Lab & pathology prices at Thomas H Boyd Memorial Hospital

Carrollton, IL · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $603.20 $754 32.8×
Acth (82024) $244.80 $306 6.3×
Actin smooth muscle antibody each (86015) $64.80 $81 5.4×
Acute hepatitis panel (80074) $156 $195 3.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $216.80 $271 3.4×
Agglutinins Febrile Each Antigen (86000) $223.20 $279 32.0×
Albumin serum (82040) $69.60 $87 14.1×
Aldolase (82085) $66.40 $83 6.8×
Aldosterone urine (82088) $328.80 $411 8.1×
Alkaline phosphatase isoenzymes (84080) $60 $75 4.1×
Allergen spec ige qual multiallergen screen (86005) $41.60 $52 5.2×
Allergen specific ige (86003)
range across 4 matching MRF lines
$43.20–$112.80 $54–$141 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$64.80–$68 $81–$85 varies
Alpha-1-antitrypsin phenotype (82104) $114.40 $143 7.9×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$72.80–$89.60 $91–$112 varies
Alpha-Fetoprotein Serum (82105) $132 $165 7.9×
Alt (sgpt) (84460) $77.60 $97 14.6×
Aluminum (82108) $53.60 $67 2.1×
Amikacin trough (80150) $220.80 $276 14.6×
Ammonia (82140) $132 $165 9.1×
Amylase urine (82150) $108 $135 16.7×
Ana Titer (86039) $44 $55 3.9×
Anca screen each antibody (86036) $139.20 $174 11.6×
Androstenedione (82157) $133.60 $167 4.6×
Angiotensin converting enzyme csf (82164) $88 $110 6.0×
Anti-Phospholipid Antibody (86148) $147.20 $184 9.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $65.60 $82 4.2×
Antibody Cytomegalovirus Cmv Igm (86645) $110.40 $138 6.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $65.60 $82 5.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $65.60 $82 4.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $65.60 $82 3.6×
Antibody Fungus Not Elsewhere Specified (86671) $75.20 $94 6.1×
Antibody helicobacter pylori (86677) $162.40 $203 9.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $132.80 $166 9.2×
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$45.60–$356 $57–$445 varies
Antibody HIV-1&HIV-2 single result (86703) $133.60 $167 9.7×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$152.80–$755.20 $191–$944 varies
Antibody identification leukocyte antibodies (86021) $364.80 $456 24.2×
Antibody neisseria meningitidis (86741) $71.20 $89 5.4×
Antibody Treponema Pallidum (86780) $100.80 $126 7.6×
Antibody; influenza virus (86710) $84.80 $106 6.3×
Antigen typing (86905)
range across 2 matching MRF lines
$101.60–$313.60 $127–$392 varies
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$65.60–$92.80 $82–$116 varies
Antistreptolysin O Screen (86063) $126.40 $158 21.9×
Antistreptolysin o titer (86060) $65.60 $82 9.0×
Antithrombin iii activity (85300) $117.60 $147 9.9×
Arsenic (82175)
range across 2 matching MRF lines
$53.60–$172.80 $67–$216 varies
Assay activated protein c (85307) $144 $180 9.4×
Assay Blood Carbon Dioxide (82374) $39.20 $49 8.0×
Assay of 5-hiaa (83497) $90.40 $113 7.0×
Assay of anti-mullerian hormone (82166) $127.20 $159 3.3×
Assay of blood/uric acid (84550) $70.40 $88 15.6×
Assay of calcium in urine (82340) $90.40 $113 15.0×
Assay of cpk in blood (82552) $92 $115 6.9×
Assay of estrone (82679) $100.80 $126 4.0×
Assay of gammaglobulin igm (82784) $88 $110 9.5×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$101.60–$138.40 $127–$173 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines
$452.80–$637.60 $566–$797 varies
Assay of phosphatase acid total (84060) $156.80 $196 20.5×
Assay of phosphatase alkaline heat stable (84078) $80 $100 9.7×
Assay of proinsulin (84206) $321.60 $402 12.0×
Assay of serotonin (84260) $200 $250 6.5×
