Lab & pathology prices at Poplar Community Hospital
Poplar, MT · every code in this section with a posted price and a Medicare benchmark.
360 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $330 | $440 | 8.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$208.13–$212.25 | $277.50–$283 | varies |
| Acute hepatitis panel (80074) | $330.75 | $441 | 6.9× |
| Acylcarnitines Quant (82017) | $65.25 | $87 | 3.9× |
| Albumin Fluid (82042) | $47.25 | $63 | 6.1× |
| Albumin serum (82040) | $30.75 | $41 | 6.2× |
| Aldolase (82085) | $90.75 | $121 | 9.3× |
| Aldosterone urine (82088) | $340.88 | $454.50 | 8.4× |
| Allergen specific ige (86003) | $90 | $120 | 17.2× |
| Alpha-Fetoprotein Serum (82105) | $164.25 | $219 | 9.8× |
| Alt (sgpt) (84460) | $64.50 | $86 | 12.2× |
| Amino Acids Quant 2-5 (82136) | $61.88 | $82.50 | 3.2× |
| Ammonia (82140) | $125.25 | $167 | 8.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$45–$98.63 | $60–$131.50 | varies |
| Androstenedione (82157) | $108.38 | $144.50 | 3.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $195.75 | $261 | 12.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$136.88–$147.75 | $182.50–$197 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $142.50 | $190 | 10.9× |
| Antibody Herpes Smplx Type 1 (86695) | $125.63 | $167.50 | 9.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $138.75 | $185 | 10.1× |
| Antibody HIV-2 (86702) | $135.75 | $181 | 10.0× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $133.13 | $177.50 | 1.6× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$62.63–$100.13 | $83.50–$133.50 | varies |
| Antibody Treponema Pallidum (86780) | $110.63 | $147.50 | 8.4× |
| Antinuclear antibodies (86038) | $135.38 | $180.50 | 11.2× |
| Antistreptolysin o titer (86060) | $89.63 | $119.50 | 12.3× |
| Antithrombin iii activity (85300) | $183 | $244 | 15.4× |
| Antithrombin iii antigen (85301) | $175.13 | $233.50 | 16.2× |
| Apolipoprotein a1 (82172) | $98.63 | $131.50 | 4.7× |
| Arsenic (82175) range across 2 matching MRF lines |
$106.50–$141.75 | $142–$189 | varies |
| Assay Blood Carbon Dioxide (82374) | $58.88 | $78.50 | 12.1× |
| Assay of anti-mullerian hormone (82166) | $174.75 | $233 | 4.5× |
| Assay of blood/uric acid (84550) | $61.88 | $82.50 | 13.7× |
| Assay of estrone (82679) | $254.25 | $339 | 10.2× |
| Assay of g6pd enzyme (82955) | $114.38 | $152.50 | 11.8× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$109.50–$309.38 | $146–$412.50 | varies |
| Assay of lactic acid (83605) | $172.50 | $230 | 14.9× |
| Assay of metanephrines (83835) | $259.50 | $346 | 15.3× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$16.13–$58.88 | $21.50–$78.50 | varies |
| Assay of sweat sodium (84302) | $59.25 | $79 | 12.2× |
| Assay of urea nitrogen (84520) | $51.38 | $68.50 | 13.0× |
| Assay of vitamin b-1 (84425) | $191.63 | $255.50 | 9.0× |
| Assay Ph Body Fluid Nos (83986) | $77.25 | $103 | 21.6× |
| Assay spec xcp ur&breath ia (82077) | $119.63 | $159.50 | 6.9× |
| Automated Leukocyte Count (85048) | $42.38 | $56.50 | 16.7× |
| B cells total count (86355) | $170.63 | $227.50 | 4.5× |
| Bartonella antibody (86611) | $64.50 | $86 | 6.3× |
| Beta 2 glycoprotein i antibody each (86146) | $156 | $208 | 6.1× |
| Beta Lactamase (87185) | $11.25 | $15 | 2.4× |
