Lab & pathology prices at Sidney Regional Medical Center
Sidney, NE · every code in this section with a posted price and a Medicare benchmark.
485 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) | $186 | $186 | 10.1× |
| Acth (82024) | $460 | $460 | 11.9× |
| Actin smooth muscle antibody each (86015) | $128 | $128 | 10.6× |
| Acute hepatitis panel (80074) | $503 | $503 | 10.6× |
| Albumin Fluid (82042) | $91 | $91 | 11.7× |
| Albumin serum (82040) | $70 | $70 | 14.1× |
| Aldolase (82085) | $139 | $139 | 14.3× |
| Aldosterone urine (82088) | $384 | $384 | 9.4× |
| Alkaline phosphatase isoenzymes (84080) | $198 | $198 | 13.4× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$51–$54 | $51–$54 | varies |
| Allg Spec Ige Recomb Ea (86008) | $218 | $218 | 12.2× |
| Alpha-1-antitrypsin phenotype (82104) | $243 | $243 | 16.8× |
| Alpha-1-antitrypsin total (82103) | $217 | $217 | 16.1× |
| Alpha-Fetoprotein Serum (82105) | $174 | $174 | 10.4× |
| Alt (sgpt) (84460) | $88 | $88 | 16.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $436 | $436 | 19.0× |
| Amino Acids Quant 2-5 (82136) | $343 | $343 | 17.5× |
| Ammonia (82140) | $224 | $224 | 15.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $391 | $391 | 4.0× |
| Amylase urine (82150) | $138 | $138 | 21.3× |
| Ana Titer (86039) | $143 | $143 | 12.8× |
| Anca screen each antibody (86036) | $155 | $155 | 12.9× |
| Anca Titer Each Antibody (86037) | $111 | $111 | 9.2× |
| Androstenedione (82157) | $437 | $437 | 14.9× |
| Angiotensin converting enzyme csf (82164) | $160 | $160 | 11.0× |
| Anti-Phospholipid Antibody (86148) | $117 | $117 | 7.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $286 | $286 | 18.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $186 | $186 | 11.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $171 | $171 | 13.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$150–$334 | $150–$334 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $214 | $214 | 11.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $145 | $145 | 10.1× |
| Antibody Herpes Smplx Type 1 (86695) | $129 | $129 | 9.8× |
| Antibody HIV-1&HIV-2 single result (86703) | $167 | $167 | 12.2× |
| Antibody HIV-2 (86702) | $172 | $172 | 12.7× |
| Antibody identification leukocyte antibodies (86021) | $297 | $297 | 19.7× |
| Antibody Protozoa Nes (86753) | $148 | $148 | 11.9× |
| Antibody Titer (86886) | $246 | $246 | 47.5× |
| Antibody Treponema Pallidum (86780) | $104 | $104 | 7.9× |
| Antigen typing (86905) | $633 | $633 | 165.3× |
| Antinuclear antibodies (86038) | $138 | $138 | 11.4× |
| Antistreptolysin O Screen (86063) | $116 | $116 | 20.1× |
| Antistreptolysin o titer (86060) | $89 | $89 | 12.2× |
| Antithrombin iii activity (85300) | $228 | $228 | 19.2× |
| Apolipoprotein a1 (82172) | $198 | $198 | 9.4× |
| Aspergillus ag eia (87305) | $195 | $195 | 16.3× |
| Assay activated protein c (85307) | $270 | $270 | 17.6× |
| Assay Nephelometry Not Spec (83883) | $243 | $243 | 17.9× |
| Assay of anti-mullerian hormone (82166) | $239 | $239 | 6.2× |
| Assay of blood/uric acid (84550) | $93 | $93 | 20.6× |
| Assay of calcium in urine (82340) | $98 | $98 | 16.3× |
| Assay of cpk in blood (82552) | $154 | $154 | 11.5× |
| Assay of gammaglobulin igm (82784) | $149 | $149 | 16.0× |
| Assay of lactic acid (83605) | $197 | $197 | 17.0× |
| Assay of metanephrines (83835) | $573 | $573 | 33.8× |
| Assay of proinsulin (84206) | $318 | $318 | 11.9× |
| Assay of serum potassium (84132) | $81 | $81 | 17.0× |
