Lab & pathology prices at Southeast Iowa Regional Medical Center
West Burlington, IA · every code in this section with a posted price and a Medicare benchmark.
535 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | — | $55 | — |
| Acth (82024) | — | $139 | — |
| Acute hepatitis panel (80074) | — | $437 | — |
| Albumin Fluid (82042) | — | $30 | — |
| Albumin serum (82040) range across 2 matching MRF lines |
— | $17–$60 | — |
| Aldolase (82085) | — | $52 | — |
| Aldosterone urine (82088) | — | $139 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $27 | — |
| Allergen spec ige qual multiallergen screen (86005) | — | $53 | — |
| Allergen specific ige (86003) range across 34 matching MRF lines |
— | $12–$64 | — |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
— | $51–$53 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $33 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $32–$55 | — |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
— | $20–$82 | — |
| Alt (sgpt) (84460) | — | $62 | — |
| Amikacin trough (80150) | — | $55 | — |
| Ammonia (82140) range across 2 matching MRF lines |
— | $55–$153 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | — | $686 | — |
| Amylase urine (82150) range across 3 matching MRF lines |
— | $54–$100 | — |
| Anca Titer Each Antibody (86037) | — | $17 | — |
| Androstenedione (82157) | — | $60 | — |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
— | $54–$84 | — |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
— | $21–$60 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $31 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 5 matching MRF lines |
— | $33–$46 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
— | $29–$54 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $28 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $27 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
— | $30–$33 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
— | $18–$35 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $19 | — |
| Antibody HIV-2 (86702) | — | $42 | — |
| Antibody Identification Platelet Immunogl Assay (86023) | — | $208 | — |
| Antibody Protozoa Nes (86753) | — | $32 | — |
| Antibody Titer (86886) range across 2 matching MRF lines |
— | $140–$183 | — |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
— | $54–$77 | — |
| Antigen typing (86905) range across 8 matching MRF lines |
— | $104–$300 | — |
| Antinomyces antibody (86602) | — | $31 | — |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
— | $53–$450 | — |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
— | $34–$90 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $65–$165 | — |
| Antithrombin iii antigen (85301) | — | $72 | — |
| Arsenic (82175) range across 2 matching MRF lines |
— | $27–$59 | — |
| Aspergillus ag eia (87305) | — | $110 | — |
| Assay activated protein c (85307) range across 2 matching MRF lines |
— | $87–$165 | — |
| Assay Blood Carbon Dioxide (82374) | — | $59 | — |
| Assay of 5-hiaa (83497) | — | $58 | — |
| Assay of blood/uric acid (84550) | — | $55 | — |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
— | $27–$75 | — |
| Assay of estrone (82679) range across 2 matching MRF lines |
— | $40–$81 | — |
| Assay of g6pd enzyme (82955) | — | $29 | — |
| Assay of gammaglobulin igm (82784) range across 15 matching MRF lines |
— | $11–$62 | — |
| Assay of lactic acid (83605) | — | $128 | — |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
— | $62–$75 | — |
| Assay of serotonin (84260) | — | $62 | — |
| Assay of serum potassium (84132) | — | $55 | — |
| Assay of urea nitrogen (84520) | — | $56 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $85 | — |
| Assay of vitamin b-1 (84425) | — | $62 | — |
| Assay Ph Body Fluid Nos (83986) | — | $44 | — |
| Autol Bld/Component Collj Storage Predeposited (86890) | — | $529 | — |
| Automated Leukocyte Count (85048) | — | $33 | — |
| B cells total count (86355) | — | $32 | — |
| Bartonella antibody (86611) range across 2 matching MRF lines |
— | $16–$17 | — |
| Bcr/abl1 gene major bp (81206) | — | $107 | — |
| Bcr/abl1 gene minor bp (81207) | — | $106 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $29 | — |
| Beta hydroxybutyrate (82010) | — | $86 | — |
| Beta Lactamase (87185) | — | $98 | — |
| Beta-2 Microglobulin (82232) | — | $54 | — |
| Bile acids total (82239) | — | $54 | — |
| Bilirubin direct (82248) range across 2 matching MRF lines |
— | $45–$63 | — |
| Bilirubin total (82247) | — | $63 | — |
