Lab & pathology prices at San Dimas Community Hospital
San Dimas, CA · every code in this section with a posted price and a Medicare benchmark.
482 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $11 | $33.45 | 1.0× |
| Acth (82024) | $38 | $372 | 1.0× |
| Actin smooth muscle antibody each (86015) | $12 | $60.25 | 1.0× |
| Acute hepatitis panel (80074) | $47 | $994.68 | 1.0× |
| Albumin Fluid (82042) | $7 | $136.25 | 0.9× |
| Albumin serum (82040) | $4 | $143.75 | 0.8× |
| Aldolase (82085) | $9 | $70.85 | 0.9× |
| Aldosterone urine (82088) | $40 | $297.50 | 1.0× |
| Alkaline phosphatase isoenzymes (84080) | $14 | $107.95 | 0.9× |
| Allergen specific ige (86003) | $5 | $74.59 | 1.0× |
| Allergen specific igg (86001) | $7 | $39.10 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $14 | $105.55 | 1.0× |
| Alpha-1-antitrypsin total (82103) | $13 | $167 | 1.0× |
| Alpha-Fetoprotein Serum (82105) | $16 | $371.25 | 1.0× |
| Alt (sgpt) (84460) | $5 | $201.25 | 0.9× |
| Amikacin trough (80150) | $15 | $269.11 | 1.0× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $14 | $126.50 | 1.0× |
| Ammonia (82140) | $14 | $399.09 | 1.0× |
| Amylase urine (82150) | $6 | $338.25 | 0.9× |
| Ana Titer (86039) | $11 | $238.75 | 1.0× |
| Anca Titer Each Antibody (86037) | $12 | $60.25 | 1.0× |
| Angiotensin converting enzyme csf (82164) | $14 | $173 | 1.0× |
| Antibody aspergillus (86606) | $15 | $127 | 1.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $15 | $149.21 | 1.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $16 | $151.05 | 0.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $15 | $111.70 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $18 | $127.25 | 1.0× |
| Antibody helicobacter pylori (86677) | $16 | $388.56 | 0.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $14 | $171.41 | 1.0× |
| Antibody Herpes Smplx Type 1 (86695) | $13 | $120.31 | 1.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $13 | $347.50 | 0.9× |
| Antibody HIV-2 (86702) | $13 | $196.25 | 1.0× |
| Antibody Protozoa Nes (86753) | $12 | $188.50 | 1.0× |
| Antibody Titer (86886) | $218 | $1,110.75 | 42.1× |
| Antibody Treponema Pallidum (86780) | $13 | $170.95 | 1.0× |
| Antigen typing (86905) | $458 | $1,735.26 | 119.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $218 | $1,110.75 | 38.1× |
| Antinuclear antibodies (86038) | $12 | $178 | 1.0× |
| Antistreptolysin o titer (86060) | $7 | $170 | 1.0× |
| Antithrombin iii activity (85300) | $11 | $190.35 | 0.9× |
| Antithrombin iii antigen (85301) | $10 | $104 | 0.9× |
| Apolipoprotein a1 (82172) | $21 | $119.40 | 1.0× |
| Arsenic (82175) | $18 | $138.50 | 0.9× |
| Aspergillus ag eia (87305) | $11 | $168.94 | 0.9× |
| Assay Blood Carbon Dioxide (82374) | $4 | $118.23 | 0.8× |
| Assay Blood Catecholamines (82383) | $29 | $182.95 | 1.0× |
| Assay myeloperoxidase (83876) | $50 | $254.30 | 1.0× |
| Assay Nephelometry Not Spec (83883) | $13 | $116.16 | 1.0× |
| Assay of 5-hiaa (83497) | $12 | $38.70 | 0.9× |
| Assay of anti-mullerian hormone (82166) | $38 | $42 | 1.0× |
| Assay of blood/uric acid (84550) | $4 | $191.25 | 0.9× |
| Assay of calcium in urine (82340) | $6 | $170 | 1.0× |
| Assay of cpk in blood (82552) | $13 | $325 | 1.0× |
| Assay of estrone (82679) | $24 | $182.25 | 1.0× |
| Assay of g6pd enzyme (82955) | $9 | $48.50 | 0.9× |
| Assay of gammaglobulin igm (82784) | $9 | $147.26 | 1.0× |
| Assay of lactic acid (83605) | $11 | $374.98 | 1.0× |
