Lab & pathology prices at Rural Wellness Fairfax Hospital
Fairfax, OK · every code in this section with a posted price and a Medicare benchmark.
398 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $162.18 | $270.30 | 4.2× |
| Acute hepatitis panel (80074) | $206.24 | $343.74 | 4.3× |
| Albumin serum (82040) range across 2 matching MRF lines |
$31.52–$96.08 | $52.53–$160.14 | varies |
| Aldolase (82085) | $155.14 | $258.57 | 16.0× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$33.66–$401.47 | $56.10–$669.12 | varies |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$5.81–$55.39 | $9.69–$92.31 | varies |
| Allg Spec Ige Recomb Ea (86008) | $183.60 | $306 | 10.2× |
| Alpha-1-antitrypsin phenotype (82104) | $100.98 | $168.30 | 7.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$32.13–$119.95 | $53.55–$199.92 | varies |
| Alpha-Fetoprotein Serum (82105) | $50.49 | $84.15 | 3.0× |
| Alt (sgpt) (84460) | $15.30 | $25.50 | 2.9× |
| Amikacin trough (80150) | $56.30 | $93.84 | 3.7× |
| Amines vaginal fluid qualitative (82120) | $29.68 | $49.47 | 5.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $402.39 | $670.65 | 17.5× |
| Ammonia (82140) | $77.11 | $128.52 | 5.3× |
| Amylase urine (82150) | $66.40 | $110.67 | 10.2× |
| Ana Titer (86039) range across 3 matching MRF lines |
$48.04–$160.04 | $80.07–$266.73 | varies |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$33.97–$306.61 | $56.61–$511.02 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $47.74 | $79.56 | 3.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$22.95–$75.28 | $38.25–$125.46 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $16.52 | $27.54 | 1.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $16.52 | $27.54 | 0.9× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$33.97–$506.43 | $56.61–$844.05 | varies |
| Antibody helicobacter pylori (86677) | $78.95 | $131.58 | 4.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $292.84 | $488.07 | 20.4× |
| Antibody Herpes Smplx Type 1 (86695) | $27.54 | $45.90 | 2.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $153 | $255 | 11.2× |
| Antibody HIV-2 (86702) | $101.29 | $168.81 | 7.5× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$33.97–$142.29 | $56.61–$237.15 | varies |
| Antibody Protozoa Nes (86753) | $26.01 | $43.35 | 2.1× |
| Antibody Titer (86886) | $456.55 | $760.92 | 88.1× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$15.91–$111.38 | $26.52–$185.64 | varies |
| Antigen typing (86905) | $607.10 | $1,011.84 | 158.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$162.79–$367.81 | $271.32–$613.02 | varies |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$53.86–$86.90 | $89.76–$144.84 | varies |
| Antistreptolysin o titer (86060) | $62.73 | $104.55 | 8.6× |
| Antithrombin iii activity (85300) | $30.60 | $51 | 2.6× |
| Antithrombin iii antigen (85301) | $30.60 | $51 | 2.8× |
| Apolipoprotein a1 (82172) | $85.07 | $141.78 | 4.0× |
| Assay Blood Carbon Dioxide (82374) | $10.40 | $17.34 | 2.1× |
| Assay Nephelometry Not Spec (83883) | $250.31 | $417.18 | 18.4× |
| Assay of blood/uric acid (84550) | $36.41 | $60.69 | 8.1× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$18.36–$48.65 | $30.60–$81.09 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$11.93–$108.02 | $19.89–$180.03 | varies |
| Assay of lactic acid (83605) | $68.54 | $114.24 | 5.9× |
| Assay of manganese (83785) | $267.75 | $446.25 | 10.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$44.68–$105.88 | $74.46–$176.46 | varies |
| Assay of proinsulin (84206) | $182.68 | $304.47 | 6.8× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$10.10–$34.58 | $16.83–$57.63 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$8.26–$38.56 | $13.77–$64.26 | varies |
| Assay of urine vma (84585) | $54.77 | $91.29 | 3.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$64.57–$125.15 | $107.61–$208.59 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$6.12–$14.08 | $10.20–$23.46 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$41.62–$53.86 | $69.36–$89.76 | varies |
