Lab & pathology prices at Providence Seaside Hospital
Seaside, OR · every code in this section with a posted price and a Medicare benchmark.
479 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $25.50 | $34 | 0.7× |
| Actin smooth muscle antibody each (86015) | $42 | $56 | 3.5× |
| Acute hepatitis panel (80074) | $250.50 | $334 | 5.3× |
| Albumin Fluid (82042) | $46.50 | $62 | 6.0× |
| Albumin serum (82040) | $30 | $40 | 6.1× |
| Aldolase (82085) | $22.50 | $30 | 2.3× |
| Aldosterone urine (82088) | $39.75 | $53 | 1.0× |
| Alkaline phosphatase isoenzymes (84080) | $13.50 | $18 | 0.9× |
| Allergen specific ige (86003) | $10.50 | $14 | 2.0× |
| Allg Spec Ige Recomb Ea (86008) | $10.50 | $14 | 0.6× |
| Alpha-1-antitrypsin phenotype (82104) | $18 | $24 | 1.2× |
| Alpha-1-antitrypsin total (82103) | $71.25 | $95 | 5.3× |
| Alpha-Fetoprotein Serum (82105) | $73.50 | $98 | 4.4× |
| Alt (sgpt) (84460) | $29.25 | $39 | 5.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $91.50 | $122 | 5.4× |
| Ammonia (82140) | $84 | $112 | 5.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $139.50 | $186 | 1.4× |
| Amylase urine (82150) | $50.25 | $67 | 7.8× |
| Ana Titer (86039) | $34.50 | $46 | 3.1× |
| Anca Titer Each Antibody (86037) | $9 | $12 | 0.7× |
| Androstenedione (82157) | $26.25 | $35 | 0.9× |
| Angiotensin converting enzyme csf (82164) | $32.25 | $43 | 2.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $36.75 | $49 | 2.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $62.25 | $83 | 3.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $50.25 | $67 | 3.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $57.75 | $77 | 3.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $69 | $92 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $57 | $76 | 4.0× |
| Antibody Herpes Smplx Type 1 (86695) | $55.50 | $74 | 4.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $57 | $76 | 4.2× |
| Antibody HIV-2 (86702) | $30 | $40 | 2.2× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$242.14–$342.75 | $322.85–$457 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $90 | $120 | 4.7× |
| Antibody Treponema Pallidum (86780) | $24.75 | $33 | 1.9× |
| Antigen typing (86905) | $44.25 | $59 | 11.6× |
| Antinuclear antibodies (86038) | $67.50 | $90 | 5.6× |
| Antistreptolysin o titer (86060) | $75 | $100 | 10.3× |
| Antithrombin iii activity (85300) | $47.25 | $63 | 4.0× |
| Apolipoprotein a1 (82172) | $39 | $52 | 1.8× |
| Arsenic (82175) | $13.50 | $18 | 0.7× |
| Aspergillus ag eia (87305) | $54 | $72 | 4.5× |
| Assay activated protein c (85307) | $35.25 | $47 | 2.3× |
| Assay Nephelometry Not Spec (83883) | $72.75 | $97 | 5.3× |
| Assay of blood/uric acid (84550) | $30 | $40 | 6.6× |
| Assay of calcium in urine (82340) | $51.75 | $69 | 8.6× |
| Assay of cpk in blood (82552) | $12.75 | $17 | 1.0× |
| Assay of estrone (82679) | $16.50 | $22 | 0.7× |
| Assay of g6pd enzyme (82955) | $37.50 | $50 | 3.9× |
| Assay of gammaglobulin igm (82784) | $64.50 | $86 | 6.9× |
| Assay of lactic acid (83605) | $78 | $104 | 6.7× |
| Assay of metanephrines (83835) | $72.75 | $97 | 4.3× |
| Assay of serotonin (84260) | $33.75 | $45 | 1.1× |
| Assay of serum potassium (84132) | $30 | $40 | 6.3× |
| Assay of urea nitrogen (84520) | $30 | $40 | 7.6× |
| Assay of vitamin b-1 (84425) | $28.50 | $38 | 1.3× |
| Assay Ph Body Fluid Nos (83986) | $24 | $32 | 6.7× |
| Asy carbamazepin 10,11-epxid (80161) | $40.50 | $54 | 2.2× |
| Automated Leukocyte Count (85048) | $39 | $52 | 15.4× |
| Bcr/abl1 gene major bp (81206) | $150.75 | $201 | 0.9× |
| Bcr/abl1 gene minor bp (81207) | $96.75 | $129 | 0.7× |
