Lab & pathology prices at San Gorgonio Memorial Hospital

Banning, CA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $8.80 $43.99 0.4×
Acth (82024) $8.32 $41.60 0.2×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$27.27–$28.23 $136.35–$141.13 varies
Adenovirus antibody (86603) $13.57 $67.86 1.1×
Afp-l3 fraction isoform & total afp w/ratio (82107) $27.47 $137.37 0.4×
Albumin Fluid (82042)
range across 2 matching MRF lines
$9.75–$10.09 $48.74–$50.45 varies
Albumin serum (82040)
range across 2 matching MRF lines
$11.20–$11.59 $56–$57.96 varies
Aldolase (82085) $1.97 $9.87 0.2×
Aldosterone urine (82088)
range across 2 matching MRF lines
$5.37–$21 $26.85–$105 varies
Alkaline phosphatase isoenzymes (84080) $15.37 $76.86 1.0×
Allergen specific ige (86003)
range across 8 matching MRF lines
$1.48–$99.75 $7.41–$498.75 varies
Allergen specific igg (86001) $5.78 $28.92 0.7×
Alpha-1-antitrypsin phenotype (82104) $24.09 $120.46 1.7×
Alpha-1-antitrypsin total (82103) $3.24 $16.19 0.2×
Alpha-Fetoprotein Serum (82105) $3.17 $15.83 0.2×
Alt (sgpt) (84460) $5.73 $28.66 1.1×
Amikacin trough (80150) $23.34 $116.69 1.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $84.49 $422.47 5.0×
Ammonia (82140)
range across 3 matching MRF lines
$21.89–$63.84 $109.46–$319.20 varies
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 3 matching MRF lines
$34.94–$126.79 $174.69–$633.97 varies
Amylase urine (82150)
range across 5 matching MRF lines
$11.37–$16.11 $56.86–$80.55 varies
Ana Titer (86039)
range across 3 matching MRF lines
$2.47–$2.56 $12.35–$12.79 varies
Angiotensin converting enzyme csf (82164) $8.03 $40.15 0.5×
Antibody aspergillus (86606)
range across 2 matching MRF lines
$15–$35 $75–$175 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$30–$33.71 $150–$168.57 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$2.50–$2.59 $12.49–$12.93 varies
Antibody Encephalitis California La Crosse (86651) $146.18 $730.89 11.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $61 $305 3.4×
Antibody Fungus Not Elsewhere Specified (86671) $21.92 $109.61 1.8×
Antibody helicobacter pylori (86677) $16.72 $83.61 1.0×
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$12.53–$25.06 $62.65–$125.30 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 4 matching MRF lines
$8.17–$21.29 $40.84–$106.44 varies
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines
$13.02–$70.80 $3.59–$354 varies
Antibody Identification Platelet Immunogl Assay (86023) $4.23 $21.13 0.3×
Antibody john cunningham virus (86711) $311 $1,555 18.4×
Antibody Protozoa Nes (86753) $41.58 $207.90 3.4×
Antibody rotavirus (86759) $7.68 $38.38 0.4×
Antibody Titer (86886) $29.92 $149.62 5.8×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$4.65–$21.74 $23.26–$108.68 varies
Antibody; encephalitis, st. louis (86653) $41.68 $208.41 3.2×
Antigen typing (86905)
range across 3 matching MRF lines
$13.18–$70.19 $65.92–$350.96 varies
Antinuclear antibodies (86038)
range across 4 matching MRF lines
$1.48–$47.58 $7.38–$237.92 varies
Antistreptolysin o titer (86060) $1.59 $7.97 0.2×
Antithrombin iii activity (85300) $84.85 $424.25 7.2×
Antithrombin iii antigen (85301)
range across 2 matching MRF lines
$4.77–$4.94 $23.85–$24.69 varies
Apolipoprotein a1 (82172) $1.33 $6.66 0.1×
Arsenic (82175)
range across 2 matching MRF lines
$18.97–$72 $94.84–$360 varies
Aspergillus ag eia (87305) $19.46 $97.28 1.6×
Assay activated protein c (85307) $21.27 $106.35 1.4×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$7.31–$35.09 $36.54–$175.43 varies
Assay Nephelometry Not Spec (83883) $25.46 $127.30 1.9×
Assay of 5-hiaa (83497) $6.41 $32.04 0.5×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$8.94–$9.26 $44.72–$46.29 varies
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$10.99–$70 $54.96–$350 varies
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines
$5.39–$11.52 $26.96–$57.60 varies
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$1.70–$11.65 $8.50–$58.23 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines
$14.18–$28.36 $70.89–$141.78 varies
