Lab & pathology prices at Texas Health Harris Methodist Hospital Southlake

Southlake, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $51.75 $86.25 1.3×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$189.45–$401.10 $315.75–$668.50 varies
Albumin Fluid (82042)
range across 2 matching MRF lines
$37.20–$105.90 $62–$176.50 varies
Albumin serum (82040)
range across 2 matching MRF lines
$37.20–$92.85 $62–$154.75 varies
Aldolase (82085) $63.45 $105.75 6.5×
Aldosterone urine (82088) $40.65 $67.75 1.0×
Alpha-1-antitrypsin total (82103) $150 $250 11.2×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$31.20–$159.75 $52–$266.25 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$58.80–$148.65 $98–$247.75 varies
Aminolevulinic acid (ala) (82135) $183.90 $306.50 11.2×
Ammonia (82140) $165.90 $276.50 11.4×
Amylase urine (82150) $275.25 $458.75 42.5×
Ana Titer (86039)
range across 3 matching MRF lines
$19.80–$275.85 $33–$459.75 varies
Angiotensin converting enzyme csf (82164) $67.20 $112 4.6×
Antibody aspergillus (86606) $29.52 $49.20 2.0×
Antibody Bacterium Not Elsewhere Specified (86609) $166.80 $278 13.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 5 matching MRF lines
$36.90–$70.20 $61.50–$117 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$23.85–$27.45 $39.75–$45.75 varies
Antibody Encephalitis California La Crosse (86651)
range across 4 matching MRF lines
$63.45–$116.40 $105.75–$194 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $43.65 $72.75 3.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $43.65 $72.75 2.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$72.75–$110.55 $121.25–$184.25 varies
Antibody helicobacter pylori (86677) $104.40 $174 6.2×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 4 matching MRF lines
$28.65–$30.75 $47.75–$51.25 varies
Antibody HIV-1&HIV-2 single result (86703) $123.60 $206 9.0×
Antibody HIV-2 (86702) $99.60 $166 7.4×
Antibody htlv/HIV antibody confirmatory test (86689) $127.95 $213.25 6.6×
Antibody identification leukocyte antibodies (86021) $210 $350 14.0×
Antibody Lymphocytic Choriomeningitis (86727) $87 $145 6.8×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$79.05–$175.20 $131.75–$292 varies
Antibody; encephalitis, st. louis (86653)
range across 4 matching MRF lines
$63.45–$116.40 $105.75–$194 varies
Antigen typing (86905) $215.85 $359.75 56.4×
Antinuclear antibodies (86038) $235.65 $392.75 19.5×
Antistreptolysin o titer (86060) $39.15 $65.25 5.4×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$58.50–$217.50 $97.50–$362.50 varies
Antithrombin iii antigen (85301) $127.95 $213.25 11.8×
Apolipoprotein a1 (82172) $29.55 $49.25 1.4×
Arsenic (82175) $36.90 $61.50 1.9×
Aspergillus ag eia (87305)
range across 2 matching MRF lines
$206.40–$220.66 $344–$367.76 varies
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$61.20–$168 $102–$280 varies
Assay Nephelometry Not Spec (83883)
range across 6 matching MRF lines
$57–$132.30 $95–$220.50 varies
Assay of 5-hiaa (83497) $61.65 $102.75 4.8×
Assay of blood/uric acid (84550) $130.65 $217.75 28.9×
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$42–$90 $70–$150 varies
Assay of estrone (82679) $73.80 $123 3.0×
Assay of g6pd enzyme (82955) $35.85 $59.75 3.7×
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines
$17.25–$221.85 $28.75–$369.75 varies
Assay of lactic acid (83605) $193.65 $322.75 16.7×
Assay of serotonin (84260) $262.50 $437.50 8.5×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$80.70–$142.50 $134.50–$237.50 varies
Assay of Tyrosine (84510) $130.50 $217.50 12.3×
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
$58.80–$133.20 $98–$222 varies
Assay of urine vma (84585) $205.95 $343.25 13.3×
Assay of vasoactive intestinal peptide (84586) $93.90 $156.50 2.7×
Assay of vitamin b-1 (84425) $53.14 $88.56 2.5×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$30.75–$83.55 $51.25–$139.25 varies
