Lab & pathology prices at SSM Health St. Anthony Hospital - Midwest

Midwest City, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $22 $40 1.2×
Acetylcholine receptor blocking antibody (86042) $22 $40 1.2×
Acetylcholn Rcptr Modlg Antb (86043) $11.55 $21 1.0×
Acth (82024) $654.64 $1,190.25 17.0×
Actin smooth muscle antibody each (86015) $86.35 $157 7.2×
Acute hepatitis panel (80074) $1,028.91 $1,870.75 21.6×
Adenovirus antibody (86603) $86.90 $158 6.8×
Albumin Fluid (82042) $106.84 $194.25 13.7×
Albumin serum (82040) $83.88 $152.50 16.9×
Aldolase (82085) $164.59 $299.25 17.0×
Aldosterone urine (82088)
range across 5 matching MRF lines
$29.70–$690.66 $54–$1,255.75 varies
Alkaline phosphatase isoenzymes (84080) $250.52 $455.50 16.9×
Allergen spec ige qual multiallergen screen (86005) $33.82 $61.50 4.2×
Allergen specific ige (86003) $88.41 $160.75 16.9×
Allg Spec Ige Recomb Ea (86008) $64.90 $118 3.6×
Alpha-1-antitrypsin phenotype (82104) $43.45 $79 3.0×
Alpha-1-antitrypsin total (82103) $227.70 $414 16.9×
Alpha-Fetoprotein Serum (82105) $142.18 $258.50 8.5×
Alt (sgpt) (84460) $89.79 $163.25 16.9×
Amikacin trough (80150)
range across 3 matching MRF lines
$17.05–$260.98 $31–$474.50 varies
Amino Acids 1 Quantitative Each Specimen (82131) $25.30 $46 1.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $71.50 $130 4.2×
Ammonia (82140) $123.48 $224.50 8.5×
Amniotic fluid protein test on cervicovaginal fluid (84112) $673.48 $1,224.50 6.9×
Amylase urine (82150) $351.45 $639 54.2×
Ana Titer (86039)
range across 3 matching MRF lines
$12.65–$151.25 $23–$275 varies
Anca screen each antibody (86036) $162.80 $296 13.5×
Androstenedione (82157) $156.75 $285 5.4×
Angiotensin converting enzyme csf (82164) $247.50 $450 17.0×
Anti-Phospholipid Antibody (86148) $136.12 $247.50 8.5×
Antibody aspergillus (86606) $175.04 $318.25 11.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $131.31 $238.75 8.5×
Antibody Cytomegalovirus Cmv Igm (86645) $142.72 $259.50 8.5×
Antibody Encephalitis California La Crosse (86651) $33.55 $61 2.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $55.55 $101 4.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $259.19 $471.25 17.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $307.59 $559.25 17.0×
Antibody Fungus Not Elsewhere Specified (86671) $207.76 $377.75 17.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $61.05 $111 4.2×
Antibody Herpes Smplx Type 1 (86695) $111.79 $203.25 8.5×
Antibody HIV-2 (86702) $67.24 $122.25 5.0×
Antibody htlv/HIV antibody confirmatory test (86689) $299.75 $545 15.5×
Antibody Identification Platelet Immunogl Assay (86023) $154 $280 12.4×
Antibody Protozoa Nes (86753) $209.96 $381.75 16.9×
Antibody Titer (86886) $198.14 $360.25 38.3×
Antibody Treponema Pallidum (86780) $112.20 $204 8.5×
Antibody; campylobacter (86625) $346.50 $630 26.4×
Antibody; encephalitis, st. louis (86653) $33.55 $61 2.5×
Antigen typing (86905) $202.95 $369 53.0×
Antinuclear antibodies (86038) $204.88 $372.50 16.9×
Antistreptolysin o titer (86060) $123.75 $225 17.0×
Antithrombin iii activity (85300) $100.38 $182.50 8.5×
Antithrombin iii antigen (85301) $183.29 $333.25 17.0×
Apolipoprotein a1 (82172) $34.65 $63 1.6×
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 2 matching MRF lines
$14.85–$455.40 $27–$828 varies
Aquaporin-4 Antb Cba Each (86052) $400.40 $728 33.2×
Arsenic (82175) $439.18 $798.50 23.2×
Aspergillus ag eia (87305) $326.15 $593 27.2×
Assay activated protein c (85307) $191.95 $349 12.5×
Assay Nephelometry Not Spec (83883) $230.45 $419 16.9×
Assay of 5-hiaa (83497) $218.62 $397.50 16.9×
Assay of anti-mullerian hormone (82166) $46.75 $85 1.2×
Assay of blood/uric acid (84550) $184.66 $335.75 40.9×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$77–$102.16 $140–$185.75 varies
Assay of estrone (82679) $211.48 $384.50 8.5×
Assay of g6pd enzyme (82955) $164.31 $298.75 16.9×
Assay of gammaglobulin igm (82784) $78.79 $143.25 8.5×
Assay of lactic acid (83605) $260.15 $473 22.5×
Assay of metanephrines (83835) $287.24 $522.25 17.0×
Assay of proinsulin (84206) $669.35 $1,217 25.1×
Assay of serotonin (84260) $262.62 $477.50 8.5×
Assay of serum potassium (84132) $77.96 $141.75 16.4×
