Lab & pathology prices at Prague Regional Memorial Hospital
Prague, OK · every code in this section with a posted price and a Medicare benchmark.
413 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $80 | $80 | 2.1× |
| Actin smooth muscle antibody each (86015) | $175 | $175 | 14.5× |
| Acute hepatitis panel (80074) | $429 | $429 | 9.0× |
| Albumin serum (82040) | $76 | $76 | 15.4× |
| Aldolase (82085) | $98 | $98 | 10.1× |
| Aldosterone urine (82088) | $367 | $367 | 9.0× |
| Allergen spec ige qual multiallergen screen (86005) | $1,454.60 | $1,454.60 | 182.5× |
| Allergen specific ige (86003) | $67 | $67 | 12.8× |
| Alpha-1-antitrypsin phenotype (82104) | $121 | $121 | 8.4× |
| Alpha-1-antitrypsin total (82103) | $473 | $473 | 35.2× |
| Alpha-Fetoprotein Serum (82105) | $152 | $152 | 9.1× |
| Alt (sgpt) (84460) | $76 | $76 | 14.3× |
| Amikacin trough (80150) | $174 | $174 | 11.5× |
| Amines vaginal fluid qualitative (82120) | $20 | $20 | 3.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $79 | $79 | 3.4× |
| Ammonia (82140) | $133 | $133 | 9.1× |
| Amylase urine (82150) | $76 | $76 | 11.7× |
| Ana Titer (86039) | $75 | $75 | 6.7× |
| Anca screen each antibody (86036) | $358 | $358 | 29.7× |
| Androstenedione (82157) | $623 | $623 | 21.3× |
| Angiotensin converting enzyme csf (82164) | $403 | $403 | 27.6× |
| Anti-Phospholipid Antibody (86148) | $252 | $252 | 15.7× |
| Antibody aspergillus (86606) | $275 | $275 | 18.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $275 | $275 | 21.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $96 | $96 | 5.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $143 | $143 | 7.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $398 | $398 | 32.5× |
| Antibody helicobacter pylori (86677) | $392 | $392 | 23.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $65 | $65 | 4.5× |
| Antibody Herpes Smplx Type 1 (86695) | $444 | $444 | 33.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $290 | $290 | 21.2× |
| Antibody identification leukocyte antibodies (86021) | $397 | $397 | 26.4× |
| Antibody john cunningham virus (86711) | $792 | $792 | 46.9× |
| Antibody Protozoa Nes (86753) | $47.69 | $47.69 | 3.8× |
| Antibody Treponema Pallidum (86780) | $95 | $95 | 7.2× |
| Antigen typing (86905) | $160 | $160 | 41.8× |
| Antinuclear antibodies (86038) | $143 | $143 | 11.8× |
| Antistreptolysin o titer (86060) | $86 | $86 | 11.8× |
| Antithrombin iii activity (85300) | $210 | $210 | 17.7× |
| Antithrombin iii antigen (85301) | $120 | $120 | 11.1× |
| Apolipoprotein a1 (82172) | $242 | $242 | 11.5× |
| Assay Blood Carbon Dioxide (82374) | $107 | $107 | 21.9× |
| Assay Nephelometry Not Spec (83883) | $157 | $157 | 11.5× |
| Assay of 5-hiaa (83497) | $242 | $242 | 18.8× |
| Assay of blood/uric acid (84550) | $76 | $76 | 16.8× |
| Assay of calcium in urine (82340) | $54 | $54 | 9.0× |
| Assay of cpk in blood (82552) | $162 | $162 | 12.1× |
| Assay of estrone (82679) | $471 | $471 | 18.9× |
| Assay of g6pd enzyme (82955) | $117 | $117 | 12.1× |
| Assay of gammaglobulin igm (82784) | $83 | $83 | 8.9× |
| Assay of lactic acid (83605) | $491 | $491 | 42.4× |
| Assay of metanephrines (83835) | $153 | $153 | 9.0× |
| Assay of proinsulin (84206) | $384 | $384 | 14.4× |
| Assay of prostate specific antigen complexed (84152) | $65 | $65 | 3.5× |
| Assay of serum potassium (84132) | $76 | $76 | 16.0× |
| Assay of Tyrosine (84510) | $79 | $79 | 7.4× |
