Lab & pathology prices at Providence Holy Cross Medical Center
Mission Hills, CA · every code in this section with a posted price and a Medicare benchmark.
366 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $110.25 | $315 | 3.4× |
| Acute hepatitis panel (80074) | $93.10 | $266 | 2.0× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$20.13–$81.20 | $57.50–$232 | varies |
| Albumin serum (82040) | $18.20 | $52 | 3.7× |
| Alpha-Fetoprotein Serum (82105) | $65.10 | $186 | 3.9× |
| Alt (sgpt) (84460) | $18.20 | $52 | 3.4× |
| Amikacin trough (80150) | $10.76 | $30.75 | 0.7× |
| Ammonia (82140) | $112.70 | $322 | 7.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$101.50–$198.80 | $290–$568 | varies |
| Amylase urine (82150) | $34.30 | $98 | 5.3× |
| Ana Titer (86039) | $16.10 | $46 | 1.4× |
| Antibody Herpes Smplx Type 1 (86695) | $30.10 | $86 | 2.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $29.40 | $84 | 2.1× |
| Antibody HIV-2 (86702) | $5.15 | $14.72 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $95.68 | $273.36 | 6.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $47.25 | $135 | 3.8× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$28.18–$220.85 | $80.50–$631 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$13.13–$280.70 | $37.50–$802 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$3.85–$101.15 | $11–$289 | varies |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$29.40–$32.90 | $84–$94 | varies |
| Aspergillus ag eia (87305) | $44.08 | $125.94 | 3.7× |
| Assay Blood Carbon Dioxide (82374) | $18.20 | $52 | 3.7× |
| Assay Nephelometry Not Spec (83883) | $62.65 | $179 | 4.6× |
| Assay of blood/uric acid (84550) | $18.20 | $52 | 4.0× |
| Assay of calcium in urine (82340) range across 5 matching MRF lines |
$166.25–$263.90 | $475–$754 | varies |
| Assay of gammaglobulin igm (82784) | $39.90 | $114 | 4.3× |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$25.90–$298.20 | $74–$852 | varies |
| Assay of serum potassium (84132) | $18.20 | $52 | 3.8× |
| Assay of urea nitrogen (84520) | $18.20 | $52 | 4.6× |
| Assay of vitamin b-1 (84425) | $50.63 | $144.67 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $18.20 | $52 | 5.1× |
| Assay spec xcp ur&breath ia (82077) | $361.90 | $1,034 | 21.0× |
| Asy carbamazepin 10,11-epxid (80161) | $227.15 | $649 | 12.2× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$46.20–$121.10 | $132–$346 | varies |
| B cells total count (86355) | $30.99 | $88.53 | 0.8× |
| Bcr/abl1 gene major bp (81206) | $61.25 | $175 | 0.4× |
| Bcr/abl1 gene minor bp (81207) | $52.50 | $150 | 0.4× |
| Beta hydroxybutyrate (82010) | $32.20 | $92 | 3.9× |
| Beta Lactamase (87185) | $13.30 | $38 | 2.8× |
| Bilirubin direct (82248) | $18.20 | $52 | 3.6× |
| Bilirubin total (82247) | $18.20 | $52 | 3.6× |
| Bilirubin total transcutaneous (88720) | $6.30 | $18 | 1.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $101.15 | $289 | 0.5× |
| Bld Typing Serologic Rh Phnt (86906) | $20.83 | $59.50 | 2.7× |
| Blood count reticulocyte automated (85045) | $98.70 | $282 | 24.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $14.35 | $41 | 3.8× |
| Blood gas (82803) | $657.65 | $1,879 | 25.2× |
| Blood gases w/02 saturation (82805) | $657.65 | $1,879 | 8.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $25.55 | $73 | 5.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 8 matching MRF lines |
$13.92–$280.70 | $39.78–$802 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$21.18–$115.50 | $60.50–$330 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$8.23–$164.50 | $23.50–$470 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$162.05–$162.75 | $463–$465 | varies |
| Bone marrow smear interpretation (85097) | $471.80 | $1,348 | 0.5× |
| Braf gene analysis (81210) | $63 | $180 | 0.4× |
| C diff amplified probe (87493) | $112.35 | $321 | 3.0× |
| C-Peptide (84681) range across 3 matching MRF lines |
$56.70–$67.90 | $162–$194 | varies |
| C-reactive protein (86140) | $22.40 | $64 | 4.3× |
