Lab & pathology prices at Providence Medical Center
Wayne, NE · every code in this section with a posted price and a Medicare benchmark.
379 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $213.75 | $225 | 11.6× |
| Acetylcholine receptor blocking antibody (86042) | $220.40 | $232 | 12.0× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 3 matching MRF lines |
$213.75–$220.40 | $225–$232 | varies |
| Acth (82024) | $48.45 | $51 | 1.3× |
| Acute hepatitis panel (80074) | $55.10 | $58 | 1.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$14.25–$27.55 | $15–$29 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$14.25–$55.10 | $15–$58 | varies |
| Aldolase (82085) | $31.35 | $33 | 3.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$43.70–$344.85 | $46–$363 | varies |
| Allergen specific ige (86003) range across 28 matching MRF lines |
$29.45–$286.90 | $31–$302 | varies |
| Allergen specific igg (86001) | $58.90 | $62 | 7.5× |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$6.65–$43.70 | $7–$46 | varies |
| Alpha-1-antitrypsin total (82103) | $34.20 | $36 | 2.5× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$36.10–$47.50 | $38–$50 | varies |
| Alt (sgpt) (84460) | $57.95 | $61 | 10.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $134.90 | $142 | 8.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$144.40–$151.05 | $152–$159 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$242.25–$254.60 | $255–$268 | varies |
| Amylase urine (82150) | $95 | $100 | 14.7× |
| Ana Titer (86039) range across 2 matching MRF lines |
$30.40–$39.90 | $32–$42 | varies |
| Anca screen each antibody (86036) | $48.45 | $51 | 4.0× |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
$33.25–$132.05 | $35–$139 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$85.50–$281.20 | $90–$296 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $82.65 | $87 | 5.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$19–$188.10 | $20–$198 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$19–$35.15 | $20–$37 | varies |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$14.25–$33.25 | $15–$35 | varies |
| Antibody Titer (86886) | $111.15 | $117 | 21.5× |
| Antibody Treponema Pallidum (86780) | $31.35 | $33 | 2.4× |
| Antigen typing (86905) | $328.70 | $346 | 85.8× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$28.50–$45.60 | $30–$48 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$29.45–$30.40 | $31–$32 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$16.15–$37.05 | $17–$39 | varies |
| Arsenic (82175) | $86.45 | $91 | 4.6× |
| Aspergillus ag eia (87305) | $106.40 | $112 | 8.9× |
| Assay Blood Carbon Dioxide (82374) | $43.70 | $46 | 9.0× |
| Assay Nephelometry Not Spec (83883) | $105.45 | $111 | 7.8× |
| Assay of blood/uric acid (84550) | $64.60 | $68 | 14.3× |
| Assay of gammaglobulin igm (82784) range across 11 matching MRF lines |
$14.25–$83.60 | $15–$88 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$105.45–$110.20 | $111–$116 | varies |
| Assay of manganese (83785) | $65.55 | $69 | 2.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$43.70–$169.10 | $46–$178 | varies |
| Assay of serum potassium (84132) | $51.30 | $54 | 10.8× |
| Assay of urea nitrogen (84520) | $57 | $60 | 14.4× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$40.85–$209.95 | $43–$221 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$10.45–$29.45 | $11–$31 | varies |
| Automated Leukocyte Count (85048) | $40.85 | $43 | 16.1× |
| B cells total count (86355) range across 2 matching MRF lines |
$22.80–$26.60 | $24–$28 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$113.05–$574.75 | $119–$605 | varies |
| Bcr/abl1 gene minor bp (81207) | $103.55 | $109 | 0.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$69.35–$89.30 | $73–$94 | varies |
| Beta Lactamase (87185) | $7.60 | $8 | 1.6× |
| Beta-2 Microglobulin (82232) | $34.20 | $36 | 2.1× |
| Bilirubin direct (82248) | $71.25 | $75 | 14.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$73.15–$129.20 | $77–$136 | varies |
| Biotinidase (82261) | $56.05 | $59 | 3.3× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$38–$277.40 | $40–$292 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$52.25–$57 | $55–$60 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$45.60–$49.40 | $48–$52 | varies |
| Blood gas (82803) | $226.10 | $238 | 8.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $488.30 | $514 | 76.9× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$43.70–$173.85 | $46–$183 | varies |
