Lab & pathology prices at Sanford Canby Medical Center
Canby, MN · every code in this section with a posted price and a Medicare benchmark.
481 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $191.20 | $239 | 5.0× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$54.40–$55.20 | $68–$69 | varies |
| Acute hepatitis panel (80074) | $342.40 | $428 | 7.2× |
| Albumin Fluid (82042) | $36.80 | $46 | 4.7× |
| Albumin serum (82040) | $47.20 | $59 | 9.5× |
| Aldolase (82085) | $88 | $110 | 9.1× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$104.80–$293.60 | $131–$367 | varies |
| Alkaline phosphatase isoenzymes (84080) | $55.20 | $69 | 3.7× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$15.20–$54.40 | $19–$68 | varies |
| Allg Spec Ige Recomb Ea (86008) | $66.40 | $83 | 3.7× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$87.20–$92 | $109–$115 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$124.80–$155.20 | $156–$194 | varies |
| Alt (sgpt) (84460) | $74.40 | $93 | 14.0× |
| Aluminum (82108) | $176 | $220 | 6.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $216.80 | $271 | 12.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$38.40–$251.20 | $48–$314 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $361.60 | $452 | 3.7× |
| Amylase urine (82150) | $67.20 | $84 | 10.4× |
| Ana Titer (86039) | $66.40 | $83 | 5.9× |
| Anca screen each antibody (86036) | $94.40 | $118 | 7.8× |
| Angiotensin converting enzyme csf (82164) | $135.20 | $169 | 9.3× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32–$68.80 | $40–$86 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $32 | $40 | 2.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $71.20 | $89 | 4.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $96.80 | $121 | 5.3× |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $184 | $230 | 10.9× |
| Antibody Herpes Smplx Type 1 (86695) | $88 | $110 | 6.7× |
| Antibody identification leukocyte antibodies (86021) | $114.40 | $143 | 7.6× |
| Antibody Titer (86886) | $62.40 | $78 | 12.0× |
| Antibody Treponema Pallidum (86780) | $72.80 | $91 | 5.5× |
| Antigen typing (86905) | $136 | $170 | 35.5× |
| Antinuclear antibodies (86038) | $121.60 | $152 | 10.1× |
| Antistreptolysin o titer (86060) | $68 | $85 | 9.3× |
| Antithrombin iii activity (85300) | $204 | $255 | 17.2× |
| Antithrombin iii antigen (85301) | $193.60 | $242 | 17.9× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$47.20–$57.60 | $59–$72 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$46.40–$96.80 | $58–$121 | varies |
| Aspergillus ag eia (87305) | $121.60 | $152 | 10.2× |
| Assay activated protein c (85307) | $200 | $250 | 13.1× |
| Assay Blood Carbon Dioxide (82374) | $47.20 | $59 | 9.7× |
| Assay Nephelometry Not Spec (83883) | $181.60 | $227 | 13.4× |
| Assay of 5-hiaa (83497) | $46.40 | $58 | 3.6× |
| Assay of anti-mullerian hormone (82166) | $94.40 | $118 | 2.4× |
| Assay of blood/uric acid (84550) | $53.60 | $67 | 11.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$16–$54.40 | $20–$68 | varies |
| Assay of cpk in blood (82552) | $113.60 | $142 | 8.5× |
| Assay of estrone (82679) | $60 | $75 | 2.4× |
| Assay of gammaglobulin igm (82784) | $60.80 | $76 | 6.5× |
| Assay of lactic acid (83605) | $57.60 | $72 | 5.0× |
| Assay of metanephrines (83835) | $51.20 | $64 | 3.0× |
| Assay of proinsulin (84206) | $64.80 | $81 | 2.4× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $48.80 | $61 | 10.3× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$47.20–$52 | $59–$65 | varies |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9.60–$32.80 | $12–$41 | varies |
| Assay spec xcp ur&breath ia (82077) | $140 | $175 | 8.1× |
| Asy carbamazepin 10,11-epxid (80161) | $71.20 | $89 | 3.8× |
| Automated Leukocyte Count (85048) | $52.80 | $66 | 20.8× |
| B cells total count (86355) | $145.60 | $182 | 3.9× |
| Bcr/abl1 gene major bp (81206) | $400 | $500 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $353.60 | $442 | 2.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $524 | $655 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$86.40–$97.60 | $108–$122 | varies |