| Bilirubin direct (82248) | $5.85 | $9.75 | 1.2× |
| Bilirubin total (82247) | $10.71 | $17.85 | 2.1× |
| Blood Count Manual Cell Count Each (85032) | $8.57 | $14.28 | 2.0× |
| Blood count reticulocyte automated (85045) | $44.06 | $73.44 | 11.0× |
| Blood gas (82803) | $132.19 | $220.32 | 5.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.68 | $49.47 | 6.8× |
| Blood typing serologic abo (86900) | $64.26 | $107.10 | 21.5× |
| Brca1&2 gen full seq dup/del (81162) | $4,733.21 | $7,888.68 | 2.6× |
| C diff amplified probe (87493) | $74.05 | $123.42 | 2.0× |
| C-Peptide (84681) | $94.25 | $157.08 | 4.5× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$11.02–$48.65 | $18.36–$81.09 | varies |
| Ca 19-9 (86301) | $133.72 | $222.87 | 6.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$28.76–$76.81 | $47.94–$128.01 | varies |
| Calcium total (82310) | $36.41 | $60.69 | 7.1× |
| Calculus Spectroscopy (82365) | $129.44 | $215.73 | 10.0× |
| Calprotectin Fecal (83993) | $291.92 | $486.54 | 14.9× |
| Cancer Antigen 125 (86304) | $159.73 | $266.22 | 7.7× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$59.36–$166.16 | $98.94–$276.93 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$30.60–$98.84 | $51–$164.73 | varies |
| Carboxyhemoglobin (82375) | $104.96 | $174.93 | 8.5× |
| Carcinoembryonic antigen (82378) | $148.10 | $246.84 | 7.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$54.77–$68.85 | $91.29–$114.75 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$53.86–$138.92 | $89.76–$231.54 | varies |
| Cell count csf (89051) | $34.88 | $58.14 | 6.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $437.89 | $729.81 | 3.2× |
| Ceruloplasmin (82390) | $21.42 | $35.70 | 2.0× |
| Chlamydia antibody (86631) | $104.96 | $174.93 | 8.9× |
| Chlamydia Igm Antibody (86632) | $104.96 | $174.93 | 8.3× |
| Chloride urine (82436) | $22.64 | $37.74 | 3.9× |
| Cholesterol total (82465) | $38.25 | $63.75 | 8.8× |
| Chorionic gonadotropin test (84702) | $112 | $186.66 | 7.4× |
| Chromogranin a (86316) | $228.89 | $381.48 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$25.09–$97.31 | $41.82–$162.18 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$26.62–$329.26 | $44.37–$548.76 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$24.17–$91.19 | $40.29–$151.98 | varies |
| Cold agglutinin screen (86156) | $427.18 | $711.96 | 52.9× |
| Cold agglutinin titer (86157) | $427.18 | $711.96 | 53.0× |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$154.22–$1,857.42 | $257.04–$3,095.70 | varies |
| Compatibility test antiglob (86922) | $380.36 | $633.93 | 2.3× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$13.16–$107.71 | $21.93–$179.52 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$19.28–$325.89 | $32.13–$543.15 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$8.26–$68.85 | $13.77–$114.75 | varies |
| Copper urine (82525) | $62.42 | $104.04 | 5.0× |
| Cortisol free (82530) range across 3 matching MRF lines |
$100.67–$150.86 | $167.79–$251.43 | varies |
| Cortisol saliva (82533) | $34.58 | $57.63 | 2.1× |
| Creatine kinase total (82550) | $56 | $93.33 | 8.6× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$10.71–$41 | $17.85–$68.34 | varies |
| Creatinine clearance (82575) | $18.97 | $31.62 | 2.0× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$38.86–$154.22 | $64.77–$257.04 | varies |
| Crossmatch electronic (86923) | $227.05 | $378.42 | 1.4× |
| Crossmatch immediate spin (86920) | $286.42 | $477.36 | 1.7× |
| Crp High Sensitivity (86141) | $25.70 | $42.84 | 2.0× |
| Cryptococcus ab (86641) | $98.23 | $163.71 | 6.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$126.07–$214.81 | $210.12–$358.02 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $44.68 | $74.46 | 5.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $6.12 | $10.20 | 0.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $412.18 | $686.97 | 1.9× |