Assay of serum potassium (84132) $64.80 $81 13.6×
Assay of urea nitrogen (84520) $151.20 $189 38.3×
Assay of urine vma (84585) $159.20 $199 10.3×
Assay of vasoactive intestinal peptide (84586) $133.60 $167 3.8×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$121.60–$144 $152–$180 varies
Assay Ph Body Fluid Nos (83986) $76.80 $96 21.5×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$32–$236.80 $40–$296 varies
Bartonella antibody (86611) $60 $75 5.9×
Bcr/abl1 gene major bp (81206) $1,064 $1,330 6.5×
Beta 2 glycoprotein i antibody each (86146) $106.40 $133 4.2×
Beta Lactamase (87185) $45.60 $57 9.6×
Beta-2 Microglobulin (82232) $103.20 $129 6.4×
Beta-amyloid 1-40 (abeta 40) (82233) $200 $250 1.6×
Beta-amyloid; 1-42 (abeta 42) (82234) $200 $250 1.6×
Bilirubin direct (82248) $67.20 $84 13.4×
Bilirubin total (82247) $44 $55 8.8×
Bl Smear W/O Diff Wbc Count (85008) $88 $110 25.7×
Bld Typing Serologic Rh Phnt (86906) $58.40 $73 7.5×
Blood Count Automated Differential Wbc Count (85004) $65.60 $82 10.1×
Blood count reticulocyte automated (85045) $100.80 $126 25.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $41.60 $52 10.9×
Blood gas (82803) $245.60 $307 9.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines
$35.20–$117.60 $44–$147 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$177.60–$313.60 $222–$392 varies
Blood typing serologic abo (86900) $58.40 $73 19.5×
Bone marrow smear interpretation (85097) $164 $205 0.2×
Bordetella antibody (86615) $84.80 $106 6.4×
C diff amplified probe (87493)
range across 2 matching MRF lines
$249.60–$308 $312–$385 varies
C-Peptide (84681) $142.40 $178 6.8×
C-reactive protein (86140) $102.40 $128 19.8×
Ca 19-9 (86301) $115.20 $144 5.5×
Calcitonin (82308) $247.20 $309 9.2×
Calcium ionized (82330) $105.60 $132 7.7×
Calcium total (82310)
range across 2 matching MRF lines
$80–$90.40 $100–$113 varies
Calculus Spectroscopy (82365) $195.20 $244 15.1×
Calprotectin Fecal (83993) $294.40 $368 15.0×
Cancer Antigen 125 (86304) $138.40 $173 6.7×
Cancer Antigen 27.29 (86300) $115.20 $144 5.5×
Carbamazepine total (80156) $147.20 $184 10.1×
Carbohydrate Deficient Transferrin (82373) $519.20 $649 28.7×
Carboxyhemoglobin (82375) $116.80 $146 9.5×
Carcinoembryonic antigen (82378) $132 $165 7.0×
Cardiolipin ab iga (86147) $96.80 $121 3.8×
Carotene (82380) $62.40 $78 6.8×
Catecholamines fractionated (82384) $110.40 $138 4.4×
Ccp antibody (86200)
range across 2 matching MRF lines
$101.60–$116.80 $127–$146 varies
Cell count csf (89051)
range across 2 matching MRF lines
$89.60–$111.20 $112–$139 varies
Ceruloplasmin (82390) $96 $120 8.9×
Cftr gene com variants (81220)
range across 5 matching MRF lines
$72.80–$296.80 $91–$371 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$149.60–$476 $187–$595 varies
Chlamydia Igm Antibody (86632) $140.80 $176 11.1×
Chloride Serum (82435) $92 $115 20.0×
Chloride urine (82436)
range across 2 matching MRF lines
$51.20–$92 $64–$115 varies
Cholesterol total (82465) $67.20 $84 15.4×
Chorionic gonadotropin test (84702) $62.40 $78 4.1×
Chromium serum (82495) $120 $150 5.9×
Chromogranin a (86316)
range across 2 matching MRF lines
$116.80–$195.20 $146–$244 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$60–$162.40 $75–$203 varies
Citric acid urine (82507) $72.80 $91 2.6×
Ckmb (82553) $164 $205 14.2×
Clostridium Difficile (87324) $90.40 $113 7.5×
Cold agglutinin screen (86156) $136.80 $171 17.0×
Collagen crosslinks (82523) $368 $460 19.7×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$152.80–$360 $191–$450 varies
Compatibility Each Unit Incubation (86921) $165.60 $207 0.9×
