Lab & pathology prices at Sanford Webster Medical Center
Webster, SD · 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 |
|---|---|---|---|
| Acth (82024) | $386.40 | $483 | 10.0× |
| Acute hepatitis panel (80074) | $344 | $430 | 7.2× |
| Albumin Fluid (82042) | $36 | $45 | 4.6× |
| Albumin serum (82040) range across 2 matching MRF lines |
$67.20–$83.20 | $84–$104 | varies |
| Aldolase (82085) | $88 | $110 | 9.1× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$100.80–$386.40 | $126–$483 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$27.20–$83.20 | $34–$104 | varies |
| Allergen specific igg (86001) | $42.40 | $53 | 5.4× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$92.80–$98.40 | $116–$123 | varies |
| Alpha-Fetoprotein Serum (82105) | $133.60 | $167 | 8.0× |
| Alt (sgpt) (84460) | $68.80 | $86 | 13.0× |
| Aminolevulinic acid (ala) (82135) | $100.80 | $126 | 6.1× |
| Ammonia (82140) | $222.40 | $278 | 15.3× |
| Amylase urine (82150) | $80.80 | $101 | 12.5× |
| Ana Titer (86039) | $60.80 | $76 | 5.4× |
| Anca screen each antibody (86036) | $48.80 | $61 | 4.0× |
| Anca Titer Each Antibody (86037) | $83.20 | $104 | 6.9× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$84.80–$148 | $106–$185 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$39.20–$64.80 | $49–$81 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $30.40 | $38 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $106.40 | $133 | 6.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $113.60 | $142 | 6.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $86.40 | $108 | 5.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $143.20 | $179 | 7.9× |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $75.20 | $94 | 4.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $172 | $215 | 12.0× |
| Antibody Herpes Smplx Type 1 (86695) | $98.40 | $123 | 7.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $113.60 | $142 | 8.3× |
| Antibody HIV-2 (86702) | $74.40 | $93 | 5.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $313.60 | $392 | 16.2× |
| Antibody identification leukocyte antibodies (86021) | $129.60 | $162 | 8.6× |
| Antibody Titer (86886) | $66.40 | $83 | 12.8× |
| Antibody Treponema Pallidum (86780) | $95.20 | $119 | 7.2× |
| Antinuclear antibodies (86038) | $64.80 | $81 | 5.4× |
| Antistreptolysin o titer (86060) | $81.60 | $102 | 11.2× |
| Antithrombin iii activity (85300) | $290.40 | $363 | 24.5× |
| Antithrombin iii antigen (85301) | $350.40 | $438 | 32.4× |
| Arsenic (82175) range across 4 matching MRF lines |
$52.80–$239.20 | $66–$299 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $211.20 | $264 | 13.8× |
| Assay Blood Carbon Dioxide (82374) | $56.80 | $71 | 11.6× |
| Assay Dir Meas Fr Estradiol (82681) | $68 | $85 | 2.4× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$34.40–$197.60 | $43–$247 | varies |
| Assay of 5-hiaa (83497) | $46.40 | $58 | 3.6× |
| Assay of blood/uric acid (84550) | $58.40 | $73 | 12.9× |
| Assay of calcium in urine (82340) | $52.80 | $66 | 8.8× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) | $60 | $75 | 6.5× |
| Assay of lactic acid (83605) | $65.60 | $82 | 5.7× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $58.40 | $73 | 12.3× |
| Assay of sweat sodium (84302) | $44.80 | $56 | 9.2× |
| Assay of Tyrosine (84510) | $38.40 | $48 | 3.6× |
| Assay of urea nitrogen (84520) | $58.40 | $73 | 14.8× |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $200 | $250 | 9.4× |
| Assay Ph Body Fluid Nos (83986) | $48 | $60 | 13.4× |
| Assay spec xcp ur&breath ia (82077) | $98.40 | $123 | 5.7× |
| Automated Leukocyte Count (85048) | $48 | $60 | 18.9× |
| B cells total count (86355) | $150.40 | $188 | 4.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$64–$284.80 | $80–$356 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$207.20–$400.80 | $259–$501 | varies |
| Beta hydroxybutyrate (82010) | $65.60 | $82 | 8.0× |