| Bone marrow smear interpretation (85097) | $8.55 | $9 | 0.0× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$144.40–$283.10 | $152–$298 | varies |
| C diff amplified probe (87493) | $366.70 | $386 | 9.8× |
| C-Peptide (84681) range across 2 matching MRF lines |
$43.70–$127.30 | $46–$134 | varies |
| C-reactive protein (86140) | $102.60 | $108 | 19.8× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$38–$50.35 | $40–$53 | varies |
| Cadmium (82300) | $38.95 | $41 | 1.6× |
| Calcium ionized (82330) | $143.45 | $151 | 10.5× |
| Calcium total (82310) | $56.05 | $59 | 10.9× |
| Calculus assay quant (82360) | $243.20 | $256 | 18.9× |
| Calculus Xray Diffraction (82370) | $123.50 | $130 | 9.9× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$172.90–$336.30 | $182–$354 | varies |
| Calr gene com variants (81219) | $441.75 | $465 | 3.6× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$33.25–$36.10 | $35–$38 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$37.05–$162.45 | $39–$171 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$15.20–$34.20 | $16–$36 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$29.45–$119.70 | $31–$126 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$19.95–$38 | $21–$40 | varies |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$28.50–$121.60 | $30–$128 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$63.65–$138.70 | $67–$146 | varies |
| Cell count csf (89051) range across 6 matching MRF lines |
$14.25–$87.40 | $15–$92 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$175.75–$186.20 | $185–$196 | varies |
| Ceruloplasmin (82390) | $30.40 | $32 | 2.8× |
| Chloride Serum (82435) | $43.70 | $46 | 9.5× |
| Chloride urine (82436) | $28.50 | $30 | 5.0× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$5.70–$45.60 | $6–$48 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$30.40–$157.70 | $32–$166 | varies |
| Chromium serum (82495) range across 3 matching MRF lines |
$60.80–$68.40 | $64–$72 | varies |
| Chromogranin a (86316) | $122.55 | $129 | 5.9× |
| Chromosome Analysis 20-25 (88264) | $291.65 | $307 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$121.60–$123.50 | $128–$130 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$152.95–$167.20 | $161–$176 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$53.20–$66.50 | $56–$70 | varies |
| Column Chromotography Quant (82542) | $33.25 | $35 | 1.4× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$188.10–$231.80 | $198–$244 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$175.75–$251.75 | $185–$265 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$19–$33.25 | $20–$35 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$32.30–$136.80 | $34–$144 | varies |
| Complement/Function Activity (86161) | $19 | $20 | 1.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $266 | $280 | 6.9× |
| Coombs direct (86880) range across 3 matching MRF lines |
$115.90–$119.70 | $122–$126 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$34.20–$121.60 | $36–$128 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$36.10–$126.35 | $38–$133 | varies |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$32.30–$35.15 | $34–$37 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$70.30–$86.45 | $74–$91 | varies |
| Creatinine blood (82565) | $71.25 | $75 | 13.9× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$125.40–$129.20 | $132–$136 | varies |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$17.10–$191.90 | $18–$202 | varies |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$252.70–$298.30 | $266–$314 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$29.45–$35.15 | $31–$37 | varies |
| Cryoglobulin (82595) | $48.45 | $51 | 7.5× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$50.35–$160.55 | $53–$169 | varies |
| Cryptosporidium ag eia (87328) range across 4 matching MRF lines |
$28.50–$118.75 | $30–$125 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $17.10 | $18 | 2.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $20.90 | $22 | 2.6× |
| Culture afb (87116) | $23.75 | $25 | 2.2× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$20.90–$36.10 | $22–$38 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$16.15–$34.20 | $17–$36 | varies |
| Culture csf (87070) range across 9 matching MRF lines |
