Lab & pathology prices at The University of Vermont Health Network - Alice Hyde Medical Center

Malone, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $175 $175 7.7×
Acetylcholine receptor binding antibody (86041)
range across 3 matching MRF lines
$81–$171 $81–$171 varies
Acth (82024) $90 $90 2.3×
Acth Stimulation Panel Adrenal Insufficiency (80400) $37 $37 1.1×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$42–$53 $42–$53 varies
Acute hepatitis panel (80074) $118 $118 2.5×
Acylcarnitines Quant (82017) $109 $109 6.5×
Albumin Fluid (82042)
range across 3 matching MRF lines
$59–$115 $59–$115 varies
Albumin serum (82040)
range across 3 matching MRF lines
$36–$115 $36–$115 varies
Aldolase (82085) $82 $82 8.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$90–$159 $90–$159 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$59–$108 $59–$108 varies
Allergen specific ige (86003)
range across 14 matching MRF lines
$32–$86 $32–$86 varies
Allg Spec Ige Recomb Ea (86008)
range across 4 matching MRF lines
$32–$45 $32–$45 varies
Alpha-1-antitrypsin phenotype (82104) $56 $56 3.9×
Alpha-1-antitrypsin total (82103)
range across 4 matching MRF lines
$34–$87 $34–$87 varies
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$89–$109 $89–$109 varies
Alt (sgpt) (84460) $126 $126 23.8×
Aluminum (82108) $108 $108 4.2×
Amikacin trough (80150) $111 $111 7.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$218–$359 $218–$359 varies
Ammonia (82140)
range across 2 matching MRF lines
$46–$181 $46–$181 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $304 $304 3.1×
Amylase urine (82150) $109 $109 16.8×
Ana Titer (86039) $65 $65 5.8×
Anca screen each antibody (86036) $52 $52 4.3×
Anca Titer Each Antibody (86037) $34 $34 2.8×
Androstenedione (82157) $123 $123 4.2×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$87–$173 $87–$173 varies
Antibody aspergillus (86606) $88 $88 5.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$59–$88 $59–$88 varies
Antibody Cytomegalovirus Cmv Igm (86645) $87 $87 5.2×
Antibody Encephalitis California La Crosse (86651) $90 $90 6.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $38 $38 2.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$43–$64 $43–$64 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$30–$109 $30–$109 varies
Antibody HIV-1&HIV-2 single result (86703) $261 $261 19.0×
Antibody HIV-2 (86702) $83 $83 6.1×
Antibody htlv/HIV antibody confirmatory test (86689) $220 $220 11.4×
Antibody Titer (86886) $183 $183 35.3×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$50–$91 $50–$91 varies
Antibody; encephalitis, st. louis (86653) $90 $90 6.8×
Antigen typing (86905) $74 $74 19.3×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$36–$94 $36–$94 varies
Antistreptolysin o titer (86060) $85 $85 11.6×
Antithrombin iii activity (85300) $65 $65 5.5×
Apolipoprotein a1 (82172) $95 $95 4.5×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $599 $599 15.9×
Arsenic (82175)
range across 3 matching MRF lines
$44–$60 $44–$60 varies
Aspergillus ag eia (87305) $120 $120 10.0×
Assay activated protein c (85307) $147 $147 9.6×
Assay Blood Carbon Dioxide (82374) $64 $64 13.1×
Assay Dir Meas Fr Estradiol (82681) $8 $8 0.3×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$95–$120 $95–$120 varies
Assay of 5-hiaa (83497) $90 $90 7.0×
Assay of anti-mullerian hormone (82166) $177 $177 4.6×
Assay of blood/uric acid (84550) $147 $147 32.5×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$32–$101 $32–$101 varies
Assay of estrone (82679) $83 $83 3.3×
Assay of g6pd enzyme (82955) $91 $91 9.4×
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines
$23–$100 $23–$100 varies
Assay of lactic acid (83605) $131 $131 11.3×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$68–$85 $68–$85 varies
Assay of proinsulin (84206) $157 $157 5.9×
Assay of pyruvate (84210) $91 $91 6.3×
Assay of serotonin (84260) $126 $126 4.1×
Assay of serum potassium (84132) $86 $86 18.1×