| Bile acids total (82239) | $108.38 | $144.50 | 6.3× |
| Bilirubin direct (82248) | $58.88 | $78.50 | 11.7× |
| Bilirubin total (82247) | $58.13 | $77.50 | 11.6× |
| Bilirubin total transcutaneous (88720) | $20.63 | $27.50 | 4.1× |
| Biotinidase (82261) | $61.88 | $82.50 | 3.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $24.38 | $32.50 | 7.1× |
| Blood count reticulocyte automated (85045) | $63 | $84 | 15.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $43.50 | $58 | 11.4× |
| Blood gas (82803) | $61.50 | $82 | 2.4× |
| Blood gases w/02 saturation (82805) range across 3 matching MRF lines |
$186–$310.13 | $248–$413.50 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $31.88 | $42.50 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $60 | $80 | 9.4× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$35.63–$60 | $47.50–$80 | varies |
| Body fluid cell count (89050) | $85.50 | $114 | 18.1× |
| Brca1&2 gen full seq dup/del (81162) | $3,553.13 | $4,737.50 | 1.9× |
| Breath Alcohol Test (82075) | $87.38 | $116.50 | 2.9× |
| Brucella antibody (86622) | $110.63 | $147.50 | 12.4× |
| C diff amplified probe (87493) | $88.13 | $117.50 | 2.4× |
| C-Peptide (84681) | $203.25 | $271 | 9.8× |
| C-reactive protein (86140) | $66 | $88 | 12.7× |
| Ca 19-9 (86301) | $211.50 | $282 | 10.2× |
| Cadmium (82300) range across 2 matching MRF lines |
$106.50–$136.50 | $142–$182 | varies |
| Calcium ionized (82330) range across 2 matching MRF lines |
$16.13–$138 | $21.50–$184 | varies |
| Calcium total (82310) | $66.75 | $89 | 12.9× |
| Calculus Spectroscopy (82365) | $113.25 | $151 | 8.8× |
| Calprotectin Fecal (83993) | $292.88 | $390.50 | 14.9× |
| Cancer Antigen 125 (86304) | $219.75 | $293 | 10.6× |
| Cancer Antigen 27.29 (86300) | $219.75 | $293 | 10.6× |
| Carbamazepine free (80157) | $97.50 | $130 | 7.4× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$128.63–$145.88 | $171.50–$194.50 | varies |
| Carboxyhemoglobin (82375) | $115.13 | $153.50 | 9.3× |
| Carcinoembryonic antigen (82378) | $171.75 | $229 | 9.1× |
| Cardiolipin ab iga (86147) | $189.75 | $253 | 7.5× |
| Carotene (82380) | $90.38 | $120.50 | 9.8× |
| Ccp antibody (86200) | $122.63 | $163.50 | 9.5× |
| Cell count csf (89051) | $70.13 | $93.50 | 12.5× |
| Cftr gene com variants (81220) | $177.75 | $237 | 0.3× |
| Chloride other source (82438) | $70.13 | $93.50 | 14.0× |
| Chloride Serum (82435) | $58.88 | $78.50 | 12.8× |
| Chloride urine (82436) | $56.63 | $75.50 | 9.8× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$19.88–$78.38 | $26.50–$104.50 | varies |
| Chorionic gonadotropin test (84702) | $162.38 | $216.50 | 10.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $141 | $188 | 4.2× |
| Chromium serum (82495) | $203.63 | $271.50 | 10.0× |
| Chromogranin a (86316) | $170.25 | $227 | 8.2× |
| Chromosome Analysis 15-20 (88262) | $510 | $680 | 4.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $82.88 | $110.50 | 2.4× |
| Ckmb (82553) | $146.25 | $195 | 12.7× |
| Coccidioides antibody (86635) | $92.25 | $123 | 8.0× |
| Column Chromotography Quant (82542) | $95.63 | $127.50 | 4.0× |
| Compatibility test antiglob (86922) | $228.75 | $305 | 1.3× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$91.50–$125.63 | $122–$167.50 | varies |
