Lab & pathology prices at Summit Pacific Medical Center
Elma, WA · every code in this section with a posted price and a Medicare benchmark.
502 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | — | $144 | — |
| 5 Nucleotidase (83915) | — | $72 | — |
| Abl1 gene analysis kinase domain variants (81170) | — | $1,039 | — |
| Acetylcholine receptor binding antibody (86041) | — | $1,673 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $1,673 | — |
| Acth (82024) | — | $94 | — |
| Actin smooth muscle antibody each (86015) | — | $64 | — |
| Acute hepatitis panel (80074) | — | $273 | — |
| Acylcarnitines Quant (82017) | — | $106 | — |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | — | $242 | — |
| Albumin Fluid (82042) | — | $186 | — |
| Albumin serum (82040) | — | $62 | — |
| Aldolase (82085) | — | $177 | — |
| Aldosterone urine (82088) | — | $100 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $266 | — |
| Allergen specific ige (86003) range across 7 matching MRF lines |
— | $31–$34 | — |
| Allergen specific igg (86001) range across 3 matching MRF lines |
— | $27–$190 | — |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
— | $34–$57 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $213 | — |
| Alpha-1-antitrypsin total (82103) | — | $50 | — |
| Alpha-Fetoprotein Serum (82105) | — | $57 | — |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
— | $31–$160 | — |
| Aluminum (82108) | — | $123 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $350 | — |
| Ammonia (82140) | — | $179 | — |
| Amylase urine (82150) | — | $83 | — |
| Anca screen each antibody (86036) | — | $210 | — |
| Anca Titer Each Antibody (86037) range across 4 matching MRF lines |
— | $52–$140 | — |
| Androstenedione (82157) | — | $213 | — |
| Angiotensin converting enzyme csf (82164) | — | $89 | — |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
— | $36–$107 | — |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
— | $15–$28 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $424 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
— | $86–$171 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $59 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $59 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $59–$62 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $62 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
— | $43–$132 | — |
| Antibody helicobacter pylori (86677) | — | $33 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | — | $61 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
— | $59–$61 | — |
| Antibody Protozoa Nes (86753) | — | $79 | — |
| Antibody Titer (86886) | — | $27 | — |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
— | $32–$70 | — |
| Antinomyces antibody (86602) | — | $63 | — |
| Antinuclear antibodies (86038) | — | $53 | — |
| Antistreptolysin o titer (86060) | — | $72 | — |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
— | $70–$134 | — |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
— | $68–$72 | — |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
— | $121–$160 | — |
| Aquaporin-4 Antb Elisa (86051) | — | $67 | — |
| Arsenic (82175) | — | $155 | — |
| Aspergillus ag eia (87305) | — | $77 | — |
| Assay activated protein c (85307) range across 2 matching MRF lines |
— | $89–$97 | — |
| Assay Blood Carbon Dioxide (82374) | — | $51 | — |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
— | $78–$152 | — |
| Assay of 5-hiaa (83497) | — | $94 | — |
| Assay of anti-mullerian hormone (82166) | — | $120 | — |
| Assay of blood/uric acid (84550) | — | $59 | — |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
— | $41–$58 | — |
| Assay of estrone (82679) range across 3 matching MRF lines |
— | $22–$23 | — |
| Assay of g6pd enzyme (82955) | — | $111 | — |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
— | $13–$128 | — |
| Assay of lactic acid (83605) | — | $132 | — |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
