Lab & pathology prices at Southwest Memorial Hospital
Cortez, CO · every code in this section with a posted price and a Medicare benchmark.
472 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $109 | $218 | 2.8× |
| Acute hepatitis panel (80074) | $105 | $209 | 2.2× |
| Acylcarnitines Quant (82017) | $226 | $451 | 13.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $86 | $171 | 1.3× |
| Albumin Fluid (82042) | $18 | $35 | 2.3× |
| Albumin serum (82040) | $42 | $84 | 8.5× |
| Aldolase (82085) | $30 | $60 | 3.1× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$88–$96 | $176–$192 | varies |
| Alkaline phosphatase isoenzymes (84080) | $36 | $71 | 2.4× |
| Allergen specific ige (86003) range across 32 matching MRF lines |
$7–$25 | $13–$50 | varies |
| Allergen specific igg (86001) | $12 | $23 | 1.5× |
| Alpha-1-antitrypsin phenotype (82104) | $85 | $170 | 5.9× |
| Alpha-1-antitrypsin total (82103) | $41 | $81 | 3.1× |
| Alpha-Fetoprotein Serum (82105) | $23 | $45 | 1.4× |
| Alt (sgpt) (84460) | $48 | $95 | 9.1× |
| Aluminum (82108) | $58 | $115 | 2.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $42 | $84 | 1.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $130 | $260 | 7.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$10–$126 | $19–$251 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $78 | $156 | 0.8× |
| Amylase urine (82150) range across 2 matching MRF lines |
$17–$55 | $33–$109 | varies |
| Ana Titer (86039) | $41 | $81 | 3.7× |
| Anca screen each antibody (86036) | $37 | $74 | 3.1× |
| Anca Titer Each Antibody (86037) | $32 | $64 | 2.7× |
| Androstenedione (82157) | $73 | $145 | 2.5× |
| Angiotensin converting enzyme csf (82164) | $67 | $134 | 4.6× |
| Anti-Phospholipid Antibody (86148) | $39 | $77 | 2.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$11–$53 | $21–$106 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $26 | $52 | 1.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $26 | $52 | 1.4× |
| Antibody helicobacter pylori (86677) | $53 | $105 | 3.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$49–$76 | $97–$152 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $85 | $170 | 6.2× |
| Antibody HIV-2 (86702) | $22 | $44 | 1.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $146 | $292 | 7.5× |
| Antibody identification leukocyte antibodies (86021) | $37 | $73 | 2.5× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$37–$80 | $74–$159 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$32–$33 | $64–$66 | varies |
| Antinuclear antibodies (86038) | $48 | $95 | 4.0× |
| Antistreptolysin o titer (86060) | $14 | $27 | 1.9× |
| Antithrombin iii activity (85300) | $45 | $90 | 3.8× |
| Antithrombin iii antigen (85301) | $55 | $109 | 5.1× |
| Apolipoprotein a1 (82172) | $38 | $75 | 1.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$15–$24 | $29–$47 | varies |
| Assay activated protein c (85307) | $97 | $193 | 6.3× |
| Assay Blood Carbon Dioxide (82374) | $25 | $50 | 5.1× |
| Assay Dir Meas Fr Estradiol (82681) | $104 | $208 | 3.7× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$10–$53 | $19–$105 | varies |
| Assay of 5-hiaa (83497) | $48 | $96 | 3.7× |
| Assay of anti-mullerian hormone (82166) | $63 | $125 | 1.6× |
| Assay of blood/uric acid (84550) | $39 | $77 | 8.6× |
| Assay of calcium in urine (82340) range across 5 matching MRF lines |
$10–$52 | $19–$103 | varies |
| Assay of cpk in blood (82552) | $33 | $66 | 2.5× |
| Assay of g6pd enzyme (82955) | $24 | $47 | 2.5× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$29–$35 | $58–$70 | varies |
