Lab & pathology prices at Sistersville General Hospital

Sistersville, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $45.53 $75.88 2.5×
Acetylcholine receptor blocking antibody (86042) $45.53 $75.88 2.5×
Acetylcholn Rcptr Modlg Antb (86043) $45.53 $75.88 3.8×
Acth (82024) $157.57 $262.61 4.1×
Acute hepatitis panel (80074) $168.06 $280.10 3.5×
Albumin Fluid (82042) $21.34 $35.56 2.7×
Albumin serum (82040) $14.08 $23.47 2.8×
Aldolase (82085) $39.60 $66 4.1×
Aldosterone urine (82088) $166.27 $277.12 4.1×
Alkaline phosphatase isoenzymes (84080) $60.32 $100.53 4.1×
Allergen specific ige (86003)
range across 89 matching MRF lines
$16.88–$23.46 $28.13–$39.10 varies
Alpha-1-antitrypsin phenotype (82104) $59.02 $98.36 4.1×
Alpha-1-antitrypsin total (82103) $54.82 $91.36 4.1×
Alpha-Fetoprotein Serum (82105) $68.44 $114.07 4.1×
Alt (sgpt) (84460) $14.08 $23.47 2.7×
Amikacin trough (80150)
range across 2 matching MRF lines
$49.55–$52.02 $82.58–$86.70 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $56.69 $94.48 4.1×
Ammonia (82140) $123.73 $206.22 8.5×
Amylase urine (82150)
range across 4 matching MRF lines
$27.77–$30.18 $46.28–$50.30 varies
Ana Titer (86039) $21.44 $35.73 1.9×
Anca screen each antibody (86036) $59.62 $99.36 4.9×
Anca Titer Each Antibody (86037) $59.62 $99.36 4.9×
Androstenedione (82157) $119.45 $199.09 4.1×
Angiotensin converting enzyme csf (82164) $59.58 $99.30 4.1×
Antibody aspergillus (86606) $27.46 $45.77 1.8×
Antibody Bacterium Not Elsewhere Specified (86609) $23.51 $39.18 1.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $64.24 $107.07 4.1×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$64.63–$75.18 $107.71–$125.30 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$45.28–$50.35 $75.46–$83.91 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$52.87–$61.50 $88.11–$102.50 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$43.09–$58.68 $71.81–$97.80 varies
Antibody Fungus Not Elsewhere Specified (86671) $48.52 $80.86 4.0×
Antibody Herpes Smplx Type 1 (86695) $52.24 $87.07 4.0×
Antibody HIV-2 (86702) $53.52 $89.20 4.0×
Antibody identification leukocyte antibodies (86021) $28.91 $48.18 1.9×
Antibody john cunningham virus (86711) $58.15 $96.92 3.4×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$33.97–$67.59 $56.61–$112.65 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $223.59 $372.65 39.1×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$23.22–$48.92 $38.70–$81.54 varies
Antistreptolysin O Screen (86063) $74.19 $123.65 12.9×
Antistreptolysin o titer (86060) $84.22 $140.37 11.5×
Antithrombin iii activity (85300) $46.95 $78.25 4.0×
Apolipoprotein a1 (82172) $63.23 $105.39 3.0×
Arsenic (82175) $62.27 $103.78 3.3×
Aspergillus ag eia (87305) $34.08 $56.80 2.8×
Assay Blood Carbon Dioxide (82374) $14.08 $23.47 2.9×
Assay Nephelometry Not Spec (83883) $55.48 $92.46 4.1×
Assay of 5-hiaa (83497) $52.59 $87.65 4.1×
Assay of anti-mullerian hormone (82166) $105.41 $175.69 2.7×
Assay of blood/uric acid (84550) $40.24 $67.06 8.9×
Assay of calcium in urine (82340) $24.89 $41.48 4.1×
Assay of cpk in blood (82552) $54.66 $91.10 4.1×
Assay of g6pd enzyme (82955) $34.02 $56.70 3.5×
Assay of gammaglobulin igm (82784) $48.28 $80.47 5.2×
Assay of lactic acid (83605) $43.57 $72.62 3.8×
Assay of manganese (83785) $100.38 $167.30 3.8×