— | $146–$279 | — |
| Assay of serotonin (84260) | — | $231 | — |
| Assay of serum potassium (84132) | — | $59 | — |
| Assay of sweat sodium (84302) | — | $204 | — |
| Assay of urea nitrogen (84520) | — | $53 | — |
| Assay of urine vma (84585) range across 2 matching MRF lines |
— | $68–$82 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $210 | — |
| Assay of vitamin b-1 (84425) | — | $186 | — |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
— | $41–$52 | — |
| Asy carbamazepin 10,11-epxid (80161) | — | $118 | — |
| B cells total count (86355) range across 3 matching MRF lines |
— | $189–$190 | — |
| Bartonella antibody (86611) range across 3 matching MRF lines |
— | $37–$73 | — |
| Bcr/abl1 gene major bp (81206) | — | $334 | — |
| Bcr/abl1 gene minor bp (81207) | — | $334 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 10 matching MRF lines |
— | $23–$118 | — |
| Beta hydroxybutyrate (82010) | — | $72 | — |
| Beta-2 Microglobulin (82232) | — | $50 | — |
| Bile acids total (82239) | — | $213 | — |
| Bilirubin direct (82248) | — | $59 | — |
| Bilirubin total (82247) range across 4 matching MRF lines |
— | $30–$730 | — |
| Blastomyces antibody (86612) | — | $112 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $111 | — |
| Blood count reticulocyte automated (85045) | — | $52 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $32 | — |
| Blood gas (82803) range across 2 matching MRF lines |
— | $121–$130 | — |
| Blood gases w/02 saturation (82805) | — | $296 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | — | $186 | — |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
— | $101–$189 | — |
| Body fluid cell count (89050) | — | $179 | — |
| Bordetella antibody (86615) | — | $29 | — |
| Brucella antibody (86622) | — | $30 | — |
| C diff amplified probe (87493) range across 3 matching MRF lines |
— | $154–$226 | — |
| C-Peptide (84681) | — | $53 | — |
| C-reactive protein (86140) | — | $65 | — |
| Ca 19-9 (86301) | — | $134 | — |
| Cadmium (82300) | — | $233 | — |
| Calcitonin (82308) | — | $134 | — |
| Calcium ionized (82330) | — | $50 | — |
| Calcium total (82310) | — | $65 | — |
| Calculus Spectroscopy (82365) | — | $130 | — |
| Calprotectin Fecal (83993) | — | $424 | — |
| Calr gene com variants (81219) | — | $303 | — |
| Cancer Antigen 125 (86304) | — | $89 | — |
| Cancer Antigen 27.29 (86300) | — | $115 | — |
| Candida antibody (86628) | — | $52 | — |
| Carbamazepine total (80156) | — | $76 | — |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
— | $37–$73 | — |
| Carcinoembryonic antigen (82378) | — | $53 | — |
| Cardiolipin ab iga (86147) range across 7 matching MRF lines |
— | $41–$118 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $308 | — |
| Carotene (82380) | — | $222 | — |
| Catecholamines fractionated (82384) | — | $260 | — |
| Ccp antibody (86200) | — | $85 | — |
| Cell count csf (89051) | — | $224 | — |
| Ceruloplasmin (82390) | — | $50 | — |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
— | $287–$1,432 | — |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
— | $126–$154 | — |
| Chlamydia antibody (86631) | — | $73 | — |
| Chlamydia Igm Antibody (86632) | — | $73 | — |
| Chloride Serum (82435) | — | $49 | — |
| Chloride urine (82436) | — | $65 | — |
| Cholesterol total (82465) range across 2 matching MRF lines |
— | $39–$57 | — |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
— | $58–$186 | — |
| Chromium serum (82495) | — | $273 | — |
| Chromogranin a (86316) | — | $285 | — |
| Chromosome Analysis 15-20 (88262) | — | $223 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 7 matching MRF lines |
— | $41–$224 | — |
| Citric acid urine (82507) | — | $224 | — |
| Ckmb (82553) | — | $143 | — |
| Clot Factor VIII Multimetric (85247) | — | $488 | — |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
— | $113–$224 | — |
| Cold agglutinin titer (86157) | — | $125 | — |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
— | $49–$285 | — |
