Lab & pathology prices at Sarah Bush Lincoln Fayette County Hospital
Vandalia, IL · every code in this section with a posted price and a Medicare benchmark.
515 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $225 | $225 | 20.2× |
| Acth (82024) | $483 | $483 | 12.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $761 | $761 | 23.3× |
| Acute hepatitis panel (80074) | $680 | $680 | 14.3× |
| Adenovirus antibody (86603) | $179 | $179 | 13.9× |
| Agglutinins Febrile Each Antigen (86000) | $361.50 | $361.50 | 51.8× |
| Albumin Fluid (82042) | $44 | $44 | 5.7× |
| Albumin serum (82040) | $105 | $105 | 21.2× |
| Aldolase (82085) | $179 | $179 | 18.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$292–$415 | $292–$415 | varies |
| Alkaline phosphatase isoenzymes (84080) | $188 | $188 | 12.7× |
| Allergen specific ige (86003) range across 11 matching MRF lines |
$21–$222 | $21–$222 | varies |
| Allergen specific igg (86001) | $83 | $83 | 10.6× |
| Alpha-1-antitrypsin phenotype (82104) | $70 | $70 | 4.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$70–$360 | $70–$360 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$234–$383 | $234–$383 | varies |
| Alt (sgpt) (84460) | $251 | $251 | 47.4× |
| Aluminum (82108) | $98 | $98 | 3.8× |
| Amikacin trough (80150) | $219 | $219 | 14.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $136 | $136 | 5.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$35–$313 | $35–$313 | varies |
| Amylase urine (82150) | $169 | $169 | 26.1× |
| Androstenedione (82157) | $361 | $361 | 12.3× |
| Angiotensin converting enzyme csf (82164) | $164 | $164 | 11.2× |
| Anti-Phospholipid Antibody (86148) | $153.10 | $153.10 | 9.5× |
| Antibody aspergillus (86606) | $64 | $64 | 4.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $113 | $113 | 8.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $282 | $282 | 18.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $246 | $246 | 14.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $275 | $275 | 21.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $275 | $275 | 18.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$85–$247 | $85–$247 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $318 | $318 | 26.0× |
| Antibody haemophilus influenza (86684) | $363 | $363 | 22.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $114 | $114 | 7.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$136–$237 | $136–$237 | varies |
| Antibody leishmania (86717) | $284 | $284 | 23.2× |
| Antibody Protozoa Nes (86753) | $226 | $226 | 18.2× |
| Antibody Titer (86886) | $197 | $197 | 38.0× |
| Antigen typing (86905) | $149 | $149 | 38.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $168 | $168 | 29.4× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$90–$267 | $90–$267 | varies |
| Antistreptolysin o titer (86060) | $227 | $227 | 31.1× |
| Antithrombin iii activity (85300) | $253 | $253 | 21.4× |
| Apolipoprotein a1 (82172) | $83.10 | $83.10 | 3.9× |
| Arsenic (82175) range across 2 matching MRF lines |
$155–$189 | $155–$189 | varies |
| Assay activated protein c (85307) | $226 | $226 | 14.8× |
| Assay Blood Carbon Dioxide (82374) | $64 | $64 | 13.1× |
| Assay of 5-hiaa (83497) | $308 | $308 | 23.9× |
| Assay of b-hexosaminidase each assay (83080) | $471.50 | $471.50 | 27.9× |
| Assay of blood/uric acid (84550) | $122 | $122 | 27.0× |
| Assay of calcium in urine (82340) | $189 | $189 | 31.3× |
| Assay of cpk in blood (82552) | $312 | $312 | 23.3× |
| Assay of estrone (82679) | $309 | $309 | 12.4× |
| Assay of g6pd enzyme (82955) | $132 | $132 | 13.6× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$59–$201 | $59–$201 | varies |
| Assay of lactic acid (83605) | $468 | $468 | 40.4× |
| Assay of manganese (83785) | $551 | $551 | 20.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$240–$404 | $240–$404 | varies |
| Assay of proinsulin (84206) | $327 | $327 | 12.3× |
| Assay of serotonin (84260) | $289 | $289 | 9.3× |
| Assay of serum potassium (84132) | $85 | $85 | 17.9× |