| Assay of urea nitrogen (84520) | $76 | $76 | 19.2× |
| Assay of vitamin b-1 (84425) | $71 | $71 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $30 | $30 | 8.4× |
| Bcr/abl1 gene major bp (81206) | $953 | $953 | 5.8× |
| Beta 2 glycoprotein i antibody each (86146) | $163 | $163 | 6.4× |
| Beta hydroxybutyrate (82010) | $441 | $441 | 54.0× |
| Beta-2 Microglobulin (82232) | $53 | $53 | 3.3× |
| Bilirubin direct (82248) | $92 | $92 | 18.3× |
| Bilirubin total (82247) | $76 | $76 | 15.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $173 | $173 | 50.4× |
| Blood count reticulocyte automated (85045) | $26 | $26 | 6.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $178 | $178 | 46.8× |
| Blood gas (82803) range across 2 matching MRF lines |
$246–$259 | $246–$259 | varies |
| Blood gases w/02 saturation (82805) | $172 | $172 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50 | $50 | 11.4× |
| Blood typing serologic abo (86900) | $151 | $151 | 50.5× |
| Body fluid cell count (89050) | $71 | $71 | 15.0× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$90–$109 | $90–$109 | varies |
| C-Peptide (84681) | $419 | $419 | 20.1× |
| C-reactive protein (86140) | $363 | $363 | 70.1× |
| Ca 19-9 (86301) | $67 | $67 | 3.2× |
| Calcitonin (82308) | $532 | $532 | 19.9× |
| Calcium ionized (82330) | $123 | $123 | 9.0× |
| Calcium total (82310) | $76 | $76 | 14.7× |
| Calculus Spectroscopy (82365) | $209 | $209 | 16.2× |
| Calprotectin Fecal (83993) | $587 | $587 | 29.9× |
| Calr gene com variants (81219) | $713.10 | $713.10 | 5.9× |
| Cancer Antigen 125 (86304) | $248 | $248 | 11.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$135–$750 | $135–$750 | varies |
| Carbamazepine total (80156) | $194 | $194 | 13.3× |
| Carboxyhemoglobin (82375) | $65 | $65 | 5.3× |
| Carcinoembryonic antigen (82378) | $235 | $235 | 12.4× |
| Cardiolipin ab iga (86147) | $349 | $349 | 13.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$283–$298 | $283–$298 | varies |
| Ccp antibody (86200) | $576 | $576 | 44.5× |
| Cell count csf (89051) | $130 | $130 | 23.2× |
| Ceruloplasmin (82390) | $113 | $113 | 10.5× |
| Chemiluminescent assay (82397) | $192 | $192 | 13.6× |
| Chloride urine (82436) | $76 | $76 | 13.2× |
| Cholesterol total (82465) | $76 | $76 | 17.5× |
| Chorionic gonadotropin test (84702) | $137 | $137 | 9.1× |
| Chromium serum (82495) | $134 | $134 | 6.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $90 | $90 | 2.6× |
| Citric acid urine (82507) | $124 | $124 | 4.5× |
| Ckmb (82553) | $174 | $174 | 15.1× |
| Clotting factor xii hageman (85280) | $267 | $267 | 13.8× |
| Cns DNA amp probe type 12-25 (87483) | $1,000 | $1,000 | 2.4× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$171–$180 | $171–$180 | varies |
| Compatibility test antiglob (86922) | $162 | $162 | 1.0× |
| Complement Antigen Each Component (86160) | $52 | $52 | 4.3× |
| Complement Total (Ch50) (86162) | $210 | $210 | 10.3× |
| Coombs direct (86880) | $535 | $535 | 99.3× |
| Copper urine (82525) | $600 | $600 | 48.3× |
| Cortisol free (82530) | $195 | $195 | 11.7× |
| Cortisol saliva (82533) | $178 | $178 | 10.9× |
| Creatine kinase total (82550) | $162 | $162 | 24.9× |
| Creatinine blood (82565) | $76 | $76 | 14.8× |
| Creatinine clearance (82575) | $160 | $160 | 16.9× |
| Creatinine Urine (82570) | $162 | $162 | 31.3× |
| Crossmatch immediate spin (86920) | $243 | $243 | 1.5× |