Assay of sweat sodium (84302) $82.36 $149.75 16.9×
Assay of transcortin (84449) $76.31 $138.75 4.2×
Assay of urea nitrogen (84520) $66.96 $121.75 17.0×
Assay of urine vma (84585) $160.05 $291 10.3×
Assay of vitamin b-1 (84425) $359.84 $654.25 16.9×
Assay Ph Body Fluid Nos (83986) $60.64 $110.25 16.9×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $925.10 $1,682 1.1×
Autol bld/component collj storage salvage (86891) $439.26 $798.66 0.6×
Bartonella antibody (86611) $172.42 $313.50 16.9×
Bcr/abl1 gene major bp (81206) $694.79 $1,263.25 4.2×
Bcr/abl1 gene minor bp (81207) $1,227.46 $2,231.75 8.5×
Bcr/Abl1 Gene Other Bp (81208) $298.65 $543 1.4×
Beta 2 glycoprotein i antibody each (86146) $215.74 $392.25 8.5×
Beta hydroxybutyrate (82010) $138.46 $251.75 16.9×
Beta Lactamase (87185) $40.29 $73.25 8.5×
Beta-2 Microglobulin (82232) $274.18 $498.50 16.9×
Beta-amyloid; 1-42 (abeta 42) (82234) $137.50 $250 1.1×
Bile acids total (82239) $72.60 $132 4.2×
Bilirubin direct (82248) $84.98 $154.50 16.9×
Bilirubin total (82247) $178.48 $324.50 35.6×
Biotinidase (82261) $71.50 $130 4.2×
Blastomyces antibody (86612) $140.80 $256 10.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $29.15 $53 7.7×
Blood gas (82803)
range across 2 matching MRF lines
$29.15–$542.30 $53–$986 varies
Blood gases w/02 saturation (82805) $183.70 $334 2.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $50.05 $91 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $60.09 $109.25 13.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $202.95 $369 32.0×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $61.60 $112 3.8×
Blood typing serologic abo (86900) $240.21 $436.75 80.3×
Body fluid cell count (89050)
range across 2 matching MRF lines
$32.45–$180.95 $59–$329 varies
Braf gene analysis (81210) $1,203.95 $2,189 6.9×
Brca1&2 gen full seq dup/del (81162) $7,732.31 $14,058.75 4.2×
Brucella antibody (86622) $313.64 $570.25 35.1×
C diff amplified probe (87493) $297.41 $540.75 8.0×
C-Peptide (84681) $352.82 $641.50 17.0×
C-reactive protein (86140) $156.51 $284.56 30.2×
Ca 19-9 (86301) $176.41 $320.75 8.5×
Calcitonin (82308) $174.35 $317 6.5×
Calcium ionized (82330) $115.91 $210.75 8.5×
Calcium total (82310) $87.45 $159 16.9×
Calculus Spectroscopy (82365) $122.65 $223 9.5×
Calprotectin Fecal (83993) $49.91 $90.75 2.5×
Calr gene com variants (81219) $620.95 $1,129 5.1×
Cancer Antigen 125 (86304) $352.82 $641.50 17.0×
Cancer Antigen 27.29 (86300) $176.41 $320.75 8.5×
Candida antibody (86628) $26.40 $48 2.2×
Candida Dna Dir Probe (87480) $84.98 $154.50 4.2×
Carbamazepine total (80156) $246.81 $448.75 16.9×
Carboxyhemoglobin (82375) $208.86 $379.75 17.0×
Carcinoembryonic antigen (82378) $321.34 $584.25 16.9×
Cardiolipin ab iga (86147) $215.74 $392.25 8.5×
Carnitine Quantitative Each Specimen (82379) $286 $520 17.0×
Catecholamines fractionated (82384) $214.09 $389.25 8.5×
Ccp antibody (86200) $109.72 $199.50 8.5×
Cell count csf (89051)
range across 3 matching MRF lines
$93.36–$106.70 $169.75–$194 varies
Ceruloplasmin (82390) $182.05 $331 17.0×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$15.95–$119.62 $29–$217.50 varies
Chlamydia antibody (86631) $200.48 $364.50 17.0×
Chlamydia Igm Antibody (86632) $107.52 $195.50 8.5×
Chloride urine (82436) $85.25 $155 14.8×
Cholesterol total (82465) $36.85 $67 8.5×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$191.40–$313.64 $348–$570.25 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) $160.88 $292.50 4.8×
Chromogranin a (86316) $352.82 $641.50 17.0×
Chromosome Analysis 15-20 (88262) $528.14 $960.25 4.2×
Chromosome Analysis 20-25 (88264) $528.14 $960.25 3.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $297.41 $540.75 8.5×
Citric acid urine (82507) $30.80 $56 1.1×
Ckmb (82553) $195.80 $356 17.0×
Clostridium Difficile (87324) $103.95 $189 8.7×
Clot Factor VIII Multimetric (85247) $388.85 $707 17.0×
Clotting factor xii hageman (85280) $327.94 $596.25 16.9×
Clotting Funct Activity (85397) $211.89 $385.25 6.9×
Cns DNA amp probe type 12-25 (87483) $1,024.65 $1,863 2.5×
Coagulation time activated (85347) $240.21 $436.75 56.1×
Coccidioides antibody (86635) $194.56 $353.75 17.0×
Cold agglutinin titer (86157) $136.54 $248.25 16.9×
