Lab & pathology prices at Sheridan County Hospital

Hoxie, KS · every code in this section with a posted price and a Medicare benchmark.

537 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $89 $89 8.0×
Acetylcholine receptor binding antibody (86041) $597 $597 32.4×
Acetylcholine receptor blocking antibody (86042) $597 $597 32.4×
Acetylcholinesterase Assay (82013) $90 $90 7.3×
Acetylcholn Rcptr Modlg Antb (86043) $394 $394 32.7×
Acth (82024) $225 $225 5.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $44 $44 1.3×
Actin smooth muscle antibody each (86015) $160 $160 13.3×
Acute hepatitis panel (80074) $263 $263 5.5×
Albumin Fluid (82042) $49 $49 6.3×
Albumin serum (82040)
range across 2 matching MRF lines
$22–$43 $22–$43 varies
Aldolase (82085)
range across 2 matching MRF lines
$62–$65 $62–$65 varies
Aldosterone urine (82088) $232 $232 5.7×
Alkaline phosphatase isoenzymes (84080) $116 $116 7.8×
Allergen specific ige (86003)
range across 16 matching MRF lines
$27–$133 $27–$133 varies
Allergen specific igg (86001) $141 $141 18.0×
Allg Spec Ige Recomb Ea (86008) $155 $155 8.6×
Alpha-1-antitrypsin phenotype (82104) $171 $171 11.8×
Alpha-1-antitrypsin total (82103) $143 $143 10.6×
Alpha-Fetoprotein Serum (82105) $105 $105 6.3×
Alt (sgpt) (84460) $46 $46 8.7×
Aluminum (82108) $40 $40 1.6×
Amikacin trough (80150)
range across 2 matching MRF lines
$62–$72 $62–$72 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $1,060 $1,060 62.8×
Ammonia (82140) $98 $98 6.7×
Amylase urine (82150) $52 $52 8.0×
Ana Titer (86039) $85 $85 7.6×
Anca screen each antibody (86036) $277 $277 23.0×
Androstenedione (82157) $238 $238 8.1×
Angiotensin converting enzyme csf (82164) $98 $98 6.7×
Anti-Phospholipid Antibody (86148) $162 $162 10.1×
Antibody aspergillus (86606) $210 $210 14.0×
Antibody Bacterium Not Elsewhere Specified (86609) $199 $199 15.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $163 $163 10.5×
Antibody Cytomegalovirus Cmv Igm (86645) $169 $169 10.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $121 $121 9.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $129 $129 8.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $130 $130 7.2×
Antibody Fungus Not Elsewhere Specified (86671) $204 $204 16.7×
Antibody haemophilus influenza (86684) $109 $109 6.9×
Antibody helicobacter pylori (86677) $80 $80 4.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $163 $163 11.3×
Antibody Herpes Smplx Type 1 (86695) $147 $147 11.1×
Antibody HIV-2 (86702) $114 $114 8.4×
Antibody htlv/HIV antibody confirmatory test (86689) $246 $246 12.7×
Antibody identification leukocyte antibodies (86021) $104 $104 6.9×
Antibody Treponema Pallidum (86780) $88 $88 6.6×
Antigen typing (86905) $85 $85 22.2×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines
$37–$151 $37–$151 varies
Antinomyces antibody (86602) $144 $144 14.1×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$75–$90 $75–$90 varies
Antistreptolysin o titer (86060) $69 $69 9.5×
Antithrombin iii activity (85300) $84 $84 7.1×
Antithrombin iii antigen (85301) $54 $54 5.0×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$52–$96 $52–$96 varies
Arsenic (82175) $65 $65 3.4×
Aspergillus ag eia (87305) $171 $171 14.3×
Assay activated protein c (85307) $511 $511 33.4×
Assay Blood Carbon Dioxide (82374) $22 $22 4.5×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines
$93–$322 $93–$322 varies
Assay of 5-hiaa (83497) $96 $96 7.4×
Assay of blood/uric acid (84550) $32 $32 7.1×
Assay of calcium in urine (82340) $59 $59 9.8×
