Lab & pathology prices at Sanford Luverne Medical Center
Luverne, MN · every code in this section with a posted price and a Medicare benchmark.
492 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $69.60 | $87 | 3.1× |
| Acetylcholine receptor binding antibody (86041) | $47.20 | $59 | 2.6× |
| Acetylcholine receptor blocking antibody (86042) | $84 | $105 | 4.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $95.20 | $119 | 7.9× |
| Acth (82024) | $112.80 | $141 | 2.9× |
| Actin smooth muscle antibody each (86015) | $52.80 | $66 | 4.4× |
| Acute hepatitis panel (80074) | $275.20 | $344 | 5.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28–$28.80 | $35–$36 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$28–$28.80 | $35–$36 | varies |
| Aldolase (82085) | $56 | $70 | 5.8× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$101.60–$203.20 | $127–$254 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$25.60–$27.20 | $32–$34 | varies |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$77.60–$88.80 | $97–$111 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$90.40–$96.80 | $113–$121 | varies |
| Alt (sgpt) (84460) | $28.80 | $36 | 5.4× |
| Amikacin trough (80150) | $38.40 | $48 | 2.5× |
| Ammonia (82140) | $79.20 | $99 | 5.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $273.60 | $342 | 2.8× |
| Amylase urine (82150) range across 2 matching MRF lines |
$40–$87.20 | $50–$109 | varies |
| Ana Titer (86039) | $61.60 | $77 | 5.5× |
| Anca screen each antibody (86036) | $53.60 | $67 | 4.4× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$40.80–$95.20 | $51–$119 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$31.20–$50.40 | $39–$63 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $31.20 | $39 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $80.80 | $101 | 4.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $84.80 | $106 | 5.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $76 | $95 | 4.2× |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $84 | $105 | 5.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $175.20 | $219 | 12.2× |
| Antibody Herpes Smplx Type 1 (86695) | $92.80 | $116 | 7.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $95.20 | $119 | 6.9× |
| Antibody identification leukocyte antibodies (86021) | $126.40 | $158 | 8.4× |
| Antibody Treponema Pallidum (86780) | $71.20 | $89 | 5.4× |
| Antigen typing (86905) | $80 | $100 | 20.9× |
| Antinuclear antibodies (86038) | $69.60 | $87 | 5.8× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$41.60–$48 | $52–$60 | varies |
| Antithrombin iii activity (85300) | $125.60 | $157 | 10.6× |
| Antithrombin iii antigen (85301) | $129.60 | $162 | 12.0× |
| Arsenic (82175) range across 5 matching MRF lines |
$45.60–$170.40 | $57–$213 | varies |
| Assay activated protein c (85307) | $109.60 | $137 | 7.2× |
| Assay Blood Carbon Dioxide (82374) | $25.60 | $32 | 5.2× |
| Assay Dir Meas Fr Estradiol (82681) | $68 | $85 | 2.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$35.20–$111.20 | $44–$139 | varies |
| Assay of 5-hiaa (83497) | $46.40 | $58 | 3.6× |
| Assay of blood/uric acid (84550) | $26.40 | $33 | 5.8× |
| Assay of calcium in urine (82340) | $28 | $35 | 4.6× |
| Assay of estrone (82679) | $60 | $75 | 2.4× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$28.80–$50.40 | $36–$63 | varies |
| Assay of lactic acid (83605) | $57.60 | $72 | 5.0× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $26.40 | $33 | 5.5× |
| Assay of sweat sodium (84302) | $50.40 | $63 | 10.4× |
| Assay of urea nitrogen (84520) | $25.60 | $32 | 6.5× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$48.80–$68.80 | $61–$86 | varies |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $16 | $20 | 4.5× |
| Assay spec xcp ur&breath ia (82077) | $104 | $130 | 6.0× |
| Automated Leukocyte Count (85048) | $19.20 | $24 | 7.6× |