$22.80–$90.25 | $24–$95 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$29.45–$42.75 | $31–$45 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$11.40–$65.55 | $12–$69 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$14.25–$33.25 | $15–$35 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $66.50 | $70 | 12.8× |
| Culture urine (87086) range across 2 matching MRF lines |
$36.10–$44.65 | $38–$47 | varies |
| Cyclosporine (80158) | $55.10 | $58 | 3.1× |
| Cytogenetics 100-300 (88275) | $295.45 | $311 | 5.8× |
| Cytopath Cell Enhance Tech (88112) | $85.50 | $90 | 1.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $139.65 | $147 | 5.2× |
| Cytp Concentration Smears & Interpretation (88108) | $117.80 | $124 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $73.15 | $77 | 1.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $423.70 | $446 | 2.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$48.45–$94.05 | $51–$99 | varies |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$85.50–$304.95 | $90–$321 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$148.20–$182.40 | $156–$192 | varies |
| Dhea (82626) | $41.80 | $44 | 1.7× |
| Dhea-S (82627) | $100.70 | $106 | 4.5× |
| Digoxin (80162) | $138.70 | $146 | 10.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$22.80–$31.35 | $24–$33 | varies |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
$31.35–$523.45 | $33–$551 | varies |
| Drug Assay Infliximab (80230) | $216.60 | $228 | 5.6× |
| Drug assay voriconazole (80285) | $172.90 | $182 | 6.4× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$41.80–$49.40 | $44–$52 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $63.65 | $67 | 4.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $57 | $60 | 4.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$191.90–$234.65 | $202–$247 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $76 | $80 | 6.0× |
| El-1 Fecal Quantitative (82653) | $287.85 | $303 | 12.5× |
| Electrolyte panel (80051) | $93.10 | $98 | 13.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $72.20 | $76 | 6.0× |
| Erythropoietin (82668) | $42.75 | $45 | 2.3× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$39.90–$50.35 | $42–$53 | varies |
| Exam Synovial Fluid Crystals (89060) | $28.50 | $30 | 3.9× |
| F2 Gene (81240) | $214.70 | $226 | 3.3× |
| Factor ii activity (85210) | $50.35 | $53 | 3.9× |
| Factor v activity (85220) range across 2 matching MRF lines |
$55.10–$85.50 | $58–$90 | varies |
| Factor v leiden mutation (81241) | $271.70 | $286 | 3.7× |
| Ferritin (82728) range across 4 matching MRF lines |
$134.90–$147.25 | $142–$155 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$238.45–$269.80 | $251–$284 | varies |
| Fetal screen rosette (85461) | $16.15 | $17 | 1.7× |
| Fibrin degradation products (85362) | $34.20 | $36 | 5.0× |
| Fibrin Degradation Quant (85379) | $154.85 | $163 | 15.2× |
| Fibrinogen activity (85384) | $34.20 | $36 | 3.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $53.20 | $56 | 3.4× |
| Flow cytometry first marker (88184) | $496.85 | $523 | 1.3× |
| Fluorescent antibody screen (86255) | $57 | $60 | 4.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$19.95–$29.45 | $21–$31 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$30.40–$31.35 | $32–$33 | varies |
| Frozen Section (88331) | $239.40 | $252 | 1.4× |
| Fungi Identification Mold (87107) | $112.10 | $118 | 10.9× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$14.25–$37.05 | $15–$39 | varies |
| Galactose transferase test (82776) | $94.05 | $99 | 8.0× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$32.30–$211.85 | $34–$223 | varies |
| Gases blood ph only (82800) | $90.25 | $95 | 8.2× |
| Gentamicin (80170) | $162.45 | $171 | 9.9× |
| Ggt (82977) range across 2 matching MRF lines |
$11.40–$26.60 | $12–$28 | varies |
| Giardia antigen (87329) range across 4 matching MRF lines |
$28.50–$118.75 | $30–$125 | varies |
| Glucose body fluid (82945) range across 7 matching MRF lines |
$6.65–$57.95 | $7–$61 | varies |
| Glucose Serum (82947) | $56.05 | $59 | 14.3× |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$52.25–$133.95 | $55–$141 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$16.15–$104.50 | $17–$110 | varies |
| Gtt-added samples (82952) | $38.95 | $41 | 9.9× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$142.50–$191.90 | $150–$202 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$32.30–$100.70 | $34–$106 | varies |
| Helicobacter Pylori Stool (87338) | $65.55 | $69 | 4.6× |
