Lab & pathology prices at Sullivan County Community Hospital
Sullivan, IN · every code in this section with a posted price and a Medicare benchmark.
446 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $85.80 | $114.40 | 3.8× |
| Acetylcholine receptor binding antibody (86041) | $74.25 | $99 | 4.0× |
| Acetylcholine receptor blocking antibody (86042) | $38.25 | $51 | 2.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $81.75 | $109 | 6.8× |
| Acth (82024) range across 2 matching MRF lines |
$62.25–$121.88 | $83–$162.50 | varies |
| Actin smooth muscle antibody each (86015) | $95.57 | $127.43 | 7.9× |
| Acute hepatitis panel (80074) | $297.86 | $397.15 | 6.3× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $177.75 | $237 | 2.8× |
| Albumin Fluid (82042) | $29.25 | $39 | 3.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$34.50–$67.61 | $46–$90.15 | varies |
| Aldolase (82085) | $72.75 | $97 | 7.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$157.50–$197.47 | $210–$263.29 | varies |
| Alkaline phosphatase isoenzymes (84080) | $54.75 | $73 | 3.7× |
| Allergen spec ige qual multiallergen screen (86005) | $67.50 | $90 | 8.5× |
| Allergen specific ige (86003) range across 23 matching MRF lines |
$9.75–$57.38 | $13–$76.50 | varies |
| Allergen specific igg (86001) | $21.11 | $28.14 | 2.7× |
| Allg Spec Ige Recomb Ea (86008) | $46.25 | $61.67 | 2.6× |
| Alpha-1-antitrypsin phenotype (82104) | $102.66 | $136.88 | 7.1× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$62.81–$68.25 | $83.74–$91 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$35.96–$119.47 | $47.95–$159.29 | varies |
| Alt (sgpt) (84460) | $71.60 | $95.47 | 13.5× |
| Ammonia (82140) | $324.47 | $432.62 | 22.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $252.65 | $336.87 | 2.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$22.50–$110.45 | $30–$147.26 | varies |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$89.40–$159.64 | $119.20–$212.85 | varies |
| Androstenedione (82157) | $63.75 | $85 | 2.2× |
| Angiotensin converting enzyme csf (82164) | $98.43 | $131.24 | 6.7× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$19.28–$35.25 | $25.71–$47 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $41.59 | $55.45 | 2.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $85.50 | $114 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $45.85 | $61.13 | 3.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $56.68 | $75.57 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$38.26–$48.02 | $51.01–$64.03 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $111 | $148 | 9.1× |
| Antibody Herpes Smplx Type 1 (86695) | $77.23 | $102.97 | 5.9× |
| Antibody HIV-2 (86702) | $55.88 | $74.50 | 4.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $92.78 | $123.71 | 4.8× |
| Antibody Protozoa Nes (86753) | $31.50 | $42 | 2.5× |
| Antibody Titer (86886) | $126 | $168 | 24.3× |
| Antibody Treponema Pallidum (86780) | $46.31 | $61.75 | 3.5× |
| Antigen typing (86905) | $60 | $80 | 15.7× |
| Antinuclear antibodies (86038) | $146.58 | $195.44 | 12.1× |
| Antistreptolysin o titer (86060) | $83.25 | $111 | 11.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$29.25–$49 | $39–$65.33 | varies |
| Antithrombin iii antigen (85301) | $28.50 | $38 | 2.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$91.50–$93 | $122–$124 | varies |
| Arsenic (82175) | $58.31 | $77.75 | 3.1× |
| Aspergillus ag eia (87305) | $150.75 | $201 | 12.6× |
| Assay Blood Carbon Dioxide (82374) | $71.63 | $95.50 | 14.7× |
| Assay Dir Meas Fr Estradiol (82681) | $115.50 | $154 | 4.1× |
| Assay myeloperoxidase (83876) | $93 | $124 | 1.8× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$35.25–$57.38 | $47–$76.50 | varies |
