Lab & pathology prices at Sutter Santa Rosa Regional Hospital
Santa Rosa, CA · every code in this section with a posted price and a Medicare benchmark.
436 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $391 | $391 | 8.2× |
| Albumin Fluid (82042) | $132 | $132 | 17.0× |
| Albumin serum (82040) | $103 | $103 | 20.8× |
| Allergen specific ige (86003) | $78 | $78 | 14.9× |
| Alpha-1-antitrypsin total (82103) | $111 | $111 | 8.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$170–$176 | $170–$176 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$112–$113 | $112–$113 | varies |
| Ammonia (82140) | $411 | $411 | 28.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $489 | $489 | 5.0× |
| Amylase urine (82150) | $220 | $220 | 34.0× |
| Ana Titer (86039) | $218 | $218 | 19.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $386 | $386 | 22.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $166 | $166 | 12.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $115 | $115 | 7.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $95 | $95 | 5.2× |
| Antibody helicobacter pylori (86677) | $147 | $147 | 8.7× |
| Antibody Herpes Smplx Type 1 (86695) | $25 | $25 | 1.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $172 | $172 | 12.5× |
| Antibody HIV-2 (86702) | $108 | $108 | 8.0× |
| Antibody Titer (86886) | $112 | $112 | 21.6× |
| Antibody Treponema Pallidum (86780) | $106 | $106 | 8.0× |
| Antigen typing (86905) | $193 | $193 | 50.4× |
| Antinuclear antibodies (86038) | $98 | $98 | 8.1× |
| Antistreptolysin O Screen (86063) | $104 | $104 | 18.0× |
| Antistreptolysin o titer (86060) | $50 | $50 | 6.8× |
| Antithrombin iii activity (85300) | $106 | $106 | 8.9× |
| Antithrombin iii antigen (85301) | $306 | $306 | 28.3× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$211–$224 | $211–$224 | varies |
| Assay activated protein c (85307) | $311 | $311 | 20.3× |
| Assay Blood Carbon Dioxide (82374) | $103 | $103 | 21.1× |
| Assay Nephelometry Not Spec (83883) | $91 | $91 | 6.7× |
| Assay of blood/uric acid (84550) | $134 | $134 | 29.6× |
| Assay of calcium in urine (82340) | $123 | $123 | 20.4× |
| Assay of cpk in blood (82552) | $258 | $258 | 19.3× |
| Assay of gammaglobulin igm (82784) | $75 | $75 | 8.1× |
| Assay of lactic acid (83605) | $333 | $333 | 28.8× |
| Assay of serum potassium (84132) | $155 | $155 | 32.6× |
| Assay of sweat sodium (84302) | $42 | $42 | 8.6× |
| Assay of urea nitrogen (84520) | $106 | $106 | 26.8× |
| Assay Ph Body Fluid Nos (83986) | $123 | $123 | 34.4× |
| Assay spec xcp ur&breath ia (82077) | $271 | $271 | 15.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $336 | $336 | 1.4× |
| Automated Leukocyte Count (85048) | $55 | $55 | 21.7× |
| Beta 2 glycoprotein i antibody each (86146) | $128 | $128 | 5.0× |
| Beta hydroxybutyrate (82010) | $245 | $245 | 30.0× |
| Beta Lactamase (87185) | $72 | $72 | 15.2× |
| Beta-2 Microglobulin (82232) | $182 | $182 | 11.2× |
| Bilirubin direct (82248) | $145 | $145 | 28.9× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$123–$127 | $123–$127 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $64 | $64 | 18.7× |
| Bleeding time test (85002) | $145 | $145 | 30.1× |
| Blood count reticulocyte automated (85045) | $126 | $126 | 31.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $97 | $97 | 25.5× |
| Blood gas (82803) | $802 | $802 | 30.8× |
| Blood gases w/02 saturation (82805) | $914 | $914 | 11.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $121 | $121 | 7.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $96 | $96 | 21.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $159 | $159 | 25.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $55 | $55 | 3.4× |
| Blood typing serologic abo (86900) | $205 | $205 | 68.6× |
