Lab & pathology prices at St. Mary's Good Samaritan Hospital
Greensboro, GA · every code in this section with a posted price and a Medicare benchmark.
439 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $29.90 | $46 | 1.6× |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$27.95–$39 | $43–$60 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$21.45–$26 | $33–$40 | varies |
| Acth (82024) range across 2 matching MRF lines |
$57.20–$61.10 | $88–$94 | varies |
| Actin smooth muscle antibody each (86015) | $37.05 | $57 | 3.1× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$180.05–$198.25 | $277–$305 | varies |
| Acylcarnitines Quant (82017) | $68.25 | $105 | 4.0× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$52.65–$56.55 | $81–$87 | varies |
| Albumin serum (82040) | $316.56 | — | 64.0× |
| Aldolase (82085) | $39.65 | $61 | 4.1× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$81.90–$118.30 | $126–$182 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$50.05–$57.85 | $77–$89 | varies |
| Allergen specific ige (86003) range across 138 matching MRF lines |
$11.05–$14.95 | $17–$23 | varies |
| Allg Spec Ige Recomb Ea (86008) | $16.90 | $26 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $42.90 | $66 | 3.0× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$46.15–$117 | $71–$180 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$52–$56.55 | $80–$87 | varies |
| Alt (sgpt) (84460) | $60.45 | $93 | 11.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $305.50 | $470 | 18.1× |
| Ammonia (82140) | $50.05 | $77 | 3.4× |
| Amylase urine (82150) | $49.40 | $76 | 7.6× |
| Ana Titer (86039) | $39 | $60 | 3.5× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$44.20–$47.45 | $68–$73 | varies |
| Androstenedione (82157) | $211.25 | $325 | 7.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$55.90–$59.80 | $86–$92 | varies |
| Anti-Phospholipid Antibody (86148) | $55.25 | $85 | 3.4× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$63.70–$68.25 | $98–$105 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$27.95–$33.15 | $43–$51 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$16.95–$37.70 | $26.07–$58 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $44.20 | $68 | 2.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 5 matching MRF lines |
$16.95–$61.75 | $26.07–$95 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$35.10–$37.70 | $54–$58 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $75.40 | $116 | 5.5× |
| Antibody Protozoa Nes (86753) | $77.35 | $119 | 6.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$15.60–$48.10 | $24–$74 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$42.90–$299 | $66–$460 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$12.35–$97.50 | $19–$150 | varies |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$43.55–$46.80 | $67–$72 | varies |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$57.85–$64.35 | $89–$99 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $225.55 | $347 | 6.0× |
| Arsenic (82175) range across 3 matching MRF lines |
$11.70–$20.80 | $18–$32 | varies |
| Assay Blood Carbon Dioxide (82374) | $65.65 | $101 | 13.5× |
| Assay Dir Meas Fr Estradiol (82681) | $84.50 | $130 | 3.0× |
| Assay Nephelometry Not Spec (83883) | $57.20 | $88 | 4.2× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$15.60–$101.40 | $24–$156 | varies |
| Assay of anti-mullerian hormone (82166) | $47.45 | $73 | 1.2× |
| Assay of blood/uric acid (84550) | $59.80 | $92 | 13.2× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$15.60–$16.90 | $24–$26 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$31.85–$57.20 | $49–$88 | varies |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$55.25–$64.35 | $85–$99 | varies |
| Assay of gammaglobulin igm (82784) range across 16 matching MRF lines |
$14.30–$42.25 | $22–$65 | varies |
| Assay of lactic acid (83605) | $62.40 | $96 | 5.4× |
| Assay of manganese (83785) | $29.90 | $46 | 1.1× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$29.90–$72.15 | $46–$111 | varies |
| Assay of serum potassium (84132) | $70.20 | $108 | 14.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$50.05–$54.60 | $77–$84 | varies |
| Assay of urine vma (84585) | $15.60 | $24 | 1.0× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$75.40–$80.60 | $116–$124 | varies |