| 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 |
$89.60–$96 | $112–$120 | varies |
| Beta hydroxybutyrate (82010) | $48 | $60 | 5.9× |
| Beta Lactamase (87185) | $38.40 | $48 | 8.1× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$91.20–$97.60 | $114–$122 | varies |
| Bile acids total (82239) | $52 | $65 | 3.0× |
| Bilirubin direct (82248) | $23.20 | $29 | 4.6× |
| Bilirubin total (82247) | $28 | $35 | 5.6× |
| Bilirubin total transcutaneous (88720) | $26.40 | $33 | 5.3× |
| Biotinidase (82261) | $72.80 | $91 | 4.3× |
| Blastomyces antibody (86612) | $70.40 | $88 | 5.5× |
| Blood Count Automated Differential Wbc Count (85004) | $40 | $50 | 6.2× |
| Blood count reticulocyte automated (85045) | $27.20 | $34 | 6.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20 | $25 | 5.3× |
| Blood gas (82803) | $151.20 | $189 | 5.8× |
| Blood gases w/02 saturation (82805) | $240.80 | $301 | 3.1× |
| 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) | $27.20 | $34 | 6.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $123.20 | $154 | 19.4× |
| Blood typing serologic abo (86900) | $19.20 | $24 | 6.4× |
| Body fluid cell count (89050) | $32 | $40 | 6.8× |
| C diff amplified probe (87493) | $142.40 | $178 | 3.8× |
| C-Peptide (84681) | $118.40 | $148 | 5.7× |
| C-reactive protein (86140) | $44 | $55 | 8.5× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) | $56.80 | $71 | 2.4× |
| Calcium ionized (82330) | $98.40 | $123 | 7.2× |
| Calcium total (82310) | $26.40 | $33 | 5.1× |
| Calculus Spectroscopy (82365) | $69.60 | $87 | 5.4× |
| Calprotectin Fecal (83993) | $67.20 | $84 | 3.4× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$101.60–$112.80 | $127–$141 | varies |
| Candida Dna Dir Probe (87480) | $100 | $125 | 5.0× |
| Carbamazepine total (80156) | $87.20 | $109 | 6.0× |
| Carboxyhemoglobin (82375) | $66.40 | $83 | 5.4× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$104.80 | $74–$131 | varies |
| Carnitine Quantitative Each Specimen (82379) | $50.40 | $63 | 3.0× |
| Catecholamines fractionated (82384) | $76.80 | $96 | 3.0× |
| Ccp antibody (86200) | $81.60 | $102 | 6.3× |
| Cell count csf (89051) | $39.20 | $49 | 7.0× |
| Ceruloplasmin (82390) | $57.60 | $72 | 5.4× |
| Chemiluminescent assay (82397) | $129.60 | $162 | 9.2× |
| Chlamydia antibody (86631) | $54.40 | $68 | 4.6× |
| Chlamydia Igm Antibody (86632) | $54.40 | $68 | 4.3× |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$200.80–$340 | $251–$425 | varies |
| Chloride Serum (82435) | $26.40 | $33 | 5.7× |
| Chloride urine (82436) | $37.60 | $47 | 6.5× |
| Cholesterol total (82465) | $26.40 | $33 | 6.1× |
| Chorionic gonadotropin test (84702) | $79.20 | $99 | 5.3× |
| Chromium serum (82495) | $59.20 | $74 | 2.9× |
| 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–$188.80 | $143–$236 | varies |
| Citric acid urine (82507) | $73.60 | $92 | 2.6× |
| Ckmb (82553) | $94.40 | $118 | 8.2× |
| Clostridium Difficile (87324) | $110.40 | $138 | 9.2× |
| Clotting factor xii hageman (85280) | $88.80 | $111 | 4.6× |
| Clotting Funct Activity (85397) | $88.80 | $111 | 2.9× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$63.20–$69.60 | $79–$87 | varies |
| Cold agglutinin titer (86157) | $46.40 | $58 | 5.8× |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Compatibility test antiglob (86922) | $145.60 | $182 | 0.8× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$65.60–$75.20 | $82–$94 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Coombs direct (86880) | $32.80 | $41 | 6.1× |
| Copper urine (82525) range across 3 matching MRF lines |
$44.80–$76 | $56–$95 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$50.40–$108.80 | $63–$136 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$46.40–$74.40 | $58–$93 | varies |
| Creatine kinase total (82550) | $35.20 | $44 | 5.4× |
| Creatinine blood (82565) | $28.80 | $36 | 5.6× |
