Lab & pathology prices at Sioux Center Health
Sioux Center, IA · every code in this section with a posted price and a Medicare benchmark.
428 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) | $210.49 | $217 | 11.4× |
| Acetylcholine receptor blocking antibody (86042) | $110.58 | $114 | 6.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $107.67 | $111 | 8.9× |
| Acth (82024) | $232.80 | $240 | 6.0× |
| Actin smooth muscle antibody each (86015) | $107.67 | $111 | 8.9× |
| Acute hepatitis panel (80074) | $336.59 | $347 | 7.1× |
| Albumin Fluid (82042) | $46.56 | $48 | 6.0× |
| Albumin serum (82040) range across 2 matching MRF lines |
$45.59–$46.56 | $47–$48 | varies |
| Aldolase (82085) | $83.42 | $86 | 8.6× |
| Aldosterone urine (82088) | $202.73 | $209 | 5.0× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$129.98–$131.92 | $134–$136 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $126.10 | $130 | 15.8× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$36.86–$46.56 | $38–$48 | varies |
| Allergen specific igg (86001) | $90.21 | $93 | 11.5× |
| Alpha-1-antitrypsin total (82103) | $67.90 | $70 | 5.1× |
| Alpha-Fetoprotein Serum (82105) | $156.17 | $161 | 9.3× |
| Alt (sgpt) (84460) | $54.32 | $56 | 10.2× |
| Ammonia (82140) | $144.53 | $149 | 9.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $124.16 | $128 | 1.3× |
| Amylase urine (82150) | $93.12 | $96 | 14.4× |
| Ana Titer (86039) | $108.64 | $112 | 9.7× |
| Anca screen each antibody (86036) | $98.94 | $102 | 8.2× |
| Androstenedione (82157) | $151.32 | $156 | 5.2× |
| Angiotensin converting enzyme csf (82164) | $134.83 | $139 | 9.2× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$109.61–$113.49 | $113–$117 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $169.75 | $175 | 11.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $157.14 | $162 | 9.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $146.47 | $151 | 11.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $146.47 | $151 | 9.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $163.93 | $169 | 9.0× |
| Antibody haemophilus influenza (86684) | $92.15 | $95 | 5.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $140.65 | $145 | 9.8× |
| Antibody Herpes Smplx Type 1 (86695) | $90.21 | $93 | 6.8× |
| Antibody HIV-2 (86702) | $141.62 | $146 | 10.5× |
| Antibody john cunningham virus (86711) | $778.91 | $803 | 46.1× |
| Antibody Titer (86886) | $84.39 | $87 | 16.3× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$52.38–$107.67 | $54–$111 | varies |
| Antigen typing (86905) | $81.48 | $84 | 21.3× |
| Antistreptolysin o titer (86060) | $91.18 | $94 | 12.5× |
| Antithrombin iii activity (85300) | $171.69 | $177 | 14.5× |
| Antithrombin iii antigen (85301) | $162.96 | $168 | 15.1× |
| Apolipoprotein a1 (82172) | $76.63 | $79 | 3.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $275.48 | $284 | 7.3× |
| Arsenic (82175) range across 2 matching MRF lines |
$122.22–$127.07 | $126–$131 | varies |
| Aspergillus ag eia (87305) | $61.11 | $63 | 5.1× |
| Assay activated protein c (85307) | $180.42 | $186 | 11.8× |
| Assay Blood Carbon Dioxide (82374) | $59.17 | $61 | 12.1× |
| Assay of 5-hiaa (83497) | $128.04 | $132 | 9.9× |
| Assay of anti-mullerian hormone (82166) | $212.43 | $219 | 5.5× |
| Assay of blood/uric acid (84550) | $54.32 | $56 | 12.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$68.87–$71.78 | $71–$74 | varies |
| Assay of estrone (82679) | $63.05 | $65 | 2.5× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$20.37–$92.15 | $21–$95 | varies |
| Assay of lactic acid (83605) | $121.25 | $125 | 10.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$209.52–$211.46 | $216–$218 | varies |
| Assay of serum potassium (84132) | $47.53 | $49 | 10.0× |
