Lab & pathology prices at Susan B Allen Memorial Hospital

El Dorado, KS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abl1 gene analysis kinase domain variants (81170) $522.60 $804 1.7×
Acth (82024) $131.30 $202 3.4×
Acute hepatitis panel (80074) $170.30 $262 3.6×
Acylcarnitines Quant (82017) $146.90 $226 8.7×
Albumin Fluid (82042)
range across 2 matching MRF lines
$20.15–$35.10 $31–$54 varies
Albumin serum (82040)
range across 2 matching MRF lines
$9.75–$12.35 $15–$19 varies
Aldolase (82085) $35.10 $54 3.6×
Aldosterone urine (82088) $131.30 $202 3.2×
Alkaline phosphatase isoenzymes (84080) $59.15 $91 4.0×
Allergen specific ige (86003)
range across 5 matching MRF lines
$10.40–$41.60 $16–$64 varies
Allergen specific igg (86001) $79.30 $122 10.1×
Allg Spec Ige Recomb Ea (86008) $18.20 $28 1.0×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$61.75–$87.10 $95–$134 varies
Alpha-Fetoprotein Serum (82105) $61.75 $95 3.7×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$15.60–$26.65 $24–$41 varies
Aluminum (82108) $55.90 $86 2.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $445.90 $686 26.4×
Amino Acids Quant 2-5 (82136) $174.20 $268 8.9×
Ammonia (82140) $52.65 $81 3.6×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$104.65–$154.05 $161–$237 varies
Amylase urine (82150) $27.30 $42 4.2×
Androstenedione (82157) $104.65 $161 3.6×
Angiotensin converting enzyme csf (82164) $52.65 $81 3.6×
Antibody Cytomegalovirus Cmv Igm (86645) $79.30 $122 4.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $83.85 $129 6.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $70.20 $108 4.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $83.85 $129 4.6×
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$31.20–$108.55 $48–$167 varies
Antibody haemophilus influenza (86684)
range across 2 matching MRF lines
$56.55–$89.70 $87–$138 varies
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$35.10–$44.20 $54–$68 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $70.20 $108 4.9×
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$49.40–$70.20 $76–$108 varies
Antibody htlv/HIV antibody confirmatory test (86689) $65.65 $101 3.4×
Antibody identification leukocyte antibodies (86021) $35.10 $54 2.3×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$46.15–$132.60 $71–$204 varies
Antibody Titer (86886)
range across 3 matching MRF lines
$45.50–$196.95 $70–$303 varies
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$17.55–$61.75 $27–$95 varies
Antibody; influenza virus (86710) $63.05 $97 4.7×
Antinuclear antibodies (86038) $42.25 $65 3.5×
Antistreptolysin o titer (86060) $35.10 $54 4.8×
Antithrombin iii activity (85300) $52.65 $81 4.4×
Antithrombin iii antigen (85301) $68.84 $105.90 6.4×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$35.10–$94.25 $54–$145 varies
Arsenic (82175)
range across 2 matching MRF lines
$40.95–$76.70 $63–$118 varies
Aspergillus ag eia (87305) $97.50 $150 8.1×
Assay activated protein c (85307) $209.30 $322 13.7×
Assay Blood Carbon Dioxide (82374) $12.35 $19 2.5×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$52.65–$105.30 $81–$162 varies
Assay of 5-hiaa (83497) $52.65 $81 4.1×
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$14.95–$31.85 $23–$49 varies
Assay of g6pd enzyme (82955) $87.10 $134 9.0×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$38.35–$76.05 $59–$117 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$16.90–$24.05 $26–$37 varies
Assay of manganese (83785) $59.15 $91 2.2×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$48.75–$70.20 $75–$108 varies
Assay of proinsulin (84206) $81.90 $126 3.1×
Assay of pyruvate (84210) $94.90 $146 6.6×
Assay of serotonin (84260) $128.70 $198 4.2×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$3.90–$10.40 $6–$16 varies
Assay of sweat sodium (84302) $21.45 $33 4.4×
Assay of urea nitrogen (84520) $10.40 $16 2.6×
Assay of urine vma (84585) $70.20 $108 4.5×
Assay of vitamin b-1 (84425) $79.30 $122 3.7×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$13–$31.85 $20–$49 varies