| Assay of lactic acid (83605) | $12 | $24 | 1.0× |
| Assay of metanephrines (83835) | $87 | $173 | 5.1× |
| Assay of proinsulin (84206) | $58 | $115 | 2.2× |
| Assay of pyruvate (84210) | $27 | $53 | 1.9× |
| Assay of serotonin (84260) | $55 | $110 | 1.8× |
| Assay of serum potassium (84132) | $38 | $76 | 8.0× |
| Assay of sweat sodium (84302) | $36 | $71 | 7.4× |
| Assay of urea nitrogen (84520) | $35 | $69 | 8.9× |
| Assay of urine vma (84585) | $58 | $116 | 3.7× |
| Assay of vitamin b-1 (84425) | $74 | $147 | 3.5× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$9–$30 | $17–$60 | varies |
| Automated Leukocyte Count (85048) | $23 | $46 | 9.1× |
| Bcr/abl1 gene major bp (81206) | $158 | $315 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $158 | $315 | 1.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 9 matching MRF lines |
$16–$50 | $31–$100 | varies |
| Beta hydroxybutyrate (82010) | $103 | $206 | 12.6× |
| Beta Lactamase (87185) | $26 | $51 | 5.5× |
| Beta-2 Microglobulin (82232) | $60 | $120 | 3.7× |
| Bile acids total (82239) | $21 | $42 | 1.2× |
| Bilirubin direct (82248) | $42 | $84 | 8.4× |
| Bilirubin total (82247) | $42 | $84 | 8.4× |
| Bilirubin total transcutaneous (88720) | $10 | $20 | 2.0× |
| Biotinidase (82261) | $9 | $18 | 0.5× |
| Bl Smear W/O Diff Wbc Count (85008) | $22 | $43 | 6.4× |
| Bleeding time test (85002) | $38 | $75 | 7.9× |
| Blood Count Red Blood Cell Automated (85041) | $8 | $15 | 2.6× |
| Blood count reticulocyte automated (85045) | $35 | $70 | 8.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $29 | $58 | 7.6× |
| Blood gas (82803) range across 2 matching MRF lines |
$86–$125 | $171–$249 | varies |
| Blood gases w/02 saturation (82805) | $130 | $259 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $66 | $131 | 4.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$25–$27 | $50–$53 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $242 | $484 | 38.1× |
| Blood typing serologic abo (86900) | $147 | $294 | 49.2× |
| Bone marrow smear interpretation (85097) | $608 | $1,215 | 0.7× |
| Bordetella antibody (86615) | $33 | $66 | 2.5× |
| Breath Alcohol Test (82075) | $38 | $75 | 1.3× |
| C diff amplified probe (87493) | $170 | $339 | 4.6× |
| C-Peptide (84681) | $44 | $87 | 2.1× |
| C-reactive protein (86140) | $45 | $90 | 8.7× |
| Ca 19-9 (86301) | $77 | $154 | 3.7× |
| Cadmium (82300) | $57 | $113 | 2.4× |
| Calcitonin (82308) | $66 | $131 | 2.5× |
| Calcium ionized (82330) | $55 | $109 | 4.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$44–$45 | $87–$89 | varies |
| Calculus Spectroscopy (82365) | $48 | $96 | 3.7× |
| Calprotectin Fecal (83993) | $44 | $88 | 2.2× |
| Cancer Antigen 125 (86304) | $77 | $154 | 3.7× |
| Cancer Antigen 27.29 (86300) | $77 | $154 | 3.7× |
| Carbamazepine total (80156) | $123 | $246 | 8.4× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$102–$105 | $203–$210 | varies |
| Carcinoembryonic antigen (82378) | $72 | $144 | 3.8× |
| Cardiolipin ab iga (86147) range across 9 matching MRF lines |
$23–$50 | $45–$100 | varies |
| Catecholamines fractionated (82384) | $79 | $157 | 3.1× |
| Ccp antibody (86200) | $70 | $140 | 5.4× |
| Cell count csf (89051) | $48 | $95 | 8.6× |
| Cell marker study (88182) | $55 | $110 | 1.0× |
| Ceruloplasmin (82390) | $15 | $29 | 1.4× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$620–$713 | $1,240–$1,425 | varies |
| Chloride other source (82438) | $12 | $23 | 2.4× |
| Chloride Serum (82435) | $23 | $45 | 5.0× |
| Cholesterol total (82465) | $37 | $74 | 8.5× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$43–$53 | $86–$106 | varies |