| Beta Lactamase (87185) | $40.80 | $51 | 8.6× |
| Beta-2 Microglobulin (82232) | $104.80 | $131 | 6.5× |
| Bilirubin direct (82248) | $43.20 | $54 | 8.6× |
| Bilirubin total (82247) | $43.20 | $54 | 8.6× |
| Biotinidase (82261) | $55.20 | $69 | 3.3× |
| Blastomyces antibody (86612) | $74.40 | $93 | 5.8× |
| Blood Count Automated Differential Wbc Count (85004) | $33.60 | $42 | 5.2× |
| Blood Count Red Blood Cell Automated (85041) | $47.20 | $59 | 15.6× |
| Blood count reticulocyte automated (85045) | $52.80 | $66 | 13.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $48 | $60 | 12.6× |
| Blood gas (82803) | $216 | $270 | 8.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$57.60–$76 | $72–$95 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36 | $45 | 8.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $112 | $140 | 6.9× |
| Blood typing serologic abo (86900) | $98.40 | $123 | 32.9× |
| Body fluid cell count (89050) | $60 | $75 | 12.7× |
| Bordetella antibody (86615) | $220 | $275 | 16.7× |
| C diff amplified probe (87493) | $215.20 | $269 | 5.8× |
| C-Peptide (84681) | $101.60 | $127 | 4.9× |
| C-reactive protein (86140) | $53.60 | $67 | 10.3× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $112.80 | $141 | 8.2× |
| Calcium total (82310) | $58.40 | $73 | 11.3× |
| Calculus Spectroscopy (82365) | $144.80 | $181 | 11.2× |
| Calprotectin Fecal (83993) | $255.20 | $319 | 13.0× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Candida Dna Dir Probe (87480) | $90.40 | $113 | 4.5× |
| Carbamazepine total (80156) | $112 | $140 | 7.7× |
| Carboxyhemoglobin (82375) | $131.20 | $164 | 10.6× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$207.20 | $74–$259 | varies |
| Carnitine Quantitative Each Specimen (82379) | $47.20 | $59 | 2.8× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$76.80–$81.60 | $96–$102 | varies |
| Ccp antibody (86200) | $170.40 | $213 | 13.2× |
| Cell count csf (89051) | $56.80 | $71 | 10.1× |
| Cell marker study (88182) | $383.20 | $479 | 7.2× |
| Ceruloplasmin (82390) | $101.60 | $127 | 9.5× |
| Chemiluminescent assay (82397) | $36 | $45 | 2.5× |
| 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–$266.40 | $251–$333 | varies |
| Chloride other source (82438) | $48 | $60 | 9.6× |
| Chloride Serum (82435) | $58.40 | $73 | 12.7× |
| Chloride urine (82436) | $48 | $60 | 8.3× |
| Cholesterol total (82465) | $58.40 | $73 | 13.4× |
| Cholinesterase rbc (82482) | $35.20 | $44 | 3.6× |
| Cholinesterase Serum (82480) | $35.20 | $44 | 4.5× |
| Chorionic gonadotropin test (84702) | $117.60 | $147 | 7.8× |
| 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–$172.80 | $143–$216 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$68.80–$72.80 | $86–$91 | varies |
| Ckmb (82553) | $151.20 | $189 | 13.1× |
| Clostridium Difficile (87324) | $117.60 | $147 | 9.8× |
| Clot Factor VIII Multimetric (85247) | $69.60 | $87 | 3.0× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$61.60–$73.60 | $77–$92 | varies |
| Cold agglutinin titer (86157) | $72 | $90 | 8.9× |
| Column Chromotography Quant (82542) | $74.40 | $93 | 3.1× |
| Compatibility Each Unit Incubation (86921) | $111.20 | $139 | 0.6× |
| Compatibility test antiglob (86922) | $151.20 | $189 | 0.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$68–$76 | $85–$95 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Complement/Function Activity (86161) | $215.20 | $269 | 17.9× |
| Coombs direct (86880) | $60 | $75 | 11.1× |
| Copper urine (82525) range across 3 matching MRF lines |
$46.40–$112 | $58–$140 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$47.20–$296.80 | $59–$371 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$45.60–$227.20 | $57–$284 | varies |
| Creatine kinase total (82550) | $48 | $60 | 7.4× |
| Creatinine blood (82565) | $58.40 | $73 | 11.4× |
| Creatinine clearance (82575) | $71.20 | $89 | 7.5× |
| Creatinine Urine (82570) | $54.40 | $68 | 10.5× |
