Lab & pathology prices at St. Bernard Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
464 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $45 | $45 | 4.0× |
| Acth (82024) | $199 | $199 | 5.2× |
| Acute hepatitis panel (80074) | $384 | $384 | 8.1× |
| Acylcarnitines Quant (82017) | $45 | $45 | 2.7× |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$110–$179 | $110–$179 | varies |
| Albumin Fluid (82042) | $79 | $79 | 10.2× |
| Albumin serum (82040) | $79 | $79 | 16.0× |
| Aldolase (82085) | $118 | $118 | 12.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$269–$494 | $269–$494 | varies |
| Alkaline phosphatase isoenzymes (84080) | $188 | $188 | 12.7× |
| Allergen spec ige qual multiallergen screen (86005) | $24 | $24 | 3.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$140–$188 | $140–$188 | varies |
| Alpha-1-antitrypsin total (82103) | $171 | $171 | 12.7× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$101–$136 | $101–$136 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$100–$130 | $100–$130 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$106–$111 | $106–$111 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $675 | $675 | 29.4× |
| Aminolevulinic acid (ala) (82135) | $194 | $194 | 11.8× |
| Ammonia (82140) | $169 | $169 | 11.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$70–$147 | $70–$147 | varies |
| Ana Titer (86039) | $161 | $161 | 14.4× |
| Androstenedione (82157) | $45 | $45 | 1.5× |
| Angiotensin converting enzyme csf (82164) | $198 | $198 | 13.6× |
| Antibody aspergillus (86606) | $118 | $118 | 7.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $93 | $93 | 5.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $119 | $119 | 7.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$130–$145 | $130–$145 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $417 | $417 | 34.0× |
| Antibody helicobacter pylori (86677) | $36 | $36 | 2.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $173 | $173 | 12.0× |
| Antibody Herpes Smplx Type 1 (86695) | $102 | $102 | 7.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $171 | $171 | 12.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $230 | $230 | 11.9× |
| Antibody identification leukocyte antibodies (86021) | $220 | $220 | 14.6× |
| Antibody Identification Platelet Immunogl Assay (86023) | $311 | $311 | 25.0× |
| Antibody Protozoa Nes (86753) | $150 | $150 | 12.1× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$73–$142 | $73–$142 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$70–$205 | $70–$205 | varies |
| Antibody; influenza virus (86710) range across 3 matching MRF lines |
$106–$188 | $106–$188 | varies |
| Antigen typing (86905) | $162 | $162 | 42.3× |
| Antinuclear antibodies (86038) | $161 | $161 | 13.3× |
| Antistreptolysin o titer (86060) | $145 | $145 | 19.9× |
| Antithrombin iii activity (85300) | $370 | $370 | 31.2× |
| Apolipoprotein a1 (82172) | $44 | $44 | 2.1× |
| Assay Blood Carbon Dioxide (82374) | $118 | $118 | 24.2× |
| Assay Blood Catecholamines (82383) | $321 | $321 | 11.0× |
| Assay Nephelometry Not Spec (83883) | $56 | $56 | 4.1× |
| Assay of 5-hiaa (83497) | $136 | $136 | 10.5× |
| Assay of blood/uric acid (84550) | $126 | $126 | 27.9× |
| Assay of g6pd enzyme (82955) | $151 | $151 | 15.6× |
| Assay of gammaglobulin igm (82784) | $136 | $136 | 14.6× |
| Assay of lactic acid (83605) | $135 | $135 | 11.7× |
| Assay of metanephrines (83835) | $624 | $624 | 36.8× |
| Assay of phosphatase acid total (84060) | $46 | $46 | 6.0× |
