Lab & pathology prices at San Juan Hospital
Monticello, UT · every code in this section with a posted price and a Medicare benchmark.
378 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) range across 4 matching MRF lines |
$70.36–$354.82 | $100.51–$506.89 | varies |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$119.24–$191.68 | $170.34–$273.83 | varies |
| Albumin serum (82040) | $35.55 | $50.79 | 7.2× |
| Aldolase (82085) range across 3 matching MRF lines |
$40.61–$102.22 | $58.02–$146.03 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$28.20–$430.05 | $40.28–$614.36 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$27.02–$27.83 | $38.60–$39.76 | varies |
| Allergen specific ige (86003) range across 38 matching MRF lines |
$19.45–$62.72 | $27.79–$89.60 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$38.55–$54.36 | $55.07–$77.66 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$49.61–$155.56 | $70.87–$222.23 | varies |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$47.03–$283.71 | $67.19–$405.30 | varies |
| Alt (sgpt) (84460) | $22.22 | $31.74 | 4.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $423.01 | $604.30 | 25.1× |
| Ammonia (82140) range across 3 matching MRF lines |
$37.88–$142.23 | $54.12–$203.18 | varies |
| Amylase urine (82150) | $67.41 | $96.30 | 10.4× |
| Ana Titer (86039) range across 3 matching MRF lines |
$49.63–$91.11 | $70.90–$130.16 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$97.03–$100.74 | $138.62–$143.92 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $218.52 | $312.17 | 14.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$50.91–$128.89 | $72.73–$184.13 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 4 matching MRF lines |
$61.78–$213.34 | $88.25–$304.77 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 4 matching MRF lines |
$58.80–$86.17 | $84–$123.10 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 7 matching MRF lines |
$62.31–$101.52 | $89.02–$145.03 | varies |
| Antibody helicobacter pylori (86677) | $64.44 | $92.06 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$70.39–$402.23 | $100.56–$574.61 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$200.75–$240.86 | $286.78–$344.08 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $97.03 | $138.62 | 7.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$149.64–$271.11 | $213.77–$387.30 | varies |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$25.29–$287.41 | $36.13–$410.59 | varies |
| Antibody; campylobacter (86625) | $174.08 | $248.68 | 13.3× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$33.28–$91.11 | $47.54–$130.16 | varies |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$27.16–$133.33 | $38.80–$190.47 | varies |
| Antithrombin iii activity (85300) | $128.89 | $184.13 | 10.9× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$109.21–$405.94 | $156.02–$579.91 | varies |
| Arsenic (82175) | $810.50 | $1,157.85 | 42.7× |
| Assay Blood Carbon Dioxide (82374) | $22.96 | $32.80 | 4.7× |
| Assay Nephelometry Not Spec (83883) | $56.29 | $80.42 | 4.1× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$70.13–$84.11 | $100.18–$120.16 | varies |
| Assay of blood/uric acid (84550) | $22.22 | $31.74 | 4.9× |
| Assay of calcium in urine (82340) range across 5 matching MRF lines |
$28.53–$59.26 | $40.76–$84.66 | varies |
| Assay of cpk in blood (82552) | $62.22 | $88.89 | 4.6× |
| Assay of estrone (82679) range across 3 matching MRF lines |
$51.92–$200 | $74.17–$285.71 | varies |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$82.25–$97.03 | $117.50–$138.62 | varies |
| Assay of gammaglobulin igm (82784) range across 16 matching MRF lines |
$32.76–$209.63 | $46.80–$299.47 | varies |
| Assay of lactic acid (83605) | $54.08 | $77.25 | 4.7× |
| Assay of metanephrines (83835) | $53.14 | $75.91 | 3.1× |
| Assay of proinsulin (84206) | $329.64 | $470.91 | 12.4× |