| Creatinine clearance (82575) | $50.40 | $63 | 5.3× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$16.80–$29.60 | $21–$37 | varies |
| Crossmatch immediate spin (86920) | $144 | $180 | 0.8× |
| Crp High Sensitivity (86141) | $76 | $95 | 5.9× |
| Cryoglobulin (82595) | $28.80 | $36 | 4.5× |
| Cryptococcus ag titer (87899) | $64 | $80 | 4.0× |
| Cryptosporidium ag eia (87328) | $64.80 | $81 | 4.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$64–$90.40 | $80–$113 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $44.80 | $56 | 5.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $78.40 | $98 | 10.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) | $71.20 | $89 | 6.6× |
| Culture Anaerobic (87075) | $77.60 | $97 | 8.2× |
| Culture blood (87040) | $72.80 | $91 | 7.1× |
| Culture chlamydia (87110) | $116 | $145 | 5.9× |
| Culture csf (87070) range across 3 matching MRF lines |
$26.40–$48 | $33–$60 | varies |
| Culture fungus (87102) | $66.40 | $83 | 7.9× |
| Culture screen only (87081) range across 2 matching MRF lines |
$36.80–$41.60 | $46–$52 | varies |
| Culture stool (87045) | $47.20 | $59 | 5.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $40 | $50 | 7.7× |
| Culture urine (87086) | $43.20 | $54 | 5.4× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$134.40–$214.40 | $168–$268 | varies |
| 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) | $78.40 | $98 | 5.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $84 | $105 | 4.1× |
| Cytopath Cell Enhance Tech (88112) | $148 | $185 | 2.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $108.80 | $136 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) | $166.40 | $208 | 4.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $301.60 | $377 | 5.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $155.20 | $194 | 4.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $152.80 | $191 | 5.1× |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$86.40–$158.40 | $108–$198 | varies |
| Detect Agent Nos Dna Quant (87799) | $103.20 | $129 | 2.4× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$54.40–$66.40 | $68–$83 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) range across 2 matching MRF lines |
$53.60–$120 | $67–$150 | varies |
| Digoxin (80162) | $72 | $90 | 5.4× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$80–$85.60 | $100–$107 | varies |
| Dna/Rna Amplified Probe (87150) | $172 | $215 | 4.9× |
| DNA/RNA direct probe (87149) | $72.80 | $91 | 3.6× |
| Drug assay acetaminophen (80143) | $49.60 | $62 | 2.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $72 | $90 | 5.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$164–$205.60 | $205–$257 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $62.40 | $78 | 5.0× |
| Drug Test Prsmv Instrmnt (80306) | $61.60 | $77 | 3.6× |
| Electrolyte panel (80051) | $48 | $60 | 6.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| Eosinophil Smear (89190) | $28.80 | $36 | 5.0× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$67.20–$146.40 | $84–$183 | varies |
| Estriol (82677) | $58.40 | $73 | 2.4× |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$41.60–$92.80 | $52–$116 | varies |
| Ethylene Glycol (82693) | $200 | $250 | 13.4× |
| Exam Synovial Fluid Crystals (89060) | $43.20 | $54 | 5.9× |
| F2 Gene (81240) range across 2 matching MRF lines |
$192–$244 | $240–$305 | varies |
| Factor v activity (85220) | $156 | $195 | 8.8× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$248 | $240–$310 | varies |
| Factor vii assay (85230) | $150.40 | $188 | 8.4× |
| Factor viii assay (85240) | $129.60 | $162 | 7.2× |
| Factor X (85260) range across 2 matching MRF lines |
$151.20–$212.80 | $189–$266 | varies |
| Fat stain feces urine/respir secretions (89125) | $54.40 | $68 | 9.3× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fecal Fat Qualitative (82705) | $72.80 | $91 | 14.3× |
