Lab & pathology prices at Sleepy Eye Medical Center

Sleepy Eye, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $93.01 $147 5.1×
Acth (82024) $621.31 $982 16.1×
Actin smooth muscle antibody each (86015) $86.05 $136 7.1×
Acute hepatitis panel (80074) $607.39 $960 12.8×
Albumin Fluid (82042) $48.09 $76 6.2×
Albumin serum (82040) $99.97 $158 20.2×
Aldolase (82085) $71.50 $113 7.4×
Aldosterone urine (82088) $752.28 $1,189 18.5×
Alkaline phosphatase isoenzymes (84080) $248.65 $393 16.8×
Allergen spec ige qual multiallergen screen (86005) $72.76 $115 9.1×
Allergen specific ige (86003) $24.04 $38 4.6×
Allg Spec Ige Recomb Ea (86008) $34.17 $54 1.9×
Alpha-1-antitrypsin phenotype (82104) $61.37 $97 4.2×
Alpha-1-antitrypsin total (82103) $32.90 $52 2.4×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$213.85–$224.61 $338–$355 varies
Alt (sgpt) (84460) $99.97 $158 18.9×
Aluminum (82108) $300.53 $475 11.8×
Amino Acids 1 Quantitative Each Specimen (82131) $566.27 $895 24.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $1,491.27 $2,357 88.4×
Ammonia (82140)
range across 2 matching MRF lines
$38.59–$320.15 $61–$506 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $138.56 $219 1.4×
Amylase urine (82150)
range across 2 matching MRF lines
$69.60–$149.32 $110–$236 varies
Ana Titer (86039) $136.66 $216 12.2×
Anca screen each antibody (86036) $67.70 $107 5.6×
Androstenedione (82157) $458.07 $724 15.6×
Angiotensin converting enzyme csf (82164) $76.56 $121 5.2×
Antibody aspergillus (86606) $75.29 $119 5.0×
Antibody Bacterium Not Elsewhere Specified (86609) $75.29 $119 5.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $68.96 $109 4.5×
Antibody Cytomegalovirus Cmv Igm (86645) $92.37 $146 5.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $48.09 $76 3.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $27.84 $44 1.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $180.32 $285 9.9×
Antibody Fungus Not Elsewhere Specified (86671) $82.88 $131 6.8×
Antibody helicobacter pylori (86677) $515.02 $814 30.6×
Antibody Herpes Smplx Type 1 (86695) $37.96 $60 2.9×
Antibody HIV-2 (86702) $48.09 $76 3.6×
Antibody htlv/HIV antibody confirmatory test (86689) $592.84 $937 30.6×
Antibody identification leukocyte antibodies (86021) $172.73 $273 11.5×
Antibody Protozoa Nes (86753) $62.64 $99 5.1×
Antibody Titer (86886) $82.25 $130 15.9×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$68.96–$77.19 $109–$122 varies
Antigen typing (86905) $88.58 $140 23.1×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $61.37 $97 10.7×
Antinuclear antibodies (86038) $131.60 $208 10.9×
Antistreptolysin O Screen (86063) $134.77 $213 23.4×
Antistreptolysin o titer (86060) $148.68 $235 20.4×
Antithrombin iii activity (85300) $162.60 $257 13.7×
Antithrombin iii antigen (85301) $528.94 $836 48.9×
Apolipoprotein a1 (82172) $54.41 $86 2.6×
Arsenic (82175) $333.43 $527 17.6×
Assay activated protein c (85307) $162.60 $257 10.6×
Assay Blood Carbon Dioxide (82374) $99.97 $158 20.5×
Assay Nephelometry Not Spec (83883) $74.66 $118 5.5×
Assay of anti-mullerian hormone (82166) $236 $373 6.1×
Assay of blood/uric acid (84550) $99.97 $158 22.1×
Assay of calcium in urine (82340) $38.59 $61 6.4×
Assay of estrone (82679) $47.45 $75 1.9×
Assay of g6pd enzyme (82955) $250.55 $396 25.8×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$64.54–$167.03 $102–$264 varies
Assay of lactic acid (83605) $113.25 $179 9.8×
Assay of metanephrines (83835) $463.77 $733 27.4×
Assay of proinsulin (84206) $158.81 $251 6.0×
Assay of pyruvate (84210) $275.22 $435 19.0×
Assay of serotonin (84260) $1,057.24 $1,671 34.1×
Assay of serum potassium (84132) $58.84 $93 12.4×
Assay of urea nitrogen (84520) $59.47 $94 15.1×
Assay of urine vma (84585) $260.67 $412 16.8×
Assay of vitamin b-1 (84425) $111.36 $176 5.2×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$26.57–$49.98 $42–$79 varies