Assay of sweat sodium (84302) $57 $57 11.7×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$53–$95 $53–$95 varies
Assay of urine vma (84585) $101 $101 6.5×
Assay of vasoactive intestinal peptide (84586) $114 $114 3.2×
Assay of vitamin b-1 (84425) $109 $109 5.1×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$15–$64 $15–$64 varies
Assay spec xcp ur&breath ia (82077) $298 $298 17.3×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,439 $1,439 1.7×
Automated Leukocyte Count (85048) $91 $91 35.8×
B cells total count (86355) $45 $45 1.2×
Babesia microti amp prb (87469) $51 $51 1.5×
Bartonella antibody (86611) $39 $39 3.8×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$363–$668 $363–$668 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$320–$668 $320–$668 varies
Bcr/Abl1 Gene Other Bp (81208) $356 $356 1.7×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$67–$142 $67–$142 varies
Beta hydroxybutyrate (82010) $85 $85 10.4×
Beta Lactamase (87185) $53 $53 11.2×
Beta-2 Microglobulin (82232) $95 $95 5.9×
Bile acids total (82239) $103 $103 6.0×
Bilirubin direct (82248) $96 $96 19.1×
Bilirubin total (82247) $125 $125 24.9×
Bilirubin total transcutaneous (88720) $40 $40 8.0×
Blood count reticulocyte automated (85045) $126 $126 31.6×
Blood gas (82803) $241 $241 9.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $137 $137 8.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $172 $172 27.1×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$64–$91 $64–$91 varies
Body fluid cell count (89050) $86 $86 18.2×
C diff amplified probe (87493) $73 $73 2.0×
C-Peptide (84681) $89 $89 4.3×
C-reactive protein (86140) $264 $264 51.0×
Ca 19-9 (86301) $95 $95 4.6×
Cadmium (82300)
range across 2 matching MRF lines
$37–$38 $37–$38 varies
Calcitonin (82308) $120 $120 4.5×
Calcium ionized (82330)
range across 2 matching MRF lines
$46–$105 $46–$105 varies
Calcium total (82310)
range across 2 matching MRF lines
$86–$109 $86–$109 varies
Calculus Spectroscopy (82365) $90 $90 7.0×
Calprotectin Fecal (83993) $424 $424 21.6×
Calr gene com variants (81219) $1,097 $1,097 9.0×
Cancer Antigen 125 (86304) $90 $90 4.3×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$96–$102 $96–$102 varies
Carbamazepine free (80157) $44 $44 3.3×
Carbamazepine total (80156)
range across 2 matching MRF lines
$50–$101 $50–$101 varies
Carbohydrate Deficient Transferrin (82373) $106 $106 5.9×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$171–$173 $171–$173 varies
Carcinoembryonic antigen (82378) $90 $90 4.7×
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$42–$66 $42–$66 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$59–$82 $59–$82 varies
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$120–$137 $120–$137 varies
Ccp antibody (86200)
range across 3 matching MRF lines
$39–$95 $39–$95 varies
Cell count csf (89051) $96 $96 17.1×
Ceruloplasmin (82390) $86 $86 8.0×
Cftr gene com variants (81220) $255 $255 0.5×
Cftr gene dup/delet variants (81222) $201 $201 0.5×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$78–$330 $78–$330 varies
Chloride other source (82438) $60 $60 12.0×
Chloride Serum (82435) $102 $102 22.2×
Chloride urine (82436)
range across 2 matching MRF lines
$19–$102 $19–$102 varies
Chlorinated Hydrocarbons Screen (82441) $314 $314 52.2×
Cholesterol total (82465) $133 $133 30.6×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$90–$311 $90–$311 varies
Chromium serum (82495) $76 $76 3.7×
Chromogenic Substrate Assay (85130) $302 $302 25.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$65–$88 $65–$88 varies
Chromosome Analysis 15-20 (88262) $368 $368 2.9×
Chromosome Analysis 20-25 (88264) $204 $204 1.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$69–$95 $69–$95 varies
Citric acid urine (82507) $90 $90 3.2×
Clot Factor VIII Multimetric (85247) $76 $76 3.3×
Clot factor xiii fibrin stab (85290) $300 $300 18.4×
Clotting factor xii hageman (85280) $113 $113 5.8×
Clotting Funct Activity (85397) $152 $152 4.9×
Cns DNA amp probe type 12-25 (87483) $742 $742 1.8×
Coagulation time activated (85347) $45 $45 10.5×
