Lab & pathology prices at Southern Tennessee Regional Health System - Pulaski

Pulaski, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $100.49 $346.50 6.5×
5 Nucleotidase (83915) $105.10 $358.69 9.4×
Acetylcholinesterase Assay (82013) $192.39 $656.62 15.7×
Acth (82024) $192.39 $656.62 5.0×
Acute hepatitis panel (80074) $514.57 $1,756.22 10.8×
Agglutinins Febrile Each Antigen (86000) $108.71 $374.85 15.6×
Albumin Fluid (82042) $82.12 $280.29 10.6×
Albumin serum (82040) $65.46 $223.42 13.2×
Aldolase (82085) $147.60 $503.75 15.2×
Aldosterone urine (82088) $297.49 $1,015.31 7.3×
Alkaline phosphatase isoenzymes (84080) $230.29 $785.97 15.6×
Allergen spec ige qual multiallergen screen (86005) $182.05 $621.32 22.8×
Allergen specific ige (86003) $129.23 $441.05 24.8×
Alpha-1-antitrypsin phenotype (82104) $77.95 $268.80 5.4×
Alpha-1-antitrypsin total (82103) $65.46 $223.42 4.9×
Alpha-Fetoprotein Amniotic Fluid (82106) $230.29 $785.97 13.5×
Alpha-Fetoprotein Serum (82105) $230.29 $785.97 13.7×
Alt (sgpt) (84460) $205.02 $699.74 38.7×
Amikacin trough (80150) $186.07 $635.06 12.3×
Amino Acids 1 Quantitative Each Specimen (82131) $211.02 $727.65 9.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $550.18 $1,877.74 32.6×
Amino acids; single, qualitative, each specimen Facility (82127) $85.56 $295.05 6.0×
Aminolevulinic acid (ala) (82135) $119.67 $412.65 7.3×
Ammonia (82140) $106.25 $362.63 7.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $144.72 $493.94 1.5×
Amniotic fluid scan (82143) $282.58 $974.40 30.2×
Amylase urine (82150) $195.26 $666.42 30.1×
Ana Titer (86039) $91.32 $311.66 8.2×
Androstenedione (82157) $278.54 $950.66 9.5×
Angiotensin converting enzyme csf (82164) $271.64 $927.11 18.6×
Anti-Phospholipid Antibody (86148) $225.13 $768.36 14.0×
Antibody aspergillus (86606) $53.33 $182.02 3.5×
Antibody Bacterium Not Elsewhere Specified (86609) $418.93 $1,429.80 32.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $370.22 $1,263.55 23.9×
Antibody Cytomegalovirus Cmv Igm (86645) $205.02 $699.74 12.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $169.52 $578.58 12.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $315.29 $1,076.08 20.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $189.52 $646.81 10.4×
Antibody Fungus Not Elsewhere Specified (86671) $27.14 $92.63 2.2×
Antibody helicobacter pylori (86677) $183.49 $626.23 10.9×
Antibody Herpes Smplx Type 1 (86695) $169.43 $578.25 12.8×
Antibody htlv/HIV antibody confirmatory test (86689) $402.58 $1,374 20.8×
Antibody identification leukocyte antibodies (86021) $217.67 $742.89 14.5×
Antibody neisseria meningitidis (86741) $54.81 $189 4.2×
Antibody rotavirus (86759) $93.48 $322.35 5.1×
Antibody Treponema Pallidum (86780) $249.25 $850.67 18.8×
Antibody; influenza virus (86710) $164.82 $562.53 12.2×
Antigen typing (86905) $28.15 $96.06 7.3×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $24.06 $82.95 4.2×
Antinuclear antibodies (86038) $203.31 $693.88 16.8×
Antistreptolysin O Screen (86063) $113.71 $388.09 19.7×
Antistreptolysin o titer (86060) $73.69 $254.10 10.1×
Antithrombin iii activity (85300) $421.54 $1,438.69 35.6×
Antithrombin iii antigen (85301) $421.54 $1,438.69 39.0×
Apolipoprotein a1 (82172) $216.51 $738.94 10.3×
Arsenic (82175) $199.86 $682.10 10.5×
Assay activated protein c (85307) $211.34 $721.30 13.8×
Assay Blood Carbon Dioxide (82374) $71.22 $243.06 14.6×
Assay Blood Catecholamines (82383) $256.72 $876.17 8.8×
Assay Duodenal Fluid Trypsin (84485) $183.06 $624.77 25.4×
Assay Nephelometry Not Spec (83883) $142.04 $484.79 10.4×
Assay of 5-hiaa (83497) $205.02 $699.74 15.9×
Assay of blood/uric acid (84550) $121.76 $415.56 26.9×
Assay of calcium in urine (82340) $178.03 $607.61 29.5×
Assay of corticosterone (82528) $130.33 $449.40 5.8×
Assay of cpk in blood (82552) $140.07 $483 10.5×
Assay of g6pd enzyme (82955) $169.43 $578.25 17.5×
