Lab & pathology prices at Salem Regional Medical Center
Salem, OH · every code in this section with a posted price and a Medicare benchmark.
508 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) | $180.25 | $180.25 | 9.8× |
| Acetylcholine receptor blocking antibody (86042) | $180.25 | $180.25 | 9.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $231.75 | $231.75 | 19.2× |
| Acth (82024) | $123.25 | $123.25 | 3.2× |
| Actin smooth muscle antibody each (86015) | $37.75 | $37.75 | 3.1× |
| Acute hepatitis panel (80074) | $411 | $411 | 8.6× |
| Albumin Fluid (82042) range across 5 matching MRF lines |
$47.50–$63 | $47.50–$63 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$34–$56.25 | $34–$56.25 | varies |
| Aldolase (82085) | $31 | $31 | 3.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$108.75–$115 | $108.75–$115 | varies |
| Alkaline phosphatase isoenzymes (84080) | $48 | $48 | 3.2× |
| Allergen specific ige (86003) | $41.50 | $41.50 | 8.0× |
| Allergen specific igg (86001) | $46 | $46 | 5.9× |
| Allg Spec Ige Recomb Ea (86008) | $44.50 | $44.50 | 2.5× |
| Alpha-1-antitrypsin phenotype (82104) | $125.25 | $125.25 | 8.7× |
| Alpha-1-antitrypsin total (82103) | $105.75 | $105.75 | 7.9× |
| Alpha-Fetoprotein Serum (82105) | $163.50 | $163.50 | 9.7× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$30–$41.25 | $30–$41.25 | varies |
| Amikacin trough (80150) | $74.25 | $74.25 | 4.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $131.50 | $131.50 | 5.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $698.50 | $698.50 | 41.4× |
| Ammonia (82140) | $131.50 | $131.50 | 9.0× |
| Amylase urine (82150) range across 7 matching MRF lines |
$47–$77.25 | $47–$77.25 | varies |
| Anca screen each antibody (86036) | $143.75 | $143.75 | 11.9× |
| Anca Titer Each Antibody (86037) | $72.25 | $72.25 | 6.0× |
| Androstenedione (82157) | $94.25 | $94.25 | 3.2× |
| Angiotensin converting enzyme csf (82164) | $46 | $46 | 3.2× |
| Antibody aspergillus (86606) | $88.25 | $88.25 | 5.9× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $82 | $82 | 6.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$77.25–$100.50 | $77.25–$100.50 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $118.50 | $118.50 | 7.0× |
| Antibody Encephalitis California La Crosse (86651) | $85 | $85 | 6.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $99 | $99 | 7.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $91.25 | $91.25 | 6.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$103–$216.50 | $103–$216.50 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $118 | $118 | 9.6× |
| Antibody Herpes Smplx Type 1 (86695) | $67 | $67 | 5.1× |
| Antibody; encephalitis, st. louis (86653) | $85 | $85 | 6.4× |
| Antigen typing (86905) | $62 | $62 | 16.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 5 matching MRF lines |
$14.50–$25 | $14.50–$25 | varies |
| Antinomyces antibody (86602) | $69.75 | $69.75 | 6.9× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$29.50–$107.75 | $29.50–$107.75 | varies |
| Antistreptolysin o titer (86060) | $94.25 | $94.25 | 12.9× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$105.75–$250 | $105.75–$250 | varies |
| Antithrombin iii antigen (85301) | $105.75 | $105.75 | 9.8× |
| Apolipoprotein a1 (82172) | $30 | $30 | 1.4× |
| Aquaporin-4 Antb Elisa (86051) | $900.50 | $900.50 | 78.1× |
| Arsenic (82175) range across 2 matching MRF lines |
$129–$133 | $129–$133 | varies |
| Aspergillus ag eia (87305) | $304 | $304 | 25.4× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$168.50–$200 | $168.50–$200 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $106.25 | $106.25 | 3.8× |
| Assay Nephelometry Not Spec (83883) | $100 | $100 | 7.4× |
| Assay of 5-hiaa (83497) | $99 | $99 | 7.7× |
| Assay of anti-mullerian hormone (82166) | $47 | $47 | 1.2× |
| Assay of blood/uric acid (84550) | $41.25 | $41.25 | 9.1× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$26.50–$47.50 | $26.50–$47.50 | varies |
| Assay of cpk in blood (82552) | $31 | $31 | 2.3× |
| Assay of estrone (82679) | $94.25 | $94.25 | 3.8× |