B cells total count (86355) $91 $140 2.4×
Bartonella antibody (86611)
range across 2 matching MRF lines
$18.85–$75.40 $29–$116 varies
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$166.40–$512.20 $256–$788 varies
Bcr/abl1 gene minor bp (81207) $112.45 $173 0.8×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$52.65–$105.30 $81–$162 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$35.10–$68.90 $54–$106 varies
Beta Lactamase (87185) $21.45 $33 4.5×
Beta-2 Microglobulin (82232) $98.15 $151 6.1×
Bilirubin direct (82248) $27.30 $42 5.4×
Bilirubin total (82247)
range across 4 matching MRF lines
$16.25–$40.95 $25–$63 varies
Bl Smear W/O Diff Wbc Count (85008) $15.60 $24 4.5×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$17.55–$92.95 $27–$143 varies
Bleeding time test (85002) $17.55 $27 3.6×
Blood Count Automated Differential Wbc Count (85004) $15.60 $24 2.4×
Blood count reticulocyte automated (85045) $7.80 $12 2.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $9.75 $15 2.6×
Blood gas (82803)
range across 5 matching MRF lines
$88.40–$305.50 $136–$470 varies
Blood gases w/02 saturation (82805) $278.85 $429 3.5×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$51.35–$348.40 $79–$536 varies
Bordetella antibody (86615) $115.05 $177 8.7×
Breath Alcohol Test (82075) $22.10 $34 0.7×
C diff amplified probe (87493) $83.85 $129 2.2×
C-Peptide (84681) $70.20 $108 3.4×
C-reactive protein (86140)
range across 2 matching MRF lines
$4.55–$5.20 $7–$8 varies
Ca 19-9 (86301) $47.45 $73 2.3×
Cadmium (82300) $70.20 $108 3.0×
Caffeine (80155) $33.15 $51 0.9×
Calcitonin (82308) $91.65 $141 3.4×
Calcium ionized (82330)
range across 2 matching MRF lines
$10.40–$45.50 $16–$70 varies
Calcium total (82310) $13 $20 2.5×
Calculus Spectroscopy (82365) $52.65 $81 4.1×
Calprotectin Fecal (83993) $251.55 $387 12.8×
Calr gene com variants (81219) $846.30 $1,302 7.0×
Cancer Antigen 125 (86304) $50.05 $77 2.4×
Cancer Antigen 27.29 (86300) $50.05 $77 2.4×
Carbamazepine total (80156) $96.85 $149 6.6×
Carboxyhemoglobin (82375)
range across 3 matching MRF lines
$29.90–$187.20 $46–$288 varies
Carcinoembryonic antigen (82378) $52.65 $81 2.8×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$87.10–$174.20 $134–$268 varies
Carnitine Quantitative Each Specimen (82379) $167.70 $258 9.9×
Carotene (82380) $35.10 $54 3.8×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$52–$122.20 $80–$188 varies
Ccp antibody (86200) $81.25 $125 6.3×
Cell count csf (89051)
range across 5 matching MRF lines
$8.45–$74.75 $13–$115 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $98.80 $152 0.7×
Ceruloplasmin (82390) $52.65 $81 4.9×
Cftr gene com variants (81220) $508.95 $783 0.9×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$44.20–$122.85 $68–$189 varies
Chlamydia antibody (86631) $63.05 $97 5.3×
Chlamydia Igm Antibody (86632) $56.55 $87 4.5×
Chloride other source (82438) $9.75 $15 2.0×
Chloride Serum (82435)
range across 2 matching MRF lines
$3.90–$13 $6–$20 varies
Chloride urine (82436)
range across 2 matching MRF lines
$14.30–$27.30 $22–$42 varies
Cholesterol total (82465) $37.70 $58 8.7×
Cholinesterase rbc (82482) $79.95 $123 8.1×
Chorionic gonadotropin test (84702) $70.20 $108 4.7×
Chromium serum (82495) $52 $80 2.6×
Chromogenic Substrate Assay (85130) $27.30 $42 2.3×
Chromogranin a (86316) $73.45 $113 3.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$44.20–$157.30 $68–$242 varies
Citric acid urine (82507)
range across 4 matching MRF lines
$31.85–$104.65 $49–$161 varies
Ckmb (82553) $61.75 $95 5.3×
Clot Factor VIII Multimetric (85247) $27.30 $42 1.2×
Clot factor xiii fibrin stab (85290) $198.25 $305 12.1×
Clotting factor xii hageman (85280) $113.75 $175 5.9×
Clotting Funct Activity (85397) $65.65 $101 2.1×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$40.30–$52.65 $62–$81 varies
Collagen crosslinks (82523)
range across 2 matching MRF lines
$40.95–$117 $63–$180 varies
Column Chromotography Quant (82542)
range across 4 matching MRF lines
