Lab & pathology prices at Pushmataha County Town of Antlers Hospital
Antlers, OK · every code in this section with a posted price and a Medicare benchmark.
400 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $87 | $174 | 2.3× |
| Actin smooth muscle antibody each (86015) | $22.50 | $45 | 1.9× |
| Acute hepatitis panel (80074) | $202.40 | $404.79 | 4.2× |
| Agglutinins Febrile Each Antigen (86000) | $125.66 | $251.32 | 18.0× |
| Albumin serum (82040) | $23.50 | $47 | 4.7× |
| Aldolase (82085) | — | $90.38 | — |
| Aldosterone urine (82088) | $91.50 | $183 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $26 | $52 | 1.8× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$15–$144 | $30–$960 | varies |
| Allg Spec Ige Recomb Ea (86008) | $30 | $60 | 1.7× |
| Alpha-1-antitrypsin total (82103) | $40.50 | $81 | 3.0× |
| Alpha-Fetoprotein Serum (82105) | $75.86 | $151.72 | 4.5× |
| Alt (sgpt) (84460) | $26.50 | $53 | 5.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $38 | $76 | 1.7× |
| Ammonia (82140) | $75 | $150 | 5.1× |
| Amylase urine (82150) | $41 | $82 | 6.3× |
| Anca screen each antibody (86036) | $21 | $42 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $55 | $110 | 3.8× |
| Antibody aspergillus (86606) | $25.50 | $51 | 1.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $21 | $42 | 1.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $83.57 | $167.14 | 5.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $108.15 | $216.30 | 8.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $49 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $124 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$21–$49.50 | $42–$99 | varies |
| Antibody helicobacter pylori (86677) | $63.35 | $126.69 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $22.50 | $45 | 1.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $139.57 | $279.13 | 7.2× |
| Antibody Protozoa Nes (86753) | $80 | $160 | 6.5× |
| Antibody Titer (86886) | $82.65 | $165.30 | 16.0× |
| Antibody Treponema Pallidum (86780) | $50.47 | $100.94 | 3.8× |
| Antigen typing (86905) | $97.50 | $195.90 | 25.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $140 | $280 | 24.5× |
| Antinomyces antibody (86602) | $36 | $72 | 3.5× |
| Antinuclear antibodies (86038) | $44.50 | $89 | 3.7× |
| Antistreptolysin o titer (86060) | $41.05 | $82.10 | 5.6× |
| Antithrombin iii activity (85300) | $124.50 | $249 | 10.5× |
| Antithrombin iii antigen (85301) | $25.50 | $51 | 2.4× |
| Apc gene full sequence (81201) | — | $758 | — |
| Apolipoprotein a1 (82172) | $205.50 | $411 | 9.7× |
| Aquaporin-4 Antb Elisa (86051) | $21 | $42 | 1.8× |
| Arsenic (82175) | — | $367 | — |
| Assay Blood Carbon Dioxide (82374) | — | $40.69 | — |
| Assay Nephelometry Not Spec (83883) | — | $61 | — |
| Assay of anti-mullerian hormone (82166) | $60 | $120 | 1.6× |
| Assay of blood/uric acid (84550) | $27 | $54 | 6.0× |
| Assay of calcium in urine (82340) | $32 | $64 | 5.3× |
| Assay of cpk in blood (82552) | $67 | $134 | 5.0× |
| Assay of g6pd enzyme (82955) | $22.50 | $45 | 2.3× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$18–$90 | $32–$180 | varies |
| Assay of lactic acid (83605) | $36.43 | $72.85 | 3.1× |
| Assay of manganese (83785) | $49.50 | $99 | 1.9× |
| Assay of metanephrines (83835) | $78.75 | $157.50 | 4.6× |