| Ca 19-9 (86301) | $49.35 | $141 | 2.4× |
| Caffeine (80155) | $11.20 | $32 | 0.3× |
| Calcium ionized (82330) | $33.25 | $95 | 2.4× |
| Calcium total (82310) | $18.20 | $52 | 3.5× |
| Calculus Spectroscopy (82365) | $24.19 | $69.10 | 1.9× |
| Cancer Antigen 125 (86304) | $49.35 | $141 | 2.4× |
| Cancer Antigen 27.29 (86300) | $49.35 | $141 | 2.4× |
| Carbamazepine free (80157) | $208.95 | $597 | 15.8× |
| Carbamazepine total (80156) | $208.95 | $597 | 14.3× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$10.84–$50.40 | $30.96–$144 | varies |
| Carcinoembryonic antigen (82378) | $148.40 | $424 | 7.8× |
| Ccp antibody (86200) | $31.50 | $90 | 2.4× |
| Cell count csf (89051) range across 4 matching MRF lines |
$162.05–$162.75 | $463–$465 | varies |
| Chloride Serum (82435) | $18.20 | $52 | 4.0× |
| Chloride urine (82436) | $166.25 | $475 | 28.9× |
| Cholesterol total (82465) | $18.20 | $52 | 4.2× |
| Chorionic gonadotropin test (84702) | $178.85 | $511 | 11.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $32.81 | $93.75 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $43.05 | $123 | 1.2× |
| Ckmb (82553) | $168.70 | $482 | 14.6× |
| Clostridium Difficile (87324) | $37.45 | $107 | 3.1× |
| Cns DNA amp probe type 12-25 (87483) | $528.85 | $1,511 | 1.3× |
| Coagulation time activated (85347) | $15.75 | $45 | 3.7× |
| Coccidioides antibody (86635) | $14 | $40 | 1.2× |
| Cold agglutinin screen (86156) | $10.71 | $30.60 | 1.3× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$28.56–$78.05 | $81.60–$223 | varies |
| Column Chromotography Quant (82542) | $17.50 | $50 | 0.7× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$32.13–$304.50 | $91.80–$870 | varies |
| Complement Antigen Each Component (86160) | $23.45 | $67 | 2.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $53.20 | $152 | 0.8× |
| Coombs direct (86880) range across 3 matching MRF lines |
$8.05–$182 | $23–$520 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$123.55–$148.40 | $353–$424 | varies |
| Creatine kinase total (82550) | $31.15 | $89 | 4.8× |
| Creatinine blood (82565) | $18.20 | $52 | 3.6× |
| Creatinine clearance (82575) | $237.65 | $679 | 25.1× |
| Creatinine Urine (82570) | $31.15 | $89 | 6.0× |
| Crossmatch electronic (86923) | $304.50 | $870 | 1.4× |
| Crossmatch immediate spin (86920) | $185.50 | $530 | 0.8× |
| Crp High Sensitivity (86141) | $18.55 | $53 | 1.4× |
| Cryptococcus ag titer (87899) | $12.60 | $36 | 0.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $18.90 | $54 | 2.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $29.05 | $83 | 3.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $23.80 | $68 | 3.1× |
| Culture aerobic quant other (87071) | $19.60 | $56 | 2.0× |
| Culture afb (87116) | $32.90 | $94 | 3.0× |
| Culture Anaerobic (87075) | $38.15 | $109 | 4.0× |
| Culture blood (87040) | $23.80 | $68 | 2.3× |
| Culture csf (87070) range across 3 matching MRF lines |
$6.30–$18.20 | $18–$52 | varies |
| Culture fungus (87102) | $23.80 | $68 | 2.8× |
| Culture fungus blood (87103) | $23.80 | $68 | 1.2× |
| Culture screen only (87081) range across 6 matching MRF lines |
$11.90–$14.35 | $34–$41 | varies |
| Culture stool (87045) | $10.15 | $29 | 1.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$11.55–$24.50 | $33–$70 | varies |
| Culture urine (87086) | $18.20 | $52 | 2.3× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$9.71–$36.55 | $27.75–$104.42 | varies |
| Cytomegalovirus igg (86644) | $14.28 | $40.80 | 1.0× |
| Cytopath Cell Enhance Tech (88112) | $102.90 | $294 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$75.95–$92.40 | $217–$264 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $97.65 | $279 | 1.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $115.15 | $329 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $50.75 | $145 | 1.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $56.70 | $162 | 1.5× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$44.10–$90.30 | $126–$258 | varies |
