Lab & pathology prices at Skyline Health
White Salmon, WA · every code in this section with a posted price and a Medicare benchmark.
411 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $108 | $150 | 9.7× |
| Acth (82024) | $370.80 | $515 | 9.6× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$419.76–$457.56 | $583–$635.50 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$48.60–$51.84 | $67.50–$72 | varies |
| Aldosterone urine (82088) | $391.32 | $543.50 | 9.6× |
| Alkaline phosphatase isoenzymes (84080) | $142.56 | $198 | 9.6× |
| Allergen spec ige qual multiallergen screen (86005) | $10.08 | $14 | 1.3× |
| Allergen specific ige (86003) | $51.48 | $71.50 | 9.9× |
| Allergen specific igg (86001) | $51.48 | $71.50 | 6.6× |
| Alpha-1-antitrypsin total (82103) | $131.04 | $182 | 9.8× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$6.48–$154.80 | $9–$215 | varies |
| Alt (sgpt) (84460) | $56.16 | $78 | 10.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $163.08 | $226.50 | 9.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$141.48–$151.20 | $196.50–$210 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$64.44–$68.40 | $89.50–$95 | varies |
| Ana Titer (86039) | $108 | $150 | 9.7× |
| Angiotensin converting enzyme csf (82164) | $137.52 | $191 | 9.4× |
| Antibody aspergillus (86606) | $144.72 | $201 | 9.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $150.12 | $208.50 | 9.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $163.08 | $226.50 | 9.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $123.12 | $171 | 9.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $149.04 | $207 | 9.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $176.04 | $244.50 | 9.7× |
| Antibody helicobacter pylori (86677) | $119.52 | $166 | 7.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$83.52–$127.44 | $116–$177 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $132.12 | $183.50 | 9.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $186.48 | $259 | 9.6× |
| Antibody identification leukocyte antibodies (86021) | $144.72 | $201 | 9.6× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$78.84–$79.20 | $109.50–$110 | varies |
| Antigen typing (86905) | $38.16 | $53 | 10.0× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$72–$117 | $100–$162.50 | varies |
| Antistreptolysin o titer (86060) | $71.28 | $99 | 9.8× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$22.68–$114.48 | $31.50–$159 | varies |
| Apolipoprotein a1 (82172) | $150.12 | $208.50 | 7.1× |
| Arsenic (82175) | $182.88 | $254 | 9.6× |
| Assay Blood Carbon Dioxide (82374) | $47.88 | $66.50 | 9.8× |
| Assay Nephelometry Not Spec (83883) | $138.24 | $192 | 10.2× |
| Assay of 5-hiaa (83497) | $124.92 | $173.50 | 9.7× |
| Assay of blood/uric acid (84550) | $47.52 | $66 | 10.5× |
| Assay of calcium in urine (82340) | $51.48 | $71.50 | 8.5× |
| Assay of cpk in blood (82552) | $129.24 | $179.50 | 9.7× |
| Assay of estrone (82679) | $123.12 | $171 | 4.9× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$58.32–$94.68 | $81–$131.50 | varies |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$55.80–$304.92 | $77.50–$423.50 | varies |
| Assay of lactic acid (83605) | $110.16 | $153 | 9.5× |
| Assay of metanephrines (83835) | $163.80 | $227.50 | 9.7× |
| Assay of proinsulin (84206) | $170.64 | $237 | 6.4× |
| Assay of serum potassium (84132) | $48.96 | $68 | 10.3× |
| Assay of sweat sodium (84302) | $47.88 | $66.50 | 9.9× |
| Assay of urea nitrogen (84520) | $41.76 | $58 | 10.6× |
| Assay of urine vma (84585) | $150.12 | $208.50 | 9.7× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$125.64–$205.20 | $174.50–$285 | varies |
| Assay Ph Body Fluid Nos (83986) | $36 | $50 | 10.1× |
| Automated Leukocyte Count (85048) | $25.92 | $36 | 10.2× |
| Beta 2 glycoprotein i antibody each (86146) | $244.44 | $339.50 | 9.6× |
| Beta hydroxybutyrate (82010) | $113.76 | $158 | 13.9× |
| Beta-2 Microglobulin (82232) | $156.24 | $217 | 9.7× |