| Assay of urea nitrogen (84520) | $61.11 | $63 | 15.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$160.05–$185.27 | $165–$191 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$30.07–$59.17 | $31–$61 | varies |
| Assay spec xcp ur&breath ia (82077) | $192.06 | $198 | 11.1× |
| Automated Leukocyte Count (85048) | $36.86 | $38 | 14.5× |
| B cells total count (86355) range across 2 matching MRF lines |
$146.47–$147.44 | $151–$152 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$76.63–$232.80 | $79–$240 | varies |
| Beta hydroxybutyrate (82010) | $55.29 | $57 | 6.8× |
| Beta-2 Microglobulin (82232) | $129.98 | $134 | 8.0× |
| Bile acids total (82239) | $84.39 | $87 | 4.9× |
| Bilirubin direct (82248) | $61.11 | $63 | 12.2× |
| Bilirubin total (82247) | $70.81 | $73 | 14.1× |
| Biotinidase (82261) | $34.92 | $36 | 2.1× |
| Blastomyces antibody (86612) | $140.65 | $145 | 10.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $216.31 | $223 | 1.3× |
| Blood Count Automated Differential Wbc Count (85004) | $32.98 | $34 | 5.1× |
| Blood count reticulocyte automated (85045) | $56.26 | $58 | 14.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $45.59 | $47 | 12.0× |
| Blood gas (82803) | $164.90 | $170 | 6.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $86.33 | $89 | 5.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $44.62 | $46 | 7.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$44.62–$52.38 | $46–$54 | varies |
| C diff amplified probe (87493) | $159.08 | $164 | 4.3× |
| C-Peptide (84681) | $218.25 | $225 | 10.5× |
| C-reactive protein (86140) | $88.27 | $91 | 17.0× |
| Ca 19-9 (86301) | $182.36 | $188 | 8.8× |
| Cadmium (82300) | $152.29 | $157 | 6.4× |
| Calcitonin (82308) | $236.68 | $244 | 8.8× |
| Calcium ionized (82330) | $118.34 | $122 | 8.7× |
| Calcium total (82310) | $56.26 | $58 | 10.9× |
| Calculus Spectroscopy (82365) | $128.04 | $132 | 9.9× |
| Calprotectin Fecal (83993) | $331.74 | $342 | 16.9× |
| Cancer Antigen 125 (86304) | $190.12 | $196 | 9.1× |
| Cancer Antigen 27.29 (86300) | $189.15 | $195 | 9.1× |
| Candida antibody (86628) | $147.44 | $152 | 12.3× |
| Candida Dna Dir Probe (87480) | $97 | $100 | 4.8× |
| Carbamazepine total (80156) | $131.92 | $136 | 9.1× |
| Carboxyhemoglobin (82375) | $118.34 | $122 | 9.6× |
| Carcinoembryonic antigen (82378) | $185.27 | $191 | 9.8× |
| Cardiolipin ab iga (86147) | $113.49 | $117 | 4.5× |
| Ccp antibody (86200) | $145.50 | $150 | 11.2× |
| Cell count csf (89051) | $92.15 | $95 | 16.5× |
| Ceruloplasmin (82390) | $115.43 | $119 | 10.7× |
| Cftr gene com variants (81220) | $1,304.65 | $1,345 | 2.3× |
| Chemiluminescent assay (82397) | $97.97 | $101 | 6.9× |
| Chloride Serum (82435) | $39.77 | $41 | 8.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$50.44–$52.38 | $52–$54 | varies |
| Cholesterol total (82465) | $68.87 | $71 | 15.8× |
| Chorionic gonadotropin test (84702) | $141.62 | $146 | 9.4× |
| Chromium serum (82495) | $85.36 | $88 | 4.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $139.68 | $144 | 4.0× |
| Citric acid urine (82507) | $245.41 | $253 | 8.8× |
| Ckmb (82553) | $139.68 | $144 | 12.1× |
| Clostridium Difficile (87324) | $70.81 | $73 | 5.9× |
| Clot Factor VIII Multimetric (85247) | $293.91 | $303 | 12.8× |
| Cns DNA amp probe type 12-25 (87483) | $912.77 | $941 | 2.2× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$142.59–$144.53 | $147–$149 | varies |
| Cold agglutinin titer (86157) | $76.63 | $79 | 9.5× |
| Collagen crosslinks (82523) | $144.53 | $149 | 7.7× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$119.31–$220.19 | $123–$227 | varies |
| Complement Antigen Each Component (86160) | $148.41 | $153 | 12.4× |
| Complement Total (Ch50) (86162) | $221.16 | $228 | 10.9× |
| Coombs direct (86880) | $61.11 | $63 | 11.3× |
| Copper urine (82525) | $99.91 | $103 | 8.1× |
| Cortisol free (82530) | $161.02 | $166 | 9.6× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$114.46–$155.20 | $118–$160 | varies |