Assay of cpk in blood (82552) $105 $105 7.8×
Assay of estrone (82679) $125 $125 5.0×
Assay of g6pd enzyme (82955) $157 $157 16.2×
Assay of gammaglobulin igm (82784) $97 $97 10.4×
Assay of lactic acid (83605) $102 $102 8.8×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$129–$149 $129–$149 varies
Assay of proinsulin (84206) $507 $507 19.0×
Assay of serotonin (84260) $203 $203 6.6×
Assay of serum potassium (84132) $40 $40 8.4×
Assay of sweat sodium (84302) $37 $37 7.6×
Assay of urea nitrogen (84520) $31 $31 7.8×
Assay of urine vma (84585) $125 $125 8.1×
Assay of vasoactive intestinal peptide (84586) $151 $151 4.3×
Assay of vitamin b-1 (84425) $145 $145 6.8×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$32–$33 $32–$33 varies
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$20–$74 $20–$74 varies
B cells total count (86355)
range across 2 matching MRF lines
$52–$75 $52–$75 varies
Bacterial antigens 87802 (87802) $123 $123 9.7×
Bartonella antibody (86611) $39 $39 3.8×
Beta 2 glycoprotein i antibody each (86146) $88 $88 3.5×
Beta hydroxybutyrate (82010) $119 $119 14.6×
Beta Lactamase (87185) $40 $40 8.4×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$77–$87 $77–$87 varies
Bilirubin direct (82248) $40 $40 8.0×
Bilirubin total (82247) $50 $50 10.0×
Biotinidase (82261) $138 $138 8.2×
Bl Smear W/O Diff Wbc Count (85008) $131 $131 38.2×
Blastomyces antibody (86612) $125 $125 9.7×
Bld Typing Serologic Rh Phnt (86906) $100 $100 12.9×
Blood Count Red Blood Cell Automated (85041) $22 $22 7.3×
Blood count reticulocyte automated (85045) $162 $162 40.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $19 $19 5.0×
Blood gas (82803) $235 $235 9.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 3 matching MRF lines
$64–$70 $64–$70 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $70 $70 16.0×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$35–$312 $35–$312 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $92 $92 5.6×
Blood typing serologic abo (86900) $353 $353 118.1×
Bordetella antibody (86615) $39 $39 3.0×
Brucella antibody (86622) $115 $115 12.9×
C diff amplified probe (87493)
range across 2 matching MRF lines
$126–$133 $126–$133 varies
C-Peptide (84681) $133 $133 6.4×
C-reactive protein (86140) $54 $54 10.4×
Ca 19-9 (86301) $193 $193 9.3×
Cadmium (82300) $115 $115 4.9×
Calcitonin (82308) $163 $163 6.1×
Calcium ionized (82330) $94 $94 6.9×
Calcium total (82310) $22 $22 4.3×
Calculus Spectroscopy (82365) $263 $263 20.4×
Calprotectin Fecal (83993) $299 $299 15.2×
Calr gene com variants (81219) $1,236 $1,236 10.2×
Cancer Antigen 125 (86304) $112 $112 5.4×
Cancer Antigen 27.29 (86300) $109 $109 5.2×
Candida Dna Dir Probe (87480) $118 $118 5.9×
Carbamazepine total (80156) $183 $183 12.6×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $85 $85 6.0×
Carboxyhemoglobin (82375) $94 $94 7.6×
Carcinoembryonic antigen (82378) $145 $145 7.6×
Cardiolipin ab iga (86147)
range across 6 matching MRF lines
$67–$178 $67–$178 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$225–$235 $225–$235 varies
Ccp antibody (86200) $176 $176 13.6×
Cell count csf (89051)
range across 2 matching MRF lines
$38–$85 $38–$85 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $364 $364 2.7×
Ceruloplasmin (82390) $75 $75 7.0×
Chemiluminescent assay (82397) $220 $220 15.6×
Chlamydia antibody (86631) $111 $111 9.4×
Chlamydia Igm Antibody (86632) $105 $105 8.3×
Chloride other source (82438) $20 $20 4.0×
Chloride Serum (82435) $20 $20 4.3×
Chloride urine (82436) $45 $45 7.8×