| Assay of metanephrines (83835) | $16 | $261.71 | 0.9× |
| Assay of serotonin (84260) | $30 | $250 | 1.0× |
| Assay of serum potassium (84132) | $4 | $166.43 | 0.8× |
| Assay of sweat sodium (84302) | $4 | $104.06 | 0.8× |
| Assay of urea nitrogen (84520) | $3 | $165.66 | 0.8× |
| Assay of vitamin b-1 (84425) | $21 | $193.11 | 1.0× |
| Assay Ph Body Fluid Nos (83986) | $3 | $134.90 | 0.8× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $840 | $4,945 | 1.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $218 | $646.29 | 1.0× |
| Automated Leukocyte Count (85048) | $2 | $92.97 | 0.8× |
| Bcr/abl1 gene major bp (81206) | $163 | $819.80 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $144 | $724.20 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $25 | $127.25 | 1.0× |
| Beta hydroxybutyrate (82010) | $8 | $40.85 | 1.0× |
| Beta Lactamase (87185) | $4 | $23.75 | 0.8× |
| Beta-2 Microglobulin (82232) | $16 | $127.50 | 1.0× |
| Bile acids, cholylglycine (82240) | $26 | $194.05 | 1.0× |
| Bilirubin direct (82248) | $5 | $187 | 1.0× |
| Bilirubin total (82247) | $5 | $186.25 | 1.0× |
| Bilirubin total transcutaneous (88720) | $5 | $65.53 | 1.0× |
| Biotinidase (82261) | $16 | $165.87 | 0.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $3 | $17.15 | 0.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $218 | $856.80 | 1.0× |
| Blood Count Manual Cell Count Each (85032) | $4 | $137.84 | 0.9× |
| Blood count reticulocyte automated (85045) | $3 | $162.98 | 0.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $3 | $151.94 | 0.8× |
| Blood gas (82803) | $26 | $718.75 | 1.0× |
| Blood gases w/02 saturation (82805) | $78 | $488.50 | 1.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $4 | $83 | 0.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $458 | $2,010.77 | 72.1× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$170 | $839.80–$923.78 | 56.9× |
| Body fluid cell count (89050) | $4 | $226.53 | 0.8× |
| Bone marrow smear interpretation (85097) | $1,031 | $3,904.54 | 1.0× |
| Brca1&2 gen full seq dup/del (81162) | $1,824 | $9,124.40 | 1.0× |
| C diff amplified probe (87493) | $37 | $447.95 | 1.0× |
| C-Peptide (84681) | $20 | $136.90 | 1.0× |
| C-reactive protein (86140) | $5 | $216.50 | 1.0× |
| Ca 19-9 (86301) | $20 | $250 | 1.0× |
| Calcitonin (82308) | $26 | $179.35 | 1.0× |
| Calcium ionized (82330) | $13 | $242 | 1.0× |
| Calcium total (82310) | $5 | $162.28 | 1.0× |
| Calculus assay quant (82360) | $12 | $116.55 | 0.9× |
| Calprotectin Fecal (83993) | $19 | $366.28 | 1.0× |
| Cancer Antigen 125 (86304) | $20 | $489.38 | 1.0× |
| Cancer Antigen 27.29 (86300) | $20 | $350 | 1.0× |
| Carbamazepine free (80157) | $13 | $66.25 | 1.0× |
| Carbamazepine total (80156) | $14 | $468.75 | 1.0× |
| Carboxyhemoglobin (82375) | $12 | $155.69 | 1.0× |
| Carcinoembryonic antigen (82378) | $18 | $462.43 | 0.9× |
| Cardiolipin ab iga (86147) | $25 | $190 | 1.0× |
| Catecholamines fractionated (82384) | $25 | $145 | 1.0× |
| Catecholamines total urine (82382) | $27 | $178 | 1.0× |
| Ccp antibody (86200) | $12 | $101.51 | 0.9× |
| Cell count csf (89051) | $5 | $295.85 | 0.9× |
| Ceruloplasmin (82390) | $10 | $177.25 | 0.9× |
| Chemiluminescent assay (82397) | $14 | $42 | 1.0× |
| Chlamydia antibody (86631) | $11 | $98.50 | 0.9× |
| Chlamydia Igm Antibody (86632) | $12 | $79.28 | 0.9× |
| Chloride Serum (82435) | $4 | $136.13 | 0.9× |
| Chloride urine (82436) | $5 | $206.59 | 0.9× |
| Cholesterol total (82465) | $4 | $148.34 | 0.9× |