| Assay of Sialic Acid (84275) | $164.50 | $164.50 | 12.2× |
| Assay of transcortin (84449) | $415.50 | $415.50 | 23.1× |
| Assay of urea nitrogen (84520) | $91 | $91 | 23.0× |
| Assay of urine vma (84585) | $222 | $222 | 14.3× |
| Assay of vitamin b-1 (84425) | $218 | $218 | 10.3× |
| Assay Ph Body Fluid Nos (83986) | $71 | $71 | 19.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$37–$57 | $37–$57 | varies |
| Bacterial antigens 87802 (87802) | $130.50 | $130.50 | 10.3× |
| Bartonella antibody (86611) | $433 | $433 | 42.5× |
| Bcr/abl1 gene major bp (81206) | $924 | $924 | 5.6× |
| Bcr/abl1 gene minor bp (81207) | $820 | $820 | 5.7× |
| Beta 2 glycoprotein i antibody each (86146) | $216 | $216 | 8.5× |
| Beta-2 Microglobulin (82232) | $166 | $166 | 10.3× |
| Bile acids total (82239) | $91 | $91 | 5.3× |
| Bilirubin direct (82248) | $103 | $103 | 20.5× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$116–$244 | $116–$244 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $158 | $158 | 20.4× |
| Blood count reticulocyte automated (85045) | $142 | $142 | 35.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $35 | $35 | 9.2× |
| Blood gases w/02 saturation (82805) | $364 | $364 | 4.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $113 | $113 | 7.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$17.10–$75 | $17.10–$75 | varies |
| Blood Sulfhemoglobin Assay (83060) | $232.50 | $232.50 | 26.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $220 | $220 | 34.6× |
| Blood typing serologic abo (86900) | $130 | $130 | 43.5× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$80–$256 | $80–$256 | varies |
| Breath Alcohol Test (82075) range across 3 matching MRF lines |
$32–$81 | $32–$81 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$306–$527.60 | $306–$527.60 | varies |
| C-Peptide (84681) | $184 | $184 | 8.8× |
| C-reactive protein (86140) | $179 | $179 | 34.6× |
| Ca 19-9 (86301) | $246 | $246 | 11.8× |
| Cadmium (82300) | $200 | $200 | 8.5× |
| Calcitonin (82308) | $183 | $183 | 6.8× |
| Calcium ionized (82330) | $161 | $161 | 11.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$113–$134 | $113–$134 | varies |
| Calculus assay quant (82360) | $267 | $267 | 20.7× |
| Cancer Antigen 125 (86304) | $289 | $289 | 13.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$289–$298 | $289–$298 | varies |
| Carbamazepine free (80157) | $480 | $480 | 36.2× |
| Carbamazepine total (80156) | $260 | $260 | 17.8× |
| Carboxyhemoglobin (82375) | $270 | $270 | 21.9× |
| Carcinoembryonic antigen (82378) | $385 | $385 | 20.3× |
| Cardiolipin ab iga (86147) | $730 | $730 | 28.7× |
| Carnitine Quantitative Each Specimen (82379) | $152 | $152 | 9.0× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$193–$391 | $193–$391 | varies |
| Ccp antibody (86200) | $516 | $516 | 39.8× |
| Cell count csf (89051) | $168 | $168 | 30.0× |
| Ceruloplasmin (82390) | $194 | $194 | 18.1× |
| Cftr gene com variants (81220) | $699 | $699 | 1.3× |
| Chemiluminescent assay (82397) | $646 | $646 | 45.8× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$91–$324.20 | $91–$324.20 | varies |
| Chloride other source (82438) | $115 | $115 | 23.0× |
| Chloride Serum (82435) | $79 | $79 | 17.2× |
| Cholesterol total (82465) | $106 | $106 | 24.4× |
| Chorionic gonadotropin test (84702) | $312 | $312 | 20.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $348.50 | $348.50 | 10.1× |
| Chromium serum (82495) | $201 | $201 | 9.9× |
| Chromogenic Substrate Assay (85130) | $768 | $768 | 64.6× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$228–$346 | $228–$346 | varies |
| Chromosome Analysis 15-20 (88262) | $445 | $445 | 3.5× |
| Chromosome Analysis 20-25 (88264) | $964 | $964 | 6.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $350 | $350 | 10.0× |
| Citric acid urine (82507) | $176 | $176 | 6.3× |
| Ckmb (82553) | $238 | $238 | 20.6× |
| Clotting factor xii hageman (85280) | $324 | $324 | 16.7× |
| Coccidioides antibody (86635) | $192 | $192 | 16.7× |