| Chromium serum (82495) | $51 | $101 | 2.5× |
| Chromogranin a (86316) | $63 | $126 | 3.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$38–$39 | $76–$78 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$35–$104 | $70–$208 | varies |
| Ckmb (82553) | $99 | $197 | 8.6× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$16–$102 | $32–$203 | varies |
| Coccidioides antibody (86635) | $30 | $60 | 2.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$65–$71 | $130–$141 | varies |
| Column Chromotography Quant (82542) | $120 | $239 | 5.0× |
| Compatibility Each Unit Incubation (86921) | $145 | $289 | 0.8× |
| Compatibility test antiglob (86922) | $191 | $381 | 1.1× |
| Complement Antigen Each Component (86160) | $47 | $93 | 3.9× |
| Complement Total (Ch50) (86162) | $66 | $131 | 3.2× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $121 | $241 | 0.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $63 | $126 | 1.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$41–$47 | $81–$93 | varies |
| Copper urine (82525) | $39 | $77 | 3.1× |
| Cortisol free (82530) | $109 | $218 | 6.5× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$39–$62 | $78–$123 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$17–$70 | $33–$139 | varies |
| Creatinine blood (82565) | $34 | $67 | 6.6× |
| Creatinine clearance (82575) | $80 | $160 | 8.5× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$10–$45 | $19–$89 | varies |
| Crossmatch immediate spin (86920) | $149 | $298 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$28–$44 | $55–$87 | varies |
| Cryoglobulin (82595) | $25 | $50 | 3.9× |
| Cryptococcus ag titer (87899) | $74 | $148 | 4.6× |
| Cryptosporidium ag eia (87328) | $106 | $212 | 7.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 5 matching MRF lines |
$24–$61 | $47–$122 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $60 | $120 | 7.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $60 | $119 | 7.8× |
| Culture afb (87116) | $15 | $29 | 1.4× |
| Culture Anaerobic (87075) | $80 | $160 | 8.4× |
| Culture blood (87040) | $90 | $179 | 8.7× |
| Culture csf (87070) range across 14 matching MRF lines |
$49–$75 | $98–$150 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$9–$55 | $18–$109 | varies |
| Culture screen only (87081) range across 6 matching MRF lines |
$9–$58 | $17–$115 | varies |
| Culture stool (87045) | $82 | $163 | 8.7× |
| Culture typing if ea antiserum (87140) | $55 | $109 | 9.9× |
| Cyclosporine (80158) | $68 | $135 | 3.8× |
| Cystatin C (82610) | $66 | $131 | 3.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$11–$53 | $21–$106 | varies |
| Cytopath Cell Enhance Tech (88112) | $109 | $218 | 2.0× |
| Cytp Concentration Smears & Interpretation (88108) | $84 | $167 | 2.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $67 | $133 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $37 | $73 | 0.9× |
| Deoxyribonuclease antibody (86215) | $45 | $90 | 3.4× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$47–$302 | $94–$604 | varies |
| Detect Agent Nos Dna Quant (87799) | $178 | $355 | 4.2× |
| Dgp Antibody Each Ig Class (86258) | $37 | $73 | 3.1× |
| Dhea (82626) | $95 | $190 | 3.8× |
| Dhea-S (82627) | $84 | $167 | 3.8× |
| Digoxin (80162) | $113 | $225 | 8.5× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) | $208 | $416 | 0.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$20–$50 | $40–$99 | varies |
| Drug Assay Everolimus (80169) | $91 | $181 | 6.6× |
| Drug Screen Quant Clozapine (80159) | $47 | $93 | 2.3× |
