Lab & pathology prices at Summit Healthcare Regional Medical Center
Show Low, AZ · every code in this section with a posted price and a Medicare benchmark.
424 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | — | $765.40 | — |
| Acth (82024) | — | $53.27 | — |
| Acute hepatitis panel (80074) | — | $179.82 | — |
| Albumin Fluid (82042) range across 2 matching MRF lines |
— | $33.53–$80.04 | — |
| Albumin serum (82040) range across 3 matching MRF lines |
— | $33.25–$116.12 | — |
| Aldolase (82085) | — | $35.85 | — |
| Aldosterone urine (82088) | — | $49.44 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $60.14 | — |
| Allergen specific ige (86003) range across 2 matching MRF lines |
— | $32.26–$32.45 | — |
| Alpha-1-antitrypsin total (82103) | — | $40.08 | — |
| Alpha-Fetoprotein Serum (82105) | — | $42.22 | — |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
— | $89.64–$181.82 | — |
| Aluminum (82108) | — | $256.34 | — |
| Amikacin trough (80150) | — | $208.32 | — |
| Ammonia (82140) | — | $324.32 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | — | $297.44 | — |
| Amylase urine (82150) range across 2 matching MRF lines |
— | $176.84–$230.20 | — |
| Anca screen each antibody (86036) | — | $125 | — |
| Angiotensin converting enzyme csf (82164) | — | $42.15 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $55.06 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $58.11 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $36.27–$52 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
— | $37.98–$59.13 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
— | $35.39–$193.07 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $35.55 | — |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
— | $161.55–$166.99 | — |
| Antibody Titer (86886) range across 2 matching MRF lines |
— | $315.74–$350.44 | — |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
— | $40.83–$71.93 | — |
| Antigen typing (86905) range across 3 matching MRF lines |
— | $613.17–$1,102.60 | — |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
— | $76.06–$183.37 | — |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
— | $36.67–$72.67 | — |
| Antistreptolysin o titer (86060) | — | $45.97 | — |
| Antithrombin iii activity (85300) | — | $51.32 | — |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
— | $74.51–$169.43 | — |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
— | $44.20–$184.90 | — |
| Assay of 5-hiaa (83497) | — | $50.93 | — |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
— | $124.03–$205.20 | — |
| Assay of calcium in urine (82340) | — | $44.89 | — |
| Assay of estrone (82679) | — | $48.47 | — |
| Assay of gammaglobulin igm (82784) range across 15 matching MRF lines |
— | $38.70–$386.75 | — |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
— | $97.74–$101.65 | — |
| Assay of manganese (83785) | — | $205.10 | — |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
— | $47.11–$58.14 | — |
| Assay of procainamide (80190) | — | $105.29 | — |
| Assay of serotonin (84260) | — | $69.22 | — |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
— | $64.88–$149.03 | — |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
— | $92.39–$193.39 | — |
| Assay of urine vma (84585) | — | $54.89 | — |
| Assay of vitamin b-1 (84425) | — | $55.86 | — |
| Assay Ph Body Fluid Nos (83986) | — | $70.15 | — |
| Automated Leukocyte Count (85048) | — | $70.61 | — |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
— | $151.66–$383.97 | — |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
— | $137.12–$333.40 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $149.29 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $69.23 | — |
| Beta hydroxybutyrate (82010) | — | $173.14 | — |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
— | $37.97–$100.07 | — |
| Bilirubin direct (82248) range across 2 matching MRF lines |
— | $86.07–$210.55 | — |
| Bilirubin total (82247) range across 5 matching MRF lines |
— | $154.13–$279.23 | — |
| Bilirubin total transcutaneous (88720) | — | $41.89 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $54.22 | — |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | — | $704.17 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $177.36 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $89.63 | — |
| Blood count reticulocyte automated (85045) | — | $117.85 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
— | $71.44–$150.05 | — |
| Blood gas (82803) range across 3 matching MRF lines |
— | $610.59–$635.01 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | — | $67.25 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