Autol bld/component collj storage salvage (86891)
range across 2 matching MRF lines
$490.20–$1,299.45 $817–$2,165.75 varies
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$77.85–$119.55 $129.75–$199.25 varies
Bartonella antibody (86611) $27.31 $45.51 2.7×
Beta hydroxybutyrate (82010) $71.10 $118.50 8.7×
Beta Lactamase (87185)
range across 2 matching MRF lines
$45.30–$46.05 $75.50–$76.75 varies
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$93.15–$124.35 $155.25–$207.25 varies
Bilirubin direct (82248) $74.70 $124.50 14.9×
Bilirubin total (82247)
range across 2 matching MRF lines
$171.60–$201 $286–$335 varies
Bld Typing Serologic Rh Phnt (86906) $166.20 $277 21.4×
Bleeding time test (85002) $153.90 $256.50 31.9×
Blood count reticulocyte automated (85045) $102.60 $171 25.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $39.60 $66 10.4×
Blood gas (82803)
range across 2 matching MRF lines
$324–$337.05 $540–$561.75 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$215.85–$268.20 $359.75–$447 varies
Blood typing serologic abo (86900)
range across 4 matching MRF lines
$88.35–$132.60 $147.25–$221 varies
Body fluid cell count (89050) $85.50 $142.50 18.1×
Brucella antibody (86622) $20.70 $34.50 2.3×
C diff amplified probe (87493) $233.25 $388.75 6.3×
C-Peptide (84681) $67.95 $113.25 3.3×
C-reactive protein (86140)
range across 2 matching MRF lines
$51–$123.90 $85–$206.50 varies
Ca 19-9 (86301) $19.80 $33 1.0×
Cadmium (82300) $36.90 $61.50 1.6×
Caffeine (80155) $99.15 $165.25 2.6×
Calcium ionized (82330)
range across 2 matching MRF lines
$136.95–$160.50 $228.25–$267.50 varies
Calcium total (82310) $158.10 $263.50 30.6×
Calculus Spectroscopy (82365) $73.65 $122.75 5.7×
Cancer Antigen 125 (86304) $330.45 $550.75 15.9×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$87–$96.90 $145–$161.50 varies
Candida antibody (86628) $118.50 $197.50 9.9×
Carbamazepine total (80156) $352.50 $587.50 24.2×
Carboxyhemoglobin (82375) $126.30 $210.50 10.3×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$30.77–$150 $51.28–$250 varies
Cardiolipin ab iga (86147) $31.20 $52 1.2×
Catecholamines fractionated (82384) $185.25 $308.75 7.3×
Ccp antibody (86200)
range across 2 matching MRF lines
$27–$58.80 $45–$98 varies
Cell count csf (89051)
range across 3 matching MRF lines
$198.30–$214.50 $330.50–$357.50 varies
Cell marker study (88182) $467.70 $779.50 8.9×
Ceruloplasmin (82390) $81.30 $135.50 7.6×
Chemiluminescent assay (82397) $45.15 $75.25 3.2×
Chlamydia antibody (86631) $20.40 $34 1.7×
Chlamydia Igm Antibody (86632) $20.40 $34 1.6×
Chloride Serum (82435) $64.95 $108.25 14.1×
Chloride urine (82436)
range across 2 matching MRF lines
$36.75–$63.60 $61.25–$106 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$87.75–$90 $146.25–$150 varies
Chorionic gonadotropin test (84702) $325.95 $543.25 21.7×
Chromium serum (82495) $34.50 $57.50 1.7×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$412.50–$513.30 $687.50–$855.50 varies
Chromosome Analysis 20-25 (88264) $263.25 $438.75 1.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$39.45–$230.40 $65.75–$384 varies
Citric acid urine (82507) $33.21 $55.34 1.2×
Ckmb (82553)
range across 3 matching MRF lines
$30.30–$317.85 $50.50–$529.75 varies
Clostridium Difficile (87324) $347.10 $578.50 29.0×
Clot lysis time, whole blood dilution Facility (85175) $52.50 $87.50 2.6×
Clotting factor xii hageman (85280) $264.15 $440.25 13.7×
Cns DNA amp probe type 12-25 (87483) $1,568.70 $2,614.50 3.8×
Coagulation time activated (85347)
range across 2 matching MRF lines
$49.35–$97.05 $82.25–$161.75 varies
Cold agglutinin screen (86156) $156.90 $261.50 19.4×
Cold agglutinin titer (86157) $88.20 $147 10.9×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$145.95–$156.90 $243.25–$261.50 varies
Complement Antigen Each Component (86160)
range across 5 matching MRF lines