| Crossmatch immediate spin (86920) | $117.60 | $147 | 0.7× |
| Crp High Sensitivity (86141) | $124 | $155 | 9.6× |
| Cryoglobulin (82595) | $53.60 | $67 | 8.3× |
| Cryptococcus ag titer (87899) range across 5 matching MRF lines |
$104–$124.80 | $130–$156 | varies |
| Cryptosporidium ag eia (87328) | $124 | $155 | 9.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72 | $90 | 8.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $50.40 | $63 | 6.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $92.80 | $116 | 12.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) | $64 | $80 | 5.9× |
| Culture Anaerobic (87075) | $130.40 | $163 | 13.8× |
| Culture blood (87040) | $84 | $105 | 8.1× |
| Culture chlamydia (87110) | $110.40 | $138 | 5.6× |
| Culture csf (87070) range across 3 matching MRF lines |
$60–$81.60 | $75–$102 | varies |
| Culture fungus (87102) | $96 | $120 | 11.4× |
| Culture fungus blood (87103) | $96 | $120 | 4.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$51.20–$68 | $64–$85 | varies |
| Culture stool (87045) | $56.80 | $71 | 6.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $40.80 | $51 | 7.9× |
| Culture urine (87086) | $74.40 | $93 | 9.2× |
| Cyclosporine (80158) | $186.40 | $233 | 10.3× |
| Cystatin C (82610) | $160 | $200 | 8.6× |
| 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) | $113.60 | $142 | 7.9× |
| Cytopath Cell Enhance Tech (88112) | $130.40 | $163 | 2.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $91.20 | $114 | 3.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $237.60 | $297 | 4.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $140.80 | $176 | 3.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $356 | $445 | 2.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $116 | $145 | 3.9× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$86.40–$175.20 | $108–$219 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$103.20–$275.20 | $129–$344 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$218.40–$329.60 | $273–$412 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$44.80–$54.40 | $56–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $145.60 | $182 | 6.5× |
| Digoxin (80162) | $121.60 | $152 | 9.2× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$126.40–$144 | $158–$180 | varies |
| Dna Antibody Native/Double Stranded (86225) | $81.60 | $102 | 5.9× |
| DNA/RNA direct probe (87149) | $69.60 | $87 | 3.5× |
| Drug assay acetaminophen (80143) | $50.40 | $63 | 2.7× |
| 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) | $104 | $130 | 7.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $175.20 | $219 | 13.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$155.20–$230.40 | $194–$288 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $71.20 | $89 | 5.7× |
| El-1 Fecal Quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $81.60 | $102 | 11.6× |
| Enterovirus Antibody (86658) | $80.80 | $101 | 6.2× |
| Eosinophil Smear (89190) | $43.20 | $54 | 7.5× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$69.60–$258.40 | $87–$323 | varies |
| Estriol (82677) | $174.40 | $218 | 7.2× |
| Estrogen total (82672) | $269.60 | $337 | 12.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$39.20–$86.40 | $49–$108 | varies |
| Exam Synovial Fluid Crystals (89060) | $44 | $55 | 6.0× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor ix activity (85250) | $234.40 | $293 | 12.3× |
| Factor v activity (85220) range across 2 matching MRF lines |
$28–$267.20 | $35–$334 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$236 | $240–$295 | varies |
| Factor viii assay (85240) | $234.40 | $293 | 13.1× |
| Fat stain feces urine/respir secretions (89125) | $44.80 | $56 | 7.6× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Ferritin (82728) | $107.20 | $134 | 7.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal screen rosette (85461) | $154.40 | $193 | 16.5× |