| Assay Ph Body Fluid Nos (83986) | $67.60 | $104 | 18.9× |
| Assay spec xcp ur&breath ia (82077) | $142.35 | $219 | 8.2× |
| B cells total count (86355) | $92.95 | $143 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$54.60–$58.50 | $84–$90 | varies |
| Beta hydroxybutyrate (82010) | $64.35 | $99 | 7.9× |
| Beta Lactamase (87185) | $46.15 | $71 | 9.7× |
| Beta-2 Microglobulin (82232) | $25.35 | $39 | 1.6× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $285.35 | $439 | 2.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$222.79–$285.35 | $342.75–$439 | varies |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$45.50–$48.75 | $70–$75 | varies |
| Bilirubin total (82247) | $57.20 | $88 | 11.4× |
| Bld Typing Serologic Rh Phnt (86906) | $80.60 | $124 | 10.4× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$13.65–$14.95 | $21–$23 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.05 | $57 | 9.8× |
| Blood gas (82803) | $225.55 | $347 | 8.7× |
| Blood gases w/02 saturation (82805) | $265.85 | $409 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $29.90 | $46 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $11.70 | $18 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$42.90–$659.75 | $66–$1,015 | varies |
| Blood typing serologic abo (86900) | $22.10 | $34 | 7.4× |
| Body fluid cell count (89050) | $10.40 | $16 | 2.2× |
| C diff amplified probe (87493) | $86.45 | $133 | 2.3× |
| C-Peptide (84681) range across 2 matching MRF lines |
$52.65–$103.35 | $81–$159 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$18.85–$37.70 | $29–$58 | varies |
| Ca 19-9 (86301) | $78 | $120 | 3.7× |
| Calcium ionized (82330) | $45.50 | $70 | 3.3× |
| Calcium total (82310) | $241.80 | — | 46.9× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$121.55–$123.50 | $187–$190 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$237.25–$255.45 | $365–$393 | varies |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$58.50–$62.40 | $90–$96 | varies |
| Candida antibody (86628) | $36.15 | $55.62 | 3.0× |
| Carbamazepine total (80156) | $70.85 | $109 | 4.9× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$68.25–$74.10 | $105–$114 | varies |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$16.90–$19.50 | $26–$30 | varies |
| Carnitine Quantitative Each Specimen (82379) | $42.25 | $65 | 2.5× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$55.90–$81.90 | $86–$126 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$39.65–$42.25 | $61–$65 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$39.65–$110.50 | $61–$170 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $145.60 | $224 | 1.1× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$17.55–$18.85 | $27–$29 | varies |
| Cftr gene com variants (81220) | $378.30 | $582 | 0.7× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$37.70–$40.30 | $58–$62 | varies |
| Chlmy trch&neisra gonor mult (87494) | $78 | $120 | 1.1× |
| Chloride other source (82438) | $65.65 | $101 | 13.1× |
| Chloride Serum (82435) | $61.75 | $95 | 13.4× |
| Chloride urine (82436) | $61.75 | $95 | 10.7× |
| Cholesterol total (82465) | $61.75 | $95 | 14.2× |
| Cholinesterase Serum (82480) | $27.30 | $42 | 3.5× |
| Chorionic gonadotropin test (84702) | $98.15 | $151 | 6.5× |
| Chromium serum (82495) | $31.85 | $49 | 1.6× |
| Chromosome Analysis 15-20 (88262) | $321.10 | $494 | 2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$76.70–$113.75 | $118–$175 | varies |
| Clostridium Difficile (87324) | $200.85 | — | 16.8× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$15.60–$53.30 | $24–$82 | varies |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$169–$182 | $260–$280 | varies |
| Compatibility Each Unit Incubation (86921) | $152.10 | $234 | 1.0× |
| Compatibility test antiglob (86922) | $152.10 | $234 | 1.0× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$39.65–$74.10 | $61–$114 | varies |
| Complement Total (Ch50) (86162) | $76.70 | $118 | 3.8× |
| Complement/Function Activity (86161) | $100.75 | $155 | 8.4× |
| Coombs direct (86880) range across 5 matching MRF lines |
$11.05–$46.80 | $17–$72 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$11.70–$50.05 | $18–$77 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$48.75–$183.95 | $75–$283 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$59.80–$60.45 | $92–$93 | varies |
