Lab & pathology prices at Pike County Memorial Hospital
Louisiana, MO · every code in this section with a posted price and a Medicare benchmark.
406 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $24 | $30 | 2.2× |
| Acth (82024) | $181.60 | $227 | 4.7× |
| Acute hepatitis panel (80074) | $276 | $345 | 5.8× |
| Albumin Fluid (82042) | $27.20 | $34 | 3.5× |
| Albumin serum (82040) | $27.20 | $34 | 5.5× |
| Aldolase (82085) | $51.20 | $64 | 5.3× |
| Aldosterone urine (82088) | $181.60 | $227 | 4.5× |
| Alkaline phosphatase isoenzymes (84080) | $72.80 | $91 | 4.9× |
| Allergen specific ige (86003) range across 95 matching MRF lines |
$8.80–$247.20 | $11–$309 | varies |
| Alpha-1-antitrypsin total (82103) | $77.60 | $97 | 5.8× |
| Alpha-Fetoprotein Serum (82105) | $88 | $110 | 5.2× |
| Alt (sgpt) (84460) | $27.20 | $34 | 5.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $100 | $125 | 4.4× |
| Ammonia (82140) | $32 | $40 | 2.2× |
| Amylase urine (82150) | $36 | $45 | 5.6× |
| Ana Titer (86039) | $30.40 | $38 | 2.7× |
| Angiotensin converting enzyme csf (82164) | $80.80 | $101 | 5.5× |
| Angiotensin II (82163) | $81.60 | $102 | 4.0× |
| Anti-Phospholipid Antibody (86148) | $71.20 | $89 | 4.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $28.80 | $36 | 2.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $50.40 | $63 | 3.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $80 | $100 | 4.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $79.20 | $99 | 5.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $79.20 | $99 | 4.4× |
| Antibody Herpes Smplx Type 1 (86695) | $75.20 | $94 | 5.7× |
| Antibody HIV-2 (86702) | $60 | $75 | 4.4× |
| Antibody identification leukocyte antibodies (86021) | $114.40 | $143 | 7.6× |
| Antibody Protozoa Nes (86753) | $80 | $100 | 6.5× |
| Antibody Titer (86886) range across 5 matching MRF lines |
$56.80–$144 | $71–$180 | varies |
| Antibody Treponema Pallidum (86780) | $559.20 | $699 | 42.2× |
| Antigen typing (86905) | $100 | $125 | 26.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $32.80 | $41 | 5.7× |
| Antinuclear antibodies (86038) | $56 | $70 | 4.6× |
| Antistreptolysin o titer (86060) | $44 | $55 | 6.0× |
| Antithrombin iii activity (85300) | $162.40 | $203 | 13.7× |
| Antithrombin iii antigen (85301) | $162.40 | $203 | 15.0× |
| Apolipoprotein a1 (82172) | $80 | $100 | 3.8× |
| Assay activated protein c (85307) | $139.20 | $174 | 9.1× |
| Assay Blood Carbon Dioxide (82374) | $27.20 | $34 | 5.6× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$75.20–$168 | $94–$210 | varies |
| Assay of 5-hiaa (83497) | $75.20 | $94 | 5.8× |
| Assay of blood/uric acid (84550) | $27.20 | $34 | 6.0× |
| Assay of calcium in urine (82340) | $36 | $45 | 6.0× |
| Assay of cpk in blood (82552) | $76.80 | $96 | 5.7× |
| Assay of estrone (82679) | $142.40 | $178 | 5.7× |
| Assay of g6pd enzyme (82955) | $91.20 | $114 | 9.4× |
| Assay of gammaglobulin igm (82784) | $49.60 | $62 | 5.3× |
| Assay of lactic acid (83605) | $79.20 | $99 | 6.8× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$106.40–$168.80 | $133–$211 | varies |
| Assay of proinsulin (84206) | $156 | $195 | 5.8× |
| Assay of serotonin (84260) | $215.20 | $269 | 6.9× |
| Assay of serum potassium (84132) | $27.20 | $34 | 5.7× |
| Assay of urea nitrogen (84520) | $27.20 | $34 | 6.9× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$92–$128 | $115–$160 | varies |
| Assay Ph Body Fluid Nos (83986) | $64.80 | $81 | 18.1× |