| Drug Screen Quantitative Gabapentin (80171) | $39 | $78 | 1.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $52 | $103 | 3.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $78 | $156 | 5.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $55 | $110 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$57–$95 | $113–$190 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$43–$105 | $86–$209 | varies |
| Ehrlichia antibody (86666) | $18 | $35 | 1.8× |
| Electrolyte panel (80051) | $60 | $119 | 8.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$21–$87 | $42–$173 | varies |
| Erythropoietin (82668) | $58 | $116 | 3.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$52–$59 | $104–$118 | varies |
| Estriol (82677) | $32 | $63 | 1.3× |
| Estrogen total (82672) | $29 | $58 | 1.3× |
| Estrogens fractionated (82671) | $152 | $304 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $60 | $120 | 8.2× |
| F2 Gene (81240) | $113 | $225 | 1.7× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$63–$129 | $125–$258 | varies |
| Factor viii assay (85240) | $56 | $111 | 3.1× |
| Fecal Fat Qualitative (82705) | $17 | $33 | 3.3× |
| Ferritin (82728) | $53 | $105 | 3.9× |
| Fetal Chrmoml Aneuploidy (81420) | $738 | $1,475 | 1.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $384 | $768 | 2.5× |
| Fetal screen rosette (85461) | $57 | $113 | 6.1× |
| Fibrin Degradation Quant (85379) | $70 | $139 | 6.9× |
| Fibrinogen activity (85384) | $73 | $146 | 7.5× |
| Flow cytometry first marker (88184) | $242 | $484 | 0.6× |
| Fluorescent antibody screen (86255) | $59 | $118 | 4.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $37 | $73 | 3.1× |
| Fmr1 gene detection (81243) | $63 | $125 | 1.1× |
| Folic acid rbc (82747) | $49 | $98 | 2.8× |
| Folic Acid Serum (82746) | $55 | $110 | 3.7× |
| Follicle Stimulating Hormone (83001) | $72 | $143 | 3.9× |
| Frozen Section (88331) | $145 | $289 | 0.8× |
| Fungi Identification Yeast (87106) | $26 | $51 | 2.5× |
| Galactose transferase test (82776) | $6 | $12 | 0.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$8–$52 | $15–$104 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $52 | $104 | 5.3× |
| Gastrin (82941) | $68 | $136 | 3.9× |
| Genet Virus Isolate Hsv (87255) | $96 | $192 | 2.8× |
| Gentamicin (80170) | $134 | $268 | 8.2× |
| Ggt (82977) | $61 | $121 | 8.5× |
| Giardia antigen (87329) | $103 | $205 | 8.6× |
| Glucose 2 hr pp (82950) | $39 | $77 | 8.2× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$19 | $37–$38 | 5.8× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$34–$50 | $67–$99 | varies |
| Glucose Serum (82947) | $34 | $67 | 8.7× |
| Glucose tolerance test (gtt) (82951) | $54 | $108 | 4.2× |
| Gonadotropin Chorionic Qualitative (84703) | $61 | $121 | 8.1× |
| Growth hormone (83003) | $54 | $108 | 3.2× |
| Gtt-added samples (82952) | $23 | $45 | 5.9× |
| H Pylori (C-13) Breath (83013) | $105 | $209 | 1.6× |
| Haptoglobin (83010) | $22 | $43 | 1.7× |
| Hdl Cholesterol (83718) | $70 | $140 | 8.5× |
| Helicobacter Pylori Stool (87338) | $103 | $205 | 7.2× |
| Helminth Antibody (86682) | $90 | $179 | 6.9× |
| Hematocrit (85014) range across 2 matching MRF lines |
$22 | $43–$44 | 9.3× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$21–$22 | $42–$44 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$42–$87 | $83–$173 | varies |
| Hemoglobin Chromotography (83021) | $59 | $118 | 3.3× |
| Hemoglobin electrophoresis (83020) | $7 | $14 | 0.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $62 | $123 | 7.6× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $42 | $83 | 4.3× |