Assay of metanephrines (83835)
range across 4 matching MRF lines
$3.48–$34 $17.38–$170 varies
Assay of procainamide (80190) $6.93 $34.63 0.1×
Assay of proinsulin (84206) $34.11 $170.57 1.3×
Assay of serum potassium (84132)
range across 4 matching MRF lines
$10.62–$21.24 $53.10–$106.20 varies
Assay of sweat sodium (84302) $6.78 $33.91 1.4×
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
$4.80–$10.62 $24–$53.11 varies
Assay of urine vma (84585) $3.23 $16.14 0.2×
Assay of vasoactive intestinal peptide (84586) $34 $169.99 1.0×
Assay of vitamin b-1 (84425) $27 $135 1.3×
Assay Ph Body Fluid Nos (83986) $5.72 $28.59 1.6×
B cells total count (86355) $25.55 $127.77 0.7×
Bartonella antibody (86611) $12.68 $63.41 1.2×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$16.40–$154.40 $82–$772 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$9.62–$9.96 $48.12–$49.81 varies
Beta Lactamase (87185)
range across 4 matching MRF lines
$6.22–$12.45 $31.12–$62.24 varies
Beta-2 Microglobulin (82232) $3.92 $19.58 0.2×
Bilirubin direct (82248)
range across 2 matching MRF lines
$10.76–$11.14 $53.79–$55.68 varies
Bilirubin total (82247)
range across 2 matching MRF lines
$10.76–$11.14 $53.79–$55.68 varies
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines
$1.04 $5.02–$5.20 0.2×
Biotinidase (82261) $10.65 $53.26 0.6×
Bld Typing Serologic Rh Phnt (86906) $14.96 $74.81 1.9×
Bleeding time test (85002) $13.78 $68.88 2.9×
Blood count reticulocyte automated (85045)
range across 3 matching MRF lines
$3.66–$3.78 $18.28–$18.92 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 3 matching MRF lines
$5.31–$5.49 $26.53–$27.46 varies
Blood gas (82803)
range across 3 matching MRF lines
$53.71–$55.59 $268.54–$277.94 varies
Blood gases w/02 saturation (82805) $58.25 $291.27 0.7×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$7.11–$20.25 $35.53–$101.26 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$8.14–$8.43 $40.71–$42.14 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 5 matching MRF lines
$5.19–$68.77 $25.93–$343.87 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904)
range across 4 matching MRF lines
$5.51–$13.61 $27.54–$68.07 varies
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$22.92–$92.60 $114.60–$463 varies
Bordetella antibody (86615) $33.22 $166.10 2.5×
Braf gene analysis (81210) $93.13 $465.65 0.5×
Brucella antibody (86622) $8.34 $41.71 0.9×
C diff amplified probe (87493)
range across 3 matching MRF lines
$18.05–$22.87 $90.27–$114.35 varies
C-Peptide (84681) $14.10 $70.50 0.7×
C-reactive protein (86140)
range across 2 matching MRF lines
$15.56–$16.11 $77.82–$80.55 varies
Ca 19-9 (86301) $2.22 $11.09 0.1×
Calcitonin (82308) $6.02 $30.11 0.2×
Calcium ionized (82330) $11.20 $56 0.8×
Calcium total (82310)
range across 2 matching MRF lines
$10.26–$10.62 $51.31–$53.11 varies
Calculus Spectroscopy (82365) $9.74 $48.72 0.8×
Calprotectin Fecal (83993) $39.20 $196 2.0×
Cancer Antigen 125 (86304) $30 $150 1.4×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$2.22–$24.59 $11.09–$122.95 varies
Carbamazepine total (80156)
range across 2 matching MRF lines
$24.21–$25.06 $121.07–$125.31 varies
Carboxyhemoglobin (82375)
range across 3 matching MRF lines
$8–$33.54 $40–$167.70 varies
Carcinoembryonic antigen (82378) $15.73 $78.66 0.8×
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$3.37–$44 $16.86–$220 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$6.84–$7.03 $34.20–$35.15 varies
Ccp antibody (86200) $16.34 $81.70 1.3×
Cell count csf (89051)
range across 3 matching MRF lines
$20.76–$42.64 $103.82–$213.21 varies
Ceruloplasmin (82390) $2.14 $10.70 0.2×
Cftr gene com variants (81220) $174.50 $872.52 0.3×
Chemiluminescent assay (82397) $24.02 $120.09 1.7×
Chlamydia antibody (86631) $6.91 $34.53 0.6×
Chloride Serum (82435) $5.45 $27.24 1.2×
Chloride urine (82436) $16.88 $84.40 2.9×
Cholesterol total (82465)
range across 2 matching MRF lines
$9.23–$9.56 $46.17–$47.79 varies
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$21.89–$22.66 $109.46–$113.30 varies
Chromium serum (82495) $11 $55 0.5×