| Creatine kinase total (82550) | $82.45 | $85 | 12.7× |
| Creatinine blood (82565) | $61.11 | $63 | 11.9× |
| Creatinine clearance (82575) | $122.22 | $126 | 12.9× |
| Creatinine Urine (82570) | $62.08 | $64 | 12.0× |
| Crossmatch immediate spin (86920) | $141.62 | $146 | 0.9× |
| Crp High Sensitivity (86141) | $91.18 | $94 | 7.0× |
| Cryoglobulin (82595) | $68.87 | $71 | 10.6× |
| Cryptococcal Antigen (87327) | $62.08 | $64 | 4.6× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$68.87–$70.81 | $71–$73 | varies |
| Cryptosporidium ag eia (87328) | $89.24 | $92 | 6.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $88.27 | $91 | 10.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $97.97 | $101 | 12.7× |
| Culture afb (87116) | $137.74 | $142 | 12.8× |
| Culture Anaerobic (87075) | $87.30 | $90 | 9.2× |
| Culture blood (87040) | $164.90 | $170 | 16.0× |
| Culture chlamydia (87110) | $16.49 | $17 | 0.8× |
| Culture csf (87070) | $119.31 | $123 | 13.8× |
| Culture fungus (87102) | $105.73 | $109 | 12.6× |
| Culture fungus blood (87103) | $75.66 | $78 | 3.7× |
| Culture screen only (87081) | $84.39 | $87 | 12.7× |
| Culture stool (87045) | $112.52 | $116 | 11.9× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$50.44–$64.02 | $52–$66 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 6 matching MRF lines |
$47.53–$49.47 | $49–$51 | varies |
| Culture urine (87086) | $97.97 | $101 | 12.1× |
| Cyclosporine (80158) | $131.92 | $136 | 7.3× |
| Cystatin C (82610) | $106.70 | $110 | 5.8× |
| Cytomegalovirus igg (86644) | $147.44 | $152 | 10.2× |
| Cytopath Cell Enhance Tech (88112) | $213.40 | $220 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$158.11–$384.12 | $163–$396 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$173.63–$608.19 | $179–$627 | varies |
| Dgp Antibody Each Ig Class (86258) | $116.40 | $120 | 9.7× |
| Dhea (82626) | $218.25 | $225 | 8.6× |
| Dhea-S (82627) | $193.03 | $199 | 8.7× |
| Digoxin (80162) | $150.35 | $155 | 11.3× |
| Dipropylacetic Acid Free (80165) | $130.95 | $135 | 9.7× |
| Dna Antibody Native/Double Stranded (86225) | $158.11 | $163 | 11.5× |
| DNA/RNA direct probe (87149) | $137.74 | $142 | 6.9× |
| Drug assay acetaminophen (80143) | $181.39 | $187 | 9.7× |
| Drug assay adalimumab (80145) | $388 | $400 | 10.1× |
| Drug Assay Amiodarone (80151) | $52.38 | $54 | 2.8× |
| Drug Assay Infliximab (80230) | $363.75 | $375 | 9.4× |
| Drug Assay Itraconazole (80189) | $199.82 | $206 | 7.4× |
| Drug Assay Lacosamide (80235) | $279.36 | $288 | 10.3× |
| Drug Screen Quant Zonisamide (80203) | $196.91 | $203 | 14.9× |
| Drug Screen Quantitative Gabapentin (80171) | $97 | $100 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $68.87 | $71 | 5.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $175.57 | $181 | 13.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $68.87 | $71 | 5.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$150.35–$167.81 | $155–$173 | varies |
| Drug Test Prsmv Instrmnt (80306) | $250.26 | $258 | 14.6× |
| El-1 Fecal Quantitative (82653) | $310.40 | $320 | 13.5× |
| Electrolyte panel (80051) | $85.36 | $88 | 12.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $111.55 | $115 | 9.2× |
| Enzyme cell activity (82657) | $85.36 | $88 | 3.9× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$58.20–$202.73 | $60–$209 | varies |
| Estrogens fractionated (82671) | $264.81 | $273 | 8.2× |
| Exam Synovial Fluid Crystals (89060) | $73.72 | $76 | 10.1× |
| F2 Gene (81240) | $147.44 | $152 | 2.2× |
| Factor Inhibitor Test (85335) | $267.72 | $276 | 20.8× |
| Factor ix activity (85250) | $169.75 | $175 | 8.9× |
| Factor v leiden mutation (81241) | $168.78 | $174 | 2.3× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$203.70–$205.64 | $210–$212 | varies |