| Assay of serotonin (84260) | — | $92 | — |
| Assay of serum potassium (84132) | $25.50 | $51 | 5.4× |
| Assay of urea nitrogen (84520) | $25 | $50 | 6.3× |
| Assay of vitamin b-1 (84425) | $78 | $156 | 3.7× |
| Automated Leukocyte Count (85048) | $18.03 | $36.05 | 7.1× |
| B cells total count (86355) | — | $138 | — |
| Bartonella antibody (86611) | $99 | $198 | 9.7× |
| Beta 2 glycoprotein i antibody each (86146) | $33 | $66 | 1.3× |
| Beta Lactamase (87185) | $5 | $10 | 1.1× |
| Bilirubin direct (82248) | $23.50 | $47 | 4.7× |
| Bilirubin total (82247) | $26.50 | $53 | 5.3× |
| Bleeding time test (85002) | — | $54.86 | — |
| Blood Count Red Blood Cell Automated (85041) | $18.03 | $36.05 | 6.0× |
| Blood count reticulocyte automated (85045) | $26 | $52 | 6.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $37.08 | — |
| Blood gas (82803) | — | $139.75 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $49.44 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 19 matching MRF lines |
$50.55–$139.20 | $101.10–$278.40 | varies |
| Blood typing serologic abo (86900) | $79.89 | $159.77 | 26.7× |
| Bordetella antibody (86615) | $140 | $280 | 10.6× |
| C diff amplified probe (87493) | $107 | $214 | 2.9× |
| C-Peptide (84681) | $108.07 | $216.14 | 5.2× |
| C-reactive protein (86140) | $36.57 | $73.13 | 7.1× |
| Ca 19-9 (86301) | $106.50 | $213 | 5.1× |
| Cadmium (82300) | $52 | $104 | 2.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$38.50–$46.63 | $77–$93.25 | varies |
| Calcium total (82310) | $27 | $54 | 5.2× |
| Calculus assay quant (82360) | $53.50 | $107 | 4.2× |
| Calprotectin Fecal (83993) | $39.50 | $79 | 2.0× |
| Cancer Antigen 125 (86304) | $103.65 | $207.30 | 5.0× |
| Cancer Antigen 27.29 (86300) | $103.65 | $207.30 | 5.0× |
| Carbamazepine total (80156) | $62.83 | $125.66 | 4.3× |
| Carboxyhemoglobin (82375) | $57.34 | $114.67 | 4.7× |
| Carcinoembryonic antigen (82378) | $96.18 | $192.35 | 5.1× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$118.79–$123.50 | $237.58–$247 | varies |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$89.50–$129.47 | $179–$258.93 | varies |
| Ccp antibody (86200) | $77 | $154 | 5.9× |
| Cell count csf (89051) | $27.50 | $55 | 4.9× |
| Cell enumeration & id (86152) | $672.50 | $1,345 | 2.7× |
| Ceruloplasmin (82390) | — | $73.25 | — |
| Chemiluminescent assay (82397) | $51 | $102 | 3.6× |
| Chloride Serum (82435) | $20 | $40 | 4.3× |
| Chloride urine (82436) | $15 | $30 | 2.6× |
| Cholesterol total (82465) | $27 | $54 | 6.2× |
| Chorionic gonadotropin test (84702) | $72.05 | $144.10 | 4.8× |
| Chromium serum (82495) | $47.50 | $95 | 2.3× |
| Chromogranin a (86316) | $35 | $70 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $57.50 | $115 | 1.6× |
| Citric acid urine (82507) | $62.50 | $125 | 2.2× |
| Ckmb (82553) | $67.50 | $135 | 5.8× |
| Clostridium Difficile (87324) range across 5 matching MRF lines |
$72.50 | $56–$145 | 6.1× |
| Cold agglutinin titer (86157) | $50 | $100 | 6.2× |
| Compatibility test antiglob (86922) | — | $370.20 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$44–$74.93 | $88–$149.86 | varies |
| Complement Total (Ch50) (86162) | $65 | $130 | 3.2× |
| Coombs direct (86880) | $59.70 | $119.40 | 11.1× |
| Copper urine (82525) | $36 | $72 | 2.9× |
| Cortisol free (82530) | $39.33 | $78.65 | 2.4× |