| Cold agglutinin titer (86157) | $155 | $155 | 19.2× |
| Collagen crosslinks (82523) | $366 | $366 | 19.6× |
| Compatibility test antiglob (86922) | $338 | $338 | 1.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$42–$289 | $42–$289 | varies |
| Complement Total (Ch50) (86162) | $257 | $257 | 12.6× |
| Complement/Function Activity (86161) | $619 | $619 | 51.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $167 | $167 | 3.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $167 | $167 | 4.2× |
| Coombs direct (86880) | $139 | $139 | 25.8× |
| Copper urine (82525) range across 2 matching MRF lines |
$173–$209 | $173–$209 | varies |
| Cortisol free (82530) | $363 | $363 | 21.7× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$37–$276 | $37–$276 | varies |
| Creatine (82540) | $124 | $124 | 26.7× |
| Creatine kinase total (82550) | $176 | $176 | 27.0× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$31–$94 | $31–$94 | varies |
| Creatinine clearance (82575) | $230 | $230 | 24.3× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$13.50–$188 | $13.50–$188 | varies |
| Crp High Sensitivity (86141) | $151 | $151 | 11.7× |
| Cryofibrinogen (82585) | $129 | $129 | 9.1× |
| Cryoglobulin (82595) | $141 | $141 | 21.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$92–$167 | $92–$167 | varies |
| Cryptosporidium ag eia (87328) | $205 | $205 | 14.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $623 | $623 | 77.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $995 | $995 | 4.6× |
| Culture afb (87116) | $343 | $343 | 31.8× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$50.30–$256 | $50.30–$256 | varies |
| Culture blood (87040) | $294 | $294 | 28.5× |
| Culture chlamydia (87110) | $65.50 | $65.50 | 3.3× |
| Culture csf (87070) range across 2 matching MRF lines |
$131–$243 | $131–$243 | varies |
| Culture fungus (87102) | $248 | $248 | 29.5× |
| Culture screen only (87081) | $151 | $151 | 22.8× |
| Culture stool (87045) | $211 | $211 | 22.4× |
| Culture urine (87086) | $118 | $118 | 14.6× |
| Cyclosporine (80158) | $262 | $262 | 14.5× |
| Cystatin C (82610) | $323 | $323 | 17.4× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$158–$202 | $158–$202 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$77–$87 | $77–$87 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$188–$262 | $188–$262 | varies |
| Cytopath Fl Nongyn Filter (88106) | $67.50 | $67.50 | 2.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $146 | $146 | 5.5× |
| Cytp Concentration Smears & Interpretation (88108) | $172 | $172 | 4.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $293 | $293 | 5.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $168 | $168 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $167 | $167 | 4.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $232.50 | $232.50 | 12.5× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $158 | $158 | 2.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $130 | $130 | 4.2× |
| Deoxyribonuclease antibody (86215) | $113 | $113 | 8.5× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$268–$891 | $268–$891 | varies |
| Detect Agent Nos Dna Quant (87799) | $903 | $903 | 21.1× |
| Dhea (82626) | $215 | $215 | 8.5× |
| Dhea-S (82627) range across 2 matching MRF lines |
$323–$356 | $323–$356 | varies |
| Digoxin (80162) | $217 | $217 | 16.3× |
| Dihydrotestosterone (82642) | $264 | $264 | 9.0× |
| Dipropylacetic Acid Free (80165) | $425 | $425 | 31.4× |
| Dna Antibody Native/Double Stranded (86225) | $264 | $264 | 19.2× |
| Drug Screen Quant Clozapine (80159) | $85 | $85 | 4.2× |
| Drug Screen Quant Zonisamide (80203) | $273 | $273 | 20.6× |
| Drug Screen Quantitative Gabapentin (80171) | $187 | $187 | 8.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $321 | $321 | 24.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $321 | $321 | 24.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $87 | $87 | 6.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$39–$518 | $39–$518 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $56 | $56 | 4.4× |