Chromogranin a (86316) $15.50 $77.52 0.7×
Chromosome Analysis 15-20 (88262) $134.72 $673.61 1.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 6 matching MRF lines
$14.45–$34.36 $6.80–$171.81 varies
Citric acid urine (82507) $2.96 $14.82 0.1×
Ckmb (82553)
range across 2 matching MRF lines
$21.89–$22.66 $109.46–$113.30 varies
Clostridium Difficile (87324)
range across 3 matching MRF lines
$18.40–$19.04 $91.99–$95.21 varies
Clot Factor VIII Multimetric (85247) $40.08 $200.40 1.7×
Clotting Funct Activity (85397) $95.45 $477.23 3.1×
Coagulation time; Lee and White Facility (85345) $8.87 $44.35 1.9×
Coccidioides antibody (86635)
range across 4 matching MRF lines
$3.18–$11 $15.89–$55 varies
Cold agglutinin screen (86156) $10.60 $53.02 1.3×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$11.35–$31 $56.74–$155 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$22.05–$35 $110.24–$175 varies
Compatibility Each Unit Incubation (86921) $27.24 $136.18 0.1×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$61.44–$63.59 $307.20–$317.96 varies
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$12.48–$34.40 $62.41–$172 varies
Complement Total (Ch50) (86162) $4.64 $23.22 0.2×
Complement/Function Activity (86161) $10 $50.02 0.8×
Coombs direct (86880)
range across 5 matching MRF lines
$2.39–$50.14 $11.97–$250.69 varies
Copper urine (82525)
range across 4 matching MRF lines
$2.46–$12.40 $12.30–$62 varies
Cortisol free (82530)
range across 2 matching MRF lines
$14.46–$15.16 $72.31–$75.81 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$15.20–$15.73 $76–$78.66 varies
Creatine kinase total (82550)
range across 4 matching MRF lines
$2.33–$15.73 $11.64–$78.66 varies
Creatinine blood (82565)
range across 3 matching MRF lines
$6–$11.14 $30–$55.68 varies
Creatinine clearance (82575)
range across 2 matching MRF lines
$21.83–$22.66 $109.14–$113.30 varies
Creatinine Urine (82570)
range across 5 matching MRF lines
$10.99–$21.71 $54.96–$108.53 varies
Crossmatch electronic (86923)
range across 3 matching MRF lines
$40.77–$81.54 $203.86–$407.72 varies
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
$48.51–$354.40 $242.57–$1,772.01 varies
Cryoglobulin (82595) $7.48 $37.38 1.2×
Cryptococcus ab (86641) $34.82 $174.11 2.4×
Cryptococcus ag titer (87899) $29.20 $146 1.8×
Cryptosporidium (87272) $14 $70 1.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$3.20–$18.67 $16–$93.33 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 5 matching MRF lines
$10.24–$34.91 $51.18–$174.53 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 3 matching MRF lines
$22.01–$45.57 $110.06–$227.84 varies
Culture afb (87116)
range across 2 matching MRF lines
$2.69–$5.38 $13.44–$26.88 varies
Culture Anaerobic (87075)
range across 4 matching MRF lines
$9.60–$16.11 $48–$80.55 varies
Culture blood (87040)
range across 4 matching MRF lines
$21.09–$42.18 $105.44–$210.88 varies
Culture csf (87070)
range across 5 matching MRF lines
$15.56–$28.37 $77.82–$141.85 varies
Culture fungus blood (87103) $2.14 $10.68 0.1×
Culture screen only (87081)
range across 4 matching MRF lines
$6.91–$23.58 $34.55–$117.90 varies
Culture stool (87045) $16.11 $80.55 1.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines
$2.30–$8.98 $11.52–$44.88 varies
Culture urine (87086) $11.67 $58.34 1.4×
Cyanide (82600) $1.46 $7.31 0.1×
Cyclosporine (80158)
range across 2 matching MRF lines
$20.83–$47.38 $104.16–$236.90 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $232.37 $1,161.85 0.2×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$7.47–$40.89 $37.36–$204.46 varies
Cytopath Cell Enhance Tech (88112) $27.93 $139.65 0.4×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$13.65–$79.40 $68.23–$397 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 4 matching MRF lines
$35.82–$115.92 $179.10–$579.58 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $20.35 $101.74 0.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $30.03 $150.14 0.6×
Deoxycortisol (82634) $8.40 $42.01 0.3×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$20–$64.84 $100–$324.18 varies
