Lab & pathology prices at Sullivan County Memorial Hospital

Milan, MO · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $93 $93 6.0×
5 Nucleotidase (83915) $150 $150 13.5×
Acth (82024) $159 $159 4.1×
Acute hepatitis panel (80074) $171 $171 3.6×
Acylcarnitines Quant (82017) $344 $344 20.4×
Agglutinins Febrile Each Antigen (86000)
range across 2 matching MRF lines
$93–$152 $93–$152 varies
Albumin serum (82040) $27 $27 5.5×
Aldolase (82085) $33 $33 3.4×
Aldosterone urine (82088) $157 $157 3.9×
Alkaline phosphatase isoenzymes (84080) $85 $85 5.8×
Allergen specific ige (86003)
range across 60 matching MRF lines
$13.50–$605 $13.50–$605 varies
Allg Spec Ige Recomb Ea (86008) $40 $40 2.2×
Alpha-1-antitrypsin phenotype (82104) $137 $137 9.5×
Alpha-1-antitrypsin total (82103) $67 $67 5.0×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$37–$113 $37–$113 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$32–$40 $32–$40 varies
Amikacin trough (80150) $85 $85 5.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$416–$1,048 $416–$1,048 varies
Amino acids; single, qualitative, each specimen Facility (82127) $49 $49 3.5×
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines
$98–$245 $98–$245 varies
Ammonia (82140) $76 $76 5.2×
Amylase urine (82150)
range across 3 matching MRF lines
$39–$70 $39–$70 varies
Ana Titer (86039) $52 $52 4.7×
Androstenedione (82157)
range across 2 matching MRF lines
$79–$82 $79–$82 varies
Angiotensin converting enzyme csf (82164) $54 $54 3.7×
Anti-Phospholipid Antibody (86148) $426 $426 26.5×
Antibody aspergillus (86606) $89 $89 5.9×
Antibody Bacterium Not Elsewhere Specified (86609) $29 $29 2.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$33–$89 $33–$89 varies
Antibody Cytomegalovirus Cmv Igm (86645) $232 $232 13.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$19–$91 $19–$91 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$65–$130 $65–$130 varies
Antibody Fungus Not Elsewhere Specified (86671) $106 $106 8.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $65 $65 4.5×
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$54–$81 $54–$81 varies
Antibody HIV-2 (86702) $151 $151 11.2×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$291–$332 $291–$332 varies
Antibody identification leukocyte antibodies (86021)
range across 8 matching MRF lines
$49–$400 $49–$400 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 2 matching MRF lines
$382–$444 $382–$444 varies
Antibody john cunningham virus (86711) $2,040 $2,040 120.8×
Antibody plasmodium malaria (86750) $123 $123 9.3×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$98–$160 $98–$160 varies
Antibody Titer (86886)
range across 2 matching MRF lines
$36–$163 $36–$163 varies
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$50–$116 $50–$116 varies
Antibody; influenza virus (86710)
range across 2 matching MRF lines
$18–$81 $18–$81 varies
Antigen typing (86905) $41 $41 10.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $42 $42 7.3×
Antinomyces antibody (86602) $31 $31 3.0×
Antinuclear antibodies (86038)
range across 4 matching MRF lines
$15–$693 $15–$693 varies
Antistreptolysin O Screen (86063) $97 $97 16.8×
Antistreptolysin o titer (86060) $39 $39 5.3×
Antithrombin iii activity (85300) $293 $293 24.7×
Antithrombin iii antigen (85301) $283 $283 26.2×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$38–$205 $38–$205 varies
Arsenic (82175)
range across 2 matching MRF lines
$63–$101 $63–$101 varies
Assay activated protein c (85307) $237 $237 15.5×
Assay Blood Carbon Dioxide (82374) $16 $16 3.3×
Assay Blood Catecholamines (82383) $245 $245 8.4×
Assay myeloperoxidase (83876) $110 $110 2.2×
Assay Nephelometry Not Spec (83883)
range across 8 matching MRF lines
$72–$288 $72–$288 varies
Assay of 5-hiaa (83497) $51 $51 4.0×
Assay of blood/uric acid (84550) $27 $27 6.0×
Assay of calcium in urine (82340) $32 $32 5.3×
Assay of cpk in blood (82552)
range across 3 matching MRF lines
$30–$206 $30–$206 varies
Assay of estrone (82679) $76 $76 3.0×
Assay of feces for trypsin (84490) $45 $45 4.5×
