Lab & pathology prices at Sheridan Memorial Hospital
Plentywood, MT · every code in this section with a posted price and a Medicare benchmark.
420 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $196.20 | $218 | 10.7× |
| Acth (82024) | $330.30 | $367 | 8.6× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $352.80 | $392 | 10.8× |
| Acute hepatitis panel (80074) | $444.60 | $494 | 9.3× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$29.70–$53.10 | $33–$59 | varies |
| Albumin Fluid (82042) | $137.70 | $153 | 17.7× |
| Albumin serum (82040) | $50.40 | $56 | 10.2× |
| Aldolase (82085) | $89.10 | $99 | 9.2× |
| Aldosterone urine (82088) | $354.60 | $394 | 8.7× |
| Alkaline phosphatase isoenzymes (84080) | $113.40 | $126 | 7.7× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$20.70–$71.10 | $23–$79 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $130.50 | $145 | 9.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$127.80–$135 | $142–$150 | varies |
| Alpha-Fetoprotein Serum (82105) | $160.20 | $178 | 9.6× |
| Alt (sgpt) (84460) | $72.90 | $81 | 13.8× |
| Aluminum (82108) | $88.20 | $98 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $294.30 | $327 | 17.4× |
| Amino Acids Quant 2-5 (82136) | $44.10 | $49 | 2.2× |
| Ammonia (82140) range across 2 matching MRF lines |
$115.20–$207.90 | $128–$231 | varies |
| Amylase urine (82150) | $176.40 | $196 | 27.2× |
| Ana Titer (86039) range across 2 matching MRF lines |
$42.30–$128.70 | $47–$143 | varies |
| Angiotensin converting enzyme csf (82164) | $159.30 | $177 | 10.9× |
| Antibody aspergillus (86606) | $174.60 | $194 | 11.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $64.80 | $72 | 4.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $122.40 | $136 | 7.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $175.50 | $195 | 13.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $168.30 | $187 | 11.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $189.90 | $211 | 10.5× |
| Antibody helicobacter pylori (86677) | $291.60 | $324 | 17.3× |
| Antibody Herpes Smplx Type 1 (86695) | $157.50 | $175 | 11.9× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$185.40–$186.30 | $206–$207 | varies |
| Antibody john cunningham virus (86711) | $204.30 | $227 | 12.1× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$74.70–$81 | $83–$90 | varies |
| Antigen typing (86905) | $112.50 | $125 | 29.4× |
| Antinuclear antibodies (86038) | $163.80 | $182 | 13.5× |
| Antistreptolysin o titer (86060) | $103.50 | $115 | 14.2× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$72–$217.80 | $80–$242 | varies |
| Antithrombin iii antigen (85301) | $288 | $320 | 26.6× |
| Arsenic (82175) range across 2 matching MRF lines |
$54.90–$211.50 | $61–$235 | varies |
| Assay activated protein c (85307) | $81 | $90 | 5.3× |
| Assay Blood Carbon Dioxide (82374) | $202.50 | $225 | 41.5× |
| Assay of 5-hiaa (83497) | $175.50 | $195 | 13.6× |
| Assay of anti-mullerian hormone (82166) | $107.10 | $119 | 2.8× |
| Assay of blood/uric acid (84550) | $112.50 | $125 | 24.9× |
| Assay of calcium in urine (82340) | $82.80 | $92 | 13.7× |
| Assay of estrone (82679) | $123.30 | $137 | 4.9× |
| Assay of g6pd enzyme (82955) | $134.10 | $149 | 13.8× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$43.20–$132.30 | $48–$147 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$130.50–$138.60 | $145–$154 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$78.30–$414 | $87–$460 | varies |
| Assay of proinsulin (84206) | $214.20 | $238 | 8.0× |
| Assay of pyruvate (84210) | $78.30 | $87 | 5.4× |
| Assay of serum potassium (84132) | $99.90 | $111 | 21.0× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$35.10–$83.70 | $39–$93 | varies |
| Assay of vitamin b-1 (84425) | $189 | $210 | 8.9× |
| Assay Ph Body Fluid Nos (83986) | $103.50 | $115 | 28.9× |
| Assay spec xcp ur&breath ia (82077) | $241.20 | $268 | 14.0× |
