Lab & pathology prices at Samaritan Hospital

Macon, MO · every code in this section with a posted price and a Medicare benchmark.

553 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $110 $137 9.9×
Acth (82024) $52 $65 1.3×
Acylcarnitines Quant (82017) $170 $212 10.1×
Agglutinins Febrile Each Antigen (86000) $22 $28 3.2×
Albumin Fluid (82042)
range across 2 matching MRF lines
$24–$32 $30–$40 varies
Albumin serum (82040)
range across 2 matching MRF lines
$24–$49 $30–$61 varies
Aldolase (82085) $37 $46 3.8×
Aldosterone urine (82088) $54 $68 1.3×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$30–$45 $37–$56 varies
Allergen specific ige (86003)
range across 11 matching MRF lines
$6–$129 $8–$161 varies
Allergen specific igg (86001) $7 $9 0.9×
Alpha-1-antitrypsin phenotype (82104) $151 $189 10.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$54–$145 $68–$181 varies
Alpha-Fetoprotein Serum (82105) $88 $110 5.2×
Alt (sgpt) (84460) $23 $29 4.3×
Aluminum (82108) $42 $53 1.6×
Amikacin trough (80150) $90 $112 6.0×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 3 matching MRF lines
$74–$89 $92–$111 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $366 $457 21.7×
Aminolevulinic acid (ala) (82135) $135 $169 8.2×
Ammonia (82140) $40 $50 2.7×
Amylase urine (82150)
range across 3 matching MRF lines
$67–$82 $84–$103 varies
Ana Titer (86039) $30 $37 2.7×
Androstenedione (82157) $65 $81 2.2×
Angiotensin converting enzyme csf (82164) $45 $56 3.1×
Antibody aspergillus (86606)
range across 2 matching MRF lines
$37–$67 $46–$84 varies
Antibody Bacterium Not Elsewhere Specified (86609) $21 $26 1.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $94 $117 6.1×
Antibody Cytomegalovirus Cmv Igm (86645) $234 $293 13.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$15–$88 $19–$110 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$15–$67 $19–$84 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$15–$66 $19–$83 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$59–$81 $74–$101 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines
$39–$111 $49–$139 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$45–$90 $56–$113 varies
Antibody Herpes Smplx Type 1 (86695) $99 $124 7.5×
Antibody identification leukocyte antibodies (86021) $78 $97 5.2×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$85–$102 $106–$128 varies
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$33–$59 $41–$74 varies
Antibody; influenza virus (86710)
range across 2 matching MRF lines
$60–$82 $75–$102 varies
Antigen typing (86905)
range across 2 matching MRF lines
$60–$187 $75–$234 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $39 $49 6.8×
Antinuclear antibodies (86038) $22 $27 1.8×
Antistreptolysin O Screen (86063) $74 $93 12.8×
Antistreptolysin o titer (86060) $33 $41 4.5×
Antithrombin iii activity (85300)
range across 5 matching MRF lines
$50–$139 $63–$174 varies
Antithrombin iii antigen (85301) $60 $75 5.6×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$57–$114 $71–$143 varies
Arsenic (82175)
range across 2 matching MRF lines
$62–$139 $77–$174 varies
Assay activated protein c (85307) $52 $65 3.4×
Assay Blood Carbon Dioxide (82374) $49 $61 10.0×
Assay Blood Catecholamines (82383) $94 $117 3.2×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$55–$137 $69–$171 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$70–$126 $87–$158 varies
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$10–$53 $13–$66 varies
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$20–$34 $25–$42 varies
Assay of cpk in blood (82552) $91 $114 6.8×
Assay of estrone (82679) $55 $69 2.2×
Assay of g6pd enzyme (82955) $126 $157 13.0×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$24–$34 $30–$43 varies
Assay of lactic acid (83605) $102 $128 8.8×