$161.85–$339.95 $249–$523 varies
Compatibility Each Unit Incubation (86921) $69.55 $107 0.4×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$205.40–$616.20 $316–$948 varies
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$61.75–$196.95 $95–$303 varies
Complement Total (Ch50) (86162) $87.10 $134 4.3×
Complement/Function Activity (86161)
range across 3 matching MRF lines
$61.75–$107.90 $95–$166 varies
Coombs direct (86880) $65.65 $101 12.2×
Copper urine (82525)
range across 2 matching MRF lines
$30.55–$32.50 $47–$50 varies
Cortisol free (82530)
range across 2 matching MRF lines
$70.20–$136.50 $108–$210 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$63.70–$78.65 $98–$121 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$27.30–$44.20 $42–$68 varies
Creatinine blood (82565) $13 $20 2.5×
Creatinine clearance (82575) $44.20 $68 4.7×
Creatinine Urine (82570)
range across 3 matching MRF lines
$16.90–$40.95 $26–$63 varies
Crossmatch immediate spin (86920)
range across 2 matching MRF lines
$196.95–$206.70 $303–$318 varies
Crp High Sensitivity (86141) $70.20 $108 5.4×
Cryofibrinogen (82585) $25.35 $39 1.8×
Cryoglobulin (82595) $66.95 $103 10.3×
Cryptococcal Antigen (87327) $92.95 $143 6.9×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$61.75–$97.50 $95–$150 varies
Cryptosporidium ag eia (87328) $61.75 $95 4.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $35.10 $54 4.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $35.10 $54 4.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $23.40 $36 3.0×
Culture aerobic quant other (87071) $35.10 $54 3.5×
Culture Anaerobic (87075) $35.10 $54 3.7×
Culture bacteria anaerobic (87073) $102.05 $157 10.6×
Culture blood (87040)
range across 2 matching MRF lines
$7.80–$44.20 $12–$68 varies
Culture csf (87070) $35.10 $54 4.1×
Culture screen only (87081)
range across 2 matching MRF lines
$27.30–$104.65 $42–$161 varies
Culture stool (87045) $31.20 $48 3.3×
Culture urine (87086) $35.10 $54 4.3×
Cyclosporine (80158) $74.10 $114 4.1×
Cyp2c19 gene analysis common variants (81225)
range across 3 matching MRF lines
$104.65–$269.10 $161–$414 varies
Cyp2c9 gene com variants (81227) $104.65 $161 0.6×
Cyp2d6 gene com variants (81226) $83.85 $129 0.2×
Cyp3a4 gene common variants (81230) $104.65 $161 0.6×
Cyp3a5 gene common variants (81231) $104.65 $161 0.6×
Cystatin C (82610) $52 $80 2.8×
Cytogenetics 100-300 (88275) $161.85 $249 3.2×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$79.30–$180.70 $122–$278 varies
Cytp Concentration Smears & Interpretation (88108) $109.20 $168 3.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $300.95 $463 6.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $359.45 $553 2.3×
Deoxycortisol (82634) $160.88 $247.50 5.5×
Deoxyribonuclease antibody (86215) $70.20 $108 5.3×
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
$52.65–$304.20 $81–$468 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$175.50–$254.15 $270–$391 varies
Dhea-S (82627) $87.10 $134 3.9×
Digoxin (80162)
range across 2 matching MRF lines
$10.40–$61.75 $16–$95 varies
Dipropylacetic Acid Free (80165) $35.10 $54 2.6×
Dna Antibody Native/Double Stranded (86225) $70.20 $108 5.1×
Drug assay adalimumab (80145) $105.95 $163 2.7×
Drug Assay Amiodarone (80151) $70.20 $108 3.8×
Drug Assay Everolimus (80169) $174.53 $268.50 12.7×
Drug assay felbamate (80167) $78.65 $121 4.2×
Drug Assay Infliximab (80230) $336.05 $517 8.7×
Drug Screen Quant Clozapine (80159) $70.20 $108 3.5×
Drug Screen Quant Zonisamide (80203) $96.20 $148 7.3×
Drug Screen Quantitative Gabapentin (80171) $70.20 $108 3.2×
Drug Screen Quantitative Lamotrigine (80175) $60.45 $93 4.6×
Drug Screen Quantitative Levetiracetam (80177) $69.55 $107 5.2×
Drug Screen Quantitative Oxcarbazepine (80183) $70.20 $108 5.3×
Drug Screen Quantitative Tiagabine (80199) $21.45 $33 0.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 11 matching MRF lines
$22.10–$451.75 $34–$695 varies
Drug Test Prsmv Dir Opt Obs (80305) $24.70 $38 2.0×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$61.75–$87.10 $95–$134 varies