| Cortisol saliva (82533) | $78.73 | $157.45 | 4.8× |
| Creatine (82540) | $27.30 | $54.59 | 5.9× |
| Creatine kinase total (82550) | — | $97 | — |
| Creatinine blood (82565) | $27.50 | $55 | 5.4× |
| Creatinine clearance (82575) | — | $92 | — |
| Creatinine Urine (82570) | $27.50 | $55 | 5.3× |
| Crossmatch immediate spin (86920) | $139.20 | $278.40 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$48 | $95.03–$96 | 3.7× |
| Cryoglobulin (82595) | — | $43.26 | — |
| Cryptococcus ag titer (87899) | $27 | $54 | 1.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $94.92 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $227.50 | $455 | 29.5× |
| Culture afb (87116) | $73 | $146 | 6.8× |
| Culture Anaerobic (87075) | $73.65 | $147.29 | 7.8× |
| Culture blood (87040) | $47 | $94 | 4.6× |
| Culture csf (87070) | $42.50 | $85 | 4.9× |
| Culture screen only (87081) | $39.50 | $79 | 6.0× |
| Culture stool (87045) | $83.43 | $166.86 | 8.8× |
| Culture urine (87086) | $48 | $96 | 5.9× |
| Cyclosporine (80158) | $51.50 | $103 | 2.9× |
| Cytopath Cell Enhance Tech (88112) | $155 | $310 | 3.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $21.88 | $43.75 | 0.8× |
| Cytp Concentration Smears & Interpretation (88108) | $116 | $232 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $206 | $412 | 4.1× |
| Deoxyribonuclease antibody (86215) | — | $127 | — |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$52.50–$158 | $105–$316 | varies |
| Detect Agent Nos Dna Quant (87799) | $97 | $194 | 2.3× |
| Dhea-S (82627) | $50 | $100 | 2.2× |
| Digoxin (80162) | $66.44 | $132.87 | 5.0× |
| Diphtheria antitoxoid (86648) | $115 | $230 | 7.6× |
| Dna Antibody Native/Double Stranded (86225) | $78.59 | $157.17 | 5.7× |
| Drug assay acetaminophen (80143) | $65 | $130 | 3.5× |
| Drug assay felbamate (80167) | $33 | $66 | 1.8× |
| Drug Screen Quantitative Gabapentin (80171) | $86.50 | $173 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $86 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $86.50 | $173 | 6.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $73.50 | $147 | 5.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $120 | $240 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $72.10 | $144.20 | 5.7× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$22.50 | $45–$667.44 | 2.2× |
| Electrolyte panel (80051) | $54.50 | $109 | 7.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $39 | $78 | 3.2× |
| Enterovirus Antibody (86658) | — | $495.20 | — |
| Enterovirus PCR (87498) | $79 | $158 | 2.3× |
| Enzyme cell activity (82657) | $33 | $66 | 1.5× |
| Eosinophil Smear (89190) | — | $37.08 | — |
| Erythropoietin (82668) | — | $139.05 | — |
| Estradiol serum (82670) | $94.50 | $189 | 3.4× |
| Estrogen total (82672) | $91.16 | $182.31 | 4.2× |
| Exam Synovial Fluid Crystals (89060) | $21 | $42 | 2.9× |
| F2 Gene (81240) | $105 | $210 | 1.6× |
| Factor v leiden mutation (81241) | $137.50 | $275 | 1.9× |
| Factor viii assay (85240) | — | $121 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $44.50 | $89 | 2.6× |
| Ferritin (82728) | $46.50 | $93 | 3.4× |
| Fibrin Degradation Quant (85379) | $99 | $198 | 9.7× |
| Fibrinogen antigen (85385) | $27.50 | $55 | 1.9× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$70.50–$141 | $37–$282 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$99–$148.50 | $198–$495 | varies |