| Bilirubin direct (82248) | $52.56 | $73 | 10.5× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$49.32–$52.56 | $68.50–$73 | varies |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$38.16–$49.32 | $53–$68.50 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$51.84–$75.60 | $72–$105 | varies |
| Blood Count Red Blood Cell Automated (85041) | $30.24 | $42 | 10.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$24.48–$40.32 | $34–$56 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.44 | $52 | 9.9× |
| Blood gas (82803) | $199.44 | $277 | 7.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $29.88 | $41.50 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$32.04–$33.84 | $44.50–$47 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $38.16 | $53 | 6.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$30.24–$31.68 | $42–$44 | varies |
| Body fluid cell count (89050) | $49.68 | $69 | 10.5× |
| Breath Alcohol Test (82075) | $47.88 | $66.50 | 1.6× |
| C diff amplified probe (87493) | $157.68 | $219 | 4.2× |
| C-Peptide (84681) | $200.88 | $279 | 9.7× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$30.96–$51.48 | $43–$71.50 | varies |
| Ca 19-9 (86301) | $117 | $162.50 | 5.6× |
| Calcitonin (82308) | $257.40 | $357.50 | 9.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$81.72–$131.40 | $113.50–$182.50 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$30.96–$54 | $43–$75 | varies |
| Calculus Spectroscopy (82365) | $124.92 | $173.50 | 9.7× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$102.60–$189.72 | $142.50–$263.50 | varies |
| Cancer Antigen 125 (86304) | $117 | $162.50 | 5.6× |
| Cancer Antigen 27.29 (86300) | $117 | $162.50 | 5.6× |
| Carbamazepine total (80156) | $140.40 | $195 | 9.6× |
| Carbohydrate Deficient Transferrin (82373) | $175.32 | $243.50 | 9.7× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$95.04–$182.88 | $132–$254 | varies |
| Cardiolipin ab iga (86147) | $244.44 | $339.50 | 9.6× |
| Catecholamines fractionated (82384) | $243.36 | $338 | 9.6× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$76.68–$125.64 | $106.50–$174.50 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$54–$257.40 | $75–$357.50 | varies |
| Ceruloplasmin (82390) | $79.20 | $110 | 7.4× |
| Cftr gene com variants (81220) | $249.84 | $347 | 0.4× |
| Chemiluminescent assay (82397) | $137.52 | $191 | 9.7× |
| Chloride other source (82438) | $47.52 | $66 | 9.5× |
| Chloride Serum (82435) | $46.08 | $64 | 10.0× |
| Chloride urine (82436) range across 2 matching MRF lines |
$49.32–$52.56 | $68.50–$73 | varies |
| Cholesterol total (82465) | $43.56 | $60.50 | 10.0× |
| Chorionic gonadotropin test (84702) | $73.08 | $101.50 | 4.9× |
| Chromogranin a (86316) | $200.88 | $279 | 9.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$96.48–$336.96 | $134–$468 | varies |
| Citric acid urine (82507) | $267.48 | $371.50 | 9.6× |
| Ckmb (82553) range across 2 matching MRF lines |
$112.32–$119.52 | $156–$166 | varies |
| Clostridium Difficile (87324) | $123.84 | $172 | 10.3× |
| Clot Factor VIII Multimetric (85247) | $215.28 | $299 | 9.4× |
| Coccidioides antibody (86635) | $111.24 | $154.50 | 9.7× |
| Column Chromotography Quant (82542) | $175.32 | $243.50 | 7.3× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$107.64–$112.68 | $149.50–$156.50 | varies |
| Compatibility test antiglob (86922) | $113.40 | $157.50 | 0.6× |
| Complement Antigen Each Component (86160) | $116.28 | $161.50 | 9.7× |
| Complement Total (Ch50) (86162) | $195.48 | $271.50 | 9.6× |
| Complement/Function Activity (86161) | $116.28 | $161.50 | 9.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $56.52 | $78.50 | 1.4× |
| Coombs direct (86880) range across 2 matching MRF lines |
$53.28–$56.88 | $74–$79 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$76.32–$120.24 | $106–$167 | varies |
| Cortisol free (82530) | $162.36 | $225.50 | 9.7× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$96.84–$157.32 | $134.50–$218.50 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$61.92–$68.40 | $86–$95 | varies |
| Creatinine blood (82565) | $54 | $75 | 10.5× |
| Creatinine clearance (82575) | $91.80 | $127.50 | 9.7× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$43.56–$79.20 | $60.50–$110 | varies |