Assay of manganese (83785) $66 $82 2.5×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$59–$178 $74–$222 varies
Assay of phosphatase acid total (84060) $69 $86 9.0×
Assay of proinsulin (84206) $137 $171 5.1×
Assay of pyruvate (84210) $67 $84 4.6×
Assay of serotonin (84260) $117 $146 3.8×
Assay of serum potassium (84132) $49 $61 10.3×
Assay of Tyrosine (84510) $74 $92 7.0×
Assay of urea nitrogen (84520) $50 $62 12.7×
Assay of urine vma (84585) $42 $52 2.7×
Assay of vasoactive intestinal peptide (84586) $100 $125 2.8×
Assay of vitamin b-1 (84425) $48 $60 2.3×
Assay Ph Body Fluid Nos (83986) $51 $64 14.2×
Automated Leukocyte Count (85048)
range across 4 matching MRF lines
$30–$135 $37–$169 varies
B cells total count (86355) $74 $92 2.0×
Bartonella antibody (86611) $102 $128 10.0×
Beta 2 glycoprotein i antibody each (86146) $60 $75 2.4×
Beta hydroxybutyrate (82010) $124 $155 15.2×
Beta-2 Microglobulin (82232) $50 $63 3.1×
Bilirubin direct (82248) $58 $73 11.6×
Bilirubin total (82247)
range across 2 matching MRF lines
$38–$50 $48–$62 varies
Bl Smear W/O Diff Wbc Count (85008) $110 $138 32.1×
Blastomyces antibody (86612)
range across 3 matching MRF lines
$30–$89 $37–$111 varies
Bld Typing Serologic Rh Phnt (86906) $184 $230 23.7×
Bleeding time test (85002) $46 $58 9.5×
Blood Count Red Blood Cell Automated (85041) $50 $62 16.6×
Blood count reticulocyte automated (85045) $67 $84 16.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$31–$34 $39–$42 varies
Blood gas (82803) $258 $322 9.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 3 matching MRF lines
$55–$101 $69–$126 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$22–$39 $27–$49 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $661 $826 104.1×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $51 $64 3.1×
Blood typing serologic abo (86900) $70 $87 23.4×
Body fluid cell count (89050) $34 $42 7.2×
Bordetella antibody (86615) $147 $184 11.1×
Brca1&2 gen full seq dup/del (81162) $4,409 $5,511 2.4×
Breath Alcohol Test (82075) $66 $82 2.2×
Brucella antibody (86622) $36 $45 4.0×
C diff amplified probe (87493) $49 $61 1.3×
C-Peptide (84681) $79 $99 3.8×
C-reactive protein (86140)
range across 2 matching MRF lines
$23–$32 $29–$40 varies
Ca 19-9 (86301) $94 $117 4.5×
Cadmium (82300) $73 $91 3.1×
Calcium ionized (82330) $41 $51 3.0×
Calcium total (82310)
range across 2 matching MRF lines
$29–$42 $36–$53 varies
Calprotectin Fecal (83993) $224 $280 11.4×
Cancer Antigen 125 (86304) $33 $41 1.6×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$85–$101 $106–$126 varies
Candida antibody (86628) $101 $126 8.4×
Carbamazepine free (80157) $92 $115 6.9×
Carbamazepine total (80156) $42 $53 2.9×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$64–$68 $80–$85 varies
Carcinoembryonic antigen (82378) $46 $57 2.4×
Cardiolipin ab iga (86147) $132 $165 5.2×
Carnitine Quantitative Each Specimen (82379) $150 $187 8.9×
Carotene (82380) $101 $126 11.0×
Catecholamines total urine (82382) $58 $72 2.1×
Ccp antibody (86200) $52 $65 4.0×
Cell count csf (89051) $141 $176 25.2×
Ceruloplasmin (82390) $53 $66 4.9×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $146 $183 0.9×
Cftr gene com variants (81220) $146 $183 0.3×
Chemiluminescent assay (82397) $67 $84 4.7×
Chlamydia antibody (86631)
range across 2 matching MRF lines
$36–$52 $45–$65 varies
Chlamydia Igm Antibody (86632)
range across 2 matching MRF lines
$36–$52 $45–$65 varies
Chloramphenicol level (82415) $126 $157 9.9×
Chloride Serum (82435) $49 $61 10.7×
Chloride urine (82436) $66 $82 11.5×
Cholesterol total (82465)
range across 2 matching MRF lines
$25–$45 $31–$56 varies
Cholinesterase rbc (82482) $66 $82 6.7×
Cholinesterase Serum (82480) $79 $99 10.0×
Chorionic gonadotropin test (84702) $39 $49 2.6×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $127 $159 3.8×
