Lab & pathology prices at Ridgeview Sibley Medical Center
Arlington, MN · every code in this section with a posted price and a Medicare benchmark.
411 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $115.05 | $177 | 3.0× |
| Actin smooth muscle antibody each (86015) | $14.95 | $23 | 1.2× |
| Albumin serum (82040) | $37.05 | $57 | 7.5× |
| Aldolase (82085) | $21.45 | $33 | 2.2× |
| Aldosterone urine (82088) | $107.90 | $166 | 2.6× |
| Alkaline phosphatase isoenzymes (84080) | $73.45 | $113 | 5.0× |
| Allergen specific ige (86003) | $26 | $40 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $104 | $160 | 7.2× |
| Alpha-1-antitrypsin total (82103) | $51.35 | $79 | 3.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$16.90–$35.75 | $26–$55 | varies |
| Alt (sgpt) (84460) | $40.95 | $63 | 7.7× |
| Ammonia (82140) | $107.25 | $165 | 7.4× |
| Amylase urine (82150) | $60.45 | $93 | 9.3× |
| Ana Titer (86039) | $26 | $40 | 2.3× |
| Androstenedione (82157) | $60.45 | $93 | 2.1× |
| Angiotensin converting enzyme csf (82164) | $137.15 | $211 | 9.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$82.55–$84.50 | $127–$130 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $43.55 | $67 | 3.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $45.50 | $70 | 3.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $52 | $80 | 2.9× |
| Antibody haemophilus influenza (86684) | $56.55 | $87 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) | $38.35 | $59 | 2.9× |
| Antibody Protozoa Nes (86753) | $147.55 | $227 | 11.9× |
| Antibody Treponema Pallidum (86780) | $104 | $160 | 7.9× |
| Antinuclear antibodies (86038) | $79.95 | $123 | 6.6× |
| Antistreptolysin o titer (86060) | $64.35 | $99 | 8.8× |
| Antithrombin iii activity (85300) | $84.50 | $130 | 7.1× |
| Apolipoprotein a1 (82172) | $39.65 | $61 | 1.9× |
| Aspergillus ag eia (87305) | $70.85 | $109 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $78 | $120 | 16.0× |
| Assay of 5-hiaa (83497) | $55.25 | $85 | 4.3× |
| Assay of anti-mullerian hormone (82166) | $107.25 | $165 | 2.8× |
| Assay of blood/uric acid (84550) | $47.45 | $73 | 10.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$24.70–$41.60 | $38–$64 | varies |
| Assay of estrone (82679) | $29.90 | $46 | 1.2× |
| Assay of g6pd enzyme (82955) | $36.40 | $56 | 3.8× |
| Assay of gammaglobulin igm (82784) | $56.55 | $87 | 6.1× |
| Assay of lactic acid (83605) | $98.15 | $151 | 8.5× |
| Assay of metanephrines (83835) | $128.70 | $198 | 7.6× |
| Assay of serotonin (84260) | $63.70 | $98 | 2.1× |
| Assay of serum potassium (84132) | $54.60 | $84 | 11.5× |
| Assay of Tyrosine (84510) | $174.20 | $268 | 16.4× |
| Assay of urea nitrogen (84520) | $51.35 | $79 | 13.0× |
| Assay of vitamin b-1 (84425) | $85.15 | $131 | 4.0× |
| Assay Ph Body Fluid Nos (83986) | $24.70 | $38 | 6.9× |
| Assay spec xcp ur&breath ia (82077) | $113.10 | $174 | 6.5× |
| Asy carbamazepin 10,11-epxid (80161) | $19.50 | $30 | 1.0× |
| Automated Leukocyte Count (85048) | $50.05 | $77 | 19.7× |
| Babesia microti amp prb (87469) | $111.80 | $172 | 3.2× |
| Bcr/abl1 gene major bp (81206) | $135.85 | $209 | 0.8× |
| Bcr/abl1 gene minor bp (81207) | $135.85 | $209 | 0.9× |
| Bcr/Abl1 Gene Other Bp (81208) | $135.85 | $209 | 0.6× |
| Beta 2 glycoprotein i antibody each (86146) | $188.50 | $290 | 7.4× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$13.65–$35.10 | $21–$54 | varies |
| Beta-2 Microglobulin (82232) | $63.05 | $97 | 3.9× |