| Beta 2 glycoprotein i antibody each (86146) | $32.25 | $43 | 1.3× |
| Beta hydroxybutyrate (82010) | $54 | $72 | 6.6× |
| Beta Lactamase (87185) | $23.25 | $31 | 4.9× |
| Beta-2 Microglobulin (82232) | $31.50 | $42 | 1.9× |
| Bilirubin direct (82248) | $30 | $40 | 6.0× |
| Bilirubin total (82247) | $30 | $40 | 6.0× |
| Bilirubin total transcutaneous (88720) | $18 | $24 | 3.6× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $137.25 | $183 | 4.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $138 | $184 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $85.50 | $114 | 11.0× |
| Blood Count Red Blood Cell Automated (85041) | $10.50 | $14 | 3.5× |
| Blood count reticulocyte automated (85045) | $105 | $140 | 26.3× |
| Blood count spun microhematocrit (85013) | $13.50 | $18 | 1.9× |
| Blood gas (82803) | $138 | $184 | 5.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $47.25 | $63 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$24–$39 | $32–$52 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $33.75 | $45 | 5.3× |
| Blood typing serologic abo (86900) | $45 | $60 | 15.1× |
| Body fluid cell count (89050) | $105 | $140 | 22.2× |
| Bone marrow smear interpretation (85097) | $134.25 | $179 | 0.1× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$262.50–$301.50 | $350–$402 | varies |
| C diff amplified probe (87493) | $154.50 | $206 | 4.1× |
| C-Peptide (84681) | $80.25 | $107 | 3.9× |
| C-reactive protein (86140) | $69 | $92 | 13.3× |
| Ca 19-9 (86301) | $84 | $112 | 4.0× |
| Calcium ionized (82330) | $66.75 | $89 | 4.9× |
| Calcium total (82310) | $30 | $40 | 5.8× |
| Calprotectin Fecal (83993) | $63 | $84 | 3.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$224.25–$246 | $299–$328 | varies |
| Cancer Antigen 125 (86304) | $120.75 | $161 | 5.8× |
| Cancer Antigen 27.29 (86300) | $138 | $184 | 6.6× |
| Candida antibody (86628) | $27 | $36 | 2.2× |
| Candida Dna Dir Probe (87480) | $28.50 | $38 | 1.4× |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
$64.50–$71.25 | $86–$95 | varies |
| Carcinoembryonic antigen (82378) | $139.50 | $186 | 7.4× |
| Cardiolipin ab iga (86147) | $84.75 | $113 | 3.3× |
| Carotene (82380) | $31.50 | $42 | 3.4× |
| Ccp antibody (86200) | $49.50 | $66 | 3.8× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $444 | $592 | 1.8× |
| Cell count csf (89051) | $105 | $140 | 18.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $90.75 | $121 | 0.7× |
| Ceruloplasmin (82390) | $45.75 | $61 | 4.3× |
| Cftr gene com variants (81220) | $210.75 | $281 | 0.4× |
| Chemiluminescent assay (82397) | $45.75 | $61 | 3.2× |
| Chlamydia antibody (86631) | $12.75 | $17 | 1.1× |
| Chlamydia Igm Antibody (86632) | $12.75 | $17 | 1.0× |
| Chloride urine (82436) | $30 | $40 | 5.2× |
| Cholesterol total (82465) | $30 | $40 | 6.9× |
| Chorionic gonadotropin test (84702) | $169.50 | $226 | 11.3× |
| Chromium serum (82495) | $37.50 | $50 | 1.8× |
| Chromogranin a (86316) | $54 | $72 | 2.6× |
| Chromosome Analysis 20-25 (88264) | $138.75 | $185 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $75 | $100 | 2.1× |
| Ckmb (82553) | $102.75 | $137 | 8.9× |
| Clostridium Difficile (87324) | $46.50 | $62 | 3.9× |
| Coagulation time activated (85347) | $8.25 | $11 | 1.9× |
| Cold agglutinin titer (86157) | $29.25 | $39 | 3.6× |
| Collagen crosslinks (82523) | $43.50 | $58 | 2.3× |
| Column Chromotography Quant (82542) | $54 | $72 | 2.2× |
| Compatibility test antiglob (86922) | $154.50 | $206 | 0.8× |
| Complement Antigen Each Component (86160) | $67.50 | $90 | 5.6× |
| Complement Total (Ch50) (86162) | $36 | $48 | 1.8× |