Assay of gammaglobulin igm (82784) $152.19 $519.43 16.4×
Assay of lactic acid (83605) $167.70 $572.34 14.5×
Assay of metanephrines (83835) $159.65 $544.89 9.4×
Assay of phosphatase acid total (84060) $93.83 $320.25 12.3×
Assay of procainamide (80190) $101.53 $346.51 1.7×
Assay of pyruvate (84210) $171.78 $586.27 11.9×
Assay of serotonin (84260) $169.43 $578.25 5.5×
Assay of serum potassium (84132) $68.92 $235.21 14.5×
Assay of transcortin (84449) $102.01 $351.75 5.7×
Assay of urea nitrogen (84520) $37.90 $129.36 9.6×
Assay of urine vma (84585) $178.03 $607.61 11.5×
Assay of vasoactive intestinal peptide (84586) $585.78 $1,999.26 16.6×
Assay of vitamin b-1 (84425) $297.49 $1,015.31 14.0×
Assay Ph Body Fluid Nos (83986) $82.12 $280.29 22.9×
Automated Leukocyte Count (85048) $54.57 $186.23 21.5×
Bacterial antigens 87802 (87802) $78.57 $268.17 6.2×
Bartonella antibody (86611) $233.74 $797.74 23.0×
Beta hydroxybutyrate (82010) $55.71 $190.12 6.8×
Beta-2 Microglobulin (82232) $461.17 $1,573.95 28.5×
Bile acids, cholylglycine (82240) $86.66 $295.78 3.3×
Bilirubin direct (82248) $79.83 $272.47 15.9×
Bilirubin total (82247) $79.83 $272.47 15.9×
Bilirubin total transcutaneous (88720) $15.51 $52.93 3.1×
Bilirubin; feces, qualitative Facility (82252) $43.54 $150.15 9.5×
Biotinidase (82261) $28.71 $97.99 1.7×
Bl Smear W/O Diff Wbc Count (85008) $31.36 $108.15 9.1×
Blastomyces antibody (86612) $286 $976.10 22.2×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $219.96 $750.71 1.4×
Bld Typing Serologic Rh Phnt (86906) $70.04 $241.50 9.0×
Bleeding time test (85002) $137.26 $468.47 28.5×
Blood Count Automated Differential Wbc Count (85004) $21.62 $74.55 3.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $52.82 $180.27 10.4×
Blood Count Red Blood Cell Automated (85041) $68.92 $235.21 22.8×
Blood count reticulocyte automated (85045) $68.92 $235.21 17.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $82.12 $280.29 21.6×
Blood count spun microhematocrit (85013) $42.63 $147 6.1×
Blood gas (82803) $155.06 $529.22 5.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $68.92 $235.21 4.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $14.07 $48.50 3.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $70.04 $241.50 11.0×
Blood typing serologic abo (86900) $57.43 $196.01 19.2×
Body fluid cell count (89050) $117.16 $399.85 24.8×
Bordetella antibody (86615) $286 $976.10 21.7×
Breath Alcohol Test (82075) $20.11 $68.64 0.7×
C diff amplified probe (87493) $68.92 $235.21 1.8×
C-Peptide (84681) $121.76 $415.56 5.9×
C-reactive protein (86140) $121.76 $415.56 23.5×
Ca 19-9 (86301) $413.50 $1,411.25 19.9×
Calcitonin (82308) $29,000 $99,999.99 1082.5×
Calcium ionized (82330) $247.52 $844.78 18.1×
Calcium total (82310) $91.32 $311.66 17.7×
Calculus assay quant (82360) $156.21 $533.15 12.1×
Calprotectin Fecal (83993) $216.51 $738.94 11.0×
Cancer Antigen 125 (86304) $169.43 $578.25 8.1×
Cancer Antigen 27.29 (86300) $311.27 $1,062.36 15.0×
Carbamazepine total (80156) $117.16 $399.85 8.0×
Carboxyhemoglobin (82375) $153.90 $525.27 12.5×
Carcinoembryonic antigen (82378) $147.60 $503.75 7.8×
Cardiolipin ab iga (86147) $99.36 $339.10 3.9×
Carotene (82380) $85 $290.09 9.2×
Catecholamines fractionated (82384) $256.72 $876.17 10.2×
Catecholamines total urine (82382) $256.72 $876.17 9.4×
Ccp antibody (86200) $91.32 $311.66 7.1×
Cell count csf (89051) $117.16 $399.85 20.9×
Ceruloplasmin (82390) $132.66 $452.78 12.4×
Chemiluminescent assay (82397) $95.72 $326.69 6.8×
Chlamydia trachomatis ag if (87270) $108.71 $374.85 9.1×
Chloramphenicol level (82415) $167.68 $572.28 13.2×
Chloride other source (82438) $46.52 $158.76 9.3×
Chloride Serum (82435) $85 $290.09 18.5×
Chloride urine (82436) $57.43 $196.01 10.0×
Cholesterol total (82465) $121.76 $415.56 28.0×
Cholinesterase rbc (82482) $141.85 $484.13 14.5×
Cholinesterase Serum (82480) $75.21 $259.35 9.6×