| Hematocrit (85014) | $38.95 | $41 | 16.4× |
| Hemoglobin (85018) | $40.85 | $43 | 17.2× |
| Hemoglobin a1c (83036) | $100.70 | $106 | 10.4× |
| Hemoglobin electrophoresis (83020) | $127.30 | $134 | 9.9× |
| Hep a ab igm (86709) | $31.35 | $33 | 2.8× |
| Hepatitis b core ab igm (86705) | $31.35 | $33 | 2.7× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$26.60–$31.35 | $28–$33 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$31.35–$33.25 | $33–$35 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$22.80–$30.40 | $24–$32 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$25.65–$31.35 | $27–$33 | varies |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$27.55–$54.15 | $29–$57 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $152.95 | $161 | 19.8× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$56.05–$61.75 | $59–$65 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$118.75–$197.60 | $125–$208 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $39.90 | $42 | 1.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $77.90 | $82 | 3.2× |
| Hla-b27 (86812) | $41.80 | $44 | 1.6× |
| Homocysteine (83090) | $43.70 | $46 | 2.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$81.70–$345.80 | $86–$364 | varies |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$92.15–$324.90 | $97–$342 | varies |
| Hydroxyprogesterone 17-d (83498) | $28.50 | $30 | 1.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $216.60 | $228 | 15.6× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$74.10–$77.90 | $78–$82 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $46.55 | $49 | 1.3× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$118.75–$131.10 | $125–$138 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $306.85 | $323 | 8.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $46.55 | $49 | 1.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$117.80–$121.60 | $124–$128 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $462.65 | $487 | 1.8× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$57–$175.75 | $60–$185 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,311.95 | $1,381 | 3.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$47.50–$76 | $50–$80 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$117.80–$128.25 | $124–$135 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $34.20 | $36 | 2.3× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$48.45–$181.45 | $51–$191 | varies |
| Immunodiffusion Ouchterlony (86331) | $100.70 | $106 | 8.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$42.75–$76 | $45–$80 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$155.80–$866.40 | $164–$912 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $69.35 | $73 | 1.0× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $244.15 | $257 | 7.0× |
| Influenza a/b ag eia (87400) range across 5 matching MRF lines |
$157.70–$315.40 | $166–$332 | varies |
| Inhibin b (83520) range across 5 matching MRF lines |
$76.95–$216.60 | $81–$228 | varies |
| Insulin free (83527) | $23.75 | $25 | 1.8× |
| Insulin total (83525) range across 3 matching MRF lines |
$26.60–$31.35 | $28–$33 | varies |
| Iron (83540) | $70.30 | $74 | 10.9× |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$86.45–$95.95 | $91–$101 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$5.70–$119.70 | $6–$126 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$59.85–$64.60 | $63–$68 | varies |
| Lead (83655) range across 2 matching MRF lines |
$31.35–$81.70 | $33–$86 | varies |
| Legionella antigen urine (87449) range across 11 matching MRF lines |
$33.25–$306.85 | $35–$323 | varies |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$103.55–$114 | $109–$120 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $40.85 | $43 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $40.85 | $43 | 1.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $488.30 | $514 | 1.3× |
| Lipase (83690) | $100.70 | $106 | 14.6× |
| Lithium (80178) range across 2 matching MRF lines |
$8.55–$28.50 | $9–$30 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$23.75–$32.30 | $25–$34 | varies |
| Lyme disease antibody (86618) | $38 | $40 | 2.2× |
| Magnesium Urine (83735) | $73.15 | $77 | 10.9× |
| Mass Spectrometry Quant (83789) | $84.55 | $89 | 3.5× |
| Metabolic panel ionized ca (80047) | $122.55 | $129 | 8.9× |
| Methylmalonic acid serum (83921) | $57 | $60 | 2.7× |
| Microalbumin, quantitative (82043) range across 5 matching MRF lines |
