Lab & pathology prices at Pipestone County Medical Center & Family Clinic Avera
Pipestone, MN · every code in this section with a posted price and a Medicare benchmark.
402 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) | $162 | $162 | 8.8× |
| Acetylcholine receptor blocking antibody (86042) | $126 | $126 | 6.8× |
| Acth (82024) | $251 | $251 | 6.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $14 | $14 | 0.4× |
| Actin smooth muscle antibody each (86015) | $54 | $54 | 4.5× |
| Acute hepatitis panel (80074) | $286 | $286 | 6.0× |
| Albumin Fluid (82042) | $14 | $14 | 1.8× |
| Albumin serum (82040) | $108 | $108 | 21.8× |
| Aldosterone urine (82088) | $169 | $169 | 4.1× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$186–$254 | $186–$254 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$18–$28 | $18–$28 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$19–$63 | $19–$63 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $484 | $484 | 33.5× |
| Alpha-1-antitrypsin total (82103) | $213 | $213 | 15.8× |
| Alpha-Fetoprotein Serum (82105) | $187 | $187 | 11.2× |
| Alt (sgpt) (84460) | $124 | $124 | 23.4× |
| Ammonia (82140) | $207 | $207 | 14.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $207 | $207 | 2.1× |
| Amylase urine (82150) | $170 | $170 | 26.2× |
| Ana Titer (86039) | $123 | $123 | 11.0× |
| Anca screen each antibody (86036) | $69 | $69 | 5.7× |
| Androstenedione (82157) | $628 | $628 | 21.4× |
| Angiotensin converting enzyme csf (82164) | $93 | $93 | 6.4× |
| Antibody aspergillus (86606) | $19 | $19 | 1.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $105 | $105 | 6.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $172 | $172 | 13.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $172 | $172 | 11.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $232 | $232 | 12.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $115 | $115 | 8.0× |
| Antibody Herpes Smplx Type 1 (86695) | $84 | $84 | 6.4× |
| Antibody HIV-2 (86702) | $26 | $26 | 1.9× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$28–$113 | $28–$113 | varies |
| Antigen typing (86905) | $64 | $64 | 16.7× |
| Antistreptolysin o titer (86060) | $129 | $129 | 17.7× |
| Antithrombin iii activity (85300) | $95 | $95 | 8.0× |
| Antithrombin iii antigen (85301) | $165 | $165 | 15.3× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$36–$144 | $36–$144 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$315–$596 | $315–$596 | varies |
| Aspergillus ag eia (87305) | $272 | $272 | 22.7× |
| Assay of anti-mullerian hormone (82166) | $317 | $317 | 8.2× |
| Assay of blood/uric acid (84550) | $108 | $108 | 23.9× |
| Assay of calcium in urine (82340) | $109 | $109 | 18.1× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$87–$155 | $87–$155 | varies |
| Assay of lactic acid (83605) | $213 | $213 | 18.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$90–$213 | $90–$213 | varies |
| Assay of proinsulin (84206) | $122 | $122 | 4.6× |
| Assay of serum potassium (84132) | $64 | $64 | 13.4× |
| Assay of urea nitrogen (84520) | $108 | $108 | 27.3× |
| Assay of vitamin b-1 (84425) | $82 | $82 | 3.9× |
| Assay Ph Body Fluid Nos (83986) | $22 | $22 | 6.1× |
| Assay spec xcp ur&breath ia (82077) | $184 | $184 | 10.7× |
| Automated Leukocyte Count (85048) | $83 | $83 | 32.7× |
| B cells total count (86355) | $169 | $169 | 4.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$84–$106 | $84–$106 | varies |
| Beta hydroxybutyrate (82010) | $69 | $69 | 8.4× |
| Beta-2 Microglobulin (82232) | $97 | $97 | 6.0× |
| Bile acids total (82239) | $50 | $50 | 2.9× |
| Bilirubin direct (82248) | $85 | $85 | 16.9× |
| Bilirubin total (82247) | $107 | $107 | 21.3× |
| Biotinidase (82261) | $35 | $35 | 2.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $15 | $15 | 4.4× |
| Blood Count Automated Differential Wbc Count (85004) | $80 | $80 | 12.4× |
