Lab & pathology prices at Stewart Memorial Community Hospital
Lake City, IA · every code in this section with a posted price and a Medicare benchmark.
479 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $39 | $49 | 1.0× |
| Actin smooth muscle antibody each (86015) | $50 | $63 | 4.1× |
| Acute hepatitis panel (80074) | $315 | $394 | 6.6× |
| Albumin serum (82040) | $40 | $50 | 8.1× |
| Aldolase (82085) | $27 | $34 | 2.8× |
| Aldosterone urine (82088) | $170 | $213 | 4.2× |
| Alkaline phosphatase isoenzymes (84080) | $27 | $34 | 1.8× |
| Allergen specific ige (86003) range across 42 matching MRF lines |
$23–$24 | $29–$30 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $26 | $33 | 1.8× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$26–$216 | $33–$270 | varies |
| Alpha-Fetoprotein Serum (82105) | $75 | $94 | 4.5× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$44–$136 | $55–$171 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $267 | $334 | 15.8× |
| Amino Acids Quant 2-5 (82136) | $207 | $259 | 10.6× |
| Ammonia (82140) | $62 | $78 | 4.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $267 | $334 | 2.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$56–$62 | $70–$78 | varies |
| Ana Titer (86039) | $60 | $76 | 5.4× |
| Anca screen each antibody (86036) | $51 | $64 | 4.2× |
| Androstenedione (82157) | $148 | $186 | 5.1× |
| Angiotensin converting enzyme csf (82164) | $120 | $150 | 8.2× |
| Anti-Phospholipid Antibody (86148) | $87 | $109 | 5.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $72 | $91 | 4.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $128 | $161 | 7.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $35 | $44 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $36 | $46 | 2.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $36 | $46 | 2.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$20–$28 | $25–$36 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $100 | $125 | 7.3× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$48–$157 | $61–$197 | varies |
| Antibody Protozoa Nes (86753) | $61 | $77 | 4.9× |
| Antibody Titer (86886) | $45 | $57 | 8.7× |
| Antibody Treponema Pallidum (86780) | $42 | $53 | 3.2× |
| Antigen typing (86905) | $60 | $76 | 15.7× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$57–$90 | $72–$113 | varies |
| Antistreptolysin o titer (86060) | $32 | $40 | 4.4× |
| Antithrombin iii activity (85300) | $92 | $115 | 7.8× |
| Antithrombin iii antigen (85301) | $48 | $60 | 4.4× |
| Apolipoprotein a1 (82172) | $140 | $175 | 6.6× |
| Arsenic (82175) | $22 | $28 | 1.2× |
| Aspergillus ag eia (87305) | $84 | $105 | 7.0× |
| Assay activated protein c (85307) | $55 | $69 | 3.6× |
| Assay Blood Carbon Dioxide (82374) | $22 | $28 | 4.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$52–$201 | $66–$252 | varies |
| Assay of 5-hiaa (83497) | $31 | $39 | 2.4× |
| Assay of blood/uric acid (84550) | $20 | $26 | 4.4× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$21–$54 | $27–$68 | varies |
| Assay of estrone (82679) | $106 | $133 | 4.2× |
| Assay of g6pd enzyme (82955) | $89 | $112 | 9.2× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$19–$41 | $24–$52 | varies |
| Assay of lactic acid (83605) | $52 | $66 | 4.5× |
| Assay of metanephrines (83835) | $414 | $518 | 24.4× |
| Assay of proinsulin (84206) | $81 | $102 | 3.0× |
| Assay of serotonin (84260) | $128 | $161 | 4.1× |
| Assay of serum potassium (84132) | $37 | $47 | 7.8× |
| Assay of sweat sodium (84302) | $16 | $20 | 3.3× |
| Assay of urea nitrogen (84520) | $19 | $24 | 4.8× |