Chromium serum (82495)
range across 2 matching MRF lines
$84–$152 $105–$190 varies
Chromogranin a (86316) $98 $122 4.7×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$127–$226 $159–$282 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $42 $52 1.2×
Citric acid urine (82507)
range across 2 matching MRF lines
$20–$147 $25–$184 varies
Ckmb (82553)
range across 2 matching MRF lines
$68–$97 $85–$121 varies
Clot factor xiii fibrin stab (85290) $286 $357 17.5×
Clotting factor xii hageman (85280) $136 $170 7.0×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$30–$37 $37–$46 varies
Cold agglutinin screen (86156) $206 $257 25.5×
Cold agglutinin titer (86157) $36 $45 4.5×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$147–$176 $184–$220 varies
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$49–$246 $61–$308 varies
Compatibility Each Unit Incubation (86921) $121 $151 0.7×
Compatibility test antiglob (86922) $121 $151 0.7×
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$25–$165 $31–$206 varies
Complement Total (Ch50) (86162) $82 $103 4.0×
Complement/Function Activity (86161)
range across 4 matching MRF lines
$50–$195 $63–$244 varies
Coombs direct (86880) $60 $75 11.1×
Copper urine (82525) $101 $126 8.1×
Cortisol free (82530)
range across 2 matching MRF lines
$104–$167 $130–$209 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$42–$204 $53–$255 varies
Creatine kinase total (82550) $48 $60 7.4×
Creatinine blood (82565) $59 $74 11.5×
Creatinine clearance (82575) $82 $103 8.7×
Creatinine Urine (82570)
range across 3 matching MRF lines
$23–$38 $29–$47 varies
Crossmatch immediate spin (86920) $121 $151 0.7×
Crp High Sensitivity (86141) $38 $47 2.9×
Cryofibrinogen (82585) $95 $119 6.7×
Cryoglobulin (82595) $32 $40 4.9×
Cryptococcal Antigen (87327) $48 $60 3.6×
Cryptococcus ag titer (87899) $78 $98 4.9×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$88–$142 $110–$177 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $45 $56 5.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$17–$27 $21–$34 varies
Culture afb (87116) $20 $25 1.9×
Culture blood (87040) $110 $138 10.7×
Culture csf (87070) $82 $102 9.5×
Culture fungus (87102) $17 $21 2.0×
Culture fungus blood (87103)
range across 2 matching MRF lines
$17–$36 $21–$45 varies
Culture screen only (87081)
range across 5 matching MRF lines
$34–$85 $42–$106 varies
Culture stool (87045) $217 $271 23.0×
Culture urine (87086) $86 $107 10.7×
Cyanide (82600) $104 $130 5.4×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $109 $136 7.6×
Cyclosporine (80158) $49 $61 2.7×
Cytogenetics 10-30 (88273) $100 $125 2.9×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$45–$117 $56–$146 varies
Cytopath Cell Enhance Tech (88112) $158 $198 3.0×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$98–$169 $122–$211 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $243 $304 4.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $66 $82 0.4×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $138 $173 3.7×
Cytp Urine 3-5 Probes Cmptr (88121) $247 $309 1.4×
Deoxycortisol (82634) $62 $77 2.1×
Deoxyribonuclease antibody (86215) $67 $84 5.1×
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$111–$424 $139–$530 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$128–$280 $160–$350 varies
Dhea (82626) $158 $198 6.3×
Dhea-S (82627) $122 $152 5.5×
Digoxin (80162) $105 $131 7.9×
Dna Antibody Native/Double Stranded (86225) $79 $99 5.7×
Drug Screen Quant Clozapine (80159) $51 $64 2.5×
Drug Screen Quant Zonisamide (80203) $118 $147 8.9×
Drug Screen Quantitative Gabapentin (80171) $52 $65 2.4×
Drug Screen Quantitative Lamotrigine (80175) $44 $55 3.3×
Drug Screen Quantitative Levetiracetam (80177) $97 $121 7.3×