$102.60–$265.50 $171–$442.50 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$102.60–$104.40 $171–$174 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $253.35 $422.25 6.7×
Coombs direct (86880)
range across 3 matching MRF lines
$80.25–$160.35 $133.75–$267.25 varies
Copper urine (82525) $35.85 $59.75 2.9×
Cortisol saliva (82533)
range across 2 matching MRF lines
$161.85–$396 $269.75–$660 varies
Creatine (82540) $213.15 $355.25 45.9×
Creatine kinase total (82550)
range across 2 matching MRF lines
$9.90–$236.40 $16.50–$394 varies
Creatinine blood (82565) $166.20 $277 32.5×
Creatinine clearance (82575) $135.45 $225.75 14.3×
Creatinine Urine (82570) $113.40 $189 21.9×
Crossmatch electronic (86923) $171 $285 1.0×
Crossmatch immediate spin (86920) $177.90 $296.50 1.0×
Crp High Sensitivity (86141) $47.55 $79.25 3.7×
Cryofibrinogen (82585) $55.65 $92.75 3.9×
Cryoglobulin (82595) $120.45 $200.75 18.6×
Cryptococcal Antigen (87327) $87 $145 6.5×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$39.90–$225.45 $66.50–$375.75 varies
Cryptosporidium ag eia (87328) $105 $175 7.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 11 matching MRF lines
$115.05–$145.80 $191.75–$243 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$154.95–$164.55 $258.25–$274.25 varies
Culture aerobic quant other (87071) $206.40 $344 20.9×
Culture afb (87116)
range across 2 matching MRF lines
$176.10–$221.70 $293.50–$369.50 varies
Culture Anaerobic (87075) $273.45 $455.75 28.9×
Culture blood (87040) $239.10 $398.50 23.2×
Culture csf (87070)
range across 10 matching MRF lines
$179.70–$239.10 $299.50–$398.50 varies
Culture fungus (87102) $185.70 $309.50 22.1×
Culture fungus blood (87103) $232.65 $387.75 11.4×
Culture screen only (87081)
range across 6 matching MRF lines
$67.35–$178.50 $112.25–$297.50 varies
Culture stool (87045) $190.95 $318.25 20.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines
$39.90–$153.90 $66.50–$256.50 varies
Culture typing other methods (87158) $154.95 $258.25 20.0×
Culture urine (87086) $210 $350 26.0×
Cyanide (82600) $209.10 $348.50 10.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $87 $145 6.1×
Cyclosporine (80158) $200.40 $334 11.1×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$82.20–$160.50 $137–$267.50 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,440 $2,400 1.2×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$27–$165.15 $45–$275.25 varies
Cytp Concentration Smears & Interpretation (88108) $114.90 $191.50 3.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $322.35 $537.25 6.1×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $632.10 $1,053.50 3.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $148.20 $247 3.9×
Detect Agent Nos Dna Amp (87798)
range across 18 matching MRF lines
$55.80–$796.80 $93–$1,328 varies
Detect Agent Nos Dna Quant (87799)
range across 4 matching MRF lines
$132.30–$277.95 $220.50–$463.25 varies
Detect agnt mult DNA ampli (87801) $262.20 $437 3.7×
Dgp Antibody Each Ig Class (86258)
range across 3 matching MRF lines
$22.20–$46.05 $37–$76.75 varies
Dhea (82626) $143.55 $239.25 5.7×
Dhea-S (82627) $82.95 $138.25 3.7×
Digoxin (80162) $284.70 $474.50 21.4×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$74.25–$164.55 $123.75–$274.25 varies
Dna/Rna Amplified Probe (87150) $163.20 $272 4.7×
DNA/RNA direct probe (87149) $133.35 $222.25 6.7×
Dna/Rna Sequencing (87153)
range across 2 matching MRF lines
$123–$353.10 $205–$588.50 varies
Drug Assay Lacosamide (80235) $219 $365 8.1×
Drug Screen Quant Zonisamide (80203) $132.84 $221.40 10.0×
Drug Screen Quantitative Gabapentin (80171) $45.60 $76 2.1×
Drug Screen Quantitative Lamotrigine (80175) $52.50 $87.50 4.0×
Drug Screen Quantitative Levetiracetam (80177) $132.90 $221.50 10.0×
Drug Screen Quantitative Oxcarbazepine (80183) $49.20 $82 3.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$33.30–$234 $55.50–$390 varies
Egfr Gene Analysis Common Variants (81235) $1,543.20 $2,572 4.8×