| Creatine (82540) | $73.45 | $113 | 15.8× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$27.30–$46.80 | $42–$72 | varies |
| Creatinine blood (82565) | $48.10 | $74 | 9.4× |
| Creatinine clearance (82575) | $113.75 | $175 | 12.0× |
| Creatinine Urine (82570) range across 14 matching MRF lines |
$13–$26 | $20–$40 | varies |
| Crossmatch electronic (86923) | $112.45 | $173 | 0.8× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$123.50–$133.25 | $190–$205 | varies |
| Crp High Sensitivity (86141) | $76.70 | $118 | 5.9× |
| Cryoglobulin (82595) | $58.50 | $90 | 9.0× |
| Cryptococcus ag titer (87899) | $74.10 | $114 | 4.6× |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$29.25–$54.60 | $45–$84 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$13.65–$50.05 | $21–$77 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $49.40 | $76 | 6.1× |
| Culture afb (87116) range across 4 matching MRF lines |
$26–$62.40 | $40–$96 | varies |
| Culture Anaerobic (87075) | $288.60 | — | 30.5× |
| Culture blood (87040) | $48.75 | $75 | 4.7× |
| Culture csf (87070) | $246.35 | — | 28.6× |
| Culture fungus (87102) | $26 | $40 | 3.1× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$40.95–$42.90 | $63–$66 | varies |
| Culture screen only (87081) | $24.70 | — | 3.7× |
| Culture stool (87045) | $57.85 | $89 | 6.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$28.60–$30.55 | $44–$47 | varies |
| Culture urine (87086) | $60.45 | $93 | 7.5× |
| Cyclosporine (80158) | $79.30 | $122 | 4.4× |
| Cystatin C (82610) | $68.90 | $106 | 3.7× |
| Cytomegalovirus igg (86644) | $39 | $60 | 2.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $76.05 | $117 | 3.8× |
| Cytopath Cell Enhance Tech (88112) | $112.45 | $173 | 2.5× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$125.45–$235.30 | $193–$362 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$206.70–$275.60 | $318–$424 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$321.75–$345.80 | $495–$532 | varies |
| Dgp Antibody Each Ig Class (86258) | $39.65 | $61 | 3.3× |
| Dhea (82626) range across 2 matching MRF lines |
$119.60–$128.05 | $184–$197 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$72.15–$77.35 | $111–$119 | varies |
| Dibucaine number (82638) | $27.30 | $42 | 2.2× |
| Digoxin (80162) | $105.95 | $163 | 8.0× |
| Dipropylacetic Acid Free (80165) | $28.60 | $44 | 2.1× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$41.60–$44.85 | $64–$69 | varies |
| Drug assay acetaminophen (80143) | $135.85 | $209 | 7.3× |
| Drug assay adalimumab (80145) | $120.90 | $186 | 3.1× |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$126.10–$135.85 | $194–$209 | varies |
| Drug Assay Everolimus (80169) | $185.90 | $286 | 13.5× |
| Drug Assay Lacosamide (80235) | $126.10 | $194 | 4.7× |
| Drug assay voriconazole (80285) | $87.75 | $135 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$61.10–$65.65 | $94–$101 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$159.90–$172.25 | $246–$265 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $27.95 | $43 | 2.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$243.10–$278.20 | $374–$428 | varies |
| Ehrlichia antibody (86666) | $101.40 | $156 | 10.0× |
| El-1 Fecal Quantitative (82653) | $65.65 | $101 | 2.9× |
| Electrolyte panel (80051) | $165.75 | $255 | 23.6× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$46.80–$194.35 | $72–$299 | varies |
| Erythropoietin (82668) | $131.95 | $203 | 7.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$77.35–$84.50 | $119–$130 | varies |
| Estrogen total (82672) | $98.80 | $152 | 4.6× |
| Estrogens fractionated (82671) | $56.55 | $87 | 1.8× |
| Exam Synovial Fluid Crystals (89060) | $42.25 | $65 | 5.8× |
| F2 Gene (81240) | $101.40 | $156 | 1.5× |
| Factor ix activity (85250) | $238.55 | $367 | 12.5× |
| Factor v activity (85220) | $50.05 | $77 | 2.8× |
| Factor v leiden mutation (81241) | $101.40 | $156 | 1.4× |
| Factor viii assay (85240) | $146.90 | $226 | 8.2× |
| Fatty acids free (82725) | $578.50 | $890 | 30.8× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$17.55–$27.30 | $27–$42 | varies |
| Ferritin (82728) | $49.40 | $76 | 3.6× |
| Fibrin Degradation Quant (85379) | $133.25 | $205 | 13.1× |