Cholesterol total (82465) $22 $22 5.1×
Cholinesterase Serum (82480) $78 $78 9.9×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$101–$123 $101–$123 varies
Chromium serum (82495) $82 $82 4.0×
Chromogenic Substrate Assay (85130) $42 $42 3.5×
Chromogranin a (86316)
range across 2 matching MRF lines
$89–$96 $89–$96 varies
Chromosome Analysis 15-20 (88262) $810 $810 6.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $116 $116 3.3×
Citric acid urine (82507) $264 $264 9.5×
Clostridium Difficile (87324) $112 $112 9.3×
Clot Factor VIII Multimetric (85247) $89 $89 3.9×
Clot factor xiii fibrin stab (85290) $165 $165 10.1×
Clotting factor xii hageman (85280) $140 $140 7.2×
Coagulation time other methods (85348) $20 $20 4.5×
Coccidioides antibody (86635) $208 $208 18.1×
Cold agglutinin titer (86157) $62 $62 7.7×
Collagen crosslinks (82523)
range across 4 matching MRF lines
$184–$214 $184–$214 varies
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$128–$406 $128–$406 varies
Compatibility Each Unit Incubation (86921) $151 $151 1.0×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$85–$151 $85–$151 varies
Complement Antigen Each Component (86160) $116 $116 9.7×
Complement Total (Ch50) (86162) $185 $185 9.1×
Complement/Function Activity (86161) $104 $104 8.7×
Consltj&Reprt Material Requiring Prepj Slides (88323) $330 $330 6.9×
Coombs direct (86880) $56 $56 10.4×
Copper urine (82525) $54 $54 4.4×
Cortisol free (82530)
range across 2 matching MRF lines
$133–$208 $133–$208 varies
Cortisol saliva (82533)
range across 5 matching MRF lines
$118–$139 $118–$139 varies
Creatine kinase total (82550)
range across 3 matching MRF lines
$46–$95 $46–$95 varies
Creatinine blood (82565) $22 $22 4.3×
Creatinine clearance (82575)
range across 2 matching MRF lines
$69–$72 $69–$72 varies
Creatinine Urine (82570)
range across 2 matching MRF lines
$36–$43 $36–$43 varies
Crossmatch immediate spin (86920) $151 $151 1.0×
Crp High Sensitivity (86141) $123 $123 9.5×
Cryofibrinogen (82585) $62 $62 4.4×
Cryoglobulin (82595) $121 $121 18.7×
Cryopreservation; sperm (89259) $151 $151 1.0×
Cryptococcus ab (86641) $94 $94 6.5×
Cryptococcus ag titer (87899) $112 $112 7.0×
Cryptosporidium ag eia (87328) $112 $112 8.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$57–$67 $57–$67 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 3 matching MRF lines
$49–$67 $49–$67 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $49 $49 6.4×
Culture afb (87116)
range across 2 matching MRF lines
$95–$96 $95–$96 varies
Culture Anaerobic (87075) $77 $77 8.1×
Culture blood (87040) $329 $329 31.9×
Culture chlamydia (87110) $144 $144 7.3×
Culture csf (87070)
range across 11 matching MRF lines
$14–$215 $14–$215 varies
Culture fungus (87102) $72 $72 8.6×
Culture fungus blood (87103) $74 $74 3.6×
Culture screen only (87081)
range across 3 matching MRF lines
$48–$49 $48–$49 varies
Culture stool (87045) $59 $59 6.3×
Culture Typing Gas/High Pres Liq Chromatography (87143)
range across 2 matching MRF lines
$63–$67 $63–$67 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $40 $40 7.7×
Culture urine (87086) $62 $62 7.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $69 $69 4.8×
Cyclosporine (80158) $157 $157 8.7×
Cytogenetics 100-300 (88275) $249 $249 4.9×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$133–$169 $133–$169 varies
Cytopath C/V Index Add-On (88155) $38 $38 2.6×
Cytopath Cell Enhance Tech (88112) $215 $215 4.5×