| Bile acids total (82239) | $50.05 | $77 | 2.9× |
| Bilirubin direct (82248) | $40.95 | $63 | 8.2× |
| Bilirubin total (82247) | $51.35 | $79 | 10.2× |
| Blastomyces antibody (86612) | $59.80 | $92 | 4.6× |
| Blood Count Automated Differential Wbc Count (85004) | $52.65 | $81 | 8.1× |
| Blood count reticulocyte automated (85045) | $49.40 | $76 | 12.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $44.20 | $68 | 11.6× |
| Blood gas (82803) | $146.25 | $225 | 5.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $38.35 | $59 | 2.4× |
| Blood typing serologic abo (86900) | $117 | $180 | 39.1× |
| Bordetella antibody (86615) | $141.70 | $218 | 10.7× |
| Borrelia miyamotoi amp prb (87478) | $111.80 | $172 | 3.2× |
| C diff amplified probe (87493) | $70.85 | $109 | 1.9× |
| C-Peptide (84681) | $65.65 | $101 | 3.2× |
| C-reactive protein (86140) | $55.90 | $86 | 10.8× |
| Ca 19-9 (86301) | $59.80 | $92 | 2.9× |
| Calcitonin (82308) | $50.70 | $78 | 1.9× |
| Calcium ionized (82330) | $79.95 | $123 | 5.8× |
| Calcium total (82310) | $41.60 | $64 | 8.1× |
| Calculus Spectroscopy (82365) | $19.50 | $30 | 1.5× |
| Calprotectin Fecal (83993) | $189.80 | $292 | 9.7× |
| Calr gene com variants (81219) | $767 | $1,180 | 6.3× |
| Cancer Antigen 125 (86304) | $123.50 | $190 | 5.9× |
| Cancer Antigen 27.29 (86300) | $104 | $160 | 5.0× |
| Carbamazepine free (80157) | $70.85 | $109 | 5.3× |
| Carbamazepine total (80156) | $85.80 | $132 | 5.9× |
| Carboxyhemoglobin (82375) | $46.80 | $72 | 3.8× |
| Carcinoembryonic antigen (82378) | $89.70 | $138 | 4.7× |
| Cardiolipin ab iga (86147) | $51.35 | $79 | 2.0× |
| Catecholamines fractionated (82384) | $70.85 | $109 | 2.8× |
| Ccp antibody (86200) | $80.60 | $124 | 6.2× |
| Cell count csf (89051) | $75.40 | $116 | 13.5× |
| Ceruloplasmin (82390) | $46.80 | $72 | 4.4× |
| Chemiluminescent assay (82397) | $31.85 | $49 | 2.3× |
| Chloride Serum (82435) | $33.80 | $52 | 7.3× |
| Chloride urine (82436) | $42.90 | $66 | 7.5× |
| Cholesterol total (82465) | $14.30 | $22 | 3.3× |
| Chorionic gonadotropin test (84702) | $37.05 | $57 | 2.5× |
| Chromogenic Substrate Assay (85130) | $299 | $460 | 25.1× |
| Chromogranin a (86316) | $117 | $180 | 5.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $108.55 | $167 | 3.1× |
| Citric acid urine (82507) | $38.35 | $59 | 1.4× |
| Clot Factor VIII Multimetric (85247) | $74.75 | $115 | 3.3× |
| Cns DNA amp probe type 12-25 (87483) | $401.05 | $617 | 1.0× |
| Coccidioides antibody (86635) | $20.80 | $32 | 1.8× |
| Collagen crosslinks (82523) | $43.55 | $67 | 2.3× |
| Column Chromotography Quant (82542) | $116.35 | $179 | 4.8× |
| Complement Antigen Each Component (86160) | $55.25 | $85 | 4.6× |
| Complement Total (Ch50) (86162) | $23.40 | $36 | 1.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $185.90 | $286 | 3.4× |
| Coombs direct (86880) | $48.75 | $75 | 9.0× |
| Copper urine (82525) | $78 | $120 | 6.3× |
| Cortisol free (82530) | $125.45 | $193 | 7.5× |
| Cortisol saliva (82533) | $126.10 | $194 | 7.7× |
| Creatine (82540) | $74.10 | $114 | 16.0× |
| Creatine kinase total (82550) | $65.65 | $101 | 10.1× |
| Creatinine blood (82565) | $45.50 | $70 | 8.9× |
| Creatinine Urine (82570) | $39 | $60 | 7.5× |
| Crossmatch immediate spin (86920) | $75.40 | $116 | 0.4× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$13–$74.75 | $20–$115 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$31.20–$33.15 | $48–$51 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$40.30–$41.60 | $62–$64 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $85.80 | $132 | 10.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $48.75 | $75 | 6.3× |
