Lab & pathology prices at Sanford Clear Lake Medical Center
Clear Lake, SD · every code in this section with a posted price and a Medicare benchmark.
503 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $113.60 | $142 | 2.9× |
| Actin smooth muscle antibody each (86015) | $52.80 | $66 | 4.4× |
| Acute hepatitis panel (80074) | $316 | $395 | 6.6× |
| Albumin serum (82040) | $40 | $50 | 8.1× |
| Aldolase (82085) | $93.60 | $117 | 9.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$160–$323.20 | $200–$404 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$25.60–$54.40 | $32–$68 | varies |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Allg Spec Ige Recomb Ea (86008) | $52 | $65 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) | $66.40 | $83 | 4.6× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$38.40–$128 | $48–$160 | varies |
| Alpha-Fetoprotein Serum (82105) | $133.60 | $167 | 8.0× |
| Alt (sgpt) (84460) | $41.60 | $52 | 7.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $148.80 | $186 | 6.5× |
| Aminolevulinic acid (ala) (82135) | $104 | $130 | 6.3× |
| Ammonia (82140) | $168.80 | $211 | 11.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$68.80–$83.20 | $86–$104 | varies |
| Ana Titer (86039) | $58.40 | $73 | 5.2× |
| Anca screen each antibody (86036) | $56 | $70 | 4.6× |
| Anca Titer Each Antibody (86037) | $66.40 | $83 | 5.5× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$81.60–$132.80 | $102–$166 | varies |
| 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) | $78.40 | $98 | 4.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $96 | $120 | 6.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $136 | $170 | 7.5× |
| Antibody helicobacter pylori (86677) | $164.80 | $206 | 9.8× |
| Antibody Herpes Smplx Type 1 (86695) | $111.20 | $139 | 8.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $110.40 | $138 | 8.1× |
| Antibody HIV-2 (86702) | $85.60 | $107 | 6.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $224.80 | $281 | 11.6× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$127.20–$163.20 | $159–$204 | varies |
| Antibody Titer (86886) | $34.40 | $43 | 6.6× |
| Antibody Treponema Pallidum (86780) | $70.40 | $88 | 5.3× |
| Antigen typing (86905) | $75.20 | $94 | 19.6× |
| Antinuclear antibodies (86038) | $89.60 | $112 | 7.4× |
| Antistreptolysin o titer (86060) | $86.40 | $108 | 11.8× |
| Antithrombin iii activity (85300) | $214.40 | $268 | 18.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $190.40 | $238 | 5.0× |
| Arsenic (82175) range across 2 matching MRF lines |
$45.60–$145.60 | $57–$182 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $183.20 | $229 | 12.0× |
| Assay Blood Carbon Dioxide (82374) | $52.80 | $66 | 10.8× |
| Assay Nephelometry Not Spec (83883) | $148 | $185 | 10.9× |
| Assay of 5-hiaa (83497) | $46.40 | $58 | 3.6× |
| Assay of anti-mullerian hormone (82166) | $90.40 | $113 | 2.3× |
| Assay of blood/uric acid (84550) | $40 | $50 | 8.8× |
| Assay of calcium in urine (82340) | $34.40 | $43 | 5.7× |
| Assay of cpk in blood (82552) | $105.60 | $132 | 7.9× |
| Assay of estrone (82679) | $60 | $75 | 2.4× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) | $60 | $75 | 6.5× |
| Assay of lactic acid (83605) | $58.40 | $73 | 5.0× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of proinsulin (84206) | $64.80 | $81 | 2.4× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $40 | $50 | 8.4× |
| Assay of urea nitrogen (84520) | $40 | $50 | 10.1× |
| 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) | $46.40 | $58 | 13.0× |
| Assay spec xcp ur&breath ia (82077) | $104.80 | $131 | 6.1× |
| Automated Leukocyte Count (85048) | $32.80 | $41 | 12.9× |
| B cells total count (86355) | $124.80 | $156 | 3.3× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$88.80–$93.60 | $111–$117 | varies |
| 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 |
$88.80–$102.40 | $111–$128 | varies |
| Beta hydroxybutyrate (82010) | $48.80 | $61 | 6.0× |