| Complement Total (Ch50) (86162) | $203.25 | $271 | 10.0× |
| Coombs direct (86880) | $87.38 | $116.50 | 16.2× |
| Copper urine (82525) | $114.38 | $152.50 | 9.2× |
| Cortisol saliva (82533) | $153.38 | $204.50 | 9.4× |
| Creatine kinase total (82550) | $85.50 | $114 | 13.1× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$32.25–$58.88 | $43–$78.50 | varies |
| Creatinine clearance (82575) | $97.50 | $130 | 10.3× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$28.50–$63 | $38–$84 | varies |
| Crossmatch immediate spin (86920) | $203.25 | $271 | 1.2× |
| Crp High Sensitivity (86141) | $72.38 | $96.50 | 5.6× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$37.50–$88.13 | $50–$117.50 | varies |
| Cryptosporidium ag eia (87328) | $102.75 | $137 | 7.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $111.38 | $148.50 | 13.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $97.50 | $130 | 12.6× |
| Culture afb (87116) | $73.88 | $98.50 | 6.8× |
| Culture Anaerobic (87075) | $113.25 | $151 | 12.0× |
| Culture blood (87040) range across 2 matching MRF lines |
$24.38–$141 | $32.50–$188 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$20.25–$131.25 | $27–$175 | varies |
| Culture fungus (87102) | $99.38 | $132.50 | 11.8× |
| Culture fungus blood (87103) | $89.63 | $119.50 | 4.4× |
| Culture screen only (87081) range across 2 matching MRF lines |
$15.75–$37.13 | $21–$49.50 | varies |
| Culture stool (87045) | $115.88 | $154.50 | 12.3× |
| Culture urine (87086) | $107.63 | $143.50 | 13.3× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $63.75 | $85 | 2.4× |
| Cyclic amp (82030) | $141 | $188 | 5.5× |
| Cyclosporine (80158) | $151.13 | $201.50 | 8.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,889.50 | $5,186 | 3.4× |
| Cytomegalovirus igg (86644) | $130.13 | $173.50 | 9.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $45 | $60 | 2.2× |
| Cytopath Cell Enhance Tech (88112) | $224.25 | $299 | 4.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $104.63 | $139.50 | 3.9× |
| Cytp Concentration Smears & Interpretation (88108) | $197.25 | $263 | 5.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $229.88 | $306.50 | 4.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $288 | $384 | 7.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $134.25 | $179 | 4.5× |
| Deoxyribonuclease antibody (86215) | $149.63 | $199.50 | 11.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$109.88–$236.63 | $146.50–$315.50 | varies |
| Detect Agent Nos Dna Quant (87799) | $198.38 | $264.50 | 4.6× |
| Detect agnt mult DNA ampli (87801) | $135.38 | $180.50 | 1.9× |
| Dhea (82626) | $164.63 | $219.50 | 6.5× |
| Dhea-S (82627) | $218.25 | $291 | 9.8× |
| Digoxin (80162) | $133.13 | $177.50 | 10.0× |
| Drug assay acetaminophen (80143) | $202.50 | $270 | 10.9× |
| Drug Screen Quantitative Gabapentin (80171) | $124.88 | $166.50 | 5.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $160.50 | $214 | 12.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $143.25 | $191 | 10.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $143.25 | $191 | 10.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $487.50 | $650 | 7.8× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$29.63–$207.75 | $39.50–$277 | varies |
