Lab & pathology prices at Roundup Memorial Healthcare
Roundup, MT · every code in this section with a posted price and a Medicare benchmark.
442 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) range across 2 matching MRF lines |
$142–$326 | $142–$326 | varies |
| Acute hepatitis panel (80074) | $462 | $462 | 9.7× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$21–$340 | $21–$340 | varies |
| Albumin Fluid (82042) | $70 | $70 | 9.0× |
| Albumin serum (82040) | $49 | $49 | 9.9× |
| Aldolase (82085) | $100 | $100 | 10.3× |
| Aldosterone urine (82088) | $352 | $352 | 8.6× |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$73–$128 | $73–$128 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$32–$90 | $32–$90 | varies |
| Alpha-1-antitrypsin total (82103) | $165 | $165 | 12.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$168–$200 | $168–$200 | varies |
| Alt (sgpt) (84460) | $55 | $55 | 10.4× |
| Amino Acids Quant 2-5 (82136) | $12 | $12 | 0.6× |
| Ammonia (82140) range across 2 matching MRF lines |
$181–$191 | $181–$191 | varies |
| Amylase urine (82150) | $132 | $132 | 20.4× |
| Androstenedione (82157) | $81 | $81 | 2.8× |
| Angiotensin converting enzyme csf (82164) | $60 | $60 | 4.1× |
| Antibody aspergillus (86606) | $130 | $130 | 8.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $165 | $165 | 10.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $150 | $150 | 8.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $74 | $74 | 5.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $65 | $65 | 4.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $68 | $68 | 3.7× |
| Antibody helicobacter pylori (86677) | $145 | $145 | 8.6× |
| Antibody Herpes Smplx Type 1 (86695) | $122 | $122 | 9.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $149 | $149 | 10.9× |
| Antibody HIV-2 (86702) | $170 | $170 | 12.6× |
| Antibody john cunningham virus (86711) | $1,570 | $1,570 | 93.0× |
| Antibody Protozoa Nes (86753) | $86 | $86 | 6.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$70–$91 | $70–$91 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$112–$130 | $112–$130 | varies |
| Antithrombin iii activity (85300) | $231 | $231 | 19.5× |
| Antithrombin iii antigen (85301) | $471 | $471 | 43.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$71–$113 | $71–$113 | varies |
| Arsenic (82175) | $91 | $91 | 4.8× |
| Aspergillus ag eia (87305) | $117 | $117 | 9.8× |
| Assay Blood Carbon Dioxide (82374) | $32 | $32 | 6.6× |
| Assay Nephelometry Not Spec (83883) | $175 | $175 | 12.9× |
| Assay of anti-mullerian hormone (82166) | $89 | $89 | 2.3× |
| Assay of blood/uric acid (84550) | $83 | $83 | 18.4× |
| Assay of calcium in urine (82340) | $67 | $67 | 11.1× |
| Assay of estrone (82679) | $172 | $172 | 6.9× |
| Assay of g6pd enzyme (82955) | $109 | $109 | 11.2× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$73–$106 | $73–$106 | varies |
| Assay of lactic acid (83605) | $185 | $185 | 16.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$223–$230 | $223–$230 | varies |
| Assay of proinsulin (84206) | $270 | $270 | 10.1× |
| Assay of serotonin (84260) | $260 | $260 | 8.4× |
| Assay of serum potassium (84132) | $53 | $53 | 11.1× |
| Assay of urea nitrogen (84520) | $53 | $53 | 13.4× |
| Assay of urine vma (84585) | $148 | $148 | 9.5× |
| Assay of vitamin b-1 (84425) | $262 | $262 | 12.3× |
| Assay Ph Body Fluid Nos (83986) | $57 | $57 | 15.9× |
| Assay spec xcp ur&breath ia (82077) | $195 | $195 | 11.3× |
| Automated Leukocyte Count (85048) | $34 | $34 | 13.4× |
| B cells total count (86355) | $196 | $196 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $760 | $760 | 4.6× |
| Bcr/abl1 gene minor bp (81207) | $1,182 | $1,182 | 8.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$134–$200 | $134–$200 | varies |