| Beta hydroxybutyrate (82010) | $46.40 | $58 | 5.7× |
| Beta Lactamase (87185) | $37.60 | $47 | 7.9× |
| Beta-2 Microglobulin (82232) | $82.40 | $103 | 5.1× |
| Bile acids total (82239) | $38.40 | $48 | 2.2× |
| Bilirubin direct (82248) | $52 | $65 | 10.4× |
| Bilirubin total (82247) | $52 | $65 | 10.4× |
| Biotinidase (82261) range across 2 matching MRF lines |
$68–$75.20 | $85–$94 | varies |
| Blastomyces antibody (86612) | $68.80 | $86 | 5.3× |
| Blood Count Automated Differential Wbc Count (85004) | $32 | $40 | 4.9× |
| Blood count reticulocyte automated (85045) | $57.60 | $72 | 14.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $56.80 | $71 | 14.9× |
| Blood count spun microhematocrit (85013) | $28.80 | $36 | 4.1× |
| Blood gas (82803) | $248 | $310 | 9.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.60 | $72 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $52.80 | $66 | 12.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $134.40 | $168 | 21.2× |
| Blood typing serologic abo (86900) | $72 | $90 | 24.1× |
| Body fluid cell count (89050) | $87.20 | $109 | 18.5× |
| Bordetella antibody (86615) | $86.40 | $108 | 6.6× |
| Breath Alcohol Test (82075) | $84.80 | $106 | 2.8× |
| C diff amplified probe (87493) | $202.40 | $253 | 5.4× |
| C-Peptide (84681) | $178.40 | $223 | 8.6× |
| C-reactive protein (86140) | $67.20 | $84 | 13.0× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) | $57.60 | $72 | 2.4× |
| Calcitonin (82308) | $65.60 | $82 | 2.4× |
| Calcium ionized (82330) | $104.80 | $131 | 7.7× |
| Calcium total (82310) | $52 | $65 | 10.1× |
| Calculus Spectroscopy (82365) | $111.20 | $139 | 8.6× |
| Calprotectin Fecal (83993) | $66.40 | $83 | 3.4× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$71.20–$124.80 | $89–$156 | varies |
| Carboxyhemoglobin (82375) | $108 | $135 | 8.8× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$64.80–$103.20 | $81–$129 | varies |
| Carnitine Quantitative Each Specimen (82379) | $52 | $65 | 3.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$84.80–$123.20 | $106–$154 | varies |
| Ccp antibody (86200) | $133.60 | $167 | 10.3× |
| Cell count csf (89051) | $40 | $50 | 7.1× |
| Ceruloplasmin (82390) | $52 | $65 | 4.8× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$72–$129.60 | $90–$162 | varies |
| Chlmy trch&neisra gonor mult (87494) range across 2 matching MRF lines |
$262.40–$280 | $328–$350 | varies |
| Chloride Serum (82435) | $47.20 | $59 | 10.3× |
| Chloride urine (82436) range across 2 matching MRF lines |
$15.20–$32 | $19–$40 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$31.20–$47.20 | $39–$59 | varies |
| Chorionic gonadotropin test (84702) | $162.40 | $203 | 10.8× |
| Chromium serum (82495) | $72 | $90 | 3.6× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| Chromosome analysis 45 cells (88263) | $366.40 | $458 | 2.4× |
| Chromosome analysis, 5 (88261) | $644.80 | $806 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$114.40–$172 | $143–$215 | varies |
| Citric acid urine (82507) | $72.80 | $91 | 2.6× |
| Ckmb (82553) | $148 | $185 | 12.8× |
| Clostridium Difficile (87324) | $144 | $180 | 12.0× |
| Coccidioides antibody (86635) | $64.80 | $81 | 5.6× |
| Cold agglutinin titer (86157) | $54.40 | $68 | 6.7× |
| Collagen crosslinks (82523) | $125.60 | $157 | 6.7× |
| Column Chromotography Quant (82542) | $63.20 | $79 | 2.6× |
| Compatibility test antiglob (86922) | $108.80 | $136 | 0.6× |
| Complement Antigen Each Component (86160) | $63.20 | $79 | 5.3× |
| Coombs direct (86880) | $80 | $100 | 14.8× |
| Copper urine (82525) | $60 | $75 | 4.8× |
| Cortisol free (82530) | $81.60 | $102 | 4.9× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$47.20–$69.60 | $59–$87 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$31.20–$72.80 | $39–$91 | varies |
| Creatinine blood (82565) | $52 | $65 | 10.2× |
