Lab & pathology prices at Presentation Medical Center
Rolla, ND · 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) | $305 | $339 | 7.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $247 | $274 | 7.6× |
| Actin smooth muscle antibody each (86015) | $232 | $258 | 19.3× |
| Acute hepatitis panel (80074) | $359 | $399 | 7.5× |
| Acylcarnitines Quant (82017) | $48 | $53 | 2.8× |
| Albumin Fluid (82042) | $48 | $53 | 6.2× |
| Albumin serum (82040) | $39 | $43 | 7.9× |
| Aldolase (82085) | $64 | $71 | 6.6× |
| Aldosterone urine (82088) | $321 | $357 | 7.9× |
| Alkaline phosphatase isoenzymes (84080) | $97 | $108 | 6.6× |
| Allergen specific igg (86001) | $138 | $153 | 17.6× |
| Alpha-1-antitrypsin phenotype (82104) | $167 | $185 | 11.5× |
| Alpha-1-antitrypsin total (82103) | $155 | $172 | 11.5× |
| Alpha-Fetoprotein Serum (82105) | $132 | $147 | 7.9× |
| Alt (sgpt) (84460) | $37 | $41 | 7.0× |
| Aluminum (82108) | $168 | $187 | 6.6× |
| Amikacin trough (80150) | $99 | $110 | 6.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $133 | $148 | 7.9× |
| Ammonia (82140) | $112 | $124 | 7.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $647 | $719 | 6.6× |
| Amylase urine (82150) | $52 | $58 | 8.0× |
| Ana Titer (86039) | $75 | $83 | 6.7× |
| Anca screen each antibody (86036) | $297 | $330 | 24.6× |
| Androstenedione (82157) | $230 | $256 | 7.9× |
| Angiotensin converting enzyme csf (82164) | $116 | $129 | 7.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $113 | $126 | 6.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $105 | $117 | 8.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $113 | $126 | 6.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $115 | $128 | 8.0× |
| Antibody Herpes Smplx Type 1 (86695) | $104 | $116 | 7.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $82 | $91 | 6.0× |
| Antibody HIV-2 (86702) | $67 | $74 | 5.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $82 | $91 | 6.6× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$41–$46 | $46–$51 | varies |
| Antibody Treponema Pallidum (86780) | $103 | $114 | 7.8× |
| Antigen typing (86905) | $32 | $35 | 8.4× |
| Antinuclear antibodies (86038) | $98 | $109 | 8.1× |
| Antistreptolysin o titer (86060) | $39 | $43 | 5.3× |
| Antithrombin iii activity (85300) | $95 | $105 | 8.0× |
| Antithrombin iii antigen (85301) | $86 | $95 | 8.0× |
| Apolipoprotein a1 (82172) | $139 | $154 | 6.6× |
| Arsenic (82175) | $126 | $140 | 6.6× |
| Assay activated protein c (85307) | $101 | $112 | 6.6× |
| Assay Blood Carbon Dioxide (82374) | $36 | $40 | 7.4× |
| Assay Nephelometry Not Spec (83883) | $90 | $100 | 6.6× |
| Assay of anti-mullerian hormone (82166) | $185 | $205 | 4.8× |
| Assay of blood/uric acid (84550) | $37 | $41 | 8.2× |
| Assay of calcium in urine (82340) | $49 | $54 | 8.1× |
| Assay of estrone (82679) | $180 | $200 | 7.2× |
| Assay of g6pd enzyme (82955) | $76 | $84 | 7.8× |
| Assay of gammaglobulin igm (82784) | $76 | $84 | 8.2× |
| Assay of lactic acid (83605) | $86 | $95 | 7.4× |
| Assay of metanephrines (83835) | $133 | $148 | 7.9× |
| Assay of pyruvate (84210) | $175 | $194 | 12.1× |
| Assay of serotonin (84260) | $245 | $272 | 7.9× |
| Assay of serum potassium (84132) | $31 | $34 | 6.5× |