Collagen crosslinks (82523) $22.55 $41 1.2×
Column Chromotography Quant (82542)
range across 4 matching MRF lines
$132–$330.69 $240–$601.25 varies
Compatibility test antiglob (86922) $443.30 $806 2.7×
Complement Antigen Each Component (86160) $203.36 $369.75 16.9×
Complement Total (Ch50) (86162) $344.44 $626.25 17.0×
Complement/Function Activity (86161) $50.88 $92.50 4.2×
Consltj&Reprt Material Requiring Prepj Slides (88323) $193.05 $351 3.9×
Coombs direct (86880)
range across 3 matching MRF lines
$72.05–$109.18 $131–$198.50 varies
Copper urine (82525) $210.38 $382.50 17.0×
Cortisol free (82530) $165 $300 9.9×
Cortisol saliva (82533)
range across 7 matching MRF lines
$22–$276.24 $40–$502.25 varies
Creatine (82540) $19.66 $35.75 4.2×
Creatine kinase total (82550) $275.28 $500.50 42.3×
Creatinine blood (82565) $170.91 $310.75 33.4×
Creatinine clearance (82575) $442.06 $803.75 46.7×
Creatinine Urine (82570)
range across 4 matching MRF lines
$43.86–$50.60 $79.75–$92 varies
Crossmatch immediate spin (86920) $301.40 $548 1.8×
Crp High Sensitivity (86141) $109.72 $199.50 8.5×
Cryoglobulin (82595) $109.59 $199.25 16.9×
Cryptococcus ag titer (87899)
range across 7 matching MRF lines
$9.35–$220.55 $17–$401 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $319.13 $580.23 39.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $147.95 $269 18.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $65.31 $118.75 8.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $599.50 $1,090 2.7×
Culture afb (87116) $183.15 $333 17.0×
Culture Anaerobic (87075) $362.54 $659.16 38.3×
Culture blood (87040) $431.75 $785 41.8×
Culture csf (87070) $463.43 $842.60 53.8×
Culture fungus (87102) $142.45 $259 16.9×
Culture fungus blood (87103) $94.60 $172 4.6×
Culture screen only (87081) $182.57 $331.95 27.5×
Culture stool (87045) $159.92 $290.77 16.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 4 matching MRF lines
$11–$87.72 $20–$159.50 varies
Culture urine (87086) $332.20 $604 41.2×
Cyanide (82600) $93.50 $170 4.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $60.64 $110.25 4.2×
Cyclosporine (80158) $275 $500 15.2×
Cystatin C (82610) $159.64 $290.25 8.6×
Cytogenetics 100-300 (88275) $175.72 $319.50 3.4×
Cytomegalovirus igg (86644) $243.92 $443.50 17.0×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$24.20–$108.90 $44–$198 varies
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$98.45–$477.95 $179–$869 varies
Cytp Concentration Smears & Interpretation (88108) $98.45 $179 2.7×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $138.05 $251 2.8×
Detect Agent Nos Dna Amp (87798)
range across 15 matching MRF lines
$42.35–$594.82 $77–$1,081.50 varies
Detect Agent Nos Dna Quant (87799) $363 $660 8.5×
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$84.70–$805.20 $154–$1,464 varies
Dgp Antibody Each Ig Class (86258) $75.90 $138 6.3×
Dhea (82626) $179.30 $326 7.1×
Dhea-S (82627) $376.89 $685.25 17.0×
Digoxin (80162) $224.95 $409 16.9×
Dihydrotestosterone (82642) $58.02 $105.50 2.0×
Dipropylacetic Acid Free (80165) $229.49 $417.25 16.9×
Dna Antibody Native/Double Stranded (86225) $232.92 $423.50 17.0×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$183.70–$184.25 $334–$335 varies
Dna/Rna Sequencing (87153) $253.82 $461.50 2.2×
Drug Assay Amiodarone (80151) $18.15 $33 1.0×
Drug Assay Lacosamide (80235) $102.30 $186 3.8×
Drug Assay Vedolizumab (80280) $312.95 $569 8.1×
Drug Screen Quant Clozapine (80159) $148.50 $270 7.4×
Drug Screen Quant Zonisamide (80203) $50.60 $92 3.8×
Drug Screen Quantitative Gabapentin (80171) $172.15 $313 7.9×
Drug Screen Quantitative Lamotrigine (80175) $201.85 $367 15.2×
Drug Screen Quantitative Levetiracetam (80177) $201.85 $367 15.2×
Drug Screen Quantitative Oxcarbazepine (80183) $101.20 $184 7.6×
Drug Screen Quantitative Tiagabine (80199) $95.70 $174 3.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 15 matching MRF lines
$188.10–$1,214.40 $342–$2,208 varies
Egfr Gene Analysis Common Variants (81235) $2,228.05 $4,051 6.9×
Ehrlichia antibody (86666) $172.42 $313.50 16.9×
El-1 Fecal Quantitative (82653) $276.65 $503 12.0×
Electrolyte panel (80051) $118.94 $216.25 17.0×