Assay of g6pd enzyme (82955) $60 $60 6.2×
Assay of gammaglobulin igm (82784)
range across 7 matching MRF lines
$37–$232 $37–$232 varies
Assay of lactic acid (83605) $90 $90 7.8×
Assay of manganese (83785) $321 $321 12.0×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$200–$365 $200–$365 varies
Assay of phosphatase acid total (84060) $57 $57 7.5×
Assay of proinsulin (84206) $298 $298 11.2×
Assay of serotonin (84260) $125 $125 4.0×
Assay of serum potassium (84132) $19 $19 4.0×
Assay of Tyrosine (84510) $166 $166 15.6×
Assay of urea nitrogen (84520) $20 $20 5.1×
Assay of urine vma (84585) $75 $75 4.8×
Assay of vitamin b-1 (84425) $88 $88 4.1×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$18–$144 $18–$144 varies
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$7–$15 $7–$15 varies
Bartonella antibody (86611)
range across 4 matching MRF lines
$89–$358 $89–$358 varies
Bcr/abl1 gene minor bp (81207) $311 $311 2.1×
Beta 2 glycoprotein i antibody each (86146)
range across 4 matching MRF lines
$116–$156 $116–$156 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$57–$130 $57–$130 varies
Beta-2 Microglobulin (82232) $62 $62 3.8×
Beta-amyloid 1-40 (abeta 40) (82233) $400 $400 3.1×
Beta-amyloid; 1-42 (abeta 42) (82234) $400 $400 3.1×
Bile acids total (82239) $98 $98 5.7×
Bilirubin direct (82248) $25 $25 5.0×
Bilirubin total (82247) $30 $30 6.0×
Bilirubin; feces, qualitative Facility (82252) $24 $24 5.3×
Bl Smear W/O Diff Wbc Count (85008)
range across 4 matching MRF lines
$21–$125 $21–$125 varies
Blastomyces antibody (86612) $89 $89 6.9×
Bld Typing Serologic Rh Phnt (86906) $152 $152 19.6×
Blood Count Manual Cell Count Each (85032) $20 $20 4.6×
Blood Count Red Blood Cell Automated (85041) $13 $13 4.3×
Blood count reticulocyte automated (85045) $28 $28 7.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $29 $29 7.6×
Blood gas (82803) $97 $97 3.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $122 $122 7.5×
Blood typing serologic abo (86900) $348 $348 116.4×
Bordetella antibody (86615) $142 $142 10.8×
Breath Alcohol Test (82075) $30 $30 1.0×
Brucella antibody (86622)
range across 4 matching MRF lines
$126–$397 $126–$397 varies
C diff amplified probe (87493) $238 $238 6.4×
C-Peptide (84681) $69 $69 3.3×
C-reactive protein (86140) $72 $72 13.9×
Ca 19-9 (86301) $88 $88 4.2×
Cadmium (82300) $96 $96 4.1×
Caffeine (80155) $115 $115 3.0×
Calcitonin (82308) $104 $104 3.9×
Calcium ionized (82330) $68 $68 5.0×
Calcium total (82310)
range across 3 matching MRF lines
$21–$360 $21–$360 varies
Calculus Spectroscopy (82365) $118 $118 9.1×
Calprotectin Fecal (83993) $350 $350 17.8×
Cancer Antigen 125 (86304) $39 $39 1.9×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$71–$88 $71–$88 varies
Candida antibody (86628) $85 $85 7.1×
Candida Dna Dir Probe (87480) $192 $192 9.6×
Carbamazepine free (80157) $171 $171 12.9×
Carbamazepine total (80156) $48 $48 3.3×
Carboxyhemoglobin (82375) $48 $48 3.9×
Carcinoembryonic antigen (82378) $31 $31 1.6×
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$46–$141 $46–$141 varies
Carnitine Quantitative Each Specimen (82379) $328 $328 19.4×
Carotene (82380) $60 $60 6.5×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$98–$115 $98–$115 varies
Catecholamines total urine (82382) $198 $198 7.3×
Ccp antibody (86200)
range across 2 matching MRF lines
$200–$221 $200–$221 varies
Cell count csf (89051)
range across 4 matching MRF lines
$16–$90 $16–$90 varies
Ceruloplasmin (82390) $62 $62 5.8×
Cftr gene com variants (81220) $452 $452 0.8×
Chemiluminescent assay (82397) $300 $300 21.2×
Chlamydia antibody (86631) $49 $49 4.1×
Chloride Serum (82435) $23 $23 5.0×
Chloride urine (82436) $35 $35 6.1×
Cholesterol total (82465) $17 $17 3.9×
Cholinesterase Serum (82480) $54 $54 6.9×
Chorionic gonadotropin test (84702)
range across 5 matching MRF lines
$45–$113 $45–$113 varies
Chromium serum (82495) $184 $184 9.1×
Chromogranin a (86316)
range across 2 matching MRF lines
$118–$220 $118–$220 varies
Chromosome Analysis 15-20 (88262) $348 $348 2.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$84–$150 $84–$150 varies