Dhea (82626) $8.82 $44.08 0.3×
Dhea-S (82627) $5.35 $26.74 0.2×
Digoxin (80162)
range across 2 matching MRF lines
$29.72–$57.43 $148.60–$287.14 varies
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$2.42–$12.28 $12.10–$61.41 varies
Drug Screen Quant Clozapine (80159)
range across 4 matching MRF lines
$5.65–$19.89 $28.26–$99.44 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$4.50–$37.30 $22.50–$186.50 varies
Drug Test Prsmv Dir Opt Obs (80305) $10.62 $53.11 0.8×
Electrolyte panel (80051) $17.24 $86.21 2.5×
Encephaltis East Eqne Anbdy (86652) $9.18 $45.88 0.7×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$5.94–$12.61 $29.69–$63.06 varies
Enterovirus PCR (87498) $29.40 $147.01 0.8×
Eosinophil Smear (89190) $13.78 $68.88 2.4×
Erythropoietin (82668) $3.91 $19.57 0.2×
Estradiol serum (82670) $5.72 $28.59 0.2×
Estrogen total (82672) $30.67 $153.33 1.4×
Ethosuximide (80168) $3.12 $15.62 0.2×
Ethylene Glycol (82693) $1.78 $8.88 0.1×
Exam Synovial Fluid Crystals (89060)
range across 3 matching MRF lines
$15.88–$24.84 $79.38–$124.20 varies
F2 Gene (81240) $12.81 $64.07 0.2×
Factor Inhibitor Test (85335) $41.09 $205.43 3.2×
Factor v leiden mutation (81241) $12.81 $64.07 0.2×
Factor vii assay (85230) $41.20 $206 2.3×
Factor viii assay (85240) $35.32 $176.61 2.0×
Factor X (85260)
range across 2 matching MRF lines
$6.63–$33.22 $33.13–$166.10 varies
Fecal Fat Qualitative (82705) $6.76 $33.82 1.3×
Ferritin (82728)
range across 2 matching MRF lines
$21.09–$21.83 $105.44–$109.14 varies
Fetal Chrmoml Aneuploidy (81420) $553 $2,765 0.7×
Fetal Fibronectin (82731)
range across 2 matching MRF lines
$53.13–$54.99 $265.66–$274.96 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$14.81–$15.33 $74.06–$76.66 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $16.06 $80.32 1.7×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$18.76–$19.42 $93.80–$97.09 varies
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$15–$118.80 $75–$593.98 varies
Fluorescent antibody screen (86255)
range across 8 matching MRF lines
$2.93–$130.59 $14.63–$652.97 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $3.74 $18.71 0.3×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$15.20–$15.73 $76–$78.66 varies
Follicle Stimulating Hormone (83001) $1.51 $7.57 0.1×
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 4 matching MRF lines
$45.29–$90.57 $226.43–$452.86 varies
Frozen Section (88331)
range across 3 matching MRF lines
$21.17–$24.72 $105.86–$123.60 varies
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$12.93–$13.38 $64.63–$66.90 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$9.60–$9.94 $48–$49.68 varies
Galactose transferase test (82776) $10.97 $54.85 0.9×
Gammaglobulin ige (82785) $2.09 $10.47 0.1×
Gases blood ph only (82800) $34.06 $170.31 3.1×
Gastrin (82941) $8.90 $44.50 0.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$117.67–$121.79 $588.34–$608.94 varies
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$2.14–$10.19 $10.68–$50.95 varies
Gentamicin (80170) $12.90 $64.48 0.8×
Ggt (82977)
range across 2 matching MRF lines
$14.40–$14.90 $71.99–$74.51 varies
Giardia antigen (87329) $9.16 $45.82 0.8×
Giardia lamblia antibody (86674) $55.06 $275.29 3.7×
Glucose 2 hr pp (82950) $11.89 $59.47 2.5×
Glucose Blood Test (82962)
range across 3 matching MRF lines
$1.29–$6.47 $6.47–$32.35 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$10.26–$10.62 $51.31–$53.11 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$8.94–$9.26 $44.72–$46.29 varies
Glucose tolerance test (gtt) (82951) $14.25 $71.24 1.1×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$13.31–$13.78 $66.55–$68.88 varies
Growth hormone (83003) $3.12 $15.62 0.2×
Gtt-added samples (82952) $3.66 $18.28 0.9×
Haptoglobin (83010) $3.31 $16.57 0.3×
Hdl Cholesterol (83718) $10.69 $53.45 1.3×
Helicobacter Pylori Stool (87338) $4.66 $23.31 0.3×
Helminth Antibody (86682) $39 $195 3.0×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$15.56–$16.11 $77.82–$80.55 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$10.97–$89.46 $54.85–$447.30 varies