Cold agglutinin titer (86157) $101 $101 12.5×
Collagen crosslinks (82523) $92 $92 4.9×
Column Chromotography Quant (82542)
range across 5 matching MRF lines
$60–$533 $60–$533 varies
Compatibility Each Unit Incubation (86921) $115 $115 0.5×
Compatibility test antiglob (86922) $115 $115 0.5×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$85–$89 $85–$89 varies
Complement Total (Ch50) (86162) $87 $87 4.3×
Complement/Function Activity (86161) $78 $78 6.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $53 $53 0.8×
Coombs direct (86880)
range across 4 matching MRF lines
$44–$58 $44–$58 varies
Copper urine (82525)
range across 3 matching MRF lines
$92–$120 $92–$120 varies
Cortisol free (82530) $95 $95 5.7×
Cortisol saliva (82533)
range across 5 matching MRF lines
$40–$112 $40–$112 varies
Creatine kinase total (82550) $137 $137 21.0×
Creatinine blood (82565) $68 $68 13.3×
Creatinine clearance (82575) $222 $222 23.5×
Creatinine Urine (82570)
range across 3 matching MRF lines
$23–$82 $23–$82 varies
Crossmatch electronic (86923) $115 $115 0.5×
Crossmatch immediate spin (86920) $221 $221 1.0×
Crp High Sensitivity (86141) $87 $87 6.7×
Cryofibrinogen (82585) $43 $43 3.0×
Cryoglobulin (82595)
range across 2 matching MRF lines
$35–$85 $35–$85 varies
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$45–$126 $45–$126 varies
Cryptosporidium (87272) $29 $29 2.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 4 matching MRF lines
$126–$234 $126–$234 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$126–$272 $126–$272 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $96 $96 12.5×
Culture afb (87116)
range across 2 matching MRF lines
$87–$174 $87–$174 varies
Culture Anaerobic (87075) $154 $154 16.3×
Culture blood (87040) $332 $332 32.2×
Culture csf (87070)
range across 2 matching MRF lines
$171–$178 $171–$178 varies
Culture fungus (87102) $36 $36 4.3×
Culture screen only (87081)
range across 2 matching MRF lines
$125–$171 $125–$171 varies
Culture stool (87045) $134 $134 14.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$39–$65 $39–$65 varies
Culture urine (87086) $134 $134 16.6×
Cyclosporine (80158) $115 $115 6.4×
Cystatin C (82610) $73 $73 3.9×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$61–$224 $61–$224 varies
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$46–$65 $46–$65 varies
Cytopath Cell Enhance Tech (88112) $227 $227 3.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $61 $61 2.3×
Cytp Concentration Smears & Interpretation (88108) $75 $75 1.6×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $166 $166 2.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $304 $304 1.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $53 $53 1.5×
Deoxyribonuclease antibody (86215) $113 $113 8.5×
Detect Agent Nos Dna Amp (87798)
range across 13 matching MRF lines
$92–$483 $92–$483 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$156–$266 $156–$266 varies
Detect agnt mult DNA ampli (87801) $299 $299 4.3×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$30–$51 $30–$51 varies
Dhea (82626) $101 $101 4.0×
Dhea-S (82627) $101 $101 4.5×
Digoxin (80162) $167 $167 12.6×
Dihydrotestosterone (82642) $74 $74 2.5×
Dipropylacetic Acid Free (80165) $57 $57 4.2×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$53–$89 $53–$89 varies
Dna/Rna Amplified Probe (87150) $39 $39 1.1×
DNA/RNA direct probe (87149)
range across 6 matching MRF lines
$32–$346 $32–$346 varies
Drug assay acetaminophen (80143) $290 $290 15.6×
Drug assay adalimumab (80145) $479 $479 12.4×
Drug Assay Everolimus (80169) $96 $96 7.0×
Drug assay felbamate (80167) $192 $192 10.3×
Drug Assay Infliximab (80230) $334 $334 8.7×
Drug Assay Itraconazole (80189) $85 $85 3.1×
Drug Assay Lacosamide (80235) $222 $222 8.2×
Drug Assay Leflunomide (80193) $192 $192 5.0×
Drug Assay Posaconazole (80187) $228 $228 8.4×
Drug assay voriconazole (80285) $125 $125 4.6×
Drug Screen Quant Clozapine (80159) $87 $87 4.3×
Drug Screen Quant Zonisamide (80203) $109 $109 8.2×