| Bone marrow smear interpretation (85097) | $672 | $672 | 0.6× |
| C diff amplified probe (87493) | $421 | $421 | 11.3× |
| C-Peptide (84681) | $162 | $162 | 7.8× |
| C-reactive protein (86140) | $177 | $177 | 34.2× |
| Ca 19-9 (86301) | $224 | $224 | 10.8× |
| Caffeine (80155) | $942 | $942 | 24.4× |
| Calcium ionized (82330) | $218 | $218 | 15.9× |
| Calcium total (82310) range across 3 matching MRF lines |
$108–$112 | $108–$112 | varies |
| Calculus Xray Diffraction (82370) | $99 | $99 | 7.9× |
| Cancer Antigen 125 (86304) | $273 | $273 | 13.1× |
| Cancer Antigen 27.29 (86300) | $192 | $192 | 9.2× |
| Carbamazepine total (80156) | $361 | $361 | 24.8× |
| Carboxyhemoglobin (82375) | $270 | $270 | 21.9× |
| Carcinoembryonic antigen (82378) | $286 | $286 | 15.1× |
| Cardiolipin ab iga (86147) | $26 | $26 | 1.0× |
| Ccp antibody (86200) | $53 | $53 | 4.1× |
| Cell count csf (89051) | $280 | $280 | 50.0× |
| Ceruloplasmin (82390) | $133 | $133 | 12.4× |
| Cftr gene com variants (81220) | $256 | $256 | 0.5× |
| Chlamydia Igm Antibody (86632) | $366 | $366 | 28.9× |
| Chlmy trch&neisra gonor mult (87494) | $595 | $595 | 8.5× |
| Chloride other source (82438) | $127 | $127 | 25.4× |
| Chloride Serum (82435) | $113 | $113 | 24.6× |
| Chloride urine (82436) | $176 | $176 | 30.6× |
| Cholesterol total (82465) range across 4 matching MRF lines |
$118–$119 | $118–$119 | varies |
| Chorionic gonadotropin test (84702) | $395 | $395 | 26.2× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $151 | $151 | 0.8× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $47 | $47 | 1.4× |
| Chromosome analys amniotic (88269) | $151 | $151 | 0.9× |
| Chromosome Analysis 15-20 (88262) | $133 | $133 | 1.1× |
| Chromosome analysis 45 cells (88263) | $164 | $164 | 1.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $275 | $275 | 7.8× |
| Ckmb (82553) | $401 | $401 | 34.7× |
| Clostridium Difficile (87324) | $194 | $194 | 16.2× |
| Clotting factor xii hageman (85280) | $262 | $262 | 13.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,424 | $1,424 | 3.4× |
| Coagulation time activated (85347) | $230 | $230 | 53.7× |
| Coccidioides antibody (86635) | $119 | $119 | 10.4× |
| Compatibility Each Unit Incubation (86921) | $589 | $589 | 2.5× |
| Compatibility test antiglob (86922) | $598 | $598 | 2.6× |
| Complement Antigen Each Component (86160) | $94 | $94 | 7.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $562 | $562 | 2.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $232 | $232 | 3.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $243 | $243 | 4.7× |
| Coombs direct (86880) | $156 | $156 | 28.9× |
| Cortisol saliva (82533) | $283 | $283 | 17.4× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$227–$243 | $227–$243 | varies |
| Creatinine blood (82565) | $117 | $117 | 22.9× |
| Creatinine clearance (82575) | $239 | $239 | 25.3× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$124–$126 | $124–$126 | varies |
| Crossmatch electronic (86923) | $554 | $554 | 2.4× |
| Crossmatch immediate spin (86920) | $576 | $576 | 2.5× |
| Crp High Sensitivity (86141) | $227 | $227 | 17.5× |
| Cryoglobulin (82595) | $120 | $120 | 18.5× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$208–$212 | $208–$212 | varies |
| Cryptosporidium ag eia (87328) | $124 | $124 | 9.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $185 | $185 | 22.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $189 | $189 | 23.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $63 | $63 | 8.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $835 | $835 | 3.8× |
| Culture aerobic quant other (87071) | $530 | $530 | 53.6× |
| Culture afb (87116) | $168 | $168 | 15.6× |
| Culture Anaerobic (87075) | $269 | $269 | 28.4× |