| Complement/Function Activity (86161) | $43.50 | $58 | 3.6× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $381.75 | $509 | 2.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $333.75 | $445 | 5.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $235.50 | $314 | 5.7× |
| Coombs direct (86880) | $77.25 | $103 | 14.3× |
| Copper urine (82525) | $25.50 | $34 | 2.1× |
| Cortisol free (82530) | $13.50 | $18 | 0.8× |
| Cortisol saliva (82533) | $110.25 | $147 | 6.8× |
| Creatine kinase total (82550) | $53.25 | $71 | 8.2× |
| Creatinine blood (82565) | $30 | $40 | 5.9× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$31.50–$323.25 | $42–$431 | varies |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$82.50–$91.50 | $110–$122 | varies |
| Crossmatch electronic (86923) | $161.25 | $215 | 0.9× |
| Crossmatch immediate spin (86920) | $189.75 | $253 | 1.0× |
| Crp High Sensitivity (86141) | $64.50 | $86 | 5.0× |
| Cryptococcal Antigen (87327) | $43.50 | $58 | 3.2× |
| Cryptococcus ag titer (87899) | $168.75 | $225 | 10.5× |
| Cryptosporidium ag eia (87328) | $45.75 | $61 | 3.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $61.50 | $82 | 7.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $28.50 | $38 | 3.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $138 | $184 | 17.9× |
| Culture afb (87116) | $67.50 | $90 | 6.3× |
| Culture Anaerobic (87075) range across 5 matching MRF lines |
$222.75–$256.50 | $297–$342 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$84–$178.50 | $112–$238 | varies |
| Culture csf (87070) range across 16 matching MRF lines |
$210.75–$242.25 | $281–$323 | varies |
| Culture fungus (87102) | $144.75 | $193 | 17.2× |
| Culture fungus blood (87103) | $160.50 | $214 | 7.8× |
| Culture screen only (87081) range across 6 matching MRF lines |
$125.25–$144 | $167–$192 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $28.50 | $38 | 5.5× |
| Culture urine (87086) | $63.75 | $85 | 7.9× |
| Cyclosporine (80158) | $151.50 | $202 | 8.4× |
| Cystatin C (82610) | $60 | $80 | 3.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $625.50 | $834 | 0.5× |
| Cytogenomic neo microra alys (81277) | $3,480 | $4,640 | 3.0× |
| Cytomegalovirus igg (86644) | $51.75 | $69 | 3.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $60 | $80 | 3.0× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$160.50–$195 | $214–$260 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $86.25 | $115 | 3.2× |
| Cytp Concentration Smears & Interpretation (88108) range across 6 matching MRF lines |
$137.25–$201.75 | $183–$269 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$182.25–$493.50 | $243–$658 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $77.25 | $103 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $144 | $192 | 3.5× |
| Detect Agent Nos Dna Amp (87798) | $168.75 | $225 | 4.8× |
| Detect Agent Nos Dna Quant (87799) | $78 | $104 | 1.8× |
| Detect agnt mult DNA ampli (87801) | $24 | $32 | 0.3× |
| Dgp Antibody Each Ig Class (86258) | $44.25 | $59 | 3.7× |
| Dhea (82626) | $30.75 | $41 | 1.2× |
| Dhea-S (82627) | $86.25 | $115 | 3.9× |
| Digoxin (80162) | $51.75 | $69 | 3.9× |
| Dna Antibody Native/Double Stranded (86225) | $124.50 | $166 | 9.1× |
| Drug Screen Quant Zonisamide (80203) | $63.75 | $85 | 4.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $49.50 | $66 | 3.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $49.50 | $66 | 3.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $63.75 | $85 | 4.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $51 | $68 | 0.8× |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$312–$358.50 | $416–$478 | varies |