Chorionic gonadotropin test (84702) $186.07 $635.06 12.4×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $226.66 $773.60 6.8×
Chromium serum (82495) $309.55 $1,056.48 15.3×
Chromogenic Substrate Assay (85130) $261.17 $891.36 22.0×
Chromosome Analysis 15-20 (88262) $318.09 $1,085.63 2.5×
Chromosome Analysis 20-25 (88264) $482.86 $1,647.97 3.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $110.27 $376.35 3.1×
Ckmb (82553) $144.72 $493.94 12.5×
Clostridium Difficile (87324) $159.13 $543.09 13.3×
Clot Factor VIII Multimetric (85247) $421.54 $1,438.69 18.4×
Clot factor xiii fibrin stab (85290) $421.54 $1,438.69 25.8×
Clot retraction (85170) $87.69 $299.27 5.4×
Clotting factor xii hageman (85280) $559.94 $1,911.06 28.9×
Cns DNA amp probe type 12-25 (87483) $1,186.78 $4,050.44 2.8×
Coccidioides antibody (86635) $258.57 $882.48 22.5×
Cold agglutinin screen (86156) $82.69 $282.23 10.2×
Collagen crosslinks (82523) $187.80 $640.95 10.1×
Column Chromotography Quant (82542) $180.33 $615.46 7.5×
Compatibility Each Unit Incubation (86921) $23.75 $81.90 0.1×
Compatibility test antiglob (86922) $156.79 $535.11 1.0×
Complement Antigen Each Component (86160) $86.15 $294.02 7.2×
Complement Fixation Tests Each Antigen (86171) $93.05 $317.56 9.3×
Complement Total (Ch50) (86162) $178.03 $607.61 8.8×
Coombs direct (86880) $42.76 $145.95 7.9×
Copper urine (82525) $207.32 $707.59 16.7×
Cortisol free (82530) $159.65 $544.89 9.6×
Cortisol saliva (82533) $375.60 $1,281.90 23.0×
Creatine (82540) $93.05 $317.56 20.1×
Creatine kinase total (82550) $82.69 $282.23 12.7×
Creatinine blood (82565) $37.90 $129.36 7.4×
Creatinine clearance (82575) $169.43 $578.25 17.9×
Creatinine Urine (82570) $103.38 $352.83 20.0×
Crossmatch immediate spin (86920) $112.57 $384.19 0.7×
Cryoglobulin (82595) $137.26 $468.47 21.2×
Cryptococcus ag titer (87899) $97.63 $333.21 6.1×
Cryptosporidium ag eia (87328) $98.21 $335.18 7.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $82.12 $280.29 10.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $223.98 $764.42 27.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $137.26 $468.47 17.8×
Culture afb (87116) $251.54 $858.50 23.3×
Culture Anaerobic (87075) $276.24 $942.80 29.2×
Culture blood (87040) $91.89 $313.61 8.9×
Culture chlamydia (87110) $329.07 $1,123.11 16.8×
Culture csf (87070) $123.48 $421.42 14.3×
Culture fungus (87102) $137.26 $468.47 16.3×
Culture fungus blood (87103) $72.78 $250.95 3.6×
Culture screen only (87081) $85 $290.09 12.8×
Culture stool (87045) — $2.23 —
Culture urine (87086) $34.71 $119.70 4.3×
Cyclosporine (80158) $91.89 $313.61 5.1×
Cytogenetics 100-300 (88275) $174.17 $600.60 3.4×
Cytomegalovirus igg (86644) $216.51 $738.94 15.0×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$87.87–$94.80 $299.89–$326.88 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$136.11–$146.84 $464.54–$506.35 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines
$37.33–$40.28 $127.42–$138.89 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines
$77.53–$83.64 $264.61–$288.42 varies
Detect Agent Nos Dna Amp (87798) $303.22 $1,034.88 8.6×
Detect Agent Nos Dna Quant (87799) $612.88 $2,091.75 14.3×
Detect agnt mult DNA ampli (87801) $144.72 $493.94 2.1×
Dhea (82626) $304.37 $1,038.82 12.0×
Dhea-S (82627) $120.03 $409.65 5.4×
Digoxin (80162) $91.89 $313.61 6.9×
Dipropylacetic Acid Free (80165) $215.36 $735.03 15.9×
Dna Antibody Native/Double Stranded (86225) $111.99 $382.21 8.2×
Dna Antibody Single Stranded (86226) $311.27 $1,062.36 25.7×
Dna/Rna Amplified Probe (87150) $1,289.98 $4,402.65 36.8×
DNA/RNA direct probe (87149) $45.07 $155.40 2.2×
Drug Screen Quant Clozapine (80159) $98.55 $336.34 4.9×
Drug Screen Quant Zonisamide (80203) $118.88 $405.75 9.0×
Drug Screen Quantitative Gabapentin (80171) $247.52 $844.78 11.4×
Drug Screen Quantitative Lamotrigine (80175) $277.38 $946.70 20.9×