| Culture blood (87040) | $469 | $469 | 45.4× |
| Culture csf (87070) | $423 | $423 | 49.1× |
| Culture fungus (87102) | $175 | $175 | 20.8× |
| Culture fungus blood (87103) | $311 | $311 | 15.2× |
| Culture screen only (87081) range across 9 matching MRF lines |
$208–$212 | $208–$212 | varies |
| Culture stool (87045) | $247 | $247 | 26.2× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$101–$103 | $101–$103 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $118 | $118 | 22.8× |
| Culture urine (87086) | $237 | $237 | 29.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $252 | $252 | 17.6× |
| Cyclosporine (80158) | $246 | $246 | 13.6× |
| Cytogenetics 100-300 (88275) | $61 | $61 | 1.2× |
| Cytomegalovirus igg (86644) | $120 | $120 | 8.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $91 | $91 | 4.5× |
| Cytopath Cell Enhance Tech (88112) | $156 | $156 | 2.2× |
| Cytp Concentration Smears & Interpretation (88108) | $160 | $160 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $211 | $211 | 2.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $206 | $206 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $120 | $120 | 2.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $66 | $66 | 3.6× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $201 | $201 | 10.8× |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 2 matching MRF lines |
$108–$218 | $108–$218 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $139 | $139 | 3.5× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$63.24–$451 | $63.24–$451 | varies |
| Detect Agent Nos Dna Quant (87799) | $363 | $363 | 8.5× |
| Detect agnt mult DNA ampli (87801) | $483 | $483 | 6.9× |
| Dgp Antibody Each Ig Class (86258) | $69 | $69 | 5.7× |
| Dhea (82626) | $433 | $433 | 17.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$101–$144 | $101–$144 | varies |
| Digoxin (80162) | $361 | $361 | 27.2× |
| Dna Antibody Native/Double Stranded (86225) | $116 | $116 | 8.4× |
| Dna/Rna Amplified Probe (87150) | $268 | $268 | 7.6× |
| DNA/RNA direct probe (87149) | $226 | $226 | 11.3× |
| Drug assay acetaminophen (80143) | $325 | $325 | 17.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $781 | $781 | 12.6× |
| Electrolyte panel (80051) | $220 | $220 | 31.4× |
| Electron Microscopy (88348) | $1,414 | $1,414 | 1.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $26 | $26 | 2.2× |
| Enterovirus PCR (87498) | $403 | $403 | 11.5× |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$138–$488 | $138–$488 | varies |
| Eosinophil Smear (89190) | $146 | $146 | 25.2× |
| Erythropoietin (82668) | $251 | $251 | 13.4× |
| Estradiol serum (82670) | $272 | $272 | 9.7× |
| Exam Synovial Fluid Crystals (89060) | $207 | $207 | 28.2× |
| F2 Gene (81240) | $201 | $201 | 3.1× |
| Factor ii activity (85210) | $302 | $302 | 23.3× |
| Factor ix activity (85250) | $394 | $394 | 20.7× |
| Factor v activity (85220) | $334 | $334 | 18.9× |
| Factor v leiden mutation (81241) | $301 | $301 | 4.1× |
| Factor vii assay (85230) | $394 | $394 | 22.0× |
| Factor viii assay (85240) | $143 | $143 | 8.0× |
| Factor X (85260) | $447 | $447 | 25.0× |
| Factor xi activity (85270) | $322 | $322 | 18.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $67 | $67 | 10.3× |
| Fecal Fat Qualitative (82705) | $109 | $109 | 21.4× |
| Ferritin (82728) | $256 | $256 | 18.8× |
| Fetal Fibronectin (82731) | $1,161 | $1,161 | 18.0× |
| Fetal hemoglobin assay qual (83033) | $216 | $216 | 27.0× |
| Fetal screen rosette (85461) | $248 | $248 | 26.5× |
| Fibrin Degradation Quant (85379) | $370 | $370 | 36.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $367 | $367 | 37.8× |
| Fibrinogen activity (85384) | $320 | $320 | 32.9× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$24–$285 | $24–$285 | varies |