| Crossmatch electronic (86923) | $170.64 | $237 | 0.9× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$131.04–$136.80 | $182–$190 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$79.56–$125.64 | $110.50–$174.50 | varies |
| Cryoglobulin (82595) | $64.08 | $89 | 9.9× |
| Cryptosporidium (87272) | $116.28 | $161.50 | 9.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $107.64 | $149.50 | 13.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $75.24 | $104.50 | 9.8× |
| Culture afb (87116) | $105.12 | $146 | 9.7× |
| Culture Anaerobic (87075) | $56.52 | $78.50 | 6.0× |
| Culture blood (87040) range across 2 matching MRF lines |
$61.20–$101.52 | $85–$141 | varies |
| Culture csf (87070) range across 4 matching MRF lines |
$51.48–$97.20 | $71.50–$135 | varies |
| Culture fungus (87102) | $82.08 | $114 | 9.8× |
| Culture screen only (87081) range across 4 matching MRF lines |
$39.60–$140.04 | $55–$194.50 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$56.16–$101.52 | $78–$141 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$48.24–$54 | $67–$75 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $138.96 | $193 | 9.7× |
| Cytomegalovirus igg (86644) | $139.32 | $193.50 | 9.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$71.28–$141.48 | $99–$196.50 | varies |
| Cytopath Cell Enhance Tech (88112) | $492.12 | $683.50 | 8.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$80.28–$419.40 | $111.50–$582.50 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $372.96 | $518 | 9.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $448.92 | $623.50 | 2.4× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $56.16 | $78 | 3.0× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$216–$588.24 | $300–$817 | varies |
| Detect Agent Nos Dna Quant (87799) | $411.48 | $571.50 | 9.6× |
| Dhea (82626) range across 2 matching MRF lines |
$123.12–$243.72 | $171–$338.50 | varies |
| Dhea-S (82627) | $131.76 | $183 | 5.9× |
| Digoxin (80162) | $136.80 | $190 | 10.3× |
| Dna Antibody Native/Double Stranded (86225) | $132.12 | $183.50 | 9.6× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$78.84–$132.12 | $109.50–$183.50 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$77.76–$101.52 | $108–$141 | varies |
| Drug Test Prsmv Instrmnt (80306) | $155.16 | $215.50 | 9.1× |
| Enterovirus PCR (87498) | $336.96 | $468 | 9.6× |
| Erythropoietin (82668) | $181.08 | $251.50 | 9.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$164.88–$268.20 | $229–$372.50 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$88.56–$232.92 | $123–$323.50 | varies |
| Estrogen total (82672) | $207.72 | $288.50 | 9.6× |
| Exam Synovial Fluid Crystals (89060) | $69.84 | $97 | 9.5× |
| Factor v leiden mutation (81241) | $223.56 | $310.50 | 3.0× |
| Factor viii assay (85240) | $154.80 | $215 | 8.6× |
| Fecal Fat Qualitative (82705) | $43.92 | $61 | 8.6× |
| Ferritin (82728) range across 3 matching MRF lines |
$81.36–$91.80 | $113–$127.50 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $84.24 | $117 | 8.7× |
| Fibrinogen activity (85384) | $82.44 | $114.50 | 8.5× |
| Flow cytometry first marker (88184) | $102.24 | $142 | 0.3× |
| Fluorescent antibody screen (86255) | $116.64 | $162 | 9.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $116.64 | $162 | 9.7× |
| Folic acid rbc (82747) | $123.48 | $171.50 | 7.0× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$87.12–$142.92 | $121–$198.50 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$110.52–$179.28 | $153.50–$249 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $51.48 | $71.50 | 0.3× |
| Gammaglobulin ige (82785) | $158.40 | $220 | 9.6× |
| Gastrin (82941) | $169.56 | $235.50 | 9.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $486 | $675 | 1.2× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$192.24–$325.44 | $267–$452 | varies |
| Ggt (82977) | $70.20 | $97.50 | 9.8× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$74.16–$116.28 | $103–$161.50 | varies |