Drug Screen Quantitative Gabapentin (80171) $112 $112 5.2×
Drug Screen Quantitative Lamotrigine (80175) $112 $112 8.5×
Drug Screen Quantitative Levetiracetam (80177) $90 $90 6.8×
Drug Screen Quantitative Oxcarbazepine (80183) $66 $66 5.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 9 matching MRF lines
$89–$433 $89–$433 varies
Drug Test Prsmv Instrmnt (80306) $142 $142 8.3×
El-1 Fecal Quantitative (82653) $146 $146 6.4×
Electrolyte panel (80051) $168 $168 24.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $266 $266 4.3×
Encephaltis East Eqne Anbdy (86652) $90 $90 6.8×
Encephaltis West Eqne Antbdy (86654) $90 $90 6.8×
Endomysial Antibody Each Immunoglobulin Class (86231) $79 $79 6.5×
Enterovirus PCR (87498) $134 $134 3.8×
Enzyme cell activity (82657) $189 $189 8.5×
Eosinophil Smear (89190) $37 $37 6.4×
Erythropoietin (82668) $89 $89 4.7×
Estradiol serum (82670)
range across 3 matching MRF lines
$56–$266 $56–$266 varies
Estriol (82677) $111 $111 4.6×
Estrogens fractionated (82671) $113 $113 3.5×
Ethylene Glycol (82693) $63.60 $63.60 4.3×
Exam Synovial Fluid Crystals (89060) $125 $125 17.1×
F2 Gene (81240) $277 $277 4.2×
Factor ii activity (85210) $115 $115 8.9×
Factor Inhibitor Test (85335) $325 $325 25.3×
Factor ix activity (85250) $55 $55 2.9×
Factor v activity (85220) $133 $133 7.5×
Factor v leiden mutation (81241) $429 $429 5.8×
Factor vii assay (85230) $115 $115 6.4×
Factor viii assay (85240)
range across 2 matching MRF lines
$76–$88 $76–$88 varies
Factor X (85260)
range across 2 matching MRF lines
$63–$427 $63–$427 varies
Factor xi activity (85270) $113 $113 6.3×
Fat/Lipids Feces Quantitative (82710) $91 $91 5.4×
Fatty acids free (82725) $261 $261 13.9×
Ferritin (82728) $85 $85 6.2×
Fetal Congenital Abnor Assay Four Anal (81511) $328 $328 2.1×
Fetal Fibronectin (82731) $1,270 $1,270 19.7×
Fetal screen rosette (85461) $86 $86 9.2×
Fibrin Degradation Quant (85379) $264 $264 25.9×
Fibrinogen activity (85384) $218 $218 22.4×
Flecainide level (80181) $96 $96 5.2×
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$16–$59 $16–$59 varies
Fluorescent antibody screen (86255)
range across 10 matching MRF lines
$63–$1,583 $63–$1,583 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $124 $124 10.3×
Fmr1 Gene Charac Alleles (81244) $411 $411 9.2×
Fmr1 gene detection (81243) $491 $491 8.6×
Folic Acid Serum (82746) $271 $271 18.4×
Follicle Stimulating Hormone (83001) $89 $89 4.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $150 $150 0.7×
Frozen Section (88331) $266 $266 1.3×
Fungi Identification Mold (87107) $62 $62 6.0×
Fungi Identification Yeast (87106) $63 $63 6.1×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$48–$89 $48–$89 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $241 $241 24.7×
Gases blood ph only (82800) $84 $84 7.6×
Gastrin (82941) $95 $95 5.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $456 $456 1.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,277 $3,277 4.3×
Gentamicin (80170) $221 $221 13.5×
Ggt (82977) $173 $173 24.0×
Glucagon (82943) $76 $76 5.3×
Glucose 2 hr pp (82950) $109 $109 22.9×
Glucose Blood Test (82962) $42 $42 12.8×
Glucose body fluid (82945)
range across 2 matching MRF lines
$82–$96 $82–$96 varies
Glucose Serum (82947) $101 $101 25.7×
Glucose tolerance test (gtt) (82951) $257 $257 20.0×
Glycated Protein (82985) $86 $86 5.1×
Growth hormone (83003) $91 $91 5.5×
Gtt-added samples (82952) $90 $90 23.0×
H Pylori (C-13) Breath (83013) $154 $154 2.3×
Haptoglobin (83010) $52 $52 4.1×
Hdl Cholesterol (83718) $95 $95 11.6×
Helicobacter Pylori Stool (87338) $103 $103 7.2×
Helminth Antibody (86682)
range across 2 matching MRF lines
$129–$146 $129–$146 varies
Hematocrit (85014) $43 $43 18.1×
Hemoglobin (85018)
range across 2 matching MRF lines
$43–$241 $43–$241 varies
Hemoglobin a1c (83036) $168 $168 17.3×
Hemoglobin Chromotography (83021) $68 $68 3.8×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$43–$85 $43–$85 varies
Hemoglobin Methemoglobin Quantitative (83050) $48 $48 5.9×