$13.30–$30.40 | $14–$32 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$34.20–$188.10 | $36–$198 | varies |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$647.90–$962.35 | $682–$1,013 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $425.60 | $448 | 19.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$234.65–$244.15 | $247–$257 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$32.30–$86.45 | $34–$91 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,011.75 | $1,065 | 55.0× |
| Myelin basic protein csf (83873) | $38 | $40 | 2.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$128.25–$140.60 | $135–$148 | varies |
| Natriuretic peptide (83880) | $348.65 | $367 | 8.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$22.80–$60.80 | $24–$64 | varies |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$24.70–$76.95 | $26–$81 | varies |
| Occult blood feces (82272) | $49.40 | $52 | 11.7× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$42.75–$44.65 | $45–$47 | varies |
| Oligoclonal bands (83916) | $38.95 | $41 | 1.4× |
| Osmolality serum (83930) | $31.35 | $33 | 4.7× |
| Osmolality Urine (83935) | $34.20 | $36 | 5.0× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$84.55–$87.40 | $89–$92 | varies |
| Ph urine (81003) | $55.10 | $58 | 24.5× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$31.35–$35.15 | $33–$37 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$61.75–$114.95 | $65–$121 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$20.90–$131.10 | $22–$138 | varies |
| Phosphatase alkaline (84075) | $51.30 | $54 | 9.9× |
| Phospholipid Neutralization Hexagonal (85598) | $63.65 | $67 | 3.5× |
| Phosphorus Serum (84100) | $52.25 | $55 | 11.0× |
| Platelet count automated (85049) | $56.05 | $59 | 12.5× |
| Platelet neutralization (85597) | $62.70 | $66 | 3.5× |
| Potassium Urine (84133) | $29.45 | $31 | 6.2× |
| Prealbumin (84134) range across 2 matching MRF lines |
$24.70–$30.40 | $26–$32 | varies |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$387.60–$408.50 | $408–$430 | varies |
| Progesterone (84144) range across 3 matching MRF lines |
$33.25–$36.10 | $35–$38 | varies |
| Prolactin (84146) | $32.30 | $34 | 1.7× |
| Protein body fluid (84157) range across 6 matching MRF lines |
$14.25–$54.15 | $15–$57 | varies |
| Protein C Activity (85303) | $50.35 | $53 | 3.6× |
| Protein c antigen (85302) | $47.50 | $50 | 4.0× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$17.10–$50.35 | $18–$53 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $23.75 | $25 | 2.2× |
| Protein S Free (85306) | $45.60 | $48 | 3.0× |
| Protein total serum (84155) range across 4 matching MRF lines |
$38–$211.85 | $40–$223 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$17.10–$54.15 | $18–$57 | varies |
| PSA free (84154) | $27.55 | $29 | 1.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$42.75–$67.45 | $45–$71 | varies |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$74.10–$81.70 | $78–$86 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$54.15–$113.05 | $57–$119 | varies |
| Quantitative Screen Metals (83018) | $95 | $100 | 4.3× |
| Rbc antibody elution (86860) | $181.45 | $191 | 1.0× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$342–$344.85 | $360–$363 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$215.65–$222.30 | $227–$234 | varies |
| Rbc pretreatment serum (86978) | $162.45 | $171 | 2.7× |
| Renin activity plasma (84244) | $41.80 | $44 | 1.9× |
| Reptilase test (85635) | $90.25 | $95 | 9.2× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$46.55–$658.35 | $49–$693 | varies |
| Rh (86901) range across 3 matching MRF lines |
$43.70–$64.60 | $46–$68 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$29.45–$33.25 | $31–$35 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$20.90–$38 | $22–$40 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$38–$133 | $40–$140 | varies |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$8.55–$39.90 | $9–$42 | varies |
| Rubella Antibody (86762) | $16.15 | $17 | 1.1× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$59.85–$92.15 | $63–$97 | varies |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$18.05–$100.70 | $19–$106 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$116.85–$147.25 | $123–$155 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $58.90 | $62 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $345.80 | $364 | 2.4× |