| Automated Leukocyte Count (85048) | $54 | $60 | 21.3× |
| B cells total count (86355) range across 2 matching MRF lines |
$180.90–$251.10 | $201–$279 | varies |
| Bacterial antigens 87802 (87802) | $93.60 | $104 | 7.4× |
| Bartonella antibody (86611) | $96.30 | $107 | 9.5× |
| Beta 2 glycoprotein i antibody each (86146) | $94.50 | $105 | 3.7× |
| Beta-2 Microglobulin (82232) | $280.80 | $312 | 17.4× |
| Bile acids total (82239) | $93.60 | $104 | 5.5× |
| Bilirubin direct (82248) | $101.70 | $113 | 20.3× |
| Bilirubin total (82247) | $61.20 | $68 | 12.2× |
| Biotinidase (82261) | $45.90 | $51 | 2.7× |
| Bld Typing Serologic Rh Phnt (86906) | $90 | $100 | 11.6× |
| Blood Count Automated Differential Wbc Count (85004) | $65.70 | $73 | 10.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $34.20 | $38 | 9.0× |
| Blood gas (82803) range across 2 matching MRF lines |
$504.90–$535.50 | $561–$595 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $114.30 | $127 | 26.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $280.80 | $312 | 44.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$80.10–$106.20 | $89–$118 | varies |
| Body fluid cell count (89050) | $71.10 | $79 | 15.1× |
| Borrelia Antibody (86619) | $136.80 | $152 | 10.2× |
| Breath Alcohol Test (82075) | $79.20 | $88 | 2.6× |
| Brucella antibody (86622) range across 4 matching MRF lines |
$77.40–$158.40 | $86–$176 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$139.50–$306.90 | $155–$341 | varies |
| C-Peptide (84681) | $159.30 | $177 | 7.7× |
| C-reactive protein (86140) | $180.90 | $201 | 34.9× |
| Ca 19-9 (86301) | $306.90 | $341 | 14.7× |
| Cadmium (82300) range across 2 matching MRF lines |
$57.60–$211.50 | $64–$235 | varies |
| Calcitonin (82308) | $353.70 | $393 | 13.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$57.60–$191.70 | $64–$213 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$54–$101.70 | $60–$113 | varies |
| Calculus Spectroscopy (82365) | $137.70 | $153 | 10.7× |
| Calculus Xray Diffraction (82370) | $188.10 | $209 | 15.0× |
| Calprotectin Fecal (83993) | $282.60 | $314 | 14.4× |
| Cancer Antigen 125 (86304) | $217.80 | $242 | 10.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$66.60–$257.40 | $74–$286 | varies |
| Carbamazepine total (80156) | $279 | $310 | 19.1× |
| Carboxyhemoglobin (82375) | $371.70 | $413 | 30.2× |
| Carcinoembryonic antigen (82378) | $252.90 | $281 | 13.3× |
| Cardiolipin ab iga (86147) | $272.70 | $303 | 10.7× |
| Carnitine Quantitative Each Specimen (82379) | $92.70 | $103 | 5.5× |
| Catecholamines fractionated (82384) | $339.30 | $377 | 13.4× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$59.40–$259.20 | $66–$288 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$82.80–$150.30 | $92–$167 | varies |
| Ceruloplasmin (82390) | $155.70 | $173 | 14.5× |
| Chemiluminescent assay (82397) | $318.60 | $354 | 22.6× |
| Chloride urine (82436) | $51.30 | $57 | 8.9× |
| Cholesterol total (82465) | $106.20 | $118 | 24.4× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$250.20–$252 | $278–$280 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $103.50 | $115 | 3.1× |
| Chromogranin a (86316) | $119.70 | $133 | 5.8× |
| Chromosome Analysis 20-25 (88264) | $318.60 | $354 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $44.10 | $49 | 1.3× |
| Citric acid urine (82507) | $88.20 | $98 | 3.2× |
| Ckmb (82553) | $68.40 | $76 | 5.9× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$135–$222.30 | $150–$247 | varies |
| Clotting Funct Activity (85397) | $244.80 | $272 | 7.9× |
| Coccidioides antibody (86635) | $110.70 | $123 | 9.7× |
| Collagen crosslinks (82523) | $264.60 | $294 | 14.2× |
| Column Chromotography Quant (82542) | $190.80 | $212 | 7.9× |
| Compatibility test antiglob (86922) | $290.70 | $323 | 1.7× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$159.30–$168.30 | $177–$187 | varies |
| Complement Total (Ch50) (86162) | $61.20 | $68 | 3.0× |