| Creatinine clearance (82575) | $109.60 | $137 | 11.6× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$17.60–$44 | $22–$55 | varies |
| Crossmatch electronic (86923) | $51.20 | $64 | 0.3× |
| Crossmatch immediate spin (86920) | $108.80 | $136 | 0.6× |
| Crp High Sensitivity (86141) | $130.40 | $163 | 10.1× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) | $31.20 | $39 | 4.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$89.60–$104.80 | $112–$131 | varies |
| Cryptosporidium ag eia (87328) | $67.20 | $84 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$90.40–$100 | $113–$125 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $101.60 | $127 | 12.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $112.80 | $141 | 14.6× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $604.80 | $756 | 2.8× |
| Culture afb (87116) | $67.20 | $84 | 6.2× |
| Culture Anaerobic (87075) | $129.60 | $162 | 13.7× |
| Culture blood (87040) | $133.60 | $167 | 12.9× |
| Culture csf (87070) range across 2 matching MRF lines |
$76.80–$99.20 | $96–$124 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$65.60–$119.20 | $82–$149 | varies |
| Culture screen only (87081) | $73.60 | $92 | 11.1× |
| Culture stool (87045) | $68 | $85 | 7.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$33.60–$65.60 | $42–$82 | varies |
| Culture urine (87086) | $88 | $110 | 10.9× |
| Cyclosporine (80158) | $118.40 | $148 | 6.6× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$123.20–$124.80 | $154–$156 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $460 | $575 | 0.4× |
| Cytomegalovirus igg (86644) | $71.20 | $89 | 4.9× |
| Cytopath Cell Enhance Tech (88112) | $119.20 | $149 | 2.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $116.80 | $146 | 4.4× |
| Cytp Concentration Smears & Interpretation (88108) | $119.20 | $149 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $248.80 | $311 | 4.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $110.40 | $138 | 2.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $112.80 | $141 | 3.8× |
| Deoxycortisol (82634) | $70.40 | $88 | 2.4× |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$51.20–$120.80 | $64–$151 | varies |
| Detect Agent Nos Dna Quant (87799) | $113.60 | $142 | 2.7× |
| Detect agnt mult DNA ampli (87801) | $129.60 | $162 | 1.8× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$54.40–$59.20 | $68–$74 | varies |
| Dhea-S (82627) | $197.60 | $247 | 8.9× |
| Digoxin (80162) | $114.40 | $143 | 8.6× |
| Dipropylacetic Acid Free (80165) | $71.20 | $89 | 5.3× |
| Dna Antibody Native/Double Stranded (86225) | $100 | $125 | 7.3× |
| Dna/Rna Amplified Probe (87150) | $185.60 | $232 | 5.3× |
| DNA/RNA direct probe (87149) | $80 | $100 | 4.0× |
| Drug assay acetaminophen (80143) | $73.60 | $92 | 3.9× |
| Drug assay adalimumab (80145) | $170.40 | $213 | 4.4× |
| Drug Assay Everolimus (80169) | $71.20 | $89 | 5.2× |
| Drug assay felbamate (80167) | $71.20 | $89 | 3.8× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Vedolizumab (80280) | $196 | $245 | 5.1× |
| Drug Screen Quantitative Gabapentin (80171) | $71.20 | $89 | 3.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $73.60 | $92 | 5.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$108.80–$320 | $136–$400 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| El-1 Fecal Quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $109.60 | $137 | 15.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| Eosinophil Smear (89190) | $52.80 | $66 | 9.1× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $186.40 | $233 | 6.7× |
| Estriol (82677) | $137.60 | $172 | 5.7× |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$43.20–$93.60 | $54–$117 | varies |
| Exam Synovial Fluid Crystals (89060) | $45.60 | $57 | 6.2× |
| Factor Inhibitor Test (85335) | $360.80 | $451 | 28.0× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Fat stain feces urine/respir secretions (89125) | $99.20 | $124 | 16.9× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Ferritin (82728) | $133.60 | $167 | 9.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $329.60 | $412 | 5.1× |