Cytopath Fl Nongyn Filter (88106) $115 $115 4.3×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$166–$173 $166–$173 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $418 $418 8.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $166 $166 4.8×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $35 $35 1.9×
Deoxyribonuclease antibody (86215) $108 $108 8.2×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$116–$345 $116–$345 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$416–$487 $416–$487 varies
Dgp Antibody Each Ig Class (86258) $235 $235 19.5×
Dhea (82626) $183 $183 7.2×
Dhea-S (82627) $162 $162 7.3×
Digoxin (80162) $113 $113 8.5×
Dna Antibody Native/Double Stranded (86225) $125 $125 9.1×
Dna/Rna Amplified Probe (87150) $63 $63 1.8×
DNA/RNA direct probe (87149) $88 $88 4.4×
Drug assay adalimumab (80145) $405 $405 10.5×
Drug Assay Infliximab (80230) $603 $603 15.6×
Drug Asy Hydroxychloroquine (80220) $406 $406 21.8×
Drug Screen Quant Zonisamide (80203) $175 $175 13.2×
Drug Screen Quantitative Lamotrigine (80175)
range across 2 matching MRF lines
$73–$132 $73–$132 varies
Drug Screen Quantitative Levetiracetam (80177) $284 $284 21.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $108 $108 6.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 6 matching MRF lines
$40–$283 $40–$283 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$61–$116 $61–$116 varies
El-1 Fecal Quantitative (82653) $256 $256 11.1×
Electrolyte panel (80051) $39 $39 5.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $145 $145 12.0×
Enterovirus Antibody (86658) $175 $175 13.4×
Enzyme cell activity (82657) $507 $507 22.9×
Erythropoietin (82668) $134 $134 7.1×
Estradiol serum (82670) $194 $194 6.9×
Estriol (82677) $126 $126 5.2×
Estrogen total (82672) $195 $195 9.0×
Estrogens fractionated (82671) $193 $193 6.0×
Ethosuximide (80168) $98 $98 6.0×
Exam Synovial Fluid Crystals (89060) $146 $146 19.9×
F2 Gene (81240) $657 $657 10.0×
Factor ii activity (85210) $132 $132 10.2×
Factor Inhibitor Test (85335) $131 $131 10.2×
Factor ix activity (85250) $140 $140 7.4×
Factor v activity (85220) $133 $133 7.5×
Factor v leiden mutation (81241) $728 $728 9.9×
Factor vii assay (85230) $132 $132 7.4×
Factor viii assay (85240)
range across 2 matching MRF lines
$149–$217 $149–$217 varies
Factor xi activity (85270) $147 $147 8.2×
Fat/Lipids Feces Quantitative (82710) $176 $176 10.5×
Fatty acids free (82725) $61 $61 3.2×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $286 $286 16.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $37 $37 5.7×
Fecal Fat Qualitative (82705) $131 $131 25.7×
Ferritin (82728) $105 $105 7.7×
Fibrin degradation products (85362) $89 $89 12.9×
Fibrin Degradation Quant (85379) $147 $147 14.4×
Fibrin dgradj products d-dimer qual/semiquan (85378) $96 $96 9.9×
Fibrinogen activity (85384) $53 $53 5.5×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $57 $57 3.7×
Flow cytometry first marker (88184) $312 $312 0.9×
Fluorescent antibody screen (86255)
range across 7 matching MRF lines
$101–$178 $101–$178 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $118 $118 9.8×
Folic acid rbc (82747) $129 $129 7.3×
Folic Acid Serum (82746) $125 $125 8.5×
Follicle Stimulating Hormone (83001) $143 $143 7.7×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $254 $254 8.9×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$77–$188 $77–$188 varies
Fungi Identification Yeast (87106) $73 $73 7.1×
Gammaglobulin ige (82785) $128 $128 7.8×
Gardner vag DNA dir probe (87510) $118 $118 5.9×
Gases blood ph only (82800) $97 $97 8.8×