Compatibility test antiglob (86922) $162.40 $203 0.9×
Complement Antigen Each Component (86160) $97.60 $122 8.1×
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$90.40–$122.40 $113–$153 varies
Complement/Function Activity (86161) $144 $180 12.0×
Coombs direct (86880) $64.80 $81 12.0×
Copper urine (82525) $140.80 $176 11.3×
Cortisol free (82530) $119.20 $149 7.1×
Cortisol saliva (82533)
range across 2 matching MRF lines
$97.60–$215.20 $122–$269 varies
Creatine (82540) $40 $50 8.6×
Creatine kinase total (82550) $116.80 $146 17.9×
Creatinine blood (82565) $69.60 $87 13.6×
Creatinine clearance (82575) $115.20 $144 12.2×
Creatinine Urine (82570) $88.80 $111 17.1×
Crossmatch immediate spin (86920) $65.60 $82 0.4×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$80–$140.80 $100–$176 varies
Cryoglobulin (82595) $193.60 $242 29.9×
Cryptococcus ab (86641) $138.40 $173 9.6×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$35.20–$51.20 $44–$64 varies
Cryptosporidium ag eia (87328) $301.60 $377 21.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$20–$69.60 $25–$87 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$89.60–$110.40 $112–$138 varies
Culture afb (87116) $103.20 $129 9.6×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$41.60–$227.20 $52–$284 varies
Culture blood (87040)
range across 3 matching MRF lines
$140–$189.60 $175–$237 varies
Culture chlamydia (87110)
range across 2 matching MRF lines
$116–$126.40 $145–$158 varies
Culture csf (87070)
range across 5 matching MRF lines
$71.20–$102.40 $89–$128 varies
Culture fungus (87102)
range across 3 matching MRF lines
$27.20–$64.80 $34–$81 varies
Culture screen only (87081)
range across 4 matching MRF lines
$36.80–$101.60 $46–$127 varies
Culture stool (87045)
range across 2 matching MRF lines
$91.20–$98.40 $114–$123 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$17.60–$52 $22–$65 varies
Culture urine (87086)
range across 2 matching MRF lines
$106.40–$115.20 $133–$144 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $65.60 $82 4.6×
Cyclic amp (82030) $131.20 $164 5.1×
Cyclosporine (80158) $145.60 $182 8.1×
Cystatin C (82610) $176 $220 9.5×
Cytogenetics 100-300 (88275) $120 $150 2.3×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,972.80 $3,716 2.6×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$64–$181.60 $80–$227 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $122.40 $153 6.0×
Cytopath Cell Enhance Tech (88112) $234.40 $293 4.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$184–$234.40 $230–$293 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $120.80 $151 3.0×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,491.20 $1,864 8.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 2 matching MRF lines
$72.80–$80 $91–$100 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $172.80 $216 5.6×
Deoxyribonuclease antibody (86215) $102.40 $128 7.7×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$71.20–$184.80 $89–$231 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$468.80–$598.40 $586–$748 varies
Dgp Antibody Each Ig Class (86258) $116.80 $146 9.7×
Dhea (82626) $117.60 $147 4.7×
Dhea-S (82627) $96 $120 4.3×
Digoxin (80162) $172.80 $216 13.0×
Dihydrotestosterone (82642) $300 $375 10.2×
Diphtheria antitoxoid (86648) $71.20 $89 4.7×
Dna Antibody Native/Double Stranded (86225) $114.40 $143 8.3×
Dna Antibody Single Stranded (86226) $109.60 $137 9.1×
Dna/Rna Amplified Probe (87150) $267.20 $334 7.6×
Drug Assay Amiodarone (80151) $184.80 $231 9.9×
Drug Assay Itraconazole (80189) $155.20 $194 5.7×
Drug Assay Lacosamide (80235) $215.20 $269 7.9×