| El-1 Fecal Quantitative (82653) | $309.75 | $413 | 13.5× |
| Electrolyte panel (80051) | $93 | $124 | 13.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $284.25 | $379 | 23.5× |
| Erythropoietin (82668) | $222.38 | $296.50 | 11.8× |
| Estradiol serum (82670) | $240.38 | $320.50 | 8.6× |
| Ethosuximide (80168) | $133.88 | $178.50 | 8.2× |
| Exam Synovial Fluid Crystals (89060) | $72.75 | $97 | 9.9× |
| F2 Gene (81240) | $408.75 | $545 | 6.2× |
| Factor v leiden mutation (81241) | $196.88 | $262.50 | 2.7× |
| Factor vii assay (85230) | $202.13 | $269.50 | 11.3× |
| Factor viii assay (85240) | $270 | $360 | 15.1× |
| Ferritin (82728) | $140.63 | $187.50 | 10.3× |
| Fetal screen rosette (85461) | $23.63 | $31.50 | 2.5× |
| Fibrin Degradation Quant (85379) | $112.50 | $150 | 11.1× |
| Fibrinogen activity (85384) | $102.38 | $136.50 | 10.5× |
| Flow cytometry first marker (88184) | $277.88 | $370.50 | 0.8× |
| Fluorescent antibody screen (86255) | $60 | $80 | 5.0× |
| Fmr1 Gene Charac Alleles (81244) | $297.38 | $396.50 | 6.6× |
| Folic Acid Serum (82746) | $129 | $172 | 8.8× |
| Follicle Stimulating Hormone (83001) | $184.13 | $245.50 | 9.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $77.63 | $103.50 | 3.7× |
| Gammaglobulin ige (82785) | $138.38 | $184.50 | 8.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $84 | $112 | 8.6× |
| Gentamicin (80170) | $164.63 | $219.50 | 10.1× |
| Ggt (82977) | $75.75 | $101 | 10.5× |
| Giardia antigen (87329) | $95.63 | $127.50 | 8.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$19.88–$61.50 | $26.50–$82 | varies |
| Glucose body fluid (82945) | $100.13 | $133.50 | 25.5× |
| Glucose tolerance test (gtt) (82951) | $146.25 | $195 | 11.4× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$31.50–$71.25 | $42–$95 | varies |
| Growth hormone (83003) | $144.38 | $192.50 | 8.7× |
| Gtt-added samples (82952) | $51 | $68 | 13.0× |
| H Pylori (C-13) Breath (83013) | $267.75 | $357 | 4.0× |
| Haptoglobin (83010) | $122.25 | $163 | 9.7× |
| Hdl Cholesterol (83718) | $84.75 | $113 | 10.3× |
| Hematocrit (85014) range across 2 matching MRF lines |
$30–$37.88 | $40–$50.50 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$30–$38.63 | $40–$51.50 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$31.50–$133.88 | $42–$178.50 | varies |
| Hemoglobin electrophoresis (83020) | $48.75 | $65 | 3.8× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$56.25–$67.88 | $75–$90.50 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$115.13–$138.75 | $153.50–$185 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$93.75–$108 | $125–$144 | varies |
| Hepatitis b core ab igm (86705) | $112.50 | $150 | 9.6× |
| Hepatitis b core ab total (86704) | $142.13 | $189.50 | 11.8× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$89.63–$90.75 | $119.50–$121 | varies |
| Hepatitis Be Antibody (86707) | $96.75 | $129 | 8.4× |
| Hepatitis Be Antigen (87350) | $82.13 | $109.50 | 7.1× |
| Hepatitis C Genotype (87902) | $1,092 | $1,456 | 4.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $1,237.50 | $1,650 | 28.9× |
| Hepatitis d quantification (87523) | $115.13 | $153.50 | 2.7× |
| Herpes simplex type 2 (86696) | $155.25 | $207 | 8.0× |