| Fluorescent antibody screen (86255) | $197 | $197 | 16.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $101 | $101 | 8.4× |
| Folic Acid Serum (82746) | $231 | $231 | 15.7× |
| Follicle Stimulating Hormone (83001) | $248 | $248 | 13.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $362 | $362 | 1.5× |
| Frozen Section (88331) | $208 | $208 | 0.9× |
| Fungi Identification Mold (87107) | $155 | $155 | 15.0× |
| Fungi Identification Yeast (87106) | $222 | $222 | 21.5× |
| Gammaglobulin ige (82785) | $185 | $185 | 11.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $296 | $296 | 30.3× |
| Gases blood ph only (82800) | $309 | $309 | 28.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,008 | $1,008 | 2.4× |
| Gentamicin (80170) | $425 | $425 | 25.9× |
| Ggt (82977) range across 2 matching MRF lines |
$143–$176 | $143–$176 | varies |
| Giardia antigen (87329) | $161 | $161 | 13.4× |
| Giardia lamblia antibody (86674) | $215 | $215 | 14.6× |
| Glucose 2 hr pp (82950) | $108 | $108 | 22.7× |
| Glucose body fluid (82945) range across 6 matching MRF lines |
$166–$180 | $166–$180 | varies |
| Glucose Serum (82947) | $114 | $114 | 29.0× |
| Glucose tolerance test (gtt) (82951) | $189 | $189 | 14.7× |
| Gonadotropin Chorionic Qualitative (84703) | $296 | $296 | 39.4× |
| Growth hormone (83003) | $90 | $90 | 5.4× |
| Gtt-added samples (82952) | $59 | $59 | 15.1× |
| Haptoglobin (83010) | $183 | $183 | 14.5× |
| Hdl Cholesterol (83718) | $136 | $136 | 16.6× |
| Helicobacter Pylori Stool (87338) | $225 | $225 | 15.6× |
| Hematocrit (85014) | $104 | $104 | 43.9× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$73–$75 | $73–$75 | varies |
| Hemoglobin a1c (83036) | $203 | $203 | 20.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $156 | $156 | 19.0× |
| Hep a ab igm (86709) | $154 | $154 | 13.7× |
| Heparin assay (85520) | $478 | $478 | 36.5× |
| Hepatitis a antibody total (86708) | $132 | $132 | 10.7× |
| Hepatitis b core ab igm (86705) | $157 | $157 | 13.3× |
| Hepatitis b core ab total (86704) | $171 | $171 | 14.2× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$137–$139 | $137–$139 | varies |
| Hepatitis B Surface Antigen (87340) | $147 | $147 | 14.2× |
| Hepatitis C Antibody (86803) | $182 | $182 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $432 | $432 | 10.1× |
| Herpes simplex type 2 (86696) | $24 | $24 | 1.2× |
| Heterophile Antibody Screen (86308) | $217 | $217 | 41.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $181 | $181 | 23.4× |
| Hiv Antigen W/Hiv Antibodies (87806) | $325 | $325 | 9.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $316 | $316 | 13.1× |
| Hiv-1 Antibody (86701) | $93 | $93 | 10.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $572 | $572 | 6.7× |
| Homocysteine (83090) | $318 | $318 | 17.7× |
| Homogenization Tissue (87176) | $132 | $132 | 22.4× |
| Hpv High-Risk Types (87624) | $577 | $577 | 16.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $609 | $609 | 8.7× |
| Hpv Types 16 & 18 Only (87625) | $76 | $76 | 1.9× |
| Hsv Dna Amp Probe (87529) | $258 | $258 | 7.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $43 | $43 | 4.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $357 | $357 | 25.7× |
| Iaad ia shiga-like toxin (87427) | $129 | $129 | 10.8× |
| Iaad Ia Streptococcus Group A (87430) | $228 | $228 | 13.6× |
| Iaadi herpes smplx virus type 1 (87274) | $27 | $27 | 2.3× |
| Iaadi herpes smplx virus type 2 (87273) | $57 | $57 | 4.8× |
| Iaadi Varicella Zoster Virus (87290) | $280 | $280 | 20.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $306 | $306 | 8.7× |
