Lab & pathology prices at Sarah D Culbertson Memorial Hospital
Rushville, IL · every code in this section with a posted price and a Medicare benchmark.
375 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $369 | $410 | 9.6× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$301.50–$482.40 | $335–$536 | varies |
| Acute hepatitis panel (80074) | $527.40 | $586 | 11.1× |
| Albumin serum (82040) range across 2 matching MRF lines |
$68.40–$82.80 | $76–$92 | varies |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$345.60–$456.30 | $384–$507 | varies |
| Alkaline phosphatase isoenzymes (84080) | $176.40 | $196 | 11.9× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$76.50–$90 | $85–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $502.20 | $558 | 34.7× |
| Alpha-1-antitrypsin total (82103) | $228.60 | $254 | 17.0× |
| Alpha-Fetoprotein Serum (82105) | $307.80 | $342 | 18.4× |
| Alt (sgpt) (84460) | $98.10 | $109 | 18.5× |
| Aluminum (82108) | $147.60 | $164 | 5.8× |
| Ammonia (82140) | $192.60 | $214 | 13.2× |
| Amylase urine (82150) | $158.40 | $176 | 24.4× |
| Anca screen each antibody (86036) | $321.30 | $357 | 26.7× |
| Angiotensin converting enzyme csf (82164) | $179.10 | $199 | 12.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $495.90 | $551 | 32.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $223.20 | $248 | 13.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $113.40 | $126 | 8.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113.40 | $126 | 7.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$126.90–$130.50 | $141–$145 | varies |
| Antibody haemophilus influenza (86684) | $143.10 | $159 | 9.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $260.10 | $289 | 18.1× |
| Antibody Herpes Smplx Type 1 (86695) | $112.50 | $125 | 8.5× |
| Antibody Protozoa Nes (86753) | $243.90 | $271 | 19.7× |
| Antibody Treponema Pallidum (86780) | $127.80 | $142 | 9.7× |
| Antigen typing (86905) | $160.20 | $178 | 41.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $115.20 | $128 | 20.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$187.20–$192.60 | $208–$214 | varies |
| Antithrombin iii antigen (85301) | $519.30 | $577 | 48.0× |
| Assay activated protein c (85307) | $410.40 | $456 | 26.8× |
| Assay Nephelometry Not Spec (83883) | $261.90 | $291 | 19.3× |
| Assay of 5-hiaa (83497) | $324 | $360 | 25.1× |
| Assay of blood/uric acid (84550) | $98.10 | $109 | 21.7× |
| Assay of calcium in urine (82340) | $103.50 | $115 | 17.2× |
| Assay of cpk in blood (82552) | $189 | $210 | 14.1× |
| Assay of estrone (82679) | $115.20 | $128 | 4.6× |
| Assay of g6pd enzyme (82955) | $279.90 | $311 | 28.9× |
| Assay of gammaglobulin igm (82784) | $142.20 | $158 | 15.3× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$166.50–$175.50 | $185–$195 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$286.20–$298.80 | $318–$332 | varies |
| Assay of proinsulin (84206) | $318.60 | $354 | 11.9× |
| Assay of serum potassium (84132) | $71.10 | $79 | 14.9× |
| Assay of urea nitrogen (84520) | $80.10 | $89 | 20.3× |
| Assay of vitamin b-1 (84425) | $237.60 | $264 | 11.2× |
| Assay Ph Body Fluid Nos (83986) | $78.30 | $87 | 21.9× |
| Assay spec xcp ur&breath ia (82077) | $202.50 | $225 | 11.7× |
| B cells total count (86355) | $211.50 | $235 | 5.6× |
