Lab & pathology prices at Sauk Prairie Hospital
Prairie Du Sac, WI · every code in this section with a posted price and a Medicare benchmark.
450 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $150.16 | $274.50 | 3.9× |
| Acute hepatitis panel (80074) | $266.39 | $487 | 5.6× |
| Acylcarnitines Quant (82017) | $185.44 | $339 | 11.0× |
| Adenovirus antibody (86603) | $152.07 | $278 | 11.8× |
| Albumin Fluid (82042) | $31.18 | $57 | 4.0× |
| Albumin serum (82040) range across 3 matching MRF lines |
$7.39–$50.06 | $13.50–$91.50 | varies |
| Aldolase (82085) | $102.02 | $186.50 | 10.5× |
| Aldosterone urine (82088) | $131.83 | $241 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$61.27–$174.22 | $112–$318.50 | varies |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$18.33–$128 | $33.50–$234 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $94.91 | $173.50 | 6.6× |
| Alpha-1-antitrypsin total (82103) | $53.88 | $98.50 | 4.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$86.98–$113.51 | $159–$207.50 | varies |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$7.39–$76.04 | $13.50–$139 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$664.06–$693.33 | $1,214–$1,267.50 | varies |
| Ammonia (82140) | $9.85 | $18 | 0.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $231.93 | $424 | 2.4× |
| Amylase urine (82150) range across 3 matching MRF lines |
$7.12–$110.50 | $13–$202 | varies |
| Androstenedione (82157) | $141.40 | $258.50 | 4.8× |
| Angiotensin converting enzyme csf (82164) | $141.95 | $259.50 | 9.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $56.89 | $104 | 3.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $135.11 | $247 | 8.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $91.08 | $166.50 | 6.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $14.77 | $27 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $14.77 | $27 | 0.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $31.46 | $57.50 | 2.2× |
| Antibody Herpes Smplx Type 1 (86695) | $64.82 | $118.50 | 4.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $110.23 | $201.50 | 8.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $102.02 | $186.50 | 5.3× |
| Antibody Protozoa Nes (86753) | $87.80 | $160.50 | 7.1× |
| Antibody Titer (86886) | $118.70 | $217 | 22.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$35.29–$69.47 | $64.50–$127 | varies |
| Antigen typing (86905) | $59.63 | $109 | 15.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $17.24 | $31.50 | 3.0× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$6.57–$85.61 | $12–$156.50 | varies |
| Antistreptolysin o titer (86060) | $52.52 | $96 | 7.2× |
| Antithrombin iii activity (85300) | $102.02 | $186.50 | 8.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$13.41–$29.82 | $24.50–$54.50 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$64–$164.93 | $117–$301.50 | varies |
| Assay activated protein c (85307) | $196.65 | $359.50 | 12.8× |
| Assay Blood Carbon Dioxide (82374) | $63.18 | $115.50 | 12.9× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$34.74–$92.99 | $63.50–$170 | varies |
| Assay of 5-hiaa (83497) | $119.25 | $218 | 9.2× |
| Assay of blood/uric acid (84550) | $76.86 | $140.50 | 17.0× |
| Assay of calcium in urine (82340) | $76.86 | $140.50 | 12.7× |
| Assay of cpk in blood (82552) | $32.28 | $59 | 2.4× |
| Assay of estrone (82679) | $133.20 | $243.50 | 5.3× |
| Assay of g6pd enzyme (82955) | $83.97 | $153.50 | 8.7× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$17.24–$129.10 | $31.50–$236 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$8.76–$115.70 | $16–$211.50 | varies |
| Assay of manganese (83785) | $141.95 | $259.50 | 5.3× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$107.22–$143.32 | $196–$262 | varies |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$7.12–$63.18 | $13–$115.50 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$6.57–$63.18 | $12–$115.50 | varies |