Encephaltis East Eqne Anbdy (86652) $33.55 $61 2.5×
Encephaltis West Eqne Antbdy (86654) $33.55 $61 2.5×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$30.25–$85.25 $55–$155 varies
Enterovirus PCR (87498) $594.82 $1,081.50 17.0×
Erythropoietin (82668) $159.22 $289.50 8.5×
Estradiol serum (82670)
range across 3 matching MRF lines
$113.30–$473.41 $206–$860.75 varies
Estriol (82677) $204.88 $372.50 8.5×
Estrogens fractionated (82671) $136.40 $248 4.2×
Ethylene Glycol (82693) $126.36 $229.75 8.5×
F2 Gene (81240) $450.86 $819.75 6.9×
Factor ii activity (85210) $240.90 $438 18.6×
Factor ix activity (85250) $322.71 $586.75 16.9×
Factor v activity (85220) $256.85 $467 14.6×
Factor v leiden mutation (81241) $517.82 $941.50 7.1×
Factor vii assay (85230) $303.46 $551.75 17.0×
Factor viii assay (85240) $303.46 $551.75 17.0×
Factor X (85260) $256.85 $467 14.3×
Factor xi activity (85270) $303.46 $551.75 17.0×
Factor xiii screen (85291) $37.68 $68.50 4.1×
Fecal Fat Qualitative (82705) $86.35 $157 16.9×
Ferritin (82728) $231.06 $420.11 17.0×
Fetal Congenital Abnor Assay Four Anal (81511) $438.35 $797 2.9×
Fetal Fibronectin (82731) $545.88 $992.50 8.5×
Fetal screen rosette (85461) $128.56 $233.75 13.7×
Fibrin Degradation Quant (85379) $319.14 $580.25 31.3×
Fibrinogen activity (85384) $565.68 $1,028.50 58.2×
Flow cytometry first marker (88184) $931.70 $1,694 2.7×
Fluorescent antibody screen (86255)
range across 16 matching MRF lines
$15.40–$204.32 $28–$371.50 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $654.78 $1,190.50 54.3×
Folic acid rbc (82747) $293.56 $533.75 16.6×
Folic Acid Serum (82746) $124.58 $226.50 8.5×
Follicle Stimulating Hormone (83001) $387.20 $704 20.8×
Francisella tularensis (86668) $48.54 $88.25 3.4×
Frozen Section (88331) $558.80 $1,016 3.4×
Fungi Identification Mold (87107) $117.70 $214 11.4×
Fungi Identification Yeast (87106) $132 $240 12.8×
G6pd gene analysis full gene sequence (81249) $1,320 $2,400 2.2×
Galectin-3 (82777) $78.79 $143.25 1.8×
Gammaglobulin ige (82785) $139.42 $253.50 8.5×
Gardner vag DNA dir probe (87510) $112.75 $205 5.6×
Gastrin (82941) $250.94 $456.25 14.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $180.95 $329 0.4×
Genet Virus Isolate Hsv (87255) $669.77 $1,217.76 19.8×
Gentamicin (80170) $138.74 $252.25 8.5×
Ggt (82977) $61.05 $111 8.5×
Giardia antigen (87329) $203.22 $369.50 17.0×
Glucagon (82943) $37.40 $68 2.6×
Glucose 2 hr pp (82950) $125.68 $228.50 26.5×
Glucose Blood Test (82962) $80.30 $146 24.5×
Glucose body fluid (82945) $33.28 $60.50 8.5×
Glucose Serum (82947) $66.55 $121 16.9×
Glucose tolerance test (gtt) (82951) $109.04 $198.25 8.5×
Glycated Protein (82985) $18.70 $34 1.1×
Gonadotropin Chorionic Qualitative (84703) $351.45 $639 46.7×
Growth hormone (83003) $282.56 $513.75 17.0×
Gtt-added samples (82952) $66.41 $120.75 16.9×
H Pylori (C-13) Breath (83013) $146.30 $266 2.2×
Haptoglobin (83010) $213.26 $387.75 17.0×
Hba1/hba2 full gene sequence (81259) $660 $1,200 1.1×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $586.85 $1,067 2.9×
Hbb Full Gene Sequence (81364) $3,795 $6,900 11.7×
Helicobacter Pylori Stool (87338) $243.79 $443.25 17.0×
Helminth Antibody (86682) $220.41 $400.75 16.9×
Hematocrit (85014) $56.92 $103.50 24.0×
Hemoglobin (85018) $40.29 $73.25 17.0×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$20.17–$266.34 $36.68–$484.25 varies
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$119.35–$153.04 $217–$278.25 varies
Hemoglobin electrophoresis (83020) $54.59 $99.25 4.2×
Hemoglobin Methemoglobin Quantitative (83050) $93.50 $170 11.4×
Hemoglobin plasma (83051) $95.70 $174 13.1×
Hemoglobin-Oxygen Affinity (82820) $14.85 $27 1.1×
Hemosiderin urine (83070) $84.15 $153 17.7×
Hep a ab igm (86709) $190.85 $347 16.9×
Heparin assay (85520)
range across 2 matching MRF lines
$17.60–$110.96 $32–$201.75 varies
Heparin Neutralization (85525)
range across 2 matching MRF lines
$17.60–$59.95 $32–$109 varies
Hepatitis a antibody total (86708) $209.96 $381.75 16.9×
Hepatitis b core ab igm (86705) $216.15 $393 18.4×
Hepatitis b core ab total (86704) $204.32 $371.50 17.0×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$182.05–$300.85 $331–$547 varies