| Fibrin Degradation Quant (85379) | $115.20 | $144 | 11.3× |
| Flow cytometry first marker (88184) | $558.40 | $698 | 1.5× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$66.40–$328.80 | $83–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$90.40–$96 | $113–$120 | varies |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) | $209.60 | $262 | 11.9× |
| Folic Acid Serum (82746) | $140 | $175 | 9.5× |
| Follicle Stimulating Hormone (83001) | $132.80 | $166 | 7.1× |
| Frozen Section (88331) | $104.80 | $131 | 0.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$53.60–$108 | $67–$135 | varies |
| Fungi Identification Yeast (87106) | $101.60 | $127 | 9.8× |
| Galactose transferase test (82776) | $33.60 | $42 | 2.9× |
| Gammaglobulin ige (82785) | $137.60 | $172 | 8.4× |
| Gases blood ph only (82800) | $48.80 | $61 | 4.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gentamicin (80170) | $157.60 | $197 | 9.6× |
| Ggt (82977) | $46.40 | $58 | 6.4× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$67.20–$97.60 | $84–$122 | varies |
| Glucose 2 hr pp (82950) | $50.40 | $63 | 10.6× |
| Glucose Blood Test (82962) | $29.60 | $37 | 9.0× |
| Glucose body fluid (82945) | $52 | $65 | 13.2× |
| Glucose Serum (82947) | $47.20 | $59 | 12.0× |
| Glucose tolerance test (gtt) (82951) | $166.40 | $208 | 12.9× |
| Glycated Protein (82985) | $57.60 | $72 | 3.4× |
| Gonadotropin Chorionic Qualitative (84703) | $68.80 | $86 | 9.1× |
| Growth hormone (83003) | $46.40 | $58 | 2.8× |
| Gtt-added samples (82952) | $47.20 | $59 | 12.0× |
| H Pylori (C-13) Breath (83013) | $250.40 | $313 | 3.7× |
| Haptoglobin (83010) | $143.20 | $179 | 11.4× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$31.20–$66.40 | $39–$83 | varies |
| Helicobacter Pylori Stool (87338) | $176.80 | $221 | 12.3× |
| Hematocrit (85014) | $47.20 | $59 | 19.9× |
| Hemoglobin (85018) | $40 | $50 | 16.9× |
| Hemoglobin a1c (83036) | $87.20 | $109 | 9.0× |
| Hemoglobin electrophoresis (83020) | $133.60 | $167 | 10.4× |
| Hemoglobin plasma (83051) | $97.60 | $122 | 13.4× |
| Hep a ab igm (86709) | $69.60 | $87 | 6.2× |
| Heparin assay (85520) | $155.20 | $194 | 11.9× |
| Hepatitis a antibody total (86708) | $66.40 | $83 | 5.4× |
| Hepatitis b core ab igm (86705) | $155.20 | $194 | 13.2× |
| Hepatitis b core ab total (86704) | $95.20 | $119 | 7.9× |
| Hepatitis B Surface Antibody (86706) | $95.20 | $119 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $92 | $115 | 8.9× |
| Hepatitis C Antibody (86803) | $144.80 | $181 | 10.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $455.20 | $569 | 10.6× |
| Herpes simplex type 2 (86696) | $88 | $110 | 4.5× |
| Heterophile Antibody Screen (86308) | $67.20 | $84 | 13.0× |
| Hfe Gene (81256) | $159.20 | $199 | 2.4× |
| Histoplasma antibody (86698) | $65.60 | $82 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $106.40 | $133 | 4.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $427.20 | $534 | 5.0× |
| Hla class ii typing high resolution one locus ea (81382) | $299.20 | $374 | 2.4× |
| Hla-b27 (86812) | $203.20 | $254 | 7.9× |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$106.40–$142.40 | $133–$178 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $142.40 | $178 | 2.0× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$86.40–$151.20 | $108–$189 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$65.60–$108.80 | $82–$136 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $117.60 | $147 | 8.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $90.40 | $113 | 7.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $201.60 | $252 | 5.7× |
| Iadna Cytomegalovirus Quantification (87497) | $104.80 | $131 | 2.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171.20 | $214 | 2.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $104.80 | $131 | 2.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $193.60 | $242 | 5.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $185.60 | $232 | 4.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $206.40 | $258 | 5.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$108 | $108–$135 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $151.20 | $189 | 2.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $704 | $880 | 2.7× |
