Lab & pathology prices at Vandalia Health Mon Stonewall Jackson Memorial Hospital

Weston, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $86.66 $173.32 3.8×
Acetylcholine receptor binding antibody (86041) $134.20 $268.40 7.3×
Acetylcholine receptor blocking antibody (86042) $146.16 $292.32 7.9×
Acetylcholn Rcptr Modlg Antb (86043) $146.16 $292.32 12.1×
Acth (82024) $128.72 $257.44 3.3×
Actin smooth muscle antibody each (86015) $38.43 $76.86 3.2×
Acute hepatitis panel (80074)
range across 3 matching MRF lines
$146.32–$158.75 $292.63–$317.50 varies
Acylcarnitines Quant (82017) $173.99 $347.97 10.3×
Acylcarnitines; qualitative, each specimen Facility (82016) $54.96 $109.92 3.3×
Albumin Fluid (82042) $25.93 $51.86 3.3×
Albumin serum (82040) $16.50 $32.99 3.3×
Aldolase (82085) $32.37 $64.73 3.3×
Aldosterone urine (82088) $135.82 $271.64 3.3×
Alkaline phosphatase isoenzymes (84080) $49.27 $98.53 3.3×
Allergen spec ige qual multiallergen screen (86005) $26.56 $53.12 3.3×
Allergen specific ige (86003) $17.40 $34.80 3.3×
Allergen specific igg (86001) $26.07 $52.13 3.3×
Allg Spec Ige Recomb Ea (86008) $48.64 $97.27 2.7×
Alpha-1-antitrypsin phenotype (82104) $48.20 $96.39 3.3×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$41.29–$44.80 $82.57–$89.59 varies
Alpha-Fetoprotein Serum (82105)
range across 5 matching MRF lines
$51.51–$55.89 $103.02–$111.78 varies
Alt (sgpt) (84460) $17.67 $35.33 3.3×
Aluminum (82108) $84.93 $169.85 3.3×
Amikacin trough (80150) $43.36 $86.71 2.9×
Amino Acids 1 Quantitative Each Specimen (82131) $76.59 $153.18 3.3×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $56.23 $112.46 3.3×
Amino Acids Multiple Qualitative Each Specimen (82128) $46.23 $92.45 3.3×
Ammonia (82140) $48.57 $97.13 3.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $327.01 $654.01 3.3×
Amylase urine (82150) $24.67 $49.33 3.8×
Ana Titer (86039) $37.14 $74.28 3.3×
Anca Titer Each Antibody (86037) $40.16 $80.32 3.3×
Androstenedione (82157) $97.59 $195.17 3.3×
Angiotensin converting enzyme csf (82164) $48.67 $97.34 3.3×
Antibody aspergillus (86606) $50.16 $100.32 3.3×
Antibody Bacterium Not Elsewhere Specified (86609) $42.93 $85.86 3.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 5 matching MRF lines
$51.63–$55.42 $103.26–$110.84 varies
Antibody Cytomegalovirus Cmv Igm (86645) $56.16 $112.32 3.3×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $43.73 $87.46 3.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 3 matching MRF lines
$46.98–$50.97 $93.95–$101.94 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$52.57–$156.73 $105.13–$313.45 varies
Antibody Fungus Not Elsewhere Specified (86671) $40.83 $81.66 3.3×
Antibody helicobacter pylori (86677) $56.16 $112.32 3.3×
Antibody Herpes Smplx Non-Specific Type Test (86694) $47.96 $95.92 3.3×
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$40.52–$43.97 $81.04–$87.93 varies
Antibody HIV-2 (86702) $45.07 $90.13 3.3×
Antibody Protozoa Nes (86753) $41.30 $82.59 3.3×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$40.67–$44.13 $81.34–$88.25 varies
Antigen typing (86905) $928.98 $1,857.95 242.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $441.43 $882.86 77.2×
Antinomyces antibody (86602) $33.93 $67.86 3.3×
Antinuclear antibodies (86038)
range across 5 matching MRF lines
$37.14–$40.30 $74.28–$80.59 varies
Antistreptolysin o titer (86060) $24.33 $48.66 3.3×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$41.78–$45.33 $83.56–$90.66 varies
Antithrombin iii antigen (85301) $41.33 $82.66 3.8×
Apolipoprotein a1 (82172) $70.29 $140.58 3.3×
Arsenic (82175) $73.33 $146.65 3.9×
Assay activated protein c (85307) $58.66 $117.32 3.8×
Assay Blood Carbon Dioxide (82374) $16.27 $32.53 3.3×
Assay myeloperoxidase (83876) $169.52 $339.03 3.3×
Assay of 5-hiaa (83497) $43 $86 3.3×
Assay of blood/uric acid (84550) $15.07 $30.13 3.3×
Assay of calcium in urine (82340) $20.11 $40.21 3.3×
Assay of g6pd enzyme (82955) $32.33 $64.66 3.3×
Assay of gammaglobulin igm (82784)
range across 13 matching MRF lines
$28.57–$31 $57.14–$62 varies
Assay of lactic acid (83605) $38.56 $77.11 3.3×