| Bilirubin total transcutaneous (88720) | — | $33 | — |
| Blastomyces antibody (86612) | — | $62 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $110 | — |
| Blood Count Automated Differential Wbc Count (85004) | — | $53 | — |
| Blood Count Manual Cell Count Each (85032) | — | $54 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $28 | — |
| Blood count reticulocyte automated (85045) | — | $52 | — |
| Blood gas (82803) range across 13 matching MRF lines |
— | $190–$290 | — |
| Blood gases w/02 saturation (82805) | — | $296 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
— | $90–$120 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $38 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 8 matching MRF lines |
— | $76–$300 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $64 | — |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
— | $68–$108 | — |
| Braf gene analysis (81210) | — | $469 | — |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
— | $30–$40 | — |
| Brucella antibody (86622) | — | $39 | — |
| C diff amplified probe (87493) | — | $108 | — |
| C-Peptide (84681) | — | $54 | — |
| C-reactive protein (86140) | — | $70 | — |
| Ca 19-9 (86301) | — | $54 | — |
| Cadmium (82300) | — | $27 | — |
| Calcitonin (82308) | — | $58 | — |
| Calcium ionized (82330) range across 4 matching MRF lines |
— | $54–$166 | — |
| Calcium total (82310) range across 2 matching MRF lines |
— | $54–$75 | — |
| Calculus Spectroscopy (82365) | — | $61 | — |
| Calprotectin Fecal (83993) | — | $150 | — |
| Cancer Antigen 125 (86304) | — | $55 | — |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
— | $54–$69 | — |
| Candida Dna Dir Probe (87480) | — | $50 | — |
| Carbamazepine total (80156) | — | $181 | — |
| Carboxyhemoglobin (82375) | — | $236 | — |
| Carcinoembryonic antigen (82378) | — | $192 | — |
| Cardiolipin ab iga (86147) | — | $28 | — |
| Catecholamines fractionated (82384) | — | $66 | — |
| Ccp antibody (86200) range across 2 matching MRF lines |
— | $54–$60 | — |
| Cell count csf (89051) range across 3 matching MRF lines |
— | $69–$125 | — |
| Cell marker study (88182) | — | $125 | — |
| Ceruloplasmin (82390) | — | $55 | — |
| Chemiluminescent assay (82397) range across 9 matching MRF lines |
— | $22–$208 | — |
| Chloride Serum (82435) | — | $59 | — |
| Chloride urine (82436) | — | $66 | — |
| Cholesterol total (82465) | — | $54 | — |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
— | $20–$156 | — |
| Chromium serum (82495) | — | $56 | — |
| Chromogranin a (86316) | — | $82 | — |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
— | $166–$740 | — |
| Chromosome Analysis 20-25 (88264) | — | $625 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
— | $35–$260 | — |
| Ckmb (82553) | — | $73 | — |
| Clostridium Difficile (87324) | — | $45 | — |
| Clot Factor VIII Multimetric (85247) | — | $110 | — |
| Clotting factor xii hageman (85280) | — | $107 | — |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
— | $665–$825 | — |
| Coagulation time activated (85347) | — | $95 | — |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
— | $33–$76 | — |
| Column Chromotography Quant (82542) | — | $262 | — |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
— | $44–$76 | — |
| Compatibility test antiglob (86922) range across 14 matching MRF lines |
— | $35–$222 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
— | $53–$59 | — |
| Complement Total (Ch50) (86162) | — | $54 | — |
| Complement/Function Activity (86161) | — | $69 | — |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 8 matching MRF lines |
— | $86–$1,013 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 3 matching MRF lines |
— | $95–$356 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 3 matching MRF lines |
— | $160–$1,013 | — |
| Coombs direct (86880) range across 6 matching MRF lines |
— | $98–$126 | — |
| Copper urine (82525) range across 2 matching MRF lines |
— | $36–$55 | — |
| Cortisol free (82530) | — | $60 | — |
| Cortisol saliva (82533) range across 8 matching MRF lines |
— | $56–$170 | — |
| Creatine kinase total (82550) | — | $80 | — |
| Creatinine blood (82565) | — | $50 | — |
| Creatinine clearance (82575) | — | $164 | — |
| Creatinine Urine (82570) range across 6 matching MRF lines |
— | $27–$70 | — |
| Crossmatch electronic (86923) | — | $181 | — |
| Crossmatch immediate spin (86920) | — | $181 | — |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
— | $57–$75 | — |
| Cryofibrinogen (82585) | — | $28 | — |