Drug Screen Quantitative Levetiracetam (80177) $311.27 $1,062.36 23.5×
Drug Screen Quantitative Oxcarbazepine (80183) $186.07 $635.06 14.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $169.43 $578.25 10.1×
Drug Test Prsmv Chem Anlyzr (80307) $141.85 $484.13 2.3×
Ehrlichia antibody (86666) $862.60 $2,944.03 84.7×
Electrolyte panel (80051) $97.07 $331.28 13.8×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $89.52 $308.70 1.5×
Enterovirus Antibody (86658) $60.29 $207.90 4.6×
Enterovirus PCR (87498) $648.96 $2,214.87 18.5×
Eosinophil Smear (89190) $28.93 $99.75 5.0×
Erythropoietin (82668) $256.72 $876.17 13.7×
Estradiol serum (82670) $297.49 $1,015.31 10.6×
Estriol (82677) $156.21 $533.15 6.5×
Estrogen total (82672) $397.99 $1,358.32 18.3×
Estrogens fractionated (82671) $132.66 $452.78 4.1×
Ethosuximide (80168) $110.27 $376.35 6.7×
Ethylene Glycol (82693) $133.34 $455.07 8.9×
Exam Synovial Fluid Crystals (89060) $45.07 $155.40 6.1×
Factor ii activity (85210) $421.54 $1,438.69 32.5×
Factor Inhibitor Test (85335) $168.09 $573.69 13.1×
Factor ix activity (85250) $421.54 $1,438.69 22.1×
Factor v activity (85220) $421.54 $1,438.69 23.9×
Factor v leiden mutation (81241) $342.85 $1,170.14 4.7×
Factor vii assay (85230) $376.37 $1,284.55 21.0×
Factor viii assay (85240) $186.67 $637.09 10.4×
Factor X (85260) $376.37 $1,284.55 21.0×
Factor xi activity (85270) $421.54 $1,438.69 23.5×
Fat stain feces urine/respir secretions (89125) $85 $290.09 14.5×
Fat/Lipids Feces Quantitative (82710) $232.02 $791.88 13.8×
Fatty acids free (82725) $211.34 $721.30 11.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $123.48 $421.42 18.9×
Fecal Fat Qualitative (82705) $113.71 $388.09 22.3×
Ferritin (82728) $134.97 $460.64 9.9×
Fetal Fibronectin (82731) $566.83 $1,934.57 8.8×
Fetal screen rosette (85461) $59.05 $201.53 6.3×
Fibrin degradation products (85362) $137.26 $468.47 19.9×
Fibrin Degradation Quant (85379) $174.02 $593.91 17.1×
Fibrin dgradj products d-dimer qual/semiquan (85378) $40.19 $138.60 4.1×
Fibrinogen activity (85384) $163.68 $558.62 16.8×
Fluorescent antibody screen (86255) $302.08 $1,031 25.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $109.69 $374.36 9.1×
Folic acid rbc (82747) $120.03 $409.65 6.8×
Folic Acid Serum (82746) $112.57 $384.19 7.7×
Follicle Stimulating Hormone (83001) $311.27 $1,062.36 16.8×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $341.65 $1,178.10 12.0×
Fresh Frozen Plasma Thawing Each Unit (86927) $51.46 $177.45 0.3×
Frozen Section (88331)
range across 2 matching MRF lines
$112.57–$121.44 $384.19–$418.77 varies
Fungi Identification Yeast (87106) $178.03 $607.61 17.3×
Galactose (82760) $28.71 $97.99 2.6×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $395.86 $1,351.05 18.8×
Gammaglobulin ige (82785) $152.19 $519.43 9.2×
Gastric Analy W/Ph Ea Spec (82930) $67.90 $234.15 10.1×
Gastrin (82941) $256.72 $876.17 14.6×
Gentamicin (80170) $112.57 $384.19 6.9×
Ggt (82977) $173.45 $591.97 24.1×
Giardia antigen (87329) $137.26 $468.47 11.5×
Glucagon (82943) $314.14 $1,072.15 22.0×
Glucose 2 hr pp (82950) $72.36 $246.97 15.2×
Glucose Blood Test (82962) $23.55 $80.37 7.2×
Glucose body fluid (82945) $82.12 $280.29 20.9×
Glucose Serum (82947) $72.36 $246.97 18.4×
Glucose tolerance test (gtt) (82951) $225.70 $770.30 17.5×
Glycated Protein (82985) $192.39 $656.62 11.5×
Gonadotropin Chorionic Qualitative (84703) $108.71 $374.85 14.5×
Growth hormone (83003) $205.02 $699.74 12.3×
Gtt-added samples (82952) $51.11 $174.44 13.0×
H Pylori (C-13) Breath (83013) $357.21 $1,219.16 5.3×
H Pylori Drug Admin (83014) $43.59 $148.78 5.5×
Haloperidol (80173) $225.70 $770.30 14.3×
Haptoglobin (83010) $178.03 $607.61 14.2×
Hdl Cholesterol (83718) $112.57 $384.19 13.7×
Heavy metal qualitative any analytes (83015) $384.78 $1,313.25 18.4×
Helicobacter Pylori Stool (87338) $199.86 $682.10 13.9×
Hematocrit (85014) $62.03 $211.70 26.2×