| Folic acid rbc (82747) | $30 | $60 | 1.7× |
| Folic Acid Serum (82746) | $67.98 | $135.96 | 4.6× |
| Follicle Stimulating Hormone (83001) | $65.92 | $131.84 | 3.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $73.50 | — |
| Fungi Identification Yeast (87106) | $29 | $58 | 2.8× |
| Gammaglobulin ige (82785) | $47 | $94 | 2.9× |
| Gases blood ph only (82800) | $29.50 | $59 | 2.7× |
| Gastric Analy W/Ph Ea Spec (82930) | — | $64.89 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
— | $1,089–$1,697 | — |
| Gentamicin (80170) | $54.08 | $108.15 | 3.3× |
| Ggt (82977) | $27 | $54 | 3.8× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$67.98–$68 | $135.96–$136 | varies |
| Glucose Blood Test (82962) | $12.88 | $25.75 | 3.9× |
| Glucose body fluid (82945) | $35.54 | $71.07 | 9.0× |
| Glucose Serum (82947) | $29 | $58 | 7.4× |
| Glucose tolerance test (gtt) (82951) | $63 | $126 | 4.9× |
| Glycated Protein (82985) | — | $68 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $128.75 | — |
| Gtt-added samples (82952) | $21 | $42 | 5.4× |
| Haptoglobin (83010) | $41 | $82 | 3.3× |
| Hdl Cholesterol (83718) | — | $63.86 | — |
| Helicobacter Pylori Stool (87338) | — | $56 | — |
| Hematocrit (85014) | $18.03 | $36.05 | 7.6× |
| Hemoglobin (85018) | $18.03 | $36.05 | 7.6× |
| Hemoglobin a1c (83036) | $40.17 | $80.34 | 4.1× |
| Hep a ab igm (86709) | $58.71 | $117.42 | 5.2× |
| Hepatitis a antibody total (86708) | $20 | $40 | 1.6× |
| Hepatitis b core ab igm (86705) | $26 | $52 | 2.2× |
| Hepatitis b core ab total (86704) | $58.71 | $117.42 | 4.9× |
| Hepatitis B Surface Antibody (86706) | $54 | $108 | 5.0× |
| Hepatitis B Surface Antigen (87340) | $46.50 | $93 | 4.5× |
| Hepatitis Be Antibody (86707) | — | $137.90 | — |
| Hepatitis Be Antigen (87350) | $40.50 | $81 | 3.5× |
| Hepatitis C Antibody (86803) | $134 | $268 | 9.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $57.50 | $115 | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $277.59 | $555.17 | 6.5× |
| Heterophile antibodies titer (86309) | $32.96 | $65.92 | 5.1× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$20–$32.96 | $40–$65.92 | varies |
| Histamine urine (83088) | $102.23 | $204.45 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $41 | $82 | 1.7× |
| Hiv-1 Antibody (86701) | $58.20 | $116.39 | 6.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $727 | — |
| HIV-2 probe&revrse trnscripj (87538) | $109.70 | $219.39 | 3.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $209.50 | $419 | 2.8× |
| Homocysteine (83090) | $103.50 | $207 | 5.8× |
| Hsv Dna Amp Probe (87529) | $132 | $264 | 3.8× |
| Hydroxyprogesterone 17-d (83498) | $98.02 | $196.03 | 3.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $50 | $100 | 1.4× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $43.04 | $86.08 | 3.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $129.10 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $52.50 | $105 | 1.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $65 | $130 | 2.9× |
| Iadna Cytomegalovirus Quantification (87497) | $227.50 | $455 | 5.3× |
| Iadna Hepatitis B Virus Quantification (87517) | — | $1,049 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $998 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $52.50 | $105 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $57.50 | $115 | 1.6× |
