Lab & pathology prices at Providence Little Co of Mary Med Ctr San Pedro
San Pedro, CA · every code in this section with a posted price and a Medicare benchmark.
385 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $85.05 | $243 | 1.8× |
| Albumin Fluid (82042) | $36.75 | $105 | 4.7× |
| Albumin serum (82040) | $36.75 | $105 | 7.4× |
| Alpha-Fetoprotein Serum (82105) | $62.65 | $179 | 3.7× |
| Alt (sgpt) (84460) | $42 | $120 | 7.9× |
| Amikacin trough (80150) | $10.76 | $30.75 | 0.7× |
| Ammonia (82140) | $56.70 | $162 | 3.9× |
| Amylase urine (82150) | $51.10 | $146 | 7.9× |
| Ana Titer (86039) | $36.75 | $105 | 3.3× |
| Antibody Herpes Smplx Type 1 (86695) | $30.10 | $86 | 2.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $26.25 | $75 | 1.9× |
| 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) | $117.25 | $335 | 22.6× |
| Antigen typing (86905) range across 2 matching MRF lines |
$13.13–$228.90 | $37.50–$654 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $3.85 | $11 | 0.7× |
| Antinuclear antibodies (86038) | $36.75 | $105 | 3.0× |
| Antistreptolysin O Screen (86063) | $26.25 | $75 | 4.5× |
| Antistreptolysin o titer (86060) | $26.25 | $75 | 3.6× |
| Antithrombin iii activity (85300) | $115.15 | $329 | 9.7× |
| Aspergillus ag eia (87305) | $44.08 | $125.94 | 3.7× |
| Assay Blood Carbon Dioxide (82374) | $36.75 | $105 | 7.5× |
| Assay Dir Meas Fr Estradiol (82681) | $62.65 | $179 | 2.2× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$46.81–$167.30 | $133.73–$478 | varies |
| Assay of blood/uric acid (84550) | $36.75 | $105 | 8.1× |
| Assay of calcium in urine (82340) | $51.10 | $146 | 8.5× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$6.13–$42.35 | $17.50–$121 | varies |
| Assay of lactic acid (83605) | $203.70 | $582 | 17.6× |
| Assay of serum potassium (84132) | $36.75 | $105 | 7.7× |
| Assay of sweat sodium (84302) | $37.80 | $108 | 7.8× |
| Assay of urea nitrogen (84520) | $37.80 | $108 | 9.6× |
| Assay of vitamin b-1 (84425) | $50.63 | $144.67 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $43.40 | $124 | 12.1× |
| Assay spec xcp ur&breath ia (82077) | $71.40 | $204 | 4.1× |
| Asy carbamazepin 10,11-epxid (80161) | $163.80 | $468 | 8.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $117.25 | $335 | 0.5× |
| Automated Leukocyte Count (85048) | $16.45 | $47 | 6.5× |
| 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) | $28.35 | $81 | 3.5× |
| Beta Lactamase (87185) | $101.50 | $290 | 21.4× |
| Bilirubin direct (82248) | $91.35 | $261 | 18.2× |
| Bilirubin total (82247) | $91.35 | $261 | 18.2× |
| Bilirubin total transcutaneous (88720) | $6.65 | $19 | 1.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $21 | $60 | 6.1× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $122.15 | $349 | 0.6× |
| Bld Typing Serologic Rh Phnt (86906) | $20.83 | $59.50 | 2.7× |
| Bleeding time test (85002) | $42.70 | $122 | 8.9× |
| Blood Count Automated Differential Wbc Count (85004) | $25.90 | $74 | 4.0× |
| Blood count reticulocyte automated (85045) | $19.60 | $56 | 4.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.65 | $39 | 3.6× |
| Blood count spun microhematocrit (85013) | $25.90 | $74 | 3.7× |
| Blood gas (82803) | $349.65 | $999 | 13.4× |
| Blood gases w/02 saturation (82805) | $349.65 | $999 | 4.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $63.70 | $182 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.50 | $70 | 5.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 8 matching MRF lines |
$13.92–$228.90 | $39.78–$654 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $21.18 | $60.50 | 1.3× |
| Blood typing serologic abo (86900) | $88.90 | $254 | 29.7× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$52.50–$159.60 | $150–$456 | varies |
| Bone marrow smear interpretation (85097) | $411.60 | $1,176 | 0.4× |