| Heterophile Antibody Screen (86308) | $76.50 | $102 | 14.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $56.25 | $75 | 7.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $141.75 | $189 | 5.9× |
| Hiv-1 Antibody (86701) | $23.63 | $31.50 | 2.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $370.13 | $493.50 | 4.3× |
| HIV-2 probe&revrse trnscripj (87538) | $242.63 | $323.50 | 6.9× |
| Hla-b27 (86812) | $222 | $296 | 8.6× |
| Homocysteine (83090) | $181.13 | $241.50 | 10.1× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$157.13–$247.13 | $209.50–$329.50 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $522 | $696 | 3.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$119.63–$125.25 | $159.50–$167 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $567 | $756 | 13.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $165.75 | $221 | 2.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $320.63 | $427.50 | 9.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $82.88 | $110.50 | 2.4× |
| Ig Light Chains Free Each (83521) | $231.38 | $308.50 | 13.4× |
| Igg subclasses (82787) | $109.50 | $146 | 13.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $179.25 | $239 | 9.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $62.63 | $83.50 | 4.2× |
| Immunoassay nonantibody (83516) | $33.75 | $45 | 2.9× |
| Immunofixation electrophoresis (86334) | $238.13 | $317.50 | 10.7× |
| Immunohistochemistry (88342) | $218.25 | $291 | 1.3× |
| Influenza DNA amp probe (87502) | $226.50 | $302 | 2.4× |
| Inhibin b (83520) range across 2 matching MRF lines |
$169.50–$183.38 | $226–$244.50 | varies |
| Insitu hybridization manual (88368) | $473.25 | $631 | 1.3× |
| Insulin antibodies (86337) | $277.50 | $370 | 13.0× |
| Insulin total (83525) | $36.38 | $48.50 | 3.2× |
| Intrinsic factor antibody (86340) | $168.75 | $225 | 11.2× |
| Iron (83540) | $76.50 | $102 | 11.8× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$76.50–$88.88 | $102–$118.50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $507 | $676 | 5.5× |
| Koh Prep (87220) | $52.88 | $70.50 | 12.4× |
| Lactate (ld) (ldh) enzyme (83615) | $70.88 | $94.50 | 11.7× |
| Lactoferrin fecal qualitative (83630) | $100.13 | $133.50 | 5.1× |
| LDL direct (83721) | $103.13 | $137.50 | 9.8× |
| Lead (83655) | $102.38 | $136.50 | 8.5× |
| Legionella antigen urine (87449) | $88.13 | $117.50 | 7.4× |
| Leukocyte Assessment Fecal (89055) | $68.25 | $91 | 16.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $143.25 | $191 | 4.8× |
| Level ii surg pathology grossµscopic exam (88302) | $231.38 | $308.50 | 6.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $475.50 | $634 | 1.3× |
| Lipase (83690) | $101.63 | $135.50 | 14.8× |
| Lithium (80178) | $67.13 | $89.50 | 10.2× |
| Luteinizing Hormone (Lh) (83002) | $181.13 | $241.50 | 9.8× |
| Lyme disease antibody (86618) | $159.75 | $213 | 9.4× |
| Magnesium Urine (83735) | $79.50 | $106 | 11.9× |
| Mercury urine (83825) range across 2 matching MRF lines |
$116.63–$175.13 | $155.50–$233.50 | varies |
| Metabolic panel ionized ca (80047) | $32.25 | $43 | 2.3× |
| Microalbumin, quantitative (82043) | $115.50 | $154 | 20.0× |
| Microsomal Antibodies Each (86376) | $130.88 | $174.50 | 9.0× |
| Mononuclear cell antigen (86356) | $100.88 | $134.50 | 3.8× |