— | $156.17–$262.07 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $1,102.60 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $52 | — |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
— | $96.80–$423.81 | — |
| Body fluid cell count (89050) range across 4 matching MRF lines |
— | $87.67–$134.47 | — |
| Bone marrow smear interpretation (85097) | — | $2,483.94 | — |
| C diff amplified probe (87493) | — | $451.11 | — |
| C-Peptide (84681) | — | $43.11 | — |
| C-reactive protein (86140) range across 3 matching MRF lines |
— | $78–$104.68 | — |
| Ca 19-9 (86301) | — | $42.94 | — |
| Calcitonin (82308) | — | $70.30 | — |
| Calcium ionized (82330) | — | $40.01 | — |
| Calcium total (82310) range across 4 matching MRF lines |
— | $91.01–$151.87 | — |
| Calculus Spectroscopy (82365) | — | $45.32 | — |
| Calprotectin Fecal (83993) | — | $259.92 | — |
| Calr gene com variants (81219) | — | $802.98 | — |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
— | $44.38–$105.96 | — |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
— | $44.44–$69.44 | — |
| Carbamazepine total (80156) range across 2 matching MRF lines |
— | $231.42–$348.95 | — |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
— | $41.24–$116.31 | — |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
— | $47.70–$119.11 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $391 | — |
| Carotene (82380) | — | $174.25 | — |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
— | $61.63–$67.50 | — |
| Ccp antibody (86200) | — | $42.99 | — |
| Cell count csf (89051) | — | $49.78 | — |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
— | $58.03–$284.96 | — |
| Chloride Serum (82435) range across 2 matching MRF lines |
— | $150.17–$187.30 | — |
| Chloride urine (82436) range across 3 matching MRF lines |
— | $40.42–$97.51 | — |
| Cholesterol total (82465) range across 2 matching MRF lines |
— | $78.92–$210.55 | — |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
— | $44.03–$365.07 | — |
| Chromium serum (82495) | — | $65.76 | — |
| Chromogranin a (86316) | — | $45.54 | — |
| Chromosome Analysis 20-25 (88264) | — | $405.60 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
— | $58.24–$445.96 | — |
| Citric acid urine (82507) range across 2 matching MRF lines |
— | $152.16–$355.20 | — |
| Ckmb (82553) range across 2 matching MRF lines |
— | $242.04–$335 | — |
| Clotting factor xii hageman (85280) | — | $382.68 | — |
| Cns DNA amp probe type 12-25 (87483) | — | $626.04 | — |
| Coagulation time activated (85347) | — | $122.66 | — |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
— | $23.40–$48.79 | — |
| Cold agglutinin titer (86157) | — | $64.03 | — |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
— | $130.55–$193.28 | — |
| Compatibility Each Unit Incubation (86921) | — | $217.40 | — |
| Compatibility test antiglob (86922) | — | $564.67 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
— | $38.20–$41.97 | — |
| Complement Total (Ch50) (86162) | — | $41.97 | — |
| Coombs direct (86880) range across 3 matching MRF lines |
— | $57.67–$138.39 | — |
| Copper urine (82525) | — | $45.01 | — |
| Cortisol free (82530) | — | $49.91 | — |
| Cortisol saliva (82533) | — | $193.87 | — |
| Creatine kinase total (82550) | — | $136.04 | — |
| Creatinine blood (82565) range across 10 matching MRF lines |
— | $122.65–$220.55 | — |
| Creatinine clearance (82575) range across 2 matching MRF lines |
— | $329.31–$615.46 | — |
| Creatinine Urine (82570) range across 5 matching MRF lines |
— | $35.42–$271.23 | — |
| Crossmatch electronic (86923) | — | $564.67 | — |
| Crossmatch immediate spin (86920) | — | $564.67 | — |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
— | $150.13–$484.60 | — |
| Cryoglobulin (82595) | — | $49.11 | — |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
— | $52.84–$73.99 | — |
| Cryptosporidium ag eia (87328) | — | $80.89 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
— | $135.34–$182.82 | — |
| Culture aerobic quant other (87071) range across 6 matching MRF lines |
— | $261.62–$476.32 | — |
| Culture afb (87116) | — | $95.34 | — |
| Culture bacteria anaerobic (87073) range across 2 matching MRF lines |
— | $240–$388.63 | — |
| Culture blood (87040) range across 2 matching MRF lines |
— | $319.36–$503.14 | — |
| Culture fungus (87102) | — | $153.81 | — |
| Culture screen only (87081) range across 2 matching MRF lines |
— | $174.18–$345.66 | — |
| Culture urine (87086) range across 4 matching MRF lines |
— | $177.54–$361.76 | — |