| Assay of prostate specific antigen complexed (84152) | $81.48 | $116.40 | 4.4× |
| Assay of serum potassium (84132) | $20.74 | $29.63 | 4.4× |
| Assay of urea nitrogen (84520) | $17.78 | $25.40 | 4.5× |
| Assay of vitamin b-1 (84425) | $100.36 | $143.37 | 4.7× |
| Assay Ph Body Fluid Nos (83986) | $54.08 | $77.25 | 15.1× |
| Bcr/abl1 gene major bp (81206) | $1,357.77 | $1,939.67 | 8.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$160.39–$238.53 | $229.13–$340.75 | varies |
| Beta Lactamase (87185) | $23.70 | $33.86 | 5.0× |
| Bile acids total (82239) | $67.66 | $96.65 | 4.0× |
| Bilirubin direct (82248) range across 4 matching MRF lines |
$21.48–$44.70 | $30.69–$63.85 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$22.22–$44.70 | $31.74–$63.85 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $210.38 | $300.54 | 7.2× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$37.04–$39.26 | $52.92–$56.09 | varies |
| Blood Count Red Blood Cell Automated (85041) | $48.15 | $68.79 | 15.9× |
| Blood count reticulocyte automated (85045) range across 4 matching MRF lines |
$11.96–$39.26 | $17.08–$56.09 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$28.52–$88.15 | $40.74–$125.93 | varies |
| Blood gas (82803) range across 3 matching MRF lines |
$85.18–$108.89 | $121.69–$155.56 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 6 matching MRF lines |
$10.37–$48.15 | $14.81–$68.79 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$36.30–$41.48 | $51.86–$59.26 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$27.41–$116.30 | $39.16–$166.14 | varies |
| C diff amplified probe (87493) | $161.49 | $230.70 | 4.3× |
| C-Peptide (84681) range across 3 matching MRF lines |
$46.96–$160.01 | $67.08–$228.58 | varies |
| C-reactive protein (86140) range across 4 matching MRF lines |
$24.32–$51.11 | $34.74–$73.02 | varies |
| Ca 19-9 (86301) | $96.54 | $137.91 | 4.6× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$41.99–$62.97 | $59.99–$89.95 | varies |
| Calcium total (82310) | $22.96 | $32.80 | 4.4× |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$71.96–$238.03 | $102.80–$340.04 | varies |
| Calprotectin Fecal (83993) range across 3 matching MRF lines |
$405.96–$709.29 | $579.94–$1,013.27 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$51.60–$97.78 | $73.71–$139.69 | varies |
| Cancer Antigen 27.29 (86300) | $60.74 | $86.77 | 2.9× |
| Carbamazepine total (80156) range across 4 matching MRF lines |
$22.32–$153.76 | $31.89–$219.65 | varies |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $202.97 | $289.96 | 14.4× |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$46.87–$56.25 | $66.96–$80.35 | varies |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$111.57–$411.86 | $159.38–$588.37 | varies |
| Carnitine Quantitative Each Specimen (82379) | $234.52 | $335.03 | 13.9× |
| Catecholamines fractionated (82384) | $87.02 | $124.32 | 3.4× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$54.08–$72.69 | $77.25–$103.84 | varies |
| Cell count csf (89051) range across 10 matching MRF lines |
$53.33–$107.71 | $76.19–$153.87 | varies |
| Ceruloplasmin (82390) range across 4 matching MRF lines |
$19.14–$141.30 | $27.34–$201.86 | varies |
| Chloride urine (82436) | $23.70 | $33.86 | 4.1× |
| Cholesterol total (82465) | $26.67 | $38.10 | 6.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$66.68–$69.63 | $95.25–$99.47 | varies |
| Chromogranin a (86316) range across 5 matching MRF lines |
$120.74–$237.04 | $172.49–$338.63 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 10 matching MRF lines |
$50.32–$202.97 | $71.89–$289.96 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$51.11–$53.33 | $73.02–$76.19 | varies |
| Clostridium Difficile (87324) | $124.45 | $177.78 | 10.4× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$83.38–$85.46 | $119.11–$122.08 | varies |