| Assay of g6pd enzyme (82955) | $47.50 | $47.50 | 4.9× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$24.25–$93.25 | $24.25–$93.25 | varies |
| Assay of lactic acid (83605) | $71.75 | $71.75 | 6.2× |
| Assay of manganese (83785) | $144.75 | $144.75 | 5.4× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$66–$253.50 | $66–$253.50 | varies |
| Assay of serotonin (84260) | $157.25 | $157.25 | 5.1× |
| Assay of serum potassium (84132) | $21.75 | $21.75 | 4.6× |
| Assay of urea nitrogen (84520) | $28 | $28 | 7.1× |
| Assay of urine vma (84585) | $133.50 | $133.50 | 8.6× |
| Assay of vasoactive intestinal peptide (84586) | $122.25 | $122.25 | 3.5× |
| Assay of vitamin b-1 (84425) | $156.75 | $156.75 | 7.4× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$20–$24.75 | $20–$24.75 | varies |
| Assay spec xcp ur&breath ia (82077) | $107.25 | $107.25 | 6.2× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$44.50–$47 | $44.50–$47 | varies |
| Bartonella antibody (86611) | $67 | $67 | 6.6× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$125.25–$225 | $125.25–$225 | varies |
| Beta hydroxybutyrate (82010) | $54.75 | $54.75 | 6.7× |
| Beta Lactamase (87185) | $36.25 | $36.25 | 7.6× |
| Beta-2 Microglobulin (82232) | $131.50 | $131.50 | 8.1× |
| Bile acids total (82239) | $65.50 | $65.50 | 3.8× |
| Bilirubin direct (82248) | $54.50 | $54.50 | 10.9× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$30–$33 | $30–$33 | varies |
| Blastomyces antibody (86612) | $31.50 | $31.50 | 2.4× |
| Bld Typing Serologic Rh Phnt (86906) | $98 | $98 | 12.6× |
| Blood Count Automated Differential Wbc Count (85004) | $52.75 | $52.75 | 8.2× |
| Blood Count Manual Cell Count Each (85032) | $41.25 | $41.25 | 9.6× |
| Blood Count Red Blood Cell Automated (85041) | $24.25 | $24.25 | 8.0× |
| Blood count reticulocyte automated (85045) | $41.25 | $41.25 | 10.3× |
| Blood gas (82803) range across 7 matching MRF lines |
$98.50–$151.50 | $98.50–$151.50 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $27 | $27 | 6.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $109.25 | $109.25 | 17.2× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$45–$46 | $45–$46 | varies |
| Body fluid cell count (89050) | $28.50 | $28.50 | 6.0× |
| Bordetella antibody (86615) | $93.75 | $93.75 | 7.1× |
| Braf gene analysis (81210) | $761.75 | $761.75 | 4.3× |
| Breath Alcohol Test (82075) | $44 | $44 | 1.5× |
| Brucella antibody (86622) | $73.25 | $73.25 | 8.2× |
| C-Peptide (84681) | $130.50 | $130.50 | 6.3× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$41.25–$82 | $41.25–$82 | varies |
| Ca 19-9 (86301) | $164.50 | $164.50 | 7.9× |
| Cadmium (82300) range across 2 matching MRF lines |
$64–$66 | $64–$66 | varies |
| Calcitonin (82308) | $97.50 | $97.50 | 3.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$80–$112.50 | $80–$112.50 | varies |
| Calcium total (82310) | $40.25 | $40.25 | 7.8× |
| Calculus assay quant (82360) | $6.25 | $6.25 | 0.5× |
| Calculus Spectroscopy (82365) | $92 | $92 | 7.1× |
| Calprotectin Fecal (83993) | $310.75 | $310.75 | 15.8× |
| Calr gene com variants (81219) | $660.75 | $660.75 | 5.4× |
| Cancer Antigen 125 (86304) | $164.50 | $164.50 | 7.9× |
| Cancer Antigen 27.29 (86300) | $140.75 | $140.75 | 6.8× |
| Carbamazepine total (80156) | $65.50 | $65.50 | 4.5× |
| Carboxyhemoglobin (82375) | $66 | $66 | 5.4× |
| Carcinoembryonic antigen (82378) | $124 | $124 | 6.5× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$99–$225 | $99–$225 | varies |
| Carotene (82380) | $45 | $45 | 4.9× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$131.50–$187 | $131.50–$187 | varies |
| Ccp antibody (86200) | $103 | $103 | 8.0× |
| Cell count csf (89051) | $81 | $81 | 14.5× |
| Cell marker study (88182) | $131.50 | $131.50 | 2.6× |
| Ceruloplasmin (82390) | $78 | $78 | 7.3× |
| Chemiluminescent assay (82397) | $47 | $47 | 3.3× |
| Chloride Serum (82435) | $14.50 | $14.50 | 3.2× |
| Chloride urine (82436) | $49.50 | $49.50 | 8.6× |
| Cholesterol total (82465) range across 4 matching MRF lines |
$30–$36.25 | $30–$36.25 | varies |