Gastrin (82941) $130 $130 7.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,475 $1,475 3.5×
Gentamicin (80170) $115 $115 7.0×
Ggt (82977)
range across 2 matching MRF lines
$32–$67 $32–$67 varies
Giardia antigen (87329) $123 $123 10.3×
Glucose 2 hr pp (82950) $40 $40 8.4×
Glucose body fluid (82945) $18 $18 4.6×
Glucose Serum (82947) $18 $18 4.6×
Glucose tolerance test (gtt) (82951) $96 $96 7.5×
Glycated Protein (82985) $85 $85 5.1×
Gonadotropin Chorionic Qualitative (84703) $75 $75 10.0×
Gonadotropin releasing hormone (83727) $403 $403 23.4×
Growth hormone (83003) $119 $119 7.1×
Gtt-added samples (82952) $31 $31 7.9×
Haptoglobin (83010) $104 $104 8.3×
Hdl Cholesterol (83718) $36 $36 4.4×
Helicobacter Pylori Stool (87338) $82 $82 5.7×
Hematocrit (85014) $19 $19 8.0×
Hemoglobin (85018) $20 $20 8.4×
Hemoglobin a1c (83036) $74 $74 7.6×
Hemoglobin Chromotography (83021) $115 $115 6.4×
Hemoglobin electrophoresis (83020) $104 $104 8.1×
Hep a ab igm (86709) $109 $109 9.7×
Heparin assay (85520) $386 $386 29.5×
Hepatitis a antibody total (86708) $100 $100 8.1×
Hepatitis b core ab igm (86705) $70 $70 5.9×
Hepatitis b core ab total (86704) $87 $87 7.2×
Hepatitis B Surface Antibody (86706) $93 $93 8.7×
Hepatitis B Surface Antigen (87340) $50 $50 4.8×
Hepatitis Be Antibody (86707) $94 $94 8.1×
Hepatitis Be Antigen (87350) $94 $94 8.2×
Hepatitis C Antibody (86803) $91 $91 6.4×
Hepatitis C Revrs Trnscrpj (87522) $116 $116 2.7×
Hepatitis Delta Agent Antibody (86692) $131 $131 7.6×
Herpes simplex type 2 (86696) $112 $112 5.8×
Heterophile antibodies titer (86309) $53 $53 8.2×
Heterophile Antibody Screen (86308) $40 $40 7.7×
Hfe Gene (81256) $383 $383 5.9×
Histoplasma antibody (86698) $160 $160 11.6×
Histoplasma antigen urine (87385) $184 $184 13.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $227 $227 9.4×
Hiv-1 Antibody (86701) $134 $134 15.1×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$239–$366 $239–$366 varies
Hla-b27 (86812)
range across 2 matching MRF lines
$95–$97 $95–$97 varies
Homocysteine (83090) $320 $320 17.9×
Hsv Dna Amp Probe (87529) $432 $432 12.3×
Htlv-I Antibody (86687) $71 $71 7.8×
Hydroxycorticosteroids 17 (83491) $108 $108 6.0×
Hydroxyprogesterone 17-d (83498) $169 $169 6.2×
Hydroxyproline total (83505) $207 $207 8.5×
Iaad Ia Escherichia Coli 0157 (87335) $113 $113 8.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $152 $152 10.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $152 $152 4.3×
Iaad ia shiga-like toxin (87427) $112 $112 9.3×
Iaadi inffluenza a virus (87276) $117 $117 7.3×
Iaadi respiratory synctial virus (87280) $94 $94 7.0×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 2 matching MRF lines
$121–$140 $121–$140 varies
Iadna Cytomegalovirus Quantification (87497) $159 $159 3.7×
Iadna Hepatitis B Virus Quantification (87517) $122 $122 2.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $151 $151 4.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $140 $140 4.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $338 $338 8.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $140 $140 4.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$39–$151 $39–$151 varies
Ig Light Chains Free Each (83521) $64 $64 3.7×
Igg subclasses (82787) $70 $70 8.7×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$199–$274 $199–$274 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$118–$337 $118–$337 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$98–$143 $98–$143 varies
Immunoassay nonantibody (83516)