| Braf gene analysis (81210) | $63 | $180 | 0.4× |
| C diff amplified probe (87493) | $217 | $620 | 5.8× |
| C-Peptide (84681) | $74.90 | $214 | 3.6× |
| C-reactive protein (86140) | $56.70 | $162 | 10.9× |
| Ca 19-9 (86301) | $77 | $220 | 3.7× |
| Caffeine (80155) | $11.20 | $32 | 0.3× |
| Calcium ionized (82330) | $69.65 | $199 | 5.1× |
| Calcium total (82310) | $36.75 | $105 | 7.1× |
| Calculus Spectroscopy (82365) | $24.19 | $69.10 | 1.9× |
| Cancer Antigen 125 (86304) | $103.60 | $296 | 5.0× |
| Cancer Antigen 27.29 (86300) | $57.75 | $165 | 2.8× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$94.15–$104.65 | $269–$299 | varies |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$10.84–$46.20 | $30.96–$132 | varies |
| Carcinoembryonic antigen (82378) | $83.65 | $239 | 4.4× |
| Ccp antibody (86200) | $31.50 | $90 | 2.4× |
| Cell count csf (89051) | $159.60 | $456 | 28.5× |
| Cell marker study (88182) | $82.95 | $237 | 1.2× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$7–$8.75 | $20–$25 | varies |
| Chloride Serum (82435) | $36.75 | $105 | 8.0× |
| Chloride urine (82436) range across 4 matching MRF lines |
$36.75–$71.75 | $105–$205 | varies |
| Cholesterol total (82465) | $36.75 | $105 | 8.4× |
| Chorionic gonadotropin test (84702) | $65.10 | $186 | 4.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $32.81 | $93.75 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $33.95 | $97 | 1.0× |
| Ckmb (82553) | $79.10 | $226 | 6.8× |
| Clostridium Difficile (87324) | $90.30 | $258 | 7.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,417.15 | $4,049 | 3.4× |
| Coagulation time activated (85347) | $34.65 | $99 | 8.1× |
| Cold agglutinin screen (86156) | $10.71 | $30.60 | 1.3× |
| Cold agglutinin titer (86157) | $51.80 | $148 | 6.4× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$17.50–$66.15 | $50–$189 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$32.13–$117.25 | $91.80–$335 | varies |
| Complement Antigen Each Component (86160) | $56 | $160 | 4.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $236.25 | $675 | 3.5× |
| Coombs direct (86880) | $30.10 | $86 | 5.6× |
| Cortisol saliva (82533) | $96.25 | $275 | 5.9× |
| Creatine kinase total (82550) | $57.75 | $165 | 8.9× |
| Creatinine blood (82565) | $36.75 | $105 | 7.2× |
| Creatinine clearance (82575) | $69.65 | $199 | 7.4× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$36.40–$45.50 | $104–$130 | varies |
| Crossmatch electronic (86923) | $164.85 | $471 | 0.8× |
| Crossmatch immediate spin (86920) | $250.60 | $716 | 1.1× |
| Crp High Sensitivity (86141) | $59.15 | $169 | 4.6× |
| Cryoglobulin (82595) | $56.70 | $162 | 8.8× |
| Cryptococcus ag titer (87899) | $37.45 | $107 | 2.3× |
| Cryptosporidium (87272) | $83.65 | $239 | 7.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$70–$167.65 | $200–$479 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $178.15 | $509 | 22.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $70.35 | $201 | 9.1× |
| Culture afb (87116) range across 2 matching MRF lines |
$99.05–$140.35 | $283–$401 | varies |
| Culture Anaerobic (87075) | $280 | $800 | 29.6× |
| Culture blood (87040) | $189 | $540 | 18.3× |
| Culture csf (87070) range across 3 matching MRF lines |
$278.60–$280 | $796–$800 | varies |
| Culture fungus (87102) | $189 | $540 | 22.5× |
| Culture fungus blood (87103) | $189 | $540 | 9.2× |
| Culture screen only (87081) | $154 | $440 | 23.2× |
| Culture stool (87045) | $167.65 | $479 | 17.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $114.45 | $327 | 22.1× |
| Culture urine (87086) | $167.65 | $479 | 20.8× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$9.36–$36.55 | $26.74–$104.42 | varies |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$14.28–$24.06 | $40.80–$68.75 | varies |
| Cytopath C/V Index Add-On (88155) | $33.95 | $97 | 2.3× |