| Chorionic gonadotropin test (84702) | $159.25 | $159.25 | 10.6× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $120 | $120 | 4.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $116.50 | $116.50 | 3.5× |
| Chromium serum (82495) | $144.75 | $144.75 | 7.1× |
| Chromogranin a (86316) | $180.25 | $180.25 | 8.7× |
| Chromosome Analysis 15-20 (88262) | $462.50 | $462.50 | 3.7× |
| Chromosome Analysis 20-25 (88264) | $382.25 | $382.25 | 2.6× |
| Chromosome analysis, 5 (88261) | $300 | $300 | 1.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$51.50–$138.75 | $51.50–$138.75 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$67.50–$276.75 | $67.50–$276.75 | varies |
| Ckmb (82553) | $98 | $98 | 8.5× |
| Clostridium Difficile (87324) | $97.50 | $97.50 | 8.1× |
| Clot factor xiii fibrin stab (85290) | $205 | $205 | 12.5× |
| Clotting factor xii hageman (85280) | $205 | $205 | 10.6× |
| Cold agglutinin titer (86157) | $82 | $82 | 10.2× |
| Collagen crosslinks (82523) | $147 | $147 | 7.9× |
| Compatibility test antiglob (86922) | $70.75 | $70.75 | 0.4× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$59.25–$99 | $59.25–$99 | varies |
| Complement Total (Ch50) (86162) | $84.50 | $84.50 | 4.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $307.50 | $307.50 | 6.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $467.25 | $467.25 | 12.9× |
| Coombs direct (86880) | $45 | $45 | 8.3× |
| Copper urine (82525) range across 2 matching MRF lines |
$75–$149 | $75–$149 | varies |
| Cortisol free (82530) | $65 | $65 | 3.9× |
| Cortisol saliva (82533) | $139.75 | $139.75 | 8.6× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$19.75–$67 | $19.75–$67 | varies |
| Creatinine blood (82565) | $28 | $28 | 5.5× |
| Creatinine clearance (82575) | $99 | $99 | 10.5× |
| Creatinine Urine (82570) range across 11 matching MRF lines |
$20–$60 | $20–$60 | varies |
| Crp High Sensitivity (86141) | $82 | $82 | 6.3× |
| Cryofibrinogen (82585) | $46.50 | $46.50 | 3.3× |
| Cryoglobulin (82595) | $99 | $99 | 15.3× |
| Cryptococcus ab (86641) | $67.50 | $67.50 | 4.7× |
| Cryptococcus ag titer (87899) | $94.25 | $94.25 | 5.9× |
| Cryptosporidium ag eia (87328) | $83.50 | $83.50 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $47.50 | $47.50 | 5.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 5 matching MRF lines |
$46–$47.50 | $46–$47.50 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$77.25–$95.50 | $77.25–$95.50 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$75–$97.50 | $75–$97.50 | varies |
| Culture Anaerobic (87075) | $95.50 | $95.50 | 10.1× |
| Culture blood (87040) | $122.25 | $122.25 | 11.8× |
| Culture chlamydia (87110) | $75.75 | $75.75 | 3.9× |
| Culture csf (87070) range across 10 matching MRF lines |
$95.50–$118.50 | $95.50–$118.50 | varies |
| Culture screen only (87081) | $58 | $58 | 8.7× |
| Culture typing if ea antiserum (87140) | $30 | $30 | 5.4× |
| Culture typing other methods (87158) | $315 | $315 | 40.7× |
| Culture urine (87086) | $100 | $100 | 12.4× |
| Cyclosporine (80158) | $81 | $81 | 4.5× |
| Cystatin C (82610) | $159.25 | $159.25 | 8.6× |
| Cytogenetics 100-300 (88275) | $181 | $181 | 3.5× |
| Cytomegalovirus igg (86644) | $69.75 | $69.75 | 4.8× |
| Cytp Concentration Smears & Interpretation (88108) | $139.25 | $139.25 | 3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $198 | $198 | 3.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $90.75 | $90.75 | 2.5× |
| Deoxyribonuclease antibody (86215) | $50 | $50 | 3.8× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$128.75–$371.50 | $128.75–$371.50 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$273–$466.25 | $273–$466.25 | varies |
| Dgp Antibody Each Ig Class (86258) | $21.75 | $21.75 | 1.8× |
| Dhea (82626) | $155.75 | $155.75 | 6.2× |
| Dhea-S (82627) | $229.25 | $229.25 | 10.3× |
| Digoxin (80162) | $119.50 | $119.50 | 9.0× |
| Dihydrotestosterone (82642) | $120 | $120 | 4.1× |
| Dipropylacetic Acid Free (80165) | $69.75 | $69.75 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) | $166.50 | $166.50 | 12.1× |
| Dna/Rna Amplified Probe (87150) | $75 | $75 | 2.1× |
| DNA/RNA direct probe (87149) | $100 | $100 | 5.0× |
| Dna/Rna Sequencing (87153) | $315 | $315 | 2.7× |