| Chorionic gonadotropin test (84702) | $15 | $486.58 | 1.0× |
| Chromium serum (82495) | $20 | $148.05 | 1.0× |
| Chromogranin a (86316) | $20 | $230 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $35 | $356.06 | 1.0× |
| Ckmb (82553) | $11 | $409.80 | 1.0× |
| Clostridium Difficile (87324) | $11 | $59.90 | 0.9× |
| Coccidioides antibody (86635) | $11 | $114 | 1.0× |
| Column Chromotography Quant (82542) | $24 | $261.58 | 1.0× |
| Compatibility test antiglob (86922) | $218 | $955.48 | 1.0× |
| Complement Antigen Each Component (86160) | $12 | $156.13 | 1.0× |
| Complement Fixation Tests Each Antigen (86171) | $10 | $224 | 1.0× |
| Complement Total (Ch50) (86162) | $20 | $148.35 | 1.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $218 | $813.70 | 1.0× |
| Coombs direct (86880) | $75 | $331.67 | 13.9× |
| Copper urine (82525) | $12 | $128.49 | 1.0× |
| Cortisol free (82530) | $16 | $122.05 | 1.0× |
| Cortisol saliva (82533) | $16 | $452.38 | 1.0× |
| Creatine (82540) | $4 | $149 | 0.9× |
| Creatine kinase total (82550) | $6 | $300.85 | 0.9× |
| Creatinine blood (82565) | $5 | $182.50 | 1.0× |
| Creatinine clearance (82575) | $9 | $404.38 | 1.0× |
| Creatinine Urine (82570) | $5 | $217.10 | 1.0× |
| Crossmatch electronic (86923) | $218 | $1,051.03 | 1.0× |
| Crossmatch immediate spin (86920) | $218 | $1,221.83 | 1.0× |
| Crp High Sensitivity (86141) | $12 | $173.20 | 0.9× |
| Cryoglobulin (82595) | $6 | $137.56 | 0.9× |
| Cryptococcal Antigen (87327) | $13 | $138.95 | 1.0× |
| Cryptococcus ab (86641) | $14 | $298.75 | 1.0× |
| Cryptococcus ag titer (87899) | $16 | $80.35 | 1.0× |
| Cryptosporidium ag eia (87328) | $13 | $96 | 0.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $8 | $202.15 | 1.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $8 | $40.40 | 1.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $7 | $156 | 0.9× |
| Culture afb (87116) | $10 | $338.75 | 0.9× |
| Culture Anaerobic (87075) | $9 | $491.56 | 1.0× |
| Culture bacteria anaerobic (87073) | $9 | $48.30 | 0.9× |
| Culture blood (87040) | $10 | $557.91 | 1.0× |
| Culture chlamydia (87110) | $19 | $187 | 1.0× |
| Culture csf (87070) | $8 | $523.88 | 0.9× |
| Culture fungus (87102) | $8 | $355 | 1.0× |
| Culture screen only (87081) | $6 | $376.06 | 0.9× |
| Culture stool (87045) | $9 | $523.88 | 1.0× |
| Culture typing if ea antiserum (87140) | $5 | $27.85 | 0.9× |
| Culture urine (87086) | $8 | $522.50 | 1.0× |
| Cyclosporine (80158) | $18 | $90.25 | 1.0× |
| Cytomegalovirus igg (86644) | $14 | $131.38 | 1.0× |
| Cytopath Cell Enhance Tech (88112) | $66 | $303.13 | 1.0× |
| Cytp Concentration Smears & Interpretation (88108) | $47 | $282.86 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $66 | $397 | 1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $218 | $888.60 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $47 | $319.10 | 1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $37 | $168 | 1.0× |
| Detect Agent Nos Dna Amp (87798) | $35 | $320.33 | 1.0× |
| Detect Agent Nos Dna Quant (87799) | $42 | $262.97 | 1.0× |
| Dgp Antibody Each Ig Class (86258) | $12 | $60.25 | 1.0× |
| Dhea-S (82627) | $22 | $181.62 | 1.0× |
| Digoxin (80162) | $13 | $445.50 | 1.0× |
| Dna Antibody Native/Double Stranded (86225) | $13 | $145.05 | 0.9× |
| Dna Antibody Single Stranded (86226) | $12 | $155.16 | 1.0× |