| Collagen crosslinks (82523) | $410.08 | $585.83 | 22.0× |
| Column Chromotography Quant (82542) | $131.85 | $188.35 | 5.5× |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$97.03–$376.31 | $138.62–$537.58 | varies |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$29.93–$74.07 | $42.75–$105.82 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $471.86 | $674.09 | 2.7× |
| Coombs direct (86880) | $57.04 | $81.49 | 10.6× |
| Cortisol free (82530) | $40.49 | $57.84 | 2.4× |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$40.50–$151.12 | $57.85–$215.88 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$24.44–$62.97 | $34.92–$89.95 | varies |
| Creatinine clearance (82575) range across 3 matching MRF lines |
$24.91–$92.60 | $35.59–$132.28 | varies |
| Creatinine Urine (82570) range across 11 matching MRF lines |
$15.02–$53.33 | $21.46–$76.19 | varies |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$32.31–$150.40 | $46.15–$214.85 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$65.18–$145.93 | $93.12–$208.47 | varies |
| Cryptococcus ag titer (87899) | $62.22 | $88.89 | 3.9× |
| Cryptosporidium ag eia (87328) range across 4 matching MRF lines |
$47.94–$94.02 | $68.49–$134.32 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$37.04–$188.57 | $52.92–$269.39 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$247.57–$284.83 | $353.67–$406.90 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $152.59 | $217.99 | 19.8× |
| Culture afb (87116) range across 5 matching MRF lines |
$39.89–$283.18 | $56.98–$404.54 | varies |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$83.71–$176.58 | $119.58–$252.26 | varies |
| Culture blood (87040) range across 5 matching MRF lines |
$64.09–$131.12 | $91.56–$187.31 | varies |
| Culture csf (87070) range across 20 matching MRF lines |
$32.92–$110.34 | $47.03–$157.63 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$49.77–$59.76 | $71.10–$85.37 | varies |
| Culture screen only (87081) range across 4 matching MRF lines |
$57.84–$83.71 | $82.63–$119.58 | varies |
| Culture stool (87045) range across 4 matching MRF lines |
$49.13–$97.75 | $70.18–$139.64 | varies |
| Culture urine (87086) range across 4 matching MRF lines |
$31.12–$64.13 | $44.45–$91.61 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $61.48 | $87.83 | 2.3× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$206.67–$256.63 | $295.24–$366.62 | varies |
| Cystatin C (82610) range across 2 matching MRF lines |
$55.88–$61 | $79.83–$87.14 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$52.31–$135.98 | $74.73–$194.25 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$188.15–$194.82 | $268.78–$278.31 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$123.27–$124.45 | $176.10–$177.78 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$158.52–$341.58 | $226.45–$487.97 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $153.22 | $218.88 | 4.1× |
| Deoxyribonuclease antibody (86215) | $98.32 | $140.46 | 7.4× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$167.55–$548.91 | $239.35–$784.15 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$379.65–$404.17 | $542.35–$577.38 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$61.60–$103.82 | $88–$148.31 | varies |
| Dhea (82626) range across 3 matching MRF lines |
$107.84–$198.52 | $154.06–$283.60 | varies |
| Dhea-S (82627) range across 4 matching MRF lines |
$46.07–$147.41 | $65.82–$210.58 | varies |
| Digoxin (80162) range across 3 matching MRF lines |
$58.52–$140.74 | $83.60–$201.06 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 6 matching MRF lines |
$35.08–$223.71 | $50.11–$319.58 | varies |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$102.46–$367.82 | $146.37–$525.45 | varies |
| Drug Screen Quant Zonisamide (80203) | $227.31 | $324.73 | 17.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $60.75 | $86.78 | 4.6× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$41.27–$227.31 | $58.96–$324.73 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $49.72 | $71.03 | 3.9× |