| Culture afb (87116) range across 2 matching MRF lines |
$13.46–$22.95 | $22.44–$38.25 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$14.08–$18.67 | $23.46–$31.11 | varies |
| Culture blood (87040) | $117.50 | $195.84 | 11.4× |
| Culture csf (87070) range across 5 matching MRF lines |
$10.71–$98.84 | $17.85–$164.73 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$6.12–$64.26 | $10.20–$107.10 | varies |
| Culture stool (87045) | $21.73 | $36.21 | 2.3× |
| Culture typing if ea antiserum (87140) | $11.63 | $19.38 | 2.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $9.18 | $15.30 | 1.8× |
| Culture urine (87086) | $76.50 | $127.50 | 9.5× |
| Cyclosporine (80158) | $430.24 | $717.06 | 23.8× |
| Cystatin C (82610) | $177.17 | $295.29 | 9.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$22.95–$75.28 | $38.25–$125.46 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $77.42 | $129.03 | 3.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $52.94 | $88.23 | 2.0× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$25.09–$1,068.86 | $41.82–$1,781.43 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$110.47–$573.14 | $184.11–$955.23 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$61.81–$85.68 | $103.02–$142.80 | varies |
| Dhea (82626) | $28.76 | $47.94 | 1.1× |
| Dhea-S (82627) | $127.60 | $212.67 | 5.7× |
| Digoxin (80162) | $74.05 | $123.42 | 5.6× |
| Dipropylacetic Acid Free (80165) | $69.77 | $116.28 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) | $59.06 | $98.43 | 4.3× |
| Drug assay adalimumab (80145) | $198.59 | $330.99 | 5.1× |
| Drug Assay Amiodarone (80151) | $377.91 | $629.85 | 20.3× |
| Drug Assay Lacosamide (80235) | $197.98 | $329.97 | 7.3× |
| Drug Assay Posaconazole (80187) | $385.56 | $642.60 | 14.2× |
| Drug assay voriconazole (80285) | $534.89 | $891.48 | 19.7× |
| Drug Screen Quant Clozapine (80159) | $158.51 | $264.18 | 7.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $242.05 | $403.41 | 18.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $148.10 | $246.84 | 11.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$94.55–$197.64 | $157.59–$329.40 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $78.34 | $130.56 | 6.2× |
| Egfr Gene Analysis Common Variants (81235) | $676.57 | $1,127.61 | 2.1× |
| Ehrlichia antibody (86666) | $18.97 | $31.62 | 1.9× |
| Electrolyte panel (80051) | $14.69 | $24.48 | 2.1× |
| Encephaltis West Eqne Antbdy (86654) | $66.71 | $111.18 | 5.1× |
| Enzyme cell activity (82657) | $593.95 | $989.91 | 26.8× |
| Erythropoietin (82668) | $103.43 | $172.38 | 5.5× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$138.31–$287.28 | $230.52–$478.80 | varies |
| Estrogen total (82672) | $306.92 | $511.53 | 14.1× |
| Estrogens fractionated (82671) | $824.76 | $1,374.60 | 25.5× |
| F2 Gene (81240) | $819.16 | $1,365.27 | 12.5× |
| Factor ii activity (85210) | $91.80 | $153 | 7.1× |
| Factor v leiden mutation (81241) | $937.89 | $1,563.15 | 12.8× |
| Fecal Fat Qualitative (82705) | $15.30 | $25.50 | 3.0× |
| Ferritin (82728) | $69.16 | $115.26 | 5.1× |
| Fibrin degradation products (85362) | $81.70 | $136.17 | 11.9× |
| Fibrin Degradation Quant (85379) | $98.84 | $164.73 | 9.7× |
| Fibrinogen activity (85384) | $19.28 | $32.13 | 2.0× |
| Flecainide level (80181) | $225.83 | $376.38 | 12.1× |
| Flow cytometry first marker (88184) | $85.99 | $143.31 | 0.2× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$17.44–$137.39 | $29.07–$228.99 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$17.44–$104.35 | $29.07–$173.91 | varies |
| Folic acid rbc (82747) | $12.85 | $21.42 | 0.7× |
| Folic Acid Serum (82746) | $71.60 | $119.34 | 4.9× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$69.46–$87.82 | $115.77–$146.37 | varies |
| Francisella tularensis (86668) | $108.63 | $181.05 | 7.7× |
| Fungi Identification Mold (87107) | $118.12 | $196.86 | 11.4× |
| Gammaglobulin ige (82785) | $14.08 | $23.46 | 0.9× |
| Gardner Vag Dna Quant (87512) | $117.50 | $195.84 | 2.8× |