| Assay of sweat sodium (84302) | $92 | $92 | 18.9× |
| Assay of urea nitrogen (84520) | $78 | $78 | 19.7× |
| Assay of vitamin b-1 (84425) | $295 | $295 | 13.9× |
| Assay Ph Body Fluid Nos (83986) | $129 | $129 | 36.0× |
| Assay spec xcp ur&breath ia (82077) | $260 | $260 | 15.1× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,319 | $1,319 | 1.6× |
| B cells total count (86355) range across 2 matching MRF lines |
$203–$236 | $203–$236 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$701–$1,522 | $701–$1,522 | varies |
| Bcr/abl1 gene minor bp (81207) | $631 | $631 | 4.4× |
| Beta 2 glycoprotein i antibody each (86146) | $232 | $232 | 9.1× |
| Beta hydroxybutyrate (82010) | $201 | $201 | 24.6× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$74–$151 | $74–$151 | varies |
| Beta-2 Microglobulin (82232) | $173 | $173 | 10.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $187 | $187 | 1.5× |
| Bile acids total (82239) | $305 | $305 | 17.8× |
| Bilirubin direct (82248) | $80 | $80 | 15.9× |
| Bilirubin total (82247) | $88 | $88 | 17.5× |
| Biotinidase (82261) | $97 | $97 | 5.7× |
| Blood count reticulocyte automated (85045) | $104 | $104 | 26.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $81 | $81 | 21.3× |
| Blood count spun microhematocrit (85013) | $60 | $60 | 8.6× |
| Blood gas (82803) | $328 | $328 | 12.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$52–$60 | $52–$60 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $361 | $361 | 56.9× |
| Blood typing serologic abo (86900) | $137 | $137 | 45.8× |
| Body fluid cell count (89050) | $198 | $198 | 41.9× |
| Bordetella antibody (86615) | $306 | $306 | 23.2× |
| Brca1&2 gen full seq dup/del (81162) | $3,831 | $3,831 | 2.1× |
| Breath Alcohol Test (82075) range across 3 matching MRF lines |
$25–$42 | $25–$42 | varies |
| C diff amplified probe (87493) | $332 | $332 | 8.9× |
| C-Peptide (84681) | $221 | $221 | 10.6× |
| C-reactive protein (86140) | $162 | $162 | 31.3× |
| Ca 19-9 (86301) | $284 | $284 | 13.6× |
| Calcium ionized (82330) | $210 | $210 | 15.4× |
| Calcium total (82310) | $87 | $87 | 16.9× |
| Calculus Spectroscopy (82365) | $217 | $217 | 16.8× |
| Calprotectin Fecal (83993) | $697 | $697 | 35.5× |
| Cancer Antigen 125 (86304) | $262 | $262 | 12.6× |
| Cancer Antigen 27.29 (86300) | $274 | $274 | 13.2× |
| Candida Dna Dir Probe (87480) | $105 | $105 | 5.2× |
| Carbamazepine total (80156) | $194 | $194 | 13.3× |
| Carboxyhemoglobin (82375) | $247 | $247 | 20.0× |
| Carcinoembryonic antigen (82378) | $231 | $231 | 12.2× |
| Cardiolipin ab iga (86147) | $331 | $331 | 13.0× |
| Carnitine Quantitative Each Specimen (82379) | $181 | $181 | 10.7× |
| Carotene (82380) | $123 | $123 | 13.3× |
| Catecholamines fractionated (82384) | $305 | $305 | 12.1× |
| Ccp antibody (86200) | $181 | $181 | 14.0× |
| Cell count csf (89051) | $204 | $204 | 36.4× |
| Ceruloplasmin (82390) | $174 | $174 | 16.2× |
| Cftr gene com variants (81220) | $1,178 | $1,178 | 2.1× |
| Chemiluminescent assay (82397) | $293 | $293 | 20.8× |
| Chloride urine (82436) | $147 | $147 | 25.6× |
| Cholesterol total (82465) | $94 | $94 | 21.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$168–$176 | $168–$176 | varies |
| Chromogranin a (86316) | $292 | $292 | 14.0× |
| Chromosome Analysis 20-25 (88264) | $389 | $389 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $175 | $175 | 5.0× |
| Citric acid urine (82507) | $190 | $190 | 6.8× |
| Clostridium Difficile (87324) | $223 | $223 | 18.6× |