| Assay spec xcp ur&breath ia (82077) | $90.40 | $113 | 5.2× |
| Automated Leukocyte Count (85048) | $20 | $25 | 7.9× |
| Bcr/abl1 gene major bp (81206) | $324 | $405 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $93.60 | $117 | 3.7× |
| Beta hydroxybutyrate (82010) | $120 | $150 | 14.7× |
| Beta Lactamase (87185) | $50.40 | $63 | 10.6× |
| Beta-2 Microglobulin (82232) | $92.80 | $116 | 5.7× |
| Bile acids total (82239) | $48 | $60 | 2.8× |
| Bilirubin direct (82248) | $27.20 | $34 | 5.4× |
| Bilirubin total (82247) | $27.20 | $34 | 5.4× |
| Bld Typing Serologic Rh Phnt (86906) | $74.40 | $93 | 9.6× |
| Blood Count Red Blood Cell Automated (85041) | $19.20 | $24 | 6.4× |
| Blood count reticulocyte automated (85045) | $27.20 | $34 | 6.8× |
| Blood gas (82803) | $111.20 | $139 | 4.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $58.40 | $73 | 3.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $27.20 | $34 | 6.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$97.60–$135.20 | $122–$169 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $160 | $200 | 9.8× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$18.40–$36 | $23–$45 | varies |
| C-Peptide (84681) | $117.60 | $147 | 5.7× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$44–$64 | $55–$80 | varies |
| Ca 19-9 (86301) | $114.40 | $143 | 5.5× |
| Cadmium (82300) | $103.20 | $129 | 4.4× |
| Calcitonin (82308) | $126.40 | $158 | 4.7× |
| Calcium ionized (82330) | $81.60 | $102 | 6.0× |
| Calcium total (82310) range across 3 matching MRF lines |
$27.20–$36 | $34–$45 | varies |
| Calprotectin Fecal (83993) | $329.60 | $412 | 16.8× |
| Cancer Antigen 125 (86304) | $114.40 | $143 | 5.5× |
| Cancer Antigen 27.29 (86300) | $100.80 | $126 | 4.8× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$81.60–$122.40 | $102–$153 | varies |
| Carboxyhemoglobin (82375) | $42.40 | $53 | 3.4× |
| Carcinoembryonic antigen (82378) | $90.40 | $113 | 4.8× |
| Cardiolipin ab iga (86147) range across 9 matching MRF lines |
$16–$65.60 | $20–$82 | varies |
| Catecholamines fractionated (82384) | $174.40 | $218 | 6.9× |
| Ccp antibody (86200) | $82.40 | $103 | 6.4× |
| Cell count csf (89051) | $35.20 | $44 | 6.3× |
| Ceruloplasmin (82390) | $54.40 | $68 | 5.1× |
| Chlamydia antibody (86631) | $91.20 | $114 | 7.7× |
| Chlamydia Igm Antibody (86632) | $64 | $80 | 5.0× |
| Chloride Serum (82435) | $27.20 | $34 | 5.9× |
| Cholesterol total (82465) | $27.20 | $34 | 6.3× |
| Chorionic gonadotropin test (84702) | $85.60 | $107 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $80 | $100 | 2.3× |
| Citric acid urine (82507) | $174.40 | $218 | 6.3× |
| Ckmb (82553) | $56.80 | $71 | 4.9× |
| Clostridium Difficile (87324) | $60 | $75 | 5.0× |
| Cold agglutinin titer (86157) | $36 | $45 | 4.5× |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$119.20–$931.20 | $149–$1,164 | varies |
| Compatibility test antiglob (86922) | $90.40 | $113 | 0.5× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$70.40–$140 | $88–$175 | varies |
| Complement Total (Ch50) (86162) | $106.40 | $133 | 5.2× |
| Coombs direct (86880) | $36 | $45 | 6.7× |
| Copper urine (82525) | $64 | $80 | 5.2× |
| Cortisol free (82530) | $96 | $120 | 5.7× |
| Cortisol saliva (82533) | $76.80 | $96 | 4.7× |
| Creatine kinase total (82550) | $27.20 | $34 | 4.2× |
| Creatinine blood (82565) | $27.20 | $34 | 5.3× |
| Creatinine clearance (82575) | $49.60 | $62 | 5.2× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$34.40–$40.80 | $43–$51 | varies |