| Iadna Cytomegalovirus Quantification (87497) | $380 | $380 | 8.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $349 | $349 | 5.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $388 | $388 | 9.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $425 | $425 | 10.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $323 | $323 | 9.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $285 | $285 | 8.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $101 | $101 | 2.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$801–$1,286 | $801–$1,286 | varies |
| Ig Light Chains Free Each (83521) | $102 | $102 | 5.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $408 | $408 | 0.8× |
| Immunfix e-phorsis/urine/csf (86335) | $308 | $308 | 10.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $354 | $354 | 19.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $112 | $112 | 7.5× |
| Immunoassay nonantibody (83516) | $65 | $65 | 5.6× |
| Immunofixation electrophoresis (86334) | $185 | $185 | 8.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$161–$215 | $161–$215 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$246–$266 | $246–$266 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$115–$154 | $115–$154 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $89 | $89 | 5.6× |
| Influenza a/b ag eia (87400) | $162 | $162 | 11.5× |
| Influenza DNA amp probe (87502) | $640 | $640 | 6.7× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$198–$200 | $198–$200 | varies |
| Insulin total (83525) | $210 | $210 | 18.4× |
| Iron (83540) | $140 | $140 | 21.6× |
| Iron Binding Capacity (83550) | $143 | $143 | 16.4× |
| Iron stain peripheral blood (85536) | $131 | $131 | 19.0× |
| Irradiation Blood Product Each Unit (86945) | $71 | $71 | 1.4× |
| Koh Prep (87220) | $186 | $186 | 43.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$155–$157 | $155–$157 | varies |
| Lactoferrin fecal qualitative (83630) | $226 | $226 | 11.5× |
| Lamellar Body Count (83664) | $534 | $534 | 27.6× |
| LDL direct (83721) | $129 | $129 | 12.3× |
| Legionella antigen urine (87449) | $185 | $185 | 15.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $96 | $96 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $173 | $173 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $482 | $482 | 1.0× |
| Lipase (83690) | $275 | $275 | 39.9× |
| Lipoprotein A (83695) | $103 | $103 | 7.2× |
| Lithium (80178) | $234 | $234 | 35.4× |
| Luteinizing Hormone (Lh) (83002) | $327 | $327 | 17.7× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $652 | $652 | 18.6× |
| Magnesium Urine (83735) | $219 | $219 | 32.7× |
| Mass Spectrometry Quant (83789) | $138 | $138 | 5.7× |
| Microalbumin, quantitative (82043) | $113 | $113 | 19.6× |
| Microbe Suscept Macrobroth (87188) | $75 | $75 | 11.3× |
| Microsomal Antibodies Each (86376) | $110 | $110 | 7.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $36 | $36 | 1.7× |
| Mrsa Pcr (87641) | $483 | $483 | 13.8× |
| Mthfr Gene Analysis Common Variants (81291) | $477 | $477 | 7.3× |
| Mumps antibody (86735) | $140 | $140 | 10.7× |
| Mycobacteric Identification (87118) | $107 | $107 | 7.3× |
| Myoglobin urine (83874) | $478 | $478 | 37.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$589–$601 | $589–$601 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $78 | $78 | 0.5× |
| Nfct ds bv&vaginitis DNA alg (81515) | $581 | $581 | 2.2× |
| Nuclear antigen antibody (86235) | $139 | $139 | 7.8× |
| Obstetric panel (80081) | $1,009 | $1,009 | 13.5× |
| Occult Blood Other Sources (82271) | $120 | $120 | 22.6× |
| Osmolality serum (83930) | $212 | $212 | 32.1× |
| Osmolality Urine (83935) | $224 | $224 | 32.8× |
| Ova and parasites smears (87177) | $46 | $46 | 5.2× |
| Particle Agglut Antbdy Titr (86406) | $112 | $112 | 10.5× |
| Particle Agglutination Screen Each Antibody (86403) | $234 | $234 | 20.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $202 | $202 | 0.2× |