| Ferritin (82728) | $129.98 | $134 | 9.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $240.56 | $248 | 1.6× |
| Fetal Fibronectin (82731) | $361.81 | $373 | 5.6× |
| Fetal screen rosette (85461) | $76.63 | $79 | 8.2× |
| Fibrin Degradation Quant (85379) | $131.92 | $136 | 13.0× |
| Fibrinogen activity (85384) | $103.79 | $107 | 10.7× |
| Flow cytometry first marker (88184) | $298.76 | $308 | 0.9× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$53.35–$415.16 | $55–$428 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$60.14–$111.55 | $62–$115 | varies |
| Folic acid rbc (82747) | $156.17 | $161 | 8.8× |
| Folic Acid Serum (82746) | $129.01 | $133 | 8.8× |
| Follicle Stimulating Hormone (83001) | $145.50 | $150 | 7.8× |
| Fungi Identification Mold (87107) | $79.54 | $82 | 7.7× |
| Fungi Identification Yeast (87106) | $94.09 | $97 | 9.1× |
| Galactose transferase test (82776) | $38.80 | $40 | 3.3× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$112.52–$118.34 | $116–$122 | varies |
| Gardner vag DNA dir probe (87510) | $213.40 | $220 | 10.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $744.96 | $768 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $145.50 | $150 | 4.3× |
| Gentamicin (80170) | $225.04 | $232 | 13.7× |
| Ggt (82977) | $88.27 | $91 | 12.3× |
| Giardia antigen (87329) | $89.24 | $92 | 7.4× |
| Glucose 2 hr pp (82950) | $78.57 | $81 | 16.5× |
| Glucose body fluid (82945) | $90.21 | $93 | 23.0× |
| Glucose Serum (82947) | $65.96 | $68 | 16.8× |
| Glucose tolerance test (gtt) (82951) | $158.11 | $163 | 12.3× |
| Glycated Protein (82985) | $67.90 | $70 | 4.1× |
| Gonadotropin Chorionic Qualitative (84703) | $129.01 | $133 | 17.2× |
| Gtt-added samples (82952) | $31.04 | $32 | 7.9× |
| Haptoglobin (83010) | $109.61 | $113 | 8.7× |
| Helicobacter Pylori Stool (87338) | $115.43 | $119 | 8.0× |
| Hematocrit (85014) | $38.80 | $40 | 16.4× |
| Hemoglobin (85018) | $41.71 | $43 | 17.6× |
| Hemoglobin a1c (83036) | $110.58 | $114 | 11.4× |
| Hemoglobin electrophoresis (83020) | $112.52 | $116 | 8.7× |
| Hepatitis b core ab igm (86705) | $121.25 | $125 | 10.3× |
| Hepatitis b core ab total (86704) | $113.49 | $117 | 9.4× |
| Hepatitis B Surface Antibody (86706) | $98.94 | $102 | 9.2× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$52.38–$105.73 | $54–$109 | varies |
| Hepatitis Be Antibody (86707) | $107.67 | $111 | 9.3× |
| Hepatitis Be Antigen (87350) | $65.96 | $68 | 5.7× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$52.38–$157.14 | $54–$162 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $408.37 | $421 | 9.5× |
| Herpes simplex type 2 (86696) | $90.21 | $93 | 4.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $95.06 | $98 | 12.3× |
| Histamine urine (83088) | $197.88 | $204 | 6.7× |
| Histoplasma antibody (86698) | $128.04 | $132 | 9.3× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$187.21–$195.94 | $193–$202 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$52.38–$127.07 | $54–$131 | varies |
| Hiv-1 Antibody (86701) | $103.79 | $107 | 11.7× |
| Hla-b27 (86812) | $199.82 | $206 | 7.7× |
| Homocysteine (83090) | $114.46 | $118 | 6.4× |
| Homogenization Tissue (87176) | $67.90 | $70 | 11.5× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$145.50–$204.67 | $150–$211 | varies |
| Hydroxyprogesterone 17-d (83498) | $192.06 | $198 | 7.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $83.42 | $86 | 8.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $201.76 | $208 | 5.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$163.93–$346.29 | $169–$357 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $290.03 | $299 | 6.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $310.40 | $320 | 4.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $236.68 | $244 | 5.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $320.10 | $330 | 9.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $127.07 | $131 | 3.6× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$91.18–$247.35 | $94–$255 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $524.77 | $541 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $209.52 | $216 | 7.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $110.58 | $114 | 6.0× |