| Assay of anti-mullerian hormone (82166) | $126.89 | $169.19 | 3.3× |
| Assay of blood/uric acid (84550) | $71.69 | $95.58 | 15.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$28.50–$56.70 | $38–$75.60 | varies |
| Assay of cpk in blood (82552) | $57.38 | $76.50 | 4.3× |
| Assay of g6pd enzyme (82955) | $67.88 | $90.50 | 7.0× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$57.48–$67.93 | $76.64–$90.57 | varies |
| Assay of lactic acid (83605) | $72 | $96 | 6.2× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$65.25–$365.25 | $87–$487 | varies |
| Assay of proinsulin (84206) | $99 | $132 | 3.7× |
| Assay of serotonin (84260) | $154.25 | $205.67 | 5.0× |
| Assay of serum potassium (84132) | $67.79 | $90.39 | 14.2× |
| Assay of transcortin (84449) | $108 | $144 | 6.0× |
| Assay of urea nitrogen (84520) | $67.94 | $90.58 | 17.2× |
| Assay of urine vma (84585) | $54.38 | $72.50 | 3.5× |
| Assay of vitamin b-1 (84425) | $87.36 | $116.48 | 4.1× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$13.13–$41.25 | $17.50–$55 | varies |
| Assay spec xcp ur&breath ia (82077) | $105.88 | $141.17 | 6.1× |
| Bartonella antibody (86611) | $49.65 | $66.20 | 4.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$69.38–$69.50 | $92.50–$92.67 | varies |
| Beta hydroxybutyrate (82010) | $54 | $72 | 6.6× |
| Bile acids total (82239) | $53.70 | $71.60 | 3.1× |
| Bilirubin direct (82248) | $95.70 | $127.60 | 19.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$71.03–$96.83 | $94.71–$129.11 | varies |
| Bilirubin total transcutaneous (88720) | $20.25 | $27 | 4.0× |
| Blastomyces antibody (86612) | $30 | $40 | 2.3× |
| Blood Count Red Blood Cell Automated (85041) | $30.75 | $41 | 10.2× |
| Blood count reticulocyte automated (85045) | $25.15 | $33.53 | 6.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $24 | $32 | 6.3× |
| Blood gas (82803) range across 2 matching MRF lines |
$60–$189.75 | $80–$253 | varies |
| Blood gases w/02 saturation (82805) | $189.75 | $253 | 2.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $60 | $80 | 9.4× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$49.08–$146.19 | $65.44–$194.92 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$73.50–$135 | $98–$180 | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,208.25 | $2,944.33 | 1.2× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$107.95–$164.25 | $143.93–$219 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$110.65–$113.25 | $147.53–$151 | varies |
| C-reactive protein (86140) | $130.09 | $173.45 | 25.1× |
| Ca 19-9 (86301) | $129.75 | $173 | 6.2× |
| Cadmium (82300) | $57.75 | $77 | 2.4× |
| Calcitonin (82308) | $58.50 | $78 | 2.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$104.25–$108 | $139–$144 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$57.07–$81.80 | $76.09–$109.07 | varies |
| Calculus assay quant (82360) | $205.50 | $274 | 16.0× |
| Calprotectin Fecal (83993) | $400.67 | $534.22 | 20.4× |
| Cancer Antigen 125 (86304) | $129.95 | $173.27 | 6.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$54.75–$93.53 | $73–$124.71 | varies |
| Carbamazepine total (80156) | $108 | $144 | 7.4× |
| Carbohydrate Deficient Transferrin (82373) | $201 | $268 | 11.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$29.25–$89.25 | $39–$119 | varies |
| Carcinoembryonic antigen (82378) | $98.68 | $131.57 | 5.2× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$86.39–$86.75 | $115.18–$115.67 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$87.25–$99 | $116.33–$132 | varies |
| Ccp antibody (86200) | $98.47 | $131.29 | 7.6× |
| Cell count csf (89051) | $82.95 | $110.60 | 14.8× |