| Cryoglobulin (82595) | — | $29 | — |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | — | $22 | — |
| Cryptococcus ag titer (87899) range across 7 matching MRF lines |
— | $42–$69 | — |
| Cryptosporidium ag eia (87328) | — | $133 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
— | $90–$116 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $89 | — |
| Culture afb (87116) | — | $204 | — |
| Culture blood (87040) | — | $126 | — |
| Culture csf (87070) | — | $117 | — |
| Culture fungus (87102) range across 3 matching MRF lines |
— | $75–$180 | — |
| Culture fungus blood (87103) range across 2 matching MRF lines |
— | $67–$110 | — |
| Culture screen only (87081) range across 3 matching MRF lines |
— | $56–$81 | — |
| Culture stool (87045) | — | $112 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $45 | — |
| Culture urine (87086) | — | $98 | — |
| Cyclosporine (80158) | — | $62 | — |
| Cystatin C (82610) range across 2 matching MRF lines |
— | $60–$80 | — |
| Cytogenetics 10-30 (88273) | — | $266 | — |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
— | $150–$381 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $1,875 | — |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
— | $18–$60 | — |
| Cytopath Cell Enhance Tech (88112) | — | $246 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $70 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $246 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $318 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $213 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $129 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $86 | — |
| Deoxyribonuclease antibody (86215) | — | $34 | — |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
— | $20–$945 | — |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
— | $105–$205 | — |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
— | $21–$54 | — |
| Dhea (82626) | — | $55 | — |
| Dhea-S (82627) range across 2 matching MRF lines |
— | $55–$201 | — |
| Digoxin (80162) | — | $141 | — |
| Dihydrotestosterone (82642) | — | $74 | — |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
— | $5–$287 | — |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
— | $108–$194 | — |
| Drug assay adalimumab (80145) | — | $163 | — |
| Drug Assay Everolimus (80169) | — | $183 | — |
| Drug Assay Infliximab (80230) | — | $135 | — |
| Drug Assay Itraconazole (80189) | — | $115 | — |
| Drug Assay Lacosamide (80235) | — | $100 | — |
| Drug Assay Vedolizumab (80280) | — | $94 | — |
| Drug Screen Quant Clozapine (80159) | — | $70 | — |
| Drug Screen Quant Zonisamide (80203) | — | $58 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $58 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $59 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $61 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $57 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 12 matching MRF lines |
— | $20–$422 | — |
| Drug Test Prsmv Dir Opt Obs (80305) | — | $61 | — |
| Drug Test Prsmv Instrmnt (80306) | — | $101 | — |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
— | $796–$1,032 | — |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
— | $24–$63 | — |
| Electrolyte panel (80051) range across 2 matching MRF lines |
— | $68–$87 | — |
| Electron Microscopy (88348) range across 3 matching MRF lines |
— | $323–$497 | — |
| Enterovirus PCR (87498) | — | $118 | — |
| Enzyme cell activity (82657) | — | $293 | — |
| Enzyme histochemistry (88319) range across 5 matching MRF lines |
— | $62–$457 | — |
| Eosinophil Smear (89190) | — | $56 | — |
| Erythropoietin (82668) | — | $57 | — |
| Estradiol serum (82670) range across 4 matching MRF lines |
— | $55–$201 | — |
| Estriol (82677) range across 2 matching MRF lines |
— | $20–$77 | — |
| Estrogen total (82672) | — | $56 | — |
| Exam Synovial Fluid Crystals (89060) | — | $69 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $165–$225 | — |
| Factor ii activity (85210) | — | $65 | — |
| Factor ix activity (85250) | — | $66 | — |
| Factor v activity (85220) | — | $62 | — |
| Factor v leiden mutation (81241) | — | $84 | — |
| Factor vii assay (85230) range across 2 matching MRF lines |
— | $91–$165 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $65–$86 | — |
| Factor X (85260) range across 2 matching MRF lines |
— | $70–$80 | — |
| Factor xi activity (85270) | — | $80 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $62 | — |
| Fecal Fat Qualitative (82705) | — | $55 | — |
| Ferritin (82728) | — | $146 | — |