| Bcr/abl1 gene major bp (81206) | $825.30 | $917 | 5.0× |
| Beta 2 glycoprotein i antibody each (86146) | $224.10 | $249 | 8.8× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$90.90–$360 | $101–$400 | varies |
| Beta Lactamase (87185) | $48.60 | $54 | 10.2× |
| Beta-2 Microglobulin (82232) | $258.30 | $287 | 16.0× |
| Bilirubin direct (82248) | $73.80 | $82 | 14.7× |
| Bilirubin total (82247) | $81.90 | $91 | 16.3× |
| Bld Typing Serologic Rh Phnt (86906) | $318.60 | $354 | 41.1× |
| Blood count reticulocyte automated (85045) | $126.90 | $141 | 31.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.80 | $42 | 9.9× |
| Blood gas (82803) | $303.30 | $337 | 11.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$46.80–$93.60 | $52–$104 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $164.70 | $183 | 25.9× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$64.80–$110.70 | $72–$123 | varies |
| Bordetella antibody (86615) | $195.30 | $217 | 14.8× |
| C diff amplified probe (87493) | $251.10 | $279 | 6.7× |
| C-Peptide (84681) | $189.90 | $211 | 9.1× |
| C-reactive protein (86140) | $144.90 | $161 | 28.0× |
| Ca 19-9 (86301) | $231.30 | $257 | 11.1× |
| Calcium ionized (82330) | $174.60 | $194 | 12.8× |
| Calcium total (82310) | $90 | $100 | 17.4× |
| Calculus Spectroscopy (82365) | $179.10 | $199 | 13.9× |
| Calprotectin Fecal (83993) | $548.10 | $609 | 27.9× |
| Cancer Antigen 125 (86304) | $232.20 | $258 | 11.2× |
| Cancer Antigen 27.29 (86300) | $266.40 | $296 | 12.8× |
| Candida Dna Dir Probe (87480) | $100.80 | $112 | 5.0× |
| Carbamazepine total (80156) | $232.20 | $258 | 15.9× |
| Carboxyhemoglobin (82375) | $160.20 | $178 | 13.0× |
| Carcinoembryonic antigen (82378) | $231.30 | $257 | 12.2× |
| Cardiolipin ab iga (86147) | $340.20 | $378 | 13.4× |
| Catecholamines fractionated (82384) | $393.30 | $437 | 15.6× |
| Ccp antibody (86200) | $180 | $200 | 13.9× |
| Cell count csf (89051) | $151.20 | $168 | 27.0× |
| Ceruloplasmin (82390) | $126.90 | $141 | 11.8× |
| Chemiluminescent assay (82397) | $442.80 | $492 | 31.4× |
| Chloride urine (82436) | $106.20 | $118 | 18.5× |
| Cholesterol total (82465) | $77.40 | $86 | 17.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$200.70–$202.50 | $223–$225 | varies |
| Chromogranin a (86316) | $348.30 | $387 | 16.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $97.20 | $108 | 2.8× |
| Citric acid urine (82507) | $275.40 | $306 | 9.9× |
| Ckmb (82553) | $224.10 | $249 | 19.4× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$350.10–$744.30 | $389–$827 | varies |
| Collagen crosslinks (82523) | $351 | $390 | 18.8× |
| Compatibility test antiglob (86922) | $177.30 | $197 | 1.0× |
| Complement Antigen Each Component (86160) | $192.60 | $214 | 16.1× |
| Complement Total (Ch50) (86162) | $259.20 | $288 | 12.8× |
| Coombs direct (86880) | $115.20 | $128 | 21.4× |
| Copper urine (82525) | $174.60 | $194 | 14.1× |
| Cortisol free (82530) range across 2 matching MRF lines |
$215.10–$415.80 | $239–$462 | varies |
| Cortisol saliva (82533) | $248.40 | $276 | 15.2× |
| Creatine kinase total (82550) | $131.40 | $146 | 20.2× |
| Creatinine blood (82565) | $85.50 | $95 | 16.7× |
| Creatinine clearance (82575) | $190.80 | $212 | 20.2× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$103.50–$109.80 | $115–$122 | varies |