| Drug assay acetaminophen (80143) | $101 | $101 | 5.4× |
| Drug Assay Everolimus (80169) | $116.50 | $116.50 | 8.5× |
| Drug Assay Lacosamide (80235) | $239 | $239 | 8.8× |
| Drug assay voriconazole (80285) | $477.50 | $477.50 | 17.6× |
| Drug Screen Quant Clozapine (80159) | $85 | $85 | 4.2× |
| Drug Screen Quant Zonisamide (80203) | $173.75 | $173.75 | 13.1× |
| Drug Screen Quantitative Gabapentin (80171) | $97 | $97 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $126.75 | $126.75 | 9.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $153.50 | $153.50 | 11.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $67.50 | $67.50 | 5.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
$49.50–$345.25 | $49.50–$345.25 | varies |
| El-1 Fecal Quantitative (82653) | $334.75 | $334.75 | 14.6× |
| Electrolyte panel (80051) | $59.75 | $59.75 | 8.5× |
| Electron Microscopy (88348) | $453.75 | $453.75 | 0.6× |
| Encephaltis East Eqne Anbdy (86652) | $85 | $85 | 6.4× |
| Encephaltis West Eqne Antbdy (86654) | $85 | $85 | 6.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21.75 | $21.75 | 1.8× |
| Enterovirus Antibody (86658) | $31 | $31 | 2.4× |
| Enterovirus PCR (87498) | $169.50 | $169.50 | 4.8× |
| Erythropoietin (82668) | $142.75 | $142.75 | 7.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$85–$177.75 | $85–$177.75 | varies |
| Estriol (82677) | $99 | $99 | 4.1× |
| Estrogen total (82672) | $51 | $51 | 2.4× |
| Exam Synovial Fluid Crystals (89060) | $92.25 | $92.25 | 12.6× |
| F2 Gene (81240) | $308.50 | $308.50 | 4.7× |
| Factor ix activity (85250) | $190.75 | $190.75 | 10.0× |
| Factor v leiden mutation (81241) | $296 | $296 | 4.0× |
| Factor vii assay (85230) | $211.75 | $211.75 | 11.8× |
| Factor viii assay (85240) | $246.25 | $246.25 | 13.8× |
| Factor X (85260) | $190.75 | $190.75 | 10.7× |
| Factor xi activity (85270) | $190.75 | $190.75 | 10.7× |
| Factor xiii screen (85291) | $125.25 | $125.25 | 13.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $199 | $199 | 11.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $125 | $125 | 19.1× |
| Fecal Fat Qualitative (82705) | $32 | $32 | 6.3× |
| Ferritin (82728) | $79.50 | $79.50 | 5.8× |
| Fibrin degradation products (85362) | $49 | $49 | 7.1× |
| Fibrin Degradation Quant (85379) | $117.25 | $117.25 | 11.5× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$56.75–$61 | $56.75–$61 | varies |
| Flow cytometry first marker (88184) | $68 | $68 | 0.2× |
| Fluorescent antibody screen (86255) | $47 | $47 | 3.9× |
| Folic acid rbc (82747) | $81 | $81 | 4.6× |
| Folic Acid Serum (82746) | $67 | $67 | 4.6× |
| Follicle Stimulating Hormone (83001) | $170.25 | $170.25 | 9.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $254.50 | $254.50 | 1.5× |
| Fungi Identification Mold (87107) | $156.25 | $156.25 | 15.1× |
| Fungi Identification Yeast (87106) | $47.50 | $47.50 | 4.6× |
| Gammaglobulin ige (82785) | $44 | $44 | 2.7× |
| Gases blood ph only (82800) range across 3 matching MRF lines |
$24.25–$67.50 | $24.25–$67.50 | varies |
| Gastrin (82941) | $45 | $45 | 2.6× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $4,074.25 | $4,074.25 | 5.4× |
| Genet Virus Isolate Hsv (87255) | $131.50 | $131.50 | 3.9× |
| Gentamicin (80170) | $102 | $102 | 6.2× |
| Ggt (82977) range across 2 matching MRF lines |
$30–$40.25 | $30–$40.25 | varies |
| Giardia antigen (87329) | $84.50 | $84.50 | 7.1× |
| Glucagon (82943) | $112 | $112 | 7.8× |
| Glucose 2 hr pp (82950) | $67.50 | $67.50 | 14.2× |
| Glucose Blood Test (82962) | $30 | $30 | 9.1× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$27.50–$47.50 | $27.50–$47.50 | varies |
| Glucose Serum (82947) range across 4 matching MRF lines |
$25–$32.50 | $25–$32.50 | varies |
| Glucose tolerance test (gtt) (82951) | $100 | $100 | 7.8× |
| Glycated Protein (82985) | $48 | $48 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $94.25 | $94.25 | 12.5× |
| Growth hormone (83003) | $109.75 | $109.75 | 6.6× |
| Gtt-added samples (82952) | $33 | $33 | 8.4× |
| Haptoglobin (83010) | $99 | $99 | 7.9× |
| Hdl Cholesterol (83718) | $48.50 | $48.50 | 5.9× |