Assay spec xcp ur&breath ia (82077) $166.40 $263 9.6×
Automated Leukocyte Count (85048) $89.84 $142 35.4×
B cells total count (86355) $278.39 $440 7.4×
Bartonella antibody (86611) $76.56 $121 7.5×
Bcr/abl1 gene major bp (81206) $528.30 $835 3.2×
Bcr/abl1 gene minor bp (81207) $159.44 $252 1.1×
Bcr/Abl1 Gene Other Bp (81208) $159.44 $252 0.7×
Beta 2 glycoprotein i antibody each (86146) $117.05 $185 4.6×
Beta hydroxybutyrate (82010) $59.47 $94 7.3×
Beta Lactamase (87185) $41.13 $65 8.7×
Beta-2 Microglobulin (82232) $308.76 $488 19.1×
Bile acids total (82239) $89.21 $141 5.2×
Bilirubin direct (82248) $99.97 $158 19.9×
Bilirubin total (82247) $99.97 $158 19.9×
Biotinidase (82261) $82.25 $130 4.9×
Bl Smear W/O Diff Wbc Count (85008) $83.52 $132 24.3×
Blastomyces antibody (86612) $354.31 $560 27.5×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $60.90 $96.25 0.3×
Bld Typing Serologic Rh Phnt (86906) $86.05 $136 11.1×
Bleeding time test (85002) $132.23 $209 27.4×
Blood Count Red Blood Cell Automated (85041) $87.95 $139 29.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $83.52 $132 22.0×
Blood gas (82803) $246.75 $390 9.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $111.99 $177 7.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $192.97 $305 30.4×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $101.86 $161 6.2×
Blood typing serologic abo (86900) $86.05 $136 28.8×
Bordetella antibody (86615) $150.58 $238 11.4×
Breath Alcohol Test (82075) $28.16 $44.50 0.9×
Brucella antibody (86622) $150.58 $238 16.9×
C diff amplified probe (87493) $108.82 $172 2.9×
C-Peptide (84681) $171.46 $271 8.2×
C-reactive protein (86140) $70.23 $111 13.6×
Ca 19-9 (86301) $46.82 $74 2.2×
Cadmium (82300) $334.07 $528 14.1×
Caffeine (80155) $117.68 $186 3.1×
Calcitonin (82308) $257.51 $407 9.6×
Calcium ionized (82330) $190.44 $301 13.9×
Calcium total (82310) $99.97 $158 19.4×
Calculus Xray Diffraction (82370) $234.73 $371 18.7×
Calprotectin Fecal (83993) $300.53 $475 15.3×
Calr gene com variants (81219) $827.57 $1,308 6.8×
Cancer Antigen 125 (86304) $432.77 $684 20.8×
Cancer Antigen 27.29 (86300) $392.27 $620 18.9×
Candida Dna Dir Probe (87480) $132.23 $209 6.6×
Carbamazepine total (80156)
range across 2 matching MRF lines
$222.71–$304.33 $352–$481 varies
Carboxyhemoglobin (82375) $327.74 $518 26.6×
Carcinoembryonic antigen (82378) $225.24 $356 11.9×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$113.89–$254.98 $180–$403 varies
Carnitine Quantitative Each Specimen (82379) $463.77 $733 27.5×
Catecholamines fractionated (82384) $606.13 $958 24.0×
Ccp antibody (86200) $275.22 $435 21.3×
Cell count csf (89051) $60.74 $96 10.8×
Ceruloplasmin (82390) $163.87 $259 15.3×
Cftr gene com variants (81220) $1,043.32 $1,649 1.9×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$69.60–$317.62 $110–$502 varies
Chlamydia antibody (86631) $156.91 $248 13.3×
Chlamydia Igm Antibody (86632) $156.91 $248 12.4×
Chlmy trch&neisra gonor mult (87494) $72.76 $115 1.0×
Chloride Serum (82435) $59.47 $94 12.9×
Chloride urine (82436) $59.47 $94 10.3×
Cholesterol total (82465) $83.52 $132 19.2×
Chorionic gonadotropin test (84702) $84.15 $133 5.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $99.97 $158 3.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $99.97 $158 3.0×
Chrmsm Analysis Addl Specialized Banding (88283) $99.97 $158 1.5×
Chromium serum (82495) $178.42 $282 8.8×
Chromogranin a (86316) $459.97 $727 22.1×
Chromosome Analysis 15-20 (88262) $99.97 $158 0.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $55.04 $87 1.6×
Citric acid urine (82507) $65.17 $103 2.3×
Ckmb (82553) $256.88 $406 22.2×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$25.94–$97.44 $41–$154 varies
Clot Factor VIII Multimetric (85247) $111.36 $176 4.9×
Clotting Funct Activity (85397) $242.32 $383 7.9×