| Ehrlichia antibody (86666) | $427 | $427 | 41.9× |
| Electrolyte panel (80051) | $218 | $218 | 31.1× |
| Erythropoietin (82668) | $161 | $161 | 8.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$208–$440 | $208–$440 | varies |
| Estriol (82677) | $189 | $189 | 7.8× |
| Estrogen total (82672) | $906 | $906 | 41.8× |
| Ethylene Glycol (82693) | $325 | $325 | 21.8× |
| Exam Synovial Fluid Crystals (89060) | $134 | $134 | 18.3× |
| F2 Gene (81240) | $537 | $537 | 8.2× |
| Factor ii activity (85210) | $434 | $434 | 33.4× |
| Factor ix activity (85250) | $475 | $475 | 24.9× |
| Factor v activity (85220) | $309 | $309 | 17.5× |
| Factor v leiden mutation (81241) | $484 | $484 | 6.6× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$407–$436 | $407–$436 | varies |
| Factor viii assay (85240) | $562 | $562 | 31.4× |
| Factor X (85260) | $311 | $311 | 17.4× |
| Fat/Lipids Feces Quantitative (82710) | $117 | $117 | 7.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $239 | $239 | 13.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $127 | $127 | 19.4× |
| Fecal Fat Qualitative (82705) | $181 | $181 | 35.5× |
| Ferritin (82728) | $308 | $308 | 22.6× |
| Fibrin degradation products (85362) | $224 | $224 | 32.5× |
| Fibrin Degradation Quant (85379) | $298 | $298 | 29.3× |
| Fibrinogen activity (85384) | $176 | $176 | 18.1× |
| Fibrinogen antigen (85385) | $206 | $206 | 14.2× |
| Flow cytometry first marker (88184) | $362 | $362 | 0.9× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$120–$265 | $120–$265 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$177–$505 | $177–$505 | varies |
| Fmr1 gene detection (81243) | $1,127.50 | $1,127.50 | 19.8× |
| Folic acid rbc (82747) | $222 | $222 | 12.6× |
| Folic Acid Serum (82746) | $316 | $316 | 21.5× |
| Follicle Stimulating Hormone (83001) | $374 | $374 | 20.1× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$391–$518 | $391–$518 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $197 | $197 | 1.1× |
| Frozen Section (88331) | $161 | $161 | 0.9× |
| Fungi Identification Yeast (87106) | $119 | $119 | 11.5× |
| Gammaglobulin ige (82785) | $193 | $193 | 11.7× |
| Gastrin (82941) | $161 | $161 | 9.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,036 | $1,036 | 2.5× |
| Genet Virus Isolate Hsv (87255) | $166 | $166 | 4.9× |
| Gentamicin (80170) | $314 | $314 | 19.2× |
| Giardia antigen (87329) | $162 | $162 | 13.5× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$107.90–$177 | $107.90–$177 | varies |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$15–$31 | $15–$31 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$91–$122 | $91–$122 | varies |
| Glucose Serum (82947) | $106 | $106 | 27.0× |
| Glucose tolerance test (gtt) (82951) | $312 | $312 | 24.2× |
| Glycated Protein (82985) | $129 | $129 | 7.7× |
| Gonadotropin Chorionic Qualitative (84703) | $167 | $167 | 22.2× |
| Gonadotropin releasing hormone (83727) | $960 | $960 | 55.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$153–$351 | $153–$351 | varies |
| Gtt-added samples (82952) | $105 | $105 | 26.8× |
| H Pylori (C-13) Breath (83013) | $457 | $457 | 6.8× |
| Hdl Cholesterol (83718) | $145 | $145 | 17.7× |
| Helicobacter Pylori Stool (87338) | $208 | $208 | 14.5× |
| Helminth Antibody (86682) | $267 | $267 | 20.5× |
| Hematocrit (85014) | $78 | $78 | 32.9× |
| Hemoglobin (85018) | $78 | $78 | 32.9× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$166–$220 | $166–$220 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$48–$297 | $48–$297 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $209 | $209 | 25.5× |
| Hep a ab igm (86709) | $118 | $118 | 10.5× |
| Heparin assay (85520) | $312 | $312 | 23.8× |
| Hepatitis a antibody total (86708) | $264 | $264 | 21.3× |
| Hepatitis b core ab igm (86705) | $174 | $174 | 14.8× |
| Hepatitis b core ab total (86704) | $293 | $293 | 24.3× |
| Hepatitis B Surface Antibody (86706) | $199 | $199 | 18.5× |