| Crp High Sensitivity (86141) | $535 | $535 | 41.3× |
| Cryoglobulin (82595) | $74 | $74 | 11.4× |
| Cryptosporidium ag eia (87328) | $54 | $54 | 3.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$58–$246 | $58–$246 | varies |
| Culture Anaerobic (87075) | $257 | $257 | 27.1× |
| Culture blood (87040) | $246 | $246 | 23.8× |
| Culture csf (87070) | $183 | $183 | 21.2× |
| Culture fungus (87102) | $120 | $120 | 14.3× |
| Culture screen only (87081) | $387 | $387 | 58.4× |
| Culture stool (87045) | $277 | $277 | 29.3× |
| Culture urine (87086) | $95 | $95 | 11.8× |
| Cyclosporine (80158) | $72.20 | $72.20 | 4.0× |
| Cytomegalovirus igg (86644) | $96 | $96 | 6.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $129 | $129 | 6.4× |
| Cytopath Cell Enhance Tech (88112) | $549 | $549 | 11.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $105 | $105 | 3.9× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$162–$287 | $162–$287 | varies |
| Deoxyribonuclease antibody (86215) | $108 | $108 | 8.2× |
| Detect Agent Nos Dna Amp (87798) | $160 | $160 | 4.6× |
| Detect Agent Nos Dna Quant (87799) | $200 | $200 | 4.7× |
| Detect agnt mult DNA ampli (87801) | $300 | $300 | 4.3× |
| Dgp Antibody Each Ig Class (86258) | $57.65 | $57.65 | 4.8× |
| Dhea (82626) | $129 | $129 | 5.1× |
| Dhea-S (82627) | $315 | $315 | 14.2× |
| Digoxin (80162) | $189 | $189 | 14.2× |
| Digoxin free (80163) | $183 | $183 | 13.8× |
| Dna Antibody Native/Double Stranded (86225) | $75.19 | $75.19 | 5.5× |
| Dna Antibody Single Stranded (86226) | $162 | $162 | 13.4× |
| Drug assay acetaminophen (80143) | $203 | $203 | 10.9× |
| Drug Screen Quant Clozapine (80159) | $247 | $247 | 12.3× |
| Drug Screen Quant Zonisamide (80203) | $471 | $471 | 35.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $180 | $180 | 13.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $471 | $471 | 35.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $1,094.31 | $1,094.31 | 17.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $125 | $125 | 9.9× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$163–$325 | $163–$325 | varies |
| Electrolyte panel (80051) | $72 | $72 | 10.3× |
| Enterovirus PCR (87498) | $160 | $160 | 4.6× |
| Enzyme cell activity (82657) | $158 | $158 | 7.1× |
| Erythropoietin (82668) | $312 | $312 | 16.6× |
| Estradiol serum (82670) | $817 | $817 | 29.2× |
| Estrogen total (82672) | $164 | $164 | 7.6× |
| Exam Synovial Fluid Crystals (89060) | $79 | $79 | 10.8× |
| F2 Gene (81240) | $342.60 | $342.60 | 5.2× |
| Factor ii activity (85210) | $224 | $224 | 17.3× |
| Factor ix activity (85250) | $311 | $311 | 16.3× |
| Factor v activity (85220) | $311 | $311 | 17.6× |
| Factor v leiden mutation (81241) | $342 | $342 | 4.7× |
| Factor vii assay (85230) | $224 | $224 | 12.5× |
| Factor viii assay (85240) | $311 | $311 | 17.4× |
| Factor X (85260) | $224 | $224 | 12.5× |
| Factor xi activity (85270) | $224 | $224 | 12.5× |
| Fat stain feces urine/respir secretions (89125) | $15 | $15 | 2.6× |
| Fecal Fat Qualitative (82705) | $45 | $45 | 8.8× |
| Ferritin (82728) | $213 | $213 | 15.6× |
| Fibrin Degradation Quant (85379) | $530 | $530 | 52.1× |
| Fibrinogen activity (85384) | $77 | $77 | 7.9× |
| Flow cytometry first marker (88184) | $160 | $160 | 0.5× |
| Fluorescent antibody screen (86255) | $162 | $162 | 13.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $126 | $126 | 10.5× |