| Assay of procainamide (80190) | $171 | $171 | 2.9× |
| Assay of proinsulin (84206) | $375 | $375 | 14.1× |
| Assay of serotonin (84260) | $252 | $252 | 8.1× |
| Assay of serum potassium (84132) | $99 | $99 | 20.8× |
| Assay of urea nitrogen (84520) | $135 | $135 | 34.2× |
| Assay of urine vma (84585) | $198 | $198 | 12.8× |
| Assay Ph Body Fluid Nos (83986) | $99 | $99 | 27.7× |
| Beta hydroxybutyrate (82010) | $73 | $73 | 8.9× |
| Beta-2 Microglobulin (82232) | $119 | $119 | 7.4× |
| Bile acids total (82239) | $136 | $136 | 7.9× |
| Bile acids, cholylglycine (82240) | $145 | $145 | 5.5× |
| Bilirubin direct (82248) | $126 | $126 | 25.1× |
| Bilirubin total (82247) | $126 | $126 | 25.1× |
| Blastomyces antibody (86612) | $115 | $115 | 8.9× |
| Bleeding time test (85002) | $86 | $86 | 17.8× |
| Blood Count Manual Cell Count Each (85032) | $141 | $141 | 32.7× |
| Blood Count Red Blood Cell Automated (85041) | $86 | $86 | 28.5× |
| Blood count reticulocyte automated (85045) | $95 | $95 | 23.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $86 | $86 | 22.6× |
| Blood gas (82803) | $211 | $211 | 8.1× |
| Blood gases w/02 saturation (82805) | $205 | $205 | 2.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $73 | $73 | 4.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $73 | $73 | 16.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $151 | $151 | 23.8× |
| Blood typing serologic abo (86900) | $169 | $169 | 56.5× |
| Body fluid cell count (89050) | $213 | $213 | 45.1× |
| Bone marrow smear interpretation (85097) | $232 | $232 | 0.3× |
| Bordetella antibody (86615) | $179 | $179 | 13.6× |
| C diff amplified probe (87493) | $313 | $313 | 8.4× |
| C-Peptide (84681) | $197 | $197 | 9.5× |
| C-reactive protein (86140) | $99 | $99 | 19.1× |
| Ca 19-9 (86301) | $169 | $169 | 8.1× |
| Calcitonin (82308) | $269 | $269 | 10.0× |
| Calcium ionized (82330) | $151 | $151 | 11.0× |
| Calcium total (82310) | $151 | $151 | 29.3× |
| Cancer Antigen 125 (86304) | $179 | $179 | 8.6× |
| Cancer Antigen 27.29 (86300) | $115 | $115 | 5.5× |
| Candida Dna Dir Probe (87480) | $86 | $86 | 4.3× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$136–$151 | $136–$151 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$76–$88 | $76–$88 | varies |
| Carcinoembryonic antigen (82378) | $215 | $215 | 11.3× |
| Cardiolipin ab iga (86147) | $296 | $296 | 11.6× |
| Carnitine Quantitative Each Specimen (82379) | $137 | $137 | 8.1× |
| Carotene (82380) | $130 | $130 | 14.1× |
| Catecholamines fractionated (82384) | $218 | $218 | 8.6× |
| Catecholamines total urine (82382) range across 2 matching MRF lines |
$156–$246 | $156–$246 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$183–$192 | $183–$192 | varies |
| Cell count csf (89051) | $130 | $130 | 23.2× |
| Ceruloplasmin (82390) | $32 | $32 | 3.0× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$276–$397 | $276–$397 | varies |
| Chemiluminescent assay (82397) | $203 | $203 | 14.4× |
| Chloride other source (82438) | $130 | $130 | 26.0× |
| Chloride urine (82436) range across 3 matching MRF lines |
$130–$232 | $130–$232 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$118–$136 | $118–$136 | varies |
| Cholinesterase rbc (82482) | $79 | $79 | 8.1× |
| Cholinesterase Serum (82480) | $67 | $67 | 8.5× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$118–$183 | $118–$183 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,719 | $1,719 | 9.1× |