| Fibrin Degradation Quant (85379) | $123.20 | $154 | 12.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $150.40 | $188 | 15.5× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Flow cytometry first marker (88184) | $180.80 | $226 | 0.5× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$45.60–$156.80 | $57–$196 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $148 | $185 | 12.3× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) | $179.20 | $224 | 10.2× |
| Folic Acid Serum (82746) | $104.80 | $131 | 7.1× |
| Follicle Stimulating Hormone (83001) | $140 | $175 | 7.5× |
| Frozen Section (88331) | $98.40 | $123 | 0.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$71.20–$78.40 | $89–$98 | varies |
| Fungi Identification Yeast (87106) | $72 | $90 | 7.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $71.20 | $89 | 3.4× |
| Gammaglobulin ige (82785) | $106.40 | $133 | 6.5× |
| Gardner vag DNA dir probe (87510) | $90.40 | $113 | 4.5× |
| Gases blood ph only (82800) | $216.80 | $271 | 19.7× |
| 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) | $128.80 | $161 | 7.9× |
| Ggt (82977) | $72 | $90 | 10.0× |
| Giardia antigen (87329) | $138.40 | $173 | 11.6× |
| Glucose 2 hr pp (82950) | $65.60 | $82 | 13.8× |
| Glucose body fluid (82945) | $58.40 | $73 | 14.9× |
| Glucose Serum (82947) | $58.40 | $73 | 14.9× |
| Glucose tolerance test (gtt) (82951) | $105.60 | $132 | 8.2× |
| Gonadotropin Chorionic Qualitative (84703) | $66.40 | $83 | 8.8× |
| Gtt-added samples (82952) | $48.80 | $61 | 12.4× |
| H Pylori (C-13) Breath (83013) | $272.80 | $341 | 4.0× |
| Haptoglobin (83010) | $131.20 | $164 | 10.4× |
| Hdl Cholesterol (83718) | $79.20 | $99 | 9.7× |
| Helicobacter Pylori Stool (87338) | $191.20 | $239 | 13.3× |
| Hematocrit (85014) | $48 | $60 | 20.3× |
| Hemoglobin (85018) | $47.20 | $59 | 19.9× |
| Hemoglobin a1c (83036) | $79.20 | $99 | 8.2× |
| Hemoglobin electrophoresis (83020) | $175.20 | $219 | 13.6× |
| Hep a ab igm (86709) | $84 | $105 | 7.5× |
| Heparin assay (85520) | $170.40 | $213 | 13.0× |
| Hepatitis a antibody total (86708) | $92 | $115 | 7.4× |
| Hepatitis b core ab igm (86705) | $158.40 | $198 | 13.5× |
| Hepatitis b core ab total (86704) | $92 | $115 | 7.6× |
| Hepatitis B Surface Antibody (86706) | $92 | $115 | 8.6× |
| Hepatitis B Surface Antigen (87340) | $100 | $125 | 9.7× |
| Hepatitis C Antibody (86803) | $124.80 | $156 | 8.7× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $119.20 | $149 | 2.8× |
| Hepatitis Delta Agent Antibody (86692) | $71.20 | $89 | 4.1× |
| Herpes simplex type 2 (86696) | $98.40 | $123 | 5.1× |
| Heterophile Antibody Screen (86308) | $79.20 | $99 | 15.3× |
| Histamine urine (83088) range across 2 matching MRF lines |
$78.40–$127.20 | $98–$159 | varies |
| Histoplasma antibody (86698) | $64.80 | $81 | 4.7× |
| Hiv Genotype (87901) | $950.40 | $1,188 | 3.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $98.40 | $123 | 4.1× |
| Hiv-1 Antibody (86701) | $57.60 | $72 | 6.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $476 | $595 | 5.6× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$184.80–$200 | $231–$250 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $90.40 | $113 | 1.3× |
| Hsv Dna Amp Probe (87529) | $304 | $380 | 8.7× |
| Htlv-I Antibody (86687) | $78.40 | $98 | 8.6× |
| Hydroxyprogesterone 17-d (83498) | $30.40 | $38 | 1.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $84.80 | $106 | 8.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $103.20 | $129 | 8.6× |
| Iaadi inffluenza a virus (87276) | $89.60 | $112 | 5.6× |
| Iaadi not otherwise specified each organism (87299) | $48.80 | $61 | 3.0× |
| Iaadi parainfluenza virus each type (87279) | $45.60 | $57 | 2.8× |
| Iaadi respiratory synctial virus (87280) | $36.80 | $46 | 2.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $78.40 | $98 | 3.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $86.40 | $108 | 2.5× |
| Iadna Cytomegalovirus Quantification (87497) | $487.20 | $609 | 11.4× |