| Fetal Fibronectin (82731) | — | $169 | — |
| Fetal screen rosette (85461) | — | $82 | — |
| Fibrin degradation products (85362) | — | $61 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $65–$153 | — |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
— | $54–$101 | — |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
— | $83–$1,109 | — |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
— | $46–$55 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
— | $19–$60 | — |
| Folic Acid Serum (82746) | — | $178 | — |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
— | $54–$201 | — |
| Francisella tularensis (86668) | — | $57 | — |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $82 | — |
| Frozen Section (88331) | — | $430 | — |
| Fungi Identification Mold (87107) | — | $126 | — |
| Fungi Identification Yeast (87106) | — | $116 | — |
| Gammaglobulin ige (82785) | — | $54 | — |
| Gardner vag DNA dir probe (87510) | — | $50 | — |
| Gases blood ph only (82800) | — | $76 | — |
| Gastrin (82941) | — | $55 | — |
| Gentamicin (80170) | — | $197 | — |
| Ggt (82977) | — | $73 | — |
| Giardia antigen (87329) | — | $142 | — |
| Glucagon (82943) | — | $67 | — |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
— | $39–$143 | — |
| Glucose body fluid (82945) range across 3 matching MRF lines |
— | $47–$52 | — |
| Glucose Serum (82947) | — | $50 | — |
| Glucose tolerance test (gtt) (82951) range across 6 matching MRF lines |
— | $117–$142 | — |
| Glycated Protein (82985) | — | $55 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $109 | — |
| Growth hormone (83003) | — | $63 | — |
| Gtt-added samples (82952) | — | $49 | — |
| H Pylori (C-13) Breath (83013) | — | $99 | — |
| Haptoglobin (83010) | — | $54 | — |
| Hba1/Hba2 Gene (81257) | — | $428 | — |
| Hdl Cholesterol (83718) | — | $86 | — |
| Helicobacter Pylori Stool (87338) | — | $80 | — |
| Helminth Antibody (86682) | — | $89 | — |
| Hematocrit (85014) | — | $42 | — |
| Hemoglobin (85018) | — | $47 | — |
| Hemoglobin a1c (83036) | — | $91 | — |
| Hemoglobin electrophoresis (83020) | — | $59 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $39 | — |
| Hemoglobin plasma (83051) | — | $58 | — |
| Hemolysins&Agglutinins Auto Screen Each (86940) | — | $66 | — |
| Hep a ab igm (86709) | — | $163 | — |
| Hepatitis a antibody total (86708) | — | $55 | — |
| Hepatitis b core ab igm (86705) | — | $125 | — |
| Hepatitis b core ab total (86704) | — | $55 | — |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
— | $15–$128 | — |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
— | $20–$124 | — |
| Hepatitis Be Antigen (87350) | — | $52 | — |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
— | $18–$169 | — |
| Hepatitis C Genotype (87902) | — | $129 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
— | $115–$124 | — |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
— | $18–$35 | — |
| Heterophile Antibody Screen (86308) | — | $67 | — |
| Histoplasma antibody (86698) | — | $65 | — |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
— | $122–$179 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $164 | — |
| Hiv-1 Antibody (86701) | — | $42 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
— | $125–$159 | — |
| HIV-2 probe&revrse trnscripj (87538) | — | $52 | — |
| Hla Class I Typing Low Resolution One Locus Each (81373) | — | $485 | — |
| Hla class i&ii antibody qual (86828) | — | $233 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $69 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $62–$165 | — |
| Homogenization Tissue (87176) | — | $119 | — |
| Hpv High-Risk Types (87624) | — | $72 | — |
| Hpv Types 16 & 18 Only (87625) | — | $88 | — |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
— | $41–$308 | — |
| Human Epididymis Protein 4 (86305) | — | $230 | — |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
— | $60–$201 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $230 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
— | $109–$177 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $100 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
— | $119–$731 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $123 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | — | $216 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $124 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $53 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 10 matching MRF lines |
— | $35–$512 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $592 | — |