Drug Screen Quant Clozapine (80159) $160 $200 7.9×
Drug Screen Quant Zonisamide (80203) $215.20 $269 16.2×
Drug Screen Quantitative Gabapentin (80171) $184.80 $231 8.5×
Drug Screen Quantitative Lamotrigine (80175) $155.20 $194 11.7×
Drug Screen Quantitative Levetiracetam (80177) $184.80 $231 13.9×
Drug Screen Quantitative Oxcarbazepine (80183) $155.20 $194 11.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$36.80–$488.80 $46–$611 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 4 matching MRF lines
$98.40–$266.40 $123–$333 varies
Ehrlichia antibody (86666) $150.40 $188 14.8×
Electrolyte panel (80051) $128 $160 18.3×
Enzyme cell activity (82657) $348.80 $436 15.7×
Eosinophil Smear (89190) $151.20 $189 26.1×
Erythropoietin (82668) $189.60 $237 10.1×
Estradiol serum (82670)
range across 2 matching MRF lines
$133.60–$173.60 $167–$217 varies
Estrogen total (82672) $133.60 $167 6.2×
Ethosuximide (80168) $60.80 $76 3.7×
Exam Synovial Fluid Crystals (89060) $156.80 $196 21.4×
F2 Gene (81240) $415.20 $519 6.3×
Factor ii activity (85210) $176.80 $221 13.6×
Factor v activity (85220) $241.60 $302 13.7×
Factor v leiden mutation (81241) $451.20 $564 6.1×
Factor viii assay (85240) $120 $150 6.7×
Factor X (85260) $103.20 $129 5.8×
Fat/Lipids Feces Quantitative (82710) $119.20 $149 7.1×
Fatty acids free (82725) $1,055.20 $1,319 56.2×
Ferritin (82728) $136.80 $171 10.0×
Fetal Congenital Abnor Assay Four Anal (81511) $211.20 $264 1.4×
Fibrin Degradation Quant (85379) $137.60 $172 13.5×
Fibrinogen activity (85384) $102.40 $128 10.5×
Flecainide level (80181) $184.80 $231 9.9×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$28.80–$639.20 $36–$799 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $60 $75 5.0×
Fmr1 gene detection (81243) $464 $580 8.1×
Folic acid rbc (82747) $132 $165 7.5×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$89.60–$110.40 $112–$138 varies
Follicle Stimulating Hormone (83001) $144 $180 7.8×
Fungi Identification Mold (87107) $80 $100 7.8×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$122.40–$134.40 $153–$168 varies
Gammaglobulin ige (82785) $80 $100 4.9×
Gardner vag DNA dir probe (87510) $57.60 $72 2.9×
Gastrin (82941) $92.80 $116 5.3×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$274.40–$296.80 $343–$371 varies
Gentamicin (80170)
range across 2 matching MRF lines
$156–$184 $195–$230 varies
Ggt (82977) $98.40 $123 13.7×
Giardia antigen (87329) $25.60 $32 2.1×
Glucose 2 hr pp (82950) $71.20 $89 15.0×
Glucose body fluid (82945) $64.80 $81 16.5×
Glucose Serum (82947) $71.20 $89 18.1×
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$114.40–$140.80 $143–$176 varies
Glutathione (82978) $137.60 $172 8.9×
Glycated Protein (82985) $85.60 $107 5.1×
Gonadotropin Chorionic Qualitative (84703) $112 $140 14.9×
Growth hormone (83003) $277.60 $347 16.7×
Gtt-added samples (82952)
range across 2 matching MRF lines
$48–$55.20 $60–$69 varies
Haloperidol (80173) $93.60 $117 5.9×
Haptoglobin (83010) $120 $150 9.5×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$124.80–$313.60 $156–$392 varies
Hematocrit (85014) $39.20 $49 16.5×
Hemoglobin (85018) $38.40 $48 16.2×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$32–$98.40 $40–$123 varies
Hemoglobin Chromotography (83021) $184.80 $231 10.2×
Hemoglobin Methemoglobin Quantitative (83050) $116.80 $146 14.2×
Hep a ab igm (86709) $153.60 $192 13.6×
Heparin assay (85520) $361.60 $452 27.6×
Hepatitis a antibody total (86708) $133.60 $167 10.8×
Hepatitis b core ab igm (86705) $464 $580 39.4×
Hepatitis b core ab total (86704) $72.80 $91 6.0×
Hepatitis B Surface Antibody (86706) $144 $180 13.4×