| Gases blood ph only (82800) | $50.49 | $84.15 | 4.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $868.73 | $1,447.89 | 2.1× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$70.69–$404.84 | $117.81–$674.73 | varies |
| Gentamicin (80170) | $30.29 | $50.49 | 1.8× |
| Ggt (82977) | $44.37 | $73.95 | 6.2× |
| Giardia antigen (87329) | $64.26 | $107.10 | 5.4× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$10.10–$31.52 | $16.83–$52.53 | varies |
| Glucose Blood Test (82962) | $26.93 | $44.88 | 8.2× |
| Glucose body fluid (82945) | $38.86 | $64.77 | 9.9× |
| Glucose Serum (82947) range across 8 matching MRF lines |
$8.26–$34.88 | $13.77–$58.14 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$31.52–$145.66 | $52.53–$242.76 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $103.12 | $171.87 | 13.7× |
| Growth hormone (83003) range across 2 matching MRF lines |
$17.14–$147.19 | $28.56–$245.31 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$31.52–$63.34 | $52.53–$105.57 | varies |
| H Pylori (C-13) Breath (83013) | $293.15 | $488.58 | 4.4× |
| Haptoglobin (83010) | $112.30 | $187.17 | 8.9× |
| Helicobacter Pylori Stool (87338) | $204.71 | $341.19 | 14.2× |
| Helminth Antibody (86682) | $203.18 | $338.64 | 15.6× |
| Hematocrit (85014) | $29.07 | $48.45 | 12.3× |
| Hemoglobin (85018) | $24.79 | $41.31 | 10.5× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$12.24–$57.22 | $20.40–$95.37 | varies |
| Hemoglobin Chromotography (83021) | $283.97 | $473.28 | 15.7× |
| Heparin assay (85520) | $235.62 | $392.70 | 18.0× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$19.28–$65.79 | $32.13–$109.65 | varies |
| Hepatitis b core ab total (86704) | $33.05 | $55.08 | 2.7× |
| Hepatitis B Surface Antibody (86706) | $100.06 | $166.77 | 9.3× |
| Hepatitis B Surface Antigen (87340) | $54.77 | $91.29 | 5.3× |
| Hepatitis Be Antibody (86707) | $33.05 | $55.08 | 2.9× |
| Hepatitis Be Antigen (87350) | $33.05 | $55.08 | 2.9× |
| Hepatitis C Antibody (86803) | $78.95 | $131.58 | 5.5× |
| Hepatitis C Genotype (87902) | $525.24 | $875.40 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$554.47–$879.44 | $924.12–$1,465.74 | varies |
| Herpes simplex type 2 (86696) | $27.54 | $45.90 | 1.4× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$11.02–$73.44 | $18.36–$122.40 | varies |
| Histoplasma antigen urine (87385) | $99.45 | $165.75 | 7.5× |
| Hiv-1 Antibody (86701) | $101.29 | $168.81 | 11.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $614.75 | $1,024.59 | 7.2× |
| Hla-b27 (86812) | $145.96 | $243.27 | 5.7× |
| Homocysteine (83090) | $122.40 | $204 | 6.8× |
| Homogenization Tissue (87176) | $39.47 | $65.79 | 6.7× |
| Hpv High-Risk Types (87624) | $192.47 | $320.79 | 5.5× |
| Hsv Dna Amp Probe (87529) range across 6 matching MRF lines |
$25.09–$297.13 | $41.82–$495.21 | varies |
| Hydroxyprogesterone 17-d (83498) | $54.16 | $90.27 | 2.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $21.73 | $36.21 | 2.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $59.06 | $98.43 | 4.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$24.79–$63.04 | $41.31–$105.06 | varies |
| Iaad ia shiga-like toxin (87427) | $21.73 | $36.21 | 1.8× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$29.68–$65.79 | $49.47–$109.65 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$25.09–$117.50 | $41.82–$195.84 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $312.73 | $521.22 | 8.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $46.21 | $77.01 | 2.0× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$637.70–$647.50 | $1,062.84–$1,079.16 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $201.65 | $336.09 | 2.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $540.70 | $901.17 | 12.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $312.73 | $521.22 | 8.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $312.73 | $521.22 | 8.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$25.09–$97.31 | $41.82–$162.18 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $74.66 | $124.44 | 1.5× |