| Crp High Sensitivity (86141) | $198.90 | $221 | 15.4× |
| Cryptococcus ag titer (87899) | $92.70 | $103 | 5.8× |
| Cryptosporidium ag eia (87328) | $126 | $140 | 9.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$96.30–$210.60 | $107–$234 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $96.30 | $107 | 11.9× |
| Culture afb (87116) | $252 | $280 | 23.3× |
| Culture Anaerobic (87075) | $187.20 | $208 | 19.8× |
| Culture blood (87040) | $280.80 | $312 | 27.2× |
| Culture csf (87070) | $232.20 | $258 | 26.9× |
| Culture fungus (87102) | $192.60 | $214 | 22.9× |
| Culture fungus blood (87103) | $133.20 | $148 | 6.5× |
| Culture screen only (87081) | $130.50 | $145 | 19.7× |
| Culture stool (87045) | $231.30 | $257 | 24.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$46.80–$116.10 | $52–$129 | varies |
| Culture urine (87086) | $162 | $180 | 20.1× |
| Cyclosporine (80158) | $349.20 | $388 | 19.3× |
| Cystatin C (82610) | $271.80 | $302 | 14.7× |
| Cytomegalovirus igg (86644) | $155.70 | $173 | 10.8× |
| Cytp Concentration Smears & Interpretation (88108) | $227.70 | $253 | 5.7× |
| Detect Agent Nos Dna Amp (87798) | $223.20 | $248 | 6.4× |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$531.90–$872.10 | $591–$969 | varies |
| Dgp Antibody Each Ig Class (86258) | $170.10 | $189 | 14.1× |
| Dhea-S (82627) | $235.80 | $262 | 10.6× |
| Digoxin (80162) | $180 | $200 | 13.6× |
| Diphtheria antitoxoid (86648) | $168.30 | $187 | 11.1× |
| Dipropylacetic Acid Free (80165) | $116.10 | $129 | 8.6× |
| Dna Antibody Native/Double Stranded (86225) | $331.20 | $368 | 24.1× |
| Drug assay acetaminophen (80143) | $180.90 | $201 | 9.7× |
| Drug Assay Amiodarone (80151) | $367.20 | $408 | 19.7× |
| Drug Assay Everolimus (80169) | $442.80 | $492 | 32.3× |
| Drug Assay Itraconazole (80189) | $281.70 | $313 | 10.4× |
| Drug Screen Quant Clozapine (80159) | $187.20 | $208 | 9.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $193.50 | $215 | 14.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $171 | $190 | 12.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $297 | $330 | 22.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$241.20–$437.40 | $268–$486 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$231.30–$263.70 | $257–$293 | varies |
| Electrolyte panel (80051) | $151.20 | $168 | 21.6× |
| Erythropoietin (82668) | $345.60 | $384 | 18.4× |
| Estradiol serum (82670) | $269.10 | $299 | 9.6× |
| Ethosuximide (80168) | $301.50 | $335 | 18.5× |
| Exam Synovial Fluid Crystals (89060) | $127.80 | $142 | 17.4× |
| F2 Gene (81240) | $535.50 | $595 | 8.2× |
| Factor Inhibitor Test (85335) | $270.90 | $301 | 21.0× |
| Factor ix activity (85250) | $372.60 | $414 | 19.6× |
| Factor v leiden mutation (81241) | $585.90 | $651 | 8.0× |
| Factor viii assay (85240) | $478.80 | $532 | 26.7× |
| Factor xi activity (85270) | $266.40 | $296 | 14.9× |
| Fecal Fat Qualitative (82705) | $108 | $120 | 21.2× |
| Ferritin (82728) | $193.50 | $215 | 14.2× |
| Fibrinogen activity (85384) | $207 | $230 | 21.3× |
| Flow cytometry first marker (88184) | $418.50 | $465 | 1.1× |
| Fluorescent antibody screen (86255) | $630 | $700 | 52.3× |
| Folic Acid Serum (82746) | $187.20 | $208 | 12.7× |
| Follicle Stimulating Hormone (83001) | $275.40 | $306 | 14.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $305.10 | $339 | 1.7× |