| Culture afb (87116) | $59.80 | $92 | 5.5× |
| Culture Anaerobic (87075) | $109.20 | $168 | 11.5× |
| Culture blood (87040) | $124.80 | $192 | 12.1× |
| Culture csf (87070) | $56.55 | $87 | 6.6× |
| Culture fungus (87102) | $42.90 | $66 | 5.1× |
| Culture fungus blood (87103) | $56.55 | $87 | 2.8× |
| Culture screen only (87081) | $20.80 | $32 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $55.90 | $86 | 10.8× |
| Culture urine (87086) | $46.80 | $72 | 5.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $86.45 | $133 | 6.0× |
| Cyclosporine (80158) | $41.60 | $64 | 2.3× |
| Cystatin C (82610) | $49.40 | $76 | 2.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $46.80 | $72 | 2.3× |
| Cytopath Cell Enhance Tech (88112) | $96.20 | $148 | 1.8× |
| Deoxyribonuclease antibody (86215) | $37.05 | $57 | 2.8× |
| Detect Agent Nos Dna Amp (87798) | $79.95 | $123 | 2.3× |
| Detect Agent Nos Dna Quant (87799) | $195.65 | $301 | 4.6× |
| Dgp Antibody Each Ig Class (86258) | $29.90 | $46 | 2.5× |
| Dhea (82626) | $47.45 | $73 | 1.9× |
| Dhea-S (82627) | $39.65 | $61 | 1.8× |
| Digoxin (80162) | $95.55 | $147 | 7.2× |
| Dihydrotestosterone (82642) | $43.55 | $67 | 1.5× |
| Dipropylacetic Acid Free (80165) | $87.10 | $134 | 6.4× |
| Dna Antibody Native/Double Stranded (86225) | $115.05 | $177 | 8.4× |
| Drug assay adalimumab (80145) | $316.55 | $487 | 8.2× |
| Drug Assay Amiodarone (80151) | $24.05 | $37 | 1.3× |
| Drug assay felbamate (80167) | $19.50 | $30 | 1.0× |
| Drug Assay Infliximab (80230) | $268.45 | $413 | 7.0× |
| Drug Assay Itraconazole (80189) | $50.70 | $78 | 1.9× |
| Drug Assay Lacosamide (80235) | $29.25 | $45 | 1.1× |
| Drug assay voriconazole (80285) | $62.40 | $96 | 2.3× |
| Drug Screen Quant Clozapine (80159) | $29.25 | $45 | 1.5× |
| Drug Screen Quant Zonisamide (80203) | $53.95 | $83 | 4.1× |
| Drug Screen Quantitative Gabapentin (80171) | $27.95 | $43 | 1.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $33.80 | $52 | 2.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $112.45 | $173 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $27.30 | $42 | 2.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$92.30–$150.80 | $142–$232 | varies |
| Drug Test Prsmv Instrmnt (80306) | $74.10 | $114 | 4.3× |
| Ehrlichia antibody (86666) | $130 | $200 | 12.8× |
| El-1 Fecal Quantitative (82653) | $274.30 | $422 | 11.9× |
| Electrolyte panel (80051) | $119.60 | $184 | 17.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $58.50 | $90 | 4.8× |
| Enterovirus PCR (87498) | $74.75 | $115 | 2.1× |
| Erythropoietin (82668) | $66.95 | $103 | 3.6× |
| Estradiol serum (82670) | $81.25 | $125 | 2.9× |
| Estriol (82677) | $22.75 | $35 | 0.9× |
| Estrogens fractionated (82671) | $33.80 | $52 | 1.0× |
| Exam Synovial Fluid Crystals (89060) | $90.35 | $139 | 12.3× |
| F2 Gene (81240) | $83.20 | $128 | 1.3× |
| Factor ii activity (85210) | $167.05 | $257 | 12.9× |
| Factor v leiden mutation (81241) | $65.65 | $101 | 0.9× |
| Factor vii assay (85230) | $143 | $220 | 8.0× |
| Factor viii assay (85240) | $176.80 | $272 | 9.9× |
| Factor X (85260) | $170.30 | $262 | 9.5× |
| Fat/Lipids Feces Quantitative (82710) | $77.35 | $119 | 4.6× |
| Ferritin (82728) | $90.35 | $139 | 6.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $66.95 | $103 | 0.4× |