Assay of manganese (83785) $94.66 $189.32 3.6×
Assay of metanephrines (83835) $56.46 $112.92 3.3×
Assay of serotonin (84260) $103.26 $206.51 3.3×
Assay of serum potassium (84132) $15.87 $31.74 3.3×
Assay of transcortin (84449) $64 $127.99 3.6×
Assay of Tyrosine (84510) $35.43 $70.86 3.3×
Assay of urea nitrogen (84520) $13.16 $26.32 3.3×
Assay of urine vma (84585) $51.66 $103.32 3.3×
Assay of vitamin b-1 (84425) $70.76 $141.52 3.3×
Assay Ph Body Fluid Nos (83986) $11.94 $23.87 3.3×
B cells total count (86355) $125.75 $251.50 3.3×
Bartonella antibody (86611) $33.93 $67.86 3.3×
Bcr/abl1 gene major bp (81206) $546.48 $1,092.95 3.3×
Bcr/abl1 gene minor bp (81207) $482.76 $965.51 3.3×
Beta 2 glycoprotein i antibody each (86146) $84.82 $169.64 3.3×
Beta Lactamase (87185)
range across 2 matching MRF lines
$15.83–$72.66 $31.66–$145.32 varies
Beta-2 Microglobulin (82232) $53.93 $107.86 3.3×
Bile acids total (82239) $57.06 $114.12 3.3×
Bilirubin direct (82248) $16.74 $33.47 3.3×
Bilirubin total (82247) $16.74 $33.47 3.3×
Biotinidase (82261) $56.23 $112.46 3.3×
Blastomyces antibody (86612) $43 $86 3.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $441.43 $882.86 2.7×
Bld Typing Serologic Rh Phnt (86906) $103.65 $207.29 13.4×
Bleeding time test (85002) $16.07 $32.13 3.3×
Blood Count Red Blood Cell Automated (85041) $12 $24 4.0×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$13.30–$14.30 $26.60–$28.59 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $16.67 $33.34 4.4×
Blood gas (82803) $86.89 $173.78 3.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $14.60 $29.20 3.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $928.98 $1,857.95 146.3×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $158.09 $316.17 9.7×
Blood typing serologic abo (86900) $330.14 $660.28 110.4×
Bone marrow smear interpretation (85097) $2,222.33 $4,444.65 2.9×
Bordetella antibody (86615) $43.97 $87.93 3.3×
C-Peptide (84681) $69.36 $138.72 3.3×
C-reactive protein (86140) $17.27 $34.54 3.3×
Ca 19-9 (86301)
range across 3 matching MRF lines
$63.93–$69.36 $127.85–$138.72 varies
Cadmium (82300) $59.10 $118.20 2.5×
Calcitonin (82308) $89.30 $178.59 3.3×
Calcium ionized (82330) $45.59 $91.18 3.3×
Calcium total (82310) $17.19 $34.38 3.3×
Calculus Spectroscopy (82365) $43 $86 3.3×
Calprotectin Fecal (83993) $134.66 $269.31 6.9×
Cancer Antigen 125 (86304)
range across 3 matching MRF lines
$63.93–$69.36 $127.85–$138.72 varies
Cancer Antigen 27.29 (86300) $69.36 $138.72 3.3×
Candida antibody (86628) $46 $92 3.8×
Carbamazepine total (80156) $48.57 $97.13 3.3×
Carbohydrate Deficient Transferrin (82373) $51.93 $103.86 2.9×
Carboxyhemoglobin (82375) $41.06 $82.12 3.3×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$58.24–$63.19 $116.48–$126.38 varies
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$84.82–$97.32 $169.64–$194.64 varies
Carnitine Quantitative Each Specimen (82379) $64.67 $129.33 3.8×
Catecholamines fractionated (82384) $84.16 $168.32 3.3×
Ccp antibody (86200) $43.16 $86.32 3.3×
Cell count csf (89051) $27.33 $54.66 4.9×
Cell marker study (88182) $140.05 $280.09 2.8×
Cellular Function Assay Stimul&Detect Biomarke (86352) $452.83 $905.65 3.3×
Ceruloplasmin (82390)
range across 3 matching MRF lines
$34.41–$37.34 $68.82–$74.67 varies
Cftr gene com variants (81220) $1,919.81 $3,839.61 3.4×
Chemiluminescent assay (82397) $54.66 $109.31 3.9×
Chlamydia antibody (86631)
range across 2 matching MRF lines
$38.53–$46 $77.06–$92 varies
Chloride Serum (82435) $15.34 $30.67 3.3×
Chloride urine (82436) $19.17 $38.33 3.3×
Cholesterol total (82465) $14.50 $28.99 3.3×
Chorionic gonadotropin test (84702) $50.16 $100.32 3.3×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $111.56 $223.12 3.3×
Chromium serum (82495) $78 $155.99 3.8×
Chromogranin a (86316) $79.99 $159.98 3.8×
Chromosome Analysis 15-20 (88262) $418.26 $836.51 3.3×
Chromosome Analysis 20-25 (88264) $415.79 $831.58 2.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 8 matching MRF lines
$101.69–$116.95 $203.38–$233.90 varies
Citric acid urine (82507) $92.66 $185.32 3.3×
Ckmb (82553) $38.50 $76.99 3.3×