| Immunoassay infectious agent (86318) | $81.48 | $84 | 4.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $92.15 | $95 | 6.1× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$103.79–$188.18 | $107–$194 | varies |
| Immunodiffusion Ouchterlony (86331) | $153.26 | $158 | 12.8× |
| Immunofixation electrophoresis (86334) | $205.64 | $212 | 9.2× |
| Immunohistochemistry (88342) | $359.87 | $371 | 2.2× |
| Influenza DNA amp probe (87502) | $220.19 | $227 | 2.3× |
| Inhibin b (83520) range across 6 matching MRF lines |
$76.63–$239.59 | $79–$247 | varies |
| Insitu hybridization manual (88368) | $485 | $500 | 1.4× |
| Insulin total (83525) | $140.65 | $145 | 12.3× |
| Iron (83540) | $78.57 | $81 | 12.1× |
| Iron Binding Capacity (83550) | $80.51 | $83 | 9.2× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$107.67–$354.05 | $111–$365 | varies |
| Koh Prep (87220) | $48.50 | $50 | 11.4× |
| Lactate (ld) (ldh) enzyme (83615) | $57.23 | $59 | 9.5× |
| LDL direct (83721) | $90.21 | $93 | 8.6× |
| Lead (83655) range across 2 matching MRF lines |
$92.15–$99.91 | $95–$103 | varies |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$67.90–$356.96 | $70–$368 | varies |
| Leukocyte Assessment Fecal (89055) | $57.23 | $59 | 13.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $144.53 | $149 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) | $226.01 | $233 | 6.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $718.77 | $741 | 2.1× |
| Lipase (83690) | $131.92 | $136 | 19.1× |
| Lipoprotein A (83695) | $81.48 | $84 | 5.7× |
| Lipoprotein Bld Quan Part (83704) | $139.68 | $144 | 4.1× |
| Lithium (80178) | $84.39 | $87 | 12.8× |
| Luteinizing Hormone (Lh) (83002) | $137.74 | $142 | 7.4× |
| Lyme disease antibody (86618) | $162.96 | $168 | 9.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $800.25 | $825 | 4.9× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$72.75–$112.52 | $75–$116 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$116.40–$156.17 | $120–$161 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$142.59–$147.44 | $147–$152 | varies |
| Methylmalonic acid serum (83921) | $124.16 | $128 | 5.9× |
| Microalbumin, quantitative (82043) | $91.18 | $94 | 15.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$125.13–$128.04 | $129–$132 | varies |
| Mitochondrial Antibody Each (86381) | $113.49 | $117 | 4.5× |
| Mononuclear cell antigen (86356) | $240.56 | $248 | 9.0× |
| Mopath procedure level 2 (81401) | $373.45 | $385 | 2.7× |
| Mrsa Pcr (87641) | $106.70 | $110 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $307.49 | $317 | 4.7× |
| Mumps antibody (86735) | $129.98 | $134 | 10.0× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$130.95–$135.80 | $135–$140 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$222.13–$243.47 | $229–$251 | varies |
| Nk cells total count (86357) | $125.13 | $129 | 3.3× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$40.74–$136.77 | $42–$141 | varies |
| Occult blood feces (82272) | $30.07 | $31 | 7.1× |
| Oligoclonal bands (83916) | $162.96 | $168 | 5.9× |
| Osmolality serum (83930) | $84.39 | $87 | 12.8× |
| Osmolality Urine (83935) | $84.39 | $87 | 12.4× |
| Ova and parasites smears (87177) | $94.09 | $97 | 10.6× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$89.24–$92.15 | $92–$95 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$47.53–$48.50 | $49–$50 | varies |
| Phenobarbital Level (80184) | $137.74 | $142 | 9.0× |