| Crp High Sensitivity (86141) | $48 | $60 | 3.7× |
| Cryoglobulin (82595) | $63.20 | $79 | 9.8× |
| Cryptosporidium ag eia (87328) | $120 | $150 | 8.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$22.40–$49.60 | $28–$62 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.20 | $49 | 4.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $50.40 | $63 | 6.5× |
| Culture afb (87116) | $29.60 | $37 | 2.7× |
| Culture Anaerobic (87075) | $69.60 | $87 | 7.3× |
| Culture blood (87040) | $59.20 | $74 | 5.7× |
| Culture csf (87070) range across 6 matching MRF lines |
$69.60–$71.20 | $87–$89 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$37.60–$44 | $47–$55 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$30.40–$39.20 | $38–$49 | varies |
| Culture stool (87045) | $34.40 | $43 | 3.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $22.40 | $28 | 4.3× |
| Culture urine (87086) | $50.40 | $63 | 6.2× |
| Cyclosporine (80158) | $162.40 | $203 | 9.0× |
| Cytomegalovirus igg (86644) | $80.80 | $101 | 5.6× |
| Cytopath Cell Enhance Tech (88112) | $160 | $200 | 3.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $80 | $100 | 3.0× |
| Cytp Concentration Smears & Interpretation (88108) | $268 | $335 | 7.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$200–$400 | $250–$500 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $80 | $100 | 0.5× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$109.60–$324.80 | $137–$406 | varies |
| Dhea (82626) | $185.60 | $232 | 7.3× |
| Dhea-S (82627) | $127.20 | $159 | 5.7× |
| Digoxin (80162) | $71.20 | $89 | 5.4× |
| Dipropylacetic Acid Free (80165) | $70.40 | $88 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$16–$73.60 | $20–$92 | varies |
| Drug assay acetaminophen (80143) | $71.20 | $89 | 3.8× |
| Drug Assay Everolimus (80169) | $240 | $300 | 17.5× |
| Drug Asy Hydroxychloroquine (80220) | $422.40 | $528 | 22.7× |
| Drug Screen Quantitative Gabapentin (80171) | $88 | $110 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $74.40 | $93 | 5.6× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$62.40–$100 | $78–$125 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $76 | $95 | 5.7× |
| Drug Test Prsmv Chem Anlyzr (80307) | $440 | $550 | 7.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $24 | $30 | 1.9× |
| Drug Test Prsmv Instrmnt (80306) | $393.60 | $492 | 23.0× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$77.60–$108 | $97–$135 | varies |
| Electrolyte panel (80051) | $76 | $95 | 10.8× |
| Erythropoietin (82668) | $118.40 | $148 | 6.3× |
| Estradiol serum (82670) | $135.20 | $169 | 4.8× |
| Estrogen total (82672) | $128 | $160 | 5.9× |
| Ethosuximide (80168) | $98.99 | $123.74 | 6.1× |
| Exam Synovial Fluid Crystals (89060) | $66.40 | $83 | 9.1× |
| F2 Gene (81240) | $320 | $400 | 4.9× |
| Factor v activity (85220) | $153.60 | $192 | 8.7× |
| Factor v leiden mutation (81241) | $268 | $335 | 3.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$153.60–$881.60 | $192–$1,102 | varies |
| Fecal Fat Qualitative (82705) | $56 | $70 | 11.0× |
| Ferritin (82728) | $56.80 | $71 | 4.2× |
| Fibrin Degradation Quant (85379) | $160 | $200 | 15.7× |
| Fibrinogen activity (85384) | $51.20 | $64 | 5.3× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$124.80–$631.20 | $156–$789 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$70.40–$320 | $88–$400 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $50.40 | $63 | 4.2× |
| Folic acid rbc (82747) | $118.40 | $148 | 6.7× |
| Folic Acid Serum (82746) | $64 | $80 | 4.4× |