| Fibrinogen activity (85384) | $22.10 | $34 | 2.3× |
| Fluorescent antibody screen (86255) range across 13 matching MRF lines |
$24.70–$784.55 | $38–$1,207 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $65 | $100 | 5.4× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$68.25–$74.10 | $105–$114 | varies |
| Folic Acid Serum (82746) | $55.90 | $86 | 3.8× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$50.70–$55.25 | $78–$85 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $174.85 | $269 | 1.2× |
| Fungi Identification Yeast (87106) | $30.55 | $47 | 3.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $288.60 | $444 | 13.7× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$11.05–$36.40 | $17–$56 | varies |
| Gases blood ph only (82800) | $87.75 | $135 | 8.0× |
| Ggt (82977) | $61.75 | $95 | 8.6× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$41.60–$54.60 | $64–$84 | varies |
| Glucose 2 hr pp (82950) | $11.05 | $17 | 2.3× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$61.75–$68.25 | $95–$105 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$27.95–$29.90 | $43–$46 | varies |
| Glucose tolerance test (gtt) (82951) | $145.60 | $224 | 11.3× |
| Glycated Protein (82985) range across 3 matching MRF lines |
$25.35–$62.40 | $39–$96 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $62.40 | $96 | 8.3× |
| Growth hormone (83003) | $34.45 | $53 | 2.1× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$63.70–$68.25 | $98–$105 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$66.30–$71.50 | $102–$110 | varies |
| Hdl Cholesterol (83718) | $16.90 | $26 | 2.1× |
| Helicobacter Pylori Stool (87338) | $29.25 | $45 | 2.0× |
| Helminth Antibody (86682) | $52 | $80 | 4.0× |
| Hematocrit (85014) | $393.25 | — | 165.9× |
| Hemoglobin (85018) | $393.25 | — | 165.9× |
| Hemoglobin a1c (83036) | $34.45 | $53 | 3.5× |
| Hemoglobin electrophoresis (83020) | $27.30 | $42 | 2.1× |
| Hep a ab igm (86709) | $45.50 | $70 | 4.0× |
| Heparin assay (85520) | $102.70 | $158 | 7.8× |
| Hepatitis a antibody total (86708) | $31.20 | $48 | 2.5× |
| Hepatitis b core ab igm (86705) | $39 | $60 | 3.3× |
| Hepatitis b core ab total (86704) | $44.20 | $68 | 3.7× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$32.50–$35.75 | $50–$55 | varies |
| Hepatitis B Surface Antigen (87340) | $39.65 | $61 | 3.8× |
| Hepatitis Be Antibody (86707) | $42.90 | $66 | 3.7× |
| Hepatitis Be Antigen (87350) | $73.45 | $113 | 6.4× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$18.85–$56.55 | $29–$87 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$436.80–$459.55 | $672–$707 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$83.20–$85.15 | $128–$131 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$13–$66.30 | $20–$102 | varies |
| Heterophile Antibody Screen (86308) | $70.20 | $108 | 13.6× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$184.60–$195 | $284–$300 | varies |
| Hiv Genotype (87901) | $244.40 | $376 | 0.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $80.60 | $124 | 3.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$242.45–$260.65 | $373–$401 | varies |
| Hla class ii typing high resolution one locus ea (81382) | $126.75 | $195 | 1.0× |
| Hla-b27 (86812) | $81.25 | $125 | 3.1× |
| Homocysteine (83090) range across 2 matching MRF lines |
$54.60–$58.50 | $84–$90 | varies |
| Hsv Dna Amp Probe (87529) | $52.65 | $81 | 1.5× |
| Human Epididymis Protein 4 (86305) | $202.15 | $311 | 9.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $44.85 | $69 | 3.7× |
| Iaad Ia Streptococcus Group A (87430) | $35.10 | $54 | 2.1× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$80.60–$87.10 | $124–$134 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $299 | $460 | 7.0× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $154.70 | $238 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $144.95 | $223 | 3.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$76.70–$122.20 | $118–$188 | varies |
| Ig Light Chains Free Each (83521) | $58.50 | $90 | 3.4× |
| Igg subclasses (82787) range across 9 matching MRF lines |
$24.70–$151.45 | $38–$233 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$79.95–$144.30 | $123–$222 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$34.45–$78 | $53–$120 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$30.55–$32.50 | $47–$50 | varies |