| Helicobacter Pylori Stool (87338) | $143.75 | $143.75 | 10.0× |
| Helminth Antibody (86682) | $223 | $223 | 17.1× |
| Hematocrit (85014) | $31 | $31 | 13.1× |
| Hemoglobin (85018) | $31 | $31 | 13.1× |
| Hemoglobin a1c (83036) | $92.25 | $92.25 | 9.5× |
| Hemoglobin electrophoresis (83020) | $48 | $48 | 3.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $75.75 | $75.75 | 9.2× |
| Hep a ab igm (86709) | $103 | $103 | 9.1× |
| Heparin assay (85520) | $160.25 | $160.25 | 12.2× |
| Hepatitis a antibody total (86708) | $80 | $80 | 6.5× |
| Hepatitis b core ab igm (86705) | $103 | $103 | 8.8× |
| Hepatitis b core ab total (86704) | $53.25 | $53.25 | 4.4× |
| Hepatitis B Surface Antibody (86706) | $48 | $48 | 4.5× |
| Hepatitis B Surface Antigen (87340) | $48 | $48 | 4.6× |
| Hepatitis Be Antibody (86707) | $90.75 | $90.75 | 7.8× |
| Hepatitis Be Antigen (87350) | $80.50 | $80.50 | 7.0× |
| Hepatitis C Antibody (86803) | $127.75 | $127.75 | 9.0× |
| Hepatitis C Genotype (87902) | $559.50 | $559.50 | 2.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$175.75–$400 | $175.75–$400 | varies |
| Herpes simplex type 2 (86696) | $67 | $67 | 3.5× |
| Heterophile Antibody Screen (86308) | $67 | $67 | 12.9× |
| Hfe Gene (81256) | $318 | $318 | 4.9× |
| Histamine urine (83088) | $180.25 | $180.25 | 6.1× |
| Histoplasma antibody (86698) | $134 | $134 | 9.7× |
| Histoplasma antigen urine (87385) | $186.50 | $186.50 | 14.1× |
| Hiv Antigen W/Hiv Antibodies (87806) | $90.75 | $90.75 | 2.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $88.75 | $88.75 | 3.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$273–$669.50 | $273–$669.50 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $169.50 | $169.50 | 2.3× |
| Homocysteine (83090) | $128.75 | $128.75 | 7.2× |
| Homogenization Tissue (87176) | $45 | $45 | 7.7× |
| Hsv Dna Amp Probe (87529) | $186.50 | $186.50 | 5.3× |
| Hydroxyprogesterone 17-d (83498) | $79 | $79 | 2.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $347.75 | $347.75 | 9.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $273 | $273 | 7.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $363 | $363 | 10.3× |
| Iadna Cytomegalovirus Quantification (87497) | $363.50 | $363.50 | 8.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $128.75 | $128.75 | 1.8× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$305.50–$772.50 | $305.50–$772.50 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $292.25 | $292.25 | 8.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$51.50–$138.75 | $51.50–$138.75 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $138.25 | $138.25 | 2.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $475 | $475 | 1.8× |
| Ig Light Chains Free Each (83521) | $58.75 | $58.75 | 3.4× |
| Igg subclasses (82787) range across 6 matching MRF lines |
$44–$117 | $44–$117 | varies |
| Immune Complex Assay (86332) | $248.25 | $248.25 | 10.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$75–$131.50 | $75–$131.50 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 24 matching MRF lines |
$20.75–$98.50 | $20.75–$98.50 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$52.75–$125.25 | $52.75–$125.25 | varies |
| Immunodiffusion Ouchterlony (86331) | $69.75 | $69.75 | 5.8× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$53.25–$155.75 | $53.25–$155.75 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $130.50 | $130.50 | 0.8× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$157.25–$323.50 | $157.25–$323.50 | varies |
| In situ hybridization 1st probe stain (88365) | $279.75 | $279.75 | 1.7× |
| Influenza assay w/optic (87804) | $42.75 | $42.75 | 2.6× |
| Influenza DNA amp probe (87502) | $181 | $181 | 1.9× |
| Inhibin A (86336) | $83.50 | $83.50 | 5.4× |
| Inhibin b (83520) range across 5 matching MRF lines |
$168.50–$350 | $168.50–$350 | varies |
| Insulin antibodies (86337) | $90.75 | $90.75 | 4.2× |
| Insulin free (83527) | $88.25 | $88.25 | 6.8× |
| Insulin total (83525) range across 2 matching MRF lines |
$95.50–$105.75 | $95.50–$105.75 | varies |
| Interleukin-6 (83529) | $136 | $136 | 7.9× |
| Intrinsic factor antibody (86340) | $94.25 | $94.25 | 6.3× |