| Beta Lactamase (87185) | $60 | $60 | 12.6× |
| Beta-2 Microglobulin (82232) | $198 | $198 | 12.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$49–$54 | $49–$54 | varies |
| Bilirubin total (82247) | $77 | $77 | 15.3× |
| Biotinidase (82261) | $13 | $13 | 0.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $86 | $86 | 22.6× |
| Blood gas (82803) | $213 | $213 | 8.2× |
| Blood gases w/02 saturation (82805) | $330 | $330 | 4.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$12–$31 | $12–$31 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $58 | $58 | 9.1× |
| Blood typing serologic abo (86900) | $82 | $82 | 27.4× |
| Body fluid cell count (89050) | $70 | $70 | 14.8× |
| Bordetella antibody (86615) | $170 | $170 | 12.9× |
| Breath Alcohol Test (82075) | $62 | $62 | 2.1× |
| Brucella antibody (86622) | $133 | $133 | 14.9× |
| C diff amplified probe (87493) | $128 | $128 | 3.4× |
| C-Peptide (84681) | $199 | $199 | 9.6× |
| C-reactive protein (86140) | $85 | $85 | 16.4× |
| Ca 19-9 (86301) | $236 | $236 | 11.3× |
| Cadmium (82300) | $101 | $101 | 4.3× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$88–$136 | $88–$136 | varies |
| Calcium total (82310) | $54 | $54 | 10.5× |
| Calculus Spectroscopy (82365) | $133 | $133 | 10.3× |
| Calculus Xray Diffraction (82370) | $238 | $238 | 19.0× |
| Calprotectin Fecal (83993) | $316 | $316 | 16.1× |
| Cancer Antigen 125 (86304) | $218 | $218 | 10.5× |
| Cancer Antigen 27.29 (86300) | $58 | $58 | 2.8× |
| Candida Dna Dir Probe (87480) | $53 | $53 | 2.6× |
| Carbamazepine total (80156) | $183 | $183 | 12.6× |
| Carboxyhemoglobin (82375) | $82 | $82 | 6.7× |
| Carcinoembryonic antigen (82378) | $190 | $190 | 10.0× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$176–$204 | $176–$204 | varies |
| Carnitine Quantitative Each Specimen (82379) | $88 | $88 | 5.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$262–$269 | $262–$269 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$101–$163 | $101–$163 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$81–$245 | $81–$245 | varies |
| Ceruloplasmin (82390) | $148 | $148 | 13.8× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$47–$245 | $47–$245 | varies |
| Chloride other source (82438) | $52 | $52 | 10.4× |
| Chloride urine (82436) | $34 | $34 | 5.9× |
| Cholesterol total (82465) | $51 | $51 | 11.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$101–$164 | $101–$164 | varies |
| Chromium serum (82495) | $88 | $88 | 4.3× |
| Chromogranin a (86316) | $176 | $176 | 8.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $260 | $260 | 7.4× |
| Citric acid urine (82507) | $412 | $412 | 14.8× |
| Ckmb (82553) | $203 | $203 | 17.6× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$83–$122 | $83–$122 | varies |
| Clotting factor xii hageman (85280) | $452 | $452 | 23.4× |
| Coccidioides antibody (86635) | $49 | $49 | 4.3× |
| Cold agglutinin titer (86157) | $129 | $129 | 16.0× |
| Collagen crosslinks (82523) | $218 | $218 | 11.7× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$134–$353 | $134–$353 | varies |
| Compatibility test antiglob (86922) | $189 | $189 | 1.1× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$120–$221 | $120–$221 | varies |
| Coombs direct (86880) | $129 | $129 | 23.9× |
| Copper urine (82525) | $125 | $125 | 10.1× |
| Cortisol free (82530) | $216 | $216 | 12.9× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$133–$290 | $133–$290 | varies |
| Creatine kinase total (82550) | $111 | $111 | 17.1× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$47–$58 | $47–$58 | varies |
| Creatinine clearance (82575) | $165 | $165 | 17.4× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$50–$53 | $50–$53 | varies |
| Crossmatch immediate spin (86920) | $189 | $189 | 1.1× |
| Crp High Sensitivity (86141) | $129 | $129 | 10.0× |