Drug Screen Quantitative Oxcarbazepine (80183) $158 $198 11.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $96 $120 5.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$41–$428 $51–$535 varies
Drug Test Prsmv Dir Opt Obs (80305) $74 $92 5.9×
Ehrlichia antibody (86666)
range across 3 matching MRF lines
$40–$174 $50–$217 varies
Electrolyte panel (80051) $75 $94 10.7×
Enterovirus Antibody (86658) $149 $186 11.4×
Enterovirus PCR (87498) $327 $409 9.3×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$103–$288 $129–$360 varies
Eosinophil Smear (89190) $41 $51 7.1×
Erythropoietin (82668) $42 $53 2.2×
Estradiol serum (82670) $54 $67 1.9×
Estriol (82677) $77 $96 3.2×
Estrogen total (82672) $74 $93 3.4×
Estrogens fractionated (82671) $283 $354 8.8×
Ethosuximide (80168) $73 $91 4.5×
Ethylene Glycol (82693) $82 $102 5.5×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$82–$86 $103–$107 varies
F2 Gene (81240) $139 $174 2.1×
Factor ii activity (85210) $133 $166 10.2×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$191–$253 $239–$316 varies
Factor ix activity (85250) $256 $320 13.4×
Factor v activity (85220)
range across 2 matching MRF lines
$112–$242 $140–$303 varies
Factor v leiden mutation (81241) $139 $174 1.9×
Factor vii assay (85230) $98 $123 5.5×
Factor viii assay (85240)
range across 2 matching MRF lines
$72–$256 $90–$320 varies
Factor X (85260) $118 $148 6.6×
Fat/Lipids Feces Quantitative (82710) $47 $59 2.8×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $258 $322 15.0×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $54 $68 8.3×
Ferritin (82728) $37 $46 2.7×
Fetal Congenital Abnor Assay Four Anal (81511)
range across 2 matching MRF lines
$117–$143 $146–$179 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$107–$147 $134–$184 varies
Fibrinogen activity (85384) $40 $50 4.1×
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$176–$218 $220–$273 varies
Fluorescent antibody screen (86255)
range across 7 matching MRF lines
$42–$106 $53–$133 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$24–$78 $30–$97 varies
Fluoride serum (82735) $156 $195 8.4×
Fmr1 Gene Charac Alleles (81244) $350 $437 7.8×
Folic Acid Serum (82746) $30 $37 2.0×
Follicle Stimulating Hormone (83001) $32 $40 1.7×
Francisella tularensis (86668) $58 $72 4.1×
Frozen Section (88331) $112 $140 0.7×
Fungi Identification Yeast (87106) $26 $32 2.5×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $105 $131 5.0×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$54–$64 $68–$80 varies
Gases blood ph only (82800) $258 $322 23.5×
Gastrin (82941) $146 $183 8.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $377 $471 0.9×
Gentamicin (80170) $42 $53 2.6×
Ggt (82977) $32 $40 4.4×
Giardia antigen (87329) $53 $66 4.4×
Glucose Blood Test (82962)
range across 3 matching MRF lines
$16–$25 $20–$31 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$49–$55 $61–$69 varies
Glucose Serum (82947) $51 $64 13.0×
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$70–$121 $87–$151 varies
Glycated Protein (82985) $84 $105 5.0×
Gonadotropin Chorionic Qualitative (84703) $62 $78 8.2×
Gtt-added samples (82952) $18 $22 4.6×
Haloperidol (80173) $96 $120 6.1×
Haptoglobin (83010) $64 $80 5.1×
Hdl Cholesterol (83718) $70 $88 8.5×
Heavy metal qualitative any analytes (83015) $146 $183 7.0×
Helicobacter Pylori Stool (87338) $78 $97 5.4×
Hematocrit (85014) $36 $45 15.2×
Hemoglobin (85018)
range across 2 matching MRF lines
$14–$43 $18–$54 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$59–$74 $74–$92 varies
Hemoglobin Chromotography (83021) $42 $53 2.3×
Hemoglobin Methemoglobin Quantitative (83050) $127 $159 15.5×
Hep a ab igm (86709) $41 $51 3.6×
Heparin assay (85520) $122 $152 9.3×
Hepatitis a antibody total (86708) $46 $57 3.7×
Hepatitis b core ab igm (86705) $47 $59 4.0×
Hepatitis b core ab total (86704) $34 $42 2.8×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$37–$38 $46–$48 varies