| Cytopath Cell Enhance Tech (88112) | $121.80 | $348 | 1.8× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$121.80–$134.75 | $348–$385 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $68.25 | $195 | 1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $109.55 | $313 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $120.05 | $343 | 2.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $93.10 | $266 | 5.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $136.85 | $391 | 2.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $101.85 | $291 | 2.7× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$82.51–$109.90 | $235.74–$314 | varies |
| Digoxin (80162) | $113.40 | $324 | 8.5× |
| Dna Antibody Native/Double Stranded (86225) | $23.80 | $68 | 1.7× |
| Dna Antibody Single Stranded (86226) | $21 | $60 | 1.7× |
| DNA/RNA direct probe (87149) | $53.90 | $154 | 2.7× |
| Drug assay acetaminophen (80143) | $167.30 | $478 | 9.0× |
| Drug Assay Everolimus (80169) | $7.12 | $20.35 | 0.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $96.25 | $275 | 1.5× |
| Drug Test Prsmv Instrmnt (80306) | $167.30 | $478 | 9.8× |
| Egfr Gene Analysis Common Variants (81235) | $139.65 | $399 | 0.4× |
| Electrolyte panel (80051) | $40.95 | $117 | 5.8× |
| Enzyme cell activity (82657) | $26.95 | $77 | 1.2× |
| Enzyme histochemistry (88319) | $479.85 | $1,371 | 0.5× |
| Eosinophil Smear (89190) | $84.70 | $242 | 14.6× |
| Estradiol serum (82670) | $62.65 | $179 | 2.2× |
| Exam Synovial Fluid Crystals (89060) | $185.15 | $529 | 25.3× |
| Factor Inhibitor Test (85335) | $85.05 | $243 | 6.6× |
| Factor ix activity (85250) | $58.45 | $167 | 3.1× |
| Factor viii assay (85240) | $123.90 | $354 | 6.9× |
| Ferritin (82728) | $83.65 | $239 | 6.1× |
| Fetal Fibronectin (82731) | $334.60 | $956 | 5.2× |
| Fetal hemoglobin assay qual (83033) | $36.75 | $105 | 4.6× |
| Fetal screen rosette (85461) | $49.35 | $141 | 5.3× |
| Fibrin degradation products (85362) | $57.40 | $164 | 8.3× |
| Fibrin Degradation Quant (85379) | $29.40 | $84 | 2.9× |
| Fibrinogen activity (85384) | $40.95 | $117 | 4.2× |
| Fibrinogen antigen (85385) | $40.95 | $117 | 2.8× |
| 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× |
| Folic Acid Serum (82746) | $62.65 | $179 | 4.3× |
| Follicle Stimulating Hormone (83001) | $51.10 | $146 | 2.8× |
| Frozen Section (88331) | $133.70 | $382 | 0.6× |
| Fungi Identification Mold (87107) | $170.45 | $487 | 16.5× |
| Fungi Identification Yeast (87106) | $109.90 | $314 | 10.6× |
| Gammaglobulin ige (82785) | $45.50 | $130 | 2.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $190.75 | $545 | 19.5× |
| Gases blood ph only (82800) | $73.85 | $211 | 6.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $686.35 | $1,961 | 1.6× |
| Gentamicin (80170) | $113.40 | $324 | 6.9× |
| Ggt (82977) | $45.50 | $130 | 6.3× |
| Glucose 2 hr pp (82950) | $36.75 | $105 | 7.7× |
| Glucose Blood Test (82962) | $3.15 | $9 | 1.0× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$90.65–$107.10 | $259–$306 | varies |
| Glucose Serum (82947) | $36.75 | $105 | 9.4× |
| Glucose tolerance test (gtt) (82951) | $62.65 | $179 | 4.9× |
| Gonadotropin Chorionic Qualitative (84703) | $47.25 | $135 | 6.3× |
| Gtt-added samples (82952) | $17.15 | $49 | 4.4× |
| Haptoglobin (83010) | $47.25 | $135 | 3.8× |
| Hdl Cholesterol (83718) | $47.60 | $136 | 5.8× |
| Helicobacter Pylori Stool (87338) | $221.55 | $633 | 15.4× |
| Hematocrit (85014) | $13.65 | $39 | 5.8× |
| Hemoglobin (85018) range across 6 matching MRF lines |
$13.65–$25.20 | $39–$72 | varies |
| Hemoglobin a1c (83036) | $51.10 | $146 | 5.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $28 | $80 | 3.4× |
| 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) | $69.65 | $199 | 6.2× |
| Heparin assay (85520) range across 2 matching MRF lines |