| Coombs direct (86880) | $112.50 | $125 | 20.9× |
| Copper urine (82525) | $137.70 | $153 | 11.1× |
| Cortisol free (82530) | $346.50 | $385 | 20.7× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$259.20–$261.90 | $288–$291 | varies |
| Creatine kinase total (82550) | $166.50 | $185 | 25.6× |
| Creatinine blood (82565) | $69.30 | $77 | 13.5× |
| Creatinine clearance (82575) | $156.60 | $174 | 16.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$71.10–$72 | $79–$80 | varies |
| Crossmatch immediate spin (86920) | $244.80 | $272 | 1.4× |
| Crp High Sensitivity (86141) | $103.50 | $115 | 8.0× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$256.50–$1,127.70 | $285–$1,253 | varies |
| Cryptosporidium (87272) | $117.90 | $131 | 9.8× |
| Cryptosporidium ag eia (87328) | $82.80 | $92 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$137.70–$141.30 | $153–$157 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $112.50 | $125 | 13.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $118.80 | $132 | 15.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,038.60 | $1,154 | 4.8× |
| Culture afb (87116) | $127.80 | $142 | 11.8× |
| Culture Anaerobic (87075) | $196.20 | $218 | 20.7× |
| Culture blood (87040) | $406.80 | $452 | 39.4× |
| Culture csf (87070) range across 3 matching MRF lines |
$118.80–$181.80 | $132–$202 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$106.20–$216.90 | $118–$241 | varies |
| Culture screen only (87081) | $84.60 | $94 | 12.8× |
| Culture stool (87045) range across 2 matching MRF lines |
$46.80–$158.40 | $52–$176 | varies |
| Culture urine (87086) | $178.20 | $198 | 22.1× |
| Cytomegalovirus igg (86644) | $198.90 | $221 | 13.8× |
| Cytopath Cell Enhance Tech (88112) | $395.10 | $439 | 7.4× |
| Deoxyribonuclease antibody (86215) | $176.40 | $196 | 13.3× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$164.70–$252.90 | $183–$281 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$536.40–$594.90 | $596–$661 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$116.10–$252.90 | $129–$281 | varies |
| Dgp Antibody Each Ig Class (86258) | $138.60 | $154 | 11.5× |
| Dhea (82626) | $286.20 | $318 | 11.3× |
| Dhea-S (82627) | $210.60 | $234 | 9.5× |
| Digoxin (80162) | $280.80 | $312 | 21.1× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$50.40–$226.80 | $56–$252 | varies |
| Drug assay acetaminophen (80143) | $377.10 | $419 | 20.2× |
| Drug Assay Infliximab (80230) | $371.70 | $413 | 9.6× |
| Drug Screen Quantitative Gabapentin (80171) | $83.70 | $93 | 3.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $84.60 | $94 | 6.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $272.70 | $303 | 20.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$121.50–$377.10 | $135–$419 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $38.70 | $43 | 3.1× |
| Electrolyte panel (80051) | $168.30 | $187 | 24.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $149.40 | $166 | 12.4× |
| Enterovirus PCR (87498) | $468.90 | $521 | 13.4× |
| Erythropoietin (82668) | $241.20 | $268 | 12.8× |
| Estradiol serum (82670) | $231.30 | $257 | 8.3× |
| Ethosuximide (80168) | $86.40 | $96 | 5.3× |
| Exam Synovial Fluid Crystals (89060) | $107.10 | $119 | 14.6× |
| F2 Gene (81240) | $129.60 | $144 | 2.0× |
| Factor v leiden mutation (81241) | $395.10 | $439 | 5.4× |
| Fat/Lipids Feces Quantitative (82710) | $290.70 | $323 | 17.3× |
| Ferritin (82728) | $178.20 | $198 | 13.1× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$61.20–$237.60 | $68–$264 | varies |
| Fibrinogen activity (85384) | $79.20 | $88 | 8.1× |
| Flow cytometry first marker (88184) | $239.40 | $266 | 0.7× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$72–$172.80 | $80–$192 | varies |
| Folic Acid Serum (82746) | $230.40 | $256 | 15.7× |
| Follicle Stimulating Hormone (83001) | $189.90 | $211 | 10.2× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$77.40–$190.80 | $86–$212 | varies |