| Assay of urine vma (84585) | $140.04 | $256 | 9.0× |
| Assay of vasoactive intestinal peptide (84586) | $132.38 | $242 | 3.7× |
| Assay of vitamin b-1 (84425) | $98.74 | $180.50 | 4.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $307.15 | $561.50 | 1.9× |
| Automated Leukocyte Count (85048) | $36.65 | $67 | 14.4× |
| Bacterial antigens 87802 (87802) | $132.38 | $242 | 10.4× |
| Bartonella antibody (86611) | $35.29 | $64.50 | 3.5× |
| Beta 2 glycoprotein i antibody each (86146) | $125.81 | $230 | 4.9× |
| Beta hydroxybutyrate (82010) | $53.61 | $98 | 6.6× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$28.72–$85.88 | $52.50–$157 | varies |
| Beta-2 Microglobulin (82232) | $102.02 | $186.50 | 6.3× |
| Bilirubin direct (82248) range across 4 matching MRF lines |
$7.12–$126.36 | $13–$231 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$7.12–$55.25 | $13–$101 | varies |
| Bilirubin total transcutaneous (88720) | $65.10 | $119 | 13.0× |
| Bld Typing Serologic Rh Phnt (86906) | $89.17 | $163 | 11.5× |
| Blood Count Manual Cell Count Each (85032) | $92.45 | $169 | 21.5× |
| Blood Count Red Blood Cell Automated (85041) | $41.58 | $76 | 13.8× |
| Blood count reticulocyte automated (85045) | $8.76 | $16 | 2.2× |
| Blood gas (82803) | $164.93 | $301.50 | 6.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$115.97–$140.58 | $212–$257 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$36.93–$109.13 | $67.50–$199.50 | varies |
| Brucella antibody (86622) | $99.29 | $181.50 | 11.1× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$151.80–$177.23 | $277.50–$324 | varies |
| C-Peptide (84681) | $89.17 | $163 | 4.3× |
| C-reactive protein (86140) | $80.69 | $147.50 | 15.6× |
| Ca 19-9 (86301) | $121.17 | $221.50 | 5.8× |
| Cadmium (82300) range across 2 matching MRF lines |
$105.85–$142.50 | $193.50–$260.50 | varies |
| Calcitonin (82308) | $90.81 | $166 | 3.4× |
| Calcium ionized (82330) | $121.71 | $222.50 | 8.9× |
| Calcium total (82310) range across 4 matching MRF lines |
$7.12–$63.18 | $13–$115.50 | varies |
| Calculus Spectroscopy (82365) | $161.64 | $295.50 | 12.5× |
| Calprotectin Fecal (83993) | $176.96 | $323.50 | 9.0× |
| Cancer Antigen 125 (86304) | $185.98 | $340 | 8.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$92.45–$125.27 | $169–$229 | varies |
| Candida antibody (86628) | $56.89 | $104 | 4.7× |
| Carbamazepine total (80156) | $158.63 | $290 | 10.9× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$59.90–$118.98 | $109.50–$217.50 | varies |
| Carcinoembryonic antigen (82378) | $175.04 | $320 | 9.2× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$22.71–$83.15 | $41.50–$152 | varies |
| Carnitine Quantitative Each Specimen (82379) | $114.60 | $209.50 | 6.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$119.25–$169.57 | $218–$310 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$17.24–$85.61 | $31.50–$156.50 | varies |
| Cell count csf (89051) | $230.57 | $421.50 | 41.2× |
| Ceruloplasmin (82390) | $101.20 | $185 | 9.4× |
| Cftr gene com variants (81220) | $292.65 | $535 | 0.5× |
| Chlamydia antibody (86631) | $31.46 | $57.50 | 2.7× |
| Chlamydia Igm Antibody (86632) | $31.46 | $57.50 | 2.5× |
| Chloride Serum (82435) | $63.18 | $115.50 | 13.7× |
| Chloride urine (82436) | $46.77 | $85.50 | 8.1× |
| Cholesterol total (82465) | $64.28 | $117.50 | 14.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$6.02–$140.04 | $11–$256 | varies |
| Chromium serum (82495) | $156.45 | $286 | 7.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$52.24–$96.82 | $95.50–$177 | varies |
| Citric acid urine (82507) | $96.28 | $176 | 3.5× |
| Ckmb (82553) | $126.36 | $231 | 10.9× |
| Clot Factor VIII Multimetric (85247) | $214.70 | $392.50 | 9.4× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$85.06–$138.67 | $155.50–$253.50 | varies |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$100.93–$226.46 | $184.50–$414 | varies |