| Ig Light Chains Free Each (83521) range across 7 matching MRF lines |
— | $11–$80 | — |
| Igg subclasses (82787) range across 4 matching MRF lines |
— | $15–$61 | — |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
— | $800–$887 | — |
| Igk rearrangeabn clonal pop (81264) | — | $887 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
— | $123–$279 | — |
| Immunfix e-phorsis/urine/csf (86335) | — | $25 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
— | $45–$1,350 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
— | $4–$58 | — |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
— | $17–$546 | — |
| Immunodiffusion Ouchterlony (86331) | — | $32 | — |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
— | $11–$72 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
— | $10–$401 | — |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
— | $89–$346 | — |
| In situ hybridization 1st probe stain (88365) range across 12 matching MRF lines |
— | $48–$941 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | — | $151 | — |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | — | $108 | — |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
— | $49–$94 | — |
| Influenza DNA amp probe (87502) | — | $294 | — |
| Inhibin A (86336) range across 2 matching MRF lines |
— | $20–$77 | — |
| Inhibin b (83520) range across 11 matching MRF lines |
— | $72–$263 | — |
| Insitu hybridization manual (88368) range across 6 matching MRF lines |
— | $146–$780 | — |
| Insulin antibodies (86337) | — | $62 | — |
| Insulin total (83525) | — | $53 | — |
| Intrinsic factor antibody (86340) | — | $55 | — |
| Iron (83540) | — | $80 | — |
| Iron Binding Capacity (83550) | — | $87 | — |
| Irradiation Blood Product Each Unit (86945) | — | $67 | — |
| Islet cell antibody (86341) range across 3 matching MRF lines |
— | $61–$101 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $158 | — |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | — | $395 | — |
| Kras Gene Analysis Additional Variant(S) (81276) | — | $232 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $75 | — |
| Lactoferrin fecal qualitative (83630) | — | $72 | — |
| Lactoferrin Fecal Quantitative (83631) | — | $92 | — |
| LDL direct (83721) | — | $95 | — |
| Lead (83655) range across 6 matching MRF lines |
— | $28–$82 | — |
| Legionella antibody (86713) range across 2 matching MRF lines |
— | $58–$87 | — |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
— | $42–$105 | — |
| Leptospira antibody (86720) | — | $110 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $121 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $262 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $815 | — |
| Lipase (83690) | — | $112 | — |
| Lipoprotein A (83695) range across 2 matching MRF lines |
— | $59–$75 | — |
| Lithium (80178) | — | $88 | — |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
— | $54–$201 | — |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
— | $32–$60 | — |
| Lysozyme serum (85549) | — | $55 | — |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
— | $78–$84 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $244 | — |
| Magnesium Urine (83735) range across 2 matching MRF lines |
— | $53–$84 | — |
| Mercury urine (83825) range across 2 matching MRF lines |
— | $27–$65 | — |
| Metabolic panel ionized ca (80047) | — | $175 | — |
| Methylmalonic acid serum (83921) | — | $61 | — |
| Microalbumin, quantitative (82043) | — | $87 | — |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
— | $61–$74 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
— | $94–$188 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
— | $100–$159 | — |
| Mopath procedure level 4 (81403) | — | $632 | — |
| Morphometric Analysis Tumor (88358) | — | $297 | — |
| Mrsa Pcr (87641) | — | $194 | — |
| Mumps antibody (86735) range across 4 matching MRF lines |
— | $15–$57 | — |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
— | $32–$60 | — |
| Myoglobin urine (83874) | — | $55 | — |
| Natriuretic peptide (83880) | — | $269 | — |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | — | $289 | — |
| Nfct ds bv&vaginitis DNA alg (81515) | — | $321 | — |
| Nk cells total count (86357) | — | $29 | — |
| Nras gene variants exon 2&3 (81311) | — | $355 | — |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
— | $16–$65 | — |
| Obstetric panel (80081) | — | $237 | — |
| Occult blood feces (82272) | — | $39 | — |
| Occult Blood Other Sources (82271) | — | $39 | — |