| Phenytoin (Dilantin) (80185) | $127.07 | $131 | 9.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$32.01–$70.81 | $33–$73 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $185.27 | $191 | 10.3× |
| Phosphorus Serum (84100) | $56.26 | $58 | 11.9× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$48.50–$50.44 | $50–$52 | varies |
| Pinworm exam (87172) | $45.59 | $47 | 10.7× |
| Platelet Aggregation (85576) | $157.14 | $162 | 6.3× |
| Platelet count automated (85049) | $55.29 | $57 | 12.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $139.68 | $144 | 9.5× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$39.77–$50.44 | $41–$52 | varies |
| Prealbumin (84134) | $98.94 | $102 | 6.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $111.55 | $115 | 2.0× |
| Procalcitonin (Pct) (84145) | $318.16 | $328 | 11.7× |
| Progesterone (84144) | $165.87 | $171 | 8.0× |
| Prolactin (84146) | $155.20 | $160 | 8.0× |
| Prostaglandin (84150) | $312.34 | $322 | 7.5× |
| Protein body fluid (84157) | $86.33 | $89 | 21.6× |
| Protein C Activity (85303) | $201.76 | $208 | 14.6× |
| Protein c antigen (85302) | $174.60 | $180 | 14.5× |
| Protein Electrophoresis Urine (84166) | $118.34 | $122 | 6.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $113.49 | $117 | 10.6× |
| Protein S Free (85306) | $210.49 | $217 | 13.7× |
| Protein s total (85305) | $197.88 | $204 | 17.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$19.40–$73.72 | $20–$76 | varies |
| Protein Total Urine (84156) | $76.63 | $79 | 20.9× |
| Protein Western Blot Test (84182) | $358.90 | $370 | 12.3× |
| PSA free (84154) | $124.16 | $128 | 6.8× |
| Pth Intact (83970) | $280.33 | $289 | 6.8× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$82.45–$124.16 | $85–$128 | varies |
| Quantiferon tb gold plus (86480) | $194.97 | $201 | 3.1× |
| Quantitative assay drug (80299) | $151.32 | $156 | 8.1× |
| Rbc antibody identification (86870) | $158.11 | $163 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$52.38–$89.24 | $54–$92 | varies |
| Renin activity plasma (84244) | $212.43 | $219 | 9.7× |
| Reticulated Platelet Assay (85055) | $83.42 | $86 | 2.3× |
| Rh (86901) range across 2 matching MRF lines |
$44.62–$52.38 | $46–$54 | varies |
| Rheumatoid factor quant (86431) | $64.99 | $67 | 11.5× |
| Ristocetin cofactor (85245) | $170.72 | $176 | 7.4× |
| Rotavirus ag eia (87425) | $122.22 | $126 | 10.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$55.29–$56.26 | $57–$58 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$52.38–$89.24 | $54–$92 | varies |
| Rubeola antibody (86765) | $144.53 | $149 | 11.2× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$93.12–$97.97 | $96–$101 | varies |
| Rx metab gen seq alys pnl 6 (81418) | $253.17 | $261 | 0.3× |
| Salicylate Level (80179) | $114.46 | $118 | 6.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $135.80 | $140 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $77.60 | $80 | 1.8× |
| Sedimentation rate (85651) | $48.50 | $50 | 11.4× |
| Selenium (84255) | $121.25 | $125 | 4.7× |
| Semen Anal Sperm Detection (89321) | $126.10 | $130 | 10.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$94.09–$434.56 | $97–$448 | varies |
| Sex Hormone Binding Globulin (84270) | $183.33 | $189 | 8.4× |
| Skin test tuberculosis intradermal (86580) | $17.46 | $18 | 0.6× |
| Smear acid fast (87206) | $58.20 | $60 | 10.8× |
| Smear complex stain (87209) | $134.83 | $139 | 7.5× |
| Smear gram stain (87205) | $51.41 | $53 | 12.0× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$81.48–$83.42 | $84–$86 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $109.61 | $113 | 0.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $44.62 | $46 | 7.7× |
| Sodium Serum (84295) | $42.68 | $44 | 8.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$42.68–$56.26 | $44–$58 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$194–$245.41 | $200–$253 | varies |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$60.14–$315.25 | $62–$325 | varies |