| Dna/Rna Amplified Probe (87150) | $35 | $334.20 | 1.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $13 | $66.25 | 1.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $13 | $206 | 1.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $62 | $439.06 | 1.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $12 | $306.08 | 1.0× |
| Electrolyte panel (80051) | $7 | $284 | 1.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $12 | $60.45 | 1.0× |
| Enterovirus Antibody (86658) | $13 | $141.75 | 1.0× |
| Erythropoietin (82668) | $18 | $156.12 | 1.0× |
| Estradiol serum (82670) | $27 | $295 | 1.0× |
| Estrogen total (82672) | $21 | $246.27 | 1.0× |
| Ethylene Glycol (82693) | $14 | $214 | 0.9× |
| Exam Synovial Fluid Crystals (89060) | $7 | $201.25 | 1.0× |
| F2 Gene (81240) | $65 | $328.45 | 1.0× |
| Factor ii activity (85210) | $12 | $64.56 | 0.9× |
| Factor v activity (85220) | $17 | $293.13 | 1.0× |
| Factor v leiden mutation (81241) | $73 | $514.26 | 1.0× |
| Factor vii assay (85230) | $17 | $130.70 | 0.9× |
| Fat/Lipids Feces Quantitative (82710) | $16 | $172.91 | 1.0× |
| Fecal Fat Qualitative (82705) | $5 | $25 | 1.0× |
| Ferritin (82728) | $13 | $365.75 | 1.0× |
| Fetal Fibronectin (82731) | $64 | $946.09 | 1.0× |
| Fibrin degradation products (85362) | $6 | $212 | 0.9× |
| Fibrin Degradation Quant (85379) | $10 | $397.19 | 1.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $9 | $476.20 | 0.9× |
| Fibrinogen activity (85384) | $9 | $277.65 | 0.9× |
| Fluorescent antibody screen (86255) | $12 | $126.66 | 1.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $12 | $210.70 | 1.0× |
| Folic Acid Serum (82746) | $14 | $350.63 | 1.0× |
| Follicle Stimulating Hormone (83001) | $18 | $367.61 | 1.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $218 | $1,110.75 | 1.0× |
| Frozen Section (88331) | $218 | $888.60 | 1.0× |
| Fungi Identification Mold (87107) | $10 | $116.63 | 1.0× |
| Fungi Identification Yeast (87106) | $10 | $204.23 | 1.0× |
| Galactose transferase test (82776) | $11 | $110.67 | 0.9× |
| Gammaglobulin ige (82785) | $16 | $183 | 1.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $9 | $420 | 0.9× |
| Gases blood ph only (82800) | $11 | $414 | 1.0× |
| Gastrin (82941) | $17 | $165 | 1.0× |
| Genet Virus Isolate Hsv (87255) | $33 | $169.30 | 1.0× |
| Gentamicin (80170) | $16 | $431.25 | 1.0× |
| Ggt (82977) | $7 | $192.50 | 1.0× |
| Giardia antigen (87329) | $11 | $106.80 | 0.9× |
| Glucose 2 hr pp (82950) | $4 | $345 | 0.8× |
| Glucose Blood Test (82962) | $3 | $80.86 | 0.9× |
| Glucose body fluid (82945) | $3 | $285 | 0.8× |
| Glucose Serum (82947) | $3 | $158.21 | 0.8× |
| Glucose tolerance test (gtt) (82951) | $12 | $615 | 0.9× |
| Gonadotropin Chorionic Qualitative (84703) | $7 | $335.06 | 0.9× |
| Growth hormone (83003) | $16 | $121.70 | 1.0× |
| Growth hormone antibody (86277) | $15 | $114.90 | 1.0× |
| Gtt-added samples (82952) | $3 | $107 | 0.8× |
| H Pylori (C-13) Breath (83013) | $67 | $508.45 | 1.0× |
| Haloperidol (80173) | $15 | $202.50 | 1.0× |
| Haptoglobin (83010) | $12 | $307.50 | 1.0× |
| Hdl Cholesterol (83718) | $8 | $192.50 | 1.0× |
| Helicobacter Pylori Stool (87338) | $14 | $165.25 | 1.0× |
| Helminth Antibody (86682) | $13 | $100 | 1.0× |
| Hematocrit (85014) | $2 | $116.88 | 0.8× |
| Hemoglobin (85018) | $2 | $112.10 | 0.8× |
| Hemoglobin a1c (83036) | $9 | $215.88 | 0.9× |
| Hemoglobin Chromotography (83021) | $18 | $161 | 1.0× |
| Hemoglobin electrophoresis (83020) | $12 | $172.09 | 0.9× |
| Hemoglobin plasma (83051) | $7 | $158 | 1.0× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $9 | $35.95 | 1.0× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $9 | $301 | 0.9× |