| Ig Light Chains Free Each (83521) | $107.20 | $134 | 6.2× |
| Igg subclasses (82787) | $43.20 | $54 | 5.4× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $718.40 | $898 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $367.20 | $459 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $155.20 | $194 | 5.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $58.40 | $73 | 3.9× |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$48.80–$104 | $61–$130 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$32–$48.80 | $40–$61 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$61.60–$144.80 | $77–$181 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$172.80–$174.40 | $216–$218 | varies |
| In situ hybridization 1st probe stain (88365) | $412 | $515 | 2.3× |
| Influenza assay w/optic (87804) | $60.80 | $76 | 3.7× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 8 matching MRF lines |
$48.80–$200 | $61–$250 | varies |
| Insulin antibodies (86337) | $54.40 | $68 | 2.5× |
| Insulin total (83525) | $95.20 | $119 | 8.3× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $84 | $105 | 13.0× |
| Iron Binding Capacity (83550) | $105.60 | $132 | 12.1× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$57.60–$448.80 | $72–$561 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $63.20 | $79 | 14.8× |
| Lactate (ld) (ldh) enzyme (83615) | $66.40 | $83 | 11.0× |
| Lead (83655) range across 4 matching MRF lines |
$30.40–$122.40 | $38–$153 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$33.60–$139.20 | $42–$174 | varies |
| Leukocyte Assessment Fecal (89055) | $60.80 | $76 | 14.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $34.40 | $43 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $80.80 | $101 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $528 | $660 | 1.4× |
| Lipase (83690) | $107.20 | $134 | 15.6× |
| Lipoprotein A (83695) | $53.60 | $67 | 3.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $57.60 | $72 | 5.1× |
| Lithium (80178) | $84.80 | $106 | 12.8× |
| Luteinizing Hormone (Lh) (83002) | $131.20 | $164 | 7.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$155.20–$171.20 | $194–$214 | varies |
| Macroscopic Exam Parasite (87169) | $33.60 | $42 | 7.8× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$20.80–$80 | $26–$100 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$59.20–$88 | $74–$110 | varies |
| Mercury urine (83825) | $40 | $50 | 2.5× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$57.60–$100.80 | $72–$126 | varies |
| Microalbumin, quantitative (82043) | $67.20 | $84 | 11.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$54.40–$104 | $68–$130 | varies |
| Mitochondrial Antibody Each (86381) | $62.40 | $78 | 2.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$51.20–$58.40 | $64–$73 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mrsa Pcr (87641) | $107.20 | $134 | 3.1× |
| Mumps antibody (86735) | $71.20 | $89 | 5.5× |
| Mycobacteric Identification (87118) | $180 | $225 | 12.3× |
| Mycoplasma antibody (86738) | $72 | $90 | 5.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$92.80–$157.60 | $116–$197 | varies |
| Natriuretic peptide (83880) | $218.40 | $273 | 5.6× |
| Neutralization Test Viral (86382) | $90.40 | $113 | 5.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $139.20 | $174 | 3.7× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$84 | $71–$105 | varies |
| Occult blood feces (82272) | $52.80 | $66 | 12.5× |
| Occult Blood Other Sources (82271) | $52.80 | $66 | 9.9× |
| Osmolality serum (83930) | $47.20 | $59 | 7.1× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$17.60–$52.80 | $22–$66 | varies |
| Ova and parasites smears (87177) | $60.80 | $76 | 6.8× |