| Column Chromotography Quant (82542) | — | $225 | — |
| Compatibility test antiglob (86922) | — | $635 | — |
| Complement Antigen Each Component (86160) | — | $50 | — |
| Complement Total (Ch50) (86162) | — | $87 | — |
| Complement/Function Activity (86161) | — | $225 | — |
| Copper urine (82525) | — | $50 | — |
| Cortisol free (82530) | — | $263 | — |
| Cortisol saliva (82533) range across 4 matching MRF lines |
— | $20–$57 | — |
| Creatine kinase total (82550) | — | $83 | — |
| Creatinine blood (82565) | — | $65 | — |
| Creatinine Urine (82570) range across 10 matching MRF lines |
— | $49–$173 | — |
| Crp High Sensitivity (86141) | — | $50 | — |
| Cryoglobulin (82595) | — | $44 | — |
| Cryptococcus ag titer (87899) | — | $112 | — |
| Cryptosporidium ag eia (87328) | — | $81 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $140 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
— | $41–$108 | — |
| Culture afb (87116) | — | $163 | — |
| Culture Anaerobic (87075) | — | $70 | — |
| Culture blood (87040) | — | $168 | — |
| Culture csf (87070) range across 5 matching MRF lines |
— | $49–$149 | — |
| Culture fungus (87102) | — | $54 | — |
| Culture screen only (87081) range across 3 matching MRF lines |
— | $132–$154 | — |
| Culture stool (87045) | — | $260 | — |
| Culture urine (87086) | — | $30 | — |
| Cyanide (82600) | — | $112 | — |
| Cystatin C (82610) | — | $317 | — |
| Cytogenetics 10-30 (88273) | — | $103 | — |
| Cytomegalovirus igg (86644) | — | $57 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $276 | — |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
— | $41–$243 | — |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
— | $187–$210 | — |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
— | $41–$135 | — |
| Dgp Antibody Each Ig Class (86258) range across 5 matching MRF lines |
— | $63–$220 | — |
| Dhea (82626) | — | $127 | — |
| Dhea-S (82627) | — | $53 | — |
| Digoxin (80162) | — | $165 | — |
| Dihydrotestosterone (82642) | — | $195 | — |
| Dna Antibody Native/Double Stranded (86225) range across 5 matching MRF lines |
— | $38–$76 | — |
| Dna/Rna Amplified Probe (87150) | — | $154 | — |
| Drug assay acetaminophen (80143) | — | $108 | — |
| Drug assay adalimumab (80145) | — | $154 | — |
| Drug Assay Everolimus (80169) | — | $86 | — |
| Drug Assay Lacosamide (80235) | — | $136 | — |
| Drug Screen Quant Clozapine (80159) | — | $296 | — |
| Drug Screen Quant Zonisamide (80203) | — | $126 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $137 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $224 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $224 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $95 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
— | $111–$233 | — |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
— | $74–$364 | — |
| Ehrlichia antibody (86666) | — | $33 | — |
| El-1 Fecal Quantitative (82653) | — | $269 | — |
| Electrolyte panel (80051) | — | $81 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
— | $98–$220 | — |
| Enterovirus PCR (87498) | — | $303 | — |
| Enzyme cell activity (82657) | — | $156 | — |
| Erythropoietin (82668) | — | $65 | — |
| Estradiol serum (82670) range across 2 matching MRF lines |
— | $23–$50 | — |
| Estriol (82677) | — | $50 | — |
| Estrogen total (82672) | — | $23 | — |
| Ethylene Glycol (82693) | — | $95 | — |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
— | $43–$89 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $226–$305 | — |
| Factor ii activity (85210) | — | $82 | — |
| Factor v leiden mutation (81241) | — | $285 | — |
| Factor viii assay (85240) range across 3 matching MRF lines |
— | $103–$171 | — |
| Factor X (85260) | — | $113 | — |
| Factor xiii screen (85291) | — | $58 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $263 | — |
| Fatty acids free (82725) | — | $119 | — |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | — | $51 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $108 | — |