| Immunoassay nonantibody (83516) range across 20 matching MRF lines |
$20.80–$186.55 | $32–$287 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$63.05–$73.45 | $97–$113 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$35.10–$227.50 | $54–$350 | varies |
| Immunohistochemistry (88342) | $67.60 | $104 | 0.5× |
| Influenza a/b ag eia (87400) | $32.50 | $50 | 2.3× |
| Influenza assay w/optic (87804) | $41.60 | $64 | 2.5× |
| Inhibin b (83520) range across 15 matching MRF lines |
$35.10–$402.35 | $54–$619 | varies |
| Insulin antibodies (86337) | $61.75 | $95 | 2.9× |
| Insulin total (83525) range across 2 matching MRF lines |
$46.80–$50.05 | $72–$77 | varies |
| Interleukin-6 (83529) | $128.70 | $198 | 7.5× |
| Intrinsic factor antibody (86340) | $104.65 | $161 | 6.9× |
| Iron (83540) | $51.35 | $79 | 7.9× |
| Iron Binding Capacity (83550) | $59.80 | $92 | 6.8× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$73.45–$131.30 | $113–$202 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $396.50 | $610 | 3.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$57.85–$61.75 | $89–$95 | varies |
| Lactoferrin fecal qualitative (83630) | $44.20 | $68 | 2.2× |
| LDL direct (83721) | $401.05 | — | 38.2× |
| Lead (83655) range across 3 matching MRF lines |
$14.95–$20.80 | $23–$32 | varies |
| Legionella antibody (86713) | $124.15 | $191 | 8.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$85.15–$87.75 | $131–$135 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $59.80 | $92 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $80.60 | $124 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $224.25 | $345 | 0.7× |
| Lipase (83690) range across 2 matching MRF lines |
$41.60–$44.85 | $64–$69 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$106.60–$114.40 | $164–$176 | varies |
| Lipoprotein Bld Quan Part (83704) | $196.30 | $302 | 5.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $52 | $80 | 1.1× |
| Lithium (80178) | $26 | $40 | 3.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$54.60–$58.50 | $84–$90 | varies |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$55.25–$59.15 | $85–$91 | varies |
| Lysozyme serum (85549) | $78 | $120 | 4.2× |
| Macroscopic Exam Parasite (87169) | $21.45 | $33 | 5.0× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$17.45–$54.60 | $26.85–$84 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$14.95–$20.80 | $23–$32 | varies |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$61.75–$66.30 | $95–$102 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$68.90–$74.75 | $106–$115 | varies |
| Microsatellite instability (81301) | $403.65 | $621 | 1.2× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$46.80–$55.25 | $72–$85 | varies |
| Mitochondrial Antibody Each (86381) | $37.05 | $57 | 1.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $566.80 | $872 | 15.0× |
| Mopath procedure level 2 (81401) | $526.50 | $810 | 3.8× |
| Mrsa Pcr (87641) | $44.20 | $68 | 1.3× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$113.10–$131.30 | $174–$202 | varies |
| Mumps antibody (86735) | $42.90 | $66 | 3.3× |
| Muscle-Specific Kinase Antb (86366) | $29.90 | $46 | 1.6× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$54.60–$70.20 | $84–$108 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$87.75–$96.20 | $135–$148 | varies |
| Neutralization Test Viral (86382) | $768.95 | $1,183 | 45.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $266.50 | $410 | 3.7× |
| Niacin (84591) | $44.85 | $69 | 2.6× |
| Nk cells total count (86357) | $79.30 | $122 | 2.1× |
| Nuclear antigen antibody (86235) range across 23 matching MRF lines |
$16.25–$59.15 | $25–$91 | varies |
| Occult blood feces (82272) | $11.70 | $18 | 2.8× |
| Occult Blood Other Sources (82271) | $42.90 | $66 | 8.1× |
| Oligoclonal bands (83916) | $39.65 | $61 | 1.4× |
| Oncoprotein dcp (83951) | $130 | $200 | 2.0× |
| Osmolality serum (83930) | $91 | $140 | 13.8× |
| Osmolality Urine (83935) | $91 | $140 | 13.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$17.55–$18.85 | $27–$29 | varies |
| Pancreatic Elastase Fecal (82656) | $154.05 | $237 | 13.4× |
| Particle Agglutination Screen Each Antibody (86403) | $99.45 | $153 | 8.6× |
| Ph urine (81003) | $409.50 | — | 182.0× |