Assay of metanephrines (83835) $69.11 $115.18 4.1×
Assay of proinsulin (84206) $260.17 $433.61 9.7×
Assay of serotonin (84260) $126.40 $210.66 4.1×
Assay of serum potassium (84132) $14.08 $23.47 3.0×
Assay of urea nitrogen (84520) $14.08 $23.47 3.6×
Assay of vitamin b-1 (84425) $86.63 $144.39 4.1×
Assay spec xcp ur&breath ia (82077) $154.79 $257.98 9.0×
Automated Leukocyte Count (85048) $25.39 $42.31 10.0×
B cells total count (86355) $169.57 $282.62 4.5×
Bartonella antibody (86611) $40.32 $67.20 4.0×
Bcr/abl1 gene major bp (81206) $735.38 $1,225.63 4.5×
Beta 2 glycoprotein i antibody each (86146)
range across 4 matching MRF lines
$94.36–$107.12 $157.27–$178.53 varies
Beta hydroxybutyrate (82010) $36.23 $60.38 4.4×
Beta Lactamase (87185) $20.46 $34.10 4.3×
Bilirubin direct (82248) $17.11 $28.51 3.4×
Bilirubin total (82247) $14.08 $23.47 2.8×
Blastomyces antibody (86612) $32.10 $53.50 2.5×
Blood count reticulocyte automated (85045) $58.57 $97.61 14.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $22.45 $37.41 5.9×
Blood gas (82803) $97.58 $162.64 3.7×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$24.38–$72.43 $40.64–$120.72 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $6.04 $10.07 1.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $118.86 $198.10 18.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $80 $133.33 4.9×
Blood typing serologic abo (86900) $121.17 $201.95 40.5×
C diff amplified probe (87493) $293.60 $489.34 7.9×
C-Peptide (84681) $84.92 $141.54 4.1×
C-reactive protein (86140) $60.53 $100.88 11.7×
Ca 19-9 (86301) $64.24 $107.07 3.1×
Cadmium (82300) $94.41 $157.35 4.0×
Calcium ionized (82330) $89.53 $149.22 6.5×
Calcium total (82310) $14.08 $23.47 2.7×
Calculus Spectroscopy (82365) $52.59 $87.65 4.1×
Calprotectin Fecal (83993) $79.99 $133.32 4.1×
Calr gene com variants (81219) $490.26 $817.10 4.0×
Cancer Antigen 125 (86304) $96.28 $160.46 4.6×
Cancer Antigen 27.29 (86300) $56.59 $94.32 2.7×
Candida antibody (86628) $23.07 $38.45 1.9×
Candida Dna Dir Probe (87480) $102.32 $170.54 5.1×
Carbamazepine total (80156) $133.42 $222.36 9.2×
Carboxyhemoglobin (82375) $54.32 $90.54 4.4×
Carcinoembryonic antigen (82378) $93.57 $155.95 4.9×
Cardiolipin ab iga (86147) $32.10 $53.50 1.3×
Carnitine Quantitative Each Specimen (82379) $68.81 $114.69 4.1×
Catecholamines fractionated (82384) $103.04 $171.73 4.1×
Ccp antibody (86200) $51.24 $85.40 4.0×
Cell count csf (89051) $105.35 $175.58 18.8×
Ceruloplasmin (82390) $43.83 $73.05 4.1×
Chemiluminescent assay (82397) $57.78 $96.30 4.1×
Chloride Serum (82435) $14.08 $23.47 3.1×
Chloride urine (82436) $20.44 $34.07 3.6×
Cholesterol total (82465) $41.25 $68.75 9.5×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$159.95–$164.99 $266.58–$274.99 varies
Chromium serum (82495) $93.57 $155.95 4.6×
Chromogranin a (86316) $64.24 $107.07 3.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines
$164.45–$184.19 $274.08–$306.98 varies
Citric acid urine (82507) $113.44 $189.07 4.1×
Ckmb (82553) $109.66 $182.77 9.5×
Clostridium Difficile (87324) $81.88 $136.47 6.8×
Clot Factor VIII Multimetric (85247) $90.83 $151.39 4.0×
Coccidioides antibody (86635) $45.43 $75.72 4.0×
Collagen crosslinks (82523) $76.26 $127.10 4.1×
Column Chromotography Quant (82542) $73.68 $122.80 3.1×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$261.02–$274.08 $435.04–$456.80 varies