Citric acid urine (82507) $300 $300 10.8×
Ckmb (82553) $45 $45 3.9×
Clostridium Difficile (87324) $38 $38 3.2×
Coagulation time; Lee and White Facility (85345) $11 $11 2.3×
Coccidioides antibody (86635) $89 $89 7.8×
Cold agglutinin screen (86156) $47 $47 5.8×
Cold agglutinin titer (86157) $102 $102 12.7×
Collagen crosslinks (82523) $278 $278 14.9×
Column Chromotography Quant (82542)
range across 6 matching MRF lines
$84–$306 $84–$306 varies
Compatibility Each Unit Incubation (86921) $472 $472 2.8×
Compatibility test antiglob (86922) $472 $472 2.8×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$52–$216 $52–$216 varies
Complement Total (Ch50) (86162) $67 $67 3.3×
Complement/Function Activity (86161) $81 $81 6.8×
Consltj Compre Review Reprt Referred Matrl (88325) $116 $116 0.7×
Coombs direct (86880) $172 $172 31.9×
Copper urine (82525)
range across 2 matching MRF lines
$70–$182 $70–$182 varies
Cortisol free (82530)
range across 6 matching MRF lines
$95–$361 $95–$361 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$66–$92 $66–$92 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$30–$55 $30–$55 varies
Creatinine blood (82565) $31 $31 6.1×
Creatinine clearance (82575) $57 $57 6.0×
Creatinine Urine (82570)
range across 7 matching MRF lines
$20–$281 $20–$281 varies
Crossmatch immediate spin (86920) $472 $472 2.8×
Crp High Sensitivity (86141) $57 $57 4.4×
Cryofibrinogen (82585) $144 $144 10.2×
Cryoglobulin (82595) $33 $33 5.1×
Cryptococcal Antigen (87327) $85 $85 6.3×
Cryptosporidium (87272) $135 $135 11.3×
Cryptosporidium ag eia (87328) $281 $281 20.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $77 $77 9.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $49 $49 6.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $65 $65 8.4×
Culture afb (87116)
range across 2 matching MRF lines
$67–$76 $67–$76 varies
Culture Anaerobic (87075) $43 $43 4.5×
Culture blood (87040) $120 $120 11.6×
Culture chlamydia (87110) $87 $87 4.4×
Culture csf (87070)
range across 9 matching MRF lines
$35–$118 $35–$118 varies
Culture fungus (87102)
range across 3 matching MRF lines
$42–$202 $42–$202 varies
Culture fungus blood (87103) $147 $147 7.2×
Culture screen only (87081)
range across 10 matching MRF lines
$39–$239 $39–$239 varies
Culture stool (87045)
range across 2 matching MRF lines
$52–$92 $52–$92 varies
Culture typing if ea antiserum (87140) $250 $250 44.9×
Culture urine (87086) $13 $13 1.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $72 $72 5.0×
Cyclosporine (80158)
range across 2 matching MRF lines
$78–$119 $78–$119 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,000 $3,000 2.6×
Cytomegalovirus igg (86644) $246 $246 17.1×
Cytopath Cell Enhance Tech (88112) $69 $69 1.3×
Cytotoxic Antibody Screen Std (86807)
range across 2 matching MRF lines
$429–$455 $429–$455 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $142 $142 5.3×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$74–$123 $74–$123 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $60 $60 1.6×
Cytp Slides C/V Mnl Scr Under Phys (88150) $25 $25 1.3×
Deoxyribonuclease antibody (86215) $72 $72 5.4×
Detect Agent Nos Dna Amp (87798)
range across 10 matching MRF lines
$90–$816 $90–$816 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$413–$563 $413–$563 varies
Detect agnt mult DNA ampli (87801) $168 $168 2.4×
Dhea (82626) $143 $143 5.7×
Dhea-S (82627) $120 $120 5.4×
Digoxin (80162) $57 $57 4.3×
Diphtheria antitoxoid (86648) $223 $223 14.7×
Dna Antibody Native/Double Stranded (86225)
range across 4 matching MRF lines
$32–$366 $32–$366 varies
Dna Antibody Single Stranded (86226) $260 $260 21.5×
Drug assay adalimumab (80145) $319 $319 8.3×
Drug Assay Amiodarone (80151) $116 $116 6.2×
Drug Assay Everolimus (80169) $280 $280 20.4×
Drug Assay Lacosamide (80235) $170 $170 6.3×
Drug Assay Vedolizumab (80280) $300 $300 7.8×
Drug Screen Quant Zonisamide (80203) $173 $173 13.1×
Drug Screen Quantitative Gabapentin (80171) $89 $89 4.1×
Drug Screen Quantitative Levetiracetam (80177) $130 $130 9.8×