| Clotting Funct Activity (85397) | $435 | $435 | 14.1× |
| Coccidioides antibody (86635) | $87 | $87 | 7.6× |
| Collagen crosslinks (82523) | $349 | $349 | 18.7× |
| Column Chromotography Quant (82542) | $429 | $429 | 17.8× |
| Compatibility test antiglob (86922) | $332 | $332 | 1.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$18–$204 | $18–$204 | varies |
| Complement Total (Ch50) (86162) | $205 | $205 | 10.1× |
| Coombs direct (86880) | $144 | $144 | 26.7× |
| Copper urine (82525) | $234 | $234 | 18.9× |
| Cortisol free (82530) | $268 | $268 | 16.0× |
| Cortisol saliva (82533) | $227 | $227 | 13.9× |
| Creatine kinase total (82550) | $140 | $140 | 21.5× |
| Creatinine blood (82565) | $91 | $91 | 17.8× |
| Creatinine clearance (82575) | $159 | $159 | 16.8× |
| Creatinine Urine (82570) | $110 | $110 | 21.2× |
| Crossmatch immediate spin (86920) | $365 | $365 | 2.1× |
| Crp High Sensitivity (86141) | $159 | $159 | 12.3× |
| Cryptococcus ag titer (87899) | $259 | $259 | 16.1× |
| Cryptosporidium ag eia (87328) | $143 | $143 | 10.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $120 | $120 | 14.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $163 | $163 | 20.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $205 | $205 | 26.6× |
| Culture afb (87116) | $256 | $256 | 23.7× |
| Culture Anaerobic (87075) | $193 | $193 | 20.4× |
| Culture blood (87040) | $296 | $296 | 28.7× |
| Culture csf (87070) | $175 | $175 | 20.3× |
| Culture fungus (87102) | $332 | $332 | 39.5× |
| Culture fungus blood (87103) | $343 | $343 | 16.8× |
| Culture screen only (87081) | $104 | $104 | 15.7× |
| Culture stool (87045) | $183 | $183 | 19.4× |
| Culture urine (87086) | $104 | $104 | 12.9× |
| Cyclosporine (80158) | $161 | $161 | 8.9× |
| Cystatin C (82610) | $112 | $112 | 6.0× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$337–$388 | $337–$388 | varies |
| Cytomegalovirus igg (86644) | $214 | $214 | 14.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $171 | $171 | 8.4× |
| Cytopath Cell Enhance Tech (88112) | $239 | $239 | 4.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $175 | $175 | 6.6× |
| Cytp Concentration Smears & Interpretation (88108) | $91 | $91 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$256–$295 | $256–$295 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $150 | $150 | 0.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $131 | $131 | 4.4× |
| Deoxyribonuclease antibody (86215) | $71 | $71 | 5.4× |
| Detect Agent Nos Dna Amp (87798) | $308 | $308 | 8.8× |
| Detect Agent Nos Dna Quant (87799) | $756 | $756 | 17.6× |
| Dgp Antibody Each Ig Class (86258) | $152 | $152 | 12.6× |
| Dhea (82626) | $295 | $295 | 11.7× |
| Dhea-S (82627) | $308 | $308 | 13.9× |
| Digoxin (80162) | $158 | $158 | 11.9× |
| Dipropylacetic Acid Free (80165) | $175 | $175 | 12.9× |
| Dna Antibody Native/Double Stranded (86225) | $117 | $117 | 8.5× |
| Dna/Rna Amplified Probe (87150) | $626 | $626 | 17.8× |
| Drug assay acetaminophen (80143) | $381 | $381 | 20.4× |
| Drug assay adalimumab (80145) | $589 | $589 | 15.3× |
| Drug Assay Lacosamide (80235) | $340 | $340 | 12.5× |
| Drug Assay Vedolizumab (80280) | $412 | $412 | 10.7× |
| Drug assay voriconazole (80285) | $187 | $187 | 6.9× |
| Drug Screen Quant Zonisamide (80203) | $299 | $299 | 22.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $246 | $246 | 18.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $308 | $308 | 23.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $249 | $249 | 18.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $587 | $587 | 9.4× |