Hepatitis B Surface Antigen (87340) $36 $45 3.5×
Hepatitis Be Antibody (86707) $36 $45 3.1×
Hepatitis Be Antigen (87350) $39 $49 3.4×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$41–$83 $51–$104 varies
Hepatitis c antibody confirmatory test (86804) $92 $115 5.9×
Hepatitis C Genotype (87902) $398 $497 1.5×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$267–$442 $334–$552 varies
Herpes simplex type 2 (86696) $99 $124 5.1×
Heterophile Antibody Screen (86308) $58 $72 11.2×
Hfe Gene (81256) $451 $564 6.9×
Hgb Quantitative Transcutaneous (88738) $29 $36 5.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $96 $120 12.4×
Histoplasma antibody (86698)
range across 4 matching MRF lines
$32–$129 $40–$161 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$130–$138 $162–$172 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $42 $52 1.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $148 $185 1.7×
Hla Class I Typing High Resolution One Locus Ea (81380) $376 $470 2.1×
Hla-b27 (86812) $61 $76 2.4×
Homocysteine (83090) $42 $52 2.3×
Homogenization Tissue (87176) $15 $19 2.6×
Homovanillic acid urine (83150) $78 $98 3.5×
Hsv Dna Amp Probe (87529) $311 $389 8.9×
Hsv Dna Quant (87530) $117 $146 2.7×
Hydroxyprogesterone 17-d (83498) $76 $95 2.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $59 $74 1.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $170 $213 4.8×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$117–$154 $146–$193 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$107–$174 $134–$217 varies
Iadna hepatitis b virus amplified probe tq (87516) $307 $384 8.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $309 $386 7.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $494 $617 14.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $42 $52 1.2×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $66 $82 1.3×
Igg subclasses (82787) $27 $34 3.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$174–$178 $218–$223 varies
Immunfix e-phorsis/urine/csf (86335) $48 $60 1.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 14 matching MRF lines
$70–$480 $87–$600 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$5–$75 $6–$94 varies
Immunoassay nonantibody (83516)
range across 17 matching MRF lines
$24–$452 $30–$565 varies
Immunodiffusion not elsewhere specified (86329) $70 $87 5.0×
Immunodiffusion Ouchterlony (86331) $6 $8 0.5×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$16–$25 $20–$31 varies
Immunofluorescence per spec 1st singl antb stain (88346) $167 $209 1.0×
Immunohistochemistry (88342) $221 $276 1.3×
In situ hybridization 1st probe stain (88365) $374 $467 2.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428)
range across 2 matching MRF lines
$63–$127 $79–$159 varies
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$42–$87 $52–$109 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$46–$107 $57–$134 varies
Inhibin b (83520)
range across 16 matching MRF lines
$24–$566 $30–$707 varies
Insitu hybridization manual (88368) $230 $287 0.6×
Insulin antibodies (86337) $82 $103 3.8×
Insulin free (83527) $32 $40 2.5×
Insulin total (83525)
range across 2 matching MRF lines
$32–$38 $40–$48 varies
Intrinsic factor antibody (86340) $73 $91 4.8×
Iron (83540) $31 $39 4.8×
Iron Binding Capacity (83550) $36 $45 4.1×
Irradiation Blood Product Each Unit (86945) $152 $190 4.1×
Islet cell antibody (86341) $62 $78 2.6×
Jak2 gene analysis p.val617phe variant (81270) $126 $158 1.4×
Ketosteroids 17 total (83586) $86 $107 6.7×
Koh Prep (87220)
range across 4 matching MRF lines
$26–$77 $33–$96 varies
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$39–$67 $49–$84 varies
Lamellar Body Count (83664) $163 $204 8.4×
Ldh Isoenzymes (83625) $87 $109 6.8×