Drug Screen Quantitative Procainamide Metabolite (80192)
range across 2 matching MRF lines
$92–$97 $92–$97 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 11 matching MRF lines
$57–$600 $57–$600 varies
Drug Test Prsmv Dir Opt Obs (80305) $76 $76 6.0×
Ehrlichia antibody (86666)
range across 4 matching MRF lines
$139–$300 $139–$300 varies
Electrolyte panel (80051) $42 $42 6.0×
Enterovirus Antibody (86658)
range across 4 matching MRF lines
$68–$240 $68–$240 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$504–$720 $504–$720 varies
Enzyme cell activity (82657) $280 $280 12.6×
Eosinophil Smear (89190) $15 $15 2.6×
Erythropoietin (82668) $182 $182 9.7×
Estradiol serum (82670) $245 $245 8.8×
Estriol (82677)
range across 2 matching MRF lines
$43–$113 $43–$113 varies
Estrogen total (82672) $156 $156 7.2×
Estrogens fractionated (82671) $278 $278 8.6×
Ethosuximide (80168) $87 $87 5.3×
Ethylene Glycol (82693) $111 $111 7.4×
Euglobulin lysis (85360) $214 $214 25.4×
Exam Synovial Fluid Crystals (89060)
range across 4 matching MRF lines
$35–$78 $35–$78 varies
F2 Gene (81240)
range across 2 matching MRF lines
$317–$381 $317–$381 varies
Factor Inhibitor Test (85335) $195 $195 15.2×
Factor ix activity (85250) $273 $273 14.3×
Factor v activity (85220) $242 $242 13.7×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$384–$432 $384–$432 varies
Factor vii assay (85230) $273 $273 15.3×
Factor viii assay (85240) $195 $195 10.9×
Factor xi activity (85270) $114 $114 6.4×
Fat/Lipids Feces Quantitative (82710) $219 $219 13.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $264 $264 15.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $245 $245 37.5×
Fecal Fat Qualitative (82705) $55 $55 10.8×
Ferritin (82728) $84 $84 6.2×
Fibrin degradation products (85362) $74 $74 10.7×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$61–$231 $61–$231 varies
Fibrinogen activity (85384) $45 $45 4.6×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$222–$1,504 $222–$1,504 varies
Fluorescent antibody screen (86255)
range across 14 matching MRF lines
$48–$225 $48–$225 varies
Folic acid rbc (82747) $112 $112 6.3×
Folic Acid Serum (82746) $84 $84 5.7×
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines
$19–$396 $19–$396 varies
Francisella tularensis (86668)
range across 4 matching MRF lines
$22–$150 $22–$150 varies
Fungi Identification Yeast (87106) $60 $60 5.8×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$60–$87 $60–$87 varies
Gardner vag DNA dir probe (87510) $192 $192 9.6×
Gastrin (82941) $105 $105 6.0×
Genet Virus Isolate Hsv (87255) $91 $91 2.7×
Gentamicin (80170)
range across 4 matching MRF lines
$93–$157 $93–$157 varies
Ggt (82977) $45 $45 6.3×
Giardia antigen (87329) $92 $92 7.7×
Giardia lamblia antibody (86674) $198 $198 13.5×
Glucose 2 hr pp (82950) $29 $29 6.1×
Glucose body fluid (82945)
range across 3 matching MRF lines
$21–$192 $21–$192 varies
Glucose Serum (82947) $24 $24 6.1×
Glucose tolerance test (gtt) (82951) $77 $77 6.0×
Glycated Protein (82985) $55 $55 3.3×
Gonadotropin Chorionic Qualitative (84703) $45 $45 6.0×
Growth hormone (83003) $76 $76 4.6×
Gtt-added samples (82952) $24 $24 6.1×
Haloperidol (80173) $78 $78 4.9×
Haptoglobin (83010) $92 $92 7.3×
Hdl Cholesterol (83718) $25 $25 3.1×
Helicobacter Pylori Stool (87338) $245 $245 17.0×
Helminth Antibody (86682)
range across 2 matching MRF lines
$130–$184 $130–$184 varies
Hematocrit (85014) $10 $10 4.2×
Hemoglobin (85018) $10 $10 4.2×
Hemoglobin a1c (83036) $82 $82 8.4×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$45–$61 $45–$61 varies
Hemoglobin Methemoglobin Quantitative (83050) $74 $74 9.0×
Hemoglobin plasma (83051) $43 $43 5.9×
Hep a ab igm (86709) $70 $70 6.2×
Heparin assay (85520) $341 $341 26.1×
Hepatitis a antibody total (86708) $45 $45 3.6×
Hepatitis b core ab igm (86705) $41 $41 3.5×
Hepatitis b core ab total (86704) $22 $22 1.8×
Hepatitis B Surface Antibody (86706) $25 $25 2.3×
Hepatitis B Surface Antigen (87340) $20 $20 1.9×
Hepatitis Be Antibody (86707) $47 $47 4.1×