Complement Antigen Each Component (86160)
range across 5 matching MRF lines
$37.99–$80.89 $63.31–$134.81 varies
Complement Total (Ch50) (86162) $80.45 $134.09 4.0×
Complement/Function Activity (86161) $53.94 $89.90 4.5×
Coombs direct (86880) $46.54 $77.56 8.6×
Copper urine (82525) $50.61 $84.35 4.1×
Cortisol free (82530) $68.17 $113.61 4.1×
Cortisol saliva (82533) $115.69 $192.82 7.1×
Creatine kinase total (82550) $45.27 $75.45 7.0×
Creatinine blood (82565) $15.10 $25.16 2.9×
Creatinine clearance (82575) $84.50 $140.84 8.9×
Creatinine Urine (82570)
range across 5 matching MRF lines
$7.15–$64.27 $11.91–$107.12 varies
Crossmatch immediate spin (86920) $274.08 $456.80 1.7×
Crp High Sensitivity (86141) $71.26 $118.76 5.5×
Cryoglobulin (82595) $26.38 $43.96 4.1×
Cryptosporidium ag eia (87328) $181.27 $302.11 13.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$26.47–$104.90 $44.12–$174.84 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $53.33 $88.89 6.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $169.58 $282.63 22.0×
Culture afb (87116) $64.01 $106.69 5.9×
Culture Anaerobic (87075) $26.44 $44.07 2.8×
Culture blood (87040) $65.55 $109.25 6.4×
Culture csf (87070)
range across 7 matching MRF lines
$10.91–$127.18 $18.18–$211.96 varies
Culture fungus (87102) $54.02 $90.03 6.4×
Culture screen only (87081) $105.27 $175.45 15.9×
Culture stool (87045) $71.63 $119.39 7.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $23.38 $38.97 4.5×
Culture urine (87086) $51.62 $86.03 6.4×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $58.44 $97.40 4.1×
Cyclosporine (80158) $74.80 $124.67 4.1×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$52.84–$61.48 $88.07–$102.46 varies
Cytopath Cell Enhance Tech (88112) $206.60 $344.34 4.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$64.96–$100.03 $108.27–$166.72 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $311.85 $519.75 1.9×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$402.79–$406.07 $671.32–$676.78 varies
Detect Agent Nos Dna Quant (87799) $254.43 $424.05 5.9×
Detect agnt mult DNA ampli (87801) $374.20 $623.67 5.3×
Dgp Antibody Each Ig Class (86258) $36.94 $61.56 3.1×
Dhea (82626) $103.09 $171.82 4.1×
Dhea-S (82627) $90.73 $151.22 4.1×
Digoxin (80162) $85.94 $143.24 6.5×
Dna Antibody Native/Double Stranded (86225) $25.07 $41.79 1.8×
DNA/RNA direct probe (87149) $82.52 $137.53 4.1×
Drug assay acetaminophen (80143) $150.79 $251.32 8.1×
Drug Assay Everolimus (80169) $69.91 $116.51 5.1×
Drug Assay Infliximab (80230) $52.27 $87.11 1.4×
Drug Assay Lacosamide (80235) $52.27 $87.11 1.9×
Drug assay voriconazole (80285) $67.87 $113.11 2.5×
Drug Screen Quantitative Lamotrigine (80175) $67.48 $112.46 5.1×
Drug Screen Quantitative Levetiracetam (80177) $67.63 $112.72 5.1×
Drug Screen Quantitative Oxcarbazepine (80183) $60.66 $101.10 4.6×
Drug Screen Quantitative Procainamide Metabolite (80192) $76.82 $128.03 4.6×
Drug Test Prsmv Chem Anlyzr (80307) $150.79 $251.32 2.4×
Drug Test Prsmv Dir Opt Obs (80305) $17.39 $28.98 1.4×
Drug Test Prsmv Instrmnt (80306) $23.65 $39.42 1.4×
El-1 Fecal Quantitative (82653) $47.11 $78.51 2.1×
Electrolyte panel (80051) $39.83 $66.38 5.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $57.60 $96 4.8×
Erythropoietin (82668) $76.69 $127.81 4.1×