Electrolyte panel (80051) $193.35 $322.25 27.6×
Electron Microscopy (88348) $729.15 $1,215.25 0.9×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $84 $140 1.4×
Encephaltis East Eqne Anbdy (86652)
range across 4 matching MRF lines
$63.45–$116.40 $105.75–$194 varies
Encephaltis West Eqne Antbdy (86654)
range across 4 matching MRF lines
$63.45–$116.40 $105.75–$194 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $56.55 $94.25 4.7×
Enterovirus Antibody (86658) $47.55 $79.25 3.6×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$232.50–$246 $387.50–$410 varies
Enzyme cell activity (82657)
range across 2 matching MRF lines
$196.80–$642.75 $328–$1,071.25 varies
Eosinophil Smear (89190) $78.30 $130.50 13.5×
Erythropoietin (82668) $134.10 $223.50 7.1×
Ethylene Glycol (82693) $138 $230 9.3×
Euglobulin lysis (85360) $93.15 $155.25 11.1×
Exam Synovial Fluid Crystals (89060) $84 $140 11.5×
Factor ii activity (85210) $253.20 $422 19.5×
Factor ix activity (85250) $91.95 $153.25 4.8×
Factor v activity (85220) $59.10 $98.50 3.3×
Factor v leiden mutation (81241) $288 $480 3.9×
Factor vii assay (85230) $175.05 $291.75 9.8×
Factor viii assay (85240) $47.97 $79.95 2.7×
Factor X (85260) $70.20 $117 3.9×
Factor xi activity (85270) $121.80 $203 6.8×
Factor xiii screen (85291) $82.35 $137.25 9.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $156.15 $260.25 9.1×
Ferritin (82728) $76.65 $127.75 5.6×
Fetal Aneuploidy Trisom Risk (81507) $1,077 $1,795 1.4×
Fetal Congenital Abnor Assay Four Anal (81511) $107.55 $179.25 0.7×
Fetal Fibronectin (82731) $547.65 $912.75 8.5×
Fetal hemoglobin assay qual (83033) $38.70 $64.50 4.8×
Fibrin degradation products (85362) $279.90 $466.50 40.6×
Fibrin Degradation Quant (85379) $407.55 $679.25 40.0×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$129.45–$246 $215.75–$410 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $59.10 $98.50 3.8×
Flow cytometry first marker (88184) $75.15 $125.25 0.2×
Fluorescent antibody screen (86255)
range across 7 matching MRF lines
$101.10–$810 $168.50–$1,350 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$76.20–$513.45 $127–$855.75 varies
Folic acid rbc (82747) $39.60 $66 2.2×
Folic Acid Serum (82746) $128.10 $213.50 8.7×
Follicle Stimulating Hormone (83001) $160.05 $266.75 8.6×
Francisella tularensis (86668) $138 $230 9.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $102.90 $171.50 0.6×
Frozen Section (88331) $832.50 $1,387.50 4.9×
Fungi Identification Mold (87107) $129.30 $215.50 12.5×
Fungi Identification Yeast (87106) $138 $230 13.4×
Gammaglobulin ige (82785) $79.05 $131.75 4.8×
Gases Blood O2 Saturation Only Direct Meas (82810) $86.55 $144.25 8.9×
Gases blood ph only (82800)
range across 3 matching MRF lines
$69.60–$75.90 $116–$126.50 varies
Gastrin (82941) $118.50 $197.50 6.7×
Gentamicin (80170) $302.10 $503.50 18.4×
Ggt (82977)
range across 2 matching MRF lines
$58.80–$161.85 $98–$269.75 varies
Giardia antigen (87329) $97.05 $161.75 8.1×
Glucose 2 hr pp (82950) $205.20 $342 43.2×
Glucose Blood Test (82962) $28.35 $47.25 8.6×
Glucose body fluid (82945)
range across 2 matching MRF lines
$77.55–$80.70 $129.25–$134.50 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$28.35–$80.70 $47.25–$134.50 varies
Gonadotropin Chorionic Qualitative (84703) $187.20 $312 24.9×
Haptoglobin (83010) $231.30 $385.50 18.4×
Hdl Cholesterol (83718) $221.10 $368.50 27.0×
Hematocrit (85014) $63.15 $105.25 26.6×
Hemoglobin (85018) $63.15 $105.25 26.6×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$113.55–$133.20 $189.25–$222 varies
Hemoglobin Chromotography (83021) $139.65 $232.75 7.7×
Hemosiderin urine (83070) $22.50 $37.50 4.7×
Hep a ab igm (86709) $235.65 $392.75 20.9×
Heparin assay (85520) $232.50 $387.50 17.8×
Hepatitis a antibody total (86708) $13.53 $22.55 1.1×
Hepatitis b core ab igm (86705) $201.15 $335.25 17.1×
Hepatitis b core ab total (86704) $157.95 $263.25 13.1×
Hepatitis B Surface Antibody (86706) $192.45 $320.75 17.9×