| Assay of urine vma (84585) | $67 | $84 | 4.3× |
| Assay of vasoactive intestinal peptide (84586) | $100 | $125 | 2.8× |
| Assay of vitamin b-1 (84425) | $153 | $192 | 7.2× |
| Assay Ph Body Fluid Nos (83986) | $12 | $15 | 3.4× |
| Assay spec xcp ur&breath ia (82077) | $116 | $146 | 6.7× |
| Automated Leukocyte Count (85048) | $12 | $16 | 4.7× |
| B cells total count (86355) | $47 | $59 | 1.2× |
| Babesia microti amp prb (87469) | $312 | $390 | 8.9× |
| Bartonella antibody (86611) | $78 | $98 | 7.7× |
| Bcr/abl1 gene major bp (81206) | $581 | $727 | 3.5× |
| Bcr/abl1 gene minor bp (81207) | $122 | $153 | 0.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$49–$141 | $62–$177 | varies |
| Beta hydroxybutyrate (82010) | $36 | $46 | 4.4× |
| Beta Lactamase (87185) | $12 | $15 | 2.5× |
| Beta-2 Microglobulin (82232) | $78 | $98 | 4.8× |
| Bile acids total (82239) | $51 | $64 | 3.0× |
| Bilirubin direct (82248) | $37 | $47 | 7.4× |
| Bilirubin total (82247) | $37 | $47 | 7.4× |
| Bilirubin total transcutaneous (88720) | $42 | $53 | 8.4× |
| Biotinidase (82261) | $72 | $91 | 4.3× |
| Bld Typing Serologic Rh Phnt (86906) | $101 | $127 | 13.0× |
| Blood Count Automated Differential Wbc Count (85004) | $16 | $21 | 2.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $36 | $45 | 9.5× |
| Blood gas (82803) range across 5 matching MRF lines |
$76–$78 | $95–$98 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $48 | $60 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$51–$63 | $64–$79 | varies |
| Blood typing serologic abo (86900) | $67 | $84 | 22.4× |
| Bordetella antibody (86615) | $126 | $158 | 9.6× |
| Borrelia miyamotoi amp prb (87478) | $312 | $390 | 8.9× |
| Breath Alcohol Test (82075) | $32 | $40 | 1.1× |
| Brucella antibody (86622) | $31 | $39 | 3.5× |
| C diff amplified probe (87493) | $53 | $67 | 1.4× |
| C-Peptide (84681) | $27 | $34 | 1.3× |
| C-reactive protein (86140) | $80 | $100 | 15.4× |
| Ca 19-9 (86301) | $87 | $109 | 4.2× |
| Cadmium (82300) | $22 | $28 | 0.9× |
| Calcium ionized (82330) | $60 | $76 | 4.4× |
| Calcium total (82310) | $23 | $29 | 4.5× |
| Calculus Spectroscopy (82365) | $57 | $72 | 4.4× |
| Calprotectin Fecal (83993) | $127 | $159 | 6.5× |
| Cancer Antigen 125 (86304) | $87 | $109 | 4.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$80–$87 | $100–$109 | varies |
| Carbamazepine total (80156) | $115 | $144 | 7.9× |
| Carbohydrate Deficient Transferrin (82373) | $81 | $102 | 4.5× |
| Carboxyhemoglobin (82375) | $109 | $137 | 8.8× |
| Carcinoembryonic antigen (82378) | $125 | $157 | 6.6× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$45–$108 | $57–$135 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$40–$218 | $50–$273 | varies |
| Carotene (82380) | $152 | $191 | 16.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$107–$324 | $134–$406 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$60–$68 | $75–$86 | varies |
| Cell count csf (89051) | $57 | $72 | 10.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $382 | $478 | 2.8× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$20–$49 | $26–$62 | varies |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$52–$216 | $65–$271 | varies |
| Chloride Serum (82435) | $21 | $27 | 4.6× |
| Chloride urine (82436) | $20 | $26 | 3.5× |
| Cholesterol total (82465) | $20 | $25 | 4.6× |
| Cholinesterase Serum (82480) | $80 | $100 | 10.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$33–$100 | $42–$125 | varies |
| Chromium serum (82495) | $147 | $184 | 7.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $147 | $184 | 4.2× |