range across 8 matching MRF lines
$72–$325 $72–$325 varies
Immunodiffusion Ouchterlony (86331) $160 $160 13.4×
Immunofixation electrophoresis (86334) $156 $156 7.0×
Immunohistochemistry (88342) $575 $575 3.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $117 $117 9.6×
Inhibin A (86336) $586 $586 37.6×
Inhibin b (83520)
range across 12 matching MRF lines
$98–$586 $98–$586 varies
Insulin antibodies (86337) $52 $52 2.4×
Insulin total (83525) $102 $102 8.9×
Iron (83540) $53 $53 8.2×
Iron Binding Capacity (83550) $85 $85 9.7×
Islet cell antibody (86341) $160 $160 6.8×
Jak2 gene analysis p.val617phe variant (81270) $785 $785 8.6×
Koh Prep (87220) $37 $37 8.7×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$48–$92 $48–$92 varies
Lactoferrin fecal qualitative (83630) $64 $64 3.2×
Ldh Isoenzymes (83625) $95 $95 7.4×
LDL direct (83721) $92 $92 8.8×
Lead (83655)
range across 2 matching MRF lines
$36–$80 $36–$80 varies
Legionella antibody (86713) $128 $128 8.4×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$94–$322 $94–$322 varies
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$30–$31 $30–$31 varies
Leukocyte phagocytosis (86344) $44 $44 4.2×
Level I Surg Pathology Gross Examination Only (88300) $63 $63 2.4×
Level ii surg pathology gross&microscopic exam (88302) $162 $162 4.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $407 $407 1.2×
Lipase (83690) $59 $59 8.6×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $22 $22 2.0×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $78 $78 2.3×
Lithium (80178) $54 $54 8.2×
Luteinizing Hormone (Lh) (83002) $140 $140 7.6×
Lyme disease antibody (86618) $157 $157 9.2×
Lysozyme serum (85549) $133 $133 7.1×
Magnesium Urine (83735)
range across 5 matching MRF lines
$54–$149 $54–$149 varies
Mass Spectrometry Quant (83789) $308 $308 12.8×
Meat fibers, feces (89160) $134 $134 27.6×
Mercury urine (83825)
range across 2 matching MRF lines
$44–$101 $44–$101 varies
Methylmalonic acid serum (83921) $90 $90 4.2×
Microalbumin, quantitative (82043) $52 $52 9.0×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$92–$101 $92–$101 varies
Mitochondrial Antibody Each (86381) $87 $87 3.4×
Molecular Cytogenetics Dna Probe Each (88271) $246 $246 11.5×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $248 $248 5.9×
Mopath procedure level 4 (81403) $1,049 $1,049 5.7×
Mopath procedure level 9 (81408) $3,461 $3,461 1.7×
Mrsa Pcr (87641) $140 $140 4.0×
Mthfr Gene Analysis Common Variants (81291) $762 $762 11.7×
Mumps antibody (86735)
range across 2 matching MRF lines
$131–$344 $131–$344 varies
Mycobacteric Identification (87118) $75 $75 5.1×
Mycophenolic Acid (80180) $147 $147 8.1×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$115–$145 $115–$145 varies
Myoglobin urine (83874) $95 $95 7.4×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$100–$248 $100–$248 varies
Niacin (84591) $167 $167 9.8×
Nickel level (83885) $69 $69 2.8×
Nk cells total count (86357) $431 $431 11.4×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$90–$104 $90–$104 varies
Occult blood feces (82272) $70 $70 16.5×
Organic Acids Qualitative Each Specimen (83919) $123 $123 7.5×
Osmolality serum (83930) $57 $57 8.6×
Osmolality Urine (83935) $65 $65 9.5×
Osteocalcin (83937) $184 $184 6.2×
Ova and parasites smears (87177) $115 $115 12.9×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$37–$44 $37–$44 varies
Parvovirus antibody (86747) $161 $161 10.7×
Phenobarbital Level (80184) $112 $112 7.3×
Phenylalanine (84030) $35 $35 6.4×