| Assay of urea nitrogen (84520) | $33 | $37 | 8.4× |
| Assay of vitamin b-1 (84425) | $161 | $179 | 7.6× |
| Assay Ph Body Fluid Nos (83986) | $341 | $379 | 95.3× |
| Automated Leukocyte Count (85048) | $21 | $23 | 8.3× |
| Beta 2 glycoprotein i antibody each (86146) | $167 | $186 | 6.6× |
| Beta-2 Microglobulin (82232) | $125 | $139 | 7.7× |
| Bile acids total (82239) | $57 | $63 | 3.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$39–$41 | $43–$45 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$39–$41 | $43–$45 | varies |
| Blood count reticulocyte automated (85045) | $33 | $37 | 8.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $29 | $32 | 7.6× |
| Blood gas (82803) | $144 | $160 | 5.5× |
| Blood gases w/02 saturation (82805) | $221 | $245 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $132 | $147 | 8.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $23 | $26 | 5.3× |
| Blood typing serologic abo (86900) | $26 | $29 | 8.7× |
| Bordetella antibody (86615) | $96 | $107 | 7.3× |
| Brucella antibody (86622) | $67 | $74 | 7.5× |
| C diff amplified probe (87493) | $246 | $273 | 6.6× |
| C-Peptide (84681) | $175 | $194 | 8.4× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$41–$104 | $45–$116 | varies |
| Ca 19-9 (86301) | $138 | $153 | 6.6× |
| Cadmium (82300) | $156 | $173 | 6.6× |
| Caffeine (80155) | $254 | $282 | 6.6× |
| Calcitonin (82308) | $176 | $195 | 6.6× |
| Calcium ionized (82330) | $110 | $122 | 8.0× |
| Calcium total (82310) | $41 | $46 | 7.9× |
| Calculus Spectroscopy (82365) | $103 | $114 | 8.0× |
| Calprotectin Fecal (83993) | $164 | $182 | 8.4× |
| Calr gene com variants (81219) | $617 | $686 | 5.1× |
| Cancer Antigen 125 (86304) | $175 | $194 | 8.4× |
| Cancer Antigen 27.29 (86300) | $158 | $175 | 7.6× |
| Candida antibody (86628) | $78 | $87 | 6.5× |
| Carbamazepine total (80156) | $112 | $124 | 7.7× |
| Carboxyhemoglobin (82375) | $228 | $253 | 18.5× |
| Carcinoembryonic antigen (82378) | $148 | $164 | 7.8× |
| Cardiolipin ab iga (86147) | $168 | $187 | 6.6× |
| Carnitine Quantitative Each Specimen (82379) | $112 | $124 | 6.6× |
| Carotene (82380) | $74 | $82 | 8.0× |
| Catecholamines fractionated (82384) | $168 | $187 | 6.7× |
| Ccp antibody (86200) | $104 | $116 | 8.0× |
| Cell count csf (89051) | $42 | $47 | 7.5× |
| Ceruloplasmin (82390) | $86 | $95 | 8.0× |
| Chemiluminescent assay (82397) | $112 | $124 | 7.9× |
| Chlamydia antibody (86631) | $77 | $86 | 6.5× |
| Chlamydia Igm Antibody (86632) | $100 | $111 | 7.9× |
| Chloride Serum (82435) | $33 | $37 | 7.2× |
| Chloride urine (82436) | $40 | $44 | 7.0× |
| Cholesterol total (82465) | $32 | $35 | 7.4× |
| Cholinesterase Serum (82480) | $52 | $58 | 6.6× |
| Chorionic gonadotropin test (84702) | $122 | $135 | 8.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $189 | $210 | 5.4× |
| Citric acid urine (82507) | $221 | $245 | 7.9× |
| Ckmb (82553) range across 2 matching MRF lines |
$51–$97 | $57–$108 | varies |
| Clostridium Difficile (87324) | $97 | $108 | 8.1× |
| Clot Factor VIII Multimetric (85247) | $166 | $184 | 7.2× |
| Collagen crosslinks (82523) | $123 | $137 | 6.6× |
| Column Chromotography Quant (82542) | $291 | $323 | 12.1× |
| Compatibility test antiglob (86922) | $157 | $174 | 0.9× |