| 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) | $356 | $445 | 10.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$100.80 | $108–$126 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $149.60 | $187 | 2.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $696.80 | $871 | 2.6× |
| Ig Light Chains Free Each (83521) | $60 | $75 | 3.5× |
| Igg subclasses (82787) | $58.40 | $73 | 7.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$176–$209.60 | $220–$262 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$57.60–$348 | $72–$435 | varies |
| Immunoassay infectious agent (86318) | $66.40 | $83 | 3.7× |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$48.80–$188 | $61–$235 | varies |
| Immunodiffusion Ouchterlony (86331) | $30.40 | $38 | 2.5× |
| Immunofixation electrophoresis (86334) | $171.20 | $214 | 7.7× |
| Immunohistochemistry (88342) | $156.80 | $196 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $352.80 | $441 | 2.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $48 | $60 | 3.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$60.80–$89.60 | $76–$112 | varies |
| Influenza a/b ag eia (87400) | $64 | $80 | 4.5× |
| Influenza assay w/optic (87804) | $49.60 | $62 | 3.0× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 3 matching MRF lines |
$29.60–$223.20 | $37–$279 | varies |
| Insulin total (83525) | $119.20 | $149 | 10.4× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $65.60 | $82 | 10.1× |
| Iron Binding Capacity (83550) | $46.40 | $58 | 5.3× |
| Islet cell antibody (86341) | $55.20 | $69 | 2.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $64 | $80 | 15.0× |
| Lactate (ld) (ldh) enzyme (83615) | $58.40 | $73 | 9.7× |
| Ldh Isoenzymes (83625) | $107.20 | $134 | 8.4× |
| LDL direct (83721) | $57.60 | $72 | 5.5× |
| Lead (83655) range across 4 matching MRF lines |
$29.60–$116 | $37–$145 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$156.80–$168.80 | $196–$211 | varies |
| Legionella antigen urine (87449) | $30.40 | $38 | 2.5× |
| Leukocyte Assessment Fecal (89055) | $41.60 | $52 | 9.7× |
| Leukocyte Histamine Release (86343) | $100 | $125 | 8.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $44.80 | $56 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $90.40 | $113 | 2.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $588 | $735 | 1.6× |
| Lipase (83690) | $88 | $110 | 12.8× |
| Lithium (80178) | $60 | $75 | 9.1× |
| Luteinizing Hormone (Lh) (83002) | $146.40 | $183 | 7.9× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$145.60–$164 | $182–$205 | varies |
| Lysozyme serum (85549) | $56.80 | $71 | 3.0× |
| Macroscopic exam arthropod (87168) | $52.80 | $66 | 12.4× |
| Magnesium Urine (83735) | $79.20 | $99 | 11.8× |
| Mass Spectrometry Quant (83789) | $104 | $130 | 4.3× |
| Mercury urine (83825) range across 2 matching MRF lines |
$55.20–$120 | $69–$150 | varies |
| Methylmalonic acid serum (83921) | $99.20 | $124 | 4.7× |
| Microalbumin, quantitative (82043) | $96.80 | $121 | 16.7× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$128.80–$172 | $161–$215 | 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× |
| Mrsa Pcr (87641) | $99.20 | $124 | 2.8× |
| Mumps antibody (86735) | $149.60 | $187 | 11.5× |
| Mycobacteric Identification (87118) | $66.40 | $83 | 4.5× |
| Mycoplasma antibody (86738) | $98.40 | $123 | 7.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$179.20–$217.60 | $224–$272 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$202.40 | $118–$253 | varies |
| Neisseria Dir Na Probe (87590) | $84.80 | $106 | 3.2× |
| Neutralization Test Viral (86382) | $115.20 | $144 | 6.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $172 | $215 | 1.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $146.40 | $183 | 3.9× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$52–$56.80 | $65–$71 | varies |
| Occult blood feces (82272) | $40.80 | $51 | 9.6× |