Hemoglobin (85018) $62.03 $211.70 26.2×
Hemoglobin a1c (83036) $112.57 $384.19 11.6×
Hemoglobin Chromotography (83021) $28.71 $97.99 1.6×
Hemoglobin electrophoresis (83020) $299.21 $1,021.19 23.2×
Hemoglobin F Fetal Chemical (83030) $137.42 $469 12.8×
Hemosiderin urine (83070) $97.43 $332.51 20.5×
Hep a ab igm (86709) $132.66 $452.78 11.8×
Heparin assay (85520) $182.05 $621.32 13.9×
Hepatitis a antibody total (86708) $176.31 $601.74 14.2×
Hepatitis b core ab igm (86705) $176.31 $601.74 15.0×
Hepatitis b core ab total (86704) $86.15 $294.02 7.1×
Hepatitis B Surface Antibody (86706) $195.26 $666.42 18.2×
Hepatitis B Surface Antigen (87340) $120.03 $409.65 11.6×
Hepatitis Be Antibody (86707) $225.13 $768.36 19.5×
Hepatitis Be Antigen (87350) $183.20 $625.26 15.9×
Hepatitis C Antibody (86803) $97.07 $331.28 6.8×
Hepatitis c antibody confirmatory test (86804) $383.62 $1,309.29 24.8×
Hepatitis C Genotype (87902) $866.62 $2,957.74 3.4×
Hepatitis C Probe&Rvrs Trnsc (87521) $375.60 $1,281.90 10.7×
Hepatitis C Revrs Trnscrpj (87522) $705.80 $2,408.89 16.5×
Herpes simplex type 2 (86696) $169.43 $578.25 8.8×
Heterophile antibodies titer (86309) $76.73 $264.60 11.9×
Heterophile Antibody Screen (86308) $325.06 $1,109.41 62.8×
Hfe Gene (81256) $446.33 $1,523.32 6.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $408.90 $1,395.56 52.9×
Histamine urine (83088) $546.16 $1,864.03 18.5×
Histoplasma antibody (86698) $163.68 $558.62 11.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $575.33 $1,963.58 6.8×
Hla Typing a/B/C Multiple Antigens (86813) $740.95 $2,528.85 12.8×
Hla-b27 (86812) $286 $976.10 11.1×
Homocysteine (83090) $163.10 $556.64 9.1×
Homovanillic acid urine (83150) $261.89 $893.82 11.7×
Hsv Dna Amp Probe (87529) $493.89 $1,685.64 14.1×
Hydroxycorticosteroids 17 (83491) $205.02 $699.74 11.5×
Hydroxyprogesterone 17-d (83498) $318.74 $1,087.85 11.7×
Hydroxyproline total (83505) $316.89 $1,081.52 13.0×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $50.37 $171.90 1.1×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $108.71 $374.85 9.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $66.87 $228.21 1.9×
Iaad ia shiga-like toxin (87427) $79.83 $272.47 6.7×
Iaad Ia Streptococcus Group A (87430) $104.58 $360.61 6.2×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $108.71 $374.85 9.1×
Iaadi respiratory synctial virus (87280) $93.05 $317.56 6.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $107.50 $366.89 3.1×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $205.02 $699.74 9.0×
Iadna Cytomegalovirus Quantification (87497) $245.71 $838.60 5.7×
Iadna Hepatitis B Virus Quantification (87517) $509.40 $1,738.57 11.9×
Iadna Multiple Organisms Direct Probe Tq (87800) $123.06 $420.01 2.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $107.50 $366.89 3.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $110.27 $376.35 3.1×
Igg subclasses (82787) $113.14 $386.13 14.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines
$158.95–$204.46 $548.10–$705.02 varies
Immunfix e-phorsis/urine/csf (86335) $129.05 $440.44 4.4×
Immunoassay Analyte Quant Radioimmunoassay (83519) $308.40 $1,052.55 16.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $130.94 $446.89 8.7×
Immunoassay nonantibody (83516) $118.88 $405.75 10.3×
Immunoelectrophoresis Other Fluids Concentration (86325) $128.19 $442.05 5.5×
Immunoelectrophoresis Serum (86320) $101.40 $349.65 3.4×
Immunofixation electrophoresis (86334) $184.35 $629.17 8.3×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$112.57–$121.44 $384.19–$418.77 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$424.51–$457.97 $1,448.83–$1,579.22 varies
Inhibin A (86336) $136.19 $464.81 8.7×
Inhibin b (83520) $372.72 $1,272.08 21.6×
Insitu hybridization manual (88368)
range across 2 matching MRF lines
$323.33–$348.82 $1,103.52–$1,202.84 varies
Insulin antibodies (86337) $160.23 $546.87 7.5×