| Hep a ab igm (86709) | $11 | $319 | 1.0× |
| Hepatitis a antibody total (86708) | $12 | $233.75 | 1.0× |
| Hepatitis b core ab igm (86705) | $11 | $297 | 0.9× |
| Hepatitis b core ab total (86704) | $12 | $271.44 | 1.0× |
| Hepatitis B Surface Antibody (86706) | $10 | $269.90 | 0.9× |
| Hepatitis B Surface Antigen (87340) | $10 | $296.89 | 1.0× |
| Hepatitis Be Antibody (86707) | $11 | $100.71 | 1.0× |
| Hepatitis Be Antigen (87350) | $11 | $130.83 | 1.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$14 | $324.44–$328.63 | 1.0× |
| Hepatitis c antibody confirmatory test (86804) | $15 | $107.50 | 1.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $35 | $320.31 | 1.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $42 | $551.93 | 1.0× |
| Herpes simplex type 2 (86696) | $19 | $227.50 | 1.0× |
| Heterophile Antibody Screen (86308) | $5 | $232 | 1.0× |
| Hfe Gene (81256) | $65 | $305.45 | 1.0× |
| Hgb Quantitative Transcutaneous (88738) | $5 | $35.95 | 1.0× |
| Histoplasma antibody (86698) | $13 | $91.25 | 0.9× |
| Histoplasma antigen urine (87385) | $13 | $358.75 | 1.0× |
| Hiv Antigen W/Hiv Antibodies (87806) | $32 | $163.85 | 1.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $24 | $120.40 | 1.0× |
| Hiv-1 Antibody (86701) | $8 | $228.45 | 0.9× |
| HIV-1 p24 antigen (87390) | $24 | $120.30 | 1.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $85 | $652 | 1.0× |
| HIV-2 probe&revrse trnscripj (87538) | $35 | $175.45 | 1.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $74 | $455.37 | 1.0× |
| Hla-b27 (86812) | $25 | $263.76 | 1.0× |
| Homocysteine (83090) | $17 | $171.01 | 0.9× |
| Hsv Dna Amp Probe (87529) | $35 | $506.25 | 1.0× |
| Hydroxyprogesterone 17-d (83498) | $27 | $214.18 | 1.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $13 | $433.62 | 0.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $35 | $216.27 | 1.0× |
| Iaad ia shiga-like toxin (87427) | $11 | $216.33 | 0.9× |
| Iaad Ia Streptococcus Group A (87430) | $16 | $230.51 | 1.0× |
| Iaadi not otherwise specified each organism (87299) | $16 | $119 | 1.0× |
| Iaadi pneumocustis carinii (87281) | $11 | $162.90 | 0.9× |
| Iaadiadoo trichomonas vaginalis (87808) | $15 | $76.45 | 1.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $35 | $175.45 | 1.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $35 | $143 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $35 | $175.45 | 1.0× |
| Iadna Cytomegalovirus Quantification (87497) | $42 | $128.52 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $42 | $500.83 | 1.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $35 | $175.45 | 1.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $41 | $306.53 | 1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $35 | $187.34 | 1.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $35 | $267.46 | 1.0× |
| Ig Light Chains Free Each (83521) | $17 | $86.35 | 1.0× |
| Igg subclasses (82787) | $8 | $99.02 | 1.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $458 | $1,820.38 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $29 | $188.92 | 1.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $18 | $231 | 1.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $14 | $74.95 | 0.9× |
| Immunoassay nonantibody (83516) | $11 | $262.59 | 1.0× |
| Immunofixation electrophoresis (86334) | $22 | $144.86 | 1.0× |