| Ceruloplasmin (82390) | $69.43 | $92.57 | 6.5× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$94–$370.50 | $125.33–$494 | varies |
| Cholesterol total (82465) | $103.71 | $138.28 | 23.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$152.51–$173.85 | $203.34–$231.80 | varies |
| Chromogenic Substrate Assay (85130) | $129.75 | $173 | 10.9× |
| Chromogranin a (86316) | $175.88 | $234.50 | 8.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$89.24–$276 | $118.99–$368 | varies |
| Citric acid urine (82507) | $93.75 | $125 | 3.4× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$69.75–$81.75 | $93–$109 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$41.50–$1,051.50 | $55.33–$1,402 | varies |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$75–$456 | $100–$608 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$57.38–$94.01 | $76.50–$125.35 | varies |
| Complement Total (Ch50) (86162) | $87 | $116 | 4.3× |
| Coombs direct (86880) range across 2 matching MRF lines |
$122.25–$173.47 | $163–$231.29 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$182.87–$234 | $243.82–$312 | varies |
| Cortisol free (82530) | $117.75 | $157 | 7.0× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$43.50–$106.63 | $58–$142.17 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$43.50–$67.91 | $58–$90.55 | varies |
| Creatinine blood (82565) | $67.83 | $90.44 | 13.2× |
| Creatinine clearance (82575) | $133.50 | $178 | 14.1× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$61.86–$108.38 | $82.48–$144.50 | varies |
| Crossmatch immediate spin (86920) | $75 | $100 | 0.4× |
| Crp High Sensitivity (86141) | $151.45 | $201.93 | 11.7× |
| Cryoglobulin (82595) | $191.85 | $255.80 | 29.7× |
| Cryptococcus ag titer (87899) | $47.25 | $63 | 2.9× |
| Cryptosporidium ag eia (87328) | $39.62 | $52.82 | 2.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$55.80–$61.01 | $74.40–$81.34 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $29.25 | $39 | 3.8× |
| Culture afb (87116) | $35.42 | $47.22 | 3.3× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$55.07–$226.35 | $73.42–$301.80 | varies |
| Culture blood (87040) | $132.74 | $176.99 | 12.9× |
| Culture csf (87070) range across 10 matching MRF lines |
$56.98–$226.13 | $75.97–$301.50 | varies |
| Culture screen only (87081) | $28.50 | $38 | 4.3× |
| Culture stool (87045) | $49.34 | $65.79 | 5.2× |
| Culture urine (87086) | $95.18 | $126.90 | 11.8× |
| Cyclosporine (80158) | $113.81 | $151.75 | 6.3× |
| Cystatin C (82610) | $124.95 | $166.60 | 6.7× |
| Cytogenetics 100-300 (88275) | $141.75 | $189 | 2.8× |
| Cytomegalovirus igg (86644) | $62.44 | $83.25 | 4.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $83.43 | $111.24 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $269.06 | $358.75 | 4.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $35.68 | $47.57 | 0.2× |
| Deoxyribonuclease antibody (86215) | $54 | $72 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$126–$222 | $168–$296 | varies |
| Detect Agent Nos Dna Quant (87799) | $501.75 | $669 | 11.7× |
| Detect agnt mult DNA ampli (87801) | $162.75 | $217 | 2.3× |
| Dgp Antibody Each Ig Class (86258) | $49.48 | $65.97 | 4.1× |
| Dhea (82626) | $138.38 | $184.50 | 5.5× |
| Dhea-S (82627) | $144.15 | $192.20 | 6.5× |
| Digoxin (80162) | $120.32 | $160.43 | 9.1× |
| Dipropylacetic Acid Free (80165) | $41.25 | $55 | 3.0× |
| Dna Antibody Native/Double Stranded (86225) | $76.55 | $102.07 | 5.6× |
| Drug assay acetaminophen (80143) | $93.62 | $124.83 | 5.0× |
| Drug assay adalimumab (80145) | $370.50 | $494 | 9.6× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$146.25–$393 | $195–$524 | varies |