| Follicle Stimulating Hormone (83001) | $81.60 | $102 | 4.4× |
| Fungi Identification Mold (87107) | $36 | $45 | 3.5× |
| Fungi Identification Yeast (87106) | $53.60 | $67 | 5.2× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$31.20–$65.60 | $39–$82 | varies |
| Gardner Vag Dna Quant (87512) | $109.60 | $137 | 2.6× |
| Gastrin (82941) | $77.60 | $97 | 4.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $5,768 | $7,210 | 7.6× |
| Genet Virus Isolate Hsv (87255) | $66.40 | $83 | 2.0× |
| Gentamicin (80170) | $93.60 | $117 | 5.7× |
| Ggt (82977) | $27.20 | $34 | 3.8× |
| Giardia antigen (87329) | $60 | $75 | 5.0× |
| Glucose 2 hr pp (82950) | $27.20 | $34 | 5.7× |
| Glucose Blood Test (82962) | $14.40 | $18 | 4.4× |
| Glucose body fluid (82945) | $32 | $40 | 8.1× |
| Glucose Serum (82947) | $27.20 | $34 | 6.9× |
| Glucose tolerance test (gtt) (82951) | $75.20 | $94 | 5.8× |
| Gonadotropin Chorionic Qualitative (84703) | $42.40 | $53 | 5.6× |
| Gtt-added samples (82952) | $24 | $30 | 6.1× |
| H Pylori (C-13) Breath (83013) | $172 | $215 | 2.6× |
| Haloperidol (80173) | $123.20 | $154 | 7.8× |
| Haptoglobin (83010) | $80.80 | $101 | 6.4× |
| Hdl Cholesterol (83718) | $39.20 | $49 | 4.8× |
| Helicobacter Pylori Stool (87338) | $99.20 | $124 | 6.9× |
| Hematocrit (85014) range across 4 matching MRF lines |
$16–$19.20 | $20–$24 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$16–$19.20 | $20–$24 | varies |
| Hemoglobin a1c (83036) | $66.40 | $83 | 6.8× |
| Hemoglobin Chromotography (83021) | $19.20 | $24 | 1.1× |
| Hep a ab igm (86709) | $79.20 | $99 | 7.0× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$21.60–$70.40 | $27–$88 | varies |
| Hepatitis b core ab igm (86705) | $85.60 | $107 | 7.3× |
| Hepatitis b core ab total (86704) | $61.60 | $77 | 5.1× |
| Hepatitis B Surface Antibody (86706) | $64.80 | $81 | 6.0× |
| Hepatitis B Surface Antigen (87340) | $52.80 | $66 | 5.1× |
| Hepatitis Be Antigen (87350) | $64 | $80 | 5.6× |
| Hepatitis C Antibody (86803) | $72.80 | $91 | 5.1× |
| Hepatitis C Genotype (87902) | $354.40 | $443 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $247.20 | $309 | 5.8× |
| Herpes simplex type 2 (86696) | $75.20 | $94 | 3.9× |
| Heterophile Antibody Screen (86308) | $40 | $50 | 7.7× |
| Hfe Gene (81256) | $411.20 | $514 | 6.3× |
| Hgb Quantitative Transcutaneous (88738) | $7.20 | $9 | 1.4× |
| Histamine urine (83088) | $172.80 | $216 | 5.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $68 | $85 | 2.8× |
| Hiv-1 Antibody (86701) | $60 | $75 | 6.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $212 | $265 | 2.5× |
| Hla-b27 (86812) | $114.40 | $143 | 4.4× |
| Homocysteine (83090) | $157.60 | $197 | 8.8× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$96–$271.20 | $120–$339 | varies |
| Hpv Types 16 & 18 Only (87625) | $84 | $105 | 2.1× |
| Hsv Dna Amp Probe (87529) | $239.20 | $299 | 6.8× |
| Hydroxyprogesterone 17-d (83498) | $130.40 | $163 | 4.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $40 | $50 | 1.1× |
| Iaad ia shiga-like toxin (87427) | $69.60 | $87 | 5.8× |
| Iaadi respiratory synctial virus (87280) | $56.80 | $71 | 4.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $140 | $175 | 4.0× |
| Iadna Cytomegalovirus Quantification (87497) | $349.60 | $437 | 8.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $163.20 | $204 | 3.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $80 | $100 | 2.3× |
| Igg subclasses (82787) | $80.80 | $101 | 10.1× |