| Gammaglobulin ige (82785) | $115.20 | $128 | 7.0× |
| Gardner vag DNA dir probe (87510) | $98.10 | $109 | 4.9× |
| Gastrin (82941) | $155.70 | $173 | 8.8× |
| Ggt (82977) | $111.60 | $124 | 15.5× |
| Giardia antigen (87329) | $145.80 | $162 | 12.2× |
| Glucose 2 hr pp (82950) | $138.60 | $154 | 29.2× |
| Glucose Blood Test (82962) | $46.80 | $52 | 14.3× |
| Glucose body fluid (82945) | $63.90 | $71 | 16.3× |
| Glucose Serum (82947) | $90 | $100 | 22.9× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$190.80–$279 | $212–$310 | varies |
| Glycated Protein (82985) | $135.90 | $151 | 8.1× |
| Growth hormone (83003) | $204.30 | $227 | 12.3× |
| Haptoglobin (83010) | $213.30 | $237 | 17.0× |
| Hdl Cholesterol (83718) | $115.20 | $128 | 14.1× |
| Helicobacter Pylori Stool (87338) | $248.40 | $276 | 17.3× |
| Hematocrit (85014) | $72.90 | $81 | 30.8× |
| Hemoglobin (85018) | $72.90 | $81 | 30.8× |
| Hemoglobin a1c (83036) | $146.70 | $163 | 15.1× |
| Hemoglobin Chromotography (83021) | $160.20 | $178 | 8.9× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$160.20–$299.70 | $178–$333 | varies |
| Hep a ab igm (86709) | $211.50 | $235 | 18.8× |
| Hepatitis a antibody total (86708) | $160.20 | $178 | 12.9× |
| Hepatitis b core ab igm (86705) | $202.50 | $225 | 17.2× |
| Hepatitis b core ab total (86704) | $170.10 | $189 | 14.1× |
| Hepatitis B Surface Antibody (86706) | $170.10 | $189 | 15.8× |
| Hepatitis B Surface Antigen (87340) | $147.60 | $164 | 14.3× |
| Hepatitis Be Antibody (86707) | $145.80 | $162 | 12.6× |
| Hepatitis Be Antigen (87350) | $145.80 | $162 | 12.6× |
| Hepatitis C Antibody (86803) | $255.60 | $284 | 17.9× |
| Hepatitis C Genotype (87902) | $1,024.20 | $1,138 | 4.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $559.80 | $622 | 13.1× |
| Herpes simplex type 2 (86696) | $112.50 | $125 | 5.8× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$112.50–$114.30 | $125–$127 | varies |
| Hfe Gene (81256) | $1,078.20 | $1,198 | 16.5× |
| Histamine urine (83088) | $275.40 | $306 | 9.3× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$106.20–$110.70 | $118–$123 | varies |
| Histoplasma antigen urine (87385) | $321.30 | $357 | 24.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $209.70 | $233 | 8.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $618.30 | $687 | 7.3× |
| Homocysteine (83090) | $266.40 | $296 | 14.9× |
| Hpv High-Risk Types (87624) | $157.50 | $175 | 4.5× |
| Human Epididymis Protein 4 (86305) | $429.30 | $477 | 20.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $174.60 | $194 | 5.0× |
| Iadna Cytomegalovirus Quantification (87497) | $406.80 | $452 | 9.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $183.60 | $204 | 2.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $816.30 | $907 | 19.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $132.30 | $147 | 3.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$97.20–$174.60 | $108–$194 | varies |
| Ig Light Chains Free Each (83521) | $261.90 | $291 | 15.2× |
| Igg subclasses (82787) | $115.20 | $128 | 14.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $456.30 | $507 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$292.50–$371.70 | $325–$413 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$292.50–$380.70 | $325–$423 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $438.30 | $487 | 29.2× |