| Cryofibrinogen (82585) | $150 | $150 | 10.6× |
| Cryoglobulin (82595) | $114 | $114 | 17.6× |
| Cryptococcus ag titer (87899) | $791 | $791 | 49.2× |
| Cryptosporidium (87272) | $116 | $116 | 9.7× |
| Cryptosporidium ag eia (87328) | $132 | $132 | 9.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$75–$85 | $75–$85 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $71 | $71 | 9.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $2,124 | $2,124 | 9.7× |
| Culture afb (87116) | $120 | $120 | 11.1× |
| Culture Anaerobic (87075) | $202 | $202 | 21.3× |
| Culture blood (87040) | $242 | $242 | 23.4× |
| Culture csf (87070) range across 2 matching MRF lines |
$150–$340 | $150–$340 | varies |
| Culture fungus (87102) | $101 | $101 | 12.0× |
| Culture screen only (87081) range across 2 matching MRF lines |
$14–$90 | $14–$90 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$88–$111 | $88–$111 | varies |
| Culture urine (87086) | $130 | $130 | 16.1× |
| Cyclic amp (82030) | $282 | $282 | 10.9× |
| Cyclosporine (80158) | $162 | $162 | 9.0× |
| Cystatin C (82610) | $130 | $130 | 7.0× |
| Cytomegalovirus igg (86644) | $157 | $157 | 10.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $128 | $128 | 6.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$192–$391 | $192–$391 | varies |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$134–$211 | $134–$211 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$360–$387 | $360–$387 | varies |
| Detect agnt mult DNA ampli (87801) | $218 | $218 | 3.1× |
| Dgp Antibody Each Ig Class (86258) | $101 | $101 | 8.4× |
| Dhea (82626) | $59 | $59 | 2.3× |
| Dhea-S (82627) | $209 | $209 | 9.4× |
| Digoxin (80162) | $156 | $156 | 11.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$136–$138 | $136–$138 | varies |
| Drug assay acetaminophen (80143) | $291 | $291 | 15.6× |
| Drug Assay Everolimus (80169) | $407 | $407 | 29.6× |
| Drug Assay Infliximab (80230) | $425 | $425 | 11.0× |
| Drug Screen Quant Zonisamide (80203) | $136 | $136 | 10.3× |
| Drug Screen Quantitative Gabapentin (80171) | $92 | $92 | 4.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $127 | $127 | 9.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $148 | $148 | 11.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $191 | $191 | 11.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$42–$198 | $42–$198 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $376 | $376 | 29.8× |
| Electrolyte panel (80051) | $128 | $128 | 18.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$199–$304 | $199–$304 | varies |
| Enterovirus PCR (87498) | $185 | $185 | 5.3× |
| Enzyme cell activity (82657) | $162 | $162 | 7.3× |
| Enzyme histochemistry (88319) | $479 | $479 | 0.6× |
| Erythropoietin (82668) | $412 | $412 | 21.9× |
| Estradiol serum (82670) | $198 | $198 | 7.1× |
| Estriol (82677) | $162 | $162 | 6.7× |
| Estrogens fractionated (82671) | $50 | $50 | 1.5× |
| Exam Synovial Fluid Crystals (89060) | $77 | $77 | 10.5× |
| F2 Gene (81240) | $631 | $631 | 9.6× |
| Factor Inhibitor Test (85335) | $35 | $35 | 2.7× |
| Factor ix activity (85250) | $311 | $311 | 16.3× |
| Factor v activity (85220) | $456.30 | $456.30 | 25.9× |
| Factor v leiden mutation (81241) | $440 | $440 | 6.0× |
| Factor vii assay (85230) | $456.30 | $456.30 | 25.5× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$102–$332 | $102–$332 | varies |
| Factor X (85260) | $456.30 | $456.30 | 25.5× |
| Factor xi activity (85270) | $62 | $62 | 3.5× |
| Fat/Lipids Feces Quantitative (82710) | $68 | $68 | 4.0× |
| Ferritin (82728) | $146 | $146 | 10.7× |
| Fibrin Degradation Quant (85379) | $160 | $160 | 15.7× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$108–$173 | $108–$173 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$59–$208 | $59–$208 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$359–$425 | $359–$425 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$120–$139 | $120–$139 | varies |