$11.55–$122.85 | $33–$351 | varies |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$55.65–$69.65 | $159–$199 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$55.65–$69.65 | $159–$199 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$55.65–$69.65 | $159–$199 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$55.65–$69.65 | $159–$199 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$159.60–$189 | $456–$540 | varies |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$101.85–$127.40 | $291–$364 | varies |
| Herpes simplex type 2 (86696) | $30.10 | $86 | 1.6× |
| Heterophile Antibody Screen (86308) | $26.25 | $75 | 5.1× |
| Histoplasma antigen urine (87385) | $46.03 | $131.51 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $25.20 | $72 | 1.0× |
| Hiv-1 Antibody (86701) | $69.65 | $199 | 7.8× |
| Hla class ii typing high resolution one locus ea (81382) | $79.63 | $227.50 | 0.6× |
| Hla Typing a/B/C Multiple Antigens (86813) | $112.46 | $321.30 | 1.9× |
| Homocysteine (83090) | $88.90 | $254 | 5.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $218.75 | $625 | 21.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $261.80 | $748 | 18.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $54.60 | $156 | 1.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $99.40 | $284 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $82.34 | $235.25 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $136.14 | $388.97 | 3.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $82.34 | $235.25 | 2.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $34.65 | $99 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $345.80 | $988 | 11.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $63.21 | $180.60 | 3.4× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $345.80 | $988 | 15.0× |
| Immunoelectrophoresis Serum (86320) | $271.25 | $775 | 9.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$36.75–$38.68 | $105–$110.50 | varies |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$15.75–$109.55 | $45–$313 | varies |
| In situ hybridization 1st probe stain (88365) | $38.50 | $110 | 0.2× |
| Influenza assay w/optic (87804) | $189 | $540 | 11.4× |
| Influenza DNA amp probe (87502) | $116.24 | $332.12 | 1.2× |
| Inhibin b (83520) range across 7 matching MRF lines |
$6.13–$46.81 | $17.50–$133.74 | varies |
| Insitu hybridization auto (88367) | $50.75 | $145 | 0.1× |
| Insitu hybridization manual (88368) | $50.75 | $145 | 0.1× |
| Insulin total (83525) | $35 | $100 | 3.1× |
| Iron (83540) | $43.40 | $124 | 6.7× |
| Iron Binding Capacity (83550) | $43.40 | $124 | 5.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $64.75 | $185 | 0.7× |
| Koh Prep (87220) | $87.50 | $250 | 20.5× |
| Kras Gene Variants Exon 2 (81275) | $136.50 | $390 | 0.7× |
| Lactate (ld) (ldh) enzyme (83615) | $71.75 | $205 | 11.9× |
| LDL direct (83721) | $53.90 | $154 | 5.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$90.30–$285.95 | $258–$817 | varies |
| Leukocyte phagocytosis (86344) | $224.91 | $642.60 | 21.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $77.70 | $222 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $94.85 | $271 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $210.35 | $601 | 0.5× |
| Lipase (83690) | $51.10 | $146 | 7.4× |
| Lithium (80178) | $69.30 | $198 | 10.5× |
| Luteinizing Hormone (Lh) (83002) | $51.10 | $146 | 2.8× |
| 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 Parasite (87169) | $225.75 | $645 | 52.4× |
| Magnesium Urine (83735) | $63.35 | $181 | 9.5× |
| Microalbumin, quantitative (82043) | $26.60 | $76 | 4.6× |
| Microsatellite instability (81301) | $168.70 | $482 | 0.5× |
| Microsomal Antibodies Each (86376) | $31.50 | $90 | 2.2× |
| Mrsa Pcr (87641) | $150.15 | $429 | 4.3× |
| Mumps antibody (86735) | $26.25 | $75 | 2.0× |
| Myelin basic protein csf (83873) | $20.13 | $57.50 | 1.2× |