| Ig Light Chains Free Each (83521) | $60 | $120 | 3.5× |
| Immunfix e-phorsis/urine/csf (86335) | $66 | $132 | 2.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $31.50 | $63 | 1.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$25 | $50–$880 | 1.7× |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$27–$285.50 | $54–$571 | varies |
| Immunodiffusion Ouchterlony (86331) | $21 | $42 | 1.8× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$33–$50.50 | $66–$101 | varies |
| Immunohistochemistry (88342) | — | $568 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | — | $68.86 | — |
| Influenza assay w/optic (87804) | $34.50 | $69 | 2.1× |
| Inhibin b (83520) range across 4 matching MRF lines |
$29–$58 | $58–$116 | varies |
| Insulin antibodies (86337) | $36 | $72 | 1.7× |
| Insulin total (83525) | — | $105.06 | — |
| Iron (83540) | — | $41.20 | — |
| Iron Binding Capacity (83550) | $54 | $108 | 6.2× |
| Irradiation Blood Product Each Unit (86945) | $79.50 | $159 | 2.2× |
| Islet cell antibody (86341) | $41 | $82 | 1.7× |
| Lactate (ld) (ldh) enzyme (83615) | $29 | $58 | 4.8× |
| LDL direct (83721) | — | $43 | — |
| Lead (83655) | $38.50 | $77 | 3.2× |
| Legionella antigen urine (87449) | $21 | $42 | 1.8× |
| Leukocyte Assessment Fecal (89055) | — | $60.77 | — |
| Lipase (83690) | $41 | $82 | 6.0× |
| Lithium (80178) | $36.57 | $73.13 | 5.5× |
| Luteinizing Hormone (Lh) (83002) | $67.98 | $135.96 | 3.7× |
| Lyme disease antibody (86618) | $75 | $150 | 4.4× |
| Magnesium Urine (83735) | $37.50 | $75 | 5.6× |
| Mercury urine (83825) | $36.50 | $73 | 2.2× |
| Methylmalonic acid serum (83921) | $125 | $250 | 5.9× |
| Microalbumin, quantitative (82043) | $75.71 | $151.41 | 13.1× |
| Microsomal Antibodies Each (86376) | $59.50 | $119 | 4.1× |
| Mitochondrial Antibody Each (86381) | $42.50 | $85 | 1.7× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | — | $699 | — |
| Mopath procedure level 4 (81403) | $199.50 | $399 | 1.1× |
| Mopath procedure level 5 (81404) | $200 | $400 | 0.7× |
| Mopath procedure level 7 (81406) | $199.50 | $399 | 0.7× |
| Mopath procedure level 9 (81408) | $249.50 | $499 | 0.1× |
| Mrsa Pcr (87641) | $75 | $150 | 2.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $199.50 | $399 | 0.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $249.50 | $499 | 0.4× |
| Mthfr Gene Analysis Common Variants (81291) | $149 | $298 | 2.3× |
| Mycoplasma antibody (86738) | $121 | $242 | 9.1× |
| Mycoplasma culture (87109) | $52.48 | $104.95 | 3.4× |
| Myoglobin urine (83874) | $67.47 | $134.93 | 5.2× |
| Natriuretic peptide (83880) | $148 | $296 | 3.8× |
| Neisseria Dir Na Probe (87590) | $74.68 | $149.35 | 2.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $112.50 | $225 | 1.6× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$40.50–$154.50 | $81–$567 | varies |
| Occult Blood Other Sources (82271) | — | $45.32 | — |
| Osmolality serum (83930) | $29.50 | $59 | 4.5× |
| Osmolality Urine (83935) | $29.50 | $59 | 4.3× |
| Ova and parasites smears (87177) | $53.50 | $107 | 6.0× |
| Oxalate urine (83945) | $44 | $88 | 3.0× |
| Pancreatic Elastase Fecal (82656) | $27.50 | $55 | 2.4× |
| Particle Agglutination Screen Each Antibody (86403) | $35 | $70 | 3.0× |