Hepatitis B Surface Antigen (87340) $98.40 $123 9.5×
Hepatitis Be Antibody (86707) $72.80 $91 6.3×
Hepatitis Be Antigen (87350) $116.80 $146 10.1×
Hepatitis C Antibody (86803) $144 $180 10.1×
Hepatitis C Genotype (87902) $535.20 $669 2.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $309.60 $387 8.8×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$405.60–$924.80 $507–$1,156 varies
Hepatitis Delta Agent Antibody (86692) $373.60 $467 21.8×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$158.40–$364.80 $198–$456 varies
Heterophile Antibody Screen (86308) $89.60 $112 17.3×
Hfe Gene (81256)
range across 10 matching MRF lines
$33.60–$429.60 $42–$537 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines
$76.80–$126.40 $96–$158 varies
Histoplasma antigen urine (87385) $284 $355 21.4×
Hiv Genotype (87901) $914.40 $1,143 3.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $157.60 $197 6.5×
Hiv-1 Antibody (86701) $110.40 $138 12.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $386.40 $483 4.5×
HIV-2 probe&revrse trnscripj (87538) $500 $625 14.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $76.80 $96 1.0×
Homocysteine (83090)
range across 2 matching MRF lines
$136.80–$140 $171–$175 varies
Homovanillic acid urine (83150)
range across 2 matching MRF lines
$131.20–$334.40 $164–$418 varies
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$322.40–$352.80 $403–$441 varies
Hpv sep hi-rsk typ&pool rslt (87626) $316.80 $396 4.5×
Hsv Dna Amp Probe (87529) $347.20 $434 9.9×
Human Epididymis Protein 4 (86305) $312 $390 15.0×
Hydroxycorticosteroids 17 (83491) $131.20 $164 7.3×
Hydroxyprogesterone 17-d (83498) $181.60 $227 6.7×
Hydroxyproline total (83505) $131.20 $164 5.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $56.80 $71 5.5×
Iaad ia shiga-like toxin (87427) $35.20 $44 2.9×
Iadna Bartonella Amplified Probe Technique (87471) $418.40 $523 11.9×
Iadna Candida Species Amplified Probe Tq (87481)
range across 2 matching MRF lines
$480.80–$531.20 $601–$664 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $347.20 $434 9.9×
Iadna Cytomegalovirus Quantification (87497) $678.40 $848 15.8×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $308 $385 4.4×
Iadna Hepatitis B Virus Quantification (87517) $488.80 $611 11.4×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $500 $625 14.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $71.20 $89 2.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$67.20–$162.40 $84–$203 varies
Ig Light Chains Free Each (83521) $128.80 $161 7.5×
Igg subclasses (82787) $169.60 $212 21.1×
Immune Complex Assay (86332) $147.20 $184 6.0×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$139.20–$172.80 $174–$216 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$215.20–$959.20 $269–$1,199 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$51.20–$102.40 $64–$128 varies
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$116.80–$420 $146–$525 varies
Immunodiffusion not elsewhere specified (86329) $65.60 $82 4.7×
Immunofixation electrophoresis (86334) $140.80 $176 6.3×
Immunohistochemistry (88342) $294.40 $368 1.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $83.20 $104 1.2×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$64.80–$81.60 $81–$102 varies
Inhibin A (86336) $405.60 $507 26.0×
Inhibin b (83520)
range across 5 matching MRF lines
$88–$405.60 $110–$507 varies
Insulin antibodies (86337) $139.20 $174 6.5×
Insulin total (83525)
range across 3 matching MRF lines
$40–$144 $50–$180 varies
Iron (83540) $77.60 $97 12.0×
Iron Binding Capacity (83550) $82.40 $103 9.4×