| Sedimentation Rate, Automated (85652) | $43.70 | $46 | 16.2× |
| Selenium (84255) | $63.65 | $67 | 2.5× |
| Semen Anal Sperm Detection (89321) | $127.30 | $134 | 10.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$14.25–$102.60 | $15–$108 | varies |
| Sex Hormone Binding Globulin (84270) | $40.85 | $43 | 1.9× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$26.60–$56.05 | $28–$59 | varies |
| Smear gram stain (87205) range across 9 matching MRF lines |
$8.55–$26.60 | $9–$28 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $52.25 | $55 | 9.0× |
| Sodium Serum (84295) | $53.20 | $56 | 11.1× |
| Sodium Urine (84300) | $26.60 | $28 | 5.3× |
| Somatomedin (84305) | $41.80 | $44 | 2.0× |
| Special Stains Group 1 (88312) | $73.15 | $77 | 1.4× |
| Special Stains Group 2 (88313) | $82.65 | $87 | 0.6× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$6.65–$34.20 | $7–$36 | varies |
| Spectrophotometry (84311) | $38 | $40 | 4.7× |
| Staph a DNA amp probe (87640) | $56.05 | $59 | 1.6× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$33.25–$93.10 | $35–$98 | varies |
| Strep a assay w/optic (87880) | $139.65 | $147 | 8.4× |
| Surg path level iii (88304) | $52.25 | $55 | 1.0× |
| Surgical pathology level IV (88305) | $52.25 | $55 | 1.0× |
| Surgical pathology level vi (88309) | $43.70 | $46 | 0.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$22.80–$85.50 | $24–$90 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 5 matching MRF lines |
$6.65–$52.25 | $7–$55 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $22.80 | $24 | 0.5× |
| T cells total count (86359) | $22.80 | $24 | 0.6× |
| T3 Free (84481) range across 2 matching MRF lines |
$30.40–$31.35 | $32–$33 | varies |
| T3 reverse (84482) | $34.20 | $36 | 2.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$6.65–$32.30 | $7–$34 | varies |
| T3 Uptake (84479) | $74.10 | $78 | 11.5× |
| T4 Free (84439) | $97.85 | $103 | 10.8× |
| T4 total (84436) range across 2 matching MRF lines |
$7.60–$31.35 | $8–$33 | varies |
| T4-neonatal (84437) | $64.60 | $68 | 10.0× |
| Tacrolimus (80197) | $63.65 | $67 | 4.6× |
| Testosterone total (84403) range across 3 matching MRF lines |
$34.20–$254.60 | $36–$268 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$29.45–$69.35 | $31–$73 | varies |
| Theophylline (80198) | $21.85 | $23 | 1.5× |
| Thiopurine methyltransferase (84433) | $250.80 | $264 | 11.3× |
| Thrombin Time (85670) | $26.60 | $28 | 4.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $27.55 | $29 | 4.3× |
| Thyroglobulin (84432) | $37.05 | $39 | 2.3× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$29.45–$114 | $31–$120 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $74.10 | $78 | 1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $57.95 | $61 | 5.0× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$287.85–$564.30 | $303–$594 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $57 | $60 | 11.0× |
| Transferrin (84466) | $122.55 | $129 | 9.6× |
| Triglycerides (84478) range across 2 matching MRF lines |
$54.15–$57 | $57–$60 | varies |
| Troponin Quant (84484) | $216.60 | $228 | 17.4× |
| Tumor immunohistochem/comput (88361) | $344.85 | $363 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $437 | $460 | 2.5× |
| Urinalysis Microscopic Only (81015) | $27.55 | $29 | 9.0× |
| Urine Bacteria Culture (87088) | $2.85 | $3 | 0.4× |
| Urine Pregnancy Test (81025) | $96.90 | $102 | 11.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57 | $60 | 18.0× |
| Valproic acid (80164) range across 3 matching MRF lines |
$15.20–$133 | $16–$140 | varies |
| Vancomycin (80202) | $145.35 | $153 | 10.7× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$29.45–$70.30 | $31–$74 | varies |
| Virus antibody nos (86790) | $1,729 | $1,820 | 134.2× |
| Virus inoculate tissue addl (87253) | $75.05 | $79 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $259.35 | $273 | 6.7× |
| Vitamin A (84590) range across 2 matching MRF lines |
$32.30–$38 | $34–$40 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$19.95–$29.45 | $21–$31 | varies |
| Vitamin B6 (84207) | $38 | $40 | 1.4× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$40.85–$167.20 | $43–$176 | varies |
| Vitamin E (84446) | $38 | $40 | 2.7× |
| West nile virus ab igm (86788) | $166.25 | $175 | 9.9× |
| West Nile Virus Antibody (86789) | $63.65 | $67 | 4.4× |
| Zinc (84630) range across 2 matching MRF lines |
$36.10–$78.85 | $38–$83 | varies |
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.