| Cyclosporine (80158) | — | $48.66 | — |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
— | $42.83–$97.20 | — |
| Cytopath Cell Enhance Tech (88112) | — | $246.32 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $250.36 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $220.78 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
— | $219.42–$426.95 | — |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | — | $78.21 | — |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
— | $50.69–$407.34 | — |
| Detect Agent Nos Dna Quant (87799) | — | $114.22 | — |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
— | $160.96–$255.53 | — |
| Dhea (82626) | — | $54.25 | — |
| Dhea-S (82627) | — | $42.08 | — |
| Digoxin (80162) range across 5 matching MRF lines |
— | $87.77–$334.90 | — |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
— | $41.53–$72.67 | — |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
— | $50.69–$1,265.23 | — |
| DNA/RNA direct probe (87149) | — | $253.47 | — |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
— | $355.47–$355.68 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $50.02 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $48.26 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $50.92 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $105.29 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
— | $91.94–$112.61 | — |
| Drug Test Prsmv Dir Opt Obs (80305) range across 8 matching MRF lines |
— | $87.67–$249.51 | — |
| Electrolyte panel (80051) range across 4 matching MRF lines |
— | $266.66–$486.54 | — |
| Electron Microscopy (88348) | — | $1,782.27 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $170.56 | — |
| Enterovirus PCR (87498) | — | $101.67 | — |
| Eosinophil Smear (89190) | — | $31.35 | — |
| Erythropoietin (82668) | — | $37.50 | — |
| Estradiol serum (82670) | — | $45.15 | — |
| Estriol (82677) | — | $46.55 | — |
| Estrogens fractionated (82671) | — | $53.11 | — |
| Exam Synovial Fluid Crystals (89060) | — | $78.54 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $110.77–$159 | — |
| Factor ii activity (85210) | — | $382.68 | — |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
— | $224.65–$429.40 | — |
| Factor ix activity (85250) | — | $105.94 | — |
| Factor v activity (85220) | — | $382.68 | — |
| Factor v leiden mutation (81241) | — | $54.05 | — |
| Factor vii assay (85230) | — | $382.68 | — |
| Factor viii assay (85240) | — | $77.79 | — |
| Factor X (85260) | — | $382.68 | — |
| Factor xi activity (85270) | — | $382.68 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $294.63 | — |
| Ferritin (82728) range across 2 matching MRF lines |
— | $196.56–$223.60 | — |
| Fetal Congenital Abnor Assay Four Anal (81511) | — | $69.34 | — |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
— | $734.22–$775.69 | — |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
— | $125.39–$237.82 | — |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
— | $301.69–$324.68 | — |
| Fibrinogen activity (85384) | — | $224.74 | — |
| Flow cytometry first marker (88184) | — | $1,102.60 | — |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
— | $57.64–$195.34 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
— | $75.39–$119.11 | — |
| Folic Acid Serum (82746) | — | $101.34 | — |
| Follicle Stimulating Hormone (83001) | — | $38.76 | — |
| Frozen Section (88331) | — | $349.87 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $36.10–$39.05 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $172.37 | — |
| Gastrin (82941) | — | $44.82 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $626.04 | — |
| Gentamicin (80170) range across 5 matching MRF lines |
— | $246.75–$449.87 | — |
| Ggt (82977) range across 2 matching MRF lines |
— | $88.92–$335 | — |
| Giardia antigen (87329) | — | $54.18 | — |
| Glucagon (82943) | — | $72.30 | — |
| Glucose Blood Test (82962) | — | $43.24 | — |
| Glucose body fluid (82945) range across 2 matching MRF lines |
— | $88.37–$205.97 | — |
| Glucose Serum (82947) range across 5 matching MRF lines |
— | $70.38–$158.93 | — |
| Glucose tolerance test (gtt) (82951) | — | $129.52 | — |
| Glycated Protein (82985) | — | $140.61 | — |
| Growth hormone (83003) | — | $46.10 | — |
| Gtt-added samples (82952) range across 2 matching MRF lines |
— | $55.24–$140.55 | — |
| H Pylori (C-13) Breath (83013) | — | $75.71 | — |
| Haptoglobin (83010) | — | $43.35 | — |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
— | $134.72–$209.11 | — |
| Helicobacter Pylori Stool (87338) | — | $71.51 | — |