| Blood count reticulocyte automated (85045) | $109 | $109 | 27.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $85 | $85 | 22.4× |
| Blood gas (82803) | $296 | $296 | 11.4× |
| Blood gases w/02 saturation (82805) | $305 | $305 | 3.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$43–$63 | $43–$63 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $57 | $57 | 13.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $35 | $35 | 5.5× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$28–$69 | $28–$69 | varies |
| C diff amplified probe (87493) | $232 | $232 | 6.2× |
| C-Peptide (84681) | $81 | $81 | 3.9× |
| C-reactive protein (86140) | $123 | $123 | 23.7× |
| Ca 19-9 (86301) | $217 | $217 | 10.4× |
| Calcitonin (82308) | $81 | $81 | 3.0× |
| Calcium ionized (82330) | $205 | $205 | 15.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$12–$108 | $12–$108 | varies |
| Calculus Spectroscopy (82365) | $168 | $168 | 13.0× |
| Calprotectin Fecal (83993) | $425 | $425 | 21.7× |
| Cancer Antigen 125 (86304) | $256 | $256 | 12.3× |
| Cancer Antigen 27.29 (86300) | $217 | $217 | 10.4× |
| Candida Dna Dir Probe (87480) | $59 | $59 | 2.9× |
| Carbamazepine total (80156) | $170 | $170 | 11.7× |
| Carboxyhemoglobin (82375) | $224 | $224 | 18.2× |
| Carcinoembryonic antigen (82378) | $236 | $236 | 12.4× |
| Cardiolipin ab iga (86147) | $248 | $248 | 9.7× |
| Carotene (82380) | $272 | $272 | 29.5× |
| Catecholamines fractionated (82384) | $207 | $207 | 8.2× |
| Ccp antibody (86200) | $211 | $211 | 16.3× |
| Cell count csf (89051) | $233 | $233 | 41.6× |
| Ceruloplasmin (82390) | $39 | $39 | 3.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$182–$204 | $182–$204 | varies |
| Chloride urine (82436) | $105 | $105 | 18.3× |
| Cholesterol total (82465) | $108 | $108 | 24.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$201–$203 | $201–$203 | varies |
| Chromogranin a (86316) | $169 | $169 | 8.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $208 | $208 | 5.9× |
| Ckmb (82553) | $240 | $240 | 20.8× |
| Clostridium Difficile (87324) | $190 | $190 | 15.9× |
| Cns DNA amp probe type 12-25 (87483) | $657 | $657 | 1.6× |
| Coccidioides antibody (86635) | $71 | $71 | 6.2× |
| Cold agglutinin titer (86157) | $31 | $31 | 3.8× |
| Collagen crosslinks (82523) | $270 | $270 | 14.5× |
| Compatibility test antiglob (86922) | $109 | $109 | 0.6× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$149–$159 | $149–$159 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$85–$91 | $85–$91 | varies |
| Copper urine (82525) | $228 | $228 | 18.4× |
| Cortisol free (82530) | $85 | $85 | 5.1× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$124–$187 | $124–$187 | varies |
| Creatine kinase total (82550) | $113 | $113 | 17.4× |
| Creatinine blood (82565) | $104 | $104 | 20.3× |
| Creatinine clearance (82575) | $106 | $106 | 11.2× |
| Creatinine Urine (82570) | $109 | $109 | 21.0× |
| Crossmatch immediate spin (86920) | $129 | $129 | 0.7× |
| Crp High Sensitivity (86141) | $144 | $144 | 11.1× |
| Cryptococcal Antigen (87327) | $81 | $81 | 6.0× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$42–$145 | $42–$145 | varies |
| Cryptosporidium ag eia (87328) | $93 | $93 | 6.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $102 | $102 | 12.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $25 | $25 | 3.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $170 | $170 | 22.0× |
| Culture afb (87116) | $142 | $142 | 13.1× |
| Culture Anaerobic (87075) | $151 | $151 | 15.9× |
| Culture blood (87040) | $202 | $202 | 19.6× |
| Culture csf (87070) | $174 | $174 | 20.2× |
| Culture fungus (87102) | $149 | $149 | 17.7× |
| Culture screen only (87081) | $138 | $138 | 20.8× |
| Culture stool (87045) | $138 | $138 | 14.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $25 | $25 | 4.8× |
| Culture urine (87086) | $137 | $137 | 17.0× |
| Cytomegalovirus igg (86644) | $105 | $105 | 7.3× |
| Cytopath Cell Enhance Tech (88112) | $266 | $266 | 4.9× |