| Coccidioides antibody (86635) | $92.99 | $170 | 8.1× |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$71.39–$156.45 | $130.50–$286 | varies |
| Cold agglutinin titer (86157) | $113.51 | $207.50 | 14.1× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$136.48–$179.15 | $249.50–$327.50 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$161.64–$197.20 | $295.50–$360.50 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $389.47 | $712 | 1.7× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$93.54–$147.97 | $171–$270.50 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $44.31 | $81 | 0.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$37.75–$80.41 | $69–$147 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$96–$105.85 | $175.50–$193.50 | varies |
| Cortisol free (82530) | $141.95 | $259.50 | 8.5× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$113.51–$185.98 | $207.50–$340 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$7.12–$107.22 | $13–$196 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$18.06–$63.18 | $33–$115.50 | varies |
| Creatinine clearance (82575) | $104.48 | $191 | 11.0× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$7.12–$54.98 | $13–$100.50 | varies |
| Crossmatch immediate spin (86920) | $132.65 | $242.50 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$13.41–$108.04 | $24.50–$197.50 | varies |
| Cryofibrinogen (82585) | $42.67 | $78 | 3.0× |
| Cryoglobulin (82595) | $42.67 | $78 | 6.6× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 2 matching MRF lines |
$159.18–$317.26 | $291–$580 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$68.38–$99.29 | $125–$181.50 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$62.91–$118.16 | $115–$216 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$72.21–$104.76 | $132–$191.50 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$32–$288.27 | $58.50–$527 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$22.43–$162.19 | $41–$296.50 | varies |
| Culture blood (87040) | $171.22 | $313 | 16.6× |
| Culture csf (87070) range across 9 matching MRF lines |
$22.43–$158.36 | $41–$289.50 | varies |
| Culture fungus (87102) | $83.42 | $152.50 | 9.9× |
| Culture screen only (87081) range across 3 matching MRF lines |
$94.64–$132.38 | $173–$242 | varies |
| Cyclosporine (80158) | $93.54 | $171 | 5.2× |
| Cystatin C (82610) | $99.56 | $182 | 5.4× |
| Cytomegalovirus igg (86644) | $135.11 | $247 | 9.4× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$75.49–$103.93 | $138–$190 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$97.64–$334.22 | $178.50–$611 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $96 | $175.50 | 0.6× |
| Deoxyribonuclease antibody (86215) | $62.36 | $114 | 4.7× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$162.19–$455.66 | $296.50–$833 | varies |
| Detect Agent Nos Dna Quant (87799) | $277.06 | $506.50 | 6.5× |
| Detect agnt mult DNA ampli (87801) | $218.80 | $400 | 3.1× |
| Dhea (82626) | $99.01 | $181 | 3.9× |
| Dhea-S (82627) | $102.02 | $186.50 | 4.6× |
| Digoxin (80162) | $18.06 | $33 | 1.4× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$71.66–$86.43 | $131–$158 | varies |
| Drug Screen Quant Zonisamide (80203) | $119.25 | $218 | 9.0× |
| Drug Screen Quantitative Gabapentin (80171) | $190.63 | $348.50 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $79.59 | $145.50 | 6.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $83.15 | $152 | 6.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $105.85 | $193.50 | 8.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$7.12–$238.50 | $13–$436 | varies |
| Drug Test Prsmv Instrmnt (80306) | $169.03 | $309 | 9.9× |
| Ehrlichia antibody (86666) | $93.54 | $171 | 9.2× |
| Electrolyte panel (80051) | $94.91 | $173.50 | 13.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $97.92 | $179 | 1.6× |