| Hematocrit (85014) range across 5 matching MRF lines |
— | $68.98–$102.40 | — |
| Hemoglobin (85018) range across 4 matching MRF lines |
— | $54.52–$86.17 | — |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
— | $6.76–$199.25 | — |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
— | $48.32–$286 | — |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
— | $40.32–$226.20 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $94.59 | — |
| Hep a ab igm (86709) | — | $44.75 | — |
| Hepatitis a antibody total (86708) | — | $43.74 | — |
| Hepatitis b core ab igm (86705) | — | $36.77 | — |
| Hepatitis b core ab total (86704) | — | $43.16 | — |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
— | $39.01–$41.87 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $37.38–$40.72 | — |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
— | $54–$56.16 | — |
| Hepatitis C Genotype (87902) | — | $163.97 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $128.12 | — |
| Herpes simplex type 2 (86696) | — | $39.52 | — |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
— | $123.25–$180.49 | — |
| Hfe Gene (81256) | — | $249.29 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
— | $46.09–$196.45 | — |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
— | $115.46–$119 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $776.59 | — |
| Hla-b27 (86812) | — | $64.66 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $47.59–$137.37 | — |
| Hsv Dna Amp Probe (87529) | — | $80.04 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $193.07 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | — | $50.69 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $95.91 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $104.82 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $419.78 | — |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | — | $50.69 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | — | $227.41 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $50.69 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
— | $62.27–$445.96 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | — | $217.40 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
— | $1,037.33–$1,399.96 | — |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
— | $40.54–$41.25 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $390.24 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
— | $54.72–$73.41 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | — | $308.26 | — |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
— | $40.56–$356.06 | — |
| Immunoelectrophoresis Serum (86320) | — | $46.15 | — |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
— | $74.28–$200 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) | — | $427.91 | — |
| Immunohistochemistry (88342) | — | $468.24 | — |
| In situ hybridization 1st probe stain (88365) | — | $429.24 | — |
| In situ hybridization ea multiplex probe stain (88366) | — | $456.14 | — |
| Influenza DNA amp probe (87502) range across 5 matching MRF lines |
— | $357.70–$655.20 | — |
| Inhibin b (83520) range across 3 matching MRF lines |
— | $57.64–$72.50 | — |
| Insitu hybridization auto (88367) | — | $429.24 | — |
| Insulin antibodies (86337) | — | $70.66 | — |
| Insulin total (83525) | — | $39.66 | — |
| Intrinsic factor antibody (86340) | — | $48.88 | — |
| Iron (83540) range across 2 matching MRF lines |
— | $92.80–$178.79 | — |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
— | $135.04–$165.30 | — |
| Islet cell antibody (86341) range across 2 matching MRF lines |
— | $57.32–$57.75 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $324.48 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
— | $86.89–$195.57 | — |
| Lactoferrin fecal qualitative (83630) range across 3 matching MRF lines |
— | $95.64–$128.76 | — |
| Legionella antibody (86713) | — | $218.28 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $95.70 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $175.03 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $840.80 | — |
| Lidocaine (80176) | — | $200.64 | — |
| Lipase (83690) range across 2 matching MRF lines |
— | $64.87–$205.97 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $46.28 | — |
| Lithium (80178) | — | $205.88 | — |
| Luteinizing Hormone (Lh) (83002) | — | $38.99 | — |
| Lyme disease antibody (86618) | — | $44.24 | — |
| M/phmtrc alys ishquant/semiq (88374) | — | $456.14 | — |
| Magnesium Urine (83735) range across 4 matching MRF lines |
— | $90.37–$174.79 | — |
| Metabolic panel ionized ca (80047) | — | $160.96 | — |