Hepatitis B Surface Antigen (87340) $175.04 $318.25 16.9×
Hepatitis Be Antibody (86707) $168.30 $306 14.5×
Hepatitis Be Antigen (87350) $81.40 $148 7.1×
Hepatitis C Antibody (86803) $241.72 $439.50 16.9×
Hepatitis C Genotype (87902) $1,090.92 $1,983.50 4.2×
Hepatitis C Revrs Trnscrpj (87522) $726 $1,320 16.9×
Hepatitis Delta Agent Antibody (86692) $19.25 $35 1.1×
Herpes simplex type 2 (86696) $229.90 $418 11.9×
Heterophile Antibody Screen (86308) $43.86 $79.75 8.5×
Hfe Gene (81256) $553.85 $1,007 8.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $517.96 $941.75 67.0×
Histamine urine (83088) $125.12 $227.50 4.2×
Histoplasma antibody (86698)
range across 3 matching MRF lines
$20.35–$211.89 $37–$385.25 varies
Histoplasma antigen urine (87385) $203.22 $369.50 15.3×
Hiv Genotype (87901) $2,181.71 $3,966.75 8.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $204.05 $371 8.5×
Hiv-1 Antibody (86701) $67.24 $122.25 7.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $721.19 $1,311.25 8.5×
Hla class ii typing high resolution one locus ea (81382) $250.80 $456 2.0×
Hla I Low Resolution One Antigen Equivalent Each (81374) $90.75 $165 1.2×
Hla I Typing 1 Allele Hr (81381) $187 $340 1.1×
Hla ii typing 1 allele hr (81383) $27.78 $50.50 0.3×
Hla-b27 (86812) $437.39 $795.25 16.9×
Homocysteine (83090) $286 $520 16.0×
Homogenization Tissue (87176) $53.90 $98 9.2×
Hpv High-Risk Types (87624) $199.65 $363 5.7×
Hpv Types 16 & 18 Only (87625) $45.10 $82 1.1×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$190.58–$297.41 $346.50–$540.75 varies
Hydroxyprogesterone 17-d (83498) $460.49 $837.25 16.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $53.90 $98 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $40.98 $74.50 1.2×
Iaadi inffluenza a virus (87276) $81.40 $148 5.1×
Iaadi parainfluenza virus each type (87279) $81.40 $148 5.0×
Iaadi pneumocustis carinii (87281) $34.65 $63 2.9×
Iaadi respiratory synctial virus (87280) $81.40 $148 6.1×
Iadna Bartonella Amplified Probe Technique (87471) $37.40 $68 1.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $530.75 $965 15.1×
Iadna Candida Species Amplified Probe Tq (87481) $105.05 $191 3.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $297.41 $540.75 8.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $297.41 $540.75 8.5×
Iadna Cytomegalovirus Quantification (87497) $363 $660 8.5×
Iadna Hepatitis B Virus Quantification (87517) $726 $1,320 16.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$39.05–$124.85 $71–$227 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $356.95 $649 10.2×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $200.20 $364 2.6×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $529.51 $962.75 12.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $594.82 $1,081.50 17.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $398.06 $723.75 11.3×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $374 $680 7.3×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $235.95 $429 1.7×
Ig Light Chains Free Each (83521) $117.70 $214 6.8×
Igg subclasses (82787) $135.85 $247 16.9×
Igh@ Variable Region Somatic Mutation Analysis (81263) $544.50 $990 1.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $348.15 $633 1.0×
Immune Complex Assay (86332) $35.20 $64 1.4×
Immunfix e-phorsis/urine/csf (86335) $248.74 $452.25 8.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 11 matching MRF lines
$12.10–$252.59 $22–$459.25 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$39.05–$704.55 $71–$1,281 varies
Immunoassay nonantibody (83516)
range across 34 matching MRF lines
$13.20–$315.15 $24–$573 varies
Immunofixation electrophoresis (86334)
range across 4 matching MRF lines
$189.34–$210.10 $344.25–$382 varies
Immunofluorescence per spec 1st singl antb stain (88346) $665.50 $1,210 4.1×
Immunohistochemistry (88342)
range across 4 matching MRF lines
$1,081.30–$1,201.20 $1,966–$2,184 varies
In situ hybridization 1st probe stain (88365) $100.65 $183 0.6×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $80.30 $146 5.6×
Influenza a/b ag eia (87400) $135.85 $247 9.6×
Influenza assay w/optic (87804) $257.95 $469 15.6×
Influenza DNA amp probe (87502) $312.26 $567.75 3.3×