| Drug Test Prsmv Instrmnt (80306) | $365 | $365 | 21.3× |
| Ehrlichia antibody (86666) | $191 | $191 | 18.8× |
| El-1 Fecal Quantitative (82653) | $228 | $228 | 9.9× |
| Electrolyte panel (80051) | $122 | $122 | 17.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $143 | $143 | 11.8× |
| Enterovirus Antibody (86658) | $856 | $856 | 65.7× |
| Enzyme cell activity (82657) | $279 | $279 | 12.6× |
| Erythropoietin (82668) | $245 | $245 | 13.0× |
| Estradiol serum (82670) | $280 | $280 | 10.0× |
| Estrogens fractionated (82671) | $229 | $229 | 7.1× |
| Exam Synovial Fluid Crystals (89060) | $97 | $97 | 13.2× |
| F2 Gene (81240) | $370 | $370 | 5.6× |
| Factor ii activity (85210) | $122 | $122 | 9.4× |
| Factor v activity (85220) | $364 | $364 | 20.6× |
| Factor v leiden mutation (81241) | $560 | $560 | 7.6× |
| Factor vii assay (85230) | $220 | $220 | 12.3× |
| Factor viii assay (85240) | $430 | $430 | 24.0× |
| Fat/Lipids Feces Quantitative (82710) | $331 | $331 | 19.7× |
| Fecal Fat Qualitative (82705) | $131 | $131 | 25.7× |
| Ferritin (82728) | $172 | $172 | 12.6× |
| Fetal Chrmoml Aneuploidy (81420) | $1,862 | $1,862 | 2.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $288 | $288 | 1.9× |
| Fetal Fibronectin (82731) | $1,001 | $1,001 | 15.5× |
| Fetal hemoglobin assay qual (83033) | $23 | $23 | 2.9× |
| Fetal screen rosette (85461) | $179 | $179 | 19.1× |
| Fibrin Degradation Quant (85379) | $257 | $257 | 25.2× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $210 | $210 | 20.6× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$158–$265 | $158–$265 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $152 | $152 | 9.8× |
| Flow cytometry first marker (88184) | $315 | $315 | 0.8× |
| Fluorescent antibody screen (86255) | $229 | $229 | 19.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $142 | $142 | 11.8× |
| Folic Acid Serum (82746) | $174 | $174 | 11.8× |
| Follicle Stimulating Hormone (83001) | $215 | $215 | 11.6× |
| Francisella tularensis (86668) | $314 | $314 | 22.2× |
| Fungi Identification Yeast (87106) | $159 | $159 | 15.4× |
| Galactose (82760) | $45 | $45 | 4.0× |
| Galactose transferase test (82776) | $75 | $75 | 6.4× |
| Gammaglobulin ige (82785) | $168 | $168 | 10.2× |
| Gardner vag DNA dir probe (87510) | $105 | $105 | 5.2× |
| Gastric Analy W/Ph Ea Spec (82930) | $106 | $106 | 15.8× |
| Gastrin (82941) | $242 | $242 | 13.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,064 | $1,064 | 2.6× |
| Gentamicin (80170) | $285 | $285 | 17.4× |
| Ggt (82977) | $105 | $105 | 14.6× |
| Giardia antigen (87329) | $128 | $128 | 10.7× |
| Glucose 2 hr pp (82950) | $83 | $83 | 17.5× |
| Glucose Blood Test (82962) | $64 | $64 | 19.5× |
| Glucose body fluid (82945) | $103 | $103 | 26.2× |
| Glucose Serum (82947) | $73 | $73 | 18.6× |
| Glucose tolerance test (gtt) (82951) | $229 | $229 | 17.8× |
| Glycated Protein (82985) | $152 | $152 | 9.1× |
| Gonadotropin Chorionic Qualitative (84703) | $154 | $154 | 20.5× |
| Growth hormone (83003) | $126 | $126 | 7.6× |
| Gtt-added samples (82952) | $100 | $100 | 25.5× |
| H Pylori (C-13) Breath (83013) | $340 | $340 | 5.0× |
| Haptoglobin (83010) | $208 | $208 | 16.5× |
| Helicobacter Pylori Stool (87338) | $299 | $299 | 20.8× |
| Hematocrit (85014) | $59 | $59 | 24.9× |
| Hemoglobin (85018) | $58 | $58 | 24.5× |
| Hemoglobin a1c (83036) | $104 | $104 | 10.7× |
| Hemoglobin Chromotography (83021) | $208 | $208 | 11.5× |