| Enterovirus Antibody (86658) | $64 | $117 | 4.9× |
| Eosinophil Smear (89190) | $45.62 | $83.40 | 7.9× |
| Erythropoietin (82668) | $134.57 | $246 | 7.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$113.23–$169.57 | $207–$310 | varies |
| Estriol (82677) | $112.41 | $205.50 | 4.6× |
| Exam Synovial Fluid Crystals (89060) | $124.72 | $228 | 17.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$222.36–$776.47 | $406.50–$1,419.50 | varies |
| Factor ii activity (85210) | $81.51 | $149 | 6.3× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$143.05–$289.37 | $261.50–$529 | varies |
| Factor ix activity (85250) | $101.47 | $185.50 | 5.3× |
| Factor v activity (85220) | $81.51 | $149 | 4.6× |
| Factor v leiden mutation (81241) | $176.69 | $323 | 2.4× |
| Factor vii assay (85230) | $101.75 | $186 | 5.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$85.61–$180.24 | $156.50–$329.50 | varies |
| Factor xi activity (85270) | $85.06 | $155.50 | 4.8× |
| Fat/Lipids Feces Quantitative (82710) | $134.02 | $245 | 8.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$13.68–$125.27 | $25–$229 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $128.99 | $235.80 | 0.8× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$158.09–$370.87 | $289–$678 | varies |
| Fetal screen rosette (85461) | $98.46 | $180 | 10.5× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$27.90–$161.64 | $51–$295.50 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$34.74–$52.52 | $63.50–$96 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $65.64 | $120 | 4.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$148.52–$194.46 | $271.50–$355.50 | varies |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$59.63–$169.57 | $109–$310 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$46.77–$134.57 | $85.50–$246 | varies |
| Folic Acid Serum (82746) | $135.11 | $247 | 9.2× |
| Follicle Stimulating Hormone (83001) | $188.72 | $345 | 10.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $84.79 | $155 | 0.5× |
| Frozen Section (88331) range across 2 matching MRF lines |
$163.56–$283.62 | $299–$518.50 | varies |
| Fungi Identification Yeast (87106) | $91.90 | $168 | 8.9× |
| Gammaglobulin ige (82785) | $154.26 | $282 | 9.4× |
| Gases blood ph only (82800) | $51.42 | $94 | 4.7× |
| Gastrin (82941) | $90.53 | $165.50 | 5.1× |
| Gentamicin (80170) range across 2 matching MRF lines |
$25.71–$144.96 | $47–$265 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$34.74–$81.78 | $63.50–$149.50 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$68.38–$94.64 | $125–$173 | varies |
| Glucagon (82943) | $103.66 | $189.50 | 7.3× |
| Glucose 2 hr pp (82950) | $66.74 | $122 | 14.1× |
| Glucose Blood Test (82962) | $46.77 | $85.50 | 14.3× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$39.39–$66.74 | $72–$122 | varies |
| Glucose Serum (82947) | $66.74 | $122 | 17.0× |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$131.83–$195.83 | $241–$358 | varies |
| Glycated Protein (82985) | $82.33 | $150.50 | 4.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$143.05–$149.06 | $261.50–$272.50 | varies |
| Growth hormone (83003) | $97.92 | $179 | 5.9× |
| Gtt-added samples (82952) | $131.83 | $241 | 33.6× |
| H Pylori (C-13) Breath (83013) | $238.77 | $436.50 | 3.5× |
| Haloperidol (80173) | $129.64 | $237 | 8.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$34.74–$104.76 | $63.50–$191.50 | varies |
| Hba1/Hba2 Gene (81257) | $124.17 | $227 | 1.2× |
| Hdl Cholesterol (83718) | $85.06 | $155.50 | 10.4× |
| Helicobacter Pylori Stool (87338) | $226.46 | $414 | 15.7× |
| Hematocrit (85014) | $40.21 | $73.50 | 17.0× |
| Hemoglobin (85018) | $46.77 | $85.50 | 19.7× |
| Hemoglobin a1c (83036) | $98.46 | $180 | 10.1× |
| Hemoglobin Chromotography (83021) | $75.49 | $138 | 4.2× |
| Hemoglobin electrophoresis (83020) | $69.75 | $127.50 | 5.4× |