| Giardia lamblia antibody (86674) | $142.20 | $197.50 | 9.7× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$6.84–$18 | $9.50–$25 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$38.52–$41.04 | $53.50–$57 | varies |
| Glucose Serum (82947) | $41.04 | $57 | 10.4× |
| Glucose tolerance test (gtt) (82951) | $73.08 | $101.50 | 5.7× |
| Gonadotropin Chorionic Qualitative (84703) | $77.76 | $108 | 10.3× |
| Gtt-added samples (82952) | $73.08 | $101.50 | 18.6× |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$195.12–$397.44 | $271–$552 | varies |
| Haptoglobin (83010) | $85.68 | $119 | 6.8× |
| Hdl Cholesterol (83718) | $79.92 | $111 | 9.8× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$85.68–$116.28 | $119–$161.50 | varies |
| Helminth Antibody (86682) | $126 | $175 | 9.7× |
| Hematocrit (85014) range across 2 matching MRF lines |
$24.48–$25.92 | $34–$36 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$14.76–$25.92 | $20.50–$36 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$51.84–$110.52 | $72–$153.50 | varies |
| Hemoglobin Chromotography (83021) | $175.32 | $243.50 | 9.7× |
| Hemoglobin electrophoresis (83020) | $69.84 | $97 | 5.4× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $21.96 | $30.50 | 2.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$66.96–$109.80 | $93–$152.50 | varies |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$10.08–$120.24 | $14–$167 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$69.84–$114.12 | $97–$158.50 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$10.08–$116.64 | $14–$162 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$10.08–$103.68 | $14–$144 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$61.20–$100.80 | $85–$140 | varies |
| Hepatitis Be Antibody (86707) | $112.32 | $156 | 9.7× |
| Hepatitis Be Antigen (87350) | $111.96 | $155.50 | 9.7× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$81.36–$138.96 | $113–$193 | varies |
| Hepatitis c antibody confirmatory test (86804) | $150.12 | $208.50 | 9.7× |
| Hepatitis C Genotype (87902) | $2,462.76 | $3,420.50 | 9.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$252.72–$554.76 | $351–$770.50 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$114.48–$186.48 | $159–$259 | varies |
| Hfe Gene (81256) | $626.04 | $869.50 | 9.6× |
| Histamine urine (83088) | $283.68 | $394 | 9.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$147.96–$232.56 | $205.50–$323 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $815.40 | $1,132.50 | 9.6× |
| Hla-b27 (86812) | $248.76 | $345.50 | 9.6× |
| Homocysteine (83090) range across 3 matching MRF lines |
$106.20–$163.08 | $147.50–$226.50 | varies |
| Hpv High-Risk Types (87624) range across 5 matching MRF lines |
$71.28–$208.80 | $99–$290 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $216 | $300 | 3.1× |
| Hsv Dna Amp Probe (87529) | $301.68 | $419 | 8.6× |
| Hsv Dna Quant (87530) | $411.48 | $571.50 | 9.6× |
| Hydroxyprogesterone 17-d (83498) | $261.36 | $363 | 9.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $116.28 | $161.50 | 8.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $40.32 | $56 | 1.1× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$63.36–$116.28 | $88–$161.50 | varies |
| Iaad Ia Streptococcus Group A (87430) | $116.28 | $161.50 | 6.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $207 | $287.50 | 9.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $13.68 | $19 | 0.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $411.48 | $571.50 | 9.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$139.68–$336.96 | $194–$468 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $336.96 | $468 | 9.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $349.92 | $486 | 2.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $394.92 | $548.50 | 1.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $130.68 | $181.50 | 7.1× |
| Immunoassay infectious agent (86318) | $151.20 | $210 | 8.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$27–$144.36 | $37.50–$200.50 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$68.76–$112.32 | $95.50–$156 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $216.36 | $300.50 | 9.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$132.12–$216 | $183.50–$300 | varies |