Islet cell antibody (86341)
range across 2 matching MRF lines
$215.20–$218.40 $269–$273 varies
Ketosteroids 17 total (83586) $131.20 $164 10.2×
Koh Prep (87220) $76.80 $96 18.0×
Lactate (ld) (ldh) enzyme (83615) $88.80 $111 14.7×
Lactoferrin Fecal Quantitative (83631) $368 $460 18.7×
LDL direct (83721) $68 $85 6.5×
Lead (83655) $69.60 $87 5.7×
Legionella antibody (86713) $177.60 $222 11.6×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$35.20–$90.40 $44–$113 varies
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$87.20–$94.40 $109–$118 varies
Level I Surg Pathology Gross Examination Only (88300) $97.60 $122 3.1×
Level ii surg pathology gross&microscopic exam (88302) $155.20 $194 3.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $454.40 $568 1.2×
Lipase (83690) $120 $150 17.4×
Lipoprotein A (83695) $70.40 $88 4.9×
Lipoprotein Bld Quan Part (83704) $98.40 $123 2.9×
Lithium (80178) $94.40 $118 14.3×
Luteinizing Hormone (Lh) (83002) $147.20 $184 7.9×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$65.60–$164 $82–$205 varies
Lysozyme serum (85549) $97.60 $122 5.2×
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines
$71.20–$77.60 $89–$97 varies
Magnesium Urine (83735)
range across 3 matching MRF lines
$72–$105.60 $90–$132 varies
Mass Spectrometry Quant (83789) $247.20 $309 10.3×
Mercury urine (83825) $90.40 $113 5.6×
Metabolic panel ionized ca (80047) $172.80 $216 12.6×
Methylmalonic acid serum (83921) $251.20 $314 11.8×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$92.80–$103.20 $116–$129 varies
Microbe Suscept Macrobroth (87188) $145.60 $182 21.9×
Microsomal Antibodies Each (86376) $168.80 $211 11.6×
Mitochondrial Antibody Each (86381) $49.60 $62 1.9×
Molecular Cytogenetics Dna Probe Each (88271) $120 $150 5.6×
Mopath procedure level 2 (81401) $460.80 $576 3.4×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$241.60–$1,328 $302–$1,660 varies
Morphometric Analysis Tumor (88358) $424 $530 2.3×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$116.80–$145.60 $146–$182 varies
Mthfr Gene Analysis Common Variants (81291) $160 $200 2.4×
Mumps antibody (86735) $80 $100 6.1×
Mycobacteric Identification (87118) $49.60 $62 3.4×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$116–$227.20 $145–$284 varies
Mycoplasma culture (87109) $126.40 $158 8.2×
Myoglobin urine (83874) $98.40 $123 7.6×
Natriuretic peptide (83880) $253.60 $317 6.5×
Neutralization Test Viral (86382) $145.60 $182 8.6×
Nfct ds bv&vaginitis DNA alg (81515) $228.80 $286 0.9×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$64.80–$147.20 $81–$184 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$35.20–$41.60 $44–$52 varies
Organic acids urine (83918) $339.20 $424 14.4×
Osmolality serum (83930) $93.60 $117 14.2×
Osmolality Urine (83935) $97.60 $122 14.3×
Osteocalcin (83937) $116 $145 3.9×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$108–$116.80 $135–$146 varies
Oxalate urine (83945) $72.80 $91 5.0×
Parvovirus antibody (86747) $119.20 $149 7.9×
Ph urine (81003) $38.40 $48 17.1×
Phenobarbital Level (80184) $133.60 $167 8.7×
Phenytoin (Dilantin) (80185) $156.80 $196 11.8×
Phosphatase acid prostatic (84066) $75.20 $94 7.8×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$55.20–$67.20 $69–$84 varies
Phospholipid Neutralization Hexagonal (85598) $84.80 $106 4.7×
Phosphorus Serum (84100) $84.80 $106 17.9×
Phosphorus urine (84105) $65.60 $82 11.3×
Pinworm exam (87172)
range across 2 matching MRF lines
$19.20–$20.80 $24–$26 varies
Platelet count automated (85049) $62.40 $78 13.9×