| Electrolyte panel (80051) | $64.50 | $86 | 9.2× |
| Electron Microscopy (88348) | $279.75 | $373 | 0.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $33.75 | $45 | 2.8× |
| Enzyme histochemistry (88319) | $355.50 | $474 | 0.4× |
| Eosinophil Smear (89190) | $18 | $24 | 3.1× |
| Erythropoietin (82668) | $89.25 | $119 | 4.7× |
| Estradiol serum (82670) | $159 | $212 | 5.7× |
| Estriol (82677) | $18 | $24 | 0.7× |
| Estrogens fractionated (82671) | $49.50 | $66 | 1.5× |
| Ethylene Glycol (82693) | $83.25 | $111 | 5.6× |
| Exam Synovial Fluid Crystals (89060) | $66.75 | $89 | 9.1× |
| F2 Gene (81240) | $226.50 | $302 | 3.4× |
| Factor v leiden mutation (81241) | $226.50 | $302 | 3.1× |
| Factor viii assay (85240) | $22.50 | $30 | 1.3× |
| Fecal Fat Qualitative (82705) | $34.50 | $46 | 6.8× |
| Ferritin (82728) | $55.50 | $74 | 4.1× |
| Fetal Fibronectin (82731) | $557.25 | $743 | 8.7× |
| Fetal screen rosette (85461) | $60 | $80 | 6.4× |
| Fibrin Degradation Quant (85379) | $270 | $360 | 26.5× |
| Fibrinogen activity (85384) | $62.25 | $83 | 6.4× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$200.98–$225.75 | $267.97–$301 | varies |
| Flt3 Gene (81245) | $224.25 | $299 | 1.4× |
| Flt3 gene analysis (81246) | $112.50 | $150 | 1.4× |
| Fluorescent antibody screen (86255) | $77.25 | $103 | 6.4× |
| Folic acid rbc (82747) | $12.75 | $17 | 0.7× |
| Folic Acid Serum (82746) | $85.50 | $114 | 5.8× |
| Follicle Stimulating Hormone (83001) | $100.50 | $134 | 5.4× |
| Frozen Section (88331) | $150 | $200 | 0.8× |
| Fungi Identification Yeast (87106) | $61.50 | $82 | 6.0× |
| Gammaglobulin ige (82785) | $63.75 | $85 | 3.9× |
| Gardner vag DNA dir probe (87510) | $28.50 | $38 | 1.4× |
| Gases blood ph only (82800) | $37.50 | $50 | 3.4× |
| Gastrin (82941) | $25.50 | $34 | 1.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$750–$1,884 | $1,000–$2,512 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 3 matching MRF lines |
$2,242.50–$3,795 | $2,990–$5,060 | varies |
| Ggt (82977) | $30 | $40 | 4.2× |
| Giardia antigen (87329) | $51.75 | $69 | 4.3× |
| Glucose 2 hr pp (82950) | $135 | $180 | 28.4× |
| Glucose Blood Test (82962) | $18 | $24 | 5.5× |
| Glucose body fluid (82945) | $26.25 | $35 | 6.7× |
| Glucose Serum (82947) | $30 | $40 | 7.6× |
| Glucose tolerance test (gtt) (82951) | $87.75 | $117 | 6.8× |
| Glycated Protein (82985) | $30 | $40 | 1.8× |
| Gonadotropin Chorionic Qualitative (84703) | $132.75 | $177 | 17.7× |
| Growth hormone (83003) | $26.25 | $35 | 1.6× |
| Gtt-added samples (82952) | $66.75 | $89 | 17.0× |
| Haptoglobin (83010) | $84 | $112 | 6.7× |
| Helicobacter Pylori Stool (87338) | $44.25 | $59 | 3.1× |
| Hematocrit (85014) | $13.50 | $18 | 5.7× |
| Hemoglobin (85018) range across 5 matching MRF lines |
$12–$13.50 | $16–$18 | varies |
| Hemoglobin a1c (83036) | $53.25 | $71 | 5.5× |
| Hemoglobin Chromotography (83021) | $45 | $60 | 2.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $50.25 | $67 | 6.1× |
| Hep a ab igm (86709) | $81 | $108 | 7.2× |
| Heparin assay (85520) | $55.50 | $74 | 4.2× |
| Hepatitis a antibody total (86708) | $114 | $152 | 9.2× |
| Hepatitis b core ab igm (86705) | $99 | $132 | 8.4× |
| Hepatitis b core ab total (86704) | $68.25 | $91 | 5.7× |
| Hepatitis B Surface Antibody (86706) | $81 | $108 | 7.5× |
| Hepatitis B Surface Antigen (87340) | $64.50 | $86 | 6.2× |
| Hepatitis C Antibody (86803) | $113.25 | $151 | 7.9× |
| Hepatitis C Genotype (87902) | $613.50 | $818 | 2.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $300 | $400 | 8.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $362.25 | $483 | 8.5× |