| Fibrin Degradation Quant (85379) | $98.15 | $151 | 9.6× |
| Fibrinogen activity (85384) | $66.30 | $102 | 6.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $54.60 | $84 | 3.5× |
| Fluorescent antibody screen (86255) | $41.60 | $64 | 3.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$103.35–$105.95 | $159–$163 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$53.95–$101.40 | $83–$156 | varies |
| Francisella tularensis (86668) | $79.30 | $122 | 5.6× |
| Fungi Identification Mold (87107) | $57.20 | $88 | 5.5× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$79.30–$82.55 | $122–$127 | varies |
| Gammaglobulin ige (82785) | $48.75 | $75 | 3.0× |
| Gases blood ph only (82800) | $91 | $140 | 8.3× |
| Gastrin (82941) | $167.70 | $258 | 9.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $580.45 | $893 | 1.4× |
| Gentamicin (80170) | $82.55 | $127 | 5.0× |
| Ggt (82977) | $38.35 | $59 | 5.3× |
| Giardia antigen (87329) | $33.15 | $51 | 2.8× |
| Glucose Blood Test (82962) | $26 | $40 | 7.9× |
| Glucose body fluid (82945) | $30.55 | $47 | 7.8× |
| Glucose Serum (82947) | $41.60 | $64 | 10.6× |
| Glycated Protein (82985) | $26 | $40 | 1.6× |
| Gonadotropin Chorionic Qualitative (84703) | $72.15 | $111 | 9.6× |
| H Pylori (C-13) Breath (83013) | $63.70 | $98 | 0.9× |
| H pylri clrthmcn rst amp prb (87513) | $73.45 | $113 | 2.1× |
| Haptoglobin (83010) | $75.40 | $116 | 6.0× |
| Hdl Cholesterol (83718) | $44.85 | $69 | 5.5× |
| Hematocrit (85014) | $30.55 | $47 | 12.9× |
| Hemoglobin (85018) | $33.15 | $51 | 14.0× |
| Hemoglobin a1c (83036) | $63.05 | $97 | 6.5× |
| Hep a ab igm (86709) | $39.65 | $61 | 3.5× |
| Heparin assay (85520) | $107.25 | $165 | 8.2× |
| Hepatitis a antibody total (86708) | $46.80 | $72 | 3.8× |
| Hepatitis b core ab igm (86705) | $52.65 | $81 | 4.5× |
| Hepatitis b core ab total (86704) | $46.80 | $72 | 3.9× |
| Hepatitis B Surface Antibody (86706) | $48.75 | $75 | 4.5× |
| Hepatitis B Surface Antigen (87340) | $63.05 | $97 | 6.1× |
| Hepatitis Be Antibody (86707) | $18.20 | $28 | 1.6× |
| Hepatitis C Antibody (86803) | $74.10 | $114 | 5.2× |
| Hepatitis C Genotype (87902) | $419.90 | $646 | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $156 | $240 | 3.6× |
| Herpes simplex type 2 (86696) | $36.40 | $56 | 1.9× |
| Heterophile Antibody Screen (86308) | $53.95 | $83 | 10.4× |
| Hfe Gene (81256) | $276.90 | $426 | 4.2× |
| Histamine urine (83088) | $137.80 | $212 | 4.7× |
| Histoplasma antibody (86698) | $33.15 | $51 | 2.4× |
| Histoplasma antigen urine (87385) | $83.85 | $129 | 6.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $158.60 | $244 | 6.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $91 | $140 | 1.1× |
| HIV-2 probe&revrse trnscripj (87538) | $215.15 | $331 | 6.1× |
| Hla ii typing 1 locus lr (81376) | $146.25 | $225 | 1.2× |
| Hla-b27 (86812) | $157.95 | $243 | 6.1× |
| Homocysteine (83090) | $27.30 | $42 | 1.5× |
| Hpv High-Risk Types (87624) | $106.60 | $164 | 3.0× |
| Hsv Dna Amp Probe (87529) | $131.30 | $202 | 3.7× |
| Hydroxyprogesterone 17-d (83498) | $232.05 | $357 | 8.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $33.15 | $51 | 2.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $111.80 | $172 | 3.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $78 | $120 | 2.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $68.90 | $106 | 2.0× |