| El-1 Fecal Quantitative (82653) | $601.26 | $858.94 | 26.2× |
| Electrolyte panel (80051) | $35.55 | $50.79 | 5.1× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$241.88–$247.93 | $345.54–$354.18 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$504.46–$603.23 | $720.65–$861.75 | varies |
| Eosinophil Smear (89190) | $52.22 | $74.60 | 9.0× |
| Erythropoietin (82668) | $70.48 | $100.69 | 3.8× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$65.08–$268.16 | $92.97–$383.08 | varies |
| Estriol (82677) | $111.11 | $158.73 | 4.6× |
| Estrogens fractionated (82671) | $177.46 | $253.51 | 5.5× |
| Ethosuximide (80168) | $225.19 | $321.70 | 13.8× |
| Exam Synovial Fluid Crystals (89060) range across 6 matching MRF lines |
$25.93–$114.63 | $37.04–$163.75 | varies |
| Factor ix activity (85250) | $233.56 | $333.65 | 12.3× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$387.42–$468.88 | $553.45–$669.83 | varies |
| Fat/Lipids Feces Quantitative (82710) | $272.61 | $389.44 | 16.2× |
| Fecal Fat Qualitative (82705) | $42.02 | $60.03 | 8.2× |
| Ferritin (82728) range across 2 matching MRF lines |
$66.68–$125.93 | $95.25–$179.90 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$512.81–$615.34 | $732.59–$879.05 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$317.04–$323.32 | $452.92–$461.88 | varies |
| Fetal screen rosette (85461) | $100.39 | $143.42 | 10.7× |
| Fibrin Degradation Quant (85379) | $82.96 | $118.52 | 8.1× |
| Fibrinogen activity (85384) range across 4 matching MRF lines |
$21.71–$206.67 | $31.02–$295.24 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$248.15–$297.77 | $354.50–$425.38 | varies |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$99.26–$206.67 | $141.80–$295.24 | varies |
| Folic acid rbc (82747) | $225.30 | $321.85 | 12.8× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$66.68–$70.65 | $95.25–$100.93 | varies |
| Follicle Stimulating Hormone (83001) range across 5 matching MRF lines |
$46.07–$88.15 | $65.82–$125.93 | varies |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$27.46–$151.86 | $39.23–$216.94 | varies |
| Gastrin (82941) range across 2 matching MRF lines |
$46.97–$257.04 | $67.10–$367.20 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,237.89 | $1,768.41 | 3.0× |
| Ggt (82977) range across 4 matching MRF lines |
$17.91–$68.15 | $25.58–$97.36 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$49.14–$58.95 | $70.20–$84.21 | varies |
| Giardia lamblia antibody (86674) | $69.63 | $99.47 | 4.7× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$57.04–$62.97 | $81.49–$89.95 | varies |
| Glucose Blood Test (82962) | $82.96 | $118.52 | 25.3× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$10.02–$45.92 | $14.32–$65.60 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$22.22–$209.63 | $31.74–$299.47 | varies |
| Glucose tolerance test (gtt) (82951) range across 7 matching MRF lines |
$39.26–$93.72 | $56.09–$133.89 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$17.04–$35.55 | $24.34–$50.79 | varies |
| Growth hormone (83003) range across 3 matching MRF lines |
$36.22–$97.03 | $51.74–$138.62 | varies |
| Gtt-added samples (82952) | $57.04 | $81.49 | 14.6× |
| H Pylori Drug Admin (83014) | $17.78 | $25.40 | 2.3× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$32.07–$38.51 | $45.82–$55.02 | varies |
| Hdl Cholesterol (83718) | $45.19 | $64.55 | 5.5× |
| Heavy metal qualitative any analytes (83015) range across 2 matching MRF lines |
$331.86–$345.20 | $474.08–$493.14 | varies |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$105.92–$140.91 | $151.32–$201.30 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$16.30–$44.44 | $23.28–$63.49 | varies |
| Hemoglobin (85018) range across 7 matching MRF lines |