| Citric acid urine (82507) | $49 | $62 | 1.8× |
| Ckmb (82553) | $50 | $63 | 4.3× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$20–$157 | $25–$197 | varies |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$41–$221 | $52–$277 | varies |
| Cns DNA amp probe type 12-25 (87483) | $488 | $610 | 1.2× |
| Coccidioides antibody (86635) | $49 | $62 | 4.3× |
| Collagen crosslinks (82523) | $18 | $23 | 1.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$96–$540 | $121–$676 | varies |
| Compatibility test antiglob (86922) | $71 | $89 | 0.4× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$52–$81 | $65–$102 | varies |
| Complement Total (Ch50) (86162) | $25 | $32 | 1.2× |
| Complement/Function Activity (86161) | $79 | $99 | 6.6× |
| Coombs direct (86880) range across 3 matching MRF lines |
$40–$58 | $51–$73 | varies |
| Copper urine (82525) | $105 | $132 | 8.5× |
| Cortisol free (82530) | $191 | $239 | 11.4× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$61–$150 | $77–$188 | varies |
| Creatine (82540) | $96 | $121 | 20.7× |
| Creatine kinase total (82550) | $61 | $77 | 9.4× |
| Creatinine blood (82565) | $24 | $30 | 4.7× |
| Creatinine clearance (82575) | $87 | $109 | 9.2× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$21–$56 | $27–$71 | varies |
| Crp High Sensitivity (86141) | $92 | $116 | 7.1× |
| Cryptococcus ag titer (87899) | $66 | $83 | 4.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $32 | $40 | 4.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $118 | $148 | 14.6× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$47–$89 | $59–$112 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$77–$94 | $97–$118 | varies |
| Culture csf (87070) range across 12 matching MRF lines |
$32–$80 | $40–$100 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$114–$145 | $143–$182 | varies |
| Culture screen only (87081) range across 4 matching MRF lines |
$25–$40 | $32–$50 | varies |
| Culture stool (87045) | $27 | $34 | 2.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $16 | $20 | 3.1× |
| Culture urine (87086) | $68 | $86 | 8.4× |
| Cyclosporine (80158) | $181 | $227 | 10.0× |
| Cystatin C (82610) | $32 | $41 | 1.7× |
| Cytomegalovirus igg (86644) | $128 | $161 | 8.9× |
| Deoxyribonuclease antibody (86215) | $28 | $35 | 2.1× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$27–$312 | $34–$390 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$274–$748 | $343–$935 | varies |
| Detect agnt mult DNA ampli (87801) | $453 | $567 | 6.5× |
| Dgp Antibody Each Ig Class (86258) range across 6 matching MRF lines |
$31–$52 | $39–$66 | varies |
| Dhea (82626) | $27 | $34 | 1.1× |
| Dhea-S (82627) | $93 | $117 | 4.2× |
| Digoxin (80162) | $109 | $137 | 8.2× |
| Dihydrotestosterone (82642) | $119 | $149 | 4.1× |
| Dna Antibody Native/Double Stranded (86225) | $124 | $156 | 9.0× |
| Dna/Rna Amplified Probe (87150) | $48 | $61 | 1.4× |
| Drug assay acetaminophen (80143) | $143 | $179 | 7.7× |
| Drug assay adalimumab (80145) | $227 | $284 | 5.9× |
| Drug assay felbamate (80167) | $84 | $105 | 4.5× |
| Drug Assay Itraconazole (80189) | $292 | $366 | 10.8× |
| Drug Assay Posaconazole (80187) | $163 | $204 | 6.0× |
| Drug Assay Vedolizumab (80280) | $142 | $178 | 3.7× |
| Drug Screen Quant Zonisamide (80203) | $67 | $84 | 5.1× |
| Drug Screen Quantitative Gabapentin (80171) | $84 | $106 | 3.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $58 | $73 | 4.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $62 | $78 | 4.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $109 | $137 | 8.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$21–$163 | $27–$204 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $84 | $105 | 6.7× |