| Phenobarbital Level (80184) | $31.85 | $49 | 2.1× |
| Phenotype Infect Agent Drug (87900) | $44.20 | $68 | 0.3× |
| Phenytoin (Dilantin) (80185) | $112.45 | $173 | 8.5× |
| Phenytoin free (80186) | $106.60 | $164 | 7.7× |
| Phosphatase alkaline (84075) | $627.90 | — | 121.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$55.90–$59.80 | $86–$92 | varies |
| Phosphorus urine (84105) | $90.35 | $139 | 15.6× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$27.30–$243.75 | $42–$375 | varies |
| Platelet count automated (85049) | $31.85 | $49 | 7.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $30.55 | $47 | 2.1× |
| Potassium Urine (84133) | $73.45 | $113 | 15.5× |
| Prealbumin (84134) range across 2 matching MRF lines |
$64.35–$68.90 | $99–$106 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $71.50 | $110 | 1.4× |
| Procalcitonin (Pct) (84145) | $52.65 | $81 | 1.9× |
| Progesterone (84144) range across 2 matching MRF lines |
$65.65–$70.85 | $101–$109 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$50.05–$54.60 | $77–$84 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$61.75–$65 | $95–$100 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$24.70–$55.25 | $38–$85 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$35.10–$37.70 | $54–$58 | varies |
| Protein total serum (84155) | $651.30 | — | 177.5× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$13–$16.90 | $20–$26 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$16.90–$94.90 | $26–$146 | varies |
| Pth Intact (83970) range across 3 matching MRF lines |
$109.85–$118.30 | $169–$182 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$206.05–$216.45 | $317–$333 | varies |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$42.90–$340.60 | $66–$524 | varies |
| Quantitative Screen Metals (83018) | $39.65 | $61 | 1.8× |
| Rbc antibody elution (86860) | $130 | $200 | 0.9× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$127.40–$182 | $196–$280 | varies |
| Rbc antibody screen (86850) | $79.95 | $123 | 8.2× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$81.90–$88.40 | $126–$136 | varies |
| Rh (86901) | $22.10 | $34 | 7.4× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$18.20–$19.50 | $28–$30 | varies |
| Rickettsia antibody (86757) range across 7 matching MRF lines |
$17.55–$239.85 | $27–$369 | varies |
| Ristocetin cofactor (85245) | $135.85 | $209 | 5.9× |
| Rotavirus ag eia (87425) | $41.60 | $64 | 3.5× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$14.95–$26 | $23–$40 | varies |
| Rsv Assay W/Optic (87807) | $52 | $80 | 4.0× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$39–$50.05 | $60–$77 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$42.90–$58.50 | $66–$90 | varies |
| Rufinamide (80210) | $140.50 | $216.15 | 5.2× |
| Russell Viper Venom Time Diluted (85613) | $35.10 | $54 | 3.7× |
| Salicylate Level (80179) | $165.75 | $255 | 8.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$130.65–$140.40 | $201–$216 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$50.70–$115.05 | $78–$177 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $58.50 | $90 | 1.4× |
| Sarscov2 & inf a&b amp prb (87636) | $286 | $440 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286.65 | $441 | 2.0× |
| Sedimentation Rate, Automated (85652) | $16.25 | $25 | 6.0× |
| Selenium (84255) range across 2 matching MRF lines |
$29.25–$39 | $45–$60 | varies |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$25.35–$59.15 | $39–$91 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$12.14–$70.20 | $18.67–$108 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$25.35–$27.30 | $39–$42 | varies |
| Sirolimus (80195) | $165.75 | $255 | 12.1× |
| Smear acid fast (87206) range across 7 matching MRF lines |
$12.46–$27.95 | $19.17–$43 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$17.55–$39.65 | $27–$61 | varies |
| Smear gram stain (87205) | $21.45 | $33 | 5.0× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$13–$20.15 | $20–$31 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $40.95 | $63 | 7.0× |
| Sodium Serum (84295) | $58.50 | $90 | 12.2× |
| Sodium Urine (84300) | $61.75 | $95 | 12.2× |
| Somatomedin (84305) range across 2 matching MRF lines |
$72.80–$78 | $112–$120 | varies |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$66.30–$71.50 | $102–$110 | varies |