| Immunohistochemistry (88342) | $325.80 | $452.50 | 1.7× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$84.24–$116.28 | $117–$161.50 | varies |
| Influenza assay w/optic (87804) | $8.64 | $12 | 0.5× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$235.44–$815.40 | $327–$1,132.50 | varies |
| Inhibin A (86336) | $125.64 | $174.50 | 8.1× |
| Inhibin b (83520) | $125.64 | $174.50 | 7.3× |
| Insitu hybridization manual (88368) | $194.40 | $270 | 0.5× |
| Insulin antibodies (86337) | $206.28 | $286.50 | 9.6× |
| Insulin total (83525) | $87.48 | $121.50 | 7.7× |
| Iron (83540) range across 4 matching MRF lines |
$38.52–$64.08 | $53.50–$89 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$31.32–$85.68 | $43.50–$119 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $878.40 | $1,220 | 9.6× |
| Koh Prep (87220) | $45.36 | $63 | 10.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$36.36–$59.40 | $50.50–$82.50 | varies |
| Lactoferrin fecal qualitative (83630) | $189.72 | $263.50 | 9.6× |
| LDL direct (83721) range across 2 matching MRF lines |
$92.52–$201.60 | $128.50–$280 | varies |
| Lead (83655) | $117 | $162.50 | 9.7× |
| Legionella antigen urine (87449) | $116.28 | $161.50 | 9.7× |
| Leptospira antibody (86720) | $127.44 | $177 | 7.9× |
| Leucine Aminopeptidase Lap (83670) | $89.28 | $124 | 9.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $153.72 | $213.50 | 4.8× |
| Level ii surg pathology grossµscopic exam (88302) | $273.24 | $379.50 | 6.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $928.08 | $1,289 | 2.3× |
| Lipase (83690) | $71.28 | $99 | 10.3× |
| Lipoprotein A (83695) | $125.64 | $174.50 | 8.8× |
| Lipoprotein Bld Quan Part (83704) | $303.12 | $421 | 8.9× |
| Lithium (80178) range across 2 matching MRF lines |
$37.80–$60.12 | $52.50–$83.50 | varies |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$110.52–$178.92 | $153.50–$248.50 | varies |
| Lyme disease antibody (86618) | $164.52 | $228.50 | 9.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $393.12 | $546 | 2.1× |
| M/phmtrc alys ishquant/semiq (88374) | $1,473.84 | $2,047 | 7.8× |
| Magnesium Urine (83735) | $65.52 | $91 | 9.8× |
| Mass Spectrometry Quant (83789) | $175.32 | $243.50 | 7.3× |
| Mercury urine (83825) | $156.96 | $218 | 9.7× |
| Methylmalonic acid serum (83921) | $158.40 | $220 | 7.5× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$32.40–$62.64 | $45–$87 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$86.40–$140.40 | $120–$195 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $206.28 | $286.50 | 9.6× |
| Molecular Pathology Procedure Level 3 (81402) | $786.24 | $1,092 | 5.2× |
| Mopath procedure level 4 (81403) | $726.12 | $1,008.50 | 3.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$256.68–$277.20 | $356.50–$385 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $406.80 | $565 | 6.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$77.04–$126.36 | $107–$175.50 | varies |
| Mycophenolic Acid (80180) | $588.24 | $817 | 32.6× |
| Myoglobin urine (83874) | $125.64 | $174.50 | 9.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$232.20–$349.20 | $322.50–$485 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$163.80–$196.56 | $227.50–$273 | varies |
| Niacin (84591) | $112.68 | $156.50 | 6.6× |
| Nk cells total count (86357) | $206.28 | $286.50 | 5.5× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$106.20–$154.80 | $147.50–$215 | varies |
| Occult blood feces (82272) | $29.88 | $41.50 | 7.1× |
| Occult Blood Other Sources (82271) | $33.84 | $47 | 6.4× |
| Oligoclonal bands (83916) | $41.76 | $58 | 1.5× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$39.60–$65.16 | $55–$90.50 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$41.04–$46.80 | $57–$65 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$53.64–$86.40 | $74.50–$120 | varies |
| Oxalate urine (83945) | $124.92 | $173.50 | 8.6× |
| Pancreatic Elastase Fecal (82656) | $345.60 | $480 | 30.0× |
| Particle Agglutination Screen Each Antibody (86403) | $100.08 | $139 | 8.7× |