Hepatitis B Surface Antigen (87340) $169.50 $282.50 16.4×
Hepatitis Be Antibody (86707) $87 $145 7.5×
Hepatitis Be Antigen (87350) $87 $145 7.5×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$87–$192.45 $145–$320.75 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$196.80–$334.20 $328–$557 varies
Hepatitis Delta Agent Antibody (86692) $157.80 $263 9.2×
Heterophile Antibody Screen (86308) $134.70 $224.50 26.0×
Histamine urine (83088) $44.40 $74 1.5×
Histoplasma antibody (86698) $31.50 $52.50 2.3×
Hiv Genotype (87901) $552 $920 2.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $174.90 $291.50 7.3×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$99.60–$167.40 $166–$279 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 3 matching MRF lines
$199.20–$307.95 $332–$513.25 varies
Hla I Typing 1 Allele Hr (81381) $282.90 $471.50 1.7×
Hla-b27 (86812) $181.50 $302.50 7.0×
Homocysteine (83090) $69.90 $116.50 3.9×
Homogenization Tissue (87176) $23.85 $39.75 4.1×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$124.05–$405.90 $206.75–$676.50 varies
Hydroxyprogesterone 17-d (83498) $143.70 $239.50 5.3×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $95.90 $159.83 2.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines
$87–$192.45 $145–$320.75 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $193.05 $321.75 13.9×
Iaad Ia Streptococcus Group A (87430) $141 $235 8.4×
Iaadi respiratory synctial virus (87280) $59.70 $99.50 4.4×
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines
$319.80–$602.40 $533–$1,004 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $236.25 $393.75 6.7×
Iadna Candida Species Amplified Probe Tq (87481) $676.50 $1,127.50 19.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $243.90 $406.50 7.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$210–$226.05 $350–$376.75 varies
Iadna Cytomegalovirus Quantification (87497) $289.05 $481.75 6.7×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$196.80–$278.70 $328–$464.50 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$246–$329.70 $410–$549.50 varies
Iadna Mycobacteria Species Amplified Probe Tq (87551) $159 $265 3.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $243.90 $406.50 7.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$82.95–$183.30 $138.25–$305.50 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $209.10 $348.50 4.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 2 matching MRF lines
$285.75–$336.15 $476.25–$560.25 varies
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$57–$61.05 $95–$101.75 varies
Igh gene rearrange amp meth (81261) $876 $1,460 4.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $226.95 $378.25 0.6×
Immune Complex Assay (86332) $363.15 $605.25 14.9×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$44.40–$383.10 $74–$638.50 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$88.65–$474.75 $147.75–$791.25 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 8 matching MRF lines
$17.85–$492.60 $29.75–$821 varies
Immunoassay nonantibody (83516)
range across 11 matching MRF lines
$37.05–$363.30 $61.75–$605.50 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$127.05–$245.70 $211.75–$409.50 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines
$142.80–$477.90 $238–$796.50 varies
In situ hybridization 1st probe stain (88365) $353.40 $589 2.1×
Influenza a/b ag eia (87400) $192.45 $320.75 13.6×
Inhibin b (83520)
range across 2 matching MRF lines
$73.80–$97.35 $123–$162.25 varies
Insitu hybridization manual (88368) $318 $530 0.9×
Insulin antibodies (86337) $141.30 $235.50 6.6×
Insulin total (83525) $22.14 $36.90 1.9×
Intrinsic factor antibody (86340) $157.80 $263 10.5×
Iron (83540)
range across 2 matching MRF lines
$19.95–$217.80 $33.25–$363 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$7.50–$255.15 $12.50–$425.25 varies
Irradiation Blood Product Each Unit (86945) $223.50 $372.50 5.9×