| Oligoclonal bands (83916) | — | $79 | — |
| Osmolality serum (83930) | — | $52 | — |
| Osmolality Urine (83935) | — | $84 | — |
| Ova and parasites smears (87177) | — | $29 | — |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
— | $36–$37 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $430 | — |
| Pathology Consultation During Surgery (88329) | — | $89 | — |
| Ph urine (81003) | — | $40 | — |
| pH; exhaled breath condensate Facility (83987) | — | $24 | — |
| Phenobarbital Level (80184) | — | $56 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $33–$165 | — |
| Phenytoin free (80186) | — | $33 | — |
| Phosphatase acid prostatic (84066) | — | $56 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $28–$63 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $165 | — |
| Phosphorus Serum (84100) | — | $59 | — |
| Phosphorus urine (84105) | — | $52 | — |
| Pinworm exam (87172) | — | $53 | — |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
— | $65–$234 | — |
| Platelet count automated (85049) | — | $57 | — |
| Potassium Urine (84133) range across 2 matching MRF lines |
— | $61–$92 | — |
| Prealbumin (84134) | — | $54 | — |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
— | $143–$170 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 4 matching MRF lines |
— | $118–$161 | — |
| Pretx serum rbc antibody identification dilution (86976) | — | $109 | — |
| Procalcitonin (Pct) (84145) | — | $162 | — |
| Progesterone (84144) range across 2 matching MRF lines |
— | $53–$64 | — |
| Prolactin (84146) range across 3 matching MRF lines |
— | $53–$201 | — |
| Protein body fluid (84157) | — | $47 | — |
| Protein C Activity (85303) | — | $64 | — |
| Protein c antigen (85302) range across 2 matching MRF lines |
— | $60–$165 | — |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
— | $25–$99 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
— | $11–$27 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $41–$66 | — |
| Protein s total (85305) range across 2 matching MRF lines |
— | $41–$165 | — |
| Protein total serum (84155) range across 4 matching MRF lines |
— | $11–$42 | — |
| Protein Total Urine (84156) range across 5 matching MRF lines |
— | $26–$71 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $42 | — |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
— | $32–$56 | — |
| PSA free (84154) range across 3 matching MRF lines |
— | $30–$193 | — |
| Pth Intact (83970) range across 2 matching MRF lines |
— | $55–$151 | — |
| Q Fever Antibody (86638) range across 7 matching MRF lines |
— | $36–$142 | — |
| Quantiferon tb gold plus (86480) | — | $90 | — |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
— | $56–$203 | — |
| Quantitative Screen Metals (83018) | — | $72 | — |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
— | $160–$189 | — |
| Rbc antibody identification (86870) range across 14 matching MRF lines |
— | $60–$3,250 | — |
| Rbc antibody screen (86850) range across 6 matching MRF lines |
— | $68–$176 | — |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
— | $106–$304 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $106 | — |
| Rbc serum pretx incubj drugs (86975) | — | $149 | — |
| Renin activity plasma (84244) | — | $55 | — |
| Reticulocyte separation (86972) | — | $113 | — |
| Rh (86901) range across 4 matching MRF lines |
— | $68–$104 | — |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
— | $5–$56 | — |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
— | $34–$99 | — |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
— | $86–$95 | — |
| Rotavirus ag eia (87425) | — | $59 | — |
| Rpr qualitative (86592) | — | $52 | — |
| Rsv Assay W/Optic (87807) | — | $127 | — |
| Rubella Antibody (86762) range across 4 matching MRF lines |
— | $18–$179 | — |
| Rubeola antibody (86765) range across 3 matching MRF lines |
— | $15–$57 | — |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
— | $36–$165 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
— | $115–$150 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $92 | — |
| Sedimentation rate (85651) | — | $33 | — |
| Sedimentation Rate, Automated (85652) | — | $44 | — |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
— | $106–$273 | — |
| Sensitivity mic (87186) range across 3 matching MRF lines |
— | $102–$283 | — |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
— | $60–$201 | — |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
— | $69–$102 | — |
| Sirolimus (80195) | — | $67 | — |