| Fecal Fat Qualitative (82705) | — | $42 | — |
| Ferritin (82728) range across 3 matching MRF lines |
— | $80–$168 | — |
| Fetal Chrmoml Aneuploidy (81420) | — | $792 | — |
| Fibrin degradation products (85362) | — | $44 | — |
| Fibrin Degradation Quant (85379) | — | $125 | — |
| Fibrinogen activity (85384) | — | $37 | — |
| Fluorescent antibody screen (86255) | — | $18 | — |
| Folic acid rbc (82747) | — | $50 | — |
| Folic Acid Serum (82746) | — | $50 | — |
| Follicle Stimulating Hormone (83001) | — | $46 | — |
| Francisella tularensis (86668) | — | $46 | — |
| Fungi Identification Yeast (87106) | — | $65 | — |
| Gammaglobulin ige (82785) range across 6 matching MRF lines |
— | $6–$91 | — |
| Gases blood ph only (82800) | — | $63 | — |
| Gastrin (82941) | — | $134 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $1,338 | — |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
— | $92–$95 | — |
| Gentamicin (80170) | — | $103 | — |
| Ggt (82977) range across 2 matching MRF lines |
— | $6–$42 | — |
| Giardia antigen (87329) | — | $115 | — |
| Glucagon (82943) | — | $296 | — |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
— | $50–$62 | — |
| Glucose Blood Test (82962) | — | $34 | — |
| Glucose body fluid (82945) | — | $53 | — |
| Glucose Serum (82947) range across 3 matching MRF lines |
— | $38–$53 | — |
| Glucose tolerance test (gtt) (82951) | — | $160 | — |
| Glutathione (82978) | — | $98 | — |
| Glycated Protein (82985) | — | $21 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $94 | — |
| Growth hormone (83003) range across 3 matching MRF lines |
— | $20–$94 | — |
| Gtt-added samples (82952) range across 2 matching MRF lines |
— | $21–$41 | — |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
— | $157–$327 | — |
| H Pylori Drug Admin (83014) | — | $157 | — |
| Haptoglobin (83010) range across 2 matching MRF lines |
— | $73–$160 | — |
| Hdl Cholesterol (83718) | — | $103 | — |
| Helicobacter Pylori Stool (87338) | — | $234 | — |
| Helminth Antibody (86682) | — | $82 | — |
| Hematocrit (85014) | — | $41 | — |
| Hemoglobin (85018) | — | $41 | — |
| Hemoglobin a1c (83036) | — | $120 | — |
| Hemoglobin electrophoresis (83020) | — | $204 | — |
| Hemoglobin plasma (83051) | — | $47 | — |
| Hep a ab igm (86709) | — | $108 | — |
| Heparin assay (85520) | — | $83 | — |
| Hepatitis a antibody total (86708) | — | $50 | — |
| Hepatitis b core ab igm (86705) | — | $79 | — |
| Hepatitis b core ab total (86704) | — | $50 | — |
| Hepatitis B Surface Antibody (86706) | — | $50 | — |
| Hepatitis B Surface Antigen (87340) | — | $59 | — |
| Hepatitis Be Antibody (86707) | — | $155 | — |
| Hepatitis Be Antigen (87350) | — | $72 | — |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
— | $41–$72 | — |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
— | $237–$440 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
— | $201–$725 | — |
| Herpes simplex type 2 (86696) | — | $65 | — |
| Heterophile Antibody Screen (86308) | — | $65 | — |
| Hfe Gene (81256) | — | $223 | — |
| Histamine urine (83088) | — | $245 | — |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
— | $46–$90 | — |
| Histoplasma antigen urine (87385) | — | $288 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $55 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $399 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $99 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $120 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $68–$103 | — |
| Homogenization Tissue (87176) | — | $84 | — |
| Homovanillic acid urine (83150) | — | $103 | — |
| Hpv High-Risk Types (87624) | — | $176 | — |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 3 matching MRF lines |
— | $206–$415 | — |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
— | $43–$146 | — |
| Human Epididymis Protein 4 (86305) | — | $89 | — |
| Hydroxyprogesterone 17-d (83498) | — | $204 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