Electrolyte panel (80051) $27.30 $42 3.9×
Enterovirus PCR (87498) $104 $160 3.0×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$61.75–$178.10 $95–$274 varies
Erythropoietin (82668) $79.30 $122 4.2×
Estradiol serum (82670) $79.30 $122 2.8×
Estriol (82677) $72.80 $112 3.0×
Estrogen total (82672) $157.30 $242 7.2×
Estrogens fractionated (82671) $70.20 $108 2.2×
Ethosuximide (80168) $42.25 $65 2.6×
Ethylene Glycol (82693) $63.05 $97 4.2×
Euglobulin lysis (85360)
range across 2 matching MRF lines
$70.20–$92.30 $108–$142 varies
Exam Synovial Fluid Crystals (89060) $76.70 $118 10.5×
F2 Gene (81240) $200.85 $309 3.1×
Factor ii activity (85210) $113.75 $175 8.8×
Factor Inhibitor Test (85335) $70.20 $108 5.5×
Factor ix activity (85250) $63.05 $97 3.3×
Factor v activity (85220) $128.70 $198 7.3×
Factor v leiden mutation (81241) $183.95 $283 2.5×
Factor viii assay (85240) $96.85 $149 5.4×
Factor xi activity (85270) $107.90 $166 6.0×
Fat/Lipids Feces Quantitative (82710) $70.20 $108 4.2×
Fatty acids free (82725) $63.05 $97 3.4×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $95.55 $147 12.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $106.60 $164 16.3×
Ferritin (82728)
range across 2 matching MRF lines
$39.65–$85.80 $61–$132 varies
Fetal Fibronectin (82731) $157.30 $242 2.4×
Fibrin dgradj products d-dimer qual/semiquan (85378) $63.05 $97 6.5×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$29.25–$65 $45–$100 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$35.10–$39 $54–$60 varies
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$91–$233.35 $140–$359 varies
Fluorescent antibody screen (86255)
range across 8 matching MRF lines
$52.65–$600.60 $81–$924 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$85.15–$115.05 $131–$177 varies
Fmr1 gene detection (81243) $382.20 $588 6.7×
Folic acid rbc (82747) $70.20 $108 4.0×
Folic Acid Serum (82746) $70.20 $108 4.8×
Follicle Stimulating Hormone (83001) $52.65 $81 2.8×
Francisella tularensis (86668)
range across 2 matching MRF lines
$120.90–$241.80 $186–$372 varies
Frozen Section (88331) $205.40 $316 1.3×
Galactose (82760) $79.95 $123 7.1×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$63.70–$81.90 $98–$126 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $131.30 $202 13.4×
Gases blood ph only (82800) $119.60 $184 10.9×
Gastrin (82941) $79.30 $122 4.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $889.85 $1,369 2.1×
Gentamicin (80170) $61.75 $95 3.8×
Ggt (82977)
range across 2 matching MRF lines
$35.10–$35.75 $54–$55 varies
Giardia antigen (87329) $61.75 $95 5.2×
Giardia lamblia antibody (86674) $31.85 $49 2.2×
Glucagon (82943) $70.20 $108 4.9×
Glucose body fluid (82945) $17.55 $27 4.5×
Glucose Serum (82947)
range across 2 matching MRF lines
$4.55–$9.75 $7–$15 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$35.10–$52.65 $54–$81 varies
Glycated Protein (82985) $44.20 $68 2.6×
Gonadotropin Chorionic Qualitative (84703) $44.20 $68 5.9×
Growth hormone (83003) $70.20 $108 4.2×
Haptoglobin (83010)
range across 3 matching MRF lines
$61.75–$332.80 $95–$512 varies
Hdl Cholesterol (83718) $20.15 $31 2.5×
Helicobacter Pylori Stool (87338) $79.30 $122 5.5×
Hematocrit (85014) $17.55 $27 7.4×
Hemoglobin (85018) $17.55 $27 7.4×
Hemoglobin a1c (83036) $44.20 $68 4.6×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$110.50–$113.75 $170–$175 varies
Hemoglobin electrophoresis (83020)
range across 4 matching MRF lines
$61.75–$185.25 $95–$285 varies
Hemoglobin Methemoglobin Quantitative (83050) $131.30 $202 16.0×
Hemosiderin urine (83070) $70.20 $108 14.8×
Hep a ab igm (86709) $52.65 $81 4.7×
Heparin assay (85520)
range across 2 matching MRF lines
$53.95–$161.85 $83–$249 varies
Hepatitis a antibody total (86708) $65 $100 5.2×
Hepatitis b core ab igm (86705) $52.65 $81 4.5×
Hepatitis B Surface Antibody (86706) $52.65 $81 4.9×
Hepatitis B Surface Antigen (87340) $25.35 $39 2.5×
Hepatitis Be Antibody (86707) $52.65 $81 4.6×