Hep a ab igm (86709) $62 $62 5.5×
Heparin assay (85520) $200 $200 15.3×
Heparin Neutralization (85525) $35 $35 3.0×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$35–$86 $35–$86 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$72–$86 $72–$86 varies
Hepatitis b core ab total (86704) $52 $52 4.3×
Hepatitis B Surface Antibody (86706) $52 $52 4.8×
Hepatitis B Surface Antigen (87340) $56 $56 5.4×
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines
$45–$89 $45–$89 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$44–$87 $44–$87 varies
Hepatitis C Antibody (86803) $87 $87 6.1×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$187–$579 $187–$579 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$175–$224 $175–$224 varies
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$40–$119 $40–$119 varies
Heterophile Antibody Screen (86308) $133 $133 25.7×
Hfe Gene (81256) $245 $245 3.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $102 $102 13.2×
Histamine urine (83088) $300 $300 10.2×
Histoplasma antibody (86698) $215 $215 15.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $79 $79 3.3×
Hiv-1 Antibody (86701) $57 $57 6.4×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$90–$176 $90–$176 varies
HIV-2 probe&revrse trnscripj (87538) $272 $272 7.8×
Hla Class I Typing Low Resolution One Locus Each (81373) $312 $312 2.4×
Hla I Typing 1 Allele Hr (81381) $642 $642 3.8×
Hla ii typing 1 locus lr (81376) $420 $420 3.4×
Hla-b27 (86812) $129 $129 5.0×
Homocysteine (83090) $69 $69 3.9×
Homogenization Tissue (87176) $50 $50 8.5×
Homovanillic acid urine (83150) $109 $109 4.9×
Hpv sep hi-rsk typ&pool rslt (87626) $119 $119 1.7×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$122–$128 $122–$128 varies
Htt Gene Detc Abnor Alleles (81271) $491 $491 3.6×
Hydroxyprogesterone 17-d (83498) $120 $120 4.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $68 $68 6.6×
Iaad ia shiga-like toxin (87427) $188 $188 15.7×
Iaadi giardia (87269) $21 $21 1.5×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)
range across 2 matching MRF lines
$39–$132 $39–$132 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $83 $83 2.4×
Iadna Candida Species Amplified Probe Tq (87481) $42 $42 1.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $131 $131 3.7×
Iadna Cytomegalovirus Quantification (87497) $151 $151 3.5×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $49 $49 1.4×
Iadna Hepatitis B Virus Quantification (87517) $157 $157 3.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $251 $251 7.2×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $455 $455 5.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $76 $76 2.2×
Ig Light Chains Free Each (83521) $126 $126 7.3×
Igg subclasses (82787)
range across 2 matching MRF lines
$79–$206 $79–$206 varies
Igh gene rearrange amp meth (81261) $503 $503 2.5×
Igk rearrangeabn clonal pop (81264) $381 $381 2.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $101 $101 0.2×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$147–$160 $147–$160 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$256–$333 $256–$333 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$82–$127 $82–$127 varies
Immunoassay nonantibody (83516)
range across 14 matching MRF lines
$39–$250 $39–$250 varies
Immunofixation electrophoresis (86334) $156 $156 7.0×
Immunohistochemistry (88342) $211 $211 1.0×
In situ hybridization 1st probe stain (88365) $458 $458 2.2×
Inhibin A (86336) $95 $95 6.1×
Inhibin b (83520)
range across 16 matching MRF lines
$66–$1,085 $66–$1,085 varies
Insitu hybridization manual (88368) $103 $103 0.2×
Insulin antibodies (86337)
range across 2 matching MRF lines
$37–$134 $37–$134 varies
Insulin free (83527) $43 $43 3.3×
Insulin total (83525)
range across 2 matching MRF lines
$39–$85 $39–$85 varies
Intrinsic factor antibody (86340) $96 $96 6.4×
Iron (83540) $131 $131 20.2×
Iron Binding Capacity (83550) $251 $251 28.7×
Islet cell antibody (86341)
range across 5 matching MRF lines
$74–$100 $74–$100 varies