| Natriuretic peptide (83880) | $62.65 | $179 | 1.6× |
| 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) | $30.80 | $88 | 1.7× |
| Occult blood feces (82272) | $24.50 | $70 | 5.8× |
| Occult Blood Other Sources (82271) | $25.20 | $72 | 4.7× |
| Oligoclonal bands (83916) | $20.13 | $57.50 | 0.7× |
| Osmolality serum (83930) | $40.25 | $115 | 6.1× |
| Osmolality Urine (83935) | $40.25 | $115 | 5.9× |
| Ova and parasites smears (87177) | $140.35 | $401 | 15.8× |
| Particle Agglut Antbdy Titr (86406) | $105 | $300 | 9.9× |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$32.57–$105 | $93.05–$300 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $479.85 | $1,371 | 0.5× |
| Ph urine (81003) | $24.50 | $70 | 10.9× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$41.65–$91 | $119–$260 | varies |
| Phenytoin (Dilantin) (80185) | $91 | $260 | 6.9× |
| Phosphatase alkaline (84075) | $42 | $120 | 8.1× |
| Phosphorus Serum (84100) | $36.75 | $105 | 7.8× |
| Phosphorus urine (84105) | $36.75 | $105 | 6.4× |
| Pinworm exam (87172) | $225.75 | $645 | 52.9× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$70–$87.50 | $200–$250 | varies |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$43.75–$189.35 | $125–$541 | varies |
| Platelet count automated (85049) | $29.40 | $84 | 6.6× |
| Pooling blood platelets (86965) | $102.20 | $292 | 0.5× |
| Potassium Urine (84133) | $36.75 | $105 | 7.8× |
| Prealbumin (84134) | $67.90 | $194 | 4.7× |
| 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) | $53.20 | $152 | 2.0× |
| Progesterone (84144) | $51.10 | $146 | 2.4× |
| Prolactin (84146) | $45.50 | $130 | 2.3× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$30.10–$37.80 | $86–$108 | varies |
| Protein C Activity (85303) | $115.15 | $329 | 8.3× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$126.70–$158.20 | $362–$452 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $109.20 | $312 | 10.2× |
| Protein S Free (85306) | $121.10 | $346 | 7.9× |
| Protein total serum (84155) | $37.80 | $108 | 10.3× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$30.10–$37.80 | $86–$108 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $85.75 | $245 | 21.8× |
| Pth Intact (83970) | $398.65 | $1,139 | 9.7× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$7.12–$30.45 | $20.35–$87 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$28.18–$239.40 | $80.50–$684 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$24.85–$353.50 | $71–$1,010 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$15.05–$122.15 | $43–$349 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$23.56–$154 | $67.32–$440 | 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) | $24.85 | $71 | 4.9× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$82.34–$1,294.30 | $235.25–$3,698 | varies |
| Reticulocyte Count Manual (85044) | $24.15 | $69 | 5.6× |
| Reticulocyte separation (86972) range across 3 matching MRF lines |
$7.14–$32.13 | $20.40–$91.80 | varies |
| Rh (86901) | $20.65 | $59 | 6.9× |
| Rheumatoid Factor Qualitative (86430) | $26.25 | $75 | 4.3× |
| Rheumatoid factor quant (86431) | $36.75 | $105 | 6.5× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$21.09 | $60.26–$60.27 | 1.1× |
| Rotavirus ag eia (87425) | $315.70 | $902 | 26.4× |
| Rpr qualitative (86592) | $26.25 | $75 | 6.1× |
| Rsv Assay W/Optic (87807) | $261.45 | $747 | 20.0× |
| Rubella Antibody (86762) | $30.80 | $88 | 2.1× |
| Rubeola antibody (86765) | $73.15 | $209 | 5.7× |
| Russell Viper Venom Time Diluted (85613) | $17.55 | $50.15 | 1.8× |
| Salicylate Level (80179) | $167.30 | $478 | 9.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $131.60 | $376 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $28 | $80 | 0.7× |
| Sedimentation rate (85651) | $24.15 | $69 | 5.7× |
| Sedimentation Rate, Automated (85652) | $24.15 | $69 | 8.9× |