| Beta Lactamase (87185) | $48.80 | $61 | 10.3× |
| Beta-2 Microglobulin (82232) | $142.40 | $178 | 8.8× |
| Bile acids total (82239) | $51.20 | $64 | 3.0× |
| Bilirubin direct (82248) | $54.40 | $68 | 10.8× |
| Bilirubin total (82247) | $40 | $50 | 8.0× |
| Blastomyces antibody (86612) | $68.80 | $86 | 5.3× |
| Blood Count Automated Differential Wbc Count (85004) | $36.80 | $46 | 5.7× |
| Blood Count Red Blood Cell Automated (85041) | $31.20 | $39 | 10.3× |
| Blood count reticulocyte automated (85045) | $57.60 | $72 | 14.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $52.80 | $66 | 13.9× |
| Blood gas (82803) | $209.60 | $262 | 8.0× |
| 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) | $25.60 | $32 | 5.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $146.40 | $183 | 23.1× |
| Blood typing serologic abo (86900) | $31.20 | $39 | 10.4× |
| Bordetella antibody (86615) | $89.60 | $112 | 6.8× |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $178.40 | $223 | 4.8× |
| C-Peptide (84681) | $199.20 | $249 | 9.6× |
| C-reactive protein (86140) | $45.60 | $57 | 8.8× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) | $56.80 | $71 | 2.4× |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $109.60 | $137 | 8.0× |
| Calcium total (82310) | $40 | $50 | 7.8× |
| Calculus Spectroscopy (82365) | $76 | $95 | 5.9× |
| Calprotectin Fecal (83993) | $237.60 | $297 | 12.1× |
| Calr gene com variants (81219) | $498.40 | $623 | 4.1× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$101.60–$179.20 | $127–$224 | varies |
| Carbamazepine total (80156) | $110.40 | $138 | 7.6× |
| Carboxyhemoglobin (82375) | $103.20 | $129 | 8.4× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$96.80 | $74–$121 | varies |
| Carnitine Quantitative Each Specimen (82379) | $52 | $65 | 3.1× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$58.40–$76.80 | $73–$96 | varies |
| Ccp antibody (86200) | $136 | $170 | 10.5× |
| Cell count csf (89051) | $40 | $50 | 7.1× |
| Ceruloplasmin (82390) | $117.60 | $147 | 10.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$36.80–$132.80 | $46–$166 | varies |
| Chlmy trch&neisra gonor mult (87494) range across 2 matching MRF lines |
$200.80–$270.40 | $251–$338 | varies |
| Chloride Serum (82435) | $51.20 | $64 | 11.1× |
| Chloride urine (82436) | $65.60 | $82 | 11.4× |
| Cholesterol total (82465) | $46.40 | $58 | 10.7× |
| Chorionic gonadotropin test (84702) | $131.20 | $164 | 8.7× |
| 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–$173.60 | $143–$217 | varies |
| Citric acid urine (82507) | $76 | $95 | 2.7× |
| Ckmb (82553) | $79.20 | $99 | 6.9× |
| Clostridium Difficile (87324) | $116 | $145 | 9.7× |
| Clotting Funct Activity (85397) | $110.40 | $138 | 3.6× |
| Coccidioides antibody (86635) | $64.80 | $81 | 5.6× |
| Cold agglutinin titer (86157) | $68.80 | $86 | 8.5× |
| Column Chromotography Quant (82542) | $57.60 | $72 | 2.4× |
| Compatibility test antiglob (86922) | $148 | $185 | 0.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$56.80–$74.40 | $71–$93 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Coombs direct (86880) | $61.60 | $77 | 11.4× |
| Copper urine (82525) range across 2 matching MRF lines |
$45.60–$50.40 | $57–$63 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$52–$178.40 | $65–$223 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$47.20–$144.80 | $59–$181 | varies |
| Creatine kinase total (82550) | $65.60 | $82 | 10.1× |
| Creatinine blood (82565) | $40 | $50 | 7.8× |
| Creatinine clearance (82575) | $87.20 | $109 | 9.2× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$25.60–$57.60 | $32–$72 | varies |
| Crossmatch electronic (86923) | $107.20 | $134 | 0.6× |
| Crossmatch immediate spin (86920) | $146.40 | $183 | 0.8× |
| Crp High Sensitivity (86141) | $102.40 | $128 | 7.9× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) | $31.20 | $39 | 4.8× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$97.60–$128 | $122–$160 | varies |