— | $81–$87 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $146 | — |
| Iaad ia shiga-like toxin (87427) | — | $70 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | — | $176 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $262 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $420 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $379 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $176 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 7 matching MRF lines |
— | $41–$224 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $192 | — |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
— | $58–$137 | — |
| Igg subclasses (82787) range across 2 matching MRF lines |
— | $32–$121 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
— | $103–$193 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | — | $1,673 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
— | $5–$31 | — |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
— | $36–$210 | — |
| Immunodiffusion Ouchterlony (86331) | — | $28 | — |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
— | $58–$250 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | — | $177 | — |
| Influenza assay w/optic (87804) | — | $149 | — |
| Inhibin A (86336) | — | $260 | — |
| Inhibin b (83520) range across 10 matching MRF lines |
— | $43–$269 | — |
| Insulin antibodies (86337) | — | $333 | — |
| Insulin free (83527) | — | $226 | — |
| Insulin total (83525) | — | $50 | — |
| Interleukin-6 (83529) | — | $100 | — |
| Intrinsic factor antibody (86340) | — | $96 | — |
| Iron (83540) range across 3 matching MRF lines |
— | $34–$41 | — |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
— | $41–$46 | — |
| Islet cell antibody (86341) | — | $100 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $309 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
— | $41–$60 | — |
| Ldh Isoenzymes (83625) | — | $60 | — |
| LDL direct (83721) | — | $120 | — |
| Lead (83655) range across 4 matching MRF lines |
— | $57–$119 | — |
| Legionella antibody (86713) | — | $97 | — |
| Legionella antigen urine (87449) | — | $188 | — |
| Legionella pneumophila dfa (87278) | — | $124 | — |
| Leukocyte Assessment Fecal (89055) | — | $57 | — |
| Lipase (83690) | — | $85 | — |
| Lipoprotein A (83695) | — | $91 | — |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
— | $215–$257 | — |
| Lithium (80178) | — | $59 | — |
| Luteinizing Hormone (Lh) (83002) | — | $53 | — |
| Lyme disease antibody (86618) | — | $277 | — |
| Macroscopic Exam Parasite (87169) | — | $91 | — |
| Magnesium Urine (83735) | — | $85 | — |
| Mass Spectrometry Quant (83789) | — | $315 | — |
| Mercury urine (83825) range across 3 matching MRF lines |
— | $101–$179 | — |
| Methylmalonic acid serum (83921) | — | $57 | — |
| Microalbumin, quantitative (82043) | — | $82 | — |
| Microsomal Antibodies Each (86376) | — | $59 | — |
| Mitochondrial Antibody Each (86381) | — | $208 | — |
| Mog-Igg1 Antb Cba Each (86362) | — | $72 | — |
| Molecular Cytogenetics Dna Probe Each (88271) | — | $103 | — |
| Mononuclear cell antigen (86356) | — | $162 | — |
| Mpl gene common variants (81338) | — | $281 | — |
| Mrsa Pcr (87641) | — | $212 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $385 | — |
| Mumps antibody (86735) | — | $224 | — |
| Muscle-Specific Kinase Antb (86366) | — | $1,673 | — |
| Mycophenolic Acid (80180) | — | $56 | — |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
— | $83–$164 | — |
| Myelin basic protein csf (83873) | — | $108 | — |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
— | $201–$401 | — |
| Nfct ds bv&vaginitis DNA alg (81515) | — | $407 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $248 | — |
| Niacin (84591) range across 2 matching MRF lines |
— | $89–$100 | — |
| Nk cells total count (86357) range across 4 matching MRF lines |
— | $162–$189 | — |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
— | $7–$93 | — |