| Folic Acid Serum (82746) | $148 | $148 | 10.1× |
| Follicle Stimulating Hormone (83001) | $158 | $158 | 8.5× |
| Francisella tularensis (86668) | $133 | $133 | 9.4× |
| Fungi Identification Mold (87107) | $129 | $129 | 12.5× |
| Fungi Identification Yeast (87106) | $78 | $78 | 7.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $23 | $23 | 1.1× |
| Gammaglobulin ige (82785) | $148 | $148 | 9.0× |
| Gardner vag DNA dir probe (87510) | $53 | $53 | 2.6× |
| Gastrin (82941) | $201 | $201 | 11.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,300 | $1,300 | 3.1× |
| Gentamicin (80170) | $323 | $323 | 19.7× |
| Ggt (82977) | $77 | $77 | 10.7× |
| Giardia antigen (87329) | $78 | $78 | 6.5× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$58–$59 | $58–$59 | varies |
| Glucose Serum (82947) | $49 | $49 | 12.5× |
| Gonadotropin Chorionic Qualitative (84703) | $142 | $142 | 18.9× |
| Growth hormone (83003) | $330 | $330 | 19.8× |
| H Pylori (C-13) Breath (83013) | $157 | $157 | 2.3× |
| H pylri clrthmcn rst amp prb (87513) range across 2 matching MRF lines |
$125–$153 | $125–$153 | varies |
| Haloperidol (80173) | $113 | $113 | 7.2× |
| Haptoglobin (83010) | $154 | $154 | 12.2× |
| Hdl Cholesterol (83718) | $79 | $79 | 9.6× |
| Helicobacter Pylori Stool (87338) | $75 | $75 | 5.2× |
| Hematocrit (85014) | $46 | $46 | 19.4× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$46–$54 | $46–$54 | varies |
| Hemoglobin a1c (83036) | $100 | $100 | 10.3× |
| Hemoglobin Chromotography (83021) | $33 | $33 | 1.8× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$19–$26 | $19–$26 | varies |
| Hemoglobin plasma (83051) | $133 | $133 | 18.2× |
| Hep a ab igm (86709) | $235 | $235 | 20.9× |
| Hepatitis a antibody total (86708) | $125 | $125 | 10.1× |
| Hepatitis b core ab igm (86705) | $78 | $78 | 6.6× |
| Hepatitis b core ab total (86704) | $114 | $114 | 9.5× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$51–$111 | $51–$111 | varies |
| Hepatitis B Surface Antigen (87340) | $97 | $97 | 9.4× |
| Hepatitis C Antibody (86803) | $159 | $159 | 11.1× |
| Hepatitis C Genotype (87902) | $353 | $353 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $587 | $587 | 13.7× |
| Hepatitis d quantification (87523) | $250 | $250 | 5.8× |
| Hepatitis Delta Agent Antibody (86692) | $105 | $105 | 6.1× |
| Herpes simplex type 2 (86696) | $122 | $122 | 6.3× |
| Heterophile Antibody Screen (86308) | $75 | $75 | 14.5× |
| Hiv-1 Antibody (86701) | $118 | $118 | 13.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$139–$709 | $139–$709 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $87.75 | $87.75 | 2.5× |
| Hla-b27 (86812) | $195 | $195 | 7.6× |
| Homocysteine (83090) | $168 | $168 | 9.4× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$174–$211 | $174–$211 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$21–$164 | $21–$164 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $158 | $158 | 11.4× |
| Iaadi giardia (87269) | $83 | $83 | 6.1× |
| Iaadi pneumocustis carinii (87281) | $91 | $91 | 7.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$134–$158 | $134–$158 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $175 | $175 | 5.0× |
| Iadna Cytomegalovirus Quantification (87497) | $516 | $516 | 12.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $87.75 | $87.75 | 2.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$134–$165 | $134–$165 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $266 | $266 | 7.6× |
| Ig Light Chains Free Each (83521) | $243 | $243 | 14.1× |
| Igg subclasses (82787) | $26.50 | $26.50 | 3.3× |