| Immunohistochemistry (88342) | $218 | $1,308.88 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $218 | $1,271.95 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $70 | $378 | 1.0× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $35 | $143 | 1.0× |
| Influenza assay w/optic (87804) | $16 | $285.31 | 1.0× |
| Influenza DNA amp probe (87502) | $95 | $479 | 1.0× |
| Inhibin b (83520) | $17 | $312.51 | 1.0× |
| Insulin total (83525) | $11 | $152 | 1.0× |
| Intrinsic factor antibody (86340) | $15 | $128.35 | 1.0× |
| Iron (83540) | $6 | $228.17 | 0.9× |
| Iron Binding Capacity (83550) | $8 | $259.88 | 0.9× |
| Islet cell antibody (86341) | $23 | $121.30 | 1.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $91 | $458.30 | 1.0× |
| Koh Prep (87220) | $4 | $21.35 | 0.9× |
| Lactate (ld) (ldh) enzyme (83615) | $6 | $202.09 | 1.0× |
| Ldh Isoenzymes (83625) | $12 | $176.38 | 0.9× |
| LDL direct (83721) | $10 | $190.63 | 1.0× |
| Lead (83655) | $12 | $88.35 | 1.0× |
| Legionella antibody (86713) | $15 | $218.86 | 1.0× |
| Legionella antigen urine (87449) | $11 | $194.86 | 0.9× |
| Leukocyte Assessment Fecal (89055) | $4 | $154.11 | 0.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $37 | $227.68 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) | $47 | $412.50 | 1.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $458 | $2,169.08 | 1.0× |
| Lidocaine (80176) | $14 | $135.33 | 1.0× |
| Lipase (83690) | $6 | $338.73 | 0.9× |
| Lithium (80178) | $6 | $253.15 | 0.9× |
| Luteinizing Hormone (Lh) (83002) | $18 | $364.68 | 1.0× |
| Lyme disease antibody (86618) | $17 | $196.38 | 1.0× |
| Macroscopic Exam Parasite (87169) | $4 | $21.55 | 0.9× |
| Magnesium Urine (83735) | $6 | $248.35 | 0.9× |
| Mass Spectrometry Quant (83789) | $24 | $250.16 | 1.0× |
| Methylmalonic acid serum (83921) | $21 | $106.05 | 1.0× |
| Microalbumin, quantitative (82043) | $5 | $244.06 | 0.9× |
| Microsomal Antibodies Each (86376) | $14 | $211.25 | 1.0× |
| Mitochondrial Antibody Each (86381) | $25 | $127.25 | 1.0× |
| Mopath procedure level 4 (81403) | $185 | $926 | 1.0× |
| Mopath procedure level 8 (81407) | $846 | $2,538.81 | 1.0× |
| Mrsa Pcr (87641) | $35 | $143 | 1.0× |
| Mthfr Gene Analysis Common Variants (81291) | $65 | $326.70 | 1.0× |
| Mumps antibody (86735) | $13 | $119.13 | 1.0× |
| Mycophenolic Acid (80180) | $18 | $200 | 1.0× |
| Mycoplasma antibody (86738) | $13 | $259.71 | 1.0× |
| Mycoplasma culture (87109) | $15 | $112.35 | 1.0× |
| Myelin basic protein csf (83873) | $17 | $51.60 | 1.0× |
| Myoglobin urine (83874) | $12 | $383.75 | 0.9× |
| Natriuretic peptide (83880) | $39 | $590.84 | 1.0× |
| Nuclear antigen antibody (86235) | $17 | $182.50 | 0.9× |
| Occult blood feces (82272) | $4 | $121.25 | 0.9× |
| Occult Blood Other Sources (82271) | $5 | $97.09 | 0.9× |
| Oligoclonal bands (83916) | $27 | $146.80 | 1.0× |
| Osmolality serum (83930) | $6 | $258.50 | 0.9× |
| Osmolality Urine (83935) | $6 | $251.63 | 0.9× |
| Ova and parasites smears (87177) | $8 | $270.71 | 0.9× |
| Particle Agglutination Screen Each Antibody (86403) | $11 | $171 | 1.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,031 | $3,904.54 | 1.0× |
| Pathology Consultation During Surgery (88329) | $75 | $252.53 | 1.0× |
| Ph urine (81003) | $2 | $126.73 | 0.9× |
| Phenobarbital Level (80184) | $15 | $405.26 | 1.0× |
| Phenylalanine (84030) | $5 | $186 | 0.9× |
| Phenytoin (Dilantin) (80185) | $13 | $400 | 1.0× |
| Phosphatase alkaline (84075) | $5 | $142.50 | 1.0× |