| Pathology Consultation During Surgery (88329) | $153 | $153 | 1.9× |
| Ph urine (81003) | $102 | $102 | 45.3× |
| Phenobarbital Level (80184) | $314 | $314 | 20.5× |
| Phenylalanine (84030) | $212 | $212 | 38.5× |
| Phenytoin (Dilantin) (80185) | $384 | $384 | 29.0× |
| Phenytoin free (80186) | $488 | $488 | 35.5× |
| Phosphatase alkaline (84075) | $97 | $97 | 18.7× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$134–$142 | $134–$142 | varies |
| Phosphorus urine (84105) | $104 | $104 | 18.0× |
| Platelet Aggregation (85576) | $292 | $292 | 11.7× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$145–$148 | $145–$148 | varies |
| Pooling blood platelets (86965) | $171 | $171 | 0.7× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$139–$142 | $139–$142 | varies |
| Prealbumin (84134) | $230 | $230 | 15.8× |
| Procalcitonin (Pct) (84145) | $625 | $625 | 23.0× |
| Progesterone (84144) | $292 | $292 | 14.0× |
| Prolactin (84146) | $262 | $262 | 13.5× |
| Protein body fluid (84157) | $233 | $233 | 58.3× |
| Protein C Activity (85303) | $111 | $111 | 8.0× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$107–$129 | $107–$129 | varies |
| Protein S Free (85306) | $122 | $122 | 8.0× |
| Protein s total (85305) | $111 | $111 | 9.6× |
| Protein total serum (84155) | $56 | $56 | 15.3× |
| Protein Total Urine (84156) | $117 | $117 | 31.9× |
| PSA free (84154) | $252 | $252 | 13.7× |
| Pth Intact (83970) | $400 | $400 | 9.7× |
| Quantiferon tb gold plus (86480) | $832 | $832 | 13.4× |
| Quantitative assay drug (80299) | $260 | $260 | 13.9× |
| Rbc antibody elution (86860) | $236 | $236 | 1.0× |
| Rbc antibody identification (86870) | $669 | $669 | 1.4× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$237–$255 | $237–$255 | varies |
| Rbc pretreatment serum (86978) | $137 | $137 | 1.7× |
| Rbc pretx incubatj w/enzymes (86971) | $153 | $153 | 0.7× |
| Receptor assay estrogen (84233) | $659 | $659 | 7.5× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$1,324–$1,350 | $1,324–$1,350 | varies |
| Resp Virus 6-11 Targets (87632) | $920 | $920 | 4.2× |
| Reticulocyte Count (85046) | $51 | $51 | 9.2× |
| Reticulocyte Count Manual (85044) | $126 | $126 | 29.2× |
| Rh (86901) | $161 | $161 | 53.8× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$78–$79 | $78–$79 | varies |
| Rotavirus ag eia (87425) | $226 | $226 | 18.9× |
| Rpr qualitative (86592) | $101 | $101 | 23.7× |
| Rubella Antibody (86762) | $123 | $123 | 8.5× |
| Rubeola antibody (86765) | $105 | $105 | 8.2× |
| Salicylate Level (80179) | $226 | $226 | 12.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $382 | $382 | 7.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $81 | $81 | 1.9× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $132 | $132 | 3.2× |
| Sarscov2 & inf a&b amp prb (87636) | $532 | $532 | 3.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $605 | $605 | 4.2× |
| Sedimentation rate (85651) | $155 | $155 | 36.3× |
| Sedimentation Rate, Automated (85652) | $101 | $101 | 37.4× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $286 | $286 | 29.1× |
| Sensitivity mic (87186) | $301 | $301 | 34.8× |
| Sex Hormone Binding Globulin (84270) | $184 | $184 | 8.5× |
| Sickling of rbc reduction (85660) | $46 | $46 | 8.3× |
| Sirolimus (80195) | $164 | $164 | 11.9× |
| Skin test tuberculosis intradermal (86580) | $71 | $71 | 1.8× |
| Smear acid fast (87206) | $157 | $157 | 29.1× |
| Smear complex stain (87209) | $22 | $22 | 1.2× |
| Smear gram stain (87205) | $154 | $154 | 36.1× |
| Smear Special Stain (87207) | $215 | $215 | 35.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $243 | $243 | 41.8× |