| Detect agnt mult DNA ampli (87801) | $42.70 | $122 | 0.6× |
| Digoxin (80162) | $66.85 | $191 | 5.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$4.30–$19.25 | $12.29–$55 | varies |
| Dna Antibody Single Stranded (86226) | $16.80 | $48 | 1.4× |
| DNA/RNA direct probe (87149) | $16.45 | $47 | 0.8× |
| Drug assay acetaminophen (80143) | $321.65 | $919 | 17.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$8.97–$314.30 | $25.62–$898 | varies |
| Drug Test Prsmv Instrmnt (80306) | $448 | $1,280 | 26.1× |
| Egfr Gene Analysis Common Variants (81235) | $139.65 | $399 | 0.4× |
| Electrolyte panel (80051) | $20.30 | $58 | 2.9× |
| Enzyme histochemistry (88319) | $504.35 | $1,441 | 0.5× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$122.50–$135.10 | $350–$386 | varies |
| Estradiol serum (82670) | $68.95 | $197 | 2.5× |
| Exam Synovial Fluid Crystals (89060) | $123.90 | $354 | 16.9× |
| Factor viii assay (85240) | $83.65 | $239 | 4.7× |
| Ferritin (82728) | $173.60 | $496 | 12.7× |
| Fetal Fibronectin (82731) | $289.10 | $826 | 4.5× |
| Fetal screen rosette (85461) | $65.45 | $187 | 7.0× |
| Fibrin Degradation Quant (85379) | $164.15 | $469 | 16.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $121.45 | $347 | 12.5× |
| Fibrinogen activity (85384) | $98.70 | $282 | 10.2× |
| Flow cytometry first marker (88184) | $6.56 | $18.75 | 0.0× |
| Flt3 Gene (81245) | $52.50 | $150 | 0.3× |
| Flt3 gene analysis (81246) | $52.50 | $150 | 0.6× |
| Fluorescent antibody screen (86255) | $21 | $60 | 1.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $4.31 | $12.30 | 0.4× |
| Folic Acid Serum (82746) | $173.60 | $496 | 11.8× |
| Follicle Stimulating Hormone (83001) | $57.05 | $163 | 3.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $156.80 | $448 | 0.7× |
| Frozen Section (88331) | $190.05 | $543 | 0.9× |
| Fungi Identification Mold (87107) | $26.60 | $76 | 2.6× |
| Fungi Identification Yeast (87106) | $18.90 | $54 | 1.8× |
| Gammaglobulin ige (82785) | $57.40 | $164 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $65.80 | $188 | 6.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $463.75 | $1,325 | 1.1× |
| Gentamicin (80170) | $204.40 | $584 | 12.5× |
| Ggt (82977) | $18.20 | $52 | 2.5× |
| Glucose 2 hr pp (82950) range across 5 matching MRF lines |
$50.75–$148.40 | $145–$424 | varies |
| Glucose body fluid (82945) | $166.25 | $475 | 42.3× |
| Glucose Serum (82947) | $18.20 | $52 | 4.6× |
| Glucose tolerance test (gtt) (82951) | $46.90 | $134 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $277.90 | $794 | 37.0× |
| Gtt-added samples (82952) | $12.25 | $35 | 3.1× |
| Haptoglobin (83010) | $71.05 | $203 | 5.6× |
| Hdl Cholesterol (83718) | $29.40 | $84 | 3.6× |
| Helicobacter Pylori Stool (87338) | $74.20 | $212 | 5.2× |
| Hematocrit (85014) range across 5 matching MRF lines |
$10.50–$32.90 | $30–$94 | varies |
| Hemoglobin (85018) | $10.50 | $30 | 4.4× |
| Hemoglobin a1c (83036) | $39.90 | $114 | 4.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $26.78 | $76.50 | 3.1× |
| Hemolysins&Agglutinins Incubated (86941) | $26.78 | $76.50 | 2.2× |
| Hep a ab igm (86709) | $26.60 | $76 | 2.4× |
| Hepatitis b core ab igm (86705) | $26.60 | $76 | 2.3× |
| Hepatitis B Surface Antibody (86706) | $26.60 | $76 | 2.5× |
| Hepatitis B Surface Antigen (87340) | $24.15 | $69 | 2.3× |
| Hepatitis C Antibody (86803) | $32.90 | $94 | 2.3× |
| Herpes simplex type 2 (86696) | $30.10 | $86 | 1.6× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$1.91–$85.05 | $5.45–$243 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $72.10 | $206 | 9.3× |
| Histoplasma antigen urine (87385) | $46.03 | $131.51 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $26.60 | $76 | 1.1× |
| Hiv-1 Antibody (86701) | $29.85 | $85.28 | 3.4× |
| Hla Typing a/B/C Multiple Antigens (86813) | $112.46 | $321.30 | 1.9× |
| Homocysteine (83090) | $73.85 | $211 | 4.1× |
| Homogenization Tissue (87176) | $11.55 | $33 | 2.0× |