| Occult Blood Other Sources (82271) | $40.80 | $51 | 7.7× |
| Osmolality serum (83930) | $65.60 | $82 | 9.9× |
| Osmolality Urine (83935) | $68 | $85 | 10.0× |
| Ova and parasites smears (87177) | $88 | $110 | 9.9× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$57.60–$143.20 | $72–$179 | varies |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $103.20 | $129 | 0.1× |
| Ph urine (81003) | $41.60 | $52 | 18.5× |
| Phenobarbital Level (80184) | $80.80 | $101 | 5.3× |
| Phenylalanine (84030) | $70.40 | $88 | 12.8× |
| Phenytoin (Dilantin) (80185) | $109.60 | $137 | 8.3× |
| Phosphatase acid prostatic (84066) | $116.80 | $146 | 12.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$64 | $36–$80 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $126.40 | $158 | 7.0× |
| Phosphorus Serum (84100) | $58.40 | $73 | 12.3× |
| Phosphorus urine (84105) | $37.60 | $47 | 6.5× |
| Platelet count automated (85049) | $48 | $60 | 10.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$38.40–$44 | $48–$55 | varies |
| Prealbumin (84134) | $108.80 | $136 | 7.5× |
| Procalcitonin (Pct) (84145) | $204.80 | $256 | 7.5× |
| Progesterone (84144) | $124.80 | $156 | 6.0× |
| Prolactin (84146) | $177.60 | $222 | 9.2× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$48.80–$61.60 | $61–$77 | varies |
| Protein C Activity (85303) | $304 | $380 | 22.0× |
| Protein Electrophoresis Urine (84166) | $85.60 | $107 | 4.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $84 | $105 | 7.8× |
| Protein S Free (85306) | $139.20 | $174 | 9.1× |
| Protein total serum (84155) | $58.40 | $73 | 15.9× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$50.40–$68.80 | $63–$86 | varies |
| PSA free (84154) | $142.40 | $178 | 7.7× |
| Pth Intact (83970) | $153.60 | $192 | 3.7× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$171.20–$192.80 | $214–$241 | varies |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$68.80–$277.60 | $86–$347 | varies |
| Rbc antibody identification (86870) | $230.40 | $288 | 0.6× |
| Rbc antibody screen (86850) | $72 | $90 | 7.4× |
| Renin activity plasma (84244) | $51.20 | $64 | 2.3× |
| Reticulocyte Count (85046) | $52.80 | $66 | 9.5× |
| Rh (86901) | $92.80 | $116 | 31.0× |
| Rheumatoid Factor Qualitative (86430) | $97.60 | $122 | 15.9× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$37.60–$54.40 | $47–$68 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Ristocetin cofactor (85245) | $228 | $285 | 9.9× |
| Rotavirus ag eia (87425) | $87.20 | $109 | 7.3× |
| Rpr qualitative (86592) | $95.20 | $119 | 22.3× |
| Rsv Assay W/Optic (87807) | $91.20 | $114 | 7.0× |
| Rubella Antibody (86762) | $75.20 | $94 | 5.2× |
| Rubeola antibody (86765) | $149.60 | $187 | 11.6× |
| Russell Viper Venom Time Diluted (85613) | $105.60 | $132 | 11.0× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $60.80 | $76 | 3.3× |
| 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× |
| Sedimentation Rate, Automated (85652) | $59.20 | $74 | 21.9× |
| Semen Anal Sperm Detection (89321) | $81.60 | $102 | 6.8× |
| Sensitivity mic (87186) | $72.80 | $91 | 8.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$51.20–$169.60 | $64–$212 | varies |
| Sickling of rbc reduction (85660) | $80.80 | $101 | 14.7× |
| Smear acid fast (87206) | $52 | $65 | 9.6× |
| Smear complex stain (87209) | $65.60 | $82 | 3.6× |
| Smear gram stain (87205) | $38.40 | $48 | 9.0× |
| Smear Special Stain (87207) | $78.40 | $98 | 13.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $60 | $75 | 10.3× |
| Sodium Serum (84295) | $58.40 | $73 | 12.1× |
| Sodium Urine (84300) | $36.80 | $46 | 7.3× |
| Soluble Transferrin Receptor (84238) | $261.60 | $327 | 7.2× |
| Somatomedin (84305) range across 3 matching MRF lines |
$51.20–$323.20 | $64–$404 | varies |
| Special Stains Group 1 (88312) | $225.60 | $282 | 4.2× |
| Special Stains Group 2 (88313) | $172.80 | $216 | 1.3× |
| Specimen infect agnt concntj (87015) | $46.40 | $58 | 6.9× |