| Ehrlichia antibody (86666) | $32 | $41 | 3.1× |
| El-1 Fecal Quantitative (82653) | $40 | $50 | 1.7× |
| Electrolyte panel (80051) | $66 | $83 | 9.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $104 | $131 | 8.6× |
| Enterovirus PCR (87498) | $76 | $95 | 2.2× |
| Enzyme cell activity (82657) | $113 | $142 | 5.1× |
| Eosinophil Smear (89190) | $41 | $52 | 7.1× |
| Erythropoietin (82668) | $82 | $103 | 4.4× |
| Estradiol serum (82670) | $116 | $146 | 4.2× |
| Estriol (82677) | $49 | $62 | 2.0× |
| Exam Synovial Fluid Crystals (89060) | $31 | $39 | 4.2× |
| F2 Gene (81240) | $19 | $24 | 0.3× |
| Factor ii activity (85210) | $184 | $231 | 14.2× |
| Factor ix activity (85250) | $269 | $337 | 14.1× |
| Factor v activity (85220) | $244 | $306 | 13.8× |
| Factor v leiden mutation (81241) | $244 | $306 | 3.3× |
| Factor vii assay (85230) | $244 | $306 | 13.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$41–$58 | $52–$73 | varies |
| Factor X (85260) | $58 | $73 | 3.2× |
| Factor xi activity (85270) | $58 | $73 | 3.2× |
| Fat/Lipids Feces Quantitative (82710) | $96 | $121 | 5.7× |
| Ferritin (82728) range across 2 matching MRF lines |
$100–$136 | $125–$171 | varies |
| Fetal Fibronectin (82731) | $267 | $334 | 4.1× |
| Fetal screen rosette (85461) | $40 | $50 | 4.3× |
| Fibrin Degradation Quant (85379) | $38 | $48 | 3.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $100 | $125 | 10.3× |
| Fibrinogen activity (85384) | $129 | $162 | 13.3× |
| Flow cytometry first marker (88184) | $209 | $262 | 0.6× |
| Fmr1 Gene Charac Alleles (81244) | $148 | $186 | 3.3× |
| Folic acid rbc (82747) | $54 | $68 | 3.1× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$113–$115 | $142–$144 | varies |
| Follicle Stimulating Hormone (83001) | $114 | $143 | 6.1× |
| Francisella tularensis (86668) | $180 | $225 | 12.7× |
| Frozen Section (88331) | $77 | $97 | 0.5× |
| Fungi Identification Mold (87107) | $16 | $21 | 1.6× |
| Fungi Identification Yeast (87106) | $14 | $18 | 1.4× |
| Galactose transferase test (82776) | $118 | $148 | 10.1× |
| Gammaglobulin ige (82785) | $71 | $89 | 4.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $488 | $610 | 1.2× |
| Gentamicin (80170) | $70 | $88 | 4.3× |
| Ggt (82977) | $32 | $40 | 4.4× |
| Giardia lamblia antibody (86674) | $160 | $200 | 10.9× |
| Glucagon (82943) | $67 | $84 | 4.7× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$12–$16 | $15–$21 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$36–$125 | $46–$157 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$45–$136 | $57–$171 | varies |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$23–$47 | $29–$59 | varies |
| Glycated Protein (82985) | $58 | $73 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $51 | $64 | 6.8× |
| Growth hormone (83003) | $72 | $90 | 4.3× |
| H Pylori (C-13) Breath (83013) | $198 | $248 | 2.9× |
| Haloperidol (80173) | $64 | $81 | 4.1× |
| Haptoglobin (83010) | $49 | $62 | 3.9× |
| Hdl Cholesterol (83718) | $37 | $47 | 4.5× |
| Helicobacter Pylori Stool (87338) | $203 | $254 | 14.1× |
| Hematocrit (85014) | $11 | $14 | 4.6× |
| Hemoglobin (85018) | $11 | $14 | 4.6× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$17–$80 | $22–$100 | varies |
| Hemoglobin Chromotography (83021) | $148 | $186 | 8.2× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$21–$44 | $27–$55 | varies |
| Hemoglobin plasma (83051) | $56 | $70 | 7.7× |
| Hemosiderin urine (83070) | $33 | $42 | 6.9× |