| Parvovirus antibody (86747) | $144.36 | $200.50 | 9.6× |
| Ph urine (81003) | $28.08 | $39 | 12.5× |
| Phenobarbital Level (80184) | $111.24 | $154.50 | 7.3× |
| Phenylalanine (84030) | $47.88 | $66.50 | 8.7× |
| Phenytoin (Dilantin) (80185) | $128.16 | $178 | 9.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$51.48–$54.72 | $71.50–$76 | varies |
| Phosphorus Serum (84100) | $49.68 | $69 | 10.5× |
| Phosphorus urine (84105) | $51.48 | $71.50 | 8.9× |
| Platelet count automated (85049) | $44.64 | $62 | 10.0× |
| Potassium Urine (84133) | $43.20 | $60 | 9.1× |
| Prealbumin (84134) range across 2 matching MRF lines |
$86.76–$141.48 | $120.50–$196.50 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $144.72 | $201 | 9.6× |
| Pregnenolone (84140) | $115.20 | $160 | 5.6× |
| Procalcitonin (Pct) (84145) | $300.24 | $417 | 11.0× |
| Progesterone (84144) range across 2 matching MRF lines |
$123.48–$200.88 | $171.50–$279 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$114.48–$186.48 | $159–$259 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$36.36–$38.88 | $50.50–$54 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$18.72–$133.20 | $26–$185 | varies |
| Protein c antigen (85302) | $116.64 | $162 | 9.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$116.64–$170.64 | $162–$237 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$64.44–$103.68 | $89.50–$144 | varies |
| Protein S Free (85306) | $149.04 | $207 | 9.7× |
| Protein s total (85305) | $36.36 | $50.50 | 3.1× |
| Protein total serum (84155) range across 3 matching MRF lines |
$21.96–$38.88 | $30.50–$54 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$21.96–$41.40 | $30.50–$57.50 | varies |
| PSA free (84154) | $178.20 | $247.50 | 9.7× |
| Pth Intact (83970) range across 3 matching MRF lines |
$25.20–$396.72 | $35–$551 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$205.92–$351.36 | $286–$488 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$132.12–$228.24 | $183.50–$317 | varies |
| Quantitative Screen Metals (83018) | $211.68 | $294 | 9.6× |
| Rbc antibody elution (86860) | $102.96 | $143 | 0.5× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$145.80–$152.64 | $202.50–$212 | varies |
| Rbc antibody screen (86850) | $90 | $125 | 9.2× |
| Renin activity plasma (84244) | $211.68 | $294 | 9.6× |
| Rh (86901) range across 3 matching MRF lines |
$31.32–$33.84 | $43.50–$47 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$34.20–$55.80 | $47.50–$77.50 | varies |
| Ristocetin cofactor (85245) | $215.28 | $299 | 9.4× |
| Rotavirus ag eia (87425) | $116.28 | $161.50 | 9.7× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$25.92–$42.48 | $36–$59 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$85.68–$139.32 | $119–$193.50 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$76.32–$124.92 | $106–$173.50 | varies |
| Russell Viper Venom Time Diluted (85613) | $63.36 | $88 | 6.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$74.52–$164.16 | $103.50–$228 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $50.40 | $70 | 1.2× |
| Sedimentation rate (85651) | $35.28 | $49 | 8.3× |
| Semen analysis motility and count (89310) | $84.24 | $117 | 9.8× |
| Sensitivity mic (87186) | $97.56 | $135.50 | 11.3× |
| Serpina 1 gene (81332) | $419.40 | $582.50 | 9.6× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$123.48–$208.80 | $171.50–$290 | varies |
| Sickling of rbc reduction (85660) | $54 | $75 | 9.8× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$11.52–$23.04 | $16–$32 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$51.48–$53.28 | $71.50–$74 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$113.76–$174.24 | $158–$242 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$45.36–$62.64 | $63–$87 | varies |
| Smear Special Stain (87207) | $59.04 | $82 | 9.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$32.04–$42.48 | $44.50–$59 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$50.40–$155.52 | $70–$216 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$47.88–$51.12 | $66.50–$71 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$111.96–$183.24 | $155.50–$254.50 | varies |