| Deoxyribonuclease antibody (86215) | $101 | $101 | 7.6× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$75–$538 | $75–$538 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$304–$560 | $304–$560 | varies |
| Dgp Antibody Each Ig Class (86258) | $160 | $160 | 13.3× |
| Dhea (82626) | $94 | $94 | 3.7× |
| Dhea-S (82627) | $454 | $454 | 20.4× |
| Digoxin (80162) | $171 | $171 | 12.9× |
| Dipropylacetic Acid Free (80165) | $123 | $123 | 9.1× |
| Dna Antibody Native/Double Stranded (86225) | $170 | $170 | 12.4× |
| DNA/RNA direct probe (87149) | $211 | $211 | 10.5× |
| Dna/Rna Sequencing (87153) | $909 | $909 | 7.9× |
| Drug assay acetaminophen (80143) | $275 | $275 | 14.8× |
| Drug Assay Itraconazole (80189) | $180 | $180 | 6.6× |
| Drug Assay Lacosamide (80235) | $370 | $370 | 13.6× |
| Drug Assay Posaconazole (80187) | $110 | $110 | 4.1× |
| Drug Assay Vedolizumab (80280) | $381 | $381 | 9.9× |
| Drug assay voriconazole (80285) | $243 | $243 | 9.0× |
| Drug Screen Quant Zonisamide (80203) | $103 | $103 | 7.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $229 | $229 | 17.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $248 | $248 | 18.7× |
| Drug Test Prsmv Chem Anlyzr (80307) | $133 | $133 | 2.1× |
| Drug Test Prsmv Instrmnt (80306) | $345 | $345 | 20.1× |
| El-1 Fecal Quantitative (82653) | $447 | $447 | 19.5× |
| Electrolyte panel (80051) | $184 | $184 | 26.2× |
| Enzyme cell activity (82657) | $35 | $35 | 1.6× |
| Erythropoietin (82668) | $289 | $289 | 15.4× |
| Estradiol serum (82670) | $284 | $284 | 10.2× |
| Estrogens fractionated (82671) | $479 | $479 | 14.8× |
| Ethosuximide (80168) | $138 | $138 | 8.4× |
| Exam Synovial Fluid Crystals (89060) | $129 | $129 | 17.6× |
| F2 Gene (81240) | $197 | $197 | 3.0× |
| Factor v leiden mutation (81241) | $117 | $117 | 1.6× |
| Fat/Lipids Feces Quantitative (82710) | $302 | $302 | 18.0× |
| Fecal Fat Qualitative (82705) | $74 | $74 | 14.5× |
| Ferritin (82728) | $202 | $202 | 14.8× |
| Fetal Fibronectin (82731) | $420 | $420 | 6.5× |
| Fetal screen rosette (85461) | $49 | $49 | 5.2× |
| Fibrin Degradation Quant (85379) | $254 | $254 | 25.0× |
| Fibrinogen activity (85384) | $123 | $123 | 12.7× |
| Flow cytometry first marker (88184) | $275 | $275 | 0.7× |
| Fluorescent antibody screen (86255) | $68 | $68 | 5.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $50 | $50 | 4.1× |
| Folic acid rbc (82747) | $72 | $72 | 4.1× |
| Folic Acid Serum (82746) | $187 | $187 | 12.7× |
| Follicle Stimulating Hormone (83001) | $237 | $237 | 12.8× |
| Fungi Identification Mold (87107) | $105 | $105 | 10.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$48–$105 | $48–$105 | varies |
| Galactose (82760) | $35 | $35 | 3.1× |
| Galactose transferase test (82776) | $35 | $35 | 3.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$60–$224 | $60–$224 | varies |
| Gardner vag DNA dir probe (87510) | $59 | $59 | 2.9× |
| Gases blood ph only (82800) | $109 | $109 | 9.9× |
| Genet Virus Isolate Hsv (87255) | $53 | $53 | 1.6× |
| Ggt (82977) | $113 | $113 | 15.7× |
| Giardia antigen (87329) | $93 | $93 | 7.8× |
| Glucose 2 hr pp (82950) | $117 | $117 | 24.6× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$15–$111 | $15–$111 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$74–$102 | $74–$102 | varies |
| Glucose tolerance test (gtt) (82951) | $259 | $259 | 20.1× |
| Glycated Protein (82985) | $49 | $49 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $123 | $123 | 16.4× |
| Growth hormone (83003) | $74 | $74 | 4.4× |
| Gtt-added samples (82952) | $47 | $47 | 12.0× |
| Haptoglobin (83010) | $256 | $256 | 20.3× |
| Helicobacter Pylori Stool (87338) | $143 | $143 | 9.9× |
| Hematocrit (85014) | $77 | $77 | 32.5× |
| Hemoglobin (85018) | $60 | $60 | 25.3× |
| Hemoglobin a1c (83036) | $128 | $128 | 13.2× |
| Hemoglobin Chromotography (83021) | $35 | $35 | 1.9× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$35–$94 | $35–$94 | varies |
| Heparin assay (85520) | $77 | $77 | 5.9× |