Koh Prep (87220) $51.30 $85.50 12.0×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$17.25–$201 $28.75–$335 varies
Lead (83655) $17.40 $29 1.4×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$120.15–$229.05 $200.25–$381.75 varies
Leptospira antibody (86720) $96.45 $160.75 6.0×
Leukocyte Assessment Fecal (89055) $91.35 $152.25 21.4×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$63.15–$207.45 $105.25–$345.75 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$107.85–$226.65 $179.75–$377.75 varies
Level V Surg Pathology Gross&Microscopic Exam (88307) $330.45 $550.75 0.9×
Lidocaine (80176) $172.20 $287 11.7×
Lipase (83690)
range across 3 matching MRF lines
$64.20–$160.50 $107–$267.50 varies
Lithium (80178) $147.30 $245.50 22.3×
Luteinizing Hormone (Lh) (83002) $151.20 $252 8.2×
Lyme disease antibody (86618)
range across 5 matching MRF lines
$57–$135.60 $95–$226 varies
Lysozyme serum (85549) $36.90 $61.50 2.0×
M. Genitalium Amp Probe (87563) $48.75 $81.25 1.4×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $381.30 $635.50 2.2×
Magnesium Urine (83735)
range across 3 matching MRF lines
$22.05–$160.50 $36.75–$267.50 varies
Mercury urine (83825) $26.40 $44 1.6×
Metabolic panel ionized ca (80047) $255.15 $425.25 18.6×
Methylmalonic acid serum (83921) $150 $250 7.1×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$51–$159.75 $85–$266.25 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$82.20–$715.20 $137–$1,192 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $315.90 $526.50 7.5×
Mopath procedure level 2 (81401) $900 $1,500 6.6×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$232.50–$344.55 $387.50–$574.25 varies
Mumps antibody (86735)
range across 3 matching MRF lines
$22.14–$498.60 $36.90–$831 varies
Mycobacteric Identification (87118) $311.40 $519 21.3×
Myelin basic protein csf (83873) $71.85 $119.75 4.2×
Myoglobin urine (83874)
range across 3 matching MRF lines
$98.70–$183 $164.50–$305 varies
Natriuretic peptide (83880)
range across 4 matching MRF lines
$147.60–$331.80 $246–$553 varies
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $86.55 $144.25 3.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $552 $920 4.3×
Ntrk translocation analysis (81194) $1,171.20 $1,952 2.3×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$79.95–$169.65 $133.25–$282.75 varies
Occult blood feces (82272) $103.50 $172.50 24.5×
Oligoclonal bands (83916)
range across 3 matching MRF lines
$130.35–$316.95 $217.25–$528.25 varies
Organic acids urine (83918) $135.60 $226 5.7×
Osmolality serum (83930) $188.70 $314.50 28.5×
Osmolality Urine (83935) $188.70 $314.50 27.7×
Osmotic Fragility RBC Unincubated (85555) $234 $390 31.3×
Ova and parasites smears (87177) $64.80 $108 7.3×
Path Consltj Surg Cytologic Exam Initial Site (88333) $490.20 $817 0.6×
Pathology Consultation During Surgery (88329) $74.70 $124.50 1.3×
Ph urine (81003)
range across 6 matching MRF lines
$28.80–$107.85 $48–$179.75 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$29.52–$350.85 $49.20–$584.75 varies
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$118.50–$294.90 $197.50–$491.50 varies
Phenytoin free (80186) $16.20 $27 1.2×
Phosphatase acid prostatic (84066) $87 $145 9.0×
Phosphatase alkaline (84075) $189.60 $316 36.6×
Phospholipid Neutralization Hexagonal (85598) $184.50 $307.50 10.3×
Phosphorus Serum (84100) $160.50 $267.50 33.9×
Platelet Aggregation (85576)
range across 5 matching MRF lines
$240–$618.45 $400–$1,030.75 varies
Platelet Antibodies (86022) $309.90 $516.50 16.9×
Platelet count automated (85049) $81.45 $135.75 18.2×
Potassium Urine (84133) $121.65 $202.75 25.7×
Prealbumin (84134) $193.35 $322.25 13.3×
Primidone (80188) $92.85 $154.75 5.6×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$137.55–$488.27 $229.25–$813.77 varies
Progesterone (84144) $30.75 $51.25 1.5×
Prolactin (84146) $25.95 $43.25 1.3×