Cns DNA amp probe type 12-25 (87483) $795.30 $1,257 1.9×
Coccidioides antibody (86635) $282.18 $446 24.6×
Collagen crosslinks (82523) $253.71 $401 13.6×
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$146.15–$180.32 $231–$285 varies
Compatibility test antiglob (86922) $236 $373 1.3×
Complement Antigen Each Component (86160) $86.68 $137 7.2×
Complement Total (Ch50) (86162) $422.64 $668 20.8×
Consltj Compre Review Reprt Referred Matrl (88325) $284.08 $449 1.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $349.25 $552 6.5×
Consltj&Reprt Slides Prepared Elsewhere (88321) $370.76 $586 9.6×
Coombs direct (86880) $117.68 $186 21.8×
Copper urine (82525) $103.13 $163 8.3×
Cortisol free (82530) $479.59 $758 28.7×
Cortisol saliva (82533) $152.48 $241 9.4×
Creatine kinase total (82550) $99.97 $158 15.4×
Creatinine blood (82565) $58.84 $93 11.5×
Creatinine clearance (82575) $113.25 $179 12.0×
Creatinine Urine (82570) $41.13 $65 7.9×
Crossmatch immediate spin (86920) $179.05 $283 1.0×
Crp High Sensitivity (86141) $218.28 $345 16.9×
Cryofibrinogen (82585) $80.99 $128 5.7×
Cryoglobulin (82595) $80.99 $128 12.5×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$34.17–$184.12 $54–$291 varies
Cryptosporidium ag eia (87328)
range across 3 matching MRF lines
$88.58–$179.05 $140–$283 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 4 matching MRF lines
$75.29–$278.39 $119–$440 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $87.95 $139 10.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $117.68 $186 15.3×
Culture aerobic quant other (87071)
range across 2 matching MRF lines
$70.23–$99.33 $111–$157 varies
Culture afb (87116) $244.22 $386 22.6×
Culture Anaerobic (87075) $108.19 $171 11.4×
Culture blood (87040) $129.70 $205 12.6×
Culture csf (87070)
range across 2 matching MRF lines
$94.27–$99.33 $149–$157 varies
Culture fungus (87102) $117.68 $186 14.0×
Culture fungus blood (87103) $117.68 $186 5.8×
Culture screen only (87081)
range across 4 matching MRF lines
$64.54–$333.43 $102–$527 varies
Culture stool (87045) $46.19 $73 4.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $59.47 $94 11.5×
Culture urine (87086) $86.05 $136 10.7×
Cyanide (82600) $140.46 $222 7.2×
Cyclosporine (80158) $299.90 $474 16.6×
Cystatin C (82610) $189.18 $299 10.2×
Cytogenetics 100-300 (88275) $261.31 $413 5.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,820.28 $2,877 1.6×
Cytomegalovirus igg (86644) $92.37 $146 6.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $33.53 $53 1.7×
Cytopath Cell Enhance Tech (88112) $87.31 $138 1.6×
Cytopath Fl Nongyn Filter (88106) $72.13 $114 2.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $46.19 $73 1.7×
Cytp Concentration Smears & Interpretation (88108) $80.99 $128 2.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $139.19 $220 2.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $45.55 $72 0.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $92.37 $146 2.4×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $426.57 $674.20 2.4×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $34.80 $55 1.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $91.11 $144 3.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $58.84 $93 5.2×
Deoxyribonuclease antibody (86215) $236 $373 17.8×
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$81.62–$575.76 $129–$910 varies
Detect Agent Nos Dna Quant (87799)
range across 4 matching MRF lines
$125.91–$318.88 $199–$504 varies
Dhea (82626) $221.44 $350 8.8×
Dhea-S (82627) $456.81 $722 20.5×
Digoxin (80162) $222.71 $352 16.8×
Dihydrotestosterone (82642) $132.87 $210 4.5×
Dipropylacetic Acid Free (80165) $110.09 $174 8.1×
Dna Antibody Native/Double Stranded (86225) $91.74 $145 6.7×
Dna Antibody Single Stranded (86226) $351.15 $555 29.0×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$32.90–$198.04 $52–$313 varies
DNA/RNA direct probe (87149) $35.43 $56 1.8×