| Iron (83540) range across 2 matching MRF lines |
$64.50–$235 | $64.50–$235 | varies |
| Iron Binding Capacity (83550) | $73.25 | $73.25 | 8.4× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$76.75–$162.25 | $76.75–$162.25 | varies |
| Ketosteroids 17 total (83586) | $133 | $133 | 10.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $254.50 | $254.50 | 1.3× |
| Kras Gene Variants Exon 2 (81275) | $1,078 | $1,078 | 5.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$16–$41.25 | $16–$41.25 | varies |
| Lactoferrin Fecal Quantitative (83631) | $224.25 | $224.25 | 11.4× |
| Ldh Isoenzymes (83625) | $30.50 | $30.50 | 2.4× |
| LDL direct (83721) | $33.50 | $33.50 | 3.2× |
| Lead (83655) range across 3 matching MRF lines |
$77–$79.50 | $77–$79.50 | varies |
| Legionella antibody (86713) | $100.50 | $100.50 | 6.6× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$87.75–$125.25 | $87.75–$125.25 | varies |
| Legionella pneumophila dfa (87278) | $125.25 | $125.25 | 8.0× |
| Leukocyte Assessment Fecal (89055) | $32 | $32 | 7.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $103.25 | $103.25 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $138.75 | $138.75 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$312.75–$338.50 | $312.75–$338.50 | varies |
| Lipase (83690) | $68.75 | $68.75 | 10.0× |
| Lipoprotein A (83695) | $62.50 | $62.50 | 4.4× |
| Lipoprotein Bld Quan Part (83704) | $120.75 | $120.75 | 3.5× |
| Lithium (80178) | $66.50 | $66.50 | 10.1× |
| Luteinizing Hormone (Lh) (83002) | $226.25 | $226.25 | 12.2× |
| Lyme disease antibody (86618) | $183.25 | $183.25 | 10.8× |
| Lysozyme serum (85549) | $54.75 | $54.75 | 2.9× |
| Macroscopic exam arthropod (87168) | $97.50 | $97.50 | 22.8× |
| Macroscopic Exam Parasite (87169) | $15 | $15 | 3.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$28.50–$59.75 | $28.50–$59.75 | varies |
| Mass Spectrometry Quant (83789) | $168.50 | $168.50 | 7.0× |
| Mercury urine (83825) range across 2 matching MRF lines |
$97–$100 | $97–$100 | varies |
| Methylmalonic acid serum (83921) | $242.25 | $242.25 | 11.4× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$29–$49.50 | $29–$49.50 | varies |
| Microsatellite instability (81301) | $641.75 | $641.75 | 1.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$100.50–$131.50 | $100.50–$131.50 | varies |
| Mitochondrial Antibody Each (86381) | $48.50 | $48.50 | 1.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$181–$186.50 | $181–$186.50 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$495–$1,976.75 | $495–$1,976.75 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $720.50 | $720.50 | 4.8× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$600–$605.25 | $600–$605.25 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $234 | $234 | 3.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$31–$40.25 | $31–$40.25 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,070.25 | $1,070.25 | 58.2× |
| Mycobacteric Identification (87118) | $225 | $225 | 15.4× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$33.50–$107.75 | $33.50–$107.75 | varies |
| Mycoplasma culture (87109) | $112.50 | $112.50 | 7.3× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$76.75–$139.75 | $76.75–$139.75 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$49.50–$75.25 | $49.50–$75.25 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$125.25–$206 | $125.25–$206 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $371.75 | $371.75 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $241.25 | $241.25 | 3.3× |
| Nickel level (83885) | $118.50 | $118.50 | 4.8× |
| Nras gene variants exon 2&3 (81311) | $634.50 | $634.50 | 2.1× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$44–$165 | $44–$165 | varies |
| Obstetric panel (80081) | $470.25 | $470.25 | 6.3× |
| Occult blood feces (82272) | $27 | $27 | 6.4× |
| Oligoclonal bands (83916) | $74.75 | $74.75 | 2.7× |
| Oncoprotein dcp (83951) | $326 | $326 | 5.1× |
| Osmolality serum (83930) | $53.25 | $53.25 | 8.1× |
| Osmolality Urine (83935) | $53.25 | $53.25 | 7.8× |