| Ferritin (82728) | $73.60 | $92 | 5.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $372 | $465 | 5.8× |
| Fetal screen rosette (85461) | $26.40 | $33 | 2.8× |
| Fibrin Degradation Quant (85379) | $88.80 | $111 | 8.7× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Flow cytometry first marker (88184) | $236 | $295 | 0.6× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$52.80–$66.40 | $66–$83 | varies |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic Acid Serum (82746) | $79.20 | $99 | 5.4× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$52.80–$97.60 | $66–$122 | varies |
| Frozen Section (88331) | $122.40 | $153 | 0.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$38.40–$62.40 | $48–$78 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$104.80–$110.40 | $131–$138 | varies |
| Galactose transferase test (82776) | $31.20 | $39 | 2.7× |
| Gammaglobulin ige (82785) | $88.80 | $111 | 5.4× |
| Gardner vag DNA dir probe (87510) | $100 | $125 | 5.0× |
| Gases blood ph only (82800) | $36 | $45 | 3.3× |
| 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) | $92.80 | $116 | 5.7× |
| Ggt (82977) | $31.20 | $39 | 4.3× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$64.80–$69.60 | $81–$87 | varies |
| Glucose 2 hr pp (82950) | $27.20 | $34 | 5.7× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $28 | $35 | 7.1× |
| Glucose Serum (82947) | $51.20 | $64 | 13.0× |
| Glucose tolerance test (gtt) (82951) | $72 | $90 | 5.6× |
| Gonadotropin Chorionic Qualitative (84703) | $52 | $65 | 6.9× |
| Growth hormone (83003) | $47.20 | $59 | 2.8× |
| Gtt-added samples (82952) | $24 | $30 | 6.1× |
| H Pylori (C-13) Breath (83013) | $296 | $370 | 4.4× |
| Haptoglobin (83010) | $72 | $90 | 5.7× |
| Hdl Cholesterol (83718) | $48 | $60 | 5.9× |
| Helicobacter Pylori Stool (87338) | $120.80 | $151 | 8.4× |
| Hematocrit (85014) | $14.40 | $18 | 6.1× |
| Hemoglobin (85018) | $15.20 | $19 | 6.4× |
| Hemoglobin a1c (83036) | $55.20 | $69 | 5.7× |
| Hemoglobin electrophoresis (83020) | $65.60 | $82 | 5.1× |
| Hep a ab igm (86709) | $64 | $80 | 5.7× |
| Heparin assay (85520) | $156.80 | $196 | 12.0× |
| Hepatitis a antibody total (86708) | $66.40 | $83 | 5.4× |
| Hepatitis b core ab igm (86705) | $68.80 | $86 | 5.8× |
| Hepatitis b core ab total (86704) | $70.40 | $88 | 5.8× |
| Hepatitis B Surface Antibody (86706) | $61.60 | $77 | 5.7× |
| Hepatitis B Surface Antigen (87340) | $51.20 | $64 | 5.0× |
| Hepatitis Be Antibody (86707) | $28.80 | $36 | 2.5× |
| Hepatitis Be Antigen (87350) | $28.80 | $36 | 2.5× |
| Hepatitis C Antibody (86803) | $97.60 | $122 | 6.8× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $125.60 | $157 | 2.9× |
| Hepatitis Delta Agent Antibody (86692) | $71.20 | $89 | 4.1× |
| Herpes simplex type 2 (86696) | $92.80 | $116 | 4.8× |
| Heterophile Antibody Screen (86308) | $36 | $45 | 6.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $80 | $100 | 10.3× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$64–$67.20 | $80–$84 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $78.40 | $98 | 3.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $434.40 | $543 | 5.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $191.20 | $239 | 2.6× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$172.80–$174.40 | $216–$218 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homovanillic acid urine (83150) | $68.80 | $86 | 3.1× |
| Hpv High-Risk Types (87624) | $128 | $160 | 3.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $115.20 | $144 | 1.6× |
| Hsv Dna Amp Probe (87529) | $177.60 | $222 | 5.1× |
| Hydroxyprogesterone 17-d (83498) | $80.80 | $101 | 3.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $64.80 | $81 | 5.4× |
| Iaadi inffluenza a virus (87276) | $52.80 | $66 | 3.3× |
| Iaadi not otherwise specified each organism (87299) | $71.20 | $89 | 4.4× |
| Iaadi parainfluenza virus each type (87279) | $65.60 | $82 | 4.0× |