Inhibin A (86336) $132.14 $240.25 8.5×
Inhibin b (83520)
range across 22 matching MRF lines
$147.95–$880.03 $269–$1,600.06 varies
Insitu hybridization manual (88368) $862.95 $1,569 2.5×
Insulin antibodies (86337) $183.15 $333 8.6×
Insulin total (83525) $193.74 $352.25 17.0×
Interleukin-6 (83529) $319.55 $581 18.5×
Intrinsic factor antibody (86340) $255.48 $464.50 16.9×
Iron (83540) $418 $760 64.6×
Islet cell antibody (86341)
range across 8 matching MRF lines
$18.70–$330 $34–$600 varies
Jak2 gene analysis p.val617phe variant (81270) $719.28 $1,307.79 7.8×
Jak2 Gene Trgt Sequence Alys (81279) $628.10 $1,142 3.4×
Koh Prep (87220) $108.90 $198 25.5×
Kras Gene Variants Exon 2 (81275) $1,326.46 $2,411.75 6.9×
Lactate (ld) (ldh) enzyme (83615) $102.37 $186.13 16.9×
Lactoferrin fecal qualitative (83630) $114.40 $208 5.8×
Ldh Isoenzymes (83625) $409.75 $745 32.0×
LDL direct (83721) $161.70 $294 15.4×
Lead (83655) $102.58 $186.50 8.5×
Legionella antibody (86713) $259.32 $471.50 16.9×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$113.85–$202.88 $207–$368.88 varies
Leptospira antibody (86720) $144.65 $263 8.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$69.30–$154 $126–$280 varies
Level ii surg pathology gross&microscopic exam (88302) $246.95 $449 6.9×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$1,002.10–$1,113.61 $1,822–$2,024.74 varies
Lipase (83690) $343.20 $624 49.8×
Lipoprotein A (83695) $109.72 $199.50 7.7×
Lithium (80178) $112.06 $203.75 17.0×
Luteinizing Hormone (Lh) (83002) $313.78 $570.50 16.9×
Lyme disease antibody (86618)
range across 4 matching MRF lines
$28.05–$144.24 $51–$262.25 varies
Lysozyme serum (85549) $42.90 $78 2.3×
M. Genitalium Amp Probe (87563) $39.05 $71 1.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$209.55–$386.65 $381–$703 varies
M/phmtrc alys ishquant/semiq (88374) $277.20 $504 1.7×
Macroscopic exam arthropod (87168) $84.70 $154 19.8×
Macroscopic Exam Parasite (87169) $42.35 $77 9.8×
Magnesium Urine (83735) $167.48 $304.51 25.0×
Mass Spectrometry Quant (83789) $165.55 $301 6.9×
Mercury urine (83825) $339.08 $616.50 20.9×
Metabolic panel ionized ca (80047) $188.51 $342.75 13.7×
Methotrexate (80204) $188.65 $343 4.9×
Methylmalonic acid serum (83921) $291.22 $529.50 13.7×
Microalbumin, quantitative (82043) $48.95 $89 8.5×
Microsatellite instability (81301) $2,453.82 $4,461.50 7.0×
Microsomal Antibodies Each (86376) $208.04 $378.25 14.3×
Mitochondrial Antibody Each (86381) $42.90 $78 1.7×
Molecular Cytogenetics Dna Probe Each (88271) $127.05 $231 5.9×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $206.52 $375.50 4.9×
Molecular Pathology Procedure Level 6 (81405) $990 $1,800 3.3×
Mononuclear cell antigen (86356) $95.42 $173.50 3.6×
Mopath procedure level 4 (81403) $1,271.32 $2,311.50 6.9×
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$605–$1,886.50 $1,100–$3,430 varies
Mpl gene common variants (81338) $834.90 $1,518 5.6×
Mrsa Pcr (87641) $213.40 $388 6.1×
Mthfr Gene Analysis Common Variants (81291) $448.52 $815.50 6.9×
Mumps antibody (86735) $221.10 $402 16.9×
Mycoplasma antibody (86738) $224.26 $407.75 16.9×
Myelin basic protein csf (83873) $132.55 $241 7.7×
Myoglobin urine (83874) $219.04 $398.25 17.0×
Natriuretic peptide (83880) $257.40 $468 6.6×
Neutralization Test Viral (86382) $16.98 $30.88 1.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $212.85 $387 1.7×
Niacin (84591) $30.39 $55.25 1.8×
Nk cells total count (86357) $134.48 $244.50 3.6×
Nras gene variants exon 2&3 (81311) $1,015.16 $1,845.75 3.4×
Nuclear antigen antibody (86235)
range across 13 matching MRF lines
$29.70–$304.01 $54–$552.75 varies
Obstetric panel (80081) $634.42 $1,153.50 8.5×
Occult blood feces (82272) $14.57 $26.49 3.4×
Occult Blood Other Sources (82271) $57.75 $105 10.9×
Oligoclonal bands (83916) $78.10 $142 2.9×
Oncology Prostate Prob Score (81539) $836 $1,520 1.1×
Organic acids urine (83918) $323.95 $589 13.7×
Osmolality serum (83930) $112.03 $203.69 16.9×
Osmolality Urine (83935) $115.64 $210.25 17.0×
Ova and parasites smears (87177) $150.84 $274.25 16.9×
Oxalate urine (83945) $15.95 $29 1.1×
Parvovirus antibody (86747) $127.46 $231.75 8.5×