| Mrsa Pcr (87641) | $112.50 | $150 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $342.75 | $457 | 5.2× |
| Mumps antibody (86735) | $114 | $152 | 8.7× |
| Muscle-Specific Kinase Antb (86366) | $214.50 | $286 | 11.7× |
| Mycoplasma antibody (86738) | $90 | $120 | 6.8× |
| Myoglobin urine (83874) | $151.13 | $201.50 | 11.7× |
| Natriuretic peptide (83880) | $309.38 | $412.50 | 7.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $307.88 | $410.50 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $337.13 | $449.50 | 1.3× |
| Nuclear antigen antibody (86235) | $89.63 | $119.50 | 5.0× |
| Occult Blood Other Sources (82271) | $29.25 | $39 | 5.5× |
| Organic Acids Qualitative Each Specimen (83919) | $220.88 | $294.50 | 13.4× |
| Osmolality serum (83930) | $67.88 | $90.50 | 10.3× |
| Osmolality Urine (83935) | $87.38 | $116.50 | 12.8× |
| Ova and parasites smears (87177) | $106.50 | $142 | 12.0× |
| Oxalate urine (83945) | $129 | $172 | 8.9× |
| Ph urine (81003) range across 3 matching MRF lines |
$27.75–$48 | $37–$64 | varies |
| Phenobarbital Level (80184) | $110.25 | $147 | 7.2× |
| Phenylalanine (84030) | $17.63 | $23.50 | 3.2× |
| Phenytoin (Dilantin) (80185) | $133.13 | $177.50 | 10.0× |
| Phosphatase alkaline (84075) | $58.88 | $78.50 | 11.4× |
| Phosphorus Serum (84100) | $60 | $80 | 12.7× |
| Platelet count automated (85049) | $53.63 | $71.50 | 12.0× |
| Potassium Urine (84133) | $57.38 | $76.50 | 12.1× |
| Prealbumin (84134) | $156 | $208 | 10.7× |
| Procalcitonin (Pct) (84145) | $220.50 | $294 | 8.1× |
| Progesterone (84144) | $204 | $272 | 9.8× |
| Prolactin (84146) | $189.38 | $252.50 | 9.8× |
| Protein body fluid (84157) | $53.63 | $71.50 | 13.4× |
| Protein C Activity (85303) | $100.13 | $133.50 | 7.2× |
| Protein c antigen (85302) | $222.75 | $297 | 18.5× |
| Protein Electrophoresis Urine (84166) | $187.88 | $250.50 | 10.5× |
| Protein S Free (85306) | $234 | $312 | 15.3× |
| Protein total serum (84155) | $54.38 | $72.50 | 14.8× |
| Protein Total Urine (84156) | $58.13 | $77.50 | 15.8× |
| PSA free (84154) | $138.38 | $184.50 | 7.5× |
| Pth Intact (83970) | $207 | $276 | 5.0× |
| Quantiferon tb gold plus (86480) | $118.13 | $157.50 | 1.9× |
| Quantitative assay drug (80299) | $136.13 | $181.50 | 7.3× |
| Quantitative Screen Metals (83018) | $178.13 | $237.50 | 8.1× |
| Rbc antibody identification (86870) | $394.50 | $526 | 1.1× |
| Rbc antibody screen (86850) | $113.25 | $151 | 11.6× |
| Reagent Strip/Blood Glucose (82948) | $31.13 | $41.50 | 6.2× |
| Renin activity plasma (84244) | $239.25 | $319 | 10.9× |
| Rh (86901) | $60 | $80 | 20.1× |
| Rheumatoid factor quant (86431) | $60.75 | $81 | 10.7× |
| Rickettsia antibody (86757) | $104.25 | $139 | 5.4× |
| Rpr qualitative (86592) | $50.63 | $67.50 | 11.9× |
| Rubella Antibody (86762) | $72.38 | $96.50 | 5.0× |
| Rubeola antibody (86765) | $112.50 | $150 | 8.7× |
| Russell Viper Venom Time Diluted (85613) | $105 | $140 | 11.0× |
| Salicylate Level (80179) | $141 | $188 | 7.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $121.13 | $161.50 | 2.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $280.88 | $374.50 | 2.0× |
| Sedimentation Rate, Automated (85652) | $42.38 | $56.50 | 15.7× |
| Semen Anal Sperm Detection (89321) | $28.50 | $38 | 2.4× |