| Hep a ab igm (86709) | $57 | $72 | 5.1× |
| Heparin assay (85520) | $240 | $300 | 18.3× |
| Hepatitis a antibody total (86708) | $51 | $64 | 4.1× |
| Hepatitis b core ab igm (86705) | $52 | $65 | 4.4× |
| Hepatitis b core ab total (86704) | $51 | $64 | 4.2× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$45–$48 | $57–$61 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$38–$42 | $48–$53 | varies |
| Hepatitis Be Antibody (86707) | $38 | $48 | 3.3× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$36–$38 | $46–$48 | varies |
| Hepatitis C Antibody (86803) | $61 | $77 | 4.3× |
| Hepatitis C Genotype (87902) | $328 | $411 | 1.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $107 | $134 | 2.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$20–$28 | $25–$36 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$52–$53 | $65–$67 | varies |
| Hfe Gene (81256) | $863 | $1,079 | 13.2× |
| Histamine urine (83088) | $40 | $51 | 1.4× |
| Histoplasma antibody (86698) | $53 | $67 | 3.8× |
| Histoplasma antigen urine (87385) | $376 | $471 | 28.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $60 | $75 | 2.5× |
| Hiv-1 Antibody (86701) | $48 | $61 | 5.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $352 | $440 | 4.1× |
| Hla ii typing 1 locus lr (81376) | $196 | $246 | 1.6× |
| Hla-b27 (86812) | $119 | $149 | 4.6× |
| Homocysteine (83090) | $212 | $265 | 11.8× |
| Homogenization Tissue (87176) | $23 | $29 | 3.9× |
| Homovanillic acid urine (83150) | $52 | $66 | 2.3× |
| Hpv High-Risk Types (87624) | $147 | $184 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$67–$324 | $84–$405 | varies |
| Human Epididymis Protein 4 (86305) | $60 | $76 | 2.9× |
| Hydroxycorticosteroids 17 (83491) | $115 | $144 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $81 | $102 | 3.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $70 | $88 | 2.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $312 | $390 | 8.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $157 | $197 | 4.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$326–$333 | $408–$417 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $187 | $234 | 4.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $84 | $105 | 1.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $312 | $390 | 8.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $259 | $324 | 6.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $157 | $197 | 4.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$119–$147 | $149–$184 | varies |
| Ig Light Chains Free Each (83521) | $106 | $133 | 6.1× |
| Igg subclasses (82787) | $41 | $52 | 5.1× |
| Immunfix e-phorsis/urine/csf (86335) | $235 | $294 | 8.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$100–$197 | $125–$247 | varies |
| Immunoassay infectious agent (86318) | $120 | $150 | 6.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$54–$75 | $68–$94 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$50–$140 | $63–$175 | varies |
| Immunodiffusion Ouchterlony (86331) | $32 | $41 | 2.7× |
| Immunofixation electrophoresis (86334) | $99 | $124 | 4.4× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$114–$204 | $143–$255 | varies |
| In situ hybridization 1st probe stain (88365) | $186 | $233 | 1.1× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$69–$76 | $87–$95 | varies |
| Influenza DNA amp probe (87502) | $140 | $175 | 1.5× |
| Inhibin A (86336) | $33 | $42 | 2.1× |
| Inhibin b (83520) range across 5 matching MRF lines |
$57–$246 | $72–$308 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$138–$391 | $173–$489 | varies |