| Iaadi respiratory synctial virus (87280) | $49.60 | $62 | 3.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $85.60 | $107 | 3.8× |
| 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 Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$151.20 | $108–$189 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $144 | $180 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$709.60–$744.80 | $887–$931 | varies |
| Ig Light Chains Free Each (83521) | $53.60 | $67 | 3.1× |
| Igg subclasses (82787) | $60 | $75 | 7.5× |
| Immunfix e-phorsis/urine/csf (86335) | $98.40 | $123 | 3.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$57.60–$116.80 | $72–$146 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$48–$105.60 | $60–$132 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$31.20–$50.40 | $39–$63 | varies |
| Immunofixation electrophoresis (86334) | $120.80 | $151 | 5.4× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$171.20–$172.80 | $214–$216 | varies |
| In situ hybridization 1st probe stain (88365) | $442.40 | $553 | 2.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $49.60 | $62 | 3.4× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $49.60 | $62 | 4.0× |
| Influenza a/b ag eia (87400) | $64 | $80 | 4.5× |
| Influenza assay w/optic (87804) | $56 | $70 | 3.4× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) range across 2 matching MRF lines |
$56.80–$148 | $71–$185 | varies |
| Inhibin b (83520) range across 8 matching MRF lines |
$48.80–$302.40 | $61–$378 | varies |
| Insulin total (83525) | $61.60 | $77 | 5.4× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $33.60 | $42 | 5.2× |
| Iron Binding Capacity (83550) | $46.40 | $58 | 5.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $293.60 | $367 | 3.2× |
| Koh Prep (87220) | $47.20 | $59 | 11.1× |
| Lactate (ld) (ldh) enzyme (83615) | $32.80 | $41 | 5.4× |
| Lactoferrin fecal qualitative (83630) | $104.80 | $131 | 5.3× |
| Ldh Isoenzymes (83625) | $58.40 | $73 | 4.6× |
| LDL direct (83721) | $66.40 | $83 | 6.3× |
| Lead (83655) range across 4 matching MRF lines |
$29.60–$68.80 | $37–$86 | varies |
| Legionella antibody (86713) | $156.80 | $196 | 10.2× |
| Leukocyte Assessment Fecal (89055) | $44 | $55 | 10.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $37.60 | $47 | 1.3× |
| Level ii surg pathology grossµscopic exam (88302) | $86.40 | $108 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $680 | $850 | 1.8× |
| Lipase (83690) | $37.60 | $47 | 5.5× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lithium (80178) | $39.20 | $49 | 5.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$52.80–$97.60 | $66–$122 | varies |
| Lyme disease antibody (86618) | $98.40 | $123 | 5.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $800 | $1,000 | 4.5× |
| Macroscopic exam arthropod (87168) | $62.40 | $78 | 14.6× |
| Magnesium Urine (83735) | $41.60 | $52 | 6.2× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$69.60–$109.60 | $87–$137 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$39.20–$93.60 | $49–$117 | varies |
| Metabolic panel ionized ca (80047) | $60 | $75 | 4.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$50.40–$52 | $63–$65 | varies |
| Microalbumin, quantitative (82043) | $45.60 | $57 | 7.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$78.40 | $66–$98 | 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× |
| Mumps antibody (86735) | $77.60 | $97 | 5.9× |
| Mycobacteric Identification (87118) | $149.60 | $187 | 10.2× |
| Mycoplasma antibody (86738) | $76.80 | $96 | 5.8× |
| Mycoplasma culture (87109) | $164 | $205 | 10.7× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$94.40–$108 | $118–$135 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$183.20 | $118–$229 | varies |
| Neisseria Dir Na Probe (87590) | $88 | $110 | 3.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$104.80 | $71–$131 | varies |
| Occult blood feces (82272) | $20.80 | $26 | 4.9× |