| Sodium Serum (84295) | $132 | $132 | 27.4× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$164–$171 | $164–$171 | varies |
| Somatomedin (84305) | $161 | $161 | 7.6× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$125–$173 | $125–$173 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$122–$127 | $122–$127 | varies |
| Specific gravity body fluid (84315) | $53 | $53 | 16.2× |
| Specimen infect agnt concntj (87015) | $133 | $133 | 19.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $837 | $837 | 3.6× |
| Stool cultr aerobic bact ea (87046) | $147 | $147 | 15.6× |
| Strep a DNA amp probe (87651) | $266 | $266 | 7.6× |
| Sugars Single Qual (84376) | $113 | $113 | 20.5× |
| Surg path level iii (88304) | $214 | $214 | 3.0× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$78–$280 | $78–$280 | varies |
| Surgical pathology level vi (88309) | $770 | $770 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $105 | $105 | 22.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $107 | $107 | 14.3× |
| Syphilis Test Non-Trep Quant (86593) | $18 | $18 | 4.1× |
| T cells absolute cd4 count (86361) | $842 | $842 | 31.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $336 | $336 | 7.2× |
| T cells total count (86359) | $192 | $192 | 5.1× |
| T3 Free (84481) | $226 | $226 | 13.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$185–$191 | $185–$191 | varies |
| T3 Uptake (84479) | $84 | $84 | 13.0× |
| T4 Free (84439) | $231 | $231 | 25.6× |
| T4 total (84436) range across 2 matching MRF lines |
$118–$123 | $118–$123 | varies |
| Tacrolimus (80197) | $152 | $152 | 11.1× |
| Tb ag response t-cell susp (86481) | $500 | $500 | 5.0× |
| Test for acetone/ketones (82009) | $158 | $158 | 35.0× |
| Testosterone total (84403) | $141 | $141 | 5.5× |
| Theophylline (80198) | $286 | $286 | 20.2× |
| Thrombin Time (85670) | $58 | $58 | 10.1× |
| Thyroglobulin (84432) | $166 | $166 | 10.3× |
| Thyroglobulin Antibody (86800) | $115 | $115 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $68 | $68 | 5.9× |
| Tissue Culture Amniotic Fluid (88235) | $132 | $132 | 0.9× |
| Tissue Culture Lymphocyte (88230) | $123 | $123 | 1.1× |
| Tobramycin peak (80200) | $323 | $323 | 20.0× |
| Touch prep (88161) | $131 | $131 | 3.3× |
| Toxoplasma ab igm (86778) | $287 | $287 | 19.9× |
| Toxoplasma antibody (86777) | $119 | $119 | 8.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $114 | $114 | 22.0× |
| Transferrin (84466) | $198 | $198 | 15.5× |
| Trichomonas Vaginalis Amplif (87661) | $123 | $123 | 3.5× |
| Triglycerides (84478) range across 3 matching MRF lines |
$149–$162 | $149–$162 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$482–$492 | $482–$492 | varies |
| Tumor immunohistochem/comput (88361) | $214 | $214 | 0.4× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$253–$276 | $253–$276 | varies |
| Urea Nitrogen Clearance (84545) | $54 | $54 | 7.5× |
| Urea nitrogen urine (84540) | $182 | $182 | 32.7× |
| Uric acid other source (84560) | $131 | $131 | 25.8× |
| Urinalysis Microscopic Only (81015) | $110 | $110 | 36.1× |
| Urinalysis Volume Measure (81050) | $49 | $49 | 13.5× |
| Urine Bacteria Culture (87088) | $160 | $160 | 19.8× |
| Urine Pregnancy Test (81025) | $190 | $190 | 22.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$132–$141 | $132–$141 | varies |
| Valproic acid (80164) | $406 | $406 | 30.0× |
| Vancomycin (80202) | $457 | $457 | 33.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$111–$115 | $111–$115 | varies |
| Viral Culture (87252) | $225 | $225 | 8.6× |
| Vit D 1 25-Dihydroxy (82652) | $208 | $208 | 5.4× |
| Vitamin b-12 (82607) | $228 | $228 | 15.1× |
| Vitamin D 25-Hydroxy (82306) | $277 | $277 | 9.4× |
| Xm Archive Tissue Molec Anal (88363) | $87 | $87 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.