| Hepatitis a antibody total (86708) | $270 | $270 | 21.8× |
| Hepatitis b core ab igm (86705) | $74 | $74 | 6.3× |
| Hepatitis b core ab total (86704) | $123 | $123 | 10.2× |
| Hepatitis B Surface Antibody (86706) | $123 | $123 | 11.5× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$28–$145 | $28–$145 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$28–$145 | $28–$145 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $834 | $834 | 19.5× |
| Herpes simplex type 2 (86696) | $84 | $84 | 4.3× |
| Hfe Gene (81256) | $473 | $473 | 7.2× |
| Histoplasma antibody (86698) | $111 | $111 | 8.0× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$80–$313 | $80–$313 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$49–$143 | $49–$143 | varies |
| Hiv-1 Antibody (86701) | $26 | $26 | 2.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $386 | $386 | 4.5× |
| Hla ii typing 1 locus lr (81376) | $371 | $371 | 3.0× |
| Hla-b27 (86812) | $457 | $457 | 17.7× |
| Homocysteine (83090) | $57 | $57 | 3.2× |
| Homogenization Tissue (87176) | $35 | $35 | 6.0× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$105–$377 | $105–$377 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$35–$105 | $35–$105 | varies |
| Iaadi inffluenza a virus (87276) | $21 | $21 | 1.3× |
| Iaadi not otherwise specified each organism (87299) | $21 | $21 | 1.3× |
| Iaadi parainfluenza virus each type (87279) | $21 | $21 | 1.3× |
| Iaadi respiratory synctial virus (87280) | $25 | $25 | 1.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $73 | $73 | 2.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $261 | $261 | 7.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $92 | $92 | 2.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $205 | $205 | 5.8× |
| Iadna Cytomegalovirus Quantification (87497) | $284 | $284 | 6.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $233 | $233 | 3.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $73 | $73 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $586 | $586 | 16.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $211 | $211 | 6.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $237 | $237 | 1.7× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$38–$63 | $38–$63 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $138 | $138 | 4.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $421 | $421 | 22.9× |
| Immunoassay infectious agent (86318) | $91 | $91 | 5.0× |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$33–$259 | $33–$259 | varies |
| Immunodiffusion Ouchterlony (86331) | $19 | $19 | 1.6× |
| Immunofixation electrophoresis (86334) | $275 | $275 | 12.3× |
| Immunohistochemistry (88342) | $323 | $323 | 1.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $21 | $21 | 1.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $21 | $21 | 1.7× |
| Influenza DNA amp probe (87502) | $208 | $208 | 2.2× |
| Inhibin A (86336) | $209 | $209 | 13.4× |
| Inhibin b (83520) range across 5 matching MRF lines |
$138–$356 | $138–$356 | varies |
| Insulin antibodies (86337) | $165 | $165 | 7.7× |
| Insulin free (83527) | $71 | $71 | 5.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$46–$142 | $46–$142 | varies |
| Iron (83540) | $108 | $108 | 16.7× |
| Iron Binding Capacity (83550) | $123 | $123 | 14.1× |
| Islet cell antibody (86341) | $107 | $107 | 4.5× |
| Koh Prep (87220) | $84 | $84 | 19.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$22–$113 | $22–$113 | varies |
| Lactoferrin fecal qualitative (83630) | $58 | $58 | 2.9× |
| LDL direct (83721) | $141 | $141 | 13.4× |
| Lead (83655) | $166 | $166 | 13.7× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$145–$408 | $145–$408 | varies |
| Leukocyte Assessment Fecal (89055) | $84 | $84 | 19.7× |
| Lipase (83690) | $143 | $143 | 20.8× |
| Lithium (80178) | $128 | $128 | 19.4× |
| Luteinizing Hormone (Lh) (83002) | $165 | $165 | 8.9× |