Clot Factor VIII Multimetric (85247) $76.46 $152.92 3.3×
Cns DNA amp probe type 12-25 (87483) $1,389.13 $2,778.25 3.3×
Coccidioides antibody (86635) $38.23 $76.46 3.3×
Cold agglutinin screen (86156) $85.54 $171.08 10.6×
Collagen crosslinks (82523) $71.99 $143.98 3.9×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$80.30–$83.33 $160.59–$166.66 varies
Compatibility Each Unit Incubation (86921) $441.43 $882.86 2.7×
Compatibility test antiglob (86922) $441.43 $882.86 2.7×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$36.86–$41.33 $73.72–$82.66 varies
Complement Total (Ch50) (86162) $67.73 $135.46 3.3×
Complement/Function Activity (86161) $40 $79.99 3.3×
Consltj&Reprt Slides Prepared Elsewhere (88321) $103.65 $207.29 2.9×
Coombs direct (86880) $158.09 $316.17 29.3×
Copper urine (82525) $47.34 $94.67 3.8×
Cortisol free (82530) $55.70 $111.39 3.3×
Cortisol saliva (82533)
range across 6 matching MRF lines
$50.07–$62.66 $100.14–$125.32 varies
Creatine kinase total (82550) $21.70 $43.39 3.3×
Creatinine blood (82565) $17.07 $34.13 3.3×
Creatinine clearance (82575) $31.54 $63.07 3.3×
Creatinine Urine (82570) $17.27 $34.54 3.3×
Crossmatch immediate spin (86920) $441.43 $882.86 2.7×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$39.78–$43.16 $79.56–$86.32 varies
Cryoglobulin (82595) $21.57 $43.13 3.3×
Cryptococcus ag titer (87899) $53.56 $107.12 3.3×
Cryptosporidium ag eia (87328) $46.07 $92.13 3.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$26.93–$31.34 $53.86–$62.67 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$26.93–$58.66 $53.86–$117.32 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $30 $60 3.9×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $702.22 $1,404.43 3.2×
Culture afb (87116) $42 $84 3.9×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$31.57–$43.33 $63.13–$86.66 varies
Culture blood (87040) $34.40 $68.80 3.3×
Culture chlamydia (87110) $65.33 $130.66 3.3×
Culture csf (87070)
range across 14 matching MRF lines
$28.73–$37.34 $57.46–$74.67 varies
Culture screen only (87081) $22.10 $44.20 3.3×
Culture stool (87045)
range across 3 matching MRF lines
$29–$31.46 $57.99–$62.92 varies
Culture typing if ea antiserum (87140) $18.57 $37.13 3.3×
Culture urine (87086) $26.90 $53.79 3.3×
Cyanide (82600) $64.67 $129.33 3.3×
Cyclosporine (80158) $60.17 $120.33 3.3×
Cystatin C (82610) $159.61 $319.21 8.6×
Cytogenetics 100-300 (88275) $612.01 $1,224.02 12.0×
Cytomegalovirus igg (86644) $47.96 $95.92 3.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $67.53 $135.06 3.3×
Cytopath Cell Enhance Tech (88112) $140.05 $280.09 2.8×
Cytopath Fl Nongyn Filter (88106) $76.96 $153.91 2.8×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $88.70 $177.39 3.3×
Cytp Concentration Smears & Interpretation (88108) $103.65 $207.29 2.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $140.05 $280.09 2.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $103.65 $207.29 2.9×
Cytp Slides C/V Mnl Scr Under Phys (88150) $51.07 $102.13 2.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $76.96 $153.91 2.8×
Deoxyribonuclease antibody (86215) $44.17 $88.33 3.3×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$87.73–$291.97 $175.45–$583.94 varies
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$175.50–$233.98 $351–$467.95 varies
Dgp Antibody Each Ig Class (86258) $33.15 $66.30 2.8×
Dhea (82626) $84.23 $168.45 3.3×
Dhea-S (82627)
range across 2 matching MRF lines
$68.29–$74.09 $136.57–$148.18 varies
Digoxin (80162) $44.27 $88.53 3.3×
Dna Antibody Native/Double Stranded (86225)
range across 4 matching MRF lines
$42.21–$45.79 $84.41–$91.58 varies
Dna/Rna Amplified Probe (87150) $116.95 $233.90 3.3×
DNA/RNA direct probe (87149) $119.99 $239.98 6.0×
Dna/Rna Sequencing (87153) $384.50 $768.99 3.3×
Drug assay acetaminophen (80143) $53.60 $107.19 2.9×
Drug Assay Everolimus (80169) $53.33 $106.66 3.9×
Drug Screen Quant Clozapine (80159) $67.16 $134.32 3.3×
Drug Screen Quant Zonisamide (80203) $33.13 $66.25 2.5×
Drug Screen Quantitative Lamotrigine (80175) $51.33 $102.66 3.9×
Drug Screen Quantitative Levetiracetam (80177) $51.33 $102.66 3.9×