| Phosphorus Serum (84100) | $4 | $192.79 | 0.8× |
| Phosphorus urine (84105) | $5 | $110 | 0.9× |
| Platelet Aggregation (85576) | $24 | $235 | 1.0× |
| Platelet Antibodies (86022) | $18 | $416.25 | 1.0× |
| Platelet count automated (85049) | $4 | $147 | 0.9× |
| Potassium Urine (84133) | $4 | $186.25 | 0.8× |
| Prealbumin (84134) | $14 | $232 | 1.0× |
| Procalcitonin (Pct) (84145) | $27 | $495.85 | 1.0× |
| Progesterone (84144) | $20 | $363.47 | 1.0× |
| Prolactin (84146) | $19 | $398.76 | 1.0× |
| Protein body fluid (84157) | $4 | $205 | 1.0× |
| Protein C Activity (85303) | $13 | $292.55 | 0.9× |
| Protein c antigen (85302) | $12 | $173.37 | 1.0× |
| Protein Electrophoresis Urine (84166) | $17 | $162.75 | 1.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $10 | $243.69 | 0.9× |
| Protein S Free (85306) | $15 | $271.50 | 1.0× |
| Protein s total (85305) | $11 | $354.21 | 0.9× |
| Protein total serum (84155) | $3 | $164.73 | 0.8× |
| Protein Total Urine (84156) | $3 | $178.20 | 0.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $3 | $33.72 | 0.8× |
| PSA free (84154) | $18 | $190.16 | 1.0× |
| Pth Intact (83970) | $41 | $422.40 | 1.0× |
| Quantiferon tb gold plus (86480) | $61 | $586.25 | 1.0× |
| Quantitative assay drug (80299) | $18 | $217.55 | 1.0× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$458 | $2,010.77–$2,169.08 | 1.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$66 | $333.44–$357 | 6.8× |
| Reagent Strip/Blood Glucose (82948) | $5 | $139.59 | 1.0× |
| Renin activity plasma (84244) | $21 | $160.60 | 1.0× |
| Reticulocyte Count Manual (85044) | $4 | $165.39 | 0.9× |
| Rh (86901) range across 2 matching MRF lines |
$47 | $252.10–$277.31 | 15.7× |
| Rheumatoid Factor Qualitative (86430) | $6 | $217.08 | 1.0× |
| Rheumatoid factor quant (86431) | $5 | $149.59 | 0.9× |
| Rotavirus ag eia (87425) | $11 | $67.80 | 0.9× |
| Rpr qualitative (86592) | $4 | $138.75 | 0.9× |
| Rubella Antibody (86762) | $14 | $280 | 1.0× |
| Rubeola antibody (86765) | $12 | $157.21 | 0.9× |
| Russell Viper Venom Time Diluted (85613) | $9 | $118 | 0.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $51 | $256.55 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $142 | $713.15 | 1.0× |
| Sedimentation rate (85651) | $4 | $191.25 | 0.9× |
| Sedimentation Rate, Automated (85652) | $2 | $134.50 | 0.7× |
| Sensitivity mic (87186) | $8 | $297 | 0.9× |
| Sex Hormone Binding Globulin (84270) | $21 | $65.19 | 1.0× |
| Sickling of rbc reduction (85660) | $5 | $166 | 0.9× |
| Skin test tuberculosis intradermal (86580) | $37 | $147.18 | 1.0× |
| Smear acid fast (87206) | $5 | $192.35 | 0.9× |
| Smear complex stain (87209) | $17 | $89.90 | 0.9× |
| Smear gram stain (87205) | $4 | $179 | 0.9× |
| Smear Special Stain (87207) | $5 | $200 | 0.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $5 | $136.25 | 0.9× |
| Sodium Serum (84295) | $4 | $144.46 | 0.8× |
| Sodium Urine (84300) | $5 | $206.25 | 1.0× |
| Somatomedin (84305) | $21 | $121.86 | 1.0× |
| Special Stains Group 1 (88312) | $66 | $449.69 | 1.0× |
| Special Stains Group 2 (88313) | $170 | $382.50 | 1.0× |
| Specific gravity body fluid (84315) | $3 | $393.25 | 0.9× |
| Specimen infect agnt concntj (87015) | $6 | $73 | 0.9× |
| Spectrophotometry (84311) | $8 | $65.04 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $218 | $1,110.75 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $9 | $146.66 | 1.0× |
| Strep a assay w/optic (87880) | $16 | $82.65 | 1.0× |