Jak2 gene analysis p.val617phe variant (81270) $552 $552 6.0×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$91–$101 $91–$101 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines
$166–$211 $166–$211 varies
LDL direct (83721) $109 $109 10.4×
Lead (83655)
range across 3 matching MRF lines
$32–$82 $32–$82 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$212–$262 $212–$262 varies
Leptospira antibody (86720) $620 $620 38.3×
Leukocyte Assessment Fecal (89055) $108 $108 25.3×
Level I Surg Pathology Gross Examination Only (88300) $86 $86 2.4×
Level ii surg pathology gross&microscopic exam (88302) $218 $218 4.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $331 $331 0.7×
Lipase (83690) $73 $73 10.6×
Lipoprotein A (83695) $96 $96 6.7×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $95 $95 8.4×
Lithium (80178) $151 $151 22.8×
Luteinizing Hormone (Lh) (83002) $96 $96 5.2×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$57–$131 $57–$131 varies
M. Genitalium Amp Probe (87563) $247 $247 7.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $441 $441 2.1×
Macroscopic exam arthropod (87168) $101 $101 23.7×
Macroscopic Exam Parasite (87169) $39 $39 9.0×
Magnesium Urine (83735)
range across 5 matching MRF lines
$30–$171 $30–$171 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$103–$206 $103–$206 varies
Mercury urine (83825)
range across 3 matching MRF lines
$40–$42 $40–$42 varies
Methotrexate (80204) $138 $138 3.6×
Methylmalonic acid serum (83921) $123 $123 5.8×
Microalbumin, quantitative (82043) $96 $96 16.6×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$87–$109 $87–$109 varies
Mitochondrial Antibody Each (86381) $91 $91 3.6×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $115 $115 3.0×
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$50–$689 $50–$689 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $82 $82 1.9×
Mopath procedure level 4 (81403) $530 $530 2.9×
Mpl gene analysis sequence analysis exon 10 (81339) $552 $552 3.0×
Mrsa Pcr (87641) $49 $49 1.4×
Mumps antibody (86735)
range across 3 matching MRF lines
$42–$95 $42–$95 varies
Muscle-Specific Kinase Antb (86366) $524 $524 28.5×
Mycobacteric Identification (87118) $69 $69 4.7×
Mycophenolic Acid (80180) $65 $65 3.6×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$53–$60 $53–$60 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$58–$61 $58–$61 varies
Natriuretic peptide (83880) $367 $367 9.3×
Neutralization Test Viral (86382)
range across 3 matching MRF lines
$216–$412 $216–$412 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $227 $227 1.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $67 $67 0.5×
Nfct ds bv&vaginitis DNA alg (81515) $98 $98 0.4×
Nfct ds chrnc hcv 6 assays (81596) $524 $524 7.3×
Nk cells total count (86357) $45 $45 1.2×
Nuclear antigen antibody (86235)
range across 19 matching MRF lines
$37–$264 $37–$264 varies
Obstetric panel (80081) $623 $623 8.3×
Occult blood feces (82272) $43 $43 10.2×
Occult Blood Other Sources (82271) $98 $98 18.4×
Oligoclonal bands (83916) $107 $107 3.9×
Organic Acids Qualitative Each Specimen (83919) $109 $109 6.6×
Osmolality serum (83930) $49 $49 7.4×
Osmolality Urine (83935)
range across 2 matching MRF lines
$30–$87 $30–$87 varies
Ova and parasites smears (87177) $52 $52 5.8×
Oxalate urine (83945)
range across 2 matching MRF lines
$40–$96 $40–$96 varies
Parvovirus antibody (86747) $68 $68 4.5×
Ph urine (81003) $65 $65 28.9×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$45–$190 $45–$190 varies
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$64–$241 $64–$241 varies
Phenytoin free (80186)
range across 2 matching MRF lines
$59–$104 $59–$104 varies
Phosphatase acid prostatic (84066) $67 $67 6.9×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$21–$95 $21–$95 varies
Phospholipid Neutralization Hexagonal (85598) $288 $288 16.0×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$57–$86 $57–$86 varies
Phosphorus urine (84105)
range across 2 matching MRF lines
$23–$66 $23–$66 varies