Insulin total (83525) $132.66 $452.78 11.6×
Intrinsic factor (stomach protein) level (83528) $116.62 $402.15 5.9×
Intrinsic factor antibody (86340) $496.77 $1,695.46 32.9×
Iron (83540) $74.66 $254.82 11.5×
Iron Binding Capacity (83550) $86.15 $294.02 9.9×
Islet cell antibody (86341) $138.98 $474.34 5.9×
Ketosteroids 17 total (83586) $230.29 $785.97 18.0×
Koh Prep (87220) $112.57 $384.19 26.4×
L/s ratio (83661) $241.16 $831.60 11.0×
Lactate (ld) (ldh) enzyme (83615) $68.92 $235.21 11.4×
Ldh Isoenzymes (83625) $103.53 $357 8.1×
LDL direct (83721) $186.07 $635.06 17.7×
Lead (83655) $153.90 $525.27 12.7×
Legionella antibody (86713) $157.73 $543.90 10.3×
Legionella antigen urine (87449) $70.34 $242.55 5.9×
Legionella pneumophila dfa (87278) $205.60 $701.69 13.2×
Leptospira antibody (86720) $104.60 $357.01 6.5×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$33.36–$35.99 $113.87–$124.12 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$195.31–$210.71 $666.58–$726.57 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$175.74–$189.59 $599.78–$653.76 varies
Lidocaine (80176) $215.87 $736.77 14.7×
Lipase (83690) $161.38 $550.78 23.4×
Lipoprotein A (83695) $7.70 $26.28 0.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $96.53 $332.85 8.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $162.54 $554.75 4.8×
Lithium (80178) $147.60 $503.75 22.3×
Luteinizing Hormone (Lh) (83002) $156.21 $533.15 8.4×
Lyme disease antibody (86618) $362.96 $1,238.78 21.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$142.28–$153.50 $485.61–$529.31 varies
M/phmtrc alys ishquant/semiq (88374)
range across 2 matching MRF lines
$179.47–$193.62 $612.52–$667.65 varies
Magnesium Urine (83735) $79.83 $272.47 11.9×
Mass Spectrometry Quant (83789) $15.23 $52.50 0.6×
Mechanical fragility rbc (85547) $60.29 $207.90 7.0×
Mercury urine (83825) $199.86 $682.10 12.3×
Methylmalonic acid serum (83921) $325.06 $1,109.41 15.3×
Microalbumin, quantitative (82043) $66.62 $227.38 11.5×
Microsomal Antibodies Each (86376) $74.09 $252.87 5.1×
Molecular Cytogenetics Dna Probe Each (88271) $59.38 $204.75 2.8×
Mopath procedure level 1 (81400) $227.77 $785.40 3.6×
Mrsa Pcr (87641) $68.92 $235.21 2.0×
Mucin Clot Body Fluid (83872) $36.24 $124.95 6.2×
Mumps antibody (86735) $194.69 $664.48 14.9×
Mycoplasma antibody (86738) $205.02 $699.74 15.5×
Mycoplasma culture (87109) $217.42 $742.04 14.1×
Myelin basic protein csf (83873) $68.10 $232.41 4.0×
Myoglobin urine (83874) $129.23 $441.05 10.0×
Natriuretic peptide (83880) $163.52 $563.85 4.2×
Neisseria Dir Na Probe (87590) $151.28 $516.30 5.6×
Nfct ds chrnc hcv 6 assays (81596) $173.45 $591.97 2.4×
Nickel level (83885) $219.96 $750.71 9.0×
Nuclear antigen antibody (86235) $372.72 $1,272.08 20.8×
Occult blood feces (82272) $24.97 $86.10 5.9×
Occult Blood Other Sources (82271) $71.22 $243.06 13.4×
Oligoclonal bands (83916) $159.65 $544.89 5.8×
Osmolality serum (83930) $82.12 $280.29 12.4×
Osmolality Urine (83935) $149.32 $509.62 21.9×
Osmotic fragility rbc incubated (85557) $72.78 $250.95 5.4×
Osmotic Fragility RBC Unincubated (85555) $156.21 $533.15 20.9×
Ova and parasites smears (87177) $207.32 $707.59 23.3×
Oxalate urine (83945) $167.70 $572.34 11.6×
Pancreatic Elastase Fecal (82656) $358.44 $1,236 31.1×
Particle Agglutination Screen Each Antibody (86403) $108.71 $371.03 9.4×
Parvovirus antibody (86747) $314.33 $1,072.79 20.9×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines
$700.44–$755.66 $2,390.58–$2,605.73 varies
Ph urine (81003) $10.66 $36.75 4.7×
Phenobarbital Level (80184) $137.26 $468.47 9.0×
Phenylalanine (84030) $112.57 $384.19 20.5×
Phenytoin (Dilantin) (80185) $91.32 $311.66 6.9×
Phosphatase acid prostatic (84066) $89.52 $308.70 9.3×
Phosphatase alkaline (84075) $140.70 $480.21 27.2×
Phosphorus Serum (84100) $82.12 $280.29 17.3×
Phosphorus urine (84105) $86.15 $294.02 14.9×