| Hepatitis B Surface Antigen (87340) | $266 | $266 | 25.8× |
| Hepatitis Be Antibody (86707) | $348 | $348 | 30.1× |
| Hepatitis Be Antigen (87350) | $180 | $180 | 15.6× |
| Hepatitis C Antibody (86803) | $300 | $300 | 21.0× |
| Hepatitis c antibody confirmatory test (86804) | $344 | $344 | 22.2× |
| Hepatitis C Genotype (87902) | $1,266 | $1,266 | 4.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$560–$603 | $560–$603 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$630–$652 | $630–$652 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$136–$153 | $136–$153 | varies |
| Heterophile Antibody Screen (86308) | $161 | $161 | 31.1× |
| Hfe Gene (81256) | $464 | $464 | 7.1× |
| Histamine urine (83088) range across 2 matching MRF lines |
$410–$411 | $410–$411 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$37–$244 | $37–$244 | varies |
| Histoplasma antigen urine (87385) | $537 | $537 | 40.5× |
| Hiv Genotype (87901) | $752 | $752 | 2.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$65–$218 | $65–$218 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $432 | $432 | 5.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $209 | $209 | 2.8× |
| Homocysteine (83090) | $522 | $522 | 29.1× |
| Hpv High-Risk Types (87624) | $103 | $103 | 2.9× |
| Hsv Dna Amp Probe (87529) | $479 | $479 | 13.7× |
| Htlv-I Antibody (86687) | $330 | $330 | 36.3× |
| Htlv-ii antibody (86688) | $250.50 | $250.50 | 17.9× |
| Human Epididymis Protein 4 (86305) | $856 | $856 | 41.1× |
| Hydroxyprogesterone 17-d (83498) | $208 | $208 | 7.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $183 | $183 | 13.2× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $126 | $126 | 10.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $531 | $531 | 15.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $489 | $489 | 13.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$209–$476 | $209–$476 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $174 | $174 | 7.6× |
| Iadna Cytomegalovirus Quantification (87497) | $556 | $556 | 13.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $230 | $230 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $833 | $833 | 19.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $209 | $209 | 6.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $350 | $350 | 10.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $154 | $154 | 3.0× |
| Igg subclasses (82787) | $341 | $341 | 42.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $325 | $325 | 0.8× |
| Immune Complex Assay (86332) | $67 | $67 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $321 | $321 | 10.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$381–$646 | $381–$646 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$112–$317 | $112–$317 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$131–$3,248 | $131–$3,248 | varies |
| Immunodiffusion Ouchterlony (86331) | $288 | $288 | 24.0× |
| Immunoelectrophoresis Serum (86320) | $225.20 | $225.20 | 7.5× |
| Immunofixation electrophoresis (86334) | $356 | $356 | 15.9× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$119–$303 | $119–$303 | varies |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$131–$299 | $131–$299 | varies |
| Influenza DNA amp probe (87502) | $166 | $166 | 1.7× |
| Inhibin A (86336) range across 2 matching MRF lines |
$87–$666 | $87–$666 | varies |
| Inhibin b (83520) range across 5 matching MRF lines |
$177–$779 | $177–$779 | varies |
| Insitu hybridization auto (88367) | $658 | $658 | 1.7× |
| Insitu hybridization manual (88368) | $658 | $658 | 1.7× |
| Insulin antibodies (86337) | $199 | $199 | 9.3× |
| Insulin free (83527) | $110 | $110 | 8.5× |
| Insulin total (83525) | $180 | $180 | 15.7× |
| Intrinsic factor antibody (86340) | $138 | $138 | 9.2× |
| Iron (83540) | $135 | $135 | 20.9× |
| Iron Binding Capacity (83550) | $147 | $147 | 16.8× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$222–$279 | $222–$279 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $740 | $740 | 8.1× |