| Immunoassay nonantibody (83516) | $205.20 | $228 | 17.8× |
| Immunofixation electrophoresis (86334) | $237.60 | $264 | 10.6× |
| Immunohistochemistry (88342) | $238.50 | $265 | 1.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$73.80–$127.80 | $82–$142 | varies |
| Influenza DNA amp probe (87502) | $82.80 | $92 | 0.9× |
| Inhibin b (83520) range across 4 matching MRF lines |
$133.20–$477 | $148–$530 | varies |
| Insitu hybridization manual (88368) | $584.10 | $649 | 1.5× |
| Insulin antibodies (86337) | $266.40 | $296 | 12.4× |
| Insulin total (83525) | $242.10 | $269 | 21.2× |
| Iron (83540) | $128.70 | $143 | 19.9× |
| Iron Binding Capacity (83550) | $148.50 | $165 | 17.0× |
| Islet cell antibody (86341) | $699.30 | $777 | 29.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $601.20 | $668 | 6.6× |
| Koh Prep (87220) | $96.30 | $107 | 22.6× |
| Lactate (ld) (ldh) enzyme (83615) | $122.40 | $136 | 20.3× |
| Lactoferrin fecal qualitative (83630) | $142.20 | $158 | 7.2× |
| LDL direct (83721) | $109.80 | $122 | 10.5× |
| Lead (83655) | $111.60 | $124 | 9.2× |
| Legionella antigen urine (87449) | $429.30 | $477 | 35.8× |
| Legionella pneumophila dfa (87278) | $253.80 | $282 | 16.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $156.60 | $174 | 5.1× |
| Level ii surg pathology grossµscopic exam (88302) | $190.80 | $212 | 4.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $369 | $410 | 1.0× |
| Lipase (83690) | $187.20 | $208 | 27.2× |
| Lithium (80178) | $142.20 | $158 | 21.5× |
| Luteinizing Hormone (Lh) (83002) | $213.30 | $237 | 11.5× |
| Lyme disease antibody (86618) | $216.90 | $241 | 12.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,153.80 | $1,282 | 6.3× |
| M/phmtrc alys ishquant/semiq (88374) | $1,153.80 | $1,282 | 6.3× |
| Macroscopic exam arthropod (87168) | $115.20 | $128 | 27.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$112.50–$114.30 | $125–$127 | varies |
| Methylmalonic acid serum (83921) | $302.40 | $336 | 14.3× |
| Microalbumin, quantitative (82043) | $165.60 | $184 | 28.7× |
| Microsomal Antibodies Each (86376) | $396.90 | $441 | 27.3× |
| Mrsa Pcr (87641) | $192.60 | $214 | 5.5× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$127.80–$142.20 | $142–$158 | varies |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$192.60–$303.30 | $214–$337 | varies |
| Myoglobin urine (83874) | $132.30 | $147 | 10.2× |
| Natriuretic peptide (83880) | $333.90 | $371 | 8.5× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $286.20 | $318 | 1.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $392.40 | $436 | 5.4× |
| Nk cells total count (86357) | $211.50 | $235 | 5.6× |
| Nuclear antigen antibody (86235) | $194.40 | $216 | 10.8× |
| Occult blood feces (82272) | $81 | $90 | 19.1× |
| Occult Blood Other Sources (82271) | $74.70 | $83 | 14.0× |
| Osmolality serum (83930) | $111.60 | $124 | 16.9× |
| Osmolality Urine (83935) | $142.20 | $158 | 20.9× |
| Osmotic fragility rbc incubated (85557) | $379.80 | $422 | 28.4× |
| Ova and parasites smears (87177) | $118.80 | $132 | 13.3× |
| Oxalate urine (83945) | $193.50 | $215 | 13.4× |
| Ph urine (81003) | $65.70 | $73 | 29.2× |
| Phenobarbital Level (80184) | $195.30 | $217 | 12.8× |
| Phenytoin (Dilantin) (80185) | $180.90 | $201 | 13.7× |