| Strep b DNA amp probe (87653) | $35 | $280.95 | 1.0× |
| Surg path level iii (88304) | $66 | $556.25 | 1.0× |
| Surgical pathology level IV (88305) | $66 | $757.23 | 1.0× |
| Surgical pathology level vi (88309) | $1,031 | $4,880.68 | 1.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $7 | $140 | 1.0× |
| Syphilis Test Non-Trep Quant (86593) | $4 | $22 | 0.9× |
| T cells absolute cd4 count (86361) | $26 | $244.31 | 1.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46 | $435.09 | 1.0× |
| T cells total count (86359) | $37 | $113.19 | 1.0× |
| T3 Free (84481) | $16 | $137.92 | 0.9× |
| T3 Total (84480) | $14 | $371.25 | 1.0× |
| T3 Uptake (84479) | $6 | $223.30 | 0.9× |
| T4 Free (84439) | $9 | $341.48 | 1.0× |
| T4 total (84436) | $6 | $259.88 | 0.9× |
| Tacrolimus (80197) | $13 | $297.99 | 0.9× |
| Test for acetone/ketones (82009) | $4 | $238.11 | 0.9× |
| Testosterone total (84403) | $25 | $254 | 1.0× |
| Testosterone, Free (84402) | $25 | $234.75 | 1.0× |
| Theophylline (80198) | $14 | $342 | 1.0× |
| Thrombin Time (85670) | $5 | $110 | 0.9× |
| Thromboplastin Inhibition Tissue (85705) | $9 | $199.50 | 0.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $6 | $125.05 | 0.9× |
| Thyroglobulin (84432) | $16 | $139.19 | 1.0× |
| Thyroglobulin Antibody (86800) | $15 | $212.38 | 0.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $50 | $331.75 | 1.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $11 | $57.65 | 1.0× |
| Tobramycin peak (80200) | $16 | $430.11 | 1.0× |
| Topiramate (80201) | $11 | $187.64 | 0.9× |
| Touch prep (88161) | $37 | $99.94 | 1.0× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $19 | $135 | 1.0× |
| Toxoplasma ab igm (86778) | $14 | $167 | 1.0× |
| Toxoplasma antibody (86777) | $14 | $91.54 | 1.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $5 | $149 | 1.0× |
| Transferrin (84466) | $12 | $152.97 | 0.9× |
| Trichomonas Vaginalis Amplif (87661) | $35 | $175.45 | 1.0× |
| Triglycerides (84478) | $5 | $181.10 | 0.9× |
| Troponin Quant (84484) | $12 | $474.31 | 1.0× |
| Tumor immunohistochem/comput (88361) | $458 | $2,169.08 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $218 | $955.48 | 1.0× |
| Urea nitrogen urine (84540) | $5 | $175 | 0.9× |
| Uric acid other source (84560) | $5 | $170.10 | 1.0× |
| Urinalysis Microscopic Only (81015) | $3 | $102.50 | 1.0× |
| Urine Pregnancy Test (81025) | $8 | $258.75 | 0.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $3 | $221.38 | 0.9× |
| Valproic acid (80164) | $13 | $398.75 | 1.0× |
| Vancomycin (80202) | $13 | $503.25 | 1.0× |
| Varicella-zoster antibody (86787) | $12 | $191.65 | 0.9× |
| Vasopressin (84588) | $33 | $247.80 | 1.0× |
| Viral Culture (87252) | $26 | $337.20 | 1.0× |
| Virus antibody nos (86790) | $12 | $169 | 0.9× |
| Vit D 1 25-Dihydroxy (82652) | $38 | $327.08 | 1.0× |
| Vitamin A (84590) | $11 | $115.06 | 0.9× |
| Vitamin b-12 (82607) | $15 | $380.88 | 1.0× |
| Vitamin B6 (84207) | $28 | $191.80 | 1.0× |
| Vitamin c (82180) | $9 | $146.17 | 0.9× |
| Vitamin D 25-Hydroxy (82306) | $29 | $212.30 | 1.0× |
| Vitamin E (84446) | $14 | $103.50 | 1.0× |
| Vitamin K (84597) | $13 | $149.29 | 0.9× |
| Volatiles (84600) | $17 | $117.35 | 1.0× |
| Von willebrand factor ag (85246) | $22 | $198.90 | 1.0× |
| West nile virus ab igm (86788) | $16 | $105.31 | 0.9× |
| West Nile Virus Antibody (86789) | $14 | $143.14 | 1.0× |
| Zinc (84630) | $11 | $205 | 1.0× |
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.