Drug Screen Quantitative Oxcarbazepine (80183) $44.17 $88.33 3.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 19 matching MRF lines
$207.11–$263.38 $414.22–$526.75 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 6 matching MRF lines
$31.50–$42 $63–$84 varies
El-1 Fecal Quantitative (82653) $188.65 $377.30 8.2×
Electrolyte panel (80051) $23.37 $46.73 3.3×
Electron Microscopy (88348) $2,222.33 $4,444.65 2.9×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $204.98 $409.96 3.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $40.16 $80.32 3.3×
Enterovirus PCR (87498) $134.66 $269.31 3.8×
Erythropoietin (82668) $62.63 $125.25 3.3×
Estradiol serum (82670)
range across 2 matching MRF lines
$85.83–$93.13 $171.66–$186.25 varies
Estriol (82677) $80.60 $161.19 3.3×
Estrogen total (82672) $72.33 $144.66 3.3×
Exam Synovial Fluid Crystals (89060) $24.43 $48.86 3.3×
F2 Gene (81240) $218.94 $437.88 3.3×
Factor ix activity (85250) $73.33 $146.65 3.9×
Factor v activity (85220) $67.33 $134.65 3.8×
Factor v leiden mutation (81241) $244.55 $489.09 3.3×
Factor viii assay (85240)
range across 2 matching MRF lines
$59.67–$68.66 $119.33–$137.32 varies
Fat/Lipids Feces Quantitative (82710) $55.99 $111.98 3.3×
Fecal Fat Qualitative (82705) $20 $40 3.9×
Ferritin (82728) $45.43 $90.86 3.3×
Fetal Chrmoml Aneuploidy (81420) $2,529.91 $5,059.81 3.3×
Fetal Fibronectin (82731) $214.68 $429.36 3.3×
Fetal screen rosette (85461) $24.58 $49.16 2.6×
Fibrin Degradation Quant (85379) $33.93 $67.86 3.3×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$32.40–$33.53 $64.80–$67.06 varies
Fibrinogen antigen (85385) $48.20 $96.39 3.3×
Flow cytometry first marker (88184) $928.98 $1,857.95 2.7×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$40.16–$61.51 $80.32–$123.02 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $40.16 $80.32 3.3×
Fluoride serum (82735) $64 $127.99 3.5×
Folic Acid Serum (82746) $49 $97.99 3.3×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$57.08–$61.93 $114.15–$123.85 varies
Frozen Section (88331) $441.43 $882.86 2.7×
Fungi Identification Mold (87107) $74.66 $149.32 7.2×
Fungi Identification Yeast (87106) $63.33 $126.66 6.1×
Galactose (82760) $37.34 $74.67 3.3×
Galactose transferase test (82776) $39.13 $78.25 3.3×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $70.23 $140.45 3.3×
Gammaglobulin ige (82785) $54.86 $109.72 3.3×
Gases blood ph only (82800) $37.95 $75.90 3.5×
Gastrin (82941) $58.77 $117.53 3.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,389.13 $2,778.25 3.3×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,526.25 $7,052.50 4.6×
Genet Virus Isolate Hsv (87255) $125.39 $250.77 3.7×
Gentamicin (80170)
range across 3 matching MRF lines
$54.60–$60.67 $109.19–$121.34 varies
Ggt (82977) $24 $47.99 3.3×
Giardia antigen (87329) $39.94 $79.87 3.3×
Glucose 2 hr pp (82950)
range across 4 matching MRF lines
$15.83–$16.97 $31.66–$33.94 varies
Glucose body fluid (82945) $13.10 $26.20 3.3×
Glucose Serum (82947)
range across 5 matching MRF lines
$13.10–$44 $26.20–$87.99 varies
Glucose tolerance test (gtt) (82951) $42.90 $85.79 3.3×
Glycated Protein (82985) $53.98 $107.95 3.2×
Gonadotropin Chorionic Qualitative (84703) $25.07 $50.14 3.3×
Growth hormone (83003) $55.57 $111.13 3.3×
Gtt-added samples (82952)
range across 6 matching MRF lines
$13.06–$13.07 $26.12–$26.13 varies
Haptoglobin (83010) $41.93 $83.85 3.3×
Hdl Cholesterol (83718) $27.30 $54.60 3.3×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$54.56–$59.20 $109.12–$118.40 varies
Helminth Antibody (86682) $32.53 $65.05 2.5×
Hematocrit (85014) $7.90 $15.79 3.3×
Hemoglobin (85018) $7.90 $15.79 3.3×
Hemoglobin a1c (83036) $32.37 $64.73 3.3×
Hemoglobin Chromotography (83021) $60.20 $120.39 3.3×
Hemoglobin electrophoresis (83020) $49.34 $98.67 3.8×
Hemoglobin Methemoglobin Quantitative (83050) $27.33 $54.66 3.3×
Hemolysins&Agglutinins Auto Screen Each (86940) $29.23 $58.46 3.3×
Hep a ab igm (86709) $37.53 $75.06 3.3×
Hepatitis a antibody total (86708) $41.30 $82.59 3.3×
Hepatitis b core ab igm (86705)
range across 5 matching MRF lines