Protein body fluid (84157)
range across 2 matching MRF lines
$119.10–$147.60 $198.50–$246 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$175.05–$421.65 $291.75–$702.75 varies
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$136.65–$379.95 $227.75–$633.25 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$24.60–$262.80 $41–$438 varies
Protein S Free (85306)
range across 3 matching MRF lines
$161.85–$180.30 $269.75–$300.50 varies
Protein Total Refractometry Any Src (84160) $25.65 $42.75 4.6×
Protein total serum (84155) $121.50 $202.50 33.1×
Protein Total Urine (84156) $94.50 $157.50 25.7×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$87.30–$326.40 $145.50–$544 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $135.60 $226 34.4×
Pth Intact (83970)
range across 3 matching MRF lines
$46.20–$273.30 $77–$455.50 varies
Q Fever Antibody (86638)
range across 2 matching MRF lines
$108.45–$116.10 $180.75–$193.50 varies
Quantiferon tb gold plus (86480) $115.50 $192.50 1.9×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$75.60–$171 $126–$285 varies
Quantitative Screen Metals (83018) $51.75 $86.25 2.4×
Rbc antibody elution (86860) $369 $615 2.2×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$225.30–$256.50 $375.50–$427.50 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$150.75–$165.30 $251.25–$275.50 varies
Rbc pretreatment serum (86978) $256.50 $427.50 4.3×
Rbc pretx incubatj w/enzymes (86971) $159.75 $266.25 0.9×
Renin activity plasma (84244) $102.60 $171 4.7×
Resp Virus 6-11 Targets (87632)
range across 2 matching MRF lines
$836.40–$910.80 $1,394–$1,518 varies
Reticulocyte Count (85046) $120.30 $200.50 21.6×
Rh (86901)
range across 2 matching MRF lines
$66–$84.90 $110–$141.50 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$21.60–$180.45 $36–$300.75 varies
Rickettsia antibody (86757) $37.80 $63 2.0×
Ristocetin cofactor (85245) $81.18 $135.30 3.5×
Rotavirus ag eia (87425) $199.20 $332 16.6×
Rpr qualitative (86592)
range across 3 matching MRF lines
$13.80–$127.05 $23–$211.75 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$22.20–$123.30 $37–$205.50 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$25.10–$210 $41.82–$350 varies
Russell Viper Venom Time Diluted (85613) $372.30 $620.50 38.9×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$129.90–$140 $216.50–$233.33 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$67.65–$103.43 $112.75–$172.38 varies
Sarscov2&inf a&b&rsv amp prb (87637) $285 $475 2.0×
Sedimentation rate (85651) $84 $140 19.7×
Sedimentation Rate, Automated (85652) $84 $140 31.1×
Sensitivity mic (87186)
range across 15 matching MRF lines
$131.70–$258.30 $219.50–$430.50 varies
Sex Hormone Binding Globulin (84270) $23.10 $38.50 1.1×
Sickling of rbc reduction (85660) $84.75 $141.25 15.4×
Skin Test Candida (86485) $63.90 $106.50 2.2×
Skin test tuberculosis intradermal (86580) $20.81 $34.67 0.7×
Smear acid fast (87206)
range across 3 matching MRF lines
$133.35–$150.15 $222.25–$250.25 varies
Smear complex stain (87209) $39 $65 2.2×
Smear gram stain (87205) $91.35 $152.25 21.4×
Smear Special Stain (87207) $206.70 $344.50 34.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $132.15 $220.25 22.7×
Sodium Serum (84295)
range across 2 matching MRF lines
$80.70–$135.45 $134.50–$225.75 varies
Sodium Urine (84300) $127.05 $211.75 25.1×
Somatomedin (84305) $24.60 $41 1.2×
Special Stains Group 1 (88312) $466.35 $777.25 8.9×
Special Stains Group 2 (88313) $243 $405 1.8×
Specific gravity body fluid (84315) $19.50 $32.50 5.9×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$24.45–$133.35 $40.75–$222.25 varies
Spectrophotometry (84311)
range across 6 matching MRF lines
$27–$842.40 $45–$1,404 varies
Stool cultr aerobic bact ea (87046) $24.45 $40.75 2.6×
Sugars Single Qual (84376) $19.65 $32.75 3.6×
Surg path level iii (88304)
range across 2 matching MRF lines