| Insulin total (83525) | $19 | $24 | 1.7× |
| Interleukin-6 (83529) | $181 | $227 | 10.5× |
| Intrinsic factor antibody (86340) | $104 | $131 | 6.9× |
| Iron (83540) range across 2 matching MRF lines |
$31–$72 | $39–$90 | varies |
| Iron Binding Capacity (83550) | $33 | $42 | 3.8× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$85–$182 | $107–$228 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $432 | $540 | 4.7× |
| Koh Prep (87220) | $66 | $83 | 15.5× |
| Lactate (ld) (ldh) enzyme (83615) | $25 | $32 | 4.1× |
| Lactoferrin fecal qualitative (83630) | $56 | $71 | 2.8× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $52 | $65 | 2.6× |
| LDL direct (83721) | $35 | $44 | 3.3× |
| Lead (83655) range across 5 matching MRF lines |
$22–$52 | $28–$65 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$20–$147 | $25–$184 | varies |
| Leukocyte Assessment Fecal (89055) | $20 | $26 | 4.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $16 | $20 | 0.6× |
| Level ii surg pathology grossµscopic exam (88302) | $36 | $46 | 1.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $264 | $330 | 0.8× |
| Lipase (83690) | $31 | $39 | 4.5× |
| Lipoprotein A (83695) | $29 | $37 | 2.0× |
| Lipoprotein Bld Quan Part (83704) | $57 | $72 | 1.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $84 | $106 | 7.5× |
| Lithium (80178) | $29 | $37 | 4.4× |
| Luteinizing Hormone (Lh) (83002) | $114 | $143 | 6.2× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$155–$244 | $194–$306 | varies |
| Macroscopic exam arthropod (87168) | $19 | $24 | 4.4× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$32–$75 | $40–$94 | varies |
| Mass Spectrometry Quant (83789) | $166 | $208 | 6.9× |
| Mercury urine (83825) | $22 | $28 | 1.4× |
| Methylmalonic acid serum (83921) | $252 | $316 | 11.9× |
| Microalbumin, quantitative (82043) | $69 | $87 | 11.9× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$119–$141 | $149–$177 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$38–$52 | $48–$66 | varies |
| Mrsa Pcr (87641) | $56 | $71 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $382 | $478 | 5.8× |
| Mumps antibody (86735) range across 5 matching MRF lines |
$21–$123 | $27–$154 | varies |
| Mycophenolic Acid (80180) | $114 | $143 | 6.3× |
| Mycoplasma antibody (86738) | $75 | $94 | 5.7× |
| Myoglobin urine (83874) | $142 | $178 | 11.0× |
| Natriuretic peptide (83880) | $184 | $231 | 4.7× |
| Neutralization Test Viral (86382) | $149 | $187 | 8.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $288 | $361 | 2.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $167 | $209 | 2.3× |
| Nk cells total count (86357) | $47 | $59 | 1.2× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$26–$121 | $33–$152 | varies |
| Occult blood feces (82272) | $51 | $64 | 12.1× |
| Organic Acids Qualitative Each Specimen (83919) | $52 | $66 | 3.2× |
| Osmolality serum (83930) | $60 | $76 | 9.1× |
| Osmolality Urine (83935) | $29 | $37 | 4.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$19–$20 | $24–$25 | varies |
| Oxalate urine (83945) | $141 | $177 | 9.8× |
| Particle Agglut Antbdy Titr (86406) | $36 | $45 | 3.4× |
| Parvovirus antibody (86747) | $78 | $98 | 5.2× |
| Ph urine (81003) range across 3 matching MRF lines |
$37–$40 | $47–$51 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$52–$85 | $65–$107 | varies |
| Phenytoin (Dilantin) (80185) | $92 | $115 | 6.9× |
| Phosphatase alkaline (84075) | $52 | $66 | 10.0× |
| Phospholipid Neutralization Hexagonal (85598) | $129 | $162 | 7.2× |
| Phosphorus Serum (84100) | $21 | $27 | 4.4× |
| Phosphorus urine (84105) | $48 | $60 | 8.3× |