| Occult Blood Other Sources (82271) | $27.20 | $34 | 5.1× |
| Organic Acids Qualitative Each Specimen (83919) | $57.60 | $72 | 3.5× |
| Osmolality serum (83930) | $41.60 | $52 | 6.3× |
| Osmolality Urine (83935) | $46.40 | $58 | 6.8× |
| Ova and parasites smears (87177) | $32.80 | $41 | 3.7× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $138.40 | $173 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$24.80–$26.40 | $31–$33 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$49.60–$71.20 | $62–$89 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$72–$88 | $90–$110 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase acid prostatic (84066) | $56 | $70 | 5.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$19.20–$28.80 | $24–$36 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $80 | $100 | 4.4× |
| Phosphorus Serum (84100) | $27.20 | $34 | 5.7× |
| Phosphorus urine (84105) | $20.80 | $26 | 3.6× |
| Platelet count automated (85049) | $25.60 | $32 | 5.7× |
| Porphyrins Feces Quantitative (84126) | $122.40 | $153 | 3.1× |
| Potassium Urine (84133) | $25.60 | $32 | 5.4× |
| Prealbumin (84134) | $44 | $55 | 3.0× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $196.80 | $246 | 7.2× |
| Progesterone (84144) | $110.40 | $138 | 5.3× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$104.80 | $61–$131 | varies |
| Protein body fluid (84157) | $25.60 | $32 | 6.4× |
| Protein C Activity (85303) | $176.80 | $221 | 12.8× |
| Protein Electrophoresis Urine (84166) | $96 | $120 | 5.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $57.60 | $72 | 5.4× |
| Protein S Free (85306) | $144.80 | $181 | 9.5× |
| Protein total serum (84155) | $20.80 | $26 | 5.7× |
| Protein Total Urine (84156) | $32 | $40 | 8.7× |
| PSA free (84154) | $104 | $130 | 5.7× |
| Pth Intact (83970) | $223.20 | $279 | 5.4× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$180–$192 | $225–$240 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$71.20–$113.60 | $89–$142 | varies |
| Quantitative Screen Metals (83018) | $69.60 | $87 | 3.2× |
| Rbc antibody screen (86850) | $56 | $70 | 5.7× |
| Reagent Strip/Blood Glucose (82948) | $16.80 | $21 | 3.3× |
| Renin activity plasma (84244) | $51.20 | $64 | 2.3× |
| Reticulocyte Count (85046) | $30.40 | $38 | 5.5× |
| Reticulocyte Count Manual (85044) | $26.40 | $33 | 6.1× |
| Rh (86901) | $19.20 | $24 | 6.4× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$37.60–$40 | $47–$50 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$36–$66.40 | $45–$83 | varies |
| Ristocetin cofactor (85245) | $154.40 | $193 | 6.7× |
| Rotavirus ag eia (87425) | $92.80 | $116 | 7.7× |
| Rpr qualitative (86592) | $25.60 | $32 | 6.0× |
| Rsv Assay W/Optic (87807) | $148 | $185 | 11.3× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$82.40–$86.40 | $103–$108 | varies |
| Rubeola antibody (86765) | $77.60 | $97 | 6.0× |
| Russell Viper Venom Time Diluted (85613) | $67.20 | $84 | 7.0× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $104 | $130 | 5.6× |
| 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 (85651) | $24 | $30 | 5.6× |
| Sedimentation Rate, Automated (85652) | $20.80 | $26 | 7.7× |
| Semen Anal Sperm Detection (89321) | $62.40 | $78 | 5.2× |
| Semen analysis complete (89322) | $166.40 | $208 | 10.7× |
| Sensitivity mic (87186) | $45.60 | $57 | 5.3× |
| Sex Hormone Binding Globulin (84270) | $51.20 | $64 | 2.4× |
| Sickling of rbc reduction (85660) | $33.60 | $42 | 6.1× |
| Sirolimus (80195) | $121.60 | $152 | 8.9× |
| Skin test tuberculosis intradermal (86580) | $29.60 | $37 | 1.0× |
| Smear acid fast (87206) | $48.80 | $61 | 9.1× |
| Smear complex stain (87209) | $73.60 | $92 | 4.1× |
| Smear gram stain (87205) | $28 | $35 | 6.6× |
| Smear Special Stain (87207) | $54.40 | $68 | 9.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$39.20–$41.60 | $49–$52 | varies |