| Immunfix e-phorsis/urine/csf (86335) | $105.60 | $132 | 3.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 9 matching MRF lines |
$148.80–$2,560 | $186–$3,200 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $71.20 | $89 | 4.7× |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$44–$160 | $55–$200 | varies |
| Immunofixation electrophoresis (86334) | $132 | $165 | 5.9× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $12 | $15 | 1.0× |
| Influenza a/b ag eia (87400) | $32 | $40 | 2.3× |
| Influenza assay w/optic (87804) | $25.60 | $32 | 1.5× |
| Inhibin b (83520) range across 6 matching MRF lines |
$84–$254.40 | $105–$318 | varies |
| Insulin antibodies (86337) | $138.40 | $173 | 6.5× |
| Insulin total (83525) | $56.80 | $71 | 5.0× |
| Interleukin-6 (83529) | $288 | $360 | 16.7× |
| Intrinsic factor antibody (86340) | $87.20 | $109 | 5.8× |
| Iron (83540) range across 3 matching MRF lines |
$27.20–$32.64 | $34–$40.80 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$20–$60 | $25–$75 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $2,304 | $2,880 | 25.1× |
| Koh Prep (87220) | $32 | $40 | 7.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$27.20–$37.60 | $34–$47 | varies |
| Lactoferrin Fecal Quantitative (83631) | $168.80 | $211 | 8.6× |
| Ldh Isoenzymes (83625) | $70.40 | $88 | 5.5× |
| LDL direct (83721) | $39.20 | $49 | 3.7× |
| Lead (83655) range across 2 matching MRF lines |
$48–$52.80 | $60–$66 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$120–$123.20 | $150–$154 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $61.60 | $77 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $128 | $160 | 3.4× |
| Lipase (83690) | $36 | $45 | 5.2× |
| Lipoprotein A (83695) | $97.60 | $122 | 6.8× |
| Lithium (80178) | $40.80 | $51 | 6.2× |
| Luteinizing Hormone (Lh) (83002) | $90.40 | $113 | 4.9× |
| Lyme disease antibody (86618) | $113.60 | $142 | 6.7× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $560 | $700 | 16.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$27.20–$44 | $34–$55 | varies |
| Methylmalonic acid serum (83921) | $164.80 | $206 | 7.8× |
| Microsomal Antibodies Each (86376) | $76.80 | $96 | 5.3× |
| Mrsa Pcr (87641) | $142.40 | $178 | 4.1× |
| Mthfr Gene Analysis Common Variants (81291) | $400 | $500 | 6.1× |
| Mumps antibody (86735) | $88 | $110 | 6.7× |
| Mycobacteric Identification (87118) | $34.40 | $43 | 2.4× |
| Mycoplasma antibody (86738) | $134.40 | $168 | 10.2× |
| Myelin basic protein csf (83873) | $66.40 | $83 | 3.9× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$40.80–$72.80 | $51–$91 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$142.40–$200 | $178–$250 | varies |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$24–$2,265.60 | $30–$2,832 | varies |
| Occult blood feces (82272) range across 4 matching MRF lines |
$20–$44 | $25–$55 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$20–$44 | $25–$55 | varies |
| Oligoclonal bands (83916) | $81.60 | $102 | 3.0× |
| Osmolality serum (83930) | $49.60 | $62 | 7.5× |
| Osmolality Urine (83935) | $66.40 | $83 | 9.7× |
| Osteocalcin (83937) | $148 | $185 | 5.0× |
| Oxalate urine (83945) | $70.40 | $88 | 4.9× |
| Parvovirus antibody (86747) | $64 | $80 | 4.3× |
| Ph urine (81003) | $20 | $25 | 8.9× |
| Phenobarbital Level (80184) | $71.20 | $89 | 4.7× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$26.40–$71.20 | $33–$89 | varies |
| Phenytoin free (80186) | $56.80 | $71 | 4.1× |
| Phosphatase alkaline (84075) | $27.20 | $34 | 5.3× |