Dna/Rna Sequencing (87153) $230.94 $365 2.0×
Drug assay acetaminophen (80143) $102.50 $162 5.5×
Drug assay adalimumab (80145) $262.57 $415 6.8×
Drug Assay Infliximab (80230) $315.72 $499 8.2×
Drug Assay Lacosamide (80235) $178.42 $282 6.6×
Drug Assay Vedolizumab (80280) $315.72 $499 8.2×
Drug assay voriconazole (80285) $83.52 $132 3.1×
Drug Screen Quant Clozapine (80159) $246.12 $389 12.2×
Drug Screen Quant Zonisamide (80203)
range across 2 matching MRF lines
$86.05–$329.64 $136–$521 varies
Drug Screen Quantitative Gabapentin (80171) $160.71 $254 7.4×
Drug Screen Quantitative Lamotrigine (80175) $260.67 $412 19.7×
Drug Screen Quantitative Levetiracetam (80177) $273.33 $432 20.6×
Drug Screen Quantitative Oxcarbazepine (80183) $189.18 $299 14.3×
Drug Screen Quantitative Tiagabine (80199) $253.71 $401 9.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$326.47–$375.19 $516–$593 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$37.33–$53.15 $59–$84 varies
Drug Test Prsmv Instrmnt (80306) $96.17 $152 5.6×
Ehrlichia antibody (86666) $62.64 $99 6.2×
Electrolyte panel (80051) $150.58 $238 21.5×
Eosinophil Smear (89190) $60.11 $95 10.4×
Erythropoietin (82668) $125.91 $199 6.7×
Estradiol serum (82670) $47.45 $75 1.7×
Estriol (82677) $386.58 $611 16.0×
Estrogen total (82672) $323.94 $512 14.9×
Estrogens fractionated (82671) $82.25 $130 2.5×
Ethosuximide (80168) $64.54 $102 3.9×
Exam Synovial Fluid Crystals (89060)
range across 3 matching MRF lines
$49.98–$67.70 $79–$107 varies
F2 Gene (81240) $242.96 $384 3.7×
Factor ix activity (85250) $162.60 $257 8.5×
Factor v leiden mutation (81241) $242.96 $384 3.3×
Factor viii assay (85240) $201.83 $319 11.3×
Factor X (85260) $437.83 $692 24.5×
Factor xiii screen (85291) $198.67 $314 21.8×
Ferritin (82728) $160.71 $254 11.8×
Fetal Congenital Abnor Assay Four Anal (81511) $764.30 $1,208 5.0×
Fetal Fibronectin (82731) $748.48 $1,183 11.6×
Fetal hemoglobin assay qual (83033) $82.25 $130 10.3×
Fetal screen rosette (85461) $116.42 $184 12.4×
Fibrin Degradation Quant (85379) $203.73 $322 20.0×
Fibrinogen activity (85384) $58.84 $93 6.1×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $69.60 $110 4.5×
Flow cytometry first marker (88184) $64.54 $102 0.2×
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$62.64–$366.33 $99–$579 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $141.72 $224 11.8×
Fmr1 Gene Charac Alleles (81244) $327.11 $517 7.3×
Fmr1 gene detection (81243) $449.22 $710 7.9×
Folic acid rbc (82747) $87.31 $138 4.9×
Folic Acid Serum (82746) $195.50 $309 13.3×
Follicle Stimulating Hormone (83001) $171.46 $271 9.2×
Fresh Frozen Plasma Thawing Each Unit (86927) $116.42 $184 0.7×
Frozen Section (88331) $72.13 $114 0.4×
Fungi Identification Mold (87107)
range across 3 matching MRF lines
$55.68–$101.86 $88–$161 varies
Fungi Identification Yeast (87106) $102.50 $162 9.9×
Galactose (82760) $62 $98 5.5×
Galactose transferase test (82776) $48.09 $76 4.1×
Gammaglobulin ige (82785) $29.74 $47 1.8×
Gardner vag DNA dir probe (87510) $132.23 $209 6.6×
Gases blood ph only (82800) $36.70 $58 3.3×
Gastrin (82941) $290.41 $459 16.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$217.65–$321.41 $344–$508 varies
Gentamicin (80170) $166.40 $263 10.2×
Ggt (82977) $65.17 $103 9.1×
Giardia antigen (87329) $88.58 $140 7.4×
Glucose 2 hr pp (82950) $93.01 $147 19.6×
Glucose body fluid (82945) $90.48 $143 23.0×
Glucose Serum (82947) $77.19 $122 19.6×
Glucose tolerance test (gtt) (82951) $236.63 $374 18.4×
Gonadotropin Chorionic Qualitative (84703) $90.48 $143 12.0×
Growth hormone (83003) $225.24 $356 13.5×
Gtt-added samples (82952) $93.01 $147 23.7×
H Pylori (C-13) Breath (83013) $413.79 $654 6.1×
Haptoglobin (83010) $167.03 $264 13.3×
Hdl Cholesterol (83718) $121.48 $192 14.8×
Helicobacter Pylori Stool (87338) $351.15 $555 24.4×
Helminth Antibody (86682) $242.96 $384 18.7×