| Hemoglobin electrophoresis (83020) | $97 | $97 | 7.5× |
| Hep a ab igm (86709) | $163 | $163 | 14.5× |
| Heparin assay (85520) | $434 | $434 | 33.2× |
| Hepatitis a antibody total (86708) | $64 | $64 | 5.2× |
| Hepatitis b core ab total (86704) | $168 | $168 | 13.9× |
| Hepatitis B Surface Antibody (86706) | $189 | $189 | 17.6× |
| Hepatitis B Surface Antigen (87340) | $187 | $187 | 18.1× |
| Hepatitis Be Antibody (86707) | $129 | $129 | 11.1× |
| Hepatitis Be Antigen (87350) | $174 | $174 | 15.1× |
| Hepatitis C Antibody (86803) | $143 | $143 | 10.0× |
| Hepatitis C Genotype (87902) | $793 | $793 | 3.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $412 | $412 | 9.6× |
| Herpes simplex type 2 (86696) | $126 | $126 | 6.5× |
| Heterophile Antibody Screen (86308) | $120 | $120 | 23.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $471 | $471 | 60.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $123 | $123 | 5.1× |
| Hiv-1 Antibody (86701) | $150 | $150 | 16.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $458 | $458 | 5.4× |
| HIV-2 probe&revrse trnscripj (87538) | $78 | $78 | 2.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $483 | $483 | 6.5× |
| Hla ii typing 1 locus lr (81376) | $720 | $720 | 5.9× |
| Hla-b27 (86812) | $383 | $383 | 14.8× |
| Homocysteine (83090) | $329 | $329 | 18.4× |
| Hpv High-Risk Types (87624) | $203 | $203 | 5.8× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $203 | $203 | 2.9× |
| Hpv Types 16 & 18 Only (87625) | $728 | $728 | 18.0× |
| Hsv Dna Amp Probe (87529) | $385 | $385 | 11.0× |
| Hydroxyprogesterone 17-d (83498) | $211 | $211 | 7.8× |
| Iaad ia shiga-like toxin (87427) | $153 | $153 | 12.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $378 | $378 | 10.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $186 | $186 | 5.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $793 | $793 | 22.6× |
| Iadna Cytomegalovirus Quantification (87497) | $505 | $505 | 11.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $63 | $63 | 1.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $190 | $190 | 5.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $187 | $187 | 5.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $398 | $398 | 2.8× |
| Ig Light Chains Free Each (83521) | $120 | $120 | 6.9× |
| Igg subclasses (82787) | $213 | $213 | 26.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,541 | $1,541 | 5.2× |
| Immunfix e-phorsis/urine/csf (86335) | $219 | $219 | 7.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $471 | $471 | 25.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$14–$271 | $14–$271 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$220–$277 | $220–$277 | varies |
| Immunofixation electrophoresis (86334) | $209 | $209 | 9.4× |
| Immunohistochemistry (88342) | $318 | $318 | 1.8× |
| Influenza assay w/optic (87804) | $165 | $165 | 10.0× |
| Influenza DNA amp probe (87502) | $343 | $343 | 3.6× |
| Inhibin b (83520) | $316 | $316 | 18.3× |
| Insulin antibodies (86337) | $361 | $361 | 16.9× |
| Insulin total (83525) | $215 | $215 | 18.8× |
| Iron (83540) | $84 | $84 | 13.0× |
| Iron Binding Capacity (83550) | $112 | $112 | 12.8× |
| Irradiation Blood Product Each Unit (86945) | $165 | $165 | 4.3× |
| Islet cell antibody (86341) | $441 | $441 | 18.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,158 | $1,158 | 12.6× |
| Jak2 Gene Trgt Sequence Alys (81279) | $362 | $362 | 2.0× |
| Koh Prep (87220) | $102 | $102 | 23.9× |