| Hep a ab igm (86709) | $41 | $81 | 3.6× |
| Hepatitis a antibody total (86708) | $47 | $94 | 3.8× |
| Hepatitis b core ab igm (86705) | $44 | $87 | 3.7× |
| Hepatitis b core ab total (86704) | $47 | $93 | 3.9× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$8–$39 | $15–$77 | varies |
| Hepatitis B Surface Antigen (87340) | $39 | $77 | 3.8× |
| Hepatitis Be Antibody (86707) | $44 | $87 | 3.8× |
| Hepatitis C Antibody (86803) | $54 | $107 | 3.8× |
| Hepatitis C Genotype (87902) | $354 | $708 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $161 | $321 | 3.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$49–$76 | $97–$152 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$5–$44 | $10–$87 | varies |
| Hfe Gene (81256) | $234 | $467 | 3.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $44 | $87 | 5.7× |
| Histoplasma antibody (86698) | $30 | $60 | 2.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $61 | $121 | 2.5× |
| Hiv-1 Antibody (86701) | $22 | $44 | 2.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $262 | $523 | 3.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$155–$304 | $310–$607 | varies |
| Hla ii typing 1 locus lr (81376) range across 3 matching MRF lines |
$155–$301 | $310–$601 | varies |
| Hla-b27 (86812) | $89 | $177 | 3.4× |
| Homocysteine (83090) range across 2 matching MRF lines |
$19–$62 | $37–$124 | varies |
| Hsv Dna Amp Probe (87529) | $55 | $110 | 1.6× |
| Hsv Dna Quant (87530) | $55 | $110 | 1.3× |
| Hydroxycorticosteroids 17 (83491) | $44 | $87 | 2.5× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$10–$84 | $20–$168 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $29 | $58 | 2.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $105 | $209 | 7.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$21–$36 | $42–$71 | varies |
| Iaadi not otherwise specified each organism (87299) | $15 | $30 | 0.9× |
| Iaadi parainfluenza virus each type (87279) | $15 | $30 | 0.9× |
| Iaadi respiratory synctial virus (87280) | $15 | $30 | 1.1× |
| Iaadi Varicella Zoster Virus (87290) | $81 | $161 | 6.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $120 | $239 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) | $129 | $258 | 3.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $161 | $321 | 3.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $262 | $523 | 7.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$38–$39 | $76–$78 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $214 | $428 | 1.5× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$31–$62 | $62–$123 | varies |
| Igg subclasses (82787) | $18 | $35 | 2.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$51–$179 | $102–$358 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$23–$74 | $45–$147 | varies |
| Immunodiffusion not elsewhere specified (86329) | $17 | $33 | 1.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$45–$77 | $90–$153 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $242 | $484 | 1.3× |
| Immunohistochemistry (88342) | $242 | $484 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $288 | $576 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $15 | $30 | 1.0× |
| Influenza a/b ag eia (87400) | $23 | $45 | 1.6× |
| Influenza assay w/optic (87804) | $21 | $42 | 1.3× |
| Inhibin A (86336) | $41 | $82 | 2.6× |
| Inhibin b (83520) range across 3 matching MRF lines |
$9–$287 | $18–$573 | varies |
| Insitu hybridization auto (88367) | $401 | $802 | 1.1× |
| Insulin antibodies (86337) | $174 | $347 | 8.1× |
| Insulin total (83525) | $42 | $84 | 3.7× |
| Iron (83540) | $56 | $111 | 8.7× |