| Cryptosporidium ag eia (87328) | $112.80 | $141 | 8.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $57.60 | $72 | 7.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $55.20 | $69 | 6.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $73.60 | $92 | 9.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $604.80 | $756 | 2.8× |
| Culture afb (87116) range across 3 matching MRF lines |
$57.60–$127.20 | $72–$159 | varies |
| Culture Anaerobic (87075) | $114.40 | $143 | 12.1× |
| Culture blood (87040) | $98.40 | $123 | 9.5× |
| Culture chlamydia (87110) | $149.60 | $187 | 7.6× |
| Culture csf (87070) range across 3 matching MRF lines |
$66.40–$116 | $83–$145 | varies |
| Culture fungus (87102) | $101.60 | $127 | 12.1× |
| Culture fungus blood (87103) | $79.20 | $99 | 3.9× |
| Culture screen only (87081) | $58.40 | $73 | 8.8× |
| Culture stool (87045) | $66.40 | $83 | 7.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $44 | $55 | 8.5× |
| Culture urine (87086) | $73.60 | $92 | 9.1× |
| Cyclosporine (80158) | $127.20 | $159 | 7.0× |
| Cyp2c19 gene analysis common variants (81225) | $256 | $320 | 0.9× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) | $124.80 | $156 | 2.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $460 | $575 | 0.4× |
| Cytomegalovirus igg (86644) | $70.40 | $88 | 4.9× |
| Cytopath Cell Enhance Tech (88112) | $134.40 | $168 | 2.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $115.20 | $144 | 4.3× |
| Cytp Concentration Smears & Interpretation (88108) | $129.60 | $162 | 3.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $246.40 | $308 | 4.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $132 | $165 | 3.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $134.40 | $168 | 4.5× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$86.40–$125.60 | $108–$157 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$103.20–$275.20 | $129–$344 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$54.40–$79.20 | $68–$99 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $197.60 | $247 | 8.9× |
| Digoxin (80162) | $95.20 | $119 | 7.2× |
| Dna Antibody Native/Double Stranded (86225) | $100.80 | $126 | 7.3× |
| Dna Antibody Single Stranded (86226) | $204.80 | $256 | 16.9× |
| Dna/Rna Amplified Probe (87150) | $164 | $205 | 4.7× |
| DNA/RNA direct probe (87149) | $80 | $100 | 4.0× |
| Dna/Rna Sequencing (87153) | $308 | $385 | 2.7× |
| Drug assay acetaminophen (80143) | $53.60 | $67 | 2.9× |
| Drug Assay Everolimus (80169) | $71.20 | $89 | 5.2× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Vedolizumab (80280) | $132.80 | $166 | 3.4× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| 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) | $146.40 | $183 | 11.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$164–$195.20 | $205–$244 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug Test Prsmv Instrmnt (80306) | $80.80 | $101 | 4.7× |
| Electrolyte panel (80051) | $100 | $125 | 14.3× |
| Enterovirus Antibody (86658) | $114.40 | $143 | 8.8× |
| Enterovirus PCR (87498) | $200 | $250 | 5.7× |
| Eosinophil Smear (89190) | $44 | $55 | 7.6× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $200 | $250 | 7.2× |
| Estriol (82677) | $160 | $200 | 6.6× |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$43.20–$96 | $54–$120 | varies |
| Ethylene Glycol (82693) | $200 | $250 | 13.4× |
| Exam Synovial Fluid Crystals (89060) | $52 | $65 | 7.1× |
| F2 Gene (81240) | $400.80 | $501 | 6.1× |
| Factor ii activity (85210) | $131.20 | $164 | 10.1× |
| Factor ix activity (85250) | $234.40 | $293 | 12.3× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$265.60 | $240–$332 | varies |
| Factor viii assay (85240) | $250.40 | $313 | 14.0× |
| Fat stain feces urine/respir secretions (89125) | $52 | $65 | 8.8× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fecal Fat Qualitative (82705) | $74.40 | $93 | 14.6× |
| Ferritin (82728) | $120 | $150 | 8.8× |