| Ig Light Chains Free Each (83521) | $88.43 | $147.39 | 5.1× |
| Immunfix e-phorsis/urine/csf (86335) | $61.20 | $102 | 2.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $58.45 | $97.41 | 3.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$83.54–$264.38 | $139.23–$440.64 | varies |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$43.15–$108.02 | $71.91–$180.03 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$46.51–$129.44 | $77.52–$215.73 | varies |
| Immunohistochemistry (88342) | $109.85 | $183.09 | 0.7× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $117.81 | $196.35 | 9.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $25.09 | $41.82 | 0.7× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) range across 2 matching MRF lines |
$272.65–$272.95 | $454.41–$454.92 | varies |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$34.58–$167.69 | $57.63–$279.48 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$180–$545.29 | $300–$908.82 | varies |
| Inhibin A (86336) | $620.26 | $1,033.77 | 39.8× |
| Inhibin b (83520) range across 8 matching MRF lines |
$36.11–$476.44 | $60.18–$794.07 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$184.21–$396.27 | $307.02–$660.45 | varies |
| Insulin total (83525) | $59.98 | $99.96 | 5.2× |
| Interleukin-6 (83529) | $252.14 | $420.24 | 14.6× |
| Iron (83540) range across 2 matching MRF lines |
$6.43–$43.76 | $10.71–$72.93 | varies |
| Iron Binding Capacity (83550) | $18.36 | $30.60 | 2.1× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$184.21–$629.44 | $307.02–$1,049.07 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $476.44 | $794.07 | 5.2× |
| Lactate (ld) (ldh) enzyme (83615) | $40.70 | $67.83 | 6.7× |
| Lactoferrin Fecal Quantitative (83631) | $153 | $255 | 7.8× |
| Ldh Isoenzymes (83625) | $26.93 | $44.88 | 2.1× |
| LDL direct (83721) range across 3 matching MRF lines |
$18.67–$22.03 | $31.11–$36.72 | varies |
| Lead (83655) | $21.11 | $35.19 | 1.7× |
| Legionella antibody (86713) | $104.96 | $174.93 | 6.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$21.73–$222.16 | $36.21–$370.26 | varies |
| Lipase (83690) | $71.91 | $119.85 | 10.4× |
| Lipoprotein A (83695) | $23.87 | $39.78 | 1.7× |
| Lithium (80178) range across 2 matching MRF lines |
$13.77–$60.28 | $22.95–$100.47 | varies |
| Liver ds alys 3 bmrk srm alg (81517) | $756.13 | $1,260.21 | 4.3× |
| Luteinizing Hormone (Lh) (83002) | $124.54 | $207.57 | 6.7× |
| Lyme disease antibody (86618) | $17.44 | $29.07 | 1.0× |
| M. Genitalium Amp Probe (87563) | $25.09 | $41.82 | 0.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$9.79–$52.02 | $16.32–$86.70 | varies |
| Mass Spectrometry Quant (83789) | $85.07 | $141.78 | 3.5× |
| Metabolic panel ionized ca (80047) | $99.76 | $166.26 | 7.3× |
| Methylmalonic acid serum (83921) | $25.09 | $41.82 | 1.2× |
| Microalbumin, quantitative (82043) | $59.67 | $99.45 | 10.3× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$43.76–$68.85 | $72.93–$114.75 | varies |
| Mononuclear cell antigen (86356) | $56 | $93.33 | 2.1× |
| Mrsa Pcr (87641) | $95.17 | $158.61 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $149.02 | $248.37 | 2.3× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$41.92–$292.84 | $69.87–$488.07 | varies |
| Mycoplasma antibody (86738) | $104.96 | $174.93 | 7.9× |
| Mycoplasma culture (87109) | $139.23 | $232.05 | 9.0× |
| Myoglobin urine (83874) | $25.09 | $41.82 | 1.9× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$139.84–$268.97 | $233.07–$448.29 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 2 matching MRF lines |
$188.34–$197.98 | $313.90–$329.97 | varies |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$601.90–$963.59 | $1,003.17–$1,605.99 | varies |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$17.44–$208.69 | $29.07–$347.82 | varies |
| Occult blood feces (82272) | $28.15 | $46.92 | 6.7× |