| Ph urine (81003) | $25.75 | $51.50 | 11.4× |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$23–$62.83 | $46–$125.66 | varies |
| Phenylalanine (84030) | — | $31 | — |
| Phenytoin (Dilantin) (80185) | — | $136.99 | — |
| Phosphatase alkaline (84075) | $22.50 | $45 | 4.3× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $60 | 1.7× |
| Phosphorus Serum (84100) | $27 | $54 | 5.7× |
| Phosphorus urine (84105) | — | $48 | — |
| Platelet count automated (85049) | $18.03 | $36.05 | 4.0× |
| Pms2 gene full seq analysis (81317) | — | $899 | — |
| Porphyrins Feces Quantitative (84126) | — | $74.69 | — |
| Potassium Urine (84133) | $25 | $50 | 5.3× |
| Prealbumin (84134) | $56.65 | $113.30 | 3.9× |
| Pregnenolone (84140) | $36 | $72 | 1.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $679.20 | — |
| Procalcitonin (Pct) (84145) | $134.42 | $268.83 | 4.9× |
| Progesterone (84144) | — | $140 | — |
| Prolactin (84146) | $78.50 | $157 | 4.1× |
| Protein body fluid (84157) | $25 | $50 | 6.3× |
| Protein C Activity (85303) range across 3 matching MRF lines |
$91.85–$92 | $183.70–$184 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
— | $43–$352.50 | — |
| Protein Electrophoresis Urine (84166) | $40 | $80 | 2.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$40.50–$73.65 | $81–$147.29 | varies |
| Protein S Free (85306) | $92 | $184 | 6.0× |
| Protein total serum (84155) | $27 | $54 | 7.4× |
| Protein Total Urine (84156) | $40 | $80 | 10.9× |
| PSA free (84154) | — | $366 | — |
| Pten Gene Analysis Full Sequence Analysis (81321) | $165 | $330 | 0.3× |
| Pth Intact (83970) | $104 | $208 | 2.5× |
| Quantiferon tb gold plus (86480) | $139.50 | $279 | 2.3× |
| Quantitative assay drug (80299) | $33 | $66 | 1.8× |
| Rbc antibody elution (86860) | $211 | $422 | 1.3× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$130.05 | $260.10–$1,545.30 | 0.4× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
— | $395–$688.50 | — |
| Rbc serum pretx incubj drugs (86975) | $205 | $410 | 0.5× |
| Renin activity plasma (84244) | $70.50 | $141 | 3.2× |
| Resp virus 12-25 targets (87633) | — | $1,250 | — |
| Rh (86901) | $43.58 | $87.15 | 14.6× |
| Rheumatoid factor quant (86431) | — | $55.62 | — |
| Rickettsia antibody (86757) | $71.07 | $142.14 | 3.7× |
| Ristocetin cofactor (85245) | $36.50 | $73 | 1.6× |
| Rotavirus ag eia (87425) | — | $124.63 | — |
| Rpr qualitative (86592) | $38.63 | $77.25 | 9.0× |
| Rsv Assay W/Optic (87807) | $63.35 | $126.69 | 4.8× |
| Rubella Antibody (86762) | $35.50 | $71 | 2.5× |
| Russell Viper Venom Time Diluted (85613) | $23 | $46 | 2.4× |
| Salicylate Level (80179) range across 2 matching MRF lines |
$65 | $57–$130 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $102.50 | $205 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $102.50 | $205 | 2.4× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $62.50 | $125 | 1.5× |
| Sedimentation rate (85651) | — | $42.23 | — |
| Selenium (84255) | $59.50 | $119 | 2.3× |
| Semen Anal Sperm Detection (89321) | $73.98 | $147.95 | 6.1× |
| Sensitivity mic (87186) | — | $105.58 | — |
| Sex Hormone Binding Globulin (84270) | $74.25 | $148.25 | 3.4× |
| Sickling of rbc reduction (85660) | $111.75 | $223.50 | 20.3× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$23.50–$50 | $47–$100 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$25.24–$25.50 | $50.47–$51 | varies |