Estradiol serum (82670) $113.77 $189.62 4.1×
Estrogen total (82672) $88.54 $147.57 4.1×
Estrogens fractionated (82671) $131.80 $219.66 4.1×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$71.20–$88.17 $118.66–$146.95 varies
F2 Gene (81240) $220.60 $367.67 3.4×
Factor ii activity (85210) $18.06 $30.10 1.4×
Factor v leiden mutation (81241) $256.84 $428.06 3.5×
Factor viii assay (85240) $18.06 $30.10 1.0×
Fecal Fat Qualitative (82705) $6.40 $10.67 1.3×
Ferritin (82728) $82.51 $137.51 6.1×
Fetal Congenital Abnor Assay Four Anal (81511) $639.34 $1,065.56 4.2×
Fetal screen rosette (85461) $33.18 $55.30 3.5×
Fibrin degradation products (85362) $16.02 $26.70 2.3×
Fibrin Degradation Quant (85379) $141.55 $235.91 13.9×
Fibrinogen activity (85384) $104.45 $174.09 10.7×
Flow cytometry first marker (88184) $232.56 $387.60 0.7×
Fluorescent antibody screen (86255) $57.60 $96 4.8×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $105.43 $175.72 8.7×
Folic acid rbc (82747) $70.66 $117.77 4.0×
Folic Acid Serum (82746) $71.43 $119.05 4.9×
Follicle Stimulating Hormone (83001) $75.82 $126.36 4.1×
Fungi Identification Mold (87107) $61.24 $102.07 5.9×
Fungi Identification Yeast (87106) $115.49 $192.48 11.2×
Galactose transferase test (82776) $34.30 $57.16 2.9×
Gammaglobulin ige (82785) $115.69 $192.82 7.0×
Gardner vag DNA dir probe (87510) $102.32 $170.54 5.1×
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 2 matching MRF lines
$27.77–$71.43 $46.28–$119.05 varies
Gases blood ph only (82800) $65.40 $109 5.9×
Gastrin (82941) $71.95 $119.91 4.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,462.51 $2,437.51 3.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,458.98 $2,431.64 1.9×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$86.02–$200.79 $143.36–$334.65 varies
Gentamicin (80170) $83.67 $139.45 5.1×
Ggt (82977) $45.27 $75.45 6.3×
Giardia antigen (87329) $23.01 $38.35 1.9×
Glucose 2 hr pp (82950) $31.19 $51.99 6.6×
Glucose Blood Test (82962)
range across 3 matching MRF lines
$4.52–$30.18 $7.54–$50.30 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$6.03–$23.14 $10.05–$38.56 varies
Glucose tolerance test (gtt) (82951) $76.46 $127.43 5.9×
Gonadotropin Chorionic Qualitative (84703) $87.53 $145.88 11.6×
Growth hormone (83003) $67.18 $111.96 4.0×
Gtt-added samples (82952) $30.18 $50.30 7.7×
H Pylori (C-13) Breath (83013) $320.92 $534.86 4.8×
H Pylori Drug Admin (83014) $41.25 $68.75 5.2×
Haptoglobin (83010) $71.43 $119.05 5.7×
Helicobacter Pylori Stool (87338) $85.27 $142.11 5.9×
Hematocrit (85014)
range across 3 matching MRF lines
$3.63–$15.61 $6.05–$26.02 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$3.63–$15.61 $6.05–$26.02 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$14.89–$102.62 $24.82–$171.04 varies
Hemoglobin electrophoresis (83020) $52.61 $87.69 4.1×
Hemoglobin Methemoglobin Quantitative (83050) $56.34 $93.90 6.9×
Hemoglobin plasma (83051) $74.44 $124.06 10.2×
Hemoglobin urine (83069) $20.11 $33.52 5.1×
Hep a ab igm (86709)
range across 2 matching MRF lines
$20.55–$24.82 $34.25–$41.37 varies
Heparin assay (85520) $51.83 $86.38 4.0×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$22.61–$49.04 $37.68–$81.73 varies
Hepatitis b core ab igm (86705) $46.63 $77.71 4.0×
Hepatitis b core ab total (86704) $47.71 $79.52 4.0×