| Fungi Identification Mold (87107) | $118.80 | $132 | 11.5× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$150.30–$152.10 | $167–$169 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $74.70 | $83 | 3.5× |
| Gammaglobulin ige (82785) | $151.20 | $168 | 9.2× |
| Gases blood ph only (82800) | $206.10 | $229 | 18.7× |
| Gastrin (82941) | $62.10 | $69 | 3.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$610.20–$1,320.30 | $678–$1,467 | varies |
| Gentamicin (80170) | $200.70 | $223 | 12.3× |
| Ggt (82977) | $123.30 | $137 | 17.1× |
| Giardia antigen (87329) | $60.30 | $67 | 5.0× |
| Glucose 2 hr pp (82950) | $108 | $120 | 22.7× |
| Glucose body fluid (82945) | $90 | $100 | 22.9× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$38.70–$62.10 | $43–$69 | varies |
| Glycated Protein (82985) | $138.60 | $154 | 8.3× |
| Gonadotropin Chorionic Qualitative (84703) | $144.90 | $161 | 19.3× |
| Gonadotropin releasing hormone (83727) | $592.20 | $658 | 34.5× |
| Growth hormone (83003) | $178.20 | $198 | 10.7× |
| H Pylori (C-13) Breath (83013) | $171 | $190 | 2.5× |
| H pylri clrthmcn rst amp prb (87513) | $81 | $90 | 2.3× |
| Haptoglobin (83010) | $185.40 | $206 | 14.7× |
| Hdl Cholesterol (83718) | $105.30 | $117 | 12.9× |
| Hematocrit (85014) | $75.60 | $84 | 31.9× |
| Hemoglobin (85018) | $71.10 | $79 | 30.0× |
| Hemoglobin a1c (83036) | $171 | $190 | 17.6× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$56.70–$61.20 | $63–$68 | varies |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $88.20 | $98 | 9.1× |
| Hemosiderin urine (83070) | $51.30 | $57 | 10.8× |
| Hep a ab igm (86709) | $161.10 | $179 | 14.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$132.30–$134.10 | $147–$149 | varies |
| Hepatitis b core ab igm (86705) | $105.30 | $117 | 8.9× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$100.80–$126.90 | $112–$141 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$54–$113.40 | $60–$126 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$73.80–$126.90 | $82–$141 | varies |
| Hepatitis Be Antigen (87350) | $43.20 | $48 | 3.7× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$175.50–$194.40 | $195–$216 | varies |
| Hepatitis C Genotype (87902) | $968.40 | $1,076 | 3.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$584.10–$738 | $649–$820 | varies |
| Herpes simplex type 2 (86696) | $157.50 | $175 | 8.1× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$72–$75.60 | $80–$84 | varies |
| Histoplasma antigen urine (87385) | $157.50 | $175 | 11.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $90.90 | $101 | 3.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $138.60 | $154 | 1.6× |
| Hla-b27 (86812) | $230.40 | $256 | 8.9× |
| Homocysteine (83090) | $207.90 | $231 | 11.6× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$70.20–$129.60 | $78–$144 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$53.10–$108 | $59–$120 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $95.40 | $106 | 6.9× |
| Iaadi giardia (87269) range across 2 matching MRF lines |
$114.30–$117.90 | $127–$131 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $270 | $300 | 6.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $114.30 | $127 | 1.6× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $59.40 | $66 | 2.2× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $102.60 | $114 | 5.1× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $59.40 | $66 | 2.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $44.10 | $49 | 1.3× |
| Ig Light Chains Free Each (83521) | $144 | $160 | 8.3× |
| Igg subclasses (82787) | $92.70 | $103 | 11.6× |
| Immunfix e-phorsis/urine/csf (86335) | $330.30 | $367 | 11.3× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$58.50–$157.50 | $65–$175 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$63.90–$256.50 | $71–$285 | varies |