| Special Stains Group 2 (88313) | $189.15 | $195 | 1.5× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$60.14–$81.48 | $62–$84 | varies |
| Spectrophotometry (84311) | $62.08 | $64 | 7.7× |
| Stool cultr aerobic bact ea (87046) | $81.48 | $84 | 8.6× |
| Strep a DNA amp probe (87651) | $125.13 | $129 | 3.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $88.27 | $91 | 1.0× |
| Sulfate urine (84392) | $22.31 | $23 | 4.1× |
| Surg path level iii (88304) | $324.95 | $335 | 6.5× |
| Surgical pathology level IV (88305) | $441.35 | $455 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $94.09 | $97 | 12.6× |
| Syphilis Test Non-Trep Quant (86593) | $64.99 | $67 | 14.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $314.28 | $324 | 6.7× |
| T cells total count (86359) | $186.24 | $192 | 4.9× |
| T3 Free (84481) | $188.18 | $194 | 11.1× |
| T3 reverse (84482) | $177.51 | $183 | 11.3× |
| T3 Total (84480) | $141.62 | $146 | 10.0× |
| T3 Uptake (84479) | $62.08 | $64 | 9.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$101.85–$236.68 | $105–$244 | varies |
| T4 total (84436) | $89.24 | $92 | 13.0× |
| Tacrolimus (80197) | $237.65 | $245 | 17.3× |
| Testosterone total (84403) range across 3 matching MRF lines |
$85.36–$159.08 | $88–$164 | varies |
| Testosterone, Free (84402) | $197.88 | $204 | 7.8× |
| Thiopurine methyltransferase (84433) | $431.65 | $445 | 19.5× |
| Thrombin Time (85670) | $75.66 | $78 | 13.1× |
| Thromboplastin Inhibition Tissue (85705) | $139.68 | $144 | 14.5× |
| Thyroglobulin (84432) | $162.96 | $168 | 10.1× |
| Thyroglobulin Antibody (86800) | $136.77 | $141 | 8.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $438.44 | $452 | 8.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $116.40 | $120 | 10.1× |
| Topiramate (80201) | $156.17 | $161 | 13.1× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,479.25 | $1,525 | 4.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $62.08 | $64 | 12.0× |
| Transferrin (84466) | $107.67 | $111 | 8.4× |
| Trichomonas vagin dir probe (87660) | $79.54 | $82 | 4.0× |
| Trichomonas Vaginalis Amplif (87661) | $161.99 | $167 | 4.6× |
| Triglycerides (84478) | $52.38 | $54 | 9.1× |
| Troponin Quant (84484) | $136.77 | $141 | 11.0× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$291.97–$343.38 | $301–$354 | varies |
| Urea nitrogen urine (84540) | $64.02 | $66 | 11.5× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$58.20–$63.05 | $60–$65 | varies |
| Urinalysis Microscopic Only (81015) | $27.16 | $28 | 8.9× |
| Urine Pregnancy Test (81025) | $85.36 | $88 | 9.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $56.26 | $58 | 17.7× |
| Valproic acid (80164) range across 2 matching MRF lines |
$63.05–$131.92 | $65–$136 | varies |
| Vancomycin (80202) | $164.90 | $170 | 12.2× |
| Varicella-zoster antibody (86787) | $129.98 | $134 | 10.1× |
| Viral Culture (87252) | $153.26 | $158 | 5.9× |
| Virus antibody nos (86790) | $128.04 | $132 | 9.9× |
| Virus inoculate tissue addl (87253) | $153.26 | $158 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $281.30 | $290 | 7.3× |
| Vitamin A (84590) | $167.81 | $173 | 14.5× |
| Vitamin b-12 (82607) | $116.40 | $120 | 7.7× |
| Vitamin B6 (84207) | $234.74 | $242 | 8.4× |
| Vitamin c (82180) | $63.05 | $65 | 6.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$201.76–$263.84 | $208–$272 | varies |
| Vitamin E (84446) | $117.37 | $121 | 8.3× |
| Vitamin K (84597) | $195.94 | $202 | 14.3× |
| Von willebrand factor ag (85246) | $252.20 | $260 | 11.0× |
| West nile virus ab igm (86788) | $136.77 | $141 | 8.1× |
| West Nile Virus Antibody (86789) | $136.77 | $141 | 9.5× |
| Zinc (84630) range across 2 matching MRF lines |
$141.62–$146.47 | $146–$151 | 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.