| Iron Binding Capacity (83550) | $77 | $153 | 8.8× |
| Islet cell antibody (86341) | $48 | $95 | 2.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $239 | $477 | 2.6× |
| Ketosteroids 17 total (83586) | $32 | $63 | 2.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$52–$53 | $103–$105 | varies |
| LDL direct (83721) | $28 | $55 | 2.7× |
| Lead (83655) range across 4 matching MRF lines |
$15–$47 | $29–$93 | varies |
| Legionella antigen urine (87449) | $16 | $32 | 1.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $33 | $66 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $77 | $153 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $216 | $432 | 0.6× |
| Lipase (83690) | $62 | $123 | 9.0× |
| Lipoprotein A (83695) | $45 | $89 | 3.1× |
| Lipoprotein Bld Quan Part (83704) | $78 | $156 | 2.3× |
| Lithium (80178) | $25 | $50 | 3.8× |
| Luteinizing Hormone (Lh) (83002) | $72 | $143 | 3.9× |
| Lyme disease antibody (86618) | $33 | $66 | 1.9× |
| M/phmtrc alys ishquant/semiq (88374) | $329 | $657 | 1.8× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$10–$59 | $19–$118 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$13–$59 | $26–$118 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$15–$53 | $29–$105 | varies |
| Methylmalonic acid serum (83921) | $51 | $102 | 2.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$14–$51 | $27–$101 | varies |
| Microsomal Antibodies Each (86376) | $54 | $108 | 3.7× |
| Mopath procedure level 1 (81400) | $359 | $718 | 5.6× |
| Mopath procedure level 2 (81401) | $10 | $20 | 0.1× |
| Mopath procedure level 5 (81404) | $537 | $1,073 | 2.0× |
| Mrsa Pcr (87641) | $40 | $79 | 1.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$8–$39 | $15–$77 | varies |
| Mycoplasma antibody (86738) | $39 | $78 | 2.9× |
| Myoglobin urine (83874) | $36 | $72 | 2.8× |
| Natriuretic peptide (83880) | $157 | $314 | 4.0× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $359 | $718 | 1.4× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $156 | $311 | 0.6× |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$20–$88 | $40–$176 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$10–$11 | $19–$22 | varies |
| Occult Blood Other Sources (82271) | $28 | $56 | 5.3× |
| Oligoclonal bands (83916) | $60 | $119 | 2.2× |
| Organic acids urine (83918) | $50 | $99 | 2.1× |
| Osmolality Urine (83935) | $21 | $42 | 3.1× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$34 | $67–$68 | 3.8× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$10–$32 | $19–$63 | varies |
| Pancreatic Elastase Fecal (82656) | $143 | $285 | 12.4× |
| Parvovirus antibody (86747) | $57 | $113 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $608 | $1,215 | 0.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$20–$22 | $40–$43 | varies |
| Phenobarbital Level (80184) | $42 | $84 | 2.7× |
| Phenylalanine (84030) | $4 | $8 | 0.7× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$33–$112 | $66–$224 | varies |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$17–$44 | $33–$87 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$103–$118 | $206–$235 | varies |
| Phosphorus Serum (84100) | $40 | $79 | 8.4× |
| Phosphorus urine (84105) range across 4 matching MRF lines |
$10–$44 | $19–$87 | varies |
| Platelet count automated (85049) | $37 | $74 | 8.3× |
| Platelet neutralization (85597) range across 3 matching MRF lines |
$56–$83 | $111–$166 | varies |
| Porphobilinogen, urine; quantitative (84110) | $59 | $118 | 7.0× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$10–$37 | $19–$73 | varies |