| Pinworm exam (87172) | $76 | $96 | 17.8× |
| Platelet count automated (85049) | $20 | $26 | 4.5× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$48–$52 | $60–$66 | varies |
| Prealbumin (84134) | $62 | $78 | 4.2× |
| Pregnenolone (84140) | $109 | $137 | 5.3× |
| Primidone (80188) | $52 | $65 | 3.1× |
| Procalcitonin (Pct) (84145) | $310 | $388 | 11.4× |
| Progesterone (84144) range across 2 matching MRF lines |
$45–$125 | $57–$157 | varies |
| Prolactin (84146) | $136 | $171 | 7.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$25–$37 | $32–$47 | varies |
| Protein C Activity (85303) | $57 | $72 | 4.1× |
| Protein c antigen (85302) | $39 | $49 | 3.2× |
| Protein Electrophoresis Urine (84166) | $80 | $100 | 4.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $88 | $110 | 8.2× |
| Protein S Free (85306) range across 3 matching MRF lines |
$54–$68 | $68–$86 | varies |
| Protein total serum (84155) | $17 | $22 | 4.6× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$56–$64 | $71–$81 | varies |
| Protoporphyrin rbc quantitative (84202) | $38 | $48 | 2.6× |
| Pth Intact (83970) | $227 | $284 | 5.5× |
| Quantiferon tb gold plus (86480) | $131 | $164 | 2.1× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$85–$313 | $107–$392 | varies |
| Rbc antibody elution (86860) | $84 | $105 | 0.5× |
| Rbc antibody identification (86870) | $80 | $101 | 0.2× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$37–$101 | $47–$127 | varies |
| Renin activity plasma (84244) | $45 | $57 | 2.0× |
| Resp virus 12-25 targets (87633) | $21 | $27 | 0.1× |
| Reticulocyte Count (85046) | $66 | $83 | 11.8× |
| Rh (86901) range across 4 matching MRF lines |
$14–$16 | $18–$20 | varies |
| Rheumatoid factor quant (86431) | $25 | $32 | 4.4× |
| Rickettsia antibody (86757) | $31 | $39 | 1.6× |
| Ristocetin cofactor (85245) | $96 | $121 | 4.2× |
| Rotavirus ag eia (87425) | $84 | $105 | 7.0× |
| Rpr qualitative (86592) | $56 | $71 | 13.1× |
| Rsv Assay W/Optic (87807) | $76 | $95 | 5.8× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$24–$89 | $31–$112 | varies |
| Rubeola antibody (86765) | $41 | $52 | 3.2× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$115–$129 | $144–$162 | varies |
| Salicylate Level (80179) | $66 | $83 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $106 | $133 | 2.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $25 | $32 | 0.6× |
| Sedimentation rate (85651) | $17 | $22 | 4.0× |
| Selenium (84255) | $104 | $131 | 4.1× |
| Semen Anal Sperm Detection (89321) | $52 | $65 | 4.3× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$20–$39 | $25–$49 | varies |
| Sex Hormone Binding Globulin (84270) | $120 | $151 | 5.5× |
| Sickling of rbc reduction (85660) | $114 | $143 | 20.7× |
| Sirolimus (80195) | $58 | $73 | 4.2× |
| Smear acid fast (87206) | $79 | $99 | 14.7× |
| Smear complex stain (87209) | $19 | $24 | 1.1× |
| Smear gram stain (87205) range across 9 matching MRF lines |
$23–$44 | $29–$55 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$33–$66 | $42–$83 | varies |
| Sodium Serum (84295) | $22 | $28 | 4.6× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$51–$52 | $64–$66 | varies |
| Soluble fibrin monomer (85366) | $153 | $192 | 1.9× |
| Soluble Transferrin Receptor (84238) | $158 | $198 | 4.3× |
| Somatomedin (84305) | $149 | $187 | 7.0× |
| Special Stains Group 1 (88312) | $116 | $145 | 2.3× |
| Special Stains Group 2 (88313) | $93 | $117 | 0.7× |
| Specimen infect agnt concntj (87015) | $196 | $246 | 29.3× |
| Spectrophotometry (84311) | $25 | $32 | 3.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $94 | $118 | 0.6× |