| Hpv High-Risk Types (87624) | $21.35 | $61 | 0.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $74.20 | $212 | 5.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $27.30 | $78 | 0.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $49.35 | $141 | 1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$44.10–$82.34 | $126–$235.25 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $136.14 | $388.97 | 3.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $51.10 | $146 | 1.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$44.10–$82.34 | $126–$235.25 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $43.05 | $123 | 1.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $175 | $500 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) | $68.95 | $197 | 2.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $63.21 | $180.60 | 3.4× |
| Immunofixation electrophoresis (86334) | $68.95 | $197 | 3.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $224.35 | $641 | 1.0× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$15.75–$99.05 | $45–$283 | varies |
| In situ hybridization 1st probe stain (88365) | $38.50 | $110 | 0.2× |
| Influenza a/b ag eia (87400) | $22.05 | $63 | 1.6× |
| Influenza assay w/optic (87804) | $22.05 | $63 | 1.3× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$116.24–$140 | $332.12–$400 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$46.81 | $133.73–$133.74 | 2.7× |
| Insitu hybridization auto (88367) | $50.75 | $145 | 0.1× |
| Insitu hybridization manual (88368) | $50.75 | $145 | 0.1× |
| Insulin total (83525) | $45.50 | $130 | 4.0× |
| Iron (83540) | $148.40 | $424 | 22.9× |
| Iron Binding Capacity (83550) | $158.20 | $452 | 18.1× |
| Irradiation Blood Product Each Unit (86945) | $88.90 | $254 | 1.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $64.75 | $185 | 0.7× |
| Koh Prep (87220) | $11.55 | $33 | 2.7× |
| Kras Gene Variants Exon 2 (81275) | $136.50 | $390 | 0.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$22.40–$31.15 | $64–$89 | varies |
| LDL direct (83721) | $30.10 | $86 | 2.9× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$31.15–$107.27 | $89–$306.49 | varies |
| Leukocyte phagocytosis (86344) | $224.91 | $642.60 | 21.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $39.55 | $113 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $66.15 | $189 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $284.90 | $814 | 0.6× |
| Lipase (83690) | $47.60 | $136 | 6.9× |
| Lithium (80178) | $43.75 | $125 | 6.6× |
| Luteinizing Hormone (Lh) (83002) | $57.05 | $163 | 3.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $101.50 | $290 | 0.5× |
| M/phmtrc alys ishquant/semiq (88374) | $101.50 | $290 | 0.5× |
| Macroscopic exam arthropod (87168) | $18.20 | $52 | 4.3× |
| Magnesium Urine (83735) | $34.30 | $98 | 5.1× |
| Metabolic panel ionized ca (80047) | $37.80 | $108 | 2.8× |
| Microalbumin, quantitative (82043) | $31.15 | $89 | 5.4× |
| Microsatellite instability (81301) | $168.70 | $482 | 0.5× |
| Microsomal Antibodies Each (86376) | $33.25 | $95 | 2.3× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$12.95–$14 | $37–$40 | varies |
| Myelin basic protein csf (83873) | $20.13 | $57.50 | 1.2× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$254.45–$305.20 | $727–$872 | varies |
| Nk cells total count (86357) | $30.99 | $88.53 | 0.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $105 | $300 | 0.4× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$4.30–$25.20 | $12.29–$72 | varies |
| Occult blood feces (82272) | $25.55 | $73 | 6.0× |
| Occult Blood Other Sources (82271) | $146.30 | $418 | 27.5× |
| Oligoclonal bands (83916) | $20.13 | $57.50 | 0.7× |
| Osmolality serum (83930) | $103.25 | $295 | 15.6× |
| Osmolality Urine (83935) | $103.25 | $295 | 15.1× |
| Ova and parasites smears (87177) | $18.20 | $52 | 2.0× |
| Particle Agglut Antbdy Titr (86406) | $31.15 | $89 | 2.9× |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$29.40–$44.10 | $84–$126 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $504.35 | $1,441 | 0.5× |