| Immunohistochemistry (88342) | $337.50 | $375 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $432.90 | $481 | 2.5× |
| Influenza assay w/optic (87804) | $68.40 | $76 | 4.1× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$144.90–$243 | $161–$270 | varies |
| Inhibin A (86336) | $92.70 | $103 | 5.9× |
| Inhibin b (83520) range across 7 matching MRF lines |
$71.10–$206.10 | $79–$229 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$204.30–$582.30 | $227–$647 | varies |
| Insulin antibodies (86337) | $59.40 | $66 | 2.8× |
| Insulin total (83525) | $189 | $210 | 16.5× |
| Iron (83540) range across 2 matching MRF lines |
$53.10–$108 | $59–$120 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$72–$147.60 | $80–$164 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$96.30–$259.20 | $107–$288 | varies |
| Koh Prep (87220) | $68.40 | $76 | 16.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$90–$112.50 | $100–$125 | varies |
| Ldh Isoenzymes (83625) | $65.70 | $73 | 5.1× |
| LDL direct (83721) | $96.30 | $107 | 9.2× |
| Lead (83655) range across 5 matching MRF lines |
$35.10–$150.30 | $39–$167 | varies |
| Legionella antibody (86713) | $129.60 | $144 | 8.5× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$68.40–$135 | $76–$150 | varies |
| Leukocyte Assessment Fecal (89055) | $62.10 | $69 | 14.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $567.90 | $631 | 1.6× |
| Lipase (83690) | $77.40 | $86 | 11.2× |
| Lithium (80178) | $170.10 | $189 | 25.7× |
| Luteinizing Hormone (Lh) (83002) | $189.90 | $211 | 10.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$171–$172.80 | $190–$192 | varies |
| Magnesium Urine (83735) | $102.60 | $114 | 15.3× |
| Mercury urine (83825) range across 3 matching MRF lines |
$50.40–$165.60 | $56–$184 | varies |
| Methylmalonic acid serum (83921) | $469.80 | $522 | 22.1× |
| Microalbumin, quantitative (82043) | $155.70 | $173 | 26.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$137.70–$155.70 | $153–$173 | varies |
| Mitochondrial Antibody Each (86381) | $170.10 | $189 | 6.7× |
| Mononuclear cell antigen (86356) | $180 | $200 | 6.7× |
| Mrsa Pcr (87641) | $261.90 | $291 | 7.5× |
| Mthfr Gene Analysis Common Variants (81291) | $199.80 | $222 | 3.1× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$75.60–$159.30 | $84–$177 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,071 | $1,190 | 58.2× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$136.80–$201.60 | $152–$224 | varies |
| Natriuretic peptide (83880) | $346.50 | $385 | 8.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $183.60 | $204 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $417.60 | $464 | 5.8× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$54.90–$158.40 | $61–$176 | varies |
| Occult blood feces (82272) | $73.80 | $82 | 17.4× |
| Organic Acids Qualitative Each Specimen (83919) | $169.20 | $188 | 10.3× |
| Osmolality serum (83930) | $128.70 | $143 | 19.5× |
| Osmolality Urine (83935) | $128.70 | $143 | 18.9× |
| Ova and parasites smears (87177) | $44.10 | $49 | 5.0× |
| Oxalate urine (83945) | $64.80 | $72 | 4.5× |
| Parvovirus antibody (86747) | $53.10 | $59 | 3.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$36–$36.90 | $40–$41 | varies |
| Phenobarbital Level (80184) | $200.70 | $223 | 13.1× |
| Phenylalanine (84030) | $29.70 | $33 | 5.4× |
| Phenytoin (Dilantin) (80185) | $250.20 | $278 | 18.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$27–$79.20 | $30–$88 | varies |
| Phosphorus Serum (84100) | $122.40 | $136 | 25.8× |
| Phosphorus urine (84105) | $55.80 | $62 | 9.7× |
| Pinworm exam (87172) | $45 | $50 | 10.5× |
| Platelet count automated (85049) | $76.50 | $85 | 17.1× |
| Porphobilinogen, urine; quantitative (84110) | $101.70 | $113 | 12.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $164.70 | $183 | 11.2× |
| Potassium Urine (84133) | $51.30 | $57 | 10.8× |