Hemoglobin electrophoresis (83020) $8.51 $42.56 0.7×
Hemoglobin plasma (83051) $9.54 $47.69 1.3×
Hemosiderin urine (83070) $1.72 $8.59 0.4×
Hep a ab igm (86709) $14.30 $71.50 1.3×
Hepatitis a antibody total (86708) $11.87 $59.33 1.0×
Hepatitis b core ab igm (86705) $14.30 $71.50 1.2×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$9.53–$9.86 $47.63–$49.30 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$9.53–$9.86 $47.63–$49.30 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$8.86–$9.17 $44.30–$45.86 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$16.12–$18.56 $80.62–$92.79 varies
Herpes simplex type 2 (86696) $9 $45.01 0.5×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$4.09–$4.23 $20.45–$21.17 varies
Hfe Gene (81256) $38.79 $193.94 0.6×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 3 matching MRF lines
$29.92–$62.17 $149.62–$310.85 varies
Histoplasma antibody (86698) $4.22 $21.09 0.3×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$16.09–$17.86 $80.43–$89.30 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 3 matching MRF lines
$14.77–$22 $73.83–$110 varies
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$1.34–$10.84 $6.69–$54.18 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $22.42 $112.10 0.3×
Hla-b27 (86812) $3.34 $16.69 0.1×
Homocysteine (83090) $7.36 $36.81 0.4×
Homovanillic acid urine (83150) $3.63 $18.15 0.2×
Hsv Dna Amp Probe (87529) $64 $320 1.8×
Htlv-I Antibody (86687) $16.64 $83.22 1.8×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$1.64–$10.97 $8.18–$54.85 varies
Iaad Ia Escherichia Coli 0157 (87335)
range across 3 matching MRF lines
$3.16–$6.33 $15.82–$31.64 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $24.60 $123.01 1.8×
Iaad ia shiga-like toxin (87427) $10.75 $53.73 0.9×
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines
$11.27–$11.67 $56.36–$58.34 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $10.25 $51.24 0.9×
Iaadi inffluenza a virus (87276) $8.58 $42.89 0.5×
Iaadi not otherwise specified each organism (87299) $16.57 $82.87 1.0×
Iaadi pneumocustis carinii (87281) $16.23 $81.13 1.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $27.36 $136.80 0.8×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$23.03–$76.40 $115.16–$382 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 3 matching MRF lines
$36–$37.26 $180–$186.30 varies
Iadna Hepatitis B Virus Quantification (87517) $11.89 $59.47 0.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $23.54 $117.70 0.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 3 matching MRF lines
$29.94–$43 $149.70–$215 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $75 $375 2.1×
Igg subclasses (82787)
range across 2 matching MRF lines
$3.69–$75 $18.47–$375 varies
Immunfix e-phorsis/urine/csf (86335) $4.46 $22.32 0.2×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$8.97–$37.20 $44.86–$186.01 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $41.69 $208.47 2.8×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$10.65–$53.94 $53.26–$269.71 varies
Immunoelectrophoresis Serum (86320) $4.46 $22.32 0.1×
Immunofixation electrophoresis (86334) $4.58 $22.89 0.2×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285)
range across 2 matching MRF lines
$21–$21.74 $105–$108.68 varies
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592)
range across 2 matching MRF lines
$3.07–$3.18 $15.36–$15.90 varies
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652)
range across 3 matching MRF lines
$3.16–$3.28 $15.82–$16.38 varies
Influenza a/b ag eia (87400)
range across 2 matching MRF lines
$15.56–$16.11 $77.82–$80.55 varies
Influenza DNA amp probe (87502)
range across 3 matching MRF lines
$40–$41.40 $200–$207 varies
Inhibin A (86336)
range across 2 matching MRF lines
$25.85–$38 $129.24–$190 varies
Inhibin b (83520)
range across 14 matching MRF lines
$7.02–$57 $35.10–$285 varies
Insulin antibodies (86337) $13.96 $69.82 0.7×
Insulin total (83525) $2.20 $11.02 0.2×
Intrinsic factor antibody (86340) $6.49 $32.44 0.4×
Iron (83540)
range across 2 matching MRF lines