| Herpes simplex type 2 (86696) | $81 | $108 | 4.2× |
| Heterophile Antibody Screen (86308) | $55.50 | $74 | 10.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $75 | $100 | 9.7× |
| Histamine urine (83088) | $33 | $44 | 1.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $79.50 | $106 | 3.3× |
| Hiv-1 Antibody (86701) | $30 | $40 | 3.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $327 | $436 | 3.8× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $261 | $348 | 2.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,146 | $1,528 | 2.8× |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$243.56–$345 | $324.74–$460 | varies |
| Hla class ii typing high resolution one locus ea (81382) | $261 | $348 | 2.1× |
| Hla ii type 1 ag equiv lr (81377) | $108 | $144 | 1.1× |
| Hla ii typing 1 locus lr (81376) | $237 | $316 | 1.9× |
| Hla-b27 (86812) | $98.25 | $131 | 3.8× |
| Homocysteine (83090) | $72.75 | $97 | 4.1× |
| Homogenization Tissue (87176) | $30.75 | $41 | 5.2× |
| Hpv High-Risk Types (87624) | $69.75 | $93 | 2.0× |
| Hsv Dna Amp Probe (87529) | $156 | $208 | 4.4× |
| Hydroxyprogesterone 17-d (83498) | $27.75 | $37 | 1.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $43.50 | $58 | 1.2× |
| Iaadiadoo trichomonas vaginalis (87808) | $46.50 | $62 | 3.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $49.50 | $66 | 1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $86.25 | $115 | 2.5× |
| Iadna Cytomegalovirus Quantification (87497) | $114 | $152 | 2.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $183 | $244 | 4.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $175.50 | $234 | 4.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $86.25 | $115 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $75 | $100 | 2.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $216 | $288 | 1.5× |
| Idh1 common variants (81120) | $416.25 | $555 | 2.2× |
| Idh2 common variants (81121) | $255 | $340 | 0.9× |
| Ig Light Chains Free Each (83521) | $45 | $60 | 2.6× |
| Igg subclasses (82787) | $164.25 | $219 | 20.5× |
| Ikbkap Gene Analysis Common Variants (81260) | $117.75 | $157 | 3.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$130.50–$496.50 | $174–$662 | varies |
| Immune Complex Assay (86332) | $41.25 | $55 | 1.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$42–$149.25 | $56–$199 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $52.50 | $70 | 2.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $53.25 | $71 | 3.6× |
| Immunoassay nonantibody (83516) | $45.75 | $61 | 4.0× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$42–$149.25 | $56–$199 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$269.25–$415.50 | $359–$554 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$253.50–$323.25 | $338–$431 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$304.50–$501 | $406–$668 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 2 matching MRF lines |
$249.75–$771.75 | $333–$1,029 | varies |
| Influenza assay w/optic (87804) | $21.75 | $29 | 1.3× |
| Influenza DNA amp probe (87502) | $311.25 | $415 | 3.2× |
| Inhibin A (86336) | $54 | $72 | 3.5× |
| Inhibin b (83520) | $62.25 | $83 | 3.6× |
| Insitu hybridization auto (88367) | $181.50 | $242 | 0.5× |
| Insitu hybridization manual (88368) range across 4 matching MRF lines |
$309–$429 | $412–$572 | varies |
| Insulin antibodies (86337) | $57.75 | $77 | 2.7× |
| Insulin total (83525) | $54.75 | $73 | 4.8× |
| Iron (83540) | $48.75 | $65 | 7.5× |
| Iron Binding Capacity (83550) | $38.25 | $51 | 4.4× |