Hepatitis Be Antigen (87350) $52.65 $81 4.6×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$39.65–$52.65 $61–$81 varies
Hepatitis C Genotype (87902) $615.55 $947 2.4×
Hepatitis C Revrs Trnscrpj (87522) $141.05 $217 3.3×
Hepatitis Delta Agent Antibody (86692) $154.05 $237 9.0×
Heredtry Nurondcrn Tum Dsrdr (81437) $531.05 $817 0.4×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$52–$70.20 $80–$108 varies
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines
$18.85–$27.30 $29–$42 varies
Hfe Gene (81256) $204.75 $315 3.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $28.60 $44 3.7×
Histamine urine (83088) $114.40 $176 3.9×
Histoplasma antibody (86698) $45.50 $70 3.3×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$124.15–$141.05 $191–$217 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $35.10 $54 1.5×
Hiv-1 Antibody (86701) $70.20 $108 7.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $204.10 $314 2.4×
Hla Class I Typing Low Resolution Complete (81372) $419.90 $646 1.0×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines
$136.50–$629.20 $210–$968 varies
Hla-b27 (86812) $72.15 $111 2.8×
Homocysteine (83090) $183.95 $283 10.3×
Homovanillic acid urine (83150) $56.55 $87 2.5×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$63.05–$79.30 $97–$122 varies
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$61.75–$259.35 $95–$399 varies
Hydroxyprogesterone 17-d (83498) $77.35 $119 2.8×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $49.40 $76 4.1×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $225.32 $346.65 6.4×
Iadna Cytomegalovirus Quantification (87497) $118.30 $182 2.8×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$68.45–$122.20 $105.30–$188 varies
Iadna Hepatitis B Virus Quantification (87517) $63.05 $97 1.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$44.20–$83.85 $68–$129 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $233.95 $359.93 1.6×
Igg subclasses (82787)
range across 2 matching MRF lines
$35.10–$140.40 $54–$216 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines
$83.85–$388.70 $129–$598 varies
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$63.70–$66.95 $98–$103 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$79.30–$174.85 $122–$269 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$42.25–$337.35 $65–$519 varies
Immunoassay nonantibody (83516)
range across 13 matching MRF lines
$17.34–$144.95 $26.67–$223 varies
Immunohistochemistry (88342) $341.90 $526 2.2×
Influenza a/b ag eia (87400) $24.05 $37 1.7×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$24.05–$44.20 $37–$68 varies
Influenza DNA amp probe (87502)
range across 3 matching MRF lines
$108.99–$204.10 $167.67–$314 varies
Inhibin b (83520)
range across 19 matching MRF lines
$28.60–$290.55 $44–$447 varies
Insulin antibodies (86337) $48.75 $75 2.3×
Insulin total (83525)
range across 3 matching MRF lines
$16.25–$65.65 $25–$101 varies
Intrinsic factor antibody (86340) $68.90 $106 4.6×
Iron (83540) $17.55 $27 2.7×
Iron Binding Capacity (83550) $44.20 $68 5.1×
Irradiation Blood Product Each Unit (86945) $59.80 $92 1.7×
Islet cell antibody (86341)
range across 4 matching MRF lines
$57.20–$224.25 $88–$345 varies
Jak2 gene analysis p.val617phe variant (81270) $417.95 $643 4.6×
Koh Prep (87220) $27.30 $42 6.4×
Lactate (ld) (ldh) enzyme (83615) $27.30 $42 4.5×
Lactoferrin fecal qualitative (83630) $106.60 $164 5.4×
Lamellar Body Count (83664) $13 $20 0.7×
LDL direct (83721) $52.65 $81 5.0×
Lead (83655) $31.85 $49 2.6×
Legionella antibody (86713) $56.55 $87 3.7×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$136.50–$166.40 $210–$256 varies
Leptospira antibody (86720)
range across 2 matching MRF lines
$35.10–$109.85 $54–$169 varies
Leukocyte Assessment Fecal (89055) $17.55 $27 4.1×
Leukocyte Histamine Release (86343) $174.20 $268 14.0×
Level I Surg Pathology Gross Examination Only (88300) $42.90 $66 1.6×
Level ii surg pathology gross&microscopic exam (88302) $107.90 $166 3.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $341.90 $526 1.0×