| Immunfix e-phorsis/urine/csf (86335) | $256 | $256 | 8.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $75 | $75 | 5.0× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$21–$152 | $21–$152 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$195–$250 | $195–$250 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $276 | $276 | 1.6× |
| Immunohistochemistry (88342) | $190 | $190 | 1.1× |
| Influenza assay w/optic (87804) | $110 | $110 | 6.6× |
| Influenza DNA amp probe (87502) range across 4 matching MRF lines |
$246.43–$279 | $246.43–$279 | varies |
| Inhibin A (86336) | $99 | $99 | 6.4× |
| Inhibin b (83520) range across 4 matching MRF lines |
$120–$184 | $120–$184 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$122–$125 | $122–$125 | varies |
| Insulin total (83525) | $174 | $174 | 15.2× |
| Iron (83540) | $82 | $82 | 12.7× |
| Iron Binding Capacity (83550) | $68 | $68 | 7.8× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$128–$154 | $128–$154 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$391–$840 | $391–$840 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $75 | $75 | 12.4× |
| Lactoferrin fecal qualitative (83630) | $140 | $140 | 7.1× |
| Lactoferrin Fecal Quantitative (83631) | $268 | $268 | 13.7× |
| LDL direct (83721) | $30 | $30 | 2.9× |
| Lead (83655) range across 2 matching MRF lines |
$58–$96 | $58–$96 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$101–$184 | $101–$184 | varies |
| Leukocyte Assessment Fecal (89055) | $68 | $68 | 15.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $59 | $59 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $65 | $65 | 1.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $239 | $239 | 0.7× |
| Lipase (83690) | $132 | $132 | 19.2× |
| Lipoprotein A (83695) | $45 | $45 | 3.1× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $45 | $45 | 4.0× |
| Lithium (80178) | $109 | $109 | 16.5× |
| Luteinizing Hormone (Lh) (83002) | $185 | $185 | 10.0× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$129–$149 | $129–$149 | varies |
| Macroscopic exam arthropod (87168) | $165 | $165 | 38.6× |
| Macroscopic Exam Parasite (87169) | $34 | $34 | 7.9× |
| Magnesium Urine (83735) | $65 | $65 | 9.7× |
| Mass Spectrometry Quant (83789) | $123 | $123 | 5.1× |
| Mercury urine (83825) | $91 | $91 | 5.6× |
| Methylmalonic acid serum (83921) | $91 | $91 | 4.3× |
| Microalbumin, quantitative (82043) | $84 | $84 | 14.5× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$76–$145 | $76–$145 | varies |
| Mitochondrial Antibody Each (86381) | $129 | $129 | 5.1× |
| Mrsa Pcr (87641) | $169 | $169 | 4.8× |
| Mthfr Gene Analysis Common Variants (81291) | $145 | $145 | 2.2× |
| Mumps antibody (86735) | $114 | $114 | 8.7× |
| Muscle-Specific Kinase Antb (86366) | $1,057 | $1,057 | 57.4× |
| Mycoplasma antibody (86738) | $64 | $64 | 4.8× |
| Myoglobin urine (83874) | $189 | $189 | 14.6× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$261–$291 | $261–$291 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $282 | $282 | 2.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $238 | $238 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $370 | $370 | 5.1× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$10.57–$170 | $10.57–$170 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$12–$40 | $12–$40 | varies |
| Occult Blood Other Sources (82271) | $21 | $21 | 3.9× |
| Organic Acids Qualitative Each Specimen (83919) | $346 | $346 | 21.0× |
| Osmolality serum (83930) | $104 | $104 | 15.7× |
| Osmolality Urine (83935) | $92 | $92 | 13.5× |
| Ova and parasites smears (87177) | $80 | $80 | 9.0× |
| Oxalate urine (83945) | $199 | $199 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $170 | $170 | 14.7× |
| Parvovirus antibody (86747) | $51 | $51 | 3.4× |
| Ph urine (81003) range across 2 matching MRF lines |
$29–$46 | $29–$46 | varies |