| Folic Acid Serum (82746) | $201 | $201 | 13.7× |
| Follicle Stimulating Hormone (83001) | $280 | $280 | 15.1× |
| Francisella tularensis (86668) | $163 | $163 | 11.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $302 | $302 | 1.8× |
| Gammaglobulin ige (82785) | $125 | $125 | 7.6× |
| Gases blood ph only (82800) | $87 | $87 | 7.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,000 | $1,000 | 2.4× |
| Genet Virus Isolate Hsv (87255) | $140 | $140 | 4.1× |
| Gentamicin (80170) | $168 | $168 | 10.3× |
| Ggt (82977) | $42 | $42 | 5.8× |
| Giardia antigen (87329) | $54 | $54 | 4.5× |
| Glucose Blood Test (82962) | $39 | $39 | 11.9× |
| Glucose Serum (82947) | $76 | $76 | 19.3× |
| Glucose tolerance test (gtt) (82951) | $235 | $235 | 18.3× |
| Glycated Protein (82985) | $157 | $157 | 9.4× |
| Gonadotropin Chorionic Qualitative (84703) | $184 | $184 | 24.5× |
| Gtt-added samples (82952) | $66 | $66 | 16.8× |
| H Pylori (C-13) Breath (83013) | $495.30 | $495.30 | 7.4× |
| Haptoglobin (83010) | $124 | $124 | 9.9× |
| Hdl Cholesterol (83718) | $92 | $92 | 11.2× |
| Helicobacter Pylori Stool (87338) | $429 | $429 | 29.8× |
| Hematocrit (85014) | $38 | $38 | 16.0× |
| Hemoglobin (85018) | $38 | $38 | 16.0× |
| Hemoglobin a1c (83036) | $124 | $124 | 12.8× |
| Hemoglobin Chromotography (83021) | $108 | $108 | 6.0× |
| Heparin assay (85520) | $193.50 | $193.50 | 14.8× |
| Hepatitis a antibody total (86708) | $81 | $81 | 6.5× |
| Hepatitis b core ab igm (86705) | $42.25 | $42.25 | 3.6× |
| Hepatitis b core ab total (86704) | $290 | $290 | 24.1× |
| Hepatitis B Surface Antibody (86706) | $97 | $97 | 9.0× |
| Hepatitis B Surface Antigen (87340) | $165 | $165 | 16.0× |
| Hepatitis Be Antigen (87350) | $53.75 | $53.75 | 4.7× |
| Hepatitis C Antibody (86803) | $143 | $143 | 10.0× |
| Hepatitis C Genotype (87902) | $2,317 | $2,317 | 9.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $985 | $985 | 23.0× |
| Hepatitis Delta Agent Antibody (86692) | $120 | $120 | 7.0× |
| Herpes simplex type 2 (86696) | $444 | $444 | 22.9× |
| Heterophile Antibody Screen (86308) | $76 | $76 | 14.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $240 | $240 | 10.0× |
| Hiv-1 Antibody (86701) | $252 | $252 | 28.3× |
| Hla ii typing 1 allele hr (81383) | $449.10 | $449.10 | 4.1× |
| Hla-b27 (86812) | $361 | $361 | 14.0× |
| Homocysteine (83090) | $271 | $271 | 15.1× |
| Hpv High-Risk Types (87624) | $292 | $292 | 8.3× |
| Hpv Types 16 & 18 Only (87625) | $160 | $160 | 3.9× |
| Hsv Dna Amp Probe (87529) | $160 | $160 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $163 | $163 | 6.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $136 | $136 | 3.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $137 | $137 | 9.8× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $54 | 3.2× |
| Iaadi inffluenza a virus (87276) | $54 | $54 | 3.4× |
| Iaadi respiratory synctial virus (87280) | $94 | $94 | 7.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $50 | $50 | 3.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $187 | $187 | 5.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $160 | $160 | 4.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $160 | $160 | 4.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $90 | $90 | 2.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $160 | $160 | 4.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $263 | $263 | 11.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $160 | $160 | 4.6× |