| Complement Antigen Each Component (86160) | $97 | $108 | 8.1× |
| Complement Total (Ch50) (86162) | $158 | $176 | 7.8× |
| Complement/Function Activity (86161) | $78 | $87 | 6.5× |
| Coombs direct (86880) | $46 | $51 | 8.5× |
| Copper urine (82525) | $102 | $113 | 8.2× |
| Cortisol free (82530) | $132 | $147 | 7.9× |
| Cortisol saliva (82533) | $117 | $130 | 7.2× |
| Creatine kinase total (82550) | $51 | $57 | 7.8× |
| Creatinine blood (82565) | $45 | $50 | 8.8× |
| Creatinine Urine (82570) | $41 | $46 | 7.9× |
| Crossmatch immediate spin (86920) | $254 | $282 | 1.5× |
| Cryptococcus ag titer (87899) | $97 | $108 | 6.0× |
| Cryptosporidium ag eia (87328) | $97 | $108 | 7.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $67 | $74 | 8.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $67 | $74 | 8.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $61 | $68 | 7.9× |
| Culture afb (87116) | $32 | $35 | 3.0× |
| Culture Anaerobic (87075) | $77 | $85 | 8.1× |
| Culture blood (87040) | $76 | $84 | 7.4× |
| Culture csf (87070) | $75 | $83 | 8.7× |
| Culture fungus (87102) | $69 | $77 | 8.2× |
| Culture screen only (87081) | $46 | $51 | 6.9× |
| Culture stool (87045) | $75 | $83 | 7.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $41 | $46 | 7.9× |
| Culture urine (87086) | $59 | $65 | 7.3× |
| Cystatin C (82610) | $131 | $145 | 7.1× |
| Cytomegalovirus igg (86644) | $115 | $128 | 8.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $158 | $176 | 7.8× |
| Cytopath Cell Enhance Tech (88112) | $170 | $189 | 3.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $212 | $235 | 8.0× |
| Detect Agent Nos Dna Amp (87798) | $527 | $585 | 15.0× |
| Detect Agent Nos Dna Quant (87799) | $452 | $502 | 10.6× |
| Detect agnt mult DNA ampli (87801) | $242 | $269 | 3.4× |
| Dgp Antibody Each Ig Class (86258) | $82 | $91 | 6.8× |
| Dhea (82626) | $176 | $196 | 7.0× |
| Dhea-S (82627) | $142 | $158 | 6.4× |
| Digoxin (80162) | $103 | $114 | 7.8× |
| Diphtheria antitoxoid (86648) | $118 | $131 | 7.8× |
| Dna Antibody Native/Double Stranded (86225) | $110 | $122 | 8.0× |
| Dna/Rna Amplified Probe (87150) | $291 | $323 | 8.3× |
| DNA/RNA direct probe (87149) | $166 | $184 | 8.3× |
| Drug assay acetaminophen (80143) | $124 | $138 | 6.7× |
| Drug Assay Amiodarone (80151) | $123 | $137 | 6.6× |
| Drug Assay Lacosamide (80235) | $317 | $352 | 11.7× |
| Drug Screen Quant Clozapine (80159) | $129 | $143 | 6.4× |
| Drug Screen Quantitative Gabapentin (80171) | $143 | $159 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $92 | $102 | 6.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $156 | $173 | 11.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $132 | $147 | 10.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $442 | $491 | 7.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $48 | $53 | 3.8× |
| Drug Test Prsmv Instrmnt (80306) | $669 | $743 | 39.0× |
| Electrolyte panel (80051) | $53 | $59 | 7.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $118 | $131 | 9.8× |
| Enterovirus Antibody (86658) | $90 | $100 | 6.9× |
| Erythropoietin (82668) | $150 | $167 | 8.0× |
| Estradiol serum (82670) | $221 | $246 | 7.9× |
| Estriol (82677) | $159 | $177 | 6.6× |