| Pregnenolone (84140) | $185.40 | $206 | 9.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $122.40 | $136 | 2.0× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$95.40–$178.20 | $106–$198 | varies |
| Progesterone (84144) | $202.50 | $225 | 9.7× |
| Prolactin (84146) | $223.20 | $248 | 11.5× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$108.90–$111.60 | $121–$124 | varies |
| Protein C Activity (85303) | $70.20 | $78 | 5.1× |
| Protein c antigen (85302) | $110.70 | $123 | 9.2× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$65.70–$305.10 | $73–$339 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$38.70–$171 | $43–$190 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$63.90–$282.60 | $71–$314 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$48.60–$75.60 | $54–$84 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$47.70–$96.30 | $53–$107 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $62.10 | $69 | 15.8× |
| PSA free (84154) | $233.10 | $259 | 12.7× |
| Pth Intact (83970) range across 2 matching MRF lines |
$181.80–$498.60 | $202–$554 | varies |
| Q Fever Antibody (86638) | $169.20 | $188 | 14.0× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$62.10–$417.60 | $69–$464 | varies |
| Rbc antibody elution (86860) | $144 | $160 | 0.8× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$434.70–$490.50 | $483–$545 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$165.60–$179.10 | $184–$199 | varies |
| Rbc pretreatment serum (86978) | $228.60 | $254 | 3.8× |
| Rbc pretx incubatj w/enzymes (86971) | $65.70 | $73 | 0.4× |
| Renin activity plasma (84244) | $190.80 | $212 | 8.7× |
| Reticulocyte Count (85046) | $50.40 | $56 | 9.0× |
| Reticulocyte Count Manual (85044) | $112.50 | $125 | 26.1× |
| Reticulocyte separation (86972) | $351.90 | $391 | 2.0× |
| Rh (86901) | $101.70 | $113 | 34.0× |
| Rheumatoid factor quant (86431) | $95.40 | $106 | 16.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$56.70–$134.10 | $63–$149 | varies |
| Rotavirus ag eia (87425) | $262.80 | $292 | 21.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$57.60–$96.30 | $64–$107 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$82.80–$85.50 | $92–$95 | varies |
| Rubeola antibody (86765) | $142.20 | $158 | 11.0× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$48.60–$59.40 | $54–$66 | varies |
| Salicylate Level (80179) | $377.10 | $419 | 20.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$91.80–$166.50 | $102–$185 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$88.20–$119.70 | $98–$133 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $198 | $220 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $214.20 | $238 | 1.5× |
| Sedimentation rate (85651) | $65.70 | $73 | 15.4× |
| Sedimentation Rate, Automated (85652) | $41.40 | $46 | 15.3× |
| Selenium (84255) | $74.70 | $83 | 2.9× |
| Sensitivity mic (87186) | $154.80 | $172 | 17.9× |
| Sex Hormone Binding Globulin (84270) | $133.20 | $148 | 6.1× |
| Sirolimus (80195) | $180.90 | $201 | 13.2× |
| Smear acid fast (87206) | $108 | $120 | 20.0× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$54.90–$121.50 | $61–$135 | varies |
| Smear gram stain (87205) | $90 | $100 | 21.1× |
| Smear Special Stain (87207) | $83.70 | $93 | 14.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $98.10 | $109 | 16.9× |
| Sodium Serum (84295) | $48.60 | $54 | 10.1× |
| Sodium Urine (84300) | $82.80 | $92 | 16.4× |
| Somatomedin (84305) | $294.30 | $327 | 13.8× |
| Special Stains Group 1 (88312) | $192.60 | $214 | 3.6× |
| Special Stains Group 2 (88313) | $318.60 | $354 | 2.3× |
| Specific gravity body fluid (84315) | $36.90 | $41 | 11.3× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$79.20–$80.10 | $88–$89 | varies |
| Staph a DNA amp probe (87640) | $261.90 | $291 | 7.5× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$84.60–$191.70 | $94–$213 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$93.60–$108 | $104–$120 | varies |