$36.16–$39.23 $72.31–$78.46 varies
Hepatitis b core ab total (86704)
range across 5 matching MRF lines
$37.02–$40.16 $74.03–$80.32 varies
Hepatitis B Surface Antibody (86706)
range across 5 matching MRF lines
$31.13–$35.80 $62.25–$71.59 varies
Hepatitis B Surface Antigen (87340)
range across 5 matching MRF lines
$34.43–$38.27 $68.86–$76.53 varies
Hepatitis Be Antibody (86707) $38.56 $77.11 3.3×
Hepatitis Be Antigen (87350) $38.43 $76.86 3.3×
Hepatitis C Antibody (86803)
range across 5 matching MRF lines
$43.84–$47.56 $87.67–$95.12 varies
Hepatitis c antibody confirmatory test (86804) $51.63 $103.26 3.3×
Hepatitis C Genotype (87902) $858.08 $1,716.16 3.3×
Hepatitis C Probe&Rvrs Trnsc (87521) $134.66 $269.31 3.8×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$95.23–$163.98 $190.46–$327.96 varies
Hepatitis Delta Agent Antibody (86692) $59.33 $118.66 3.5×
Herpes simplex type 2 (86696)
range across 5 matching MRF lines
$59.45–$64.50 $118.89–$129 varies
Heterophile Antibody Screen (86308) $17.27 $34.54 3.3×
Hfe Gene (81256) $217.85 $435.69 3.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 3 matching MRF lines
$23.75–$26.67 $47.49–$53.34 varies
Histamine urine (83088) $84.91 $169.81 2.9×
Histoplasma antibody (86698) $45.96 $91.92 3.3×
Histoplasma antigen urine (87385) $78 $155.99 5.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$82.17–$89.16 $164.34–$178.31 varies
Hiv-1 Antibody (86701) $29.63 $59.26 3.3×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$261.42–$283.64 $522.83–$567.27 varies
Hla Class I Typing High Resolution Complete (81379) $838.50 $1,677 2.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $247.75 $495.49 3.3×
Hla Typing a/B/C Multiple Antigens (86813) $230.37 $460.73 4.0×
Homocysteine (83090)
range across 2 matching MRF lines
$55.05–$59.73 $110.10–$119.46 varies
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$107.79–$116.95 $215.58–$233.90 varies
Hpv Types 16 & 18 Only (87625) $135.16 $270.31 3.3×
Hsv Dna Amp Probe (87529) $116.95 $233.90 3.3×
Human Epididymis Protein 4 (86305) $161.32 $322.64 7.8×
Hydroxyprogesterone 17-d (83498) $90.56 $181.11 3.3×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $46.36 $92.72 3.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $37.90 $75.80 1.1×
Iaad ia shiga-like toxin (87427) $39.94 $79.87 3.3×
Iaadi giardia (87269) $63.98 $127.95 4.7×
Iaadi pneumocustis carinii (87281) $46 $92 3.8×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $134.66 $269.31 3.8×
Iadna Candida Species Amplified Probe Tq (87481) $116.95 $233.90 3.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $116.95 $233.90 3.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $92.66 $185.32 2.6×
Iadna Cytomegalovirus Quantification (87497) $115.99 $231.97 2.7×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $233.99 $467.97 3.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $116.95 $233.90 3.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $138.92 $277.83 3.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $116.95 $233.90 3.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $116.95 $233.90 3.3×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $110.70 $221.39 2.2×
Ig Light Chains Free Each (83521) $45.33 $90.66 2.6×
Igg subclasses (82787) $26.73 $53.46 3.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $928.98 $1,857.95 2.7×
Immunfix e-phorsis/urine/csf (86335) $97.83 $195.66 3.3×
Immunoassay Analyte Quant Radioimmunoassay (83519) $63.33 $126.66 3.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $49.96 $99.92 3.3×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$38.43–$57.56 $76.86–$115.12 varies
Immunodiffusion Ouchterlony (86331) $39.94 $79.87 3.3×
Immunofixation electrophoresis (86334) $74.46 $148.92 3.3×
Immunohistochemistry (88342) $441.43 $882.86 2.7×
In situ hybridization 1st probe stain (88365) $441.43 $882.86 2.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $53.33 $106.66 3.3×
Influenza assay w/optic (87804) $55.17 $110.33 3.3×
Influenza DNA amp probe (87502) $319.31 $638.62 3.3×
Inhibin A (86336) $51.96 $103.92 3.3×