| Drug Screen Quantitative Gabapentin (80171) | $55.13 | $73.50 | 2.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $238.50 | $318 | 18.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $130.64 | $174.19 | 9.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $190.95 | $254.60 | 14.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 14 matching MRF lines |
$18.44–$441.56 | $24.58–$588.75 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$30–$31.13 | $40–$41.50 | varies |
| El-1 Fecal Quantitative (82653) | $412.61 | $550.14 | 18.0× |
| Electrolyte panel (80051) | $165.81 | $221.08 | 23.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $49.44 | $65.92 | 4.1× |
| Enterovirus Antibody (86658) | $239.25 | $319 | 18.4× |
| Erythropoietin (82668) | $243.11 | $324.14 | 12.9× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$65.25–$151.76 | $87–$202.35 | varies |
| Estrogen total (82672) | $73.82 | $98.42 | 3.4× |
| Exam Synovial Fluid Crystals (89060) | $28.35 | $37.80 | 3.9× |
| F2 Gene (81240) | $308.50 | $411.33 | 4.7× |
| Factor ii activity (85210) | $35.25 | $47 | 2.7× |
| Factor v activity (85220) | $50.25 | $67 | 2.8× |
| Factor v leiden mutation (81241) | $179.77 | $239.69 | 2.5× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$45–$84.75 | $60–$113 | varies |
| Factor viii assay (85240) | $84.25 | $112.33 | 4.7× |
| Factor X (85260) range across 2 matching MRF lines |
$68.96–$93 | $91.95–$124 | varies |
| Fecal Fat Qualitative (82705) | $57 | $76 | 11.2× |
| Ferritin (82728) | $96.89 | $129.19 | 7.1× |
| Fetal screen rosette (85461) | $93.82 | $125.09 | 10.0× |
| Fibrin Degradation Quant (85379) | $243.77 | $325.02 | 23.9× |
| Fibrinogen activity (85384) | $59.33 | $79.10 | 6.1× |
| Fibrinogen antigen (85385) | $42.75 | $57 | 3.0× |
| Flow cytometry first marker (88184) | $86.25 | $115 | 0.2× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$38.25–$111 | $51–$148 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $214.88 | $286.50 | 17.8× |
| Folic acid rbc (82747) | $59.39 | $79.18 | 3.4× |
| Folic Acid Serum (82746) | $94.55 | $126.06 | 6.4× |
| Follicle Stimulating Hormone (83001) | $106.24 | $141.65 | 5.7× |
| Gammaglobulin ige (82785) | $103.48 | $137.97 | 6.3× |
| Gases blood ph only (82800) | $227.25 | $303 | 20.7× |
| Gastrin (82941) | $102.38 | $136.50 | 5.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,044.20 | $1,392.27 | 2.5× |
| Genet Virus Isolate Hsv (87255) | $105.25 | $140.33 | 3.1× |
| Gentamicin (80170) range across 3 matching MRF lines |
$137.25–$139.50 | $183–$186 | varies |
| Ggt (82977) | $157.45 | $209.93 | 21.9× |
| Giardia antigen (87329) | $39.62 | $52.82 | 3.3× |
| Glucose 2 hr pp (82950) | $78.81 | $105.08 | 16.6× |
| Glucose Blood Test (82962) | $73.50 | $98 | 22.4× |
| Glucose body fluid (82945) | $54.75 | $73 | 13.9× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$70.66–$73.50 | $94.21–$98 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$25.08–$156.25 | $33.44–$208.33 | varies |
| Glycated Protein (82985) | $30.82 | $41.09 | 1.8× |
| Gonadotropin Chorionic Qualitative (84703) | $152 | $202.67 | 20.2× |
| Growth hormone (83003) | $54 | $72 | 3.2× |
| H Pylori (C-13) Breath (83013) | $188.25 | $251 | 2.8× |
| Haptoglobin (83010) | $103 | $137.33 | 8.2× |
| Hdl Cholesterol (83718) | $81.25 | $108.33 | 9.9× |
| Helicobacter Pylori Stool (87338) | $103.70 | $138.27 | 7.2× |
| Hematocrit (85014) | $29.18 | $38.91 | 12.3× |
| Hemoglobin (85018) | $29.18 | $38.91 | 12.3× |
| Hemoglobin a1c (83036) | $77 | $102.66 | 7.9× |
| Hemoglobin electrophoresis (83020) | $55.03 | $73.37 | 4.3× |
| Hep a ab igm (86709) | $96.75 | $129 | 8.6× |
| Heparin assay (85520) | $105.92 | $141.22 | 8.1× |