| Iadna Cytomegalovirus Quantification (87497) | $200 | $200 | 4.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $175 | $175 | 2.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $187 | $187 | 5.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $252 | $252 | 5.9× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $160 | $160 | 4.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $160 | $160 | 4.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $291 | $291 | 6.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $160 | $160 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $160 | $160 | 4.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $160 | $160 | 4.6× |
| Ig Light Chains Free Each (83521) | $227.17 | $227.17 | 13.2× |
| Igg subclasses (82787) | $129 | $129 | 16.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$142–$252 | $142–$252 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $324.50 | $324.50 | 21.6× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$94–$761 | $94–$761 | varies |
| Immunodiffusion Ouchterlony (86331) | $275 | $275 | 23.0× |
| Immunofixation electrophoresis (86334) | $178 | $178 | 8.0× |
| Immunohistochemistry (88342) | $253.24 | $253.24 | 1.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $52 | $52 | 4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $160 | $160 | 4.6× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $150 | $150 | 4.3× |
| Influenza assay w/optic (87804) | $73 | $73 | 4.4× |
| Influenza DNA amp probe (87502) | $115 | $115 | 1.2× |
| Inhibin b (83520) | $271 | $271 | 15.7× |
| Insulin antibodies (86337) | $128.70 | $128.70 | 6.0× |
| Insulin total (83525) | $217 | $217 | 19.0× |
| Iron (83540) | $76 | $76 | 11.7× |
| Iron Binding Capacity (83550) | $137 | $137 | 15.7× |
| Islet cell antibody (86341) | $116 | $116 | 4.9× |
| Ketosteroids 17 total (83586) | $139.75 | $139.75 | 10.9× |
| Lactate (ld) (ldh) enzyme (83615) | $76 | $76 | 12.6× |
| Lactoferrin fecal qualitative (83630) | $77 | $77 | 3.9× |
| Lactoferrin Fecal Quantitative (83631) | $346 | $346 | 17.6× |
| LDL direct (83721) | $104 | $104 | 9.9× |
| Lead (83655) | $121 | $121 | 10.0× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$20–$38 | $20–$38 | varies |
| Lipase (83690) | $122 | $122 | 17.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $434 | $434 | 9.4× |
| Lithium (80178) | $61 | $61 | 9.2× |
| Luteinizing Hormone (Lh) (83002) | $241 | $241 | 13.0× |
| Lyme disease antibody (86618) | $217 | $217 | 12.7× |
| Lysozyme serum (85549) | $533 | $533 | 28.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $160 | $160 | 4.6× |
| Magnesium Urine (83735) | $230 | $230 | 34.3× |
| Mass Spectrometry Quant (83789) | $180 | $180 | 7.5× |
| Methylmalonic acid serum (83921) | $130 | $130 | 6.1× |
| Microalbumin, quantitative (82043) | $76 | $76 | 13.1× |
| Microsomal Antibodies Each (86376) | $212 | $212 | 14.6× |
| Mitochondrial Antibody Each (86381) | $127 | $127 | 5.0× |
| Molecular Pathology Procedure Level 3 (81402) | $597.75 | $597.75 | 4.0× |
| Mrsa Pcr (87641) | $200 | $200 | 5.7× |
| Mthfr Gene Analysis Common Variants (81291) | $230 | $230 | 3.5× |
| Mumps antibody (86735) | $222 | $222 | 17.0× |
| Mycoplasma antibody (86738) | $75 | $75 | 5.7× |
| Mycoplasma culture (87109) | $61.56 | $61.56 | 4.0× |