| Methylmalonic acid serum (83921) | — | $60.44 | — |
| Microalbumin, quantitative (82043) range across 5 matching MRF lines |
— | $48.22–$100.59 | — |
| Microsomal Antibodies Each (86376) | — | $43.24 | — |
| Molecular Cytogenetics Dna Probe Each (88271) | — | $133.07 | — |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
— | $443.46–$743.06 | — |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
— | $216.26–$402.15 | — |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
— | $243.69–$400.90 | — |
| Mumps antibody (86735) | — | $49.75 | — |
| Mycophenolic Acid (80180) | — | $54.58 | — |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
— | $38.87–$218.70 | — |
| Myoglobin urine (83874) | — | $49.30 | — |
| Natriuretic peptide (83880) | — | $501.86 | — |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
— | $46.51–$85.56 | — |
| Occult Blood Other Sources (82271) | — | $67.46 | — |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
— | $52.25–$52.28 | — |
| Osmolality serum (83930) range across 3 matching MRF lines |
— | $70.72–$128.96 | — |
| Osmolality Urine (83935) range across 3 matching MRF lines |
— | $70.72–$128.96 | — |
| Ova and parasites smears (87177) | — | $34.64 | — |
| Oxalate urine (83945) | — | $181.93 | — |
| Parvovirus antibody (86747) | — | $48.68 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $2,483.94 | — |
| Pathology Consultation During Surgery (88329) | — | $399.64 | — |
| Ph urine (81003) | — | $76.95 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $150.95–$383.46 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $36.04–$115.88 | — |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
— | $86.07–$147.60 | — |
| Phosphorus urine (84105) | — | $87.83 | — |
| Platelet Aggregation (85576) | — | $197.12 | — |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
— | $70.77–$94.64 | — |
| Platelet count automated (85049) range across 2 matching MRF lines |
— | $116.78–$121.46 | — |
| Platelet neutralization (85597) | — | $65.01 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $152.61 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $245.87 | — |
| Potassium Urine (84133) | — | $91.66 | — |
| Prealbumin (84134) range across 2 matching MRF lines |
— | $90.44–$379.49 | — |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | — | $200.10 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
— | $177.36–$557.02 | — |
| Progesterone (84144) | — | $41.59 | — |
| Prolactin (84146) | — | $41.54 | — |
| Protein body fluid (84157) range across 3 matching MRF lines |
— | $79.50–$179.08 | — |
| Protein C Activity (85303) | — | $55.06 | — |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
— | $28.08–$159.57 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
— | $43.04–$49.75 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $62.40–$85.40 | — |
| Protein total serum (84155) range across 3 matching MRF lines |
— | $34.80–$206.24 | — |
| Protein Total Urine (84156) range across 11 matching MRF lines |
— | $29.12–$201.96 | — |
| PSA free (84154) | — | $38.45 | — |
| Pth Intact (83970) range across 2 matching MRF lines |
— | $294.20–$504.56 | — |
| Quantiferon tb gold plus (86480) | — | $85.52 | — |
| Rbc antibody elution (86860) | — | $185.13 | — |
| Rbc antibody identification (86870) | — | $1,102.60 | — |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
— | $146.32–$208.41 | — |
| Rbc pretreatment serum (86978) | — | $287.29 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $1,102.60 | — |
| Receptor assay estrogen (84233) | — | $293.40 | — |
| Receptor assay progesterone (84234) | — | $238.14 | — |
| Renin activity plasma (84244) | — | $41.88 | — |
| Resp virus 12-25 targets (87633) | — | $601.96 | — |
| Resp Virus 6-11 Targets (87632) | — | $793.74 | — |
| Reticulated Platelet Assay (85055) | — | $138.99 | — |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
— | $108.79–$139.44 | — |
| Reticulocyte separation (86972) | — | $259.58 | — |
| Rh (86901) range across 2 matching MRF lines |
— | $76.49–$89.47 | — |
| Rheumatoid factor quant (86431) | — | $37.18 | — |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
— | $49.61–$49.63 | — |
| Rpr qualitative (86592) range across 3 matching MRF lines |
— | $35.87–$60.41 | — |
| Rubella Antibody (86762) | — | $40.02 | — |
| Rubeola antibody (86765) | — | $43.11 | — |
| Russell Viper Venom Time Diluted (85613) | — | $45.05 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
— | $102.62–$202.10 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
— | $324.48–$1,022.32 | — |
| Sedimentation rate (85651) range across 2 matching MRF lines |