| Estrogens fractionated (82671) | $283 | $314 | 8.8× |
| Exam Synovial Fluid Crystals (89060) | $55 | $61 | 7.5× |
| F2 Gene (81240) | $767 | $852 | 11.7× |
| Factor ii activity (85210) | $96 | $107 | 7.4× |
| Factor ix activity (85250) | $152 | $169 | 8.0× |
| Factor v leiden mutation (81241) | $174 | $193 | 2.4× |
| Factor vii assay (85230) | $142 | $158 | 7.9× |
| Factor viii assay (85240) | $118 | $131 | 6.6× |
| Fecal Fat Qualitative (82705) | $41 | $46 | 8.0× |
| Ferritin (82728) | $323 | $359 | 23.7× |
| Fibrin Degradation Quant (85379) | $67 | $74 | 6.6× |
| Fibrinogen activity (85384) | $68 | $75 | 7.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $93 | $103 | 7.7× |
| Fmr1 gene detection (81243) | $378 | $420 | 6.6× |
| Folic acid rbc (82747) | $136 | $151 | 7.7× |
| Folic Acid Serum (82746) | $106 | $118 | 7.2× |
| Follicle Stimulating Hormone (83001) | $133 | $148 | 7.2× |
| Fungi Identification Mold (87107) | $91 | $101 | 8.8× |
| Fungi Identification Yeast (87106) | $82 | $91 | 7.9× |
| Gammaglobulin ige (82785) | $108 | $120 | 6.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,815 | $3,128 | 6.8× |
| Gentamicin (80170) | $131 | $145 | 8.0× |
| Ggt (82977) | $59 | $66 | 8.2× |
| Giardia antigen (87329) | $97 | $108 | 8.1× |
| Glucose 2 hr pp (82950) | $35 | $39 | 7.4× |
| Glucose body fluid (82945) | $25 | $28 | 6.4× |
| Glucose Serum (82947) | $29 | $32 | 7.4× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$35–$107 | $39–$119 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$60–$61 | $67–$68 | varies |
| Haptoglobin (83010) | $102 | $113 | 8.1× |
| Hdl Cholesterol (83718) | $59 | $65 | 7.2× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$97–$98 | $108–$109 | varies |
| Hematocrit (85014) | $21 | $23 | 8.9× |
| Hemoglobin (85018) | $21 | $23 | 8.9× |
| Hemoglobin a1c (83036) | $81 | $90 | 8.3× |
| Hemoglobin Chromotography (83021) | $133 | $148 | 7.4× |
| Hemoglobin plasma (83051) | $49 | $54 | 6.7× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$77–$79 | $86–$88 | varies |
| Heparin assay (85520) | $102 | $113 | 7.8× |
| Hepatitis a antibody total (86708) | $100 | $111 | 8.1× |
| Hepatitis b core ab igm (86705) | $95 | $105 | 8.1× |
| Hepatitis B Surface Antibody (86706) | $86 | $95 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $79 | $88 | 7.6× |
| Hepatitis Be Antibody (86707) | $92 | $102 | 8.0× |
| Hepatitis Be Antigen (87350) | $91 | $101 | 7.9× |
| Hepatitis C Antibody (86803) | $113 | $126 | 7.9× |
| Hepatitis C Genotype (87902) | $2,024 | $2,249 | 7.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $339 | $377 | 7.9× |
| Herpes simplex type 2 (86696) | $152 | $169 | 7.9× |
| Heterophile Antibody Screen (86308) | $41 | $46 | 7.9× |
| Hfe Gene (81256) | $430 | $478 | 6.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $166 | $184 | 6.9× |
| Hiv-1 Antibody (86701) | $71 | $79 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $705 | $783 | 8.3× |
| Hla-b27 (86812) | $205 | $228 | 7.9× |
| Homocysteine (83090) | $133 | $148 | 7.4× |
| Homogenization Tissue (87176) | $46 | $51 | 7.8× |
| Hpv High-Risk Types (87624) | $272 | $302 | 7.8× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $270 | $300 | 3.8× |
| Hpv Types 16 & 18 Only (87625) | $206 | $229 | 5.1× |