| Oligoclonal bands (83916) | $59.98 | $99.96 | 2.2× |
| Osmolality serum (83930) | $41.92 | $69.87 | 6.3× |
| Osmolality Urine (83935) | $151.78 | $252.96 | 22.3× |
| Ova and parasites smears (87177) | $87.21 | $145.35 | 9.8× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$34.88–$105.88 | $58.14–$176.46 | varies |
| Pancreatic Elastase Fecal (82656) | $466.96 | $778.26 | 40.5× |
| Ph urine (81003) | $22.95 | $38.25 | 10.2× |
| Phenytoin (Dilantin) (80185) | $83.54 | $139.23 | 6.3× |
| Phenytoin free (80186) | $22.03 | $36.72 | 1.6× |
| Phosphatase alkaline (84075) | $41.92 | $69.87 | 8.1× |
| Phosphorus Serum (84100) | $32.44 | $54.06 | 6.8× |
| Phosphorus urine (84105) | $12.85 | $21.42 | 2.2× |
| Platelet count automated (85049) | $29.99 | $49.98 | 6.7× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$9.79–$22.64 | $16.32–$37.74 | varies |
| Prealbumin (84134) | $63.95 | $106.59 | 4.4× |
| Primidone (80188) | $33.05 | $55.08 | 2.0× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$56.92–$541.62 | $94.86–$902.70 | varies |
| Progesterone (84144) | $55.69 | $92.82 | 2.7× |
| Prolactin (84146) | $22.95 | $38.25 | 1.2× |
| Protein body fluid (84157) | $98.84 | $164.73 | 24.7× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$14.99–$279.07 | $24.99–$465.12 | varies |
| Protein c antigen (85302) | $14.99 | $24.99 | 1.2× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$46.51–$98.84 | $77.52–$164.73 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$22.64–$61.81 | $37.74–$103.02 | varies |
| Protein S Free (85306) | $15.61 | $26.01 | 1.0× |
| Protein s total (85305) | $15.61 | $26.01 | 1.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$7.65–$10.71 | $12.75–$17.85 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$6.73–$52.33 | $11.22–$87.21 | varies |
| PSA free (84154) | $93.94 | $156.57 | 5.1× |
| Pth Intact (83970) | $52.33 | $87.21 | 1.3× |
| Quantiferon tb gold plus (86480) | $275.09 | $458.49 | 4.4× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$54.47–$197.98 | $90.78–$329.97 | varies |
| Rbc antibody elution (86860) | $427.18 | $711.96 | 2.6× |
| Rbc antibody identification (86870) | $607.10 | $1,011.84 | 1.8× |
| Rbc antibody screen (86850) | $5.20 | $8.67 | 0.5× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $9.79 | $16.32 | 0.1× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$23.87–$401.47 | $39.78–$669.12 | varies |
| Resp virus 12-25 targets (87633) | $223.69 | $372.81 | 0.5× |
| Reticulated Platelet Assay (85055) | $104.96 | $174.93 | 2.9× |
| Rh (86901) range across 2 matching MRF lines |
$64.26–$179.32 | $107.10–$298.86 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$35.50–$139.54 | $59.16–$232.56 | varies |
| Rickettsia antibody (86757) | $40.39 | $67.32 | 2.1× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$5.20–$60.59 | $8.67–$100.98 | varies |
| Rubella Antibody (86762) | $28.76 | $47.94 | 2.0× |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$25.70–$292.84 | $42.84–$488.07 | varies |
| Russell Viper Venom Time Diluted (85613) | $19.89 | $33.15 | 2.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $208.39 | $347.31 | 4.1× |
| Sedimentation rate (85651) | $48.35 | $80.58 | 11.3× |
| Sensitivity mic (87186) | $65.18 | $108.63 | 7.5× |
| Serpina 1 gene (81332) | $119.95 | $199.92 | 2.7× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$96.08–$237.15 | $1.53–$395.25 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$25.40–$212.36 | $42.33–$353.94 | varies |
| Sirolimus (80195) | $84.76 | $141.27 | 6.2× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$13.46–$22.95 | $22.44–$38.25 | varies |
| Smear complex stain (87209) | $78.64 | $131.07 | 4.4× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$10.71–$29.68 | $17.85–$49.47 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$10.10–$39.47 | $16.83–$65.79 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$37.03–$103.43 | $61.71–$172.38 | varies |