| Oligoclonal bands (83916) | — | $137 | — |
| Organic Acids Qualitative Each Specimen (83919) | — | $226 | — |
| Osmolality serum (83930) | — | $53 | — |
| Osmolality Urine (83935) | — | $28 | — |
| Osteocalcin (83937) | — | $215 | — |
| Ova and parasites smears (87177) | — | $266 | — |
| Oxalate urine (83945) | — | $84 | — |
| Parvovirus antibody (86747) | — | $49 | — |
| Ph urine (81003) | — | $41 | — |
| Phenobarbital Level (80184) | — | $50 | — |
| Phenytoin (Dilantin) (80185) | — | $165 | — |
| Phosphatase acid prostatic (84066) | — | $61 | — |
| Phosphatase alkaline (84075) | — | $65 | — |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
— | $103–$249 | — |
| Phosphorus Serum (84100) | — | $62 | — |
| Phosphorus urine (84105) | — | $41 | — |
| Pinworm exam (87172) | — | $44 | — |
| Platelet Antibodies (86022) | — | $117 | — |
| Platelet count automated (85049) | — | $57 | — |
| Platelet neutralization (85597) | — | $109 | — |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
— | $49–$77 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $154 | — |
| Potassium Urine (84133) | — | $57 | — |
| Prealbumin (84134) | — | $62 | — |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
— | $58–$96 | — |
| Pregnenolone (84140) | — | $266 | — |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
— | $124–$205 | — |
| Progesterone (84144) | — | $50 | — |
| Prolactin (84146) range across 2 matching MRF lines |
— | $23–$46 | — |
| Protein body fluid (84157) | — | $50 | — |
| Protein C Activity (85303) range across 3 matching MRF lines |
— | $81–$266 | — |
| Protein c antigen (85302) range across 2 matching MRF lines |
— | $250–$266 | — |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
— | $193–$202 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
— | $58–$72 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $89–$346 | — |
| Protein s total (85305) | — | $346 | — |
| Protein total serum (84155) | — | $58 | — |
| Protein Total Urine (84156) range across 5 matching MRF lines |
— | $50–$193 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $40 | — |
| Protoporphyrin rbc quantitative (84202) | — | $41 | — |
| PSA free (84154) | — | $46 | — |
| Pth Intact (83970) | — | $79 | — |
| Q Fever Antibody (86638) | — | $78 | — |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
— | $223–$224 | — |
| Quantitative assay drug (80299) | — | $174 | — |
| Quantitative Screen Metals (83018) | — | $293 | — |
| Rbc antibody identification (86870) | — | $28 | — |
| Rbc antibody screen (86850) | — | $394 | — |
| Renin activity plasma (84244) | — | $120 | — |
| Resp virus 12-25 targets (87633) | — | $776 | — |
| Reticulated Platelet Assay (85055) | — | $75 | — |
| Rh (86901) range across 3 matching MRF lines |
— | $100–$316 | — |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
— | $20–$59 | — |
| Rickettsia antibody (86757) | — | $318 | — |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
— | $171–$217 | — |
| Rotavirus ag eia (87425) | — | $99 | — |
| Rpr qualitative (86592) range across 4 matching MRF lines |
— | $39–$741 | — |
| Rsv Assay W/Optic (87807) | — | $77 | — |
| Rubella Antibody (86762) | — | $50 | — |
| Rubeola antibody (86765) | — | $50 | — |
| Russell Viper Venom Time Diluted (85613) range across 8 matching MRF lines |
— | $41–$125 | — |
| Salicylate Level (80179) | — | $108 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $159 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $238 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $295 | — |
| Sedimentation Rate, Automated (85652) | — | $51 | — |
| Selenium (84255) | — | $316 | — |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
— | $22–$67 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $44–$146 | — |
| Sex Hormone Binding Globulin (84270) | — | $57 | — |
| Sickling of rbc reduction (85660) | — | $494 | — |
| Sirolimus (80195) | — | $74 | — |
| Skin test tuberculosis intradermal (86580) | — | $33 | — |