| Hsv Dna Amp Probe (87529) | $275 | $306 | 7.8× |
| Hsv Dna Quant (87530) | $301 | $334 | 7.0× |
| Hydroxyprogesterone 17-d (83498) | $216 | $240 | 7.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $114 | $127 | 3.2× |
| Iaad ia shiga-like toxin (87427) | $57 | $63 | 4.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $126 | $140 | 3.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $242 | $269 | 6.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $267 | $297 | 7.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $230 | $256 | 6.6× |
| Iadna Cytomegalovirus Quantification (87497) | $350 | $389 | 8.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $500 | $555 | 11.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $267 | $297 | 7.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $189 | $210 | 5.4× |
| Ig Light Chains Free Each (83521) | $67 | $74 | 3.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $67 | $74 | 3.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $115 | $128 | 7.7× |
| Immunoassay nonantibody (83516) | $94 | $104 | 8.2× |
| Immunofixation electrophoresis (86334) | $214 | $238 | 9.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $396 | $440 | 2.3× |
| Immunohistochemistry (88342) | $318 | $353 | 1.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $222 | $247 | 3.2× |
| Influenza assay w/optic (87804) | $97 | $108 | 5.9× |
| Inhibin b (83520) | $285 | $317 | 16.5× |
| Insulin antibodies (86337) | $170 | $189 | 7.9× |
| Insulin total (83525) | $92 | $102 | 8.0× |
| Iron (83540) | $52 | $58 | 8.0× |
| Iron Binding Capacity (83550) | $73 | $81 | 8.4× |
| Islet cell antibody (86341) | $156 | $173 | 6.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $466 | $518 | 5.1× |
| Koh Prep (87220) | $33 | $37 | 7.7× |
| Lactate (ld) (ldh) enzyme (83615) | $49 | $54 | 8.1× |
| Lactoferrin fecal qualitative (83630) | $156 | $173 | 7.9× |
| Lead (83655) | $98 | $109 | 8.1× |
| Legionella antigen urine (87449) | $78 | $87 | 6.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $90 | $100 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $182 | $202 | 4.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $572 | $635 | 1.6× |
| Lipase (83690) | $57 | $63 | 8.3× |
| Lithium (80178) | $51 | $57 | 7.7× |
| Luteinizing Hormone (Lh) (83002) | $149 | $165 | 8.0× |
| Lyme disease antibody (86618) | $135 | $150 | 7.9× |
| M. Genitalium Amp Probe (87563) | $178 | $198 | 5.1× |
| Macroscopic Exam Parasite (87169) | $36 | $40 | 8.4× |
| Magnesium Urine (83735) | $53 | $59 | 7.9× |
| Methylmalonic acid serum (83921) | $138 | $153 | 6.5× |
| Microalbumin, quantitative (82043) | $48 | $53 | 8.3× |
| Microsomal Antibodies Each (86376) | $170 | $189 | 11.7× |
| Mitochondrial Antibody Each (86381) | $104 | $116 | 4.1× |
| Mrsa Pcr (87641) | $275 | $306 | 7.8× |
| Mumps antibody (86735) | $104 | $116 | 8.0× |
| Mycobacteric Identification (87118) | $92 | $102 | 6.3× |
| Natriuretic peptide (83880) | $268 | $298 | 6.8× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $1,827 | $2,030 | 6.9× |
| Niacin (84591) | $113 | $126 | 6.6× |
| Nuclear antigen antibody (86235) | $142 | $158 | 7.9× |
| Occult blood feces (82272) | $23 | $26 | 5.4× |