| Pathology Consultation During Surgery (88329) | $190.05 | $543 | 2.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$22.75–$27.30 | $65–$78 | varies |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$14.47–$208.95 | $41.34–$597 | varies |
| Phenytoin (Dilantin) (80185) | $174.30 | $498 | 13.2× |
| Phosphatase alkaline (84075) | $18.20 | $52 | 3.5× |
| Phosphorus Serum (84100) | $18.20 | $52 | 3.8× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$105–$237.65 | $300–$679 | varies |
| Pinworm exam (87172) | $18.20 | $52 | 4.3× |
| Platelet Aggregation (85576) | $140.35 | $401 | 5.6× |
| Platelet Antibodies (86022) | $7.70 | $22 | 0.4× |
| Platelet count automated (85049) | $98.70 | $282 | 22.0× |
| Pooling blood platelets (86965) | $144.20 | $412 | 0.7× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$166.25–$237.65 | $475–$679 | varies |
| Prealbumin (84134) | $193.90 | $554 | 13.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $16.80 | $48 | 0.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$13.21–$24.28 | $37.74–$69.36 | varies |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$9.45–$13.57 | $27–$38.76 | varies |
| Procalcitonin (Pct) (84145) | $57.40 | $164 | 2.1× |
| Progesterone (84144) | $57.40 | $164 | 2.8× |
| Prolactin (84146) | $57.05 | $163 | 2.9× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$131.95–$166.25 | $377–$475 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$65.45–$78.40 | $187–$224 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $78.05 | $223 | 7.3× |
| Protein total serum (84155) range across 3 matching MRF lines |
$12.25–$18.20 | $35–$52 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$21.70–$25.90 | $62–$74 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $191.10 | $546 | 48.5× |
| PSA free (84154) | $45.50 | $130 | 2.5× |
| Pth Intact (83970) | $175.70 | $502 | 4.3× |
| Quantiferon tb gold plus (86480) | $61.95 | $177 | 1.0× |
| Quantitative assay drug (80299) | $30.45 | $87 | 1.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$28.18–$375.20 | $80.50–$1,072 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$24.85–$471.80 | $71–$1,348 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$15.05–$267.40 | $43–$764 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$23.56–$33.43 | $67.32–$95.50 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $5.95 | $17 | 0.0× |
| Rbc serum pretx incubj drugs (86975) range across 2 matching MRF lines |
$46.86–$62.13 | $133.88–$177.50 | varies |
| Reagent Strip/Blood Glucose (82948) | $29.75 | $85 | 5.9× |
| Resp virus 12-25 targets (87633) range across 5 matching MRF lines |
$82.34–$528.85 | $235.25–$1,511 | varies |
| Reticulocyte separation (86972) range across 3 matching MRF lines |
$7.14–$32.13 | $20.40–$91.80 | varies |
| Rh (86901) range across 2 matching MRF lines |
$6.13–$165.90 | $17.50–$474 | varies |
| Rheumatoid Factor Qualitative (86430) | $78.05 | $223 | 12.7× |
| Rheumatoid factor quant (86431) | $15.40 | $44 | 2.7× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$21.09 | $60.26–$60.27 | 1.1× |
| Rpr qualitative (86592) | $21 | $60 | 4.9× |
| Rsv Assay W/Optic (87807) | $74.20 | $212 | 5.7× |
| Rubella Antibody (86762) | $12.95 | $37 | 0.9× |
| Rubeola antibody (86765) | $14 | $40 | 1.1× |
| Russell Viper Venom Time Diluted (85613) | $17.55 | $50.15 | 1.8× |
| Salicylate Level (80179) | $321.65 | $919 | 17.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $49 | $140 | 1.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $42.35 | $121 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$175–$667.80 | $500–$1,908 | varies |
| Sedimentation rate (85651) | $16.45 | $47 | 3.9× |
| Sedimentation Rate, Automated (85652) | $16.45 | $47 | 6.1× |
| Semen analysis complete (89320) | $57.05 | $163 | 4.6× |
| Semen analysis motility and count (89310) | $24.15 | $69 | 2.8× |