| Koh Prep (87220) | $135 | $135 | 31.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$98–$109 | $98–$109 | varies |
| Lactoferrin fecal qualitative (83630) | $243 | $243 | 12.3× |
| LDL direct (83721) range across 2 matching MRF lines |
$79.80–$115 | $79.80–$115 | varies |
| Lead (83655) range across 2 matching MRF lines |
$125–$216 | $125–$216 | varies |
| Legionella antibody (86713) | $309 | $309 | 20.2× |
| Legionella antigen urine (87449) | $224 | $224 | 18.7× |
| Legionella pneumophila dfa (87278) | $288 | $288 | 18.5× |
| Leptospira antibody (86720) | $206.50 | $206.50 | 12.7× |
| Leukocyte Assessment Fecal (89055) | $52 | $52 | 12.2× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$89.50–$114 | $89.50–$114 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$185–$204 | $185–$204 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$596–$640 | $596–$640 | varies |
| Lipase (83690) | $182 | $182 | 26.4× |
| Lipoprotein A (83695) | $415 | $415 | 29.0× |
| Lithium (80178) | $199 | $199 | 30.1× |
| Luteinizing Hormone (Lh) (83002) | $291 | $291 | 15.7× |
| Lyme disease antibody (86618) | $340 | $340 | 20.0× |
| M/phmtrc alys ishquant/semiq (88374) | $631 | $631 | 3.5× |
| Macroscopic exam arthropod (87168) | $249.50 | $249.50 | 58.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$35–$157 | $35–$157 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$230–$390 | $230–$390 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$172–$212 | $172–$212 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$391–$428 | $391–$428 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$31–$153 | $31–$153 | varies |
| Microsomal Antibodies Each (86376) | $270 | $270 | 18.6× |
| Mopath procedure level 2 (81401) | $1,394 | $1,394 | 10.2× |
| Mopath procedure level 7 (81406) | $1,548.50 | $1,548.50 | 5.5× |
| Mthfr Gene Analysis Common Variants (81291) | $442 | $442 | 6.8× |
| Mumps antibody (86735) | $233 | $233 | 17.9× |
| Mycophenolic Acid (80180) | $501 | $501 | 27.8× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$51–$344 | $51–$344 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$279–$293 | $279–$293 | varies |
| Myelin basic protein csf (83873) | $346 | $346 | 20.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$147–$385 | $147–$385 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$373–$387 | $373–$387 | varies |
| Neisseria Dir Na Probe (87590) | $174 | $174 | 6.5× |
| Nfct ds chrnc hcv 6 assays (81596) range across 6 matching MRF lines |
$89–$714 | $89–$714 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $201 | $201 | 7.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $201 | $201 | 0.4× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$36–$516 | $36–$516 | varies |
| Occult blood feces (82272) | $62 | $62 | 14.7× |
| Oligoclonal bands (83916) | $73 | $73 | 2.7× |
| Organic Acids Qualitative Each Specimen (83919) | $484 | $484 | 29.4× |
| Osmolality serum (83930) | $112 | $112 | 16.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$42–$112 | $42–$112 | varies |
| Osteocalcin (83937) | $318 | $318 | 10.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$95–$147 | $95–$147 | varies |
| Oxalate urine (83945) | $152 | $152 | 10.5× |
| Pancreatic Elastase Fecal (82656) | $945 | $945 | 82.0× |
| Particle Agglutination Screen Each Antibody (86403) | $171 | $171 | 14.8× |
| Parvovirus antibody (86747) | $113 | $113 | 7.5× |
| Ph urine (81003) | $104 | $104 | 46.2× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$193–$403 | $193–$403 | varies |
| Phenotype Infect Agent Drug (87900) | $881 | $881 | 6.8× |
| Phenylalanine (84030) | $180 | $180 | 32.7× |
| Phenytoin (Dilantin) (80185) | $250 | $250 | 18.9× |
| Phenytoin free (80186) | $128 | $128 | 9.3× |
| Phosphatase alkaline (84075) | $91 | $91 | 17.6× |
| Phospholipid Neutralization Hexagonal (85598) | $262 | $262 | 14.6× |
| Phosphorus Serum (84100) | $105 | $105 | 22.2× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$52–$83 | $52–$83 | varies |