| Phenobarbital Level (80184) | $114 | $114 | 7.5× |
| Phenylalanine (84030) | $21 | $21 | 3.8× |
| Phenytoin (Dilantin) (80185) | $175 | $175 | 13.2× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$80–$130 | $80–$130 | varies |
| Phosphorus Serum (84100) | $53 | $53 | 11.2× |
| Phosphorus urine (84105) | $53 | $53 | 9.2× |
| Platelet Antibodies (86022) | $367 | $367 | 20.0× |
| Platelet count automated (85049) | $40 | $40 | 8.9× |
| Porphyrins Feces Quantitative (84126) | $450 | $450 | 11.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $242 | $242 | 16.5× |
| Potassium Urine (84133) | $46 | $46 | 9.7× |
| Prealbumin (84134) | $148 | $148 | 10.1× |
| Primidone (80188) | $212 | $212 | 12.8× |
| Procalcitonin (Pct) (84145) | $173 | $173 | 6.4× |
| Progesterone (84144) | $152 | $152 | 7.3× |
| Prolactin (84146) | $53 | $53 | 2.7× |
| Protein body fluid (84157) | $46 | $46 | 11.5× |
| Protein C Activity (85303) | $377 | $377 | 27.2× |
| Protein c antigen (85302) | $467 | $467 | 38.9× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$134–$155 | $134–$155 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $107 | $107 | 10.0× |
| Protein S Free (85306) range across 2 matching MRF lines |
$499–$503 | $499–$503 | varies |
| Protein total serum (84155) | $46 | $46 | 12.5× |
| Protein Total Urine (84156) | $66 | $66 | 18.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $90 | $90 | 22.8× |
| PSA free (84154) | $158 | $158 | 8.6× |
| Pth Intact (83970) | $401 | $401 | 9.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$110–$644.80 | $110–$644.80 | varies |
| Quantiferon tb gold plus (86480) | $288 | $288 | 4.6× |
| Quantitative assay drug (80299) | $236 | $236 | 12.7× |
| Quantitative Screen Metals (83018) | $103 | $103 | 4.7× |
| Quinidine (80194) | $155 | $155 | 10.6× |
| Rbc antibody identification (86870) | $435 | $435 | 1.2× |
| Rbc antibody screen (86850) | $193 | $193 | 19.8× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$34–$49 | $34–$49 | varies |
| Renin activity plasma (84244) | $229 | $229 | 10.4× |
| Resp virus 12-25 targets (87633) | $1,318 | $1,318 | 3.2× |
| Reticulocyte Count (85046) | $59 | $59 | 10.6× |
| Rh (86901) | $74 | $74 | 24.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$59–$76 | $59–$76 | varies |
| Rickettsia antibody (86757) | $255 | $255 | 13.2× |
| Rotavirus ag eia (87425) | $59 | $59 | 4.9× |
| Rpr qualitative (86592) | $69 | $69 | 16.2× |
| Rubella Antibody (86762) | $88 | $88 | 6.1× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$88–$117 | $88–$117 | varies |
| Russell Viper Venom Time Diluted (85613) | $114 | $114 | 11.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$81–$237 | $81–$237 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $128 | $128 | 3.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $114 | $114 | 2.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $272 | $272 | 1.9× |
| Sedimentation rate (85651) | $198 | $198 | 46.4× |
| Sedimentation Rate, Automated (85652) | $36 | $36 | 13.3× |
| Semen Anal Sperm Detection (89321) | $59 | $59 | 4.9× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$87–$95 | $87–$95 | varies |
| Sex Hormone Binding Globulin (84270) | $94 | $94 | 4.3× |
| Skin test tuberculosis intradermal (86580) | $33 | $33 | 1.1× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$29–$61 | $29–$61 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$26–$112 | $26–$112 | varies |
| Smear gram stain (87205) | $66 | $66 | 15.5× |
| Smear Special Stain (87207) | $56 | $56 | 9.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $52 | $52 | 8.9× |
| Sodium Serum (84295) | $53 | $53 | 11.0× |
| Sodium Urine (84300) | $69 | $69 | 13.6× |
| Somatomedin (84305) | $198 | $198 | 9.3× |
| Special Stains Group 1 (88312) | $125 | $125 | 2.3× |
| Special Stains Group 2 (88313) | $90 | $90 | 0.7× |