— | $98.56–$113.89 | — |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
— | $111.34–$126.66 | — |
| Selenium (84255) | — | $288.36 | — |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
— | $93.45–$161.16 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $110.01–$223.97 | — |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
— | $41.95–$71.53 | — |
| Sirolimus (80195) | — | $52.82 | — |
| Smear acid fast (87206) range across 2 matching MRF lines |
— | $31.13–$132.03 | — |
| Smear complex stain (87209) | — | $42.38 | — |
| Smear gram stain (87205) range across 2 matching MRF lines |
— | $94.41–$168.92 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
— | $137–$173.89 | — |
| Sodium Serum (84295) range across 4 matching MRF lines |
— | $135.04–$173.35 | — |
| Sodium Urine (84300) range across 2 matching MRF lines |
— | $80.35–$153.31 | — |
| Soluble Transferrin Receptor (84238) | — | $47.70 | — |
| Somatomedin (84305) | — | $49 | — |
| Special Stains Group 1 (88312) | — | $270.54 | — |
| Special Stains Group 2 (88313) | — | $222.11 | — |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
— | $24.42–$57.30 | — |
| Splitting Blood/Blood Products Each Unit (86985) | — | $554.32 | — |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
— | $79.62–$216.82 | — |
| Strep a DNA amp probe (87651) range across 3 matching MRF lines |
— | $127.73–$184.53 | — |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
— | $253.50–$474.51 | — |
| Surg path level iii (88304) | — | $384.86 | — |
| Surgical pathology level IV (88305) | — | $683.44 | — |
| Surgical pathology level vi (88309) | — | $1,294.04 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $45 | — |
| T3 Free (84481) range across 2 matching MRF lines |
— | $39.15–$85.34 | — |
| T3 reverse (84482) | — | $55.90 | — |
| T3 Total (84480) range across 2 matching MRF lines |
— | $40.73–$53.88 | — |
| T3 Uptake (84479) | — | $33.61 | — |
| T4 Free (84439) range across 3 matching MRF lines |
— | $80.63–$232 | — |
| T4 total (84436) range across 2 matching MRF lines |
— | $34.01–$35.54 | — |
| Tacrolimus (80197) | — | $51.81 | — |
| Testosterone Bioavailable (84410) | — | $92.86 | — |
| Testosterone total (84403) range across 4 matching MRF lines |
— | $38.46–$158.34 | — |
| Testosterone, Free (84402) | — | $59.21 | — |
| Theophylline (80198) range across 2 matching MRF lines |
— | $231.42–$402.62 | — |
| Thyroglobulin (84432) range across 2 matching MRF lines |
— | $68.72–$146.02 | — |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
— | $46.99–$85.93 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $110.17 | — |
| Tobramycin peak (80200) range across 3 matching MRF lines |
— | $196.85–$215.46 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $137.79–$170.80 | — |
| Transferrin (84466) | — | $38.28 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $60.30–$150.46 | — |
| Troponin Quant (84484) | — | $355.27 | — |
| Tumor immunohistochem/comput (88361) | — | $842.69 | — |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
— | $292.06–$967.21 | — |
| Unlisted Transfusion Medicine Procedure (86999) range across 4 matching MRF lines |
— | $162.24–$346.11 | — |
| Urea nitrogen urine (84540) | — | $39.63 | — |
| Uric acid other source (84560) | — | $39.21 | — |
| Urinalysis Microscopic Only (81015) | — | $169.62 | — |
| Urinalysis Volume Measure (81050) | — | $30.62 | — |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
— | $185.65–$267.12 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
— | $120.83–$196.79 | — |
| Valproic acid (80164) range across 2 matching MRF lines |
— | $214.81–$244.20 | — |
| Vancomycin (80202) | — | $477.97 | — |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
— | $45.70–$183.87 | — |
| Vasopressin (84588) | — | $77.59 | — |
| Viral Culture (87252) range across 2 matching MRF lines |
— | $54.25–$431.78 | — |
| Virus antibody nos (86790) range across 2 matching MRF lines |
— | $162–$165.24 | — |
| Viscosity serum (85810) range across 2 matching MRF lines |
— | $50.68–$89.47 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $50.87 | — |
| Vitamin A (84590) | — | $51.78 | — |
| Vitamin b-12 (82607) | — | $122.03 | — |
| Vitamin B6 (84207) | — | $58.80 | — |
| Vitamin D 25-Hydroxy (82306) | — | $236.91 | — |
| Vitamin E (84446) | — | $52.46 | — |
| West nile virus ab igm (86788) | — | $60.88 | — |
| West Nile Virus Antibody (86789) | — | $55.94 | — |
| Zinc (84630) range across 3 matching MRF lines |
— | $41.93–$186.69 | — |
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.