| Hemoglobin stability screen (83068) | $121.44 | $222 | 12.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $111.05 | $203 | 12.7× |
| Hemolysins&Agglutinins Incubated (86941) | $111.05 | $203 | 9.2× |
| Hemosiderin urine (83070) | $43.76 | $80 | 9.2× |
| Heparin assay (85520) | $134.02 | $245 | 10.2× |
| Hepatitis a antibody total (86708) | $122.81 | $224.50 | 9.9× |
| Hepatitis b core ab igm (86705) | $21.88 | $40 | 1.9× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$21.88–$85.06 | $40–$155.50 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$21.88–$105.85 | $40–$193.50 | varies |
| Hepatitis B Surface Antigen (87340) range across 5 matching MRF lines |
$26.26–$137.85 | $48–$252 | varies |
| Hepatitis Be Antibody (86707) | $21.88 | $40 | 1.9× |
| Hepatitis Be Antigen (87350) | $26.26 | $48 | 2.3× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$51.70–$140.04 | $94.50–$256 | varies |
| Hepatitis C Genotype (87902) | $296.48 | $542 | 1.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$173.13–$431.04 | $316.50–$788 | varies |
| Hepatitis Delta Agent Antibody (86692) | $185.98 | $340 | 10.8× |
| Herpes simplex type 2 (86696) | $64.82 | $118.50 | 3.3× |
| Heterophile Antibody Screen (86308) | $72.76 | $133 | 14.0× |
| Hexa gene analysis common variants (81255) | $413.81 | $756.50 | 8.0× |
| Hfe Gene (81256) | $265.85 | $486 | 4.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$30.91–$62.09 | $56.50–$113.50 | varies |
| Hla ii type 1 ag equiv lr (81377) | $259.56 | $474.50 | 2.7× |
| Hla ii typing 1 allele hr (81383) | $259.56 | $474.50 | 2.4× |
| Hla Typing Dr/Dq Single Antigen (86816) | $129.10 | $236 | 4.3× |
| Hla-b27 (86812) | $147.42 | $269.50 | 5.7× |
| Homocysteine (83090) | $100.93 | $184.50 | 5.6× |
| Hpv High-Risk Types (87624) | $50.88 | $93 | 1.4× |
| Hsv Dna Amp Probe (87529) | $172.04 | $314.50 | 4.9× |
| Htlv-I Antibody (86687) | $103.11 | $188.50 | 11.3× |
| Hydroxyprogesterone 17-d (83498) | $103.11 | $188.50 | 3.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $292.92 | $535.50 | 8.3× |
| Iadna Cytomegalovirus Quantification (87497) | $246.70 | $451 | 5.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $548.92 | $1,003.50 | 12.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $170.67 | $312 | 4.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$52.24–$96.82 | $95.50–$177 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $308.24 | $563.50 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) | $61 | $111.50 | 2.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$59.63–$240.96 | $109–$440.50 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $69.20 | $126.50 | 4.6× |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$36.65–$138.67 | $67–$253.50 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$17.24–$148.79 | $31.50–$272 | varies |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$194.46–$368.41 | $355.50–$673.50 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $171.76 | $314 | 10.7× |
| Influenza a/b ag eia (87400) | $146.05 | $267 | 10.3× |
| Influenza DNA amp probe (87502) | $185.16 | $338.50 | 1.9× |
| Inhibin b (83520) range across 9 matching MRF lines |
$46.77–$307.97 | $85.50–$563 | varies |
| Insulin antibodies (86337) | $140.86 | $257.50 | 6.6× |
| Insulin free (83527) | $107.49 | $196.50 | 8.3× |
| Insulin total (83525) | $98.46 | $180 | 8.6× |
| Iron (83540) | $84.24 | $154 | 13.0× |
| Iron Binding Capacity (83550) | $87.25 | $159.50 | 10.0× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$109.40–$110.23 | $200–$201.50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $546.73 | $999.50 | 6.0× |
| Koh Prep (87220) | $56.35 | $103 | 13.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$11.77–$55.80 | $21.50–$102 | varies |
| Ldh Isoenzymes (83625) | $44.31 | $81 | 3.5× |
| LDL direct (83721) | $32.28 | $59 | 3.1× |
| Lead (83655) range across 5 matching MRF lines |
