia (87425) | $154 | $154 | 12.9× |
| Rpr qualitative (86592) | $78 | $78 | 18.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$56–$139 | $56–$139 | varies |
| Rubella Antibody (86762) | $65 | $65 | 4.5× |
| Rubeola antibody (86765) | $78 | $78 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $110 | $110 | 11.5× |
| Russell Viper Venon Time Undiluted (85612) | $42 | $42 | 2.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $110 | $110 | 2.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$176–$181 | $176–$181 | varies |
| Sedimentation rate (85651) | $53 | $53 | 12.4× |
| Semen Anal Sperm Detection (89321) | $48 | $48 | 4.0× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$102–$119 | $102–$119 | varies |
| Sex Hormone Binding Globulin (84270) | $192 | $192 | 8.8× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$59–$89 | $59–$89 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$56–$72 | $56–$72 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $48 | $48 | 8.2× |
| Sodium Serum (84295) | $48 | $48 | 10.0× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$48–$65 | $48–$65 | varies |
| Soluble fibrin monomer (85366) | $106 | $106 | 1.3× |
| Somatomedin (84305) range across 2 matching MRF lines |
$56–$263 | $56–$263 | varies |
| Specimen infect agnt concntj (87015) | $540 | $540 | 80.8× |
| Staph a DNA amp probe (87640) | $354 | $354 | 10.1× |
| Stool cultr aerobic bact ea (87046) | $40 | $40 | 4.2× |
| Strep a DNA amp probe (87651) | $123 | $123 | 3.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $40 | $40 | 8.4× |
| T cells total count (86359) | $110 | $110 | 2.9× |
| T3 Free (84481) | $207 | $207 | 12.2× |
| T3 reverse (84482) | $110 | $110 | 7.0× |
| T3 Total (84480) | $78 | $78 | 5.5× |
| T3 Uptake (84479) | $72 | $72 | 11.1× |
| T4 Free (84439) | $141 | $141 | 15.6× |
| T4 total (84436) range across 3 matching MRF lines |
$64–$168 | $64–$168 | varies |
| Tacrolimus (80197) | $187 | $187 | 13.6× |
| Test for acetone/ketones (82009) | $40 | $40 | 8.8× |
| Testosterone Bioavailable (84410) | $117 | $117 | 2.3× |
| Testosterone total (84403) | $191 | $191 | 7.4× |
| Testosterone, Free (84402) | $231 | $231 | 9.1× |
| Theophylline (80198) | $116 | $116 | 8.2× |
| Thrombin Time (85670) | $75 | $75 | 13.0× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$110–$154 | $110–$154 | varies |
| Thyroglobulin Antibody (86800) | $325 | $325 | 20.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $503 | $503 | 9.9× |
| Thyroxine binding globulin (84442) | $116 | $116 | 7.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$97–$451 | $97–$451 | varies |
| Topiramate (80201) | $106 | $106 | 8.9× |
| Toxoplasma ab igm (86778) | $108 | $108 | 7.5× |
| Toxoplasma antibody (86777) | $102 | $102 | 7.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48 | $48 | 9.3× |
| Transferrin (84466) | $151 | $151 | 11.8× |
| Triglycerides (84478) | $56 | $56 | 9.8× |
| Troponin Quant (84484) | $210 | $210 | 16.8× |
| Uric acid other source (84560) | $78 | $78 | 15.4× |
| Urinalysis Microscopic Only (81015) | $34 | $34 | 11.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $52 | $52 | 16.4× |
| Valproic acid (80164) | $184 | $184 | 13.6× |
| Vancomycin (80202) | $300 | $300 | 22.2× |
| Varicella-zoster antibody (86787) | $125 | $125 | 9.7× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$138–$154 | $138–$154 | varies |
| Vitamin A (84590) | $102 | $102 | 8.8× |
| Vitamin b-12 (82607) | $134 | $134 | 8.9× |
| Vitamin B2 (Riboflavin) (84252) | $162 | $162 | 8.0× |
| Vitamin B6 (84207) | $13 | $13 | 0.5× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$88–$139 | $88–$139 | varies |
| Vitamin E (84446) | $127 | $127 | 9.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $501 | $501 | 41.6× |
| Von willebrand factor ag (85246) | $288 | $288 | 12.6× |
| Zinc (84630) | $159 | $159 | 14.0× |
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.