Phenytoin (Dilantin) (80185) $113 $113 8.5×
Phenytoin free (80186) $115 $115 8.4×
Phosphatase acid prostatic (84066) $74 $74 7.7×
Phosphatase alkaline (84075) $25 $25 4.8×
Phospholipid Neutralization Hexagonal (85598) $276 $276 15.4×
Phosphorus Serum (84100) $46 $46 9.7×
Phosphorus urine (84105) $40 $40 6.9×
Platelet count automated (85049) $35 $35 7.8×
Platelet neutralization (85597) $302 $302 16.8×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$49–$123 $49–$123 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$40–$43 $40–$43 varies
Prealbumin (84134) $94 $94 6.4×
Pregnenolone (84140) $370 $370 17.9×
Procalcitonin (Pct) (84145) $215 $215 7.9×
Progesterone (84144) $144 $144 6.9×
Prolactin (84146) $162 $162 8.4×
Protein body fluid (84157) $39 $39 9.8×
Protein C Activity (85303) $178 $178 12.9×
Protein c antigen (85302)
range across 2 matching MRF lines
$61–$97 $61–$97 varies
Protein Electrophoresis Urine (84166) $187 $187 10.5×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$62–$82 $62–$82 varies
Protein S Free (85306)
range across 2 matching MRF lines
$141–$227 $141–$227 varies
Protein s total (85305) $61 $61 5.3×
Protein Total Refractometry Any Src (84160) $39 $39 7.0×
Protein total serum (84155) $29 $29 7.9×
Protein Total Urine (84156)
range across 5 matching MRF lines
$39–$46 $39–$46 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $33 $33 8.4×
PSA free (84154) $138 $138 7.5×
Pth Intact (83970) $314 $314 7.6×
Q Fever Antibody (86638) $94 $94 7.8×
Quantiferon tb gold plus (86480) $222 $222 3.6×
Quantitative assay drug (80299)
range across 11 matching MRF lines
$43–$325 $43–$325 varies
Quinidine (80194) $123 $123 8.4×
Rbc antibody elution (86860) $39 $39 0.2×
Rbc antibody identification (86870) $312 $312 0.9×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$61–$156 $61–$156 varies
Rbc pretreatment serum (86978) $93 $93 1.7×
Renin activity plasma (84244) $152 $152 6.9×
Reptilase test (85635) $88 $88 8.9×
Resp virus 12-25 targets (87633) $152 $152 0.4×
Resp Virus 6-11 Targets (87632) $1,126 $1,126 5.2×
Reticulocyte separation (86972) $160 $160 1.0×
Rh (86901)
range across 2 matching MRF lines
$35–$39 $35–$39 varies
Rheumatoid factor quant (86431) $49 $49 8.6×
Rickettsia antibody (86757) $203 $203 10.5×
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$65–$119 $65–$119 varies
Rotavirus ag eia (87425) $112 $112 9.3×
Rsv ab (86756) $129 $129 8.1×
Rubella Antibody (86762) $62 $62 4.3×
Rubeola antibody (86765)
range across 3 matching MRF lines
$112–$138 $112–$138 varies
Russell Viper Venom Time Diluted (85613)
range across 4 matching MRF lines
$41–$187 $41–$187 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 6 matching MRF lines
$182–$239 $182–$239 varies
Sars-cov-2 COVID-19 antibody (86769) $155 $155 3.7×
Sarscov2&inf a&b&rsv amp prb (87637) $446 $446 3.1×
Sedimentation Rate, Automated (85652) $29 $29 10.7×
Selenium (84255) $163 $163 6.4×
Sensitivity mic (87186) $67 $67 7.7×
Sex Hormone Binding Globulin (84270) $256 $256 11.8×
Sickling of rbc reduction (85660) $74 $74 13.4×
Sirolimus (80195) $235 $235 17.1×
Skin test tuberculosis intradermal (86580) $38 $38 1.4×
Smear acid fast (87206) $62 $62 11.5×
Smear complex stain (87209) $35 $35 1.9×
Smear gram stain (87205) $31 $31 7.3×
Smear Special Stain (87207) $180 $180 30.1×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$33–$35 $33–$35 varies
Sodium Serum (84295) $22 $22 4.6×
Sodium Urine (84300)
range across 2 matching MRF lines
$39–$40 $39–$40 varies
Soluble Transferrin Receptor (84238) $100 $100 2.7×