| Hepatitis a antibody total (86708) | $97.92 | $130.56 | 7.9× |
| Hepatitis b core ab igm (86705) | $125.68 | $167.57 | 10.7× |
| Hepatitis b core ab total (86704) | $47.42 | $63.23 | 3.9× |
| Hepatitis B Surface Antibody (86706) | $79.75 | $106.33 | 7.4× |
| Hepatitis B Surface Antigen (87340) | $81.97 | $109.29 | 7.9× |
| Hepatitis Be Antibody (86707) | $60 | $80 | 5.2× |
| Hepatitis Be Antigen (87350) | $72 | $96 | 6.2× |
| Hepatitis C Antibody (86803) | $25.18 | $33.57 | 1.8× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$201–$378.75 | $268–$505 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$170.90–$546.75 | $227.86–$729 | varies |
| Herpes simplex type 2 (86696) | $77.23 | $102.97 | 4.0× |
| Heterophile Antibody Screen (86308) | $108.14 | $144.19 | 20.9× |
| Hfe Gene (81256) | $536.25 | $715 | 8.2× |
| Histamine urine (83088) | $102 | $136 | 3.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$37.35–$66.56 | $49.80–$88.75 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$138.75–$232.50 | $185–$310 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $19.14 | $25.52 | 0.8× |
| Hiv-1 Antibody (86701) | $55.88 | $74.50 | 6.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $147.75 | $197 | 1.7× |
| HIV-2 probe&revrse trnscripj (87538) | $83.55 | $111.40 | 2.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $109.25 | $145.67 | 0.9× |
| Hla I Typing 1 Allele Hr (81381) | $397.50 | $530 | 2.3× |
| Hla-b27 (86812) | $139.95 | $186.60 | 5.4× |
| Homocysteine (83090) | $254.03 | $338.71 | 14.2× |
| Hpv Types 16 & 18 Only (87625) | $108.09 | $144.12 | 2.7× |
| Hsv Dna Amp Probe (87529) | $144.65 | $192.87 | 4.1× |
| Hydroxyprogesterone 17-d (83498) | $110.25 | $147 | 4.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $107.63 | $143.50 | 7.7× |
| Iaad ia shiga-like toxin (87427) | $49.34 | $65.79 | 4.1× |
| Iaad Ia Streptococcus Group A (87430) | $47.31 | $63.08 | 2.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $81.75 | $109 | 2.3× |
| Iadna Cytomegalovirus Quantification (87497) | $255.38 | $340.50 | 6.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $254.25 | $339 | 7.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $181.50 | $242 | 4.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $224.25 | $299 | 6.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $420 | $560 | 12.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$89.24–$276 | $118.99–$368 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $182.25 | $243 | 3.6× |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$57.22–$108.65 | $76.29–$144.86 | varies |
| Igg subclasses (82787) | $27.75 | $37 | 3.5× |
| Immunfix e-phorsis/urine/csf (86335) | $82.25 | $109.67 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $333.75 | $445 | 18.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$11.75–$62.75 | $15.67–$83.67 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$47.25–$214.88 | $63–$286.50 | varies |
| Immunodiffusion Ouchterlony (86331) | $20.03 | $26.71 | 1.7× |
| Immunohistochemistry (88342) | $174.42 | $232.56 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $83.53 | $111.37 | 1.2× |
| Inhibin b (83520) range across 5 matching MRF lines |
$58.05–$302.25 | $77.40–$403 | varies |
| Insulin antibodies (86337) | $57.75 | $77 | 2.7× |
| Insulin free (83527) | $29.84 | $39.78 | 2.3× |
| Insulin total (83525) range across 2 matching MRF lines |
$29.84–$151.60 | $39.78–$202.13 | varies |
| Intrinsic factor antibody (86340) | $167.81 | $223.75 | 11.1× |
| Iron (83540) | $66.45 | $88.60 | 10.3× |