Pinworm exam (87172) $51.11 $174.44 12.0×
Platelet Antibodies (86022) $414.64 $1,415.17 22.6×
Platelet count automated (85049) $109.12 $372.41 24.4×
Porphobilinogen, urine; quantitative (84110) $229.72 $784.03 27.2×
Porphyrins Urine Quantitation & Fractionation (84120) $97.07 $331.28 6.6×
Potassium Urine (84133) $65.46 $223.42 13.8×
Prealbumin (84134) $121.76 $415.56 8.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $45.98 $158.55 0.8×
Primidone (80188) $144.72 $493.94 8.7×
Procalcitonin (Pct) (84145) $125.77 $429.26 4.6×
Progesterone (84144) $178.03 $607.61 8.5×
Prolactin (84146) $273.95 $934.97 14.1×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $397.98 $1,358.28 15.2×
Protein body fluid (84157) $141.85 $484.13 35.5×
Protein C Activity (85303) $131.51 $448.84 9.5×
Protein c antigen (85302) $167.11 $570.35 13.9×
Protein Electrophoresis Urine (84166) $141.85 $484.13 8.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $123.48 $421.42 11.5×
Protein S Free (85306) $110.84 $378.30 7.2×
Protein s total (85305) $311.27 $1,062.36 26.8×
Protein total serum (84155) $97.07 $331.28 26.4×
Protein Total Urine (84156) $232.02 $791.88 63.2×
Protoporphyrin rbc quantitative (84202) $156.21 $533.15 10.9×
PSA free (84154) $109.12 $372.41 5.9×
Pth Intact (83970) $392.25 $1,338.74 9.5×
Quantitative assay drug (80299) $371.58 $1,268.18 19.9×
Quantitative Screen Metals (83018) $426.13 $1,454.38 19.4×
Quinidine (80194) $138.98 $474.34 9.5×
Quinine (84228) $89.83 $309.75 7.7×
Rbc antibody elution (86860) $144.03 $496.65 0.9×
Rbc antibody identification (86870) $249.25 $850.67 0.7×
Rbc antibody screen (86850) $82.12 $280.29 8.4×
Rbc pretx incubatj w/enzymes (86971) $81.18 $277.06 0.5×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $343.56 $1,172.55 4.8×
Receptor assay estrogen (84233) $482.41 $1,646.46 5.5×
Receptor assay progesterone (84234) $487.13 $1,662.56 7.5×
Renin activity plasma (84244) $286 $976.10 13.0×
Reptilase test (85635) $181.52 $619.53 18.4×
Resp virus 12-25 targets (87633) $1,719.97 $5,870.21 4.1×
Rh (86901) $57.43 $196.01 19.2×
Rheumatoid Factor Qualitative (86430) $147.60 $503.75 24.0×
Rheumatoid factor quant (86431) $147.60 $503.75 26.0×
Ristocetin cofactor (85245) $421.54 $1,438.69 18.4×
Rotavirus ag eia (87425) $125.77 $429.26 10.5×
Rpr qualitative (86592) $75.81 $258.73 17.8×
Rsv ab (86756) $225.13 $768.36 14.2×
Rubella Antibody (86762) $161.38 $550.78 11.2×
Rubeola antibody (86765) $85 $290.09 6.6×
Russell Viper Venom Time Diluted (85613) $192.39 $656.62 20.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $66.87 $228.21 1.3×
Sars-cov-2 COVID-19 antibody (86769) $46.92 $160.12 1.1×
Sedimentation rate (85651) $123.48 $421.42 28.9×
Semen analysis motility and count (89310) $132.66 $452.78 15.4×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $70.34 $242.55 7.1×
Sensitivity mic (87186) $98.21 $335.18 11.4×
Sex Hormone Binding Globulin (84270) $286 $976.10 13.2×
Sickling of rbc reduction (85660) $103.38 $352.83 18.8×
Sirolimus (80195) $359.52 $1,227.03 26.2×
Skin Test Candida (86485) $77.94 $266.01 2.8×
Smear acid fast (87206) $75.89 $259.01 14.1×
Smear gram stain (87205) $62.03 $211.70 14.5×
Smear Special Stain (87207) $82.22 $283.50 13.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $97.07 $331.28 16.7×
Sodium Serum (84295) $68.34 $233.24 14.2×
Sodium Urine (84300) $66.62 $227.38 13.2×
Somatomedin (84305) $265.90 $907.51 12.5×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$54.57–$58.87 $186.23–$202.99 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$54.57–$58.87 $186.23–$202.99 varies
Specific gravity body fluid (84315) $82.12 $280.29 25.0×
Spectrophotometry (84311) $309.21 $1,055.31 38.2×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $49.40 $168.59 0.3×
Stool cultr aerobic bact ea (87046) $194.69 $664.48 20.6×
Strep a DNA amp probe (87651) $186.07 $635.06 5.3×