Lipase (83690) $35.10 $54 5.1×
Lipoprotein A (83695) $32.50 $50 2.3×
Lithium (80178) $35.10 $54 5.3×
Luteinizing Hormone (Lh) (83002) $52.65 $81 2.8×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$87.10–$104.65 $134–$161 varies
Lysozyme serum (85549) $66.95 $103 3.6×
Magnesium Urine (83735)
range across 5 matching MRF lines
$16.90–$40.95 $26–$63 varies
Mass Spectrometry Quant (83789) $157.30 $242 6.5×
Mercury urine (83825)
range across 3 matching MRF lines
$38.35–$104 $59–$160 varies
Metabolic panel ionized ca (80047) $20.80 $32 1.5×
Methylmalonic acid serum (83921) $37.70 $58 1.8×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$7.15–$27.30 $11–$42 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$61.75–$98.80 $95–$152 varies
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $360.15 $554.07 1.8×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,201.80 $1,848.92 1.8×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $580.45 $893 15.4×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$118.30–$129.35 $182–$199 varies
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$330.20–$479.05 $508–$737 varies
Mopath procedure level 9 (81408) $2,494.05 $3,837 1.2×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$79.30–$83.85 $122–$129 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $379.54 $583.91 1.8×
Msh2 Gene Analysis Full Sequence Analysis (81295) $679.19 $1,044.90 1.8×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $423.49 $651.53 1.8×
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,142.10 $1,757.07 1.8×
Mthfr Gene Analysis Common Variants (81291)
range across 3 matching MRF lines
$104.65–$356.85 $161–$549 varies
Mumps antibody (86735) $84.50 $130 6.5×
Mycobacteric Identification (87118) $35.10 $54 2.4×
Mycophenolic Acid (80180) $63.05 $97 3.5×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$79.30–$94.90 $122–$146 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$52.65–$70.20 $81–$108 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$81.25–$150.80 $125–$232 varies
Neutralization Test Viral (86382) $56.55 $87 3.3×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $50.05 $77 1.7×
Niacin (84591)
range across 2 matching MRF lines
$102.70–$136.50 $158–$210 varies
Nickel level (83885) $102.70 $158 4.2×
Nk cells total count (86357) $91 $140 2.4×
Nuclear antigen antibody (86235)
range across 9 matching MRF lines
$16.25–$352.30 $25–$542 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$8.45–$12.35 $13–$19 varies
Occult Blood Other Sources (82271) $8.45 $13 1.6×
Oligoclonal bands (83916)
range across 3 matching MRF lines
$39.65–$79.30 $61–$122 varies
Organic Acids Qualitative Each Specimen (83919) $102.05 $157 6.2×
Osmolality serum (83930) $37.70 $58 5.7×
Osmolality Urine (83935)
range across 2 matching MRF lines
$24.70–$35.10 $38–$54 varies
Osmotic fragility rbc incubated (85557) $144.30 $222 10.8×
Osmotic Fragility RBC Unincubated (85555) $30.55 $47 4.1×
Osteocalcin (83937) $117 $180 3.9×
Ova and parasites smears (87177) $35.10 $54 3.9×
Oxalate urine (83945)
range across 5 matching MRF lines
$31.85–$102.70 $49–$158 varies
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$33.15–$75.40 $51–$116 varies
Parvovirus antibody (86747) $70.20 $108 4.7×
Path Consltj Surg Cytologic Exam Initial Site (88333) $404.95 $623 0.5×
Ph urine (81003)
range across 8 matching MRF lines
$5.20–$17.55 $8–$27 varies
Phenobarbital Level (80184) $61.75 $95 4.0×
Phenylalanine (84030) $18.20 $28 3.3×
Phenytoin (Dilantin) (80185) $61.75 $95 4.7×
Phenytoin free (80186) $61.75 $95 4.5×
Phosphatase acid prostatic (84066) $35.10 $54 3.6×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$13–$20.80 $20–$32 varies
Phospholipid Neutralization Hexagonal (85598) $143.33 $220.50 8.0×
Phosphorus Serum (84100) $12.35 $19 2.6×
Phosphorus urine (84105)
range across 3 matching MRF lines
$14.30–$31.85 $22–$49 varies
Pinworm exam (87172) $14.30 $22 3.3×
Platelet Aggregation (85576)
range across 2 matching MRF lines
$63.05–$79.30 $97–$122 varies