Hematocrit (85014) $62 $98 26.2×
Hemoglobin (85018) $59.47 $94 25.1×
Hemoglobin a1c (83036) $79.40 $217 8.2×
Hemoglobin Chromotography (83021) $197.40 $312 10.9×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$62.64–$116.42 $99–$184 varies
Hemoglobin Methemoglobin Quantitative (83050) $31 $49 3.8×
Hemoglobin plasma (83051) $204.36 $323 28.0×
Hep a ab igm (86709) $129.70 $205 11.5×
Heparin assay (85520) $293.57 $464 22.4×
Hepatitis a antibody total (86708) $222.71 $352 18.0×
Hepatitis b core ab igm (86705) $108.82 $172 9.2×
Hepatitis b core ab total (86704) $129.70 $205 10.8×
Hepatitis b surface ag quan (87467) $22.78 $36 0.9×
Hepatitis B Surface Antibody (86706) $129.70 $205 12.1×
Hepatitis Be Antibody (86707) $77.82 $123 6.7×
Hepatitis Be Antigen (87350) $74.66 $118 6.5×
Hepatitis C Antibody (86803) $42.39 $67 3.0×
Hepatitis c antibody confirmatory test (86804) $719.38 $1,137 46.4×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$700.40–$1,197.07 $1,107–$1,892 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $647.25 $1,023 18.4×
Hepatitis C Revrs Trnscrpj (87522) $156.28 $247 3.6×
Herpes simplex type 2 (86696) $32.90 $52 1.7×
Heterophile Antibody Screen (86308) $67.70 $107 13.1×
Hfe Gene (81256) $422.64 $668 6.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $582.72 $921 75.4×
Histoplasma antibody (86698) $310.66 $491 22.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $18.98 $30 0.8×
Hiv-1 Antibody (86701) $48.09 $76 5.4×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$165.13–$477.69 $261–$755 varies
Hla class ii typing high resolution one locus ea (81382) $499.83 $790 4.0×
Hla I Low Resolution One Antigen Equivalent Each (81374) $302.43 $478 4.1×
Hla I Typing 1 Allele Hr (81381) $295.47 $467 1.7×
Hla-b27 (86812) $74.66 $118 2.9×
Homocysteine (83090) $330.90 $523 18.5×
Hpv High-Risk Types (87624) $54.41 $86 1.6×
Hpv sep hi-rsk typ&pool rslt (87626) $87.31 $138 1.2×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$68.96–$206.26 $109–$326 varies
Hydroxyprogesterone 17-d (83498) $357.48 $565 13.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $76.56 $121 7.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $166.40 $263 12.0×
Iaadi not otherwise specified each organism (87299) $46.19 $73 2.9×
Iaadi parainfluenza virus each type (87279) $46.19 $73 2.8×
Iaadi respiratory synctial virus (87280) $77.19 $122 5.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $82.88 $131 2.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $60.74 $96 1.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $631.43 $998 18.0×
Iadna Cytomegalovirus Quantification (87497) $129.70 $205 3.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $55.04 $87 0.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $88.58 $140 2.5×
Iadna Hepatitis B Virus Quantification (87517) $466.93 $738 10.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $515.02 $814 14.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $60.74 $96 1.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $55.04 $87 1.6×
Ig Light Chains Free Each (83521) $91.11 $144 5.3×
Igg subclasses (82787) $64.54 $102 8.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $181.58 $287 0.5×
Immunfix e-phorsis/urine/csf (86335) $320.78 $507 10.9×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 8 matching MRF lines
$96.17–$852.88 $152–$1,348 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $298.63 $472 19.9×
Immunoassay nonantibody (83516)
range across 9 matching MRF lines
$64.54–$389.11 $102–$615 varies
Immunodiffusion Ouchterlony (86331) $75.29 $119 6.3×
Immunofixation electrophoresis (86334) $69.60 $110 3.1×
Immunofluorescence per spec 1st singl antb stain (88346) $69.60 $110 0.4×
Immunohistochemistry (88342) $91.11 $144 0.5×
In situ hybridization 1st probe stain (88365) $482.75 $763 2.7×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $46.19 $73 3.2×