| Islet cell antibody (86341) | $33 | $44 | 1.4× |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$195–$282.75 | $260–$377 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$273–$314.25 | $364–$419 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $358.50 | $478 | 1.1× |
| Koh Prep (87220) | $15 | $20 | 3.5× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$240–$276 | $320–$368 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $30 | $40 | 5.0× |
| Lactoferrin Fecal Quantitative (83631) | $48.75 | $65 | 2.5× |
| Ldh Isoenzymes (83625) | $13.50 | $18 | 1.1× |
| LDL direct (83721) | $41.25 | $55 | 3.9× |
| Lead (83655) | $24 | $32 | 2.0× |
| Legionella antigen urine (87449) | $103.50 | $138 | 8.6× |
| Leukocyte Assessment Fecal (89055) | $33.75 | $45 | 7.9× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$48–$77.25 | $64–$103 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 3 matching MRF lines |
$96–$180 | $128–$240 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$567–$825.75 | $756–$1,101 | varies |
| Lipase (83690) | $60.75 | $81 | 8.8× |
| Lipoprotein Bld Quan Part (83704) | $67.50 | $90 | 2.0× |
| Lithium (80178) | $55.50 | $74 | 8.4× |
| Luteinizing Hormone (Lh) (83002) | $111 | $148 | 6.0× |
| Lyme disease antibody (86618) | $30 | $40 | 1.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$328.50–$1,116.75 | $438–$1,489 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$784.50–$1,049.25 | $1,046–$1,399 | varies |
| Magnesium Urine (83735) | $30 | $40 | 4.5× |
| Mass Spectrometry Quant (83789) | $45.75 | $61 | 1.9× |
| Mercury urine (83825) | $13.50 | $18 | 0.8× |
| Methylmalonic acid serum (83921) | $51.75 | $69 | 2.4× |
| Microalbumin, quantitative (82043) | $53.25 | $71 | 9.2× |
| Microsomal Antibodies Each (86376) | $62.25 | $83 | 4.3× |
| Mitochondrial Antibody Each (86381) | $51 | $68 | 2.0× |
| Mopath procedure level 4 (81403) | $314.25 | $419 | 1.7× |
| Mopath procedure level 5 (81404) | $314.25 | $419 | 1.1× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$282–$324 | $376–$432 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$132.75–$153 | $177–$204 | varies |
| Mumps antibody (86735) | $51.75 | $69 | 4.0× |
| Mycoplasma antibody (86738) | $32.25 | $43 | 2.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $319.50 | $426 | 1.8× |
| Natriuretic peptide (83880) | $71.25 | $95 | 1.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $195.75 | $261 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $86.25 | $115 | 1.2× |
| Niacin (84591) | $87 | $116 | 5.1× |
| Nk cells total count (86357) | $64.50 | $86 | 1.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $332.25 | $443 | 1.3× |
| Nras gene variants exon 2&3 (81311) | $358.50 | $478 | 1.2× |
| Nuclear antigen antibody (86235) | $124.50 | $166 | 6.9× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$20.25–$22.50 | $27–$30 | varies |
| Occult Blood Other Sources (82271) | $39 | $52 | 7.3× |
| Organic acids urine (83918) | $125.25 | $167 | 5.3× |
| Osmolality serum (83930) | $85.50 | $114 | 12.9× |
| Osmolality Urine (83935) | $85.50 | $114 | 12.5× |
| Ova and parasites smears (87177) | $96 | $128 | 10.8× |
| Particle Agglutination Screen Each Antibody (86403) | $48 | $64 | 4.2× |
| Parvovirus antibody (86747) | $45 | $60 | 3.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,188 | $1,584 | 1.3× |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$99–$118.50 | $132–$158 | varies |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $358.50 | $478 | 1.1× |
| Ph urine (81003) | $17.25 | $23 | 7.7× |
| Phenobarbital Level (80184) | $99 | $132 | 6.5× |