| Lactate (ld) (ldh) enzyme (83615) | $97 | $97 | 16.1× |
| Lactoferrin fecal qualitative (83630) | $165 | $165 | 8.4× |
| LDL direct (83721) | $149 | $149 | 14.2× |
| Lead (83655) | $116 | $116 | 9.6× |
| Legionella antigen urine (87449) | $316 | $316 | 26.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $126 | $126 | 4.2× |
| Level ii surg pathology grossµscopic exam (88302) | $193 | $193 | 5.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $720 | $720 | 1.9× |
| Lipase (83690) | $195 | $195 | 28.3× |
| Lipoprotein A (83695) | $56 | $56 | 3.9× |
| Lithium (80178) | $148 | $148 | 22.4× |
| Luteinizing Hormone (Lh) (83002) | $219 | $219 | 11.8× |
| Lyme disease antibody (86618) | $380 | $380 | 22.3× |
| M/phmtrc alys ishquant/semiq (88374) | $1,981 | $1,981 | 11.2× |
| Macroscopic Exam Parasite (87169) | $109 | $109 | 25.3× |
| Magnesium Urine (83735) | $81 | $81 | 12.1× |
| Mass Spectrometry Quant (83789) | $173 | $173 | 7.2× |
| Metabolic panel ionized ca (80047) | $200 | $200 | 14.6× |
| Methylmalonic acid serum (83921) | $436 | $436 | 20.6× |
| Microalbumin, quantitative (82043) | $208 | $208 | 36.0× |
| Microsomal Antibodies Each (86376) | $132 | $132 | 9.1× |
| Mitochondrial Antibody Each (86381) | $178 | $178 | 7.0× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$208–$240 | $208–$240 | varies |
| Mononuclear cell antigen (86356) | $299 | $299 | 11.2× |
| Mopath procedure level 2 (81401) | $367 | $367 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $470 | $470 | 7.2× |
| Mumps antibody (86735) | $141 | $141 | 10.8× |
| Muscle-Specific Kinase Antb (86366) | $1,068 | $1,068 | 58.0× |
| Myelin basic protein csf (83873) | $81 | $81 | 4.7× |
| Myoglobin urine (83874) | $198 | $198 | 15.3× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$482–$483 | $482–$483 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $380 | $380 | 1.4× |
| Niacin (84591) | $71 | $71 | 4.2× |
| Nuclear antigen antibody (86235) | $138 | $138 | 7.7× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$35–$66 | $35–$66 | varies |
| Occult Blood Other Sources (82271) | $106 | $106 | 19.9× |
| Oligoclonal bands (83916) | $104 | $104 | 3.8× |
| Osmolality serum (83930) | $121 | $121 | 18.3× |
| Osmolality Urine (83935) | $146 | $146 | 21.4× |
| Osteocalcin (83937) | $379 | $379 | 12.7× |
| Ova and parasites smears (87177) | $154 | $154 | 17.3× |
| Oxalate urine (83945) | $174 | $174 | 12.0× |
| Pancreatic Elastase Fecal (82656) | $580 | $580 | 50.3× |
| Parvovirus antibody (86747) | $144 | $144 | 9.6× |
| Ph urine (81003) | $57 | $57 | 25.3× |
| Phenobarbital Level (80184) | $216 | $216 | 14.1× |
| Phenylalanine (84030) | $138 | $138 | 25.1× |
| Phenytoin (Dilantin) (80185) | $205 | $205 | 15.5× |
| Phenytoin free (80186) | $155 | $155 | 11.3× |
| Phosphatase alkaline (84075) | $77 | $77 | 14.9× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$247–$670 | $247–$670 | varies |
| Phosphorus Serum (84100) | $84 | $84 | 17.7× |
| Phosphorus urine (84105) | $68 | $68 | 11.8× |
| Pinworm exam (87172) | $70 | $70 | 16.4× |
| Platelet count automated (85049) | $94 | $94 | 21.0× |
| Platelet neutralization (85597) | $352 | $352 | 19.6× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,288 | $1,288 | 6.2× |
| Potassium Urine (84133) | $88 | $88 | 18.6× |
| Prealbumin (84134) | $185 | $185 | 12.7× |
| Procalcitonin (Pct) (84145) | $299 | $299 | 11.0× |
| Progesterone (84144) | $191 | $191 | 9.2× |
| Prolactin (84146) | $236 | $236 | 12.2× |