$13.41–$224.27 | $24.50–$410 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$97.37–$168.21 | $178–$307.50 | varies |
| Leukocyte Assessment Fecal (89055) | $53.34 | $97.50 | 12.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$38.29–$50.88 | $70–$93 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$46.50–$50.88 | $85–$93 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$161.64–$193.10 | $295.50–$353 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$7.12–$94.36 | $13–$172.50 | varies |
| Lipoprotein A (83695) | $84.24 | $154 | 5.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $80.69 | $147.50 | 7.2× |
| Lithium (80178) | $123.90 | $226.50 | 18.7× |
| Luteinizing Hormone (Lh) (83002) | $190.63 | $348.50 | 10.3× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$76.04–$128.28 | $139–$234.50 | varies |
| Macroscopic exam arthropod (87168) | $33.37 | $61 | 7.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$7.12–$73.30 | $13–$134 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$102.84–$160.28 | $188–$293 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$64–$152.07 | $117–$278 | varies |
| Methylmalonic acid serum (83921) | $119.25 | $218 | 5.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$56.89–$74.12 | $104–$135.50 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$51.42–$84.24 | $94–$154 | varies |
| Mopath procedure level 2 (81401) | $146.33 | $267.50 | 1.1× |
| Mopath procedure level 4 (81403) | $146.33 | $267.50 | 0.8× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$54.98–$65.37 | $100.50–$119.50 | varies |
| Mycobacteric Identification (87118) | $181.06 | $331 | 12.4× |
| Myoglobin urine (83874) | $86.43 | $158 | 6.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$126.36–$147.97 | $231–$270.50 | varies |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$22.98–$104.76 | $42–$191.50 | varies |
| Occult blood feces (82272) | $53.06 | $97 | 12.5× |
| Occult Blood Other Sources (82271) | $51.15 | $93.50 | 9.6× |
| Oligoclonal bands (83916) | $96 | $175.50 | 3.5× |
| Organic Acids Qualitative Each Specimen (83919) | $132.65 | $242.50 | 8.1× |
| Osmolality serum (83930) | $121.71 | $222.50 | 18.4× |
| Osmolality Urine (83935) | $96.28 | $176 | 14.1× |
| Osteocalcin (83937) | $125.27 | $229 | 4.2× |
| Particle Agglutination Screen Each Antibody (86403) | $121.71 | $222.50 | 10.5× |
| Parvovirus antibody (86747) | $61 | $111.50 | 4.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $17.51 | $32 | 0.0× |
| Pathology Consultation During Surgery (88329) | $129.64 | $237 | 2.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$31.46–$68.65 | $57.50–$125.50 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$55.25–$155.63 | $101–$284.50 | varies |
| Phenytoin (Dilantin) (80185) | $16.41 | $30 | 1.2× |
| Phenytoin free (80186) | $46.77 | $85.50 | 3.4× |
| Phosphatase acid prostatic (84066) | $140.04 | $256 | 14.5× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$7.39–$80.69 | $13.50–$147.50 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $239.04 | $437 | 13.3× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$7.12–$76.04 | $13–$139 | varies |
| Phosphorus urine (84105) | $12.86 | $23.50 | 2.2× |
| Pinworm exam (87172) | $25.17 | $46 | 5.9× |
| Platelet count automated (85049) | $55.80 | $102 | 12.5× |
| Platelet neutralization (85597) | $220.99 | $404 | 12.3× |
| Potassium Urine (84133) | $51.97 | $95 | 11.0× |
| Prealbumin (84134) | $138.67 | $253.50 | 9.5× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $51.15 | $93.50 | 0.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $74.67 | $136.50 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $40.55 | $74.13 | 1.4× |
| Primidone (80188) | $47.32 | $86.50 | 2.9× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$29.27–$165.20 | $53.50–$302 | varies |
| Progesterone (84144) | $157.27 | $287.50 | 7.5× |