| Fibrin Degradation Quant (85379) | $132 | $165 | 13.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $137.60 | $172 | 14.2× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$207.20–$558.40 | $259–$698 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$52.80–$328.80 | $66–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $56.80 | $71 | 4.7× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic Acid Serum (82746) | $116.80 | $146 | 7.9× |
| Follicle Stimulating Hormone (83001) | $128.80 | $161 | 6.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $68 | $85 | 0.4× |
| Frozen Section (88331) | $104 | $130 | 0.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$52–$64 | $65–$80 | varies |
| Fungi Identification Yeast (87106) | $100 | $125 | 9.7× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$61.60–$97.60 | $77–$122 | varies |
| Gases blood ph only (82800) | $68.80 | $86 | 6.3× |
| Gastrin (82941) | $48.80 | $61 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gentamicin (80170) | $112.80 | $141 | 6.9× |
| Ggt (82977) | $61.60 | $77 | 8.6× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$98.40–$117.60 | $123–$147 | varies |
| Glucose 2 hr pp (82950) | $50.40 | $63 | 10.6× |
| Glucose Blood Test (82962) | $32.80 | $41 | 10.0× |
| Glucose body fluid (82945) | $56.80 | $71 | 14.5× |
| Glucose Serum (82947) | $48 | $60 | 12.2× |
| Glucose tolerance test (gtt) (82951) | $144.80 | $181 | 11.3× |
| Glycated Protein (82985) | $51.20 | $64 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $80 | $100 | 10.6× |
| Growth hormone (83003) | $48.80 | $61 | 2.9× |
| H Pylori (C-13) Breath (83013) | $325.60 | $407 | 4.8× |
| Haptoglobin (83010) | $99.20 | $124 | 7.9× |
| Hdl Cholesterol (83718) | $56 | $70 | 6.8× |
| Helicobacter Pylori Stool (87338) | $186.40 | $233 | 13.0× |
| Hematocrit (85014) | $32.80 | $41 | 13.8× |
| Hemoglobin (85018) | $29.60 | $37 | 12.5× |
| Hemoglobin a1c (83036) | $62.40 | $78 | 6.4× |
| Hemoglobin electrophoresis (83020) | $130.40 | $163 | 10.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $58.40 | $73 | 7.1× |
| Hemoglobin plasma (83051) | $74.40 | $93 | 10.2× |
| Hep a ab igm (86709) | $99.20 | $124 | 8.8× |
| Heparin assay (85520) | $155.20 | $194 | 11.9× |
| Hepatitis a antibody total (86708) | $53.60 | $67 | 4.3× |
| Hepatitis b core ab igm (86705) | $139.20 | $174 | 11.8× |
| Hepatitis b core ab total (86704) | $96 | $120 | 8.0× |
| Hepatitis B Surface Antibody (86706) | $92.80 | $116 | 8.6× |
| Hepatitis B Surface Antigen (87340) | $84 | $105 | 8.1× |
| Hepatitis Be Antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis C Antibody (86803) | $124 | $155 | 8.7× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $137.60 | $172 | 3.2× |
| Herpes simplex type 2 (86696) | $103.20 | $129 | 5.3× |
| Heterophile Antibody Screen (86308) | $72 | $90 | 13.9× |
| Histamine urine (83088) | $75.20 | $94 | 2.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$60–$65.60 | $75–$82 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $138.40 | $173 | 5.7× |
| Hiv-1 Antibody (86701) | $66.40 | $83 | 7.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $413.60 | $517 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $86.40 | $108 | 2.5× |
| Hla ii typing 1 locus lr (81376) | $298.40 | $373 | 2.4× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$162.40–$207.20 | $203–$259 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Hsv Dna Amp Probe (87529) | $173.60 | $217 | 4.9× |
| Hydroxyprogesterone 17-d (83498) | $65.60 | $82 | 2.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $105.60 | $132 | 7.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $96 | $120 | 8.0× |
| Iaadi inffluenza a virus (87276) | $77.60 | $97 | 4.8× |
| Iaadi parainfluenza virus each type (87279) | $66.40 | $83 | 4.0× |
| Iaadi respiratory synctial virus (87280) | $66.40 | $83 | 4.9× |
| Iaadi Varicella Zoster Virus (87290) | $108.80 | $136 | 8.1× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $84 | $105 | 3.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $86.40 | $108 | 2.5× |