| Ova1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Oxalate urine (83945) | $37.60 | $47 | 2.6× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $80.80 | $101 | 0.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $662.40 | $828 | 2.6× |
| Ph urine (81003) range across 2 matching MRF lines |
$28.80–$36.80 | $36–$46 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$139.20 | $89–$174 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$139.20–$153.60 | $174–$192 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$32–$50.40 | $40–$63 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $72 | $90 | 4.0× |
| Phosphorus Serum (84100) | $56.80 | $71 | 12.0× |
| Phosphorus urine (84105) | $15.20 | $19 | 2.6× |
| Platelet count automated (85049) | $60.80 | $76 | 13.6× |
| Pooling blood platelets (86965) | $160.80 | $201 | 0.9× |
| Porphobilinogen, urine; quantitative (84110) | $31.20 | $39 | 3.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $57.60 | $72 | 3.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$31.20 | $15–$39 | varies |
| Prealbumin (84134) | $100 | $125 | 6.9× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $205.60 | $257 | 7.6× |
| Progesterone (84144) | $124 | $155 | 5.9× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$146.40 | $61–$183 | varies |
| Protein body fluid (84157) | $36.80 | $46 | 9.2× |
| Protein C Activity (85303) | $234.40 | $293 | 16.9× |
| Protein Electrophoresis Urine (84166) | $105.60 | $132 | 5.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $124.80 | $156 | 11.6× |
| Protein S Free (85306) | $244 | $305 | 15.9× |
| Protein total serum (84155) | $47.20 | $59 | 12.9× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$39.20–$80.80 | $49–$101 | varies |
| PSA free (84154) | $111.20 | $139 | 6.0× |
| Pth Intact (83970) | $276 | $345 | 6.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$54.40–$60 | $68–$75 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$55.20–$186.40 | $69–$233 | varies |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$71.20–$156 | $89–$195 | varies |
| Quantitative Screen Metals (83018) | $105.60 | $132 | 4.8× |
| Rbc antibody identification (86870) | $325.60 | $407 | 0.9× |
| Rbc antibody screen (86850) | $115.20 | $144 | 11.8× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$53.60–$107.20 | $67–$134 | varies |
| Reticulocyte Count (85046) | $57.60 | $72 | 10.3× |
| Rh (86901) | $58.40 | $73 | 19.5× |
| Rheumatoid Factor Qualitative (86430) | $67.20 | $84 | 10.9× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$40.80–$71.20 | $51–$89 | varies |
| Rotavirus ag eia (87425) | $80 | $100 | 6.7× |
| Rpr qualitative (86592) | $55.20 | $69 | 12.9× |
| Rsv Assay W/Optic (87807) | $110.40 | $138 | 8.4× |
| Rubella Antibody (86762) | $50.40 | $63 | 3.5× |
| Rubeola antibody (86765) | $72 | $90 | 5.6× |
| Russell Viper Venom Time Diluted (85613) | $88 | $110 | 9.2× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $108.80 | $136 | 5.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $349.60 | $437 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $460.80 | $576 | 3.2× |
| Sc std carbapenem resist gen (87183) | $152.80 | $191 | 4.4× |
| Sedimentation Rate, Automated (85652) | $59.20 | $74 | 21.9× |
| Semen Anal Sperm Detection (89321) | $68.80 | $86 | 5.7× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$52–$239.20 | $65–$299 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$56–$57.60 | $70–$72 | varies |
| Sickling of rbc reduction (85660) | $34.40 | $43 | 6.2× |
| Skin Test Candida (86485) | $36 | $45 | 1.2× |
| Skin test tuberculosis intradermal (86580) | $66.40 | $83 | 2.2× |
| Smear acid fast (87206) | $47.20 | $59 | 8.8× |
| Smear complex stain (87209) | $73.60 | $92 | 4.1× |
| Smear gram stain (87205) | $55.20 | $69 | 12.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $63.20 | $79 | 10.9× |
| Sodium Serum (84295) | $50.40 | $63 | 10.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$13.60–$36 | $17–$45 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$56–$141.60 | $70–$177 | varies |