| Iron Binding Capacity (83550) | $41.30 | $55.06 | 4.7× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$121.25–$234.50 | $161.67–$312.67 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $314.25 | $419 | 3.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$33.50–$64.33 | $44.67–$85.77 | varies |
| Lactoferrin Fecal Quantitative (83631) | $135 | $180 | 6.9× |
| Ldh Isoenzymes (83625) | $30 | $40 | 2.3× |
| LDL direct (83721) | $127.10 | $169.46 | 12.1× |
| Lead (83655) range across 3 matching MRF lines |
$58.31–$76.49 | $77.75–$101.98 | varies |
| Leukocyte Assessment Fecal (89055) | $16.07 | $21.43 | 3.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $42.65 | $56.86 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $70.67 | $94.23 | 1.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $352.92 | $470.56 | 0.9× |
| Lipase (83690) | $140.81 | $187.75 | 20.4× |
| Lipoprotein A (83695) | $199.75 | $266.33 | 13.9× |
| Lipoprotein Bld Quan Part (83704) | $9 | $12 | 0.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $137.25 | $183 | 3.0× |
| Lithium (80178) | $62.45 | $83.26 | 9.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $786.38 | $1,048.50 | 4.5× |
| Luteinizing Hormone (Lh) (83002) | $112.92 | $150.56 | 6.1× |
| Lyme disease antibody (86618) | $281.48 | $375.31 | 16.5× |
| Lysozyme serum (85549) | $55.50 | $74 | 3.0× |
| Macroscopic Exam Parasite (87169) | $25.50 | $34 | 5.9× |
| Magnesium Urine (83735) | $90.76 | $121.01 | 13.5× |
| Mercury urine (83825) | $56.06 | $74.75 | 3.4× |
| Metabolic panel ionized ca (80047) | $165.70 | $220.93 | 12.1× |
| Methylmalonic acid serum (83921) | $294.38 | $392.50 | 13.9× |
| Microalbumin, quantitative (82043) | $113.56 | $151.41 | 19.6× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$39.75–$139.20 | $53–$185.60 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$96.75–$189.75 | $129–$253 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $528.75 | $705 | 2.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,762.50 | $2,350 | 2.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $74.25 | $99 | 3.5× |
| Mrsa Pcr (87641) | $171.93 | $229.24 | 4.9× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $996 | $1,328 | 2.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,675.50 | $2,234 | 2.6× |
| Mthfr Gene Analysis Common Variants (81291) | $151.50 | $202 | 2.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$71.12–$72 | $94.83–$96 | varies |
| Muscle-Specific Kinase Antb (86366) | $919.50 | $1,226 | 50.0× |
| Mycophenolic Acid (80180) | $90 | $120 | 5.0× |
| Mycoplasma culture (87109) | $36 | $48 | 2.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$71.44–$122.63 | $95.25–$163.50 | varies |
| Natriuretic peptide (83880) | $246.23 | $328.31 | 6.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $415.50 | $554 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $447.45 | $596.60 | 6.2× |
| Niacin (84591) | $192 | $256 | 11.3× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$48.30–$216 | $64.40–$288 | varies |
| Occult blood feces (82272) | $15.75 | $21 | 3.7× |
| Osmolality serum (83930) | $72.45 | $96.60 | 11.0× |
| Osmolality Urine (83935) | $82.49 | $109.98 | 12.1× |
| Osteocalcin (83937) | $69.75 | $93 | 2.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$9.68–$39.62 | $12.91–$52.82 | varies |
| Oxalate urine (83945) | $44.25 | $59 | 3.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$41.15–$41.99 | $54.87–$55.98 | varies |
| Phenobarbital Level (80184) | $36.75 | $49 | 2.4× |
| Phenylalanine (84030) | $247.50 | $330 | 45.0× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$60–$97.31 | $80–$129.74 | varies |
| Phenytoin free (80186) | $56.25 | $75 | 4.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$36.50–$72.19 | $48.67–$96.25 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $168 | $224 | 9.3× |