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$7–$47 $7–$47 varies
Hepatitis C Antibody (86803) $36 $36 2.5×
Hepatitis c antibody confirmatory test (86804) $351 $351 22.7×
Hepatitis C Genotype (87902) $538 $538 2.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $442 $442 12.6×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$560–$717 $560–$717 varies
Hepatitis Delta Agent Antibody (86692) $48 $48 2.8×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$54–$68 $54–$68 varies
Heterophile antibodies titer (86309) $52 $52 8.0×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$31–$52 $31–$52 varies
Hfe Gene (81256) $590 $590 9.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $149 $149 19.3×
Histamine urine (83088) $90 $90 3.0×
Histoplasma antibody (86698) $89 $89 6.5×
Histoplasma antigen urine (87385) $228 $228 17.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $150 $150 6.2×
Hiv-1 Antibody (86701) $151 $151 17.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $492 $492 5.8×
Hla ii typing 1 locus lr (81376) $315 $315 2.6×
Hla Typing a/B/C Multiple Antigens (86813) $490 $490 8.4×
Hla-b27 (86812) $150 $150 5.8×
Homocysteine (83090)
range across 2 matching MRF lines
$258–$276 $258–$276 varies
Homovanillic acid urine (83150) $87 $87 3.9×
Hpv High-Risk Types (87624) $88 $88 2.5×
Hydroxycorticosteroids 17 (83491) $111 $111 6.2×
Hydroxyprogesterone 17-d (83498) $107 $107 3.9×
Hydroxyproline total (83505) $384 $384 15.8×
Iaad Ia Escherichia Coli 0157 (87335) $27 $27 2.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $82 $82 7.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $83 $83 6.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $250 $250 7.1×
Iaad ia shiga-like toxin (87427) $192 $192 16.0×
Iaad Ia Streptococcus Group A (87430) $75 $75 4.5×
Iaadi herpes smplx virus type 1 (87274) $69 $69 5.8×
Iaadi not otherwise specified each organism (87299)
range across 2 matching MRF lines
$38–$48 $38–$48 varies
Iaadi parainfluenza virus each type (87279)
range across 2 matching MRF lines
$65–$171 $65–$171 varies
Iaadi respiratory synctial virus (87280) $38 $38 2.8×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $420 $420 12.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $612 $612 17.4×
Iadna Cytomegalovirus Quantification (87497) $642 $642 15.0×
Iadna hepatitis b virus amplified probe tq (87516) $343 $343 9.8×
Iadna Hepatitis B Virus Quantification (87517) $761 $761 17.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $500 $500 14.2×
Iadna Multiple Organisms Direct Probe Tq (87800)
range across 3 matching MRF lines
$36–$576 $36–$576 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $420 $420 12.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$84–$150 $84–$150 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $132 $132 4.4×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $738 $738 2.8×
Igg subclasses (82787)
range across 5 matching MRF lines
$74–$90 $74–$90 varies
Immunfix e-phorsis/urine/csf (86335) $95 $95 3.2×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 7 matching MRF lines
$178–$322 $178–$322 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$44–$52 $44–$52 varies
Immunoassay nonantibody (83516)
range across 10 matching MRF lines
$71–$180 $71–$180 varies
Immunoelectrophoresis Serum (86320) $121 $121 4.0×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$80–$95 $80–$95 varies
Immunohistochemistry (88342) $96 $96 0.6×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $277 $277 19.2×
Influenza a/b ag eia (87400) $42 $42 3.0×
Influenza assay w/optic (87804) $126 $126 7.6×
Influenza DNA amp probe (87502) $568 $568 5.9×
Inhibin A (86336) $113 $113 7.2×
Inhibin b (83520)
range across 31 matching MRF lines
$31–$860 $31–$860 varies
Insulin antibodies (86337) $229 $229 10.7×
Insulin total (83525) $50 $50 4.4×
Intrinsic factor antibody (86340) $250 $250 16.6×
Iron (83540) $42 $42 6.5×
Iron Binding Capacity (83550) $54 $54 6.2×
Islet cell antibody (86341)
range across 3 matching MRF lines
$210–$375 $210–$375 varies
Jak2 gene analysis p.val617phe variant (81270) $800 $800 8.7×