$16.78–$48.65 $83.92–$243.24 varies
Iron Binding Capacity (83550) $8.82 $44.08 1.0×
Islet cell antibody (86341)
range across 2 matching MRF lines
$6.64–$13.09 $33.20–$65.47 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 4 matching MRF lines
$76–$440 $379.99–$2,200 varies
Koh Prep (87220)
range across 2 matching MRF lines
$7.31–$20.75 $36.54–$103.74 varies
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$15.99–$16.55 $79.96–$82.76 varies
Ldh Isoenzymes (83625) $11.40 $57 0.9×
Lead (83655) $2.06 $10.30 0.2×
Legionella antibody (86713)
range across 5 matching MRF lines
$4.40–$31.60 $22–$158 varies
Legionella antigen urine (87449)
range across 5 matching MRF lines
$2.30–$6.69 $11.52–$33.44 varies
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$9.31–$9.63 $46.54–$48.17 varies
Level I Surg Pathology Gross Examination Only (88300) $17.16 $85.78 0.5×
Level ii surg pathology gross&microscopic exam (88302) $37.51 $187.53 0.8×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines
$115.81–$347.44 $579.07–$1,737.21 varies
Lidocaine (80176) $8.40 $42.01 0.6×
Lipase (83690)
range across 3 matching MRF lines
$15.49–$16.04 $77.46–$80.18 varies
Lipoprotein A (83695) $3.58 $17.91 0.3×
Lithium (80178)
range across 2 matching MRF lines
$14.76–$15.28 $73.80–$76.39 varies
Luteinizing Hormone (Lh) (83002) $7.56 $37.80 0.4×
Lyme disease antibody (86618) $9.97 $49.87 0.6×
Lymphocytotoxicity Assay (86805) $81.20 $406 0.4×
Macroscopic exam arthropod (87168) $37.60 $188 8.8×
Magnesium Urine (83735)
range across 3 matching MRF lines
$15.99–$20.45 $79.96–$102.26 varies
Mass Spectrometry Quant (83789)
range across 6 matching MRF lines
$3–$28.27 $14.98–$141.36 varies
Metabolic panel ionized ca (80047)
range across 7 matching MRF lines
$21.09–$105.44 $105.44–$527.20 varies
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$12.33–$39.34 $61.65–$196.69 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$3.69–$4.20 $18.43–$21 varies
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$1.14–$30.80 $5.69–$154 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$76.85–$172.03 $384.27–$860.13 varies
Mopath procedure level 2 (81401) $49.27 $246.33 0.4×
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$68.23–$86.18 $341.14–$430.92 varies
Mthfr Gene Analysis Common Variants (81291) $28.82 $144.11 0.4×
Mumps antibody (86735) $9.52 $47.59 0.7×
Mycoplasma antibody (86738) $4.92 $24.60 0.4×
Mycoplasma culture (87109)
range across 2 matching MRF lines
$12.88–$23.80 $64.41–$119 varies
Myoglobin urine (83874)
range across 3 matching MRF lines
$14.47–$25.59 $72.34–$127.93 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines
$26.16–$27.08 $130.82–$135.40 varies
Niacin (84591) $36.67 $183.35 2.1×
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$3.50–$22.40 $17.52–$112 varies
Occult Blood Other Sources (82271) $8.02 $40.12 1.5×
Oligoclonal bands (83916) $24.56 $122.82 0.9×
Oncoprotein dcp (83951) $55.96 $279.82 0.9×
Osmolality serum (83930)
range across 4 matching MRF lines
$1.03–$9.63 $5.13–$48.17 varies
Osmolality Urine (83935)
range across 2 matching MRF lines
$9.31–$9.63 $46.54–$48.17 varies
Ova and parasites smears (87177) $29 $145 3.3×
Oxalate urine (83945) $1.94 $9.72 0.1×
Particle Agglutination Screen Each Antibody (86403)
range across 4 matching MRF lines
$3.33–$51.18 $16.67–$255.90 varies
Parvovirus antibody (86747) $5.37 $26.83 0.4×
Path Clin Consltj Mod 21-40 (80504)
range across 3 matching MRF lines
$16.43–$17.01 $82.17–$85.05 varies
Ph urine (81003) $5.07 $25.36 2.3×
Phenobarbital Level (80184)
range across 3 matching MRF lines
$5.45–$5.64 $27.23–$28.19 varies
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$28.71–$29.72 $143.57–$148.60 varies
Phenytoin free (80186) $1.67 $8.34 0.1×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$14.54–$15.05 $72.68–$75.23 varies
Phosphorus Serum (84100)
range across 4 matching MRF lines
$10.26–$21.24 $51.31–$106.22 varies
Phosphorus urine (84105) $1.02 $5.09 0.2×
Platelet Antibodies (86022)
range across 6 matching MRF lines
$7.98–$49.15 $39.90–$245.73 varies