Inhibin b (83520)
range across 5 matching MRF lines
$57.56–$60 $115.12–$119.99 varies
Insitu hybridization manual (88368) $928.98 $1,857.95 2.7×
Insulin free (83527) $43.16 $86.32 3.3×
Insulin total (83525)
range across 2 matching MRF lines
$35.12–$38.10 $70.23–$76.20 varies
Intrinsic factor antibody (86340) $50.26 $100.51 3.3×
Iron (83540) $21.57 $43.13 3.3×
Iron Binding Capacity (83550) $47.52 $95.04 5.4×
Iron stain peripheral blood (85536) $22.93 $45.85 3.3×
Islet cell antibody (86341) $78.56 $157.12 3.3×
Lactate (ld) (ldh) enzyme (83615)
range across 4 matching MRF lines
$20.13–$23.34 $40.26–$46.67 varies
Lactoferrin Fecal Quantitative (83631) $119.33 $238.65 6.1×
Ldh Isoenzymes (83625) $42.63 $85.26 3.3×
LDL direct (83721)
range across 2 matching MRF lines
$33.80–$36.67 $67.59–$73.34 varies
Lead (83655) $40.36 $80.72 3.3×
Legionella antigen urine (87449) $46 $92 3.8×
Legionella pneumophila dfa (87278) $54.66 $109.31 3.5×
Leukocyte Assessment Fecal (89055) $14.24 $28.47 3.3×
Level I Surg Pathology Gross Examination Only (88300) $76.96 $153.91 2.8×
Level ii surg pathology gross&microscopic exam (88302) $76.96 $153.91 2.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $928.98 $1,857.95 2.7×
Lipase (83690) $22.97 $45.94 3.3×
Lipoprotein A (83695) $47.73 $95.46 3.3×
Lipoprotein Bld Quan Part (83704) $113.95 $227.90 3.3×
Lipoprotein-Associated Phospholipase A2 (83698) $154.35 $308.69 3.3×
Lithium (80178)
range across 3 matching MRF lines
$22.58–$24.50 $45.16–$49 varies
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$56.89–$61.73 $113.78–$123.45 varies
Lyme disease antibody (86618) $56.76 $113.52 3.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $441.43 $882.86 2.7×
Macroscopic Exam Parasite (87169) $14.37 $28.73 3.3×
Magnesium Urine (83735)
range across 4 matching MRF lines
$22.33–$26 $44.66–$51.99 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$80.36–$83.33 $160.71–$166.66 varies
Mercury urine (83825) $62.66 $125.32 3.9×
Methylmalonic acid serum (83921) $70.70 $141.39 3.3×
Microalbumin, quantitative (82043) $19.27 $38.53 3.3×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$44.70–$48.50 $89.40–$97 varies
Mitochondrial Antibody Each (86381) $38.43 $76.86 1.5×
Molecular Cytogenetics Dna Probe Each (88271) $408.91 $817.82 19.1×
Mononuclear cell antigen (86356) $89.26 $178.52 3.3×
Mopath procedure level 2 (81401) $472.62 $945.24 3.4×
Mthfr Gene Analysis Common Variants (81291) $225.31 $450.62 3.4×
Mumps antibody (86735)
range across 4 matching MRF lines
$40.09–$43.49 $80.17–$86.98 varies
Muscle-Specific Kinase Antb (86366) $499 $998 27.1×
Mycophenolic Acid (80180) $58.13 $116.25 3.2×
Mycoplasma antibody (86738) $44.13 $88.25 3.3×
Myoglobin urine (83874) $43.06 $86.12 3.3×
Natriuretic peptide (83880) $130.85 $261.70 3.3×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $657.48 $1,314.95 2.5×
Nfct ds chrnc hcv 6 assays (81596) $232.47 $464.94 3.2×
Nk cells total count (86357) $125.75 $251.50 3.3×
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$59.76–$79.99 $119.52–$159.98 varies
Occult blood feces (82272) $14.10 $28.20 3.3×
Occult Blood Other Sources (82271) $17.73 $35.46 3.3×
Organic Acids Qualitative Each Specimen (83919) $63.33 $126.66 3.8×
Osmolality serum (83930)
range across 2 matching MRF lines
$20.31–$22.04 $40.62–$44.07 varies
Osmolality Urine (83935)
range across 3 matching MRF lines
$20.95–$22.73 $41.89–$45.45 varies
Ova and parasites smears (87177) $32.96 $65.92 3.7×
Oxalate urine (83945) $48.17 $96.33 3.3×
Parvovirus antibody (86747) $58 $116 3.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $2,222.33 $4,444.65 2.9×
Ph urine (81003)
range across 3 matching MRF lines
$7.50–$12 $14.99–$24 varies
Phenobarbital Level (80184) $51 $101.99 3.3×
Phenylalanine (84030) $18.33 $36.66 3.3×
Phenytoin (Dilantin) (80185) $44.17 $88.33 3.3×
Phosphatase alkaline (84075) $17.27 $34.54 3.3×
Phospholipid Neutralization Hexagonal (85598) $59.93 $119.86 3.3×
Phosphorus Serum (84100) $15.80 $31.60 3.3×
Phosphorus urine (84105) $19.27 $38.53 3.3×
Pinworm exam (87172)
range across 2 matching MRF lines