| Skin test tuberculosis intradermal (86580) | — | $71 | — |
| Smear acid fast (87206) range across 2 matching MRF lines |
— | $46–$106 | — |
| Smear complex stain (87209) | — | $28 | — |
| Smear gram stain (87205) range across 16 matching MRF lines |
— | $54–$97 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
— | $15–$50 | — |
| Sodium Serum (84295) | — | $58 | — |
| Sodium Urine (84300) | — | $39 | — |
| Soluble Transferrin Receptor (84238) | — | $74 | — |
| Somatomedin (84305) | — | $56 | — |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
— | $97–$361 | — |
| Special Stains Group 2 (88313) range across 8 matching MRF lines |
— | $49–$334 | — |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
— | $41–$78 | — |
| Spectrophotometry (84311) | — | $120 | — |
| Stool cultr aerobic bact ea (87046) | — | $104 | — |
| Strep a assay w/optic (87880) | — | $80 | — |
| Strep a DNA amp probe (87651) | — | $203 | — |
| Surg path level iii (88304) | — | $295 | — |
| Surgical pathology level IV (88305) range across 7 matching MRF lines |
— | $123–$497 | — |
| Surgical pathology level vi (88309) | — | $865 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $75 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $167 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $53 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
— | $29–$41 | — |
| T cells total count (86359) | — | $29 | — |
| T3 Free (84481) range across 2 matching MRF lines |
— | $54–$64 | — |
| T3 reverse (84482) | — | $56 | — |
| T3 Total (84480) | — | $54 | — |
| T4 Free (84439) | — | $102 | — |
| T4 total (84436) | — | $52 | — |
| Tacrolimus (80197) | — | $79 | — |
| Testosterone total (84403) range across 3 matching MRF lines |
— | $44–$250 | — |
| Testosterone, Free (84402) range across 2 matching MRF lines |
— | $44–$201 | — |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | — | $717 | — |
| Theophylline (80198) range across 2 matching MRF lines |
— | $55–$169 | — |
| Thiopurine methyltransferase (84433) | — | $330 | — |
| Thrombin Time (85670) | — | $58 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 4 matching MRF lines |
— | $35–$104 | — |
| Thyroglobulin (84432) | — | $63 | — |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
— | $31–$57 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $74 | — |
| Tiss cul neo disorders solid tumor (88239) | — | $238 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $21 | — |
| Tissue Culture (88233) | — | $188 | — |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
— | $173–$409 | — |
| Tobramycin peak (80200) range across 6 matching MRF lines |
— | $55–$187 | — |
| Topiramate (80201) | — | $60 | — |
| Touch prep (88161) | — | $142 | — |
| Toxoplasma ab igm (86778) | — | $18 | — |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
— | $19–$45 | — |
| Tpmt gene com variants (81335) | — | $389 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $75 | — |
| Transferrin (84466) | — | $52 | — |
| Trb@ Rearrangement Anal Amplification Method (81340) | — | $941 | — |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
— | $407–$940 | — |
| Trichomonas vagin dir probe (87660) | — | $50 | — |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
— | $87–$108 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $52–$63 | — |
| Troponin Quant (84484) | — | $123 | — |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
— | $73–$684 | — |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
— | $77–$730 | — |
| Unlisted reproductive medicine lab procedure (89398) | — | $275 | — |
| Uric acid other source (84560) | — | $52 | — |
| Urinalysis Microscopic Only (81015) | — | $39 | — |
| Urinalysis Volume Measure (81050) | — | $34 | — |
| Urine Pregnancy Test (81025) | — | $94 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $55 | — |
| Valproic acid (80164) | — | $139 | — |
| Vancomycin (80202) | — | $163 | — |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
— | $15–$53 | — |
| Viscosity serum (85810) | — | $60 | — |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
— | $60–$143 | — |
| Vitamin A (84590) | — | $60 | — |
| Vitamin b-12 (82607) | — | $145 | — |
| Vitamin B6 (84207) | — | $57 | — |
| Vitamin D 25-Hydroxy (82306) | — | $152 | — |
| Vitamin E (84446) | — | $59 | — |
| Von willebrand factor ag (85246) | — | $85 | — |
| West nile virus ab igm (86788) | — | $60 | — |
| West Nile Virus Antibody (86789) | — | $60 | — |
| Zinc (84630) | — | $54 | — |
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.