| Specific gravity body fluid (84315) | $24 | $24 | 7.3× |
| Specimen infect agnt concntj (87015) | $29 | $29 | 4.3× |
| Spectrophotometry (84311) | $280 | $280 | 34.6× |
| Staph a DNA amp probe (87640) | $163 | $163 | 4.6× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$19–$215 | $19–$215 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$148.38–$150 | $148.38–$150 | varies |
| Surg path level iii (88304) | $77 | $77 | 1.4× |
| Surgical pathology level IV (88305) | $137 | $137 | 2.6× |
| Surgical pathology level vi (88309) | $491 | $491 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$52–$90 | $52–$90 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $60 | $60 | 8.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46 | $46 | 1.0× |
| T cells total count (86359) | $46 | $46 | 1.2× |
| T3 Free (84481) | $194 | $194 | 11.5× |
| T3 reverse (84482) | $96 | $96 | 6.1× |
| T3 Total (84480) | $148 | $148 | 10.4× |
| T3 Uptake (84479) | $83 | $83 | 12.8× |
| T4 Free (84439) | $113 | $113 | 12.5× |
| T4 total (84436) | $65 | $65 | 9.5× |
| T4-neonatal (84437) | $21 | $21 | 3.2× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$165–$276 | $165–$276 | varies |
| Test for acetone/ketones (82009) | $95 | $95 | 21.0× |
| Testosterone Bioavailable (84410) | $43 | $43 | 0.8× |
| Testosterone total (84403) | $213 | $213 | 8.3× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$160–$167 | $160–$167 | varies |
| Theophylline (80198) | $93 | $93 | 6.6× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$70–$200 | $70–$200 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $109 | $109 | 16.8× |
| Thyroglobulin (84432) | $167 | $167 | 10.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$113–$139 | $113–$139 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $545 | $545 | 10.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $144 | $144 | 12.5× |
| Tissue Culture Lymphocyte (88230) | $502 | $502 | 4.3× |
| Topiramate (80201) | $82 | $82 | 6.9× |
| Toxoplasma ab igm (86778) | $82 | $82 | 5.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $54 | $54 | 10.4× |
| Transferrin (84466) | $314 | $314 | 24.6× |
| Trichomonas vagin dir probe (87660) | $53 | $53 | 2.6× |
| Trichomonas Vaginalis Amplif (87661) | $436 | $436 | 12.4× |
| Triglycerides (84478) | $58 | $58 | 10.1× |
| Troponin Quant (84484) | $149 | $149 | 11.9× |
| Urea nitrogen urine (84540) | $40 | $40 | 7.2× |
| Uric acid other source (84560) | $58 | $58 | 11.4× |
| Urinalysis Microscopic Only (81015) | $42 | $42 | 13.8× |
| Urine Albumin Semiquantitative (82044) | $99 | $99 | 15.9× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$53–$78 | $53–$78 | varies |
| Valproic acid (80164) | $200 | $200 | 14.8× |
| Vancomycin (80202) range across 2 matching MRF lines |
$176–$194 | $176–$194 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$122–$183 | $122–$183 | varies |
| Viral Culture (87252) range across 3 matching MRF lines |
$71–$243 | $71–$243 | varies |
| Virus antibody nos (86790) | $250 | $250 | 19.4× |
| Virus inoculate tissue addl (87253) | $74 | $74 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $87 | $87 | 2.3× |
| Vitamin A (84590) | $131 | $131 | 11.3× |
| Vitamin b-12 (82607) | $154 | $154 | 10.2× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$59–$209 | $59–$209 | varies |
| Vitamin c (82180) | $247 | $247 | 25.0× |
| Vitamin D 25-Hydroxy (82306) | $226 | $226 | 7.6× |
| Vitamin E (84446) | $162 | $162 | 11.4× |
| Vitamin K (84597) | $120 | $120 | 8.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$39–$263 | $39–$263 | varies |
| West nile virus ab igm (86788) | $128 | $128 | 7.6× |
| West Nile Virus Antibody (86789) | $128 | $128 | 8.9× |
| Zinc (84630) | $151 | $151 | 13.3× |
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.