| Chromosome Analysis 15-20 (88262) | $764 | $764 | 6.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $198 | $198 | 5.6× |
| Citric acid urine (82507) | $544 | $544 | 19.6× |
| Ckmb (82553) | $244 | $244 | 21.1× |
| Clotting factor xii hageman (85280) | $346 | $346 | 17.9× |
| Coccidioides antibody (86635) | $115 | $115 | 10.0× |
| Cold agglutinin screen (86156) | $52 | $52 | 6.4× |
| Cold agglutinin titer (86157) | $105 | $105 | 13.0× |
| Column Chromotography Quant (82542) | $182 | $182 | 7.6× |
| Compatibility Each Unit Incubation (86921) | $101 | $101 | 0.6× |
| Compatibility test antiglob (86922) | $98 | $98 | 0.5× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$155–$351 | $155–$351 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$86–$156 | $86–$156 | varies |
| Complement Total (Ch50) (86162) | $118 | $118 | 5.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $220 | $220 | 5.5× |
| Coombs direct (86880) | $114 | $114 | 21.2× |
| Copper urine (82525) | $130 | $130 | 10.5× |
| Cortisol free (82530) | $215 | $215 | 12.9× |
| Cortisol saliva (82533) | $194 | $194 | 11.9× |
| Creatine kinase total (82550) | $151 | $151 | 23.2× |
| Creatinine blood (82565) | $155 | $155 | 30.3× |
| Creatinine clearance (82575) | $230 | $230 | 24.3× |
| Creatinine Urine (82570) | $106 | $106 | 20.5× |
| Crossmatch immediate spin (86920) | $155 | $155 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$102–$151 | $102–$151 | varies |
| Cryoglobulin (82595) | $215 | $215 | 33.2× |
| Cryptococcus ag titer (87899) | $51 | $51 | 3.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$88–$169 | $88–$169 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $88 | $88 | 10.9× |
| Culture afb (87116) | $227 | $227 | 21.0× |
| Culture Anaerobic (87075) | $188 | $188 | 19.9× |
| Culture blood (87040) | $188 | $188 | 18.2× |
| Culture csf (87070) range across 16 matching MRF lines |
$114–$188 | $114–$188 | varies |
| Culture fungus (87102) | $169 | $169 | 20.1× |
| Culture screen only (87081) range across 8 matching MRF lines |
$76–$264 | $76–$264 | varies |
| Culture stool (87045) | $188 | $188 | 19.9× |
| Culture typing if ea antiserum (87140) | $88 | $88 | 15.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $88 | $88 | 17.0× |
| Cyanide (82600) | $206 | $206 | 10.6× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$161–$231 | $161–$231 | varies |
| Cytomegalovirus igg (86644) | $93 | $93 | 6.5× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $133 | $133 | 3.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $89 | $89 | 3.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$171–$188 | $171–$188 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $162 | $162 | 8.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 3 matching MRF lines |
$141–$215 | $141–$215 | varies |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$127–$826 | $127–$826 | varies |
| Dgp Antibody Each Ig Class (86258) | $155 | $155 | 12.9× |
| Dhea (82626) | $135 | $135 | 5.3× |
| Digoxin (80162) range across 2 matching MRF lines |
$147–$199 | $147–$199 | varies |
| Dna Antibody Native/Double Stranded (86225) | $173 | $173 | 12.6× |
| Drug Screen Quantitative Gabapentin (80171) | $321 | $321 | 14.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $126 | $126 | 9.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $151 | $151 | 9.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $130 | $130 | 2.1× |
| Electrolyte panel (80051) | $232 | $232 | 33.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $193 | $193 | 16.0× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$188–$469 | $188–$469 | varies |