Influenza assay w/optic (87804) $42.39 $67 2.6×
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$159.44–$547.92 $252–$866 varies
Inhibin A (86336) $386.58 $611 24.8×
Inhibin b (83520)
range across 6 matching MRF lines
$69.60–$262.57 $110–$415 varies
Insulin antibodies (86337) $151.22 $239 7.1×
Insulin total (83525) $33.53 $53 2.9×
Intrinsic factor antibody (86340) $42.39 $67 2.8×
Iron (83540) $51.88 $82 8.0×
Iron Binding Capacity (83550) $51.88 $82 5.9×
Islet cell antibody (86341) $146.15 $231 6.2×
Jak2 gene analysis p.val617phe variant (81270) $335.33 $530 3.7×
Koh Prep (87220) $82.25 $130 19.3×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$53.15–$99.97 $84–$158 varies
Lactoferrin fecal qualitative (83630) $152.48 $241 7.7×
LDL direct (83721) $115.15 $182 11.0×
Lead (83655) $194.24 $307 16.0×
Legionella antibody (86713) $254.35 $402 16.6×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$25.94–$165.13 $41–$261 varies
Level I Surg Pathology Gross Examination Only (88300) $25.31 $40 0.8×
Level ii surg pathology gross&microscopic exam (88302) $44.29 $70 1.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $449.85 $711 1.2×
Lipase (83690) $160.71 $254 23.3×
Lipoprotein A (83695) $283.45 $448 19.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $30.37 $48 2.7×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $62.64 $99 1.8×
Lithium (80178) $105.66 $167 16.0×
Luteinizing Hormone (Lh) (83002) $167.67 $265 9.1×
Lyme disease antibody (86618) $60.74 $96 3.6×
Lysozyme serum (85549) $125.91 $199 6.7×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $480.85 $760 2.7×
Magnesium Urine (83735) $59.47 $94 8.9×
Mass Spectrometry Quant (83789)
range across 4 matching MRF lines
$74.03–$749.75 $117–$1,185 varies
Mercury urine (83825) $275.22 $435 16.9×
Methylmalonic acid serum (83921) $161.97 $256 7.6×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$37.96–$330.90 $60–$523 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$195.50–$198.04 $309–$313 varies
Mlh1 Gene (81288) $623.84 $986 3.2×
Molecular Cytogenetics Dna Probe Each (88271) $261.31 $413 12.2×
Mononuclear cell antigen (86356) $278.39 $440 10.4×
Mopath procedure level 1 (81400) $523.24 $827 8.2×
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$393.54–$647.25 $622–$1,023 varies
Mpl gene analysis sequence analysis exon 10 (81339) $401.13 $634 2.2×
Mthfr Gene Analysis Common Variants (81291) $284.08 $449 4.3×
Mumps antibody (86735) $48.72 $77 3.7×
Muscle-Specific Kinase Antb (86366) $971.83 $1,536 52.8×
Mycophenolic Acid (80180) $119.58 $189 6.6×
Mycoplasma antibody (86738) $102.50 $162 7.7×
Myoglobin urine (83874) $432.77 $684 33.5×
Natriuretic peptide (83880) $374.56 $592 9.5×
Neutralization Test Viral (86382) $121.48 $192 7.2×
Nfct ds bv&vaginitis DNA alg (81515) $199.30 $315 0.8×
Nk cells total count (86357) $175.89 $278 4.7×
Nuclear antigen antibody (86235) $115.78 $183 6.5×
Occult Blood Other Sources (82271) $62 $98 11.7×
Organic Acids Qualitative Each Specimen (83919) $388.48 $614 23.6×
Osmolality serum (83930) $102.50 $162 15.5×
Osmolality Urine (83935) $66.43 $105 9.7×
Ova and parasites smears (87177) $129.70 $205 14.6×
Oxalate urine (83945) $65.17 $103 4.5×
Pancreatic Elastase Fecal (82656) $528.94 $836 45.9×
Parvovirus antibody (86747) $191.08 $302 12.7×
Path Consltj Surg Cytologic Exam Initial Site (88333) $80.99 $128 0.1×
Ph urine (81003) $53.15 $84 23.6×
Phenobarbital Level (80184) $119.58 $189 7.8×
Phenytoin (Dilantin) (80185) $222.71 $352 16.8×
Phenytoin free (80186) $189.18 $299 13.7×
Phosphatase acid prostatic (84066) $199.30 $315 20.6×
Phosphatase alkaline (84075) $99.97 $158 19.3×
Phospholipid Neutralization Hexagonal (85598) $132.23 $209 7.4×
Phosphorus Serum (84100) $56.31 $89 11.9×
Phosphorus urine (84105) $38.59 $61 6.7×
Pinworm exam (87172) $79.72 $126 18.7×