Platelet count automated (85049)
range across 2 matching MRF lines
$10.11–$10.46 $50.53–$52.30 varies
Platelet neutralization (85597) $8.32 $41.61 0.5×
Potassium Urine (84133)
range across 3 matching MRF lines
$11.71–$13.24 $58.57–$66.18 varies
Prealbumin (84134)
range across 2 matching MRF lines
$15–$18.22 $75–$91.08 varies
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $19.95 $99.75 0.3×
Pretx serum rbc antibody identification dilution (86976) $5.98 $29.92 0.2×
Primidone (80188) $6.38 $31.90 0.4×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$34.11–$52.35 $170.57–$261.77 varies
Progesterone (84144) $2.47 $12.35 0.1×
Prolactin (84146) $28.20 $141 1.5×
Protein body fluid (84157) $8.82 $44.08 2.2×
Protein c antigen (85302) $41.59 $207.95 3.5×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$2–$9.79 $10.02–$48.96 varies
Protein S Free (85306) $41.05 $205.24 2.7×
Protein s total (85305) $26.59 $132.95 2.3×
Protein total serum (84155)
range across 2 matching MRF lines
$2.91–$3.01 $14.53–$15.04 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$11.16–$11.55 $55.78–$57.74 varies
Protoporphyrin rbc quantitative (84202) $15.19 $75.94 1.1×
Pth Intact (83970) $43 $215 1.0×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$14.68–$21.35 $73.38–$106.73 varies
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$53.60–$55 $268–$275 varies
Quantitative assay drug (80299)
range across 9 matching MRF lines
$1.60–$41.25 $7.98–$206.27 varies
Quantitative Screen Metals (83018) $8.87 $44.35 0.4×
Rbc antibody elution (86860) $9.25 $46.25 0.0×
Rbc antibody identification (86870)
range across 4 matching MRF lines
$14.96–$117.34 $74.81–$586.68 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$22.52–$42.57 $112.62–$212.87 varies
Rbc pretreatment serum (86978) $13.96 $69.82 0.2×
Rbc pretx incubatj w/enzymes (86971) $26 $130 0.1×
Receptor assay progesterone (84234) $2.47 $12.35 0.0×
Renin activity plasma (84244) $4.29 $21.47 0.2×
Resp virus 12-25 targets (87633)
range across 3 matching MRF lines
$111.78–$115.70 $558.92–$578.49 varies
Reticulocyte Count Manual (85044) $10.46 $52.30 2.4×
Reticulocyte separation (86972) $14.96 $74.81 0.1×
Rh (86901)
range across 2 matching MRF lines
$15.83–$22.92 $79.13–$114.60 varies
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines
$7.20–$7.45 $35.99–$37.25 varies
Rickettsia antibody (86757) $4.61 $23.03 0.2×
Rpr qualitative (86592)
range across 3 matching MRF lines
$1.49–$14.90 $2.13–$74.52 varies
Rubella Antibody (86762) $12 $60 0.8×
Rubeola antibody (86765)
range across 4 matching MRF lines
$2.37–$22 $11.83–$110 varies
Salmonella antibody (86768) $6.22 $31.08 0.5×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines
$20–$122.81 $100–$614.05 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 3 matching MRF lines
$9.83–$15.35 $49.13–$76.76 varies
Sars-Cov-2 Covid19 W/Optic (87811)
range across 4 matching MRF lines
$15–$15.53 $75–$77.63 varies
Sedimentation rate (85651)
range across 2 matching MRF lines
$8.14–$8.43 $40.71–$42.14 varies
Sensitivity mic (87186)
range across 7 matching MRF lines
$9.89–$32.58 $49.44–$162.92 varies
Shigella Antibody (86771) $54.29 $271.46 2.2×
Sickling of rbc reduction (85660) $4.63 $23.13 0.8×
Sirolimus (80195) $13.78 $68.92 1.0×
Skin test tuberculosis intradermal (86580)
range across 4 matching MRF lines
$25.02–$349.56 $125.08–$1,747.81 varies
Smear acid fast (87206) $6.34 $31.70 1.2×
Smear gram stain (87205)
range across 3 matching MRF lines
$8.29–$15.07 $41.43–$75.33 varies
Smear Special Stain (87207) $3.92 $19.61 0.7×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$7.96–$9.79 $39.80–$48.96 varies
Sodium Serum (84295)
range across 4 matching MRF lines
$7.60–$22.79 $37.98–$113.94 varies
Sodium Urine (84300)
range across 2 matching MRF lines
$11.71–$12.12 $58.57–$60.62 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines
$6.23–$50.60 $31.16–$253 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$46.21–$92.42 $231.06–$462.12 varies
Special Stains Group 2 (88313) $39.05 $195.24 0.2×