| Eosinophil Smear (89190) | $52 | $52 | 9.0× |
| Erythropoietin (82668) | $223 | $223 | 11.9× |
| Estradiol serum (82670) | $422 | $422 | 15.1× |
| Estriol (82677) | $244 | $244 | 10.1× |
| Estrogen total (82672) | $303 | $303 | 14.0× |
| Estrogens fractionated (82671) | $303 | $303 | 9.4× |
| Ethosuximide (80168) | $314 | $314 | 19.2× |
| Ethylene Glycol (82693) | $70 | $70 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $98 | $98 | 13.4× |
| Factor ii activity (85210) | $329 | $329 | 25.3× |
| Factor Inhibitor Test (85335) | $204 | $204 | 15.9× |
| Factor ix activity (85250) | $346 | $346 | 18.2× |
| Factor v activity (85220) | $346 | $346 | 19.6× |
| Factor vii assay (85230) | $346 | $346 | 19.3× |
| Factor viii assay (85240) | $346 | $346 | 19.3× |
| Factor xiii screen (85291) | $346 | $346 | 38.0× |
| Fat/Lipids Feces Quantitative (82710) | $324 | $324 | 19.3× |
| Fecal Fat Qualitative (82705) | $319 | $319 | 62.5× |
| Ferritin (82728) | $204 | $204 | 15.0× |
| Fetal Fibronectin (82731) | $422 | $422 | 6.6× |
| Fetal hemoglobin assay qual (83033) | $152 | $152 | 19.0× |
| Fetal screen rosette (85461) | $121 | $121 | 12.9× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$141–$194 | $141–$194 | varies |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $118 | $118 | 9.5× |
| Fibrinogen activity (85384) | $141 | $141 | 14.5× |
| Flow cytometry first marker (88184) | $262 | $262 | 0.7× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$140–$363 | $140–$363 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$61–$292 | $61–$292 | varies |
| Folic acid rbc (82747) | $323 | $323 | 18.3× |
| Folic Acid Serum (82746) | $59 | $59 | 4.0× |
| Follicle Stimulating Hormone (83001) | $223 | $223 | 12.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $151 | $151 | 0.8× |
| Frozen Blood Each Unit Thawing (86931) | $259 | $259 | 1.4× |
| Frozen Section (88331) range across 2 matching MRF lines |
$305–$379 | $305–$379 | varies |
| Fungi Identification Mold (87107) | $88 | $88 | 8.5× |
| Fungi Identification Yeast (87106) | $88 | $88 | 8.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$206–$256 | $206–$256 | varies |
| Gardner vag DNA dir probe (87510) | $86 | $86 | 4.3× |
| Gases blood ph only (82800) | $166 | $166 | 15.1× |
| Gastrin (82941) | $223 | $223 | 12.6× |
| Genet Virus Isolate Hsv (87255) | $308 | $308 | 9.1× |
| Gentamicin (80170) | $296 | $296 | 18.1× |
| Ggt (82977) | $141 | $141 | 19.6× |
| Giardia lamblia antibody (86674) | $145 | $145 | 9.9× |
| Glucagon (82943) | $155 | $155 | 10.8× |
| Glucose 2 hr pp (82950) | $106 | $106 | 22.3× |
| Glucose Blood Test (82962) | $46 | $46 | 14.0× |
| Glucose body fluid (82945) | $114 | $114 | 29.0× |
| Glucose Serum (82947) | $114 | $114 | 29.0× |
| Glucose tolerance test (gtt) (82951) | $285 | $285 | 22.1× |
| Glycated Protein (82985) | $155 | $155 | 9.2× |
| Growth hormone (83003) | $155 | $155 | 9.3× |
| Gtt-added samples (82952) | $27 | $27 | 6.9× |
| H Pylori (C-13) Breath (83013) | $236 | $236 | 3.5× |
| Haloperidol (80173) | $130 | $130 | 8.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$93–$106 | $93–$106 | varies |
| Hdl Cholesterol (83718) | $105 | $105 | 12.8× |
| Helicobacter Pylori Stool (87338) | $152 | $152 | 10.6× |
| Hematocrit (85014) | $70 | $70 | 29.5× |
| Hemoglobin (85018) | $70 | $70 | 29.5× |
| Hemoglobin a1c (83036) | $111 | $111 | 11.4× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$98–$199 | $98–$199 | varies |