| Phosphatase alkaline (84075) | $100.80 | $112 | 19.5× |
| Phosphorus Serum (84100) | $95.40 | $106 | 20.1× |
| Phosphorus urine (84105) | $79.20 | $88 | 13.7× |
| Platelet count automated (85049) | $99.90 | $111 | 22.3× |
| Porphobilinogen, urine; quantitative (84110) | $92.70 | $103 | 11.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $92.70 | $103 | 6.3× |
| Potassium Urine (84133) | $101.70 | $113 | 21.5× |
| Prealbumin (84134) | $166.50 | $185 | 11.4× |
| Procalcitonin (Pct) (84145) | $292.50 | $325 | 10.7× |
| Progesterone (84144) | $261 | $290 | 12.5× |
| Prolactin (84146) | $317.70 | $353 | 16.4× |
| Protein body fluid (84157) | $99.90 | $111 | 25.0× |
| Protein C Activity (85303) | $438.30 | $487 | 31.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$211.50–$230.40 | $235–$256 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $167.40 | $186 | 15.6× |
| Protein S Free (85306) | $318.60 | $354 | 20.8× |
| Protein s total (85305) | $405 | $450 | 34.9× |
| Protein Total Urine (84156) | $102.60 | $114 | 28.0× |
| PSA free (84154) | $248.40 | $276 | 13.5× |
| Pth Intact (83970) | $302.40 | $336 | 7.3× |
| Quantiferon tb gold plus (86480) | $297 | $330 | 4.8× |
| Quantitative assay drug (80299) | $300.60 | $334 | 16.1× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$106.20–$155.70 | $118–$173 | varies |
| Renin activity plasma (84244) | $249.30 | $277 | 11.3× |
| Rh (86901) range across 2 matching MRF lines |
$63–$96.30 | $70–$107 | varies |
| Rheumatoid factor quant (86431) | $279.90 | $311 | 49.4× |
| Rickettsia antibody (86757) | $164.70 | $183 | 8.5× |
| Rotavirus ag eia (87425) | $198 | $220 | 16.5× |
| Rpr qualitative (86592) | $108.90 | $121 | 25.5× |
| Rubella Antibody (86762) | $143.10 | $159 | 9.9× |
| Rubeola antibody (86765) | $133.20 | $148 | 10.3× |
| Russell Viper Venom Time Diluted (85613) | $106.20 | $118 | 11.1× |
| Salicylate Level (80179) | $179.10 | $199 | 9.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$162–$290.70 | $180–$323 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $164.70 | $183 | 3.9× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $67.50 | $75 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $175.50 | $195 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $222.30 | $247 | 1.6× |
| Sedimentation Rate, Automated (85652) | $90 | $100 | 33.3× |
| Selenium (84255) | $211.50 | $235 | 8.3× |
| Semen Anal Sperm Detection (89321) | $151.20 | $168 | 12.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$148.50–$251.10 | $165–$279 | varies |
| Sex Hormone Binding Globulin (84270) | $196.20 | $218 | 9.0× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$115.20–$241.20 | $128–$268 | varies |
| Sirolimus (80195) | $252 | $280 | 18.4× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$88.20–$106.20 | $98–$118 | varies |
| Smear acid fast (87206) | $89.10 | $99 | 16.5× |
| Smear complex stain (87209) | $110.70 | $123 | 6.2× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$115.20–$118.80 | $128–$132 | varies |
| Sodium Serum (84295) | $71.10 | $79 | 14.8× |
| Sodium Urine (84300) | $89.10 | $99 | 17.6× |
| Soluble Transferrin Receptor (84238) | $696.60 | $774 | 19.0× |
| Somatomedin (84305) | $327.60 | $364 | 15.4× |
| Special Stains Group 1 (88312) | $231.30 | $257 | 4.1× |