Specific gravity body fluid (84315) $4.37 $21.87 1.3×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$13.41–$58 $67.07–$289.98 varies
Spectrophotometry (84311)
range across 3 matching MRF lines
$34–$62 $170–$310 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 2 matching MRF lines
$169.04–$174.96 $845.19–$874.78 varies
Stool cultr aerobic bact ea (87046) $30.17 $150.83 3.2×
Strep a DNA amp probe (87651) $49.68 $248.40 1.4×
Surg path level iii (88304) $45.49 $227.43 0.7×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$46.88–$58.96 $234.41–$294.78 varies
Surgical pathology level vi (88309) $110.66 $553.31 0.1×
Syphilis Test Non-Trep Quant (86593) $10.35 $51.75 2.4×
T cells absolute cd4 count (86361) $8.07 $40.37 0.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $70 $350 1.5×
T cells total count (86359) $25.73 $128.63 0.7×
T3 Free (84481)
range across 2 matching MRF lines
$8.23–$8.52 $41.14–$42.58 varies
T3 Total (84480) $15.98 $79.90 1.1×
T3 Uptake (84479) — $3.61 —
T4 Free (84439)
range across 3 matching MRF lines
$16.10–$16.66 $80.50–$83.32 varies
T4 total (84436)
range across 2 matching MRF lines
$18.55–$19.20 $92.75–$96 varies
Tacrolimus (80197)
range across 2 matching MRF lines
$11–$17.67 $55–$88.35 varies
Test for acetone/ketones (82009) $10.62 $53.11 2.3×
Testosterone total (84403)
range across 2 matching MRF lines
$1.41–$8.82 $7.03–$44.08 varies
Testosterone, Free (84402) $48.76 $243.81 1.9×
Theophylline (80198)
range across 2 matching MRF lines
$6.04–$15 $30.18–$75 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$1.24–$5.35 $6.22–$26.74 varies
Thyroglobulin Antibody (86800) $1.24 $6.21 0.1×
Thyroid Stimulating Immunoglobulin (84445) $14.59 $72.96 0.3×
Tissue Culture (88233) $68.99 $344.96 0.5×
Tobramycin peak (80200) $14.32 $71.62 0.9×
Topiramate (80201) $5.34 $26.69 0.4×
Touch prep (88161) $16.93 $84.64 0.5×
Toxoplasma antibody (86777) $7.16 $35.80 0.5×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$5.54–$5.73 $27.69–$28.66 varies
Transferrin (84466)
range across 2 matching MRF lines
$6.51–$6.73 $32.53–$33.67 varies
Triglycerides (84478)
range across 2 matching MRF lines
$9.23–$9.56 $46.17–$47.79 varies
Troponin Quant (84484)
range across 3 matching MRF lines
$22.66–$74.16 $113.30–$370.80 varies
Unlisted Transfusion Medicine Procedure (86999) $13.61 $68.07 0.4×
Urea nitrogen urine (84540)
range across 3 matching MRF lines
$9.48–$10.69 $47.42–$53.45 varies
Uric acid other source (84560) $1.43 $7.17 0.3×
Urinalysis Microscopic Only (81015)
range across 3 matching MRF lines
$8.10–$8.39 $40.51–$41.93 varies
Urine Bacteria Culture (87088)
range across 4 matching MRF lines
$12.28–$16.11 $61.41–$80.55 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$13.78–$26.62 $68.88–$133.10 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$14.76–$15.28 $73.80–$76.39 varies
Valproic acid (80164)
range across 2 matching MRF lines
$26.83–$27.77 $134.15–$138.85 varies
Vancomycin (80202)
range across 2 matching MRF lines
$26.83–$27.77 $134.15–$138.85 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$4.78–$5.07 $23.90–$25.36 varies
Vasopressin (84588) $47.45 $237.24 1.4×
Viral Culture (87252)
range across 3 matching MRF lines
$6.33–$38.63 $31.67–$193.16 varies
Virus antibody nos (86790)
range across 3 matching MRF lines
$10.48–$45.25 $52.39–$226.25 varies
Virus inoculation, shell via (87254) $40 $200 2.0×
Viscosity serum (85810) $17.87 $89.34 1.5×
Vit D 1 25-Dihydroxy (82652) $7.78 $38.90 0.2×
Vitamin A (84590) $4.22 $21.09 0.4×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$15.20–$15.73 $76–$78.66 varies
Vitamin B6 (84207) $39.01 $195.04 1.4×
Vitamin c (82180) $14.74 $73.72 1.5×
Vitamin D 25-Hydroxy (82306) $8.05 $40.26 0.3×
Vitamin K (84597) $49.17 $245.87 3.6×
Volatiles (84600)
range across 2 matching MRF lines
$2.93–$6.26 $14.63–$31.32 varies
Von willebrand factor ag (85246) $14.78 $73.91 0.6×
Wbc Alkaline Phosphatase Count (85540) $2.69 $13.44 0.3×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$11.86–$13.37 $59.28–$66.83 varies
Zinc (84630) $6.46 $32.32 0.6×

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.