Ph urine (81003) $199.77 $363.21 88.8×
Phenobarbital Level (80184) $210.10 $382 13.7×
Phenotype Infect Agent Drug (87900) $214.50 $390 1.6×
Phenytoin (Dilantin) (80185) $224.54 $408.25 16.9×
Phenytoin free (80186) $233.20 $424 16.9×
Phosphatase alkaline (84075) $87.72 $159.50 16.9×
Phospholipid Neutralization Hexagonal (85598) $152.35 $277 8.5×
Phosphorus Serum (84100) $186.74 $339.52 39.4×
Phosphorus urine (84105) $6.60 $12 1.1×
Platelet Aggregation (85576) $182.05 $331 7.3×
Platelet Antibodies (86022) $311.30 $566 16.9×
Platelet count automated (85049) $75.90 $138 16.9×
Platelet neutralization (85597) $147.95 $269 8.2×
Pneumcysts jirovecii amp prb (87594) $242 $440 6.9×
Porphobilinogen, urine; quantitative (84110) $455.40 $828 54.0×
Porphyrins Urine Quantitation & Fractionation (84120) $451.55 $821 30.7×
Potassium Urine (84133) $73 $132.72 15.4×
Prealbumin (84134) $123.61 $224.75 8.5×
Pregnenolone (84140) $52.52 $95.50 2.5×
Procalcitonin (Pct) (84145) $410.48 $746.33 15.1×
Progesterone (84144) $317.08 $576.50 15.2×
Prolactin (84146) $328.35 $597 16.9×
Prostaglandin (84150) $253 $460 6.1×
Protein body fluid (84157) $31.08 $56.50 7.8×
Protein C Activity (85303) $234.44 $426.25 16.9×
Protein c antigen (85302) $203.64 $370.25 17.0×
Protein Electrophoresis Urine (84166) $302.22 $549.50 17.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $348.70 $634 32.5×
Protein S Free (85306) $129.94 $236.25 8.5×
Protein s total (85305) $196.76 $357.75 16.9×
Protein total serum (84155) $62.15 $113 16.9×
Protein Total Urine (84156) $241.52 $439.13 65.8×
Protein Western Blot Test (84182)
range across 5 matching MRF lines
$32.45–$595.10 $59–$1,082 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $27.50 $50 7.0×
PSA free (84154) $155.92 $283.50 8.5×
Pth Intact (83970) $527.18 $958.50 12.8×
Q Fever Antibody (86638) $385 $700 31.8×
Quantiferon tb gold plus (86480) $525.25 $955 8.5×
Quantitative assay drug (80299) $255.89 $465.25 13.7×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$95.15–$291.50 $173–$530 varies
Rbc antibody identification (86870) $739.34 $1,344.25 2.1×
Rbc antibody screen (86850) $306.76 $557.75 31.4×
Renin activity plasma (84244) $372.76 $677.75 17.0×
Reptilase test (85635) $139.70 $254 14.2×
Resp virus 12-25 targets (87633) $1,766.05 $3,211 4.2×
Reticulocyte Count (85046) $62.15 $113 11.2×
Rh (86901) $109.18 $198.50 36.5×
Rheumatoid Factor Qualitative (86430) $96.80 $176 15.8×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$23.10–$277.34 $42–$504.25 varies
Rickettsia antibody (86757) $328.08 $596.50 17.0×
Ristocetin cofactor (85245) $388.85 $707 17.0×
Rotavirus ag eia (87425) $203.22 $369.50 17.0×
Rpr qualitative (86592) $130.35 $237 30.5×
Rsv Assay W/Optic (87807) $391.05 $711 29.9×
Rubella Antibody (86762) $121.96 $221.75 8.5×
Rubeola antibody (86765) $218.35 $397 17.0×
Russell Viper Venom Time Diluted (85613)
range across 6 matching MRF lines
$17.60–$162.39 $32–$295.25 varies
Sars-Cov-2 Covid-19 Amp Prb (87635) $68.80 $125.10 1.3×
Sars-cov-2 COVID-19 antibody (86769) $102.44 $186.25 2.4×
Sarscov2&inf a&b&rsv amp prb (87637) $549.45 $999 3.9×
Sedimentation Rate, Automated (85652) $168.85 $307 62.5×
Sensitivity mic (87186)
range across 5 matching MRF lines
$79.20–$224.70 $144–$408.54 varies
Sex Hormone Binding Globulin (84270) $368.36 $669.75 17.0×
Sickling of rbc reduction (85660) $93.36 $169.75 16.9×
Sirolimus (80195) $726.55 $1,321 52.9×
Skin test tuberculosis intradermal (86580) $16.50 $30 0.6×
Smear acid fast (87206) $90.73 $164.97 16.8×
Smear complex stain (87209) $242 $440 13.5×
Smear gram stain (87205)
range across 7 matching MRF lines
$111.10–$188.79 $202–$343.25 varies
Smear Special Stain (87207) $25.44 $46.25 4.2×
Smr Prim Src Wet Mount Nfct Agt (87210) $269.09 $489.25 46.2×
Sodium Serum (84295) $81.54 $148.25 17.0×
Sodium Urine (84300) $82.36 $149.75 16.3×
Somatomedin (84305) $360.39 $655.25 17.0×
Somatostatin (84307) $187.55 $341 10.3×
Special Stains Group 1 (88312) $193.05 $351 3.9×
Special Stains Group 2 (88313) $137.50 $250 1.1×
Specimen infect agnt concntj (87015) $56.51 $102.75 8.5×
Spectrophotometry (84311) $118.52 $215.50 14.6×
Stool cultr aerobic bact ea (87046) $90.20 $164 9.6×