| Prostaglandin (84150) | $561 | $561 | 13.4× |
| Protein body fluid (84157) | $87 | $87 | 21.8× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$274–$340 | $274–$340 | varies |
| Protein c antigen (85302) | $331 | $331 | 27.6× |
| Protein Electrophoresis Urine (84166) | $162 | $162 | 9.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $149 | $149 | 13.9× |
| Protein S Free (85306) | $318 | $318 | 20.8× |
| Protein s total (85305) | $136 | $136 | 11.7× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $153 | $153 | 7.0× |
| Protein total serum (84155) | $75 | $75 | 20.4× |
| Protein Total Urine (84156) | $85 | $85 | 23.2× |
| Protein Western Blot Test (84182) | $214 | $214 | 7.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $83 | $83 | 21.1× |
| PSA free (84154) | $168 | $168 | 9.1× |
| Pth Intact (83970) | $358 | $358 | 8.7× |
| Quantiferon tb gold plus (86480) | $309 | $309 | 5.0× |
| Quantitative assay drug (80299) | $386 | $386 | 20.7× |
| Rbc antibody identification (86870) | $429 | $429 | 1.2× |
| Rbc antibody screen (86850) | $344 | $344 | 35.2× |
| Renin activity plasma (84244) | $306 | $306 | 13.9× |
| Reptilase test (85635) | $97 | $97 | 9.8× |
| Resp virus 12-25 targets (87633) | $811 | $811 | 1.9× |
| Rh (86901) | $109 | $109 | 36.5× |
| Rheumatoid Factor Qualitative (86430) | $133 | $133 | 21.7× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$136–$221 | $136–$221 | varies |
| Rotavirus ag eia (87425) | $206 | $206 | 17.2× |
| Rpr qualitative (86592) | $80 | $80 | 18.7× |
| Rsv Assay W/Optic (87807) | $199 | $199 | 15.2× |
| Rubella Antibody (86762) | $140 | $140 | 9.7× |
| Rubeola antibody (86765) | $145 | $145 | 11.3× |
| Russell Viper Venom Time Diluted (85613) | $210 | $210 | 21.9× |
| Salicylate Level (80179) | $302 | $302 | 16.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $298 | $298 | 5.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $128 | $128 | 3.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $269 | $269 | 6.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $403 | $403 | 2.8× |
| Sedimentation rate (85651) | $81 | $81 | 19.0× |
| Sedimentation Rate, Automated (85652) | $58 | $58 | 21.5× |
| Selenium (84255) | $131 | $131 | 5.1× |
| Semen Anal Sperm Detection (89321) | $130 | $130 | 10.8× |
| Semen analysis motility and count (89310) | $262 | $262 | 30.4× |
| Sensitivity mic (87186) | $167 | $167 | 19.3× |
| Sex Hormone Binding Globulin (84270) | $198 | $198 | 9.1× |
| Sickling of rbc reduction (85660) | $187 | $187 | 33.9× |
| Sirolimus (80195) | $468 | $468 | 34.1× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$75–$403.35 | $75–$403.35 | varies |
| Smear acid fast (87206) | $119 | $119 | 22.1× |
| Smear complex stain (87209) | $163 | $163 | 9.1× |
| Smear gram stain (87205) | $90 | $90 | 21.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $134 | $134 | 23.0× |
| Sodium Serum (84295) | $72 | $72 | 15.0× |
| Sodium Urine (84300) | $91 | $91 | 18.0× |
| Soluble Transferrin Receptor (84238) | $198 | $198 | 5.4× |
| Somatomedin (84305) | $357 | $357 | 16.8× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$228–$263 | $228–$263 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$296–$341 | $296–$341 | varies |
| Specific gravity body fluid (84315) | $49 | $49 | 14.9× |
| Specimen infect agnt concntj (87015) | $90 | $90 | 13.5× |
| Stool cultr aerobic bact ea (87046) | $104 | $104 | 11.0× |
| Strep a assay w/optic (87880) | $91 | $91 | 5.5× |