Ketosteroids 17 total (83586) $193 $193 15.1×
Koh Prep (87220)
range across 4 matching MRF lines
$20–$74 $20–$74 varies
Lactate (ld) (ldh) enzyme (83615) $192 $192 31.8×
Lactoferrin fecal qualitative (83630) $137 $137 7.0×
Ldh Isoenzymes (83625) $167 $167 13.1×
LDL direct (83721) $79 $79 7.5×
Lead (83655) $41 $41 3.4×
Legionella antibody (86713)
range across 2 matching MRF lines
$89–$120 $89–$120 varies
Legionella antigen urine (87449)
range across 4 matching MRF lines
$40–$256 $40–$256 varies
Leptospira antibody (86720) $59 $59 3.6×
Leukocyte Histamine Release (86343) $250 $250 20.1×
Lipase (83690) $41 $41 6.0×
Lipoprotein Bld Quan Part (83704) $120 $120 3.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $81 $81 7.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $51 $51 1.5×
Lipoprotein-Associated Phospholipase A2 (83698) $429 $429 9.3×
Lithium (80178) $40 $40 6.1×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$57–$396 $57–$396 varies
Lyme disease antibody (86618) $72 $72 4.2×
Lysozyme serum (85549) $65 $65 3.5×
Magnesium Urine (83735)
range across 4 matching MRF lines
$21–$98 $21–$98 varies
Mass Spectrometry Quant (83789)
range across 7 matching MRF lines
$84–$361 $84–$361 varies
Meat fibers, feces (89160) $17 $17 3.5×
Mercury urine (83825)
range across 2 matching MRF lines
$89–$94 $89–$94 varies
Methylmalonic acid serum (83921) $310 $310 14.6×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$30–$46 $30–$46 varies
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$32–$144 $32–$144 varies
Molecular Cytogenetics Dna Probe Each (88271) $216 $216 10.1×
Mopath procedure level 1 (81400) $495 $495 7.7×
Mopath procedure level 2 (81401) $700 $700 5.1×
Mrsa Pcr (87641) $89 $89 2.5×
Mthfr Gene Analysis Common Variants (81291) $716 $716 11.0×
Mucin Clot Body Fluid (83872)
range across 2 matching MRF lines
$15–$70 $15–$70 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$45–$59 $45–$59 varies
Mycobacteric Identification (87118) $60 $60 4.1×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$80–$97 $80–$97 varies
Mycoplasma culture (87109) $208 $208 13.5×
Myelin basic protein csf (83873) $81 $81 4.7×
Myoglobin urine (83874)
range across 3 matching MRF lines
$56–$76 $56–$76 varies
Natriuretic peptide (83880) $259 $259 6.6×
Neisseria Dir Na Probe (87590) $36 $36 1.3×
Nfct ds chrnc hcv 6 assays (81596) $433 $433 6.0×
Niacin (84591)
range across 2 matching MRF lines
$228–$310 $228–$310 varies
Nuclear antigen antibody (86235)
range across 17 matching MRF lines
$32–$366 $32–$366 varies
Obstetric panel (80081) $279 $279 3.7×
Occult blood feces (82272) $18 $18 4.3×
Occult Blood Other Sources (82271) $27 $27 5.1×
Oligoclonal bands (83916) $94 $94 3.4×
Oncoprotein Her-2/Neu (83950) $330 $330 5.1×
Organic Acids Qualitative Each Specimen (83919) $281 $281 17.1×
Osmolality serum (83930) $40 $40 6.1×
Osmolality Urine (83935) $42 $42 6.2×
Osteocalcin (83937) $106 $106 3.6×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$41–$123 $41–$123 varies
Oxalate urine (83945)
range across 2 matching MRF lines
$35–$184 $35–$184 varies
Pancreatic Elastase Fecal (82656) $400 $400 34.7×
Particle Agglut Antbdy Titr (86406) $210 $210 19.7×
Particle Agglutination Screen Each Antibody (86403)
range across 4 matching MRF lines
$48–$169 $48–$169 varies
Parvovirus antibody (86747) $112 $112 7.5×
Ph urine (81003)
range across 2 matching MRF lines
$3–$19 $3–$19 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$62–$65 $62–$65 varies
Phenylalanine (84030) $166 $166 30.2×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$93–$124 $93–$124 varies
Phenytoin free (80186) $58 $58 4.2×
Phosphatase acid prostatic (84066) $57 $57 5.9×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$26–$31 $26–$31 varies
Phosphorus Serum (84100) $28 $28 5.9×
Phosphorus urine (84105) $19 $19 3.3×
Pinworm exam (87172) $27 $27 6.3×
Platelet Antibodies (86022) $159 $159 8.7×
Platelet count automated (85049) $27 $27 6.0×
Platelet neutralization (85597)
range across 3 matching MRF lines
$63–$101 $63–$101 varies