| Sensitivity mic (87186) | $125.30 | $358 | 14.5× |
| Sex Hormone Binding Globulin (84270) | $48.30 | $138 | 2.2× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$9.21–$13.12 | $26.30–$37.49 | varies |
| Sirolimus (80195) | $7.12 | $20.35 | 0.5× |
| Smear acid fast (87206) | $67.20 | $192 | 12.5× |
| Smear complex stain (87209) | $47.25 | $135 | 2.6× |
| Smear gram stain (87205) | $72.45 | $207 | 17.0× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$83.65–$170.45 | $239–$487 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $125.30 | $358 | 21.5× |
| Sodium Serum (84295) | $37.80 | $108 | 7.9× |
| Sodium Urine (84300) | $37.80 | $108 | 7.5× |
| Soluble Transferrin Receptor (84238) | $39.90 | $114 | 1.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$22.75–$114.80 | $65–$328 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$18.90–$100.10 | $54–$286 | varies |
| Specific gravity body fluid (84315) | $24.50 | $70 | 7.5× |
| Specimen infect agnt concntj (87015) | $66.85 | $191 | 10.0× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$39.20–$103.60 | $112–$296 | varies |
| Stool cultr aerobic bact ea (87046) | $167.65 | $479 | 17.8× |
| Strep a assay w/optic (87880) | $140.35 | $401 | 8.5× |
| Strep a DNA amp probe (87651) | $128.45 | $367 | 3.7× |
| Strep b DNA amp probe (87653) | $171.50 | $490 | 4.9× |
| Surg path level iii (88304) | $129.50 | $370 | 1.9× |
| Surgical pathology level IV (88305) | $161 | $460 | 2.4× |
| Surgical pathology level vi (88309) | $479.85 | $1,371 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $125.30 | $358 | 26.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $101.50 | $290 | 13.6× |
| Syphilis Test Non-Trep Quant (86593) | $26.25 | $75 | 6.0× |
| 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) | $62.65 | $179 | 3.7× |
| T3 Total (84480) | $79.10 | $226 | 5.6× |
| T3 Uptake (84479) | $36.75 | $105 | 5.7× |
| T4 Free (84439) | $51.10 | $146 | 5.7× |
| T4 total (84436) | $51.10 | $146 | 7.4× |
| Tacrolimus (80197) range across 4 matching MRF lines |
$7.12–$16.86 | $20.35–$48.18 | varies |
| Test for acetone/ketones (82009) | $30.10 | $86 | 6.7× |
| Testosterone total (84403) | $62.65 | $179 | 2.4× |
| Theophylline (80198) | $91 | $260 | 6.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $95.90 | $274 | 14.8× |
| Thyroglobulin Antibody (86800) | $67.20 | $192 | 4.2× |
| 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) | $172.90 | $494 | 10.7× |
| Touch prep (88161) | $30.80 | $88 | 0.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $42 | $120 | 8.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $175 | $500 | 0.8× |
| Trg gene rearrangement anal (81342) | $73.50 | $210 | 0.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$29.40–$34.65 | $84–$99 | varies |
| Triglycerides (84478) | $51.10 | $146 | 8.9× |
| Troponin Quant (84484) | $62.65 | $179 | 5.0× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$21.70–$92.05 | $62–$263 | varies |
| Urea nitrogen urine (84540) | $37.80 | $108 | 6.8× |
| Uric acid other source (84560) | $36.75 | $105 | 7.2× |
| Urinalysis Microscopic Only (81015) | $41.65 | $119 | 13.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $30.80 | $88 | 14.2× |
| Urine Bacteria Culture (87088) | $83.65 | $239 | 10.3× |
| Urine Pregnancy Test (81025) | $45.50 | $130 | 5.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $49 | $140 | 15.5× |
| Valproic acid (80164) | $70 | $200 | 5.2× |
| Vancomycin (80202) | $113.40 | $324 | 8.4× |
| Varicella-zoster antibody (86787) | $30.80 | $88 | 2.4× |
| Viral Culture (87252) | $47.75 | $136.43 | 1.8× |
| Vitamin b-12 (82607) | $47.60 | $136 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $35.35 | $101 | 1.2× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $103.60 | $296 | 0.5× |
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.