| Platelet Antibodies (86022) | $735 | $735 | 40.0× |
| Platelet count automated (85049) | $157 | $157 | 35.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,362 | $1,362 | 6.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $266 | $266 | 18.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$37–$97 | $37–$97 | varies |
| Prealbumin (84134) | $160 | $160 | 11.0× |
| Primidone (80188) | $267 | $267 | 16.1× |
| Procalcitonin (Pct) (84145) | $594 | $594 | 21.8× |
| Progesterone (84144) | $437 | $437 | 20.9× |
| Prolactin (84146) | $404 | $404 | 20.8× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$31–$137 | $31–$137 | varies |
| Protein C Activity (85303) | $697 | $697 | 50.4× |
| Protein c antigen (85302) | $279 | $279 | 23.2× |
| Protein Electrophoresis Urine (84166) | $299 | $299 | 16.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $390 | $390 | 36.3× |
| Protein S Free (85306) range across 2 matching MRF lines |
$123–$884 | $123–$884 | varies |
| Protein s total (85305) | $123 | $123 | 10.6× |
| Protein total serum (84155) | $105 | $105 | 28.6× |
| Protein Total Urine (84156) | $110 | $110 | 30.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $198 | $198 | 50.3× |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$84–$98 | $84–$98 | varies |
| Pth Intact (83970) range across 3 matching MRF lines |
$85–$489.20 | $85–$489.20 | varies |
| Q Fever Antibody (86638) | $112 | $112 | 9.2× |
| Quantiferon tb gold plus (86480) | $523 | $523 | 8.4× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$103–$863 | $103–$863 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$189–$262 | $189–$262 | varies |
| Quinidine (80194) | $375 | $375 | 25.7× |
| Rbc antibody elution (86860) | $208 | $208 | 1.1× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$129–$511 | $129–$511 | varies |
| Rbc antibody screen (86850) | $130 | $130 | 13.3× |
| Rbc pretreatment serum (86978) | $194 | $194 | 3.1× |
| Rbc pretx incubatj w/enzymes (86971) | $96 | $96 | 0.5× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$23–$43 | $23–$43 | varies |
| Renin activity plasma (84244) | $250 | $250 | 11.4× |
| Resp virus 12-25 targets (87633) | $750 | $750 | 1.8× |
| Reticulocyte separation (86972) | $162 | $162 | 0.9× |
| Rh (86901) | $78 | $78 | 26.1× |
| Rheumatoid factor quant (86431) | $181 | $181 | 31.9× |
| Ristocetin cofactor (85245) | $360 | $360 | 15.7× |
| Rotavirus ag eia (87425) | $225 | $225 | 18.8× |
| Rpr qualitative (86592) | $140 | $140 | 32.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$76–$162 | $76–$162 | varies |
| Rubeola antibody (86765) | $369 | $369 | 28.6× |
| Russell Viper Venom Time Diluted (85613) | $544 | $544 | 56.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $254 | $254 | 5.0× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$86–$98 | $86–$98 | varies |
| Sedimentation Rate, Automated (85652) | $87 | $87 | 32.2× |
| Selenium (84255) | $240 | $240 | 9.4× |
| Semen Anal Sperm Detection (89321) | $115 | $115 | 9.5× |
| Sensitivity mic (87186) | $118 | $118 | 13.6× |
| Sex Hormone Binding Globulin (84270) | $234 | $234 | 10.8× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$48–$140 | $48–$140 | varies |
| Sirolimus (80195) | $207 | $207 | 15.1× |
| Skin test tuberculosis intradermal (86580) | $45 | $45 | 1.5× |
| Smear acid fast (87206) | $138 | $138 | 25.6× |
| Smear complex stain (87209) | $150 | $150 | 8.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$53–$140 | $53–$140 | varies |
| Smear Special Stain (87207) | $134 | $134 | 22.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $105 | $105 | 18.0× |
| Sodium Serum (84295) | $79 | $79 | 16.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$42–$91 | $42–$91 | varies |
| Soluble Transferrin Receptor (84238) | $398 | $398 | 10.9× |
| Somatomedin (84305) | $235 | $235 | 11.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$119.50–$246 | $119.50–$246 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$172.50–$352 | $172.50–$352 | varies |