| Prolactin (84146) | $124.72 | $228 | 6.4× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$54.98–$59.90 | $100.50–$109.50 | varies |
| Protein C Activity (85303) | $111.32 | $203.50 | 8.0× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$48.41–$61 | $88.50–$111.50 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$7.39–$72.21 | $13.50–$132 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$57.99–$103.66 | $106–$189.50 | varies |
| Protein s total (85305) | $57.99 | $106 | 5.0× |
| Protein total serum (84155) range across 6 matching MRF lines |
$7.12–$61.54 | $13–$112.50 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$7.12–$104.48 | $13–$191 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $111.87 | $204.50 | 28.4× |
| Protoporphyrin rbc quantitative (84202) | $114.87 | $210 | 8.0× |
| PSA free (84154) | $50.88 | $93 | 2.8× |
| Pth Intact (83970) range across 2 matching MRF lines |
$42.12–$103.93 | $77–$190 | varies |
| Quantiferon tb gold plus (86480) | $209.23 | $382.50 | 3.4× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$74.40–$271.75 | $136–$496.80 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$147.42–$227.28 | $269.50–$415.50 | varies |
| Rbc antibody elution (86860) | $118.70 | $217 | 0.7× |
| Rbc antibody identification (86870) | $103.39 | $189 | 0.3× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$36.93–$142.77 | $67.50–$261 | varies |
| Rbc pretreatment serum (86978) | $103.39 | $189 | 1.8× |
| Rbc pretx incubatj w/enzymes (86971) | $30.64 | $56 | 0.2× |
| Rbc serum pretx incubj drugs (86975) | $193.37 | $353.50 | 0.4× |
| Renin activity plasma (84244) | $100.65 | $184 | 4.6× |
| Reptilase test (85635) | $89.17 | $163 | 9.1× |
| Reticulocyte Count Manual (85044) | $107.22 | $196 | 24.9× |
| Reticulocyte separation (86972) | $133.20 | $243.50 | 0.8× |
| Rh (86901) range across 2 matching MRF lines |
$30.64–$36.93 | $56–$67.50 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$59.35–$87.25 | $108.50–$159.50 | varies |
| Rickettsia antibody (86757) | $95.73 | $175 | 4.9× |
| Ristocetin cofactor (85245) | $138.12 | $252.50 | 6.0× |
| Rpr qualitative (86592) | $61 | $111.50 | 14.3× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$35.29–$107.22 | $64.50–$196 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$56.89–$62.36 | $104–$114 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$54.16–$114.33 | $99–$209 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$108.04–$117.06 | $197.50–$214 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$50.88–$79.59 | $93–$145.50 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$14.23–$53.06 | $26–$97 | varies |
| Selenium (84255) | $113.78 | $208 | 4.5× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$32.82–$114.87 | $60–$210 | varies |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$25.44–$99.01 | $46.50–$181 | varies |
| Sirolimus (80195) | $129.64 | $237 | 9.4× |
| Skin test tuberculosis intradermal (86580) | $34.60 | $63.24 | 1.2× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$32–$91.35 | $58.50–$167 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$22.43–$86.16 | $41–$157.50 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $76.04 | $139 | 13.1× |
| Sodium Serum (84295) | $63.18 | $115.50 | 13.1× |
| Sodium Urine (84300) | $54.98 | $100.50 | 10.9× |
| Soluble fibrin monomer (85366) | $172.86 | $316 | 2.1× |
| Somatomedin (84305) | $95.46 | $174.50 | 4.5× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$188.17–$301.40 | $344–$551 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$188.17–$253.27 | $344–$463 | varies |
| Specimen infect agnt concntj (87015) | $21.06 | $38.50 | 3.2× |
| Staph a DNA amp probe (87640) | $166.57 | $304.50 | 4.7× |
| Strep a assay w/optic (87880) | $146.05 | $267 | 8.8× |
| Strep a DNA amp probe (87651) | $100.65 | $184 | 2.9× |