| 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) | $100 | $125 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $86.40 | $108 | 2.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $206.40 | $258 | 5.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$86.40–$99.20 | $108–$124 | 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× |
| Ig Light Chains Free Each (83521) | $58.40 | $73 | 3.4× |
| Igg subclasses (82787) | $42.40 | $53 | 5.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $128 | $160 | 0.3× |
| Immune Complex Assay (86332) | $59.20 | $74 | 2.4× |
| Immunfix e-phorsis/urine/csf (86335) | $154.40 | $193 | 5.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$271.20–$295.20 | $339–$369 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$51.20–$146.40 | $64–$183 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$32–$46.40 | $40–$58 | varies |
| Immunofixation electrophoresis (86334) | $158.40 | $198 | 7.1× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$172.80–$173.60 | $216–$217 | varies |
| In situ hybridization 1st probe stain (88365) | $407.20 | $509 | 2.3× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $90.40 | $113 | 6.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $53.60 | $67 | 4.4× |
| Influenza a/b ag eia (87400) | $79.20 | $99 | 5.6× |
| Influenza assay w/optic (87804) | $65.60 | $82 | 4.0× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin b (83520) range across 10 matching MRF lines |
$41.60–$190.40 | $52–$238 | varies |
| Insulin total (83525) | $115.20 | $144 | 10.1× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $64 | $80 | 9.9× |
| Iron Binding Capacity (83550) | $72.80 | $91 | 8.3× |
| Islet cell antibody (86341) | $55.20 | $69 | 2.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $526.40 | $658 | 4.2× |
| Koh Prep (87220) | $47.20 | $59 | 11.1× |
| Lactate (ld) (ldh) enzyme (83615) | $62.40 | $78 | 10.3× |
| Lactoferrin fecal qualitative (83630) | $119.20 | $149 | 6.1× |
| Ldh Isoenzymes (83625) | $99.20 | $124 | 7.8× |
| LDL direct (83721) | $56.80 | $71 | 5.4× |
| Lead (83655) range across 5 matching MRF lines |
$31.20–$100 | $39–$125 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$56.80–$156.80 | $71–$196 | varies |
| Leukocyte Assessment Fecal (89055) | $54.40 | $68 | 12.7× |
| Leukocyte Histamine Release (86343) | $160 | $200 | 12.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $36 | $45 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $77.60 | $97 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $576.80 | $721 | 1.6× |
| Lipase (83690) | $95.20 | $119 | 13.8× |
| Lithium (80178) | $76.80 | $96 | 11.6× |
| Luteinizing Hormone (Lh) (83002) | $131.20 | $164 | 7.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$120.80–$169.60 | $151–$212 | varies |
| Macroscopic exam arthropod (87168) | $61.60 | $77 | 14.4× |
| Magnesium Urine (83735) | $68.80 | $86 | 10.3× |
| Mass Spectrometry Quant (83789) | $220.80 | $276 | 9.2× |
| Mercury urine (83825) | $39.20 | $49 | 2.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$50.40–$52 | $63–$65 | varies |
| Microalbumin, quantitative (82043) | $109.60 | $137 | 19.0× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$131.20 | $66–$164 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $58.40 | $73 | 2.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $455.20 | $569 | 2.5× |
| Mrsa Pcr (87641) | $107.20 | $134 | 3.1× |
| Mumps antibody (86735) | $124.80 | $156 | 9.6× |
| Mycoplasma antibody (86738) | $123.20 | $154 | 9.3× |
| Mycoplasma culture (87109) | $153.60 | $192 | 10.0× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$157.60–$168.80 | $197–$211 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$164.80–$174.40 | $206–$218 | varies |
| Neisseria Dir Na Probe (87590) | $80.80 | $101 | 3.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $58.40 | $73 | 0.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,262.40 | $1,578 | 2.6× |