| Special Stains Group 1 (88312) | $380.88 | $529 | 6.6× |
| Special Stains Group 2 (88313) | $273.24 | $379.50 | 1.8× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$63.72–$65.52 | $88.50–$91 | varies |
| Spectrophotometry (84311) | $68.76 | $95.50 | 8.5× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$56.16–$91.80 | $78–$127.50 | varies |
| Strep a assay w/optic (87880) | $27.36 | $38 | 1.7× |
| Sugars Single Qual (84376) | $54 | $75 | 9.8× |
| Sulfate urine (84392) | $46.80 | $65 | 8.5× |
| Surg path level iii (88304) | $417.60 | $580 | 7.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$140.46–$216 | $195.08–$300 | varies |
| Surgical pathology level vi (88309) | $1,255.32 | $1,743.50 | 1.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $67.68 | $94 | 9.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $47.88 | $66.50 | 6.5× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$25.92–$28.08 | $36–$39 | varies |
| T cells absolute cd4 count (86361) | $175.68 | $244 | 6.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $450.72 | $626 | 9.6× |
| T3 Free (84481) range across 3 matching MRF lines |
$42.12–$226.80 | $58.50–$315 | varies |
| T3 reverse (84482) | $152.64 | $212 | 9.7× |
| T3 Total (84480) range across 2 matching MRF lines |
$138.24–$163.80 | $192–$227.50 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$87.48–$93.60 | $121.50–$130 | varies |
| T4 total (84436) | $42.12 | $58.50 | 6.1× |
| Test for acetone/ketones (82009) | $128.88 | $179 | 28.5× |
| Testosterone total (84403) range across 3 matching MRF lines |
$11.88–$248.76 | $16.50–$345.50 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$150.48–$245.16 | $209–$340.50 | varies |
| Tetanus antibody (86774) | $142.56 | $198 | 9.6× |
| Theophylline (80198) | $62.64 | $87 | 4.4× |
| Thyroglobulin (84432) | $155.16 | $215.50 | 9.7× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$94.68–$153.72 | $131.50–$213.50 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $162.72 | $226 | 3.2× |
| Touch prep (88161) | $209.88 | $291.50 | 6.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $190.44 | $264.50 | 9.6× |
| Toxoplasma ab igm (86778) | $139.68 | $194 | 9.7× |
| Toxoplasma antibody (86777) | $139.32 | $193.50 | 9.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $54.72 | $76 | 10.6× |
| Transferrin (84466) range across 3 matching MRF lines |
$88.56–$123.84 | $123–$172 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$54–$59.76 | $75–$83 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$95.40–$121.68 | $132.50–$169 | varies |
| Tumor immunohistochem/comput (88361) | $861.84 | $1,197 | 2.2× |
| Tumor Immunohistochem/Manual (88360) | $755.64 | $1,049.50 | 4.0× |
| Uric acid other source (84560) | $46.80 | $65 | 9.2× |
| Urinalysis Microscopic Only (81015) | $33.12 | $46 | 10.9× |
| Urine Bacteria Culture (87088) | $107.64 | $149.50 | 13.3× |
| Urine Pregnancy Test (81025) | $6.84 | $9.50 | 0.8× |
| Valproic acid (80164) range across 2 matching MRF lines |
$77.04–$130.68 | $107–$181.50 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$130.68–$141.12 | $181.50–$196 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$76.32–$124.92 | $106–$173.50 | varies |
| Virus antibody nos (86790) | $124.92 | $173.50 | 9.7× |
| Virus inoculation, shell via (87254) | $189.36 | $263 | 9.7× |
| Vit D 1 25-Dihydroxy (82652) | $370.08 | $514 | 9.6× |
| Vitamin A (84590) | $104.40 | $145 | 9.0× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$69.48–$144.72 | $96.50–$201 | varies |
| Vitamin B6 (84207) | $138.96 | $193 | 4.9× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$168.12–$231.12 | $233.50–$321 | varies |
| Vitamin E (84446) | $138.24 | $192 | 9.7× |
| Vitamin K (84597) | $132.12 | $183.50 | 9.6× |
| Von willebrand factor ag (85246) | $220.68 | $306.50 | 9.6× |
| West nile virus ab igm (86788) | $163.08 | $226.50 | 9.7× |
| Zinc (84630) range across 2 matching MRF lines |
$70.20–$110.88 | $97.50–$154 | 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.