| Organic Acids Qualitative Each Specimen (83919) | $131 | $146 | 8.0× |
| Osmolality serum (83930) | $53 | $59 | 8.0× |
| Osmolality Urine (83935) | $54 | $60 | 7.9× |
| Ova and parasites smears (87177) | $76 | $84 | 8.5× |
| Oxalate urine (83945) | $103 | $114 | 7.1× |
| Ph urine (81003) | $20 | $22 | 8.9× |
| Phenobarbital Level (80184) | $90 | $100 | 5.9× |
| Phenytoin (Dilantin) (80185) | $103 | $114 | 7.8× |
| Phenytoin free (80186) | $105 | $117 | 7.6× |
| Phosphatase acid prostatic (84066) | $64 | $71 | 6.6× |
| Phosphatase alkaline (84075) | $41 | $45 | 7.9× |
| Phosphorus Serum (84100) | $37 | $41 | 7.8× |
| Phosphorus urine (84105) | $41 | $46 | 7.1× |
| Platelet Antibodies (86022) | $221 | $246 | 12.0× |
| Platelet count automated (85049) | $36 | $40 | 8.0× |
| Potassium Urine (84133) | $35 | $39 | 7.4× |
| Prealbumin (84134) | $46 | $51 | 3.2× |
| Procalcitonin (Pct) (84145) | $208 | $231 | 7.6× |
| Progesterone (84144) | $165 | $183 | 7.9× |
| Prolactin (84146) | $155 | $172 | 8.0× |
| Protein body fluid (84157) | $25 | $28 | 6.3× |
| Protein C Activity (85303) | $111 | $123 | 8.0× |
| Protein c antigen (85302) | $97 | $108 | 8.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $136 | $151 | 12.7× |
| Protein S Free (85306) | $95 | $105 | 6.2× |
| Protein s total (85305) | $94 | $104 | 8.1× |
| Protein Total Refractometry Any Src (84160) | $41 | $46 | 7.3× |
| Protein total serum (84155) | $149 | $165 | 40.6× |
| Protein Total Urine (84156) | $30 | $33 | 8.2× |
| Pth Intact (83970) | $326 | $362 | 7.9× |
| Q Fever Antibody (86638) | $90 | $100 | 7.4× |
| Quantiferon tb gold plus (86480) | $514 | $571 | 8.3× |
| Rbc antibody identification (86870) | $155 | $172 | 0.4× |
| Rbc antibody screen (86850) | $77 | $85 | 7.9× |
| Reagent Strip/Blood Glucose (82948) | $27 | $30 | 5.4× |
| Renin activity plasma (84244) | $176 | $195 | 8.0× |
| Reticulocyte Count (85046) | $33 | $37 | 5.9× |
| Rh (86901) | $26 | $29 | 8.7× |
| Rheumatoid factor quant (86431) | $41 | $46 | 7.2× |
| Rickettsia antibody (86757) | $155 | $172 | 8.0× |
| Ristocetin cofactor (85245) | $98 | $109 | 4.3× |
| Rpr qualitative (86592) | $195 | $217 | 45.7× |
| Rsv Assay W/Optic (87807) | $102 | $113 | 7.8× |
| Rubella Antibody (86762) | $115 | $128 | 8.0× |
| Rubeola antibody (86765) | $91 | $101 | 7.1× |
| Russell Viper Venom Time Diluted (85613) | $77 | $85 | 8.0× |
| Salicylate Level (80179) | $124 | $138 | 6.7× |
| Salmonella antibody (86768) | $68 | $75 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $178 | $198 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $495 | $550 | 3.5× |
| Sedimentation rate (85651) | $27 | $30 | 6.3× |
| Selenium (84255) | $170 | $189 | 6.7× |
| Sensitivity mic (87186) | $55 | $61 | 6.4× |
| Sex Hormone Binding Globulin (84270) | $175 | $194 | 8.1× |
| Sickling of rbc reduction (85660) | $29 | $32 | 5.3× |
| Sirolimus (80195) | $91 | $101 | 6.6× |
| Skin test tuberculosis intradermal (86580) | $31 | $34 | 1.0× |
| Smear acid fast (87206) | $46 | $51 | 8.5× |
| Smear gram stain (87205) | $35 | $39 | 8.2× |
| Smear Special Stain (87207) | $44 | $49 | 7.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $35 | $39 | 6.0× |
| Sodium Serum (84295) | $41 | $45 | 8.5× |
| Sodium Urine (84300) | $41 | $45 | 8.1× |