| Specimen infect agnt concntj (87015) | $283 | $283 | 42.4× |
| Stool cultr aerobic bact ea (87046) | $116 | $116 | 12.3× |
| Strep a assay w/optic (87880) | $124 | $124 | 7.5× |
| Strep a DNA amp probe (87651) | $185 | $185 | 5.3× |
| Sulfate urine (84392) | $35 | $35 | 6.4× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$237–$362.50 | $237–$362.50 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$158–$406 | $158–$406 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$853–$939 | $853–$939 | varies |
| T cells absolute cd4 count (86361) | $247 | $247 | 9.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$359–$460 | $359–$460 | varies |
| T3 Free (84481) | $500 | $500 | 29.5× |
| T3 reverse (84482) | $341 | $341 | 21.6× |
| T3 Total (84480) | $239 | $239 | 16.9× |
| T3 Uptake (84479) | $100 | $100 | 15.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$251–$602 | $251–$602 | varies |
| T4 total (84436) | $149 | $149 | 21.7× |
| Tacrolimus (80197) | $355 | $355 | 25.9× |
| Test for acetone/ketones (82009) | $129 | $129 | 28.5× |
| Testosterone total (84403) range across 2 matching MRF lines |
$113–$538 | $113–$538 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$113–$140.50 | $113–$140.50 | varies |
| Tetanus antibody (86774) | $243 | $243 | 16.4× |
| Theophylline (80198) | $187 | $187 | 13.2× |
| Thiopurine methyltransferase (84433) | $1,185 | $1,185 | 53.5× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$106–$127 | $106–$127 | varies |
| Thromboplastin Inhibition Tissue (85705) | $253 | $253 | 26.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$253–$298 | $253–$298 | varies |
| Thyroglobulin (84432) | $334 | $334 | 20.8× |
| Thyroglobulin Antibody (86800) | $272 | $272 | 17.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $422 | $422 | 8.3× |
| Thyroxine binding globulin (84442) | $176 | $176 | 11.9× |
| Tissue culture bone marrow (88237) | $2,149 | $2,149 | 14.9× |
| Tissue Culture Lymphocyte (88230) | $383 | $383 | 3.3× |
| Tobramycin peak (80200) | $252 | $252 | 15.6× |
| Topiramate (80201) | $292 | $292 | 24.5× |
| Toxoplasma ab igm (86778) | $127 | $127 | 8.8× |
| Toxoplasma antibody (86777) | $171 | $171 | 11.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $148 | $148 | 28.6× |
| Transferrin (84466) | $192 | $192 | 15.0× |
| Trichomonas Vaginalis Amplif (87661) | $175 | $175 | 5.0× |
| Triglycerides (84478) | $98 | $98 | 17.1× |
| Troponin Quant (84484) | $329 | $329 | 26.4× |
| Tumor immunohistochem/comput (88361) | $492 | $492 | 1.3× |
| Tumor Immunohistochem/Manual (88360) | $666 | $666 | 3.6× |
| Urea nitrogen urine (84540) | $35 | $35 | 6.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$39–$105 | $39–$105 | varies |
| Urinalysis Microscopic Only (81015) | $97 | $97 | 31.8× |
| Urinalysis Volume Measure (81050) | $58 | $58 | 15.9× |
| Urine Bacteria Culture (87088) | $118 | $118 | 14.6× |
| Urine Pregnancy Test (81025) | $149 | $149 | 17.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$40–$159 | $40–$159 | varies |
| Valproic acid (80164) | $145 | $145 | 10.7× |
| Vancomycin (80202) | $289 | $289 | 21.3× |
| Varicella-zoster antibody (86787) | $372 | $372 | 28.9× |
| Vasopressin (84588) | $542 | $542 | 16.0× |
| Viral Culture (87252) range across 2 matching MRF lines |
$152–$518 | $152–$518 | varies |
| Virus inoculation, shell via (87254) | $152 | $152 | 7.8× |
| Viscosity serum (85810) | $145 | $145 | 12.4× |
| Vitamin A (84590) | $166 | $166 | 14.3× |
| Vitamin b-12 (82607) | $308 | $308 | 20.4× |
| Vitamin B6 (84207) | $338 | $338 | 12.0× |
| Vitamin c (82180) | $247 | $247 | 25.0× |
| Vitamin D 25-Hydroxy (82306) range across 5 matching MRF lines |
$25–$514 | $25–$514 | varies |
| Vitamin E (84446) | $158 | $158 | 11.1× |
| Von willebrand factor ag (85246) | $471 | $471 | 20.5× |
| West nile virus ab igm (86788) | $248 | $248 | 14.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $821.50 | $821.50 | 16.0× |
| Zinc (84630) | $169 | $169 | 14.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.