| Phosphorus Serum (84100) | $68.05 | $90.73 | 14.4× |
| Phosphorus urine (84105) | $55.50 | $74 | 9.6× |
| Platelet count automated (85049) | $54.50 | $72.67 | 12.2× |
| Pms2 gene full seq analysis (81317) | $1,764.75 | $2,353 | 2.6× |
| Potassium Urine (84133) | $58.88 | $78.50 | 12.4× |
| Prealbumin (84134) | $172.20 | $229.60 | 11.8× |
| Pregnenolone (84140) | $43.50 | $58 | 2.1× |
| Procalcitonin (Pct) (84145) | $73.16 | $97.55 | 2.7× |
| Progesterone (84144) | $106.10 | $141.46 | 5.1× |
| Prolactin (84146) | $125.10 | $166.80 | 6.5× |
| Protein body fluid (84157) | $55.35 | $73.80 | 13.8× |
| Protein C Activity (85303) | $205.13 | $273.50 | 14.8× |
| Protein c antigen (85302) | $55.13 | $73.50 | 4.6× |
| Protein Electrophoresis Urine (84166) | $30.91 | $41.21 | 1.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $70.87 | $94.49 | 6.6× |
| Protein S Free (85306) range across 2 matching MRF lines |
$70.88–$113.63 | $94.50–$151.50 | varies |
| Protein s total (85305) | $114.25 | $152.33 | 9.8× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$91.95–$114.25 | $122.60–$152.33 | varies |
| Protoporphyrin rbc quantitative (84202) | $39 | $52 | 2.7× |
| PSA free (84154) | $78.99 | $105.32 | 4.3× |
| Pth Intact (83970) | $192.53 | $256.70 | 4.7× |
| Quantiferon tb gold plus (86480) | $139.85 | $186.47 | 2.3× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$92.57–$178.50 | $123.43–$238 | varies |
| Quantitative Screen Metals (83018) | $124.50 | $166 | 5.7× |
| Rbc antibody elution (86860) | $187.50 | $250 | 1.0× |
| Rbc antibody identification (86870) | $556.31 | $741.75 | 1.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$116.91–$404.18 | $155.88–$538.91 | varies |
| Reagent Strip/Blood Glucose (82948) | $44.25 | $59 | 8.8× |
| Renin activity plasma (84244) | $123.43 | $164.57 | 5.6× |
| Reptilase test (85635) | $152.25 | $203 | 15.5× |
| Reticulocyte Count (85046) | $25.15 | $33.53 | 4.5× |
| Rh (86901) range across 3 matching MRF lines |
$48.75–$164.15 | $65–$218.87 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$48.75–$81.89 | $65–$109.19 | varies |
| Rickettsia antibody (86757) | $120.75 | $161 | 6.2× |
| Ristocetin cofactor (85245) | $73.88 | $98.50 | 3.2× |
| Rotavirus ag eia (87425) | $141.75 | $189 | 11.8× |
| Rpr qualitative (86592) | $185.23 | $246.97 | 43.4× |
| Rubella Antibody (86762) | $43.58 | $58.11 | 3.0× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$56.25–$57.65 | $75–$76.86 | varies |
| Russell Viper Venom Time Diluted (85613) | $64.77 | $86.36 | 6.8× |
| Salicylate Level (80179) | $120.23 | $160.30 | 6.5× |
| Sedimentation Rate, Automated (85652) | $66.42 | $88.56 | 24.6× |
| Selenium (84255) | $121.75 | $162.33 | 4.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$82.41–$157.50 | $109.88–$210 | varies |
| Sex Hormone Binding Globulin (84270) | $74.08 | $98.77 | 3.4× |
| Sickling of rbc reduction (85660) | $56.25 | $75 | 10.2× |
| Sirolimus (80195) | $98.78 | $131.71 | 7.2× |
| Smear acid fast (87206) | $55.37 | $73.83 | 10.3× |
| Smear complex stain (87209) | $78.48 | $104.64 | 4.4× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$41.85–$41.90 | $55.80–$55.86 | varies |
| Sodium Serum (84295) | $68.21 | $90.95 | 14.2× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$55.84–$107.75 | $74.45–$143.67 | varies |
| Somatomedin (84305) | $59.15 | $78.86 | 2.8× |
| Special Stains Group 1 (88312) | $166.50 | $222 | 3.0× |
| Special Stains Group 2 (88313) | $142.18 | $189.57 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $64.50 | $86 | 0.4× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$25.88–$49.40 | $34.50–$65.87 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$181.72–$192.10 | $242.29–$256.13 | varies |