| Phospholipid Neutralization Hexagonal (85598) | $75.20 | $94 | 4.2× |
| Phosphorus Serum (84100) | $27.20 | $34 | 5.7× |
| Phosphorus urine (84105) | $45.60 | $57 | 7.9× |
| Platelet count automated (85049) | $24.80 | $31 | 5.5× |
| Platelet neutralization (85597) | $75.20 | $94 | 4.2× |
| Potassium Urine (84133) | $40 | $50 | 8.5× |
| Prealbumin (84134) | $87.20 | $109 | 6.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 5 matching MRF lines |
$18.40–$95.20 | $23–$119 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $28.80 | $36 | 1.0× |
| Primidone (80188) | $72 | $90 | 4.3× |
| Procalcitonin (Pct) (84145) | $160 | $200 | 5.9× |
| Progesterone (84144) | $81.60 | $102 | 3.9× |
| Prolactin (84146) | $103.20 | $129 | 5.3× |
| Protein body fluid (84157) | $41.60 | $52 | 10.4× |
| Protein C Activity (85303) | $145.60 | $182 | 10.5× |
| Protein c antigen (85302) | $162.40 | $203 | 13.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $36.80 | $46 | 3.4× |
| Protein S Free (85306) | $153.60 | $192 | 10.0× |
| Protein s total (85305) | $162.40 | $203 | 14.0× |
| Protein total serum (84155) | $27.20 | $34 | 7.4× |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$33.60–$40 | $42–$50 | varies |
| Protein Western Blot Test (84182) | $3,120 | $3,900 | 106.8× |
| Protoporphyrin rbc quantitative (84202) | $120 | $150 | 8.4× |
| PSA free (84154) | $47.20 | $59 | 2.6× |
| Pth Intact (83970) range across 3 matching MRF lines |
$140.80–$156 | $176–$195 | varies |
| Quantiferon tb gold plus (86480) | $214.40 | $268 | 3.5× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$91.20–$200 | $114–$250 | varies |
| Rbc antibody elution (86860) | $111.20 | $139 | 0.7× |
| Rbc antibody identification (86870) | $88 | $110 | 0.2× |
| Rbc antibody screen (86850) | $56.80 | $71 | 5.8× |
| Rbc pretreatment serum (86978) | $41.60 | $52 | 0.7× |
| Rbc pretx incubatj w/enzymes (86971) | $18.40 | $23 | 0.1× |
| Renin activity plasma (84244) | $96.80 | $121 | 4.4× |
| Resp virus 12-25 targets (87633) | $1,440 | $1,800 | 3.5× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$72.80–$108.80 | $91–$136 | varies |
| Rh (86901) | $36 | $45 | 12.0× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$72–$264 | $90–$330 | varies |
| Rickettsia antibody (86757) | $48 | $60 | 2.5× |
| Ristocetin cofactor (85245) | $144 | $180 | 6.3× |
| Rotavirus ag eia (87425) | $120 | $150 | 10.0× |
| Rpr qualitative (86592) | $24.80 | $31 | 5.8× |
| Rsv Assay W/Optic (87807) | $20 | $25 | 1.5× |
| Rubella Antibody (86762) | $48.80 | $61 | 3.4× |
| Rubeola antibody (86765) | $85.60 | $107 | 6.6× |
| Russell Viper Venom Time Diluted (85613) | $57.60 | $72 | 6.0× |
| Salicylate Level (80179) | $71.20 | $89 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $300 | $375 | 5.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $160 | $200 | 3.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $40 | $50 | 1.0× |
| Sedimentation Rate, Automated (85652) | $34.40 | $43 | 12.7× |
| Semen Anal Sperm Detection (89321) | $96 | $120 | 8.0× |
| Sensitivity mic (87186) | $50.40 | $63 | 5.8× |
| Sex Hormone Binding Globulin (84270) | $80 | $100 | 3.7× |
| Sickling of rbc reduction (85660) | $26.40 | $33 | 4.8× |
| Sirolimus (80195) | $117.60 | $147 | 8.6× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$16–$17.60 | $20–$22 | varies |
| Smear acid fast (87206) | $32.80 | $41 | 6.1× |
| Smear complex stain (87209) | $39.20 | $49 | 2.2× |
| Smear gram stain (87205) range across 5 matching MRF lines |