| Iadna Cytomegalovirus Quantification (87497) | $100.10 | $154 | 2.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $150.80 | $232 | 2.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $111.80 | $172 | 3.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $148.20 | $228 | 3.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $215.15 | $331 | 6.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $281.45 | $433 | 6.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $108.55 | $167 | 3.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $261.30 | $402 | 1.8× |
| Ig Light Chains Free Each (83521) | $72.15 | $111 | 4.2× |
| Igg subclasses (82787) | $61.10 | $94 | 7.6× |
| Immunfix e-phorsis/urine/csf (86335) | $163.80 | $252 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $105.95 | $163 | 5.8× |
| Immunoassay nonantibody (83516) | $69.55 | $107 | 6.0× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$73.45–$174.85 | $113–$269 | varies |
| Influenza DNA amp probe (87502) | $130 | $200 | 1.4× |
| Inhibin b (83520) | $39.65 | $61 | 2.3× |
| Insulin antibodies (86337) | $40.95 | $63 | 1.9× |
| Insulin total (83525) | $26.65 | $41 | 2.3× |
| Intrinsic factor antibody (86340) | $52 | $80 | 3.4× |
| Iron (83540) | $61.10 | $94 | 9.4× |
| Iron Binding Capacity (83550) | $50.05 | $77 | 5.7× |
| Islet cell antibody (86341) | $108.55 | $167 | 4.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $404.30 | $622 | 4.4× |
| Koh Prep (87220) | $44.85 | $69 | 10.5× |
| Lactate (ld) (ldh) enzyme (83615) | $55.90 | $86 | 9.3× |
| Lactoferrin fecal qualitative (83630) | $105.30 | $162 | 5.3× |
| LDL direct (83721) | $38.35 | $59 | 3.7× |
| Lead (83655) | $40.30 | $62 | 3.3× |
| Legionella antigen urine (87449) | $137.80 | $212 | 11.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $56.55 | $87 | 1.9× |
| Lipase (83690) | $60.45 | $93 | 8.8× |
| Lipoprotein A (83695) | $18.85 | $29 | 1.3× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $176.15 | $271 | 15.6× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $59.80 | $92 | 1.8× |
| Lithium (80178) | $68.90 | $106 | 10.4× |
| Luteinizing Hormone (Lh) (83002) | $107.90 | $166 | 5.8× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$87.75–$90.35 | $135–$139 | varies |
| Magnesium Urine (83735) | $62.40 | $96 | 9.3× |
| Mass Spectrometry Quant (83789) | $24.70 | $38 | 1.0× |
| Metabolic panel ionized ca (80047) | $30.55 | $47 | 2.2× |
| Methylmalonic acid serum (83921) | $93.60 | $144 | 4.4× |
| Microalbumin, quantitative (82043) | $29.25 | $45 | 5.1× |
| Microsomal Antibodies Each (86376) | $59.80 | $92 | 4.1× |
| Mitochondrial Antibody Each (86381) | $27.30 | $42 | 1.1× |
| Mopath procedure level 1 (81400) | $294.45 | $453 | 4.6× |
| Mrsa Pcr (87641) | $79.30 | $122 | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $107.90 | $166 | 1.7× |
| Mumps antibody (86735) | $37.70 | $58 | 2.9× |
| Mycophenolic Acid (80180) | $33.80 | $52 | 1.9× |
| Natriuretic peptide (83880) | $110.50 | $170 | 2.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $144.95 | $223 | 0.6× |
| Nuclear antigen antibody (86235) | $21.45 | $33 | 1.2× |
| Occult Blood Other Sources (82271) | $39 | $60 | 7.3× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$18.20–$38.35 | $28–$59 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$23.40–$57.85 | $36–$89 | varies |
| Ova and parasites smears (87177) | $29.25 | $45 | 3.3× |
| Oxalate urine (83945) | $50.70 | $78 | 3.5× |
| Parvovirus antibody (86747) | $24.70 | $38 | 1.6× |
| Ph urine (81003) | $35.75 | $55 | 15.9× |
| Phenobarbital Level (80184) | $31.85 | $49 | 2.1× |