| Phenylalanine (84030) | $8.25 | $11 | 1.5× |
| Phenytoin (Dilantin) (80185) | $192 | $256 | 14.5× |
| Phenytoin free (80186) | $139.50 | $186 | 10.1× |
| Phosphatase alkaline (84075) | $13.50 | $18 | 2.6× |
| Phospholipid Neutralization Hexagonal (85598) | $51 | $68 | 2.8× |
| Phosphorus Serum (84100) | $30 | $40 | 6.3× |
| Pinworm exam (87172) | $38.25 | $51 | 9.0× |
| Platelet Antibodies (86022) | $73.50 | $98 | 4.0× |
| Platelet count automated (85049) | $33.75 | $45 | 7.5× |
| Potassium Urine (84133) | $88.50 | $118 | 18.7× |
| Prealbumin (84134) | $57 | $76 | 3.9× |
| Pregnenolone (84140) | $37.50 | $50 | 1.8× |
| Procalcitonin (Pct) (84145) | $67.50 | $90 | 2.5× |
| Progesterone (84144) | $143.25 | $191 | 6.9× |
| Prolactin (84146) | $132 | $176 | 6.8× |
| Protein body fluid (84157) | $92.25 | $123 | 23.1× |
| Protein C Activity (85303) | $55.50 | $74 | 4.0× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$42–$138.75 | $56–$185 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$42–$138.75 | $56–$185 | varies |
| Protein S Free (85306) | $61.50 | $82 | 4.0× |
| Protein total serum (84155) | $30 | $40 | 8.2× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$49.50–$54.75 | $66–$73 | varies |
| PSA free (84154) | $84.75 | $113 | 4.6× |
| Pth Intact (83970) | $178.50 | $238 | 4.3× |
| Quantiferon tb gold plus (86480) | $213.75 | $285 | 3.4× |
| Quantitative assay drug (80299) | $62.25 | $83 | 3.3× |
| Quantitative Screen Metals (83018) | $39.75 | $53 | 1.8× |
| Rbc antibody elution (86860) | $108.75 | $145 | 0.6× |
| Rbc antibody identification (86870) | $150 | $200 | 0.4× |
| Rbc antibody screen (86850) | $126 | $168 | 12.9× |
| Renin activity plasma (84244) | $37.50 | $50 | 1.7× |
| Resp virus 12-25 targets (87633) | $636 | $848 | 1.5× |
| Reticulocyte Count (85046) | $10.50 | $14 | 1.9× |
| Rh (86901) | $51 | $68 | 17.1× |
| Rheumatoid factor quant (86431) | $59.25 | $79 | 10.4× |
| Ristocetin cofactor (85245) | $22.50 | $30 | 1.0× |
| Rpr qualitative (86592) | $25.50 | $34 | 6.0× |
| Rubella Antibody (86762) | $34.50 | $46 | 2.4× |
| Rubeola antibody (86765) | $51.75 | $69 | 4.0× |
| Russell Viper Venom Time Diluted (85613) | $30.75 | $41 | 3.2× |
| Salicylate Level (80179) | $40.50 | $54 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $108 | $144 | 2.1× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$93.75–$108 | $125–$144 | varies |
| Sedimentation Rate, Automated (85652) | $88.50 | $118 | 32.8× |
| Selenium (84255) | $30 | $40 | 1.2× |
| Semen Anal Sperm Detection (89321) | $22.50 | $30 | 1.9× |
| Semen analysis motility and count (89310) | $79.50 | $106 | 9.2× |
| Sensitivity mic (87186) | $165 | $220 | 19.1× |
| Sex Hormone Binding Globulin (84270) | $43.50 | $58 | 2.0× |
| Skin test tuberculosis intradermal (86580) | $28.50 | $38 | 0.9× |
| Smear acid fast (87206) | $90 | $120 | 16.7× |
| Smear complex stain (87209) | $45.75 | $61 | 2.5× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$30–$34.50 | $40–$46 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$20.25–$93 | $27–$124 | varies |
| Sodium Serum (84295) | $28.50 | $38 | 5.9× |
| Sodium Urine (84300) | $88.50 | $118 | 17.5× |
| Soluble Transferrin Receptor (84238) | $36 | $48 | 1.0× |
| Somatomedin (84305) | $81 | $108 | 3.8× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$212.25–$321.75 | $283–$429 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$221.25–$236.25 | $295–$315 | varies |
| Specimen infect agnt concntj (87015) | $28.50 | $38 | 4.3× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$117.75–$135.75 | $157–$181 | varies |