| Strep b DNA amp probe (87653) | $182.93 | $243.91 | 5.2× |
| Sugars Single Qual (84376) | $66.75 | $89 | 12.1× |
| Surg path level iii (88304) | $80.87 | $107.83 | 1.5× |
| Surgical pathology level IV (88305) | $123.42 | $164.56 | 2.2× |
| Surgical pathology level vi (88309) | $126.38 | $168.50 | 0.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $124.13 | $165.50 | 2.6× |
| T3 Free (84481) | $97.52 | $130.02 | 5.8× |
| T3 reverse (84482) | $332.25 | $443 | 21.1× |
| T3 Total (84480) | $81.83 | $109.11 | 5.8× |
| T3 Uptake (84479) | $44.25 | $59 | 6.8× |
| T4 Free (84439) | $110.83 | $147.77 | 12.3× |
| T4 total (84436) | $94.79 | $126.38 | 13.8× |
| Tacrolimus (80197) | $262.54 | $350.05 | 19.1× |
| Testosterone total (84403) range across 3 matching MRF lines |
$38.36–$138.53 | $51.14–$184.71 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$88.25–$191.24 | $117.67–$254.99 | varies |
| Theophylline (80198) | $148.88 | $198.50 | 10.5× |
| Thiopurine methyltransferase (84433) | $214.88 | $286.50 | 9.7× |
| Thrombin Time (85670) | $55.13 | $73.50 | 9.6× |
| Thyroglobulin (84432) | $148.67 | $198.23 | 9.3× |
| Thyroglobulin Antibody (86800) | $68.54 | $91.39 | 4.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $341.44 | $455.25 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$109.27–$186.14 | $145.69–$248.18 | varies |
| Topiramate (80201) | $247.50 | $330 | 20.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $105 | $140 | 5.3× |
| Toxoplasma ab igm (86778) | $57 | $76 | 4.0× |
| Toxoplasma antibody (86777) | $57 | $76 | 4.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $71.72 | $95.63 | 13.8× |
| Transferrin (84466) | $95 | $126.67 | 7.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$89.33–$92.66 | $119.11–$123.54 | varies |
| Triglycerides (84478) | $82.07 | $109.42 | 14.3× |
| Troponin Quant (84484) | $190.55 | $254.06 | 15.3× |
| Tumor Immunohistochem/Manual (88360) | $580.97 | $774.63 | 3.2× |
| Urea nitrogen urine (84540) | $56.25 | $75 | 10.1× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$13.50–$58.50 | $18–$78 | varies |
| Urinalysis Microscopic Only (81015) | $30.71 | $40.95 | 10.1× |
| Urinalysis Volume Measure (81050) | $13.23 | $17.64 | 3.6× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$57.75–$154.50 | $77–$206 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $70.83 | $94.44 | 22.3× |
| Valproic acid (80164) | $108.86 | $145.14 | 8.0× |
| Vancomycin (80202) | $129.11 | $172.15 | 9.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$113.03–$202.50 | $150.70–$270 | varies |
| Vasopressin (84588) | $113.25 | $151 | 3.3× |
| Virus antibody nos (86790) | $69 | $92 | 5.4× |
| Virus inoculation, shell via (87254) | $147.75 | $197 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $87.85 | $117.13 | 2.3× |
| Vitamin A (84590) range across 2 matching MRF lines |
$95.66–$99.75 | $127.55–$133 | varies |
| Vitamin b-12 (82607) | $98.25 | $131 | 6.5× |
| Vitamin B6 (84207) | $139.82 | $186.43 | 5.0× |
| Vitamin c (82180) | $77.25 | $103 | 7.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$144.49–$309.96 | $192.65–$413.28 | varies |
| Vitamin E (84446) | $96.92 | $129.22 | 6.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $310.50 | $414 | 25.8× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$81.56–$138 | $108.75–$184 | varies |
| West nile virus ab igm (86788) | $36.75 | $49 | 2.2× |
| West Nile Virus Antibody (86789) | $36.75 | $49 | 2.6× |
| Zinc (84630) range across 2 matching MRF lines |
$79.16–$111.59 | $105.55–$148.78 | 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.