Platelet Antibodies (86022)
range across 3 matching MRF lines
$36.40–$259.35 $56–$399 varies
Platelet count automated (85049) $17.55 $27 3.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $495.95 $763 2.4×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $362.12 $557.10 1.8×
Pms2 gene full seq analysis (81317) $1,203.75 $1,851.92 1.8×
Porphobilinogen, urine; quantitative (84110) $38.35 $59 4.5×
Porphyrins Urine Quantitation & Fractionation (84120) $56.55 $87 3.8×
Potassium Urine (84133)
range across 3 matching MRF lines
$11.70–$88.40 $18–$136 varies
Prealbumin (84134) $63.70 $98 4.4×
Pregnenolone (84140) $141.70 $218 6.9×
Primidone (80188) $61.75 $95 3.7×
Procalcitonin (Pct) (84145) $159.90 $246 5.9×
Progesterone (84144) $61.75 $95 3.0×
Prolactin (84146) $56.55 $87 2.9×
Prostaglandin (84150)
range across 2 matching MRF lines
$98.15–$330.20 $151–$508 varies
Protein body fluid (84157) $27.30 $42 6.8×
Protein C Activity (85303) $96.85 $149 7.0×
Protein c antigen (85302) $209.30 $322 17.4×
Protein Electrophoresis Urine (84166) $42.90 $66 2.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $42.25 $65 3.9×
Protein S Free (85306) $114.40 $176 7.5×
Protein total serum (84155)
range across 2 matching MRF lines
$9.75–$10.40 $15–$16 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$14.95–$22.10 $23–$34 varies
Protein Western Blot Test (84182) $207.35 $319 7.1×
Protoporphyrin rbc quantitative (84202) $71.50 $110 5.0×
PSA free (84154) $61.75 $95 3.4×
Pth Intact (83970) $118.30 $182 2.9×
Q Fever Antibody (86638) $39 $60 3.2×
Quantiferon tb gold plus (86480) $148.85 $229 2.4×
Quantitative assay drug (80299)
range across 10 matching MRF lines
$44.20–$285.35 $68–$439 varies
Quantitative Screen Metals (83018)
range across 3 matching MRF lines
$52.65–$240.50 $81–$370 varies
Quinidine (80194) $63.70 $98 4.4×
Rbc antibody elution (86860) $131.30 $202 0.8×
Rbc antibody identification (86870) $278.85 $429 0.8×
Rbc antibody screen (86850) $94.90 $146 9.7×
Renin activity plasma (84244) $87.10 $134 4.0×
Resp virus 12-25 targets (87633) $593.45 $913 1.4×
Reticulocyte Count Manual (85044) $16.25 $25 3.8×
Rh (86901) $65.65 $101 22.0×
Rheumatoid factor quant (86431) $33.80 $52 6.0×
Rickettsia antibody (86757)
range across 3 matching MRF lines
$45.50–$112.45 $70–$173 varies
Ristocetin cofactor (85245) $92.95 $143 4.1×
Rotavirus ag eia (87425) $61.75 $95 5.2×
Rpr qualitative (86592) $92.95 $143 21.8×
Rsv Assay W/Optic (87807)
range across 3 matching MRF lines
$40.95–$51.35 $63–$79 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$34.45–$53.95 $53–$83 varies
Rubeola antibody (86765) $46.80 $72 3.6×
Russell Viper Venom Time Diluted (85613) $40.30 $62 4.2×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$39.65–$63.38 $61–$97.50 varies
Sedimentation rate (85651) $17.55 $27 4.1×
Selenium (84255) $87.10 $134 3.4×
Semen Anal Sperm Detection (89321) $42.25 $65 3.5×
Sensitivity mic (87186) $29.90 $46 3.5×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$97.50–$139.75 $150–$215 varies
Sickling of rbc reduction (85660) $42.25 $65 7.7×
Sirolimus (80195) $33.80 $52 2.5×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $104.65 $161 0.6×
Smear acid fast (87206) $22.75 $35 4.2×
Smear gram stain (87205)
range across 2 matching MRF lines
$3.25–$17.55 $5–$27 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$28.60–$42.25 $44–$65 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$17.55–$18.85 $27–$29 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$3.90–$11.05 $6–$17 varies
Sodium Urine (84300)
range across 3 matching MRF lines
$15.60–$31.85 $24–$49 varies
Somatomedin (84305) $131.30 $202 6.2×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$104–$208 $160–$320 varies
Special Stains Group 2 (88313) $80.60 $124 0.7×
Specific gravity body fluid (84315) $14.30 $22 4.4×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$47.45–$74.10 $73–$114 varies
Spectrophotometry (84311) $161.20 $248 19.9×
Staph a DNA amp probe (87640) $76.05 $117 2.2×
Stool cultr aerobic bact ea (87046) $35.10 $54 3.7×