| Lyme disease antibody (86618) | $36 | $36 | 2.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$94–$124 | $94–$124 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$35–$253 | $35–$253 | varies |
| Mercury urine (83825) | $81 | $81 | 5.0× |
| Metabolic panel ionized ca (80047) | $202 | $202 | 14.7× |
| Methylmalonic acid serum (83921) | $184 | $184 | 8.7× |
| Microalbumin, quantitative (82043) | $148 | $148 | 25.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$115–$196 | $115–$196 | varies |
| Mitochondrial Antibody Each (86381) | $41 | $41 | 1.6× |
| Mog-Igg1 Antb Cba Each (86362) | $816 | $816 | 67.7× |
| Mrsa Pcr (87641) | $63 | $63 | 1.8× |
| Mumps antibody (86735) | $26 | $26 | 2.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$115–$351 | $115–$351 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $200 | $200 | 0.8× |
| Nk cells total count (86357) | $169 | $169 | 4.5× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$34–$139 | $34–$139 | varies |
| Occult blood feces (82272) | $57 | $57 | 13.5× |
| Osmolality serum (83930) | $136 | $136 | 20.6× |
| Osmolality Urine (83935) | $97 | $97 | 14.2× |
| Ova and parasites smears (87177) | $129 | $129 | 14.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$30–$60 | $30–$60 | varies |
| Phenobarbital Level (80184) | $222 | $222 | 14.5× |
| Phenytoin (Dilantin) (80185) | $167 | $167 | 12.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$85–$128 | $85–$128 | varies |
| Phosphorus Serum (84100) | $108 | $108 | 22.8× |
| Pinworm exam (87172) | $82 | $82 | 19.2× |
| Platelet count automated (85049) | $90 | $90 | 20.1× |
| Potassium Urine (84133) | $97 | $97 | 20.5× |
| Prealbumin (84134) | $129 | $129 | 8.8× |
| Procalcitonin (Pct) (84145) | $454 | $454 | 16.7× |
| Progesterone (84144) | $218 | $218 | 10.5× |
| Prolactin (84146) | $263 | $263 | 13.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$123–$128 | $123–$128 | varies |
| Protein C Activity (85303) | $126 | $126 | 9.1× |
| Protein Electrophoresis Urine (84166) | $187 | $187 | 10.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $152 | $152 | 14.2× |
| Protein S Free (85306) | $145 | $145 | 9.5× |
| Protein total serum (84155) | $84 | $84 | 22.9× |
| Protein Total Urine (84156) | $117 | $117 | 31.9× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$43–$223 | $43–$223 | varies |
| PSA free (84154) | $192 | $192 | 10.4× |
| Pth Intact (83970) | $282 | $282 | 6.8× |
| Q Fever Antibody (86638) | $64 | $64 | 5.3× |
| Quantiferon tb gold plus (86480) | $282 | $282 | 4.5× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$108–$297 | $108–$297 | varies |
| Quantitative Screen Metals (83018) | $266 | $266 | 12.1× |
| Rbc antibody identification (86870) | $207 | $207 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$28–$97 | $28–$97 | varies |
| Renin activity plasma (84244) | $172 | $172 | 7.8× |
| Reticulated Platelet Assay (85055) | $55 | $55 | 1.5× |
| Reticulocyte Count (85046) | $15 | $15 | 2.7× |
| Rh (86901) range across 2 matching MRF lines |
$28–$71 | $28–$71 | varies |
| Rheumatoid Factor Qualitative (86430) | $97 | $97 | 15.8× |
| Rheumatoid factor quant (86431) | $128 | $128 | 22.6× |
| Rotavirus ag eia (87425) | $155 | $155 | 12.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$81–$107 | $81–$107 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$28–$208 | $28–$208 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$26–$90 | $26–$90 | varies |
| Russell Viper Venom Time Diluted (85613) | $96 | $96 | 10.0× |
| Rx metab gen seq alys pnl 6 (81418) | $237 | $237 | 0.3× |
| Salicylate Level (80179) | $174 | $174 | 9.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $152 | $152 | 3.0× |
| Sarscov2 & inf a&b amp prb (87636) | $290 | $290 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $289 | $289 | 2.0× |
| Sedimentation Rate, Automated (85652) | $77 | $77 | 28.5× |
| Semen Anal Sperm Detection (89321) | $106 | $106 | 8.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$127–$603 | $127–$603 | varies |