| Prealbumin (84134) | $25 | $50 | 1.7× |
| Pregnenolone (84140) | $64 | $128 | 3.1× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$53–$138 | $106–$276 | varies |
| Progesterone (84144) | $90 | $179 | 4.3× |
| Prolactin (84146) | $74 | $148 | 3.8× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$9–$45 | $17–$90 | varies |
| Protein C Activity (85303) | $52 | $104 | 3.8× |
| Protein c antigen (85302) | $44 | $87 | 3.7× |
| Protein Electrophoresis Urine (84166) | $39 | $78 | 2.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$39–$40 | $78–$80 | varies |
| Protein S Free (85306) | $58 | $115 | 3.8× |
| Protein s total (85305) range across 2 matching MRF lines |
$24–$44 | $47–$87 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$9–$31 | $17–$62 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$11–$31 | $22–$62 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$37–$42 | $73–$84 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$73–$131 | $146–$262 | varies |
| Q Fever Antibody (86638) range across 6 matching MRF lines |
$11–$43 | $21–$85 | varies |
| Quantiferon tb gold plus (86480) | $180 | $360 | 2.9× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$57–$60 | $114–$120 | varies |
| Rbc antibody identification (86870) | $242 | $484 | 0.6× |
| Rbc antibody screen (86850) | $62 | $123 | 6.3× |
| Reagent Strip/Blood Glucose (82948) | $10 | $19 | 2.0× |
| Renin activity plasma (84244) | $83 | $166 | 3.8× |
| Reptilase test (85635) | $60 | $119 | 6.1× |
| Rh (86901) | $27 | $53 | 9.0× |
| Rheumatoid Factor Qualitative (86430) | $49 | $98 | 8.0× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$12–$49 | $23–$98 | varies |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$13–$47 | $26–$93 | varies |
| Ristocetin cofactor (85245) | $95 | $189 | 4.1× |
| Rotavirus ag eia (87425) | $37 | $73 | 3.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$16–$33 | $31–$66 | varies |
| Rsv Assay W/Optic (87807) | $25 | $49 | 1.9× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$8–$36 | $15–$72 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$8–$41 | $15–$81 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$14–$36 | $27–$72 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$27–$56 | $53–$112 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $42 | $84 | 1.0× |
| Sedimentation Rate, Automated (85652) | $24 | $48 | 8.9× |
| Selenium (84255) | $77 | $153 | 3.0× |
| Semen Anal Sperm Detection (89321) | $25 | $50 | 2.1× |
| Semen analysis complete (89320) | $104 | $207 | 8.4× |
| Sensitivity mic (87186) | $76 | $151 | 8.8× |
| Sex Hormone Binding Globulin (84270) | $52 | $104 | 2.4× |
| Sickling of rbc reduction (85660) | $60 | $119 | 10.9× |
| Sirolimus (80195) | $68 | $136 | 5.0× |
| Skin test tuberculosis intradermal (86580) | $10 | $20 | 0.3× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$8–$13 | $15–$25 | varies |
| Smear complex stain (87209) | $34 | $68 | 1.9× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$24–$37 | $48–$74 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$36–$39 | $71–$77 | varies |
| Sodium Serum (84295) | $39 | $78 | 8.1× |
| Sodium Urine (84300) range across 5 matching MRF lines |
$10–$41 | $19–$81 | varies |
| Somatomedin (84305) | $67 | $134 | 3.2× |
| Special Stains Group 1 (88312) | $109 | $217 | 2.0× |
| Special Stains Group 2 (88313) | $95 | $190 | 0.7× |
| Specific gravity body fluid (84315) | $23 | $45 | 7.0× |
| Spectrophotometry (84311) | $64 | $128 | 7.9× |
| Staph a DNA amp probe (87640) | $40 | $79 | 1.1× |