| Strep a DNA amp probe (87651) | $147.60 | $164 | 4.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $34.20 | $38 | 0.4× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$20.29–$368.10 | $22.54–$409 | varies |
| Surgical pathology level IV (88305) | $316.80 | $352 | 6.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$61.20–$105.30 | $68–$117 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $133.20 | $148 | 17.8× |
| Syphilis Test Non-Trep Quant (86593) | $96.30 | $107 | 21.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $68.40 | $76 | 1.5× |
| T cells total count (86359) | $62.10 | $69 | 1.6× |
| T3 Free (84481) | $228.60 | $254 | 13.5× |
| T3 reverse (84482) | $185.40 | $206 | 11.8× |
| T3 Total (84480) | $147.60 | $164 | 10.4× |
| T3 Uptake (84479) | $99 | $110 | 15.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$134.10–$149.40 | $149–$166 | varies |
| T4 total (84436) | $82.80 | $92 | 12.1× |
| T4-neonatal (84437) | $63.90 | $71 | 9.9× |
| Tacrolimus (80197) range across 3 matching MRF lines |
$92.70–$321.30 | $103–$357 | varies |
| Test for acetone/ketones (82009) | $54.90 | $61 | 12.1× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$58.50–$63.90 | $65–$71 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$48.60–$283.50 | $54–$315 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$48.60–$237.60 | $54–$264 | varies |
| Thrombin Time (85670) | $48.60 | $54 | 8.4× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$189–$423 | $210–$470 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$51.30–$138.60 | $57–$154 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $494.10 | $549 | 9.7× |
| Thyroxine binding globulin (84442) | $72 | $80 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$78.30–$242.10 | $87–$269 | varies |
| Tissue culture bone marrow (88237) | $261 | $290 | 1.8× |
| Toxoplasma ab igm (86778) | $138.60 | $154 | 9.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $101.70 | $113 | 19.6× |
| Transferrin (84466) | $154.80 | $172 | 12.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $859.50 | $955 | 4.1× |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$461.70–$563.40 | $513–$626 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$95.40–$241.20 | $106–$268 | varies |
| Triglycerides (84478) | $74.70 | $83 | 13.0× |
| Troponin Quant (84484) | $217.80 | $242 | 17.5× |
| Tumor Immunohistochem/Manual (88360) | $263.70 | $293 | 1.5× |
| Urea nitrogen urine (84540) | $51.30 | $57 | 9.2× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$38.70–$77.40 | $43–$86 | varies |
| Urinalysis Microscopic Only (81015) | $36 | $40 | 11.8× |
| Urine Albumin Semiquantitative (82044) | $78.30 | $87 | 12.6× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$62.10–$86.40 | $69–$96 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $70.20 | $78 | 22.1× |
| Valproic acid (80164) | $320.40 | $356 | 23.7× |
| Vancomycin (80202) | $227.70 | $253 | 16.8× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$123.30–$192.60 | $137–$214 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$235.80–$292.50 | $262–$325 | varies |
| Virus antibody nos (86790) | $230.40 | $256 | 17.9× |
| Virus inoculate tissue addl (87253) | $112.50 | $125 | 5.6× |
| Virus inoculation, shell via (87254) | $126.90 | $141 | 6.5× |
| Viscosity serum (85810) | $267.30 | $297 | 22.9× |
| Vit D 1 25-Dihydroxy (82652) | $447.30 | $497 | 11.6× |
| Vitamin A (84590) | $66.60 | $74 | 5.7× |
| Vitamin b-12 (82607) | $212.40 | $236 | 14.1× |
| Vitamin B6 (84207) | $196.20 | $218 | 7.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$170.10–$246.60 | $189–$274 | varies |
| Vitamin E (84446) | $66.60 | $74 | 4.7× |
| Von willebrand factor ag (85246) | $223.20 | $248 | 9.7× |
| West nile virus ab igm (86788) | $144 | $160 | 8.5× |
| West Nile Virus Antibody (86789) | $144 | $160 | 10.0× |
| Zinc (84630) | $57.60 | $64 | 5.1× |
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.