$14.24–$16.67 $28.47–$33.34 varies
Platelet Aggregation (85576) $83.03 $166.05 3.3×
Platelet Antibodies (86022) $61.23 $122.45 3.3×
Platelet count automated (85049) $14.93 $29.86 3.3×
Porphyrins Urine Quantitation & Fractionation (84120) $49.03 $98.05 3.3×
Potassium Urine (84133) $15.77 $31.54 3.3×
Prealbumin (84134) $48.63 $97.25 3.3×
Pregnenolone (84140) $79.33 $158.66 3.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $133.33 $266.65 2.4×
Primidone (80188) $55.29 $110.58 3.3×
Procalcitonin (Pct) (84145) $90.72 $181.44 3.3×
Progesterone (84144)
range across 2 matching MRF lines
$64.08–$69.52 $128.15–$139.04 varies
Prolactin (84146)
range across 2 matching MRF lines
$59.53–$64.59 $119.06–$129.18 varies
Protein body fluid (84157) $13.33 $26.66 3.3×
Protein C Activity (85303)
range across 3 matching MRF lines
$49.15–$53.33 $98.30–$106.66 varies
Protein c antigen (85302) $46 $92 3.8×
Protein Electrophoresis Urine (84166) $59.43 $118.85 3.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $35.80 $71.59 3.3×
Protein S Free (85306) $58.66 $117.32 3.8×
Protein s total (85305) $44.67 $89.33 3.8×
Protein total serum (84155) $12.24 $24.47 3.3×
Protein Total Urine (84156) $12.24 $24.47 3.3×
PSA free (84154) $61.30 $122.59 3.3×
Pth Intact (83970)
range across 3 matching MRF lines
$126.81–$137.59 $253.61–$275.17 varies
Quantiferon tb gold plus (86480)
range across 5 matching MRF lines
$206.58–$239.32 $413.16–$478.63 varies
Quantitative assay drug (80299) $62.13 $124.25 3.3×
Quantitative Screen Metals (83018) $84.66 $169.31 3.9×
Rbc antibody elution (86860) $441.43 $882.86 2.7×
Rbc antibody identification (86870) $928.98 $1,857.95 2.7×
Rbc antibody screen (86850) $140.05 $280.09 14.3×
Rbc pretreatment serum (86978) $158.09 $316.17 2.8×
Rbc pretx incubatj w/enzymes (86971) $441.43 $882.86 2.7×
Reagent Strip/Blood Glucose (82948) $16.80 $33.59 3.3×
Renin activity plasma (84244) $73.30 $146.59 3.3×
Resp virus 12-25 targets (87633) $1,389.13 $2,778.25 3.3×
Rh (86901) $103.65 $207.29 34.7×
Rheumatoid Factor Qualitative (86430) $20.46 $40.92 3.3×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$18.86–$18.90 $37.71–$37.79 varies
Rickettsia antibody (86757)
range across 3 matching MRF lines
$64.50–$68.72 $129–$137.44 varies
Ristocetin cofactor (85245) $76.46 $152.92 3.3×
Rotavirus ag eia (87425) $39.94 $79.87 3.3×
Rpr qualitative (86592) $14.24 $28.47 3.3×
Rubella Antibody (86762)
range across 5 matching MRF lines
$41.71–$45.25 $83.41–$90.50 varies
Rubeola antibody (86765)
range across 4 matching MRF lines
$40.09–$42.93 $80.17–$85.86 varies
Russell Viper Venom Time Diluted (85613) $37.34 $74.67 3.9×
Salicylate Level (80179) $53.60 $107.19 2.9×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$118.72–$128.81 $237.44–$257.62 varies
Sars-cov-2 COVID-19 antibody (86769) $48.31 $96.61 1.1×
Sarscov2&inf a&b&rsv amp prb (87637) $459.31 $918.62 3.2×
Sedimentation rate (85651) $14.24 $28.47 3.3×
Sedimentation Rate, Automated (85652) $10.67 $21.33 4.0×
Selenium (84255)
range across 2 matching MRF lines
$87.99–$97.99 $175.98–$195.98 varies
Semen Anal Sperm Detection (89321) $40.16 $80.32 3.3×
Sensitivity mic (87186)
range across 5 matching MRF lines
$28.83–$179.32 $57.66–$358.64 varies
Sex Hormone Binding Globulin (84270) $72.43 $144.85 3.3×
Sickling of rbc reduction (85660) $18.37 $36.73 3.3×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$20.67–$29.68 $41.33–$59.35 varies
Smear acid fast (87206)
range across 3 matching MRF lines
$17.96–$20.66 $35.92–$41.32 varies
Smear complex stain (87209) $59.93 $119.86 3.3×
Smear gram stain (87205)
range across 4 matching MRF lines
$14.24–$16.67 $28.47–$33.34 varies
Smear Special Stain (87207) $19.97 $39.93 3.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $19.40 $38.79 3.3×
Sodium Serum (84295) $16.03 $32.06 3.3×
Sodium Urine (84300) $18.67 $37.33 3.7×
Somatomedin (84305) $70.86 $141.71 3.3×
Special Stains Group 1 (88312) $140.05 $280.09 2.8×
Special Stains Group 2 (88313) $158.09 $316.17 1.2×
Specimen infect agnt concntj (87015) $22.27 $44.53 3.3×
Spectrophotometry (84311)
range across 4 matching MRF lines