| Spectrophotometry (84311) | $64.80 | $81 | 8.0× |
| Stool cultr aerobic bact ea (87046) | $55.20 | $69 | 5.8× |
| Strep a assay w/optic (87880) | $72 | $90 | 4.4× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$105.60–$112 | $132–$140 | varies |
| Sugars Single Qual (84376) | $34.40 | $43 | 6.3× |
| Sulfate urine (84392) | $56.80 | $71 | 10.3× |
| Surg path level iii (88304) | $108.80 | $136 | 2.0× |
| Surgical pathology level IV (88305) | $123.20 | $154 | 2.3× |
| Surgical pathology level vi (88309) | $829.60 | $1,037 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $38.40 | $48 | 8.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $61.60 | $77 | 8.2× |
| T cells absolute cd4 count (86361) | $190.40 | $238 | 7.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $159.20 | $199 | 3.4× |
| T cells total count (86359) | $159.20 | $199 | 4.2× |
| T3 Free (84481) | $284 | $355 | 16.8× |
| T3 reverse (84482) | $208.80 | $261 | 13.2× |
| T3 Total (84480) | $121.60 | $152 | 8.6× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) | $101.60 | $127 | 11.3× |
| T4 total (84436) | $92.80 | $116 | 13.5× |
| Tacrolimus (80197) | $265.60 | $332 | 19.3× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$102.40–$274.40 | $128–$343 | varies |
| Testosterone Bioavailable (84410) | $120 | $150 | 2.3× |
| Testosterone total (84403) range across 4 matching MRF lines |
$60.80–$188 | $76–$235 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Tetanus antibody (86774) | $136.80 | $171 | 9.2× |
| Theophylline (80198) | $88 | $110 | 6.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $105.60 | $132 | 16.3× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$45.60–$96 | $57–$120 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$52.80–$85.60 | $66–$107 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $52.80 | $66 | 4.6× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $88 | $110 | 5.5× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $172.80 | $216 | 12.0× |
| Toxoplasma antibody (86777) | $148.80 | $186 | 10.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $58.40 | $73 | 11.3× |
| Transferrin (84466) | $105.60 | $132 | 8.3× |
| Trichomonas vagin dir probe (87660) | $90.40 | $113 | 4.5× |
| Triglycerides (84478) | $58.40 | $73 | 10.2× |
| Troponin Quant (84484) | $174.40 | $218 | 14.0× |
| Tumor Immunohistochem/Manual (88360) | $186.40 | $233 | 1.1× |
| Urea nitrogen urine (84540) | $56.80 | $71 | 10.2× |
| Uric acid other source (84560) | $59.20 | $74 | 11.7× |
| Urinalysis Microscopic Only (81015) | $36 | $45 | 11.8× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $68 | $85 | 31.3× |
| Urine Albumin Semiquantitative (82044) | $80.80 | $101 | 13.0× |
| Urine Bacteria Culture (87088) | $58.40 | $73 | 7.2× |
| Urine Pregnancy Test (81025) | $66.40 | $83 | 7.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $52 | $65 | 16.4× |
| Valproic acid (80164) | $121.60 | $152 | 9.0× |
| Vancomycin (80202) | $100.80 | $126 | 7.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Viral Culture (87252) | $177.60 | $222 | 6.8× |
| Virus antibody nos (86790) | $36 | $45 | 2.8× |
| Virus inoculate tissue addl (87253) | $153.60 | $192 | 7.6× |
| Viscosity serum (85810) | $160 | $200 | 13.7× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$275.20 | $153–$344 | varies |
| Vitamin A (84590) | $169.60 | $212 | 14.6× |
| Vitamin b-12 (82607) | $108 | $135 | 7.2× |
| Vitamin B6 (84207) | $137.60 | $172 | 4.9× |
| Vitamin c (82180) | $200 | $250 | 20.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$96.80–$132 | $121–$165 | varies |
| Vitamin E (84446) | $138.40 | $173 | 9.8× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Von willebrand factor ag (85246) | $208 | $260 | 9.1× |
| West nile virus ab igm (86788) | $85.60 | $107 | 5.1× |
| West Nile Virus Antibody (86789) | $85.60 | $107 | 5.9× |
| 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.