Porphobilinogen, urine; quantitative (84110) $101.60 $127 12.0×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$84.80–$103.20 $106–$129 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$64.80–$88.80 $81–$111 varies
Prealbumin (84134) $119.20 $149 8.2×
Pregnenolone (84140) $216 $270 10.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $120 $150 1.9×
Primidone (80188) $147.20 $184 8.9×
Procalcitonin (Pct) (84145) $436.80 $546 16.0×
Progesterone (84144) $102.40 $128 4.9×
Prolactin (84146) $156.80 $196 8.1×
Protein body fluid (84157) $84.80 $106 21.2×
Protein C Activity (85303) $319.20 $399 23.1×
Protein c antigen (85302) $342.40 $428 28.5×
Protein Electrophoresis Urine (84166) $140.80 $176 7.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $93.60 $117 8.7×
Protein S Free (85306) $312 $390 20.4×
Protein s total (85305) $237.60 $297 20.5×
Protein total serum (84155) $80 $100 21.8×
Protein Total Urine (84156) $51.20 $64 14.0×
Prothrombin Time Substitution Plasma Frctj Each (85611) $30.40 $38 7.7×
Protoporphyrin rbc quantitative (84202) $67.20 $84 4.7×
PSA free (84154) $120 $150 6.5×
Pth Intact (83970) $282.40 $353 6.8×
Quantiferon tb gold plus (86480) $280.80 $351 4.5×
Quantitative assay drug (80299)
range across 6 matching MRF lines
$88–$424.80 $110–$531 varies
Quantitative Screen Metals (83018) $184 $230 8.4×
Rbc antibody elution (86860) $190.40 $238 1.0×
Rbc antibody identification (86870) $116 $145 0.3×
Rbc antibody screen (86850) $65.60 $82 6.7×
Rbc pretreatment serum (86978) $56 $70 0.9×
Rbc pretx incubatj w/enzymes (86971) $88.80 $111 0.5×
Receptor assay estrogen (84233) $388 $485 4.4×
Receptor assay progesterone (84234) $388 $485 6.0×
Renin activity plasma (84244) $168.80 $211 7.7×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$71.20–$280.80 $89–$351 varies
Reticulocyte separation (86972) $144 $180 0.8×
Rh (86901) $51.20 $64 17.1×
Rheumatoid factor quant (86431) $80.80 $101 14.3×
Rickettsia antibody (86757) $126.40 $158 6.5×
Ristocetin cofactor (85245) $247.20 $309 10.8×
Rotavirus ag eia (87425) $170.40 $213 14.2×
Rpr qualitative (86592) $56 $70 13.1×
Rsv Assay W/Optic (87807) $164 $205 12.5×
Rubella Antibody (86762) $38.40 $48 2.7×
Rubeola antibody (86765) $114.40 $143 8.9×
Russell Viper Venom Time Diluted (85613) $84.80 $106 8.9×
Salicylate Level (80179)
range across 2 matching MRF lines
$132–$228 $165–$285 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$135.20–$145.60 $169–$182 varies
Sars-cov-2 COVID-19 antibody (86769) $85.60 $107 2.0×
Sars-Cov-2 Covid19 W/Optic (87811) $18.40 $23 0.4×
Sarscov2&inf a&b&rsv amp prb (87637) $374.40 $468 2.6×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$44–$89.60 $55–$112 varies
Selenium (84255) $216.80 $271 8.5×
Sensitivity mic (87186)
range across 3 matching MRF lines
$17.60–$236.80 $22–$296 varies
Sex Hormone Binding Globulin (84270) $47.20 $59 2.2×
Sickling of rbc reduction (85660) $97.60 $122 17.7×
Skin test tuberculosis intradermal (86580) $18.40 $23 0.6×
Smear acid fast (87206)
range across 2 matching MRF lines
$57.60–$77.60 $72–$97 varies
Smear complex stain (87209) $53.60 $67 3.0×
Smear gram stain (87205)
range across 2 matching MRF lines
$57.60–$62.40 $72–$78 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $56.80 $71 9.8×
Sodium Serum (84295) $64 $80 13.3×
Sodium Urine (84300)
range across 2 matching MRF lines
$64–$65.60 $80–$82 varies
Somatomedin (84305) $157.60 $197 7.4×
Special Stains Group 1 (88312) $228.80 $286 4.1×
Special Stains Group 2 (88313) $112 $140 0.8×
Specific gravity body fluid (84315) $49.60 $62 15.1×
Staph a DNA amp probe (87640) $76.80 $96 2.2×
Stool cultr aerobic bact ea (87046) $52.80 $66 5.6×
Strep a assay w/optic (87880)