Strep b DNA amp probe (87653) $71.79 $245.03 2.0×
Sugars Single Qual (84376) $65.46 $223.42 11.9×
Sulfate urine (84392) $186.07 $635.06 33.9×
Surg path level iii (88304)
range across 2 matching MRF lines
$112.57–$121.44 $384.19–$418.77 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$112.57–$121.44 $384.19–$418.77 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$270.49–$291.82 $923.19–$1,006.28 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $450.05 $1,551.90 9.6×
T cells total count (86359) $450.05 $1,551.90 11.9×
T3 Free (84481) $103.38 $352.83 6.1×
T3 Total (84480) $75.81 $258.73 5.3×
T3 Uptake (84479) $103.38 $352.83 16.0×
T4 Free (84439) $155.64 $531.19 17.3×
T4 total (84436) $155.64 $531.19 22.7×
T4-neonatal (84437) $82.52 $284.55 12.8×
Tacrolimus (80197) $375.60 $1,281.90 27.4×
Test for acetone/ketones (82009) $31.31 $107.96 6.9×
Testosterone total (84403) $325.06 $1,109.41 12.6×
Testosterone, Free (84402) $354.91 $1,211.30 13.9×
Theophylline (80198) $121.76 $415.56 8.6×
Thrombin Time (85670) $113.71 $388.09 19.7×
Thromboplastin Inhibition Tissue (85705) $159.53 $544.46 16.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $466.90 $1,593.53 72.2×
Thyroglobulin (84432) $82.52 $284.55 5.1×
Thyroglobulin Antibody (86800) $211.34 $721.30 13.3×
Thyroid Stimulating Immunoglobulin (84445) $252.69 $862.43 5.0×
Thyroxine binding globulin (84442) $161.38 $550.78 10.9×
Tissue Culture (88233) $476.66 $1,626.83 3.4×
Tissue culture bone marrow (88237) $407.62 $1,391.18 2.8×
Tissue Culture Lymphocyte (88230) $334.28 $1,140.90 2.9×
Tobramycin peak (80200) $261.89 $893.82 16.2×
Topiramate (80201) $94.18 $321.45 7.9×
Toxin/Antitoxin Assay Tissue Culture (87230) $54.55 $188.10 2.8×
Toxoplasma ab igm (86778) $161.38 $550.78 11.2×
Toxoplasma antibody (86777) $176.31 $601.74 12.3×
Transferase Aspartate Amino Ast Sgot (84450) $103.38 $352.83 20.0×
Transferrin (84466) $192.39 $656.62 15.1×
Triglycerides (84478) $98.21 $335.18 17.1×
Troponin Quant (84484) $152.19 $519.43 12.2×
Trypsin feces qual (84488) $183.06 $624.77 25.1×
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines
$191.24–$206.32 $652.70–$711.44 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$84.35–$85.22 $290.85 varies
Urea Nitrogen Clearance (84545) $48.82 $166.63 6.8×
Uric acid other source (84560) $82.12 $280.29 16.2×
Urinalysis Microscopic Only (81015) $10.66 $36.75 3.5×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $65.47 $225.75 30.2×
Urinalysis Volume Measure (81050) $16.65 $56.84 4.6×
Urine Bacteria Culture (87088) $178.03 $607.61 22.0×
Urine Pregnancy Test (81025) $173.45 $591.97 20.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $93.05 $317.56 29.4×
Urobilinogen urine qual (84578) $63.64 $219.45 14.2×
Urobilinogen, feces, quantitative Facility (84577) $146.14 $498.77 8.7×
Valproic acid (80164) $132.66 $452.78 9.8×
Vancomycin (80202) $132.66 $452.78 9.8×
Varicella-zoster antibody (86787) $138.98 $474.34 10.8×
Vasopressin (84588) $169.43 $578.25 5.0×
Viral Culture (87252) $278.54 $950.66 10.7×
Virus antibody nos (86790) $262.45 $895.74 20.4×
Viscosity serum (85810) $97.07 $331.28 8.3×
Vit D 1 25-Dihydroxy (82652) $265.90 $907.51 6.9×
Vitamin A (84590) $113.71 $388.09 9.8×
Vitamin b-12 (82607) $100.50 $343.02 6.7×
Vitamin B2 (Riboflavin) (84252) $169.43 $578.25 8.4×
Vitamin B6 (84207) $353.76 $1,207.38 12.6×
Vitamin c (82180) $169.43 $578.25 17.1×
Vitamin D 25-Hydroxy (82306) $251.54 $858.50 8.5×
Vitamin K (84597) $66.38 $228.90 4.8×
Volatiles (84600) $167.70 $572.34 9.8×
Von willebrand factor ag (85246) $198.14 $676.25 8.6×
Wbc Alkaline Phosphatase Count (85540) $112.57 $384.19 13.1×
West nile virus ab igm (86788) $103.38 $352.83 6.1×
West Nile Virus Antibody (86789) $163.68 $558.62 11.4×
Xylose Absorption Test (84620) $157.42 $537.27 12.2×
Zinc (84630) $155.64 $531.19 13.7×

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.