Somatomedin (84305)
range across 2 matching MRF lines
$176–$254 $176–$254 varies
Special Stains Group 1 (88312) $121 $121 2.5×
Special Stains Group 2 (88313) $122 $122 1.0×
Specific gravity body fluid (84315) $40 $40 12.2×
Specimen infect agnt concntj (87015) $72 $72 10.8×
Staph a DNA amp probe (87640) $140 $140 4.0×
Stool cultr aerobic bact ea (87046) $67 $67 7.1×
Strep b DNA amp probe (87653) $117 $117 3.3×
Sugars Single Qual (84376)
range across 2 matching MRF lines
$16–$87 $16–$87 varies
Surg path level iii (88304) $232 $232 4.8×
Surgical pathology level IV (88305) $303 $303 6.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $43 $43 9.1×
Susceptibility Study Antimicrobial Disk Method (87184) $63 $63 8.4×
Syphilis Test Non-Trep Quant (86593) $6 $6 1.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $241 $241 5.1×
T cells total count (86359) $140 $140 3.7×
T3 Free (84481)
range across 2 matching MRF lines
$146–$171 $146–$171 varies
T3 reverse (84482) $166 $166 10.5×
T3 Total (84480) $82 $82 5.8×
T3 Uptake (84479)
range across 2 matching MRF lines
$38–$92 $38–$92 varies
T4 Free (84439) $62 $62 6.9×
T4 total (84436) $38 $38 5.5×
Tacrolimus (80197) $129 $129 9.4×
Test for acetone/ketones (82009) $28 $28 6.2×
Testosterone Bioavailable (84410) $202 $202 3.9×
Testosterone total (84403)
range across 2 matching MRF lines
$181–$211 $181–$211 varies
Testosterone, Free (84402) $253 $253 9.9×
Theophylline (80198) $123 $123 8.7×
Thrombin Time (85670) $113 $113 19.6×
Thromboplastin Inhibition Tissue (85705) $188 $188 19.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$52–$127 $52–$127 varies
Thyroglobulin (84432) $181 $181 11.3×
Thyroglobulin Antibody (86800) $141 $141 8.9×
Thyroid Stimulating Immunoglobulin (84445) $939 $939 18.5×
Thyroxine binding globulin (84442) $267 $267 18.1×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$48–$138 $48–$138 varies
Tissue Culture Lymphocyte (88230) $908 $908 7.8×
Tobramycin peak (80200) $71 $71 4.4×
Topiramate (80201) $112 $112 9.4×
Touch prep (88161) $182 $182 6.8×
Toxoplasma ab igm (86778) $102 $102 7.1×
Toxoplasma antibody (86777) $135 $135 9.4×
Transferase Aspartate Amino Ast Sgot (84450) $25 $25 4.8×
Transferrin (84466) $162 $162 12.7×
Trichomonas vagin dir probe (87660) $117 $117 5.8×
Triglycerides (84478) $50 $50 8.7×
Troponin Quant (84484)
range across 5 matching MRF lines
$141–$233 $141–$233 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$31–$42 $31–$42 varies
Urinalysis Volume Measure (81050) $22 $22 6.0×
Urine Bacteria Culture (87088) $53 $53 6.6×
Urine Pregnancy Test (81025) $55 $55 6.4×
Valproic acid (80164) $133 $133 9.8×
Vancomycin (80202) $121 $121 8.9×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$43–$134 $43–$134 varies
Vasopressin (84588) $230 $230 6.8×
Viral Culture (87252)
range across 2 matching MRF lines
$153–$162 $153–$162 varies
Virus antibody nos (86790)
range across 2 matching MRF lines
$69–$203 $69–$203 varies
Vit D 1 25-Dihydroxy (82652) $177 $177 4.6×
Vitamin A (84590) $95 $95 8.2×
Vitamin b-12 (82607) $117 $117 7.8×
Vitamin B6 (84207) $280 $280 10.0×
Vitamin c (82180) $91 $91 9.2×
Vitamin D 25-Hydroxy (82306) $373 $373 12.6×
Vitamin E (84446) $116 $116 8.2×
Vitamin K (84597) $147 $147 10.7×
Von willebrand factor ag (85246) $90 $90 3.9×
Wbc Alkaline Phosphatase Count (85540) $85 $85 9.9×
West nile virus ab igm (86788) $160 $160 9.5×
West Nile Virus Antibody (86789) $160 $160 11.1×
Zinc (84630) $59 $59 5.2×

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.