Strep a assay w/optic (87880) $223.71 $406.75 13.5×
Strep a DNA amp probe (87651) $63.36 $115.20 1.8×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $69.30 $126 0.8×
Sugars Single Qual (84376) $7.15 $13 1.3×
Surg path level iii (88304) $463.10 $842 9.2×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$57.20–$1,081.16 $104–$1,965.75 varies
Surgical pathology level vi (88309) $1,670.90 $3,038 2.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $170.50 $310 35.9×
Susceptibility Study Antimicrobial Disk Method (87184) $222.75 $405 29.8×
Syphilis Test Non-Trep Quant (86593) $37.40 $68 8.5×
T cells absolute cd4 count (86361) $226.88 $412.50 8.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $343.06 $623.75 7.3×
T cells total count (86359) $184.94 $336.25 4.9×
T3 Free (84481) $478.50 $870 28.2×
T3 reverse (84482) $267.16 $485.75 17.0×
T3 Total (84480) $120.18 $218.50 8.5×
T3 Uptake (84479) $109.59 $199.25 16.9×
T4 Free (84439) $330.14 $600.25 36.6×
T4 total (84436) $116.46 $211.75 17.0×
Tacrolimus (80197) $116.46 $211.75 8.5×
Tau phosphorylated each (84393) $137.50 $250 1.1×
Testosterone total (84403) $518.24 $942.25 20.1×
Testosterone, Free (84402) $429 $780 16.8×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,052.05 $3,731 3.4×
Theophylline (80198) $239.66 $435.75 16.9×
Thiopurine methyltransferase (84433) $161.70 $294 7.3×
Thrombin Time (85670)
range across 2 matching MRF lines
$7.15–$97.76 $13–$177.75 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $109.59 $199.25 16.9×
Thyroglobulin (84432) $136.12 $247.50 8.5×
Thyroglobulin Antibody (86800) $269.64 $490.25 16.9×
Thyroid Stimulating Immunoglobulin (84445) $430.92 $783.50 8.5×
Thyroxine binding globulin (84442) $125.26 $227.75 8.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $83.05 $151 7.2×
Tissue culture bone marrow (88237) $535.15 $973 3.7×
Tobramycin peak (80200) $480.56 $873.75 29.8×
Topiramate (80201) $223.30 $406 18.7×
Total Tau (84394) $137.50 $250 1.1×
Touch prep (88161) $98.45 $179 3.5×
Toxoplasma ab igm (86778) $244.06 $443.75 16.9×
Toxoplasma antibody (86777) $121.96 $221.75 8.5×
Tp53 gene analysis targeted sequence analysis (81352) $1,082.40 $1,968 3.3×
Transferase Aspartate Amino Ast Sgot (84450) $87.72 $159.50 16.9×
Transferrin (84466) $303.46 $551.75 23.8×
Trichinella Antibody (86784) $82.50 $150 6.6×
Trichomonas vagin dir probe (87660) $112.75 $205 5.6×
Trichomonas Vaginalis Amplif (87661) $297.41 $540.75 8.5×
Triglycerides (84478) $97.35 $177 17.0×
Troponin Quant (84484) $377.57 $686.49 30.3×
Tumor immunohistochem/comput (88361) $158.40 $288 0.5×
Tumor Immunohistochem/Manual (88360) $1,713.25 $3,115 10.5×
Urea nitrogen urine (84540) $80.44 $146.25 14.5×
Uric acid other source (84560) $80.44 $146.25 15.8×
Urinalysis Volume Measure (81050) $31.90 $58 8.8×
Urine Bacteria Culture (87088) $159.50 $290 19.7×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$20.35–$415.94 $37–$756.25 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $218.34 $396.99 68.9×
Valproic acid (80164) $229.49 $417.25 16.9×
Vancomycin (80202) $542.30 $986 40.1×
Varicella-zoster antibody (86787) $109.18 $198.50 8.5×
Vasopressin (84588) $267.85 $487 7.9×
Very Long Chain Fatty Acids (82726) $108.90 $198 5.5×
Viral Culture (87252) $441.79 $803.25 16.9×
Virus antibody nos (86790) $218.35 $397 17.0×
Virus inoculate tissue addl (87253) $143 $260 7.1×
Virus inoculation, shell via (87254) $331.51 $602.75 16.9×
Vit D 1 25-Dihydroxy (82652) $652.58 $1,186.50 17.0×
Vitamin A (84590) $98.31 $178.75 8.5×
Vitamin b-12 (82607) $127.74 $232.25 8.5×
Vitamin B2 (Riboflavin) (84252) $22.55 $41 1.1×
Vitamin B6 (84207) $476.30 $866 17.0×
Vitamin c (82180) $21.72 $39.50 2.2×
Vitamin D 25-Hydroxy (82306) $250.94 $456.25 8.5×
Vitamin E (84446) $240.35 $437 16.9×
Vitamin K (84597) $149.60 $272 10.9×
Volatiles (84600) $101.20 $184 5.9×
Von willebrand factor ag (85246) $388.85 $707 17.0×
Wbc Alkaline Phosphatase Count (85540) $145.75 $265 16.9×
West nile virus ab igm (86788) $142.72 $259.50 8.5×
West Nile Virus Antibody (86789) $243.92 $443.50 17.0×
Zika Virus Dna/Rna Amp Probe (87662) $42.61 $77.48 0.8×
Zinc (84630) $291.50 $530 25.6×

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.