| Strep a assay w/optic (87880) | $39.75 | $53 | 2.4× |
| Surg path level iii (88304) range across 3 matching MRF lines |
$123–$202.50 | $164–$270 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$206.25–$264.75 | $275–$353 | varies |
| Surgical pathology level vi (88309) range across 3 matching MRF lines |
$765.75–$1,233 | $1,021–$1,644 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $23.25 | $31 | 4.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $23.25 | $31 | 3.1× |
| Syphilis Test Non-Trep Quant (86593) | $7.50 | $10 | 1.7× |
| T cells absolute cd4 count (86361) | $71.25 | $95 | 2.7× |
| T cells total count (86359) | $138.75 | $185 | 3.7× |
| T3 Free (84481) | $79.50 | $106 | 4.7× |
| T3 reverse (84482) | $28.50 | $38 | 1.8× |
| T3 Total (84480) | $134.25 | $179 | 9.5× |
| T3 Uptake (84479) | $9 | $12 | 1.4× |
| T4 Free (84439) | $100.50 | $134 | 11.1× |
| T4 total (84436) | $50.25 | $67 | 7.3× |
| Tacrolimus (80197) | $59.25 | $79 | 4.3× |
| Tb ag response t-cell susp (86481) | $258.75 | $345 | 2.6× |
| Testosterone total (84403) | $50.25 | $67 | 1.9× |
| Testosterone, Free (84402) | $11.25 | $15 | 0.4× |
| Thrombin Time (85670) | $39.75 | $53 | 6.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $33.75 | $45 | 5.2× |
| Thyroglobulin (84432) | $45 | $60 | 2.8× |
| Thyroglobulin Antibody (86800) | $70.50 | $94 | 4.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $47.25 | $63 | 0.9× |
| Thyroxine binding globulin (84442) | $25.50 | $34 | 1.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $44.25 | $59 | 3.8× |
| Tissue culture bone marrow (88237) | $121.50 | $162 | 0.8× |
| Topiramate (80201) | $41.25 | $55 | 3.5× |
| Touch prep (88161) | $207 | $276 | 6.4× |
| Toxoplasma ab igm (86778) | $21.75 | $29 | 1.5× |
| Toxoplasma antibody (86777) | $30.75 | $41 | 2.1× |
| Tpmt gene com variants (81335) | $362.25 | $483 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $31.50 | $42 | 6.1× |
| Transferrin (84466) | $47.25 | $63 | 3.7× |
| Trichomonas vagin dir probe (87660) | $28.50 | $38 | 1.4× |
| Trichomonas Vaginalis Amplif (87661) | $38.25 | $51 | 1.1× |
| Triglycerides (84478) | $30 | $40 | 5.2× |
| Troponin Quant (84484) | $121.50 | $162 | 9.7× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$333–$340.50 | $444–$454 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$217.50–$342.75 | $290–$457 | varies |
| Urea nitrogen urine (84540) | $52.50 | $70 | 9.4× |
| Urinalysis Microscopic Only (81015) | $6.75 | $9 | 2.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$17.25–$18.75 | $23–$25 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $45.75 | $61 | 14.4× |
| Valproic acid (80164) | $104.25 | $139 | 7.7× |
| Vancomycin (80202) | $106.50 | $142 | 7.9× |
| Varicella-zoster antibody (86787) | $46.50 | $62 | 3.6× |
| Viral Culture (87252) | $50.25 | $67 | 1.9× |
| Virus antibody nos (86790) | $81 | $108 | 6.3× |
| Viscosity serum (85810) | $24 | $32 | 2.1× |
| Vit D 1 25-Dihydroxy (82652) | $50.25 | $67 | 1.3× |
| Vitamin A (84590) | $28.50 | $38 | 2.5× |
| Vitamin b-12 (82607) | $85.50 | $114 | 5.7× |
| Vitamin B2 (Riboflavin) (84252) | $59.25 | $79 | 2.9× |
| Vitamin B6 (84207) | $28.50 | $38 | 1.0× |
| Vitamin c (82180) | $33.75 | $45 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $88.50 | $118 | 3.0× |
| Vitamin E (84446) | $28.50 | $38 | 2.0× |
| Vitamin K (84597) | $69.75 | $93 | 5.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $42 | $56 | 3.5× |
| Von willebrand factor ag (85246) | $22.50 | $30 | 1.0× |
| Zinc (84630) | $24 | $32 | 2.1× |
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.