Hepatitis B Surface Antigen (87340) $51.67 $86.12 5.0×
Hepatitis Be Antibody (86707) $51.99 $86.65 4.5×
Hepatitis Be Antigen (87350) $41.60 $69.34 3.6×
Hepatitis C Antibody (86803) $15.52 $25.86 1.1×
Hepatitis C Genotype (87902) $704.56 $1,174.26 2.7×
Hepatitis C Revrs Trnscrpj (87522) $253.98 $423.30 5.9×
Herpes simplex type 2 (86696) $62.08 $103.46 3.2×
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines
$6.55–$36.52 $10.92–$60.86 varies
Hfe Gene (81256) $293.04 $488.40 4.5×
Histoplasma antibody (86698)
range across 5 matching MRF lines
$25.16–$56.16 $41.94–$93.60 varies
Hiv Genotype (87901) $494.54 $824.23 1.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $102.32 $170.54 4.2×
Hiv-1 Antibody (86701) $40.03 $66.72 4.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $504.55 $840.92 5.9×
Hla class ii typing high resolution one locus ea (81382) $298.02 $496.70 2.4×
Hla ii typing 1 locus lr (81376) $294.50 $490.84 2.4×
Hla-b27 (86812) $102.20 $170.34 4.0×
Homocysteine (83090) $78.47 $130.78 4.4×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$89.14–$157.73 $148.57–$262.89 varies
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$91.23–$157.73 $152.05–$262.89 varies
Hsv Dna Amp Probe (87529) $208.06 $346.76 5.9×
Htt Gene Detc Abnor Alleles (81271) $263.17 $438.61 1.9×
Hydroxyprogesterone 17-d (83498) $110.86 $184.76 4.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $19.84 $33.07 1.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $64.03 $106.72 1.8×
Iaad ia shiga-like toxin (87427) $62.62 $104.36 5.2×
Iadna Candida Species Amplified Probe Tq (87481) $185.67 $309.45 5.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $208.06 $346.76 5.9×
Iadna Cytomegalovirus Quantification (87497) $253.98 $423.30 5.9×
Iadna Hepatitis B Virus Quantification (87517) $253.98 $423.30 5.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $208.06 $346.76 5.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 4 matching MRF lines
$164.45–$184.19 $274.08–$306.98 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $505.18 $841.97 1.9×
Ig Light Chains Free Each (83521) $55.48 $92.46 3.2×
Igg subclasses (82787) $32.71 $54.52 4.1×
Immune Complex Assay (86332) $49.76 $82.93 2.0×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$116.18–$131.89 $193.63–$219.81 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$55.11–$179.77 $91.85–$299.61 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 15 matching MRF lines
$27.97–$59.36 $46.62–$98.93 varies
Immunoassay nonantibody (83516)
range across 6 matching MRF lines
$47.06–$50.75 $78.44–$84.59 varies
Immunodiffusion Ouchterlony (86331) $21.86 $36.43 1.8×
Immunofixation electrophoresis (86334) $88.48 $147.47 4.0×
Immunohistochemistry (88342) $278.51 $464.19 1.7×
Influenza a/b ag eia (87400) $16.11 $26.85 1.1×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$17.93–$18.86 $29.88–$31.44 varies
Inhibin b (83520) $52.81 $88.01 3.1×
Insulin antibodies (86337) $84.76 $141.26 4.0×
Insulin total (83525) $46.22 $77.04 4.0×
Intrinsic factor antibody (86340) $29.64 $49.40 2.0×
Iron (83540) $42.26 $70.44 6.5×
Iron Binding Capacity (83550) $41.25 $68.75 4.7×
Islet cell antibody (86341)
range across 4 matching MRF lines
$46.29–$80.32 $77.15–$133.86 varies
Jak2 gene analysis p.val617phe variant (81270) $410.96 $684.94 4.5×