| Ova and parasites smears (87177) | $70.75 | $70.75 | 7.9× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$131.50–$153 | $131.50–$153 | varies |
| Parvovirus antibody (86747) | $85.50 | $85.50 | 5.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $136 | $136 | 0.2× |
| Ph urine (81003) range across 5 matching MRF lines |
$27–$44 | $27–$44 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$30–$66.50 | $30–$66.50 | varies |
| Phenytoin (Dilantin) (80185) | $66.50 | $66.50 | 5.0× |
| Phenytoin free (80186) | $69.75 | $69.75 | 5.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$33.50–$40.25 | $33.50–$40.25 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $169.50 | $169.50 | 9.4× |
| Phosphorus Serum (84100) | $54.75 | $54.75 | 11.6× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$47.50–$63.50 | $47.50–$63.50 | varies |
| Pinworm exam (87172) | $49 | $49 | 11.5× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$67.50–$125 | $67.50–$125 | varies |
| Platelet count automated (85049) | $47.50 | $47.50 | 10.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $72.25 | $72.25 | 4.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$47.50–$49.50 | $47.50–$49.50 | varies |
| Prealbumin (84134) | $111.25 | $111.25 | 7.6× |
| Pregnenolone (84140) | $137 | $137 | 6.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $80 | $80 | 1.4× |
| Primidone (80188) | $49 | $49 | 3.0× |
| Procalcitonin (Pct) (84145) | $196.75 | $196.75 | 7.2× |
| Progesterone (84144) | $72.25 | $72.25 | 3.5× |
| Prolactin (84146) | $193.25 | $193.25 | 10.0× |
| Protein body fluid (84157) range across 5 matching MRF lines |
$40.25–$47.50 | $40.25–$47.50 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$169.50–$250 | $169.50–$250 | varies |
| Protein c antigen (85302) | $227.25 | $227.25 | 18.9× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$57.25–$73.25 | $57.25–$73.25 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$26.50–$42.75 | $26.50–$42.75 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$113.50–$250 | $113.50–$250 | varies |
| Protein s total (85305) | $100 | $100 | 8.6× |
| Protein total serum (84155) range across 2 matching MRF lines |
$30.50–$40.25 | $30.50–$40.25 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$38.25–$64.50 | $38.25–$64.50 | varies |
| PSA free (84154) | $109.75 | $109.75 | 6.0× |
| Pth Intact (83970) | $159.25 | $159.25 | 3.9× |
| Quantiferon tb gold plus (86480) | $259.50 | $259.50 | 4.2× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$49.50–$295 | $49.50–$295 | varies |
| Quantitative Screen Metals (83018) | $150 | $150 | 6.8× |
| Rbc antibody elution (86860) | $150 | $150 | 0.9× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$125–$175.75 | $125–$175.75 | varies |
| Rbc antibody screen (86850) | $112.50 | $112.50 | 11.5× |
| Rbc pretreatment serum (86978) | $170 | $170 | 3.0× |
| Renin activity plasma (84244) | $97.50 | $97.50 | 4.4× |
| Resp Virus 6-11 Targets (87632) | $901 | $901 | 4.1× |
| Reticulocyte separation (86972) | $215 | $215 | 1.3× |
| Rh (86901) range across 5 matching MRF lines |
$45–$46 | $45–$46 | varies |
| Rheumatoid factor quant (86431) | $91.50 | $91.50 | 16.1× |
| Ristocetin cofactor (85245) | $230.75 | $230.75 | 10.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$25.75–$49 | $25.75–$49 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$33–$61 | $33–$61 | varies |
| Rubeola antibody (86765) | $31 | $31 | 2.4× |
| Rufinamide (80210) | $102 | $102 | 3.8× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$63–$150 | $63–$150 | varies |
| Salicylate Level (80179) | $61.25 | $61.25 | 3.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $164.50 | $164.50 | 3.2× |
| Sedimentation rate (85651) | $53.25 | $53.25 | 12.5× |
| Selenium (84255) | $181 | $181 | 7.1× |
| Sensitivity mic (87186) | $56.25 | $56.25 | 6.5× |
| Sex Hormone Binding Globulin (84270) | $99.50 | $99.50 | 4.6× |
| Sickling of rbc reduction (85660) | $46.50 | $46.50 | 8.4× |
| Sirolimus (80195) | $114.50 | $114.50 | 8.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$40.25–$45.50 | $40.25–$45.50 | varies |
| Smear acid fast (87206) range across 4 matching MRF lines |