Pooling blood platelets (86965) $472 $472 2.8×
Porphobilinogen, urine; quantitative (84110) $53 $53 6.3×
Porphyrins Urine Quantitation & Fractionation (84120) $174 $174 11.8×
Porphyrins, urine; qualitative (84119) $57 $57 4.3×
Potassium Urine (84133) $24 $24 5.1×
Prealbumin (84134) $76 $76 5.2×
Pregnanediol (84135) $193 $193 9.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $168 $168 2.8×
Primidone (80188)
range across 2 matching MRF lines
$62–$90 $62–$90 varies
Procalcitonin (Pct) (84145) $350 $350 12.9×
Progesterone (84144) $40 $40 1.9×
Prolactin (84146) $125 $125 6.4×
Protein body fluid (84157) $26 $26 6.5×
Protein C Activity (85303) $276 $276 19.9×
Protein c antigen (85302) $283 $283 23.6×
Protein Electrophoresis Urine (84166) $72 $72 4.0×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$45–$54 $45–$54 varies
Protein S Free (85306)
range across 2 matching MRF lines
$303–$437 $303–$437 varies
Protein s total (85305)
range across 2 matching MRF lines
$351–$358 $351–$358 varies
Protein total serum (84155) $15 $15 4.1×
Protein Total Urine (84156) $20 $20 5.4×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$84–$130 $84–$130 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $20 $20 5.1×
Protoporphyrin rbc quantitative (84202) $153 $153 10.7×
PSA free (84154) $76 $76 4.1×
Pth Intact (83970)
range across 3 matching MRF lines
$196–$412 $196–$412 varies
Pyruvate kinase (84220) $107 $107 11.3×
Q Fever Antibody (86638)
range across 5 matching MRF lines
$58–$708 $58–$708 varies
Quantiferon tb gold plus (86480) $160 $160 2.6×
Quantitative assay drug (80299)
range across 66 matching MRF lines
$31–$588 $31–$588 varies
Quantitative Screen Metals (83018) $281 $281 12.8×
Quinidine (80194) $83 $83 5.7×
Rbc antibody elution (86860) $151 $151 0.9×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$159–$343 $159–$343 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$150–$160 $150–$160 varies
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$152–$162 $152–$162 varies
Rbc pretx incubatj w/enzymes (86971) $30 $30 0.2×
Receptor assay estrogen (84233) $517 $517 5.9×
Renin activity plasma (84244) $120 $120 5.5×
Reticulocyte Count Manual (85044) $26 $26 6.0×
Rh (86901) $102 $102 34.1×
Rheumatoid Factor Qualitative (86430) $27 $27 4.4×
Rheumatoid factor quant (86431)
range across 4 matching MRF lines
$20–$63 $20–$63 varies
Rickettsia antibody (86757)
range across 11 matching MRF lines
$45–$212 $45–$212 varies
Ristocetin cofactor (85245) $240 $240 10.5×
Rotavirus ag eia (87425)
range across 2 matching MRF lines
$89–$120 $89–$120 varies
Rpr qualitative (86592)
range across 4 matching MRF lines
$24–$141 $24–$141 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$45–$74 $45–$74 varies
Rubeola antibody (86765)
range across 5 matching MRF lines
$45–$113 $45–$113 varies
Russell Viper Venom Time Diluted (85613) $65 $65 6.8×
Salmonella antibody (86768) $46 $46 3.5×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$114–$130 $114–$130 varies
Sedimentation rate (85651) $26 $26 6.1×
Sedimentation Rate, Automated (85652) $32 $32 11.9×
Selenium (84255) $138 $138 5.4×
Semen analysis complete (89320) $57 $57 4.6×
Semen analysis motility and count (89310) $31 $31 3.6×
Sensitivity mic (87186) $93 $93 10.8×
Sex Hormone Binding Globulin (84270) $48 $48 2.2×
Sickling of rbc reduction (85660) $20 $20 3.6×
Smear acid fast (87206)
range across 8 matching MRF lines
$30–$202 $30–$202 varies
Smear complex stain (87209)
range across 2 matching MRF lines
$33–$240 $33–$240 varies
Smear gram stain (87205)
range across 5 matching MRF lines
$27–$110 $27–$110 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$140–$315 $140–$315 varies
Smn1 Gene Dos/Deletion Alys (81329) $1,260 $1,260 9.2×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$9–$116 $9–$116 varies
Sodium Serum (84295) $19 $19 4.0×
Sodium Urine (84300)
range across 2 matching MRF lines
$19–$33 $19–$33 varies
Soluble Transferrin Receptor (84238) $89 $89 2.4×
Somatomedin (84305) $153 $153 7.2×