| Hemoglobin F Fetal Chemical (83030) | $70 | $70 | 6.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $198 | $198 | 24.1× |
| Hemoglobin urine (83069) | $63 | $63 | 15.9× |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$98–$102 | $98–$102 | varies |
| Hep a ab igm (86709) | $198 | $198 | 17.6× |
| Heparin assay (85520) | $137 | $137 | 10.5× |
| Hepatitis a antibody total (86708) | $176 | $176 | 14.2× |
| Hepatitis b core ab total (86704) | $198 | $198 | 16.4× |
| Hepatitis B Surface Antibody (86706) | $198 | $198 | 18.4× |
| Hepatitis B Surface Antigen (87340) | $198 | $198 | 19.2× |
| Hepatitis Be Antibody (86707) | $198 | $198 | 17.1× |
| Hepatitis Be Antigen (87350) | $198 | $198 | 17.2× |
| Hepatitis C Antibody (86803) | $188 | $188 | 13.2× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$1,195–$1,494 | $1,195–$1,494 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $596 | $596 | 17.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $114 | $114 | 2.7× |
| Hepatitis Delta Agent Antibody (86692) | $93 | $93 | 5.4× |
| Herpes simplex type 2 (86696) | $102 | $102 | 5.3× |
| Heterophile Antibody Screen (86308) | $169 | $169 | 32.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $171 | $171 | 22.1× |
| Histoplasma antibody (86698) | $118 | $118 | 8.6× |
| Histoplasma antigen urine (87385) | $177 | $177 | 13.4× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$1,442–$1,517 | $1,442–$1,517 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $274 | $274 | 11.4× |
| Hiv-1 Antibody (86701) | $171 | $171 | 19.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $165 | $165 | 1.9× |
| Hla I Typing 1 Allele Hr (81381) | $155 | $155 | 0.9× |
| Hla-b27 (86812) | $93 | $93 | 3.6× |
| Homocysteine (83090) range across 2 matching MRF lines |
$324–$473 | $324–$473 | varies |
| Hpv High-Risk Types (87624) | $141 | $141 | 4.0× |
| Hpv Types 16 & 18 Only (87625) | $324 | $324 | 8.0× |
| Hsv Dna Amp Probe (87529) | $200 | $200 | 5.7× |
| Hydroxycorticosteroids 17 (83491) | $272 | $272 | 15.2× |
| Hydroxyprogesterone 17-d (83498) | $191 | $191 | 7.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $236 | $236 | 5.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $88 | $88 | 6.3× |
| Iaad Ia Streptococcus Group A (87430) | $50 | $50 | 3.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $118 | $118 | 9.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $380 | $380 | 8.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $501 | $501 | 14.3× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $86 | $86 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $262 | $262 | 6.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$188–$199 | $188–$199 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $563 | $563 | 30.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$95–$536 | $95–$536 | varies |
| Immunoassay nonantibody (83516) | $188 | $188 | 16.3× |
| Immunodiffusion Ouchterlony (86331) | $230 | $230 | 19.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $101 | $101 | 4.4× |
| Immunoelectrophoresis Serum (86320) | $334 | $334 | 11.2× |
| Immunofixation electrophoresis (86334) | $101 | $101 | 4.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $234 | $234 | 1.3× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$169–$633 | $169–$633 | varies |
| Influenza a/b ag eia (87400) | $105 | $105 | 7.4× |
| Inhibin A (86336) | $73 | $73 | 4.7× |
| Inhibin b (83520) | $197 | $197 | 11.4× |