$51–$53.25 | $51–$53.25 | varies |
| Smear complex stain (87209) | $70.75 | $70.75 | 3.9× |
| Smear gram stain (87205) | $32 | $32 | 7.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $44 | $44 | 7.6× |
| Sodium Serum (84295) | $14.50 | $14.50 | 3.0× |
| Sodium Urine (84300) | $47.50 | $47.50 | 9.4× |
| Somatomedin (84305) | $153 | $153 | 7.2× |
| Somatostatin (84307) | $329.25 | $329.25 | 18.0× |
| Special Stains Group 1 (88312) | $164.25 | $164.25 | 3.3× |
| Special Stains Group 2 (88313) range across 11 matching MRF lines |
$122.25–$170.25 | $122.25–$170.25 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$36.25–$55 | $36.25–$55 | varies |
| Strep a DNA amp probe (87651) | $97.75 | $97.75 | 2.8× |
| Surg path level iii (88304) | $192 | $192 | 3.8× |
| Surgical pathology level IV (88305) | $256.50 | $256.50 | 5.1× |
| Surgical pathology level vi (88309) | $623.75 | $623.75 | 0.8× |
| Syphilis Test Non-Trep Quant (86593) | $24.75 | $24.75 | 5.6× |
| T cells absolute cd4 count (86361) | $155.75 | $155.75 | 5.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $205 | $205 | 4.4× |
| T3 Free (84481) | $161.75 | $161.75 | 9.5× |
| T3 reverse (84482) | $74.75 | $74.75 | 4.7× |
| T3 Total (84480) | $34.75 | $34.75 | 2.5× |
| T3 Uptake (84479) | $56.25 | $56.25 | 8.7× |
| T4 Free (84439) | $66.50 | $66.50 | 7.4× |
| T4 total (84436) | $63 | $63 | 9.2× |
| Tacrolimus (80197) | $301.50 | $301.50 | 22.0× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$117.50–$169 | $117.50–$169 | varies |
| Testosterone total (84403) | $169 | $169 | 6.5× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$114.50–$149 | $114.50–$149 | varies |
| Theophylline (80198) | $87.75 | $87.75 | 6.2× |
| Thiopurine methyltransferase (84433) | $318.50 | $318.50 | 14.4× |
| Thrombin Time (85670) | $28 | $28 | 4.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$85–$162.25 | $85–$162.25 | varies |
| Thyroglobulin Antibody (86800) | $131.50 | $131.50 | 8.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $248.75 | $248.75 | 4.9× |
| Thyroxine binding globulin (84442) | $75.75 | $75.75 | 5.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $27 | $27 | 2.3× |
| Tissue culture bone marrow (88237) | $382.25 | $382.25 | 2.7× |
| Tissue Culture Lymphocyte (88230) | $338.50 | $338.50 | 2.9× |
| Topiramate (80201) | $137 | $137 | 11.5× |
| Toxoplasma ab igm (86778) | $46.50 | $46.50 | 3.2× |
| Toxoplasma antibody (86777) | $46.50 | $46.50 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$30–$47.50 | $30–$47.50 | varies |
| Transferrin (84466) | $99 | $99 | 7.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$72.25–$100 | $72.25–$100 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$60–$67 | $60–$67 | varies |
| Troponin Quant (84484) | $100 | $100 | 8.0× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$168.50–$186.50 | $168.50–$186.50 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$168.50–$437.25 | $168.50–$437.25 | varies |
| Urea nitrogen urine (84540) | $28 | $28 | 5.0× |
| Uric acid other source (84560) | $47.50 | $47.50 | 9.4× |
| Urine Bacteria Culture (87088) | $47.50 | $47.50 | 5.9× |
| Valproic acid (80164) | $68 | $68 | 5.0× |
| Vancomycin (80202) | $70.75 | $70.75 | 5.2× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$105.75–$112.50 | $105.75–$112.50 | varies |
| Viral Culture (87252) | $164.50 | $164.50 | 6.3× |
| Virus antibody nos (86790) | $108.75 | $108.75 | 8.4× |
| Vit D 1 25-Dihydroxy (82652) | $214.25 | $214.25 | 5.6× |
| Vitamin A (84590) | $93.25 | $93.25 | 8.0× |
| Vitamin b-12 (82607) | $65 | $65 | 4.3× |
| Vitamin B6 (84207) | $195 | $195 | 6.9× |
| Vitamin c (82180) | $53.25 | $53.25 | 5.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$190.75–$205.50 | $190.75–$205.50 | varies |
| Vitamin E (84446) | $130 | $130 | 9.2× |
| Vitamin K (84597) | $310.75 | $310.75 | 22.6× |
| Von willebrand factor ag (85246) | $230.75 | $230.75 | 10.1× |
| West nile virus ab igm (86788) | $97.50 | $97.50 | 5.8× |
| West Nile Virus Antibody (86789) | $97.50 | $97.50 | 6.8× |
| Zinc (84630) | $94.25 | $94.25 | 8.3× |
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.