LDL direct (83721)
range across 2 matching MRF lines
$45–$97 $56–$121 varies
Lead (83655)
range across 3 matching MRF lines
$35–$88 $44–$110 varies
Legionella antibody (86713) $148 $185 9.7×
Legionella antigen urine (87449) $44 $55 3.7×
Leptospira antibody (86720) $72 $90 4.4×
Leukocyte Assessment Fecal (89055) $30 $38 7.0×
Level I Surg Pathology Gross Examination Only (88300) $68 $85 2.3×
Level ii surg pathology gross&microscopic exam (88302) $80 $100 2.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $239 $299 0.7×
Lipase (83690) $89 $111 12.9×
Lipoprotein A (83695) $76 $95 5.3×
Lipoprotein Bld Quan Part (83704) $77 $96 2.3×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $118 $148 10.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $118 $148 3.5×
Lipoprotein-Associated Phospholipase A2 (83698) $118 $148 2.5×
Lithium (80178) $33 $41 5.0×
Luteinizing Hormone (Lh) (83002) $30 $37 1.6×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$54–$111 $67–$139 varies
Lysozyme serum (85549) $46 $57 2.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $298 $373 1.7×
M/phmtrc alys ishquant/semiq (88374) $184 $230 1.1×
Macroscopic Exam Parasite (87169) $42 $52 9.7×
Magnesium Urine (83735)
range across 4 matching MRF lines
$49–$96 $61–$120 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$89–$194 $111–$242 varies
Mercury urine (83825)
range across 2 matching MRF lines
$61–$121 $76–$151 varies
Methylmalonic acid serum (83921) $50 $63 2.4×
Microalbumin, quantitative (82043) $54 $68 9.3×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$42–$123 $53–$154 varies
Molecular Cytogenetics Dna Probe Each (88271) $100 $125 4.7×
Mopath procedure level 2 (81401) $441 $551 3.2×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$341–$420 $426–$525 varies
Morphometric Analysis Tumor (88358) $97 $121 0.6×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$139–$242 $174–$303 varies
Mumps antibody (86735)
range across 3 matching MRF lines
$74–$90 $92–$113 varies
Mycophenolic Acid (80180) $69 $86 3.8×
Mycoplasma antibody (86738) $78 $98 5.9×
Myelin basic protein csf (83873) $78 $97 4.5×
Myoglobin urine (83874)
range across 2 matching MRF lines
$40–$86 $50–$108 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$116–$177 $145–$221 varies
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $46 $57 1.6×
Nfct ds chrnc hcv 6 assays (81596) $246 $308 3.4×
Nk cells total count (86357) $74 $92 2.0×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$39–$330 $49–$413 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$20–$22 $25–$27 varies
Occult Blood Other Sources (82271) $38 $48 7.1×
Oligoclonal bands (83916) $70 $87 2.6×
Organic acids urine (83918) $167 $209 7.1×
Osmolality serum (83930) $67 $84 10.1×
Osmolality Urine (83935) $67 $84 9.8×
Osteocalcin (83937) $90 $112 3.0×
Ova and parasites smears (87177) $37 $46 4.2×
Oxalate urine (83945)
range across 2 matching MRF lines
$20–$57 $25–$71 varies
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines
$22–$30 $28–$37 varies
Parvovirus antibody (86747) $75 $94 5.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $127 $159 0.2×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $314 $393 1.2×
Ph urine (81003) $26 $32 11.6×
Phenobarbital Level (80184) $76 $95 5.0×
Phenylalanine (84030) $170 $212 30.9×
Phenytoin (Dilantin) (80185) $37 $46 2.8×
Phenytoin free (80186) $70 $88 5.1×
Phosphatase acid prostatic (84066) $85 $106 8.8×
Phosphatase alkaline (84075) $54 $68 10.4×
Phosphorus Serum (84100) $48 $60 10.1×
Phosphorus urine (84105) $46 $57 8.0×
Pinworm exam (87172) $41 $51 9.6×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$142–$187 $178–$234 varies
Platelet count automated (85049) $46 $58 10.3×
Porphobilinogen, urine; quantitative (84110) $69 $86 8.2×
Porphyrins Feces Quantitative (84126) $145 $181 3.7×