$11.11–$57.78 | $15.87–$82.54 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$25.19–$50.54 | $35.98–$72.20 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$70.48–$79.26 | $100.69–$113.23 | varies |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$28.76–$192.24 | $41.08–$274.63 | varies |
| Heparin assay (85520) | $525.41 | $750.58 | 40.1× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$105.92–$127 | $151.32–$181.43 | varies |
| Hepatitis b core ab igm (86705) range across 4 matching MRF lines |
$30.07–$67.29 | $42.96–$96.13 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$230.37–$276.40 | $329.10–$394.86 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$21.62–$124.45 | $30.88–$177.78 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$26.39–$121.72 | $37.70–$173.89 | varies |
| Hepatitis Be Antibody (86707) | $111.85 | $159.79 | 9.7× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$34.04–$145.29 | $48.63–$207.56 | varies |
| Hepatitis C Genotype (87902) | $887.45 | $1,267.79 | 3.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$388.16–$571.25 | $554.51–$816.07 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$200.75–$225.37 | $286.78–$321.95 | varies |
| Heterophile Antibody Screen (86308) | $56.86 | $81.23 | 11.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$114.81–$139.34 | $164.02–$199.06 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $179.48 | $256.40 | 7.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $887.22 | $1,267.45 | 10.4× |
| HIV-2 probe&revrse trnscripj (87538) | $116.36 | $166.23 | 3.3× |
| Hla-b27 (86812) range across 4 matching MRF lines |
$127.41–$255.96 | $182.01–$365.66 | varies |
| Homocysteine (83090) range across 3 matching MRF lines |
$41.96–$162.97 | $59.94–$232.81 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$116.74–$144.03 | $166.77–$205.75 | varies |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$228.61–$379.21 | $326.58–$541.73 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$116.30–$248.15 | $166.14–$354.50 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $37.04 | $52.92 | 1.0× |
| Iaadi giardia (87269) | $98.05 | $140.07 | 7.2× |
| Iaadi respiratory synctial virus (87280) | $61.60 | $88 | 4.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $165.93 | $237.04 | 4.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$345.67–$413.44 | $493.82–$590.63 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$638.74–$702.86 | $912.49–$1,004.09 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $236.30 | $337.57 | 3.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $116.36 | $166.23 | 3.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 9 matching MRF lines |
$50.32–$208.89 | $71.89–$298.42 | varies |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$87.61–$104.91 | $125.15–$149.87 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$116.79–$325.86 | $166.84–$465.51 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $352.60 | $503.71 | 19.2× |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
$53.35–$201.19 | $76.21–$287.41 | varies |
| Immunofixation electrophoresis (86334) range across 6 matching MRF lines |
$133.37–$296.30 | $190.53–$423.29 | varies |
| Immunohistochemistry (88342) | $228.89 | $326.99 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) range across 5 matching MRF lines |
$56.29–$155.56 | $80.42–$222.23 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $180.01 | $257.15 | 6.0× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$137.78–$157.04 | $196.83–$224.34 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$55.55–$236.30 | $79.36–$337.57 | varies |
| Inhibin A (86336) | $71.86 | $102.65 | 4.6× |
| Inhibin b (83520) range across 6 matching MRF lines |
$174.09–$601.85 | $248.70–$859.78 | varies |
| Insulin total (83525) range across 4 matching MRF lines |