| Myoglobin urine (83874) | $127.51 | $127.51 | 9.9× |
| Natriuretic peptide (83880) | $301 | $301 | 7.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $115 | $115 | 3.9× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $1,051.96 | $1,051.96 | 4.0× |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$384–$396 | $384–$396 | varies |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$94–$189 | $94–$189 | varies |
| Occult blood feces (82272) | $35 | $35 | 8.3× |
| Osmolality serum (83930) | $124 | $124 | 18.8× |
| Osmolality Urine (83935) | $124 | $124 | 18.2× |
| Ova and parasites smears (87177) | $152 | $152 | 17.1× |
| Pancreatic Elastase Fecal (82656) | $525 | $525 | 45.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $173 | $173 | 3.5× |
| Ph urine (81003) | $25 | $25 | 11.1× |
| Phenobarbital Level (80184) | $171 | $171 | 11.2× |
| Phenylalanine (84030) | $21 | $21 | 3.8× |
| Phenytoin (Dilantin) (80185) | $189 | $189 | 14.3× |
| Phenytoin free (80186) | $40 | $40 | 2.9× |
| Phosphatase alkaline (84075) | $76 | $76 | 14.7× |
| Phosphorus Serum (84100) | $76 | $76 | 16.0× |
| Platelet Antibodies (86022) | $73.75 | $73.75 | 4.0× |
| Potassium Urine (84133) | $76 | $76 | 16.1× |
| Prealbumin (84134) | $133 | $133 | 9.1× |
| Procalcitonin (Pct) (84145) | $236 | $236 | 8.7× |
| Progesterone (84144) | $306 | $306 | 14.7× |
| Prolactin (84146) | $367 | $367 | 18.9× |
| Protein C Activity (85303) | $216 | $216 | 15.6× |
| Protein c antigen (85302) | $286 | $286 | 23.8× |
| Protein Electrophoresis Urine (84166) | $79 | $79 | 4.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $347 | $347 | 32.3× |
| Protein S Free (85306) | $228 | $228 | 14.9× |
| Protein s total (85305) | $228 | $228 | 19.6× |
| Protein total serum (84155) | $96 | $96 | 26.2× |
| Protein Total Urine (84156) | $65 | $65 | 17.7× |
| Protein Western Blot Test (84182) | $120 | $120 | 4.1× |
| PSA free (84154) | $289 | $289 | 15.7× |
| Pth Intact (83970) range across 2 matching MRF lines |
$124–$244 | $124–$244 | varies |
| Quantiferon tb gold plus (86480) | $450.23 | $450.23 | 7.3× |
| Quantitative assay drug (80299) | $406 | $406 | 21.8× |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$134–$150 | $134–$150 | varies |
| Rbc antibody screen (86850) | $162 | $162 | 16.6× |
| Reagent Strip/Blood Glucose (82948) | $17 | $17 | 3.4× |
| Renin activity plasma (84244) | $191 | $191 | 8.7× |
| Resp virus 12-25 targets (87633) | $1,000 | $1,000 | 2.4× |
| Reticulated Platelet Assay (85055) | $163 | $163 | 4.6× |
| Rh (86901) | $324 | $324 | 108.4× |
| Rheumatoid Factor Qualitative (86430) | $76 | $76 | 12.4× |
| Rheumatoid factor quant (86431) | $42 | $42 | 7.4× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$152–$302 | $152–$302 | varies |
| Ristocetin cofactor (85245) | $224 | $224 | 9.8× |
| Rpr qualitative (86592) | $62 | $62 | 14.5× |
| Rsv Assay W/Optic (87807) | $137 | $137 | 10.5× |
| Rubella Antibody (86762) | $152 | $152 | 10.6× |
| Rubeola antibody (86765) | $180 | $180 | 14.0× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$32–$215 | $32–$215 | varies |
| Russell Viper Venon Time Undiluted (85612) | $120 | $120 | 6.9× |
| Salicylate Level (80179) | $203 | $203 | 10.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $300 | $300 | 7.1× |
| Sedimentation Rate, Automated (85652) | $33 | $33 | 12.2× |
| Sensitivity mic (87186) | $58 | $58 | 6.7× |
| Sex Hormone Binding Globulin (84270) | $163 | $163 | 7.5× |