Porphyrins Urine Quantitation & Fractionation (84120) $86 $108 5.8×
Potassium Urine (84133) $55 $69 11.6×
Prealbumin (84134) $56 $70 3.8×
Pregnancy-Associated Plasma Protein-A (84163) $75 $94 5.0×
Pregnenolone (84140) $113 $141 5.5×
Pretx serum rbc antibody identification dilution (86976) $138 $173 4.8×
Primidone (80188) $79 $99 4.8×
Procalcitonin (Pct) (84145) $61 $76 2.2×
Progesterone (84144) $32 $40 1.5×
Prolactin (84146) $45 $56 2.3×
Protein body fluid (84157)
range across 2 matching MRF lines
$31–$64 $39–$80 varies
Protein C Activity (85303) $50 $63 3.6×
Protein c antigen (85302)
range across 3 matching MRF lines
$42–$139 $52–$174 varies
Protein Electrophoresis Urine (84166)
range across 4 matching MRF lines
$34–$84 $43–$105 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 4 matching MRF lines
$16–$38 $20–$47 varies
Protein S Free (85306)
range across 2 matching MRF lines
$139–$159 $174–$199 varies
Protein s total (85305)
range across 4 matching MRF lines
$66–$164 $82–$205 varies
Protein Total Refractometry Any Src (84160) $25 $31 4.5×
Protein total serum (84155)
range across 2 matching MRF lines
$31–$49 $39–$61 varies
Protein Total Urine (84156)
range across 5 matching MRF lines
$29–$95 $36–$119 varies
Protein Western Blot Test (84182) $90 $113 3.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $66 $83 16.8×
Protoporphyrin rbc quantitative (84202) $40 $50 2.8×
PSA free (84154) $73 $91 4.0×
Pth Intact (83970) $55 $69 1.3×
Q Fever Antibody (86638) $113 $141 9.3×
Quantiferon tb gold plus (86480) $138 $173 2.2×
Quantitative assay drug (80299)
range across 7 matching MRF lines
$63–$170 $79–$212 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$49–$80 $61–$100 varies
Quinidine (80194) $87 $109 6.0×
Rbc antibody elution (86860) $206 $258 1.2×
Rbc antibody identification (86870) $214 $268 0.6×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$84–$124 $105–$155 varies
Rbc pretreatment serum (86978)
range across 3 matching MRF lines
$131–$184 $164–$230 varies
Rbc pretx incubatj w/enzymes (86971) $60 $75 0.4×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$19–$21 $24–$26 varies
Renin activity plasma (84244) $83 $104 3.8×
Reticulocyte separation (86972) $230 $287 1.3×
Rh (86901) $70 $87 23.4×
Rheumatoid Factor Qualitative (86430) $30 $38 4.9×
Rickettsia antibody (86757)
range across 2 matching MRF lines
$82–$118 $102–$148 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$72–$108 $90–$135 varies
Rotavirus ag eia (87425) $88 $110 7.3×
Rpr qualitative (86592) $30 $38 7.0×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$102–$106 $127–$132 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$34–$78 $42–$97 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$38–$55 $48–$69 varies
Russell Viper Venom Time Diluted (85613) $90 $113 9.4×
Russell Viper Venon Time Undiluted (85612) $16 $20 0.9×
Sars-Cov-2 Covid-19 Amp Prb (87635) $144 $180 2.8×
Sars-cov-2 COVID-19 antibody (86769) $78 $97 1.9×
Sedimentation Rate, Automated (85652) $44 $55 16.3×
Selenium (84255) $186 $232 7.3×
Semen Anal Sperm Detection (89321) $61 $76 5.1×
Semen analysis complete (89320) $172 $215 14.0×
Semen analysis motility and count (89310) $80 $100 9.3×
Sensitivity mic (87186) $77 $96 8.9×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$48–$76 $60–$95 varies
Sickling of rbc reduction (85660) $59 $74 10.7×
Sirolimus (80195) $135 $169 9.8×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$21–$76 $26–$95 varies
Smear acid fast (87206)
range across 3 matching MRF lines
$20–$56 $25–$70 varies
Smear gram stain (87205)
range across 3 matching MRF lines
$22–$36 $28–$45 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$24–$74 $30–$92 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 4 matching MRF lines
$25–$81 $31–$101 varies