$28.46–$50.37 | $40.66–$71.96 | varies |
| Iron (83540) range across 7 matching MRF lines |
$19.08–$75.53 | $27.25–$107.90 | varies |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$83.71–$100.44 | $119.58–$143.48 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,129.19 | $1,613.13 | 12.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,128.97 | $1,612.82 | 6.1× |
| Koh Prep (87220) range across 3 matching MRF lines |
$11.85–$74.82 | $16.93–$106.88 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$15.11–$25.93 | $21.58–$37.04 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$131.51–$162.07 | $187.87–$231.53 | varies |
| LDL direct (83721) | $45.19 | $64.55 | 4.3× |
| Lead (83655) range across 2 matching MRF lines |
$57.78–$64.28 | $82.54–$91.83 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$60.61–$73.02 | $86.58–$104.31 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $60.75 | $86.78 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $77.04 | $110.06 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $235.56 | $336.51 | 0.6× |
| Lipase (83690) | $60.75 | $86.78 | 8.8× |
| Lipoprotein A (83695) | $131.86 | $188.37 | 9.2× |
| Lipoprotein Bld Quan Part (83704) | $252.78 | $361.12 | 7.4× |
| Lithium (80178) range across 3 matching MRF lines |
$17.57–$65.18 | $25.10–$93.12 | varies |
| Luteinizing Hormone (Lh) (83002) range across 6 matching MRF lines |
$43.34–$178.52 | $61.91–$255.03 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$81.66–$249.04 | $116.65–$355.77 | varies |
| Magnesium Urine (83735) | $31.12 | $44.45 | 4.6× |
| Mercury urine (83825) | $253.34 | $361.91 | 15.6× |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
$77.78–$280.44 | $111.12–$400.63 | varies |
| Microalbumin, quantitative (82043) range across 6 matching MRF lines |
$19.01–$75.55 | $27.16–$107.93 | varies |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$33.47–$81.48 | $47.82–$116.40 | varies |
| Mononuclear cell antigen (86356) | $134.44 | $192.06 | 5.0× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$40.43–$160.01 | $57.75–$228.58 | varies |
| Mycophenolic Acid (80180) | $147.40 | $210.57 | 8.2× |
| Myoglobin urine (83874) | $262.97 | $375.67 | 20.4× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$184.45–$655.07 | $263.50–$935.81 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $567.08 | $810.12 | 4.4× |
| Nuclear antigen antibody (86235) range across 33 matching MRF lines |
$54.99–$246.67 | $78.55–$352.39 | varies |
| Osmolality serum (83930) range across 3 matching MRF lines |
$25.63–$73.54 | $36.61–$105.05 | varies |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$31.16–$74.51 | $44.52–$106.44 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$104.73–$115.35 | $149.61–$164.79 | varies |
| Oxalate urine (83945) | $265.93 | $379.90 | 18.4× |
| Ph urine (81003) | $46.67 | $66.67 | 20.7× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$27.23–$194.82 | $38.90–$278.31 | varies |
| Phenylalanine (84030) | $268.16 | $383.08 | 48.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$74.07–$88.83 | $105.82–$126.90 | varies |
| Phosphatase alkaline (84075) | $22.96 | $32.80 | 4.4× |
| Phosphorus Serum (84100) | $22.22 | $31.74 | 4.7× |
| Phosphorus urine (84105) | $53.33 | $76.19 | 9.2× |
| Platelet count automated (85049) | $49.63 | $70.90 | 11.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$22.96–$27.55 | $32.80–$39.36 | varies |
| Prealbumin (84134) range across 3 matching MRF lines |
$18.11–$111.08 | $25.87–$158.69 | varies |
| Procalcitonin (Pct) (84145) | $237.04 | $338.63 | 8.7× |
| Progesterone (84144) range across 3 matching MRF lines |
$51.62–$95.56 | $73.74–$136.51 | varies |
| Prolactin (84146) range across 5 matching MRF lines |
$47.94–$185.93 | $68.49–$265.61 | varies |
| Protein body fluid (84157) range across 5 matching MRF lines |
$17.77–$37.04 | $25.39–$52.92 | varies |