| Stool cultr aerobic bact ea (87046) | $36 | $71 | 3.8× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$44–$49 | $87–$98 | varies |
| Strep a DNA amp probe (87651) | $53 | $105 | 1.5× |
| Sugars Single Qual (84376) | $22 | $44 | 4.0× |
| Sulfate urine (84392) range across 3 matching MRF lines |
$10–$12 | $19–$23 | varies |
| Surg path level iii (88304) | $142 | $283 | 2.6× |
| Surgical pathology level IV (88305) | $143 | $285 | 2.6× |
| Surgical pathology level vi (88309) | $608 | $1,215 | 0.7× |
| Syphilis Test Non-Trep Quant (86593) | $24 | $47 | 5.5× |
| T cells absolute cd4 count (86361) | $58 | $116 | 2.2× |
| T3 Free (84481) | $64 | $128 | 3.8× |
| T3 reverse (84482) | $57 | $113 | 3.6× |
| T3 Total (84480) | $46 | $92 | 3.2× |
| T3 Uptake (84479) | $55 | $109 | 8.5× |
| T4 Free (84439) | $73 | $146 | 8.1× |
| T4 total (84436) | $58 | $116 | 8.4× |
| T4-neonatal (84437) | $4 | $8 | 0.6× |
| Tacrolimus (80197) | $72 | $143 | 5.2× |
| Test for acetone/ketones (82009) | $39 | $77 | 8.6× |
| Testosterone total (84403) | $64 | $128 | 2.5× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$63–$64 | $125–$128 | varies |
| Theophylline (80198) | $120 | $240 | 8.5× |
| Thrombin Time (85670) range across 4 matching MRF lines |
$15–$20 | $30–$40 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$51–$58 | $101–$115 | varies |
| Thyroglobulin Antibody (86800) | $52 | $103 | 3.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $115 | $229 | 2.3× |
| Thyroxine binding globulin (84442) | $49 | $97 | 3.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 6 matching MRF lines |
$21–$37 | $42–$73 | varies |
| Topiramate (80201) | $35 | $70 | 2.9× |
| Toxoplasma ab igm (86778) | $37 | $74 | 2.6× |
| Toxoplasma antibody (86777) | $37 | $74 | 2.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $45 | $89 | 8.7× |
| Transferrin (84466) | $48 | $96 | 3.8× |
| Trichomonas Vaginalis Amplif (87661) | $39 | $78 | 1.1× |
| Triglycerides (84478) | $50 | $99 | 8.7× |
| Troponin Quant (84484) | $58 | $116 | 4.7× |
| Tumor immunohistochem/comput (88361) | $210 | $420 | 0.6× |
| Tumor Immunohistochem/Manual (88360) | $242 | $484 | 1.3× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$38–$39 | $76–$77 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$10–$39 | $19–$77 | varies |
| Urinalysis Microscopic Only (81015) | $26 | $52 | 8.5× |
| Urine Albumin Semiquantitative (82044) | $14 | $27 | 2.2× |
| Urine Bacteria Culture (87088) | $47 | $93 | 5.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$39–$48 | $77–$95 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $40 | $80 | 12.6× |
| Valproic acid (80164) | $114 | $228 | 8.4× |
| Vancomycin (80202) | $114 | $228 | 8.4× |
| Varicella-zoster antibody (86787) | $48 | $96 | 3.7× |
| Vasopressin (84588) | $143 | $286 | 4.2× |
| Viral Culture (87252) | $98 | $196 | 3.8× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$32–$44 | $63–$88 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$91–$106 | $182–$211 | varies |
| Vit D 1 25-Dihydroxy (82652) | $92 | $184 | 2.4× |
| Vitamin A (84590) | $44 | $87 | 3.8× |
| Vitamin b-12 (82607) | $58 | $116 | 3.8× |
| Vitamin B6 (84207) | $61 | $122 | 2.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$63–$168 | $125–$335 | varies |
| Vitamin E (84446) | $53 | $106 | 3.7× |
| Vitamin K (84597) | $40 | $80 | 2.9× |
| Von willebrand factor ag (85246) | $74 | $147 | 3.2× |
| West nile virus ab igm (86788) | $47 | $93 | 2.8× |
| West Nile Virus Antibody (86789) | $47 | $93 | 3.3× |
| Zinc (84630) | $37 | $74 | 3.2× |
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.