| Sex Hormone Binding Globulin (84270) | $142 | $142 | 6.5× |
| Sickling of rbc reduction (85660) | $80 | $80 | 14.5× |
| Skin test tuberculosis intradermal (86580) | $20 | $20 | 0.7× |
| Smear acid fast (87206) | $74 | $74 | 13.7× |
| Smear complex stain (87209) | $124 | $124 | 6.9× |
| Smear gram stain (87205) | $72 | $72 | 16.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $35 | $35 | 0.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $77 | $77 | 13.2× |
| Sodium Serum (84295) | $90 | $90 | 18.7× |
| Sodium Urine (84300) | $80 | $80 | 15.8× |
| Somatomedin (84305) | $261 | $261 | 12.3× |
| Special Stains Group 1 (88312) | $314 | $314 | 5.8× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Spectrophotometry (84311) | $16 | $16 | 2.0× |
| Stool cultr aerobic bact ea (87046) | $47 | $47 | 5.0× |
| Strep a assay w/optic (87880) | $119 | $119 | 7.2× |
| Strep a DNA amp probe (87651) | $82 | $82 | 2.3× |
| Strep b DNA amp probe (87653) | $179 | $179 | 5.1× |
| Surg path level iii (88304) | $181 | $181 | 3.4× |
| Surgical pathology level IV (88305) | $208 | $208 | 3.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $25 | $25 | 5.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $28 | $28 | 3.7× |
| Syphilis Test Non-Trep Quant (86593) | $54 | $54 | 12.3× |
| T cells absolute cd4 count (86361) | $267 | $267 | 10.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $169 | $169 | 3.6× |
| T cells total count (86359) | $169 | $169 | 4.5× |
| T3 Free (84481) | $213 | $213 | 12.6× |
| T3 reverse (84482) | $752 | $752 | 47.7× |
| T3 Total (84480) | $208 | $208 | 14.7× |
| T4 Free (84439) | $149 | $149 | 16.5× |
| T4 total (84436) | $109 | $109 | 15.9× |
| Tacrolimus (80197) | $354 | $354 | 25.8× |
| Testosterone total (84403) range across 3 matching MRF lines |
$84–$354 | $84–$354 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$293–$317 | $293–$317 | varies |
| Thromboplastin Inhibition Tissue (85705) | $49 | $49 | 5.1× |
| Thyroglobulin (84432) | $228 | $228 | 14.2× |
| Thyroglobulin Antibody (86800) | $144 | $144 | 9.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $328 | $328 | 6.4× |
| Thyroxine binding globulin (84442) | $72 | $72 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $160 | $160 | 13.9× |
| Topiramate (80201) | $126 | $126 | 10.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $105 | $105 | 20.3× |
| Transferrin (84466) | $26 | $26 | 2.0× |
| Trichomonas vagin dir probe (87660) | $59 | $59 | 2.9× |
| Trichomonas Vaginalis Amplif (87661) | $109 | $109 | 3.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$15–$108 | $15–$108 | varies |
| Troponin Quant (84484) | $220 | $220 | 17.6× |
| Tumor Immunohistochem/Manual (88360) | $210 | $210 | 1.2× |
| Urea nitrogen urine (84540) | $95 | $95 | 17.1× |
| Urinalysis Microscopic Only (81015) | $47 | $47 | 15.4× |
| Urine Pregnancy Test (81025) | $99 | $99 | 11.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $109 | $109 | 34.4× |
| Valproic acid (80164) range across 2 matching MRF lines |
$123–$175 | $123–$175 | varies |
| Vancomycin (80202) | $231 | $231 | 17.1× |
| Varicella-zoster antibody (86787) | $106 | $106 | 8.2× |
| Vasopressin (84588) | $143 | $143 | 4.2× |
| Very Long Chain Fatty Acids (82726) | $35 | $35 | 1.8× |
| Viral Culture (87252) | $330 | $330 | 12.7× |
| Virus antibody nos (86790) | $44 | $44 | 3.4× |
| Vit D 1 25-Dihydroxy (82652) | $180 | $180 | 4.7× |
| Vitamin A (84590) | $71 | $71 | 6.1× |
| Vitamin b-12 (82607) | $187 | $187 | 12.4× |
| Vitamin B6 (84207) | $126 | $126 | 4.5× |
| Vitamin c (82180) | $105 | $105 | 10.6× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$99–$312 | $99–$312 | varies |
| Von willebrand factor ag (85246) | $1,009 | $1,009 | 44.0× |
| West nile virus ab igm (86788) | $155 | $155 | 9.2× |
| West Nile Virus Antibody (86789) | $155 | $155 | 10.8× |
| Zinc (84630) | $232 | $232 | 20.4× |
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.