| Protein C Activity (85303) | $60.75 | $86.78 | 4.4× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$115.94–$129.63 | $165.63–$185.19 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$48.15–$142.23 | $68.79–$203.18 | varies |
| Protein S Free (85306) | $60.75 | $86.78 | 4.0× |
| Protein s total (85305) | $345.20 | $493.14 | 29.7× |
| Protein total serum (84155) range across 5 matching MRF lines |
$16.30–$361.10 | $23.28–$515.86 | varies |
| Protein Total Urine (84156) range across 16 matching MRF lines |
$17.04–$53.33 | $24.34–$76.19 | varies |
| PSA free (84154) range across 3 matching MRF lines |
$44.23–$120.74 | $63.18–$172.49 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$181.49–$202.23 | $259.27–$288.90 | varies |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$167.71–$392.11 | $239.58–$560.16 | varies |
| Quantitative assay drug (80299) | $133.34 | $190.48 | 7.2× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$185.19–$414.82 | $264.56–$592.60 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$94.07–$95.56 | $134.39–$136.51 | varies |
| Reagent Strip/Blood Glucose (82948) | $33.33 | $47.62 | 6.6× |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$58.80–$213.30 | $84–$304.71 | varies |
| Rh (86901) range across 5 matching MRF lines |
$27.50–$140.78 | $39.28–$201.11 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$29.37–$36.16 | $41.95–$51.66 | varies |
| Rotavirus ag eia (87425) | $230.37 | $329.10 | 19.2× |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$24.22–$42.22 | $34.60–$60.32 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$42.74–$65.93 | $61.05–$94.18 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$33.85–$440.01 | $48.35–$628.59 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$49.51–$155.44 | $70.73–$222.06 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$104.54–$290.63 | $149.34–$415.18 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$37.04–$220.49 | $52.92–$314.99 | varies |
| Sedimentation Rate, Automated (85652) | $16.30 | $23.28 | 6.0× |
| Selenium (84255) | $101.86 | $145.52 | 4.0× |
| Semen Anal Sperm Detection (89321) | $55.55 | $79.36 | 4.6× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $174.08 | $248.68 | 17.7× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$40.74–$54.68 | $58.20–$78.12 | varies |
| Sex Hormone Binding Globulin (84270) range across 7 matching MRF lines |
$41.57–$208.15 | $59.38–$297.36 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$382.97–$515.92 | $547.10–$737.03 | varies |
| Skin test tuberculosis intradermal (86580) | $15.80 | $22.57 | 0.5× |
| Smear acid fast (87206) | $97.36 | $139.08 | 18.1× |
| Smear complex stain (87209) range across 3 matching MRF lines |
$102.22–$144.65 | $146.03–$206.64 | varies |
| Smear gram stain (87205) range across 7 matching MRF lines |
$39.26–$68.05 | $56.09–$97.21 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$19.26–$30.37 | $27.52–$43.39 | varies |
| Sodium Serum (84295) | $21.48 | $30.69 | 4.5× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$17.57–$37.32 | $25.10–$53.32 | varies |
| Somatomedin (84305) | $88.80 | $126.85 | 4.2× |
| Special Stains Group 1 (88312) | $277.14 | $395.92 | 5.3× |
| Special Stains Group 2 (88313) | $116.30 | $166.14 | 0.9× |
| Specimen infect agnt concntj (87015) | $79.26 | $113.23 | 11.9× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$273.78–$280.62 | $391.11–$400.89 | varies |
| Stone Analysis (82355) | $234.08 | $334.40 | 20.2× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$50.37–$62.08 | $71.96–$88.68 | varies |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$55.55–$74.82 | $79.36–$106.88 | varies |
| Strep a DNA amp probe (87651) | $150.37 | $214.82 | 4.3× |
| Strep b DNA amp probe (87653) | $185.70 | $265.28 | 5.3× |
| Surg path level iii (88304) | $97.03 | $138.62 | 1.8× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$135.56–$328.73 | $193.65–$469.61 | varies |