| Insulin antibodies (86337) | $244 | $244 | 11.4× |
| Insulin total (83525) | $133 | $133 | 11.6× |
| Intrinsic factor antibody (86340) | $183 | $183 | 12.1× |
| Iron (83540) | $136 | $136 | 21.0× |
| Iron Binding Capacity (83550) | $151 | $151 | 17.3× |
| Iron stain peripheral blood (85536) | $244 | $244 | 35.5× |
| Irradiation Blood Product Each Unit (86945) | $225 | $225 | 5.6× |
| Islet cell antibody (86341) | $155 | $155 | 6.6× |
| Ketosteroids 17 total (83586) | $240 | $240 | 18.8× |
| Koh Prep (87220) | $130 | $130 | 30.4× |
| L/s ratio (83661) | $230 | $230 | 10.5× |
| Lactate (ld) (ldh) enzyme (83615) | $135 | $135 | 22.4× |
| Ldh Isoenzymes (83625) | $169 | $169 | 13.2× |
| LDL direct (83721) | $80 | $80 | 7.6× |
| Lead (83655) range across 3 matching MRF lines |
$119–$130 | $119–$130 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$119–$204 | $119–$204 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$88–$422 | $88–$422 | varies |
| Leucine Aminopeptidase Lap (83670) | $136 | $136 | 13.9× |
| Leukocyte Assessment Fecal (89055) | $73 | $73 | 17.1× |
| Leukocyte transfusion (86950) | $70 | $70 | 0.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $86 | $86 | 2.8× |
| Level ii surg pathology grossµscopic exam (88302) | $223 | $223 | 5.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $379 | $379 | 1.0× |
| Lidocaine (80176) | $169 | $169 | 11.5× |
| Lipase (83690) | $145 | $145 | 21.0× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $115 | $115 | 9.0× |
| Lithium (80178) | $130 | $130 | 19.7× |
| Luteinizing Hormone (Lh) (83002) | $179 | $179 | 9.7× |
| Lyme disease antibody (86618) | $118 | $118 | 6.9× |
| Lysozyme serum (85549) | $179 | $179 | 9.5× |
| Macroscopic Exam Parasite (87169) | $88 | $88 | 20.4× |
| Magnesium Urine (83735) | $130 | $130 | 19.4× |
| Mercury urine (83825) | $199 | $199 | 12.2× |
| Methylmalonic acid serum (83921) | $306 | $306 | 14.4× |
| Microalbumin, quantitative (82043) | $89 | $89 | 15.4× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$52–$206 | $52–$206 | varies |
| Mucin Clot Body Fluid (83872) | $114 | $114 | 19.5× |
| Mucopolysaccharides acid quantitative (83864) | $218 | $218 | 7.6× |
| Mumps antibody (86735) | $173 | $173 | 13.3× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$24–$111 | $24–$111 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$166–$246 | $166–$246 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$101–$150 | $101–$150 | varies |
| Natriuretic peptide (83880) | $276 | $276 | 7.0× |
| Neutralization Test Viral (86382) | $95 | $95 | 5.6× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$328–$384 | $328–$384 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $231 | $231 | 3.2× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,126 | $1,126 | 8.7× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$232–$296 | $232–$296 | varies |
| Osmolality serum (83930) | $114 | $114 | 17.2× |
| Osmolality Urine (83935) | $114 | $114 | 16.7× |
| Ova and parasites smears (87177) | $145 | $145 | 16.3× |
| Particle Agglutination Screen Each Antibody (86403) | $77 | $77 | 6.7× |
| Parvovirus antibody (86747) | $247 | $247 | 16.4× |
| Ph urine (81003) | $67 | $67 | 29.8× |
| Phenobarbital Level (80184) | $194 | $194 | 12.7× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$169–$188 | $169–$188 | varies |
| Phenytoin (Dilantin) (80185) | $194 | $194 | 14.6× |
| Phenytoin free (80186) | $76 | $76 | 5.5× |
| Phosphatase acid prostatic (84066) | $126 | $126 | 13.0× |