Jak2 Gene Trgt Sequence Alys (81279) $558.06 $930.10 3.0×
Koh Prep (87220) $41.78 $69.63 9.8×
Lactate (ld) (ldh) enzyme (83615) $42.26 $70.44 7.0×
Lactoferrin fecal qualitative (83630) $45.81 $76.35 2.3×
LDL direct (83721) $35.21 $58.68 3.4×
Lead (83655) $49.39 $82.32 4.1×
Legionella antibody (86713) $45.20 $75.33 3.0×
Legionella antigen urine (87449)
range across 6 matching MRF lines
$34.08–$179.81 $56.80–$299.68 varies
Level I Surg Pathology Gross Examination Only (88300) $64.35 $107.25 2.3×
Lipase (83690) $73.43 $122.38 10.7×
Lipoprotein A (83695) $63.23 $105.39 4.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $45.17 $75.28 4.0×
Lithium (80178) $49.75 $82.91 7.5×
Luteinizing Hormone (Lh) (83002) $195.16 $325.27 10.5×
Lyme disease antibody (86618) $40.27 $67.11 2.4×
Lysozyme serum (85549) $74.24 $123.73 4.0×
M. Genitalium Amp Probe (87563) $46.88 $78.13 1.3×
Macroscopic Exam Parasite (87169) $40.92 $68.20 9.5×
Magnesium Urine (83735) $46.27 $77.12 6.9×
Mass Spectrometry Quant (83789) $73.68 $122.80 3.1×
Mercury urine (83825) $66.32 $110.53 4.1×
Methylmalonic acid serum (83921) $67.12 $111.87 3.2×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$8.86–$65.40 $14.77–$109 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$35.06–$48.20 $58.43–$80.33 varies
Mitochondrial Antibody Each (86381) $41.44 $69.06 1.6×
Mlh1 Gene (81288) $369.43 $615.71 1.9×
Mononuclear cell antigen (86356) $71.87 $119.79 2.7×
Mpl gene analysis sequence analysis exon 10 (81339) $235.43 $392.38 1.3×
Mrsa Pcr (87641) $146.18 $243.63 4.2×
Mumps antibody (86735) $55.91 $93.18 4.3×
Muscle-Specific Kinase Antb (86366) $45.53 $75.88 2.5×
Mycoplasma antibody (86738) $113.26 $188.76 8.6×
Myoglobin urine (83874) $52.69 $87.81 4.1×
Natriuretic peptide (83880) $163.98 $273.30 4.2×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $246.43 $410.72 1.9×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $315.07 $525.12 2.2×
Nfct ds bv&vaginitis DNA alg (81515) $505.18 $841.97 1.9×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $366.26 $610.44 2.8×
Niacin (84591) $47.35 $78.92 2.8×
Nk cells total count (86357) $169.57 $282.62 4.5×
Nuclear antigen antibody (86235)
range across 15 matching MRF lines
$52.08–$62.08 $86.80–$103.46 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$5.84–$26.16 $9.73–$43.60 varies
Occult Blood Other Sources (82271) $26.16 $43.60 4.9×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $575.45 $959.09 2.2×
Osmolality serum (83930) $74.44 $124.06 11.3×
Osmolality Urine (83935) $83.50 $139.16 12.2×
Ova and parasites smears (87177) $107.13 $178.55 12.0×
Oxalate urine (83945) $52.51 $87.52 3.6×
Parvovirus antibody (86747) $67.58 $112.63 4.5×
Ph urine (81003)
range across 3 matching MRF lines
$3.26–$9.99 $5.44–$16.65 varies
Phenobarbital Level (80184) $84.81 $141.35 5.5×
Phenotype Infect Agent Drug (87900) $250.39 $417.32 1.9×
Phenylalanine (84030) $22.45 $37.41 4.1×
Phenytoin (Dilantin) (80185) $93.85 $156.42 7.1×
Phosphatase acid prostatic (84066) $40.94 $68.23 4.2×
Phosphatase alkaline (84075) $14.08 $23.47 2.7×
Phospholipid Neutralization Hexagonal (85598) $71.17 $118.62 4.0×
Phosphorus Serum (84100) $31.19 $51.99 6.6×
Phosphorus urine (84105) $60.54 $100.90 10.5×
Platelet Aggregation (85576) $116.16 $193.60 4.7×
Platelet count automated (85049) $41 $68.33 9.2×