| Special Stains Group 2 (88313) | $316.80 | $352 | 2.2× |
| Staph a DNA amp probe (87640) | $192.60 | $214 | 5.5× |
| Stool cultr aerobic bact ea (87046) | $109.80 | $122 | 11.6× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$69.30–$111.60 | $77–$124 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$106.20–$144 | $118–$160 | varies |
| Sulfate urine (84392) | $167.40 | $186 | 30.5× |
| Surg path level iii (88304) | $269.10 | $299 | 4.8× |
| Surgical pathology level IV (88305) | $369 | $410 | 6.6× |
| Surgical pathology level vi (88309) | $317.70 | $353 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $63.90 | $71 | 13.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $100.80 | $112 | 13.5× |
| Syphilis Test Non-Trep Quant (86593) | $71.10 | $79 | 16.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $622.80 | $692 | 13.3× |
| T cells total count (86359) | $252.90 | $281 | 6.7× |
| T3 Free (84481) | $192.60 | $214 | 11.4× |
| T3 reverse (84482) | $239.40 | $266 | 15.2× |
| T3 Total (84480) | $257.40 | $286 | 18.2× |
| T4 Free (84439) | $196.20 | $218 | 21.8× |
| T4 total (84436) | $119.70 | $133 | 17.4× |
| Tacrolimus (80197) | $316.80 | $352 | 23.1× |
| Testosterone total (84403) | $266.40 | $296 | 10.3× |
| Testosterone, Free (84402) | $288 | $320 | 11.3× |
| Tetanus antibody (86774) | $133.20 | $148 | 9.0× |
| Theophylline (80198) | $197.10 | $219 | 13.9× |
| Thrombin Time (85670) | $66.60 | $74 | 11.5× |
| Thyroglobulin (84432) | $168.30 | $187 | 10.5× |
| Thyroglobulin Antibody (86800) | $396.90 | $441 | 24.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $345.60 | $384 | 6.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $205.20 | $228 | 17.8× |
| Topiramate (80201) | $239.40 | $266 | 20.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $77.40 | $86 | 14.9× |
| Trichomonas vagin dir probe (87660) | $98.10 | $109 | 4.9× |
| Triglycerides (84478) | $109.80 | $122 | 19.1× |
| Troponin Quant (84484) | $221.40 | $246 | 17.8× |
| Tumor immunohistochem/comput (88361) | $583.20 | $648 | 1.5× |
| Tumor Immunohistochem/Manual (88360) | $630 | $700 | 3.5× |
| Unlisted Transfusion Medicine Procedure (86999) | $256.28 | $284.75 | 8.3× |
| Urea nitrogen urine (84540) | $97.20 | $108 | 17.5× |
| Uric acid other source (84560) | $115.20 | $128 | 22.7× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$34.20–$35.10 | $38–$39 | varies |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$106.20–$142.20 | $118–$158 | varies |
| Urine Pregnancy Test (81025) | $119.70 | $133 | 13.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $65.70 | $73 | 20.7× |
| Valproic acid (80164) | $197.10 | $219 | 14.6× |
| Vancomycin (80202) | $258.30 | $287 | 19.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$197.10–$206.10 | $219–$229 | varies |
| Viral Culture (87252) | $382.50 | $425 | 14.7× |
| Vitamin A (84590) | $244.80 | $272 | 21.1× |
| Vitamin b-12 (82607) | $181.80 | $202 | 12.1× |
| Vitamin B6 (84207) | $199.80 | $222 | 7.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$207–$316.80 | $230–$352 | varies |
| Vitamin E (84446) | $204.30 | $227 | 14.4× |
| Vitamin K (84597) | $290.70 | $323 | 21.2× |
| Von willebrand factor ag (85246) | $275.40 | $306 | 12.0× |
| Zinc (84630) | $157.50 | $175 | 13.8× |
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.