| Phenylalanine (84030) | $174.20 | $268 | 31.7× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$55.90–$92.30 | $86–$142 | varies |
| Phenytoin free (80186) | $68.25 | $105 | 5.0× |
| Phosphatase alkaline (84075) | $32.50 | $50 | 6.3× |
| Phospholipid Neutralization Hexagonal (85598) | $139.75 | $215 | 7.8× |
| Phosphorus Serum (84100) | $55.25 | $85 | 11.7× |
| Phosphorus urine (84105) | $16.90 | $26 | 2.9× |
| Pinworm exam (87172) | $55.90 | $86 | 13.1× |
| Platelet count automated (85049) | $52 | $80 | 11.6× |
| Potassium Urine (84133) | $37.70 | $58 | 8.0× |
| Prealbumin (84134) | $69.55 | $107 | 4.8× |
| Primidone (80188) | $37.70 | $58 | 2.3× |
| Procalcitonin (Pct) (84145) | $120.25 | $185 | 4.4× |
| Progesterone (84144) | $68.90 | $106 | 3.3× |
| Prolactin (84146) | $103.35 | $159 | 5.3× |
| Protein body fluid (84157) | $47.45 | $73 | 11.9× |
| Protein C Activity (85303) | $91.65 | $141 | 6.6× |
| Protein Electrophoresis Urine (84166) | $74.75 | $115 | 4.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $92.30 | $142 | 8.6× |
| Protein S Free (85306) | $164.45 | $253 | 10.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$35.10–$36.40 | $54–$56 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$24.70–$26 | $38–$40 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $80.60 | $124 | 20.5× |
| PSA free (84154) | $65 | $100 | 3.5× |
| Pth Intact (83970) | $105.95 | $163 | 2.6× |
| Quantiferon tb gold plus (86480) | $102.70 | $158 | 1.7× |
| Rbc antibody screen (86850) | $87.75 | $135 | 9.0× |
| Renin activity plasma (84244) | $79.95 | $123 | 3.6× |
| Reticulocyte Count (85046) | $107.90 | $166 | 19.4× |
| Rh (86901) | $50.70 | $78 | 17.0× |
| Rheumatoid factor quant (86431) | $63.70 | $98 | 11.2× |
| Rpr qualitative (86592) | $49.40 | $76 | 11.6× |
| Rubella Antibody (86762) | $40.30 | $62 | 2.8× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$27.30–$161.85 | $42–$249 | varies |
| Rufinamide (80210) | $88.40 | $136 | 3.3× |
| Russell Viper Venom Time Diluted (85613) | $63.70 | $98 | 6.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $104.65 | $161 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $53.95 | $83 | 1.3× |
| Sarscov2 & inf a&b amp prb (87636) | $150.80 | $232 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $150.80 | $232 | 1.1× |
| Sedimentation Rate, Automated (85652) | $45.50 | $70 | 16.9× |
| Selenium (84255) | $33.15 | $51 | 1.3× |
| Sensitivity mic (87186) | $40.30 | $62 | 4.7× |
| Sex Hormone Binding Globulin (84270) | $137.15 | $211 | 6.3× |
| Sickling of rbc reduction (85660) | $53.30 | $82 | 9.7× |
| Sirolimus (80195) | $14.95 | $23 | 1.1× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$27–$83.20 | $27–$128 | varies |
| Smear acid fast (87206) | $53.95 | $83 | 10.0× |
| Smear complex stain (87209) | $61.10 | $94 | 3.4× |
| Smear gram stain (87205) | $40.30 | $62 | 9.4× |
| Smear Special Stain (87207) | $74.10 | $114 | 12.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $46.80 | $72 | 8.0× |
| Sodium Serum (84295) | $47.45 | $73 | 9.9× |
| Sodium Urine (84300) | $50.70 | $78 | 10.0× |
| Soluble Transferrin Receptor (84238) | $38.35 | $59 | 1.0× |
| Somatomedin (84305) | $46.15 | $71 | 2.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$55.90–$170.30 | $86–$262 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$64.35–$65 | $99–$100 | varies |
| Strep a assay w/optic (87880) | $57.85 | $89 | 3.5× |
| Strep a DNA amp probe (87651) | $57.85 | $89 | 1.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $68.90 | $106 | 0.7× |