| Sensitivity mic (87186) | $15.05 | $43 | 1.7× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$9.21–$13.12 | $26.30–$37.49 | varies |
| Skin Test Candida (86485) | $29.40 | $84 | 0.8× |
| Skin test tuberculosis intradermal (86580) | $29.40 | $84 | 0.8× |
| Smear acid fast (87206) | $18.20 | $52 | 3.4× |
| Smear complex stain (87209) | $23.80 | $68 | 1.3× |
| Smear gram stain (87205) | $11.55 | $33 | 2.7× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$18.20–$79.45 | $52–$227 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$11.55–$18.20 | $33–$52 | varies |
| Sodium Serum (84295) | $18.20 | $52 | 3.8× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$138.60–$237.65 | $396–$679 | varies |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$22.75–$56.70 | $65–$162 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$18.90–$29.05 | $54–$83 | varies |
| Specific gravity body fluid (84315) range across 3 matching MRF lines |
$8.66–$153.65 | $24.73–$439 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$7.35–$11.55 | $21–$33 | varies |
| Spectrophotometry (84311) | $105 | $300 | 13.0× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$39.20–$144.20 | $112–$412 | varies |
| Stool cultr aerobic bact ea (87046) | $10.15 | $29 | 1.1× |
| Strep a assay w/optic (87880) | $11.55 | $33 | 0.7× |
| Strep a DNA amp probe (87651) | $63.70 | $182 | 1.8× |
| Surg path level iii (88304) | $97.65 | $279 | 1.5× |
| Surgical pathology level IV (88305) | $134.75 | $385 | 2.0× |
| Surgical pathology level vi (88309) | $330.05 | $943 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $11.55 | $33 | 2.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$14–$15.05 | $40–$43 | varies |
| Syphilis Test Non-Trep Quant (86593) | $78.05 | $223 | 17.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $38.52 | $110.06 | 0.8× |
| T cells total count (86359) | $30.99 | $88.53 | 0.8× |
| T3 Free (84481) | $206.15 | $589 | 12.2× |
| T3 Total (84480) | $42.70 | $122 | 3.0× |
| T3 Uptake (84479) | $42.70 | $122 | 6.6× |
| T4 Free (84439) | $116.90 | $334 | 13.0× |
| T4 total (84436) | $42.70 | $122 | 6.2× |
| Tacrolimus (80197) | $16.86 | $48.18 | 1.2× |
| Test for acetone/ketones (82009) | $60.90 | $174 | 13.5× |
| Testosterone total (84403) | $63 | $180 | 2.4× |
| Theophylline (80198) | $51.10 | $146 | 3.6× |
| Thrombin Time (85670) | $30.45 | $87 | 5.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $191.10 | $546 | 29.5× |
| Tiss cul neo disorders solid tumor (88239) | $32.81 | $93.75 | 0.2× |
| Tissue culture bone marrow (88237) | $32.81 | $93.75 | 0.2× |
| Tobramycin peak (80200) | $210.35 | $601 | 13.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $18.20 | $52 | 3.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $175 | $500 | 0.8× |
| Trg gene rearrangement anal (81342) | $73.50 | $210 | 0.4× |
| Triglycerides (84478) range across 5 matching MRF lines |
$12.25–$24.50 | $35–$70 | varies |
| Troponin Quant (84484) | $168.70 | $482 | 13.5× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$21.70–$99.05 | $62–$283 | varies |
| Urea Nitrogen Clearance (84545) | $166.25 | $475 | 23.1× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$166.25–$237.65 | $475–$679 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$166.25–$263.90 | $475–$754 | varies |
| Urinalysis Microscopic Only (81015) | $42 | $120 | 13.8× |
| Urine Bacteria Culture (87088) | $5.60 | $16 | 0.7× |
| Urine Pregnancy Test (81025) | $64.75 | $185 | 7.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$35–$42 | $100–$120 | varies |
| Valproic acid (80164) | $208.95 | $597 | 15.4× |
| Vancomycin (80202) | $208.95 | $597 | 15.4× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$12.95–$14 | $37–$40 | varies |
| Viral Culture (87252) | $47.75 | $136.43 | 1.8× |
| Vitamin b-12 (82607) | $173.60 | $496 | 11.5× |
| Vitamin D 25-Hydroxy (82306) | $51.10 | $146 | 1.7× |
| Wbc Alkaline Phosphatase Count (85540) | $64.05 | $183 | 7.4× |
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.