Strep a assay w/optic (87880)
range across 5 matching MRF lines
$35.10–$46.15 $54–$71 varies
Strep a DNA amp probe (87651)
range across 4 matching MRF lines
$34.21–$76.05 $52.63–$117 varies
Strep b DNA amp probe (87653) $83.85 $129 2.4×
Sulfate urine (84392)
range across 3 matching MRF lines
$11.70–$31.85 $18–$49 varies
Surg path level iii (88304) $155.35 $239 3.2×
Surgical pathology level IV (88305) $220.35 $339 4.6×
Surgical pathology level vi (88309) $488.80 $752 0.7×
Susceptibility Study Antimicrobial Disk Method (87184) $28.60 $44 3.8×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $35.10 $54 0.9×
Syphilis Test Non-Trep Quant (86593) $5.20 $8 1.2×
T cells absolute cd4 count (86361) $66.30 $102 2.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$132.60–$148.85 $204–$229 varies
T cells total count (86359)
range across 2 matching MRF lines
$64.35–$91 $99–$140 varies
T3 Free (84481) $109.20 $168 6.4×
T3 reverse (84482) $87.10 $134 5.5×
T3 Total (84480) $52.65 $81 3.7×
T3 Uptake (84479) $27.30 $42 4.2×
T4 Free (84439)
range across 2 matching MRF lines
$27.95–$35.10 $43–$54 varies
T4 total (84436) $14.95 $23 2.2×
Tacrolimus (80197) $79.30 $122 5.8×
Tb ag response t-cell susp (86481) $174.20 $268 1.7×
Test for acetone/ketones (82009) $17.55 $27 3.9×
Testosterone total (84403)
range across 3 matching MRF lines
$8.13–$91.65 $12.50–$141 varies
Testosterone, Free (84402) $91.65 $141 3.6×
Theophylline (80198) $70.20 $108 5.0×
Thrombin Time (85670) $94.25 $145 16.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $24.70 $38 3.8×
Thyroglobulin (84432) $96.85 $149 6.0×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$79.30–$170.30 $122–$262 varies
Thyroid Stimulating Immunoglobulin (84445) $486.20 $748 9.6×
Thyroxine binding globulin (84442) $49.40 $76 3.3×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$452.40–$502.45 $696–$773 varies
Tobramycin peak (80200) $39 $60 2.4×
Topiramate (80201) $79.30 $122 6.7×
Toxoplasma ab igm (86778) $72.15 $111 5.0×
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$61.75–$79.30 $95–$122 varies
Transferase Aspartate Amino Ast Sgot (84450) $11.70 $18 2.3×
Transferrin (84466) $101.40 $156 7.9×
Triglycerides (84478)
range across 2 matching MRF lines
$9.75–$16.25 $15–$25 varies
Troponin Quant (84484) $22.10 $34 1.8×
Tumor immunohistochem/comput (88361) $295.10 $454 0.9×
Urea nitrogen urine (84540) $46.80 $72 8.4×
Uric acid other source (84560)
range across 5 matching MRF lines
$4.55–$31.85 $7–$49 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) $17.55 $27 8.1×
Urine Bacteria Culture (87088) $28.60 $44 3.5×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$14.95–$31.85 $23–$49 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $16.25 $25 5.1×
Valproic acid (80164)
range across 2 matching MRF lines
$40.95–$70.20 $63–$108 varies
Vancomycin (80202) $70.20 $108 5.2×
Varicella-zoster antibody (86787) $70.20 $108 5.5×
Vasopressin (84588) $63.70 $98 1.9×
Very Long Chain Fatty Acids (82726) $193.05 $297 9.8×
Viral Culture (87252)
range across 3 matching MRF lines
$104.65–$439.40 $161–$676 varies
Virus antibody nos (86790)
range across 4 matching MRF lines
$29.90–$120.90 $46–$186 varies
Vit D 1 25-Dihydroxy (82652) $92.95 $143 2.4×
Vitamin A (84590) $52.65 $81 4.5×
Vitamin b-12 (82607) $61.75 $95 4.1×
Vitamin B2 (Riboflavin) (84252) $141.70 $218 7.0×
Vitamin B6 (84207) $118.95 $183 4.2×
Vitamin c (82180) $76.05 $117 7.7×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$13–$187.20 $20–$288 varies
Vitamin E (84446) $61.75 $95 4.4×
Vitamin K (84597) $122.20 $188 8.9×
Vkorc1 gene (81355) $104.65 $161 1.2×
Volatiles (84600) $28.60 $44 1.7×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$244.40–$325 $376–$500 varies
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$73.45–$77.35 $113–$119 varies
West nile virus ab igm (86788) $52 $80 3.1×
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$45.50–$60.45 $70–$93 varies
Zinc (84630) $69.55 $107 6.1×

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.