| Sulfate urine (84392) | $14.30 | $22 | 2.6× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$24.05–$143 | $37–$220 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$32.50–$78.65 | $50–$121 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $148.85 | $229 | 31.3× |
| Syphilis Test Non-Trep Quant (86593) | $22.10 | $34 | 5.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $84.50 | $130 | 1.8× |
| T cells total count (86359) | $84.50 | $130 | 2.2× |
| T3 Free (84481) range across 2 matching MRF lines |
$46.15–$120.90 | $71–$186 | varies |
| T3 reverse (84482) | $36.40 | $56 | 2.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$14.95–$94.25 | $23–$145 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$69.55–$71.50 | $107–$110 | varies |
| T4 total (84436) | $57.85 | $89 | 8.4× |
| Tacrolimus (80197) | $78.65 | $121 | 5.7× |
| Tb ag response t-cell susp (86481) | $96.20 | $148 | 1.0× |
| Testosterone Bioavailable (84410) | $72.15 | $111 | 1.4× |
| Testosterone total (84403) | $90.35 | $139 | 3.5× |
| Testosterone, Free (84402) | $29.90 | $46 | 1.2× |
| Theophylline (80198) | $85.80 | $132 | 6.1× |
| Thiopurine methyltransferase (84433) | $328.25 | $505 | 14.8× |
| Thrombin Time (85670) | $52 | $80 | 9.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $68.25 | $105 | 10.5× |
| Thyroglobulin (84432) | $83.20 | $128 | 5.2× |
| Thyroglobulin Antibody (86800) | $51.35 | $79 | 3.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $237.25 | $365 | 4.7× |
| Thyroxine binding globulin (84442) | $37.70 | $58 | 2.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $15.60 | $24 | 1.4× |
| Topiramate (80201) | $70.20 | $108 | 5.9× |
| Toxoplasma ab igm (86778) | $35.75 | $55 | 2.5× |
| Tp53 gene analysis targeted sequence analysis (81352) | $559.65 | $861 | 1.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48.10 | $74 | 9.3× |
| Transferrin (84466) | $46.80 | $72 | 3.7× |
| Trichomonas vagin dir probe (87660) | $55.90 | $86 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$66.30–$97.50 | $102–$150 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$48.10–$49.40 | $74–$76 | varies |
| Troponin Quant (84484) | $105.95 | $163 | 8.5× |
| Tumor Immunohistochem/Manual (88360) | $243.75 | $375 | 1.4× |
| Urea nitrogen urine (84540) | $14.95 | $23 | 2.7× |
| Uric acid other source (84560) | $14.30 | $22 | 2.8× |
| Urinalysis Microscopic Only (81015) | $20.80 | $32 | 6.8× |
| Urine Bacteria Culture (87088) | $46.80 | $72 | 5.8× |
| Urine Pregnancy Test (81025) | $65 | $100 | 7.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $49.40 | $76 | 15.6× |
| Valproic acid (80164) range across 2 matching MRF lines |
$90.35–$92.95 | $139–$143 | varies |
| Vancomycin (80202) | $93.60 | $144 | 6.9× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$50.05–$51.35 | $77–$79 | varies |
| Vit D 1 25-Dihydroxy (82652) | $134.55 | $207 | 3.5× |
| Vitamin A (84590) | $66.95 | $103 | 5.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$78.65–$80.60 | $121–$124 | varies |
| Vitamin B6 (84207) | $115.05 | $177 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $132.60 | $204 | 4.5× |
| Vitamin E (84446) | $91.65 | $141 | 6.5× |
| Vitamin K (84597) | $14.95 | $23 | 1.1× |
| West nile virus ab igm (86788) | $81.90 | $126 | 4.9× |
| West Nile Virus Antibody (86789) | $81.90 | $126 | 5.7× |
| Zinc (84630) | $50.70 | $78 | 4.5× |
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.