Platelet Aggregation (85576) $122 $122 4.9×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$102–$134 $102–$134 varies
Platelet count automated (85049) $46 $46 10.3×
Porphobilinogen, urine; quantitative (84110)
range across 3 matching MRF lines
$25–$91 $25–$91 varies
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$42–$62 $42–$62 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$22–$96 $22–$96 varies
Prealbumin (84134) $87 $87 6.0×
Pregnenolone (84140) $118 $118 5.7×
Primidone (80188) $66 $66 4.0×
Procalcitonin (Pct) (84145) $285 $285 10.5×
Progesterone (84144) $221 $221 10.6×
Prolactin (84146) $46 $46 2.4×
Prostaglandin (84150) $319.20 $319.20 7.6×
Protein body fluid (84157) $81 $81 20.3×
Protein C Activity (85303) $137 $137 9.9×
Protein c antigen (85302) $166 $166 13.8×
Protein Electrophoresis Urine (84166) $101 $101 5.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $91 $91 8.5×
Protein S Free (85306)
range across 2 matching MRF lines
$160–$171 $160–$171 varies
Protein s total (85305) $85 $85 7.3×
Protein total serum (84155) $18 $18 4.9×
Protein Total Urine (84156) $81 $81 22.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $68 $68 17.3×
PSA free (84154)
range across 2 matching MRF lines
$26–$60 $26–$60 varies
Pth Intact (83970) $96 $96 2.3×
Q Fever Antibody (86638)
range across 3 matching MRF lines
$65–$173 $65–$173 varies
Quantiferon tb gold plus (86480) $122 $122 2.0×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$216–$469 $216–$469 varies
Quantitative Screen Metals (83018) $123 $123 5.6×
Rbc antibody elution (86860) $310 $310 1.5×
Rbc antibody identification (86870) $380 $380 0.8×
Rbc antibody screen (86850) $129 $129 13.2×
Rbc pretreatment serum (86978) $184 $184 2.5×
Rbc pretx incubatj w/enzymes (86971) $121 $121 0.6×
Renin activity plasma (84244) $109 $109 5.0×
Resp Virus 6-11 Targets (87632) $319 $319 1.5×
Reticulated Platelet Assay (85055) $45.10 $45.10 1.3×
Reticulocyte Count (85046) $120 $120 21.5×
Rh (86901)
range across 2 matching MRF lines
$42–$65 $42–$65 varies
Rheumatoid factor quant (86431) $60 $60 10.6×
Rickettsia antibody (86757) $119 $119 6.1×
Ristocetin cofactor (85245) $147 $147 6.4×
Rotavirus ag eia (87425) $103 $103 8.6×
Rpr qualitative (86592) $91 $91 21.3×
Rubella Antibody (86762)
range across 2 matching MRF lines
$42–$86 $42–$86 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$42–$95 $42–$95 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$44–$57 $44–$57 varies
Salicylate Level (80179) $222 $222 11.9×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$74–$126 $74–$126 varies
Sarscov2&inf a&b&rsv amp prb (87637) $346 $346 2.4×
Sedimentation Rate, Automated (85652) $91 $91 33.7×
Selenium (84255) $194 $194 7.6×
Semen Anal Sperm Detection (89321) $157 $157 13.0×
Semen analysis complete (89320) $250 $250 20.3×
Semen analysis motility and count (89310) $157 $157 18.2×
Sensitivity mic (87186)
range across 6 matching MRF lines
$57–$241.10 $57–$241.10 varies
Sex Hormone Binding Globulin (84270)
range across 3 matching MRF lines
$50–$133 $50–$133 varies
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$66–$86 $66–$86 varies
Sirolimus (80195) $67 $67 4.9×
Smear acid fast (87206)
range across 3 matching MRF lines
$34–$109 $34–$109 varies
Smear complex stain (87209) $42 $42 2.3×
Smear gram stain (87205) $108 $108 25.3×
Smear Special Stain (87207)
range across 2 matching MRF lines
$44–$99 $44–$99 varies
Smn1 Gene Dos/Deletion Alys (81329) $1,176 $1,176 8.6×
Smr Prim Src Wet Mount Nfct Agt (87210) $90 $90 15.5×
Sodium Serum (84295) $108 $108 22.5×
Sodium Urine (84300)
range across 2 matching MRF lines
$23–$115 $23–$115 varies
Soluble Transferrin Receptor (84238) $85 $85 2.3×
Somatomedin (84305) $109 $109 5.1×
Special Stains Group 1 (88312) $53 $53 0.8×
Special Stains Group 2 (88313) $131 $131 0.8×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$39–$49 $39–$49 varies
Strep a DNA amp probe (87651) $231 $231 6.6×
Strep b DNA amp probe (87653) $69 $69 2.0×
Sulfate urine (84392) $23 $23 4.2×