| Special Stains Group 2 (88313) | $67.60 | $104 | 0.6× |
| Specimen infect agnt concntj (87015) | $419.25 | — | 62.8× |
| Spectrophotometry (84311) | $56.55 | $87 | 7.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $130 | $200 | 0.9× |
| Stool cultr aerobic bact ea (87046) | $12.35 | $19 | 1.3× |
| Strep a assay w/optic (87880) | $31.20 | $48 | 1.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $59.80 | $92 | 0.6× |
| Sugars Single Qual (84376) | $144.30 | $222 | 26.2× |
| Surg path level iii (88304) | $155.35 | $239 | 3.4× |
| Surgical pathology level IV (88305) | $174.20 | $268 | 3.8× |
| Surgical pathology level vi (88309) | $291.85 | $449 | 0.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $57.85 | $89 | 7.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$52.65–$107.90 | $81–$166 | varies |
| T cells total count (86359) | $92.95 | $143 | 2.5× |
| T3 Free (84481) range across 2 matching MRF lines |
$65.65–$70.85 | $101–$109 | varies |
| T3 reverse (84482) | $82.55 | $127 | 5.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$44.20–$47.45 | $68–$73 | varies |
| T3 Uptake (84479) | $36.40 | $56 | 5.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$37.05–$59.80 | $57–$92 | varies |
| T4 total (84436) | $37.70 | $58 | 5.5× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$191.75–$206.05 | $295–$317 | varies |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$222.79–$285.35 | $342.75–$439 | varies |
| Test for acetone/ketones (82009) | $26.65 | $41 | 5.9× |
| Testosterone total (84403) range across 3 matching MRF lines |
$12.14–$83.85 | $18.67–$129 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$15.60–$83.20 | $24–$128 | varies |
| Thiopurine methyltransferase (84433) | $176.80 | $272 | 8.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $24.70 | $38 | 3.8× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$42.25–$55.90 | $65–$86 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$42.25–$45.50 | $65–$70 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$42.90–$46.15 | $66–$71 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$24.05–$39.65 | $37–$61 | varies |
| Tissue Culture Lymphocyte (88230) | $184.60 | $284 | 1.6× |
| Topiramate (80201) range across 2 matching MRF lines |
$61.10–$65.65 | $94–$101 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$18.10–$35.10 | $27.85–$54 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $52.65 | $81 | 10.2× |
| Transferrin (84466) | $16.25 | $25 | 1.3× |
| Trichomonas Vaginalis Amplif (87661) | $40.95 | $63 | 1.2× |
| Triglycerides (84478) range across 2 matching MRF lines |
$60.45–$65 | $93–$100 | varies |
| Troponin Quant (84484) | $68.90 | $106 | 5.5× |
| Tumor Immunohistochem/Manual (88360) | $280.80 | $432 | 1.9× |
| Urea nitrogen urine (84540) | $31.20 | $48 | 5.6× |
| Uric acid other source (84560) | $61.75 | $95 | 12.2× |
| Urinalysis Volume Measure (81050) | $109.85 | $169 | 30.2× |
| Urine Pregnancy Test (81025) | $68.90 | $106 | 8.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $382.85 | — | 120.8× |
| Valproic acid (80164) range across 2 matching MRF lines |
$52.65–$57.20 | $81–$88 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$55.90–$143 | $86–$220 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$42.90–$63.70 | $66–$98 | varies |
| Viral Culture (87252) | $87.75 | $135 | 3.4× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$74.10–$79.30 | $114–$122 | varies |
| Vitamin A (84590) range across 3 matching MRF lines |
$42.25–$45.50 | $65–$70 | varies |
| Vitamin b-12 (82607) | $44.20 | $68 | 2.9× |
| Vitamin B2 (Riboflavin) (84252) | $33.15 | $51 | 1.6× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$55.90–$59.80 | $86–$92 | varies |
| Vitamin c (82180) | $40.95 | $63 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $75.40 | $116 | 2.5× |
| Vitamin E (84446) range across 3 matching MRF lines |
$50.05–$54.60 | $77–$84 | varies |
| Vitamin K (84597) | $40.95 | $63 | 3.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $80.60 | $124 | 6.7× |
| West Nile Virus Antibody (86789) | $58.50 | $90 | 4.1× |
| Western Blot Test (84181) | $50.05 | $77 | 2.9× |
| Zinc (84630) range across 3 matching MRF lines |
$41.60–$72.15 | $64–$111 | varies |
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.