| Sickling of rbc reduction (85660) | $27.55 | $27.55 | 5.0× |
| Smear gram stain (87205) | $59 | $59 | 13.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $114 | $114 | 19.6× |
| Sodium Serum (84295) | $76 | $76 | 15.8× |
| Sodium Urine (84300) | $72 | $72 | 14.2× |
| Somatomedin (84305) | $76 | $76 | 3.6× |
| Staph a DNA amp probe (87640) | $160 | $160 | 4.6× |
| Strep a assay w/optic (87880) | $92 | $92 | 5.6× |
| Strep a DNA amp probe (87651) | $160 | $160 | 4.6× |
| Strep b DNA amp probe (87653) | $160 | $160 | 4.6× |
| Surgical pathology level IV (88305) | $324 | $324 | 6.5× |
| Syphilis Test Non-Trep Quant (86593) | $93 | $93 | 21.1× |
| T cells absolute cd4 count (86361) | $109 | $109 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $329 | $329 | 7.0× |
| T cells total count (86359) | $244 | $244 | 6.5× |
| T3 Free (84481) | $150 | $150 | 8.9× |
| T3 reverse (84482) | $105 | $105 | 6.7× |
| T3 Total (84480) | $162 | $162 | 11.4× |
| T3 Uptake (84479) | $62 | $62 | 9.6× |
| T4 Free (84439) | $58 | $58 | 6.4× |
| T4 total (84436) | $58 | $58 | 8.4× |
| Tacrolimus (80197) | $165 | $165 | 12.0× |
| Test for acetone/ketones (82009) | $303 | $303 | 67.0× |
| Testosterone total (84403) | $344 | $344 | 13.3× |
| Testosterone, Free (84402) | $145 | $145 | 5.7× |
| Theophylline (80198) | $189 | $189 | 13.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $32 | $32 | 4.9× |
| Thyroglobulin (84432) | $145 | $145 | 9.0× |
| Thyroglobulin Antibody (86800) | $280 | $280 | 17.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $335 | $335 | 6.6× |
| Thyroxine binding globulin (84442) | $314 | $314 | 21.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $57.65 | $57.65 | 5.0× |
| Touch prep (88161) | $164 | $164 | 5.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $177 | $177 | 9.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $76 | $76 | 14.7× |
| Transferrin (84466) | $76 | $76 | 6.0× |
| Trichomonas Vaginalis Amplif (87661) | $160 | $160 | 4.6× |
| Triglycerides (84478) | $162 | $162 | 28.2× |
| Troponin Quant (84484) | $182 | $182 | 14.6× |
| Uric acid other source (84560) | $47 | $47 | 9.3× |
| Urinalysis Microscopic Only (81015) | $31 | $31 | 10.2× |
| Urinalysis Volume Measure (81050) | $29 | $29 | 8.0× |
| Urine Pregnancy Test (81025) | $76 | $76 | 8.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $76 | $76 | 24.0× |
| Valproic acid (80164) | $223 | $223 | 16.5× |
| Vancomycin (80202) range across 2 matching MRF lines |
$171–$825 | $171–$825 | varies |
| Varicella-zoster antibody (86787) | $267 | $267 | 20.7× |
| Vasopressin (84588) | $304 | $304 | 9.0× |
| Viral Culture (87252) | $501 | $501 | 19.2× |
| Vit D 1 25-Dihydroxy (82652) | $357 | $357 | 9.3× |
| Vitamin A (84590) | $58.05 | $58.05 | 5.0× |
| Vitamin b-12 (82607) | $194 | $194 | 12.9× |
| Vitamin B6 (84207) | $598 | $598 | 21.3× |
| Vitamin c (82180) | $135 | $135 | 13.7× |
| Vitamin D 25-Hydroxy (82306) | $297 | $297 | 10.0× |
| Vitamin E (84446) | $70.90 | $70.90 | 5.0× |
| Vitamin K (84597) | $574.55 | $574.55 | 41.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $80 | $80 | 6.6× |
| Von willebrand factor ag (85246) | $292 | $292 | 12.7× |
| West nile virus ab igm (86788) | $114 | $114 | 6.8× |
| West Nile Virus Antibody (86789) | $114 | $114 | 7.9× |
| Zinc (84630) | $110 | $110 | 9.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.