Sodium Serum (84295) $49 $61 10.2×
Sodium Urine (84300) $53 $66 10.5×
Soluble Transferrin Receptor (84238) $78 $97 2.1×
Somatomedin (84305) $50 $63 2.4×
Special Stains Group 1 (88312) $92 $115 1.8×
Special Stains Group 2 (88313) $69 $86 0.5×
Specific gravity body fluid (84315) $24 $30 7.3×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$20–$45 $25–$56 varies
Spectrophotometry (84311) $122 $152 15.1×
Stone Analysis (82355) $36 $45 3.1×
Strep a assay w/optic (87880)
range across 4 matching MRF lines
$46–$86 $58–$107 varies
Sugars Single Qual (84376) $42 $52 7.6×
Surg path level iii (88304) $87 $109 1.7×
Surgical pathology level IV (88305) $107 $134 2.0×
Surgical pathology level vi (88309) $339 $424 0.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$74–$135 $92–$169 varies
T cells total count (86359)
range across 2 matching MRF lines
$74–$135 $92–$169 varies
T3 Free (84481) $105 $131 6.2×
T3 reverse (84482) $48 $60 3.0×
T3 Total (84480) $44 $55 3.1×
T3 Uptake (84479) $31 $39 4.8×
T4 Free (84439) $82 $103 9.1×
T4 total (84436) $31 $39 4.5×
Tacrolimus (80197) $62 $77 4.5×
Test for acetone/ketones (82009) $41 $51 9.1×
Testosterone total (84403)
range across 2 matching MRF lines
$42–$48 $52–$60 varies
Testosterone, Free (84402) $92 $115 3.6×
Theophylline (80198) $71 $89 5.0×
Thrombin Time (85670) $60 $75 10.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$16–$78 $20–$97 varies
Thyroglobulin (84432) $95 $119 5.9×
Thyroglobulin Antibody (86800) $41 $51 2.6×
Thyroid Stimulating Immunoglobulin (84445) $167 $209 3.3×
Thyroxine binding globulin (84442) $79 $99 5.3×
Tissue Culture (88233)
range across 2 matching MRF lines
$127–$508 $159–$635 varies
Tissue culture bone marrow (88237) $226 $282 1.6×
Tobramycin peak (80200) $108 $135 6.7×
Topiramate (80201) $134 $168 11.2×
Toxoplasma ab igm (86778) $94 $117 6.5×
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$45–$66 $56–$82 varies
Transferase Aspartate Amino Ast Sgot (84450) $54 $68 10.4×
Transferrin (84466) $37 $46 2.9×
Trg gene rearrangement anal (81342) $433 $541 2.1×
Trichinella Antibody (86784) $69 $86 5.5×
Trichomonas Vaginalis Amplif (87661) $143 $179 4.1×
Triglycerides (84478) $25 $31 4.4×
Troponin Quant (84484)
range across 2 matching MRF lines
$94–$105 $118–$131 varies
Troponin, qualitative (84512) $128 $160 12.7×
Tumor immunohistochem/comput (88361) $162 $202 0.5×
Tumor Immunohistochem/Manual (88360) $38 $48 0.2×
Unlisted Transfusion Medicine Procedure (86999) $58 $72 2.0×
Urea nitrogen urine (84540) $16 $20 2.9×
Uric acid other source (84560) $66 $82 13.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $19 $24 8.8×
Urinalysis Volume Measure (81050) $17 $21 4.7×
Urine Bacteria Culture (87088) $83 $104 10.3×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$37–$40 $46–$50 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $45 $56 14.2×
Valproic acid (80164) $30 $38 2.2×
Vancomycin (80202) $34 $42 2.5×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$79–$88 $99–$110 varies
Vasopressin (84588) $478 $597 14.1×
Very Long Chain Fatty Acids (82726)
range across 2 matching MRF lines
$261–$438 $326–$548 varies
Viral Culture (87252)
range across 3 matching MRF lines
$52–$82 $65–$102 varies
Virus antibody nos (86790) $74 $93 5.7×
Virus inoculate tissue addl (87253) $52 $65 2.6×
Viscosity serum (85810) $66 $82 5.7×
Vit D 1 25-Dihydroxy (82652) $70 $88 1.8×
Vitamin A (84590) $145 $181 12.5×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$90–$94 $113–$117 varies
Vitamin B6 (84207) $102 $127 3.6×
Vitamin c (82180) $62 $77 6.3×
Vitamin D 25-Hydroxy (82306) $50 $62 1.7×
Vitamin E (84446) $56 $70 3.9×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$72–$145 $90–$181 varies
Western Blot Test (84181) $24 $30 1.4×
Zinc (84630) $39 $49 3.4×

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.