| Special Stains Group 1 (88312) | $196 | $245 | 3.6× |
| Special Stains Group 2 (88313) | $164 | $205 | 1.2× |
| Specific gravity body fluid (84315) | $25.60 | $32 | 7.8× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$38.40–$48.80 | $48–$61 | varies |
| Stool cultr aerobic bact ea (87046) | $51.20 | $64 | 5.4× |
| Strep a assay w/optic (87880) | $46.40 | $58 | 2.8× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$105.60–$112 | $132–$140 | varies |
| Strep b DNA amp probe (87653) | $183.20 | $229 | 5.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Sulfate urine (84392) | $14.40 | $18 | 2.6× |
| Surg path level iii (88304) | $99.20 | $124 | 1.8× |
| Surgical pathology level IV (88305) | $115.20 | $144 | 2.1× |
| Surgical pathology level vi (88309) | $745.60 | $932 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$16–$56.80 | $20–$71 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $83.20 | $104 | 11.1× |
| T cells absolute cd4 count (86361) | $103.20 | $129 | 3.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$152.80–$228.80 | $191–$286 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$152.80–$183.20 | $191–$229 | varies |
| T3 Free (84481) | $358.40 | $448 | 21.2× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $156.80 | $196 | 11.1× |
| T4 Free (84439) | $87.20 | $109 | 9.7× |
| T4 total (84436) | $68.80 | $86 | 10.0× |
| Tacrolimus (80197) | $240 | $300 | 17.5× |
| Test for acetone/ketones (82009) | $59.20 | $74 | 13.1× |
| Testosterone Bioavailable (84410) | $120 | $150 | 2.3× |
| Testosterone total (84403) range across 4 matching MRF lines |
$63.20–$172.80 | $79–$216 | varies |
| Testosterone, Free (84402) | $66.40 | $83 | 2.6× |
| Theophylline (80198) | $121.60 | $152 | 8.6× |
| Thrombin Time (85670) | $78.40 | $98 | 13.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $88 | $110 | 13.6× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$116.80 | $57–$146 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$124 | $66–$155 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $233.60 | $292 | 20.3× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $78.40 | $98 | 4.9× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Tp53 gene analysis targeted sequence analysis (81352) | $804 | $1,005 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $69.60 | $87 | 13.4× |
| Transferrin (84466) | $62.40 | $78 | 4.9× |
| Triglycerides (84478) range across 2 matching MRF lines |
$31.20–$52 | $39–$65 | varies |
| Troponin Quant (84484) | $194.40 | $243 | 15.6× |
| Tumor Immunohistochem/Manual (88360) | $205.60 | $257 | 1.2× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$15.20–$16 | $19–$20 | varies |
| Uric acid other source (84560) | $13.60 | $17 | 2.7× |
| Urinalysis Microscopic Only (81015) | $23.20 | $29 | 7.6× |
| Urine Albumin Semiquantitative (82044) | $56 | $70 | 9.0× |
| Urine Bacteria Culture (87088) | $89.60 | $112 | 11.1× |
| Urine Pregnancy Test (81025) | $68.80 | $86 | 8.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $56.80 | $71 | 17.9× |
| Valproic acid (80164) range across 2 matching MRF lines |
$71.20–$121.60 | $89–$152 | varies |
| Vancomycin (80202) | $132 | $165 | 9.7× |
| Varicella-zoster antibody (86787) | $60 | $75 | 4.7× |
| Viral Culture (87252) | $156 | $195 | 6.0× |
| Virus antibody nos (86790) | $168 | $210 | 13.0× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$312.80 | $153–$391 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $140 | $175 | 9.3× |
| Vitamin B2 (Riboflavin) (84252) | $57.60 | $72 | 2.8× |
| Vitamin B6 (84207) | $76 | $95 | 2.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$96.80–$132 | $121–$165 | varies |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| West nile virus ab igm (86788) | $85.60 | $107 | 5.1× |
| West Nile Virus Antibody (86789) | $85.60 | $107 | 5.9× |
| Zinc (84630) | $55.20 | $69 | 4.8× |
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.