| Somatomedin (84305) | $42.23 | $70.38 | 2.0× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$13.46–$22.95 | $22.44–$38.25 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$14.08–$42.23 | $23.46–$70.38 | varies |
| Strep a assay w/optic (87880) | $67.63 | $112.71 | 4.1× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $113.83 | $189.72 | 9.9× |
| Surg path level iii (88304) | $86.90 | $144.84 | 1.7× |
| Surgical pathology level IV (88305) | $118.73 | $197.88 | 2.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $44.98 | $74.97 | 9.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $29.68 | $49.47 | 4.0× |
| Syphilis Test Non-Trep Quant (86593) | $6.43 | $10.71 | 1.5× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$27.23–$266.22 | $45.39–$443.70 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$66.40–$86.29 | $110.67–$143.82 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$78.64–$86.29 | $131.07–$143.82 | varies |
| T3 Free (84481) | $132.80 | $221.34 | 7.8× |
| T3 reverse (84482) | $635.56 | $1,059.27 | 40.3× |
| T3 Total (84480) | $70.38 | $117.30 | 5.0× |
| T3 Uptake (84479) | $11.32 | $18.87 | 1.7× |
| T4 Free (84439) | $63.34 | $105.57 | 7.0× |
| T4 total (84436) | $50.80 | $84.66 | 7.4× |
| Tacrolimus (80197) | $152.69 | $254.49 | 11.1× |
| Test for acetone/ketones (82009) | $42.23 | $70.38 | 9.3× |
| Testosterone total (84403) range across 4 matching MRF lines |
$89.66–$237.15 | $1.53–$395.25 | varies |
| Testosterone, Free (84402) | $159.12 | $265.20 | 6.2× |
| Thromboplastin Inhibition Tissue (85705) | $39.78 | $66.30 | 4.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $31.82 | $53.04 | 4.9× |
| Thyroglobulin (84432) | $38.56 | $64.26 | 2.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $57.53 | $95.88 | 1.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$25.09–$29.07 | $41.82–$48.45 | varies |
| Tobramycin peak (80200) | $114.75 | $191.25 | 7.1× |
| Topiramate (80201) | $105.57 | $175.95 | 8.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $84.15 | $140.25 | 4.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $15.30 | $25.50 | 3.0× |
| Transferrin (84466) | $95.78 | $159.63 | 7.5× |
| Trichomonas Vaginalis Amplif (87661) range across 5 matching MRF lines |
$25.09–$263.77 | $41.82–$439.62 | varies |
| Triglycerides (84478) | $38.25 | $63.75 | 6.7× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$23.87–$106.49 | $39.78–$177.48 | varies |
| Urea nitrogen urine (84540) | $10.10 | $16.83 | 1.8× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$12.85–$40.09 | $21.42–$66.81 | varies |
| Urinalysis Microscopic Only (81015) | $6.43 | $10.71 | 2.1× |
| Urine Albumin Semiquantitative (82044) | $35.80 | $59.67 | 5.7× |
| Urine Pregnancy Test (81025) | $68.85 | $114.75 | 8.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $48.04 | $80.07 | 15.2× |
| Valproic acid (80164) range across 2 matching MRF lines |
$28.46–$99.76 | $47.43–$166.26 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$28.46–$112.61 | $47.43–$187.68 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$123.01–$292.84 | $205.02–$488.07 | varies |
| Virus inoculation, shell via (87254) | $81.40 | $135.66 | 4.2× |
| Vit D 1 25-Dihydroxy (82652) range across 5 matching MRF lines |
$31.82–$317.32 | $53.04–$528.87 | varies |
| Vitamin A (84590) | $59.36 | $98.94 | 5.1× |
| Vitamin b-12 (82607) | $70.99 | $118.32 | 4.7× |
| Vitamin B6 (84207) | $78.03 | $130.05 | 2.8× |
| Vitamin c (82180) | $18.36 | $30.60 | 1.9× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$62.73–$207.77 | $104.55–$346.29 | varies |
| Vitamin E (84446) | $173.20 | $288.66 | 12.2× |
| Vitamin K (84597) range across 2 matching MRF lines |
$25.93–$119.95 | $43.22–$199.92 | varies |
| Volatiles (84600) | $72.52 | $120.87 | 4.2× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$83.23–$292.84 | $138.72–$488.07 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$83.23–$292.84 | $138.72–$488.07 | varies |
| Zinc (84630) | $62.73 | $104.55 | 5.5× |
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.