Platelet Aggregation (85576) $242.32 $383 9.7×
Platelet count automated (85049) $62 $98 13.8×
Platelet neutralization (85597) $117.68 $186 6.5×
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) $460.61 $728 1.6×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $823.14 $1,301 4.0×
Pooling blood platelets (86965) $244.22 $386 1.4×
Porphyrins Feces Quantitative (84126) $193.61 $306 5.0×
Porphyrins Urine Quantitation & Fractionation (84120) $111.99 $177 7.6×
Potassium Urine (84133) $36.70 $58 7.8×
Prealbumin (84134) $151.22 $239 10.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $22.78 $36 0.4×
Pretx serum rbc antibody identification dilution (86976) $67.70 $107 2.3×
Primidone (80188) $95.54 $151 5.8×
Procalcitonin (Pct) (84145) $301.17 $476 11.1×
Progesterone (84144) $160.71 $254 7.7×
Prolactin (84146) $191.08 $302 9.9×
Protein body fluid (84157) $53.15 $84 13.3×
Protein C Activity (85303) $372.03 $588 26.9×
Protein c antigen (85302) $575.12 $909 47.9×
Protein Electrophoresis Urine (84166) $136.66 $216 7.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $96.17 $152 9.0×
Protein S Free (85306) $396.70 $627 25.9×
Protein s total (85305) $575.12 $909 49.5×
Protein total serum (84155)
range across 2 matching MRF lines
$68.96–$99.97 $109–$158 varies
Protein Total Urine (84156) $89.84 $142 24.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $100.60 $159 25.5×
Protoporphyrin rbc quantitative (84202) $89.84 $142 6.3×
PSA free (84154) $304.33 $481 16.5×
Pth Intact (83970) $99.33 $157 2.4×
Quantiferon tb gold plus (86480) $104.40 $165 1.7×
Quantitative assay drug (80299)
range across 8 matching MRF lines
$71.50–$316.98 $113–$501 varies
Quantitative Screen Metals (83018) $205.63 $325 9.4×
Rbc antibody elution (86860) $227.14 $359 1.3×
Rbc antibody identification (86870) $291.67 $461 0.8×
Rbc antibody screen (86850) $149.32 $236 15.3×
Reagent Strip/Blood Glucose (82948) $36.06 $57 7.2×
Renin activity plasma (84244) $396.70 $627 18.0×
Resp virus 12-25 targets (87633) $279.02 $441 0.7×
Reticulocyte Count (85046) $46.82 $74 8.4×
Rh (86901) $77.82 $123 26.0×
Rheumatoid Factor Qualitative (86430) $82.25 $130 13.4×
Rheumatoid factor quant (86431) $82.25 $130 14.5×
Rickettsia antibody (86757) $166.40 $263 8.6×
Ristocetin cofactor (85245) $72.76 $115 3.2×
Rotavirus ag eia (87425) $150.58 $238 12.6×
Rpr qualitative (86592) $48.09 $76 11.3×
Rubella Antibody (86762) $48.72 $77 3.4×
Rubeola antibody (86765) $48.72 $77 3.8×
Russell Viper Venom Time Diluted (85613) $89.84 $142 9.4×
Salicylate Level (80179) $102.50 $162 5.5×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$52.23 $87–$199 1.0×
Sars-cov-2 COVID-19 antibody (86769) $77.19 $122 1.8×
Sarscov2 & inf a&b amp prb (87636) $127.17 $201 0.9×
Sarscov2&inf a&b&rsv amp prb (87637) $144.26 $228 1.0×
Sedimentation rate (85651) $69.60 $110 16.3×
Selenium (84255) $170.20 $269 6.7×
Semen analysis complete (89322) $160.71 $254 10.4×
Sensitivity mic (87186) $72.13 $114 8.3×
Sex Hormone Binding Globulin (84270) $142.36 $225 6.6×
Sickling of rbc reduction (85660) $114.52 $181 20.8×
Smear acid fast (87206)
range across 2 matching MRF lines
$49.98–$108.82 $79–$172 varies
Smear complex stain (87209) $87.95 $139 4.9×
Smear gram stain (87205)
range across 2 matching MRF lines
$60.74–$86.05 $96–$136 varies
Smear Special Stain (87207) $62.64 $99 10.5×
Smn1 Gene Dos/Deletion Alys (81329) $838.96 $1,326 6.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $79.72 $126 13.7×
Sodium Serum (84295) $59.47 $94 12.4×
Sodium Urine (84300) $38.59 $61 7.6×
Soluble fibrin monomer (85366) $105.66 $167 1.3×
Soluble Transferrin Receptor (84238) $527.04 $833 14.4×
Somatomedin (84305) $254.98 $403 12.0×
Special Stains Group 1 (88312) $111.99 $177 2.1×
Special Stains Group 2 (88313) $98.07 $155 0.7×
Specimen infect agnt concntj (87015) $86.68 $137 13.0×
Spectrophotometry (84311) $102.50 $162 12.7×