| Phosphatase alkaline (84075) | $136 | $136 | 26.3× |
| Phosphorus Serum (84100) | $99 | $99 | 20.9× |
| Pinworm exam (87172) | $102 | $102 | 23.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$306–$478 | $306–$478 | varies |
| Platelet count automated (85049) | $95 | $95 | 21.2× |
| Porphobilinogen Urine Qualitative (84106) | $99 | $99 | 17.0× |
| Porphyrins, urine; qualitative (84119) | $99 | $99 | 7.4× |
| Potassium Urine (84133) | $232 | $232 | 49.0× |
| Prealbumin (84134) | $44 | $44 | 3.0× |
| Pregnanetriol (84138) | $292 | $292 | 13.9× |
| Procalcitonin (Pct) (84145) | $99 | $99 | 3.6× |
| Progesterone (84144) | $198 | $198 | 9.5× |
| Prolactin (84146) | $230 | $230 | 11.9× |
| Protein body fluid (84157) | $95 | $95 | 23.8× |
| Protein C Activity (85303) | $422 | $422 | 30.5× |
| Protein c antigen (85302) | $693 | $693 | 57.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$126–$255 | $126–$255 | varies |
| Protein S Free (85306) | $422 | $422 | 27.5× |
| Protein s total (85305) | $323 | $323 | 27.8× |
| Protein total serum (84155) | $95 | $95 | 25.9× |
| Protein Total Urine (84156) | $95 | $95 | 25.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $95 | $95 | 24.1× |
| Protoporphyrin rbc quantitative (84202) | $176 | $176 | 12.3× |
| PSA free (84154) | $166 | $166 | 9.0× |
| Pth Intact (83970) range across 4 matching MRF lines |
$130–$387 | $130–$387 | varies |
| Quantiferon tb gold plus (86480) | $111 | $111 | 1.8× |
| Quantitative assay drug (80299) range across 15 matching MRF lines |
$123–$456 | $123–$456 | varies |
| Quinidine (80194) | $88 | $88 | 6.0× |
| Rbc antibody elution (86860) | $62 | $62 | 0.3× |
| Rbc antibody identification (86870) range across 8 matching MRF lines |
$63–$333 | $63–$333 | varies |
| Rbc antibody screen (86850) | $114 | $114 | 11.7× |
| Rbc pretreatment serum (86978) | $63 | $63 | 1.0× |
| Receptor assay estrogen (84233) | $669 | $669 | 7.6× |
| Renin activity plasma (84244) | $329 | $329 | 15.0× |
| Resp virus 12-25 targets (87633) | $425 | $425 | 1.0× |
| Rh (86901) | $73 | $73 | 24.4× |
| Rheumatoid Factor Qualitative (86430) | $86 | $86 | 14.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$95–$140 | $95–$140 | varies |
| Rubella Antibody (86762) | $151 | $151 | 10.5× |
| Rubeola antibody (86765) | $147 | $147 | 11.4× |
| Sedimentation rate (85651) | $95 | $95 | 22.2× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$88–$272 | $88–$272 | varies |
| Sex Chromatin Identification Barr Bodies (88130) | $429 | $429 | 23.9× |
| Sickling of rbc reduction (85660) | $86 | $86 | 15.6× |
| Skin test tuberculosis intradermal (86580) | $118 | $118 | 3.8× |
| Skin test; histoplasmosis (86510) | $102 | $102 | 2.5× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$102–$118 | $102–$118 | varies |
| Smear gram stain (87205) | $67 | $67 | 15.7× |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$95–$106 | $95–$106 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$59–$95 | $59–$95 | varies |
| Sodium Serum (84295) | $111 | $111 | 23.1× |
| Sodium Urine (84300) | $232 | $232 | 45.8× |
| Soluble Transferrin Receptor (84238) range across 4 matching MRF lines |
$176–$264 | $176–$264 | varies |
| Somatomedin (84305) | $264 | $264 | 12.4× |
| Special Stains Group 1 (88312) | $198 | $198 | 3.5× |
| Special Stains Group 2 (88313) | $162 | $162 | 1.1× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$27–$36 | $27–$36 | varies |
| Spectrophotometry (84311) | $314 | $314 | 38.8× |
| Stone Analysis (82355) | $227 | $227 | 19.6× |