| Nk cells total count (86357) | $124.80 | $156 | 3.3× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$165.60 | $71–$207 | varies |
| Occult Blood Other Sources (82271) | $38.40 | $48 | 7.2× |
| Osmolality serum (83930) | $80 | $100 | 12.1× |
| Osmolality Urine (83935) | $80 | $100 | 11.7× |
| Ova and parasites smears (87177) | $46.40 | $58 | 5.2× |
| Ova1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) | $121.60 | $152 | 10.5× |
| Parvovirus antibody (86747) | $88.80 | $111 | 5.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $88 | $110 | 0.1× |
| Ph urine (81003) | $24.80 | $31 | 11.0× |
| Phenobarbital Level (80184) | $92 | $115 | 6.0× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$100–$121.60 | $125–$152 | varies |
| Phosphatase acid prostatic (84066) | $57.60 | $72 | 6.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$62.40 | $36–$78 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $94.40 | $118 | 5.3× |
| Phosphorus Serum (84100) | $54.40 | $68 | 11.5× |
| Phosphorus urine (84105) | $36 | $45 | 6.2× |
| Pinworm exam (87172) | $33.60 | $42 | 7.9× |
| Platelet Aggregation (85576) | $178.40 | $223 | 7.2× |
| Platelet Antibodies (86022) | $224 | $280 | 12.2× |
| Platelet count automated (85049) | $32.80 | $41 | 7.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) | $56.80 | $71 | 12.0× |
| Prealbumin (84134) | $108 | $135 | 7.4× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Procalcitonin (Pct) (84145) | $244 | $305 | 9.0× |
| Progesterone (84144) | $125.60 | $157 | 6.0× |
| Prolactin (84146) | $142.40 | $178 | 7.3× |
| Protein body fluid (84157) | $96 | $120 | 24.0× |
| Protein C Activity (85303) | $266.40 | $333 | 19.2× |
| Protein Electrophoresis Urine (84166) | $106.40 | $133 | 6.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $89.60 | $112 | 8.3× |
| Protein S Free (85306) | $266.40 | $333 | 17.4× |
| Protein s total (85305) range across 2 matching MRF lines |
$37.60–$45.60 | $47–$57 | varies |
| Protein total serum (84155) | $50.40 | $63 | 13.7× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$51.20–$62.40 | $64–$78 | varies |
| PSA free (84154) | $117.60 | $147 | 6.4× |
| Pth Intact (83970) | $230.40 | $288 | 5.6× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$32–$63.20 | $40–$79 | varies |
| Quantiferon tb gold plus (86480) | $214.40 | $268 | 3.5× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$113.60–$178.40 | $142–$223 | varies |
| Quantitative Screen Metals (83018) | $124.80 | $156 | 5.7× |
| Rbc antibody elution (86860) | $129.60 | $162 | 0.7× |
| Rbc antibody identification (86870) | $258.40 | $323 | 0.7× |
| Rbc antibody screen (86850) | $116 | $145 | 11.9× |
| Renin activity plasma (84244) | $11.20 | $14 | 0.5× |
| Reticulocyte Count (85046) | $34.40 | $43 | 6.2× |
| Rh (86901) | $42.40 | $53 | 14.2× |
| Rheumatoid Factor Qualitative (86430) | $67.20 | $84 | 10.9× |
| Rheumatoid factor quant (86431) | $52.80 | $66 | 9.3× |
| Rotavirus ag eia (87425) | $98.40 | $123 | 8.2× |
| Rpr qualitative (86592) | $54.40 | $68 | 12.7× |
| Rsv Assay W/Optic (87807) | $99.20 | $124 | 7.6× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$37.60–$82.40 | $47–$103 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$54.40–$136 | $68–$170 | varies |
| Russell Viper Venom Time Diluted (85613) | $112 | $140 | 11.7× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $93.60 | $117 | 5.0× |
| 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) | $48 | $60 | 17.8× |
| Sensitivity mic (87186) | $76 | $95 | 8.8× |
| Sex Hormone Binding Globulin (84270) | $51.20 | $64 | 2.4× |
| Sickling of rbc reduction (85660) | $32.80 | $41 | 6.0× |
| Smear acid fast (87206) | $73.60 | $92 | 13.7× |
| Smear complex stain (87209) | $68 | $85 | 3.8× |
| Smear gram stain (87205) | $56 | $70 | 13.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $38.40 | $48 | 6.6× |
| Sodium Serum (84295) | $40 | $50 | 8.3× |