Platelet neutralization (85597) $71.17 $118.62 4.0×
Potassium Urine (84133) $39.13 $65.22 8.3×
Prealbumin (84134) $62.38 $103.96 4.3×
Pregnenolone (84140) $84.36 $140.60 4.1×
Procalcitonin (Pct) (84145) $109.33 $182.21 4.0×
Progesterone (84144)
range across 2 matching MRF lines
$48.50–$78.20 $80.84–$130.33 varies
Prolactin (84146)
range across 3 matching MRF lines
$79.11–$82.12 $131.85–$136.86 varies
Protein body fluid (84157) $44.26 $73.77 11.1×
Protein C Activity (85303) $54.76 $91.26 4.0×
Protein c antigen (85302) $43.12 $71.86 3.6×
Protein Electrophoresis Urine (84166) $72.76 $121.27 4.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $43.83 $73.05 4.1×
Protein S Free (85306) $60.69 $101.15 4.0×
Protein s total (85305) $41.32 $68.86 3.6×
Protein total serum (84155) $14.08 $23.47 3.8×
Protein Total Urine (84156) $31.19 $51.99 8.5×
Protein Western Blot Test (84182)
range across 6 matching MRF lines
$67.90–$67.93 $113.17–$113.21 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $9.39 $15.65 2.4×
PSA free (84154) $75.46 $125.76 4.1×
Pth Intact (83970) $227.37 $378.95 5.5×
Quantiferon tb gold plus (86480) $87.14 $145.23 1.4×
Quantitative assay drug (80299) $48.56 $80.94 2.6×
Quantitative Screen Metals (83018) $89.61 $149.35 4.1×
Rbc antibody elution (86860) $97.96 $163.27 0.6×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$143.83–$151.02 $239.72–$251.70 varies
Rbc antibody screen (86850) $71.02 $118.37 7.3×
Rbc pretreatment serum (86978) $93.88 $156.46 1.7×
Reagent Strip/Blood Glucose (82948) $7.69 $12.81 1.5×
Renin activity plasma (84244) $71.75 $119.58 3.3×
Reticulated Platelet Assay (85055) $83.11 $138.51 2.3×
Reticulocyte Count (85046) $12.95 $21.59 2.3×
Rh (86901) $27.76 $46.26 9.3×
Rheumatoid Factor Qualitative (86430) $45.88 $76.47 7.5×
Rheumatoid factor quant (86431) $11.75 $19.58 2.1×
Rickettsia antibody (86757) $76.66 $127.76 4.0×
Ristocetin cofactor (85245) $90.83 $151.39 4.0×
Rotavirus ag eia (87425) $71.07 $118.45 5.9×
Rpr qualitative (86592)
range across 2 matching MRF lines
$17.97–$23.36 $29.95–$38.94 varies
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$14.42–$15.19 $24.04–$25.31 varies
Rubella Antibody (86762) $87.86 $146.44 6.1×
Rubeola antibody (86765)
range across 2 matching MRF lines
$12.82–$62.39 $21.37–$103.98 varies
Russell Viper Venom Time Diluted (85613) $22.85 $38.09 2.4×
Salicylate Level (80179) $150.79 $251.32 8.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $183.44 $305.74 3.6×
Sars-cov-2 COVID-19 antibody (86769) $76.88 $128.14 1.8×
Sars-Cov-2 Covid19 W/Optic (87811) $71.72 $119.53 1.7×
Sarscov2 & inf a&b amp prb (87636) $145.99 $243.31 1.0×
Sarscov2&inf a&b&rsv amp prb (87637) $207.83 $346.38 1.5×
Sedimentation Rate, Automated (85652) $41 $68.33 15.2×
Selenium (84255) $104.18 $173.63 4.1×
Sensitivity mic (87186)
range across 2 matching MRF lines
$37.81–$121.13 $63.02–$201.88 varies
Sex Hormone Binding Globulin (84270) $89.53 $149.22 4.1×
Sickling of rbc reduction (85660) $21.83 $36.39 4.0×
Sirolimus (80195) $62.99 $104.99 4.6×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$16.60–$17.21 $27.67–$28.69 varies
Smear complex stain (87209) $102.62 $171.04 5.7×
Smear gram stain (87205) $17.95 $29.92 4.2×
Smear Special Stain (87207) $29.75 $49.58 5.0×
Sodium Serum (84295) $14.08 $23.47 2.9×
Sodium Urine (84300) $45.64 $76.07 9.0×