Stool cultr aerobic bact ea (87046) $46.19 $73 4.9×
Strep a assay w/optic (87880) $63.27 $100 3.8×
Strep a DNA amp probe (87651) $91.74 $145 2.6×
Sugars Single Qual (84376) $32.90 $52 6.0×
Sulfate urine (84392) $38.59 $61 7.0×
Surg path level iii (88304) $53.15 $84 1.0×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$132.50–$210.73 $165–$635 varies
Surgical pathology level vi (88309) $540.33 $854 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $46.82 $74 9.9×
Susceptibility Study Antimicrobial Disk Method (87184) $72.13 $114 9.6×
Syphilis Test Non-Trep Quant (86593) $88.58 $140 20.1×
T cells absolute cd4 count (86361) $117.05 $185 4.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $68.33 $108 1.5×
T cells total count (86359) $59.47 $94 1.6×
T3 Free (84481) $241.69 $382 14.3×
T3 reverse (84482) $330.90 $523 21.0×
T3 Total (84480) $151.22 $239 10.7×
T3 Uptake (84479) $99.97 $158 15.5×
T4 Free (84439) $87.95 $139 9.8×
T4 total (84436) $45.55 $72 6.6×
Tacrolimus (80197) $404.93 $640 29.5×
Tau phosphorylated each (84393) $382.78 $605 3.0×
Test for acetone/ketones (82009) $62 $98 13.7×
Testosterone Bioavailable (84410) $89.84 $142 1.8×
Testosterone total (84403) $257.51 $407 10.0×
Testosterone, Free (84402) $214.49 $339 8.4×
Theophylline (80198) $167.03 $264 11.8×
Thiopurine methyltransferase (84433) $326.47 $516 14.7×
Thrombin Time (85670) $91.11 $144 15.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $138.56 $219 21.4×
Thyroglobulin (84432) $227.14 $359 14.1×
Thyroglobulin Antibody (86800) $227.14 $359 14.3×
Thyroid Stimulating Immunoglobulin (84445) $366.97 $580 7.2×
Tissue Culture Lymphocyte (88230) $99.97 $158 0.9×
Tobramycin peak (80200) $87.95 $139 5.5×
Topiramate (80201) $153.75 $243 12.9×
Toxoplasma ab igm (86778) $64.54 $102 4.5×
Toxoplasma antibody (86777) $62.64 $99 4.4×
Transferase Aspartate Amino Ast Sgot (84450) $99.97 $158 19.3×
Transferrin (84466) $200.57 $317 15.7×
Trichomonas vagin dir probe (87660) $132.23 $209 6.6×
Trichomonas Vaginalis Amplif (87661) $144.26 $228 4.1×
Triglycerides (84478) $99.97 $158 17.4×
Troponin Quant (84484) $194.87 $308 15.6×
Tumor Immunohistochem/Manual (88360) $113.89 $180 0.6×
Unlisted Transfusion Medicine Procedure (86999) $22.78 $36 0.8×
Urea nitrogen urine (84540) $28.47 $45 5.1×
Uric acid other source (84560) $37.33 $59 7.3×
Urinalysis Microscopic Only (81015) $46.19 $73 15.1×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $10.12 $16 4.7×
Urinalysis Volume Measure (81050) $16.77 $26.50 4.6×
Urine Albumin Semiquantitative (82044) $68.96 $109 11.1×
Urine Bacteria Culture (87088) $77.19 $122 9.5×
Urine Pregnancy Test (81025) $90.48 $143 10.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $82.25 $130 25.9×
Valproic acid (80164) $166.40 $263 12.3×
Vancomycin (80202) $191.08 $302 14.1×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$48.72–$259.41 $77–$410 varies
Vasopressin (84588)
range across 2 matching MRF lines
$115.78–$544.12 $183–$860 varies
Very Long Chain Fatty Acids (82726) $89.21 $141 4.5×
Viral Culture (87252) $311.29 $492 11.9×
Virus antibody nos (86790) $248.65 $393 19.3×
Virus inoculate tissue addl (87253) $36.70 $58 1.8×
Viscosity serum (85810) $241.69 $382 20.7×
Vit D 1 25-Dihydroxy (82652) $69.60 $110 1.8×
Vitamin A (84590) $74.66 $118 6.4×
Vitamin b-12 (82607) $58.21 $92 3.9×
Vitamin B6 (84207) $203.10 $321 7.2×
Vitamin D 25-Hydroxy (82306) $161.34 $255 5.5×
Vitamin E (84446) $89.84 $142 6.3×
Vitamin K (84597) $215.12 $340 15.7×
Volatiles (84600) $248.65 $393 14.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $473.26 $748 39.3×
Von willebrand factor ag (85246) $208.16 $329 9.1×
Wbc Alkaline Phosphatase Count (85540) $189.81 $300 22.1×
West nile virus ab igm (86788) $65.17 $103 3.9×
West Nile Virus Antibody (86789) $65.17 $103 4.5×
Zinc (84630) $72.76 $115 6.4×

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.