| Smear Special Stain (87207) | $29 | $58 | 4.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $96 | $192 | 16.5× |
| Sodium Serum (84295) | — | $41.20 | — |
| Sodium Urine (84300) | $29.50 | $59 | 5.8× |
| Somatomedin (84305) | $48 | $96 | 2.3× |
| Special Stains Group 1 (88312) | $111.50 | $223 | 2.2× |
| Special Stains Group 2 (88313) | $93 | $186 | 0.7× |
| Specimen infect agnt concntj (87015) | — | $96.82 | — |
| Spectrophotometry (84311) | — | $28.92 | — |
| Stool cultr aerobic bact ea (87046) | — | $62.83 | — |
| Strep a assay w/optic (87880) | $27 | $54 | 1.6× |
| Strep a DNA amp probe (87651) | $55 | $110 | 1.6× |
| Sulfate urine (84392) | $43.50 | $87 | 7.9× |
| Surgical pathology level IV (88305) | $101 | $202 | 2.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $98.88 | — |
| T cells total count (86359) range across 2 matching MRF lines |
$150 | $138–$300 | 4.0× |
| T3 Free (84481) | $76.50 | $153 | 4.5× |
| T3 reverse (84482) | $115.50 | $231 | 7.3× |
| T3 Total (84480) | $67.98 | $135.96 | 4.8× |
| T3 Uptake (84479) | $25.50 | $51 | 3.9× |
| T4 Free (84439) | — | $122.57 | — |
| T4 total (84436) | — | $61 | — |
| Tacrolimus (80197) | — | $387 | — |
| Test for acetone/ketones (82009) | — | $65 | — |
| Testosterone total (84403) | $93.50 | $187 | 3.6× |
| Testosterone, Free (84402) | $119.50 | $239 | 4.7× |
| Theophylline (80198) | $59.23 | $118.45 | 4.2× |
| Thrombin Time (85670) | $10 | $20 | 1.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $10 | $20 | 1.5× |
| Thyroglobulin Antibody (86800) | $87 | $174 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $82.50 | $165 | 1.6× |
| Tobramycin peak (80200) | — | $123.60 | — |
| Topiramate (80201) | $55 | $110 | 4.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $26.50 | $53 | 5.1× |
| Transferrin (84466) | $56.65 | $113.30 | 4.4× |
| Trichomonas Vaginalis Amplif (87661) | $50.50 | $101 | 1.4× |
| Triglycerides (84478) | $23.50 | $47 | 4.1× |
| Troponin Quant (84484) | $67.47 | $134.93 | 5.4× |
| Uric acid other source (84560) | $32 | $64 | 6.3× |
| Urinalysis Microscopic Only (81015) | — | $48.41 | — |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$15 | $30–$124.80 | 1.9× |
| Urine Pregnancy Test (81025) | $32.96 | $65.92 | 3.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $30.90 | $61.80 | 9.7× |
| Valproic acid (80164) | $66.44 | $132.87 | 4.9× |
| Vancomycin (80202) | $67.98 | $135.96 | 5.0× |
| Varicella-zoster antibody (86787) | $55.11 | $110.21 | 4.3× |
| Vasopressin (84588) | $100 | $200 | 2.9× |
| Vit D 1 25-Dihydroxy (82652) | $147.96 | $295.92 | 3.8× |
| Vitamin A (84590) | $27 | $54 | 2.3× |
| Vitamin b-12 (82607) | $67 | $134 | 4.4× |
| Vitamin B2 (Riboflavin) (84252) | $42 | $84 | 2.1× |
| Vitamin B6 (84207) | $104.50 | $209 | 3.7× |
| Vitamin D 25-Hydroxy (82306) | $119.48 | $238.96 | 4.0× |
| Vitamin E (84446) | $35 | $70 | 2.5× |
| Vitamin K (84597) | — | $388 | — |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $30 | $60 | 2.5× |
| Von willebrand factor ag (85246) | $35 | $70 | 1.5× |
| West Nile Virus Antibody (86789) | $102.50 | $205 | 7.1× |
| Zika Virus Igm Antibody (86794) | $31 | $62 | 1.8× |
| Zinc (84630) | $25.50 | $51 | 2.2× |
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.