Surg path level iii (88304) $247 $247 3.8×
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$53–$392 $53–$392 varies
Surgical pathology level vi (88309) $743 $743 0.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $54 $54 11.4×
Susceptibility Study Antimicrobial Disk Method (87184) $126 $126 16.8×
Syphilis Test Non-Trep Quant (86593) $46 $46 10.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 3 matching MRF lines
$50–$108 $50–$108 varies
T cells total count (86359)
range across 2 matching MRF lines
$45–$88 $45–$88 varies
T3 Free (84481) $91 $91 5.4×
T3 reverse (84482) $78 $78 4.9×
T3 Total (84480) $89 $89 6.3×
T3 Uptake (84479)
range across 2 matching MRF lines
$37–$111 $37–$111 varies
T4 Free (84439)
range across 2 matching MRF lines
$82–$194 $82–$194 varies
T4 total (84436)
range across 2 matching MRF lines
$37–$154 $37–$154 varies
Tacrolimus (80197) $87 $87 6.3×
Testosterone Bioavailable (84410) $39 $39 0.8×
Testosterone total (84403)
range across 3 matching MRF lines
$20–$61 $20–$61 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$27–$106 $27–$106 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$2,074–$2,417 $2,074–$2,417 varies
Theophylline (80198) $190 $190 13.4×
Thiopurine methyltransferase (84433) $393 $393 17.7×
Thrombin Time (85670) $44 $44 7.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 3 matching MRF lines
$64–$85 $64–$85 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$40–$380 $40–$380 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$40–$282 $40–$282 varies
Thyroid Stimulating Immunoglobulin (84445) $106 $106 2.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $69 $69 6.0×
Tissue Culture (88233) $504 $504 3.6×
Tissue culture bone marrow (88237) $204 $204 1.4×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$97–$181 $97–$181 varies
Tobramycin peak (80200) $109 $109 6.8×
Topiramate (80201) $83 $83 7.0×
Toxoplasma ab igm (86778) $102 $102 7.1×
Toxoplasma antibody (86777) $91 $91 6.3×
Transferase Aspartate Amino Ast Sgot (84450) $95 $95 18.3×
Transferrin (84466) $251 $251 19.7×
Trb@ Rearrangement Anal Amplification Method (81340) $337 $337 1.6×
Trg gene rearrangement anal (81342) $324 $324 1.6×
Trichomonas Vaginalis Amplif (87661) $42 $42 1.2×
Triglycerides (84478)
range across 2 matching MRF lines
$4–$95 $4–$95 varies
Troponin Quant (84484) $241 $241 19.3×
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines
$72–$699 $72–$699 varies
Urea Nitrogen Clearance (84545) $99 $99 13.8×
Urea nitrogen urine (84540) $60 $60 10.8×
Uric acid other source (84560)
range across 2 matching MRF lines
$23–$168 $23–$168 varies
Urinalysis Microscopic Only (81015) $28 $28 9.2×
Urinalysis Volume Measure (81050) $35 $35 9.6×
Urine Bacteria Culture (87088) $120 $120 14.8×
Urine Pregnancy Test (81025) $90 $90 10.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $102 $102 32.2×
Valproic acid (80164)
range across 2 matching MRF lines
$57–$291 $57–$291 varies
Vancomycin (80202) $96 $96 7.1×
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$42–$91 $42–$91 varies
Vasopressin (84588) $420 $420 12.4×
Virus antibody nos (86790)
range across 3 matching MRF lines
$65–$325 $65–$325 varies
Viscosity serum (85810) $113 $113 9.7×
Vit D 1 25-Dihydroxy (82652) $89 $89 2.3×
Vitamin A (84590) $96 $96 8.3×
Vitamin b-12 (82607) $290 $290 19.2×
Vitamin B2 (Riboflavin) (84252) $90 $90 4.4×
Vitamin B6 (84207) $128 $128 4.6×
Vitamin c (82180) $108 $108 10.9×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$67–$119 $67–$119 varies
Vitamin E (84446) $91 $91 6.4×
Vitamin K (84597) $146 $146 10.6×
Voltage-Gated Calcium Channel Antibody Each (86596) $171 $171 14.2×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$92–$112 $92–$112 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines
$52–$257 $52–$257 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$43–$219 $43–$219 varies
Zinc (84630)
range across 3 matching MRF lines
$86–$156 $86–$156 varies

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.