| Sodium Urine (84300) | $32.80 | $41 | 6.5× |
| Somatomedin (84305) range across 3 matching MRF lines |
$56–$148.80 | $70–$186 | varies |
| Special Stains Group 1 (88312) | $223.20 | $279 | 4.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$171.20–$178.40 | $214–$223 | varies |
| Specimen infect agnt concntj (87015) | $48 | $60 | 7.2× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$55.20–$57.60 | $69–$72 | varies |
| Strep a assay w/optic (87880) | $44 | $55 | 2.7× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$55.20–$156 | $69–$195 | varies |
| Surg path level iii (88304) | $108.80 | $136 | 2.0× |
| Surgical pathology level IV (88305) | $118.40 | $148 | 2.2× |
| Surgical pathology level vi (88309) | $894.40 | $1,118 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$33.60–$76 | $42–$95 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $54.40 | $68 | 7.3× |
| T cells absolute cd4 count (86361) | $168.80 | $211 | 6.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $188 | $235 | 4.0× |
| T cells total count (86359) | $188.80 | $236 | 5.0× |
| T3 Free (84481) | $132 | $165 | 7.8× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $124 | $155 | 8.7× |
| T4 Free (84439) | $66.40 | $83 | 7.4× |
| T4 total (84436) | $70.40 | $88 | 10.2× |
| Tacrolimus (80197) | $219.20 | $274 | 16.0× |
| Test for acetone/ketones (82009) | $48 | $60 | 10.6× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Testosterone total (84403) range across 3 matching MRF lines |
$60.80–$181.60 | $76–$227 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Theophylline (80198) | $112.80 | $141 | 8.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $69.60 | $87 | 10.8× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$57.60 | $57–$72 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$125.60 | $66–$157 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $275.20 | $344 | 5.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $79.20 | $99 | 6.9× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$496–$520.80 | $620–$651 | varies |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $177.60 | $222 | 11.0× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $141.60 | $177 | 9.8× |
| Toxoplasma antibody (86777) | $112.80 | $141 | 7.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $53.60 | $67 | 10.3× |
| Transferrin (84466) | $108 | $135 | 8.5× |
| Triglycerides (84478) | $65.60 | $82 | 11.4× |
| Troponin Quant (84484) | $140 | $175 | 11.2× |
| Urea nitrogen urine (84540) | $39.20 | $49 | 7.1× |
| Uric acid other source (84560) | $36 | $45 | 7.1× |
| Urinalysis Microscopic Only (81015) | $22.40 | $28 | 7.3× |
| Urine Albumin Semiquantitative (82044) | $63.20 | $79 | 10.1× |
| Urine Bacteria Culture (87088) | $50.40 | $63 | 6.2× |
| Urine Pregnancy Test (81025) | $58.40 | $73 | 6.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $32.80 | $41 | 10.3× |
| Valproic acid (80164) | $103.20 | $129 | 7.6× |
| Vancomycin (80202) | $136.80 | $171 | 10.1× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vasopressin (84588) range across 2 matching MRF lines |
$192–$240.80 | $240–$301 | varies |
| Viral Culture (87252) | $165.60 | $207 | 6.4× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$33.60–$36.80 | $42–$46 | varies |
| Virus inoculate tissue addl (87253) | $127.20 | $159 | 6.3× |
| Virus inoculation, shell via (87254) | $163.20 | $204 | 8.3× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$229.60 | $153–$287 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $116 | $145 | 7.7× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| 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× |
| Von willebrand factor ag (85246) | $110.40 | $138 | 4.8× |
| West nile virus ab igm (86788) | $95.20 | $119 | 5.6× |
| West Nile Virus Antibody (86789) | $95.20 | $119 | 6.6× |
| Zinc (84630) range across 2 matching MRF lines |
$26.40–$40 | $33–$50 | varies |
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.