$97.05–$288.45 $161.75–$480.75 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$308.40–$361.05 $514–$601.75 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$490.20–$757.35 $817–$1,262.25 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$172.35–$177.75 $287.25–$296.25 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 4 matching MRF lines
$59.25–$97.65 $98.75–$162.75 varies
Syphilis Test Non-Trep Quant (86593) $136.35 $227.25 31.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $246 $410 5.2×
T3 Free (84481)
range across 2 matching MRF lines
$139.50–$324 $232.50–$540 varies
T3 reverse (84482) $53.25 $88.75 3.4×
T3 Total (84480)
range across 2 matching MRF lines
$94.95–$188.70 $158.25–$314.50 varies
T3 Uptake (84479) $15.30 $25.50 2.4×
T4 Free (84439)
range across 2 matching MRF lines
$284.70–$296.10 $474.50–$493.50 varies
T4 total (84436) $110.40 $184 16.1×
Tb ag response t-cell susp (86481) $184.80 $308 1.8×
Test for acetone/ketones (82009) $31.80 $53 7.0×
Testosterone total (84403) $31.05 $51.75 1.2×
Testosterone, Free (84402) $110.55 $184.25 4.3×
Theophylline (80198) $276.75 $461.25 19.6×
Thrombin Time (85670)
range across 2 matching MRF lines
$55.95–$115.95 $93.25–$193.25 varies
Thyroglobulin (84432) $52.20 $87 3.3×
Thyroglobulin Antibody (86800) $12.30 $20.50 0.8×
Thyroid Stimulating Immunoglobulin (84445) $176.70 $294.50 3.5×
Tiss cul neo disorders solid tumor (88239) $660.30 $1,100.50 4.5×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 4 matching MRF lines
$29.55–$36.90 $49.25–$61.50 varies
Tissue Culture (88233) $377.40 $629 2.7×
Tissue Culture Lymphocyte (88230) $412.50 $687.50 3.5×
Topiramate (80201) $104.10 $173.50 8.7×
Touch prep (88161) $193.05 $321.75 6.6×
Toxin/Antitoxin Assay Tissue Culture (87230) $75.90 $126.50 3.8×
Toxoplasma ab igm (86778) $23.85 $39.75 1.7×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$58.80–$158.10 $98–$263.50 varies
Transferrin (84466)
range across 2 matching MRF lines
$119.85–$243 $199.75–$405 varies
Trg gene rearrangement anal (81342) $265.20 $442 1.3×
Trichomonas Vaginalis Amplif (87661) $87.45 $145.75 2.5×
Triglycerides (84478)
range across 2 matching MRF lines
$127.20–$265.20 $212–$442 varies
Troponin Quant (84484)
range across 4 matching MRF lines
$88.50–$353.40 $147.50–$589 varies
Tumor Immunohistochem/Manual (88360) $477.90 $796.50 2.8×
Unlisted Transfusion Medicine Procedure (86999) $204.60 $341 7.0×
Urea nitrogen urine (84540) $111.45 $185.75 20.0×
Uric acid other source (84560)
range across 3 matching MRF lines
$18.15–$130.65 $30.25–$217.75 varies
Urinalysis Microscopic Only (81015) $43.50 $72.50 14.3×
Urinalysis Volume Measure (81050) $24.45 $40.75 6.7×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$21.15–$187.20 $35.25–$312 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $107.85 $179.75 34.0×
Valproic acid (80164) $226.50 $377.50 16.7×
Vancomycin (80202) $362.70 $604.50 26.8×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$25.83–$140.40 $43.05–$234 varies
Viral Culture (87252) $104.10 $173.50 4.0×
Virus antibody nos (86790)
range across 2 matching MRF lines
$29.55–$207.30 $49.25–$345.50 varies
Virus inoculation, shell via (87254) $160.95 $268.25 8.2×
Viscosity serum (85810) $47.55 $79.25 4.1×
Vitamin A (84590) $24.60 $41 2.1×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$90.75–$177.60 $151.25–$296 varies
Vitamin B6 (84207) $111.45 $185.75 4.0×
Vitamin c (82180) $82.35 $137.25 8.3×
Vitamin D 25-Hydroxy (82306) $267.15 $445.25 9.0×
Vitamin E (84446) $24.60 $41 1.7×
Volatiles (84600) $57.75 $96.25 3.4×
Von willebrand factor ag (85246) $62.85 $104.75 2.7×
Wbc Alkaline Phosphatase Count (85540) $147.60 $246 17.2×
West nile virus ab igm (86788)
range across 4 matching MRF lines
$40.59–$189.75 $67.65–$316.25 varies
West Nile Virus Antibody (86789)
range across 4 matching MRF lines
$40.59–$155.70 $67.65–$259.50 varies
Zinc (84630) $79.05 $131.75 6.9×

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.