| Strep a DNA amp probe (87651) | $201 | $201 | 5.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $299 | $299 | 3.2× |
| Sulfate urine (84392) | $58 | $58 | 10.6× |
| Surg path level iii (88304) | $262 | $262 | 4.8× |
| Surgical pathology level IV (88305) | $413 | $413 | 7.6× |
| Surgical pathology level vi (88309) | $1,023 | $1,023 | 1.2× |
| Syphilis Test Non-Trep Quant (86593) | $88 | $88 | 20.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $269 | $269 | 5.7× |
| T cells total count (86359) | $174 | $174 | 4.6× |
| T3 Free (84481) | $259 | $259 | 15.3× |
| T3 reverse (84482) | $325 | $325 | 20.6× |
| T3 Total (84480) | $140 | $140 | 9.9× |
| T4 Free (84439) | $146 | $146 | 16.2× |
| T4 total (84436) | $106 | $106 | 15.4× |
| T4-neonatal (84437) | $57 | $57 | 8.8× |
| Tacrolimus (80197) | $255 | $255 | 18.6× |
| Tau phosphorylated each (84393) | $187 | $187 | 1.5× |
| Tb ag response t-cell susp (86481) | $271 | $271 | 2.7× |
| Testosterone total (84403) | $236 | $236 | 9.1× |
| Testosterone, Free (84402) | $233 | $233 | 9.1× |
| Theophylline (80198) | $201 | $201 | 14.2× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$116–$237 | $116–$237 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $265 | $265 | 41.0× |
| Thyroglobulin (84432) | $227 | $227 | 14.1× |
| Thyroglobulin Antibody (86800) | $155 | $155 | 9.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $653 | $653 | 12.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $132 | $132 | 11.4× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$388–$447 | $388–$447 | varies |
| Tissue Culture Lymphocyte (88230) | $979 | $979 | 8.4× |
| Topiramate (80201) | $317 | $317 | 26.6× |
| Total Tau (84394) | $187 | $187 | 1.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $96 | $96 | 18.5× |
| Transferrin (84466) | $159 | $159 | 12.5× |
| Trg gene rearrangement anal (81342) | $1,032 | $1,032 | 5.1× |
| Trichomonas vagin dir probe (87660) | $100 | $100 | 5.0× |
| Trichomonas Vaginalis Amplif (87661) | $121 | $121 | 3.4× |
| Triglycerides (84478) | $65 | $65 | 11.3× |
| Troponin Quant (84484) | $313 | $313 | 25.1× |
| Tumor Immunohistochem/Manual (88360) | $552 | $552 | 3.1× |
| Urea nitrogen urine (84540) | $65 | $65 | 11.7× |
| Uric acid other source (84560) | $101 | $101 | 19.9× |
| Urinalysis Microscopic Only (81015) | $44 | $44 | 14.4× |
| Urinalysis Volume Measure (81050) | $40 | $40 | 11.0× |
| Urine Bacteria Culture (87088) | $107 | $107 | 13.2× |
| Urine Pregnancy Test (81025) | $115 | $115 | 13.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $86 | $86 | 27.1× |
| Valproic acid (80164) | $221 | $221 | 16.3× |
| Vancomycin (80202) | $249 | $249 | 18.4× |
| Varicella-zoster antibody (86787) | $194 | $194 | 15.1× |
| Very Long Chain Fatty Acids (82726) | $54 | $54 | 2.7× |
| Viral Culture (87252) | $299 | $299 | 11.5× |
| Vit D 1 25-Dihydroxy (82652) | $449 | $449 | 11.7× |
| Vitamin A (84590) | $264 | $264 | 22.7× |
| Vitamin b-12 (82607) | $193 | $193 | 12.8× |
| Vitamin B6 (84207) | $285 | $285 | 10.1× |
| Vitamin c (82180) | $164 | $164 | 16.6× |
| Vitamin D 25-Hydroxy (82306) | $261 | $261 | 8.8× |
| Vitamin E (84446) | $262 | $262 | 18.5× |
| Vitamin K (84597) | $492 | $492 | 35.9× |
| Von willebrand factor ag (85246) | $468 | $468 | 20.4× |
| West nile virus ab igm (86788) | $167 | $167 | 9.9× |
| West Nile Virus Antibody (86789) | $165 | $165 | 11.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $445 | $445 | 8.7× |
| Zinc (84630) | $104 | $104 | 9.1× |
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.