| Stool cultr aerobic bact ea (87046) | $188 | $188 | 19.9× |
| Strep a DNA amp probe (87651) | $86 | $86 | 2.5× |
| Strep b DNA amp probe (87653) | $86 | $86 | 2.5× |
| Surg path level iii (88304) | $376 | $376 | 6.7× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$171–$278 | $171–$278 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$406–$644 | $406–$644 | varies |
| Syphilis Test Non-Trep Quant (86593) | $140 | $140 | 31.8× |
| T cells absolute cd4 count (86361) | $136 | $136 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$62–$872 | $62–$872 | varies |
| T3 Free (84481) | $199 | $199 | 11.7× |
| T3 reverse (84482) | $297 | $297 | 18.8× |
| T3 Total (84480) | $150 | $150 | 10.6× |
| T3 Uptake (84479) | $44 | $44 | 6.8× |
| T4 Free (84439) | $150 | $150 | 16.6× |
| T4 total (84436) | $150 | $150 | 21.8× |
| Tacrolimus (80197) | $65 | $65 | 4.7× |
| Test for acetone/ketones (82009) | $73 | $73 | 16.2× |
| Test for urine cystines (82615) | $135 | $135 | 14.1× |
| Testosterone total (84403) | $240 | $240 | 9.3× |
| Testosterone, Free (84402) | $205 | $205 | 8.0× |
| Theophylline (80198) | $188 | $188 | 13.3× |
| Thiocyanate (84430) | $173 | $173 | 14.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$111–$286 | $111–$286 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$133–$179 | $133–$179 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $797 | $797 | 15.7× |
| Thyroxine binding globulin (84442) | $185 | $185 | 12.5× |
| Tissue culture bone marrow (88237) | $576 | $576 | 4.0× |
| Tissue Culture Lymphocyte (88230) | $576 | $576 | 4.9× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$101–$151 | $101–$151 | varies |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$91–$337 | $91–$337 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$95–$198 | $95–$198 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $130 | $130 | 25.1× |
| Transferrin (84466) | $136 | $136 | 10.7× |
| Trichomonas vagin dir probe (87660) | $86 | $86 | 4.3× |
| Trichomonas Vaginalis Amplif (87661) | $86 | $86 | 2.5× |
| Triglycerides (84478) | $151 | $151 | 26.3× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$321–$353 | $321–$353 | varies |
| Urinalysis Microscopic Only (81015) | $99 | $99 | 32.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$67–$73 | $67–$73 | varies |
| Urine Bacteria Culture (87088) | $188 | $188 | 23.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$183–$223 | $183–$223 | varies |
| Urobilinogen urine qual (84578) | $240 | $240 | 53.7× |
| Valproic acid (80164) | $171 | $171 | 12.6× |
| Vancomycin (80202) | $136 | $136 | 10.0× |
| Varicella-zoster antibody (86787) | $101 | $101 | 7.8× |
| Viral Culture (87252) | $231 | $231 | 8.9× |
| Virus inoculation, shell via (87254) | $145 | $145 | 7.4× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $445 | $445 | 22.8× |
| Vitamin A (84590) | $262 | $262 | 22.6× |
| Vitamin b-12 (82607) | $63 | $63 | 4.2× |
| Vitamin B6 (84207) | $343 | $343 | 12.2× |
| Vitamin c (82180) | $136 | $136 | 13.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$262–$424 | $262–$424 | varies |
| Vitamin E (84446) | $151 | $151 | 10.6× |
| Volatiles (84600) range across 4 matching MRF lines |
$89–$151 | $89–$151 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $286 | $286 | 33.3× |
| West nile virus ab igm (86788) | $198 | $198 | 11.8× |
| West Nile Virus Antibody (86789) | $198 | $198 | 13.8× |
| Zinc (84630) | $171 | $171 | 15.0× |
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.