| Surgical pathology level vi (88309) | $320.75 | $458.21 | 0.4× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$75.45–$77.34 | $107.79–$110.49 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$174.08–$208.91 | $248.68–$298.44 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $139.52 | $199.31 | 3.0× |
| T cells total count (86359) | $140.96 | $201.37 | 3.7× |
| T3 Free (84481) range across 4 matching MRF lines |
$41.96–$209.63 | $59.94–$299.47 | varies |
| T3 reverse (84482) range across 3 matching MRF lines |
$101.56–$171.86 | $145.09–$245.51 | varies |
| T3 Total (84480) range across 3 matching MRF lines |
$18.98–$94.84 | $27.11–$135.48 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$185.93–$233.34 | $265.61–$333.34 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$40–$76.29 | $57.14–$108.99 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$19.14–$85.29 | $27.34–$121.84 | varies |
| Tacrolimus (80197) range across 4 matching MRF lines |
$46.28–$213.34 | $66.11–$304.77 | varies |
| Test for acetone/ketones (82009) | $46.67 | $66.67 | 10.3× |
| Testosterone total (84403) range across 7 matching MRF lines |
$62.55–$119.27 | $89.35–$170.38 | varies |
| Testosterone, Free (84402) range across 5 matching MRF lines |
$94.54–$141.28 | $135.06–$201.83 | varies |
| Theophylline (80198) | $257.78 | $368.26 | 18.2× |
| Thromboplastin Inhibition Tissue (85705) | $191.86 | $274.08 | 19.9× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$300.67–$360.76 | $429.53–$515.37 | varies |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$30.15–$140.11 | $43.07–$200.15 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines |
$224.45–$291.22 | $320.64–$416.03 | varies |
| Topiramate (80201) | $248.89 | $355.56 | 20.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $219.26 | $313.23 | 11.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $22.96 | $32.80 | 4.4× |
| Transferrin (84466) range across 8 matching MRF lines |
$18.87–$257.78 | $26.96–$368.26 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$50.32–$165.11 | $71.89–$235.87 | varies |
| Triglycerides (84478) | $25.19 | $35.98 | 4.4× |
| Troponin Quant (84484) range across 5 matching MRF lines |
$66.68–$211.12 | $95.25–$301.60 | varies |
| Tumor immunohistochem/comput (88361) | $293.34 | $419.06 | 0.8× |
| Urea nitrogen urine (84540) | $21.32 | $30.46 | 3.8× |
| Uric acid other source (84560) | $82.96 | $118.52 | 16.3× |
| Urinalysis Microscopic Only (81015) range across 4 matching MRF lines |
$16.60–$151.86 | $23.72–$216.94 | varies |
| Urinalysis Volume Measure (81050) range across 6 matching MRF lines |
$7.21–$20.24 | $10.30–$28.92 | varies |
| Urine Bacteria Culture (87088) range across 4 matching MRF lines |
$37.49–$61.45 | $53.55–$87.78 | varies |
| Urine Pregnancy Test (81025) | $17.04 | $24.34 | 2.0× |
| Valproic acid (80164) range across 4 matching MRF lines |
$26.76–$185.93 | $38.23–$265.61 | varies |
| Vancomycin (80202) range across 6 matching MRF lines |
$54.82–$220.75 | $78.31–$315.36 | varies |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$33.34–$180.01 | $47.63–$257.15 | varies |
| Viral Culture (87252) | $180.01 | $257.15 | 6.9× |
| Virus antibody nos (86790) | $422.23 | $603.18 | 32.8× |
| Vit D 1 25-Dihydroxy (82652) | $169.64 | $242.34 | 4.4× |
| Vitamin A (84590) range across 2 matching MRF lines |
$73.60–$200 | $105.14–$285.71 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$66.68–$74.07 | $95.25–$105.82 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$73.80–$188.89 | $105.43–$269.84 | varies |
| Vitamin E (84446) | $126.48 | $180.69 | 8.9× |
| West nile virus ab igm (86788) | $257.04 | $367.20 | 15.3× |
| West Nile Virus Antibody (86789) | $257.04 | $367.20 | 17.9× |
| Zinc (84630) | $42.32 | $60.46 | 3.7× |
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.