$27–$50 $54–$100 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $441.43 $882.86 2.7×
Stool cultr aerobic bact ea (87046) $31.46 $62.92 3.3×
Strep a assay w/optic (87880) $55.09 $110.18 3.3×
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$87.73–$129.95 $175.45–$259.90 varies
Sulfate urine (84392) $18.30 $36.60 3.3×
Surg path level iii (88304) $140.05 $280.09 2.8×
Surgical pathology level IV (88305) $140.05 $280.09 2.8×
Surgical pathology level vi (88309) $2,222.33 $4,444.65 2.9×
Susceptibility Study Antimicrobial Disk Method (87184) $24.94 $49.87 3.3×
Syphilis Test Non-Trep Quant (86593) $14.24 $28.47 3.2×
T cells absolute cd4 count (86361) $77 $153.99 2.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $156.58 $313.16 3.3×
T cells total count (86359) $125.75 $251.50 3.3×
T3 Free (84481) $56.46 $112.92 3.3×
T3 reverse (84482) $60.66 $121.32 3.8×
T3 Total (84480) $47.27 $94.53 3.3×
T3 Uptake (84479) $21.57 $43.13 3.3×
T4 Free (84439) $30.07 $60.13 3.3×
T4 total (84436) $22.90 $45.80 3.3×
T4-neonatal (84437) $21.57 $43.13 3.3×
Tacrolimus (80197) $53.33 $106.66 3.9×
Tb ag response t-cell susp (86481) $220.57 $441.13 2.2×
Test for acetone/ketones (82009) $15.07 $30.13 3.3×
Testosterone Bioavailable (84410) $170.91 $341.82 3.3×
Testosterone total (84403)
range across 4 matching MRF lines
$17.34–$86.03 $34.67–$172.06 varies
Testosterone, Free (84402) $84.90 $169.79 3.3×
Theophylline (80198) $47.13 $94.25 3.3×
Thrombin Time (85670) $19.23 $38.46 3.3×
Thromboplastin Inhibition Tissue (85705) $37.34 $74.67 3.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $24.67 $49.33 3.8×
Thyroglobulin (84432) $53.53 $107.05 3.3×
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines
$48.87–$53.03 $97.74–$106.05 varies
Thyroid Stimulating Immunoglobulin (84445) $195.32 $390.63 3.8×
Thyroxine binding globulin (84442) $49.27 $98.53 3.3×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 4 matching MRF lines
$38.43–$44.67 $76.86–$89.33 varies
Tissue Culture (88233) $469.05 $938.10 3.3×
Tissue culture bone marrow (88237) $413.32 $826.64 2.9×
Tobramycin peak (80200) $53.76 $107.52 3.3×
Topiramate (80201) $46 $92 3.9×
Toxoplasma ab igm (86778) $48.03 $96.06 3.3×
Toxoplasma antibody (86777) $47.96 $95.92 3.3×
Transferase Aspartate Amino Ast Sgot (84450) $17.27 $34.54 3.3×
Transferrin (84466) $42.53 $85.05 3.3×
Trichomonas Vaginalis Amplif (87661)
range across 4 matching MRF lines
$87.73–$116.95 $175.45–$233.90 varies
Triglycerides (84478) $19.13 $38.26 3.3×
Troponin Quant (84484) $41.56 $83.12 3.3×
Tumor immunohistochem/comput (88361) $928.98 $1,857.95 2.7×
Tumor Immunohistochem/Manual (88360) $441.43 $882.86 2.7×
Ugt1a1 gene analysis common variants (81350) $585 $1,170 2.5×
Urea nitrogen urine (84540) $13.16 $26.32 2.4×
Uric acid other source (84560) $16.93 $33.86 3.3×
Urinalysis Volume Measure (81050)
range across 6 matching MRF lines
$11.72–$12.14 $23.44–$24.27 varies
Urine Albumin Semiquantitative (82044) $20.77 $41.53 3.3×
Urine Bacteria Culture (87088) $26.96 $53.92 3.3×
Urine Pregnancy Test (81025) $28.70 $57.40 3.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $17.34 $34.67 5.5×
Valproic acid (80164) $45.13 $90.26 3.3×
Vancomycin (80202) $45.13 $90.26 3.3×
Varicella-zoster antibody (86787)
range across 5 matching MRF lines
$39.57–$50 $79.13–$100 varies
Viral Culture (87252) $99.99 $199.98 3.8×
Virus antibody nos (86790) $42.93 $85.86 3.3×
Virus inoculation, shell via (87254) $65.19 $130.38 3.3×
Viscosity serum (85810) $38.90 $77.79 3.3×
Vit D 1 25-Dihydroxy (82652) $128.33 $256.65 3.3×
Vitamin A (84590) $38.70 $77.39 3.3×
Vitamin b-12 (82607) $50.26 $100.51 3.3×
Vitamin B2 (Riboflavin) (84252) $67.46 $134.92 3.3×
Vitamin B6 (84207) $93.66 $187.31 3.3×
Vitamin c (82180) $32.96 $65.92 3.3×
Vitamin D 25-Hydroxy (82306) $98.66 $197.31 3.3×
Vitamin E (84446) $47.27 $94.53 3.3×
Vitamin K (84597) $45.73 $91.45 3.3×
Volume Reduction Blood/Blood Product Each Unit (86960) $441.43 $882.86 2.7×
Von willebrand factor ag (85246) $76.46 $152.92 3.3×
Zinc (84630) $37.96 $75.92 3.3×

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.