| Smear acid fast (87206) range across 4 matching MRF lines |
— | $28–$129 | — |
| Smear complex stain (87209) | — | $68 | — |
| Smear gram stain (87205) | — | $57 | — |
| Smear Special Stain (87207) | — | $39 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $57 | — |
| Sodium Serum (84295) | — | $62 | — |
| Sodium Urine (84300) | — | $62 | — |
| Soluble Transferrin Receptor (84238) | — | $170 | — |
| Somatomedin (84305) | — | $263 | — |
| Spectrophotometry (84311) | — | $53 | — |
| Staph a DNA amp probe (87640) | — | $146 | — |
| Stool cultr aerobic bact ea (87046) | — | $191 | — |
| Strep a assay w/optic (87880) | — | $152 | — |
| Strep a DNA amp probe (87651) | — | $151 | — |
| Surg path level iii (88304) | — | $135 | — |
| Surgical pathology level IV (88305) | — | $143 | — |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
— | $34–$40 | — |
| T cells absolute cd4 count (86361) | — | $120 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
— | $190–$247 | — |
| T cells total count (86359) range across 3 matching MRF lines |
— | $189–$190 | — |
| T3 Free (84481) | — | $41 | — |
| T3 reverse (84482) | — | $62 | — |
| T3 Total (84480) | — | $23 | — |
| T3 Uptake (84479) | — | $41 | — |
| T4 Free (84439) | — | $112 | — |
| T4 total (84436) | — | $41 | — |
| Tacrolimus (80197) | — | $224 | — |
| Testosterone Bioavailable (84410) | — | $201 | — |
| Testosterone total (84403) range across 6 matching MRF lines |
— | $169–$315 | — |
| Testosterone, Free (84402) | — | $125 | — |
| Thrombin Time (85670) range across 3 matching MRF lines |
— | $32–$120 | — |
| Thromboplastin Inhibition Tissue (85705) | — | $54 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 6 matching MRF lines |
— | $23–$41 | — |
| Thyroglobulin (84432) | — | $91 | — |
| Thyroglobulin Antibody (86800) | — | $53 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $356 | — |
| Thyroxine binding globulin (84442) | — | $94 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 9 matching MRF lines |
— | $20–$128 | — |
| Tissue Culture Lymphocyte (88230) | — | $260 | — |
| Topiramate (80201) | — | $260 | — |
| Toxin/Antitoxin Assay Tissue Culture (87230) | — | $364 | — |
| Toxoplasma ab igm (86778) | — | $83 | — |
| Toxoplasma antibody (86777) | — | $83 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $30–$65 | — |
| Transferrin (84466) | — | $59 | — |
| Trichomonas Vaginalis Amplif (87661) range across 6 matching MRF lines |
— | $41–$135 | — |
| Triglycerides (84478) range across 3 matching MRF lines |
— | $33–$77 | — |
| Troponin Quant (84484) | — | $123 | — |
| Urea nitrogen urine (84540) | — | $169 | — |
| Uric acid other source (84560) | — | $33 | — |
| Urinalysis Microscopic Only (81015) | — | $41 | — |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
— | $36–$70 | — |
| Urine Pregnancy Test (81025) | — | $56 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $43 | — |
| Valproic acid (80164) | — | $168 | — |
| Vancomycin (80202) | — | $168 | — |
| Varicella-zoster antibody (86787) | — | $72 | — |
| Viral Culture (87252) | — | $211 | — |
| Virus antibody nos (86790) range across 3 matching MRF lines |
— | $42–$82 | — |
| Virus inoculation, shell via (87254) | — | $95 | — |
| Viscosity serum (85810) | — | $75 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $260 | — |
| Vitamin A (84590) | — | $129 | — |
| Vitamin b-12 (82607) | — | $46 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $199 | — |
| Vitamin B6 (84207) | — | $224 | — |
| Vitamin c (82180) | — | $260 | — |
| Vitamin D 25-Hydroxy (82306) | — | $65 | — |
| Vitamin E (84446) | — | $140 | — |
| Vitamin K (84597) | — | $133 | — |
| Voltage-Gated Calcium Channel Antibody Each (86596) | — | $336 | — |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
— | $171–$217 | — |
| West nile virus ab igm (86788) | — | $99 | — |
| West Nile Virus Antibody (86789) | — | $99 | — |
| Zinc (84630) | — | $177 | — |
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.