| Sodium Serum (84295) | $27.20 | $34 | 5.7× |
| Sodium Urine (84300) | $28 | $35 | 5.5× |
| Somatomedin (84305) range across 3 matching MRF lines |
$54.40–$137.60 | $68–$172 | varies |
| Special Stains Group 1 (88312) | $224 | $280 | 4.2× |
| Special Stains Group 2 (88313) | $164 | $205 | 1.2× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$40–$43.20 | $50–$54 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$41.60–$44.80 | $52–$56 | varies |
| Strep a assay w/optic (87880) | $52 | $65 | 3.1× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strep b DNA amp probe (87653) | $180.80 | $226 | 5.2× |
| Surg path level iii (88304) | $115.20 | $144 | 2.1× |
| Surgical pathology level IV (88305) | $128.80 | $161 | 2.4× |
| Surgical pathology level vi (88309) | $1,016.80 | $1,271 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $22.40 | $28 | 4.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $45.60 | $57 | 6.1× |
| T cells absolute cd4 count (86361) | $111.20 | $139 | 4.2× |
| T3 Free (84481) | $111.20 | $139 | 6.6× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $76 | $95 | 5.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$67.20–$72 | $84–$90 | varies |
| T4 total (84436) | $32.80 | $41 | 4.8× |
| Tacrolimus (80197) | $122.40 | $153 | 8.9× |
| Tb ag response t-cell susp (86481) | $306.40 | $383 | 3.1× |
| Test for acetone/ketones (82009) | $27.20 | $34 | 6.0× |
| Testosterone Bioavailable (84410) | $120 | $150 | 2.3× |
| Testosterone total (84403) range across 3 matching MRF lines |
$60.80–$139.20 | $76–$174 | varies |
| Theophylline (80198) | $50.40 | $63 | 3.6× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$146.40 | $57–$183 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$86.40 | $66–$108 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $37.60 | $47 | 3.3× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $93.60 | $117 | 5.8× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $84.80 | $106 | 5.9× |
| Toxoplasma antibody (86777) | $84 | $105 | 5.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $25.60 | $32 | 4.9× |
| Transferrin (84466) | $69.60 | $87 | 5.5× |
| Trichomonas vagin dir probe (87660) | $99.20 | $124 | 4.9× |
| Triglycerides (84478) | $31.20 | $39 | 5.4× |
| Troponin Quant (84484) | $78.40 | $98 | 6.3× |
| Tumor Immunohistochem/Manual (88360) | $206.40 | $258 | 1.2× |
| Urea nitrogen urine (84540) | $25.60 | $32 | 4.6× |
| Uric acid other source (84560) | $24 | $30 | 4.7× |
| Urinalysis Microscopic Only (81015) | $16.80 | $21 | 5.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $9.60 | $12 | 4.4× |
| Urine Albumin Semiquantitative (82044) | $63.20 | $79 | 10.1× |
| Urine Bacteria Culture (87088) | $40.80 | $51 | 5.0× |
| Urine Pregnancy Test (81025) | $33.60 | $42 | 3.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $32 | $40 | 10.1× |
| Valproic acid (80164) range across 2 matching MRF lines |
$37.60–$72.80 | $47–$91 | varies |
| Vancomycin (80202) | $78.40 | $98 | 5.8× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Viral Culture (87252) | $164 | $205 | 6.3× |
| Virus antibody nos (86790) | $32.80 | $41 | 2.5× |
| Virus inoculate tissue addl (87253) | $70.40 | $88 | 3.5× |
| Virus inoculation, shell via (87254) | $112.80 | $141 | 5.8× |
| Viscosity serum (85810) | $70.40 | $88 | 6.0× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$228 | $153–$285 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $81.60 | $102 | 5.4× |
| Vitamin B2 (Riboflavin) (84252) | $66.40 | $83 | 3.3× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin D 25-Hydroxy (82306) | $132 | $165 | 4.5× |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $180.80 | $226 | 13.2× |
| Von willebrand factor ag (85246) | $147.20 | $184 | 6.4× |
| West nile virus ab igm (86788) | $66.40 | $83 | 3.9× |
| West Nile Virus Antibody (86789) | $78.40 | $98 | 5.4× |
| 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.