| Strep b DNA amp probe (87653) | $150.43 | $275 | 4.3× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$49.23–$53.06 | $90–$97 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$49.23–$161.64 | $90–$295.50 | varies |
| Surgical pathology level vi (88309) range across 3 matching MRF lines |
$161.64–$286.91 | $295.50–$524.50 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 7 matching MRF lines |
$25.17–$62.91 | $46–$115 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$68.65–$78.50 | $125.50–$143.50 | varies |
| Syphilis Test Non-Trep Quant (86593) | $23.80 | $43.50 | 5.4× |
| T3 Free (84481) | $147.42 | $269.50 | 8.7× |
| T3 Total (84480) | $128.28 | $234.50 | 9.0× |
| T4 Free (84439) range across 2 matching MRF lines |
$12.59–$107.22 | $23–$196 | varies |
| T4 total (84436) | $80.69 | $147.50 | 11.7× |
| Tacrolimus (80197) | $127.73 | $233.50 | 9.3× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$29.27–$93.82 | $53.50–$171.50 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$85.06–$190.63 | $155.50–$348.50 | varies |
| Testosterone, Free (84402) | $62.36 | $114 | 2.4× |
| Tetanus antibody (86774) | $90.81 | $166 | 6.1× |
| Theophylline (80198) | $161.37 | $295 | 11.4× |
| Thrombin Time (85670) | $77.95 | $142.50 | 13.5× |
| Thromboplastin Inhibition Tissue (85705) | $77.95 | $142.50 | 8.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$83.42–$121.17 | $152.50–$221.50 | varies |
| Thyroglobulin (84432) | $52.24 | $95.50 | 3.3× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$51.42–$147.42 | $94–$269.50 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $127.18 | $232.50 | 2.5× |
| Tissue Culture (88233) | $189.27 | $346 | 1.3× |
| Tissue Culture Amniotic Fluid (88235) | $317.26 | $580 | 2.1× |
| Tobramycin peak (80200) | $181.06 | $331 | 11.2× |
| Topiramate (80201) | $138.94 | $254 | 11.7× |
| Touch prep (88161) range across 3 matching MRF lines |
$64.55–$132.93 | $118–$243 | varies |
| Toxoplasma ab igm (86778) | $45.95 | $84 | 3.2× |
| Toxoplasma antibody (86777) | $45.95 | $84 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$7.12–$76.04 | $13–$139 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$17.51–$126.91 | $32–$232 | varies |
| Triglycerides (84478) | $66.74 | $122 | 11.6× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$17.51–$135.39 | $32–$247.50 | varies |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
$146.60–$201.30 | $268–$368 | varies |
| Urea nitrogen urine (84540) | $41.03 | $75 | 7.4× |
| Uric acid other source (84560) | $39.39 | $72 | 7.8× |
| Urinalysis Microscopic Only (81015) | $96.28 | $176 | 31.6× |
| Urine Bacteria Culture (87088) | $150.43 | $275 | 18.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $96.28 | $176 | 30.4× |
| Valproic acid (80164) | $16.96 | $31 | 1.3× |
| Vancomycin (80202) range across 2 matching MRF lines |
$18.60–$170.40 | $34–$311.50 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$54.16–$73.85 | $99–$135 | varies |
| Vasopressin (84588) | $128.55 | $235 | 3.8× |
| Viral Culture (87252) range across 3 matching MRF lines |
$99.83–$212.51 | $182.50–$388.50 | varies |
| Virus antibody nos (86790) | $141.40 | $258.50 | 11.0× |
| Virus inoculate tissue addl (87253) | $86.43 | $158 | 4.3× |
| Viscosity serum (85810) | $150.16 | $274.50 | 12.9× |
| Vit D 1 25-Dihydroxy (82652) | $144.41 | $264 | 3.8× |
| Vitamin A (84590) | $90.53 | $165.50 | 7.8× |
| Vitamin b-12 (82607) | $135.11 | $247 | 9.0× |
| Vitamin B6 (84207) | $132.11 | $241.50 | 4.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$92.99–$105.85 | $170–$193.50 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$100.93–$137.30 | $184.50–$251 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$61.27–$66.74 | $112–$122 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$61.27–$65.64 | $112–$120 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$84.24–$100.93 | $154–$184.50 | 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.