range across 3 matching MRF lines
$52–$104 $65–$130 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$101.60–$228.80 $127–$286 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$167.20–$844 $209–$1,055 varies
Sugars Single Qual (84376) $78.40 $98 14.3×
Surg path level iii (88304) $182.40 $228 3.3×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$187.20–$244.80 $234–$306 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$13.60–$59.20 $17–$74 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$10.40–$79.20 $13–$99 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $77.60 $97 10.6×
Syphilis Test Non-Trep Quant (86593) $117.60 $147 26.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $373.60 $467 8.0×
T3 Free (84481) $156 $195 9.2×
T3 reverse (84482) $260.80 $326 16.5×
T3 Total (84480) $170.40 $213 12.0×
T3 Uptake (84479) $70.40 $88 10.9×
T4 Free (84439) $144 $180 16.0×
T4 total (84436) $78.40 $98 11.4×
Tacrolimus (80197) $232.80 $291 17.0×
Tau phosphorylated each (84393) $280 $350 2.2×
Test for acetone/ketones (82009) $89.60 $112 19.8×
Testosterone total (84403) $174.40 $218 6.8×
Testosterone, Free (84402) $65.60 $82 2.6×
Tetanus antibody (86774) $71.20 $89 4.8×
Theophylline (80198) $177.60 $222 12.6×
Thiocyanate (84430) $206.40 $258 17.7×
Thiopurine methyltransferase (84433) $732 $915 33.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $84.80 $106 13.1×
Thyroglobulin (84432) $139.20 $174 8.7×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$117.60–$126.40 $147–$158 varies
Thyroid Stimulating Immunoglobulin (84445) $338.40 $423 6.7×
Thyroxine binding globulin (84442) $62.40 $78 4.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $116.80 $146 10.1×
Tobramycin peak (80200) $209.60 $262 13.0×
Topiramate (80201) $169.60 $212 14.2×
Toxoplasma ab igm (86778) $103.20 $129 7.2×
Toxoplasma antibody (86777) $101.60 $127 7.1×
Transferase Aspartate Amino Ast Sgot (84450) $77.60 $97 15.0×
Transferrin (84466) $98.40 $123 7.7×
Trichomonas vagin dir probe (87660) $57.60 $72 2.9×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$184.80–$228.80 $231–$286 varies
Triglycerides (84478) $90.40 $113 15.7×
Troponin Quant (84484) $209.60 $262 16.8×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$28.80–$131.20 $36–$164 varies
Uric acid other source (84560) $75.20 $94 14.8×
Urinalysis Microscopic Only (81015) $30.40 $38 10.0×
Urinalysis Volume Measure (81050) $44 $55 12.1×
Urine Bacteria Culture (87088) $18.40 $23 2.3×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$36–$84.80 $45–$106 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $44 $55 13.9×
Valproic acid (80164)
range across 2 matching MRF lines
$92.80–$110.40 $116–$138 varies
Vancomycin (80202) $199.20 $249 14.7×
Varicella-zoster antibody (86787) $40 $50 3.1×
Viral Culture (87252)
range across 3 matching MRF lines
$262.40–$284.80 $328–$356 varies
Virus antibody nos (86790) $101.60 $127 7.9×
Virus inoculation, shell via (87254) $53.60 $67 2.7×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
$131.20–$256.80 $164–$321 varies
Vitamin A (84590) $85.60 $107 7.4×
Vitamin b-12 (82607) $111.20 $139 7.4×
Vitamin B2 (Riboflavin) (84252) $201.60 $252 10.0×
Vitamin B6 (84207) $85.60 $107 3.0×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$160–$436.80 $200–$546 varies
Vitamin E (84446) $65.60 $82 4.6×
Vitamin K (84597) $261.60 $327 19.1×
Von willebrand factor ag (85246) $392 $490 17.1×
Wbc Alkaline Phosphatase Count (85540) $135.20 $169 15.7×
Zinc (84630)
range across 2 matching MRF lines
$198.40–$215.20 $248–$269 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.