| Soluble Transferrin Receptor (84238) | $303 | $337 | 8.3× |
| Somatomedin (84305) | $25 | $28 | 1.2× |
| Special Stains Group 1 (88312) | $230 | $255 | 4.3× |
| Specimen infect agnt concntj (87015) | $53 | $59 | 7.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $60 | $67 | 0.3× |
| Staph a DNA amp probe (87640) | $230 | $256 | 6.6× |
| Stool cultr aerobic bact ea (87046) | $71 | $79 | 7.5× |
| Strep a assay w/optic (87880) | $93 | $103 | 5.6× |
| Strep a DNA amp probe (87651) | $272 | $302 | 7.8× |
| Sulfate urine (84392) | $41 | $45 | 7.5× |
| Surg path level iii (88304) | $187 | $208 | 3.5× |
| Surgical pathology level IV (88305) | $256 | $284 | 4.8× |
| Surgical pathology level vi (88309) | $791 | $879 | 1.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $61 | $68 | 8.2× |
| Syphilis Test Non-Trep Quant (86593) | $37 | $41 | 8.4× |
| T cells absolute cd4 count (86361) | $152 | $169 | 5.7× |
| T3 Free (84481) | $125 | $139 | 7.4× |
| T3 reverse (84482) | $116 | $129 | 7.4× |
| T3 Total (84480) | $104 | $116 | 7.3× |
| T3 Uptake (84479) | $52 | $58 | 8.0× |
| T4 Free (84439) | $59 | $65 | 6.5× |
| T4 total (84436) | $51 | $57 | 7.4× |
| Tacrolimus (80197) | $110 | $122 | 8.0× |
| Tb ag response t-cell susp (86481) | $107 | $119 | 1.1× |
| Test for acetone/ketones (82009) | $30 | $33 | 6.6× |
| Testosterone total (84403) | $205 | $228 | 7.9× |
| Testosterone, Free (84402) | $203 | $226 | 8.0× |
| Theophylline (80198) | $107 | $119 | 7.6× |
| Thyroglobulin (84432) | $129 | $143 | 8.0× |
| Thyroglobulin Antibody (86800) | $128 | $142 | 8.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $421 | $468 | 8.3× |
| Thyroxine binding globulin (84442) | $107 | $119 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $29 | $32 | 2.5× |
| Topiramate (80201) | $97 | $108 | 8.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41 | $46 | 7.9× |
| Transferrin (84466) | $103 | $114 | 8.1× |
| Trichomonas Vaginalis Amplif (87661) | $86 | $96 | 2.5× |
| Triglycerides (84478) | $48 | $53 | 8.4× |
| Uric acid other source (84560) | $39 | $43 | 7.7× |
| Urinalysis Microscopic Only (81015) | $23 | $26 | 7.5× |
| Urine Bacteria Culture (87088) | $69 | $77 | 8.5× |
| Urine Pregnancy Test (81025) | $51 | $57 | 5.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $23 | $26 | 7.3× |
| Valproic acid (80164) | $107 | $119 | 7.9× |
| Vancomycin (80202) | $107 | $119 | 7.9× |
| Varicella-zoster antibody (86787) | $103 | $114 | 8.0× |
| Vasopressin (84588) | $278 | $309 | 8.2× |
| Viral Culture (87252) | $82 | $91 | 3.1× |
| Virus antibody nos (86790) | $103 | $114 | 8.0× |
| Vit D 1 25-Dihydroxy (82652) | $303 | $337 | 7.9× |
| Vitamin A (84590) | $159 | $177 | 13.7× |
| Vitamin b-12 (82607) | $115 | $128 | 7.6× |
| Vitamin B2 (Riboflavin) (84252) | $134 | $149 | 6.6× |
| Vitamin B6 (84207) | $185 | $206 | 6.6× |
| Vitamin c (82180) | $137 | $152 | 13.9× |
| Vitamin D 25-Hydroxy (82306) | $232 | $258 | 7.8× |
| Vitamin E (84446) | $166 | $184 | 11.7× |
| Volatiles (84600) | $113 | $126 | 6.6× |
| Von willebrand factor ag (85246) | $106 | $118 | 4.6× |
| West nile virus ab igm (86788) | $113 | $126 | 6.7× |
| Zinc (84630) | $92 | $102 | 8.1× |
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.