Specific gravity body fluid (84315) $60 $60 18.3×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$33–$130 $33–$130 varies
Spectrophotometry (84311) $30 $30 3.7×
Stool cultr aerobic bact ea (87046)
range across 4 matching MRF lines
$40–$75 $40–$75 varies
Sugars Single Qual (84376)
range across 2 matching MRF lines
$52–$54 $52–$54 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$78–$100 $78–$100 varies
Susceptibility Study Antimicrobial Disk Method (87184) $72 $72 9.6×
T cells absolute cd4 count (86361) $311 $311 11.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$135–$768 $135–$768 varies
T cells total count (86359) $135 $135 3.6×
T3 Free (84481) $90 $90 5.3×
T3 reverse (84482) $132 $132 8.4×
T3 Total (84480) $43 $43 3.0×
T3 Uptake (84479) $13 $13 2.0×
T4 Free (84439)
range across 2 matching MRF lines
$65–$76 $65–$76 varies
T4 total (84436) $45 $45 6.6×
Tacrolimus (80197) $312 $312 22.7×
Tau phosphorylated each (84393) $400 $400 3.1×
Test for acetone/ketones (82009) $16 $16 3.5×
Testosterone total (84403) $150 $150 5.8×
Testosterone, Free (84402) $265 $265 10.4×
Tetanus antibody (86774) $166 $166 11.2×
Theophylline (80198) $84 $84 5.9×
Thiopurine methyltransferase (84433) $356 $356 16.1×
Thrombin Time (85670) $95 $95 16.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$20–$102 $20–$102 varies
Thyroglobulin (84432) $87 $87 5.4×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$22–$54 $22–$54 varies
Thyroid Stimulating Immunoglobulin (84445) $552 $552 10.9×
Thyroxine binding globulin (84442) $81 $81 5.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $225 $225 19.5×
Tissue Culture Lymphocyte (88230) $330 $330 2.8×
Tobramycin peak (80200) $108 $108 6.7×
Topiramate (80201) $120 $120 10.1×
Toxoplasma ab igm (86778)
range across 3 matching MRF lines
$61–$270 $61–$270 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$120–$162 $120–$162 varies
Tpmt gene com variants (81335) $630 $630 3.6×
Transferase Aspartate Amino Ast Sgot (84450) $31 $31 6.0×
Transferrin (84466) $53 $53 4.2×
Trichomonas vagin dir probe (87660) $192 $192 9.6×
Trichomonas Vaginalis Amplif (87661) $168 $168 4.8×
Triglycerides (84478) $17 $17 3.0×
Troponin Quant (84484)
range across 2 matching MRF lines
$75–$160 $75–$160 varies
Troponin, qualitative (84512) $82 $82 8.1×
Unlisted miscellaneous pathology test (89240) $188 $188 3.6×
Unlisted Transfusion Medicine Procedure (86999) $184 $184 6.4×
Urea nitrogen urine (84540) $34 $34 6.1×
Uric acid other source (84560) $24 $24 4.7×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $13 $13 6.0×
Urinalysis Volume Measure (81050) $16 $16 4.4×
Urine Bacteria Culture (87088) $89 $89 11.0×
Urine Pregnancy Test (81025) $52 $52 6.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $27 $27 8.5×
Urobilinogen urine qual (84578) $24 $24 5.4×
Urobilinogen, feces, quantitative Facility (84577) $57 $57 3.4×
Valproic acid (80164) $136 $136 10.0×
Vancomycin (80202)
range across 4 matching MRF lines
$74–$106 $74–$106 varies
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$60–$158 $60–$158 varies
Vasopressin (84588) $144 $144 4.2×
Very Long Chain Fatty Acids (82726) $464 $464 23.5×
Viral Culture (87252)
range across 3 matching MRF lines
$67–$434 $67–$434 varies
Virus antibody nos (86790)
range across 9 matching MRF lines
$47–$213 $47–$213 varies
Virus inoculation, shell via (87254)
range across 3 matching MRF lines
$216–$400 $216–$400 varies
Viscosity serum (85810) $47 $47 4.0×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
$172–$305 $172–$305 varies
Vitamin A (84590) $60 $60 5.2×
Vitamin b-12 (82607) $87 $87 5.8×
Vitamin B2 (Riboflavin) (84252) $146 $146 7.2×
Vitamin B6 (84207) $278 $278 9.9×
Vitamin c (82180) $43 $43 4.3×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$51–$249 $51–$249 varies
Vitamin E (84446) $86 $86 6.1×
Vitamin K (84597) $514 $514 37.5×
Volatiles (84600) $226 $226 13.2×
Von willebrand factor ag (85246) $272 $272 11.9×
West nile virus ab igm (86788) $140 $140 8.3×
West Nile Virus Antibody (86789) $140 $140 9.7×
Zinc (84630) $93 $93 8.2×

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.