$20–$27.20 | $25–$34 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27.20 | $34 | 4.7× |
| Sodium Serum (84295) | $27.20 | $34 | 5.7× |
| Sodium Urine (84300) | $40 | $50 | 7.9× |
| Somatomedin (84305) | $187.20 | $234 | 8.8× |
| Special Stains Group 1 (88312) | $200 | $250 | 3.8× |
| Special Stains Group 2 (88313) | $99.20 | $124 | 0.7× |
| Specimen infect agnt concntj (87015) | $24 | $30 | 3.6× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$45.60–$58.40 | $57–$73 | varies |
| Strep a assay w/optic (87880) | $27.20 | $34 | 1.6× |
| Sulfate urine (84392) | $160 | $200 | 29.1× |
| Surg path level iii (88304) | $156 | $195 | 3.0× |
| Surgical pathology level IV (88305) | $212.80 | $266 | 4.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $400 | $500 | 84.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$27.20–$72 | $34–$90 | varies |
| Syphilis Test Non-Trep Quant (86593) | $16.80 | $21 | 3.8× |
| T cells absolute cd4 count (86361) | $96 | $120 | 3.6× |
| T3 Free (84481) | $131.20 | $164 | 7.7× |
| T3 reverse (84482) | $159.20 | $199 | 10.1× |
| T3 Total (84480) | $81.60 | $102 | 5.8× |
| T3 Uptake (84479) | $35.20 | $44 | 5.4× |
| T4 Free (84439) | $66.40 | $83 | 7.4× |
| T4 total (84436) | $44 | $55 | 6.4× |
| Tacrolimus (80197) | $129.60 | $162 | 9.4× |
| Test for acetone/ketones (82009) | $27.20 | $34 | 6.0× |
| Testosterone total (84403) | $125.60 | $157 | 4.9× |
| Testosterone, Free (84402) | $81.60 | $102 | 3.2× |
| Thrombin Time (85670) | $49.60 | $62 | 8.6× |
| Thyroglobulin (84432) | $49.60 | $62 | 3.1× |
| Thyroglobulin Antibody (86800) | $76.80 | $96 | 4.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $270.40 | $338 | 5.3× |
| Topiramate (80201) | $57.60 | $72 | 4.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $164.80 | $206 | 8.3× |
| Tpmt gene com variants (81335) | $600 | $750 | 3.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.20 | $34 | 5.3× |
| Transferrin (84466) | $69.60 | $87 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $224 | $280 | 6.4× |
| Triglycerides (84478) | $27.20 | $34 | 4.7× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$58.40–$96 | $73–$120 | varies |
| Unlisted Surgical Pathology Procedure (88399) | $32 | $40 | 0.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $68.80 | $86 | 2.4× |
| Urea nitrogen urine (84540) | $35.20 | $44 | 6.3× |
| Uric acid other source (84560) | $40 | $50 | 7.9× |
| Urinalysis Microscopic Only (81015) | $32 | $40 | 10.5× |
| Urine Albumin Semiquantitative (82044) | $88 | $110 | 14.1× |
| Urine Bacteria Culture (87088) | $27.20 | $34 | 3.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$20–$32.80 | $25–$41 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34.40 | $43 | 10.9× |
| Valproic acid (80164) | $70.40 | $88 | 5.2× |
| Vancomycin (80202) | $52.80 | $66 | 3.9× |
| Varicella-zoster antibody (86787) | $88 | $110 | 6.8× |
| Virus inoculation, shell via (87254) | $105.60 | $132 | 5.4× |
| Vit D 1 25-Dihydroxy (82652) | $215.20 | $269 | 5.6× |
| Vitamin A (84590) | $33.60 | $42 | 2.9× |
| Vitamin b-12 (82607) | $56.80 | $71 | 3.8× |
| Vitamin B6 (84207) | $173.60 | $217 | 6.2× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$201.60–$221.60 | $252–$277 | varies |
| Vitamin E (84446) | $77.60 | $97 | 5.5× |
| Vitamin K (84597) | $203.20 | $254 | 14.8× |
| Von willebrand factor ag (85246) | $152.80 | $191 | 6.7× |
| Zinc (84630) | $54.40 | $68 | 4.8× |
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.