Soluble Transferrin Receptor (84238) $149.23 $248.71 4.1×
Somatomedin (84305) $86.75 $144.58 4.1×
Special Stains Group 1 (88312) $248.68 $414.47 5.0×
Special Stains Group 2 (88313) $68.67 $114.45 0.5×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$39.22–$45.32 $65.37–$75.53 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$18.41–$18.85 $30.68–$31.41 varies
Strep a DNA amp probe (87651) $141.13 $235.21 4.0×
Surg path level iii (88304) $223.93 $373.22 4.5×
Surgical pathology level IV (88305) $181.33 $302.21 3.6×
Susceptibility Study Antimicrobial Disk Method (87184) $14.37 $23.95 1.9×
Syphilis Test Non-Trep Quant (86593) $17.41 $29.01 4.0×
T cells absolute cd4 count (86361) $106 $176.67 4.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $186.06 $310.10 4.0×
T cells total count (86359) $149.38 $248.97 4.0×
T3 Free (84481) $78.47 $130.78 4.6×
T3 reverse (84482) $64.31 $107.18 4.1×
T3 Total (84480) $71.43 $119.05 5.0×
T3 Uptake (84479) $15.97 $26.62 2.5×
T4 Free (84439) $107.65 $179.41 11.9×
T4 total (84436)
range across 2 matching MRF lines
$15.97–$52.30 $26.62–$87.17 varies
T4-neonatal (84437) $26.44 $44.06 4.1×
Tacrolimus (80197) $62.99 $104.99 4.6×
Testosterone total (84403) $111.67 $186.12 4.3×
Tetanus antibody (86774) $58.61 $97.68 4.0×
Theophylline (80198) $64.02 $106.70 4.5×
Thrombin Time (85670) $18.40 $30.66 3.2×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $15.41 $25.69 2.4×
Thyroglobulin (84432) $65.55 $109.25 4.1×
Thyroglobulin Antibody (86800) $62.97 $104.95 4.0×
Thyroid Stimulating Immunoglobulin (84445) $207.49 $345.82 4.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $36.94 $61.56 3.2×
Topiramate (80201) $54.67 $91.12 4.6×
Toxoplasma ab igm (86778) $57.02 $95.04 4.0×
Toxoplasma antibody (86777) $32.10 $53.50 2.2×
Transferase Aspartate Amino Ast Sgot (84450) $14.08 $23.47 2.7×
Transferrin (84466) $71.43 $119.05 5.6×
Trichomonas vagin dir probe (87660) $102.32 $170.54 5.1×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$89.14–$185.67 $148.57–$309.45 varies
Triglycerides (84478) $40.24 $67.06 7.0×
Troponin Quant (84484) $103.61 $172.68 8.3×
Unlisted Cytogenetic Study (88299) $101.48 $169.14 2.0×
Uric acid other source (84560) $43.79 $72.99 8.6×
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$9.97–$33.38 $16.61–$55.64 varies
Urinalysis Volume Measure (81050) $7.70 $12.83 2.1×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$11.29–$35.54 $18.81–$59.24 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$4.86–$9.62 $8.10–$16.03 varies
Valproic acid (80164) $148.13 $246.89 10.9×
Vancomycin (80202) $127.76 $212.94 9.4×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$38.25–$40.17 $63.75–$66.95 varies
Viral Culture (87252) $154.55 $257.59 5.9×
Virus antibody nos (86790) $50.89 $84.81 4.0×
Virus inoculation, shell via (87254)
range across 3 matching MRF lines
$49.69–$103.57 $82.82–$172.62 varies
Viscosity serum (85810) $46.21 $77.02 4.0×
Vit D 1 25-Dihydroxy (82652) $157.08 $261.80 4.1×
Vitamin A (84590) $47.35 $78.92 4.1×
Vitamin b-12 (82607) $101.61 $169.35 6.7×
Vitamin B6 (84207) $114.67 $191.12 4.1×
Vitamin c (82180) $41.26 $68.77 4.2×
Vitamin D 25-Hydroxy (82306) $90.54 $150.90 3.1×
Von willebrand factor ag (85246) $90.83 $151.39 4.0×
Zinc (84630) $46.47 $77.45 4.1×

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.