| Stool cultr aerobic bact ea (87046) | $27 | $34 | 2.9× |
| Strep a assay w/optic (87880) | $51 | $64 | 3.1× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$49–$95 | $62–$119 | varies |
| Strep b DNA amp probe (87653) | $96 | $120 | 2.7× |
| Sugars Single Qual (84376) | $157 | $197 | 28.5× |
| Sulfate urine (84392) | $24 | $31 | 4.4× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$90–$125 | $113–$157 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$122–$202 | $153–$253 | varies |
| Surgical pathology level vi (88309) | $128 | $161 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $18 | $23 | 3.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $42 | $53 | 5.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$47–$133 | $59–$167 | varies |
| T cells total count (86359) | $47 | $59 | 1.2× |
| T3 Free (84481) | $72 | $91 | 4.3× |
| T3 reverse (84482) | $68 | $86 | 4.3× |
| T3 Total (84480) | $54 | $68 | 3.8× |
| T3 Uptake (84479) | $21 | $27 | 3.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$21–$109 | $27–$137 | varies |
| T4 total (84436) | $29 | $37 | 4.2× |
| Tacrolimus (80197) | $172 | $216 | 12.5× |
| Tb ag response t-cell susp (86481) | $169 | $212 | 1.7× |
| Testosterone Bioavailable (84410) | $107 | $134 | 2.1× |
| Testosterone total (84403) range across 3 matching MRF lines |
$108–$197 | $136–$247 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$81–$183 | $102–$229 | varies |
| Theophylline (80198) | $60 | $76 | 4.2× |
| Thiopurine methyltransferase (84433) | $371 | $464 | 16.7× |
| Thrombin Time (85670) | $45 | $57 | 7.8× |
| Thyroglobulin (84432) | $41 | $52 | 2.6× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$41–$120 | $52–$151 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $211 | $264 | 4.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 8 matching MRF lines |
$31–$52 | $39–$66 | varies |
| Tobramycin peak (80200) | $120 | $151 | 7.4× |
| Topiramate (80201) | $143 | $179 | 12.0× |
| Toxoplasma ab igm (86778) | $26 | $33 | 1.8× |
| Toxoplasma antibody (86777) | $29 | $37 | 2.0× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$44–$136 | $55–$171 | varies |
| Transferrin (84466) | $88 | $110 | 6.9× |
| Triglycerides (84478) | $40 | $51 | 7.0× |
| Troponin Quant (84484) | $149 | $187 | 11.9× |
| Tumor Immunohistochem/Manual (88360) | $119 | $149 | 0.7× |
| Urea nitrogen urine (84540) | $48 | $60 | 8.6× |
| Uric acid other source (84560) | $48 | $60 | 9.4× |
| Urinalysis Volume Measure (81050) | $16 | $20 | 4.4× |
| Urine Albumin Semiquantitative (82044) | $21 | $27 | 3.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 5 matching MRF lines |
$37–$40 | $47–$51 | varies |
| Valproic acid (80164) | $60 | $75 | 4.4× |
| Vancomycin (80202) | $128 | $161 | 9.5× |
| Varicella-zoster antibody (86787) range across 6 matching MRF lines |
$26–$144 | $33–$181 | varies |
| Very Long Chain Fatty Acids (82726) | $94 | $118 | 4.8× |
| Vit D 1 25-Dihydroxy (82652) | $242 | $303 | 6.3× |
| Vitamin A (84590) | $52 | $65 | 4.5× |
| Vitamin b-12 (82607) | $109 | $137 | 7.2× |
| Vitamin B6 (84207) | $118 | $148 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $242 | $303 | 8.2× |
| Vitamin E (84446) | $60 | $76 | 4.2× |
| Vitamin K (84597) | $140 | $176 | 10.2× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$41–$100 | $52–$125 | varies |
| West nile virus ab igm (86788) | $136 | $171 | 8.1× |
| West Nile Virus Antibody (86789) | $136 | $171 | 9.5× |
| Zinc (84630) | $49 | $62 | 4.3× |
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.