| Sensitivity mic (87186) | $100.88 | $134.50 | 11.7× |
| Sex Hormone Binding Globulin (84270) | $133.88 | $178.50 | 6.2× |
| Smear gram stain (87205) | $66 | $88 | 15.5× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$16.13–$55.88 | $21.50–$74.50 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$52.88–$63 | $70.50–$84 | varies |
| Soluble Transferrin Receptor (84238) | $189.75 | $253 | 5.2× |
| Somatomedin (84305) | $276.38 | $368.50 | 13.0× |
| Special Stains Group 1 (88312) | $248.63 | $331.50 | 4.7× |
| Special Stains Group 2 (88313) | $219.75 | $293 | 1.6× |
| Staph a DNA amp probe (87640) | $184.50 | $246 | 5.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$38.63–$39.38 | $51.50–$52.50 | varies |
| Strep a DNA amp probe (87651) | $101.63 | $135.50 | 2.9× |
| Surg path level iii (88304) | $321 | $428 | 6.0× |
| Surgical pathology level IV (88305) | $319.88 | $426.50 | 6.0× |
| Surgical pathology level vi (88309) | $886.13 | $1,181.50 | 1.1× |
| Syphilis Test Non-Trep Quant (86593) | $40.13 | $53.50 | 9.1× |
| T3 Free (84481) | $199.13 | $265.50 | 11.8× |
| T3 reverse (84482) | $187.50 | $250 | 11.9× |
| T3 Total (84480) | $151.13 | $201.50 | 10.7× |
| T4 Free (84439) range across 2 matching MRF lines |
$43.50–$106.50 | $58–$142 | varies |
| T4 total (84436) | $72.38 | $96.50 | 10.5× |
| T4-neonatal (84437) | $16.13 | $21.50 | 2.5× |
| Tacrolimus (80197) | $104.63 | $139.50 | 7.6× |
| Test for acetone/ketones (82009) | $46.50 | $62 | 10.3× |
| Testosterone total (84403) | $206.25 | $275 | 8.0× |
| Testosterone, Free (84402) | $252.75 | $337 | 9.9× |
| Thyroglobulin (84432) | $148.88 | $198.50 | 9.3× |
| Thyroglobulin Antibody (86800) | $159.75 | $213 | 10.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $164.63 | $219.50 | 3.2× |
| Thyroxine binding globulin (84442) | $135.38 | $180.50 | 9.2× |
| Touch prep (88161) | $160.13 | $213.50 | 5.4× |
| Toxoplasma ab igm (86778) | $121.50 | $162 | 8.4× |
| Toxoplasma antibody (86777) | $130.13 | $173.50 | 9.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $63.75 | $85 | 12.3× |
| Transferrin (84466) | $143.25 | $191 | 11.2× |
| Trichomonas Vaginalis Amplif (87661) | $124.13 | $165.50 | 3.5× |
| Triglycerides (84478) | $58.88 | $78.50 | 10.3× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$29.63–$253.88 | $39.50–$338.50 | varies |
| Tumor Immunohistochem/Manual (88360) | $350.63 | $467.50 | 2.0× |
| Uric acid other source (84560) | $79.50 | $106 | 15.6× |
| Urinalysis Microscopic Only (81015) | $31.50 | $42 | 10.3× |
| Valproic acid (80164) | $136.13 | $181.50 | 10.1× |
| Vancomycin (80202) | $158.63 | $211.50 | 11.7× |
| Varicella-zoster antibody (86787) | $127.50 | $170 | 9.9× |
| Viscosity serum (85810) | $216 | $288 | 18.5× |
| Vit D 1 25-Dihydroxy (82652) | $325.13 | $433.50 | 8.4× |
| Vitamin b-12 (82607) | $161.63 | $215.50 | 10.7× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$220.88–$271.13 | $294.50–$361.50 | varies |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$59.25–$241.50 | $79–$322 | varies |
| West nile virus ab igm (86788) | $133.13 | $177.50 | 7.9× |
| West Nile Virus Antibody (86789) | $121.50 | $162 | 8.4× |
| Zinc (84630) | $135.38 | $180.50 | 11.9× |
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.